Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela wakho ekutshela ukuthi udinga ukwenza i-biopsy yebele . Uma uzwa igama elithi "biopsy," into yokuqala efika engqondweni umdlavuza, akunjalo? Kodwa empeleni, akuzona zonke izigaxa ezitholakala ebeleni umdlavuza. Lokhu kuhlolwa kwenziwa ukuqinisekisa ukuthi kukhona yini indawo esolisayo. Ngakho-ke, ungakhathazeki, ake sixoxe ngalokhu ngokucacile namuhla.
Kalula nje, kuyini ukuhlolwa kwebele?
Kalula nje, i-biopsy yebele inqubo lapho udokotela wakho ethatha khona ingxenye encane kakhulu yezicubu (isampula yezicubu) endaweni esolisayo yebele. Le sampula yezicubu ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza noma ezinye izinkinga.
Khumbula, okuwukuphela kwendlela engcono kakhulu yokwazi ngokuqiniseka okungu-100% ukuthi inkinga yebele ingumdlavuza noma cha iwukuhlolwa kwe-biopsy.
Kungani kudingeka ukwenza isivivinyo esinjalo?
Udokotela wakho angase akuncome lokhu kuhlolwa uma enezinkinga ngesikhathi sokuhlolwa kwebele okuvamile, i-mammogram, noma i-ultrasound . Nazi ezinye zezizathu ezivame kakhulu zokusola:
- Ukuba neqhubu, i-cyst, noma ukuqina kwebele lakho ongakuzwa.
- Ama-cyst agcwele uketshezi noma ama-calcium deposit amancane (ama-microcalcifications) abonakala kuma-scan.
- Ukuphuma kwegazi okungajwayelekile engonweni, njengokuphuma kwegazi .
- Ushintsho esimweni sesikhumba sebele noma ingono.
Yiziphi izinhlobo zokuhlolwa kwe-biopsy?
Udokotela wakho uzonquma ukuthi iyiphi indlela yokuhlolwa kwegazi ekulungele wena ngokusekelwe ezicini eziningana, okuhlanganisa ubukhulu beqhubu elisolisayo, indawo yalo, ezinye izinkinga zakho zempilo, kanye nezintandokazi zakho.
Kunezinhlobo ezimbili eziyinhloko ze-biopsy : izindlela ezingangenisi kakhulu, kanye nezindlela zokuhlinzwa.
Ama-Biopsies Angenasidingo Kakhulu
Lezi zindlela sezisetshenziswa kaningi manje ngoba zinezinzuzo eziningi.
- Ukushaqeka akuvamile kakhulu.
- Ubuhlungu buncane.
- Ingozi yokutheleleka iphansi.
- Ungalulama ngokushesha futhi uqalise imisebenzi evamile.
Ake sibone ukuthi ziyini lezi zindlela.
| Indlela ye-biopsy | Okwenzekayo kulula. |
|---|---|
| Ukufuthwa Kwenaliti Encane (i-FNA) | Inaliti encane kakhulu isetshenziswa ukususa amanye amangqamuzana endaweni esolisayo. Uma iqhubu ligcwele uketshezi, le nqubo ingakhipha uketshezi futhi inciphise iqhubu. |
| I-Core Needle Biopsy (Iqondiswa yi-Ultrasound/MRI) | Kusetshenziswa inalithi ejiyile kancane kuneye-FNA. Ngokusebenzisa i-ultrasound noma i-MRI scan, inalithi ifakwa ukuze kutholakale indawo efanele bese kutholakala ucezu lwezicubu. |
| Ukuhlolwa Kwegazi Okusizwa Yi-Vacuum | Lokhu kufana ne-core biopsy, kodwa lapha idivayisi ye-vacuum (yokumunca) ingasetshenziswa ukuthola izicubu ezengeziwe ngesikhathi esisodwa. |
| I-Stereotactic Biopsy | Umshini okhethekile we-mammogram uthola indawo esolisayo ngokunembile, futhi ngosizo lwekhompyutha, inaliti iyaqondiswa bese kukhishwa izicubu. |
Ukuhlolwa kwe-Biopsies Yokuhlinzwa
Kwezinye izimo, udokotela kungadingeka ahlinze ukuze kususwe lonke isimila.
- I-Open Excisional Biopsy: Lena inqubo yokuhlinzwa esusa lonke iqhubu. Ngezinye izikhathi, ezinye zezicubu ezivamile ezizungeze iqhubu nazo ziyasuswa. Lokhu kubizwa nangokuthi i-Lumpectomy . Lokhu kusetshenziswa njengokuhlolwa nanjengokwelashwa kwamaqhubu angewona umdlavuza.
- I-Biopsy ye-Sentinel Node: Lokhu ukuhlolwa okukhethekile kancane. Uma amangqamuzana omdlavuza esakazeke, azoqala aye kuma-lymph node aseduze. Le lymph node yokuqala ibizwa ngokuthi i-sentinel node.Kulolu vivinyo, kufakwa udayi okhethekile noma into ekhipha imisebe eduze kweqhubu, leli qhubu lokuqala le-lymph liyahlonzwa, lisuswe, bese lihlolwa.
Ingabe zikhona izingozi nge-biopsy?
Ukuhlolwa kwe-biopsy kuyinqubo ephephile , kodwa njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane.
- Ukulimala endaweni yokuhlolwa.
- Ukuvuvukala okuncane kanye nobuhlungu.
- Ukopha okuncane.
- Ukutheleleka (lokhu akuvamile kakhulu).
- Kungase kube noshintsho oluncane ekubukekeni kwebele kuye ngokuthi izicubu zisusiwe.
Udokotela wakho uzokwazisa ngalezi zinto kusenesikhathi.
Isikhathi sokululama nezinto okufanele uzicabangele ngemva kokuhlolwa
Uzocelwa ukuthi ugqoke i-bra ekhethekile futhi ufake ama-dressing phezu kwesilonda izinsuku ezimbalwa ngemva kokuhlolwa kwe-biopsy. Kungase kube nemicu emincane ye-tape noma izithungo phezu kwesilonda. Ungazisusi wena. Ithimba lakho lezokwelapha lizokweluleka ukuthi uzisuse nini futhi kanjani.
Ama-painkiller angase athathwe uma kudingeka ngenxa yobuhlungu, kodwa ama-painkiller alula njenge-paracetamol avame ukwanele. Gwema ukuthatha imithi efana ne-aspirin ezinsukwini ezintathu zokuqala ngemva kokuhlolwa ngaphandle kweseluleko sikadokotela, ngoba angandisa ingozi yokopha.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha:
* Umkhuhlane noma ukubanda.
* Uma ubuhlungu bukhula kancane kancane.
* Ubomvu, ukuvuvukala, ukopha, noma okunye ukuphuma kwegazi eduze kwesilonda.
Kuthatha isikhathi esingakanani ukuthola umphumela we-biopsy?
Kungathatha izinsuku ezimbalwa ukuthi udokotela wezifo ahlole isampula yezicubu ezithathwe kuwe bese elungiselela umbiko. Uma usuwutholile umbiko, udokotela wakho uzokuchazela wona.
- Uma umphumela ujwayelekile (Ongenawo umdlavuza/Ongenawo umdlavuza): Uma umbiko uthi kuyisimo esijwayelekile esingesona umdlavuza, lokho kuyizindaba ezinhle kakhulu. Amaqhubu amaningi ebeleni awayona ingozi kanje.
- Uma umphumela ungowomdlavuza: Uma umbiko uqinisekisa ukuthi unomdlavuza, uzosho uhlobo lomdlavuza kanye neminye imininingwane. Ungakhathazeki. Ngokusekelwe kulolo lwazi, udokotela wakho uzokwazi ukwakha uhlelo lokwelashwa olufanele kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwebele kuyindlela kuphela yokwazi ngokuqiniseka okungu-100% ukuthi isimo sebele esisolisayo sinomdlavuza noma cha.
- Amaqhubu amaningi atholakala esifubeni awayona ingozi futhi awanangozi, ngakho-ke ungesabi ukucela i-biopsy.
- Udokotela wakho uzonquma ukuthi iyiphi indlela ye-biopsy engcono kakhulu kuwe. Uma unemibuzo ngayo, ungangabazi ukuyibuza.
- Ukululama ngemva kwezinqubo eziningi zokuhlolwa kwegazi kuyashesha futhi ukungakhululeki kuncane.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlolwa. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, yazisa udokotela wakho ngokushesha.
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