Kodi muyenera kuchitidwa biopsy ya bere? Tiyeni tiphunzire za Stereotactic Breast Biopsy m'njira yosavuta!

Kodi dokotala anakuwuzanipo kuti muyenera kuchitidwa biopsy ya bere? Ndizachibadwa kumva mantha pang'ono akanena zimenezo. Koma musadandaule. Nthawi zambiri, izi zimachitika kuti zitsimikizire kuti ndi chiyani kwenikweni ngati pali kukayikira kulikonse. Lero, tikambirana za mayeso apaderawa otchedwa Stereotactic Breast Biopsy. Tikambirana chilichonse mwachidule, monga momwe zilili, momwe zimachitikira, komanso zomwe tiyenera kudziwa.

Kodi ichi ndi chiyani (Stereotactic Breast Biopsy)?

Mwachidule, stereotactic breast biopsy ndi njira yapadera yomwe imaphatikizapo kutenga chidutswa cha minofu kuchokera m'mawere anu ngati pali chinachake chokayikitsa. Imagwiritsa ntchito makina apadera a mammogram kuti ipeze malo enieni omwe minofuyo iyenera kutengedwa. Mwina munamvapo kuti imatchedwa tomosynthesis-guided biopsy. Mammogram imagwiritsa ntchito X-ray yotsika kuti ijambule zithunzi za bere lanu. Zithunzizi zimagwiritsidwa ntchito kupeza minofu iliyonse yosazolowereka, kapena malo "okayikitsa", omwe angakhale khansa.

Pa "biopsy", dokotala, nthawi zambiri dokotala kapena namwino wophunzitsidwa bwino, amachotsa chidutswa cha minofu yokayikitsa. Kenako imatumizidwa ku labu kuti ikayesedwe ngati pali maselo a khansa. Njira yokhayo yodziwira ngati munthu ali ndi khansa ndikuchita "biopsy."

Njira iyi, yomwe imadziwika kuti ``Stereotactic Biopsy'', yakhalapo kwa zaka zoposa 35. Ndi njira yodalirika komanso yosavulaza kwambiri yodziwira ngati munthu ali ndi khansa ya m'mawere.

Nchifukwa chiyani izi (Stereotactic Biopsy) zimachitika?

Ngati dokotala wanu apeza chinthu chosazolowereka, monga chotupa m'bere lanu, panthawi ya ultrasound, mammogram, kapena MRI, akhoza kulamula kuti ayesedwe ndi stereotactic biopsy. Ngakhale kuti mayeso awa angasonyeze zolakwika m'bere lanu, stereotactic biopsy yokha ndi yomwe ingatsimikizire ngati ndi chizindikiro cha khansa, chotupa chosaopsa, kapena china chake.

Mungafunike kuchitidwa stereotactic biopsy ngati zinthu izi zapezeka pa mayeso ojambulira:

• Chotupa, kapena `(chotupa)`.
• Ngati pali calcium yochepa, imatchedwa "microcalcifications." Izi zimaoneka ngati tinthu tating'onoting'ono ta mchenga.
• Kusintha kwa minofu ya bere lanu (makamaka komwe mudachitidwapo opaleshoni yapitayi).

Tangoganizirani, ngati mayesowa akutsimikizira kuti chidutswa cha minofu chomwe chatengedwa chili ndi khansa, Stereotactic Biopsy iyi ithandiza dokotala wanu kukonzekera chithandizo chomwe mukufuna.

Ndani akuchita mayeso awa?

Mayeso a ``Stereotactic Breast Biopsy`` awa amachitidwa ndi katswiri wa radiology yemwe waphunzitsidwa mwapadera m'mundawu. Kenako, dokotala wina wodziwika bwino wotchedwa ``pathologist`` amafufuza minofu pansi pa maikulosikopu kuti awone ngati pali maselo a khansa.

Kodi mayesowa amagwira ntchito bwanji?

Mwachidule, stereotactic biopsy imagwiritsa ntchito makina apadera a mammography kuti apeze malo enieni omwe ali minofu yokayikitsa ndikupereka chitsogozo cha biopsy. Tangoganizirani makina awa akutenga ma X-ray a bere lanu kuchokera mbali zosiyanasiyana ndikutumiza chidziwitsocho ku kompyuta.

Kenako katswiri wa radiation amasankha malo osazolowereka kuti ayesedwe. Kutengera ndi zimenezo, kompyutayo imawerengera ndikuthandiza katswiri wa radiation kutsogolera chida cha biopsy pamalo enieni. Kenako katswiri wa radiation amagwiritsa ntchito chidacho kusonkhanitsa zitsanzo kuchokera m'dera limenelo.

Mu nthawi yonse yoyezetsa, katswiri wa radiology amagwiritsa ntchito ukadaulo uwu kuti atsimikizire kuti akutenga zitsanzo kuchokera pamalo oyenera komanso kuti asonkhanitsa minofu yokwanira kuti apeze zotsatira zolondola.

Kodi ndingakonzekere bwanji Stereotactic Biopsy?

Dokotala wanu adzakufunsani mafunso angapo kuti atsimikizire kuti mwatha kuyezetsa magazi mosamala komanso panthawi yake. Awa ndi awa:

• Mbiri yanu yachipatala: Izi zikuphatikizapo mbiri yachipatala ya banja lanu (ya m'thupi), matenda akale ndi apano, ndi chithandizo chomwe mudalandirapo. Ngati muli ndi ziwengo zilizonse, makamaka mankhwala oletsa ululu am'deralo, muyenera kuuza dokotala wanu .
• Mankhwala Omwe Mumamwa: Muyenera kuuza dokotala wanu ngati mukumwa mankhwala aliwonse olembedwa ndi dokotala kapena omwe amagulitsidwa ndi dokotala, mavitamini, kapena zowonjezera. Kuyezetsa kumeneku kuli ndi chiopsezo chotaya magazi pang'ono, choncho ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala ochepetsa magazi, monga aspirin. Tsatirani malangizo a dokotala wanu mosamala okhudza ngati musiye kapena kupitiriza kumwa mankhwala anu musanamwe mankhwalawo.
• Mimba: Muyenera kuuza dokotala wanu ngati muli ndi pakati. Izi zili choncho chifukwa kuonedwa ndi ma X-ray ambiri kungakhale koopsa kwa mwana wosabadwa. Komanso, mankhwala ena oletsa ululu m'thupi sakuvomerezedwa panthawi ya mimba. Komabe, ngati muli ndi pakati, pali njira zina zomwe zili zotetezeka kugwiritsa ntchito. Tsatirani malangizo a dokotala wanu a momwe mungachitire izi ngati muli ndi pakati.

Ndibwinonso kupempha mnzanu kapena wachibale wanu kuti akutengereni kunyumba mukamaliza kuyezetsa. Ngakhale kuti anthu ambiri amatha kuyendetsa galimoto mukamaliza kuyezetsa magazi, kuyezetsa khansa kungakhale kovuta kwambiri komanso kovutitsa maganizo. Chifukwa chake ndi bwino kukhala ndi munthu amene mumamudalira.

Kodi ndiyenera kuyembekezera chiyani patsiku la mayeso?

Yembekezerani kuti njira yonseyi itenga pafupifupi ola limodzi, koma gawo la biopsy litenga mphindi zochepa chabe. Kumbukirani izi tsiku lomwe mwachita biopsy:

• Valani zovala zomwe mungathe kusintha mosavuta, chifukwa mudzapatsidwa diresi la kuchipatala kuti muvale.
• Pambuyo pa mayeso, valani bulasi yolimba komanso yothandiza.
• Musamapaka deodorant. Komanso, musapaka mafuta odzola kapena ufa m'khwapa, m'manja, kapena m'mabere. Zingasokoneze X-ray ndikukhudza zotsatira zake.
• Khalani okonzeka kuchotsa magalasi, mano opangidwa ndi mano, zodzikongoletsera kuphatikizapo ndolo, kapena zinthu zina zachitsulo. Izi zingasokonezenso X-ray.
• Kumbukirani kuti mudzalangizidwa kuti musasamba kwa maola 24 mutatha kuyeza.

Kodi chimachitika ndi chiyani ngati stereotactic biopsy ichitika?

Mudzakhala maso nthawi yonse yoyeserera, koma simudzamva kupweteka kulikonse chifukwa bere lanu lidzakhala lopanda mphamvu.

• Mudzagona chafufumimba patebulo lofufuzira. Tebulo ili lili ndi dzenje lomwe bere lanu lingadutse. Bere lanu lidzagwiridwa ndi mbale ziwiri. *(Nthawi zina ngati mukuvutika kugona chafufumimba, pali makina m'malo ena omwe angachite izi mutakhala pansi. Choncho uzani dokotala wanu ngati muli ndi vuto lililonse musanachite biopsy.)*
• Kenako tebulo limakwezedwa kuti dokotala athe kufikira bere lanu mosavuta. Mukayikidwa bwino, makinawo amatenga ma X-ray a bere lanu kuchokera mbali zosiyanasiyana ndikutumiza chidziwitsocho ku kompyuta. Kompyutayo imasankha komwe iyenera kutengera biopsy.
• Kenako, dokotala adzayeretsa bere lanu ndi mankhwala opha tizilombo kapena sopo ndikubaya mankhwala oletsa ululu kuti bere lizizizira. Mungamve ngati mukulumidwa ndi nyerere yaying'ono.
• Pambuyo poti bere lanu lachita dzanzi, dokotala wanu adzakudulani khungu pang'ono ndikuyika singano ya biopsy. Chipangizo chothandizira vacuum (VAD) chomwe chimalumikizidwa ku singano chidzakukakamizani kuti muchotse minofu mwachangu. Mudzapatsidwa mankhwala owonjezera a dzanzi pamene chitsanzocho chikutengedwa. Zitsanzo zingapo zitha kutengedwa kuchokera ku kudulako kakang'ono komweko.
• Kenako amachotsa singano.
• Dokotala adzaika kachidutswa kakang'ono kachitsulo m'bere lanu kuti adziwe komwe minofuyo inatengedwa. Izi zidzakuthandizani ngati mukufuna kuyezetsa kapena kuchitidwa opaleshoni ina m'derali mtsogolo. Simudzamva kachidutswako, ndipo ndi kotetezeka kwathunthu. Sichidzayambitsa zowunikira zitsulo, ndipo mutha kuchitidwa MRI.

Kenako, dokotala adzakanikiza malo oyeretsera magazi kuti aletse kutuluka magazi. Adzaphimba ndi gauze kapena bandeji. Angagwiritsenso ntchito paketi ya ayezi kuti achepetse kutupa.

Pomaliza, mammogram imachitidwa pa mabere anu, ndipo katswiri wa radiology amaonetsetsa kuti chojambula cha biopsy chili pamalo oyenera.

Kodi ndiyenera kuyembekezera chiyani pambuyo pa mayeso?

Mungafunike kupuma pang'ono musanapite kunyumba, koma mutha kupita kunyumba tsiku lomwelo. Mungakhale ndi mabala, kutupa, ndi kupweteka pang'ono. Koma nthawi zambiri izi zimachira pakatha milungu ingapo.

Ngati muli ndi vuto lililonse, dokotala wanu angakulembeni mankhwala ochepetsa ululu omwe mumagwiritsa ntchito pa dokotala. Sungani paketi ya ayezi pamalopo kwa maola ochepa oyamba mutatha kuchitidwa opaleshoni (mphindi 20 musanachite, mphindi 20 musanachite). Mudzapatsidwa malangizo ena amomwe mungasamalire malowo.

Ndi bwino kupewa kuchita zinthu zolimbitsa thupi kwa maola 24 mpaka 48 mutachita biopsy. Anthu ambiri amatha kuyambiranso kuchita zinthu zachizolowezi nthawi imeneyi ikatha, koma ena angafunike nthawi yayitali. Tsatirani malangizo a dokotala wanu a momwe mungadzisamalire nokha pamene mukuchira.

Kodi zoopsa za mayesowa ndi ziti? Kodi pali zotsatirapo zilizonse zoyipa?

Kujambula kwa stereotactic ndi njira yotetezeka. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yomwe imafuna kuduladula, pali zoopsa zina, monga kutuluka magazi, madzi kapena kusonkhanitsa magazi, komanso matenda. Komabe, izi sizichitika kawirikawiri.

Kodi Stereotactic Biopsy ndi yopweteka bwanji?

Anthu ambiri samva kupweteka kulikonse panthawi yoyezetsa chifukwa cha mankhwala oletsa ululu. Mungamve kupweteka pang'ono mukapatsidwa mankhwala oletsa ululu. Mungamve kupanikizika mukalowetsa singano ya biopsy.

Anthu ena angamve kupweteka kwambiri kapena kusasangalala kuposa ena. Mwachitsanzo, ngati muli ndi minofu yolimba ya m'mawere, kapena ngati chotupacho chili kumbuyo kwa malo osavuta monga nipple yanu, mungakhale ndi mwayi womva kupweteka kapena kusasangalala panthawi ya biopsy.

Kawirikawiri, kusapeza bwino kumeneku kumachitika chifukwa chokhala pamalo omwewo kwa maola ambiri. Mwachitsanzo, mukakhala pansi chafufumimba pa desiki n’kutembenuza mutu wanu kumbali, khosi lanu likhoza kuuma.

Kodi zotsatira za mtundu wanji zomwe zimapezeka, ndipo zotsatira zake zikutanthauza chiyani?

Dokotala wa radiology kapena dokotala wa banja lanu adzakuuzani ngati muli ndi khansa (`positive` kapena `negative`). Ngati zotsatira zake sizikudziwika, mungafunike kuyesedwa kwambiri. Tsatirani malangizo a dokotala wanu okhudza zomwe mungachite kenako.

Kodi ndidzadziwa liti zotsatira za mayeso?

Zotsatira zimatha kutenga masiku angapo mpaka sabata imodzi. Musanapite kukayezetsa, funsani dokotala wanu nthawi yomwe zingatenge kuti mupeze zotsatirazo komanso momwe adzakuuzireni.

Ndi khansa zingati zomwe zingapezeke ndi stereotactic biopsy?

Ndizachibadwa kuchita mantha ukauzidwa kuti uyenera kuchita ``Stereotactic Biopsy'' chifukwa zikutanthauza kuti mayeso apeza kale minofu "yokayikitsa". Koma,Kafukufuku waposachedwapa wapeza kuti anthu osakwana 30% omwe adachitidwa opaleshoni ya stereotactic biopsy adapezeka kuti ali ndi khansa.

Choncho musachite mantha. Izi ndi kungotsimikizira.

Kodi ndiyenera kuyimbira dokotala liti?

Ngati muwona zizindikiro zilizonse zosonyeza kuti malo oyeretsera magazi sakuchira bwino, lankhulani ndi dokotala wanu . Muyeneranso kudziwitsa dokotala wanu ngati muli ndi zotsatirazi:

• Ngati kutupa sikutsika (kapena kukuwonjezeka).
• Palibe vuto ngati pali magazi kapena madzimadzi (monga mafinya) akutuluka pamalo oyezetsera.
• Ngati malo oyeretsera magazi ali ofiira, opweteka, kapena ofunda.

Kuuzidwa kuti muyenera kuchita stereotactic biopsy kungakhale kovuta, chifukwa zikutanthauza kuti muli ndi minofu "yokayikitsa" m'thupi lanu yomwe ingakhale khansa. Koma chofunika kwambiri kukumbukira ndichakuti mayesowa amachitikabe kuti apeze matenda. Anthu ambiri - ngakhale omwe ali ndi zotsatira "zokayikitsa" - sangatsimikizidwe kuti ali ndi khansa. Ngati zili choncho, stereotactic biopsy ingathandize kuchepetsa mantha anu. Kumbali ina, ngati muli ndi khansa, ingathandize kuipeza msanga. Izi zingathandize kuti chithandizo chikhale chogwira mtima kwambiri.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino zomwe takhala tikukambirana (Stereotactic Breast Biopsy). Mwachidule:

• Izi zimachitika potenga chidutswa chaching'ono cha minofu kuchokera pamalo okayikitsa a bere kuti muwone ngati ndi khansa kapena ayi.
• Izi zimachitika pogwiritsa ntchito ``mammogram'', yomwe imachitidwa pansi pa anesthesia, kuti isamve kupweteka kwambiri.
• Nthawi zambiri, zotsatira zake zimakhala zoipa.
• Ngakhale khansa itakhalapo, ndi yosavuta kuchiza chifukwa imatha kuzindikirika msanga.

Choncho, ngati dokotala akukupemphani kuti muchite mayeso otere, musachite mantha, funsani zambiri zofunika, ndipo pirirani ndi maganizo odekha. Chofunika kwambiri ndi kusamalira thanzi lanu.

Khansa ya m'mawere, biopsy, stereotactic biopsy, mammogram, thanzi la m'mawere, kuzindikira khansa, thanzi la akazi