Na nɔmal tin fɔ fil smɔl fred ɛn fred we yu dɔktɔ tɛl yu fɔ mek dɛn tek yu brɔst bayɔpsi. Yu kin tink se, "O, a gɛt kansa?" Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat, jɔs bikɔs dɛn de aks yu fɔ mek dɛn du bayɔpsi nɔ min se yu gɛt kansa. Infakt, dɛn kin si se 80 pan 100 uman dɛn we gɛt dis kayn bayɔpsi nɔ gɛt kansa. So lɛ wi tɔk bɔt dis ditayli witout ɛni fred.
Fɔ tɔk am simpul wan, wetin na bayɔpsi?
Fɔ tɔk am simpul wan, di brɔst bayɔpsi na we dɛn kin tek wan rili smɔl tisu frɔm wan say na yu bɔdi ɛn chɛk am ɔnda maykroskɔp. Imajin se yu gɛt wan swɛlin na yu bɔdi. Bayɔpsi na di wangren we fɔ no fɔ tru if i gɛt kansa ɔ nɔto kansa. Pan ɔl we ɔda kayn skan (Mammogram, Ultrasound) kin gi yu sɔm aidia, na bayɔpsi nɔmɔ kin tɛl yu fɔ tru.
Wetin mek yu nid fɔ tek bayɔpsi?
Bɔku tɛm, dɔktɔ go tɛl yu fɔ du bayɔpsi fɔ wan ɔ mɔ pan dɛn rizin ya:
- Fɔ fil se yu bɔdi gɛt smɔl smɔl tin ɔ yu tik: If yu notis se yu bɔdi gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- Abnɔmal mammogram: If yu mammogram ripɔt sho se yu gɛt say we yu de sɔprayz.
- di rizulεt fכ di כltra saund skan: If di כltra saund skan fכ di brεst sho se na say we dεn sכspεkt we kin bi kεnsar.
- di chenj dεm we de na di skin we de rawnd yu nipl כ areola: Chenj dεm we nכ sכmtεm na yu nipl כ di dak skin we de rawnd am (areola), fכ egzampl, kכst, dimpling, כ dischaj we nכ kɔmɔn.
De impɔtant tin na dat, jɔs bikɔs yu gɛt sayn lɛk dis nɔr min se na kansa. Bɔt fɔ no gud gud wan wetin i bi, i rili impɔtant fɔ mek yu gɛt kolat na yu maynd ɛn fɔ go to tritmɛnt kwik kwik wan if nid de.
Us kayn brɔst bayɔpsi de?
Bɔku we dɛn de fɔ du di brɔst bayɔpsi. Dipen pan di kayn abnɔmal tin we de na yu bɔdi, yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu. Lɛ wi tek wan luk pan di men kayn dɛn.
| Bayopsi Tayp | Wan shɔt diskripshɔn |
|---|---|
| Fayn-nidul aspirashɔn (FNA) bayɔpsi | Dis min se yu fɔ yuz wan rili fayn, tint nidul fɔ pul smɔl wata ɔ sɛl dɛn na say we yu tink se de apin. Bɔku tɛm, na pɔsin we de mɛn di raytin kin du dis. |
| Kor nidul brɔst bayɔpsi | dis de yuz nidul we big sכmtεm pas FNA, so dεn kin gεt big pat pan di tisu fכ egzamin. Na wan dɔktɔ we de mɛn pipul dɛn we de stɔdi bɔt raydio kin du dis bak. |
| Eksishɔnal brɔst bayɔpsi (Lumpectomy) . | Dis na smɔl ɔpreshɔn. I min fɔ pul di wan ol tumbu ɔ di abnɔmal tisu we dɛn tink se na kansa. Sɔntɛnde dɛn kin pul sɔm pan di nɔmal tisu dɛn we de rawnd am bak fɔ mek shɔ se nɔ kansa sɛl nɔ lɛf biɛn. |
| Insishɔnal brɔst bayɔpsi | Dis na ɔpreshɔn bak. Bɔt instead fɔ pul di wan ol tumbu, na smɔl pat nɔmɔ dɛn kin kɔt frɔm di say we dɛn tink se dɛn de du am ɛn sɛn am fɔ mek dɛn go tɛst am. |
Aw yu fɔ pripia bifo dɛn tek yu bayɔpsi?
Bifo yu du bayɔpsi, yu fɔ rili tɛl yu dɔktɔ, dɔktɔ we de du ɔpreshɔn, ɔ dɔktɔ we de mɛn yu raydiɔlɔji bɔt dɛn tin ya.
- If yu gɛt bɛlɛ ɔ yu kin gɛt bɛlɛ.
- If yu de tek antikoagulant (blɔd-tin) mɛrɛsin, yu dɔktɔ kin advays yu fɔ stɔp fɔ tek am ɔ ajɔst di doz sɔm dez bifo di bayɔpsi.
- If yu de tek aspirin ɔ ɔda ɛbul supamakit.
- Bɔt ɔda sik dɛn we yu gɛt ɛn di ɔpreshɔn dɛn we yu dɔn du dis biɛn tɛm.
- Alɛji dɛn we yu gɛtI impɔtant mɔ fɔ tɔk bɔt alɛji to anestezi.
Apat frɔm dat, yu mɛdikal tim go advays yu bɔt tin dɛn lɛk if yu fɔ yuz diɔdɔrant ɔ nɔ fɔ yuz di de fɔ di bayɔpsi ɛn if yu nid pɔsin fɔ kɛr yu go na os afta di bayɔpsi.
Wetin kin apin bifo dɛn du di bayɔpsi?
Sɔntɛnde, bifo dɛn tek wan pat pan di tisu fɔ mek dɛn tek am bayɔpsi, dɛn kin yuz ɔda we dɛn fɔ mak di rayt say we di tisu we dɛn fɔ tek de.
Fɔ fɛn di rayt say tru skan (Image-guided procedures) .
We dɛn de du di bayɔpsi, dɛn kin yuz skan fɔ si di rayt say fɔ put di nidul. dis dεn kכl am `imej-gayd prosidכs`. Di we dɛn we dɛn kin yuz fɔ du dis na:
- Stereotactic brɛst bayɔpsi
- Bayɔpsi we dɛn de gayd wit ɔltra sawnd
- Magnɛtik rɛsɔnans imej (MRI)-gayd bayɔpsi
Waya ɔ nɔ-waya lokalizayshɔn
If yu de du ɔspitul bayɔpsi, dɛn kin yuz wan tɛknik we dɛn kɔl `waya lokalizayshɔn` fɔ ɛp di ɔspitul fɔ fɛn di rayt eria fɔ pul. Dis min se:
1. Fɔs, dɔktɔ we de mɛn yu bɔdi go injɛkt wan smɔl nidul na di say we yu bɔdi de fɔ mek i nɔ gɛt bɛtɛ trɛnk.
2. afta dat, כnda di gayd fכ wan skan (e.g., כltra saund, MRI), di sכjaman de put wan rili fayn, olo nidul insay di εria usay dεn fכ du di bayopsi.
3. We di nidul de na di rayt ples, dɛn kin put wan waya we rili tan ɛn we nɔ gɛt stɛriyl tru di midul pan di nidul. Dis waya gɛt smɔl huk na di ɛnd, so i nɔ go muf rawnd.
4. Dɔn dɛn kin pul di nidul. na di waya nכmכ de rεst insay di brεst. Di pat we de kɔmɔt na di waya de kɔmɔt na do.
5. Afta di ɔpreshɔn dɔn, dɛn kin pul dis waya kpatakpata.
Semweso, dɛn de yuz ɔda we dɛn tide lɛk smɔl magnɛtik tin dɛn ɛn redioaktiv tin dɛn naw fɔ mak say dɛn.
Wetin kin apin we dɛn de du bayɔpsi?
Di ɛkspiriɛns kin difrɛn smɔl dipen pan di kayn bayɔpsi we yu gɛt.
- If na Fine Needle Aspiration (FNA) biopsy: Di dɔktɔ go numb di eria (local anesthesia) ɛn put nidul fɔ gɛt smɔl sampul fɔ di sɛl ɛn wata.
- A Core Needle Breast Biopsy: Di raydiɔlɔjis kin mek di say nɔ gɛt bɛtɛ trɛnk, sɔntɛm i kin mek wan rili smɔl say na di skin, put nidul insay, ɛn tek wan sɛmpul pan di tisu. afta dat dεn kin put sכmכl mak (wan `bayopsi mak`) fכ mak di say we di sεmpl de. Dis kin mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ fɛn di rayt say we di sampul de if dɛn nid fɔ tek ɔda sɛmpul dɛn leta ɔ if dɛn nid fɔ du di ɔpreshɔn.
- If ɔpreshɔn (lɛk lumpectomy) na:Di dɔktɔ we de mɛn yu go put yu ɔnda jenɛral anestezi. Dɔn di dɔktɔ we de du di ɔpreshɔn go kɔt yu bɔdi ɛn pul di say we di tisu dɛn afɛkt. Dɔn dɛn go lɔk di say we dɛn kɔt wit stich ɛn stɛriyl dresin.
Aw lɔŋ dis kin tek ɛn aw lɔng i kin tek fɔ wɛl?
| Tayp fɔ bayɔpsi | Taym we dɛn spɛn | Di tɛm fɔ mek pɔsin wɛl |
|---|---|---|
| Fayn Nidul Aspirashɔn (FNA) . | Na lɛk 10 - 15 minit so | I dɔn du fɔ rɛst da de de. Yu kin du nɔmal wok frɔm di nɛks de. |
| Kor Nidul Bayɔpsi | Na lɛk 20 - 60 minit so | I bɛtɛ fɔ avɔyd fɔ es tranga ɔ fɔ es ebi ebi tin fɔ at le tu dez. |
| Ɔspitul Bayɔpsi (Lumpectomy/Incisional) . | Na lɛk 60 minit so | Sɔm pen kin de fɔ sɔm dez. I kin tek sɔm dez to wan wik fɔ go bak to di nɔmal tin dɛn we i fɔ du. dis dipכnt pan di sayz fכ di say we dεn sכk εn di כmכnt fכ di tisu we dεn pul. |
Ɛni risk ɛn kɔmplikeshɔn de wit dis?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin. Bɔt nɔ wɔri, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm .
- Kɔmɔn tin dɛn we kin apin:
- Brus we de mek pɔsin brus
- Blɔd we de kɔmɔt
- De swɛl
- I nɔ izi fɔ mɛn pen ɔ injuri
- Infεkshכn fכ wund we dεn de du כpεrayshכn
- Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm:
- Blɔd we dɛn kin gɛda insay di bɔdi (breast hematoma) .
- Damej to wan lɔng (nyumothorax) .
Wetin di biopsy ripɔt se?
Na wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk yu tisu sɛmpul. Dipen pan di rizulyt, dɛn kin no if i nɔ fayn, i gɛt kansa, ɔ i nɔ gɛt kansa bifo i gɛt kansa.
Wetin fɔ du if dɛn kɔnfyus se na kansa?
If di rizɔlt na kansa, nɔ panik. Yu dɔktɔ go gi yu ɔl di sɔpɔt ɛn gayd we yu nid. Di ripɔt kin gɛt dɛn tin ya:
- di tכmכro tכp: If i `invasive` (i de spre insay di tisu we de rawnd) כ `noninvasive` (i de de na wan ples εn i nכ de spre).
- tכmכro gred: Aw fast di kεnsar sεl dεm de divayd εn aw dεn sεm/dεn nכ lεk nכmal sεl dεm.
- di hכmon rεsεpכta stetכs: כmon dεm de εp sכm kεnsar dεm fכ gro. Dis de tɛl yu if yu kansa de dipen pan ɔmon, lɛk ɛstrojen riseptɔ-pɔzitiv (ER+).
- HER2 stetכs: `HER2` na protin we de εp di kεnsar sεl dεm fכ gro εn spre. Dis kin tɛl yu if yu kansa na `HER2-positiv` ɔ nɔr.
Nɔ mek yu fred wit dɛn wɔd ya. Ɔl dis na fɔ ɛp di dɔktɔ fɔ pik di bɛst tritmɛnt fɔ yu. I go ɛksplen ɔltin to yu.
Aw lɔng i kin tek fɔ mek di rizɔlt kam bak? Ustɛm a fɔ tɔk to di dɔktɔ?
I kin tek wan to tu wiks fɔ gɛt di bayɔpsi rizɔlt. Wi no se dis kin bi tɛm we wi kin strɛs. Dat na nɔmal tin. If yu kɔntinyu fɔ du tin dɛn we yu kin du ɔltɛm, du tin dɛn we yu lɛk, ɛn tɔk bɔt aw yu de fil wit pɔsin we yu biliv, dat go ɛp yu insay dis tɛm.
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm:
- Fiva (we pas 38.4 Sɛlshiɔs / 101 Fɛnayt).
- di skin we de rawnd di say we dɛn tek di bayɔpsi de rɛd ɔ dak we nɔ kɔmɔn .
- Fɔ fil bad bad pen we yu tɔch da say de.
- Ska we nɔ kɔmɔn we de ɔlsay .
Us ɔda tin dɛn kin tan lɛk kansa, bɔt nɔto kansa?
Yɛs, nɔto ɔl di lump ɔ chenj na di bɔdi na kansa. Bɔrku tin de wae nɔr gɛt kansa (benign) wae kin sho sayn dɛm fɔ kansa.
- Fibroadenoma: Dis na wan kɔmɔn kayn lump we nɔ gɛt kansa.
- di brεst kalsifikεshכn: di kכlsyכm de dכn insay di brεst tisu.
- Sist dɛn: .Sist dɛn we tan lɛk sak we ful-ɔp wit wata. Sɔntɛnde, dɛn tin ya kin mek pɔsin fil pen.
- Fibrosis: di brεst tisu de tik εn at bikoz fכ di כmon dεm we de chenj.
So, we di dɔktɔ aks yu fɔ du bayɔpsi, na fɔ jɔs kɔnfɔm uswan pan dɛn kɔndishɔn ya yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- Jɔs bikɔs dɛn aks yu fɔ mek dɛn tek yu bɔdi bayɔpsi nɔ min se na kansa. 80% pan di bayopsi dεm kin kam bak nεgεtiv.
- di onli we fכ no wit 100% sכri if chenj na di brεst na kεnsar כ nכ na fכ du bayopsi.
- Na nɔmal tin fɔ fil fɔ fred ɛn wɔri bɔt dis. Tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred.
- Bifo dɛn du di bayɔpsi, tɛl yu dɔktɔ kɔrɛkt wan bɔt yu wɛlbɔdi ɛn di mɛrɛsin dɛn we yu de tek.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan afta yu dɔn du di bayɔpsi. If yu notis ɛni sayn fɔ se yu gɛt di sik, tɛl yu dɔktɔ wantɛm wantɛm.
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