He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe he puʻupuʻu kou ma kou ʻāʻī a pono ʻoe e hana i kahi biopsy. Ke lohe ka hapa nui o mākou i ka huaʻōlelo 'biopsy', noʻonoʻo koke mākou i ka maʻi ʻaʻai. Akā he mea maoli anei kēia e makaʻu ai? He aha ka mea e hana ʻia me kēia hoʻāʻo? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maopopo a ma ke ʻano e hōʻoluʻolu ai iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka biopsy thyroid?
E noʻonoʻo ua hana ʻoe i kahi keke nui. ʻAʻole pono ʻoe e ʻoki i ka keke holoʻokoʻa e ʻike i ka mea o loko a inā ua moʻa pono ʻia, ʻeā? Hiki iā kākou ke loaʻa kahi manaʻo ma ka ʻoki ʻana i kahi ʻāpana liʻiliʻi a ʻai iā ia.
He hana like ka biopsy thyroid. ʻO ka biopsy thyroid kahi hana e pili ana i ka lawe ʻana i kahi hāpana liʻiliʻi loa o nā cell mai kahi nodule i loko o kou kelepa thyroid, i ke ʻano e like me ka pulelehua i loko o kou ʻāʻī. Hana ʻia kēia e ʻike pono i ke ʻano o nā cell i hana ʻia ai ka nodule.
No ke aha ʻoe e makemake ai e hana i kēia biopsy?
ʻAʻole pono nā maʻi thyroid āpau i kahi biopsy. I kekahi manawa, hiki ke hoʻohana ʻia kahi hoʻāʻo koko a me kahi scan e ʻike ai i ke kūlana.
Eia nō naʻe, inā he mau nodules thyroid kou, e ʻōlelo paha kāu kauka i kahi biopsy. He mau puʻupuʻu liʻiliʻi, paʻa a piha paha kēia mau nodules i loko o ka thyroid gland. ʻO ka mea nui e hoʻomanaʻo ma ʻaneʻi, ʻoi aku ma mua o 90% o kēia mau nodules ʻaʻole maʻi kanesa (benign). ʻO ia hoʻi, ʻaʻole lākou e hōʻeha nui i ke kino.
Eia nō naʻe, he hapa liʻiliʻi loa (ma kahi o 5% - 15%) paha he maʻi kanesa (malignant). Hana nā kauka i kēia hoʻāʻo biopsy e hoʻopau i kēlā manawa liʻiliʻi.
Ma keʻano laulā, inā he puʻupuʻu kou i ʻoi aku ma mua o 1 kenimika, ʻoi aku ka nui o kou pono ʻana i kahi biopsy. No laila, no ka mea ua noi ʻia ʻoe e hana i kahi biopsy, ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ia ke hōʻoia ʻaʻole ʻoe he maʻi kanesa.
Pehea e hana ʻia ai kēia biopsy? ʻEkolu mau ʻano hana nui.
Hoʻohana nui nā kauka i ʻekolu mau ʻano e hana ai i kēia hoʻāʻo.
1. ʻO ka hoʻomoe ʻana i ka nila maikaʻi (FNA) - ʻO ke ʻano hana i hana pinepine ʻia
ʻO kēia ke ʻano maʻalahi a palekana hoʻi i hoʻohana ʻia e 99% o ka poʻe. Eia ka mea e hana ʻia:
- E hoʻohana ke kauka i kahi mīkini ultrasound e ʻike ai i ka wahi kikoʻī o ka puʻupuʻu ma kou ʻāʻī.
- A laila, hoʻokomo ʻia kahi nila lahilahi loa (e like me ke nila i hoʻohana ʻia e huki i ke koko) i loko o ka puʻupuʻu a huki ʻia kahi liʻiliʻi o nā keena a me ka wai (miomi ʻia).
- ʻAʻohe ʻoki nui, ʻaʻohe ʻoki ʻia, a ʻaʻohe ʻeha nui.
2. ʻO ka Biopsy Nila Koʻikoʻi (CNB)
Ua like loa kēia me ke ʻano FNA i ʻōlelo ʻia ma luna. Eia nō naʻe, ʻoi aku ka mānoanoa o ka nila i hoʻohana ʻia ma ʻaneʻi. Hoʻohana ʻia kēia ʻano hana inā ʻaʻole maopopo ka hoʻāʻo FNA a pono kahi hāpana ʻiʻo nui aʻe. Hana pinepine ʻia kēia.
3. Biopsy ʻoki kino
Hana pinepine ʻia kēia. Manaʻo wale ʻia inā ʻaʻole hiki i nā ʻano ʻelua ʻē aʻe ke hāʻawi i kahi hopena maopopo. Maanei, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī a wehe ʻia kekahi hapa a i ʻole ka puʻupuʻu holoʻokoʻa a hoʻouna ʻia no ka hoʻāʻo ʻana.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
Inā e loaʻa iā ʻoe kahi hoʻāʻo FNA a CNB paha maʻamau, ʻaʻole pono ka hoʻomākaukau nui ʻana.
- Inā ʻaʻole ke aʻo ʻia mai e kāu kauka, hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau.
- Akā ʻo ka mea nui loa, inā ʻoe e lawe ana i kekahi lāʻau hoʻokahe koko (e like me Aspirin, Warfarin, Clopidogrel), pono ʻoe e haʻi mua i kāu kauka. Hiki iā ia ke noi iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau i kekahi mau lā ma mua o ka hoʻāʻo.
- E loaʻa iā ʻoe kahi biopsy ʻoki kino, a na kāu kauka e hāʻawi iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ke ʻano o ka hoʻomākaukau ʻana no ia.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
E nānā kākou i kēlā me kēia ʻanuʻu i ka mea e hana ʻia i ka wā o kahi hoʻokolohua FNA maʻamau. Hoʻopau pinepine ʻia kēia i loko o kahi manawa pōkole, ma kahi o 10-20 mau minuke.
1. ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma luna o kahi moe.
2. A laila , e hoʻokomo ʻia kahi liʻiliʻi o ka anesthesia kūloko e hoʻomānoino i ka wahi e hoʻokomo ʻia ai ke kui. E pale aku kēia iā ʻoe mai ka ʻeha nui.
3. A laila, e kau ke kauka i ka ʻāpana e like me ke poʻo o ka ultrasound scan (transducer) ma kou ʻāʻī a, e nānā ana i ka monitor, e kaha i kahi kikoʻī o ka puʻupuʻu.
4. A laila, me ke akahele loa, e hoʻokomo ʻia ke kui lahilahi ma o ka ʻili ma kahi i hōʻailona ʻia a i loko o ke knot.
5. E noi ʻia ʻoe e noho mālie ʻoiai e lawe ʻia ana ka hāpana. Mai kamaʻilio a moni paha i kēia manawa.
6. Ma hope o ka lawe ʻia ʻana o ka hāpana, wehe ʻia ke kui a hoʻopili ʻia kahi plaster liʻiliʻi a i ʻole ke kāʻei ma ia wahi.
7. Inā he ʻoi aku kāu mau puʻupuʻu ma mua o hoʻokahi, hiki iā ʻoe ke lawe i nā laʻana mai nā puʻupuʻu ʻē aʻe ma ke ʻano like.
8. Hoʻouna ʻia ka hāpana i lawe ʻia i ke kauka loea i nā cell (Cytologist) no ka hoʻokolokolo ʻana.
He aha nā hopena ʻaoʻao e hiki ke hana ma hope o ka hoʻāʻo?
He hoʻāʻo palekana loa kēia. He kākaʻikahi nā hopena ʻaoʻao koʻikoʻi. ʻO nā hopena ʻaoʻao maʻamau:
- ʻIke ʻia kahi ʻeha liʻiliʻi a palapū paha ma kahi o ke kī ʻana.
- No ka ʻeha iki e like me kēia, hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me Paracetamol. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
Nā pilikia kakaikahi loa:
- Ke kahe ʻana o ke koko
- Maʻi
- Hoʻokumu ʻia ʻana o kahi cyst
He aha ka ʻōlelo a ka hōʻike biopsy?
ʻO ka maʻamau, e loaʻa iā ʻoe ka hōʻike i loko o hoʻokahi pule. Hiki ke hoʻokaʻawale ʻia nā hopena o ka hōʻike i ʻeono mau māhele nui. E nānā kākou i ke ʻano o kēlā me kēia.
| Māhele Hualoaʻa | Manaʻo Maʻalahi |
|---|---|
| Maikaʻi (ʻaʻole maʻi kanesa) | He nūhou maikaʻi kēia! ʻAʻole maʻi kanesa ka puʻupuʻu. ʻAʻohe mea e hopohopo ai. Ua ʻōlelo ke kauka e hana hou i kahi scan ma kahi o 12 mau mahina. |
| ʻO ka maʻi ʻino (maʻi kanesa) | Ua hana ʻia ka puʻupuʻu me nā hunaola kanesa. ʻO ka pinepine, pono kēia i ke ʻoki kino e wehe ai i ka puʻupuʻu. |
| Kānalua no ka ʻino | Aia kahi hiki ke loaʻa ka maʻi ʻaʻai. I kēia manawa, e kuhikuhi paha ke kauka i ke ʻoki kino. |
| ʻAtypia / FLUS (paʻakikī ke ʻōlelo maopopo) | He ʻano ʻē iki nā ʻāpana, akā ʻaʻohe hōʻike e hōʻoia ai he maʻi kanesa ia. I nā manawa e like me kēia, e noi paha ke kauka iā ʻoe e hana i kahi biopsy ʻē aʻe a kali paha i kekahi manawa. |
| ʻO ka Neoplasm Follicular / Suspicious (ʻano puʻupuʻu ʻē aʻe) | He maʻi kanesa paha kēia a ʻaʻole paha. ʻAʻole hiki i kēia biopsy wale nō ke haʻi maopopo. I mea e ʻike pono ai, pono e wehe ʻia ka puʻupuʻu ma ke ʻoki ʻana a nānā ʻia. |
| ʻAʻole hōʻoia (ʻaʻole lawa nā cell) | ʻAʻole lawa nā pūnaewele i loko o ka hāpana i lawe ʻia no ka hoʻāʻo ʻana e hiki ai i kahi hopena. No laila, pono ʻoe e hana hou i ka biopsy. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
He mea kākaʻikahi loa ka maʻi ma hope o ka biopsy. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kelepona koke aku i kāu kauka.
- Inā loaʻa iā ʻoe ke kuni
- Inā ʻoe e anu a haʻalulu
- Inā ʻulaʻula ka wahi i hou ʻia, pehu, a ke puka mai nei ka wai e like me ka pus mai loko mai
Leka Lawe-Home
- Mai makaʻu i ka huaʻōlelo "biopsy." ʻAʻole ia he manaʻo he maʻi kanesa kou. He mea kōkua wale nō ia e ʻike pono i kou kūlana.
- ʻOi aku ma mua o 90% o nā nodules thyroid ʻaʻole maʻi kanesa.
- ʻO ka hoʻāʻo FNA i hana pinepine ʻia he maʻalahi loa, palekana, he mau minuke wale nō, a ʻaʻole ʻeha loa.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka hoʻāʻo ʻana.
- Ke hiki mai ka hōʻike, e kamaʻilio maopopo me kāu kauka e pili ana i ia mea a me ka mea e hana ai ma hope.
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