"Bayopsi" we yu de du! Yu kin fil fred smɔl we yu yɛri dis wɔd, nɔto so? Dat na nɔmal tin. Bɔt, fɔ tɔk strikt wan, dis na jɔs ɔda impɔtant tɛst we dɔktɔ dɛn kin yuz fɔ no if pɔsin gɛt sik dɛn. Jɔs lɛk aw wi kin du blɔd tɛst ɛn ɛkstrem rayt. So tide, lɛ wi tɔk bɔt wetin na tayroyd bayɔpsi, aw dɛn kin du am, ɛn if ɛnitin de fɔ fred.
Wetin na tayroyd bayɔpsi? Fɔ tɔk am simpul wan...
Tink bɔt dis: Yu tayroyd na smɔl gland we tan lɛk bɔtaflay we de bifo yu nɛk. I de du bɔku impɔtant wok fɔ yu bɔdi, mɔ fɔ mek ɔmon dɛn we de kɔntrol yu mɛtabolism. Tayroyd bayɔpsi na wan we we yu kin tek wan rili smɔl smɔl sɛl ɔ wata we kɔmɔt na yu tayroyd gland ɛn tɛst am. Dis kin ɛp dɔktɔ dɛn fɔ no sɔm kayn sik dɛn we gɛt tayroyd.
Ustɛm dɛn kin du tayroyd bayɔpsi?
Nɔto ɔl di tayroyd prɔblɛm dɛn nid fɔ tek bayɔpsi. Bɔrku tɛm, dɛn kin no dis sik wit blɔd tɛst ɛn imej rizɔlt. Bɔt if yu dɔktɔ fɛn tayroyd nodul, dɛn kin se yu fɔ tek bayɔpsi.
Lɛ wi tɔk smɔl bɔt di tayroyd nodul dɛn.
Naw yu kin de wɔnda wetin na tayroyd nodul. dis na sכm sכm, sכlid כ we fulכp wit wata we de fכm insay di tayroyd gland. Dɛn kin tan lɛk smɔl smɔl bɔmp dɛn na di bɔdi, nɔto so? Na so i bi. di mכtalman in nodul dεm na benign, we min se dεn nכ de kεnsar. Bɔt, wan rili smɔl pasɛnt, bitwin 5% ɛn 15%, kin bi kansa.
So, tayroyd bayɔpsi kin ɛp yu dɔktɔ fɔ no klia wan wetin mek di lump ɛn if i nɔ fayn ɔ na sɔntin we yu fɔ wɔri bɔt. Mɔtalman, dɔktɔ dɛn kin du bayɔpsi if di lump big pas 1 sɛntimita (lɛk 0.39 inch) .
Aw dɛn kin du tayroyd bayɔpsi? Wetin na di we dɛn we dɛn kin du am?
Tri men we dɛn de fɔ du dis bayɔpsi. Lɛ wi tek wan luk pan wetin dɛn bi.
1. Fayn-Nidɛl Aspirashɔn (FNA) we fɔ du am
dis na di kayn bayopsi we kכmכn fכ di tayroyd nodul dεm. dis involv fכ yuz wan rili fayn, lכng nidul (22-gej כ sכmכl) fכ pul sכm sכm sεl dεm εn wata frכm wan tayroyd nodul כ sεvεra nodul dεm. We di dɔktɔ de du dis, i kin yuz ɔltra saund skan fɔ gayd di nidul jɔs insay di nodul. Dis min se di skan de gayd di nidul fɔ go na di rayt say. Dis na simpul tin we dɛn kin du we nɔ nid fɔ kɔt big say.
2. Kכr-Nidl Bayopsi (CNB) mεtכd
dis lεk di FNA prosidכs, bכt di nidul we dεn yuz de big sכmtεm (14- to 20-gej dayamita). Dɛn kin yuz dis we if di dɔktɔ want fɔ tek wan big tisu sɛmpul we nɔ go pwɛl am . dis mכt kin yus if di sεmpl we dεn gεt wit di FNA nכ inof כ if dεn nid mכr infכmeshכn.
3. Ɔspitul Tayrɔyd Bayɔpsi
Dis na tin we nɔ kin apin so ɔltɛm. If di sɛmpul dɛn we dɛn tek wit FNA ɔ CNB nɔ klia, ɔ if dɛn nid fɔ no mɔ, dɔktɔ kin disayd fɔ du bayɔpsi, we na ɔpreshɔn we dɛn kin kɔt smɔl na di nɛk, rich na di tayroyd gland, ɛn tek sɛmpul.
Aw yu kin pripia bifo dɛn tek yu bayɔpsi?
di prεparashכn prכsεs kin difrεn sכmtεm dipכnt pan di kayn bayopsi we yu de du.
Fɔ nidul bayɔpsi (FNA ɔ CNB) .
- Bɔku tɛm, pas yu dɔktɔ tɛl yu ɔda we, yu kin it ɛn drink nɔmal wan.
- Bɔt if yu gɛt ɛni mɛrɛsin we yu de tek ɛvride (especially blood thinner), i rili impɔtant fɔ aks yu dɔktɔ if yu nid fɔ stɔp am sɔm dez bifo di biopsy.
Fɔ wan ɔspitul bayɔpsi
If yu de du bayɔpsi lɛk dis, yu dɔktɔ go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ am. I impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.
Di tin we impɔtant pas ɔl na dat yu dɔktɔ na di bɛst pɔsin fɔ advays yu. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, mek shɔ se yu aks yu dɔktɔ.
Wetin kin apin we dɛn de du bayɔpsi? Wetin fɔ ɛkspɛkt.
כl di tεm dεm, dεn kin du di bayopsi bay we dεn de yuz FNA כ CNB. Wi bin dɔn tɔk se we nɔ kin apin so ɔltɛm, dɛn kin du ɔpreshɔn bak. Lɛ wi tek tɛm luk wetin kin apin wit ɛni wan pan dɛn we ya.
Fayn-nidul bayɔpsi (FNA ɔ CNB) .
Bɔku tɛm, dɛn tin ya na tin dɛn we dɛn kin du fɔ mɛn pipul dɛn we de na do. Dis min se yu kin go na os di sem de. Na sɔm tin dɛn we yu fɔ du:
1. Fɔs, dɛn go gi yu smɔl injɛkshɔn (local anesthesia) fɔ mek di eria na yu nɛk nɔ gɛt bɛtɛ trɛnk. Dis go mek yu nɔ fil bɔku pen.
2. Neks, di dɔktɔ go put wan smɔl tin we yu kin ol na yu an we dɛn kɔl ɔltra saund transducer na yu nɛk. Dis go ɛp yu fɔ si ustɛm di tayroyd gland ɛn di lump de.
3. Neks, dat long, tin nidul we wi bin don tok abaut, de pas sloslo tru yu skin en insaid di tayroyd gland.
4. Dɔn, dɛn kin tek tɛm pul wan sɛmpul we gɛt wata ɛn tisu. I rili impɔtant fɔ mek yu nɔ muf atɔl insay dis tɛm.
5. Afta dɛn dɔn tek di sampul, dɛn kin pul di nidul ɛn put smɔl bandej we tan lɛk plasta na di say we dɛn put di nidul.
6. Fɔ dɔn, dɛn kin sɛn di sampul to saytɔlɔjis fɔ mek dɛn chɛk am.
If yu gɛt pas wan nat, yu kin ripit dis prɔses bɔku tɛm. Di wan ol tin fɔ tek lɛk 10 to 20 minit.
Ɔspitul Tayrɔyd Bayɔpsi
Wi se dis na sɔntin we dɛn nɔ kin du ɔltɛm. Dɛn kin yuz dis we we di rizɔlt fɔ ɛni wan pan di FNA ɔ CNB nɔ klia, ɔ if dɛn nid mɔ infɔmeshɔn. dis involv fכ du כpεrayshכn εn tek wan sεmpl fכ di tכmכro εn/כ tisu dεm dairekt frכm di tayroyd gland εn sεnd am to di labכtכri.
Wetin na di sayd ɛfɛkt dɛm afta dɛn dɔn du bayɔpsi?
Smɔl sayd ɛfɛkt dɛn afta bayɔpsi inklud sɔm sɔri ɛn brus usay dɛn put di nidul. Yu kin tek mɛrɛsin fɔ mek yu nɔ fil pen, lɛk asetaminofɛn (Tylenol®) ɔ ibuprofen (Motrin®), fɔ ɛp wit dis prɔblɛm.
Siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm, bɔt we nɔ kin apin so ɔltɛm, dɛn tin ya kin apin:
- Blɔd we de kɔmɔt
- Sik we de prɛd
- Fɔmeshɔn fɔ sɔntin lɛk sist.
If sɔntin lɛk dis apin, yu fɔ tɛl di dɔktɔ wantɛm wantɛm.
Wetin di rizɔlt fɔ di bayɔpsi ripɔt min?
Di American Thyroid Association bin tɔk se dɛn kin sheb di tin dɛn we dɛn kin du we dɛn tek di bayɔpsi to siks men grup dɛn. Lɛ wi tek tɛm luk wetin ɛni wan pan di kayn dɛn min:
| Rizult Kategori | Di minin we i min | Jɛnɛral Nɛks Step |
| ... :------------------------------------------------------------------------------------------------------------------------- :
| Benign (nɔ gɛt kansa) | Di lump nɔto kansa. Dis na di mכst kכmכn autkam (60%-70% pan di kes dεm). | כltεm "watchful waiting" εn ripit כltra saund skan insay lεk 12 mכnt. |
| Malignant (kansa) | Di tumbu gɛt kansa. (5%-15% pan di kes dɛm). |I go mɔs bi se dɛn nid fɔ du ɔpreshɔn fɔ pul am. |
| Suspicious fɔ Malignancy | Di chans de fɔ mek pɔsin gɛt kansa. (Dɛn kin pul am bay ɔpreshɔn). | Bɔku tɛm, dɛn kin pul am bay ɔpreshɔn. sכmtεm dεn kin du כda tεst dεm (e.g. mכlikul profayl ). |
| Atypia fכ כndatarminεd sכgεns (AUS) כ fכlikulכr lεshכn כf כndatarminεd sכgεns (FLUS) | Di sɛl dɛn nɔ de wok smɔl, bɔt dɛn nɔ shɔ if dɛn gɛt kansa ɔ nɔ gɛt kansa. (I kin bi kansa insay 5%-15% pan di kes dɛm). | Ripit bayɔpsi, mɔlikul tɛst, ɔ sɔntɛm ɔpreshɔn. |
| Fɔlikul Nioplasm ɔ Sɔspɛkt fɔ Fɔlikul Nioplasm | Dis kin bi ɔ nɔ kin bi kansa (15%-30% pan di kes dɛm na kansa). | Bɔku tɛm, dɛn kin pul pat ɔ ɔl di tayroyd gland bay ɔpreshɔn fɔ mek dɛn chɛk am. |
| Nɔn-diagnostik ɔ Nɔ Satisfay | Nɔto inɔf sɛl dɛn de na di sampul, ɔ fɔ sɔm ɔda rizin, i nɔ pɔsibul fɔ rich klia kɔnklushɔn. (2%-10% pan di kes dɛm). | Bɔku tɛm, dɛn kin du am bak bayɔpsi , bɔku tɛm dɛn kin du am ɔnda ɔltra saund gayd. |
Pan ɔl we dis tebul kin gi yu wan rɔf aidia, i bɛtɛ fɔ tɔk to yu dɔktɔ fɔ no di rayt tin bɔt yu rizɔlt.
Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?
Bɔku pipul dɛn kin gɛt dɛn bayɔpsi rizɔlt insay wan wik, bɔt sɔm tɛm dis tɛm kin difrɛn smɔl dipen pan di wok we di lab de du ɔ if dɛn nid fɔ du ɔda tɛst.
If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?
Yu dɔktɔ go ɛksplen to yu di rizɔlt ɛn tɛl yu if yu nid tritmɛnt ɛn if na so, wetin fɔ du. Ɔlman in situeshɔn difrɛn, so di tritmɛnt go difrɛn. Bɔt in jɔnal, na wetin yu kin ɛkspɛkt:
- Benign nodul dɛn: .Bɔku tɛm dɛn kin du dis bay we dɛn de "watchful waiting." Dat min se dɛn kin du ɔltra saund skan bak insay lɛk 12 mɔnt fɔ si if ɛni chenj dɔn de na di tumbu.
- Malignant nodules: Klosap ɔltɛm dɛn kin gɛt ɔpreshɔn fɔ pul dɛn tin ya.
- di nodul dεm we dεn sכspεkt: dεn kin disayd if dεn fכ כpכshכn kכl dεn wan ya bay di risכlt fכ כda tεst dεm lεk mכlikul prכfayl .
Ustɛm yu fɔ go to dɔktɔ?
Afta yu dɔn du tayroyd bayɔpsi, if yu gɛt ɛni wan pan dɛn sayn ya fɔ sho se yu gɛt di sik, tɛl yu dɔktɔ wantɛm wantɛm:
- If yu gɛt fiva .
- If yu fil kol ɛn de shek shek (Chills).
- If di say we dɛn put di nidul ɔ we dɛn kɔt di nidul rɛd, swel, ɛn wata we tan lɛk pus de kɔmɔt de .
If yu gɛt sɔm kayn sik lɛk dis, e kin bi infekshɔn, so i impɔtant fɔ go to tritmɛnt kwik kwik wan.
Fɔ dɔn, di tin we impɔtant pas ɔl fɔ mɛmba!
Na nɔmal tin fɔ fil smɔl frayd we yu yɛri di wɔd "bayopsi." Bɔt fɔ gɛt tayroyd bayɔpsi nɔ min se yu gɛt sɔntin we siriɔs. Jɔs lɛk ɛkstrem rayt ɛn blɔd tɛst, bayɔpsi na jɔs wan tin we dɔktɔ dɛn kin yuz fɔ no if pɔsin gɛt sik. Di tin dɛn we dɛn dɔn fɛn de gi wi rili impɔtant tin dɛn.
If yu gɛt tayroyd prɔblɛm, fɔ fɛn am bifo i wɔs na yu bɛst chans fɔ gɛt wɛlbɔdi fɔ lɔng tɛm. So, if yu dɔktɔ tɛl yu fɔ du bayɔpsi, nɔ fred fɔ aks fɔ am, gɛt di infɔmeshɔn we yu nid, ɛn fes am ed pan. Nɔto yu wan de, ɛn dɔktɔ dɛn de we go ɛp yu.
So, a op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni kwɛstyɔn, nɔ shem ɛn tɔk to yu dɔktɔ!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Tayroyd Bayopsi (Thyroid Biopsy / FNA)?
If dɛn si wan abnɔmal nodul (lɛk goiter) na di tayroyd gland we de bifo di nɛk, Fine Needle Aspiration (FNA) na tɛst we dɛn kin put wan nidul we rili tan na di nɛk, pul sɔm sɛl dɛn, ɛn chɛk dɛn ɔnda maykroskɔp fɔ no if di nodul gɛt kansa ɔ na jɔs nɔmal sist we ful-ɔp wit wata.
💬 I kin at bad bad wan we yu geht nidul stik na yu nek?
Bɔku pipul dɛn kin fred we dɛn gɛt nidul we stɔp na dɛn nɛk, bɔt nɔr kin fil pen. Dis na smɔl pen nɔmɔ, we tan lɛk we dɛn chuk nidul na in an we dɛn de du blɔd tɛst. Sɔntɛnde, dɛn kin put lokal anɛstɛtik fɔ mek di say nɔ gɛt bɛtɛ trɛnk, so no pen nɔ de we go mek yu fred ɔ ala.
💬 I nid fɔ du dis nidul tɛst we dɛn de du skan?
Yɛs! כltra saund skan de sho di shep εn saiz כf di tכmכro nכmכ. Bɔt na afta di bayɔpsi ripɔt kam bak na in dɔktɔ dɛn kin kɔnfɔm wit 100% kɔrɛkt if tayroyd kansa dɔn bigin fɔ divɛlɔp insay di tɔŋ ɛn disayd fɔ du ɔpreshɔn bifo tɛm.
` Tayroyd, Tayroyd Bayopsi, Tayroyd Nodul, FNA, CNB, Kansa, Wɛlbɔdi
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