Makemake ʻoe e ʻike e pili ana i kāu biopsy node lymph?

Ua haʻi ʻia aku hoʻi ʻoe e ke kauka e pono ʻoe e hana i kahi biopsy lymph node? A i ʻole he mea ia i hoʻonohonoho ʻia e kekahi hoaaloha ou a ke hoihoi nei ʻoe i ia mea? He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia. Akā inā maopopo pono iā mākou kēia, hiki iā mākou ke hōʻemi i kēlā makaʻu a me ka hopohopo. No laila, i kēia lā e kamaʻilio wale mākou e pili ana i ke ʻano o ka biopsy lymph node, no ke aha e hana ʻia ai, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope.

He aha ka biopsy o nā kōpili lymph?

I ka ʻōlelo maʻalahi, ʻo ka biopsy lymph node kahi hoʻāʻo e nānā i nā hōʻailona o ka maʻi, ʻoiai ke kanesa, i loko o kou mau lymph nodes. Ma kēia hoʻāʻo, wehe ke kauka (ʻo ia hoʻi he kauka ʻokiʻoki a radiologist paha) i nā ʻāpana āpau a i ʻole kahi ʻāpana liʻiliʻi o kou lymph node. A laila, nānā kekahi loea i kapa ʻia he pathologist i nā ʻiʻo i loko o kahi keʻena hoʻokolohua.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau lymph nodes. He mau ʻōkana liʻiliʻi kēia mau lymph nodes e waiho ana ma ko mākou kino a puni, e like me ka nui o ka pī. ʻO kā lākou hana nui ke kānana i ka wai lymph `(Lymph)` e puka mai ana mai ko mākou mau pūnaewele a me nā ʻiʻo, a e hopu i nā mea ʻino a me nā germs i loko. E noʻonoʻo, ua paʻa nā germs e komo i loko o ko mākou kino i loko o kēia mau lymph nodes. Eia kekahi, hiki i nā maʻi kanesa e like me `(Lymphoma)` ke hoʻomaka pololei mai nā lymph nodes. Hiki i nā ʻano maʻi kanesa ʻē aʻe ke laha i nā lymph nodes.

No laila, ma ka lawe ʻana i kēia ʻāpana liʻiliʻi o ka ʻiʻo a nānā iā ia, hiki iā mākou ke ʻike i nā hōʻailona maalea. ʻO nā hopena o kēia `(Lymph Node Biopsy)` e ʻae i nā kauka e ʻike pono inā loaʻa kahi maʻi, e hoʻoholo i kona koʻikoʻi, a laila e hoʻoholo i ka lāʻau maikaʻi loa.

I ka manawa hea e ʻōlelo ai ke kauka i kahi biopsy?

Aia kekahi mau kumu nui e hiki ai i kāu kauka ke ʻōlelo aku i kahi biopsy lymph node:

• No ka ʻike ʻana i ke kanesa a me ka hoʻoholo ʻana i kona pae. Hana nā kauka i kēia hoʻāʻo e ʻike inā aia ke kanesa a inā ua pālahalaha ma waho o ke kahua mua. Hoʻohana ʻia kēia ʻike e hoʻolālā i kāu lāʻau lapaʻau. Hāʻawi pū ia iā ʻoe i kahi manaʻo o ke ʻano o nā hopena āu e manaʻo ai mai ka lāʻau lapaʻau (prognosis).
• E ʻike i ke kumu o ka pehu ʻana o ke kuʻekuʻe wāwae. He mea maʻamau ka pehu ʻana o nā kuʻekuʻe wāwae i ka wā e maʻi ai kākou. Hana ʻia kēia i ka wā e loaʻa ai iā kākou ke kuni a i ʻole ke anu. Akā i kekahi manawa, inā ʻaʻole e emi ka pehu a hoʻomau, a ʻaʻole hiki i ke kauka ke loaʻa ke kumu, a laila pono paha kahi biopsy. He maʻi koʻikoʻi paha ia, a i ʻole he maʻi ʻōnaehana pale e like me ka sarcoidosis.

Ke hāʻawi ʻia kēia hoʻokolohua iā ʻoe, e wehewehe kāu kauka iā ʻoe i ke ʻano o ke kūlana a lākou e manaʻo nei a me nā mea a lākou e hoʻāʻo nei. No laila he mea nui loa e nīnau i nā nīnau āu e loaʻa ai.

He aha nā ʻano biopsies o nā lymph node i loaʻa?

Aia kekahi mau ʻano o ka `(Lymph Node Biopsy)`. E nānā kākou i ke ʻano o lākou:

• Biopsy Node Sentinel: Hana ʻia kēia e nānā inā ua pālahalaha ke kanesa ma ʻō aku o kahi kumu, i nā lymph node kokoke. Ma kēia kaʻina hana, ʻike ke kauka i nā lymph node kokoke loa i ka puʻupuʻu (i kapa ʻia ʻo nā sentinel lymph node), wehe iā lākou, a nānā iā lākou no nā hunaola kanesa.

• Biopsy nila: Aia kekahi mau puʻupuʻu ma lalo o ko mākou ʻili, ma nā wahi i maʻalahi ke hiki aku. I ia mau hihia, hoʻohana ʻia kēia ʻano biopsy nila. Aia kekahi ʻano ʻelua o kēia:
• ʻO ka Hopu ʻana i ka Nila Maikaʻi (FNA): Pili kēia i ka hoʻohana ʻana i kahi nila lahilahi a hakahaka e wehe ai i kekahi wai a me nā ʻāpana mai ka puʻupuʻu.
• ʻO Core Needle Biopsy: Pili kēia i ka hoʻohana ʻana i kahi nila nui iki ma mua o FNA e lawe i kahi hāpana kiko piha.

• ʻO ka Biopsy Hāmama: I kekahi manawa, inā aia ka puʻupuʻu i loko o ke kino a ʻaʻole hiki ke hiki maʻalahi ma o ka ʻili, a laila hoʻohana ʻia kēia ʻano biopsy hāmama. Ma kēia, hana ke kauka i kahi ʻoki liʻiliʻi (incision) i loko o ka ʻili, komo i ka puʻupuʻu, a wehe loa iā ia (Excisional Biopsy)) a hapa paha (Incisional Biopsy)).

I kekahi manawa, kapa pū nā kauka i kēia ʻano "biopsy" ma muli o kahi o nā puʻupuʻu. ʻO nā wahi nui:

• ʻO ka biopsy o ke kīʻaha lymph axillary.
• ʻO ka biopsy o ke kōpili lymph cervical.
• ʻO ka biopsy o nā kōpili lymph inguinal.

He aha kaʻu e manaʻo ai ma mua o ka hoʻokolohua?

E nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau e pili ana i ke olakino e hōʻoia i ka palekana nou ke hana i kēia hoʻāʻo. E nīnau lākou e pili ana i:

• Nā lāʻau lapaʻau āu e lawe ai: Hoʻokomo pū kēia i nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai. Pono ʻoe e haʻi i kāu kauka e pili ana i kēia mau mea āpau.
• ʻO kāu mōʻaukala lapaʻau: Makemake lākou e ʻike inā he mau maʻi koko kou (ʻo ia hoʻi, ke kahe ʻana o ke koko ma mua o ka maʻamau), nā maʻi allergies i ka anesthesia a i ʻole ka latex, a inā ua hāpai ʻoe a hiki paha ke hāpai.

I ka manawa like, e hāʻawi ke kauka iā ʻoe i kēia mau ʻōlelo aʻoaʻo:

• He aha nā lāʻau lapaʻau e pono e hoʻōki ʻia i nā lā ma mua o ka hoʻāʻo?, he aha ka mea e hoʻomau ai i ka lawe ʻana.
• Pono anei ʻoe e "hoʻokē ʻai" e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi manawa ma mua o ka hoʻokolohua?
• Pono ʻoe i kekahi e lawe iā ʻoe i ka home a mālama iā ʻoe? No ka mea, ma muli o ka biopsy, ʻaʻole paha e palekana ke kalaiwa a noho hoʻokahi paha no nā hola 24 mua. ʻOiai inā ʻaʻole ʻoe i pāpā ʻia mai ka hoʻokele ʻana, he manaʻo maikaʻi ke loaʻa kekahi me ʻoe e hōʻoluʻolu iā ʻoe i kou haʻalele ʻana i ka haukapila.

E wehewehe pū ana kāu kauka iā ʻoe i ka mea e hana ʻia i ka lā o ka hoʻāʻo. Mai kānalua e nīnau i kāu mau nīnau i kēia manawa.

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

E hoʻomoe ʻia ʻoe ma luna o kahi papa hoʻokolokolo. ʻOiai ke ʻano o ka biopsy e hana ʻia nei, e hāʻawi ke kauka iā ʻoe i ka anesthesia i ʻole ʻoe e ʻeha. Inā kokoke ka puʻupuʻu i ka ʻili, e loaʻa iā ʻoe ka anesthesia kūloko wale nō, ka mea e hoʻomānoʻonoʻo ai i kēlā wahi. Akā inā hohonu ka puʻupuʻu i loko o kou kino, e hāʻawi ʻia ʻoe i ka anesthesia laulā, ka mea e hoʻohiamoe loa iā ʻoe.

Ma hope o kou hiamoe ʻana a i ʻole ka mae loa ʻana o ka wahi, e hana ke kauka i kēia mau mea:

• Ua loaʻa ka puʻupuʻu e pono ai ke nānā ʻia. Hiki i ke kauka ke hoʻohana i kahi ultrasound, kahi computed tomography (CT) scan, a i ʻole mammogram e ʻike ai i kahi kikoʻī. I kekahi manawa hiki ke hoʻokomo ʻia kahi dye kūikawā a i ʻole tracer. E kahe ana kēia mau mea i loko o nā puʻupuʻu a ʻike nui ʻia.
• Hoʻopau ʻia ka puʻupuʻu ma ke ʻano holoʻokoʻa a hapa paha. Hoʻāʻo lākou e hōʻino i ka liʻiliʻi o nā ʻiʻo e like me ka hiki a hōʻemi a pale paha i ka ʻeha.
• E humuhumu ʻia ke ʻoki a e kau ʻia kahi kāʻei. Hiki ke hāʻawi ʻia iā ʻoe nā humuhumu omo, a i ʻole e noi ʻia paha ʻoe e hoʻi mai i loko o kekahi mau lā e wehe ʻia nā humuhumu.

Pehea ka ʻeha o ka biopsy node lymph?

Ke hoʻokomo ke kauka i ka lāʻau hoʻomake, ua like ia me kahi kui liʻiliʻi, a ukali ʻia e kahi ʻeha iki. Eia naʻe, ʻaʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ke kaʻina hana. Hiki paha iā ʻoe ke ʻike i kahi ʻoluʻolu ʻole ma hope. Eia nō naʻe, hiki iā ʻoe ke kāohi i ka ʻoluʻolu ʻole ma ka lawe ʻana i nā lāʻau hoʻomaha ʻeha (loaʻa mai nā hale kūʻai lāʻau me ke kauoha a ke kauka) a hiki i ka wā e ola ai ka ʻeha.

E aʻo aku ke kauka iā ʻoe i nā ʻano lāʻau lapaʻau hiki iā ʻoe ke lawe.

Pehea ka lōʻihi o ka hana ʻana i kahi biopsy node lymph?

Hiki i kahi biopsy nila maʻalahi ke hala ma kahi o 10 a 30 mau minuke. Hiki i kahi biopsy hāmama ke hala ma kahi o 45 mau minuke. Pili nui kēia i ka maʻalahi o kou komo ʻana i kāu mole.

He aha ka mea e hana ai ma hope o ka biopsy o nā lymph node?

ʻO ka biopsy lymph node he hana maʻi outpatient, 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 kāu kauka i kāu mau ʻōkuhi olakino maʻamau (ka mahana, ka helu pulse, a me nā mea ʻē aʻe) e hōʻoia i ka palekana no ʻoe e hoʻi i ka home. E hāʻawi pū lākou iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i kahi biopsy a pehea e mālama ai iā ʻoe iho.

E aʻo aku lākou iā ʻoe i nā mea e like me:

• Pehea e ho'ōla maʻamau ai ka ʻeha. No ka laʻana, he mea maʻamau ke loaʻa kekahi kahe koko, ka pehu ʻana, ka palapū, a me ka ʻoluʻolu ʻole no nā lā mua ma hope o ka biopsy lymph node. Eia nō naʻe, inā piʻi ke kahe koko, piʻi ka ʻeha, a i ʻulaʻula paha ka wahi biopsy a hōʻike i nā hōʻailona o ka maʻi, ʻaʻole ia he mea maʻamau.
• Pehea e mālama ai i ka ʻeha maʻemaʻe a mālama iā ia. I mea e hōʻemi ai i ka pilikia o ka maʻi, e noi ʻia paha ʻoe e pale i ka ʻauʻau ʻana, ka hoʻohana ʻana i nā ʻauʻau wela, a malia paha e ʻauʻau no kekahi mau lā.
• E haʻi lākou iā ʻoe pehea e mālama ai iā ʻoe iho, i ka manawa e hoʻomaka hou ai e lawe i kāu lāʻau lapaʻau, a pehea e lawelawe ai i kāu hana me ka ʻole o ke kaumaha i kou kino i ka wā e hoʻōla ai. Hiki iā lākou ke aʻo aku iā ʻoe e pale i ka hāpai ʻana i kekahi mea kaumaha ma mua o kekahi kaumaha.

Ma mua o kou hoʻi ʻana i ka home, e hōʻoia i kou maopopo pono i ka mea e hana ai. He mea nui hoʻi e ʻike i ka wā e hoʻokaʻaʻike aku ai i ke kauka inā ʻaʻole e ho'ōla pono ana ka ʻeha.

He aha nā pilikia o kahi biopsy node lymph?

He hana palekana ka biopsy node lymph ma ke ʻano laulā. Eia nō naʻe, ʻaʻohe hana lapaʻau i palekana loa. Eia kekahi o nā pilikia kakaikahi e hiki ke hana:

• Maʻi: ʻAʻole kēia he mea maʻamau, akā inā hana ia, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e mālama i ka maʻi.
• Ka piʻi ʻana o ke kahe koko mai ka wahi biopsy: ʻO kou pilikia o ke kahe koko e pili ana i ke ʻano o ka biopsy a me ka nui o nā ʻiʻo i wehe ʻia e ke kauka. E haʻi lākou iā ʻoe i ka nui o ke kahe koko e manaʻo ʻia.
• ʻO ka mae ʻana ma kahi o ka biopsy: Hiki ke hana ʻia kēia inā ua hōʻino ʻia kahi aʻalolo i ka wā o ka biopsy. ʻO ka maʻamau, e nalowale ana kēia mae ʻana i loko o hoʻokahi a ʻelua paha mahina.
• ʻO ka pehu kokoke i kahi biopsy (Lymphedema) : Hiki ke hana kēia inā he pilikia me ke kahe ʻana o ka wai lymph ma hope o ka biopsy. He mea kākaʻikahi kēia no ka mea he kakaikahi wale nō nā puʻupuʻu i wehe ʻia i ka wā o ka biopsy.
• ʻO ka maʻi pūnaewele Axillary (`(Axillary Web Syndrome)`) a i ʻole `(Cording)`Ma hope o ka wehe ʻana i nā ʻuku mai kou ʻāʻī, e ʻike paha ʻoe i kahi ʻano kaula ma lalo o ka ʻili ma loko o kou lima. He mea kākaʻikahi loa ka Cording ma hope o kahi biopsy. Nalo pū ia i ka hala ʻana o ka manawa.

He aha nā hopena? He aha ke ʻano o kēlā mau hopena?

Hōʻike nā hopena o kahi `(Lymph Node Biopsy)` inā loaʻa iā ʻoe kahi maʻi (`(Positive)` - ʻo ia hoʻi, loaʻa iā ʻoe ka maʻi) a i ʻole (`(Negative)` - ʻo ia hoʻi, ʻaʻole loaʻa iā ʻoe ka maʻi).

Eia kekahi laʻana, inā loaʻa iā ʻoe kahi hopena "maikaʻi", hiki ke ʻike ʻia he mau hunaola kanesa kou i loko o kou mau testicles. A laila e hana ke kauka i nā hoʻokolohua hou aʻe e ʻike ai inā ua hoʻomaka ke kanesa i loko o kou mau testicles a i ʻole ua laha mai kahi ʻē aʻe o kou kino.

E aʻo aku kāu kauka iā ʻoe i ka mea e hana ai ma muli o kāu mau hopena.

Āhea wau e ʻike ai i nā hopena?

Hiki iā ʻoe ke loaʻa nā hopena i ka lā hoʻokahi, a i ʻole he mau pule paha ia.

I nā hihia i manaʻo ʻia ai ke kanesa, hana pinepine ʻia kahi biopsy lymph node i ka lā hoʻokahi. Ma hope o ka biopsy, e noi paha ke kauka iā ʻoe e kali iki i hiki ke nānā ʻia ka hāpana. Inā maikaʻi kāu mau hopena, ʻo ia hoʻi he kanesa kou, e wehe paha ke kauka i nā ʻiʻo hou aʻe i kēlā lā e ʻike i ka mamao o ka laha ʻana o ke kanesa. A laila, ʻaʻole pono ʻoe e hoʻi hou mai no kekahi kipa ʻana.

E nīnau i kāu kauka i ka manawa e manaʻo ai i nā hopena a pehea ʻoe e loaʻa ai iā lākou (kāhea kekahi mau kauka, kau kekahi iā lākou ma ka pūnaewele ma o kahi puka pilikino o ka mea maʻi).

Āhea wau e hoʻokaʻaʻike aku ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ka maʻi, e kelepona koke aku i kāu kauka:

• Kuni a me ke anu.
• Pehu, mehana, ʻulaʻula, a i ʻole ka kahe ʻana o ka wai ma kahi o ka biopsy.

Hoʻōla ka hapa nui o ka poʻe me ka ʻole o nā pilikia, akā inā he mau hopohopo kāu, e kāhea mau i kāu kauka.

ʻO ka hope loa, he leka lawe-i-ka-home

He mea maʻamau ke manaʻo huikau, hopohopo, a kaumaha paha ke ʻike ʻoe e pono ana ʻoe i kahi biopsy lymph node. He mea maʻamau nō hoʻi ka makemake e hana i kēia i ka wikiwiki a ʻike i ka pane.

ʻOiai ʻoe e kali ana i kāu hoʻāʻo (a i ʻole nā ​​​​hopena), e hoʻomanaʻo i kēia: ʻOiai hiki i kahi biopsy ke ʻike i nā kūlana koʻikoʻi, hiki iā ia ke hāʻawi i ka hōʻoluʻolu nui. No ka laʻana, hōʻike paha kāu mau hopena ʻaʻole i laha kāu maʻi kanesa. Hiki iā lākou ke hāʻawi iā ʻoe i kahi manaʻo no nā lāʻau lapaʻau maʻi kanesa maikaʻi loa e kāohi i ka maʻi. ʻOiai ke kaumaha o kēia ʻike, ʻo ka ʻike āu e loaʻa ai mai kahi biopsy lymph node he mea nui ia no kou olakino a me kou pono i ka wā e hiki mai ana.E hoʻomanaʻo i kēlā.

ʻO ka biopsy o ke kīʻaha lymph, ke kanesa, ka biopsy, ka pehu ʻana o ke kīʻaha lymph, nā kīʻaha lymph, ka biopsy o ke kīʻaha sentinel, ka biopsy nila, ka biopsy hāmama