Yu dɔn ɛva fil wan lump sɔmsay na yu bɔdi, sɔntɛm na yu nɛk, yu armpit, ɔ yu groin, ɛn di dɔktɔ kɔl am ‘nodule’? We i tɛl yu se dɛn nid fɔ tek smɔl pat pan am fɔ tɛst, dat na ‘bayɔpsi’, yu bin fil smɔl fred ɛn fred? Dat na rili nɔmal tin. We yu yɛri di wɔd "biopsy," bɔku pan wi kin tink bɔt kansa. Bɔt nɔto ɔl bayɔpsi dɛn kin du fɔ fɛn kansa. So tide, lɛ wi tɔk rili simpul wan bɔt wetin na nodul bayɔpsi, wetin mek dɛn kin du am, aw dɛn kin du am, ɛn if na sɔntin fɔ fred.
Wetin na ɛksaktɔli limf node bayɔpsi?
bifo wi כndastand dis, lε wi si wetin na dεn "limf no dεm" ya. Imajin se wi gɛt difens sistɛm insay wi bɔdi. Dis difens sistεm gεt sכm sכm "get dεm". Dɛn kɔl dɛn get dɛn de limf no dɛm. Dɛn tin ya tan lɛk bon dɛn, dɛn sayz kin kɔmɔt frɔm di sayz we wan pis gɛt te to di sayz we smɔl bɔl gɛt, ɛn dɛn kin skata ɔlsay na wi bɔdi, mɔ na say dɛn lɛk di nɛk, di an, di 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.
di wata we de kכmכt frכm wi bכdi in sεl dεm εn tisu dεm (wi kכl am limf fכluid) de pas tru dεn chεkpכynt dεm, כ cilia. As i de pas, if ɛni jem, baktri, vayrɔs, ɔ kansa sɛl de insay da wata de we de ambɔg di bɔdi, dɛn chɛk-point ya we dɛn kɔl cilia kin trap dɛn ɛn lɔk dɛn. I tan lɛk filta.
Naw yu go dɔn ɔndastand wetin mek di gland dɛn na wi nɛk kin swel we wi gɛt kol ɔ trot infɛkshɔn. Dat na bikɔs dɛn de fɛt jem.
Okay, so wetin na biopsy ? Fɔ tɔk am simpul wan, bayɔpsi na fɔ pul ɔl ɔ smɔl pat pan di tisu frɔm wan lump ɛn sɛn am na lab fɔ mek dɛn chɛk am ɔnda maykroskɔp. Na wan dɔktɔ we sabi bɔt sik dɛn kin du dis tɛst, we na dɔktɔ we spɛshal fɔ chɛk di tisu dɛn. I go luk di tisu ɛn no if ɛni sɛl we nɔmal, infɛkshɔn, ɔ kansa sɛl de insay.
Us tɛm dɔktɔ se yu fɔ du dis tɛst?
If dɔktɔ tɛl yu fɔ tek bayɔpsi, tu men rizin dɛn kin de.
1. If yu tink se yu gɛt kansa, kɔnfɔm am ɛn chɛk fɔ si if i dɔn skata: Sɔntɛnde kansa kin bigin na di limf no dɛm. Fɔ ɛgzampul , lymphoma.Wan kayn kansa we dɛn kɔl. Ɔ, kansa we de na ɔda pat na di bɔdi (lɛk di bɔdi ɔ di lɔng) kin go na di limf no dɛm. So bayɔpsi kin no klia wan if kansa sɛl dɛn de na di limf node, if na so, us kayn kansa i bi, ɛn aw fa i dɔn skata (dɛn kɔl dis di stej we di kansa de). Yu dɔktɔ go yuz dis infɔmeshɔn fɔ disayd us tritmɛnt go fayn fɔ yu.
2. If wan lump swel fɔ no rizin: As wi bin dɔn tɔk, lumps kin swel bak bikɔs ɔf kɔmɔn sik dɛn lɛk kol ɛn flu. Bɔt di swɛlin kin go dɔŋ insay wan ɔ tu wiks wans di sik dɔn. Bɔt if wan lump kɔntinyu fɔ swel fɔ no rizin, ɔ if i de big, yu dɔktɔ kin ɔda fɔ mek dɛn tek am bayɔpsi fɔ no di rizin. I kin bi siriɔs infɛkshɔn (lɛk TB), ɔ wan sik we de ambɔg di bɔdi (lɛk sarkoidosis) .
Di tin we impɔtant pas ɔl na, nɔ fred se na kansa jɔs bikɔs di dɔktɔ se fɔ du bayɔpsi. Dɛn kin du am fɔ pul ɛni dawt ɛn fɔ no di sik kɔrɛkt wan.
Yu tink se kayn bayɔpsi de? Wetin na dɛn?
Yɛs, difrɛn we dɛn de fɔ tek tisu frɔm wan lump. Yu dɔktɔ go pik di bɛst we fɔ du am bay tin dɛn lɛk usay yu gɛt di bɔdi ɛn di sik we dɛn tink se gɛt. Lɛ wi luk di men kayn dɛn.
| Tayp fɔ bayɔpsi | Fɔ tɔk am simpul wan... |
|---|---|
| Nidul Bayɔpsi | insay dis, dεn de tek di tisu bay we dεn de pכyz di skin wit nidul, we dεn nכ de kכt am. Tu kayn dis de bak: - Fayn-Nid Aspirashכn (FNA): dεn de yuz fayn nidul fכ pul sכm sכm sεl dεm εn wata we de kכmכt na di lכmp. - Kor Nidul Bayopsi: dεn de pul wan sכm sכm silinda pat pan di tisu we dεn de yuz spεshal nidul we big sכmtεm. |
| Opin Bayopsi we dɛn kɔl | Dɛn kin yuz dis we if di tik de na say we nɔ izi fɔ go wit nidul. Na ya, dɛn kin du smɔl ɔpreshɔn, kɔt di skin, ɛn pul di tik. - Excisional Biopsy: dεn de pul di כl tכmכro. - Insisional Biopsy: na wan pat pan di tumor nכmכ dεn kin kכt kכmכt εn pul am. |
| Sɛntinɛl Node Bayɔpsi | Dɛn kin du dis spɛshal wan fɔ si if di kansa dɔn skata. di sεntinεl node na di node we de nia di tכmכro na di bכdi, εn dεn kin pul am εn egzamin am. If i nɔ gɛt kansa sɛl dɛn, dɛn kin tek am se di kansa nɔ dɔn spre to ɔda no dɛm. |
Dɛn gi dɛn nem dɛn bak akɔdin to di men say dɛn usay dɛn kin fɛn di ant dɛn.
Sɔntɛnde, dɔktɔ dɛn kin kɔl bak bayɔpsi bay usay dɛn du am.
- aksila (armpit) limf node biopsy: fכ egzamin wan limf node na di armpit.
- sεvikal (nεk) limf node bayopsi: Egzamin fכ wan limf node na di nεk.
- Inguinal lymph node biopsy: Egzamin fɔ wan limf node na di groin.
Aw yu fɔ pripia bifo di tɛst?
Afta yu dɔn sɛtul di de fɔ di bayɔpsi, yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ rɛdi fɔ am. I go aks yu sɔm kwɛstyɔn dɛn bak.
Wetin dɛn aks yu:
- Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: di mɛrɛsin dɛn we yu kin tek, di mɛrɛsin dɛn we yu kin bay na kɔt, vaytamɛn dɛn, tradishɔnal mɛrɛsin dɛn, Ayurveda mɛrɛsin dɛn, ɛnitin we yu de tek. Ɛspɛshali if yu de tek blɔd thinner ( lɛk Aspirin, Warfarin, Clopidogrel), mek shɔ se yu tɛl dɛn.
- Bɔt yu mɛdikal istri: Yu fɔ no if yu gɛt ɛni prɔblɛm we de mek yu blɔd, yu gɛt alɛji to anestetik (mɛrɛsin we de mek yu nɔ gɛt bɛtɛ trɛnk ɔ mek yu slip), ɔ yu gɛt alɛji to latɛks. Yu fɔ tɛl wi bak if yu gɛt bɛlɛ ɔ yu kin gɛt bɛlɛ.
Advays fɔ yu:
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners ) sɔm dez bifo di tɛst.
- Dɛn kin aks yu fɔ lɛf fɔ it ɔ drink fɔ sɔm awa bifo dɛn du di tɛst. Dis go difrεnt dipכnt pan di kayn bayopsi we dεn de du εn di kayn anεsthεsia we dεn de yuz.
- Afta di tɛst, dɛn go aks yu fɔ kam wit pɔsin fɔ kɛr yu go na os. Sɔntɛnde, bikɔs ɔf di anestezi, yu nɔ kin ebul fɔ drayv ɔ yu wan de fɔ di fɔs 24 awa. At least fɔ gɛt pɔsin fɔ kɔrej yu na big tin, nɔto so?
Wetin kin apin we dɛn de du bayɔpsi?
Dis nɔ de mek pɔsin fred lɛk aw yu go tink. Dis na wetin kin apin ɔltɛm.
Dɛn go mek yu ledɔm na bed na ɛgzam rum. Dɔn dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen . If di nidul de nia di skin, na da say de nɔmɔ go mek i nɔ gɛt bɛtɛ trɛnk (Local Anesthesia) . If di nidul de dip insay di bɔdi, dɛn go put yu na slip (General Anesthesia) .
Afta yu dɔn numb, afta yu dɔn slip, Dɔkta:
1. Fɔ no usay di tumbu de: Sɔntɛnde yu kin fɛn am bay we yu tɔch am wit yu an. If dat nɔ pɔsibul, dɛn kin yuz skan (Ultrasound, CT scan) fɔ mak di rayt say.
2. fכ gεt tisu sεmpl: dεn de pul wan pat כ di כl tכmכro yuz di bayopsi mεtכd we dεn sεlekt (yuz skelpεl כ sכm sכm insishכn).
3. Fɔ lɔk di wund: If na bin nidul bayɔpsi, dɛn kin put smɔl plasta. If na bin opin bayɔpsi, dɛn go lɔk di say we dɛn kɔt wit stich ɛn dɛn go put bandej. Sɔm stich dɛn kin sɔlv fɔ dɛnsɛf, ɛn ɔda wan dɛn kin nid fɔ go bak to dɔktɔ insay sɔm dez fɔ pul dɛn.
Yu tink se dis kin mek pɔsin fil bad? Aw lɔng i go tek?
We dɛn injɛkt di mɛrɛsin we de mek yu nɔ fil fayn, yu go fil smɔl fɔ sting ɛn bɔn. Bɔt i kin jɔs las fɔ sɔm sɛkɔn dɛn. Afta dat , yu nɔ go fil ɛni pen we dɛn de du di bayɔpsi . Afta di prosidur, yu kin fil sɔm smɔl diskɔmfɔt as di numbing krim de west. Yu kin trit dis wit wan mɛrɛsin wae yu dɔktɔ gi yu fɔ mɛn yu pen.
Nidul bayɔpsi kin tek lɛk 10-30 minit. Wan opin bayɔpsi kin tek lɛk 45 minit.
Wetin fɔ ɛkspɛkt afta di tɛst?
Bɔku tɛm, bayɔpsi na ɔutpatient prosidur , we min se yu kin go na os di sem de.
Bifo yu go na os, di dɔktɔ ɔ nɔs go chɛk yu impɔtant sayn dɛn ɛn gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yu wund.
- Nɔmal wund we de wɛl: I nɔmal fɔ mek di wund blɔd smɔl, di eria swel, tɔn blu, ɛn gɛt sɔm pen insay di fɔs dez.
- Aw fɔ kip di wund klin: Fɔ mek yu nɔ gɛt di sik, dɛn kin aks yu fɔ avɔyd fɔ was ɔ yuz ɔt tub fɔ sɔm dez.
- Aw fɔ stɔp di tin dɛn we yu de du: Dɛn kin aks yu fɔ stɔp fɔ du tin dɛn lɛk fɔ es wet ɛn fɔ du ɛksɛsayz we yu de tray tranga wan fɔ sɔm dez.
If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt di injury bifo yu go, aks dɛn ɔltin ɛn mek shɔ se yu no gud gud wan wetin fɔ du.
Ɛni risk de we dis kin apin?
Bayopsi na tin we rili sef.Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl tin dɛn de we kin apin we nɔ kin apin so ɔltɛm.
| Denja | Tɔk bɔt |
|---|---|
| Sik we de prɛd | Dis nɔ kin apin so ɔltɛm, ɛn if i apin, dɛn kin trit am wit antibayɔtik. |
| Blɔd we de kɔmɔt | If di wund kɔntinyu fɔ blɔd ɔ big blɔd klɔt, yu fɔ tɛl di dɔktɔ . |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | If wan nerve we de nia yu dɔn pwɛl smɔl we dɛn de du di biopsy, yu kin gɛt sɔm numbness na di eria. Bɔku tɛm, dis kin sɔlv insay wan ɔ tu mɔnt. |
| Swɛlin (Lymphedema) . | if yu pul di sist dεm i kin mek di limf fכ fכlכ εn mek di εria swel. Bɔt bikɔs na wan ɔ sɔm sist dɛn nɔmɔ dɛn kin pul we dɛn de du bayɔpsi, dis risk rili smɔl. |
Wetin di ripɔt se? Aw lɔng i go tek fɔ gɛt am?
Di bayɔpsi ripɔt de tɛl yu if di pat pan di tisu we dɛn tɛst na pɔsitiv ɔ negatif fɔ wan sik.
Fɔ ɛgzampul, if di ripɔt na pɔsitiv , i kin min se kansa sɛl dɛn de na di tɛstikul. Dɔn di dɔktɔ go chɛk mɔ fɔ si if di kansa bigin na di tɛstikul ɔ if i kɔmɔt na ɔda say. Di tin dɛn we go kɔmɔt frɔm di ripɔt go sho di tin dɛn we yu fɔ du nɛks.
Di tɛm we i kin tek fɔ mek di ripɔt kam bak kin difrɛn. Sɔntɛnde dɛn kin gi di rizɔlt di sem de . Ɛspɛshali we i kam pan bayɔpsi we dɛn kin du we dɛn de du di ɔpreshɔn pan kansa, dɛn kin yuz di ripɔt fɔ disayd if dɛn fɔ pul mɔ tisu di sem tɛm. Bɔku tɛm, di ripɔt kin kam bakI kin tek ɛnisay frɔm sɔm dez to tu wiks. Aks yu dɔktɔ ustɛm yu go gɛt yu ripɔt ɛn aw yu go gɛt am (ilɛksɛf na fon ɔ we yu go bak na di klinik).
Us tɛm a fɔ kɔl di dɔktɔ bak?
Fɔ bɔku pipul dɛn, di wund kin wɛl ɛn nɔ gɛt ɛni prɔblɛm. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ tɔk to yu dɔktɔ wantɛm wantɛm.
Di tin we impɔtant pas ɔl na, if yu gɛt ɛni dawt ɔ wɔri, nɔ tink tumɔs fɔ tɔk to yu dɔktɔ.
Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni sayn fɔ se yu gɛt di sik:
- If yu fil se yu gɛt fiva ɛn kol.
- If di say we di wund de de swel mɔ, i de fil pen, ɔ i de rɛd.
- If wan yɔlɔ ɔ dɔti smel we tan lɛk pus de kɔmɔt na di wund.
Na nɔmal tin fɔ fil wɔri, fred, ɛn nɔr shɔ we yu kam fɔ no se yu go gɛt bayɔpsi. Yu kin rili want fɔ mek dɛn du am kwik kwik wan, fɔ gɛt di rizɔlt, ɛn fɔ ebul fɔ win am. Bɔt mɛmba se dis tɛst kin kɔnfirm se yu gɛt di sik ɔ i kin mek yu fil fri frɔm wan big fred we yu bin dɔn de fred. Bɔt di infɔmeshɔn we yu kin gɛt frɔm dis tɛst impɔtant fɔ yu wɛlbɔdi ɛn tumara bambay.
Mɛsej we dɛn kin kɛr go na os
- Bayɔpsi nɔto big ɔpreshɔn, bɔt na tɛst we rili impɔtant ɛn we sef fɔ no di sik kɔrɛkt wan.
- Yu nɔ go fil ɛni pen we yu de du dis bikɔs i de numb. Ɛni smɔl diskɔmfɔt we kin kam afta dat, dɛn kin kɔntrol am wit mɛrɛsin fɔ mek pɔsin fil pen.
- Bifo yu du di tɛst, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, alɛji, ɛn di sik dɛn we yu gɛt.
- Aks di rayt we aw fɔ kia fɔ di wund afta dɛn dɔn du di ɛgzam ɛn us tin dɛn fɔ tek tɛm wit.
- If yu notis ɛnitin lɛk fiva, swel, rɛd, ɔ pus we de kɔmɔt na di wund, nɔ ignore am ɛn tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ fred fɔ tink se bayɔpsi na kansa jɔs bikɔs dɛn tɛl yu fɔ du am. I kin jɔs bi tɛst fɔ mek pɔsin nɔ tink se i gɛt sɔntin fɔ du wit am.
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