Ese ugomba gupimwa ibere? Reka twige ibijyanye na Stereotactic Breast Biopsy mu buryo bworoshye!

Ese hari umuganga wigeze akubwira ko ugomba gukorerwa biopsy y'ibere? Ni ibisanzwe kumva ufite ubwoba gato iyo avuze ibyo. Ariko ntugahangayike. Akenshi, ibi bikorwa kugira ngo byemezwe neza icyo ari cyo niba hari gushidikanya. Uyu munsi, tuzavuga kuri iki kizamini cyihariye cyitwa Stereotactic Breast Biopsy. Tuzavuga kuri byose mu magambo yoroshye, nko kumenya icyo ari cyo, uko bikorwa, n'icyo tugomba kumenya.

Iki ni iki (Stereotactic Breast Biopsy)?

Muri make, uburyo bwo gupima ibere hakoreshejwe uburyo bwa stereotactic ni uburyo bwihariye busaba gufata agace gato k'urugingo mu ibere ryawe niba hari ikintu giteye amakenga. Bukoresha imashini yihariye ya mammogram kugira ngo bumenye neza aho urugingo rugomba guterwa. Ushobora kandi kuba warumvise byitwa tomosynthesis-guided biopsy. Mammogram ikoresha X-ray nke kugira ngo ifate amafoto y'ibere ryawe. Aya mafoto akoreshwa mu gushaka ingirangingo zidasanzwe, cyangwa ahantu "hakekwa", hashobora kuba kanseri.

Mu gihe cyo gusuzuma "biopsy", umuganga, ubusanzwe akaba ari umuganga cyangwa umuforomo wabyigiye, akuraho agace k'urugingo rukekwaho ikibazo. Hanyuma rwoherezwa muri laboratwari kugira ngo bapime uturemangingo twa kanseri. Uburyo bwonyine bwo kumenya neza niba umuntu afite kanseri ni ugusuzuma "biopsy."

Ubu buryo, buzwi nka "Stereotactic Biopsy", bumaze imyaka irenga 35. Ni uburyo bwizewe cyane kandi butagira ingaruka nyinshi mu kumenya niba umuntu afite kanseri y'ibere.

Kuki ibi bikorwa (Stereotactic Biopsy)?

Mu gihe umuganga wawe asanze hari ikintu kidasanzwe, nk'ikibyimba mu ibere ryawe, mu gihe cyo gupimwa hakoreshejwe ultrasound, mammogram, cyangwa MRI, ashobora gusaba ko hakorwa stereotactic biopsy. Nubwo ibi bizamini byerekana ko ibere ryawe ritari ryiza, stereotactic biopsy ni yo yonyine ishobora kumenya neza niba koko ari ikimenyetso cya kanseri, ikibyimba kitari kibi, cyangwa ikindi kintu.

Ushobora gukenera gupimwa stereotactic biopsy niba ibi bintu biboneka mu isuzuma ry’ishusho:

• Ikibyimba, cyangwa `(ikibyimba)`.
• Iyo hari calcium nkeya, byitwa "microcalcifications." Ibi bisa n'uduce duto tw'umucanga.
• Impinduka mu ngingo z'ibere ryawe (cyane cyane aho wigeze kubagwa mbere).

Tekereza, niba iki kizamini cyemeza ko igice cy'umubiri cyafashwe kirimo kanseri, iyi Stereotactic Biopsy izafasha muganga wawe gutegura uburyo ukeneye bwo kuvurwa.

Ni nde uri gukora iki kizamini?

Iki kizamini cya ``Stereotactic Breast Biopsy``` gikorwa n'inzobere mu by'imirasire y'amaraso yahawe amahugurwa yihariye muri urwo rwego. Hanyuma, umuganga wihariye witwa ``pathologist`` asuzuma icyitegererezo cy'ingingo akoresheje mikorosikopi kugira ngo arebe niba hari uturemangingo twa kanseri.

Iki kizamini gikora gite?

Mu magambo make, imashini ipima ibice by’umubiri ikoresha imashini yihariye ipima ibice by’umubiri kugira ngo imenye neza aho ingingo ikekwa iri no gutanga ubuyobozi ku isuzuma. Tekereza iyi mashini ifata imirasire ya X y’ibere ryawe mu mpande zitandukanye hanyuma yohereza amakuru kuri mudasobwa.

Hanyuma umuganga w’imirasire ahitamo agace kadasanzwe gakwiye gupimwamo. Hashingiwe kuri ibyo, mudasobwa ikora imibare igafasha umuganga w’imirasire kuyobora igikoresho cya biopsy aho giherereye neza. Hanyuma umuganga w’imirasire agakoresha igikoresho kugira ngo atore ingero muri ako gace.

Mu gihe cyose cy’ikizamini, umuganga w’imirasire akoresha iri koranabuhanga kugira ngo arebe neza ko afashe ingero ahantu heza kandi ko yakusanyije ingirabuzima fatizo zihagije kugira ngo abone igisubizo nyacyo.

Ni gute nakwitegura gukora isuzuma rya Stereotactic Biopsy?

Muganga wawe azakubaza ibibazo bike kugira ngo amenye neza ko ushobora kwipimisha mu mutekano kandi ku gihe. Ibi ni ibi:

• Amateka yawe y'ubuvuzi: Ibi birimo amateka y'ubuzima bw'umuryango wawe (mu mubiri), indwara za kera n'iz'ubu, hamwe n'uburyo wavuwe. Niba ufite ubwivumbure, cyane cyane ku ndwara zo mu gace utuyemo, ugomba kubimenyesha muganga wawe .
• Imiti ufata: Ugomba kubwira muganga wawe niba ufata imiti cyangwa imiti igurishwa na muganga, vitamine, cyangwa inyongeramusaruro. Iki kizamini gifite ibyago byo kuva amaraso make, bityo ni ngombwa cyane kubibwira muganga wawe niba ufata imiti igabanya amaraso, nka aspirine. Kurikiza amabwiriza ya muganga wawe witonze ku bijyanye no guhagarika cyangwa gukomeza gufata imiti yawe mbere yo gupimwa.
• Gutwita: Ugomba kubwira muganga wawe niba utwite. Ibi biterwa nuko kwipimisha X-ray nyinshi bishobora kwangiza umwana uri mu nda. Nanone, imiti imwe n'imwe yo gusinziriza mu gace utuyemo ntiyemerwa mu gihe utwite. Ariko, niba utwite, hari ubundi buryo bwo gukoresha butekanye. Kurikiza amabwiriza ya muganga wawe y'uko wabikora niba utwite.

Ni byiza kandi gusaba inshuti cyangwa umuntu wo mu muryango wawe kugutwara mu modoka nyuma yo gupimwa. Nubwo abantu benshi bashobora gutwara imodoka nyuma yo gupimwa kanseri, kwipimisha kanseri bishobora kugutera stress cyane kandi bigatera amarangamutima. Bityo rero, ni byiza cyane kugira umuntu wizeye uri kumwe nawe.

Ni iki nkwiye kwitega ku munsi w'ikizamini?

Tegereza ko igikorwa cyose kizatwara isaha imwe. Ariko igice cya biopsy kizatwara iminota mike gusa. Uzirikane ibi bintu ku munsi wa biopsy yawe:

• Ambara imyenda ushobora kwambara byoroshye, kuko uzahabwa ikanzu yo kwambara mu bitaro.
• Nyuma yo kwipimisha, ambara isutiye ikomeye kandi ishyigikira ubwiherero.
• Ntugashyireho deodorant. Nanone, ntugashyire amavuta cyangwa ifu mu kwaha kwawe, mu maboko, cyangwa mu mabere. Bishobora guhindura X-ray bigatuma ingaruka ku bisubizo.
• Itegure gukuramo indorerwamo, amenyo y'ingore, imitako irimo amaherena, cyangwa ibindi bintu by'icyuma. Ibi bishobora no kubangamira X-ray.
• Wibuke ko uzagirwa inama yo kutiyuhagira mu masaha 24 nyuma yo gupimwa.

Bigenda bite iyo hakozwe isuzuma rya stereotactic biopsy?

Uzaba uri maso mu gihe cyose cy'ikizamini, ariko ntuzumva ububabare ubwo aribwo bwose kuko ibere ryawe rizaba ridafite ibinya.

• Uzaryama wubitse ku meza yo gupimisha. Iyi meza ifite umwobo ibere ryawe rishobora kunyuramo. Ibere ​​ryawe rizafatwa n'amasahani abiri. *(Rimwe na rimwe niba bigoye kuryama wubitse, hari imashini zimwe na zimwe zishobora kubikora wicaye. Bibwire muganga wawe niba ufite ikibazo mbere yo gupimwa.)*
• Hanyuma ameza azamurwa kugira ngo muganga abashe kugera ku ibere ryawe byoroshye. Iyo umaze gushyirwa neza, imashini ifata X-ray y'ibere ryawe mu mpande zitandukanye hanyuma yohereze amakuru kuri mudasobwa. Mudasobwa niyo igena aho ifata biopsy.
• Hanyuma, umuganga azasukura ibere ryawe akoresheje umuti wica udukoko cyangwa isabune hanyuma atere umuti ugabanya ububabare bw'ibere kugira ngo rigabanye ububabare. Ushobora kumva umeze nk'aho uri kurumwa n'agakoko gato.
• Nyuma yuko ibere ryawe rimaze kugira ibinya, muganga wawe azagukata gato ku ruhu rwawe maze agushyiremo urushinge rwa biopsy. Agakoresho gafasha mu gusohora amaraso (VAD) gafata urushinge kazagutera imbaraga kugira ngo kakureho vuba ingingo. Uzahabwa imiti myinshi yo kugabanya ibinya mu gihe icyitegererezo kirimo gufatwa. Ingero nyinshi zishobora gufatwa mu gice kimwe gito.
• Hanyuma bakuraho urushinge.
• Muganga azashyira agakoresho gato k'icyuma mu ibere ryawe kugira ngo agaragaze aho agakoresho kafashwe. Ibi bizagufasha niba ukeneye gukorerwa ibindi bipimo cyangwa kubagwa muri aka gace mu gihe kizaza. Ntuzumva agakoresho, kandi nta kibazo kirimo. Ntabwo kazatera ibyuma bipima, kandi ushobora gukorerwa MRI.

Hanyuma, umuganga azakanda aho bapimye amaraso kugira ngo amaraso ahagarike. Bazapfuka agatambaro cyangwa igitambaro. Bashobora kandi gushyiramo agapaki k'urubura kugira ngo bagabanye kubyimba.

Amaherezo, isuzuma rya mammogram rikorwa ku mabere yawe, kandi umuganga w’amaradiyo agenzura neza ko isuzuma rya biopsy riri ahantu heza.

Ni iki nkwiye kwitega nyuma y'ikizamini?

Ushobora gukenera kuruhuka gato mbere yo gutaha, ariko ushobora gutaha uwo munsi. Ushobora kugira ibisebe, kubyimba, no kubabara. Ariko ibi bikunze koroha mu byumweru bike.

Niba ufite ikibazo icyo ari cyo cyose, muganga wawe ashobora kukwandikira umuti ugabanya ububabare ugurishwa na muganga. Shyira agapaki k'urubura ahantu hasanzwe amasaha make nyuma yo gukorerwa isuzuma (iminota 20, iminota 20 ikiruhuko). Uzahabwa andi mabwiriza y'uburyo bwo kwita ku gace.

Ni byiza kwirinda gukora imirimo ivunanye amasaha 24 kugeza kuri 48 nyuma yo kubagwa. Abantu benshi bashobora kongera gukora imirimo isanzwe nyuma y'iki gihe, ariko hari n'abandi bashobora gukenera igihe kirekire. Kurikiza amabwiriza ya muganga wawe y'uko wakwiyitaho mu gihe ukize.

Ingaruka mbi zishobora guterwa n'iki kizamini ni izihe? Ese hari ingaruka mbi zishobora guterwa n'iki kizamini?

Uburyo bwo gupima imiterere y'umubiri (stereotactic biopsy) ni uburyo bwizewe. Ariko, kimwe n'ubundi buryo bwose busaba gukata, hari ingaruka zimwe na zimwe, nko kuva amaraso, gukusanya amazi cyangwa amaraso, ndetse no kwandura. Ariko, ibi ni gake cyane.

Uburyo bwo gusuzuma indwara ya Stereotactic Biopsy bubabaza bute?

Abantu benshi ntibagira ububabare ubwo ari bwo bwose mu gihe cyo gupimwa bitewe n'ikinya. Ushobora kumva ubabara gato iyo uhawe ikinya. Ushobora kumva igitutu iyo ushyizwemo urushinge rwa biopsy.

Hari abantu bashobora kugira ububabare cyangwa kutamererwa neza kurusha abandi. Urugero, niba ufite ibere ryinshi, cyangwa niba ikibyimba kiri inyuma y'agace gato k'umubiri nk'ibere ryawe, ushobora kugira ububabare cyangwa kutamererwa neza mu gihe cyo kubagwa.

Akenshi, kubabara guterwa no kuguma mu mwanya umwe amasaha menshi icyarimwe. Urugero, iyo wicaye ureba hasi ku meza uhindukiza umutwe wawe ugana ku ruhande, ushobora kugira ijosi rikomeye.

Ni ibihe bisubizo biboneka, kandi ibyo bisubizo bivuze iki?

Umuganga w’indwara z’imirasire cyangwa umuganga w’umuryango wawe azakubwira niba urwaye kanseri (`yagaragaye` cyangwa`yagaragaye`). Niba ibisubizo bitarasobanuka neza, ushobora gukenera gukorerwa ibizamini byinshi. Kurikiza amabwiriza ya muganga wawe ku cyo wakora nyuma yaho.

Ni ryari nzamenya ibisubizo by'ikizamini?

Ibisubizo bishobora gufata iminsi mike cyangwa icyumweru. Mbere yo kujya kwipimisha, baza muganga wawe igihe bizatwara kugira ngo ubone ibisubizo n'uko bizakumenyeshwa.

Ni kanseri zingahe zishobora kugaragara hakoreshejwe uburyo bwa stereotactic biopsy?

Ni ibisanzwe kumva ufite ubwoba iyo ubwiwe ko ugomba gukora "Stereotactic Biopsy" kuko bivuze ko ikizamini cyamaze kubona ingingo "ziteye amakenga". Ariko,Uburyo bwinshi bwo gusuzuma indwara z’umubiri - harimo n’uburyo bwo gusuzuma indwara z’umutima - bugaruka ari bubi. Ubushakashatsi buherutse gukorwa bwagaragaje ko abantu bari munsi ya 30% bakorewe isuzuma ry’umubiri basanze barwaye kanseri.

Ntutinye rero. Ibi ni ukugira ngo byemezwe gusa.

Ni ryari ngomba guhamagara muganga ?

Niba ubonye ibimenyetso byerekana ko aho bapimye hatakiri neza, vugana na muganga wawe . Ugomba kumenyesha muganga wawe niba ufite kimwe muri ibi bikurikira:

• Iyo kubyimba kutagabanutse (cyangwa kwiyongera).
• Nta kibazo kirimo iyo hari amaraso cyangwa amazi (nk'amashyira) asohoka aho bapimye.
• Iyo aho bapimye hagaragaye umutuku, hababaza, cyangwa humvikana ubushyuhe.

Kubwirwa ko ugomba gukora isuzuma rya stereotactic biopsy bishobora gutera stress, kuko bivuze ko ufite ingingo "ziteye amakenga" mu mubiri wawe zishobora kuba kanseri. Ariko ikintu cy'ingenzi ugomba kwibuka ni uko iki kizamini kigikorerwa mu rwego rwo gusuzuma. Abantu benshi - ndetse n'abafite ibisubizo "biteye amakenga" - ntibazigera bemezwa ko bafite kanseri. Niba ari uko bimeze, isuzuma rya stereotactic biopsy rishobora kugufasha kugabanya ubwoba bwawe. Ku rundi ruhande, niba urwaye kanseri, bishobora kugufasha kuyibona vuba. Ibi bishobora gutuma ubuvuzi burushaho kugira akamaro.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero usobanukiwe neza icyo twavuzeho (Stereotactic Breast Biopsy). Muri make:

• Ibi bikorwa ufata agace gato k'urugingo mu gace gakekwaho kanseri y'ibere kugira ngo urebe niba ari kanseri cyangwa atari yo.
• Ibi bikorwa hifashishijwe "mammogram", bikorerwa munsi y'ikinya, kugira ngo bitababaza cyane.
• Akenshi, ibisubizo bigaruka ari bibi.
• Nubwo kanseri yaba ihari, biroroshye kuyivura kuko ishobora kumenyekana hakiri kare.

Bityo rero, niba muganga agusabye gukora ikizamini nk'icyo, ntukitinye, saba amakuru akenewe, kandi ubyihanganire utuje. Icy'ingenzi ni ukwita ku buzima bwawe.

Kanseri y'ibere , biopsy, stereotactic biopsy, mammogram, ubuzima bw'ibere, gusuzuma kanseri, ubuzima bw'abagore