So wɔaka akyerɛ wo sɛ wɔnyɛ thyroid biopsy sɛ ebia akuru bi wɔ wo kɔn mu? Momma yensua eyi ho ade a yensuro.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a wo duruyɛfo ka kyerɛ wo sɛ wowɔ akisikuru wɔ wo kɔn mu na ɛsɛ sɛ woyɛ biopsy no. Sɛ yɛn mu dodow no ara te asɛmfua ‘biopsy’ a, ntɛm ara na yɛdwen kokoram ho. Nanso so eyi yɛ biribi a ɛsɛ sɛ wosuro ampa? Dɛn na ɛbɛba wɔ sɔhwɛ yi mu? Momma yɛnka eyinom nyinaa ho asɛm pefee na yɛmfa ɔkwan a ɛbɛma wo ho atɔ wo.

Sɛ yɛbɛka no tiawa a, dɛn ne thyroid biopsy?

Fa no sɛ woayɛ keeki kɛse bi. Ɛho nhia sɛ wutwa keeki no nyinaa na woahu nea ɛwɔ mu na sɛ wɔanoa no yiye a, ɛnte saa? Yebetumi anya adwene bi denam asinasin ketewaa bi a yɛbɛtwitwa na yɛadi so.

Thyroid biopsy yɛ adeyɛ a ɛte saa ara. Thyroid biopsy yɛ adeyɛ a ɛhwehwɛ sɛ wogye nkwammoaa kakraa bi pɛ fi nodule bi a ɛwɔ wo thyroid gland a ne nsusuwii te sɛ ntontom wɔ wo kɔn mu no mu. Wɔyɛ eyi de hu nkwammoaa ko a wɔde ayɛ nodule no pɛpɛɛpɛ.

Dɛn nti na wopɛ sɛ woyɛ biopsy yi?

Ɛnyɛ thyroid nyarewa nyinaa na ɛsɛ sɛ wɔyɛ nipadua mu nhwehwɛmu. Ɛtɔ da bi a, wobetumi de mogya mu nhwehwɛmu ne scan ayɛ adwuma de ahu tebea no.

Nanso, sɛ wowɔ thyroid nodules a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ biopsy. Saa ntini yi yɛ akuru nketenkete a ɛyɛ den anaa nsu ahyɛ mu ma a ɛba wɔ thyroid ntini no mu. Adeɛ a ɛho hia sɛ yɛkae wɔ ha ne sɛ, saa ntini yi mu bɛboro 90% nyɛ kokoram (benign). Eyi kyerɛ sɛ wɔmfa ɔhaw kɛse biara mma nipadua no.

Mpɛn pii no, sɛ wowɔ akuru a ɛsõ sen sɛntimita 1 a, ɛda adi sɛ wubehia biopsy. Enti, esiane sɛ wɔka kyerɛ wo sɛ wɔnyɛ biopsy nti, ɛnkyerɛ sɛ wowɔ kokoram. Ɛyɛ sɛ wobɛhwɛ sɛ worennya kokoram.

Ɔkwan bɛn so na wɔyɛ biopsy yi? Akwan titiriw abiɛsa na ɛwɔ hɔ.

Nnuruyɛfo de akwan abiɛsa titiriw na ɛyɛ nhwehwɛmu yi.

1. Fine-Needle Aspiration (FNA) - Ɔkwan a wɔtaa yɛ

Eyi ne ɔkwan a ɛyɛ mmerɛw na ahobammɔ wom sen biara a nnipa 99% fa so. Nea ɛba ni:

• Oduruyɛfo no de afiri a wɔde yɛ ultrasound bedi dwuma de ahu baabi pɔtee a akuru a ɛwɔ wo kɔn mu no wɔ.
• Afei, wɔde ade a ɛyɛ fɛ yiye na ɛyɛ tratraa (te sɛ ade a wɔde twe mogya) hyɛ akisikuru no mu na wɔtwe nkwammoaa ne nsu kakraa bi fi mu (wɔtwetwe).
• Ntwitwiridii kɛse biara nni hɔ, ntwitwiridii biara nni hɔ, na ɛyaw kɛse biara nni hɔ.

2. Core-Needle Biopsy (CNB) a Wɔde Yɛ Nneɛma a Wɔde Yɛ Adwuma (CNB) .

Eyi te sɛ FNA kwan a yɛaka ho asɛm wɔ atifi hɔ no ara pɛ. Nanso, ade a wɔde di dwuma wɔ ha no yɛ den kakra. Sɛ FNA sɔhwɛ no ntumi nwie na ɛho hia sɛ wɔyɛ ntini a ɛsõ sen saa a, wɔde saa kwan yi di dwuma. Wɔtaa nyɛ eyi nso koraa.

3. Oprehyɛn mu Biopsy

Wɔntaa nyɛ eyi koraa, yiye. Sɛ akwan abien a aka no antumi amfa nsɛm a emu da hɔ mma nkutoo a, na wosusuw ho. Ɛha yi, wɔtwa ketewaa bi wɔ kɔn no mu na woyi akuru no fã bi anaa ne nyinaa na wɔde kɔma wɔnkɔhwɛ.

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

Sɛ worekɔyɛ FNA anaa CNB sɔhwɛ a wɔtaa yɛ a, enhia sɛ wusiesie wo ho kɛse.

• Gye sɛ wo duruyɛfo tu fo sɛ ɛnte saa, wubetumi adidi na woanom sɛnea ɛsɛ.
• Nanso nea ɛho hia sen biara no, sɛ worenom nnuru biara a ɛma mogya yɛ mmerɛw (te sɛ Aspirin, Warfarin, Clopidogrel) a, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi kan ka kyerɛ wo duruyɛfo. Ebia ɔbɛka akyerɛ wo sɛ gyae aduru no nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
• Wɔbɛyɛ wo oprehyɛn biopsy, na wo duruyɛfo bɛma wo akwankyerɛ pɔtee a ɛfa sɛnea wubesiesie wo ho ama no ho.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Momma yɛnhwɛ nea ɛkɔ so wɔ FNA sɔhwɛ a wɔtaa yɛ mu no anammɔn biara. Wɔtaa wie eyi wɔ bere tiaa bi mu, bɛyɛ simma 10-20.

1. Nea edi kan no, wɔbɛma woada mpa so.

2. Afei , wɔde aduru ketewaa bi a wɔde kum nipadua no gu nipadua no mu de ma baabi a wɔde ade no bɛhyɛ mu no ayɛ mmerɛw. Eyi remma worente ɛyaw pii.

3. Afei, oduruyɛfo no de ultrasound scan (transducer) no fã a ɛte sɛ ti no bɛto wo kɔn so na sɛ ɔhwɛ monitor no a, ɔbɛhyɛ baabi pɔtee a akuru no wɔ agyirae.

4. Afei, wɔde ahwɛyiye kɛse fa ade a ɛyɛ fɛ no mu fa honam ani wɔ baabi a wɔahyɛ no agyirae no mu na wɔde hyɛ kɔndua no mu.

5. Wɔbɛka akyerɛ wo sɛ tra hɔ dinn bere a wɔrefa nhwɛsode no. Mma nkasa anaa nnwene wɔ saa bere yi mu.

6. Sɛ wɔfa nhwɛsode no wie a, woyi ade no na wɔde plaster anaa aduru ketewaa bi gu beae no.

7. Sɛ wowɔ nhama bɛboro biako a, wubetumi agye nhwɛsode afi nhama afoforo no mu wɔ ɔkwan koro no ara so.

8. Wɔde nhwɛsode a wɔfa no kɔma oduruyɛfo bi a ne ho akokwaw wɔ nkwammoaa mu (Cytologist) ma ɔnyɛ nhwehwɛmu.

Nneɛma bɔne bɛn na ebetumi aba wɔ sɔhwɛ no akyi?

Eyi yɛ sɔhwɛ a ahobammɔ wom yiye. Nneɛma bɔne a anibere wom ntaa mma. Nneɛma bɔne a ɛtaa ba no bi ne:

• Kuru ketewaa bi anaa akuru bi pue wɔ baabi a wɔatutu no.
• Sɛ wopɛ ɛyaw nketenkete te sɛ eyi a, wubetumi anom aduru a wɔde kum ɛyaw te sɛ Paracetamol. Nanso, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo ansa na woanom aduru biara.

Nsɛnnennen a ɛntaa nsi koraa:

• Mogya a ɛretu
• Nsaneɛ
• Nkwammoaa a wɔfrɛ no cyst a ɛba

Dɛn na biopsy amanneɛbɔ no ka?

Mpɛn pii no, wo nsa bɛka amanneɛbɔ no wɔ dapɛn biako mu. Wobetumi akyekyɛ amanneɛbɔ no mu aba no mu ayɛ no akuw atitiriw bɛyɛ 6. Ma yɛnhwɛ nea wɔn mu biara kyerɛ kɛkɛ.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara.

Ɔyare mmoawa a ɛba bere a wɔayɛ biopsy akyi no ntaa mma koraa. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

• Sɛ wo nya atiridii a
• Sɛ wote nka sɛ awɔw wom na wo ho popo a
• Sɛ baabi a wɔatutu no yɛ kɔkɔɔ, ahonhon, na nsu a ɛte sɛ akisikuru refi mu aba a