He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e hana i kahi biopsy umauma. Manaʻo paha ʻoe, "Auē, he maʻi kanesa koʻu?" Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻoiai ke noi ʻia nei ʻoe e hana i kahi biopsy, ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ka ʻoiaʻiʻo, 80 o 100 mau wahine i loaʻa i kēia ʻano biopsy ua ʻike ʻia ʻaʻohe maʻi kanesa. No laila e kamaʻilio kākou e pili ana i kēia me ka kikoʻī me ka makaʻu ʻole.
I ka ʻōlelo maʻalahi, he aha ka biopsy?
I ka ʻōlelo maʻalahi, ʻo ka biopsy umauma kahi hana kahi e lawe ʻia ai kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi i loko o kou umauma a nānā ʻia ma lalo o kahi microscope. E noʻonoʻo he puʻupuʻu kou i loko o kou umauma. ʻO ka biopsy wale nō ke ala e ʻike pono ai inā he maʻi kanesa a ʻaʻole paha. ʻOiai hiki i nā ʻano scan ʻē aʻe (Mammogram, Ultrasound) ke hāʻawi iā ʻoe i kekahi manaʻo, ʻo ka biopsy wale nō ke haʻi iā ʻoe me ka maopopo.
No ke aha ʻoe e pono ai i kahi biopsy?
E ʻōlelo pinepine ke kauka e hana ʻoe i kahi biopsy no kekahi a ʻoi aku paha o kēia mau kumu:
- Ke manaʻo nei i kahi puʻupuʻu a mānoanoa paha i loko o ka umauma: Inā ʻike ʻoe i kahi puʻupuʻu ʻē, puʻupuʻu, a mānoanoa paha i loko o ka umauma, i ka wā o ka hoʻokolokolo ponoʻī ʻana a i ʻole i ka wā o ka hoʻokolokolo ʻana e kāu kauka.
- ʻO ka mammogram maʻamau ʻole: Inā hōʻike kāu hōʻike mammogram i kahi wahi kānalua.
- Nā hopena o ke kiʻi ultrasound: Inā ʻike ka scan ultrasound o ka umauma i kahi wahi kānalua i hiki ke lilo i maʻi ʻaʻai.
- Nā loli i ka ʻili a puni kou nipple a i ʻole areola: Nā loli maʻamau ʻole i kou nipple a i ʻole ka ʻili ʻeleʻele a puni ia (areola), no ka laʻana, ka ʻōpala, ka dimpling, a i ʻole ka hoʻokahe ʻokoʻa.
ʻO ka mea nui, ʻoiai inā loaʻa iā ʻoe kahi hōʻailona e like me kēia, ʻaʻole ia he manaʻo he maʻi kanesa ia. Eia nō naʻe, ʻo ka ʻike pono i ke ʻano o ia mea he mea nui ia no kou maluhia o ka noʻonoʻo a e ʻimi koke i ka lāʻau lapaʻau inā pono.
He aha nā ʻano biopsies o ka umauma i loaʻa?
Aia kekahi mau ʻano hana no ka hana ʻana i kahi biopsy umauma. Ma muli o ke ʻano o ka mea ʻē i loko o kou umauma, e hoʻoholo kāu kauka i ke ʻano hana kūpono loa iā ʻoe. E nānā kākou i nā ʻano nui.
| ʻAno Biopsy | He wehewehe pōkole |
|---|---|
| ʻO ka biopsy hoʻopaʻa ʻana i ka nila maikaʻi (FNA) | ʻO kēia ka hoʻohana ʻana i kahi nila lahilahi loa e wehe i kahi wai liʻiliʻi a i ʻole nā kelepona mai kahi wahi kānalua. Hana pinepine ʻia kēia e kahi radiologist. |
| ʻO ka biopsy umauma nila koʻikoʻi | Hoʻohana kēia i kahi nila nui iki ma mua o ka FNA, no laila hiki ke loaʻa kahi ʻāpana ʻiʻo nui aʻe no ka hoʻokolokolo ʻana. Hana pinepine ʻia kēia e kahi radiologist. |
| ʻO ka biopsy umauma ʻokiʻoki (Lumpectomy) | He hana liʻiliʻi kēia. Pono ia e wehe i ka puʻupuʻu holoʻokoʻa a i ʻole nā ʻiʻo ʻē aʻe i manaʻo ʻia he maʻi kanesa. I kekahi manawa, wehe ʻia kekahi o nā ʻiʻo maʻamau a puni ia mea e hōʻoia ʻaʻohe hunaola kanesa i koe. |
| ʻO ka biopsy umauma ʻokiʻoki | He hana ʻoki kino nō hoʻi kēia. Eia naʻe, ma kahi o ka wehe ʻana i ka puʻupuʻu holoʻokoʻa, ua ʻoki ʻia kahi ʻāpana liʻiliʻi mai ka wahi kānalua a hoʻouna ʻia no ka hoʻāʻo ʻana. |
Pehea e hoʻomākaukau ai ma mua o kahi biopsy?
Ma mua o ka hana ʻana i kahi biopsy, pono ʻoe e haʻi i kāu kauka, kauka ʻokiʻoki, a radiologist paha e pili ana i kēia mau mea.
- Inā hāpai ʻoe a hāpai paha.
- Inā ʻoe e lawe ana i ka lāʻau anticoagulant (hoʻomāmā koko), hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana a hoʻoponopono paha i ka dosage i kekahi mau lā ma mua o ka biopsy.
- Inā ʻoe e lawe ana i ka aspirin a i ʻole nā mea hoʻohui lāʻau ʻē aʻe.
- E pili ana i nā maʻi ʻē aʻe āu i loaʻa ai a me nā ʻoki kino āu i hana koke nei.
- Nā maʻi ʻaleka i loaʻa iā ʻoeHe mea nui loa ia e kamaʻilio e pili ana i nā maʻi allergies i ka anesthesia.
Eia kekahi, e aʻo aku kāu hui lapaʻau iā ʻoe i nā mea e like me ka hoʻohana ʻana i ka deodorant i ka lā o ka biopsy a inā pono ʻoe i kekahi e lawe iā ʻoe i ka home ma hope o ka biopsy.
He aha ka mea e hana ʻia ma mua o ka hana ʻana i ka biopsy?
I kekahi manawa, ma mua o ka lawe ʻana i kahi ʻāpana o ka ʻiʻo no kahi biopsy, hoʻohana ʻia nā ʻano hana ʻē aʻe e hōʻailona i kahi kikoʻī o ka ʻiʻo e lawe ʻia.
Ke ʻimi nei i ka wahi kūpono ma o nā scan (nā kaʻina hana i alakaʻi ʻia e ke kiʻi)
I ka wā o ka biopsy, hiki ke hoʻohana ʻia kahi scanner e ʻike pono i kahi e hoʻokomo ai i ka nila. Ua kapa ʻia kēia he `kiʻi-guided procedure`. ʻO nā ʻano hana i hoʻohana ʻia no kēia:
- ʻO ka biopsy umauma Stereotactic
- ʻO ka biopsy i alakaʻi ʻia e ka ultrasound
- ʻO ka biopsy i alakaʻi ʻia e ke kiʻi resonance magnetic (MRI)
Kahi ʻana o ke kaula a i ʻole ka ʻole o ke kaula
Inā ʻoe e hana ana i kahi biopsy ʻoki kino, hiki ke hoʻohana ʻia kahi ʻano hana i kapa ʻia ʻo 'wire localization' e kōkua i ke kauka ʻoki kino e ʻike i kahi kikoʻī e wehe ai. ʻO kēia ka mea e pili ana i:
1. ʻO ka mea mua, e hoʻokomo kahi kauka anesthesiologist i kahi nila liʻiliʻi i loko o ka ʻāpana o kou umauma e hoʻomāno iā ia.
2. A laila, ma lalo o ke alakaʻi ʻana o kahi scan (e.g., ultrasound, MRI), hoʻokomo ke kauka ʻoki i kahi nila lahilahi a hakahaka i loko o ka wahi e hana ʻia ai ka biopsy.
3. Ke kau ka nila ma kahi kūpono, e hoʻokomo ʻia kahi uea lahilahi a maʻemaʻe hoʻi ma waenakonu o ke nila. He makau liʻiliʻi ko kēia uea ma ka hopena, no laila ʻaʻole ia e neʻe a puni.
4. A laila wehe ʻia ke kui. ʻO ke kaula wale nō i koe i loko o ka umauma. ʻIke ʻia ka ʻāpana i puka mai o ke kaula.
5. Ma hope o ka pau ʻana o ke ʻoki ʻana, ua wehe loa ʻia kēia uea.
Pēlā nō, ke hoʻohana ʻia nei nā ʻano hana hou ʻē aʻe e like me nā mea makeneka liʻiliʻi a me nā mea radioactive e hōʻailona i nā wahi.
He aha ka mea e hana ʻia i ka wā o kahi biopsy?
Hiki ke ʻokoʻa iki ka ʻike ma muli o ke ʻano o ka biopsy āu e hana nei.
- I ke ʻano o ka biopsy Fine Needle Aspiration (FNA): E hoʻomāno ke kauka i ka wahi (anesthesia kūloko) a hoʻokomo i kahi nila e kiʻi i kahi hāpana liʻiliʻi o nā cell a me ka wai.
- ʻO kahi Biopsy ʻUlu o ka ʻUlu: Hoʻomānoʻo ka radiologist i ka wahi, hana paha i kahi ʻoki liʻiliʻi loa i ka ʻili, hoʻokomo i kahi nila, a lawe i kahi hāpana o nā ʻiʻo. A laila kau ʻia kahi māka liʻiliʻi (kahi `biopsy marker`) e hōʻailona i kahi o ka hāpana. ʻAe kēia i ke kauka lapaʻau e ʻike i kahi kikoʻī o ka hāpana inā pono nā hāpana hou aʻe ma hope a inā pono ke ʻoki ʻana.
- Inā ʻo ke ʻoki ʻana (e like me ka lumpectomy):E hoʻokomo ke kauka hoʻomaʻamaʻa iā ʻoe ma lalo o ka anesthesia laulā. A laila e hana ke kauka ʻoki i kahi ʻoki ma kou umauma a wehe i ka ʻāpana i hoʻopilikia ʻia o ka ʻiʻo. A laila e pani ʻia ka ʻoki me nā humuhumu a me kahi ʻaʻahu sterile.
ʻEhia ka lōʻihi o kēia a pehea ka lōʻihi e ho'ōla ai?
| ʻAno o ka biopsy | Ka manawa i hoʻolilo ʻia | Ka manawa ho'ōla |
|---|---|---|
| Ka Hopu ʻana i ka Nila Maikaʻi (FNA) | Ma kahi o 10 - 15 mau minuke | Ua lawa ka hoʻomaha ʻana i kēlā lā. Hiki iā ʻoe ke hana i nā hana maʻamau mai ka lā aʻe. |
| ʻO ka Biopsy nila koʻikoʻi | Ma kahi o 20 - 60 mau minuke | ʻOi aku ka maikaʻi o ka pale ʻana i ka hāpai ʻana i ka ikaika a kaumaha paha no ka liʻiliʻi o ʻelua lā. |
| ʻO ka Biopsy ʻoki kino (Lumpectomy/Incisional) | Ma kahi o 60 mau minuke | Aia paha kekahi ʻeha no kekahi mau lā. Hiki ke hala i kekahi mau lā a i hoʻokahi pule e hoʻi ai i nā hana maʻamau. Aia kēia i ka nui o ka ʻoki a me ka nui o nā ʻiʻo i wehe ʻia. |
Aia kekahi mau pilikia a me nā pilikia me kēia?
E like me nā hana lapaʻau āpau, aia kekahi mau pilikia e pili ana. Akā, mai hopohopo, he mea kākaʻikahi loa nā pilikia koʻikoʻi.
- Nā mea maʻamau e hiki ke hana:
- ʻEha
- Ke kahe ʻana o ke koko
- Pehu ʻana
- Ka paʻakikī i ka ho'ōla ʻana i ka ʻeha a i ʻole ka ʻeha
- ʻO ka maʻi ʻeha ʻoki
- Nā pilikia kakaikahi loa:
- ʻO ka hōʻiliʻili koko i loko o ka umauma (hematoma o ka umauma)
- Ka hōʻino ʻana i ka māmā (pneumothorax)
He aha ka ʻōlelo a ka hōʻike biopsy?
Nānā ʻia kāu hāpana ʻiʻo e kahi pathologist. Ma muli o nā hualoaʻa, hiki ke hoʻoholo ʻia inā he benign, cancerous, a precancerous paha.
He aha inā ua hōʻoia ʻia he maʻi kanesa?
Inā he maʻi kanesa ka hopena, mai hopohopo. E hāʻawi kāu kauka iā ʻoe i ke kākoʻo a me ke alakaʻi āpau āu e pono ai. Hiki i ka hōʻike ke komo pū me kēia mau mea:
- ʻAno puʻupuʻu: Inā he 'invasive' (pālahalaha i loko o nā ʻiʻo a puni) a i ʻole 'noninvasive' (noho ma kahi hoʻokahi a ʻaʻole e pālahalaha).
- Ka pae puʻupuʻu: Pehea ka wikiwiki o ka māhele ʻana o nā hunaola kanesa a pehea lākou like/ʻokoʻa me nā hunaola maʻamau.
- Ke kūlana o ka mea loaʻa hormone: Kōkua nā hormones i kekahi mau maʻi kanesa e ulu. Hōʻike kēia iā ʻoe inā pili kāu maʻi kanesa i ka hormone, e like me ka estrogen receptor-positive (ER+).
- Kūlana HER2: ʻO ka `HER2` kahi protein e kōkua ana i nā hunaola kanesa e ulu a laha. Hiki i kēia ke haʻi iā ʻoe inā he `HER2-positive` kou kanesa a i ʻole.
Mai hopohopo i kēia mau ʻōlelo. ʻO kēia mau mea a pau e kōkua i ke kauka e koho i ke koho lapaʻau maikaʻi loa nāu. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
ʻEhia ka lōʻihi o ka hoʻi ʻana mai o nā hopena? Āhea wau e kamaʻilio ai me ke kauka?
Hiki ke hala i hoʻokahi a ʻelua pule e loaʻa ai nā hopena biopsy. ʻIke mākou he manawa hopohopo kēia. He mea maʻamau kēlā. ʻO ka mālama ʻana i kāu mau hana maʻamau, ka hana ʻana i nā mea āu e hauʻoli ai, a me ke kamaʻilio ʻana e pili ana i kou mau manaʻo me kahi mea āu e hilinaʻi ai e kōkua iā ʻoe i kēia manawa.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka:
- Kuni (ma luna o 38.4 Celsius / 101 Fahrenheit).
- ʻUlaʻula a ʻeleʻele paha o ka ʻili a puni ka wahi i hana ʻia ai ka biopsy.
- Ke ʻeha nui nei i ka hoʻopā ʻana i kēlā wahi.
- Ka ʻōpala laha nui ʻole.
He aha nā kūlana ʻē aʻe e like me ke kanesa, akā ʻaʻole ia he kanesa?
ʻAe, ʻaʻole nā puʻupuʻu a i ʻole nā loli i loko o ka umauma he maʻi kanesa. Nui nā kūlana ʻaʻole kanesa (benign) e hiki ke hōʻike i nā hōʻailona o ka maʻi kanesa.
- ʻO Fibroadenoma: He ʻano maʻamau kēia o ka puʻupuʻu ʻaʻole maʻi kanesa.
- Ka hoʻopili ʻana o ka umauma: Nā waihona calcium i loko o ka ʻiʻo umauma.
- Nā cysts:Nā ʻeke e like me nā cysts i piha i ka wai. Hiki i kēia ke ʻeha i kekahi manawa.
- Fibrosis: Lilo ka ʻiʻo o ka umauma i mānoanoa a paʻakikī ma muli o nā loli hormonal.
No laila, ke noi mai ke kauka iā ʻoe e hana i kahi biopsy, ʻo ia wale nō e hōʻoia pono i kahi o kēia mau kūlana āu i loaʻa ai.
Leka Lawe-Home
- ʻOiai ua noi ʻia ʻoe e hana i kahi biopsy umauma, ʻaʻole ia he manaʻo he maʻi kanesa ia. 80% o nā biopsies e hoʻi mai me ka maikaʻi ʻole.
- ʻO ke ala wale nō e ʻike ai me ka 100% maopopo inā he maʻi kanesa kahi loli i ka umauma a i ʻole, ʻo ia ka hana ʻana i kahi biopsy.
- He mea maʻamau ke makaʻu a me ka hopohopo no kēia. E kamaʻilio ākea me kāu kauka e pili ana i kou mau hopohopo a me kou mau makaʻu.
- Ma mua o ka biopsy, e hoʻomaopopo pololei i kāu kauka e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ka biopsy. Inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi, e hoʻomaopopo koke i kāu kauka.
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