Ingabe kufanele wenze i-biopsy yebele? Ake sifunde nge-Stereotactic Breast Biopsy ngendlela elula!

Ingabe udokotela wake wakutshela ukuthi udinga ukwenziwa i-biopsy yebele? Kuvamile ukuzizwa ukhathazekile kancane uma besho lokho. Kodwa ungakhathazeki. Esikhathini esiningi, lokhu kwenziwa ukuqinisekisa ukuthi kuyini ngempela uma kukhona ukungabaza. Namuhla, sizokhuluma ngalolu vivinyo olukhethekile olubizwa ngokuthi i-Stereotactic Breast Biopsy. Sizokhuluma ngakho konke ngamagama alula, njengokuthi kuyini, kwenziwa kanjani, nokuthi yini okudingeka sikwazi.

Kuyini lokhu (i-Stereotactic Breast Biopsy)?

Kalula nje, i-stereotactic breast biopsy inqubo ekhethekile ehilela ukuthatha ingxenye encane yezicubu ebeleni lakho uma kukhona okusolisayo. Isebenzisa umshini we-mammogram okhethekile ukuthola indawo eqondile lapho izicubu kudingeka zithathwe khona. Kungenzeka ukuthi uke wakuzwa kubizwa ngokuthi i-tomosynthesis-guided biopsy. I-mammogram isebenzisa i-X-rays yomthamo ophansi ukuthatha izithombe zebele lakho. Lezi zithombe zisetshenziselwa ukuthola noma yiziphi izicubu ezingavamile, noma izindawo "ezisolisayo", ezingaba nomdlavuza.

Ku-"biopsy" (ukuhlolwa kwezicubu), umhlinzeki wezempilo, ngokuvamile udokotela noma umhlengikazi oqeqeshiwe, ususa ucezu lwezicubu ezisolisayo. Lube seluthunyelwa elabhorethri ukuze luhlolwe amangqamuzana omdlavuza. Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi umuntu unomdlavuza yini ukwenza "i-biopsy".

Le ndlela, eyaziwa ngokuthi "i-Stereotactic Biopsy", ibilokhu ikhona iminyaka engaphezu kwengu-35. Iyindlela ethembekile kakhulu futhi engangenisi kakhulu ekunqumeni ukuthi umuntu unomdlavuza webele.

Kungani kwenziwa lokhu (i-Stereotactic Biopsy)?

Uma udokotela wakho ethola into engajwayelekile, njengeqhubu elisesifubeni sakho, ngesikhathi sokuhlolwa kwe-ultrasound, i-mammogram, noma i-MRI, angase acele i-stereotactic biopsy. Nakuba lokhu kuhlolwa kwezithombe kungabonisa ukungalingani esifubeni sakho, i-stereotactic biopsy kuphela engasho ngokuqinisekile ukuthi empeleni iyisibonakaliso somdlavuza, isimila esingenabungozi, noma okunye.

Kungase kudingeke ukuthi wenze i-stereotactic biopsy uma lezi zinto zitholakala ekuhlolweni kwesithombe:

• Iqhubu, noma `(isimila)`.
• Uma kunezinsalela ezincane ze-calcium, zibizwa ngokuthi "ama-microcalcifications." Lokhu kubukeka njengezinhlayiya ezincane zesihlabathi.
• Izinguquko ezicutshini zebele lakho (ikakhulukazi lapho uke wahlinzwa khona ngaphambilini).

Cabanga nje, uma lokhu kuhlolwa kuqinisekisa ukuthi ingxenye yezicubu ezithathwe inomdlavuza, le Stereotactic Biopsy izosiza udokotela wakho ukuhlela ukwelashwa okudingayo.

Ubani owenza lolu vivinyo?

Lokhu kuhlolwa kwe-"Stereotactic Breast Biopsy" kwenziwa ngudokotela we-radiologist othole ukuqeqeshwa okukhethekile kulo mkhakha. Ngemuva kwalokho, udokotela ochwepheshe ohlukile obizwa ngokuthi "udokotela wezifo" uhlola isampula yezicubu ngaphansi kwe-microscope ukuze abone ukuthi kukhona yini amangqamuzana omdlavuza.

Lolu vivinyo lusebenza kanjani?

Kalula nje, i-stereotactic biopsy isebenzisa umshini okhethekile we-mammography ukuthola indawo eqondile yezicubu ezisolisayo futhi inikeze isiqondiso se-biopsy. Cabanga ngalo mshini uthatha ama-X-ray ebele lakho kusuka ezinhlangothini ezahlukene bese uthumela ulwazi kukhompyutha.

Udokotela we-X-ray ube esekhetha indawo engavamile okufanele ihlolwe. Ngokusekelwe kulokho, ikhompyutha yenza izibalo futhi isize udokotela we-X-ray ukuthi aqondise ithuluzi le-biopsy endaweni eqondile. Udokotela we-X-ray ube esesebenzisa ithuluzi ukuqoqa amasampula kuleyo ndawo.

Kuyo yonke inkathi yokuhlolwa, udokotela we-radiologist usebenzisa lobu buchwepheshe ukuqinisekisa ukuthi uthatha amasampula endaweni efanele nokuthi uqoqe izicubu ezanele ukuthola umphumela onembile.

Ngilungiselela kanjani i-Stereotactic Biopsy?

Udokotela wakho uzokubuza imibuzo embalwa ukuqinisekisa ukuthi uyakwazi ukwenza lokhu kuhlolwa ngokuphephile nangesikhathi. Lena yile:

• Umlando wakho wezokwelapha: Lokhu kufaka phakathi umlando wezokwelapha womndeni wakho (webhayoloji), izifo zangaphambilini nezamanje, kanye nokwelashwa oke wakuthola. Uma une-allergies, ikakhulukazi uma uphathwa yi-anesthesia yendawo, kufanele utshele udokotela wakho .
• Imithi oyithathayo: Kufanele utshele udokotela wakho uma uthatha noma yimiphi imithi kadokotela noma etholakala ngaphandle kwemithi kadokotela, amavithamini, noma izithasiselo. Lokhu kuhlolwa kunengozi yokopha okuncane, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho uma uthatha imithi yokunciphisa igazi, njenge-aspirin. Landela imiyalelo kadokotela wakho ngokucophelela mayelana nokuthi uyeke noma uqhubeke yini nokuphuza imithi yakho ngaphambi kokuhlolwa.
• Ukukhulelwa: Kufanele utshele udokotela wakho uma ukhulelwe. Lokhu kungenxa yokuthi ukuchayeka kuma-X-ray amaningi kungaba yingozi enganeni engakazalwa. Futhi, eminye imithi yokubulala izinzwa yendawo ayinconywa ngesikhathi sokukhulelwa. Kodwa-ke, uma ukhulelwe, kunezinye izindlela eziphephile ukuzisebenzisa. Landela imiyalelo kadokotela wakho yokuthi ungakwenza kanjani lokhu uma ukhulelwe.

Kungumqondo omuhle futhi ukucela umngane noma ilungu lomndeni ukuthi likuyise ekhaya ngemuva kokuhlolwa. Nakuba abantu abaningi bekwazi ukushayela ngemuva kokuhlolwa kwe-stereotactic biopsy, ukuhlolwa komdlavuza kungaba yinto ecindezelayo kakhulu futhi ethinta inhliziyo. Ngakho-ke kuwusizo olukhulu ukuba nomuntu omethembayo abe nawe.

Yini okufanele ngiyilindele ngosuku lokuhlolwa?

Lindela ukuthi yonke inqubo ithathe cishe ihora, kodwa ingxenye ye-biopsy izothatha imizuzu embalwa kuphela. Khumbula lezi zinto ngosuku lwe-biopsy yakho:

• Gqoka izingubo ongazishintsha kalula, ngoba uzonikezwa ingubo yasesibhedlela ozoyigqoka.
• Ngemva kokuhlolwa, gqoka i-sports bra eqinile nesekelayo.
• Ungafaki i-deodorant. Futhi, ungafaki ama-lotion noma ama-powder emakhwapheni akho, ezingalweni, noma emabeleni. Kungaphazamisa i-X-ray futhi kuthinte imiphumela.
• Lungela ukususa izibuko, amazinyo okufakelwa, ubucwebe okuhlanganisa namacici, noma ezinye izinto zensimbi. Lokhu kungaphazamisa ne-X-ray.
• Khumbula ukuthi uzokwaziswa ukuthi ungagezi amahora angama-24 ngemva kokuhlolwa.

Kwenzekani uma kwenziwa i-stereotactic biopsy?

Uzohlala uphapheme phakathi nokuhlolwa konke, kodwa ngeke uzwe ubuhlungu ngoba ibele lakho lizobe lingasasebenzi kahle.

• Uzolala ubheke phansi etafuleni lokuhlolwa. Leli tafula linembobo lapho ibele lakho lingadlula khona. Ibele lakho lizobanjwa ngamapuleti amabili. *(Ngezinye izikhathi uma unenkinga yokulala ubheke phansi, kunemishini kwezinye izindawo engakwenza lokhu ngenkathi uhleli. Ngakho-ke tshela udokotela wakho uma unenkinga ngaphambi kokuhlolwa.)*
• Ngemuva kwalokho itafula liyaphakanyiswa ukuze udokotela akwazi ukufinyelela ibele lakho kalula. Uma usubekwe endaweni efanele, umshini uthatha ama-X-ray ebele lakho kusuka ezinhlangothini ezahlukene bese uthumela ulwazi kukhompyutha. Ikhompyutha inquma ukuthi izothatha kuphi i-biopsy.
• Ngemuva kwalokho, umhlinzeki wezempilo uzohlanza ibele lakho ngesibulali-magciwane noma insipho bese efaka umuthi wokubulala izinzwa wendawo ukuze aqede ibele. Ungase uzizwe sengathi ulunywa yintuthwane encane.
• Ngemva kokuba ibele lakho seliphelelwe amandla, udokotela wakho uzokwenza ukusika okuncane esikhumbeni sakho bese efaka inalithi ye-biopsy. Idivayisi esizwa nge-vacuum (VAD) enamathiselwe enalitini izofaka ingcindezi ukuze isuse ngokushesha izicubu. Uzonikezwa umuthi owengeziwe wokuqeda amandla ngenkathi kuthathwa isampula. Amasampula amaningana angathathwa ekusikaneni okufanayo okuncane.
• Bese besusa inaliti.
• Udokotela uzofaka i-metal clip encane esifubeni sakho ukuze abonise ukuthi izicubu zithathwe kuphi. Lokhu kuzosiza uma udinga ukuhlolwa okwengeziwe noma ukuhlinzwa kule ndawo esikhathini esizayo. Ngeke uyizwe i-clip, futhi iphephile ngokuphelele. Ngeke ivule imishini yokuhlola insimbi, futhi ungenza i-MRI.

Ngemuva kwalokho, umhlinzeki wezempilo uzocindezela phansi indawo yokuhlolwa kwegazi ukuze ayeke noma yikuphi ukopha. Bazoyimboza nge-gauze noma ngebhandeji. Bangase basebenzise ne-ice pack ukusiza ekunciphiseni ukuvuvukala.

Ekugcineni, kwenziwa i-mammogram emabeleni akho, futhi udokotela we-radiologist uqinisekisa ukuthi i-biopsy clip isendaweni efanele.

Yini okufanele ngiyilindele ngemva kokuhlolwa?

Ungadinga ukuphumula kancane ngaphambi kokuba uye ekhaya, kodwa ungaya ekhaya ngalo lolo suku. Ungase ube nokulunywa, ukuvuvukala, kanye nobuhlungu. Kodwa lokhu kuvame ukuba ngcono phakathi namasonto ambalwa.

Uma uzizwa ungakhululekile, udokotela wakho angase akunike umuthi wokunciphisa izinhlungu otholakala ngaphandle kwemithi kadokotela. Gcina iphakethe leqhwa endaweni amahora ambalwa okuqala ngemva kokuhlolwa kwe-biopsy (imizuzu engu-20 ivuliwe, imizuzu engu-20 ivaliwe). Uzonikezwa imiyalelo eyengeziwe yokuthi ungayinakekela kanjani indawo.

Kungcono ukugwema imisebenzi enzima amahora angama-24 kuya kwangu-48 ngemva kokuhlolwa kwe-biopsy. Iningi labantu lingaqhubeka nemisebenzi evamile ngemva kwalesi sikhathi, kodwa eminye ingadinga isikhathi eside. Landela imiyalelo kadokotela wakho yokuthi ungazinakekela kanjani ngesikhathi ululama.

Ziyini izingozi zalokhu kuhlolwa? Ingabe kukhona imiphumela emibi?

I-Stereotactic biopsy inqubo ephephile. Kodwa-ke, njenganoma iyiphi inqubo edinga ukusikwa, kunezingozi ezithile, njengokuphuma kwegazi, ukuqoqwa koketshezi noma igazi, kanye nokutheleleka. Kodwa-ke, lokhu akuvamile kakhulu.

Kubuhlungu kangakanani i-Stereotactic Biopsy?

Iningi labantu alizizwa ubuhlungu ngesikhathi sokuhlolwa ngenxa yokuhlinzwa. Ungase uzizwe umuzwa omncane wokuhlaba lapho kunikezwa umuthi wokubulala izinzwa. Ungase uzizwe ucindezelekile lapho kufakwa inalithi ye-biopsy.

Abanye abantu bangase babe nobuhlungu noma ukungakhululeki okukhulu kunabanye. Isibonelo, uma unezicubu zebele eziqinile, noma uma isimila singemuva kwendawo ebucayi njengengono yakho, ungase ube namathuba amaningi okuzwa ubuhlungu noma ukungakhululeki ngesikhathi sokuhlolwa kwezicubu.

Ngokuvamile, ukungakhululeki kubangelwa ukuhlala endaweni efanayo amahora amaningi ngesikhathi. Isibonelo, uma uhlala phansi ubheke phansi edeskini bese uphendula ikhanda lakho eceleni, ungase ube nentamo eqinile.

Hlobo luni lwemiphumela etholakalayo, futhi isho ukuthini leyo miphumela?

Udokotela we-X-ray noma udokotela womndeni wakho uzokutshela ukuthi unomdlavuza (`okhona` noma `ongemuhle`). Uma imiphumela ingaphelele, kungadingeka ukuthi wenze izivivinyo ezengeziwe. Landela imiyalelo kadokotela wakho mayelana nokuthi yini okufanele uyenze ngokulandelayo.

Ngizoyazi nini imiphumela yokuhlolwa?

Imiphumela ingathatha noma yikuphi kusukela ezinsukwini ezimbalwa kuya esontweni. Ngaphambi kokuthi uye kohlolwa, buza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela nokuthi izokwaziswa kanjani kuwe.

Zingaki izinhlobo zomdlavuza ezingatholakala nge-stereotactic biopsy?

Kuvamile ukuzizwa wesaba uma utshelwa ukuthi kufanele wenze i-"Stereotactic Biopsy" ngoba kusho ukuthi ukuhlolwa sekuvele kuthole izicubu "ezisolisayo". Kodwa,Ukuhlolwa okuningi kwe-biopsy - okuhlanganisa nokuhlolwa kwe-stereotactic biopsies - kubuya kungenayo imiphumela emihle. Ucwaningo lwamuva nje luthole ukuthi abantu abangaphansi kuka-30% abake bahlolwa i-stereotactic biopsy batholakale benomdlavuza.

Ngakho ungesabi. Lokhu kumane nje kuwukuqinisekisa.

Kufanele ngimshayele nini udokotela ?

Uma ubona noma yiziphi izimpawu zokuthi indawo yokuhlolwa kwegazi ayipholi kahle, khuluma nodokotela wakho . Kufanele futhi wazise udokotela wakho uma unanoma yikuphi kwalokhu okulandelayo:

• Uma ukuvuvukala kungapheli (noma kukhuphuka).
• Kulungile uma kukhona igazi noma uketshezi (njengobomvu) oluphuma endaweni yokuhlolwa kwegazi.
• Uma indawo yokuhlolwa kwegazi ibomvu, ibuhlungu, noma ifudumele.

Ukutshelwa ukuthi kufanele wenze i-stereotactic biopsy kungaba yinto ecindezelayo, ngoba kusho ukuthi unezicubu "ezisolisayo" emzimbeni wakho ezingaba umdlavuza. Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi lolu vivinyo lusenzelwa izinjongo zokuxilonga. Abantu abaningi - ngisho nalabo abanemiphumela "esolisayo" - ngeke baqinisekiswe ukuthi banomdlavuza. Uma kunjalo, i-stereotactic biopsy ingasiza ekunciphiseni ukwesaba kwakho. Ngakolunye uhlangothi, uma unomdlavuza, kungakusiza ukuwuthola ngokushesha. Lokhu kungenza ukwelashwa kuphumelele kakhulu.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kahle lokho ebesikhuluma ngakho (i-Stereotactic Breast Biopsy). Ngamafuphi:

• Lokhu kwenziwa ngokuthatha ingxenye encane yezicubu endaweni esolisayo yebele ukuze kubonakale ukuthi inomdlavuza noma cha.
• Lokhu kwenziwa ngosizo lwe-"mammogram", okwenziwa ngaphansi kwe-anesthesia, ukuze kungazwakali ubuhlungu obukhulu.
• Esikhathini esiningi, imiphumela ibuya ingenayo imiphumela emihle.
• Ngisho noma kukhona umdlavuza, kulula ukuwulapha ngoba ungatholakala kusenesikhathi.

Ngakho-ke, uma udokotela ekucela ukuthi wenze ukuhlolwa okunjalo, ungesabi, cela ulwazi oludingekayo, bese ubhekana nakho ngengqondo ezolile. Into ebaluleke kakhulu ukunakekela impilo yakho.

Umdlavuza webele , i-biopsy, i-stereotactic biopsy, i-mammogram, impilo yebele, ukutholwa komdlavuza, impilo yabesifazane