He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i kahi biopsy umauma . Ke lohe ʻoe i ka huaʻōlelo "biopsy," ʻo ka mea mua e hiki mai ana i ka noʻonoʻo ʻo ia ka maʻi kanesa, ʻeā? Akā ʻo ka ʻoiaʻiʻo, ʻaʻole nā puʻupuʻu āpau i loaʻa i ka umauma he kanesa. Hana ʻia kēia hoʻāʻo e hōʻoia inā he wahi kānalua. No laila, mai hopohopo, e kamaʻilio maopopo kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka biopsy umauma?
I ka ʻōlelo maʻalahi, ʻo ka biopsy umauma kahi hana e lawe ai kāu kauka i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo (laʻana o ka ʻiʻo) mai kahi wahi kānalua o ka umauma. A laila e nānā ʻia kēia laʻana ʻiʻo ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa a i ʻole nā mea ʻē aʻe.
E hoʻomanaʻo, ʻo ke ala wale nō a maikaʻi loa e ʻike ai me ka 100% maopopo inā he maʻi kanesa ka pilikia o ka umauma a ʻaʻole paha ma o ka biopsy.
No ke aha he mea pono e hana i ia ʻano hoʻokolohua?
Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻāʻo inā he mau hopohopo ko lākou i ka wā o ka hoʻokolokolo umauma maʻamau, mammogram, a i ʻole ultrasound . Eia kekahi o nā kumu maʻamau no ke kānalua:
- Loaʻa kahi puʻupuʻu, cyst, a i ʻole ka mānoanoa i loko o kou umauma hiki iā ʻoe ke ʻike.
- Nā cysts piha i ka wai a i ʻole nā waihona calcium liʻiliʻi (microcalcifications) i ʻike ʻia ma nā scan.
- Ka hoʻokahe koko mai ka nipple mai, e like me ke kahe ʻana o ke koko .
- Ka loli ʻana o ke ʻano o ka ʻili o ka umauma a i ʻole ka nipple.
He aha nā ʻano hoʻokolohua biopsy?
E hoʻoholo kāu kauka i ke ʻano biopsy i kūpono loa iā ʻoe ma muli o kekahi mau kumu, me ka nui o ka puʻupuʻu kānalua, kona wahi, kāu mau pilikia olakino ʻē aʻe, a me kāu mau makemake.
ʻElua ʻano nui o nā biopsies : nā ʻano minimally invasive, a me nā ʻano ʻokiʻoki.
Nā Biopsies Minimally Invasive
Hoʻohana pinepine ʻia kēia mau ʻano i kēia manawa no ka mea he nui ko lākou mau pono.
- He mea kākaʻikahi loa ka ʻōpala.
- Ua emi ka ʻeha .
- Haʻahaʻa ka pilikia o ka maʻi.
- Hiki iā ʻoe ke ho'ōla koke a hoʻi hou i nā hana maʻamau.
E nānā kākou i ke ʻano o kēia mau ʻano hana.
| Ke ʻano hana biopsy | He mea maʻalahi ka mea e hana ʻia. |
|---|---|
| ʻO ka hoʻomoe ʻana i ka nila maikaʻi (FNA) | Hoʻohana ʻia kahi nila lahilahi loa e wehe i kekahi mau ʻāpana mai kahi kānalua. Inā piha ka puʻupuʻu i ka wai, hiki i kēia kaʻina hana ke hoʻokahe i ka wai a hoʻemi i ka puʻupuʻu. |
| ʻO ka Biopsy Nila Koʻikoʻi (alakaʻi ʻia e Ultrasound/MRI) | Hoʻohana ʻia kahi nila mānoanoa iki ma mua o ka FNA. Me ka hoʻohana ʻana i kahi ultrasound a i ʻole MRI scan, hoʻokomo ʻia ka nila e ʻimi i kahi kūpono a loaʻa kahi ʻāpana ʻiʻo. |
| Biopsy i kōkua ʻia e ka Vacuum | Ua like kēia me ka biopsy koʻikoʻi, akā maanei hiki ke hoʻohana ʻia kahi mea hoʻomaʻū (suction) e loaʻa ai nā ʻiʻo hou aʻe i ka manawa hoʻokahi. |
| ʻO ka Biopsy Stereotactic | Hoʻonoho pololei kahi mīkini mammogram kūikawā i kahi i kānalua ʻia, a me ke kōkua o kahi kamepiula, alakaʻi ʻia ka nila a unuhi ʻia nā ʻiʻo. |
Nā Biopsies ʻoki kino
I kekahi mau hihia, pono paha i ke kauka ke hana i ke ʻoki kino e wehe i ka puʻupuʻu holoʻokoʻa.
- ʻO ka Biopsy Excisional Open: He hana ʻoki kēia e wehe ai i ka puʻupuʻu holoʻokoʻa. I kekahi manawa, wehe ʻia kekahi o nā ʻiʻo maʻamau a puni ka puʻupuʻu. Ua kapa ʻia kēia he Lumpectomy . Hoʻohana ʻia kēia ma ke ʻano he hoʻāʻo a ma ke ʻano he lāʻau lapaʻau no nā puʻupuʻu ʻaʻole cancerous.
- Sentinel Node Biopsy: He hoʻāʻo kūikawā iki kēia. Inā ua pālahalaha nā hunaola kanesa, e hele mua lākou i nā lymph node kokoke. Ua kapa ʻia kēia lymph node mua ʻo ka sentinel node.Ma kēia hoʻokolohua, ua hoʻokomo ʻia kahi waihoʻoluʻu kūikawā a i ʻole kahi mea radioactive kokoke i ke kikowaena, ua ʻike ʻia kēia kikowaena lymph mua, wehe ʻia, a nānā ʻia.
Aia kekahi mau pilikia me ka biopsy?
He kaʻina hana palekana loa nā hoʻokolohua biopsy, akā e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi.
- ʻEha ma kahi o ka hoʻokolokolo ʻana.
- Ka pehu iki a me ka ʻeha.
- He koko iki.
- Ka maʻi (he mea kākaʻikahi loa kēia).
- Aia paha he loli iki i ke ʻano o ka umauma ma muli o ka nui o nā ʻiʻo i wehe ʻia.
E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia mau mea ma mua.
Ka manawa hoʻōla a me nā mea e noʻonoʻo ai ma hope o ka hoʻāʻo ʻana
E noi ʻia ʻoe e ʻaʻahu i kahi pale umauma kūikawā a e kau i nā ʻaʻahu ma luna o ka ʻeha no kekahi mau lā ma hope o ka biopsy. Aia paha he mau ʻāpana liʻiliʻi o ka lipine a i ʻole nā humuhumu ma luna o ka ʻeha. Mai wehe iā ʻoe iho. E aʻo aku kāu hui lapaʻau iā ʻoe i ka manawa a me pehea e wehe ai iā lākou.
Hiki ke lawe ʻia nā lāʻau ʻeha inā pono no ka ʻeha, akā ʻo ka lāʻau ʻeha maʻalahi e like me ka paracetamol ka mea lawa. E pale i ka lawe ʻana i nā lāʻau lapaʻau e like me ka aspirin no nā lā 3 mua ma hope o ka hoʻāʻo me ka ʻole o ke aʻo ʻana a ke kauka, no ka mea hiki iā lākou ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka:
* Kuni a i ʻole ke anu.
* Inā e piʻi mālie ana ka ʻeha.
* ʻUlaʻula, pehu, kahe koko, a i ʻole nā mea ʻē aʻe e kahe ana a puni ka ʻeha.
ʻEhia ka manawa e hiki ai ke loaʻa ka hopena o ka biopsy?
He mau lā paha no kekahi kauka pathologist e nānā ai i ka hāpana ʻiʻo i lawe ʻia mai ou aku a hoʻomākaukau i kahi hōʻike. Ke loaʻa iā ʻoe ka hōʻike, e wehewehe aku kāu kauka iā ʻoe.
- Inā maʻamau ka hopena (Benign/Non-cancerous): Inā ʻōlelo ka hōʻike he kūlana maʻamau ia ʻaʻole he maʻi kanesa, he nūhou maikaʻi loa ia. ʻAʻohe mea ʻino ka hapa nui o nā puʻupuʻu i loko o ka umauma e like me kēia.
- Inā he maʻi kanesa ka hopena: Inā hōʻoia ka hōʻike he maʻi kanesa ia, e haʻi ʻia ke ʻano o ke kanesa a me nā kikoʻī ʻē aʻe. Mai hopohopo. Ma muli o kēlā ʻike, hiki i kāu kauka ke hoʻolālā i ka hoʻolālā lapaʻau kūpono loa nāu.
Leka Lawe-Home
- ʻO ka biopsy wale nō ke ala e ʻike ai me ka 100% maopopo inā he maʻi kanesa ka maʻi umauma kānalua a ʻaʻole paha.
- He maikaʻi ʻole a ʻino ʻole nā puʻupuʻu he nui i loaʻa i ka umauma, no laila mai makaʻu e noi no kahi biopsy.
- Na kāu kauka e hoʻoholo i ke ʻano biopsy i kūpono loa iā ʻoe. Inā he mau nīnau kāu e pili ana i ia mea, mai kānalua e nīnau.
- He wikiwiki ka ho'ōla ʻana ma hope o ka hapa nui o nā kaʻina hana biopsy a he liʻiliʻi ka ʻeha.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ka hoʻāʻo ʻana. Inā ʻike ʻoe i kekahi mau hōʻailona ʻē, e hoʻomaopopo koke i kāu kauka.
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