Ngaba ukhe wacelwa ukuba wenze i-thyroid biopsy ukuze ufumane iqhuma entanyeni yakho? Masifunde ngale nto ngaphandle koloyiko.

Kuqhelekile ukuziva usoyika kwaye unexhala xa ugqirha wakho ekuxelela ukuba uneqhuma entanyeni yakho kwaye kufuneka wenze i-biopsy. Xa uninzi lwethu lusiva igama elithi 'biopsy', sicinga ngoko nangoko ngomhlaza. Kodwa ngaba le yinto yokoyika ngokwenene? ​​Kuza kwenzeka ntoni ngolu vavanyo? Masithethe ngayo yonke le nto ngokucacileyo nangendlela ekwenza uzive ukhululekile.

Ngamafutshane, yintoni i-biopsy ye-thyroid?

Khawucinge ukuba wenze ikhekhe elikhulu. Akunyanzelekanga ukuba usike yonke ikhekhe ukuze ubone ukuba yintoni ngaphakathi kwaye ukuba iphekwe kakuhle na, akunjalo? Singafumana umbono ngokusika iqhekeza elincinci size silitye.

I-thyroid biopsy yinkqubo efanayo. I -thyroid biopsy yinkqubo equka ukuthatha isampuli encinci kakhulu yeeseli kwi-nodule kwi-thyroid gland yakho, efana nebhabhathane entanyeni yakho. Oku kwenzelwa ukufumanisa ukuba loluphi uhlobo lweeseli i-nodule eyenziwe ngazo.

Kutheni ufuna ukwenza le biopsy?

Ayizizo zonke izifo ze-thyroid ezifuna i-biopsy. Ngamanye amaxesha, uvavanyo lwegazi kunye ne-scan zingasetyenziswa ukufumanisa imeko.

Nangona kunjalo, ukuba unamaqhuqhuva e-thyroid, ugqirha wakho unokucebisa ukuba kwenziwe i-biopsy. La maqhuqhuva ngamaqhuqhuva amancinci, aqinileyo okanye azele lulwelo abumba ngaphakathi kwi-thyroid gland. Into ebalulekileyo ekufuneka uyikhumbule apha kukuba ngaphezulu kwe-90% yala maqhuqhuva awangomhlaza (angabi nobungozi). Oku kuthetha ukuba awabangeli monakalo mkhulu emzimbeni.

Ngokwesiqhelo, ukuba uneqhuma elikhulu kune-1 sentimitha, kusenokwenzeka ukuba udinga i-biopsy. Ngoko ke, ukuba uceliwe ukuba wenze i-biopsy, akuthethi ukuba unomhlaza. Kukuqinisekisa ukuba awunamhlaza .

Yenziwa njani le biopsy? Kukho iindlela ezintathu eziphambili.

Oogqirha basebenzisa iindlela ezintathu ukwenza olu vavanyo.

1. Ukufuthwa Ngenaliti Encinci (i-FNA) - Eyona ndlela isetyenziswa kakhulu

Le yeyona ndlela ilula nekhuselekileyo esetyenziswa ngabantu abangama-99%. Nantsi into eyenzekayo:

• Ugqirha uza kusebenzisa umatshini we-ultrasound ukuze afumane indawo echanekileyo apho iqhuma likhona entanyeni yakho.
• Emva koko, kufakwa inaliti encinci kakhulu, ebhityileyo (njengenaliti esetyenziselwa ukutsala igazi) kwiqhuma kwaye kukhutshwa inani elincinci leeseli kunye nolwelo (olufunxiweyo).
• Akukho kusikwa kukhulu, akukho kusikwa, kwaye akukho ntlungu ingako.

2. I-Core-Nedle Biopsy (CNB)

Oku kufana kakhulu nendlela ye-FNA ekhankanyiweyo apha ngasentla. Nangona kunjalo, inaliti esetyenzisiweyo apha ityebile kancinci. Le ndlela isetyenziswa ukuba uvavanyo lwe-FNA alunasiphumo kwaye kufuneka isampuli enkulu yethishu. Oku kudla ngokwenziwa rhoqo.

3. I-Biopsy yotyando

Oku kwenziwa rhoqo kakhulu. Kuqwalaselwa kuphela ukuba ezinye iindlela ezimbini aziphumeleli ukunika isigqibo esicacileyo. Apha, kwenziwa umsikelo omncinci entanyeni kwaye inxalenye okanye lonke iqhuma liyasuswa lize lithunyelwe kuvavanyo.

Ufanele uzilungiselele njani ngaphambi kovavanyo?

Ukuba uza kwenza uvavanyo lwe-FNA okanye lwe-CNB oluqhelekileyo, aludingi kulungiselela okuninzi.

• Ngaphandle kokuba ugqirha wakho akucebise ngenye indlela, ungatya usele ngendlela eqhelekileyo.
• Kodwa okona kubaluleke kakhulu, ukuba uthatha naliphi na iyeza elinciphisa igazi (elifana ne-Aspirin, i-Warfarin, i-Clopidogrel), ngokuqinisekileyo kufuneka uxelele ugqirha wakho kwangaphambili. Angakucela ukuba uyeke ukusebenzisa iyeza kwiintsuku ezimbalwa ngaphambi kovavanyo.
• Uza kwenziwa i-biopsy yotyando, kwaye ugqirha wakho uza kukunika imiyalelo ethile yokuba ungayilungiselela njani.

Kwenzeka ntoni ngexesha lovavanyo?

Masiqwalasele inyathelo ngenyathelo okwenzekayo ngexesha lovavanyo oluqhelekileyo lwe-FNA. Oku kudla ngokugqitywa ngexesha elifutshane, malunga nemizuzu eli-10-20.

1. Okokuqala, uza kulaliswa ebhedini.

2. Emva koko , kufakwa i-anesthesia encinci ukuze kuthintelwe indawo apho inaliti iza kufakwa khona. Oku kuya kukuthintela ekuveni iintlungu ezininzi.

3. Emva koko, ugqirha uza kubeka inxalenye efana nentloko ye-ultrasound scan (i-transducer) entanyeni yakho aze, ejonge kwisikrini, aphawule indawo echanekileyo yeqhuma.

4. Emva koko, ngononophelo olukhulu, inaliti encinci ifakwa eluswini kwindawo ephawulweyo ize ifike kwiqhina.

5. Uza kucelwa ukuba uhlale ungashukumi ngelixa kuthathwa isampuli. Musa ukuthetha okanye ukuginya ngeli xesha.

6. Emva kokuba isampuli ithathiwe, inaliti iyasuswa kwaye kufakwa iplasta encinci okanye ibhandishi kuloo ndawo.

7. Ukuba unamaqhina angaphezu kwelinye, ungathatha iisampulu kwamanye amaqhina ngendlela efanayo.

8. Isampulu ethathiweyo ithunyelwa kugqirha ochwephesha kwiiseli (Cytologist) ukuze ahlolwe.

Zeziphi iziphumo ebezingalindelekanga ezinokubakho emva kovavanyo?

Olu luvavanyo olukhuselekileyo kakhulu. Iziphumo ebezingalindelekanga ezinzulu azixhaphakanga. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka:

• Kuvela inxeba elincinci okanye umkrwelo kwindawo ebhoboziweyo.
• Kwintlungu encinci efana nale, ungathatha isithomalalisi sentlungu esifana neParacetamol. Nangona kunjalo, kungcono ukubuza ugqirha wakho ngaphambi kokuba usebenzise naliphi na iyeza.

Iingxaki ezingaqhelekanga kakhulu:

• Ukopha
• Usulelo
• Ukwakheka kwe-cyst

Ithini ingxelo ye-biopsy?

Ngokwesiqhelo uza kufumana ingxelo kwisithuba seveki. Iziphumo zengxelo zingahlulwahlulwa zibe ziindidi eziphambili ezimalunga nezi-6. Makhe sibone ukuba nganye kuzo ithetha ukuthini.

Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.

Usulelo emva kovavanyo lwe-biopsy aluqhelekanga. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, qhagamshelana nogqirha wakho ngoko nangoko.

• Ukuba ufumana umkhuhlane
• Ukuba uziva ubanda kwaye uqhaqhazela
• Ukuba indawo ebhoboziweyo ibomvu, idumbile, kwaye kuphuma ulwelo olufana nobovu kuyo