Ngamanye amaxesha, kuvela amaqhuma amancinci okanye iithumba phantsi kolusu kwiindawo ezahlukeneyo zomzimba wethu, akunjalo? Kuqhelekile ukuba noloyiko nokukhathazeka xa ubona into efana naleyo kwindawo efana nentamo, ibele, okanye ikhwapha. Xa usiya kugqirha ngexesha elifana neli, usenokuthi kuwe, "Masithathe isampuli encinci yale nto sibone ukuba yintoni na." Yiyo le ndlela indlela elula kakhulu, engenabuhlungu esetyenziswayo ukufumana isampuli yeseli kwiqhuma elirhanelekayo ebizwa ngokuba yiFine-Needle Aspiration, okanye njengoko sonke sisazi, uvavanyo lwe-FNA.
Ngamafutshane, yintoni olu vavanyo lwe-FNA?
Kulula kakhulu. Ngamafutshane, i-FNA yinkqubo esebenzisa inaliti encinci ukuthatha isampuli yeeseli, izicwili, okanye ulwelo oluvela kwiqhubu okanye isilonda esirhanelekayo emzimbeni wakho. Kufana nokuthatha isampuli yegazi. Abanye abantu bakubiza oku ngokuthi 'yi-fine-needle biopsy'.
Isampulu efunyenwe ngolu hlobo ayilahlwa nje kuphela. Ithunyelwa ngqo kwilebhu. Apho, ugqirha ochwephesha kwiiseli, obizwa ngokuba yi-pathologist , uhlola iiseli phantsi kwe-microscope. Kulapho bafumana khona ngokuchanekileyo ukuba iiseli ziiseli eziqhelekileyo, nokuba zinentsholongwane, okanye nokuba ziyinto eyingozi, njengeeseli zomhlaza.
Ngenxa yokuba umonakalo emzimbeni mncinane, oko kuthetha ukuba akukho kusikwa okukhulu, i-FNA ingathathwa njengolona hlobo lulula nolukhuselekileyo lwe-biopsy.
Yintoni umahluko phakathi kwe-FNA kunye ne-Core Biopsy?
Usenokuba ukhe weva nge-'Core Biopsy'. Zombini ziintlobo ze-biopsies ezisebenzisa inaliti. Kodwa kukho umahluko omncinci. Makhe sibone ukuba zeziphi.
| Uphawu | Ukufunxwa Ngenaliti Encinci (i-FNA) | I-Biopsy engundoqo |
|---|---|---|
| Ubungakanani benaliti | Kusetyenziswa inaliti ebhityileyo nethambileyo. | Kusetyenziswa inaliti etyebileyo nebanzi kancinci kuneye-FNA. |
| Isampulu eza kuthathwa | Kufunyanwa iiseli ezizimeleyo, amaqela eeseli, okanye inani elincinci lolwelo. | Akufumaneki iiseli kuphela, kodwa kukwafunyanwa neqhekeza elincinci lesicwili (isampuli yezicubu). |
| Ulwazi olufunyenweyo | Ungafumana ulwazi olusisiseko malunga nohlobo lweqhubu. | Ngenxa yokuba kufunyenwe isiqwenga sesicwili, ulwazi oluthe kratya noluneenkcukacha malunga nolwakhiwo lwethumba lunokufunyanwa. |
Ngamafutshane, i-FNA ifana nokujonga amagama ambalwa kwiphepha lencwadi. I-Core Biopsy ifana nokufunda isahluko sonke sencwadi. Ugqirha wakho uya kugqiba ukuba zeziphi kwezi ndlela zimbini ezilungele wena ngokusekelwe kwimeko yakho.
Kweziphi iimeko apho uvavanyo lwe-FNA lwenziwa khona?
I-FNA isetyenziselwa iinjongo ezimbini eziphambili: ukuxilongwa kwaye ngamanye amaxesha njengonyango.
Ukuxilongwa
Le yeyona njongo iphambili yovavanyo lwe-FNA: ukufumanisa ukuba loluphi uhlobo lweqhuma okanye ithumba.
- Fumanisa ukuba unomhlaza na .
- Fumanisa ukuba ingaba lithumba elibangelwa zizifo ezibangelwa ziintsholongwane . Umzekelo, ilungu elizaliswe bubovu (i-septic arthritis).
- Qinisekisa ukuba azinazo iintsholongwane zomhlaza, ezifana nee-cysts, ii-fibroadenomas, okanye ii-lipomas .
Nangona olu vavanyo lunokwenziwa kwiqhuma naphi na emzimbeni, ludla ngokwenziwa kwiindawo ezifana nezi:
- Isifuba
- Indlala yegilo
- Ithumba
- Ulusu
Kwakhona, i-FNA ngoku inokwenziwa kwizitho ezingaphakathi emizimbeni yethu, njengepancreas kunye nemiphunga. Ngenxa yoku, oogqirha basebenzisa ubuchwepheshe obufana ne -ultrasound okanye i-CT scans ukukhokela ngokuchanekileyo inaliti, besenza olu vavanyo ngokukhuselekileyo.
Njengonyango
Ngamanye amaxesha uvavanyo lwe-FNA lusetyenziswa njengonyango.
- Susa ubomvu kwiimpumlo .
- Khupha ulwelo oluvela kwi-cysts uze ulukhuphe.
- Susa ulwelo (ii-seroma) eziqokelelana emva kotyando oluthile.
Ngale ndlela, ulwelo lususwa ngaphandle kokusikwa okukhulu, kusetyenziswa inaliti encinci kuphela, enokunceda ukuthintela amanxeba, ingakumbi kwiindawo ezibalulekileyo kwinkangeleko yomzimba, njengamabele.
Ndingazilungiselela njani ezi vavanyo?
Le yeyona nto ilungileyo. Uvavanyo lwe-FNA aludingi lungiselelo lukhethekileyo . Akunyanzelekanga ukuba uhlale esibhedlele, kwaye ungagoduka emva nje kovavanyo.
Nangona kunjalo, ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuxelela ugqirha wakho ngayo nayiphi na eminye imithi oyithathayo, ingakumbi imithi yokunciphisa igazi (i-anticoagulants) . Ungacelwa ukuba uyeke ukusebenzisa la mayeza ngosuku okanye ezimbini ngaphambi kovavanyo.
Kwenzeka ntoni ngexesha lovavanyo?
Le nkqubo ikhawuleza kakhulu kwaye ilula. Ihlala ihamba ngolu hlobo:
1. Uza kuhlaliswa okanye ulale etafileni yovavanyo.
2. Ugqirha okanye umongikazi uza kuyicoca kakuhle indawo apho inaliti iza kufakwa khona ngesisombululo sokubulala iintsholongwane.
3. Okulandelayo, unokufakwa inaliti encinci ye-anesthetic yendawo ukuze uvale loo ndawo. Oku kuya kunciphisa kakhulu intlungu oyivayo xa inaliti ifakwa. Isenokuvakala ngathi yimbovane encinci ekuhlabayo.
4. Ukuba iqhuma lingaphakathi emzimbeni, ugqirha uza kusebenzisa umatshini we-ultrasound ukukhokela inaliti ngqo apho kufuneka iye khona.
5. Emva koko, inaliti encinci ifakwa ngononophelo olukhulu kwiqhuma kwaye kufunyenwe isampuli yeeseli kusetyenziswa isirinji.
6. Kungafuneka ukuba kuthathwe iisampulu ezingaphezu kwesinye. Ukuba kunjalo, kuya kusetyenziswa inaliti entsha kunye nesirinji ngalo lonke ixesha.
7. Xa umsebenzi ugqityiwe, kufakwa iplasta encinci okanye ibhandishi kwindawo apho inaliti ifakwe khona.
Yonke le nkqubo ithatha imizuzu embalwa kuphela, ngoko ke akukho sizathu sokoyika.
Ngaba kukho naziphi na iingozi emva kwe-FNA?
I-FNA yinkqubo ekhuselekileyo kakhulu. Nangona kunjalo, njengakweyiphi na inkqubo yezonyango, kukho iingozi ezincinci kakhulu ezinokwenzeka. Nangona kunjalo, ezi azixhaphakanga kakhulu.
- Intlungu encinci kunye nokudumba: Kunokubakho ukudumba okuncinci kunye nokudumba kwindawo yokuhlatywa inaliti usuku olunye okanye ezimbini. Oku kuqhelekile.
- Ukopha: Abanye abantu banokufumana ukopha okuthile, ingakumbi kubantu abaneengxaki zokujiya kwegazi okanye abo basebenzisa amayeza okunciphisa igazi.
- Usulelo: Kukho ithuba elincinci kakhulu lokuba iintsholongwane zingene kwindawo yenaliti zize zibangele usulelo.
- Ukonakala kwezicubu ezingqongileyo: Xa inaliti ifakwa, kukho ithuba elingaqhelekanga lokuba imithambo-luvo okanye imithambo yegazi ejikeleze iqhuma inokonakala.
Khumbula, ezi ngxaki zinzima azixhaphakanga. Xa kuthelekiswa neenzuzo zovavanyo lwe-FNA, lo mngcipheko mncinane kakhulu.
Zeziphi izinto ezinokufakwa kwingxelo endiyifumanayo?
Ingxelo yelebhu inokuba neziphumo ezahlukeneyo. Ugqirha wakho uza kukuchazela ezi ziphumo ngokulula.
- Akukho ziseli ezingaqhelekanga: Oku kuthetha ukuba iqhuma liqhelekile kwaye alinabungozi.
- Iiseli ezingaqhelekanga neziqhelekileyo ziyaxutywa: Ukuba oku kuyenzeka, kunokufuneka uvavanyo olongezelelweyo ukuqinisekisa ukuxilongwa.
- Iiseli ezingaphambi komhlaza: Ezi ziiseli ezingekabi ngumhlaza okwangoku, kodwa zinokuba ngumhlaza kwixesha elizayo.
- Iiseli zomhlaza: Ukuba iqhuma liqinisekisiwe ukuba linesifo somhlaza, ugqirha wakho uya kukubonisa indlela yonyango olulandelayo.
- Ubungqina bosulelo lwebhaktiriya: Ukuba iqhuma libangelwa lusulelo, amayeza anjengee-antibiotics aya kunikwa.
Ngamanye amaxesha, ukuba isampuli efunyenweyo ayanelanga, unokucelwa ukuba uthathe enye isampuli. Nokuba iziphumo zithini na, musa ukoyika uze uthethe nogqirha wakho ukuze agqibe ngento omawuyenze ngokulandelayo.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Akusoloko kukho iingxaki ezinkulu emva kovavanyo lwe-FNA. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu, fowunela ugqirha wakho ngokukhawuleza.
- Ukuba ufumana umkhuhlane
- Ukuba indawo yokufaka inaliti ibomvu, idumbile, okanye ubomvu buphuma
- Ukuba intlungu iyanda imihla ngemihla
- Ukuba kukho utshintsho olungalindelekanga kwiqhuma (umz., ukwandiswa ngequbuliso)
Umyalezo Wokuya Ekhaya
- I-FNA yindlela elula kakhulu, ekhuselekileyo, nengenabuhlungu esetyenziselwa ukuphonononga iqhuma elirhanelekayo emzimbeni.
- Oku akudingi kusikwa okukhulu, kusetyenziswa inaliti encinci kuphela. Ngoko ke akukho mfuneko yokoyika.
- Iziphumo zolu vavanyo zinceda kakhulu oogqirha ekufumaneni uxilongo oluchanekileyo lohlobo lweqhuma.
- Ukuba unemibuzo okanye iinkxalabo malunga novavanyo lwe-FNA, thetha nogqirha wakho ngalo mba ngokukhululekileyo. Uza kukuchazela yonke into.
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