Sɔntɛnde, 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. I rili nɔmal fɔ fil smɔl frayd ɛn wɔri we yu si sɔntin lɛk dat na ples lɛk yu nɛk, yu bɔdi, ɔ yu an. We yu go to dɔktɔ na tɛm lɛk dis, i kin tɛl yu se, "Lɛ wi tek smɔl sampul pan dis ɛn si wetin i bi." Na so wan we we rili simpul, we nɔ gɛt pen we dɛn kin yuz fɔ gɛt sɛl sɛmpul frɔm wan lump we dɛn kin sɔprayz pan, dɛn kin kɔl am Fine-Needle Aspiration, ɔ as wi ɔl no am, FNA tɛst.
Fɔ tɔk am simpul wan, wetin na dis FNA tɛst?
I rili simpul. Fɔ tɔk smɔl, FNA na wan we we dɛn kin yuz fayn nidul fɔ tek sɛmpul pan sɛl, tisu, ɔ wata frɔm wan lump ɔ lɛsin we yu tink se na yu bɔdi. I tan lɛk se yu tek blɔd sɛmpul. Sɔm pipul dɛn kin kɔl dis bak ‘fayn-nidul bayɔpsi’.
Di sampul we dɛn gɛt dis we ya nɔ jɔs de trowe am. Dɛn kin sɛn am dairekt to wan lab. Na de, wan dɔktɔ we spɛshal pan sɛl dɛn, we dɛn kɔl pathologist , de chɛk di sɛl dɛn wit maykroskɔp. Na de dɛn kin no klia wan if di sɛl dɛn na nɔmal sɛl dɛn, if dɛn gɛt infɛkshɔn, ɔ if na sɔntin we denja lɛk kansa sɛl dɛn.
Bikɔs di damej we de na di bɔdi nɔ bɔku, we min se dɛn nɔ de kɔt big big say, dɛn kin tek FNA as di kayn bayɔpsi we simpul ɛn we sef.
Wetin na di difrɛns bitwin FNA ɛn Kɔr Bayɔpsi?
Yu kin dɔn yɛri bak bɔt ‘Core Biopsy’. Dɛn tu na kayn bayɔpsi we dɛn kin yuz nidul. Bɔt sɔm smɔl smɔl tin dɛn de we difrɛn. Lɛ wi si wetin dɛn bi.
| Tin | Fayn-Nidɛl Aspirashɔn (FNA) . | Kɔr Bayɔpsi |
|---|---|---|
| Nidul saiz | Dɛn kin yuz wan nidul we rili tan ɛn we gɛt dilik. | Dɛn kin yuz nidul we tik smɔl, we wayd pas fɔ FNA. |
| Di sampul we dɛn fɔ tek | dεn kin gεt wan sεl dεm, sεl kכlכsta dεm, כ sכm sכm wata. | nכto sεl dεm nכmכ, bכt sכm sכm tisu (tisu sεmpl) dεn de gεt. |
| Infɔmeshɔn we dɛn dɔn gɛt | Yu kin gɛt wan bɛsik ɔndastandin bɔt di kayn we aw di lump tan. | biכs dεn kin gεt wan pat pan di tisu, dεn kin gεt mכr dip εn ditayl infכmeshכn bכt di strכkchכ fכ di tכmכro. |
Fɔ tɔk am simpul wan, FNA tan lɛk we yu de luk sɔm wɔd dɛn na wan pej na buk. Core Biopsy tan lɛk fɔ rid wan ol chapta na buk. Yu dɔktɔ go disayd uswan pan dɛn tu we ya we go fayn fɔ yu bay di tin we de apin to yu.
Insay us kes dɛn dɛn kin du FNA tɛst?
FNA dεn kin yus fכ tu men tin dεm: fכ no di sik εn sכmtεm as tritmεnt.
Fɔ Diagnosis
dis na di men tin we dεn de du fכ di FNA tεst: fכ no uskayn lump כ tכmכro i bi.
- Fɛn ɔda tin dɛn fɔ no if yu gɛt kansa .
- Fɛn ɔut if na bɔyl we baktriyal infɛkshɔn kin mek . Fɔ ɛgzampul, wan jɔyn we ful-ɔp wit pus (sɛptik at at).
- Mek shɔ se dɛn nɔ gɛt kansa, lɛk sist, fibroadenomas, ɔ lipomas .
Pan ɔl we dɛn kin du dis tɛst pan wan lump ɛnisay na di bɔdi, dɛn kin du am mɔ pan say dɛn lɛk dɛn wan ya:
- Brɛst
- Tayrɔyd gland we dɛn kɔl
- Di limf no dɛm
- Kanda
Dɔn bak, dɛn kin du FNA naw pan ɔgan dɛn we de dip insay wi bɔdi, lɛk di pankrias ɛn di lɔng dɛn. Fɔ dis, dɔktɔ dɛn kin yuz tin dɛn lɛk ɔltra saund ɔ CT skan fɔ gayd di nidul di rayt we, ɛn dɛn kin du dis tɛst fayn fayn wan.
As Wan Tritmɛnt
Sɔntɛnde dɛn kin yuz di FNA tɛst bak as tritmɛnt.
- Rimov di pus frɔm di abses .
- Drein di fluid frɔm di sist dɛm ɛn drein dɛm.
- Rimov wata (seromas) we kin gɛda afta sɔm ɔpreshɔn.
dis we ya, dεn kin pul di wata we dεn nכ kin kɔt big, dεn kin yuz wan tin nidul nכmכ, we kin εp fכ mek di bכdi nכ skata, spεshal wan na di say dεm we imכtant fכ di bכdi fכ luk, lεk di brεst.
Aw a fɔ rɛdi fɔ dis tɛst?
Dis na di bɛst pat. FNA tɛst nɔ kin nid ɛni spɛshal pripiamɛnt . Yu nɔ nid fɔ de na ɔspitul, ɛn yu kin go na os jɔs afta di tɛst.
Bɔt yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Di tin we impɔtant pas ɔl fɔ mɛmba na fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan (anticoagulants) . Dɛn kin aks yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya wan ɔ tu de bifo di tɛst.
Wetin kin apin we dɛn de du di tɛst?
Dis prɔses kin rili kwik ɛn simpul. I kin go sɔntin lɛk dis:
1. Dɛn go mek yu sidɔm ɔ ledɔm pan ɛgzam tebul.
2. Di dɔktɔ ɔ nɔs go klin di say we dɛn go put di nidul fayn fayn wan wit antiseptik sɔlvushɔn.
3. Neks, dεn kin gi sכm sכm lokal anεsthεtik fכ mek di εria nכm. Dis go rili ridyus di pen we yu kin fil we dɛn put di nidul insay. I kin tan lɛk se smɔl ant de sting yu.
4. If di lump de dip insay di bɔdi, di dɔktɔ go yuz ɔltra saund mashin fɔ gayd di nidul jɔs usay i fɔ go.
5. Dɔn, dɛn kin tek tɛm put di tin nidul insay di lump ɛn dɛn kin yuz sirinj fɔ gɛt sɛmpul fɔ di sɛl dɛn.
6. I kin nid fɔ tek mɔ pas wan sampul. If na so, dɛn go yuz nyu nidul ɛn sirinj ɛvri tɛm.
7. We dɛn dɔn fɔ du di wok, dɛn kin put smɔl plasta ɔ bandej na di say we dɛn put di nidul.
Di ɔltin we dɛn kin du kin tek sɔm minit nɔmɔ, so no rizin nɔ de fɔ mek yu fred.
Ɛni risk de afta FNA?
FNA na wan we we rili sef. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.
- Smɔl pen ɛn brus: Sɔm smɔl pen ɛn brus kin de na di say we dɛn injekt fɔ wan ɔ tu dez. Dis na nɔmal tin.
- Blɔd: Sɔm pipul dɛn kin gɛt sɔm blɔd, mɔ pan pipul dɛn we gɛt prɔblɛm wit blɔd we de klɔt ɔ we de tek mɛrɛsin fɔ mek blɔd tan .
- Infεkshכn: Na sכm chans de fכ mek di jεm dεm go insay di say we di nidul de εn mek infεkshכn.
- Di damej to di tisu we de rawnd: We dɛn put di nidul, i nɔ kin izi fɔ mek di nɛv ɔ blɔd vesel dɛn we de rawnd di lump pwɛl.
Mɛmba se dɛn siriɔs prɔblɛm ya nɔ kin apin so ɔltɛm. We yu kɔmpia am wit di bɛnifit dɛn we FNA tɛst kin gi, dis risk rili smɔl.
Us kayn tin dɛn go de insay di ripɔt we a kin gɛt?
Di lab ripɔt kin gɛt sɔm rizɔlt dɛn. Yu dɔktɔ go ɛksplen dɛn rizɔlt ya to yu insay simpul wɔd dɛn.
- Nɔ abnɔmal sɛl dɛn: Dis min se di lump nɔmal ɛn i nɔ denja.
- di sεl dεm we nכ nכmal εn nכmal sεl dεm de miks: If dis apin, dεn kin nid fכ du כda tεst fכ kכnfכm di diagnosis.
- Sεl dεm we de bifo kansa: Dis na sεl dεm we nכ gεt kεnsar yet, bכt dεn gεt di potenshal fכ bi kεnsar tumara bambay.
- Kansa sɛl dɛm: If dɛn kɔnfyus se di lump gɛt kansa, yu dɔktɔ go gayd yu fɔ di nɛks tritmɛnt.
- Pruf fɔ se baktriyal infɛkshɔn: If di lump na infɛkshɔn, dɛn go gi am mɛrɛsin lɛk antibayɔtik.
Sɔntɛnde, if di sampul we yu gɛt nɔ go du fɔ yu, dɛn kin aks yu fɔ tek ɔda sampul. Ilɛk wetin apin, nɔ panik ɛn tɔk to yu dɔktɔ fɔ disayd wetin fɔ du nɛks.
Ustɛm a fɔ go to di dɔktɔ bak?
Bɔku tɛm, nɔ big prɔblɛm nɔ kin de afta dɛn dɔn du FNA tɛst. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt fiva
- If di say we dɛn put di nidul rɛd, i dɔn swel, ɔ di pus de kɔmɔt
- If di pen de go ɔp ɛvride
- If chenj de we yu nɔ bin de ɛkspɛkt na di lump (e.g., we i big wantɛm wantɛm) .
Mɛsej we dɛn kin kɛr go na os
- FNA na wan we we rili simpul, sef, ɛn we nɔ gɛt pen we dɛn kin yuz fɔ chɛk wan lump we dɛn kin tink se na di bɔdi.
- Dis nɔ nid fɔ kɔt big wan, na jɔs wan tin nidul de yuz. So nid nɔ de fɔ fred.
- Di tin dɛn we kin kɔmɔt frɔm dis tɛst kin ɛp dɔktɔ dɛn bad bad wan fɔ no di kayn we aw di bɔdi gɛt di sik.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt FNA tɛst, tɔk to yu dɔktɔ bɔt am opin wan. I go ɛksplen ɔltin to yu.
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