Ua haʻi aku ke kauka iā ʻoe e hana i kahi biopsy lymph node? E kamaʻilio kākou e pili ana i kēia.

Ua ʻike anei ʻoe i kahi puʻupuʻu ma kou kino, ma kou ʻāʻī paha, armpit, a i ʻole groin, a ua kapa ke kauka iā ia he 'nodule'? I kāna haʻi ʻana iā ʻoe he pono e lawe ʻia kahi ʻāpana liʻiliʻi no ka hoʻāʻo ʻana, ʻo ia hoʻi, he 'biopsy', ua makaʻu iki anei ʻoe a hopohopo? He mea maʻamau loa ia. Ke lohe ʻoe i ka huaʻōlelo "biopsy," manaʻo ka hapa nui o mākou i ka maʻi kanesa. Akā, ʻaʻole hana ʻia nā biopsy āpau e ʻike i ka maʻi kanesa. No laila i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i ke ʻano o ka biopsy nodule, no ke aha i hana ʻia ai, pehea e hana ʻia ai, a inā he mea e makaʻu ai.

He aha ke ʻano o ka biopsy node lymph?

Ma mua o ko kākou hoʻomaopopo ʻana i kēia, e nānā kākou i ke ʻano o kēia mau "lymph nodes". E noʻonoʻo he ʻōnaehana pale ko kākou i loko o ko kākou kino. He mau "puka" liʻiliʻi ko kēia ʻōnaehana pale. Ua kapa ʻia kēlā mau puka he mau lymph nodes. Ua like kēia me nā iwi, mai ka nui o ka pī a i ka nui o ka pōpō liʻiliʻi, a ua pālahalaha ʻia ma ko kākou kino holoʻokoʻa, ʻoiai ma nā wahi e like me ka ʻāʻī, nā armpits, ka ʻūhā, ka umauma, a me ka ʻōpū.

ʻO ke wai wai e puka mai ana mai nā ʻāpana a me nā ʻiʻo o ko kākou kino (kapa mākou he wai lymph) e hele ana ma o kēia mau wahi nānā, a i ʻole cilia. I kona hele ʻana, inā he mau germs, bacteria, viruses, a i ʻole nā ​​cell cancer i loko o kēlā wai e hōʻino ana i ke kino, ʻo kēia mau wahi nānā, i kapa ʻia ʻo cilia, e hoʻopaʻa iā lākou a hoʻopaʻa iā lākou. Ua like ia me kahi kānana.

I kēia manawa, ua maopopo paha iā ʻoe ke kumu e pehu ai nā glands ma ko kākou ʻāʻī ke loaʻa iā kākou ke anu a i ʻole ka maʻi ʻāʻī. No ka mea, ke hakakā nei lākou i nā germs.

ʻAe, he aha ka biopsy ? I ka ʻōlelo maʻalahi, ʻo ka biopsy ka wehe ʻana i nā ʻāpana āpau a i ʻole kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi puʻupuʻu a hoʻouna iā ia i kahi keʻena hoʻokolohua e nānā ʻia ma lalo o kahi microscope. Hana ʻia kēia hoʻāʻo e kahi pathologist, he kauka loea i ka nānā ʻana i nā ʻiʻo. E nānā ʻo ia i nā ʻiʻo a hoʻoholo inā he mau ʻāpana ʻē, nā maʻi, a i ʻole nā ​​​​​​pūnaewele kanesa i loko.

I ka manawa hea e ʻōlelo ai ke kauka e hana i kēia hoʻokolohua?

Inā manaʻo ke kauka e hana ʻoe i kahi biopsy, aia paha ʻelua mau kumu nui.

1. Inā kānalua ʻoe he maʻi kanesa, e hōʻoia a nānā no ka laha ʻana: I kekahi manawa hoʻomaka ke kanesa ma nā lymph nodes. No ka laʻana , lymphoma.He ʻano maʻi kanesa i kapa ʻia. A i ʻole, hiki i ka maʻi kanesa ma kahi ʻāpana ʻē aʻe o ke kino (e like me ka umauma a i ʻole nā ​​māmā) ke laha i nā lymph node. No laila hiki i kahi biopsy ke haʻi pololei inā he mau hunaola kanesa i loko o ka lymph node, inā pēlā, he aha ke ʻano o ka maʻi kanesa, a pehea ka mamao o kona laha ʻana (ua kapa ʻia kēia ʻo ke kahua o ke kanesa). E hoʻohana kāu kauka i kēia ʻike e hoʻoholo ai i ka lāʻau lapaʻau maikaʻi loa iā ʻoe.

2. Inā pehu kahi puʻupuʻu me ke kumu ʻike ʻole ʻia: E like me kā mākou i kūkākūkā ai ma mua, hiki i nā puʻupuʻu ke pehu ma muli o nā maʻi maʻamau e like me ke anu a me ka maʻi palū. Eia nō naʻe, e emi pinepine ka pehu i loko o hoʻokahi a ʻelua paha pule ke pau ka maʻi. Eia nō naʻe, inā hoʻomau ka pehu ʻana o kahi puʻupuʻu me ke kumu ʻike ʻole ʻia, a inā e nui ana, hiki i kāu kauka ke kauoha i kahi biopsy e ʻike i ke kumu. Hiki ke lilo i maʻi koʻikoʻi (e like me ka maʻi puʻupuʻu), a i ʻole he maʻi ʻōnaehana pale (e like me ka sarcoidosis) .

Aia kekahi mau ʻano biopsies? He aha lākou?

ʻAe, aia nā ʻano like ʻole e lawe ai i nā ʻiʻo mai kahi puʻupuʻu. E koho kāu kauka i ke ʻano maikaʻi loa ma muli o nā mea e like me kahi o kou puʻupuʻu a me ka maʻi i manaʻo ʻia. E nānā kākou i nā ʻano nui.

Ua kapa ʻia hoʻi kēia mau mea e like me nā wahi nui i loaʻa ai nā ʻanuʻu.

I kekahi manawa kāhea nā kauka i kahi biopsy ma muli o kahi i hana ʻia ai.

• ʻO ka biopsy o ka lymph node axillary (armpit): Ke nānā ʻana i kahi lymph node ma ka armpit.
• ʻO ka biopsy o ka lymph node cervical (ʻāʻī): Ka nānā ʻana i kahi lymph node ma ka ʻāʻī.
• ʻO ka biopsy node lymph inguinal: Ka nānā ʻana i kahi node lymph ma ka ʻūhā.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?

Ma hope o ka hoʻonohonoho ʻana i kahi lā no ka biopsy, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka hoʻomākaukau ʻana no ia. E nīnau pū ʻo ia iā ʻoe i kekahi mau nīnau.

Nā mea i nīnau ʻia iā ʻoe:

• Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai: nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau kūʻai ʻole ʻia, nā huaora, nā lāʻau lapaʻau kuʻuna, nā lāʻau lapaʻau Ayurvedic, nā mea āu e lawe ai. ʻOi loa aku inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko ( e like me Aspirin, Warfarin, Clopidogrel), e hōʻoia e haʻi iā lākou.
• E pili ana i kou mōʻaukala olakino: Pono ʻoe e ʻike inā he mau maʻi kahe koko kou, nā maʻi ʻaleka i nā anesthetics (nā lāʻau lapaʻau e hoʻomānoʻo ai a hoʻohiamoe paha iā ʻoe), a i ʻole nā ​​maʻi ʻaleka i ka latex. Pono ʻoe e haʻi mai iā mākou inā ua hāpai ʻoe a i ʻole e hāpai paha.

ʻŌlelo aʻoaʻo nou:

• Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ka hoʻāʻo.
• E noi ʻia paha ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka hoʻāʻo ʻana. E loli kēia ma muli o ke ʻano o ka biopsy e hana ʻia ana a me ke ʻano o ka anesthesia i hoʻohana ʻia.
• Ma hope o ka hoʻāʻo ʻana, e noi ʻia ʻoe e lawe mai i kekahi e lawe iā ʻoe i ka home. I kekahi manawa, ma muli o ka anesthesia, ʻaʻole paha ʻoe e hiki ke hoʻokele a noho hoʻokahi paha no nā hola 24 mua. Ma ka liʻiliʻi he mea maikaʻi ka loaʻa ʻana o kekahi e hōʻoluʻolu iā ʻoe, ʻeā?

He aha ka mea e hana ʻia i ka wā o kahi biopsy?

ʻAʻole kēia he mea weliweli e like me kou manaʻo. ʻO kēia ka mea maʻamau e hana ʻia.

E hoʻomoe ʻia ʻoe ma luna o kahi moe i loko o kahi lumi hoʻokolokolo. A laila e hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha . Inā kokoke ka nila i ka ʻili, ʻo ia wahi wale nō e mae (Local Anesthesia) . Inā hohonu ka nila i loko o ke kino, e hoʻomoe ʻia ʻoe (General Anesthesia) .

Ma hope o kou mae ʻana, ma hope o kou hiamoe ʻana, Kauka:

1. E huli i kahi kikoʻī o ka puʻupuʻu: I kekahi manawa hiki ke loaʻa ma ka hoʻopā ʻana me kou lima. Inā ʻaʻole hiki kēlā, hoʻohana ʻia kahi scanner (Ultrasound, CT scan) e hōʻailona i kahi kikoʻī.

2. Ke kiʻi ʻana i kahi hāpana ʻiʻo: Wehe ʻia kahi ʻāpana a i ʻole ka puʻupuʻu holoʻokoʻa me ka hoʻohana ʻana i ke ʻano biopsy i koho ʻia (me ka hoʻohana ʻana i kahi scalpel a i ʻole kahi ʻoki liʻiliʻi).

3. Ke pani ʻana i ka ʻeha: Inā he biopsy nila ia, hiki ke hoʻopili ʻia kahi plaster liʻiliʻi. Inā he biopsy hāmama, e pani ʻia ka ʻoki me nā humuhumu a e hoʻopili ʻia kahi kāʻei. Hoʻoheheʻe ʻia kekahi mau humuhumu ma o lākou iho, aʻo kekahi e pono ai ke kipa hou ʻana i ke kauka i loko o kekahi mau lā e wehe ʻia.

He ʻeha anei kēia? Pehea ka lōʻihi?

Ke hoʻokomo ʻia ka lāʻau hoʻomāʻū, e ʻike ʻoe i kahi ʻeha iki a me ke kuni. Akā he mau kekona wale nō ia. Ma hope o kēlā , ʻaʻole ʻoe e ʻeha i ka wā o ka biopsy . Ma hope o ke kaʻina hana, hiki iā ʻoe ke ʻeha iki i ka pau ʻana o ka kirīmi hoʻomāʻū. Hiki ke mālama ʻia kēia me kahi lāʻau ʻeha i kuhikuhi ʻia e kāu kauka.

He 10-30 mau minuke wale nō ka lōʻihi o ka biopsy nila. Hiki i kahi biopsy hāmama ke lōʻihi ma kahi o 45 mau minuke.

He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo?

ʻO ka hapa pinepine, he hana outpatient ka biopsy, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

Ma mua o kou hoʻi ʻana i ka home, e nānā ke kauka a kahu maʻi paha i kāu mau hōʻailona koʻikoʻi a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i kou ʻeha.

• Ka ho'ōla maʻamau ʻana o ka ʻeha: He mea maʻamau ka hoʻokahe iki ʻana o ke koko i ka ʻeha, ka pehu ʻana o ka ʻāpana, ka uliuli ʻana, a me ka ʻeha iki i nā lā mua.
• Pehea e mālama ai i ka ʻeha maʻemaʻe: I mea e pale ai i ka maʻi, e noi ʻia paha ʻoe e pale i ka ʻauʻau ʻana a i ʻole ka hoʻohana ʻana i nā ʻauʻau wela no kekahi mau lā.
• Pehea e kaupalena ai i kāu mau hana: Hiki ke noi ʻia ʻoe e hoʻōki i ka hana ʻana i nā mea e like me ka hāpai ʻana i nā kaupaona a me ka hana ʻana i ka hoʻoikaika kino ikaika no kekahi mau lā.

Aia kekahi mau pilikia i loko o kēia?

He kaʻina hana palekana loa ka biopsy.Akā e like me nā hana lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi e hiki ʻole ke hana pinepine ʻia.

He aha ka ʻōlelo a ka hōʻike? Pehea ka lōʻihi e loaʻa ai?

Hōʻike ka hōʻike biopsy iā ʻoe inā he maikaʻi a maikaʻi ʻole paha ka ʻāpana ʻiʻo i hoʻāʻo ʻia no kahi maʻi.

Eia kekahi laʻana, inā maikaʻi ka hōʻike, hiki ke ʻike ʻia he mau hunaola kanesa i loko o ka testicle. A laila e noiʻi hou ke kauka e ʻike inā ua hoʻomaka ke kanesa ma ka testicle a i ʻole ua hele mai ia mai kahi ʻē aʻe. Na nā hopena o ka hōʻike e hoʻoholo i kāu mau hana aʻe.

Hiki ke ʻokoʻa ka manawa e hoʻihoʻi mai ai ka hōʻike. I kekahi manawa hiki ke hāʻawi ʻia nā hopena i ka lā hoʻokahi . ʻOi loa aku i ka hihia o nā biopsies i hana ʻia i ka wā o ke ʻoki ʻana i ka maʻi kanesa, hiki ke hoʻohana ʻia ka hōʻike e hoʻoholo ai inā e wehe i nā ʻiʻo hou aʻe i ka manawa like. ʻO ka maʻamau, hoʻi mai ka hōʻike.Hiki ke hala i kekahi mau lā a i ʻelua pule. E nīnau i kāu kauka i ka wā e loaʻa ai iā ʻoe kāu hōʻike a pehea ʻoe e loaʻa ai (inā ma ke kelepona a i ʻole i kou hoʻi ʻana i ke keʻena lapaʻau).

I ka manawa hea e pono ai iaʻu ke kāhea hou aku i ke kauka ?

No ka hapa nui o nā kānaka, ho'ōla ka ʻeha me ka ʻole o nā pilikia. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kamaʻilio koke me kāu kauka.

E haʻi koke aku i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi:

• Inā manaʻo ʻoe he kuni a he anu kou.
• Inā e pehu ana ka ʻeha, ʻeha, a ʻulaʻula paha.
• Inā e kahe ana kahi wai pele melemele a pilau paha mai ka ʻeha mai.

He mea maʻamau ka hopohopo, ka makaʻu, a me ke kānalua ke ʻike ʻoe e hana ʻia ana ʻoe i kahi biopsy. Makemake paha ʻoe e hana koke, e loaʻa nā hopena, a e lanakila. Akā e hoʻomanaʻo, hiki i kēia hoʻāʻo ke hōʻoia i kahi hōʻailona a hāʻawi paha i ka hōʻoluʻolu mai kahi makaʻu nui āu i loaʻa ai. Eia nō naʻe, he mea nui ka ʻike āu e loaʻa ai mai kēia hoʻāʻo no kou olakino a me kou wā e hiki mai ana.