Makaʻu i kahi puʻupuʻu? E kamaʻilio kākou e pili ana i ka hoʻāʻo FNA (Fine-Needle Aspiration)

I kekahi manawa, ʻike ʻia nā puʻupuʻu liʻiliʻi a i ʻole nā ​​​​pūpū ma lalo o ka ʻili ma nā wahi like ʻole o ko kākou kino, ʻeā? He mea maʻamau loa ka manaʻo makaʻu a me ka hopohopo ke ʻike ʻoe i kahi mea e like me ia ma kahi e like me ka ʻāʻī, ka umauma, a i ʻole ka armpit. Ke hele ʻoe e ʻike i ke kauka i ka manawa e like me kēia, e ʻōlelo paha ʻo ia iā ʻoe, "E lawe kākou i kahi laʻana liʻiliʻi o kēia a ʻike i ke ʻano o ia mea." Pēlā i kapa ʻia ai kahi ʻano maʻalahi loa a ʻeha ʻole i hoʻohana ʻia e kiʻi i kahi laʻana cell mai kahi puʻupuʻu kānalua he Fine-Needle Aspiration, a i ʻole e like me kā mākou e ʻike nei, he hoʻāʻo FNA.

I ka ʻōlelo maʻalahi, he aha kēia hoʻāʻo FNA?

He maʻalahi loa. I ka pōkole, ʻo ka FNA kahi hana e hoʻohana ana i kahi nila lahilahi e lawe i kahi laʻana o nā cell, nā ʻiʻo, a i ʻole ka wai mai kahi puʻupuʻu kānalua a i ʻole ka lesion i loko o kou kino. Ua like ia me ka lawe ʻana i kahi laʻana koko. Ua kapa pū kekahi poʻe i kēia he 'fine-needle biopsy'.

ʻAʻole e hoʻolei wale ʻia ka hāpana i loaʻa ma kēia ʻano. Hoʻouna pololei ʻia ia i kahi keʻena hoʻokolohua. Ma laila, ke nānā nei kekahi kauka loea i nā ʻāpana, i kapa ʻia he pathologist , i nā ʻāpana ma lalo o kahi microscope. Ma laila lākou e ʻike pono ai inā he mau ʻāpana maʻamau nā ʻāpana, inā he maʻi ko lākou, a inā he mea weliweli paha lākou, e like me nā ʻāpana maʻi kanesa.

He aha ka ʻokoʻa ma waena o ka FNA a me ka Core Biopsy?

Ua lohe paha ʻoe i kahi 'Core Biopsy'. ʻO nā ʻano biopsies ʻelua e hoʻohana ana i ka nila. Akā aia kekahi mau ʻokoʻa iki. E nānā kākou i ke ʻano o lākou.

I ka ʻōlelo maʻalahi, ua like ka FNA me ka nānā ʻana i kekahi mau huaʻōlelo ma kahi ʻaoʻao o kahi puke. Ua like ka Core Biopsy me ka heluhelu ʻana i kahi mokuna holoʻokoʻa o kahi puke. Na kāu kauka e hoʻoholo i kahi o kēia mau ʻano ʻelua i kūpono loa iā ʻoe ma muli o kou kūlana.

I nā hihia hea e hana ʻia ai kahi hoʻokolohua FNA?

Hoʻohana ʻia ka FNA no ʻelua mau kumu nui: no ka hōʻoia ʻana a i kekahi manawa he lāʻau lapaʻau.

No ka hōʻoia ʻana

ʻO kēia ke kumu nui o ka hoʻāʻo FNA: e ʻike pono i ke ʻano o ka puʻupuʻu a i ʻole ka ʻōpū.

• E ʻike inā he maʻi kanesa kou.
• E ʻike inā he paila ia i hoʻokumu ʻia e nā maʻi bacteria . No ka laʻana, he hui piha i ka pus (septic arthritis).
• E hōʻoia ʻaʻole lākou he maʻi kanesa, e like me nā cysts, fibroadenomas, a i ʻole lipomas .

ʻOiai hiki ke hana ʻia kēia hoʻāʻo ma kahi puʻupuʻu ma kekahi wahi o ke kino, hana pinepine ʻia ia ma nā wahi e like me kēia:

• ʻŪhā
• ʻO ke kele thyroid
• Nā kikowaena lymph
• ʻIli

Eia kekahi, hiki ke hana ʻia ka FNA i kēia manawa ma nā ʻōpū i loko o ko mākou kino, e like me ka pancreas a me nā māmā. No kēia, hoʻohana nā kauka i nā ʻenehana e like me ka ultrasound a i ʻole CT scans e alakaʻi pololei i ka nila, e hana palekana ana i kēia hoʻāʻo.

Ma ke ʻano he Lapaʻau

I kekahi manawa hoʻohana ʻia ka hoʻāʻo FNA ma ke ʻano he lāʻau lapaʻau.

• Wehe i ka pus mai nā abscesses .
• E hoʻokahe i ke wai mai nā cysts a hoʻokahe iā lākou.
• Wehe i ke kahe (seromas) i hōʻiliʻili ma hope o kekahi mau ʻoki kino.

Ma kēia ʻano, hoʻoneʻe ʻia ke wai me ka ʻole o kahi ʻoki nui, me ka hoʻohana ʻana i kahi nila lahilahi wale nō, hiki ke kōkua i ka pale ʻana i ka ʻōpala, ʻoiai ma nā wahi koʻikoʻi i ke ʻano o ke kino, e like me nā umauma.

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

ʻO kēia ka ʻāpana maikaʻi loa. ʻAʻole pono ka hoʻomākaukau kūikawā no kahi hoʻokolohua FNA. ʻAʻole pono ʻoe e noho i ka haukapila, a hiki iā ʻoe ke hoʻi i ka home ma hope koke iho o ka hoʻokolohua.

Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ia ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko (anticoagulants) . Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kēia mau lāʻau i hoʻokahi a ʻelua paha lā ma mua o ka hoʻāʻo.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

He wikiwiki a maʻalahi hoʻi kēia kaʻina hana. Penei ka maʻamau:

1. E hoʻonoho ʻia ʻoe a moe paha ma ka papa hoʻokolokolo.

2. E hoʻomaʻemaʻe pono ke kauka a kahu maʻi paha i kahi e hoʻokomo ʻia ai ke kui me kahi wai hoʻomaʻemaʻe.

3. A laila, hiki ke hāʻawi ʻia kahi inikini liʻiliʻi o ka anesthetic kūloko e hoʻomāno i ka wahi. E hōʻemi nui kēia i ka ʻeha āu e ʻike ai i ka wā e hoʻokomo ʻia ai ke kui. Hiki ke manaʻo ʻia e like me kahi ʻanuʻu liʻiliʻi e ʻeha ana iā ʻoe.

4. Inā aia ka puʻupuʻu i loko o ke kino, e hoʻohana ke kauka i kahi mīkini ultrasound e alakaʻi i ka nila ma kahi e pono ai ke hele.

5. A laila, hoʻokomo pono ʻia ka nila lahilahi i loko o ka puʻupuʻu a loaʻa kahi hāpana o nā cell me ka hoʻohana ʻana i kahi syringe.

6. Pono paha e lawe i nā hāpana he nui. Inā pēlā, e hoʻohana ʻia kahi nila a me kahi syringe hou i kēlā me kēia manawa.

7. Ke pau ka hana, e kau ʻia kahi plaster liʻiliʻi a i ʻole kahi bandage ma kahi i hoʻokomo ʻia ai ke kui.

He mau minuke wale nō ka lōʻihi o ke kaʻina hana holoʻokoʻa, no laila ʻaʻohe kumu e makaʻu ai.

Aia kekahi mau pilikia ma hope o ka FNA?

He kaʻina hana palekana loa ka FNA. Eia nō naʻe, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa e hiki ke hana. Eia naʻe, he mea kakaikahi loa kēia.

• ʻEha iki a me ka palapū: Aia paha kekahi ʻeha iki a me ka palapū ma kahi i inikini ʻia no hoʻokahi a ʻelua paha lā. He mea maʻamau kēia.
• Ke kahe ʻana o ke koko: Hiki i kekahi poʻe ke loaʻa i kekahi mau kahe ʻana o ke koko, ʻoiai i ka poʻe me nā maʻi koko koko a i ʻole ka poʻe e lawe ana i nā lāʻau hoʻokahe koko.
• Maʻi: He wahi liʻiliʻi loa ka manawa e komo ai nā germs i kahi nila a hoʻoulu i kahi maʻi.
• Ka hōʻino ʻana i nā ʻiʻo a puni: Ke hoʻokomo ʻia ka nila, he manawa kakaikahi loa ka hōʻino ʻia ʻana o nā aʻalolo a i ʻole nā ​​​​kīʻaha koko a puni ka puʻupuʻu.

He aha nā mea e hoʻokomo ʻia paha i loko o ka hōʻike aʻu e loaʻa ai?

Hiki ke loaʻa i ka hōʻike lab kekahi mau hopena. E wehewehe kāu kauka i kēia mau hopena iā ʻoe ma nā ʻōlelo maʻalahi.

• ʻAʻohe pūnaewele ʻē: ʻO ke ʻano kēia he maʻamau ka puʻupuʻu a ʻaʻole weliweli.
• Ua hui pū ʻia nā pūnaewele maʻamau a me nā pūnaewele maʻamau: Inā hana kēia, pono paha nā hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona.
• Nā pūnaewele precancerous: ʻO kēia nā pūnaewele ʻaʻole i lilo i kanesa, akā loaʻa ka hiki ke lilo i kanesa i ka wā e hiki mai ana.
• Nā hunaola kanesa: Inā ua hōʻoia ʻia he kanesa ka puʻupuʻu, e alakaʻi kāu kauka iā ʻoe i ka papa hana aʻe.
• Nā hōʻike o kahi maʻi bacteria: Inā loaʻa ka puʻupuʻu i kahi maʻi, e kuhikuhi ʻia nā lāʻau lapaʻau e like me nā antibiotics.

I kekahi manawa, inā ʻaʻole lawa ka hāpana i loaʻa, e noi ʻia paha ʻoe e lawe i kahi hāpana ʻē aʻe. Me ka nānā ʻole i ka hopena, mai hopohopo a kamaʻilio me kāu kauka e hoʻoholo i ka mea e hana ai ma hope.

Āhea wau e ʻike hou ai i ke kauka?

ʻAʻohe pilikia nui ma hope o ka hoʻāʻo FNA. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke i kāu kauka.

• Inā loaʻa iā ʻoe ke kuni
• Inā ʻulaʻula kahi i hoʻokomo ʻia ai ke kui, pehu, a i ʻole e puka mai ana ka pus
• Inā e hoʻonui ʻia ka ʻeha i kēlā me kēia lā
• Inā he loli i manaʻo ʻole ʻia i loko o ka puʻupuʻu (e.g., ka hoʻonui koke ʻana)