Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu dɔktɔ tɛl yu se yu gɛt wan lump na yu nɛk ɛn yu nid fɔ gɛt bayɔpsi. We bɔku pan wi yɛri di wɔd ‘bayopsi’, wi kin tink bɔt kansa wantɛm wantɛm. Bɔt yu tink se dis rili na sɔntin we wi fɔ fred? Wetin go apin wit dis tɛst? Lɛ wi tɔk bɔt ɔl dis klia wan ɛn di we we go mek yu fil fri.
Fɔ tɔk am simpul wan, wetin na tayroyd bayɔpsi?
Imajin se yu dɔn mek wan big kek. Yu nɔ nid fɔ kɔt di wan ol kek fɔ si wetin de insay ɛn if i kuk fayn, nɔto so? Wi kin gɛt wan aidia bay we wi kɔt wan smɔl pat ɛn it am.
Tayrɔyd bayɔpsi na di sem tin we dɛn kin du. Tayrɔyd bayɔpsi na we dɛn kin tek wan rili smɔl smɔl sɛl frɔm wan nodul na yu tayroyd gland, we shep lɛk bɔtaflay na yu nɛk. dis dεn kin du fכ no εksεktכl us kayn sεl dεm mek di nכdul.
Wetin mek yu want fɔ du dis bayɔpsi?
Nɔto ɔl di tayroyd sik dɛn nid fɔ tek bayɔpsi. Sɔntɛnde, dɛn kin yuz blɔd tɛst ɛn skan fɔ no di sik.
Bɔt if yu gɛt tayroyd nodul, yu dɔktɔ kin tɛl yu fɔ tek bayɔpsi. dis nodul dεm na sכm, sכlid כ fכ fulכp wit wata we de fכm insay di tayroyd gland. di imכtant tin fכ mεmba ya na dat mכr dan 90% pan dεn nodul ya nכto kεnsar (benign). Dis min se dɛn nɔ de kɔz ɛni big bad tin to di bɔdi.
כltu, wan rili sכm pasεnshכn (bכt 5% - 15%) kin bi kεnsar (malignant). Dɔktɔ dɛn kin du dis bayɔpsi tɛst fɔ mek dɛn nɔ gɛt da smɔl chans de.
Jɛnɛral wan, if yu gɛt wan lump we big pas 1 sɛntimita, yu go nid fɔ tek bayɔpsi. So, jɔs bikɔs dɛn aks yu fɔ mek dɛn du bayɔpsi, dat nɔ min se yu gɛt kansa. Na fɔ mek shɔ se yu nɔ gɛt kansa.
Aw dɛn kin du dis bayɔpsi? Tri men we dɛn de fɔ du am.
Dɔktɔ dɛn kin yuz tri we dɛn mɔ fɔ du dis tɛst.
1. Fayn-Nidl Aspirash כn (FNA) - na di mכst kכmכn we dεn kin du
Dis na di mɔs simpul ɛn sikrit we 99% pan pipul dɛn kin yuz. Na dis na wetin kin apin:
- Di dɔktɔ go yuz ɔltra saund mashin fɔ fɛn di rayt say we di lump de na yu nɛk.
- afta dat, dεn kin put wan rili fayn, tin nidul (lεk nidul we dεn kin yuz fכ pul blכd) insay di lump εn dεn kin pul sכm sכm sεl dεm εn wata kכmכt (aspirated).
- No big kɔt nɔ de, no say nɔ de, ɛn no big pen nɔ de.
2. Kɔr-Nidl Bayɔpsi (CNB) .
Dis rili fiba di FNA we wi bin dɔn tɔk bɔt. Bɔt di nidul we dɛn yuz ya, tik smɔl. dis mכt dεn de yuz if di FNA tεst nכ kכnklud εn dεn nid fכ big tisu sεmpl. Dɛn kin du dis bak smɔl smɔl.
3. Ɔspitul Bayɔpsi
Dis na tin we dɛn kin du rili, rili smɔl. Dɛn kin jɔs tink bɔt am if di ɔda tu we dɛn nɔ ebul fɔ tɔk klia wan. na ya, dεn kin mek sכm sכm pat na di nεk εn dεn kin pul pat כ כl di lump εn sεn fכ tεst.
Aw yu fɔ pripia bifo di tɛst?
If yu go gɛt kɔmɔn FNA ɔ CNB tɛst, i nɔ nid fɔ pripia bɔku.
- If yu dɔktɔ nɔ advays yu ɔda we, yu kin it ɛn drink nɔmal wan.
- Bɔt di tin we impɔtant pas ɔl na dat, if yu de tek ɛni mɛrɛsin we de mek yu blɔd tan (lɛk Aspirin, Warfarin, Clopidogrel), yu fɔ rili tɛl yu dɔktɔ bifo tɛm. I kin aks yu fɔ stɔp fɔ tek di mɛrɛsin sɔm dez bifo di tɛst.
- Yu go gɛt ɔpreshɔn bayɔpsi, ɛn yu dɔktɔ go gi yu patikyula instrɔkshɔn dɛn bɔt aw fɔ rɛdi fɔ am.
Wetin kin apin we dɛn de du di tɛst?
Lɛ wi tek wan stɛp-by-stɛp luk pan wetin kin apin we dɛn de du kɔmɔn FNA tɛst. Dis kin dɔn insay shɔt tɛm, lɛk 10-20 minit.
1. Fɔs, dɛn go mek yu ledɔm na bed.
2. Dɔn , dɛn kin injɛkt smɔl lokal anestesia fɔ mek di say we dɛn go put di nidul nɔ gɛt bɛtɛ trɛnk. Dis go mek yu nɔ fil bɔku pen.
3. Neks, di dɔktɔ go put di pat we tan lɛk ed pan di ɔltra saund skan (transducer) na yu nɛk ɛn we i luk di monita, i go mak di rayt say we di lump de.
4. Dɔn, tek tɛm, dɛn kin put di fayn nidul tru di skin na di say we dɛn mak ɛn insay di knot.
5. Dɛn go aks yu fɔ de stil we dɛn de tek di sampul. Nɔ tɔk ɔ swɛla insay dis tɛm.
6. Afta dɛn dɔn tek di sampul, dɛn kin pul di nidul ɛn put smɔl plasta ɔ bandej pan di say.
7. If yu get mo dan wan knot, yu fit tek samples from di oda knot dem di sem we.
8. Dɛn kin sɛn di sampul we dɛn tek to dɔktɔ we spɛshal pan sɛl (Cytologist) fɔ mek dɛn chɛk am.
Us sayd ɛfɛkt dɛn kin apin afta di tɛst?
Dis na tɛst we rili sef. Siriɔs sayd ɛfɛkt dɛn nɔ kin bɔku. Di kɔmɔn sayd ɛfɛkt dɛn na:
- Smɔl wund ɔ brus de apia na di say we dɛn pier am.
- Fɔ smɔl pen lɛk dis, yu kin tek wan mɛrɛsin fɔ mɛn pen lɛk Paracetamol. Bɔt i bɛtɛ fɔ aks yu dɔktɔ bifo yu tek ɛni mɛrɛsin.
Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm:
- Blɔd we de kɔmɔt
- Sik we de prɛd
- Fɔmeshɔn fɔ wan sist
Wetin di biopsy ripɔt se?
Bɔku tɛm, yu go gɛt di ripɔt insay wan wik. Dɛn kin sheb di rizɔlt dɛn we di ripɔt gɛt to lɛk 6 men kategori dɛn. Lɛ wi si wetin ɛni wan pan dɛn jɔs min.
| Rizult Kategori | Simpul Minin |
|---|---|
| Benign (nɔ gɛt kansa) . | Dis na di gud nyus! Di lump nɔto kansa. Natin nɔ de fɔ wɔri bɔt. Di dɔktɔ se fɔ du ɔda skan insay lɛk 12 mɔnt so. |
| Malignant (kansa) . | Di lump na kansa sɛl dɛn. Bɔku tɛm dis kin nid fɔ du ɔpreshɔn fɔ pul di swɛlin. |
| Sɔspɛkt fɔ Malignancy | I pɔsibul fɔ gɛt kansa. Dis tɛm ya, i go mɔs bi se di dɔktɔ go tɛl yu fɔ du ɔpreshɔn. |
| Atypia / FLUS (i at fɔ tɔk fɔ tru) | di sεl dεm nכ nכmal sכmtεm, bכt nכ inof pruf de fכ se fכ sכri se na kεnsar. Sɔntɛnde lɛk dis, di dɔktɔ kin aks yu fɔ du ɔda bayɔpsi ɔ wet fɔ sɔm tɛm. |
| Follicular Neoplasm / Suspicious (ɔda kayn lump) . | Dis kin bi kansa ɔ nɔ kin bi. Dis bayɔpsi nɔmɔ nɔ go ebul fɔ no fɔ tru. Fɔ no fɔ tru, dɛn go gɛt ɔpreshɔn fɔ pul di lump ɛn chɛk am. |
| Nɔn-diagnostik (nɔto inof sɛl) . | Nɔto inɔf sɛl dɛn bin de na di sampul we dɛn tek fɔ tɛst fɔ rich wan kɔnklushɔn. So yu go gɛt fɔ du di biopsy bak. |
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
Infεkshכn afta bayopsi nכ kin rili rare. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, go to yu dɔktɔ wantɛm wantɛm.
- If yu gɛt fiva
- If yu fil kol ɛn yu de shek shek
- If di say we dɛn de chuk am rɛd, i dɔn swel, ɛn wata we tan lɛk pus de kɔmɔt insay
Mɛsej we dɛn kin kɛr go na os
- Nɔ fred di wɔd "biopsy." I nɔ min se yu gɛt kansa. Na jɔs fɔ ɛp fɔ no ustɛm yu sik.
- mכr dan 90% pan di tayroyd nodul dεm nכto kεnsar.
- Di FNA tɛst we dɛn kin du mɔ na rili simpul, i sef, i kin tek jɔs sɔm minit, ɛn i nɔ kin rili pen.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di tɛst.
- We di ripɔt dɔn kam, tɔk klia wan wit yu dɔktɔ bɔt am ɛn wetin fɔ du nɛks.
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