So oduruyɛfo no ka kyerɛɛ wo sɛ yɛ lymph node biopsy? Momma yɛnka eyi ho asɛm.

So woate akuru bi nka pɛn wɔ wo nipadua mu baabi, ebia wo kɔn, wo nsateaa, anaa wo hwene mu, na oduruyɛfo no frɛɛ no ​​‘nodule’? Bere a ɔka kyerɛɛ wo sɛ ɛsɛ sɛ wɔfa ne fã ketewaa bi de yɛ nhwehwɛmu, kyerɛ sɛ, ‘biopsy’ no, so wotee ehu ne ehu nka kakra? Ɛno yɛ ade a ɛfata koraa. Sɛ wote asɛmfua "biopsy" a, yɛn mu pii dwen kokoram ho. Nanso ɛnyɛ biopsy biara na wɔyɛ de hwehwɛ kokoram. Enti ɛnnɛ, momma yɛnka nea nodule biopsy yɛ, nea enti a wɔyɛ, sɛnea wɔyɛ, ne sɛ ebia ɛyɛ biribi a ɛsɛ sɛ wosuro ho asɛm tiawa koraa.

Dɛn ankasa ne lymph node biopsy?

Ansa na yɛbɛte eyi ase no, momma yɛnhwɛ nea saa "lymph nodes" yi yɛ. Fa no sɛ yɛwɔ ahobammɔ nhyehyɛe bi wɔ yɛn nipadua mu. Saa defense nhyehyɛe yi wɔ "apon" nketewa. Wɔfrɛ saa apon no lymph nodes. Eyinom te sɛ nnompe, ne kɛse fi sɛ pea kɛse kosi sɛ bɔɔl ketewaa bi, na ɛtrɛw fa yɛn nipadua nyinaa mu, titiriw wɔ mmeae te sɛ kɔn, asen, asen, koko, ne yafunu.

Nsu a ɛyɛ nsu a efi yɛn nipadua mu nkwammoaa ne ntini ahorow mu (yɛfrɛ no lymph fluid) no fa saa mmeae a wɔhwɛ nneɛma so, anaasɛ cilia yi mu. Bere a ɛretwam no, sɛ mmoawa, mmoawa, mmoawa, anaa kokoram nkwammoaa bi wɔ saa nsu no mu a epira nipadua no a, saa mmeae a wɔhwɛ nneɛma so a wɔfrɛ no cilia no kyere wɔn na ɛto mu. Ɛte sɛ nea wɔde yiyi mu.

Afei ebia wote nea enti a ntini a ɛwɔ yɛn kɔn mu no hohoro bere a yɛwɔ atiridii anaa menewam yare no ase. Ɛte saa efisɛ wɔreko atia mmoawa.

Okay, enti dɛn ne biopsy ? Sɛ yɛbɛka no tiawa a, biopsy kyerɛ sɛ woyi ntini bi nyinaa anaa ketewaa bi fi akuru bi mu na wɔde kɔ lab ma wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Ɔyare ho ɔbenfo, oduruyɛfo a ne ho akokwaw wɔ ntini mu nhwehwɛmu mu na ɔyɛ nhwehwɛmu yi. Ɔbɛhwɛ ntini no na wahu sɛ nkwammoaa a ɛnteɛ, ɔyare mmoawa, anaa kokoram nkwammoaa bi wɔ mu anaa.

Bere bɛn na oduruyɛfo kamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu yi?

Sɛ oduruyɛfo bi kyerɛ sɛ wɔnyɛ biopsy a, ebia nneɛma atitiriw abien nti na ɛte saa.

1. Sɛ wususuw sɛ kokoram wɔ hɔ a, si so dua na hwɛ sɛ ɛtrɛw anaa: Ɛtɔ mmere bi a kokoram fi ase wɔ ntini a ɛma mogya tu no mu. Sɛ nhwɛso no , lymphoma.Kokoram bi a wɔfrɛ no. Anaasɛ, kokoram a ɛwɔ nipadua no fã foforo (te sɛ nufu anaa ahurututu) betumi atrɛw akɔ ntini a ɛma mogya tu no mu. Enti biopsy betumi ahu pɛpɛɛpɛ sɛ ebia kokoram nkwammoaa wɔ lymph node no mu, sɛ ɛte saa a, kokoram ko a ɛyɛ, ne baabi a atrɛw akodu (wɔfrɛ eyi kokoram no fã). Wo duruyɛfo de saa nsɛm yi bedi dwuma de asi ayaresa a eye ma wo ho gyinae.

2. Sɛ akisikuru bi hohoro a ntease biara nni ho a: Sɛnea yɛadi kan aka ho asɛm no, akuru nso betumi ahonhon esiane nyarewa a ɛtaa ba te sɛ atiridiinini ne atiridiinini nti. Nanso, mpɛn pii no, ɔfe no so tew wɔ dapɛn biako anaa abien ntam bere a yare no aba awiei no. Nanso, sɛ akuru bi kɔ so hohoro a ntease biara nnim, anaasɛ ɛreyɛ kɛse a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ wɔn nipadua mu nhwehwɛmu na wɔahu nea ɛde ba. Ebetumi ayɛ ɔyare mmoawa a emu yɛ den (te sɛ nsamanwaw), anaasɛ nipadua no mu tumi a ɛko tia nyarewa (te sɛ sarcoidosis) .

So biopsies ahorow bi wɔ hɔ? Dɛn ne wɔn?

Yiw, akwan horow wɔ hɔ a wɔfa so yi ntini fi akisikuru mu. Wo duruyɛfo no begyina nneɛma te sɛ baabi a wo kurukuruwa no wɔ ne yare a wosusuw sɛ ɛyɛ wo yare no so apaw ɔkwan a eye sen biara. Momma yɛnhwɛ ahorow atitiriw no.

Wɔbɔ eyinom nso din sɛnea mmeae atitiriw a wohu nwansena no te.

Ɛtɔ mmere bi a nnuruyɛfo nso gyina baabi a wɔyɛ no so frɛ biopsy.

• Axillary (armpit) lymph node biopsy: Ntini a ɛwɔ abasa no mu a wɔhwehwɛ mu.
• Cervical (neck) lymph node biopsy: Ntini a ɛwɔ kɔn no mu nhwehwɛmu.
• Inguinal lymph node biopsy: Ntini bi a ɛwɔ akyi berɛmo mu nhwehwɛmu.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Bere a wo duruyɛfo ayɛ da a wɔbɛyɛ biopsy no ho nhyehyɛe awie no, ɔbɛma wo akwankyerɛ wɔ sɛnea wubesiesie wo ho ama no ho na obebisa wo nsɛm kakraa bi nso.

Nea wobisa wo sɛ:

• Ɛsɛ sɛ woka nnuru a wonom nyinaa kyerɛ wo duruyɛfo : nnuru a wɔkyerɛw ma wo, nnuru a wɔtɔn, vitamin, aduru a wɔde di dwuma wɔ amanne kwan so, Ayurvedic nnuru, nea wonom biara. Titiriw sɛ worenom nnuru a ɛma mogya yɛ mmerɛw ( te sɛ Aspirin, Warfarin, Clopidogrel) a, hwɛ hu sɛ wobɛka akyerɛ wɔn.
• Ɛfa w’ayaresa ho abakɔsɛm ho: Ɛsɛ sɛ wuhu sɛ wowɔ mogyatɔw bi, nnuru a ɛma wo ho yɛ wo hyew (nnuru a ɛma wo ho yɛ wo yaw anaasɛ ɛma woda), anaasɛ wo ho yɛ wo hyew wɔ latex ho anaa. Ɛsɛ sɛ wosan nso ka kyerɛ yɛn sɛ woanyinsɛn anaasɛ ebia wobɛnyinsɛn.

Afotu a wɔde ma wo:

• Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi (titiriw nnuru a ɛma mogya yɛ mmerɛw ) nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
• Ebia wɔbɛka akyerɛ wo sɛ kwati adidi anaa anonne nnɔnhwerew pii ansa na wɔayɛ sɔhwɛ no. Eyi bɛyɛ soronko a egyina biopsy ko a wɔreyɛ ne aduru a wɔde kum nipadua no so.
• Sɔhwɛ no akyi no, wɔbɛka akyerɛ wo sɛ fa obi mmra ma ɔde wo bɛkɔ fie. Ɛtɔ mmere bi a, esiane aduru a wɔde kum nipadua no nti, ebia wuntumi nka kar anaasɛ wo nkutoo ntra hɔ nnɔnhwerew 24 a edi kan no. Anyɛ yiye koraa no, sɛ wubenya obi a ɔbɛkyekye wo werɛ a, ɛyɛ ade kɛse, ɛnte saa?

Dɛn na ɛba bere a wɔreyɛ biopsy no?

Eyi nyɛ hu sɛnea ebia wubesusuw no. Eyi ne nea ɛtaa ba.

Wɔbɛma woada mpa so wɔ sɔhwɛ dan mu. Afei wɔbɛma wo nnuru a wɔde kum wo sɛnea ɛbɛyɛ a worente ɛyaw biara . Sɛ ade no bɛn honam ani a, saa beae no nkutoo na ɛbɛyɛ mmerɛw (Local Anesthesia) . Sɛ ade no wɔ nipadua no mu tɔnn a, wɔbɛma woada (General Anesthesia) .

Bere a woayɛ mmerɛw akyi, bere a woada akyi no, Oduruyɛfo:

1. Hwehwɛ beae pɔtee a akisikuru no wɔ: Ɛtɔ mmere bi a, wubetumi ahu denam wo nsa a wode bɛka so. Sɛ ɛno ntumi nyɛ yiye a, wɔde scanner (Ultrasound, CT scan) di dwuma de hyɛ beae pɔtee no agyirae.

2. Ntini nhwɛsode a wobenya: Wɔde biopsy kwan a wɔapaw (de scalpel anaa ntwitwiridii ketewaa bi di dwuma) yi fã bi anaa akisikuru no nyinaa.

3. Kuru no a wɔbɛto mu: Sɛ na ɛyɛ ade a wɔde twa nipadua no mu nhwehwɛmu a, wobetumi de plaster ketewaa bi apete so. Sɛ na ɛyɛ biopsy a wɔabue mu a, wɔde nhama bɛto baabi a wɔatwa no mu na wɔde aduru a wɔde kyekyere nipadua no ho. Nhama no bi nwene wɔn ho, bere a afoforo nso hwehwɛ sɛ wɔsan kɔ oduruyɛfo nkyɛn wɔ nna kakraa bi mu ansa na wɔayi afi hɔ.

So eyi yɛ yaw? Bere tenten ahe na ebegye?

Sɛ wɔde aduru a ɛma wo ho yɛ wo yaw no gu wo mu a, wobɛte nka sɛ wo ho yɛ wo yaw kakra na wo ho hyehye wo. Nanso ɛkyɛ sikɔne kakraa bi pɛ. Ɛno akyi no worente ɛyaw biara nka bere a wɔreyɛ biopsy no . Sɛ wɔyɛ oprehyɛn no wie a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a aduru a ɛma wo ho yɛ wo hyew no brɛ no. Wobetumi de aduru a wɔde kum ɛyaw a wo duruyɛfo akyerɛw ama wo no ayɛ eyi.

Sɛ wɔde needle biopsy yɛ no gye simma 10-30 pɛ. Biopsy a wɔabue mu no betumi agye bɛyɛ simma 45.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi?

Mpɛn pii no, biopsy yɛ ayaresa a wɔde kɔ ayaresabea , a ɛkyerɛ sɛ wubetumi akɔ fie da koro no ara.

Ansa na wobɛkɔ fie no, oduruyɛfo anaa ɔyarehwɛfo no bɛhwɛ wo sɛnkyerɛnne a ɛho hia no na wama wo akwankyerɛ a ɛfa sɛnea wobɛhwɛ wo kuru no ho.

• Kuru a ɛsa sɛnea ɛte daa: Ɛyɛ ade a ɛfata sɛ mogya bɛtu kuru no kakra, beae no ahonhon, ayɛ bruu, na ayɛ yaw kakra wɔ nna kakraa a edi kan no mu.
• Sɛnea wobɛma kuru no ho atew: Nea ɛbɛyɛ na woasiw ɔyare mmoawa ano no, wobetumi aka akyerɛ wo sɛ kwati sɛ wobɛguare anaasɛ wode nsu a ɛyɛ hyew bedi dwuma nna kakraa bi.
• Sɛnea wobɛto wo dwumadi ahorow ano hye: Ebia wɔbɛka akyerɛ wo sɛ gyae nneɛma te sɛ nneɛma a emu yɛ duru a wobɛma so ne apɔw-mu-teɛteɛ a emu yɛ den nna kakraa bi.

So asiane bi wɔ eyi mu?

Biopsy yɛ adeyɛ a ahobammɔ wom yiye.Nanso sɛnea ɛte wɔ aduruyɛ biara mu no, asiane nketenkete bi wɔ hɔ a ɛntaa nsi koraa.

Dɛn na amanneɛbɔ no ka? Bere tenten ahe na ebegye ansa na wɔagye?

Biopsy amanneɛbɔ no kyerɛ wo sɛ ebia ntini asinasin a wɔayɛ ho nhwehwɛmu no yɛ nea ɛkyerɛ sɛ yare bi wɔ hɔ anaasɛ enni mu.

Sɛ nhwɛso no, sɛ amanneɛbɔ no yɛ papa a , ebetumi akyerɛ sɛ kokoram nkwammoaa wɔ awotwaa no mu. Afei oduruyɛfo no bɛhwehwɛ mu akɔ akyiri ahwɛ sɛ ebia kokoram no fii ase wɔ awotwaa no mu anaasɛ efi baabi foforo. Nea ebefi amanneɛbɔ no mu aba no na ɛbɛkyerɛ anammɔn a edi hɔ a wobɛfa so.

Bere a egye ansa na amanneɛbɔ no asan aba no betumi ayɛ soronko. Ɛtɔ mmere bi a wobetumi de nea efi mu ba no ama da koro no ara . Titiriw wɔ nipadua mu nhwehwɛmu a wɔyɛ bere a wɔreyɛ kokoram oprehyɛn ho no, wobetumi de amanneɛbɔ no asi gyinae sɛ ebia wobeyi ntini pii bere koro mu anaa. Mpɛn pii no, amanneɛbɔ no san baEbetumi agye nna kakraa bi kosi adapɛn abien. Bisa wo duruyɛfo bere a wo nsa bɛka w’amanneɛbɔ no ne ɔkwan a wobɛfa so anya (sɛ́ ɛyɛ telefon so anaa bere a woasan akɔ ayaresabea hɔ).

Bere bɛn na ɛsɛ sɛ mesan frɛ oduruyɛfo no bio?

Wɔ nnipa dodow no ara fam no, kuru no sa a ɔhaw biara nni ho. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, ɛsɛ sɛ wo ne wo duruyɛfo kasa ntɛm ara.

Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ woanya ɔyare no a, ka kyerɛ wo duruyɛfo ntɛm ara:

• Sɛ wote nka sɛ wowɔ atiridiinini ne atiridiinini a.
• Sɛ kuru no reyɛ ahonhon kɛse, ɛyɛ yaw, anaa ɛyɛ kɔkɔɔ a.
• Sɛ nsu a ɛte sɛ akisikuru a ɛyɛ kɔkɔɔ anaa ɛyɛ huam retu afi kuru no mu a.

Ɛyɛ ade a ɛfata sɛ wobɛte dadwen, ehu, na wuntumi nsi pi bere a wuhu sɛ wɔbɛyɛ wo nipadua mu nhwehwɛmu no. Ebia wo ho pere wo sɛ wobɛyɛ no ntɛm, woanya nea ebefi mu aba, na woadi so. Nanso kae sɛ, sɔhwɛ yi betumi asi so dua sɛ woahu sɛ wowɔ yare no anaasɛ ɛbɛma wo ho atɔ wo afi ehu kɛse bi a woanya no mu. Nanso, nsɛm a wunya fi sɔhwɛ yi mu no ho hia ma w’akwahosan ne daakye.