He aha ka biopsy? E aʻo maʻalahi kākou e pili ana i ia mea!

Ke haʻi aku ke kauka iā ʻoe e pono ʻoe e hana i kahi biopsy, e makaʻu iki paha ʻoe a hopohopo, ʻeā? Manaʻo paha ʻoe i nā mea e like me, "Auē kuʻu Akua, he aha ka hana o kēia? He maʻi koʻikoʻi anei?" Akā, ʻaʻole ka biopsy he mea e hoʻoweliweli iā mākou i ka hapa nui o ka manawa. He hoʻāʻo koʻikoʻi loa ia e kōkua i nā kauka e ʻike i kahi maʻi a i ʻole e loaʻa kahi ʻike maopopo o kahi kūlana. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ma ka ʻōlelo Sinhala hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka biopsy?

I ka ʻōlelo maʻalahi, he ʻāpana liʻiliʻi loa ka biopsy o nā ʻiʻo a i ʻole nā ​​​​​​kelepona mai kou kino i lawe ʻia no ka hoʻāʻo ʻana. E noʻonoʻo e kānalua ana kāu kauka he hewa a he mea ʻē paha kekahi mea i loko o kou kino. Lawe lākou i kahi ʻāpana liʻiliʻi o ka mimi mai kēlā wahi a hoʻouna aku i kahi keʻena hoʻokolohua. Ma laila, lawe kahi pathologist (i kapa pinepine ʻia he pathologist) i ka ʻāpana a nānā iā ia ma lalo o kahi microscope . ʻAe kēia iā lākou e hoʻonui i nā kelepona liʻiliʻi loa i nā tausani manawa. E like me kahi mākaʻi, hiki iā lākou ke haʻi i ka mea e hana maoli nei ma laila ma ka nānā ʻana i kēia mau kelepona. Ua lohe paha ʻoe i kahi biopsy ʻili. Akā, ʻaʻole wale ka ʻili, akā hiki ke biopsied ʻia nā ʻōpū kūloko e like me nā puʻupaʻa, nā māmā, a me nā ʻiʻo.

ʻO ka mea nui loa, ʻo ka biopsy e hiki ai i nā kauka ke nānā pono i nā mea e hana nei i loko. Hiki i kēia ke kōkua iā lākou e hana i kahi hōʻailona a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa.

No ke aha mākou e pono ai e hana i kahi biopsy?

Nui nā kumu e hiki ai ke hana ʻia kahi biopsy. He mea nui e hoʻomanaʻo ʻaʻole hana mau ʻia kēia no ka ʻimi ʻana i ka maʻi kanesa.

• E hōʻoia i kahi maʻi: Inā ʻike ke kauka i kekahi mau hōʻailona a kānalua paha i kekahi mea ma o nā hoʻokolohua ʻē aʻe (no ka laʻana, kahi X-ray a i ʻole kahi ultrasound scan), hiki i kahi biopsy ke kōkua i ka hōʻoia pololei i ke ʻano o ia mea.
• No ka ʻike inā he maʻi kanesa a ʻaʻole paha: ʻOiaʻiʻo, inā he kānalua no ka maʻi kanesa, he mea nui ka biopsy e hōʻoia iā ia. Eia kekahi, inā he maʻi kanesa, kōkua ia i ka ʻike ʻana i nā mea e like me ke ʻano o ia a me ka mamao o kona laha ʻana.
• E ʻike i nā maʻi : I kekahi manawa bacteria , virus , a i ʻoleHoʻohana ʻia nā biopsies e ʻike i nā maʻi i hoʻokumu ʻia e nā mea e like me nā fungi .
• E ʻike i nā kūlana mumū: Hiki i kahi biopsy ke kōkua i ka hoʻoholo ʻana i ke kumu o kahi kūlana (mumua) e like me ka pehu mau a i ʻole ka ʻulaʻula ma kahi ʻāpana o ke kino.
• E nānā inā pane ia i ka lāʻau lapaʻau: I kekahi manawa, ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau no kahi maʻi, hana ʻia kahi biopsy e ʻike ai inā loaʻa nā hopena kūpono i ka lāʻau lapaʻau.

Eia kekahi laʻana, inā he wahi hou kou ma kou ʻili e ʻano ʻokoʻa iki ana ke ʻano, ke ulu nui nei, a ke loli nei paha ke kala, e kuhikuhi paha kāu kauka i kahi biopsy liʻiliʻi. A i ʻole, inā loaʻa iā ʻoe ka ʻeha ʻōpū mau, e lawe paha lākou i kahi hāpana liʻiliʻi mai loko mai o kou ʻōpū i ka wā o ka endoscopy.

Aia kekahi mau ʻano biopsy?

ʻAe, aia nā ʻano like ʻole e hana ai i kahi biopsy. Aia ia i nā mea e like me kahi o ke kino e lawe ʻia ai ka hāpana a me ke ʻano o ke kūlana i manaʻo ʻia. E nānā kākou i kekahi o nā ʻano nui:

ʻIli Biopsy

ʻO kēia ke ʻano biopsy maʻamau. Hana ʻia inā he mea kānalua ma ka ʻili, e like me kahi kiko, puʻupuʻu, a i ʻole ka ʻeha.

• ʻO ka Biopsy ʻUmiʻumi: Ma kēia, ua wehe ʻia kahi papa lahilahi o ka ʻili mai ka ʻili o ka ʻili.
• Biopsy Punch: Wehe ʻia kahi ʻāpana ʻili liʻiliʻi, cylindrical me ka hoʻohana ʻana i kahi mea hana liʻiliʻi e like me ka pahi poepoe (e like me ka puncher e punches i nā lua ma ka pepa).
• Biopsy Excisional: Ma kēia, ʻoki ʻia a wehe ʻia ka puʻupuʻu a i ʻole kahi kiko kānalua. Pono paha ʻoe e kau i kahi humuhumu liʻiliʻi.

Biopsy nila

I kēia, hoʻohana ʻia kahi nila kūikawā e lawe i kahi hāpana mai kahi ʻōkana a puʻupuʻu paha i loko o ke kino.

• ʻO ka Fine-Needle Aspiration (FNA): Pili kēia i ka hoʻohana ʻana i kahi nila lahilahi loa a me ka syringe e wehe i kahi liʻiliʻi o nā cell. Hana pinepine ʻia kēia no nā mea e like me nā nodules thyroid .
• ʻO Core Needle Biopsy (CNB): Pili kēia i ka hoʻohana ʻana i kahi nila nui iki ma mua o ka FNA e lawe i kahi ʻāpana ʻiʻo liʻiliʻi (he core). Hoʻohana ʻia kēia ʻano hana e lawe i nā laʻana mai nā ʻōpū e like me ka umauma , ke akepaʻa, a me nā puʻupaʻa.

I ka manawa pinepine, i ka wā e hana ai i kēia mau biopsies nila, hoʻohana ʻia kahi ultrasound scan a i ʻole CT scan e kōkua i ke kauka e ʻike i kahi kikoʻī. Ua kapa ʻia kēia he biopsy i alakaʻi ʻia e ke kiʻi.

ʻO ka Biopsy Endoscopic

He ʻōmole palupalu ka endoscope me kahi kāmela liʻiliʻi a me ke kukui i hoʻopili ʻia iā ia. Hoʻokomo ʻia ia ma o kahi puka kūlohelohe i loko o ke kino (e.g., waha, ihu, a i ʻole anus) e nānā i nā ʻōpū o loko.

• I ka nānā ʻana i ke ala ʻai (ʻōpū, ʻōpū) i ka wā o ka "Gastroscopy" a i ʻole ka "Colonoscopy", hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua.
• Hiki ke lawe ʻia nā laʻana i kēia ala ke hana ʻia kahi bronchoscopy e nānā i nā māmā.

ʻO ka Biopsy ʻoki kino

I kekahi manawa, inā paʻakikī ke kiʻi ʻana i kahi hāpana me ka hoʻohana ʻana i nā ʻano hana ʻē aʻe, a inā pono kahi hāpana nui, pono paha kahi hana ʻoki liʻiliʻi e lawe i kahi biopsy.

• ʻO ka Biopsy Incisional: Ma kēia, ʻoki wale ʻia kahi ʻāpana o ka wahi kānalua a wehe ʻia.
• Biopsy Excisional: Ma kēia, ʻoki ʻia a wehe ʻia ka puʻupuʻu holoʻokoʻa a i ʻole kahi kānalua (ua like kēia me ka biopsy ʻili).

Biopsy o ka iwi iwi

Inā he mau pilikia koko (e like me ka leukemia), hana ʻia kēia biopsy e nānā i ka iwi iwi. Ma kēia, lawe ʻia kahi hāpana o ka iwi iwi mai kahi iwi nui, e like me ka iwi ʻūhā.

He aha kā mākou e ʻike ai ma mua o ka biopsy?

E wehewehe kāu kauka i ke kaʻina hana iā ʻoe ma mua o ka hana ʻana i kahi biopsy, akā aia kekahi mau mea āu e ʻike ai:

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei: Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau (ʻoi aku ka lāʻau hoʻokahe koko , e like me ka aspirin a me ka warfarin) i kekahi mau lā ma mua o ka biopsy. Eia kekahi, e haʻi i kāu kauka e pili ana i nā maʻi allergies āu e loaʻa ai.
• E haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai: Inā loaʻa iā ʻoe kekahi mau kūlana e like me ka maʻi diabetes mellitus, nā maʻi puʻuwai, a i ʻole nā ​​​​maʻi kahe koko, pono e ʻike kāu kauka i kēia mau mea.
• Pono paha kekahi mau biopsies iā ʻoe e hoʻōki i ka ʻai ʻana (hoʻokē ʻai) ma mua o ke kaʻina hana. E aʻo aku kāu kauka iā ʻoe e pili ana i kēia.
• He manaʻo maikaʻi ka loaʻa ʻana o kekahi me ʻoe i ka lā o ka biopsy, ʻoiai inā e hāʻawi ʻia ʻoe i kekahi ʻano anesthesia. ʻAʻole paha ʻoe e hiki ke hoʻokele.
• Mai makaʻu, e nīnau i nā nīnau: Inā he kānalua a makaʻu paha kou, e nīnau i ke kauka a kahu maʻi paha e pili ana i ia mea.

Pehea ke ʻano o ka biopsy? E ʻeha anei?

He nīnau kēia a ka poʻe he nui e nīnau ai. Hoʻāʻo mau nā kauka e hōʻoluʻolu iā ʻoe i ka wā o kēia hoʻokolohua. No laila, hāʻawi ʻia ka anesthesia e hōʻemi a hoʻopau paha i ka ʻeha i ka wā o ka biopsy.

• ʻAnestesia kūloko:ʻO kēia ke komo ʻana i ka hāʻawi ʻana i kahi lāʻau hoʻomāʻū (ma ke ʻano o ka inikini) i kahi e hana ʻia ai ka biopsy. Ua like ia me ka hoʻomāʻū ʻana i kou ʻāʻī ma mua o ka unuhi ʻia ʻana o ka niho. Ua ʻike ʻoe, akā ʻaʻole ʻoe e manaʻo. Hāʻawi pinepine ʻia kēia no nā mea e like me nā biopsies ʻili a me FNA.
• Hoʻomaha: E hoʻohiamoe iki kēia iā ʻoe. E hoʻomaha ʻoe a ʻaʻole paha e hoʻomanaʻo i ka loaʻa ʻana o ka biopsy. Hoʻohana ʻia kēia no nā mea e like me nā biopsies endoscopic.
• Anesthesia Laulā: Hoʻohiamoe loa kēia iā ʻoe. Hāʻawi ʻia kēia no nā kaʻina hana nui e like me nā biopsies ʻoki kino.

No laila, hiki iā ʻoe ke manaʻo i kahi ʻeha iki ke hāʻawi ʻia ka lāʻau hoʻomāno. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe e ʻeha nui ma hope. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi kaomi iki a i ʻole ka huki ʻana. Inā loaʻa iā ʻoe kekahi ʻeha, e haʻi koke i kāu kauka. ʻOkoʻa ka manawa e hana ai i kahi biopsy ma muli o ke ʻano o ke kaʻina hana e hana ʻia nei. Hiki ke hoʻopau ʻia kahi biopsy ʻili i loko o kekahi mau minuke. Hiki i kekahi mau biopsies nila ke lōʻihi iki (ma kahi o 30-60 mau minuke).

He aha ka mea e hana ma hope o ka biopsy?

Ma hope o ka pau ʻana o ka biopsy, ua uhi ʻia ka wahi me kahi kāʻei liʻiliʻi.

• ʻEha: Ke pau ka mae ʻana o ka maneo, e ʻike paha ʻoe i kahi ʻeha iki, e like me ka palapū. Hiki i kāu kauka ke ʻōlelo aku e lawe i nā lāʻau ʻeha ma luna o ke kauka (e.g., paracetamol).
• Mālama ma hope: E haʻi aku kāu kauka a kahu maʻi paha iā ʻoe pehea e mālama ai i ka maʻemaʻe o ka wahi biopsy, pehea e hoʻololi ai i ke kāʻei (inā pono), a e haʻi aku paha iā ʻoe e mālama i ka wahi maloʻo no kekahi mau lā.
• Nā Hualoaʻa: Hoʻouna ʻia ka hāpana i ka hale hana no ka hoʻāʻo ʻana, a hiki ke hala kekahi mau lā (hiki i hoʻokahi a ʻelua paha pule) no ka hōʻea ʻana o ka hōʻike. ʻOkoʻa kēia ma muli o ke ʻano o ka biopsy a me ka paʻakikī o ka hoʻāʻo. Ke hiki mai nā hopena, e kāhea aku ke kauka iā ʻoe a wehewehe iā lākou.

He aha kā mākou e aʻo ai mai kahi hōʻike biopsy?

ʻO ka hōʻike biopsy he wehewehe i kākau ʻia e kahi pathologist ma hope o ka nānā ʻana i ka hāpana. Hoʻokomo pū kēia i ka nānā ʻana i nā mea he nui, e like me ke ʻano, ka nui, a me ka hoʻonohonoho ʻana o nā cell.

• Maʻamau a ʻAno ʻē paha: Hōʻike kēia iā ʻoe inā he maʻamau nā cell a i ʻole he mea ʻokoʻa.
• Ka maʻi ʻaʻai a ʻaʻole paha (Benign a Malignant paha): Inā he mea like ia me kahi puʻupuʻu, hiki iā ʻoe ke ʻike inā he benign (non-cancerous - `Benign`) a i ʻole malignant (cancerous - `Malignant`).
• ʻIke ʻē aʻe: Inā he maʻi kanesa, ke ʻano, pehea kona ʻino, a me nā loli genetic paha e hoʻokomo pū ʻia i loko o kēia hōʻike. He mea nui loa kēia mau mea a pau no ka hoʻolālā ʻana i ka lāʻau e hiki mai ana.

ʻO ka mea nui loa, ʻo ia ke kūkākūkā a hoʻomaopopo pono i ka hōʻike biopsy me kāu kauka.ʻAʻole paha ʻoe e maopopo i nā huaʻōlelo lapaʻau i loko o ka hōʻike. No laila, e nīnau i ke kauka i nā nīnau e loaʻa ai kahi maopopo o kou kūlana.

Aia kekahi mau pilikia i ka biopsy?

E like me nā hana lapaʻau āpau, hiki i kahi biopsy ke lawe mai i kekahi mau pilikia. Eia nō naʻe, i ka hapa nui o ka manawa, he hana palekana loa ka biopsy. ʻO nā pilikia e hiki mai ana he mea liʻiliʻi a maʻalahi hoʻi e mālama.

• Ke kahe ʻana o ke koko: Aia paha kekahi kahe ʻana o ke koko mai kahi i hana ʻia ai ka biopsy. I ka hapa nui o ka manawa, pau kēia ma kāna iho.
• Maʻi: I kekahi manawa, hiki ke loaʻa ka maʻi i kahi biopsy. ʻO ke kī i ka pale ʻana i kēia, ʻo ia ka mālama ʻana i ka maʻemaʻe o ka wahi. Inā loaʻa kahi maʻi, hiki ke mālama ʻia me nā antibiotics.
• ʻEha a ʻoluʻolu ʻole paha: Aia paha kekahi ʻeha a palapū paha ma kahi biopsy no kekahi mau lā.
• ʻUlu: Ma hope o kekahi mau biopsies (ʻoi aku hoʻi nā biopsies excisional o ka ʻili), hiki ke waiho ʻia kahi ʻulu liʻiliʻi.
• Ka hōʻino ʻana i nā kino ʻē aʻe: He mea kākaʻikahi loa kēia, ʻoiai me nā biopsies nila hohonu. Akā hoʻohana nā kauka i nā ʻenehana e like me ka ultrasound e hōʻemi i kēia pilikia.

E haʻi aku kāu kauka iā ʻoe e pili ana i kēia mau pilikia ma mua. Inā he mau nīnau kāu, mai makaʻu e nīnau.

No laila, ka leka lawe home hope loa:

ʻAe, eia nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He hoʻāʻo koʻikoʻi ka biopsy e kōkua ai i ka hōʻoia ʻana, akā, ʻaʻole ia he mea e makaʻu ai.
• Hoʻokomo ia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o nā ʻiʻo a i ʻole nā ​​​​​​pūnaewele mai ke kino a nānā iā lākou ma lalo o kahi microscope.
• Nui nā kumu no ka biopsy; ʻaʻole ia e ʻimi mau i ka maʻi kanesa.
• Aia kekahi mau ʻano biopsy, a na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
• E hāʻawi ʻia ka anesthesia i mea e ʻoluʻolu ai ʻoe i ka wā o ka biopsy.
• He mau lā paha e hiki mai ai nā hopena. Ke hiki mai nā hopena , e kamaʻilio pono me kāu kauka a e hoʻomaopopo iā lākou.
• He haʻahaʻa loa nā pilikia o kahi biopsy.

E hoʻomanaʻo, he ala ka biopsy e loaʻa ai nā pane i nā nīnau. ʻO ka ʻike āu e loaʻa ai e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. No laila, inā manaʻo kāu kauka i kahi biopsy, mai makaʻu e hana ia, e ʻike i ka ʻike āu e pono ai, a e hele no ia. Makemake au iā ʻoe e ho'ōla koke!

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ʻO ka biopsy, ka nānā ʻana i nā ʻiʻo, ka hōʻailona, ​​ka microscopy, ka anesthesia, nā hoʻokolohua lapaʻau, ka ʻike olakino o Sri Lanka