Kuvamile ukuzizwa wesaba kancane uma uthola ukuthi uneqhubu esifubeni sakho, noma lapho udokotela wakho ekutshela ukuthi kukhona okungahambi kahle nge -mammogram yakho . Lokho kwesaba kungaba kukhulu nakakhulu uma utshelwa ukuthi udinga ukwenza i -biopsy . Kodwa i-'Core Needle Breast Biopsy' esikhuluma ngayo namuhla akuyona into okufanele uyesabe. Lokhu kuvame ukwenziwa ukuze kususwe noma yikuphi ukungabaza engqondweni yakho nakuye udokotela wakho.
Iyini ngempela i-Core Needle Breast Biopsy?
Kalula nje, lolu olunye lwezinhlobo ezivame kakhulu zokuhlolwa kwebele. Udokotela wakho angase akuyalele lokhu kuhlolwa uma esola ukuthi ushintsho ebeleni lakho, njengesigaxa, kungaba umdlavuza webele.
Lokhu kuhilela uchwepheshe, ngokuvamile udokotela we-radiology, esebenzisa inaliti encane engenalutho ukususa ingxenye encane kakhulu yezicubu endaweni yebele lakho lapho kukhona khona iqhubu. Kufana nokusika ingxenye encane yekhekhe ukuze inambitheke. Ngemuva kwalokho, udokotela wezifo uhlola izicubu ngaphansi kwesibonakhulu ukuze abone ukuthi zinamangqamuzana omdlavuza noma ezinye izinkinga.
Kungani ngingafuna ukwenza lolu hlobo lokuhlolwa?
Kunezizathu ezimbili eziyinhloko zokuthi kungani udokotela wakho engase akucele ukuthi wenze lolu vivinyo:
- Uma wena noma udokotela wakho nithola iqhubu ebeleni lakho.
- Uma kutholakala ukukhubazeka ngesikhathi sokuskena, njenge-mammogram, i-MRI yebele, noma i-ultrasound yebele.
Inhloso eyinhloko yalolu vivinyo ukususa noma yikuphi ukungabaza nokuqinisekisa ngokuqinisekile ukuthi lokhu kungumdlavuza noma esinye isimo esingenangozi.
Uyini umehluko phakathi kwe-Core Needle Biopsy kanye ne-Fine-Needle Aspiration?
Zombili ziyi-nail biopsies. Kodwa kunomehluko omncane. I-Fine-Needle Aspiration ithatha amasampula oketshezi kanye namaqoqo amaseli ngamanye. I-Core Needle Biopsy ithatha ingxenye enkulu, ejiyile yezicubu. Lokhu kunikeza udokotela wezifo isampula engcono yokuhlola. Kunganikeza isithombe esicacile salesi sifo.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Lokhu akudingi ukulungiselela okuningi, kodwa kubalulekile ukukhumbula lezi zinto:
- Tshela udokotela wakho ngayo yonke imithi oyithathayo. Uma uthatha i-aspirin noma imithi yokunciphisa igazi (imithi yokunciphisa igazi), ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa kwegazi.
- Gqoka izingubo ezikhululekile ngosuku lokuhlolwa. Futhi, kungumqondo omuhle ukugqoka i-bra ethambile engeke ihlikihle inxeba ngemva kokuhlolwa.
- Hlela ukugwema ukuzikhandla ngokweqile cishe usuku olulodwa ngemva kokuhlolwa.
Kwenzekani ngesikhathi sokuhlolwa?
Esikhathini esiningi, lokhu kuhlolwa kwenziwa ngosizo lwe-scanner. Okusho ukuthi, udokotela ufaka inalithi endaweni eqondile yeqhubu ngenkathi ebheka i-scan. Izindlela ezahlukene zokuskena zisetshenziswa kulokhu.
| Indlela yokuskena | Incazelo |
|---|---|
| Ukuhlolwa Kwesifuba Esine-Stereotactic | Kusetshenziswa umshini okhethekile we-mammogram kulokhu. |
| I-Biopsy eqondiswa yi-Ultrasound | Lokhu kusebenzisa i-ultrasound yebele. |
| I-Biopsy eqondiswa yi-MRI | Lokhu kusebenzisa isithwebuli se-MRI yebele. |
Indlela yokuhlola eyenziwa ngayo isinyathelo ngesinyathelo:
1. Udokotela uzokwenza uzizwe ukhululekile ngomshini wokuskena osetshenziswayo. Isibonelo, ku-stereotactic biopsy, uzolala ubheke phansi embhedeni okhethekile owenzelwe ukuthi ibele lakho lilengise phansi.
2. Sisebenzisa isikena, sithola indawo eqondile yefindo.
3. Ngemuva kwalokho isikhumba esikuleyo ndawo siyahlanzwa kahle bese kufakwa umuthi wokwenza kube nezinzwa endaweni . Ngakho-ke awuzizwa ubuhlungu.
4. Ngemva kokwenza izinzwa zibe buhlungu, kwenziwa i-incision encane kakhulu esikhumbeni bese kufakwa inaliti ye-biopsy ngayo.
5. Udokotela angathatha amasampula amaningana ezicubu endaweni lapho kukhona khona iqhubu. Ungase uzwe ukusunduza okuncane nomsindo "wokuchofoza" lapho kuthathwa isampula ngayinye.
6. Uma isampula isithathiwe, inaliti iyasuswa bese kufakwa i-clip encane kakhulu yensimbi (i-biopsy marker) ngaphakathi ukuze kumakwe indawo lapho isampula ithathiwe khona. Lokhu kuzokuvumela ukuthi uthole indawo eqondile ye-biopsy uma wenza i-scan kamuva.
7. Ekugcineni, cindezela indawo okwesikhashana ukuze umise ukopha bese uyimboza ngebhandeji elihlanzekile nelingenamagciwane .
Ingabe lokhu kubuhlungu? Kuzothatha isikhathi esingakanani?
Akufanele uzwe ubuhlungu, ngoba indawo ayizwakali kahle. Kodwa ungase uzizwe ucindezelekile kancane lapho izicubu zisuswa. Kodwa-ke, uma uzwa ubuhlungu, tshela udokotela ngokushesha . Bazokunikeza eminye imithi eqeda ubuhlungu.
I-biopsy ngokwayo ithatha cishe imizuzu eyi-15-20 ukwenza, kodwa kungadingeka uhlale egumbini lokuhlolwa cishe imizuzu engama-60, kufaka phakathi isikhathi esithathayo ukulungiselela ukuskena.
Yini okufanele ngiyilindele ngemva kokuhlolwa?
Ungaya ekhaya ngalolo suku. Ungenza nemisebenzi yakho evamile. Kodwa-ke, kungcono ukugwema imisebenzi enzima njengokugijima, ukugxuma, noma ukuphakamisa izinsimbi okungenani amahora angu-48 . Kuvamile ukubona amanxeba lapho kwenziwa khona i-biopsy.
Ingabe kukhona izingozi kulokhu?
Lokhu kuhlolwa okuphephile kakhulu. Izingozi azivamile. Izinkinga ezingaba khona zifaka:
- Ukuqongelela kwegazi ngaphakathi kwebele ngenxa yokopha (i-breast hematoma)
- Ukuba nokutheleleka
- Ukulimala kwamaphaphu (pneumothorax) - Lokhu akuvamile kakhulu.
Imiphumela yami izoba njani?
Udokotela wezifo uzohlola isampula yezicubu zakho ukuze abone ukuthi kukhona yini amangqamuzana omdlavuza.
- Uma kungekho amangqamuzana omdlavuza (Awekho Amagciwane): Umbiko uthi lokho. Lokho kusho ukuthi akukho nkinga.
- Uma kukhona amangqamuzana omdlavuza (Ayingozi): Umbiko udokotela awutholayo uzofaka imininingwane elandelayo:
- Uhlobo lwesimila: Kungakhathaliseki ukuthi umdlavuza uyahlasela (usakazeka ezicutshini zebele) noma awuhlaseli (ongahlaseli).
- Izinga lesimila: Ukuthi amangqamuzana omdlavuza ahlukana ngokushesha kangakanani nokuthi afana kangakanani namaseli avamile.
- Isimo se-hormone receptor: Ukuthi ama-hormone emzimbeni ayakuthinta yini ukukhula komdlavuza.
- Isimo se-HER2: Ukuthi ikhona yini iphrotheni (i-HER2) kwamanye amangqamuzana omdlavuza esiza ukukhula kwawo.
Kuthatha isikhathi esingakanani ukuthi imiphumela ifike?
Imiphumela ivame ukutholakala zingakapheli isonto kuya ezinsukwini eziyi-10 emva kokuhlolwa kwe-biopsy. Ngezinye izikhathi lesi sikhathi singahluka kuye ngenqubo esetshenziswayo ukuhlola isampula.
Siyazi ukuthi ukulinda imiphumela kungaba yinto ecindezelayo. Lokho kuyinto evamile. Kungasiza ukuqhubeka nemisebenzi yakho yansuku zonke, ukwenza izinto ozithandayo, nokukhuluma nomuntu omthandayo ngalokhu.
Kufanele ngiphinde ngimbone nini udokotela?
Izinkinga ezivela kulolu vivinyo azivamile, kodwa uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele ushayele udokotela wakho ucingo ngokushesha .
| Funa iseluleko sezokwelapha ngokushesha! | |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba liphakeme kune-101 Fahrenheit (38.4 Celsius). |
| Ukubomvu kwesikhumba | Uma isikhumba esizungeze indawo ye-biopsy sibomvu noma simnyama kunombala wesikhumba sakho. |
| Ubuhlungu obukhulu | Uma kukhona ubuhlungu obungabekezeleleki lapho uthinta indawo yokuhlolwa kwegazi. |
| Ukusabalalisa inxeba | Uma inxeba endaweni yokuhlolwa kwegazi likhula kakhulu. |
Ingabe lokhu kuhlolwa kungavimbela umdlavuza?
Yebo, kunethuba elincane kakhulu lokuthi lokhu kuzokwenzeka. Lokhu kusho ukuthi inaliti ye-biopsy ingase ingatholi amangqamuzana omdlavuza, kodwa ithole kuphela izicubu ezinempilo eziseduze. Lokhu kubizwa ngokuthi umbiko 'ongamanga'. Kodwa-ke, ucwaningo lukhombisile ukuthi lokhu akunakwenzeka nge-Core Needle Biopsy.Lokho.
Okokugcina, uma ubona noma yiziphi izinguquko emabeleni akho, indlela engcono kakhulu nephephile yokuthola iqiniso iwukuba ne-Core Needle Breast Biopsy. Lokhu kuzokunikeza impendulo ecacile. Ngakho-ke ungesabi lokhu. Uma unemibuzo, ungangabazi ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Core Needle Breast Biopsy iyindlela yokuhlola ephephile kakhulu nelula enganquma ngokuqinisekile ukuthi iqhubu elisesifubeni linomdlavuza noma cha.
- Ngeke uzwe ubuhlungu obukhulu uma wenza lokhu ngoba kubuhlungu. Uzozwa nje ukucindezelwa okuncane.
- Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi oyiphuzayo, ikakhulukazi imithi yokunciphisa igazi (ama-anticoagulant), ngaphambi kokuhlolwa.
- Kungcono ukugwema imisebenzi enzima cishe izinsuku ezimbili ngemva kokuhlolwa.
- Uma ubona ukubomvu, umkhuhlane, ubuhlungu obungabekezeleleki, noma ukuphuka okukhula endaweni yokuhlolwa, shayela udokotela wakho ngokushesha.
- Kuvamile ukuzizwa ukhathazekile ngenkathi ulinde imiphumela. Ukukhuluma nabangani bakho nokwenza izinto ozithandayo kuzokusiza ngalesi sikhathi.
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