Thyroid biopsy chungchang hriat i duh em?

"Biopsy" tih a ni! He thu i hriat hian i hlau deuh mai thei, a dik em? Chu chu thil pangngai a ni. Mahse, strict takin sawi ila, hei hi doctor-te’n natna hriat theihna atana an hman test pawimawh dang mai a ni. Thisen test leh X-ray kan tih ang bawkin. Chuvangin vawiinah hian thyroid biopsy hi eng nge a nih, engtin nge an tih tih leh hlauh tur a awm leh awm loh kan sawi dawn nia.

Thyroid biopsy tih hi eng nge ni? A awlsam zawngin...

Hetiang hian han ngaihtuah teh: I thyroid hi i kawr hma lama hnim hring ang maia te tak te a ni. I taksa tan hna pawimawh tak tak a thawk a, a bik takin i metabolism control tu hormone siamchhuahnaah a thawk a ni. Thyroid biopsy hi i thyroid gland atanga cell emaw tui emaw sample tlemte tak tak lak a, test a ni. Hei hian doctor-te chu thyroid natna thenkhat hriatchhuahna kawngah a pui thei a ni.

Engtikah nge thyroid biopsy hi tih thin?

Thyroid harsatna zawng zawng hi biopsy a ngai lo. A tam zawkah chuan thisen test leh imaging result hmangin he natna hi hriat theih a ni. Mahse, i doctor-in thyroid nodules a hmuh chuan biopsy neih a rawt mai thei.

Thyroid nodules chungchang tlem han sawi ila.

Tunah chuan thyroid nodules hi eng nge ni tih i ngaihtuah mai thei. Hengte hi thyroid gland chhunga lo awm, solid emaw fluid-filled lumps te an ni. Taksaah hian bump te te ang maiin an lang a ni lawm ni? Chu chu a dik a ni. Heng nodules tam zawk hi chu benign an ni a, cancer an ni lo tihna a ni. Mahse, za zela tlemte chauh, 5% leh 15% inkar chu cancer a ni thei.

Chuvangin, thyroid biopsy hian i doctor chu eng thilin nge a lump chhan dik tak leh benign nge ngaihtuah tur thil a nih tih a hriat theih nan a pui thei a ni. A bik takin, doctor-te chuan a lump chu centimeter 1 (inches 0.39 vel) aia lian a nih chuan biopsy an ti tam zawk a ni .

Engtin nge thyroid biopsy hi an tih thin? Eng hmanrua nge ni?

He biopsy hi tih dan tlangpui pathum a awm. Eng nge an nih i han thlir teh ang.

1. Fine-Needle Aspiration (FNA) hmanga thil tih dan

Hei hi thyroid nodules atana biopsy chi khat hman tlanglawn ber a ni. Hei hian thyroid nodule emaw nodule engemaw zat emaw atanga cell leh fluid tlemte lakchhuah nan needle sei tak, sei tak (22-gauge emaw a aia te) hman a huam a ni. Chutianga a tih lai chuan doctor chuan ultrasound scan hmangin needle chu nodule chhungah chiang takin a kaihruai thin. Chumi awmzia chu scan hian needle chu a awmna dik takah a kaihruai tihna a ni. Hei hi tih dan awlsam tak a ni a, incision lian tak a ngai lo.

2. Core-Needle Biopsy (CNB) hmanga tih a ni

Hei hi FNA kalphung nen a inang a, mahse needle hman chu a lian deuh (14- to 20-gauge diameter) a ni. Hetiang method hi doctor in tissue sample lian zawk a tihchhiat loh chuan lak a duh chuan hman theih a ni . Hetiang method hi FNA hmanga sample lak a tling tawk lo emaw, thu belhchian dawl zawk mamawh a nih chuan hman theih a ni.

3. Surgery hmanga Thyroid Biopsy tih a ni

Hei hi procedure a tlem hle. FNA emaw CNB emaw hmanga sample lakte chu a dik lo a nih chuan, a nih loh leh thu belhchian dawl zawk a ngai a nih chuan, doctor chuan biopsy tih a rel thei a, chu chu surgery tih a ni a, chu chu a kawngah incision te tak te siam a, thyroid gland thleng a, sample lak a ni.

Biopsy hmain engtin nge i inbuatsaih thin?

Biopsy i neih chi hrang hrang a zirin inbuatsaihna kalphung pawh a inang lo deuh thei.

Needle biopsy (FNA emaw CNB emaw) atan chuan .

• A tam zawkah chuan doctor-in a hrilh loh che chuan a pangngaiin i ei leh in thei.
• Mahse, nitin damdawi i ei (a bik takin thisen tithianghlimtu) i neih chuan biopsy hma ni engemaw zat chhung chu tihtawp a ngai em tih doctor zawh a pawimawh hle.

Surgical biopsy neih nan

Hetiang biopsy i neih chuan i doctor chuan a inbuatsaih dan tur chiang takin a hrilh ang che. Chu thupekte chu dik taka zawm a pawimawh hle.

A pawimawh ber chu i doctor hi thurawn pe tur che a tha ber a ni. Zawhna leh ngaihtuahna i neih chuan doctor zawt ngei ang che.

Biopsy neih chhung hian eng nge thleng? Eng nge beisei tur.

A tam zawkah chuan biopsy hi FNA emaw CNB emaw hmanga tih a ni. Kan sawi tawh ang khan a tlem berah chuan operation pawh tih theih a ni. Heng hmanrua pakhat zel hmanga thil thleng hi han thlir ila.

Fine-needle biopsy (FNA emaw CNB emaw) hmanga tih a ni.

Hengte hi outpatient procedure a ni tlangpui. Chumi ni vek chuan in lamah i haw thei tihna a ni. Step thenkhat chu hetiang hi a ni:

1. A hmasa berin i kawr hmun chu a ti na thei ang bera tihdam nan injection te tak te (local anesthesia) pek i ni ang. Hei hian hrehawmna nasa tak i neih loh nan a veng ang.

2. A dawtah chuan doctor chuan i kawr ah hian kut zungtang te tak te, ultrasound transducer an tih chu a dah ang. Hei hian thyroid gland leh lump awmna hmun dik tak i hmu thei ang.

3. A dawtah chuan chu needle sei leh te tak te kan sawi tawh kha zawi zawiin i vun kaltlangin thyroid gland chhungah a lut a.

4. Tichuan, tui leh tissue sample pakhat uluk takin lakchhuah a ni. Hetih hun chhung hian i che lo tak tak a pawimawh hle.

5. Sample lak zawhah needle chu la chhuakin, needle dahna hmunah chuan plaster ang chi bandage te tak te an hnawih thin.

6. A tawp berah chuan sample chu cytologist hnenah enfiah turin thawn a ni.

Nut pakhat aia tam i neih chuan hetiang hian vawi tam tak i ti leh thei bawk. A kalphung zawng zawng hi minute 10 atanga 20 vel a ni tur a ni.

Surgical Thyroid Biopsy hmanga tih a ni

Hei hi thil tih tlem tak a ni kan ti. Hetiang method hi FNA emaw CNB emaw result a chiang lo a nih chuan, emaw, thu belhchian dawl zawk hriat a ngai a nih chuan hman thin a ni. Hei hian operation tih a, tumor leh/ emaw tissue sample thyroid gland atanga direct a lak a, laboratory-a thawn a huam a ni.

Biopsy hnuah eng side effect nge a neih?

Biopsy hnua side effect tenau te chu needle dahna hmuna natna leh hliam engemaw zat a awm. Hetiang harsatna hi a puih theih nan over-the-counter pain reliever, acetaminophen (Tylenol®) emaw ibuprofen (Motrin®) emaw i ei thei bawk.

Harsatna lian tham tak tak a awm tlem hle a, mahse a tlem berah chuan a hnuaia mite hi a thleng thei a ni:

• Thisen chhuak
• Kaichhawng
• Cyst ang chi thil siam chhuah.

Hetiang thil a lo thlen chuan doctor hnenah hriattir nghal tur a ni.

Biopsy report result hian eng nge a awmzia?

American Thyroid Association chhinchhiah danin biopsy result hi chi hrang hrang parukah then theih a ni. Type tinte awmzia hi han thlir ila:

| Results chi hrang hrang | A awmzia | General Next Step |

| :--------------------------------- | :------------------------------------------------------------------------------------------------------------------ | :----------------------------------------------------------------------------------------------------------------------------------------------

| Benign (cancer nei lo) | Lump hi cancer a ni lo. Hei hi a chhuah tam ber (60%-70% of cases) a ni. | A tlangpuiin "watchful waiting" leh thla 12 vel chhungin ultrasound scan nawn leh thin a ni. |

| Malignant (cancer natna nei) | Tumor hi cancer a ni. (5%-15% vel a ni). |A tam zawkah chuan surgical removal a ngai a ni. |

| Malignancy avanga rinhlelh awm | Cancer vei theihna chance a sang hle. (A tlangpuiin surgery hmanga lakchhuah a ni). | A tlangpuiin surgery hmanga lakchhuah thin. A châng chuan test dang (e.g. molecular profiling ) tih a ni thei bawk. |

| Atypia of Undetermined Significance (AUS) emaw Follicular Lesion of Undetermined Significance (FLUS) emaw a awm thei | Cell te hi a pangngai lo deuh a, mahse cancer an nih leh nih loh hriat chian a ni lo. (5%-15%-ah cancer a ni thei). | Biopsy tih nawn leh emaw, molecular testing emaw, surgery emaw pawh a awm thei. |

| Follicular Neoplasm emaw Follicular Neoplasm awm nia rinhlelh emaw | Hei hi cancer a ni thei a, a ni lo thei bawk (15%-30% chu cancer an ni). | Vawi tam tak chu thyroid gland thenkhat emaw, a zawng zawng emaw chu surgery hmangin enfiah turin an la chhuak thin. |

| Diagnostic ni lo emaw, lungawithlak lo emaw | Sample-ah hian cell a tlem hle a, a nih loh leh chhan dang vangin thutlukna chiang tak siam theih a ni lo. (2%-10% vel a ni). | A tlangpuiin repeat biopsy , ultrasound kaihhruaina hnuaia tih fo thin. |

He table hian ngaihtuahna rough tak pe thei che mahse, i result chungchang chipchiar zawka hriat duh chuan i doctor nen inbiakna neih a tha ber.

A result hriat nan eng chen nge hun a duh?

Mi tam zawk chuan kar khat chhungin biopsy result an hmu thin a, mahse a chang chuan he hun chhung hi lab-a hnathawh tam dan azirin emaw, test dang neih belh a ngai a nih chuan a danglam deuh thei bawk.

Results a dik lo a nih chuan eng nge i tih leh ang?

I doctor chuan a result chu a hrilhfiah ang che a, enkawlna i mamawh leh mamawh loh leh, a mamawh a nih chuan eng nge i tih tur tih a hrilh ang che. Mi tin dinhmun a inang lo vek a, chuvangin enkawl dan a inang lo ang. Mahse a tlangpuiin, i beisei theih tur chu hetiang hi a ni:

• Nodules tha lo tak tak: 1.1.Hei hi "watchful waiting" hmanga tih a ni fo. Chu chu thla 12 vel hnuah ultrasound scan lehin tumor-ah hian danglamna a awm em tih enfiah leh a ni tihna a ni.
• Malignant nodules: Hengte hi surgery hmanga lak chhuah a ngai deuh ber.
• Suspicious nodules: Hengte hi molecular profiling ang chi test dang result atanga surgery hmanga lak chhuah leh lak loh tur tih hriat a ni.

Engtikah nge doctor i hmuh ang?

Thyroid biopsy i tih zawh hnuah heng natna lan chhuah dan te hi i neih chuan doctor hnenah hrilh nghal rawh:

• Khawsik i neih chuan .
• I khawsik leh khur (Chills) i tih chuan.
• Needle dahna emaw, a incisionna hmun emaw chu a sen a, a hring a, chuta tang chuan zun ang maia chhuak a lo chhuak a nih chuan .

Hetiang symptoms i neih chuan infection a ni thei a, chuvangin enkawlna zawng vat a pawimawh.

A tawp berah chuan hriat reng tur pawimawh ber chu!

"Biopsy" tih thumal i hriat hian hlauthawng deuh i neih hi thil pangngai a ni. Mahse, thyroid biopsy neih hian thil pawi tak i nei tihna a ni lo. X-ray leh thisen test ang bawkin biopsy hi doctor-te’n natna an hriat theihna atana an hmanraw hman mai a ni. A result hian thu pawimawh tak tak min pe a ni.

Thyroid problem i neih chuan a na zual hmaa zawn chhuah hi hun rei tak hriselna atana i chance tha ber a ni. Chuvangin, i doctor-in biopsy a rawt chuan, dil hlau suh la, i mamawh information chu la la, head on-in hmachhawn rawh. Nangmah chauh i ni lo va, i tanpui theitu doctor an awm bawk.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. Zawhna i neih chuan zak suh la, i doctor nen inbia ang che!

` Thyroid, Thyroid Biopsy, Thyroid Nodules, FNA, CNB, Cancer, hriselna