He aha ka Needle Biopsy? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka needle biopsy he hana lapaʻau kahi e hoʻohana ai kāu kauka i kahi nila lahilahi a hakahaka e wehe i kahi laʻana liʻiliʻi o ka ʻiʻo mai kou kino no ka hoʻāʻo ʻana. E noʻonoʻo e like me ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo e nānā ma lalo o ka microscope, e kōkua ana i nā kauka e hoʻomaopopo i ka mea e hana nei ma kahi wahi kikoʻī o ka hopohopo.

ʻO kēia hana liʻiliʻi e hiki ai i nā kauka ke ʻike i nā kūlana like ʻole me ka ʻole e koi i ke ʻoki nui. ʻO ka laʻana ʻiʻo, ma kahi o kekahi mau millimeters ka nui, hāʻawi i ka ʻike waiwai e pili ana inā he maʻamau nā cell, maʻi, a i ʻole e hōʻike ana i nā hōʻailona o ka maʻi.

He aha ka needle biopsy?

ʻO ka needle biopsy e pili ana i ka hoʻokomo ʻana i kahi nila kūikawā ma kou ʻili e hōʻiliʻili i nā laʻana ʻiʻo mai nā ʻōkana, nā puʻupuʻu, a i ʻole nā wahi i ʻike ʻia he ʻano ʻē ma nā hoʻokolohua kiʻi. Ke alakaʻi nei kāu kauka i ka nila i kahi wahi kikoʻī me ka hoʻohana ʻana i ka ultrasound, CT scan, a i ʻole MRI imaging no ka pololei.

Aia ʻelua ʻano nui o nā needle biopsies āu e hālāwai ai. Hoʻohana ka fine needle aspiration i kahi nila lahilahi loa e huki i nā cell a me ka wai, ʻoiai ʻo ka core needle biopsy e hoʻohana i kahi nila liʻiliʻi e wehe i nā cylinders liʻiliʻi o ka ʻiʻo. Aia ke koho i ka mea e pono ai kāu kauka e nānā a ma hea e pono ai ka laʻana.

No ke aha e hana ʻia ai ka needle biopsy?

Manaʻo nā kauka i nā needle biopsies ke pono lākou e hoʻoholo i ke ʻano pololei o kahi wahi ʻano ʻē i kou kino. Hiki i kēia ke lilo i puʻupuʻu hiki iā ʻoe ke manaʻo, kahi mea maʻamau i loaʻa ma kahi hoʻokolohua kiʻi, a i ʻole kahi wahi i hoʻokumu i nā hōʻailona mau.

ʻO ka pahuhopu nui ka hoʻokaʻawale ʻana ma waena o nā kūlana maikaʻi (ʻaʻole maʻi maʻi) a me nā kūlana malignant (maʻi maʻi). Eia naʻe, kōkua pū nā needle biopsies i ka ʻike ʻana i nā maʻi, nā kūlana inflammatory, a me nā maʻi ʻē aʻe e pili ana i nā ʻiʻo a me nā ʻōkana.

Hiki i kāu kauka ke ʻōlelo aku i kēia kaʻina hana inā he puʻupuʻu i wehewehe ʻole ʻia i loko o kou umauma, thyroid, ate, māmā, a i ʻole nā ​​node lymph. Hoʻohana pinepine ʻia nō hoʻi ke hōʻike nā hoʻokolohua koko a i ʻole nā ​​kiʻi i kahi mea e pono ai ka nānā ʻana akā ʻaʻole maopopo ke kuhi pololei.

He aha ke kaʻina hana no ka biopsy nila?

ʻO ka hana biopsy nila maʻamau he 15 a 30 mau minuke a hana pinepine ʻia ma ke ʻano he kaʻina hana outpatient. E moe ʻoluʻolu ʻoe ma luna o kahi papa hoʻokolokolo i ka wā e hoʻomākaukau ai kāu kauka i ka wahi a hoʻohana i ke alakaʻi kiʻi e ʻimi i ka ʻiʻo i manaʻo ʻia.

Eia ka mea e hiki ai iā ʻoe ke manaʻo i ka wā o ke kaʻina hana:

1. Hoʻomaʻemaʻe kāu kauka i ka ʻili me ka hopena antiseptic
2. Hoʻokomo ʻia ka anesthetic kūloko e hoʻopōʻino loa i ka wahi
3. Ke hoʻohana nei i ka ultrasound a i ʻole ke alakaʻi CT, hoʻokomo pono ʻia ka nila
4. Hōʻiliʻili ʻia ka laʻana ʻiʻo, e koi ana i kekahi mau hala
5. Wehe ʻia ka nila a hoʻohana ʻia ke kaomi e pale i ke kahe ʻana
6. Uhi kahi bandage liʻiliʻi i ka pūnaewele hoʻokomo

Hiki iā ʻoe ke manaʻo i kekahi kaomi a i ʻole ka hōʻoluʻolu māmā ke komo ka nila, akā pale ka anesthetic kūloko i ka ʻeha nui. Hōʻike ka hapa nui o nā kānaka i ka manaʻo e like me ka loaʻa ʻana o ke koko a i ʻole ka lāʻau lapaʻau.

Pehea e hoʻomākaukau ai no kāu biopsy nila?

He maʻalahi ka hoʻomākaukau ʻana no kāu biopsy nila, akā ʻo ka hahai ʻana i nā ʻōlelo a kāu kauka e kōkua i ka hōʻoia ʻana i nā hopena maikaʻi loa. E hāʻawi kāu hui mālama ola i nā alakaʻi kikoʻī e pili ana i kou kūlana pilikino a me kahi o ka biopsy.

Ma mua o kāu kaʻina hana, e nīnau paha kāu kauka e pili ana i kāu mōʻaukala olakino a me nā lāʻau lapaʻau o kēia manawa. Pono paha e hoʻōki ʻia nā lāʻau lapaʻau e hoʻoheheʻe i ke koko e like me ka aspirin, warfarin, a i ʻole clopidogrel i kekahi mau lā ma mua o ka biopsy e hōʻemi i ka pilikia o ke kahe ʻana.

ʻO nā ʻanuʻu hoʻomākaukau maʻamau e pili ana:

• E hoʻonohonoho i ka lawe ʻana iā ʻoe i ka home, no ka mea, e ʻoluʻolu paha ʻoe a i ʻole ʻoluʻolu ʻole
• Ke ʻaʻahu nei i nā lole ʻoluʻolu a me nā lole ʻaʻahu
• E pale ana i ka ʻai a me ka inu no kekahi mau hola inā ua hoʻolālā ʻia ka sedation
• Ke lawe nei i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi
• E hōʻike ana i kāu kauka e pili ana i nā maʻi āpau a i ʻole nā hopena i hala

Mai kānalua e nīnau i nā nīnau i ka wā o kāu kūkākūkā ma mua o ke kaʻina hana. Hiki i ka hoʻomaopopo ʻana i ka mea e manaʻo ai ke kōkua i ka hōʻemi ʻana i ka hopohopo a hōʻoia i ka mākaukau maikaʻi ʻana no ka ʻike.

Pehea e heluhelu ai i nā hopena biopsy nila?

Hiki ke loaʻa nā hopena biopsy nila i loko o 3 a 7 mau lā, ʻoiai e lōʻihi paha nā hihia paʻakikī. E nānā ana kahi pathologist i kāu laʻana ʻiʻo ma lalo o ka microscope a hāʻawi i kahi hōʻike kikoʻī i kāu kauka, a laila e wehewehe ʻo ia i nā ʻike iā ʻoe.

Hāʻule nā hopena i nā ʻano like ʻole e kōkua i ke alakaʻi ʻana i kāu mau hana aʻe. Hōʻike nā hopena maʻamau i ka ʻiʻo olakino me ka ʻole o nā hōʻailona o ka maʻi a i ʻole ka maʻamau. Hōʻike nā hopena maikaʻi i nā loli ʻaʻole maʻi maʻi e pono ai ka nānā ʻana a i ʻole ka mālama ʻana.

Inā loaʻa nā cell cancer, aia i loko o ka hōʻike nā kikoʻī koʻikoʻi e like me ke ʻano o ka maʻi maʻi, pehea ka ikaika o ia mea, a me nā ʻano kikoʻī e kōkua i ka hoʻoholo ʻana i nā koho lapaʻau. I kekahi manawa, ʻaʻole i maopopo nā hopena, ʻo ia hoʻi, ʻaʻole i hāʻawi ka laʻana i ka ʻike lawa no ka hōʻailona maopopo.

E hoʻonohonoho kāu kauka i kahi manawa e hahai ai e kūkākūkā i nā hopena i nā kikoʻī a me ka ʻōlelo ʻana i nā hana aʻe. He mea nui kēia kamaʻilio no ka hoʻomaopopo ʻana i ke ʻano o nā ʻike no kou olakino a me nā koho lapaʻau e kūpono paha.

He aha nā mea pilikia no ka pono o ka biopsy nila?

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke pono ʻoe i ka biopsy nila i kāu huakaʻi mālama ola. He kuleana ko ka makahiki, no ka mea, lilo kekahi mau maʻi e pono ai ka biopsy i mea maʻamau i ka wā e ʻelemakule ai mākou, ʻoi aku ma hope o ka makahiki 40.

He nui ka mana o ka moʻolelo o ka ʻohana i kou pilikia, ʻoi loa no nā maʻi e like me ka maʻi ʻaʻai umauma, nā maʻi thyroid, a i ʻole kekahi mau maʻi genetic. Inā he mau ʻohana pili i loaʻa kēia mau maʻi, hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine ʻana e hiki ke alakaʻi i nā ʻōlelo paipai biopsy.

ʻO nā mea ola e hiki ke hoʻonui i kou pono no nā kaʻina hana diagnostic e komo pū ana:

• Ka puhi ʻana i ka paka, e hoʻonui ana i ka pilikia o ka maʻi ʻaʻai māmā a me nā maʻi ʻē aʻe
• Ka inu ʻana i ka waiʻona nui e pili ana i ke olakino o ke ake
• Ka ʻike lōʻihi ʻana i ka lā e hoʻonui ana i ka pilikia o ka maʻi ʻaʻai ʻili
• Ka ʻike ʻana i kekahi mau kemika a i ʻole radiation
• Nā maʻi mumū mau

ʻO ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e pono maoli ana ʻoe i ka biopsy, akā kōkua lākou i kāu kauka e hoʻoholo i nā papa hana nānā kūpono a e makaʻala i nā loli e pono ai ka noiʻi.

He aha nā pilikia hiki ke loaʻa i ka biopsy nila?

He palekana loa ka biopsy nila, akā e like me nā kaʻina hana lapaʻau ʻē aʻe, loaʻa kekahi mau pilikia. ʻAʻole loaʻa ka hapa nui o nā kānaka i nā pilikia, a he kakaikahi loa nā pilikia koʻikoʻi.

ʻO nā pilikia maʻamau a liʻiliʻi e hoʻoponopono wikiwiki ʻia e komo pū ana:

• ʻEha māmā a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai
• He koko liʻiliʻi a i ʻole ka ʻeha
• Ka pehu manawa ma kahi o ka biopsy
• Ka māmā ʻana o ke poʻo ma hope koke o ke kaʻina hana

Hiki ke loaʻa nā pilikia koʻikoʻi akā kakaikahi, ʻoi loa me nā biopsies o kekahi mau ʻōkana. Hiki i kēia ke komo i ke kahe koko nui, ka maʻi ma kahi o ka biopsy, a i ʻole ka pōʻino i nā mea kokoke. Loaʻa i nā biopsies māmā kahi pilikia liʻiliʻi o ka pneumothorax (māmā i hāʻule), aʻo nā biopsies ake e hiki ke hoʻoulu i ke kahe koko i loko.

E kūkākūkā kāu kauka i nā pilikia kikoʻī e pili ana i kou wahi biopsy a me kou mau mea olakino pilikino. ʻO nā pōmaikaʻi o ka loaʻa ʻana o kahi hōʻailona pololei e lanakila mau ana i kēia mau pilikia liʻiliʻi.

I ka manawa hea e ʻike ai au i ke kauka ma hope o ka biopsy nila?

Hoʻōla ka hapa nui o nā kānaka mai ka biopsy nila me ka ʻole o nā pilikia, akā he mea nui e ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu mea mālama ola. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mālama ma hope o ke kaʻina hana a me nā hōʻailona hōʻailona e nānā ai.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i kēia:

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• Ke kahe nui ʻana o ke koko e pulu ana i nā paʻi
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• Nā hōʻailona o ka maʻi e like me ke kuni, ka ʻeha nui, a i ʻole ka pū
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• ʻEha nui ʻaʻole e hoʻomaikaʻi me nā lāʻau i kuhikuhi ʻia
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• He paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma (ʻoi aku ma hope o ka biopsy māmā)
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• ʻĀwili a i ʻole ka hāʻule ʻana
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No ka nānā maʻamau, e loaʻa iā ʻoe kahi manawa i hoʻonohonoho ʻia i loko o hoʻokahi pule e kūkākūkā i nā hopena a nānā i ke ʻano o kou hoʻōla ʻana. Mai kānalua e kelepona me nā nīnau a i ʻole nā hopohopo, ʻoiai inā he mea liʻiliʻi lākou.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka biopsy nila

Q.1 He maikaʻi anei ka hoʻāʻo biopsy nila no ka ʻike ʻana i ka maʻi maʻi?

ʻAe, he mea maikaʻi loa ka biopsy nila no ka ʻike ʻana i ka maʻi maʻi a me ka hoʻokaʻawale ʻana mai nā kūlana maikaʻi. ʻO ka helu pololei no ka ʻike ʻana i ka maʻi maʻi ma o ka biopsy nila maʻamau ma luna o 95%, e lilo ia i hoʻokahi o nā mea hana diagnostic hilinaʻi loa i loaʻa.

Hāʻawi ke kaʻina hana i ka ʻiʻo lawa no nā pathologists ʻaʻole wale e ʻike i nā cell maʻi maʻi akā e hoʻoholo pū i nā ʻano kikoʻī e alakaʻi i nā hoʻoholo lapaʻau. Aia kēia i ka ʻike e pili ana i nā mea hoʻokipa hormone, nā hiʻohiʻona ulu, a me nā hōʻailona genetic e kōkua ai i nā oncologists e koho i nā lāʻau lapaʻau maikaʻi loa.

Q.2 ʻO ka biopsy nila maikaʻi e manaʻo mau ana i ka maʻi maʻi?

ʻAʻole, ʻaʻole hōʻike mau ka biopsy nila maikaʻi i ka maʻi maʻi. Hiki i nā hopena

I ka loaʻa ʻana o ka maʻi kanesa, e hōʻike maopopo kāu hōʻike pathology i kēia maʻi me nā kikoʻī kikoʻī e pili ana i ke ʻano a me nā ʻano o ka maʻi kanesa. E wehewehe kāu kauka i ke ʻano o kāu mau hopena a kūkākūkā i nā hana kūpono e pili ana i kāu mau ʻike kikoʻī.

Q.3 Pehea ka ʻeha o ke kaʻina hana biopsy nila?

ʻIke ka hapa nui o nā kānaka i ka biopsy nila i ka liʻiliʻi o ka ʻeha ma mua o ka mea i manaʻo ʻia. Hoʻopau pono ka anesthetic kūloko i ka wahi, no laila e manaʻo wale ʻoe i ke kaomi a i ʻole ka ʻoluʻolu iki i ka wā o ka hōʻiliʻili ʻana i ka ʻiʻo.

Hiki i ka hoʻokomo mua ʻana o ka lāʻau lapaʻau e hoʻopau ai i ka ʻeha ke hana i kahi manaʻo ʻeha pōkole, e like me ka loaʻa ʻana o ka lāʻau lapaʻau. Ma hope o ke kaʻina hana, hiki iā ʻoe ke ʻike i kekahi ʻeha no hoʻokahi a ʻelua paha lā, e pane maikaʻi ana i nā mea hoʻomaha ʻeha ma luna o ka counter.

Q.4 Hiki i ka biopsy nila ke hoʻolaha i ka maʻi kanesa inā loaʻa?

He haʻahaʻa loa ka pilikia o ka biopsy nila e hoʻolaha ana i nā cell maʻi kanesa a ua aʻo nui ʻia. Hoʻemi nā ʻenehana biopsy hou a me nā hoʻolālā nila i kēia pilikia liʻiliʻi, a ʻoi aku ka maikaʻi o ka hōʻailona pololei ma mua o kēia hopohopo theoretical.

Hoʻohana kāu kauka i nā ʻenehana kikoʻī a me nā ala nila i hoʻolālā ʻia e pale i ka laha ʻana o nā cell abnormal. He mea nui ka ʻike i loaʻa mai ka biopsy no ka hoʻomohala ʻana i nā hoʻolālā lapaʻau maikaʻi e hoʻomaikaʻi nui i nā hopena.

Q.5 Pehea ka lōʻihi o ka loaʻa ʻana o nā hopena biopsy nila?

ʻO ka maʻamau, lawe nā hopena biopsy nila maʻamau i 3 a 7 mau lā ʻoihana, ʻoiai hiki ke ʻokoʻa kēia ma muli o ke paʻakikī o kāu hihia a me nā hoʻokolohua kikoʻī e pono ai. Hiki i kekahi mau hoʻokolohua loea ke lawe i ʻelua pule.

E hoʻokaʻaʻike aku ke keʻena o kāu kauka iā ʻoe i ka wā e loaʻa ai nā hopena a hoʻonohonoho i kahi manawa e kūkākūkā i nā ʻike. Inā ʻaʻole ʻoe i lohe i loko o ka manawa i manaʻo ʻia, he mea kūpono ke kelepona a nānā i ke kūlana o kāu mau hopena.