A châng chuan, kan taksa hmun hrang hrangah vun hnuaiah hian lump te te emaw, tumor te te a lo lang ṭhin a ni lawm ni? Chutiang thil chu kawr, hnute, emaw, kekawrte ang chi hmuna i hmuh hian tlem chuan hlauhna leh lungkhamna i neih chu thil pangngai tak a ni. Hetiang hun lai hian doctor i pan chuan, "Hei hi sample tlemte la ila, eng nge a nih kan en ang u," a ti mai thei che. Chutiang chuan rinhlelh awm tak lump atanga cell sample lakna atana hmanraw awlsam tak, hrehawm lo tak chu Fine-Needle Aspiration emaw, kan hriat vek angin FNA test emaw an ti a ni.
A awlsam zawngin, he FNA test hi eng nge ni?
A awlsam hle mai. A tawi zawngin, FNA hi i taksaa lump emaw lesion rinhlelh awm tak atanga cell, tissue emaw fluid sample lakna atana needle tha tak hmanga lak chhuah a ni. Thisen sample lak ang mai a ni. Mi thenkhat chuan hei hi ‘fine-needle biopsy’ an ti bawk.
Chutianga sample hmuh chu paih mai mai a ni lo. Lab-ah direct-in thawn a ni. Chutah chuan cell lama tui tak doctor pakhat, pathologist , tia koh chuan microscope hmangin cell-te chu a enfiah a. Chutah chuan cell-te chu cell pangngai an nih leh nih loh, natna hrik an neih leh neih loh, cancer cell ang chi thil hlauhawm tak an nih leh nih loh an hre chiang hle.
Taksa chhiatna hi a tlem hle a, chu chu incision lian tham a awm lo tihna a nih avangin FNA hi biopsy chi awlsam ber leh him ber anga ngaih theih a ni.
FNA leh Core Biopsy hi eng nge an danglamna?
‘Core Biopsy’ tih pawh i hre tawh mai thei. An pahnih hian biopsy chi hrang hrang, needle hmanga siam an ni. Mahse, danglamna tlemte a awm. Eng nge an nih i en ang u.
| Nihphung | Fine-Needle Aspiration (FNA) hmanga thil tih theih a ni. | Core Biopsy tih a ni |
|---|---|---|
| Needle size a ni | A zungpui te tak te, nalh tak tak hman a ni. | FNA aiin needle thim deuh, zau zawk hman a ni. |
| Sample lak tur chu | Cell pakhat, cell cluster emaw, tui tlemte emaw a awm a. | Cell chauh ni lovin, tissue te tak te (tissue sample) pawh a la chhuak thin. |
| Thu hriat tur a awm | Lump awmzia hi hriatthiamna bulpui i nei thei ang. | Tissue piece pakhat hmuh a nih avangin tumor structure chungchang thuk zawk leh chipchiar zawk hriat theih a ni. |
A awlsam zawngin FNA hi lehkhabu phek khata thumal tlemte en ang mai a ni. Core Biopsy hi lehkhabu bung khat pum pui chhiar ang mai a ni. I doctor chuan i dinhmun a zirin heng method pahnih zingah hian eng nge i tan a tha ber tih a rel ang.
Eng case-ah nge FNA test hi tih a nih?
FNA hi thil tum lian tak pahnih atan hman a ni a, chungte chu: natna hriatchhuahna atan leh a chang chuan enkawlna atan hman a ni.
Diagnosis atan chuan
Hei hi FNA test tum ber a ni: eng ang lump emaw tumor emaw nge a nih tih chiang taka hriat a ni.
- Cancer i vei leh vei loh zawng rawh .
- Bacteria infection avanga boil a nih leh nih loh zawt rawh . Entirnan, zun (septic arthritis) a awm.
- Cancer nei lo an nih ngei ngei tur a ni, chu chu cyst, fibroadenomas, emaw lipomas te hi a ni.
He test hi taksa khawi hmunah pawh lump-ah tih theih ni mah se, hetiang hmunah hian tih a ni tlangpui:
- Hnute
- Thyroid gland a ni
- Lymph nodes a awm thin
- Vun
Tin, tunah chuan FNA hi kan taksa chhung thuk taka awm, pancreas leh lungs-ah te pawh tih theih a ni tawh bawk. Chumi atan chuan doctor-te chuan ultrasound emaw CT scan ang chi technology hmangin needle chu chiang takin an kaihruai a, he test hi him takin an ti thin.
Enkawlna atan
A chang chuan FNA test hi enkawlna atan an hmang bawk.
- Abscesses atanga pus te chu paih chhuak rawh .
- Cyst atanga tui chu chhuah la, chhuah tir rawh.
- Surgery thenkhat hnua tui (seromas) awm khawm chu paih chhuak thin ang che.
Chutiang chuan tui chu incision lian tak nei lovin lakchhuah a ni a, needle te tak te chauh hmangin a chhuak thei a, chu chuan hliam a awm loh nan a pui thei a, a bik takin taksa lan dan atana pawimawh hmun, hnute ang chiah teah.
He test atan hian engtin nge ka inbuatsaih ang?
Hei hi a tha ber a ni. FNA test hi a tlangpuiin inbuatsaihna bik a ngai lo . Damdawi inah awm reng a ngai lo va, test hnu rei vak lovah i haw thei bawk.
Mahse, i doctor chuan hemi chungchangah hian thupek chiang tak a pe ang che. Hriat reng tur pawimawh ber chu i doctor hnenah damdawi dang i ei apiang hrilh la, a bik takin thisen tithianghlimtu (anticoagulants) . Test hma ni khat emaw ni hnih emaw chhung chu heng damdawi te hi ei tawh lo turin an ti thei che a ni.
Test neih chhung hian eng nge thleng?
Hetiang kalphung hi a rang hle a, a awlsam hle bawk. Hetiang hian a kal tlangpui:
1. Exam table-a thut emaw, mu emaw tir i ni ang.
2. Doctor emaw nurse emaw chuan needle dahna tur hmun chu antiseptic solution hmangin uluk takin a tifai ang.
3. A dawtah chuan local anesthetic injection tlem te te hmangin a hmun chu a numb theih bawk. Hei hian needle i dah huna i natna chu nasa takin a tihziaawm ang. Ant te tak te in a chil che ang maiin a lang thei.
4. Lump chu taksa chhung thuk takah a awm chuan doctor chuan ultrasound machine hmangin needle chu a kalna tur hmun dik takah a kaihruai ang.
5. Tichuan, needle te tak te chu uluk takin lump chhungah dahin syringe hmangin cell sample lak a ni.
6. Sample pakhat aia tam lak a ngai mai thei. Chutiang a nih chuan a vawi khatnaah needle leh syringe thar hman a ni ang.
7. Hna thawh zawh veleh plaster emaw bandage te tak te chu needle dahna hmunah an hnawih thin.
A kalphung zawng zawng hi minute tlemte chauh a ni a, chuvang chuan hlauh tur a awm lo.
FNA hnuah hian risk a awm em?
FNA hi a him em em a ni. Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawm tlemte tak tak a awm thei. Mahse, hengte hi a tlem hle.
- Natna leh hliam tenau: Ni khat emaw ni hnih emaw chhung chu injection na hmunah hian natna leh hliam tenau engemaw zat a awm thei. Hei hi thil pangngai a ni.
- Thisen chhuah: Mi thenkhat chuan thisen chhuahna engemaw zat an nei thei a, a bik takin thisen zam natna nei emaw, thisen tihthianghlimna damdawi ei thinte tan chuan.
- Infection: Hriselna (needle site) ah hian natna hrik a lut a, infection a thlen theihna chance a tlem hle.
- A chhehvel tissue tihchhiat: Needle dah a nih hian lump chhehvela nerve emaw thisen kalna kawng emaw a chhiat theihna chance a awm tlem hle.
Heng harsatna lian tak takte hi a tlem hle tih hre reng ang che. FNA testing hlawkna nen khaikhin chuan he hlauhawmna hi a tlem hle.
Report ka dawnah hian eng ang thil nge telh theih ang?
Lab report-ah hian result engemaw zat a awm thei. I doctor chuan heng result te hi thumal awlsam takin a hrilhfiah ang che.
- Cell pangngai lo: Hei hian lump chu a normal a, a hlauhawm lo tihna a ni.
- Cell pangngai lo leh pangngai lo chu a inhmeh lo: Chutiang a nih chuan a natna hriat chian nan test dang neih belh a ngai mai thei.
- Precancerous cells: Hengte hi cancer la nei lo, mahse nakin lawka cancer nei thei tur cell te an ni.
- Cancerous cells: Lump chu cancer a nih thu finfiah a nih chuan i doctor chuan enkawl dan tur a kaihruai ang che.
- Bacteria infection a awm tih finfiahna: Lump hi infection avanga lo awm a nih chuan antibiotics ang chi damdawi an pe ang.
A châng chuan sample hmuh chu a tawk lo a nih chuan sample dang la turin an ti thei bawk. Eng ang result pawh ni se, hlauthawng suh la, i doctor nen inbia la, i tih leh tur chu i rel ang.
Engtikah nge Doctor ka hmuh leh ang?
FNA test hnuah pawh harsatna lian tham a awm lo tlangpui. Mahse, heng symptoms zinga pakhat tal i neih chuan doctor ko nghal rawh.
- Khawsik i neih chuan
- Needle dahna hmun chu a sen emaw, a hring emaw, a hring chhuak emaw a nih chuan
- Nitin a natna a zual zel chuan
- Lump-ah beisei loh taka inthlak danglamna a awm chuan (e.g., a lian nghal vat) .
Take-Home Thuchah a ni
- FNA hi taksaa lump rinhlelh awm tak enfiahna atana hmanraw awlsam tak, him leh hrehawm lo tak a ni.
- Hei hian incision lian tak a ngai lo, needle te tak te chauh hman a ni. Chuvangin hlauh a ngai tawh lo.
- He test result hian doctor-te chu lump awm dan dik tak hriat theihna kawngah nasa takin a pui a ni.
- FNA test chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh. Engkim a hrilhfiah ang che.
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