Ndizachilendo kumva mantha pang'ono mukazindikira kuti muli ndi chotupa m'bere mwanu, kapena dokotala wanu akakuuzani kuti pali vuto ndi mammogram yanu . Mantha amenewo akhoza kukhala aakulu kwambiri mukauzidwa kuti muyenera kuchitidwa biopsy . Koma 'Core Needle Breast Biopsy' yomwe tikukamba lero si chinthu choopa. Izi nthawi zambiri zimachitika kuti muchotse kukayikira kulikonse m'maganizo mwanu ndi mwa dokotala wanu.
Kodi Core Needle Breast Biopsy ndi chiyani kwenikweni?
Mwachidule, iyi ndi imodzi mwa mitundu yodziwika bwino ya biopsy ya m'mawere. Dokotala wanu angakupatseni mayesowa ngati akukayikira kuti kusintha kwa bere lanu, monga chotupa, kungakhale khansa ya m'mawere.
Izi zimaphatikizapo katswiri, nthawi zambiri katswiri wa radiology, pogwiritsa ntchito singano yaying'ono yopanda kanthu kuchotsa chidutswa chaching'ono kwambiri cha minofu m'dera la bere lanu pomwe pali chotupa. Zili ngati kudula chidutswa chaching'ono cha keke kuti mulawe. Kenako, katswiri wa matenda amafufuza minofuyo pansi pa maikulosikopu kuti awone ngati ili ndi maselo a khansa kapena mavuto ena.
N’chifukwa chiyani ndingafune kuchita mayeso amtunduwu?
Pali zifukwa ziwiri zazikulu zomwe dokotala wanu angakupempheni kuti muchite mayeso awa:
- Ngati inu kapena dokotala wanu mwapeza chotupa m'bere lanu.
- Ngati pali vuto linalake panthawi yojambula, monga mammogram, MRI ya m'mawere, kapena ultrasound ya m'mawere.
Cholinga chachikulu cha mayesowa ndikuchotsa kukayikira kulikonse ndikutsimikiza ngati iyi ndi khansa kapena vuto lina lopanda vuto.
Kodi pali kusiyana kotani pakati pa Core Needle Biopsy ndi Fine-Sindle Aspiration?
Zonsezi ndi zizindikiro za singano. Koma pali kusiyana pang'ono. Fine-Needle Aspiration imatenga zitsanzo zamadzimadzi ndi magulu a maselo payokha. Core Needle Biopsy imatenga chidutswa chachikulu komanso chokhuthala cha minofu. Izi zimapatsa dokotala wa matenda chitsanzo chabwino choti achiwone. Zingapereke chithunzi chomveka bwino cha matendawa.
Kodi ndiyenera kukonzekera bwanji mayeso asanayambe?
Izi sizikufuna kukonzekera kwambiri, koma ndikofunikira kukumbukira zinthu izi:
- Uzani dokotala wanu za mankhwala onse omwe mumamwa. Ngati mukumwa aspirin kapena mankhwala ochepetsa magazi (anticoagulants), mungapemphedwe kuti musiye kumwa mankhwalawa masiku angapo musanachite biopsy.
- Valani zovala zabwino tsiku la mayeso. Komanso, ndi bwino kuvala bra yofewa yomwe sidzakhudza bala mukamaliza mayeso.
- Konzani zopewa kuchita zinthu mopitirira muyeso kwa pafupifupi tsiku limodzi mutamaliza mayeso.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Nthawi zambiri, biopsy iyi imachitika pogwiritsa ntchito scanner. Izi zikutanthauza kuti, dokotala amaika singano pamalo enieni a chotupacho pamene akuyang'ana scan. Njira zosiyanasiyana zofufuzira zimagwiritsidwa ntchito pa izi.
| Njira yojambulira | Kufotokozera |
|---|---|
| Kufufuza kwa Mabere a Stereotactic | Makina apadera a mammogram amagwiritsidwa ntchito pa izi. |
| Biopsy yotsogozedwa ndi ultrasound | Izi zimagwiritsa ntchito ultrasound ya m'mawere. |
| Biopsy yotsogozedwa ndi MRI | Izi zimagwiritsa ntchito chida chowunikira mabere (MRI scanner). |
Momwe mayeso amachitikira sitepe ndi sitepe:
1. Dokotala adzakupangitsani kukhala omasuka ndi makina ojambulira omwe akugwiritsidwa ntchito. Mwachitsanzo, mukamayesa stereotactic biopsy, mudzagona chafufumimba pabedi lapadera lomwe lapangidwa kuti bere lanu lizipendekeka.
2. Pogwiritsa ntchito sikirini, timapeza malo enieni a mfundo.
3. Kenako khungu lomwe lili pamalopo limatsukidwa bwino ndipo mankhwala oletsa kumva kupweteka amaikidwa m'malomo . Kuti musamve kupweteka kulikonse.
4. Pambuyo pochita dzanzi, khungu laling'ono kwambiri limadulidwa ndipo singano ya biopsy imalowetsedwamo.
5. Dokotala angatenge zitsanzo zingapo za minofu kuchokera pamalo pomwe pali chotupa. Mungamve kukankha pang'ono ndi phokoso la "click" pamene chitsanzo chilichonse chikutengedwa.
6. Chitsanzocho chikatengedwa, singano imachotsedwa ndipo cholembera chaching'ono kwambiri chachitsulo (biopsy marker) chimayikidwa mkati kuti chizindikirike komwe chitsanzocho chinatengedwa. Izi zidzakuthandizani kupeza malo enieni a biopsy ngati mutachita scan pambuyo pake.
7. Pomaliza, ikani mphamvu pamalopo kwa kanthawi kuti magazi asiye kutuluka ndipo phimbani ndi bandeji yoyera komanso yopanda poizoni .
Kodi izi zimapweteka? Zitenga nthawi yayitali bwanji?
Simuyenera kumva kupweteka kulikonse, chifukwa malowo ndi osagwira ntchito. Koma mungamve kupanikizika pang'ono minofu ikachotsedwa. Komabe, ngati mukumva kupweteka kulikonse, uzani dokotala nthawi yomweyo . Adzakupatsani mankhwala ena owonjezera osagwira ntchito.
Kujambula kwa magazi kokha kumatenga mphindi 15-20 kuti kuchitike, koma mungafunike kukhala m'chipinda choyezetsera kwa mphindi pafupifupi 60, kuphatikizapo nthawi yomwe imatenga pokonzekera kujambulidwa.
Kodi ndiyenera kuyembekezera chiyani pambuyo pa mayeso?
Mukhoza kupita kunyumba tsiku lomwelo. Mukhozanso kuchita zinthu zanu zachizolowezi. Komabe, ndi bwino kupewa zinthu zovuta monga kuthamanga, kulumpha, kapena kunyamula zolemera kwa maola osachepera 48. Ndizachilendo kuona mabala pamalo omwe biopsy inachitikira.
Kodi pali zoopsa zilizonse pa izi?
Iyi ndi njira yotetezeka kwambiri yoyezera. Zoopsa sizimapezeka kawirikawiri. Mavuto omwe angakhalepo ndi awa:
- Kuchulukana kwa magazi m'mabere chifukwa cha kutuluka magazi m'mabere (mabere a hematoma)
- Kukhala ndi matenda
- Kuwonongeka kwa mapapo (pneumothorax) - Izi zimachitika kawirikawiri kwambiri.
Kodi zotsatira zanga zidzakhala bwanji?
Katswiri wa matenda adzayang'ana minofu yanu kuti aone ngati pali maselo a khansa.
- Ngati palibe maselo a khansa (Osavulaza): Lipotilo likunena zimenezo. Izi zikutanthauza kuti palibe vuto.
- Ngati pali maselo a khansa (Oopsa): Lipoti limene dokotala adzalandira lidzaphatikizapo mfundo zotsatirazi:
- Mtundu wa chotupa: Kaya khansa ndi yolowa m'thupi (yofalikira m'minofu ya m'mawere) kapena yosalowa m'thupi (yosalowa m'thupi).
- Kuchuluka kwa chotupa: Kuchuluka kwa maselo a khansa omwe amagawikana mofulumira komanso kufanana kwawo ndi maselo wamba.
- Mkhalidwe wa cholandirira cha mahomoni: Ngati mahomoni m'thupi amakhudza kukula kwa khansa.
- Mkhalidwe wa HER2: Kaya pali puloteni (HER2) yomwe imathandiza maselo ena a khansa kukula.
Kodi zimatenga nthawi yayitali bwanji kuti zotsatira zake zibwere?
Zotsatira nthawi zambiri zimapezeka mkati mwa sabata imodzi mpaka masiku 10 kuchokera pamene biopsy yachitika. Nthawi zina nthawi imeneyi imatha kusiyana malinga ndi njira yomwe yagwiritsidwa ntchito poyesa chitsanzocho.
Tikudziwa kuti kudikira zotsatira zake kungakhale kovuta. Zimenezo n’zachibadwa. Zingakuthandizeni kupitiriza kuchita zinthu zanu za tsiku ndi tsiku, kuchita zinthu zomwe mumakonda, komanso kulankhula ndi wokondedwa wanu za izi.
Ndiyenera kukaonananso ndi dokotala liti?
Mavuto ochokera mu mayesowa ndi osowa, koma ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kuyimbira dokotala nthawi yomweyo .
| Funani upangiri wa dokotala nthawi yomweyo! | |
|---|---|
| Malungo | Ngati kutentha kwa thupi kuli kokwera kuposa 101 Fahrenheit (38.4 Celsius). |
| Kufiira kwa khungu | Ngati khungu lozungulira malo oyeretsera magazi ndi lofiira kapena lakuda kuposa mtundu wa khungu lanu. |
| Ululu waukulu | Ngati pali ululu wosapiririka mukakhudza malo oyezera magazi. |
| Kufalitsa bala | Ngati bala pamalo oyeretsera magazi likukulirakulira. |
Kodi mayesowa angateteze khansa?
Inde, pali mwayi wochepa kwambiri woti izi zichitike. Izi zikutanthauza kuti singano ya biopsy singatenge maselo a khansa, koma minofu yathanzi yokha yomwe ili pafupi. Izi zimatchedwa lipoti la 'bodza loipa'. Komabe, kafukufuku wasonyeza kuti izi sizingatheke kuchitika ndi Core Needle Biopsy.Zimenezo.
Pomaliza, ngati muwona kusintha kulikonse m'mabere anu, njira yabwino komanso yotetezeka yodziwira izi ndikuchita Core Needle Breast Biopsy. Izi zikupatsani yankho lomveka bwino. Choncho musachite mantha ndi izi. Ngati muli ndi mafunso aliwonse, musazengereze kufunsa dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Kuyeza kwa bere la Core Needle Biopsy ndi njira yotetezeka komanso yosavuta yomwe ingathandize kudziwa ngati chotupa m'bere ndi khansa kapena ayi.
- Simudzamva kupweteka kwambiri mukachita izi chifukwa cha dzanzi. Mudzangomva kukankhidwa pang'ono.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse omwe mukumwa, makamaka mankhwala ochepetsa magazi (anticoagulants), musanayesedwe.
- Ndi bwino kupewa kuchita zinthu zolemetsa kwa masiku awiri mutatha mayeso.
- Ngati muwona kufiira, malungo, ululu wosapiririka, kapena kuvulala komwe kukukulirakulira pamalo oyezetsera, imbani dokotala nthawi yomweyo.
- Ndi zachilendo kukhala ndi nkhawa pamene mukuyembekezera zotsatira. Kulankhula ndi anzanu ndikuchita zinthu zomwe mumakonda kudzakuthandizani pa nthawiyi.
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