Kodi munapemphedwa kuti muyezedwe ndi thyroid biopsy kuti mupeze chotupa pakhosi panu? Tiyeni tiphunzire izi popanda mantha.

Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kuti muli ndi chotupa pakhosi panu ndipo muyenera kuchitidwa biopsy. Ambiri a ife tikamva mawu oti 'biopsy', nthawi yomweyo timaganiza za khansa. Koma kodi ichi ndi chinthu choopadi? Kodi chidzachitike ndi chiyani ndi mayesowa? Tiyeni tikambirane zonsezi momveka bwino komanso mwanjira yomwe imakupangitsani kumva bwino.

Mwachidule, kodi biopsy ya chithokomiro ndi chiyani?

Tangoganizani kuti mwapanga keke yaikulu. Simukuyenera kudula keke yonse kuti muwone zomwe zili mkati komanso ngati yaphikidwa bwino, sichoncho? Titha kupeza lingaliro podula chidutswa chaching'ono ndikuchidya.

Kuyeza kwa chithokomiro (thyroid biopsy) ndi njira yofanana. Kuyeza kwa chithokomiro (thyroid biopsy) ndi njira yomwe imaphatikizapo kutenga zitsanzo zazing'ono kwambiri za maselo kuchokera ku nodule mu gland yanu ya chithokomiro, yomwe imaoneka ngati gulugufe m'khosi mwanu. Izi zimachitika kuti mudziwe mtundu weniweni wa maselo omwe nodule imapangidwa nawo.

N’chifukwa chiyani mukufuna kuchita biopsy iyi?

Si matenda onse a chithokomiro omwe amafunika kuchitidwa biopsy. Nthawi zina, kuyezetsa magazi ndi kujambulidwa kungagwiritsidwe ntchito kuti adziwe vutolo.

Komabe, ngati muli ndi timibulu ta chithokomiro, dokotala wanu angakulangizeni kuti mufufuze. Timibuluti timeneti ndi timibulu tating'onoting'ono, tolimba kapena todzaza ndi madzi omwe timapanga mkati mwa chithokomiro. Chofunika kukumbukira apa ndichakuti timibuluti toposa 90% sitili ndi khansa (yoipa). Izi zikutanthauza kuti sitivulaza thupi kwambiri.

Kawirikawiri, ngati muli ndi chotupa chachikulu kuposa sentimita imodzi, mungafunike biopsy. Chifukwa chake, kungoti mwapemphedwa kuti muyesedwe biopsy, sizitanthauza kuti muli ndi khansa. Ndi kuonetsetsa kuti mulibe khansa.

Kodi biopsy iyi imachitidwa bwanji? Pali njira zitatu zazikulu.

Madokotala amagwiritsa ntchito njira zitatu makamaka pochita mayesowa.

1. Kutulutsa Singano Yaing'ono (FNA) - Njira yodziwika kwambiri yochitidwa

Iyi ndi njira yosavuta komanso yotetezeka yomwe anthu 99% amagwiritsa ntchito. Izi ndi zomwe zimachitika:

• Dokotala adzagwiritsa ntchito makina a ultrasound kuti adziwe komwe kuli chotupa m'khosi mwanu.
• Kenako, singano yopyapyala kwambiri (monga singano yomwe imagwiritsidwa ntchito pokoka magazi) imalowetsedwa mu chotupacho ndipo maselo ndi madzi pang'ono amatuluka (aspirated).
• Palibe kudula kwakukulu, palibe kudula, komanso palibe kupweteka kwakukulu.

2. Kufufuza kwa Singano Yaikulu (CNB)

Izi zikufanana kwambiri ndi njira ya FNA yomwe yatchulidwa pamwambapa. Komabe, singano yomwe yagwiritsidwa ntchito pano ndi yokhuthala pang'ono. Njirayi imagwiritsidwa ntchito ngati mayeso a FNA sakukwanira ndipo pakufunika chitsanzo chachikulu cha minofu. Izi nthawi zambiri zimachitika kawirikawiri.

3. Kufufuza za Opaleshoni

Izi zimachitika kawirikawiri kwambiri. Zimaganiziridwa pokhapokha ngati njira zina ziwiri sizikupereka yankho lomveka bwino. Apa, kudula pang'ono kumapangidwa pakhosi ndipo gawo lina kapena chotupa chonsecho chimachotsedwa ndikutumizidwa kukayezetsa.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Ngati mukufuna kuyesedwa kwa FNA kapena CNB, sikufunika kukonzekera kwambiri.

• Pokhapokha ngati dokotala wanu akulangizani mwanjira ina, mutha kudya ndi kumwa mwachizolowezi.
• Koma chofunika kwambiri, ngati mukumwa mankhwala aliwonse ochepetsa magazi (monga Aspirin, Warfarin, Clopidogrel), muyenera kuuza dokotala wanu pasadakhale. Angakuuzeni kuti musiye kumwa mankhwalawo masiku angapo mayeso asanachitike.
• Mudzachitidwa opaleshoni yochotsa mabakiteriya, ndipo dokotala wanu adzakupatsani malangizo enieni a momwe mungakonzekerere.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Tiyeni tiwone pang'onopang'ono zomwe zimachitika panthawi yoyezetsa FNA. Izi nthawi zambiri zimachitika munthawi yochepa, pafupifupi mphindi 10-20.

1. Choyamba, mudzagonekedwa pabedi.

2. Kenako , mubayidwa mankhwala oletsa ululu pang'ono kuti muchepetse ululu pamalo pomwe singano idzayikidwe. Izi zidzakuthandizani kuti musamve ululu wambiri.

3. Kenako, dokotala adzaika gawo lofanana ndi mutu la ultrasound scan (transducer) pakhosi panu ndipo, poyang'ana chowunikira, adzalemba malo enieni a chotupacho.

4. Kenako, mosamala kwambiri, singano yaying'ono imalowetsedwa kudzera pakhungu pamalo olembedwa ndi kulowa mu mfundo.

5. Mudzapemphedwa kuti mukhale chete pamene chitsanzo chikutengedwa. Musalankhule kapena kumeza panthawiyi.

6. Chitsanzocho chikatengedwa, singano imachotsedwa ndipo pulasitala kapena bandeji yaying'ono imayikidwa pamalopo.

7. Ngati muli ndi mfundo zoposa imodzi, mutha kutenga zitsanzo kuchokera ku mfundo zina mwanjira yomweyo.

8. Chitsanzo chotengedwa chimatumizidwa kwa dokotala yemwe ndi katswiri wa maselo (Cytologist) kuti akachiwone.

Ndi zotsatirapo ziti zomwe zingachitike mutamaliza kuyezetsa?

Iyi ndi njira yotetezeka kwambiri yoyezera. Zotsatira zoyipa kwambiri sizichitika kawirikawiri. Zotsatira zoyipa zofala zimaphatikizapo:

• Chilonda chaching'ono kapena bala limawonekera pamalo pomwe panabooledwa.
• Pa ululu wochepa ngati uwu, mutha kumwa mankhwala ochepetsa ululu monga Paracetamol. Komabe, ndi bwino kufunsa dokotala musanamwe mankhwala aliwonse.

Mavuto osowa kwambiri:

• Kutuluka magazi
• Matenda
• Kupanga kwa cyst

Kodi lipoti la biopsy likuti chiyani?

Nthawi zambiri mumalandira lipotilo mkati mwa sabata imodzi. Zotsatira za lipotilo zitha kugawidwa m'magulu akuluakulu pafupifupi 6. Tiyeni tiwone tanthauzo lililonse.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Matenda atatha kuchitidwa biopsy ndi osowa kwambiri. Komabe, ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, funsani dokotala nthawi yomweyo.

• Ngati mukumva malungo
• Ngati mukumva kuzizira komanso kunjenjemera
• Ngati malo oboolapo ali ofiira, otupa, ndipo madzi ooneka ngati mafinya akutulukamo