Ke hopohopo nei ʻoe e pili ana i kahi puʻupuʻu i loko o kou kino? E kamaʻilio kākou e pili ana i ka Fine-Needle Aspiration (FNA)!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a puʻupuʻu paha ma kekahi wahi o kou kino a ua makaʻu iki a kānalua paha? A i ʻole ua haʻi aku kekahi kauka iā ʻoe e hana i kahi hoʻāʻo liʻiliʻi ma ia wahi? Mai makaʻu! I kēia lā e kamaʻilio mākou e pili ana i kahi hoʻāʻo e pono ai i ia mau manawa a he mea nui ia no nā poʻe he nui. ʻO ia ka 'Fine-Needle Aspiration', a mākou e kapa nei hoʻi ʻo `(FNA)` no ka pōkole. I ka pololei, he hoʻāʻo kēia e hoʻohana ana i kahi nila lahilahi e lawe i kahi laʻana o nā cell.

No laila, he aha maoli ka Fine-Needle Aspiration (FNA)?

I ka ʻōlelo maʻalahi, ʻo ka `Fine-Needle Aspiration` a i ʻole `(FNA)` he hana ia a nā kauka e hoʻohana ai e lawe i kahi laʻana o nā cell mai kahi puʻupuʻu kānalua, nodule, a i ʻole kahi ʻē aʻe i loko o kou kino i ʻike ʻia he ʻano ʻē. Ua kapa pū kekahi poʻe iā ia ʻo `Fine-Needle Biopsy`. E noʻonoʻo iā ia e like me kahi nila lahilahi loa i hoʻopili ʻia i kahi syringe liʻiliʻi e lawe ana i kahi laʻana liʻiliʻi o nā cell, nā ʻiʻo, a i ʻole ka wai.

A laila, hoʻouna kāu kauka i ka hāpana i kahi "lab cytology." Ma laila, nānā kahi "cytotechnologist" i nā cell. A laila, noiʻi hohonu kekahi kauka loea i kapa ʻia he "pathologist" i nā cell, e hoʻāʻo ana e ʻike i ko lākou ʻano a me ko lākou ʻano. Nānā lāua ʻelua i kēia mau cell me ka hoʻohana ʻana i kahi ʻenehana i kapa ʻia ʻo "cytology."

ʻO ka ``(FNA)`` he ʻano biopsy ia ʻaʻole e hōʻeha nui i ke kino, ʻo ia hoʻi, ʻo ia ka mea liʻiliʻi loa (least invasive) . Eia nō naʻe, he mau palena nō hoʻi kona.

No laila, he aha ka ʻokoʻa ma waena o kahi Core Biopsy a me kahi Fine-Needle Aspiration?

Ua lohe paha ʻoe i ka 'Core Biopsy'. ʻO 'Core Biopsy' a me 'Fine-Needle Aspiration' nā ʻano biopsies e hoʻohana ana i nā nila.

Eia nō naʻe, ʻoi aku ka mānoanoa o ke kui i hoʻohana ʻia no ka `Core Needle Biopsy` ma mua o ke kui i hoʻohana ʻia no ka `(FNA)`. No laila, hiki i ka `Core Biopsy` ke lawe i kahi nui o nā ʻiʻo ma mua o ka `(FNA)`. Hāʻawi kēia i ka ʻike hou aku e pili ana i ka wahi kānalua.

ʻOiai e hoʻohana ʻia ana ka makemake ʻana i ka nila maikaʻi (FNA), i kekahi manawa pono ka biopsy koʻikoʻi i kahi ʻoki liʻiliʻi a me ke komo ʻana o kahi nila biopsy i hoʻouka ʻia me ka pūnāwai.

Hoʻohana pinepine nā kauka i ka `Core Biopsy` no nā biopsies umauma . Eia nō naʻe, hoʻohana ʻia ka `(FNA)` no nā ʻāpana like ʻole o ke kino.

He aha ka mea e hoʻohana ʻia ai ka Fine-Needle Aspiration (FNA)?

ʻElua mau kumu nui o ka hoʻāʻo FNA: diagnostic a me therapeutic .

I kekahi manawa, hoʻohana pū nā kauka i ka FNA e hoʻolālā i ka mālama ʻana inā ua pālahalaha kahi maʻi kanesa mai kahi i hoʻomaka mua ai, i kapa ʻia ʻo ka maʻi kanesa metastatic. A laila hiki i ka pathologist ke nānā i nā māka genetic a i ʻole molecular i loko o ka hāpana cell e ʻike ai pehea ka maikaʻi o ka pane ʻana o ke kanesa i kahi lāʻau lapaʻau.

ʻO ka ʻomi ʻana o ka nila maikaʻi (Diagnostic FNA) no ka hōʻoia ʻana

I kēlā me kēia manawa e pono ai nā kauka e ʻike maopopo i kahi maʻi ma ka lawe ʻana i kahi laʻana ʻiʻo a wai paha, hiki iā lākou ke hana i ka "Fine-Needle Aspiration" (ʻike ʻia hoʻi he "fine-needle biopsy"). Nānā ke kauka pathology i nā ʻāpana i hōʻiliʻili ʻia ma lalo o kahi microscope e hoʻoholo ai i ke ʻano o lākou a me ko lākou mau ʻano.

ʻO ka ``(FNA)`` kekahi o nā ʻano biopsy like ʻole. Ma muli o kou kūlana, hiki i kāu kauka ke koho e hana i kahi ``(FNA)`` a i ʻole kekahi ʻano biopsy ʻē aʻe, e like me ``excisional`` a i ʻole ``incisional``.

Pono paha kahi "Fine-Needle Biopsy" e loaʻa ai kahi hōʻoia paʻa o kahi puʻupuʻu kānalua. Hiki i kēia ke kōkua i ka ʻike ʻana i nā mea e like me:

• Ka maʻi ʻaʻai .
• ʻO nā maʻi bacteria , no ka laʻana, bursitis (kahi maʻi o kahi ʻeke a puni kahi hui) a i ʻole septic arthritis (kahi maʻi o kahi hui).
• ʻO nā puʻupuʻu ʻaʻole kanesa , no ka laʻana, nā cysts, fibroadenomas (kahi ʻano puʻupuʻu ʻaʻole kanesa e kū mai ana i ka umauma), a i ʻole lipomas (nā puʻupuʻu momona).

Hiki i nā kauka ke hana i ka ʻomi ʻana i ka nila maikaʻi (FNA) ma kahi o kēlā me kēia ʻāpana o ke kino. Eia nō naʻe, hoʻohana pinepine ʻia ia e nānā i nā puʻupuʻu i ʻike hou ʻia ma nā wahi aʻe:

• ʻUma , no ka laʻana, nā cysts umauma.
• ʻO ke kelepa thyroid , no ka laʻana, nā nodules thyroid.
• Nā kiko lymph .
• ʻIli .

Me ka holomua o ka ʻenehana, hoʻohana ʻia ka ʻomi ʻana o ka nila maikaʻi (FNA) i kēia manawa e wehe i nā ʻiʻo mai nā ʻāpana hohonu o ke kino, me ke kōkua o ke alakaʻi kiʻi e like me ka ultrasound endoscopic a me nā scan computed tomography (CT). Eia kekahi laʻana:

• ʻO ka pancreas .
• ʻŌnaehana ʻōpū (GI) .
• ʻEsophagus .
• ʻŌpū trachea
• Nā māmā .
• ʻO ka mediastinum (ka hakahaka i loko o kou umauma e loaʻa ana nā ʻōpū koʻikoʻi e like me kou puʻuwai).

ʻO ka hoʻomoe ʻana i ka nila maikaʻi (Therapeutic FNA) no ka mālama ʻana

I kekahi manawa hoʻohana nā kauka i ka FNA e wehe i ka wai mai nā puʻupuʻu a mālama iā lākou. Eia kekahi laʻana:

• Nā ʻōpū(Nā cysts i piha i ka pus).
• Nā ʻeke i piha i ka wai (nā cysts).
• ʻO nā Seromas (he mau hōʻiliʻili wai kūpono ʻole kēia e kū pinepine ma hope o ke ʻoki ʻana i ka maʻi umauma a me ke ʻoki plastik).

Hiki ke hoʻohana ʻia kēia ʻano hana `(FNA)` ma kahi o ke ʻano hana `incision and drainage` maʻamau, ʻoi aku hoʻi ma nā wahi koʻikoʻi o ka nani e like me nā umauma. Eia nō naʻe, hiki i ka `(FNA)` ke hoʻolaha i nā maʻi i kekahi manawa, no laila ʻaʻole hiki ke hoʻohana ʻia i nā hihia āpau.

Pehea e hoʻomākaukau ai no ka Fine-Needle Aspiration (FNA)?

ʻAʻohe hoʻomākaukau kūikawā e pono ai ʻoe e hana no ka Fine-Needle Aspiration. Eia nō naʻe, e haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai a pehea e hoʻomākaukau ai. No laila , mai hopohopo no ia mea .

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo Fine-Needle Aspiration (FNA)?

Hiki ke hana ʻia kahi FNA ma ke keʻena o kāu kauka a i ʻole ma kahi keʻena ma waho o ka haukapila, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila.

Hiki ke ʻokoʻa iki kēia kaʻina hana ma muli o ka ʻāpana o kou kino i lawe ʻia mai ai ka hāpana. Eia naʻe, ma ke ʻano laulā, hiki iā ʻoe ke manaʻo i kahi mea e like me kēia i ka wā o ka `Fine-Needle Aspiration`:

• E hoʻomoe ʻia ʻoe a noho paha ma luna o kahi papa lapaʻau.
• Hoʻomaʻemaʻe ke kauka i kahi i hoʻokomo ʻia ai ke kui me kahi wai antiseptic .
• Hiki i ke kauka ke hoʻokomo i kahi anesthetic kūloko e hoʻomānoino i ka wahi e hana ʻia ai ka FNA. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻūlū iki a ʻoluʻolu ʻole paha ke komo ka nila i loko o ka ʻili. He mea maʻamau kēia.
• Inā lawe ʻia ka hāpana mai kahi ʻāpana hohonu o kou kino, e hoʻohana ke kauka i ke alakaʻi kiʻi e alakaʻi pono i ka nila ma kahi a ma ke ala hea. No ka laʻana, he ultrasound, CT scan, a i ʻole mammogram.
• Hoʻokomo ke kauka i kahi nila i loko o ka wahi i manaʻo ʻia a laila hoʻohana i kahi syringe e huki i nā pūnaewele, nā ʻiʻo, a i ʻole ka wai.
• Pono paha ke kauka e nānā i nā wahi he nui a i ʻole e lawe i nā laʻana he nui. Inā pēlā, e hoʻohana ʻo ia i kahi nila hou a me kahi syringe no kēlā me kēia laʻana. ʻAʻole e hoʻohana hou ʻia ka nila like .
• Ke pau ka hoʻāʻo ʻana, hoʻopili ʻia kahi kāʻei liʻiliʻi ma ia wahi.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo ʻana o ka Fine-Needle Aspiration (FNA)?

E hoʻouna aku kāu kauka i hoʻokahi a ʻoi aku paha nā laʻana (a ʻoi aku paha) i kahi keʻena hoʻokolohua. Ma laila, e kālailai kahi 'pathologist' iā lākou. E nānā ʻo ia i nā ʻāpana ma lalo o kahi microscope a hana paha i nā hoʻokolohua ʻē aʻe ma ka laʻana. E kākau ka pathologist i kahi hōʻike e pili ana i kā lākou mea i loaʻa a hoʻouna aku i kāu kauka, nāna e hōʻike iā ʻoe a wehewehe iā ʻoe.

He aha nā pilikia o ka Fine-Needle Aspiration (FNA)?

He mea maʻamau ka ʻeha iki a i ʻole ka palapū ma kahi i hoʻokomo ʻia ai ke kui. He mea liʻiliʻi kēia a e ho'ōla ʻia i loko o ʻelua a ʻekolu lā.

He mea kākaʻikahi loa nā pilikia mai ka Fine-Needle Aspiration, akā i kekahi manawa hiki ke loaʻa nā mea aʻe:

• Ke kahe koko: ʻOi aku ke kiʻekiʻe o kēia pilikia i ka poʻe me nā maʻi ʻaʻa koko a/a i ʻole ka poʻe e lawe ana i nā anticoagulants.
• ʻO ka maʻi bacteria: ʻO ia ke kumu e hoʻomaʻemaʻe pono ʻia ai ka nila ma mua o ke komo ʻana.
• Ka hōʻino ʻana i nā ʻiʻo a puni: He mea kākaʻikahi loa kēia.
• Fistula: He pilina maʻamau ʻole kēia ma waena o ʻelua mau ʻiʻo i loko o ke kino, no ka laʻana he ʻōkana, he kīʻaha koko, a i ʻole kekahi ʻano hana ʻē aʻe. He mea kākaʻikahi loa nō hoʻi kēia.

E hoʻomanaʻo, he liʻiliʻi loa kēia mau pilikia. Ke haʻi aku nei ke kauka iā ʻoe e hana i kēia hoʻokolohua no ka mea ua manaʻo ʻo ia ʻoi aku ka maikaʻi o ia mau pono ma mua o kēia mau pilikia liʻiliʻi.

He aha nā hopena o ka Fine-Needle Aspiration (FNA)?

Aia kekahi mau ʻano hopena i hiki ke loaʻa mai kahi `Fine-Needle Aspiration`. Ke kālailai ʻia ka laʻana, hiki iā ia ke hōʻike i nā mea e like me:

• ʻAʻohe mau pūnaewele ʻē: ʻo ia hoʻi, ua maikaʻi nā mea a pau.
• ʻO ka hui ʻana o nā pūnaewele maʻamau ʻole a me nā pūnaewele maʻamau: Pono paha ʻoe i nā hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻailona.
• Nā pūnaewele precancerous: ʻO kēia nā pūnaewele e kū nei ma mua o ko lākou lilo ʻana i kanesa. He maʻalahi kēia e mālama inā ʻike mua ʻia.
• Nā pūnaewele kanesa: Inā hana kēia, e haʻi aku kāu kauka iā ʻoe i ka mea e hana ai ma hope.
• Nā hōʻike o kahi maʻi bacteria: Inā pēlā, hiki ke mālama ʻia.

I kekahi manawa, e noi paha ke keʻena hoʻokolohua i nā laʻana hou aʻe e hāʻawi i kahi hōʻike pololei. Eia nō naʻe, e wehewehe kāu kauka i ka hōʻike iā ʻoe . A laila, e hoʻoholo pū ʻolua i ka mea e hana ai ma hope.

Āhea wau e kāhea aku ai i kaʻu kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ma hope o ka hoʻāʻo ʻana, e like me ke kuni, ka pus e puka mai ana mai kahi nila, a i ʻole ka ʻulaʻula , e kāhea koke i kāu kauka. Inā ʻike ʻoe i kekahi mau loli i manaʻo ʻole ʻia i kou puʻupuʻu a i ʻole nodule ma hope o ka FNA, e haʻi pū i kāu kauka e pili ana i kēlā.

He mea maʻamau ka manaʻo kaumaha a me ka makaʻu ke ʻike ʻoe he puʻupuʻu kānalua kou. Akā ʻo ka nūhou maikaʻi, ʻo ka biopsy, e like me ka ʻomi ʻana i ka nila maikaʻi, ʻo ia ke ala maikaʻi loa e ʻike pono ai i ke ʻano o ia mea. Inā he mau nīnau a hopohopo paha kāu e pili ana i ka ʻomi ʻana i ka nila maikaʻi, mai kānalua e kamaʻilio me kāu kauka . Aia lākou ma laila e kōkua a hōʻoluʻolu iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• He hoʻāʻo maʻalahi ka 'Fine-Needle Aspiration (FNA)', ʻaʻole ia e komo kino, e lawe ana i kahi hāpana o nā cell mai kahi wahi kānalua o ke kino.
• Hiki i kēia ke ʻike i nā ʻano maʻi like ʻole , e like me ke kanesa, nā maʻi, a me nā puʻupuʻu ʻaʻole kanesa. Hoʻohana ʻia i kekahi manawa e wehe i ka wai a mālama iā ia .
• ʻAʻole pono ka hoʻomākaukau nui ma mua o ka hoʻāʻo ʻana, a ʻaʻole pinepine ka ʻeha nui ma hope o ka hoʻāʻo ʻana.
• Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka . Na lākou e wehewehe i nā mea āpau iā ʻoe.
• E hoʻomanaʻo, ua hana ʻia kēia ʻano hoʻāʻo e kōkua iā ʻoe e hana i nā hoʻoholo maikaʻi loa e pili ana i kou olakino.

No laila, inā e noi ʻia ʻoe e hana i ia ʻano hoʻokolohua, mai makaʻu e kū i mua. Makemake mākou iā ʻoe e ho'ōla koke!

ʻO FNA, Hoʻomoe ʻana i ka nila maikaʻi, Biopsy, Hoʻāʻo Kelepona, Hoʻāʻo Puʻupuʻu, ʻIke ʻana i ke Kanesa, Nā Hoʻāʻo Lapaʻau