He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e "lawe i kahi ʻāpana liʻiliʻi o kou akepaʻa no ka hoʻāʻo ʻana" (Liver Biopsy). ʻO wai ka mea makemake ʻole i ka lohe ʻana i nā huaʻōlelo "e hoʻokomo ana i kahi nila," ʻeā? Akā, ʻaʻole kēia he mea weliweli e like me kā mākou e manaʻo nei. Hiki i kēia ke kōkua iā ʻoe e ʻike pono i ka mea i hewa me kou akepaʻa. No laila, e kamaʻilio kākou e pili ana i kēia mai ka hoʻomaka wale nō.
He aha ka biopsy akepaʻa?
I ka ʻōlelo maʻalahi, ʻo ka biopsy akepaʻa he hana ia e wehe ʻia ai kahi ʻāpana liʻiliʻi loa o ka ʻiʻo (laʻana ʻiʻo) mai kou akepaʻa me ka hoʻohana ʻana i kahi nila kūikawā. A laila e nānā ʻia kēia laʻana ʻiʻo ma lalo o kahi microscope e ke kauka loea i nā ʻiʻo, i kapa ʻia he pathologist. Hiki i kēia hoʻāʻo ke kōkua i ka ʻike pono ʻana i ke ʻano o ka maʻi o kou akepaʻa.
ʻO ka hapa nui o ka manawa, ua hoʻopau loa ʻia ʻoe, ʻo ia hoʻi, ʻaʻole ʻoe e hoʻohiamoe ʻia. Eia nō naʻe, inā hopohopo a hopohopo paha ʻoe, hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau hoʻomaha (lāʻau lapaʻau) e kōkua iā ʻoe e hoʻomaha. E ʻae kēia iā ʻoe e hana i kēia me ka ʻole o ka manaʻo ʻoluʻolu ʻole.
No ke aha ʻoe e pono ai i kahi biopsy ate?
Hiki i ke kauka ke kuhikuhi iā ʻoe no kēia hoʻokolohua no kekahi mau kumu.
- Inā hōʻike nā hopena o kāu hoʻāʻo koko i nā enzyme akepaʻa kiʻekiʻe loa.
- Inā ua melemele kou ʻili no ke kumu ʻike ʻole ʻia, ʻo ia hoʻi he jaundice kou.
- Inā hōʻike kahi scan o kou akepaʻa (e like me ka ultrasound a i ʻole CT scan) i kahi mea hewa me ia, e like me ka puʻupuʻu,
- Inā pehu a hoʻonui ʻia ke akepaʻa me ke kumu ʻole.
Hiki i kēia hoʻāʻo ke ʻike pololei i kekahi mau maʻi e pili ana i ke akepaʻa. Eia kekahi laʻana:
- Ka maʻi ʻaʻai ate
- Maʻi ake momona
- E ʻike i ke koʻikoʻi o nā maʻi e like me ka Hepatitis B a me C
- E nānā inā ua loaʻa i ke akepaʻa ka cirrhosis, a inā pēlā, i ka nui hea.
Eia kekahi, inā ke loaʻa nei kekahi i ka lāʻau lapaʻau no ka maʻi akepaʻa, hiki i kēia hoʻāʻo biopsy ke kōkua i ka hoʻoholo ʻana inā ua holomua ka lāʻau lapaʻau.
He ʻeha maoli anei kēia?
ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o kēlā me kēia kanaka. He mea maʻamau ka noʻonoʻo ʻana i ka ʻeha ke lohe ʻoe i ka huaʻōlelo "ke kuʻi ʻana i kahi nila a me ka lawe ʻana i kahi ʻāpana." Akā ʻo ka ʻoiaʻiʻo, ʻaʻole ʻoe e ʻike i kekahi ʻeha ke hoʻokomo ʻia ka nila biopsy i loko o ke akepaʻa.
E hoʻokomo mua ke kauka i kahi anesthetic kūloko i loko o ka ʻili kahi e hoʻokomo ʻia ai ke kui. Ua like kēia me ka hoʻomāʻū ʻana i nā ʻāʻī ma mua o ka unuhi ʻia ʻana o ka niho. Hiki iā ʻoe ke manaʻo i kahi ʻano wela iki i ka wā e hāʻawi ʻia ai ka inikini, akā e mae loa ka ʻāpana i loko o hoʻokahi minuke. A laila, i ka wā e hoʻokomo ʻia ai ke kui biopsy, e manaʻo wale ʻoe i kahi kaomi iki, ʻaʻole ka ʻeha.
He aha nā ʻano hana no ka hana ʻana i kahi biopsy ate?
Aia kekahi mau ala e hana ai i kahi biopsy ake. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa no kou kūlana.
| Ke ʻano hana biopsy | Pehea e hana ai maʻalahi |
|---|---|
| ʻO ka Biopsy Percutaneous | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia a maʻalahi hoʻi. Ma hope o ka hoʻomāʻū ʻana i ka ʻili, hoʻokomo ʻia kahi nila ma o ka ʻili o ka ʻōpū i loko o ke akepaʻa a lawe ʻia kahi ʻāpana ʻiʻo. |
| Biopsy i hoʻopaʻa ʻia | E like me luna, akā ma hope o ka wehe ʻia ʻana o ke kino, ua pani ʻia ke kui me kahi gel kūikawā. Hoʻohana ʻia kēia ʻano hana no ka poʻe i pilikia nui i ke kahe ʻana o ke koko. |
| ʻO ka Biopsy Laparoscopic | Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻōpū, a hoʻokomo ʻia kahi ʻōmole me kahi kāmela (laparoscope). Nānā ke kāmela i ke akepaʻa a lawe i kahi ʻāpana ʻiʻo mai ka wahi i makemake ʻia. E hoʻomaʻemaʻe piha ʻia ʻoe no kēia. |
| ʻO ka Biopsy Transvenous / Transjugular | Hoʻohana ʻia kēia ʻano hana no ka poʻe me nā pilikia koko. Hoʻokomo ʻia kahi ʻōmole lahilahi loa (catheter) ma o kahi kīʻaha koko nui ma ka ʻāʻī (jugular vein) i loko o ke akepaʻa, a hoʻokomo ʻia kahi nila biopsy ma o kēlā ʻōmole e lawe i kahi ʻāpana ʻiʻo. |
Pehea e hoʻomākaukau ai ma mua o ka biopsy?
Aia kekahi mau mea e pono ai ʻoe e hana ma mua o kēia hoʻokolohua. He mea nui loa e hahai pololei ʻoe i kēia mau mea.
- E haʻi i kāu kauka i nā mea āpau: Inā hāpai ʻoe, loaʻa i ka maʻi puʻuwai a i ʻole ka maʻi māmā, loaʻa iā ʻoe nā maʻi allergies i kekahi mau lāʻau lapaʻau, a i ʻole he mau pilikia koko, e haʻi iā lākou a pau ma mua.
- E haʻi mai iā mākou e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei:E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻohui āu e lawe ai. He mea nui loa ia e haʻi i kāu kauka inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, e like me ka aspirin, clopidogrel (Plavix), warfarin (Coumadin), a i ʻole apixaban (Eliquis) . Hiki i kāu kauka ke noi iā ʻoe e hoʻōki i ka lawe ʻana i kēia mau lāʻau i kekahi mau lā ma mua o ka biopsy.
- E nīnau i nā nīnau: E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia.
- Ke hoʻōki ʻana i ka ʻai ʻana a me ka inu ʻana: E haʻi aku kāu kauka iā ʻoe i ka nui o nā hola ma mua o ka biopsy e pono ai ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana. E hahai pololei i kēlā manawa.
- Kekahi e hoʻokele iā ʻoe i ka home: ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho ma hope o ka biopsy, e lawe mai i kekahi e hoʻokele iā ʻoe i ka home.
He aha ka mea e hana ʻia i ka lā o ka biopsy?
ʻO ka maʻamau, penei ke kaʻina hana.
Ma mua o ka biopsy
E wehewehe hou ke kauka i ke kaʻina hana holoʻokoʻa iā ʻoe, e haʻi iā ʻoe e pili ana i nā pilikia hiki ke loaʻa, a e kiʻi i kāu ʻae. Inā pono, e hāʻawi lākou iā ʻoe i ka hoʻomaha e kōkua iā ʻoe e hoʻomaha. Hiki iā lākou ke hana i kahi ultrasound e ʻike i kahi kūpono e hoʻokomo ai i ka nila.
Ke hana ʻia ka biopsy
E hāʻawi ʻia ʻoe i kahi lole haukapila a e noi ʻia e moe i lalo ma kahi moe. I ka manawa pinepine, e noi ʻia ʻoe e moe i lalo me kou lima ʻākau ma lalo o kou poʻo a me kou kuʻekuʻe lima ʻākau i waho. He mea nui e noho mālie e like me ka hiki i kēia manawa. E hoʻomaʻemaʻe ke kauka i ka wahi, e hāʻawi i kahi lāʻau hoʻomāʻū, e hana i kahi ʻoki liʻiliʻi, e hoʻokomo i kahi nila biopsy, a i loko o kekahi mau kekona, e wehe i kahi ʻāpana ʻiʻo. ʻO ke kaʻina hana holoʻokoʻa e lawe ma kahi o 15-30 mau minuke.
Ma hope o ka biopsy
A laila e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no kahi o 2-4 mau hola e nānā inā he maʻamau kou koko a me kou pulse.
- E ʻike paha ʻoe i kahi ʻeha iki ma kahi i inikini ʻia ai, a me kekahi ʻeha ma kou poʻohiwi a i ʻole ke kua. E hāʻawi ʻia nā lāʻau hoʻopau ʻeha inā pono.
- E hōʻalo i ka hāpai kaumaha a i ʻole ka hoʻoikaika kino no hoʻokahi pule ma hope o ka biopsy.
- Mai lawe i nā lāʻau hoʻokahe koko e like me ka aspirin me ke aʻo ʻole a kāu kauka. Hiki iā ʻoe ke lawe i ka paracetamol (acetaminophen) inā pono.
- E wehewehe ke kauka iā ʻoe ke loaʻa iā ia kāu hōʻike hoʻāʻo i loko o kekahi mau lā.
Aia kekahi mau pilikia i loko o kēia?
I ka hapa nui o ka manawa, ʻaʻohe pilikia. Eia nō naʻe, he mea maikaʻi ke makaʻala i nā mea kakaikahi loa e hiki ke hana.
- Ke kahe ʻana o ke koko: Ke kahe nei paha kou koko i loko. E nānā ʻia ʻoe ma ka haukapila e nānā i kēia.
- Ka leaka ʻana o ka bile: Hiki i ka bile ke leaka mai ke akepaʻa a i ʻole ka gallbladder.
- Nā pilikia e pili ana i ka māmā:I ka liʻiliʻi loa, hiki i ka nila biopsy ke pa i ka pleura, e hōʻino ana i ka māmā (pneumothorax).
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka ETU.
Inā loaʻa kekahi o kēia mau hōʻailona i loko o 72 mau hola o ka biopsy, e kāhea koke aku i kāu kauka, a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Kuni a i ʻole ke anu
- Pōʻino
- Paʻakikī ka hanu ʻana
- ʻEha umauma
- ʻŌpū piha a ʻōpū paha
- Hoʻonui i ka ʻeha o ka ʻōpū
- ʻUlaʻula, pehu, a me ka ʻeha nui ma kahi i kui ʻia
Inā loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka pilikia o ka hanu ʻana, e kāhea koke aku i ka 1990.
Leka Lawe-Home
- He hoʻāʻo palekana loa ka Biopsy Ake a hana pinepine ʻia e loiloi pololei ana i ke olakino o kou ake.
- No ka mea, ua mae ka ʻili ke hana ʻoe i kēia, ʻaʻole ia e ʻeha e like me kou manaʻo. Manaʻo wale ʻoe i kahi ʻano ʻūlū iki.
- He mea nui loa no kou palekana e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ka hoʻāʻo ʻana.
- Inā kū mai kekahi mau hōʻailona ʻē aʻe (ke kuni, ʻeha nui, paʻakikī i ka hanu) ma hope o ka hoʻāʻo ʻana, e ʻimi koke i ke kōkua lapaʻau.
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