Makemake ʻoe e ʻike e pili ana i kahi biopsy thyroid?

"Biopsy"! E hopohopo iki paha ʻoe ke lohe ʻoe i kēia huaʻōlelo, ʻeā? He mea maʻamau kēlā. Akā, ʻo ka ʻōlelo pololei, he hoʻāʻo koʻikoʻi kēia a nā kauka e hoʻohana ai e ʻike i nā maʻi. E like me kā mākou hana ʻana i nā hoʻokolohua koko a me nā X-ray. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka biopsy thyroid, pehea e hana ʻia ai, a inā paha he mea e makaʻu ai.

He aha ka biopsy thyroid? I ka ʻōlelo maʻalahi...

E noʻonoʻo penei: He ʻāpana liʻiliʻi kou thyroid, he ʻano pepeke ma ke alo o kou ʻāʻī. Hana nui ia i nā hana koʻikoʻi no kou kino, ʻoiai ka hana ʻana o nā hormones e kāohi ana i kāu metabolism. ʻO kahi biopsy thyroid kahi hana e pili ana i ka lawe ʻana i kahi laʻana liʻiliʻi loa o nā cell a i ʻole ka wai mai kou ʻāpana thyroid a hoʻāʻo iā ia. Hiki i kēia ke kōkua i nā kauka e ʻike i kekahi mau maʻi thyroid.

I ka manawa hea e hana ʻia ai kahi biopsy thyroid?

ʻAʻole pono nā pilikia thyroid āpau i kahi biopsy. ʻO ka hapa nui o ka manawa, hiki ke ʻike ʻia ke ʻano me nā hoʻāʻo koko a me nā hopena kiʻi. Eia nō naʻe, inā loaʻa i kāu kauka nā nodules thyroid, hiki iā lākou ke kuhikuhi i kahi biopsy.

E kamaʻilio iki kākou e pili ana i nā nodules thyroid.

I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o nā nodules thyroid. He mau puʻupuʻu liʻiliʻi kēia, paʻa a piha paha i ka wai e hana ʻia ana i loko o ke kelepa thyroid. Ua like lākou me nā puʻupuʻu liʻiliʻi ma ke kino, ʻeā? Pololei kēlā. ʻO ka hapa nui o kēia mau nodules he benign, ʻo ia hoʻi, ʻaʻole lākou he maʻi kanesa. Eia nō naʻe, he hapa liʻiliʻi loa, ma waena o 5% a me 15%, hiki ke lilo i maʻi kanesa.

No laila, hiki i kahi biopsy thyroid ke kōkua i kāu kauka e ʻike pono i ke kumu o ka puʻupuʻu a inā he maikaʻi ʻole ia a i ʻole he mea e hopohopo ai. ʻOi aku ka nui o nā kauka e hana i kahi biopsy inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 1 kenimika (ma kahi o 0.39 ʻīniha) .

Pehea e hana ʻia ai kahi biopsy thyroid? He aha nā ʻano hana?

ʻEkolu mau ala nui e hana ai i kēia biopsy. E nānā kākou i ko lākou ʻano.

1. Ke ʻano hana hoʻoheheʻe nila maikaʻi (FNA)

ʻO kēia ke ʻano biopsy maʻamau no nā nodules thyroid. Pili kēia i ka hoʻohana ʻana i kahi nila lahilahi a lōʻihi (22-gauge a liʻiliʻi paha) e wehe i kahi liʻiliʻi o nā cell a me ke wai mai kahi nodule thyroid a i ʻole kekahi mau nodules. I ka hana ʻana i kēia, hoʻohana ke kauka i kahi scan ultrasound e alakaʻi pololei i ka nila i loko o ka nodule. ʻO ia hoʻi, alakaʻi ka scan i ka nila i kahi kikoʻī. He hana maʻalahi kēia ʻaʻole pono kahi ʻoki nui.

2. Ke ʻano hana ʻo Core-Needle Biopsy (CNB)

Ua like kēia me ke kaʻina hana FNA, akā ʻoi aku ka nui o ka nila i hoʻohana ʻia (14- a 20-gauge ke anawaena). Hiki ke hoʻohana ʻia kēia ʻano hana inā makemake ke kauka e lawe i kahi hāpana ʻiʻo nui me ka ʻole o ka hōʻino ʻana . Hiki ke hoʻohana ʻia kēia ʻano hana inā ʻaʻole lawa ka hāpana i loaʻa me ka FNA a i ʻole inā pono ka ʻike hou aku.

3. Biopsy Thyroid ʻoki kino

He hana kakaikahi loa kēia. Inā ʻaʻole maopopo nā hāpana i lawe ʻia me FNA a i ʻole CNB, a inā makemake ʻia ka ʻike hou aku, hiki i ke kauka ke hoʻoholo e hana i kahi biopsy, kahi hana ʻoki e pili ana i ka hana ʻana i kahi ʻoki liʻiliʻi ma ka ʻāʻī, e hōʻea ana i ke kelepa thyroid, a me ka lawe ʻana i kahi hāpana.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka biopsy?

Hiki ke ʻokoʻa iki ke kaʻina hana hoʻomākaukau ma muli o ke ʻano o ka biopsy āu e hana nei.

No ka biopsy nila (FNA a i ʻole CNB)

• I ka hapanui o nā hihia, ke ʻole kāu kauka e haʻi aku iā ʻoe, hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau.
• Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau lāʻau lapaʻau āu e lawe ai i kēlā me kēia lā (ʻoiai nā lāʻau hoʻokahe koko ), he mea nui loa ia e nīnau i kāu kauka inā pono ʻoe e hoʻōki iā lākou i kekahi mau lā ma mua o ka biopsy.

No kahi biopsy ʻoki kino

Inā ʻoe e hana ana i kahi biopsy e like me kēia, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i ke ʻano o ka hoʻomākaukau ʻana no ia mea. He mea nui e hahai pololei i kēlā mau ʻōlelo aʻoaʻo.

ʻO ka mea nui loa, ʻo kāu kauka ke kanaka maikaʻi loa e aʻo aku iā ʻoe. Inā he mau nīnau a hopohopo paha kāu, e ʻoluʻolu e nīnau i kāu kauka.

He aha ka mea e hana ʻia i ka wā o kahi biopsy? He aha nā mea e manaʻo ai.

ʻO ka hapa nui o ka manawa, hana ʻia ka biopsy me ka hoʻohana ʻana i ka FNA a i ʻole CNB. Ua ʻōlelo mua mākou i nā hihia kakaikahi, hiki ke hana ʻia ke ʻoki kino. E nānā kākou i nā mea e hana ʻia me kēlā me kēia o kēia mau ʻano.

ʻO ka biopsy nila maikaʻi (FNA a i ʻole CNB)

He mau kaʻina hana ma waho o ka haukapila kēia. ʻO ke ʻano kēia hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia kekahi mau ʻanuʻu:

1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi inikini liʻiliʻi (anesthesia kūloko) e hoʻomāno i ka ʻāpana o kou ʻāʻī. E pale aku kēia iā ʻoe mai ka ʻeha nui.

2. A laila, e kau ke kauka i kahi mea liʻiliʻi, lima lima i kapa ʻia he transducer ultrasound ma kou ʻāʻī. E kōkua kēia iā ʻoe e ʻike pono i kahi o ke kelepa thyroid a me ka puʻupuʻu.

3. ʻO ka mea aʻe, ua hoʻokomo mālie ʻia kēlā nila lōʻihi a lahilahi a mākou i ʻōlelo ai ma mua ma kou ʻili a i loko o ke kelepa thyroid.

4. A laila, lawe pono ʻia kahi hāpana o ka wai a me nā ʻiʻo. He mea nui loa ʻaʻole ʻoe e neʻe iki i kēia manawa.

5. Ma hope o ka lawe ʻia ʻana o ka hāpana, wehe ʻia ka nila a hoʻopili ʻia kahi kāʻei liʻiliʻi e like me ka plaster ma kahi i hoʻokomo ʻia ai ka nila.

6. ʻO ka hope loa, hoʻouna ʻia ka hāpana i kahi cytologist no ka hoʻokolokolo ʻana.

Inā he ʻoi aku ma mua o hoʻokahi nati kāu, hiki iā ʻoe ke hana hou i kēia kaʻina hana i nā manawa he nui. Pono ke kaʻina hana holoʻokoʻa ma kahi o 10 a 20 mau minuke.

ʻO ka Biopsy Thyroid ʻoki kino

Ke ʻōlelo nei mākou he mea kēia i hana pinepine ʻole ʻia. Hoʻohana ʻia kēia ʻano hana ke maopopo ʻole nā ​​hopena o ka FNA a i ʻole CNB, a inā pono ka ʻike hou aku. Pili kēia i ka hana ʻoki kino a me ka lawe ʻana i kahi laʻana o ka puʻupuʻu a/a i ʻole nā ​​​​ʻiʻo pololei mai ka ʻōpū thyroid a hoʻouna iā ia i ka hale hana.

He aha nā hopena ʻaoʻao ma hope o ka biopsy?

ʻO nā hopena ʻaoʻao liʻiliʻi ma hope o ka biopsy e komo pū me ka ʻeha a me ka palapū ma kahi i hoʻokomo ʻia ai ke kui. Hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha ma luna o ke kauka, e like me ka acetaminophen (Tylenol®) a i ʻole ibuprofen (Motrin®), e kōkua i kēia ʻeha.

He mea kākaʻikahi nā pilikia koʻikoʻi, akā i nā hihia kakaʻikahi, hiki ke hana ʻia kēia mau mea:

• Ke kahe ʻana o ke koko
• Maʻi
• Hoʻokumu ʻia ʻana o kahi mea e like me ka cyst.

Inā loaʻa kekahi mea e like me kēia, pono ʻoe e hoʻomaopopo koke i ke kauka.

He aha ka manaʻo o nā hopena o ka hōʻike biopsy?

Wahi a ka American Thyroid Association, hiki ke hoʻokaʻawale ʻia nā hopena biopsy i ʻeono mau māhele nui. E nānā kākou i ke ʻano o kēlā me kēia ʻano:

| Māhele Hualoaʻa | Manaʻo | ʻAnuʻu Hana Aʻe |

| :--------------- | :----------------------------------------------------------------------------------------------------------- | :----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |

| Maikaʻi (ʻaʻole maʻi kanesa) | ʻAʻole maʻi kanesa ka puʻupuʻu. ʻO kēia ka hopena maʻamau (60%-70% o nā hihia). | ʻO ka maʻamau "kali makaʻala" a me ka nānā ʻana i ka ultrasound ma kahi o 12 mau mahina. |

| ʻOʻino (maʻi ʻaʻai) | He maʻi ʻaʻai ka puʻupuʻu. (5%-15% o nā hihia). |ʻO ka mea paha, pono ka wehe ʻana i ke ʻoki kino.

| Kānalua no ka Malignancy | Nui ka manawa kūpono o ka maʻi kanesa. (Hoʻopau pinepine ʻia ma ke ʻoki kino). | Hoʻopau pinepine ʻia ma ke ʻoki kino. I kekahi manawa hiki ke hana ʻia nā hoʻokolohua hou aʻe (e.g. molecular profiling ). |

| ʻO ke ʻano koʻikoʻi ʻole i hoʻoholo ʻia (AUS) a i ʻole ka Follicular Lesion of Undetermined Significance (FLUS) | He ʻano ʻē iki nā ʻāpana, akā ʻaʻole maopopo inā he maʻi kanesa lākou a ʻaʻole paha. (Hiki ke maʻi kanesa i ka 5%-15% o nā hihia). | He biopsy hou, hoʻāʻo molekala, a i ʻole ke ʻoki kino paha. |

| ʻO ka Neoplasm Follicular a i ʻole ke kānalua no ka Neoplasm Follicular | He maʻi kanesa paha kēia a ʻaʻole paha (15%-30% o nā hihia he maʻi kanesa). | ʻO ka pinepine, ua wehe ʻia kekahi hapa a i ʻole ka ʻāpana āpau o ka thyroid ma ke ʻoki ʻana no ka hoʻokolokolo ʻana.

| ʻAʻole hōʻoia a ʻoluʻolu ʻole paha | ʻAʻole lawa nā cell i loko o ka hāpana, a i ʻole no kekahi kumu ʻē aʻe, ʻaʻole hiki ke hoʻoholo maopopo. (2%-10% o nā hihia). | ʻO ka maʻamau he biopsy hou , hana pinepine ʻia ma lalo o ke alakaʻi ultrasound. |

ʻOiai hiki i kēia papa ke hāʻawi iā ʻoe i kahi manaʻo paʻakikī, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka no nā kikoʻī kikoʻī e pili ana i kāu mau hopena.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

Loaʻa i ka hapa nui o ka poʻe nā hopena biopsy i loko o hoʻokahi pule, akā i kekahi manawa hiki ke loli iki kēia manawa ma muli o ka ukana hana o ka lab a inā paha e pono ai nā hoʻokolohua hou aʻe.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

E wehewehe kāu kauka i nā hopena iā ʻoe a haʻi iā ʻoe inā pono ʻoe i ka lāʻau lapaʻau a, inā pēlā, he aha ka mea e hana ai. He ʻokoʻa ke kūlana o kēlā me kēia kanaka, no laila e ʻokoʻa ka lāʻau lapaʻau. Akā ma ke ʻano laulā, eia ka mea hiki iā ʻoe ke manaʻo:

• Nā puʻupuʻu maikaʻi:Hana pinepine ʻia kēia ma ke "kali makaʻala." ʻO ia hoʻi, hana hou ʻia kahi scan ultrasound ma kahi o 12 mau mahina e ʻike ai inā he loli i loko o ka puʻupuʻu.
• Nā nodules ʻino: Pono e wehe ʻia kēia mau mea ma ke ʻoki ʻana.
• Nā nodules kānalua: Hoʻoholo ʻia kēia mau mea inā e wehe ʻia ma ke ʻoki kino a i ʻole ma muli o nā hopena o nā hoʻokolohua hou aʻe e like me ke profiling molecular .

Āhea ʻoe e ʻike ai i ke kauka?

Ma hope o kahi biopsy thyroid, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ka maʻi, e haʻi koke i kāu kauka:

• Inā loaʻa iā ʻoe ke kuni .
• Inā ʻoe e manaʻo ana i ke anu a me ka haʻalulu (Chills).
• Inā ʻulaʻula ka wahi i hoʻokomo ʻia ai ke nila a i ʻole ka ʻoki ʻia ʻana, pehu, a ke puka mai nei kahi kahe e like me ka pus mai laila mai .

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he maʻi paha ia, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.

ʻO ka mea hope loa, ʻo ka mea nui loa e hoʻomanaʻo!

He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i ka huaʻōlelo "biopsy." Eia naʻe, ʻaʻole manaʻo ka loaʻa ʻana o kahi biopsy thyroid he mea koʻikoʻi kou. E like me nā X-ray a me nā hoʻāʻo koko, he mea hana wale nō ka biopsy a nā kauka e hoʻohana ai e ʻike i kahi maʻi. Hāʻawi mai nā hopena iā mākou i ka ʻike koʻikoʻi loa.

Inā he pilikia kou thyroid, ʻo ka loaʻa ʻana ma mua o ka ʻino ʻana kou manawa kūpono loa no ke olakino lōʻihi. No laila, inā manaʻo kāu kauka i kahi biopsy, mai makaʻu e noi aku, e kiʻi i ka ʻike āu e pono ai, a e kū pono iā ia. ʻAʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe.

No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau kāu, mai hilahila a kamaʻilio me kāu kauka!

ʻO ka Thyroid, Thyroid Biopsy, Thyroid Nodules, FNA, CNB, Kanesa, Ola Kino