Ingabe ukhathazekile ngesimila emzimbeni wakho? Ake sixoxe ngeFine-Needle Aspiration (FNA)!

Wake wazizwa uneqhubu elincane noma iqhubu endaweni ethile emzimbeni wakho wazizwa wesaba noma usola? Noma ingabe udokotela ukutshelile ukuthi wenze isivivinyo esincane endaweni enjalo? Ungesabi! Namuhla sizokhuluma ngesivivinyo esiwusizo ngezikhathi ezinjalo futhi esibalulekile kubantu abaningi. Lokho `Ukuphefumula Okunenaliti Enhle`, esikubiza nangokuthi `(FNA)` ngamafuphi. Ukuze kube sobala, lokhu yisivivinyo esisebenzisa inalithi encane ukuthatha isampula yamaseli.

Ngakho-ke, iyini ngempela i-Fine-Needle Aspiration (FNA)?

Kalula nje, i-'Fine-Needle Aspiration' noma i-'(FNA)' inqubo esetshenziswa odokotela ukuthatha isampula yamaseli esigaxeni esisolisayo, iqhubu, noma enye indawo emzimbeni wakho ebonakala ingajwayelekile. Abanye abantu bayibiza nangokuthi 'Fine-Needle Biopsy'. Cabanga ngayo njengenaliti encane kakhulu enamathiselwe kwisirinji encane ekhipha isampula encane yamaseli, izicubu, noma uketshezi.

Ngemuva kwalokho, udokotela wakho uthumela isampula "elabhorethri ye-cytology." Lapho, "isazi se-cytotechnologist" sihlola amaseli. Ngemuva kwalokho, udokotela ochwepheshe obizwa ngokuthi "isazi se-pathologist" uhlola amaseli ngokujulile, ezama ukuthola ukuthi ayini nokuthi ayini. Womabili ahlola la maseli esebenzisa inqubo ebizwa ngokuthi "i-cytology."

"(FNA)`` uhlobo lwe-biopsy olungabangeli umonakalo omkhulu emzimbeni, okungukuthi, aluhlaseli kakhulu (olungahlaseli kakhulu) . Kodwa-ke, lunemikhawulo ethile.

Ngakho-ke, umehluko phakathi kwe-Core Biopsy kanye ne-Fine-Needle Aspiration uyini?

Kungenzeka ukuthi uke wezwa nge-'Core Biopsy'. Kokubili i-'Core Biopsy' kanye ne-'Fine-Needle Aspiration' kuyizinhlobo ze-biopsy ezisebenzisa izinaliti.

Kodwa-ke, inalithi esetshenziselwa i-'Core Needle Biopsy' ikhulu kancane kunenalithi esetshenziselwa i-'(FNA)`. Ngakho-ke, i-'Core Biopsy` ingathatha inani elikhulu lezicubu kune-'(FNA)`. Lokhu kuvumela ulwazi olwengeziwe mayelana nendawo esolisayo.

Nakuba kusetshenziswa inaliti encane (i-FNA), i-core biopsy ngezinye izikhathi idinga ukusikwa okuncane kanye nokufakwa kwenaliti ye-biopsy efakwe entwasahlobo.

Odokotela bavame ukusebenzisa i-'Core Biopsy' ekuhlolweni kwebele . Kodwa-ke, i-'(FNA)' isetshenziselwa izingxenye ezahlukene zomzimba.

Iyini i-Fine-Needle Aspiration (FNA) esetshenziselwa yona?

Kunezinhloso ezimbili eziyinhloko zokuhlolwa kwe-FNA: ukuxilonga kanye nokwelapha .

Ngezinye izikhathi, odokotela basebenzisa i-FNA ukuhlela ukwelashwa uma umdlavuza ususakazeke kusukela lapho waqala khona, obizwa ngokuthi umdlavuza we-metastatic. Udokotela wezifo angabe esebheka izimpawu zofuzo noma zama-molecule kusampula yeseli ukuze abone ukuthi umdlavuza uzosabela kahle kangakanani ekwelashweni okuthile.

Ukufuthwa Kwenaliti Encane (i-Diagnostic FNA) Yokuxilongwa

Noma nini lapho odokotela bedinga ukuxilonga isifo ngokuthatha isampula yezicubu noma yoketshezi, bangenza "iFine-Needle Aspiration" (eyaziwa nangokuthi "i-fine-needle biopsy"). Udokotela wezifo ubheka amangqamuzana aqoqwe ngaphansi kwe-microscope ukuze anqume ukuthi aluhlobo luni nokuthi yiziphi izici zawo.

""(FNA)"" kumane kungenye yezinhlobo eziningana ze-biopsy. Kuye ngesimo sakho, udokotela wakho angakhetha ukwenza ""(FNA)"" noma olunye uhlobo lwe-biopsy, njenge-"excisional" noma "incisional".

I-"Fine-Needle Biopsy" ingadingeka ukuze kutholakale ukuxilongwa okuqondile kwesimila esisolisayo. Lokhu kungasiza ekuboneni izinto ezinjengalezi:

• Umdlavuza .
• Ukutheleleka ngamagciwane , isibonelo, i-bursitis (ukutheleleka kwesikhwama esizungeze ilunga) noma i-septic arthritis (ukutheleleka kwelunga).
• Izimila ezingezona ezomdlavuza , isibonelo, ama-cyst, ama-fibroadenoma (uhlobo lwesimila esingeyona umdlavuza esitholakala ebeleni), noma ama-lipomas (izimila ezinamafutha).

Odokotela bangenza i-fine needle aspiration (FNA) cishe kunoma iyiphi ingxenye yomzimba. Kodwa-ke, ivame ukusetshenziswa kakhulu ukuhlola izimila ezisanda kutholakala kulezi zindawo ezilandelayo:

• Isifuba , isibonelo, ama-cysts esifubeni.
• Indlala yegilo , isibonelo, amaqhubu egilo.
• Ama-lymph node .
• Isikhumba .

Ngokuthuthuka kobuchwepheshe, i-fine needle aspiration (FNA) manje isetshenziswa futhi ukususa izicubu ezingxenyeni ezijulile zomzimba, ngosizo lwesiqondiso sezithombe ezifana ne-endoscopic ultrasound kanye ne-computed tomography (CT) scans. Isibonelo:

• I-Pancreas .
• Umgudu wesisu (GI) .
• Umphimbo .
• Umphimbo .
• Amaphaphu .
• I-mediastinum (isikhala esifubeni sakho esiqukethe izitho ezibalulekile njengenhliziyo yakho).

Ukufuthwa Kwenaliti Encane (i-FNA Yokwelapha) Yokwelapha

Ngezinye izikhathi odokotela basebenzisa i-FNA ukususa uketshezi oluvela emathunjini bese bewelapha. Isibonelo:

• Amathumba(Ama-cyst agcwele ubomvu).
• Ama-Cysts (amasaka agcwele uketshezi).
• Ama-seroma (lawa amaqoqo oketshezi angajwayelekile avame ukwenzeka ngemva kokuhlinzwa komdlavuza webele kanye nokuhlinzwa kwepulasitiki).

Le ndlela `(FNA)` ingasetshenziswa esikhundleni sendlela evamile `yokusika nokukhipha amanzi`, ikakhulukazi ezindaweni ezizwela kakhulu ubuhle njengamabele. Kodwa-ke, `(FNA)` ngezinye izikhathi ingasakaza izifo, ngakho-ke ayikwazi ukusetshenziswa kuzo zonke izimo.

Ngingakulungiselela kanjani ukufuthwa kwenaliti encane (i-FNA)?

Ngokuvamile akukho ukulungiselela okukhethekile okudingeka ukwenze ukuze uthole i-Fine-Nedle Aspiration. Kodwa-ke, udokotela wakho uzokutshela ukuthi yini ongayilindela nokuthi uyilungiselele kanjani. Ngakho ungakhathazeki ngakho .

Kwenzekani ngesikhathi sokuhlolwa kwe-Fine-Nedle Aspiration (FNA)?

I-FNA cishe yenziwa ehhovisi likadokotela wakho noma emnyangweni weziguli ezingalaliswa esibhedlela, okusho ukuthi akudingeki uhlale esibhedlela.

Le nqubo ingahluka kancane kuye ngokuthi isampula ithathwe kuyiphi ingxenye yomzimba wakho. Kodwa-ke, ngokuvamile, ungalindela into efana nale ngesikhathi 'sokushaywa yinaliti encane':

• Uzokwenziwa ulale phansi noma uhlale etafuleni lezokwelapha.
• Udokotela uhlanza indawo lapho inaliti ifakwe khona ngesisombululo se-antiseptic .
• Udokotela angase afake umuthi wokubulala izinzwa wendawo ukuze aqede indawo lapho kwenziwa khona i-FNA. Kodwa-ke, ungase uzizwe uthukuthele noma ungakhululekile lapho inaliti ingena esikhumbeni. Lokhu kuvamile.
• Uma isampula ithathwe engxenyeni ejulile yomzimba wakho, udokotela uzosebenzisa isiqondiso sokuthwebula izithombe ukuze aqondise inaliti ngqo ukuthi ikuphi nokuthi ibheke ngakuphi. Isibonelo, i-ultrasound, i-CT scan, noma i-mammogram.
• Udokotela ufaka inalithi endaweni eqondiwe bese esebenzisa isirinji ukukhipha amaseli, izicubu, noma uketshezi.
• Udokotela kungadingeka ahlole izindawo ezingaphezu kweyodwa noma athathe amasampula angaphezu kweyodwa. Uma kunjalo, uzosebenzisa inalithi entsha kanye nesipeyinti kusampula ngayinye. Ilithi efanayo ngeke isetshenziswe kaninginingi .
• Uma ukuhlolwa sekuqediwe, kufakwa ibhandishi elincane endaweni.

Kwenzekani ngemva kokuhlolwa kwe-Fine-Nedle Aspiration (FNA)?

Udokotela wakho uzothumela isampula eyodwa noma ngaphezulu (noma ngaphezulu) elabhorethri. Lapho, 'udokotela wezifo' uzowahlaziya. Uzobheka amangqamuzana ngaphansi kwe-microscope futhi angenza ezinye izivivinyo kusampula. Udokotela wezifo uzobhala umbiko ngalokho akutholile bese ewuthumela kudokotela wakho, ozokukhombisa futhi akuchazele.

Yiziphi izingozi zeFine-Nedle Aspiration (FNA)?

Kujwayelekile ukuzwa ubuhlungu obuncane noma ukuklwebheka lapho inaliti ifakwe khona. Lokhu kuvame ukuba kuncane futhi kuzophola ezinsukwini ezimbili kuya kwezintathu.

Izinkinga ezivela ekuphefumuleni kwenaliti encane azivamile , kodwa ngezinye izikhathi okulandelayo kungenzeka:

• Ukopha: Le ngozi iphezulu kubantu abanezinkinga zokujiya kwegazi kanye/noma labo abathatha ama-anticoagulant.
• Ukutheleleka ngamagciwane: Yingakho inaliti ihlanzwa kahle ngaphambi kokuyifaka.
• Ukulimala kwezicubu ezizungezile: Lokhu nakho akuvamile kakhulu.
• I-Fistula: Lokhu ukuxhumana okungajwayelekile phakathi kwezicubu ezimbili emzimbeni, isibonelo isitho, umthambo wegazi, noma esinye isakhiwo. Lokhu nakho akuvamile kakhulu.

Khumbula, lezi zingozi zincane kakhulu. Udokotela ukutshela ukuthi wenze lokhu kuhlolwa ngoba ucabanga ukuthi izinzuzo zako zidlula kakhulu lezi zingozi ezincane.

Iyini imiphumela ye-Fine-Needle Aspiration (FNA)?

Kunezinhlobo eziningana zemiphumela engatholakala ku-'Fine-Needle Aspiration'. Uma isampula ihlaziywa, ingabonisa izinto ezinjengalezi:

• Awekho amaseli angajwayelekile: lokho kusho ukuthi konke kuhamba kahle.
• Ingxube yamaseli angajwayelekile namaseli ajwayelekile: Ungadinga ezinye izivivinyo ukuqinisekisa ukuxilongwa.
• Amaseli angaphambi komdlavuza: Lawa amaseli asesigabeni sokuqala ngaphambi kokuba abe umdlavuza. Lawa kulula ukuwaphatha uma etholakale kusenesikhathi.
• Amaseli anomdlavuza: Uma lokhu kwenzeka, udokotela wakho uzokutshela ukuthi wenzeni ngokulandelayo.
• Ubufakazi bokutheleleka ngamagciwane: Uma kunjalo, kungelashwa.

Ngezinye izikhathi, ilabhorethri ingacela amasampula engeziwe ukuze inikeze umbiko onembile kakhudlwana. Kodwa-ke, udokotela wakho uzokuchazela umbiko . Ngemuva kwalokho, nobabili nizonquma ndawonye ukuthi yini okufanele niyenze ngokulandelayo.

Kufanele ngishayele nini udokotela wami ucingo?

Uma uba nezimpawu zokutheleleka ngemva kokuhlolwa, njengomkhuhlane , ubomvu obuphuma endaweni yenaliti, noma ukubomvu , shayela udokotela wakho ngokushesha. Uma ubona noma yiziphi izinguquko ezingalindelekile eqhubu lakho noma eqhubu ngemva kwe-FNA, tshela udokotela wakho ngalokho.

Kuvamile ukuzizwa ucindezelekile futhi wesaba uma uthola ukuthi uneqhubu elisolisayo. Kodwa izindaba ezinhle ukuthi i-biopsy, njenge-fine-nadle aspiration, iyindlela engcono kakhulu yokuthola ukuthi iyini ngempela. Uma unemibuzo noma ukukhathazeka mayelana ne-fine-nadle aspiration, ungangabazi ukukhuluma nodokotela wakho . Bakhona ukukusiza nokukuqinisekisa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-`Fine-Needle Aspiration (FNA)` iyisivivinyo esilula, esingahlaseli esithatha isampula yamaseli endaweni esolisayo yomzimba.
• Lokhu kungabona izimo ezahlukahlukene , njengomdlavuza, izifo, kanye nezimila ezingezona ezomdlavuza. Ngezinye izikhathi kusetshenziselwa ukususa uketshezi nokulwelapha .
• Asikho isidingo sokulungiselela okuningi ngaphambi kokuhlolwa, futhi ukungakhululeki okukhulu akuvamile ukwenzeka ngemva kokuhlolwa.
• Uma unemibuzo noma ukukhathazeka, qiniseka ukuthi ukhuluma nodokotela wakho . Bazokuchazela konke.
• Khumbula, lolu hlobo lokuhlolwa lwenziwa ukuze kukusize wenze izinqumo ezinhle kakhulu ngempilo yakho.

Ngakho-ke, uma ucelwa ukuba wenze ukuhlolwa okunjalo, ungesabi ukubhekana nakho. Sikufisela ukululama okusheshayo!

I- FNA, Ukufuthwa Kwenaliti Encane, I-Biopsy, Ukuhlolwa Kwamaseli, Ukuhlolwa Kwesimila, Ukuxilongwa Komdlavuza, Ukuhlolwa Kwezokwelapha