Ufite ubwoba bwo kugira ikibyimba? Reka tuvuge ku isuzuma rya FNA (Fine-Nedle Aspiration)

Hari igihe utubyimba duto cyangwa ibibyimba bigaragara munsi y'uruhu mu bice bitandukanye by'umubiri wacu, si byo se? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo ubonye ikintu nk'icyo ahantu nk'aho nko mu ijosi, mu ibere, cyangwa mu kwaha. Iyo ugiye kwa muganga mu gihe nk'iki, ashobora kukubwira ati: "Reka dufate urugero ruto rw'ibi turebe icyo ari cyo." Uko ni ko uburyo bworoshye cyane kandi butababaza bukoreshwa mu kubona icyitegererezo cy'uturemangingo mu kibyimba gikekwa bwitwa Fine-Nedle Aspiration, cyangwa nkuko twese tubizi, ikizamini cya FNA.

Mu magambo make, iki kizamini cya FNA ni iki?

Byoroshye cyane. Muri make, FNA ni uburyo bukoresha urushinge ruto kugira ngo hafatwe icyitegererezo cy'uturemangingo, ingirabuzima fatizo, cyangwa amazi ava mu kibyimba cyangwa igisebe gikekwa mu mubiri wawe. Ni nko gufata icyitegererezo cy'amaraso. Hari n'abantu babyita 'biopsy y'urushinge ruto'.

Icyitegererezo cyabonetse muri ubu buryo ntikijugunywa gusa. Kijyanwa muri laboratwari. Aho ngaho, umuganga w’inzobere mu by’uturemangingo, witwa inzobere mu ndwara , asuzuma utwo turemangingo akoresheje mikorosikopi. Niho bamenya neza niba utwo turemangingo ari uturemangingo dusanzwe, niba dufite ubwandu, cyangwa niba ari ikintu kibi, nk’uturemangingo twa kanseri.

Ni irihe tandukaniro riri hagati ya FNA na Core Biopsy?

Ushobora kuba warumvise ibyerekeye 'Core Biopsy'. Byombi ni ubwoko bwa biopsy bukoresha urushinge. Ariko hari itandukaniro rito. Reka turebe ibyo ari byo.

Muri make, FNA ni nko kureba amagambo make ku rupapuro rw'igitabo. Core Biopsy ni nko gusoma igice cyose cy'igitabo. Muganga wawe azaguhitiramo uburyo muri ubu bubiri bukubereye bitewe n'imimerere yawe.

Ni mu bihe ibihe ikizamini cya FNA gikorerwa?

FNA ikoreshwa mu bintu bibiri by'ingenzi: mu gusuzuma indwara ndetse rimwe na rimwe no kuvura.

Ku bijyanye no gusuzuma

Iyi ni yo ntego nyamukuru y'ikizamini cya FNA: kumenya neza ubwoko bw'ikibyimba cyangwa ikibyimba.

• Menya niba urwaye kanseri .
• Menya niba ari ibibyimba biterwa n'indwara za bagiteri . Urugero, ingingo yuzuyemo amashyira (septic arthritis).
• Menya neza ko atari kanseri, nka cysts, fibroadenomas, cyangwa lipomas .

Nubwo iki kizamini gishobora gukorerwa ku kibyimba aho ari ho hose ku mubiri, akenshi gikorerwa ahantu nk'ibi:

• Ibere
• Indwara ya tiroyide
• Uduce tw'umurabyo (lymph nodes)
• Uruhu

Nanone, FNA ubu ishobora gukorerwa ku ngingo ziherereye imbere mu mubiri wacu, nko mu ipanjisi n'ibihaha. Kugira ngo ibi bigerweho, abaganga bakoresha ikoranabuhanga nka ultrasound cyangwa CT scans kugira ngo bayobore neza urushinge, bakora iki kizamini mu mutekano mwinshi.

Nk'Ubuvuzi

Hari igihe ikizamini cya FNA gikoreshwa nk'ubuvuzi.

• Kura amashyira mu bibyimba .
• Kuramo amazi mu turemangingo hanyuma uyakuremo.
• Kuraho amazi (seroma) yiyongera nyuma yo kubagwa.

Muri ubu buryo, amazi akurwaho nta gukata cyane, hakoreshejwe urushinge ruto gusa, rushobora gufasha mu kwirinda inkovu, cyane cyane mu bice by'ingenzi ku ishusho y'umubiri, nko mu mabere.

Ni gute nakwitegura iki kizamini?

Iki ni cyo gice cyiza kurusha ibindi. Ikizamini cya FNA ubusanzwe ntigisaba imyiteguro idasanzwe . Ntabwo ari ngombwa kuguma mu bitaro, kandi ushobora gutaha nyuma gato y'ikizamini.

Ariko, muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Ikintu cy'ingenzi ugomba kwibuka ni ukubwira muganga wawe indi miti iyo ari yo yose ufata, cyane cyane imiti igabanya amaraso (anticoagulants) . Ushobora gusabwa guhagarika iyi miti umunsi umwe cyangwa ibiri mbere y'ikizamini.

Ni iki kibaho mu gihe cy'ikizamini?

Iyi gahunda ni yihuse cyane kandi yoroshye. Akenshi igenda gutya:

1. Uzategekwa kwicara cyangwa kuryama ku meza yo gusuzuma.

2. Muganga cyangwa umuforomo azasukura neza aho urushinge ruzashyirwa n'umuti wica udukoko.

3. Hanyuma, ushobora guterwa agashinge gato k'ikinyabutabire cyo mu gace kugira ngo ugabanye ububabare. Ibi bizagabanya cyane ububabare wumva iyo urushinge rushyizwemo. Bishobora kumvikana nk'aho ari agakoko gato kakuruma.

4. Iyo ikibyimba kiri imbere mu mubiri, muganga azakoresha imashini ya ultrasound kugira ngo ayobore urushinge neza aho rugomba kujya.

5. Hanyuma, urushinge ruto rushyirwa mu kibyimba witonze cyane hanyuma hakaboneka icyitegererezo cy'uturemangingo hakoreshejwe seringe.

6. Bishobora kuba ngombwa gufata ingero zirenze imwe. Niba ari uko bimeze, urushinge rushya n'urushinge bizakoreshwa buri gihe.

7. Iyo akazi karangiye, hashyirwa agapira gato cyangwa igitambaro aho urushinge rwashyizwe.

Igikorwa cyose kimara iminota mike gusa, nta mpamvu yo gutinya.

Ese hari ingaruka zishobora guterwa na FNA?

FNA ni uburyo bwizewe cyane. Ariko, kimwe no mu bundi buryo bwose bwo kwa muganga, hari ingaruka nto cyane zishobora kubaho. Ariko, izi ni gake cyane.

• Ububabare buto n'ibisebe: Hashobora kubaho ububabare buto n'ibisebe aho batewe urushinge mu gihe cy'umunsi umwe cyangwa ibiri. Ibi ni ibisanzwe.
• Kuva amaraso: Hari abantu bashobora kuva amaraso, cyane cyane ku bantu bafite ibibazo byo kuvura amaraso cyangwa abafata imiti yo kugabanya amaraso.
• Kwandura: Hari amahirwe make cyane ko mikorobe zinjira aho urushinge rwashiriye zigatera ubwandu.
• Kwangirika kw'ingingo zikikije: Iyo urushinge rushyizwemo, hari amahirwe make cyane ko imitsi cyangwa imitsi y'amaraso ikikije ikibyimba ishobora kwangirika.

Ni ibihe bintu bishobora gushyirwa muri raporo nakira?

Raporo ya laboratwari ishobora kuba irimo ibisubizo byinshi. Muganga wawe azagusobanurira ibi bisubizo mu magambo yoroheje.

• Nta turemangingo tudasanzwe: Ibi bivuze ko ikibyimba ari ikintu gisanzwe kandi kitari ikibazo.
• Uturemangingo tudasanzwe n'utusanzwe turavangwa: Ibi bibaye, hashobora gukenerwa ibindi bipimo kugira ngo hemezwe ko indwara yanduye.
• Uturemangingo mbere y’uko turwara kanseri: Utu ni uturemangingo tutararwara kanseri, ariko dushobora kuzaba kanseri mu gihe kizaza.
• Uturemangingo twa kanseri: Iyo byemejwe ko ikibyimba ari kanseri, muganga wawe azagufasha ku buryo bukurikira bwo kuvura.
• Ibimenyetso by'ubwandu bwa bagiteri: Iyo ikibyimba cyatewe n'ubwandu, hazatangwa imiti nka antibiyotike.

Hari igihe, iyo icyitegererezo cyabonetse kidahagije, ushobora gusabwa gufata ikindi gipimo. Uko byagenda kose, ntugatinye kandi uganire na muganga wawe kugira ngo agufashe umwanzuro w'icyo wakora nyuma.

Ni ryari ngomba kongera kubonana na muganga?

Ubusanzwe nta kibazo gikomeye gihari nyuma yo gupimwa na FNA. Ariko, niba ubonye kimwe muri ibi bimenyetso, hamagara muganga wawe vuba.

• Niba urwaye umuriro
• Niba aho urushinge rwashyizwe hatukura, habyimbye, cyangwa amashyira arimo gusohoka
• Niba ububabare bwiyongera umunsi ku wundi
• Iyo habayeho impinduka itunguranye mu kibyimba (urugero: kwiyongera gutunguranye)