Ingabe udokotela wakho ubheke umbiko wakho we-mammogram wathi udinga i-biopsy? Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa lawo mazwi. Kunzima ukungacabangi ukuthi, "O, ingabe nginomdlavuza?" Kodwa ngaphambi kokuba wethuke, ake sifunde ukuthi iyini i-stereotactic breast biopsy, yenziwa kanjani, nokuthi kufanele uyesabe yini. Uma usuziqondile lezi zinto, ukwesaba kwakho kuzoncipha kakhulu.
Kuyini i-Stereotactic Breast Biopsy?
Kalula nje, lokhu ukuhlolwa okusebenzisa umshini we-mammogram okhethekile ukuthatha ingxenye encane yezicubu (isampula yezicubu) enembile kakhulu endaweni esolisayo ebeleni. Cabanga ngakho njengokuthola umgwaqo esingawazi usebenzisa i-Google Maps, lo mshini uphinde usebenzise ama-X-ray ukuthatha izithombe kusuka emakhoneni ahlukene bese umaka ngqo ukuthi indawo esolisayo ikuphi. Ngemuva kwalokho, udokotela ufaka inalithi encane endaweni ephawuliwe bese ethatha isampula yezicubu lapho.
Into ebaluleke kakhulu ukuthi okuwukuphela kwendlela yokwazi ngokuqiniseka okungu-100% ukuthi iqhubu noma ushintsho lunomdlavuza noma cha, ukwenza i-biopsy. Ama-mammogram nama-scan abonisa kuphela izindawo ezisolisayo.
Le ndlela ibilokhu isetshenziswa emhlabeni wonke iminyaka engaphezu kwengu-35, ithembekile kakhulu, futhi iyindlela engcono kakhulu yokuqinisekisa ukuthi umdlavuza webele ukhona yini noma cha ngaphandle kokuhlinzwa okukhulu.
Kufanele kwenziwe nini lokhu kuhlolwa?
Udokotela wakho uzokudlulisela kuphela kulolu vivinyo uma bebona into engavamile ebeleni lakho ngesikhathi sokuhlolwa kwebele okuvamile, i-mammogram, noma i-MRI scan. Lokho kusho ukuthi basola ukuthi kungaba umdlavuza. Kodwa lokho kumane kuyinsolo. Lokhu kuhlolwa kwe-biopsy kwenziwa ukuqinisekisa lokho.
Bheka ithebula elingezansi bese kuzocaca kuwe.
| Lokho okutholwa yiskeni | Kalula nje, kuyini? |
|---|---|
| Isigaxa noma isimila | Iqhubu elingavamile esifubeni elingase lizwakale noma lingabonakali futhi libonakala ngokuskena. |
| Ama-Microcalcifications | Ama-calcium deposit amancane ezicutshini zebele. Amanye alawa angakheka eduze kwamangqamuzana omdlavuza. |
| Izinguquko ezicutshini zebele | Ikakhulukazi uma ubona ushintsho olusha nolungavamile kwezicubu endaweni lapho wahlinzwa khona ngaphambilini. |
Ngemva kwalokhu kuhlolwa, uma isampula yezicubu iqinisekisiwe ukuthi inomdlavuza, lokhu kuzosiza odokotela ukuthi bahlele ukwelashwa okungcono kakhulu kuwe.
Ubani owenza lolu vivinyo?
Udokotela we-radiology, oqeqeshwe ngokukhethekile ngale njongo, wenza lokhu kuhlolwa. Ngemuva kwalokho, omunye uchwepheshe obizwa ngokuthi udokotela wezifo uhlola isampula yezicubu ukuze abone ukuthi kukhona yini amangqamuzana omdlavuza.
Ulungiselela kanjani lolu vivinyo?
Ngaphambi kokuhlolwa, udokotela uzokubuza imibuzo embalwa. Kubaluleke kakhulu ukunikeza ulwazi olunembile ngalezi zinto.
- Umlando wakho wezokwelapha: Kufanele usitshele ngezinye izifo onazo, imithi oyiphuzayo, kanye nanoma yikuphi ukungezwani komzimba onakho, ikakhulukazi uma usebenzisa umuthi wokubulala izinzwa wendawo.
- Imithi oyithathayo: Kufanele usitshele ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi ye-Ayurvedic. Kubaluleke kakhulu ukusitshela nganoma yimiphi imithi yokunciphisa igazi , njenge-aspirin, njengoba lokhu kuhlolwa kungabangela ukopha okuthile.
- Kungakhathaliseki ukuthi ukhulelwe: Uma ukhulelwe noma usola ukuthi ukhulelwe, batshele. Lokhu kungenxa yokuthi i-X-ray ingaba yingozi enganeni esibelethweni. Kukhona neminye imithi yokubulala izinzwa engeke inikezwe ngesikhathi sokukhulelwa.
- Yiba nomuntu ozokuhambisa ekhaya: Nakuba abantu abaningi bekwazi ukushayela ngemuva kokuhlolwa, kuyinto evamile ukuzizwa ukhathele futhi ukhathazekile ngemva kokwenza into efana nale. Ngakho-ke kuyimpumuzo enkulu ukuba nomuntu omethembayo akuhambise ekhaya.
Yini okufanele uyenze ngosuku lokuhlolwa?
Lindela ukuthi yonke inqubo ithathe cishe ihora, kodwa ukuhlolwa kwe-biopsy kuzothatha imizuzu embalwa kuphela. Khumbula lezi zinto:
- Gqoka izingubo ezikhululekile nezilula ukuzigqoka. Lokhu kuzokwenza kube lula ukushintsha ingubo yesibhedlela.
- Gqoka ngemva kokuhlolwaLetha i-bra eqinile nesekelayo (njenge-sports bra).
- Ungafaki lutho emakhwapheni akho noma endaweni yebele, njenge-deodorant, i-powder, noma i-lotion. Lokhu kungaphazamisa ukucaca kwezithombe ze-X-ray.
- Lungela ukususa zonke izinto zokuhloba zensimbi njengezibuko, amacici, kanye nemigexo.
- Uzokwaziswa ukuthi ungagezi amahora angama-24 ngemva kokuhlolwa. Lungela nalokho.
Kwenzekani ngesikhathi sokuhlolwa?
Lena yingxenye abantu abaningi abayesabayo. Kodwa akukho lutho okufanele ulwesabe. Uhlala uphapheme sonke isikhathi, kodwa awuzwa ubuhlungu ngoba amabele akho awasasebenzi kahle.
Nansi indlela ukuhlolwa okusebenza ngayo:
1. Indawo: Uzobekwa ubheke phansi etafuleni lokuhlolwa elikhethekile. Kukhona imbobo etafuleni lapho ungabeka khona ibele lakho. Ngemuva kwalokho, kuzosetshenziswa amashidi amabili ukubamba ibele lakho ukuze linganyakazi. (Abanye abantu banenkinga yokulala bebheke phansi, kodwa kunemishini ekuvumela ukuthi wenze lokhu uhleli. Uma unenkinga, tshela udokotela wakho kusenesikhathi.)
2. Ukuskena: Umbhede uyaphakanyiswa, bese umshini uthatha izithombe ze-X-ray kusuka kuma-engeli ahlukene bese uzithumela kukhompyutha. Ikhompyutha ibala indawo eqondile ye-biopsy.
3. Ukuba ndikindiki: Udokotela uzohlanza ibele lakho ngomuthi wokulwa namagciwane bese efaka umuthi wokudambisa ubuhlungu wendawo. Kuzozwakala njengokuhlaba okuncane, okufana nendlela izinsini zakho eziba ndikindiki ngayo ngaphambi kokukhishwa kwezinyo.
4. Ukuthatha isampula: Ngemva kokuba ibele seliphelelwe amandla, kwenziwa ukusika okuncane kakhulu esikhumbeni bese kufakwa inaliti ye-biopsy. Idivayisi esizwa nge-vacuum (VAD) enamathiselwe enalitini ifaka ingcindezi ukuze ithathe amasampula amaningana ezicubu ngokushesha. Uzophinde unikezwe umuthi owengeziwe wokwenza kube nzima ngalesi sikhathi. Amasampula amaningana angathathwa ngokusika okuncane okufanayo.
5. Ukufaka i-clip: Inaliti iyasuswa bese kufakwa i-clip encane kakhulu yensimbi ukuze kuphawulwe indawo lapho isampula ithathwe khona. Lokhu kubaluleke kakhulu. Uma kufanele uphinde uhlinzwe noma uhlolwe esikhathini esizayo, lokhu kuzokusiza ukuthola indawo eqondile.
Ungesabi nhlobo lesi siqeshana. Ngeke usizwe, ngeke usilimaze umzimba wakho, ngeke sithathwe yimishini yokuhlola insimbi ezikhumulweni zezindiza, futhi ngeke siphazamise ukuskena kwe-MRI esikhathini esizayo.
Ekugcineni, kufakwa ibhandishi noma ibhandishi endaweni ukuze kumiswe noma yikuphi ukuphuma kwegazi. Iphakethe leqhwa lingafakwa futhi ukuze kuncishiswe ukuvuvukala. Ngemva kwalokho, kwenziwa enye i-mammogram ethambile ukuqinisekisa ukuthi i-clip ikhona.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuphumula isikhashana, ungaya ekhaya ngalo lolo suku. Indawo lapho kwenziwa khona ukuhlolwa ingase ibe nemihuzuko emincane futhi ibe luhlaza okwesibhakabhaka, ivuvukele kancane, futhi ibe buhlungu uma uyithinta. Kodwa-ke, lezi zinto zivame ukuphola ngokuphelele phakathi namasonto ambalwa.
Uma uzwa ubuhlungu, thatha umuthi wokuqeda ubuhlungu njengoba uyalelwe udokotela wakho. Ukufaka iqhwa imizuzu engama-20 ngaphakathi nangaphandle kwesikhumba imizuzu engama-20 emahoreni ambalwa okuqala kuhle kakhulu ekunciphiseni ukuvuvukala. Gwema ukuphakamisa okunzima noma umsebenzi onzima emahoreni angama-24-48 alandelayo .
Imiphumela izotholakala nini?
Ngokuvamile kuthatha izinsuku ezimbalwa kuya esontweni ukuthi imiphumela ibuye. Ngaphambi kokuba uye ekhaya, buza udokotela wakho noma abasebenzi ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela nokuthi uzoyithola kanjani.
Siyazi ukuthi ukulinda le miphumela kungaba isikhathi esinzima kakhulu nesicindezelayo, kodwa zama ukuhlala uzolile ngangokunokwenzeka.
Into ebaluleke kakhulu, khumbula lokhu:
Ezimweni eziningi, lokhu kuhlolwa kwe-biopsy akubonakali kukuhle . Ucwaningo lwamuva nje luthole ukuthi abantu abangaphansi kuka-30% abenza lokhu kuhlolwa batholakala benomdlavuza. Ngakho-ke ungesabi futhi ulahlekelwe yithemba.
Ngingashayela nini udokotela ucingo?
Uma unezinkinga ngokuphola kwenxeba ngemva kokuhlolwa, kufanele wazise udokotela wakho. Qaphela izimpawu ezilandelayo.
| Uphawu okufanele ulunake | Incazelo |
|---|---|
| Ukuvuvukala okwandisiwe | Uma ukuvuvukala kungapheli ngemva kwezinsuku ezimbalwa zokuqala kodwa kunalokho kuyanda. |
| Ukopha noma olunye uketshezi | Uma kukhona ukopha okuqhubekayo noma uketshezi olufana nobomvu oluvela endaweni yokuhlolwa kwegazi. |
| Ubomvu, ubuhlungu, noma ukufudumala | Uma indawo yokuhlolwa kwegazi iba bomvu, ibuhlungu, noma ifudumele uma uyithinta (lokhu kungaba izimpawu zokutheleleka). |
Kungokwemvelo ukuzizwa wesaba uma utshelwa ukuthi udinga ukwenza i-biopsy. Kodwa khumbula, lokhu kwenzelwa ukususa noma yikuphi ukungabaza ongase ube nakho. Esikhathini esiningi, imiphumela izoba "akukho mdlavuza." Uzozizwa ukhululekile kakhulu. Ngisho noma umdlavuza uqinisekisiwe, ukuhlolwa okufana nalokhu kungawuthola esiteji sokuqala . Khona-ke, amathuba okwelashwa okuphelele aphezulu kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Stereotactic Breast Biopsy iyisivivinyo esinembile kakhulu nesiphephile sokunquma ukuthi ibele linomdlavuza noma cha.
- Ukuthunyelelwa lolu hlolo akusho ukuthi unomdlavuza. Imiphumela yabantu abaningi ibuya ingenayo imiphumela emihle.
- Ngeke uzwe ubuhlungu ngesikhathi sokuhlolwa ngoba ibele lakho lizophelelwa amandla.
- Ngaphambi kokuhlolwa, tshela udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi.
- Uma umphumela uwumdlavuza, ukutholakala kusenesikhathi kubalulekile ukuze ukwelashwa kuphumelele. Ngakho-ke ungesabi ukuhlolwa.
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