Kodi munayamba mwamvapo chotupa kapena chotupa pang'ono pathupi lanu ndipo munachita mantha kapena kukayikira pang'ono? Kapena dokotala anakuuzani kuti muchite mayeso ang'onoang'ono pamalo otere? Musachite mantha! Lero tikambirana za mayeso omwe amathandiza nthawi ngati amenewa ndipo ndi ofunikira kwa anthu ambiri. Amenewo ndi 'Fine-Sindle Aspiration', omwe timawatchanso kuti '(FNA)' mwachidule. Kunena zoona, uwu ndi mayeso omwe amagwiritsa ntchito singano yopyapyala kutenga chitsanzo cha maselo.
Ndiye kodi Fine-Needle Aspiration (FNA) ndi chiyani kwenikweni?
Mwachidule, `Fine-Needle Aspiration` kapena `(FNA)` ndi njira yomwe madokotala amagwiritsa ntchito potenga chitsanzo cha maselo kuchokera ku chotupa chokayikitsa, nodule, kapena malo ena m'thupi lanu omwe amawoneka osazolowereka. Anthu ena amatchanso `Fine-Needle Biopsy`. Ganizirani ngati singano yopyapyala kwambiri yolumikizidwa ku sirinji yaying'ono yomwe imatulutsa chitsanzo chaching'ono cha maselo, minofu, kapena madzi.
Kenako, dokotala wanu amatumiza chitsanzocho ku ``cytology lab.'' Kumeneko, ``cytotechnologist'' amafufuza maselowo. Kenako, dokotala waluso wotchedwa ``pathologist'' amafufuza maselowo mozama, kuyesera kupeza zomwe ali komanso momwe alili. Onse awiri amafufuza maselowa pogwiritsa ntchito njira yotchedwa ``cytology.''
``(FNA)`` ndi mtundu wa biopsy womwe suvulaza thupi kwambiri, kutanthauza kuti, ndi wosavulaza kwambiri (wosavulaza kwambiri) . Komabe, ulinso ndi zoletsa zina.
Kotero, kodi kusiyana kotani pakati pa Core Biopsy ndi Fine-Sindle Aspiration ndi chiyani?
Mwina munamvapo za 'Core Biopsy'. 'Core Biopsy' ndi 'Fine-Needle Aspiration' zonse ndi mitundu ya biopsy yomwe imagwiritsa ntchito singano.
Komabe, singano yomwe imagwiritsidwa ntchito pa `Core Needle Biopsy` ndi yokhuthala pang'ono kuposa singano yomwe imagwiritsidwa ntchito pa `(FNA)`. Chifukwa chake, `Core Biopsy` imatha kutenga minofu yambiri kuposa `(FNA)`. Izi zimathandiza kudziwa zambiri za malo okayikitsa.
Ngakhale kuti njira yoyeretsera singano (FNA) imagwiritsidwa ntchito, nthawi zina njira yoyeretsera pakatikati pa thupi imafuna kudula pang'ono ndi kuyika singano yoyeretsera yomwe ili ndi kasupe.
Madokotala nthawi zambiri amagwiritsa ntchito njira ya 'Core Biopsy' pofufuza za mabere . Komabe, '(FNA)' imagwiritsidwa ntchito m'zigawo zosiyanasiyana za thupi.
Kodi Fine-Needle Aspiration (FNA) imagwiritsidwa ntchito pa chiyani?
Pali zolinga ziwiri zazikulu za mayeso a FNA: kuzindikira matenda ndi kuchiza .
Nthawi zina, madokotala amagwiritsanso ntchito FNA kukonzekera chithandizo ngati khansa yafalikira kuchokera komwe idayambira, yotchedwa khansa yofalikira. Kenako katswiri wa matenda amatha kuyang'ana zizindikiro za majini kapena mamolekyu mu chitsanzo cha selo kuti awone momwe khansayo idzayankhira bwino chithandizo china.
Kutulutsa Singano Yaing'ono (Kuzindikira FNA) kuti Mudziwe Matenda
Nthawi iliyonse madokotala akafuna kupeza matenda enieni potengera minofu kapena madzi, amatha kuchita "Fine-Sindle Aspiration" (yomwe imadziwikanso kuti "fine-sindle biopsy"). Katswiri wa matenda amayang'ana maselo omwe asonkhanitsidwa pansi pa maikulosikopu kuti adziwe mtundu wawo komanso makhalidwe awo.
``(FNA)`` ndi imodzi mwa mitundu ingapo ya biopsy. Kutengera ndi matenda anu, dokotala wanu angasankhe kuchita ``(FNA)`` kapena mtundu wina wa biopsy, monga ``excisional``` kapena ``incisional```.
Kufufuza kwa "Fine-Sindle Biopsy" kungakhale kofunikira kuti mudziwe bwino chotupa chomwe chikukayikitsa. Izi zingathandize kuzindikira zinthu monga:
- Khansa .
- Matenda a bakiteriya , mwachitsanzo, bursitis (matenda a thumba lozungulira chiwalo cholumikizira mafupa) kapena septic arthritis (matenda a chiwalo cholumikizira mafupa).
- Matumbo osakhala a khansa , mwachitsanzo, ma cysts, fibroadenomas (mtundu wa thumba losakhala la khansa lomwe limapangika m'mawere), kapena lipomas (matumbo onenepa).
Madokotala amatha kuchita opaleshoni yochepetsa singano (FNA) pafupifupi mbali iliyonse ya thupi. Komabe, nthawi zambiri imagwiritsidwa ntchito pofufuza zotupa zomwe zapezeka kumene m'malo otsatirawa:
- Mwachitsanzo, ma cysts a m'mawere.
- Mwachitsanzo, chithokomiro , timitsempha ta chithokomiro.
- Ma lymph nodes .
- Khungu .
Ndi kupita patsogolo kwa ukadaulo, kufufutira singano (FNA) tsopano kumagwiritsidwanso ntchito kuchotsa minofu m'mbali zamkati mwa thupi, mothandizidwa ndi malangizo ojambula zithunzi monga endoscopic ultrasound ndi computed tomography (CT) scans. Mwachitsanzo:
- Pancreas .
- Njira ya m'mimba (GI) .
- Kutsekeka kwa m'mero .
- Trachea .
- Mapapu .
- Mediastinum (malo omwe ali pachifuwa chanu omwe ali ndi ziwalo zofunika monga mtima wanu).
Kutulutsa singano pang'ono (FNA yochiritsira) pochiza
Nthawi zina madokotala amagwiritsa ntchito FNA kuchotsa madzi m'matendawa ndikuchiza. Mwachitsanzo:
- Matumbo(Ma cysts odzaza ndi mafinya).
- Matumba odzaza madzi.
- Ma seroma (izi ndi zinthu zachilendo zomwe zimachitika pambuyo pa opaleshoni ya khansa ya m'mawere ndi opaleshoni ya pulasitiki).
Njira iyi ya `(FNA)` ingagwiritsidwe ntchito m'malo mwa njira yachizolowezi ya `incision and drainage`, makamaka m'malo omwe ali ndi mawonekedwe owoneka bwino monga mabere. Komabe, `(FNA)` nthawi zina imatha kufalitsa matenda, kotero singagwiritsidwe ntchito nthawi zonse.
Kodi ndingakonzekere bwanji Fine-Needle Aspiration (FNA)?
Nthawi zambiri sipamakhala kukonzekera kwapadera komwe muyenera kuchita kuti mupeze Fine-Sindle Aspiration. Komabe, dokotala wanu adzakuuzani zomwe mungayembekezere komanso momwe mungakonzekere. Choncho musadandaule nazo .
Kodi chimachitika ndi chiyani pa mayeso a Fine-Needle Aspiration (FNA)?
FNA mwina imachitika mu ofesi ya dokotala wanu kapena m'dipatimenti yachipatala, zomwe zikutanthauza kuti simuyenera kukhala m'chipatala.
Njirayi ingasiyane pang'ono kutengera gawo la thupi lanu lomwe chitsanzocho chatengedwa. Komabe, nthawi zambiri, mutha kuyembekezera chinthu chonga ichi panthawi ya `Fine-Needle Aspiration`:
- Mudzakakamizidwa kugona pansi kapena kukhala patebulo lachipatala.
- Dokotala amatsuka malo omwe singano imayikidwa ndi mankhwala opha tizilombo toyambitsa matenda .
- Dokotala akhoza kubaya jekeseni mankhwala oletsa ululu kuti achepetse ululu pamalo omwe FNA ikuchitikira. Komabe, mungamve kupweteka pang'ono kapena kusasangalala singano ikalowa pakhungu. Izi ndi zachilendo.
- Ngati chitsanzocho chatengedwa kuchokera mkati mwa thupi lanu, dokotalayo adzagwiritsa ntchito malangizo ojambulira kuti atsogolere singanoyo komwe ndi komwe ikupita. Mwachitsanzo, ultrasound, CT scan, kapena mammogram.
- Dokotala amaika singano pamalo omwe akufunidwa kenako amagwiritsa ntchito sirinji kuchotsa maselo, minofu, kapena madzi.
- Dokotala angafunike kufufuza malo opitilira limodzi kapena kutenga zitsanzo zoposa chimodzi. Ngati zili choncho, adzagwiritsa ntchito singano yatsopano ndi sirinji pa chitsanzo chilichonse. Singano yomweyo sidzagwiritsidwa ntchito mobwerezabwereza .
- Mayeso akatha, bandeji yaying'ono imayikidwa pamalopo.
Kodi chimachitika ndi chiyani mukatha kuyezetsa Fine-Needle Aspiration (FNA)?
Dokotala wanu adzatumiza chitsanzo chimodzi kapena zingapo (kapena zingapo) ku labu. Kumeneko, 'katswiri wa matenda' adzawafufuza. Adzayang'ana maselowo pogwiritsa ntchito maikulosikopu ndipo angachite mayeso ena pa chitsanzocho. Katswiri wa matenda adzalemba lipoti la zomwe adapeza ndikutumiza kwa dokotala wanu, yemwe adzakuwonetsani ndikukufotokozerani.
Kodi zoopsa za Fine-Needle Aspiration (FNA) ndi ziti?
Ndi zachilendo kumva ululu pang'ono kapena mabala pomwe singano inalowetsedwa. Izi nthawi zambiri zimakhala zazing'ono ndipo zimachira pakatha masiku awiri kapena atatu.
Mavuto ochokera ku Fine-Needle Aspiration ndi osowa kwambiri , koma nthawi zina zotsatirazi zimachitika:
- Kutuluka magazi: Chiwopsezochi chimakhala chachikulu kwa anthu omwe ali ndi vuto la magazi kuundana komanso/kapena omwe akumwa mankhwala oletsa magazi kuundana.
- Matenda a bakiteriya: Ndicho chifukwa chake singano imatsukidwa bwino musanayiike.
- Kuwonongeka kwa minofu yozungulira: Izi ndizosowa kwambiri.
- Fistula: Ichi ndi mgwirizano wosazolowereka pakati pa minofu iwiri m'thupi, mwachitsanzo chiwalo, mtsempha wamagazi, kapena kapangidwe kena. Izi ndizosowa kwambiri.
Kumbukirani, zoopsa izi ndi zazing'ono kwambiri. Dokotala akukuuzani kuti muyesedwe chifukwa akuganiza kuti ubwino wake ndi woposa zoopsa zazing'onozi.
Kodi zotsatira za Fine-Needle Aspiration (FNA) ndi ziti?
Pali mitundu ingapo ya zotsatira zomwe zingapezeke kuchokera ku `Fine-Needle Aspiration`. Chitsanzocho chikafufuzidwa, chingawonetse zinthu monga:
- Palibe maselo olakwika: izi zikutanthauza kuti zonse zili bwino.
- Kusakaniza maselo osazolowereka ndi maselo abwinobwino: Mungafunike mayeso ena kuti mutsimikizire matendawa.
- Maselo omwe asanafike khansa: Awa ndi maselo omwe ali pamlingo woti asanduke khansa. Awa ndi osavuta kuchiza ngati atapezeka msanga.
- Maselo a khansa: Ngati izi zitachitika, dokotala wanu adzakuuzani choti muchite kenako.
- Umboni wa matenda a bakiteriya: Ngati ndi choncho, akhoza kuchiritsidwa.
Nthawi zina, labu ingafune zitsanzo zambiri kuti ipereke lipoti lolondola. Komabe, dokotala wanu adzakufotokozerani lipotilo . Kenako, nonse awiri mudzasankha pamodzi choti muchite kenako.
Kodi ndiyenera kuyimbira dokotala wanga liti?
Ngati mukupeza zizindikiro za matenda mutamaliza kuyezetsa, monga kutentha thupi, mafinya akutuluka pamalo omwe singano ili, kapena kufiira , imbani dokotala nthawi yomweyo. Ngati muwona kusintha kosayembekezereka mu chotupa chanu kapena nodule mutamaliza FNA, uzani dokotala wanu za zimenezo.
Ndizachibadwa kumva kupsinjika maganizo ndi mantha mukazindikira kuti muli ndi chotupa chokayikitsa. Koma nkhani yabwino ndi yakuti biopsy, monga kufinya singano, ndiyo njira yabwino kwambiri yodziwira chomwe chili. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi kufinya singano, musazengereze kulankhula ndi dokotala wanu . Iwo alipo kuti akuthandizeni ndikukulimbikitsani.
Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)
- Kuyeza kwa `Fine-Needle Aspiration (FNA)` ndi njira yosavuta komanso yosavulaza yomwe imatenga chitsanzo cha maselo kuchokera kudera lokayikitsa la thupi.
- Izi zimatha kuzindikira matenda osiyanasiyana , monga khansa, matenda opatsirana, ndi zotupa zomwe si khansa. Nthawi zina zimagwiritsidwa ntchito kuchotsa madzi ndikuwachiza .
- Palibe chifukwa chokonzekera kwambiri musanayese mayeso, ndipo kusapeza bwino kwambiri sikumachitika kawirikawiri mukamaliza mayeso.
- Ngati muli ndi mafunso kapena nkhawa zilizonse, onetsetsani kuti mwalankhula ndi dokotala wanu . Adzakufotokozerani zonse.
- Kumbukirani, mtundu uwu wa mayeso umachitika kuti ukuthandizeni kupanga zisankho zabwino kwambiri zokhudza thanzi lanu.
Choncho, ngati mwapemphedwa kuti muyesedwe ngati zimenezi, musaope kukumana nazo. Tikukufunirani kuti muchire mwachangu!
FNA , Kutulutsa kwa Singano Zing'onozing'ono, Kufufuza kwa Biopsy, Kuyesa kwa Maselo, Kuyesa Chotupa, Kuzindikira Khansa, Kuyesa Zachipatala











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