Mukuopa chotupa? Tiyeni tikambirane za mayeso a FNA (Fine-Needle Aspiration)

Nthawi zina, ziphuphu zazing'ono kapena zotupa zimawonekera pansi pa khungu m'malo osiyanasiyana a thupi lathu, sichoncho? Ndizachilendo kumva mantha pang'ono komanso nkhawa mukaona chinthu chonga chimenecho pamalo monga khosi, bere, kapena kwapa. Mukapita kukaonana ndi dokotala nthawi ngati iyi, angakuuzeni kuti, "Tiyeni titenge chitsanzo chaching'ono cha izi ndikuwona chomwe chili." Umu ndi momwe njira yosavuta komanso yopanda ululu yomwe imagwiritsidwa ntchito kupeza chitsanzo cha selo kuchokera ku chotupa chokayikitsa imatchedwa Fine-Needle Aspiration, kapena monga tonse tikudziwira, mayeso a FNA.

Mwachidule, kodi mayeso a FNA awa ndi otani?

Zosavuta kwambiri. Mwachidule, FNA ndi njira yomwe imagwiritsa ntchito singano yaying'ono kutenga chitsanzo cha maselo, minofu, kapena madzi kuchokera ku chotupa kapena chotupa chomwe chikukayikitsa m'thupi lanu. Zili ngati kutenga chitsanzo cha magazi. Anthu ena amatchanso izi kuti 'fine-sindle biopsy'.

Chitsanzo chopezeka mwanjira imeneyi sichimangotayidwa. Chimatumizidwa mwachindunji ku labu. Kumeneko, dokotala yemwe ndi katswiri wa maselo, wotchedwa pathologist , amafufuza maselowo pogwiritsa ntchito maikulosikopu. Pamenepo ndi pomwe amapeza ngati maselowo ndi abwinobwino, ngati ali ndi matenda, kapena ngati ndi oopsa, monga maselo a khansa.

Kodi pali kusiyana kotani pakati pa FNA ndi Core Biopsy?

Mwina munamvapo za 'Core Biopsy'. Zonsezi ndi mitundu ya biopsy yomwe imagwiritsa ntchito singano. Koma pali kusiyana pang'ono. Tiyeni tiwone zomwe zili.

Mwachidule, FNA ili ngati kuyang'ana mawu ochepa patsamba la buku. Core Biopsy ili ngati kuwerenga mutu wonse wa buku. Dokotala wanu adzasankha njira ziwiri izi zomwe zili zabwino kwa inu kutengera momwe zinthu zilili.

Kodi mayeso a FNA amachitidwa nthawi ziti?

FNA imagwiritsidwa ntchito pazifukwa ziwiri zazikulu: pozindikira matenda ndipo nthawi zina ngati chithandizo.

Kuzindikira Matenda

Ichi ndiye cholinga chachikulu cha mayeso a FNA: kudziwa mtundu weniweni wa chotupa kapena chotupacho.

• Dziwani ngati muli ndi khansa .
• Dziwani ngati ndi chithupsa chomwe chimayamba chifukwa cha matenda a bakiteriya . Mwachitsanzo, matenda olowa m'malo olumikizirana mafupa (septic arthritis).
• Onetsetsani kuti si khansa, monga ma cysts, fibroadenomas, kapena lipomas .

Ngakhale kuti mayesowa angachitike pa chotupa chilichonse pa thupi, nthawi zambiri amachitikira m'malo ngati awa:

• Chifuwa
• Chithokomiro cha chithokomiro
• Ma lymph nodes
• Khungu

Komanso, FNA tsopano ikhoza kuchitidwa pa ziwalo zomwe zili mkati mwa matupi athu, monga kapamba ndi mapapo. Pachifukwa ichi, madokotala amagwiritsa ntchito ukadaulo monga ultrasound kapena CT scans kuti atsogolere singano molondola, ndipo amachita mayesowa mosamala kwambiri.

Monga Chithandizo

Nthawi zina mayeso a FNA amagwiritsidwanso ntchito ngati chithandizo.

• Chotsani mafinya m'matuza .
• Tulutsani madzi kuchokera ku ma cysts ndikuwatulutsa.
• Chotsani madzi (ma seroma) omwe amasonkhana pambuyo pa opaleshoni zina.

Mwanjira imeneyi, madziwo amachotsedwa popanda kudula kwakukulu, pogwiritsa ntchito singano yopyapyala yokha, yomwe ingathandize kupewa zipsera, makamaka m'malo ofunikira pakuwoneka kwa thupi, monga mabere.

Kodi ndiyenera kukonzekera bwanji mayesowa?

Iyi ndi gawo labwino kwambiri. Kuyezetsa kwa FNA nthawi zambiri sikufuna kukonzekera kwapadera . Simuyenera kukhala m'chipatala, ndipo mutha kupita kunyumba nthawi yomweyo mukangoyezetsa.

Komabe, dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Chofunika kwambiri kukumbukira ndi kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa, makamaka mankhwala ochepetsa magazi (anticoagulants) . Mungapemphedwe kuti musiye kumwa mankhwalawa tsiku limodzi kapena awiri musanayesedwe.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Njirayi ndi yachangu komanso yosavuta. Nthawi zambiri imakhala motere:

1. Mudzakakamizidwa kukhala pansi kapena kugona patebulo loyesera.

2. Dokotala kapena namwino adzayeretsa bwino malo omwe singano idzalowetsedwere ndi mankhwala opha tizilombo toyambitsa matenda.

3. Kenako, jakisoni kakang'ono ka mankhwala oletsa ululu m'deralo kangaperekedwe kuti malowo asachite dzanzi. Izi zichepetsa kwambiri ululu womwe mumamva mukalowetsa singano. Zingamveke ngati nyerere yaying'ono ikukulumani.

4. Ngati chotupacho chili mkati mwa thupi, dokotalayo adzagwiritsa ntchito makina a ultrasound kuti atsogolere singano komwe iyenera kupita.

5. Kenako, singano yopyapyala imayikidwa mosamala kwambiri mu chotupacho ndipo chitsanzo cha maselo chimapezeka pogwiritsa ntchito sirinji.

6. Kungakhale kofunikira kutenga zitsanzo zoposa chimodzi. Ngati ndi choncho, singano yatsopano ndi sirinji zidzagwiritsidwa ntchito nthawi iliyonse.

7. Ntchito ikatha, pulasitala kapena bandeji yaying'ono imayikidwa pamalo pomwe singano idayikidwa.

Ntchito yonseyi imatenga mphindi zochepa chabe, kotero palibe chifukwa chochitira mantha.

Kodi pali zoopsa zilizonse pambuyo pa FNA?

FNA ndi njira yotetezeka kwambiri. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono zomwe zingachitike. Komabe, izi sizichitika kawirikawiri.

• Kupweteka pang'ono ndi mabala: Pakhoza kukhala kupweteka pang'ono ndi mabala pamalo omwe jakisoni adayikidwa kwa tsiku limodzi kapena awiri. Izi ndi zachilendo.
• Kutuluka magazi: Anthu ena amatha kutuluka magazi pang'ono, makamaka kwa anthu omwe ali ndi vuto la magazi kuundana kapena omwe akumwa mankhwala ochepetsa magazi.
• Matenda: Pali mwayi wochepa kwambiri woti majeremusi alowe pamalo omwe singano imalowetsamo ndikuyambitsa matenda.
• Kuwonongeka kwa minofu yozungulira: Singano ikalowetsedwa, pali mwayi wochepa kwambiri woti mitsempha kapena mitsempha yamagazi yozungulira chotupacho ingawonongeke.

Ndi zinthu ziti zomwe zingaphatikizidwe mu lipoti lomwe ndimalandira?

Lipoti la labu lingakhale ndi zotsatira zingapo. Dokotala wanu adzakufotokozerani zotsatira izi m'mawu osavuta.

• Palibe maselo olakwika: Izi zikutanthauza kuti chotupacho ndi chabwinobwino ndipo si choopsa.
• Maselo osazolowereka ndi abwinobwino amasakanikirana: Ngati izi zitachitika, mayeso ena angafunike kuti atsimikizire matendawa.
• Maselo omwe asanafike khansa: Awa ndi maselo omwe sanakhale khansa, koma ali ndi kuthekera kokhala khansa mtsogolo.
• Maselo a khansa: Ngati chotupacho chatsimikizika kuti ndi khansa, dokotala wanu adzakutsogolerani pa njira yotsatira ya chithandizo.
• Umboni wa matenda a bakiteriya: Ngati chotupacho chayamba chifukwa cha matenda, mankhwala monga maantibayotiki adzaperekedwa.

Nthawi zina, ngati chitsanzo chomwe chapezeka sichikwanira, mungapemphedwe kuti mutengenso chitsanzo china. Mosasamala kanthu za zotsatira zake, musachite mantha ndipo lankhulani ndi dokotala wanu kuti musankhe choti muchite kenako.

Ndiyenera kukaonananso ndi dokotala liti?

Nthawi zambiri palibe mavuto aakulu omwe amabwera mukatha kuyezetsa FNA. Komabe, ngati mukukumana ndi zizindikiro izi, imbani dokotala nthawi yomweyo.

• Ngati mukumva malungo
• Ngati malo olowetsa singano ali ofiira, otupa, kapena mafinya akutuluka
• Ngati ululu ukuwonjezeka tsiku ndi tsiku
• Ngati pali kusintha kosayembekezereka kwa chotupacho (monga kukula mwadzidzidzi)