Ðe nètsi dzi ɖe dɔdzẽ aɖe si le wò ŋutilã me ŋua? Mina míaƒo nu tso Fine-Needle Aspiration (FNA) ŋu!

Ðe nèse kpe sue aɖe alo ƒunukpeƒetetedɔ aɖe le wò ŋutilã ƒe teƒe aɖe kpɔ eye vɔvɔ̃ alo ɖikeke aɖe le ye ŋu vie kpɔa? Alo ɖe ɖɔkta aɖe gblɔ na wò be nàwɔ dodokpɔ vi aɖe le teƒe ma tɔgbea? Mègavɔ̃ o! Egbea míele nu ƒom tso dodokpɔ aɖe si ɖea vi le ɣeyiɣi mawo tɔgbe me eye wòle vevie na ame geɖe ŋu. Emae nye `Fine-Needle Aspiration`, si míeyɔna hã be `(FNA)` kpuie. Ne míagblɔe tututu la, esia nye dodokpɔ si me wozãa aŋe tsɛ aɖe tsɔ xɔa lãmenugbagbeviwo ƒe kpɔɖeŋu.

Eyata nuka tututue nye Fine-Needle Aspiration (FNA)?

Kpuie ko la, `Fine-Needle Aspiration` alo `(FNA)` nye mɔnu si ɖɔktawo zãna tsɔ xɔa lãmenugbagbeviwo ƒe kpɔɖeŋu tso ƒunukpeƒetetedɔ, nodule, alo teƒe bubu aɖe si ŋu ɖikeke le le wò ŋutilã me si dze abe ɖe mesɔ o ene. Ame aɖewo hã yɔnɛ be `Fine-Needle Biopsy`. Bu eŋu abe aŋe si le sue ŋutɔ si wotsɔ bla ɖe atikekui sue aɖe ŋu si ɖea lãmenugbagbeviwo, lãkusi, alo tsi sue aɖe doa goe ene.

Emegbe la, wò ɖɔkta ɖoa kpɔɖeŋua ɖe ``cytology lab.'' Afimae, ``cytotechnologist'' aɖe doa lãmenugbagbeviawo kpɔna. Emegbe la, ɖɔkta bibi aɖe si woyɔna be ``dɔléleŋutinunyala'' srɔ̃a nu tso lãmenugbagbeviawo ŋu tsitotsito, henɔa agbagba dzem be yeanya nusi wonye kple nusi nye woƒe nɔnɔme. Wo ame evea siaa zãa mɔnu aɖe si woyɔna be ``cytology'' tsɔ doa lãmenugbagbevi siawo kpɔna.

``(FNA)`` nye biopsy ƒomevi aɖe si megblẽa nu boo aɖeke le ŋutilãa ŋu o, si fia be eyae nye esi mewɔa nu boo aɖeke o (mewɔa nu boo aɖeke o) . Ke hã, seɖoƒe aɖewo hã le eŋu.

Eyata vovototo kae le Core Biopsy kple Fine-Needle Aspiration dome?

Ðewohĩ èse `Core Biopsy` hã ŋkɔ kpɔ. `Core Biopsy` kple `Fine-Needle Aspiration` siaa nye biopsies ƒomevi siwo zãa aŋewo.

Ke hã, aŋe si wozãna hena `Core Needle Biopsy` la lolo vie wu aŋe si wozãna na `(FNA)`. Eyata `Core Biopsy` ateŋu axɔ lãkusi ƒe agbɔsɔsɔ si lolo wu `(FNA)`. Esia wɔnɛ be woate ŋu akpɔ nyatakaka geɖe tso nuto si ŋu ɖikeke le ŋu.

Togbɔ be wozãa fine needle aspiration (FNA) hã la, ɣeaɖewoɣi la, core biopsy bia be woatsoe sue aɖe eye woatsɔ spring-loaded biopsy needle ade eme.

Zi geɖe la, ɖɔktawo zãa `Core Biopsy` hena no me lãmenugbagbeviwo ɖeɖe . Ke hã, wozãa `(FNA)` na ŋutilã ƒe akpa vovovowo.

Nukae wozãna na Fine-Needle Aspiration (FNA)?

Taɖodzinu vevi evee le FNA dodokpɔa ŋu: dɔlélewo didi kple wo dada .

Ɣeaɖewoɣi la, ɖɔktawo hã zãa FNA tsɔ wɔa ɖoɖo ɖe atikewɔwɔ ŋu ne kansa aɖe kaka tso afisi wòdze egɔme tsoe zi gbãtɔ, si woyɔna be kansa si kaka ɖe teƒe bubuwo. Emegbe dɔléleŋutinunyala ate ŋu adi domenyiŋusẽfianu alo molecule ƒe dzesiwo le lãmenugbagbevi ƒe kpɔɖeŋua me be yeakpɔ alesi kansa la awɔ nu ɖe ​​atikewɔwɔ aɖe koŋ ŋui.

Fine-Needle Aspiration (Diagnostic FNA) hena dɔlélea didi

Ɣesiaɣi si wòhiã be ɖɔktawo nakpɔ dɔléle aɖe godoo to lãkusi alo tsi ƒe kpɔɖeŋu ɖeɖe me la, woateŋu awɔ ``Fine-Needle Aspiration`` (si woyɔna hã be ``fine-needle biopsy``). Dɔléleŋutinunyala la léa ŋku ɖe lãmenugbagbevi siwo woƒo ƒu la ŋu le nusuekpɔmɔ̃ me be yeanya ƒomevi si wonye kple woƒe nɔnɔme.

``(FNA)`` nye biopsy ƒomevi geɖewo dometɔ ɖeka ko. Le wò nɔnɔmea nu la, wò ɖɔkta ateŋu atiae be yeawɔ ``(FNA)`` alo biopsy ƒomevi bubu, abe ``excisional`` alo ``incisional`` ene.

``Fine-Needle Biopsy`` ateŋu ahiã be woakpɔ dɔléle si ŋu ɖikeke le ƒe dɔléle si ŋu kakaɖedzi le. Esia ate ŋu akpe ɖe mía ŋu míade dzesi nuwo abe:

• Kansa .
• Dɔlékuiwo ƒe dɔlélewo , le kpɔɖeŋu me, bursitis (dɔlékui si le kotoku si ƒo xlã ƒunukpeƒe aɖe me) alo septic arthritis (dɔlékui si le ƒunukpeƒe aɖe me).
• Dɔdzẽ siwo menye kansa o , le kpɔɖeŋu me, ƒunukpeƒetetedɔ, fibroadenomas (dɔdzẽ ƒomevi aɖe si me kansa mele o si dzɔna le no me), alo lipomas (dɔdzẽ si me ami le).

Ðɔktawo ate ŋu awɔ fine needle aspiration (FNA) le ŋutilã ƒe akpa ɖesiaɖe kloe. Gake zi geɖe la, wozãnɛ tsɔ doa dɔdzẽ yeye siwo wokpɔ le teƒe siwo gbɔna la kpɔ:

• No , le kpɔɖeŋu me, no me ʋuʋudedi.
• Thyroid gland , le kpɔɖeŋu me, thyroid nodules.
• Lãmetsiŋusẽ ƒe lãkusiwo .
• Ŋutigbalẽ .

Esi mɔ̃ɖaŋununya va le ŋgɔ yim la, fifia wozãa aŋe nyui ƒe ʋuʋu (FNA) hã tsɔ ɖea lãkusiwo ɖa le ŋutilã ƒe akpa siwo goglo wu, to nɔnɔmetatawo ƒe mɔfiamewo abe endoscopic ultrasound kple computed tomography (CT) scans ƒe kpekpeɖeŋu me. Le kpɔɖeŋu me:

• Dɔgbo .
• Dɔgbo ƒe dɔwɔwɔ (GI) .
• Nuɖuɖutome .
• Yagbɔgbɔ .
• Dzitodzito .
• Mediastinum (teƒe si le wò akɔta si me ŋutinu veviwo abe wò dzi ene le).

Fine-Needle Aspiration (Atikewɔwɔ ƒe FNA) hena Atikewɔwɔ

Ɣeaɖewoɣi la, ɖɔktawo zãa FNA tsɔ ɖea tsi le dɔdzẽwo me hedaa wo. Le kpɔɖeŋu me:

• Aɖuɖɔtoewo(Aɖuɖɔtoe siwo yɔ fũu).
• Cysts (kotoku siwo me tsi yɔ fũ).
• Seromas (esiawo nye tsi siwo woƒo ƒu le mɔ si mesɔ o nu si dzɔna zi geɖe le no me dɔdzẽ ƒe amekoko kple amekoko megbe).

Woateŋu azã `(FNA)` mɔnu sia ɖe `incision and drainage` mɔnu si wozãna ɖaa teƒe, vevietɔ le teƒe siwo woate ŋu azã atsyɔ̃ɖoɖo le abe nowo ene. Ke hã, `(FNA)` ateŋu akaka dɔlékuiwo ɣeaɖewoɣi, eyata womateŋu azãe le nɔnɔmeawo katã me o.

Aleke wòle be madzra ɖo ɖe Fine-Needle Aspiration (FNA) ŋu?

Zi geɖe la, dzadzraɖo tɔxɛ aɖeke meli si wòle be nàwɔ na Fine-Needle Aspiration o. Ke hã, wò ɖɔkta agblɔ nusi nàkpɔ mɔ na kple alesi nàdzra ɖoe na wò. Eyata mègatsi dzi ɖe eŋu o .

Nukae dzɔna le Fine-Needle Aspiration (FNA) dodokpɔ me?

Anɔ eme be wowɔa FNA le wò ɖɔkta ƒe dɔwɔƒe alo le kɔdzi ƒe dɔnɔdzikpɔƒe, si fia be mehiã be nànɔ kɔdzi o.

Dɔwɔwɔ sia ate ŋu ato vovo vie le wò ŋutilã ƒe akpa si woɖe kpɔɖeŋua tsoe nu. Ke hã, le goawo katã me la, àte ŋu akpɔ mɔ na nane si le abe esia ene le `Fine-Needle Aspiration` me:

• Woana nàmlɔ anyi alo anɔ anyi ɖe atikewɔkplɔ̃ dzi.
• Ðɔktaa tsɔa dɔlékuiwutike klɔa teƒe si wotsɔ aŋea de la .
• Ðɔktaa ate ŋu ado atike si naa alɔ̃dɔdɔ ame le teƒea be wòana teƒe si wole FNA la wɔm le la natsi. Gake àte ŋu ase le ɖokuiwò me be yeƒe lãme le ʋuʋum vie alo be yeƒe dzi nadze eme ne aŋea ge ɖe ŋutigbalẽa me. Esia sɔ.
• Ne woɖe kpɔɖeŋua tso wò ŋutilã ƒe akpa si goglo wu la, ɖɔktaa azã nɔnɔmetatawo ƒe mɔfiame atsɔ afia mɔ aŋea le afisi tututu aŋea le kple mɔ si dzi wòayi. Le kpɔɖeŋu me, ultrasound, CT scan, alo mammogram.
• Ðɔktaa tsɔa aŋe dea teƒe si woɖo taɖodzinu na eye emegbe wòzãa atikekui tsɔ ɖea lãmenugbagbeviwo, lãkusiwo, alo tsi.
• Ðewohĩ ahiã be ɖɔktaa nado teƒe siwo wu ɖeka kpɔ alo atsɔ kpɔɖeŋu siwo wu ɖeka. Ne ele alea la, azã aŋe kple atikekui yeye na kpɔɖeŋu ɖesiaɖe. Womazã aŋe ɖeka ma ke zi gbɔ zi geɖe o .
• Ne wowu dodokpɔa nu la, woblaa aŋe sue aɖe ɖe teƒea.

Nukae dzɔna le Fine-Needle Aspiration (FNA) dodokpɔ vɔ megbe?

Wò ɖɔkta aɖo kpɔɖeŋu ɖeka alo esi wu nenema (alo esi wu nenema) ɖe dodokpɔxɔ. Afimae ‘dɔléleŋutinunyala’ aɖe adzro wo me le. Alé ŋku ɖe lãmenugbagbeviawo ŋu le nusuekpɔmɔ̃ me eye ate ŋu awɔ dodokpɔ bubuwo le kpɔɖeŋua ŋu. Dɔléleŋutinunyala la aŋlɔ nyatakaka tso nusi ŋu woke ɖo ŋu eye wòaɖoe ɖe wò ɖɔkta, amesi afia wò ahaɖe eme na wò.

Afɔku kawoe le Fine-Needle Aspiration (FNA) me?

Enye nusi sɔ be nàse veve alo abi vie le afisi wotsɔ aŋea de. Zi geɖe la, esiawo nyea nu suesuesuewo eye woahaya le ŋkeke eve va ɖo etɔ̃ megbe.

Kuxi siwo dona tso Fine-Needle Aspiration me mebɔ kura o , gake ɣeaɖewoɣi la, nusiwo gbɔna ate ŋu adzɔ:

• Ʋudodo: Afɔku sia lolo wu le amesiwo ŋu ʋu ƒe sisi ƒe kuxiwo le kple/alo amesiwo noa ʋumenugbagbeviɣitikewo me.
• Dɔlékuiwo ƒe dɔléle: Esia tae wokɔa aŋea ŋu nyuie hafi dea eme ɖo.
• Nusiwo gblẽna le lãmenugbagbevi siwo ƒo xlãe ŋu: Esia hã mebɔ kura o.
• Fistula: Esia nye kadodo si mesɔ o si le lãmeka eve siwo le ŋutilãa me dome, le kpɔɖeŋu me, ŋutinu aɖe, ʋuka aɖe, alo xɔtunu bubu aɖe. Esia hã mebɔ kura o.

Ðo ŋku edzi be afɔku siawo le sue ŋutɔ. Ðɔktaa le gbɔgblɔm na wò be nàwɔ dodokpɔ sia elabena esusu be viɖe siwo le eŋu la ƒo afɔku sue siawo ta sãsãsã.

Nukae dona tso Fine-Needle Aspiration (FNA) me?

Nusiwo do tso eme ƒomevi geɖewo li siwo woateŋu akpɔ tso `Fine-Needle Aspiration` me. Ne wodzro kpɔɖeŋua me la, ate ŋu aɖe nusiwo le abe:

• Lãmenugbagbevi siwo mesɔ o meli o: ema fia be nusianu nyo.
• Lãmenugbagbevi siwo mesɔ o kple lãmenugbagbevi siwo sɔ ƒe tsakatsaka: Ðewohĩ ahiã be woawɔ dodokpɔ bubuwo atsɔ aɖo kpe dɔlélea dzi.
• Lãmenugbagbevi siwo do ŋgɔ na kansa: Esiawo nye lãmenugbagbevi siwo nɔa anyi hafi va zua kansa. Esiawo dada le bɔbɔe wu ne wokpɔe dze sii kaba.
• Lãmenugbagbevi siwo me kansa le: Ne edzɔ alea la, wò ɖɔkta agblɔ nusi nàwɔ emegbe na wò.
• Kpeɖodzi be dɔlékui aɖe le ame ŋu: Ne nenemae la, woate ŋu adae.

Ɣeaɖewoɣi la, dodokpɔxɔa ate ŋu abia be woawɔ kpɔɖeŋu geɖe wu be woatsɔ ana nyatakaka si de pɛpɛpɛ wu. Gake wò ɖɔkta aɖe nyatakakaa me na wò . Emegbe, mi ame evea miatso nya me ɖekae le nusi miawɔ akplɔe ɖo ŋu.

Ɣekaɣie wòle be maƒo ka na nye ɖɔkta?

Ne dɔlékui ƒe dzesiwo dze le dodokpɔa megbe, abe dzoxɔxɔ, ʋuʋudedi si dona tso aŋea ƒe teƒe, alo abi , yɔ wò ɖɔkta enumake. Ne ède dzesi tɔtrɔ aɖewo siwo mèle mɔ kpɔm na o le wò ƒunukpeƒetetedɔ alo nodule me le FNA megbe la, gblɔ ema hã na wò ɖɔkta.

Enye nusi sɔ be nàse nuteɖeamedzi kple vɔvɔ̃ ne èva nya be ƒunukpeƒetetedɔ aɖe si ŋu ɖikeke le le ye ŋu. Gake nya nyuiae nye be ŋutilã ƒe akpa aɖewo ɖeɖeɖa, abe aŋe nyui aɖe si wotsɔ yia lãme ene, ye nye mɔ nyuitɔ si dzi woato anya nusi tututu wònye. Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe aŋe nyui aɖe si woatsɔ aƒoe ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o . Wole afima be yewoakpe ɖe ŋuwò ahaka ɖe edzi na wò.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

• `Fine-Needle Aspiration (FNA)` nye dodokpɔ bɔbɔe aɖe si mewɔa nuvevi ame o si xɔa lãmenugbagbeviwo ƒe kpɔɖeŋu tso ŋutilã ƒe akpa si ŋu ɖikeke le.
• Esia ate ŋu ade dzesi nɔnɔme vovovowo , abe kansa, dɔlékuiwo, kple dɔdzẽ siwo menye kansa o ene. Wozãnɛ ɣeaɖewoɣi tsɔ ɖea tsi ɖa hedaa dɔ nɛ .
• Mehiã be woadzra ɖo geɖe hafi awɔ dodokpɔa o, eye ƒã hafi vevesese gã aɖe dzɔna le dodokpɔa megbe.
• Ne nyabiase alo nya aɖe le asiwò la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta . Woaɖe nu sia nu me na wò.
• Ðo ŋku edzi be wowɔa dodokpɔ sia ƒomevi be wòakpe ɖe ŋuwò nàwɔ nyametsotso nyuitɔwo le wò lãmesẽ ŋu.

Eya ta, ne wobia tso asiwò be nàto dodokpɔ sia tɔgbe me la, mègavɔ̃ be yeadze ŋgɔe o. Míele didim be nàhaya kaba!

` FNA, Fine-Needle Aspiration, Biopsy, Lãmenugbagbeviwo Dodokpɔ, Tumor Dodokpɔ, Kansa Didi, Atikewɔwɔ Dodokpɔwo