He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe he puʻupuʻu kou i loko o kou umauma, a i ʻole ke haʻi aku kāu kauka iā ʻoe he hewa kekahi mea me kāu mammogram . Hiki i kēlā makaʻu ke ʻoi aku ka nui ke haʻi ʻia iā ʻoe he pono ʻoe e hana i kahi biopsy . Akā, ʻo ka 'Core Needle Breast Biopsy' a mākou e kamaʻilio nei i kēia lā, ʻaʻole ia he mea e makaʻu ai. Hana pinepine ʻia kēia e hoʻopau i nā kānalua i loko o kou manaʻo a me kou kauka.
He aha maoli ka Core Needle Breast Biopsy?
I ka ʻōlelo maʻalahi, ʻo kēia kekahi o nā ʻano biopsies umauma maʻamau. Hiki i kāu kauka ke kauoha i kēia hoʻāʻo inā manaʻo lākou he loli i kou umauma, e like me ka puʻupuʻu, he maʻi ʻaʻai umauma paha.
Pili kēia i kahi loea, ʻo ia hoʻi he radiologist, e hoʻohana ana i kahi nila liʻiliʻi hakahaka e wehe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka wahi o kou umauma kahi i loaʻa ai ka puʻupuʻu. Ua like ia me ka ʻoki ʻana i kahi ʻāpana keke liʻiliʻi e ʻono ai. A laila, nānā kahi pathologist i ka ʻiʻo ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa a i ʻole nā pilikia ʻē aʻe.
No ke aha e makemake ai au e hana i kēia ʻano hoʻokolohua?
ʻElua kumu nui e noi ai kāu kauka iā ʻoe e hana i kēia hoʻokolohua:
- Inā ʻike ʻoe a i ʻole kāu kauka i kahi puʻupuʻu ma kou umauma.
- Inā loaʻa kahi mea ʻē i ka wā o kahi scan, e like me ka mammogram, MRI umauma, a i ʻole ka ultrasound umauma.
ʻO ke kumu nui o kēia hoʻāʻo, ʻo ia ka hoʻopau ʻana i kekahi kānalua a hōʻoia pono inā he maʻi ʻaʻai kēia a i ʻole kekahi maʻi ʻino ʻole ʻē aʻe.
He aha ka ʻokoʻa ma waena o ka Core Needle Biopsy a me ka Fine-Needle Aspiration?
He mau biopsies nila nā mea ʻelua. Akā, aia kahi ʻokoʻa iki. Lawe ka Fine-Needle Aspiration i nā laʻana wai a me nā hui cell pākahi. Lawe ka Core Needle Biopsy i kahi ʻāpana ʻiʻo nui a mānoanoa. Hāʻawi kēia i ka pathologist i kahi laʻana maikaʻi e nānā ai. Hiki iā ia ke hāʻawi i kahi kiʻi maopopo o ka maʻi.
Pehea e hoʻomākaukau ai au ma mua o ka hoʻokolohua?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana, akā he mea nui e hoʻomanaʻo i kēia mau mea:
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. Inā ʻoe e lawe ana i ka aspirin a i ʻole nā mea hoʻokahe koko (anticoagulants), e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka biopsy.
- E ʻaʻahu i nā lole ʻoluʻolu i ka lā o ka hoʻāʻo. Eia kekahi, he manaʻo maikaʻi ke komo i kahi pale umauma palupalu ʻaʻole e hamo i ka ʻeha ma hope o ka hoʻāʻo.
- E hoʻolālā e pale i ka hoʻoikaika nui ʻana no hoʻokahi lā ma hope o ka hoʻāʻo ʻana.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
ʻO ka hapa nui o ka manawa, hana ʻia kēia biopsy me ke kōkua o kahi scanner. ʻO ia hoʻi, hoʻokomo ke kauka i ka nila i loko o kahi kikoʻī o ka puʻupuʻu i ka wā e nānā ana i ke scan. Hoʻohana ʻia nā ʻano scan like ʻole no kēia.
| ʻAno scan | Wehewehena |
|---|---|
| ʻO ka Biopsy Umauma Stereotactic | Hoʻohana ʻia kahi mīkini mammogram kūikawā no kēia. |
| Biopsy i alakaʻi ʻia e ka Ultrasound | Hoʻohana kēia i ka nānā ʻana o ka ultrasound o ka umauma. |
| Biopsy i alakaʻi ʻia e MRI | Hoʻohana kēia i kahi scanner MRI umauma. |
Pehea e hana ʻia ai ka hoʻāʻo ma kēlā me kēia ʻanuʻu:
1. E hōʻoluʻolu ke kauka iā ʻoe no ka mīkini scan e hoʻohana ʻia nei. No ka laʻana, i loko o kahi biopsy stereotactic, e moe ʻoe i lalo ma kahi moena kūikawā i hoʻolālā ʻia i kau ʻia ai kou umauma i lalo.
2. Me ka hoʻohana ʻana i kahi scanner, ʻike mākou i kahi kikoʻī o ke knot.
3. A laila e hoʻomaʻemaʻe pono ʻia ka ʻili ma ia wahi a hoʻokomo ʻia kahi lāʻau hoʻomāno i loko o ia wahi . No laila ʻaʻole ʻoe e ʻeha.
4. Ma hope o ka hoʻomānoʻo ʻana, hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻili a hoʻokomo ʻia ka nila biopsy ma loko.
5. Hiki i ke kauka ke lawe i kekahi mau laʻana ʻiʻo mai kahi i loaʻa ai ka puʻupuʻu. Hiki iā ʻoe ke lohe i kahi paʻi iki a me ke kani "kaomi" ke lawe ʻia kēlā me kēia laʻana.
6. Ke lawe ʻia ka hāpana, wehe ʻia ke kui a kau ʻia kahi ʻūpā hao liʻiliʻi loa (māka biopsy) i loko e hōʻailona i kahi i lawe ʻia ai ka hāpana. E ʻae kēia iā ʻoe e ʻike i kahi kikoʻī o ka biopsy inā ʻoe e hana i kahi scan ma hope.
7. ʻO ka mea hope loa, e kaomi i ka wahi no kekahi manawa e hoʻōki ai i ke kahe ʻana o ke koko a uhi iā ia me kahi kāʻei maʻemaʻe a sterile .
He ʻeha anei kēia? Pehea ka lōʻihi?
ʻAʻole pono ʻoe e ʻeha iki, no ka mea, ua mae ka ʻāpana. Akā, hiki paha iā ʻoe ke manaʻo i kahi kaomi iki ke wehe ʻia ke kino. Eia nō naʻe, inā ʻoe e ʻeha, e haʻi koke aku i ke kauka . E hāʻawi lākou iā ʻoe i kekahi lāʻau hoʻomake hou aku.
ʻO ka biopsy ponoʻī e lawe ma kahi o 15-20 mau minuke e hana ai, akā pono paha ʻoe e noho i loko o ka lumi hoʻokolokolo no kahi o 60 mau minuke, me ka manawa e hoʻomākaukau ai no ke scan.
He aha kaʻu e manaʻo ai ma hope o ka hoʻāʻo?
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hiki iā ʻoe ke hana i kāu mau hana maʻamau. Eia nō naʻe, ʻoi aku ka maikaʻi o ka pale ʻana i nā hana ikaika e like me ka holo ʻana, ka lele ʻana, a i ʻole ka hāpai ʻana i nā mea kaumaha no 48 mau hola ma ka liʻiliʻi . He mea maʻamau ka ʻike ʻana i kekahi mau palapū ma kahi i hana ʻia ai ka biopsy.
Aia kekahi mau pilikia i loko o kēia?
He hoʻāʻo palekana loa kēia. He mea kākaʻikahi loa nā pilikia. ʻO nā pilikia e hiki mai ana:
- Ka hōʻiliʻili ʻana o ke koko i loko o ka umauma ma muli o ke kahe ʻana o ke koko (hematoma o ka umauma)
- Loaʻa i kahi maʻi
- ʻO ka hōʻino ʻana o ka māmā (pneumothorax) - He mea laha ʻole loa kēia.
Pehea lā kaʻu mau hopena?
E nānā ke kauka maʻi i kāu hāpana ʻiʻo e ʻike inā he mau hunaola maʻi kanesa.
- Inā ʻaʻohe mau hunaola maʻi ʻaʻai (Benign): Ke ʻōlelo nei ka hōʻike. ʻO ia hoʻi, ʻaʻohe pilikia.
- Inā he mau hunaola kanesa (Malignant): E komo pū ana ka hōʻike a ke kauka e loaʻa ai i kēia mau kikoʻī:
- ʻAno puʻupuʻu: Inā he invasive ka maʻi kanesa (e pālahalaha ana i loko o ka ʻiʻo umauma) a i ʻole noninvasive (noninvasive).
- Ka pae puʻupuʻu: Pehea ka wikiwiki o ka māhele ʻana o nā hunaola kanesa a pehea lākou e like ai me nā hunaola maʻamau.
- Ke kūlana o ka mea loaʻa hormone: Inā paha e hoʻopilikia nā hormones i loko o ke kino i ka ulu ʻana o ka maʻi kanesa.
- Ke kūlana HER2: Inā paha he protein (HER2) i loko o kekahi mau hunaola kanesa e kōkua ana iā lākou e ulu.
ʻEhia ka lōʻihi e hiki mai ai nā hopena?
Loaʻa pinepine nā hopena i loko o hoʻokahi pule a i 10 mau lā o ka biopsy. I kekahi manawa hiki ke loli kēia manawa ma muli o ke kaʻina hana i hoʻohana ʻia e hoʻāʻo ai i ka hāpana.
Ua ʻike mākou he mea hopohopo ke kali ʻana i nā hopena. He mea maʻamau kēlā. Hiki iā ia ke kōkua i ka hoʻomau ʻana i kāu mau hana o kēlā me kēia lā, hana i nā mea āu e makemake ai, a kamaʻilio me kahi mea aloha e pili ana i kēia.
Āhea wau e ʻike hou ai i ke kauka?
He mea kākaʻikahi nā pilikia mai kēia hoʻāʻo, akā inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke i kāu kauka .
| E ʻimi koke i ke kōkua lapaʻau! | |
|---|---|
| kuni | Inā ʻoi aku ka mahana o ke kino ma mua o 101 Fahrenheit (38.4 Celsius). |
| ʻUlaʻula ʻili | Inā ʻulaʻula a ʻeleʻele paha ka ʻili a puni ka wahi biopsy ma mua o ke kala o kou ʻili. |
| ʻEha nui | Inā he ʻeha hiki ʻole ke hoʻomanawanui i ka wā e hoʻopā ai i ka wahi biopsy. |
| Ke hohola nei i ka palapū | Inā e nui aʻe ana ka palapū ma kahi o ka biopsy. |
Hiki i kēia hoʻāʻo ke pale aku i ka maʻi kanesa?
ʻAe, he liʻiliʻi loa ka manawa e hiki ai kēia. ʻO ke ʻano kēia, ʻaʻole paha e ʻohi ka nila biopsy i nā hunaola kanesa, akā ʻo nā ʻiʻo olakino kokoke wale nō. Ua kapa ʻia kēia he hōʻike 'wahaheʻe maikaʻi ʻole'. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi he mea paʻakikī loa kēia e hana me kahi Core Needle Biopsy.ʻO ia.
ʻO ka mea hope loa, inā ʻike ʻoe i kekahi mau loli i kou mau umauma, ʻo ke ala maikaʻi loa a palekana hoʻi e ʻike pono ai, ʻo ia ka loaʻa ʻana o kahi Core Needle Breast Biopsy. E hāʻawi kēia iā ʻoe i kahi pane maopopo. No laila, mai makaʻu i kēia. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka.
Leka Lawe-Home
- He hoʻāʻo palekana a maʻalahi hoʻi ka Core Needle Breast Biopsy e hiki ai ke hoʻoholo pono inā he maʻi kanesa ka puʻupuʻu ma ka umauma a ʻaʻole paha.
- ʻAʻole ʻoe e ʻeha nui ke hana ʻoe i kēia no ka mea he maneʻo ia. E ʻike wale ʻoe i kahi paʻi iki.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko (anticoagulants), ma mua o ka hoʻāʻo ʻana.
- He mea maikaʻi ke hōʻole i nā hana ikaika no ʻelua mau lā ma hope o ka hoʻāʻo ʻana.
- Inā ʻike ʻoe i ka ʻulaʻula, ke kuni, ka ʻeha hiki ʻole ke hoʻomanawanui, a i ʻole kahi palapū e ulu ana ma kahi o ka hoʻāʻo ʻana, e kāhea koke i kāu kauka.
- He mea maʻamau ka hopohopo i ka wā e kali ana i nā hopena. ʻO ke kamaʻilio ʻana me kou mau hoaaloha a me ka hana ʻana i nā mea āu e makemake ai e kōkua iā ʻoe i kēia manawa.
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