So wobɛpɛ sɛ wuhu thyroid biopsy ho asɛm?

"Abɔde a nkwa wom ho nhwehwɛmu"! Ebia wobɛte ehu nka kakra bere a wote asɛmfua yi, ɛnte saa? Ɛno yɛ ade a ɛfata. Nanso, sɛ yɛbɛka no katee a, eyi yɛ sɔhwɛ foforo a ɛho hia a nnuruyɛfo de hu nyarewa bi kɛkɛ. Sɛnea yɛyɛ mogya mu nhwehwɛmu ne X-ray no ara pɛ. Enti ɛnnɛ, momma yɛnka nea thyroid biopsy yɛ, sɛnea wɔyɛ, ne sɛ ebia biribi wɔ hɔ a ɛsɛ sɛ yesuro ho asɛm.

Dɛn ne thyroid biopsy? Sɛ yɛbɛka no tiawa a...

Susuw ho sɛ eyi: Wo thyroid yɛ ntini ketewaa bi a ɛte sɛ ntontom wɔ wo kɔn anim. Ɛyɛ adwuma a ɛho hia pii ma wo nipadua, titiriw no, ɛyɛ hormone ahorow a ɛhwɛ wo nipadua mu nneɛma so. Thyroid biopsy yɛ adeyɛ a ɛhwehwɛ sɛ wofa nkwammoaa anaa nsu kakraa bi pɛ fi wo thyroid ntini mu na wɔsɔ hwɛ. Eyi betumi aboa nnuruyɛfo ma wɔahu thyroid tebea horow bi.

Bere bɛn na wɔyɛ thyroid biopsy?

Ɛnyɛ thyroid haw nyinaa na ɛsɛ sɛ wɔyɛ nipadua mu nhwehwɛmu. Mpɛn pii no, wobetumi de mogya mu nhwehwɛmu ne mfoninitwa mu aba ahu tebea no. Nanso, sɛ wo duruyɛfo hu thyroid nodules a, ebia ɔbɛkyerɛ sɛ wɔnyɛ biopsy.

Momma yɛnka thyroid nodules ho asɛm kakra.

Seesei ebia woresusuw nea thyroid nodules yɛ ho. Eyinom yɛ akuru nketenkete a ɛyɛ den anaa nsu ahyɛ mu ma a ɛba wɔ thyroid ntini no mu. Wɔte sɛ akuru nketenkete a ɛwɔ nipadua no so, ɛnte saa? Ɛte saa. Saa ntini ahorow yi mu dodow no ara nyɛ nea asiane biara nni ho, a ɛkyerɛ sɛ ɛnyɛ kokoram. Nanso, ɔha biara mu kakraa bi pɛ, a ɛwɔ 5% kosi 15%, betumi ayɛ kokoram.

Enti, thyroid biopsy betumi aboa wo duruyɛfo ma wahu nea ɛde akisikuru no bae ankasa ne sɛ ebia ɛnyɛ bɔne anaa biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Titiriw no, sɛ akisikuru no sõ sen sɛntimita 1 (bɛyɛ nsateakwaa 0.39) a , ɛda adi sɛ nnuruyɛfo bɛyɛ nipadua mu nhwehwɛmu .

Ɔkwan bɛn so na wɔyɛ thyroid biopsy? Dɛn ne akwan a wɔfa so yɛ no?

Akwan atitiriw abiɛsa na ɛwɔ hɔ a wɔfa so yɛ saa biopsy yi. Momma yɛnhwɛ nea wɔyɛ.

1. Ɔkwan a wɔfa so de Fine-Needle Aspiration (FNA) di dwuma

Eyi ne biopsy a wɔtaa yɛ de hwɛ thyroid nodules. Nea ɛka eyi ho ne sɛ wɔde ade tenten a ɛyɛ fɛ yiye (22-gauge anaa nea ennu saa) bedi dwuma de ayi nkwammoaa ne nsu kakraa bi afi thyroid ntini anaa ntini pii mu. Sɛ oduruyɛfo no reyɛ eyi a, ɔde ultrasound scan di dwuma de kyerɛ ade no kwan kɔ ntini no mu pɛpɛɛpɛ. Eyi kyerɛ sɛ scan no kyerɛ ade no kwan kɔ beae pɔtee a ɛwɔ. Eyi yɛ adeyɛ a ɛnyɛ den a enhia sɛ wotwa no kɛse.

2. Ɔkwan a wɔfa so yɛ Core-Needle Biopsy (CNB) no

Eyi te sɛ FNA kwan no, nanso ade a wɔde di dwuma no sõ kakra (ne kɛse yɛ gauge 14 kosi 20). Wobetumi de saa kwan yi adi dwuma sɛ oduruyɛfo no pɛ sɛ ɔfa ntini kɛse bi a ɔrensɛe no a . Wobetumi de saa kwan yi adi dwuma sɛ nhwɛsode a wɔde FNA no nya no nnɔɔso anaasɛ sɛ ɛho hia sɛ wonya nsɛm pii a.

3. Oprehyɛn a Wɔde Yɛ Thyroid Biopsy

Eyi yɛ adeyɛ a ɛntaa nsi koraa. Sɛ nhwɛsode ahorow a wɔde FNA anaa CNB twae no nyɛ nea ɛyɛ nokware, anaasɛ sɛ ɛho hia sɛ wonya nsɛm pii a, oduruyɛfo betumi asi gyinae sɛ ɔbɛyɛ nipadua mu nhwehwɛmu, oprehyɛn a ɛhwehwɛ sɛ wotwa ne kɔn mu ketewaa bi, du thyroid ntini no mu, na ɔfa nhwɛsode bi.

Wobɛyɛ dɛn asiesie wo ho ansa na wɔayɛ wo nipadua mu nhwehwɛmu?

Ebia ɔkwan a wɔfa so siesie wo ho no bɛsono kakra a egyina biopsy ko a woreyɛ so.

Sɛ wɔde nnade mu nipadua mu nhwehwɛmu (FNA anaa CNB) .

• Mpɛn pii no, gye sɛ wo duruyɛfo ka kyerɛ wo sɛ ɛnte saa a, wubetumi adidi na woanom sɛnea ɛsɛ.
• Nanso, sɛ wowɔ nnuru biara a wonom da biara (titiriw nnuru a ɛma mogya yɛ mmerɛw) a, ɛho hia yiye sɛ wubisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae nna kakraa bi ansa na wɔayɛ biopsy no anaa.

Sɛnea ɛbɛyɛ a wɔbɛyɛ oprehyɛn biopsy

Sɛ wɔreyɛ wo biopsy te sɛ eyi a, wo duruyɛfo bɛma wo akwankyerɛ a emu da hɔ wɔ sɛnea wubesiesie wo ho ama no ho. Ɛho hia sɛ wudi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.

Nea ɛho hia sen biara ne sɛ wo duruyɛfo no ne onipa a oye sen biara a obetu wo fo. Sɛ wowɔ nsɛmmisa anaa biribi a ɛhaw wo a, hwɛ hu sɛ wubebisa wo duruyɛfo.

Dɛn na ɛba bere a wɔreyɛ biopsy no? Nea ɛsɛ sɛ yɛhwɛ kwan.

Mpɛn pii no, wɔde FNA anaa CNB na ɛyɛ biopsy no. Yɛadi kan aka sɛ wɔ nsɛm a ɛntaa nsi mu no, wobetumi ayɛ oprehyɛn nso. Momma yɛnhwɛ nea ɛba wɔ akwan yi mu biara so.

Wɔde nnade a ɛyɛ fɛ a wɔde yɛ nipadua mu nhwehwɛmu (FNA anaa CNB) .

Eyinom taa yɛ ayaresa a wɔde kɔ ayaresabea. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara. Nneɛma bi ni:

1. Nea edi kan no, wɔbɛma wo aduru ketewaa bi (local anesthesia) de ayɛ wo kɔn no fã a ɛyɛ mmerɛw. Eyi remma worente ɛyaw pii.

2. Afei, oduruyɛfo no de afiri ketewaa bi a wɔde nsa kura a wɔfrɛ no ultrasound transducer bɛto wo kɔn so. Eyi bɛboa wo ma woahu baabi pɔtee a thyroid ntini ne akisikuru no wɔ.

3. Afei, wɔde saa ade tenten a ɛyɛ tratraa a yɛadi kan aka ho asɛm no fa wo honam ani nkakrankakra na ɛkɔ thyroid ntini no mu.

4. Afei, wɔde ahwɛyiye yi nsu ne ntini bi. Ɛho hia paa sɛ worentu koraa wɔ saa bere yi mu.

5. Sɛ wɔfa nhwɛsode no wie a, woyi ade no na wɔde aduru ketewaa bi a ɛte sɛ plaster gu baabi a wɔde ade no guu no.

6. Awiei koraa no, wɔde nhwɛsode no kɔma nkwammoaa ho ɔbenfo ma ɔhwehwɛ mu.

Sɛ wowɔ nnuaba bɛboro biako a, wubetumi ayɛ saa adeyɛ yi mpɛn pii. Ɛsɛ sɛ adeyɛ no nyinaa gye bɛyɛ simma 10 kosi 20.

Oprehyɛn a Wɔde Yɛ Thyroid Biopsy

Yɛka sɛ eyi yɛ biribi a wɔntaa nyɛ. Wɔde saa kwan yi di dwuma bere a nea efi FNA anaa CNB mu ba no mu nna hɔ, anaasɛ sɛ ɛho hia sɛ wonya nsɛm pii a. Eyi hwehwɛ sɛ wɔyɛ oprehyɛn na wɔfa akisikuru ne/anaasɛ ntini no bi fi thyroid ntini no mu tẽẽ na wɔde kɔ aduruyɛdan mu.

Dɛn ne nsunsuanso bɔne a efi nipadua no mu nhwehwɛmu akyi?

Nneɛma nketenkete a efi nipadua mu nhwehwɛmu akyi no bi ne ɛyaw ne akuru bi a ɛba baabi a wɔde ade no hyɛɛ mu no. Wubetumi anom nnuru a wɔde sa ɛyaw a wɔtɔn te sɛ acetaminophen (Tylenol®) anaa ibuprofen (Motrin®), de aboa wɔ saa ɔhaw yi ho.

Nsɛnnennen a emu yɛ den ntaa mma, nanso wɔ nsɛm a ɛntaa nsi mu no, nea edidi so yi betumi aba:

• Mogya a ɛretu
• Nsaneɛ
• Biribi te sɛ cyst a ɛba.

Sɛ biribi te sɛ eyi si a, ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ ntɛm ara.

Dɛn na nea efii biopsy amanneɛbɔ no mu bae no kyerɛ?

Sɛnea Amerika Thyroid Fekuw kyerɛ no, wobetumi akyekyɛ nea efi nipadua mu nhwehwɛmu mu ba no mu akuw atitiriw asia. Momma yɛnhwɛ nea ɔkwan biara kyerɛ:

| Nea efi mu ba no Ɔfã | Nkyerɛaseɛ | General Anamɔn a Edi Hɔ |

| :--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- :------------------------------------------------------------------------------------------------------------------------------- :---------------------------------------------------------------------------------------------------------------------------------------------

| Benign (a ɛnyɛ kokoram) | Akuru no nyɛ kokoram. Eyi ne nea ɛtaa fi mu ba (60%-70% wɔ nsɛm no mu). | Mpɛn pii no "wɔwɛn twɛn" ne ultrasound scan a wɔsan yɛ bio wɔ bɛyɛ asram 12 mu. |

| Malignant (kokoram) | Akisikuru no yɛ kokoram. (5%-15% wɔ nsɛm no mu). |Ɛda adi kɛse no, ɛho hia sɛ wɔyɛ oprehyɛn yi fi hɔ. |

| Suspicious for Malignancy | Hokwan kɛse wɔ hɔ sɛ obi benya kokoram. (Wɔtaa yɛ oprehyɛn yi fi hɔ). | Mpɛn pii no, wɔde oprehyɛn yi fi hɔ. Ɛtɔ mmere bi a wobetumi ayɛ sɔhwɛ afoforo (e.g. molecular profiling ). |

| Atypia a Ɛho Hia a Wɔnkyerɛ (AUS) anaasɛ Follicular Lesion a Ɛho Nhia a Wonhu (FLUS) | Nkwammoaa no nyɛ nea ɛfata kakra, nanso wontumi nsi pi sɛ ebia ɛyɛ kokoram anaasɛ ɛnte saa. (Ebetumi ayɛ kokoram wɔ 5%-15% mu). | Biopsy a wɔsan yɛ, molecule nhwehwɛmu, anaa ebia oprehyɛn. |

| Follicular Neoplasm anaasɛ Ɛyɛ adwenem naayɛ sɛ Follicular Neoplasm | Eyi betumi ayɛ kokoram anaasɛ ɛnyɛ saa (15%-30% yɛ kokoram). | Mpɛn pii no, wɔyɛ oprehyɛn yi thyroid ntini no fã bi anaa ne nyinaa de yɛ nhwehwɛmu. |

| Ɛnyɛ nea wɔde hwehwɛ yare anaasɛ Ɛnyɛ nea Abotɔyam | Nkwammoaa a ɛdɔɔso nni nhwɛsode no mu, anaasɛ esiane biribi foforo nti, wontumi nnya nsɛm a emu da hɔ. (2%-10% wɔ nsɛm no mu). | Mpɛn pii no, wɔyɛ biopsy a wɔsan yɛ , a wɔtaa yɛ wɔ ultrasound akwankyerɛ ase. |

Ɛwom sɛ saa pon yi betumi ama woanya adwene a ɛyɛ den de, nanso ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woanya nea efi mu ba no ho nsɛm pɔtee.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Nnipa dodow no ara nya wɔn biopsy aba wɔ dapɛn biako mu, nanso ɛtɔ mmere bi a saa bere yi betumi ayɛ soronko kakra a egyina lab no adwuma dodow so anaasɛ sɛ ɛho hia sɛ wɔyɛ nhwehwɛmu foforo a.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?

Wo duruyɛfo bɛkyerɛkyerɛ nea ebefi mu aba no mu akyerɛ wo na wakyerɛ wo sɛ ebia wuhia ayaresa na sɛ ɛte saa a, nea ɛsɛ sɛ woyɛ. Ɛsono obiara tebea, enti ɛsono sɛnea wɔbɛsa no. Nanso mpɛn pii no, nea wubetumi ahwɛ kwan ni:

• Ntini a ɛnyɛ hu:Wɔtaa yɛ eyi denam "ɔwɛn a wɔtwɛn" so. Ɛne sɛ, wɔsan yɛ ultrasound scan wɔ bɛyɛ asram 12 mu de hwɛ sɛ nsakrae bi aba akisikuru no mu anaa.
• Ntini a ɛyɛ hu: Ɛkame ayɛ sɛ bere nyinaa ɛsɛ sɛ wɔyɛ eyinom oprehyɛn.
• Ntini a ɛyɛ adwenem naayɛ: Wogyina nea efi sɔhwɛ afoforo te sɛ molecule profiling mu ba so na ɛkyerɛ sɛ ebia wɔbɛyɛ eyinom oprehyɛn afi hɔ anaasɛ wɔrenyi fi hɔ .

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ woyɛ thyroid biopsy wie a, sɛ wunya yare no ho sɛnkyerɛnne yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara sɛ:

• Sɛ wunya atiridiinini a .
• Sɛ wote nka sɛ awɔw wom na wo ho popo (Chills).
• Sɛ baabi a wɔde ade no hyɛɛ mu anaasɛ wotwaa no no yɛ kɔkɔɔ, ɛho ahonhon, na nsu a ɛte sɛ akisikuru fi hɔ reba a .

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, ebetumi ayɛ ɔyare mmoawa, enti ɛho hia sɛ wohwehwɛ ayaresa ntɛm.

Awiei koraa no, ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae!

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wote asɛmfua "biopsy" no. Nanso, sɛ woyɛ thyroid biopsy a, ɛnkyerɛ sɛ wowɔ biribi a anibere wom. Te sɛ X-ray ne mogya mu nhwehwɛmu no, biopsy yɛ adwinnade a nnuruyɛfo de hu yare bi kɛkɛ. Nea afi mu aba no ma yenya nsɛm a ɛho hia paa.

Sɛ wowɔ thyroid haw bi a, sɛ wubehu ansa na ayɛ kɛse a, ɛno ne hokwan a eye sen biara a wubetumi anya wɔ akwahosan a ɛtra hɔ kyɛ mu. Enti, sɛ wo duruyɛfo hyɛ nyansa sɛ wɔnyɛ biopsy a, nsuro sɛ wubebisa, anya nsɛm a wuhia, na woahwɛ no anim anim. Ɛnyɛ wo nko ara, na nnuruyɛfo bi wɔ hɔ a wobetumi aboa wo.

Enti, mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ nsɛmmisa bi a, nfɛre na wo ne wo duruyɛfo nkasa!

` Thyroid, Thyroid Biopsy, Ntini a Ɛyɛ Ntini, FNA, CNB, Kokoram, Akwahosan