Àdi be yeanya nu tso thyroid biopsy ŋua?

"Biopsy" ƒe dɔwɔwɔ! Ðewohĩ vɔvɔ̃ anɔ ŋuwò vie ne èse nya sia, alo? Ema sɔ. Gake ne míagblɔe tututu la, dodokpɔ vevi bubu aɖe si ɖɔktawo zãna tsɔ dea dzesi dɔlélewo koe nye esia. Abe alesi míewɔa ʋudodokpɔ kple X-ray ene. Eyata egbea, mina míaƒo nu tso nusi nye thyroid biopsy, alesi wowɔae, kple ne nane li si wòle be woavɔ̃ na ŋu.

Nukae nye thyroid biopsy? Kpuie ko la,...

Bu eŋu ale: Wò lãkusi nye lãkusi sue aɖe si le abe kpakpaluʋui ene le wò kɔ ƒe ŋgɔgbe. Ewɔa dɔ vevi geɖe na wò ŋutilã, vevietɔ lãmetsi siwo kpɔa wò lãmenugbagbeviwo ƒe dɔwɔwɔ dzi la wɔwɔ. Thyroid biopsy nye dɔdamɔnu si me woɖea lãmenugbagbevi alo tsi sue aɖe ŋutɔ le wò thyroid gland me eye woadoe kpɔ. Esia ate ŋu akpe ɖe ɖɔktawo ŋu woanya thyroid dɔléle aɖewo.

Ɣekaɣie wowɔa thyroid biopsy?

Menye thyroid kuxiwo katãe hiã be woaɖe ŋutilã ƒe akpa aɖewo ɖa o. Zi geɖe la, woate ŋu akpɔ dɔlélea to ʋudodokpɔ kple nɔnɔmetatawo me tsonu me. Gake ne wò ɖɔkta kpɔ thyroid nodules la, ate ŋu ado susu ɖa be woaɖe ŋutilã ƒe akpa aɖewo ɖa.

Mina míaƒo nu tso thyroid nodules ŋu vie.

Fifia ɖewohĩ ànɔ nusi nye thyroid nodules ŋu bum. Esiawo nye ƒu suesuesue siwo sesẽ alo esiwo me tsi yɔ fũu siwo dzɔna le lãkusia me. Wodzena abe ʋuʋudedi suesuesue siwo le ŋutilã ŋu ene, alo? Esɔ nenema. Nodules siawo ƒe akpa gãtɔ nye esiwo me dɔlékui aɖeke mele o, si fia be womenye kansa o. Gake alafa memamã sue aɖe ŋutɔ, si le 5% va ɖo 15%, ate ŋu anye kansa.

Eyata, thyroid biopsy ate ŋu akpe ɖe wò ɖɔkta ŋu wòanya nusi tututu he ƒunukpeƒetetedɔa vɛ kple nenye be enye dɔlékui nyui alo nane si ŋu wòle be nàtsi dzi ɖo. Vevietɔ la, anɔ eme be ɖɔktawo awɔ lãmenugbagbeviwo ƒe dɔwɔwɔ ne ƒunukpeƒea lolo wu sentimeta 1 (anɔ abe sentimeta 0.39 ene) .

Aleke wowɔa thyroid biopsy? Mɔnu kawoe nye ema?

Mɔ vevi etɔ̃ li siwo dzi woato awɔ lãmenugbagbeviwo ƒe dɔwɔwɔ sia. Na míalé ŋku ɖe nusiwo wonye ŋu.

1. Fine-Needle Aspiration (FNA) ƒe mɔnu

Esiae nye lãmenugbagbevi siwo woɖena le lãkusi me ƒe ƒomevi si bɔ wu. Esia bia be woazã aŋe si le sue ŋutɔ, si didi (si ƒe didime nye gauge 22 alo esi le sue wu) atsɔ aɖe lãmenugbagbevi kple tsi sue aɖe ɖa le lãkusi ƒe lãkusi alo lãkusi geɖe me. Ne ɖɔkta le esia wɔm la, ezãa ultrasound scan tsɔ fiaa mɔ aŋea yia lãkusia me pɛpɛpɛ. Esia fia be scan la fiaa mɔ aŋea yia teƒe si tututu wòle. Esia nye dɔ bɔbɔe aɖe si mehiã be woatsoe gã aɖeke o.

2. Core-Needle Biopsy (CNB) ƒe mɔnu

Esia sɔ kple FNA ƒe mɔnu, gake aŋe si wozãna la lolo vie (eƒe didime nye gauge 14 va ɖo 20). Woate ŋu azã mɔnu sia ne ɖɔktaa di be yeaɖe lãkusi si lolo wu evɔ magblẽ nu le eŋu o . Woate ŋu azã mɔnu sia ne kpɔɖeŋu si woxɔ kple FNA la mesɔ gbɔ o alo ne nyatakaka bubuwo hiã.

3. Amekoko ƒe Thyroid Biopsy

Esia nye dɔdamɔnu si mebɔ kura o. Ne kpɔɖeŋu siwo woɖe kple FNA alo CNB meƒo nya ta o, alo ne nyatakaka bubuwo hiã la, ɖɔkta ate ŋu atso nya me be yeaɖe ŋutilã ƒe akpa aɖewo ɖa, si nye amekoko si me woɖea kɔ sue aɖe le kɔa me, ɖoa ʋumenugbagbeviɣidɔa gbɔ, eye woaɖe ʋu ƒe lãmenugbagbeviwo ɖa.

Aleke nèdzrana ɖo hafi woɖea lãmenugbagbeviwo ɖa?

Dzadzraɖo ƒe ɖoɖoa ate ŋu ato vovo vie le ŋutilã ƒe akpa si woɖena le ŋuwò nu.

Le aŋe ƒe lãmenugbagbeviwo ɖeɖe (FNA alo CNB) gome la, .

• Zi geɖe la, negbe ɖe wò ɖɔkta gblɔ na wò be menye nenemae o la, àte ŋu aɖu nu ahano nu le mɔ si sɔ nu.
• Gake ne atike aɖewo le asiwò si nènona gbesiagbe (vevietɔ ʋumenugbagbeviɣitikewo ) la, ele vevie ŋutɔ be nàbia wò ɖɔkta ne ehiã be nàdzudzɔ wo ŋkeke ʋɛ aɖewo do ŋgɔ na ʋumenugbagbeviɣidɔa ɖeɖe.

Be woawɔ amekoko ƒe ŋutilã ƒe akpa aɖewo ɖeɖeɖa

Ne wole ŋutilã ƒe akpa aɖewo ɖeɖe ɖa abe esia ene la, wò ɖɔkta ana mɔfiame siwo me kɔ wò ku ɖe alesi nàdzra ɖo ɖe eŋu ŋu. Ele vevie be nàwɔ ɖe mɔfiame mawo dzi pɛpɛpɛ.

Nu vevitɔe nye be wò ɖɔktae nye ame nyuitɔ kekeake si aɖo aɖaŋu na wò. Ne nya aɖe alo nya aɖe le asiwò la, kpɔ egbɔ be yebia wò ɖɔkta.

Nukae dzɔna le ŋutilã ƒe akpa aɖewo ɖeɖeɖa me? Nusi woakpɔ mɔ na.

Zi geɖe la, wozãa FNA alo CNB tsɔ wɔa lãmenugbagbeviwo ƒe dɔwɔwɔ. Míegblɔ va yi be le go siwo mebɔ o me la, woate ŋu awɔ dɔ na ame hã. Na míalé ŋku ɖe nusi dzɔna ɖe mɔnu siawo dometɔ ɖesiaɖe dzi ŋu.

Aŋe nyuiwo ƒe lãmenugbagbeviwo ɖeɖe (FNA alo CNB) .

Zi geɖe la, esiawo nyea dɔdamɔnu siwo wowɔna le kɔdzi. Esia fia be àte ŋu ayi aƒeme gbemagbe ke. Afɔɖeɖe aɖewoe nye esi:

1. Gbã la, woado atike sue aɖe wò (local anesthesia) be wòana wò kɔ ƒe akpa aɖe natsi. Esia ana màse veve geɖe o.

2. Eyome, ɖɔktaa atsɔ mɔ̃ sue aɖe si wotsɔ asi wɔe si woyɔna be ultrasound transducer la ade wò kɔ dzi. Esia akpe ɖe ŋuwò nàkpɔ afisi tututu lãkusi kple ƒunukpeƒea le.

3. Eyome, wotsɔa aŋe didi ma si le sue si míeyɔ va yi la toa wò ŋutigbalẽ me vivivi hegena ɖe lãkusia me.

4. Emegbe woɖea tsi kple lãkusi ƒe kpɔɖeŋu aɖe nyuie. Ele vevie ŋutɔ be màʋuʋu kura le ɣeyiɣi sia me o.

5. Ne woɖe kpɔɖeŋua vɔ la, woɖea aŋea ɖa eye wotsɔa aŋe sue aɖe si le abe aŋɔ ene blaa teƒe si wotsɔ aŋea de.

6. Mlɔeba la, woɖoa kpɔɖeŋua ɖe lãmenugbagbeviwo ŋuti nunyala aɖe be wòadoe kpɔ.

Ne nuku siwo wu ɖeka le asiwò la, àte ŋu agbugbɔ awɔ esia zi geɖe. Ele be dɔ bliboa naxɔ abe miniti 10 va ɖo 20 ene.

Amekoko ƒe Thyroid Biopsy

Míegblɔna be esia nye nusi ƒã hafi wowɔna. Wozãa mɔnu sia ne FNA alo CNB ƒe emetsonuwo me mekɔ o, alo ne nyatakaka bubuwo hiã. Esia bia be woawɔ dɔ na ame eye woaɖe dɔdzẽa kple/alo lãkusia ƒe kpɔɖeŋu tso lãkusi me tẽe eye woaɖoe ɖe nudokpɔƒe.

Nukawoe nye nusiwo dona tso eme le ŋutilã ƒe akpa aɖewo ɖeɖeɖa vɔ megbe?

Nu suesuesue siwo dona tso ŋutilã ƒe akpa aɖewo ɖeɖe vɔ megbe dometɔ aɖewoe nye vevesese kple abi aɖewo le afisi wotsɔ aŋea de. Àte ŋu ano vevesesenutsitike siwo womeƒlena le atikedzraƒe o, abe acetaminophen (Tylenol®) alo ibuprofen (Motrin®) ene, be wòakpe ɖe ŋuwò le vevesese sia me.

Kuxi sesẽwo mebɔ o, gake le go siwo mebɔ o me la, nusiwo gbɔna ate ŋu ado mo ɖa:

• Ʋu si le dodom
• Dɔdzedze
• Nane si le abe cyst ene ƒe wɔwɔme.

Ne nane si le abe esia ene dzɔ la, ele be nàna ɖɔktaa nanya enumake.

Nukae biopsy ƒe nyatakakaa me tsonu fia?

Amerikatɔwo ƒe Thyroid Habɔbɔ gblɔ be woate ŋu ama lãmenugbagbeviwo ƒe dɔwɔwɔ me tsonu ɖe ​​hatsotso vevi ade me. Mina míalé ŋku ɖe nusi ƒomevi ɖesiaɖe fia ŋu:

| Emetsonuwo ƒe Ƒomedodo | Gɔmesese | General Afɔɖeɖe si kplɔe ɖo |

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

| Benign (si menye kansa o) | Menye kansae ƒunukpeƒea nye o. Esiae nye emetsonu si bɔ wu (60%-70% le dɔléleawo dome). | Zi geɖe la, "lalala ŋudzɔnɔnɔ" kple ultrasound scan gbugbɔgawɔ le abe ɣleti 12 ene me. |

| Dɔlékui vɔ̃ɖi (kansa) | Kansa le dɔdzẽa me. (5%-15% le dɔléleawo dome). |Anɔ eme godoo la, ehiã be woawɔ dɔ na ame be woaɖee ɖa. |

| Woke ɖi le Dɔléle vɔ̃ɖi ŋu | Mɔnukpɔkpɔ gã aɖe li be woaxɔ kansa. (Zi geɖe la, woɖenɛ ɖa to amekoko me). | Zi geɖe la, woɖenɛ le amekoko me. Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ bubuwo (e.g. molecular profiling ). |

| Atypia of Undetermined Vevienyenye (AUS) alo Follicular Lesion si ƒe Vevienyenye Womekpɔ O (FLUS) | Lãmenugbagbeviawo mesɔ vie o, gake womate ŋu aka ɖe edzi nenye be kansae wonye loo alo menyee o. (Ate ŋu anye kansa le 5%-15% me). | Biopsy gbugbɔgawɔ, molecule dodokpɔ, alo ɖewohĩ amekoko. |

| Follicular Neoplasm alo Ðikeke le Follicular Neoplasm ŋu | Esia ateŋu anye kansa alo mateŋu anye o (15%-30% nye kansa). | Zi geɖe la, woɖea lãkusi ƒe akpa aɖe alo wo katã ɖa to amekoko me be woadoe kpɔ. |

| Non-diagnostic alo Nusi medzea ame ŋu o | Lãmenugbagbeviwo mesɔ gbɔ le kpɔɖeŋua me o, alo le susu bubu aɖe ta la, manya wɔ be woaƒo nya ta nyuie o. (2%-10% le dɔléleawo dome). | Zi geɖe la, woɖea ŋutilã ƒe akpa aɖewo ɖeɖeɖa ake , si wowɔna zi geɖe le ultrasound ƒe mɔfiafia te. |

Togbɔ be kplɔ̃ sia ate ŋu ana nàkpɔ susu si me kɔ hã la, anyo wu be nàƒo nu kple wò ɖɔkta hena nyatakaka siwo tututu ku ɖe wò dɔwɔwɔ me tsonu ŋu.

Ɣeyiɣi didi kae wòxɔna hafi míenyaa emetsonuwo?

Ame akpa gãtɔ xɔa woƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dodokpɔ me tsonu le kwasiɖa ɖeka me, gake ɣeaɖewoɣi la, ɣeyiɣi sia ate ŋu ato vovo vie le dodokpɔxɔa ƒe dɔwɔwɔ ƒe agba nu alo ne ehiã be woawɔ dodokpɔ bubuwo.

Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?

Wò ɖɔkta aɖe emetsonuwo me na wò eye wòagblɔ na wò nenye be ehiã be woawɔ atike na wò, eye ne ehiã la, nusi nàwɔ hã. Amesiame ƒe nɔnɔme to vovo, eyata atikewɔwɔ ato vovo. Gake le goawo katã me la, nusi nàte ŋu akpɔ mɔ na enye si:

• Nodules siwo me dɔlékui aɖeke mele o:Zi geɖe la, wowɔa esia to "lalala ŋudzɔnɔnɔ" me. Eyae nye be wogawɔa ultrasound scan le abe ɣleti 12 ene megbe be woakpɔe ɖa be tɔtrɔ aɖe va le dɔdzẽa ŋu hã.
• Nodules vɔ̃ɖiwo: Ɣesiaɣi kloe la, ele be woaɖe esiawo ɖa to amekoko me.
• Nodules siwo ŋu ɖikeke le: Wonɔa te ɖe dodokpɔ bubuwo abe molecule profiling ene me tsonu dzi nyaa esiawo nenye be woawɔ dɔ na wo alo womaɖe wo ɖa o.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Le thyroid biopsy megbe la, ne dɔlékui ƒe dzesi siawo dometɔ aɖe dze le ŋuwò la, gblɔe na wò ɖɔkta enumake be:

• Ne asrã dze dziwò la .
• Ne vuvɔ le wɔwɔm eye nèle ʋuʋum (Chills).
• Ne teƒe si wotsɔ aŋea de alo wotsoe la biã, vuvu, eye tsi si le abe ʋuʋudedi ene le dodom tso afima .

Ne dzesi siawo tɔgbe le ŋuwò la, ate ŋu anye dɔlékui, eyata ele vevie be nàdi atike kaba.

Mlɔeba la, nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui!

Enye nusi sɔ be nàvɔ̃ vie ne èse nya "biopsy." Gake ne wowɔ thyroid biopsy la, mefia be nu vevi aɖe le ŋuwò o. Abe alesi wòle le X-ray kple ʋudodokpɔ gome ene la, dɔwɔnu si ɖɔktawo zãna tsɔ dea dzesi dɔléle aɖe koe lãmenugbagbeviwo ƒe dɔwɔwɔ nye. Nusiwo do tso eme na míenya nyatakaka vevi aɖe ŋutɔ.

Ne lãkusi ƒe kuxi aɖe le ŋuwò la, ekpɔkpɔ hafi wòagblẽ ɖe edzie nye mɔnukpɔkpɔ nyuitɔ kekeake na wò be nànɔ lãmesẽ me ɣeyiɣi didi. Eyata ne wò ɖɔkta do susua ɖa be woaɖe ŋutilã ƒe akpa aɖewo ɖa la, mègavɔ̃ be yeabiae o, axɔ nyatakaka siwo nèhiã, eye nàdze ŋgɔe ŋkume kple ŋkume. Menye wò ɖeka koe o, eye ɖɔkta aɖewo li siwo ate ŋu akpe ɖe ŋuwò.

Eyata, mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nya aɖe le asiwò la, mègakpe ŋu nàƒo nu kple wò ɖɔkta o!

` Thyroid, Thyroid Biopsy, Thyroid Nodules, FNA, CNB, Kansa, Lãmesẽ