I hnute biopsy neih a ngai em? Stereotactic Breast Biopsy chungchang hi awlsam takin i zir dawn nia!

Doctor in hnute biopsy neih a ngai tih a hrilh tawh che em? Chutianga an sawi lai chuan tlem chuan hlauthawng deuha inhriat hi thil pangngai a ni. Mahse, lungngai suh. A tam zawkah chuan rinhlelhna a awm chuan eng nge a nih tak tak tih finfiah nan tih a ni. Vawiin hian he test bik Stereotactic Breast Biopsy tih hi kan sawi dawn a ni. Engkim hi a awlsam zawngin kan sawi dawn a, chu chu eng nge a nih, engtin nge a tih tih leh kan hriat tur te hi a ni.

Hei hi eng nge ni (Stereotactic Breast Biopsy)?

A awlsam zawngin sawi ila, stereotactic breast biopsy hi thil rinhlelh awm tak a awm chuan i hnute atanga tissue te tak te lak chhuah a ni. Mammogram machine bik hmangin tissue lakna hmun dik tak chu a zawng chhuak thin. Tomosynthesis-guided biopsy an tih pawh i hre tawh mai thei. Mammogram hian X-ray dose tlem hmangin i hnute thlalak a la thin. Heng thlalak te hi tissue pangngai lo, emaw, "rinhlelhna" awmna hmun, cancer awm thei zawng chhuahna atan hman a ni.

``Biopsy``-ah chuan healthcare provider, a tlangpuiin doctor emaw, nurse trained emaw chuan rinhlelh awm tak tissue pakhat a la chhuak thin. Chumi hnuah lab-ah thawn a ni a, cancer cell a awm leh awm loh enfiah a ni. Mi pakhatin cancer a vei leh vei loh chiang taka hriat theihna awmchhun chu ``biopsy.`` tih hi a ni

Hetiang method hi ``Stereotactic Biopsy'' tia hriat a ni a, kum 35 chuang zet a awm tawh a ni. Mi pakhatin hnute cancer a vei leh neih loh hriat theihna kawng rintlak tak leh minimally invasive tak a ni.

Engvangin nge hetiang (Stereotactic Biopsy) hi tih a nih?

I doctor-in ultrasound, mammogram, emaw MRI emaw a tih laiin thil danglam tak, i hnutea lump awm ang chi a hmuh chuan stereotactic biopsy a ti thei a ni. Heng imaging test-te hian i hnuteah thil danglam tak tak a lantir thei a, mahse stereotactic biopsy chauh hian cancer chhinchhiahna tak tak emaw, benign tumor emaw, thil dang emaw a ni tih chiang takin a hre thei ang.

Imaging test-a heng thilte hi hmuh a nih chuan stereotactic biopsy i neih a ngai mai thei:

• Lump, emaw `(tumor)` emaw a ni.
• Calcium deposit te te a awm chuan ``microcalcifications'' an ti a, hengte hi sand chi te tak te ang mai a ni.
• I hnute tissue (a bik takin a hmaa i operation tawhna hmunah) inthlak danglamna.

Ngaihtuah teh, he test hian tissue piece lakah hian cancer a awm tih a nemnghet a nih chuan, he Stereotactic Biopsy hian i doctor chu i mamawh enkawlna tur ruahmanna siam turin a pui ang.

He test hi tuin nge ti?

He ``Stereotactic Breast Biopsy`` test hi radiologist, he field-a training bik nei tawhin a ti thin a ni. Tichuan, specialist doctor hran pakhat ``pathologist`` tia koh chuan tissue sample chu microscope hmangin cancer cell a awm em tih a enfiah a.

Engtin nge he test hian hna a thawh?

A awlsam zawngin, stereotactic biopsy hian mammography machine bik hmangin rinhlelh awm tissue awmna dik tak chu a zawng chhuak a, biopsy neihna tur kaihhruaina a pe bawk. He machine hian i hnute X-ray angle hrang hrang atanga lak a, chu information chu computer-ah a thawn ang tih han mitthla teh.

Chumi hnuah radiologist chuan biopsy tur hmun pangngai lo chu a thlang ta a ni. Chuta ṭang chuan computer chuan chhut a siam a, radiologist chu biopsy hmanrua chu a hmun dik takah a hruai thei a ni. Chumi hnuah chuan radiologist chuan chu hmanrua chu hmangin chu hmun atang chuan sample a la khawm ta a ni.

Exam chhung zawng hian radiologist hian he technology hi hmangin hmun dik tak atanga sample an lak leh result dik tak an hmuh theih nan tissue an lakkhawm tling em tih a enfiah thin.

Stereotactic Biopsy neihna tur hian engtin nge ka inbuatsaih ang?

I doctor chuan he test hi him tak leh a hun taka i tih theih nan zawhna tlemte a zawt ang che. Chungte chu:

• I damdawi lam chanchin: Hei hian i chhungte (biological) damdawi lam chanchin, natna hmasa leh tunlai, leh i enkawl dan te a huam a ni. Allergy i neih chuan, a bik takin local anesthesia i neih chuan i doctor hnenah i hrilh tur a ni .
• Damdawi i ei: Damdawi, vitamin emaw, supplement emaw i ei a nih chuan i doctor hnenah i hrilh tur a ni. He test hian thisen chhuah tlem a thlen theihna a keng tel a, chuvangin thisen tithianghlimtu damdawi, aspirin ang chi i ei a nih chuan doctor hrilh a pawimawh hle. Test hmaa i damdawi ei kha tihtawp leh ei chhunzawm zel tur chungchangah i doctor thupek chu uluk takin zawm rawh.
• Naupai: Naupai i nih chuan doctor i hrilh tur a ni. Hei hi a chhan chu X-ray tam lutuk hian nausen piang lai tan a tichhe thei a ni. Tin, local anesthesia damdawi thenkhat chu naupai laiin hman a tha lo. Mahse, naupai i nih chuan hman tur dang a awm a, chu chu hman tur a ni. Naupai i nih chuan i doctor-in a tih dan tur a hrilh ang che.

Tin, test zawhah i thian emaw chhungte emaw chu in lama lirtheia hruai turin ngen pawh a tha hle. Mi tam zawk chuan stereotactic biopsy an neih hnuah lirthei an khalh thei a, mahse cancer enfiahna test neih hi a buaithlak hle thei a, rilru na tak a ni thei bawk. Chuvangin i rintlak tak i bula awm hi a puihpui hle.

Test ni hian eng nge ka beisei ang?

Procedure zawng zawng hi darkar khat vel a awh beisei ang che. Mahse biopsy part hi minute tlemte chauh a la ngai dawn a ni. I biopsy ni hian heng thilte hi hre reng ang che:

• Thawmhnaw awlsam taka i thlak theih tur ha la, a chhan chu hospital gown hak tur pek i ni ang.
• Test zawhah sports bra tight, supportive tak ha la.
• Deodorant hnawih loh tur. Tin, i kutphah, i kut leh i hnuteah lotion emaw powder emaw hnawih suh. X-ray an tidanglam thei a, result pawh an nghawng thei bawk.
• Glass, ha lem, bengbeh telin jewelry, emaw, thir thil dang emaw paih chhuah tumin inpeih rawh. Chungte chuan X-ray pawh a tibuai thei bawk.
• Test zawhah darkar 24 chhung chu inbual loh turin hriattirna i dawng dawn tih hre reng ang che.

Stereotactic biopsy an tih hian eng nge thleng?

Test chhung zawng hian i harh vek ang a, mahse i hnute a hring vek dawn avangin natna engmah i nei lovang.

• Exam table-ah hmai hnuai lam i mu ang. He dawhkan hian i hnute kal tlang theihna tur khur a nei a. I hnute chu plate pahnih hmangin a hmunah a chelh ang. *(A chang chuan hmai hnuai lama mu harsa i tih chuan hmun thenkhatah chuan i thut laiin hetiang ti thei tur machine a awm a. Chuvangin biopsy i neih hmain i doctor hnenah harsatna i neih chuan hrilh rawh.)*
• Tichuan doctor-in awlsam taka i hnute a thlen theih nan dawhkan chu a han chawi sang a. I position dik tawh chuan machine hian angle hrang hrang atangin i hnute X-ray a la a, chu information chu computer-ah a thawn chhuak thin. Computer hian biopsy lakna tur hmun a ruat thin.
• Tichuan, healthcare provider chuan i hnute chu antiseptic emaw sahbawn emaw hmangin a tifai ang a, local anesthetic a inject ang a, i hnute chu a ti hlim ang. I rilruah chuan rulhut te tak te hian a seh che ang maiin i inhria mai thei.
• I hnute a hrual hnuah i doctor chuan i vunah hian incision te tak te a siam ang a, biopsy needle a rawn dah ang. Vacuum-assisted device (VAD) needle-a dah chuan pressure a pe ang a, tissue chu rang takin a paih chhuak ang. Sample lak lai hian numbing medicine tam zawk pek i ni ang. Incision te tak te pakhat atang hian sample engemawzat lak theih a ni.
• Tichuan, needle chu an la chhuak ta a.
• Doctor chuan i hnute chhungah metal clip te tak te a dah ang a, tissue lakna hmun chu a chhinchhiah ang. Hei hian nakin lawkah he lam hawia test emaw, surgery emaw neih belh a ngai a nih chuan a pui dawn a ni. Clip chu i hre lo ang a, a him vek bawk. Metal detector a set off dawn lo a, MRI pawh i nei thei bawk.

Tichuan, healthcare provider chuan biopsy site chu a press down ang a, thisen chhuak reng reng chu a titawp ang. Gauze emaw bandage emaw hmangin an khuh ang. Ice pack pawh an hnawih thei a, hei hian a hring tihziaawmna a pui thei bawk.

A tawpah chuan i hnute chu mammogram an ti a, radiologist chuan biopsy clip chu hmun dik takah a awm tih a enfiah thin.

Test zawhah eng nge ka beisei ang?

I haw hmain chawlh hahdam tlem i mamawh mai thei, mahse chu ni vek chuan i haw thei bawk. I hliam, hliam, leh natna engemaw zat i nei thei. Mahse hengte hi kar tlemte chhungin an dam tlangpui.

Harsatna i neih chuan doctor chuan over-the-counter pain reliever a pe thei che a ni. Biopsy hnu darkar tlemte chhung chu chu hmunah chuan ice pack dah la (minute 20 on, minute 20 off). Chu hmun enkawl dan tur zirtirna dang pek i ni ang.

Biopsy hnu darkar 24 atanga darkar 48 chhung chu thil hahthlak tak tak tih loh a tha ber. Mi tam zawk chuan he hun hnu hian hna pangngai an thawk leh thei a, mahse thenkhat chuan rei vak lo an mamawh mai thei. I dam chhungin i in enkawl dan tur doctor-in a hrilh ang che.

He test hian eng hlauhawmna nge a neih? Side effect a awm em?

Stereotactic biopsy hi tih dan him tak a ni. Mahse, incision ngai tih dan dang ang bawkin, hlauhawmna engemaw zat a awm a, chu chu thisen chhuah, tui emaw thisen emaw lakkhawm te, leh natna hrik kai te hi a ni. Mahse, hengte hi a tlem hle.

Stereotactic Biopsy hi engtiang chiahin nge a hrehawm?

Mi tam zawk chuan anesthesia avang hian test chhungin natna engmah an hre lo. Anesthetic pek a nih hian stinging sensation tlem i nei thei. Biopsy needle i dah hian pressure i nei thei.

Mi thenkhat chuan midang aiin hrehawmna emaw, lungawi lohna emaw an nei tam zawk thei. Entirnan, hnute tissue dense i neih chuan, emaw, tumor chu i hnute ang chi sensitive area hnung lamah direct-a awm a nih chuan biopsy neih chhung hian natna emaw, nuam lo emaw i nei tam zawk thei.

Vawi tam tak chu, chu natna chu darkar tam tak chhung hmun khata awm reng vang a ni. Entîr nân, desk-a hmai hnuai lam i ṭhut a, i lu chu a sir khatah i hawitir chuan i kawr a nghet thei a ni.

Eng ang result nge kan hmuh a, chu result chuan eng nge a awmzia?

Radiologist emaw i chhungkaw doctor emaw chuan cancer (`positive` emaw `negative` emaw) i neih leh neih loh a hrilh ang che. Results a chiang lo a nih chuan test tam zawk neih a ngai mai thei. I doctor-in a tih tur a tih ang ang chu zawm rawh.

Engtikah nge test result ka hriat ang?

Results hi ni engemaw zat atanga kar khat thleng a ni thei. Test tura i kal hmain i doctor hnenah result hmuh theih nan eng chen nge a ngaih dawn tih leh engtin nge i hnena hriattir a nih dawn tih zawt hmasa phawt ang che.

Stereotactic biopsy hmangin cancer engzat nge hriat theih?

``Stereotactic Biopsy'' neih a ngai tih an hrilh hian hlauhna i neih hi thil pangngai a ni a, a chhan chu test-naah tissue "rinhlelh awm" a hmu tawh tihna a ni. Mahse,Biopsy tam tak – stereotactic biopsy te pawh tel – negative-in a rawn let leh thin. Tun hnaia zirchianna pakhatah chuan stereotactic biopsy nei zinga 30% aia tlem lo chu cancer vei an ni tih hmuhchhuah a ni.

Chuvangin hlau suh. Hei hi nemnghet nan chauh a ni.

Engtikah nge doctor ka biak ang ?

Biopsy na hmun chu a dam tha lo tih chhinchhiahna i hmuh chuan i doctor nen inbia . A hnuaia mi hi i neih chuan i doctor hnenah pawh i hriattir tur a ni:

• A hring (swelling) a tlahniam lo (a nih loh leh a pung) chuan.
• Biopsy site atanga thisen emaw tui (pus ang chi) chhuak a awm chuan a pawi lo.
• Biopsy hmun chu a sen a, a na emaw, a lum emaw a nih chuan.

Stereotactic biopsy neih a ngai tih hrilh i nih chuan stressful tak a ni thei a, a chhan chu i taksaah hian cancer awm thei tissue "rinhlelh awm" i nei tihna a ni. Mahse hriat reng tur pawimawh tak chu he test hi diagnostic atan an la ti reng a ni. Mi tam tak – result "rinhlelh awm" nei te pawhin cancer an vei tih finfiah an ni ngai lovang. Chutiang a nih chuan stereotactic biopsy hian i hlauhthawnna a tiziaawm thei a ni. Kawng lehlamah chuan cancer i vei a nih chuan a hmu thuai thei a ni. Hei hian enkawlna a ti hlawk zawk thei a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi tawh (Stereotactic Breast Biopsy) kha i hrethiam tawh hle. A tawi zawngin:

• Hei hi hnute rinhlelhna hmun atanga tissue te tak te lak a, cancer a nih leh nih loh en a ni.
• Hei hi ``mammogram'' hmanga tih a ni a, chu chu anesthesia hmanga tih a nih avangin a na vak lo.
• A tam zawkah chuan result chu negative-in a rawn let leh thin.
• Cancer a awm a nih pawhin a hmaa hriat theih a nih avangin enkawl a awlsam zawk.

Chuvang chuan doctor-in hetiang test ti tura a tih che chuan hlau suh la, a tul anga hriat tur zawt la, rilru muang takin hmachhawn rawh. A pawimawh ber chu i hriselna enkawl hi a ni.

` Hnute cancer, biopsy, stereotactic biopsy, mammogram, hnute hriselna, cancer hmuhchhuah, hmeichhe hriselna