Ngaba kufuneka wenze i-biopsy yebele? Masifunde nge-Stereotactic Breast Biopsy ngendlela elula!

Ngaba ugqirha wakhe wakuxelela ukuba kufuneka wenze i-biopsy yebele? Kuqhelekile ukuba uzive unexhala xa ethetha loo nto. Kodwa ungakhathazeki. Ixesha elininzi, oku kwenziwa ukuqinisekisa ukuba yintoni kanye kanye ukuba kukho amathandabuzo. Namhlanje, siza kuthetha ngolu vavanyo lukhethekileyo olubizwa ngokuba yi-Stereotactic Breast Biopsy. Siza kuthetha ngayo yonke into ngokulula, njengokuthi yintoni, yenziwa njani, kunye noko kufuneka sikwazi.

Yintoni le (i-Stereotactic Breast Biopsy)?

Ngamafutshane, i-stereotactic breast biopsy yinkqubo ekhethekileyo equka ukuthathwa kweqhekeza elincinci lezicubu ebeleni lakho ukuba kukho into ekrokrisayo. Isebenzisa umatshini we-mammogram okhethekileyo ukufumana indawo echanekileyo apho kufuneka kuthathwe khona izicubu. Usenokuba ukhe weva kuthiwa yi-tomosynthesis-guided biopsy. I-mammogram isebenzisa i-X-rays yedosi ephantsi ukuthatha imifanekiso yebele lakho. Le mifanekiso isetyenziselwa ukufumana naziphi na izicubu ezingaqhelekanga, okanye iindawo "ezirhanelekayo", ezinokuba ngumhlaza.

Kwi-"biopsy" (uvavanyo lwe-biopsy), umniki-nkonzo wezempilo, odla ngokuba ngugqirha okanye umongikazi oqeqeshiweyo, ususa iqhekeza lezicubu ezikrokrelekayo. Emva koko lithunyelwa kwilabhoratri ukuze livavanywe iiseli zomhlaza. Eyona ndlela yokwazi ngokuqinisekileyo ukuba umntu unomhlaza kukwenza i-"biopsy".

Le ndlela, eyaziwa ngokuba yi-"Stereotactic Biopsy", ibikho kangangeminyaka engaphezu kwama-35. Yindlela ethembekileyo kakhulu nengenabungozi kangako yokufumanisa ukuba umntu unomhlaza webele na.

Kutheni le nto yenziwa (i-Stereotactic Biopsy)?

Ukuba ugqirha wakho ufumanisa into engaqhelekanga, njengeqhuma elisesifubeni sakho, ngexesha le-ultrasound, i-mammogram, okanye i-MRI, unokuyalela i-stereotactic biopsy. Nangona olu vavanyo lwemifanekiso lunokubonisa ukungaqheleki esifubeni sakho, yi-stereotactic biopsy kuphela enokuxelela ngokuqinisekileyo ukuba ngaba luphawu lomhlaza, ithumba elingenobungozi, okanye enye into.

Kusenokufuneka wenze i-stereotactic biopsy ukuba ezi zinto zifunyenwe kuvavanyo lomfanekiso:

• Iqhuma, okanye `(ithumba)`.
• Ukuba kukho iidiphozithi ezincinci ze-calcium, zibizwa ngokuba yi-"microcalcifications." Ezi zibukeka njengeenkozo ezincinci zesanti.
• Utshintsho kwizicubu zebele lakho (ingakumbi apho ukhe watyandwa ngaphambili).

Khawucinge nje, ukuba olu vavanyo luqinisekisa ukuba isiqwenga sethishu esithathiweyo sinomhlaza, le Stereotactic Biopsy iya kunceda ugqirha wakho ukuba acwangcise unyango olufunayo.

Ngubani owenza olu vavanyo?

Olu vavanyo lwe-"Stereotactic Breast Biopsy" lwenziwa yingcali ye-radiologist efumene uqeqesho olukhethekileyo kweli candelo. Emva koko, ugqirha okhethekileyo obizwa ngokuba yi-"pathologist" uhlola isampuli yezicubu phantsi kwe-microscope ukuze abone ukuba kukho iiseli zomhlaza na.

Lusebenza njani olu vavanyo?

Ngamafutshane, i-stereotactic biopsy isebenzisa umatshini okhethekileyo we-mammography ukufumana indawo echanekileyo yezicubu ezikrokrelekayo kunye nokubonelela ngesikhokelo se-biopsy. Khawuthelekelele lo matshini uthatha ii-X-reyi zebele lakho kwiikona ezahlukeneyo aze athumele ulwazi kwikhompyutha.

Emva koko ingcali ye-radiology ikhetha indawo engaqhelekanga ekufuneka ihlolwe kuyo. Ngokusekelwe kuloo nto, ikhompyutha yenza izibalo kwaye incede ingcali ye-radiology ukuba iqondise isixhobo se-biopsy kwindawo echanekileyo. Emva koko ingcali ye-radiology isebenzisa isixhobo ukuqokelela iisampulu kuloo ndawo.

Kuyo yonke imviwo, ingcali ye-radiology isebenzisa obu buchwephesha ukuqinisekisa ukuba ithatha iisampulu kwindawo efanelekileyo kwaye iqokelele izicubu ezaneleyo ukuze ifumane iziphumo ezichanekileyo.

Ndingayilungiselela njani i-Stereotactic Biopsy?

Ugqirha wakho uza kukubuza imibuzo embalwa ukuqinisekisa ukuba ungenza olu vavanyo ngokukhuselekileyo nangexesha. Nantsi:

• Imbali yakho yezonyango: Oku kuquka imbali yezonyango yosapho lwakho (yebhayoloji), izifo zangaphambili nezangoku, kunye nonyango oye walufumana. Ukuba une-allergies, ingakumbi kwi-anesthesia yendawo, kufuneka uxelele ugqirha wakho .
• Amayeza owasebenzisayo: Ufanele uxelele ugqirha wakho ukuba usebenzisa amayeza kagqirha okanye amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, okanye izongezo. Olu vavanyo lunomngcipheko wokopha kancinci, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ukuba usebenzisa amayeza okunciphisa igazi, njenge-aspirin. Landela imiyalelo kagqirha wakho ngononophelo malunga nokuba uyeke okanye uqhubeke nokuthatha amayeza akho ngaphambi kovavanyo.
• Ukukhulelwa: Kufuneka uxelele ugqirha wakho ukuba ukhulelwe. Oku kungenxa yokuba ukuchatshazelwa yi-X-rays eninzi kunokuba yingozi kumntwana ongekazalwa. Kwakhona, amanye amayeza okuthomalalisa iintlungu acetyiswa ngexesha lokukhulelwa. Nangona kunjalo, ukuba ukhulelwe, kukho ezinye iindlela ezikhuselekileyo onokuzisebenzisa. Landela imiyalelo kagqirha wakho malunga nendlela yokwenza oku ukuba ukhulelwe.

Kukwangumbono omhle ukucela umhlobo okanye ilungu losapho ukuba likuqhubele ekhaya emva kovavanyo. Nangona uninzi lwabantu lukwazi ukuqhuba emva kovavanyo lwe-stereotactic biopsy, ukwenza uvavanyo lokujonga umhlaza kunokuba ngamava axinzelelekileyo kakhulu kwaye achukumisa iimvakalelo. Ngoko ke luncedo kakhulu ukuba nomntu omthembileyo abe nawe.

Yintoni endimele ndiyilindele ngomhla wovavanyo?

Lindela ukuba yonke le nkqubo ithathe malunga neyure. Kodwa inxalenye ye-biopsy iza kuthatha imizuzu embalwa kuphela. Gcina ezi zinto engqondweni ngomhla we-biopsy yakho:

• Nxiba impahla onokutshintsha lula kuyo, kuba uza kunikwa ilokhwe yesibhedlele oza kuyinxiba.
• Emva kovavanyo, nxiba ibra yezemidlalo eqinileyo nexhasayo.
• Musa ukufaka i-deodorant. Kwakhona, musa ukufaka iilotion okanye iipowders emakhwapheni, ezingalweni, okanye emabeleni. Zinokuphazamisa i-X-ray kwaye zichaphazele iziphumo.
• Lungela ukususa iiglasi, amazinyo okufakelwa, ubucwebe kuquka amacici, okanye ezinye izinto zesinyithi. Ezi zinto zinokuphazamisana ne-X-ray.
• Khumbula ukuba uza kucetyiswa ukuba ungahlambi iiyure ezingama-24 emva kovavanyo.

Kwenzeka ntoni xa kwenziwa i-stereotactic biopsy?

Uza kube uvukile kulo lonke uvavanyo, kodwa awuyi kuva ntlungu kuba ibele lakho liza kuba ndindisholo.

• Uza kulala ngobuso etafileni yovavanyo. Le tafile inomngxuma apho ibele lakho linokuphuma khona. Ibele lakho liza kubanjwa ziipleyiti ezimbini. *(Ngamanye amaxesha ukuba unengxaki yokulala ngobuso ezantsi, kukho oomatshini kwezinye iindawo abanokukwenza oku ngelixa uhleli. Ngoko ke xelela ugqirha wakho ukuba unengxaki ngaphambi kokuba kwenziwe i-biopsy.)*
• Emva koko itafile iphakanyiswa ukuze ugqirha akwazi ukufikelela lula ebeleni lakho. Wakuba ubekwe kwindawo efanelekileyo, umatshini uthatha ii-X-reyi zebele lakho kwiikona ezahlukeneyo aze athumele ulwazi kwikhompyutha. Ikhompyutha igqiba apho kufuneka ithathe khona i-biopsy.
• Emva koko, umboneleli wezempilo uza kucoca ibele lakho ngesibulali-ntsholongwane okanye isepha aze afake i-anesthetic yendawo ukuze avale ibele. Ungaziva ngathi ulunywa imbovane encinci.
• Emva kokuba ibele lakho liphelelwe ngamandla, ugqirha wakho uza kwenza utyando oluncinci eluswini lwakho aze afake inaliti ye-biopsy. Isixhobo esincediswa yi-vacuum-assisted (VAD) esiqhotyoshelwe kwinaliti siya kubeka uxinzelelo lokususa ngokukhawuleza izicwili. Uza kunikwa amayeza amaninzi okunciphisa amandla ngelixa isampuli ithathwa. Iisampuli ezininzi zinokuthathwa kwityando elinye elincinci.
• Emva koko bayayisusa inaliti.
• Ugqirha uza kufaka ikliphu encinci yesinyithi esifubeni sakho ukuze abonise apho izicubu zithathwe khona. Oku kuya kukunceda ukuba ufuna olunye uvavanyo okanye utyando kule ndawo kwixesha elizayo. Awuyi kuyiva ikliphu, kwaye ikhuselekile ngokupheleleyo. Ayizukubangela ukuba i-metal detectors ingasebenzi, kwaye ungenza ii-MRIs.

Emva koko, umboneleli wezempilo uza kucinezela indawo ye-biopsy ukuze ayeke ukopha. Baza kuyigquma nge-gauze okanye ngebhandishi. Basenokufaka ne-ice pack ukunceda ekunciphiseni ukudumba.

Ekugqibeleni, kwenziwa i-mammogram emabeleni akho, kwaye ingcali ye-radiology iqinisekisa ukuba i-biopsy clip ikwindawo efanelekileyo.

Yintoni endimele ndiyilindele emva kovavanyo?

Usenokufuna ukuphumla kancinci ngaphambi kokuba ugoduke, kodwa ungagoduka ngaloo mini inye. Usenokuba nemikrwelo, ukudumba, kunye nobuhlungu obuthile. Kodwa ezi zinto zihlala zilungile kwiiveki ezimbalwa.

Ukuba unengxaki yokungakhululeki, ugqirha wakho unokukunika isithomalalisi sentlungu esingathengiswa ngugqirha. Gcina ipakethi yomkhenkce kwindawo leyo kwiiyure ezimbalwa zokuqala emva kovavanyo lwe-biopsy (imizuzu engama-20 ivuliwe, imizuzu engama-20 ingasebenzi). Uya kunikwa imiyalelo engakumbi malunga nendlela yokunyamekela loo ndawo.

Kungcono ukuphepha imisebenzi enzima kangangeeyure ezingama-24 ukuya kwezingama-48 emva kovavanyo lwe-biopsy. Uninzi lwabantu lunokuphinda luqalise imisebenzi eqhelekileyo emva kweli xesha, kodwa eminye isenokufuna ixesha elidana. Landela imiyalelo kagqirha wakho malunga nendlela yokuzinyamekela ngelixa uphila.

Zithini iingozi zolu vavanyo? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?

I-stereotactic biopsy yinkqubo ekhuselekileyo. Nangona kunjalo, njengakweyiphi na inkqubo efuna ukusikwa, kukho iingozi ezithile, ezinje ngokopha, ulwelo okanye ukuqokelelwa kwegazi, kunye nosulelo. Nangona kunjalo, ezi azixhaphakanga kakhulu.

Ibuhlungu kangakanani i-Stereotactic Biopsy?

Uninzi lwabantu aluziva ntlungu ngexesha lovavanyo ngenxa ye-anesthesia. Usenokuziva unomsindo omncinci xa unikwa i-anesthetic. Usenokuziva ucinezelekile xa kufakwa inaliti ye-biopsy.

Abanye abantu banokufumana iintlungu okanye ukungakhululeki okungaphezulu kunabanye. Umzekelo, ukuba unezicubu zebele ezixineneyo, okanye ukuba ithumba lingasemva kwendawo ebuthathaka njengengono yakho, usenokuba nethuba elingcono lokufumana iintlungu okanye ukungakhululeki ngexesha lovavanyo lwe-biopsy.

Amaxesha amaninzi, ukungakhululeki kubangelwa kukuhlala kwindawo enye iiyure ezininzi. Umzekelo, xa uhlala phantsi edesikeni uze ujike intloko yakho ijonge ecaleni, unokuba nentamo eqinileyo.

Luhlobo luni lweziphumo ezifumanekayo, kwaye zithetha ukuthini ezo ziphumo?

Ingcali ye-X-ray okanye ugqirha wosapho lwakho uza kukuxelela ukuba unomhlaza (onokuthi ukhona okanye awukho). Ukuba iziphumo azicacanga, kunokufuneka wenze uvavanyo olongezelelekileyo. Landela imiyalelo kagqirha wakho malunga nento omawuyenze ngokulandelayo.

Ndiza kuzazi nini iziphumo zovavanyo?

Iziphumo zingathabatha naphi na ukusuka kwiintsuku ezimbalwa ukuya kwiveki. Ngaphambi kokuba uye kuvavanyo, buza ugqirha wakho ukuba kuza kuthatha ixesha elingakanani ukufumana iziphumo kunye nendlela eziza kwaziswa ngayo kuwe.

Zingaphi ii-cancer ezinokufunyaniswa nge-stereotactic biopsy?

Kuqhelekile ukuziva usoyika xa uxelelwa ukuba kufuneka wenze i-"Stereotactic Biopsy" kuba oko kuthetha ukuba uvavanyo sele lufumene izicubu "ezirhanelekayo". Kodwa,Ii-biopsy ezininzi – kuquka ne-stereotactic biopsies – zibuya zingenayo i-negative. Uphando lwakutshanje lufumanise ukuba ngaphantsi kwama-30% abantu ababene-stereotactic biopsy bafunyenwe benomhlaza.

Ngoko ke musani ukoyika. Oku kukuqinisekisa nje.

Ndifanele ndimtsalele umnxeba nini ugqirha ?

Ukuba ubona naziphi na iimpawu zokuba indawo ye-biopsy ayipholi kakuhle, thetha nogqirha wakho . Kufuneka wazise ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:

• Ukuba ukudumba akuyehli (okanye akwandi).
• Kulungile ukuba kukho igazi okanye ulwelo (njengobovu) oluphuma kwindawo yovavanyo lwe-biopsy.
• Ukuba indawo ye-biopsy ibomvu, ibuhlungu, okanye ivakala ifudumele.

Ukuxelelwa ukuba kufuneka wenze i-stereotactic biopsy kunokuba luxinzelelo, kuba kuthetha ukuba unezicubu "ezikrokrelekayo" emzimbeni wakho ezinokuba ngumhlaza. Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba olu vavanyo lusenziwa ngeenjongo zokuxilonga. Abantu abaninzi - kwanabo baneziphumo "ezikrokrelekayo" - abasayi kuqinisekiswa ukuba banomhlaza. Ukuba kunjalo, i-stereotactic biopsy inokukunceda ukunciphisa uloyiko lwakho. Kwelinye icala, ukuba unomhlaza, inokukunceda ukuwufumana ngokukhawuleza. Oku kunokwenza unyango lusebenze ngakumbi.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda kakuhle into ebesithetha ngayo (i-Stereotactic Breast Biopsy). Ngamafutshane:

• Oku kwenziwa ngokuthatha iqhekeza elincinci lesicwili kwindawo erhanelekayo yebele ukuze kubonwe ukuba ingaba inomhlaza okanye akunjalo.
• Oku kwenziwa ngoncedo lwe-"mammogram", eyenziwa phantsi kwe-anesthesia, ukuze ingavakali ntlungu ingako.
• Uninzi lwexesha, iziphumo zibuya zisithi azikho.
• Nokuba kukho umhlaza, kulula ukuwunyanga kuba unokubonwa kwangethuba.

Ngoko ke, ukuba ugqirha ukucela ukuba wenze uvavanyo olunjalo, musa ukoyika, cela ulwazi olufunekayo, kwaye ujongane nalo ngengqondo ezolileyo. Eyona nto ibalulekileyo kukunyamekela impilo yakho.

Umhlaza webele , i-biopsy, i-stereotactic biopsy, i-mammogram, impilo yebele, ukufunyanwa komhlaza, impilo yabasetyhini