He aha ka Sentinel Node Biopsy? Ke Kumu, nā Pae/Kaʻina Hana & nā Hōʻike

ʻO ka sentinel node biopsy he hana ʻoki e wehe a hoʻāʻo i ka lymph node mua kahi e laha nui ai nā sela maʻi ʻaʻai mai kahi maʻi. E noʻonoʻo e like me ka nānā ʻana i ka lymph node "kiaʻi puka" e kānana ana i ka wai mai kahi kokoke i kāu maʻi ʻaʻai.

Kōkua kēia hana liʻiliʻi i nā kauka e hoʻoholo inā ua hoʻomaka ka maʻi ʻaʻai e laha ma mua o ke kahua maʻi mua. Hoʻohana kāu hui lapaʻau i kēia ʻike e hoʻolālā i ke ala lapaʻau kūpono loa no kāu kūlana.

He aha ka sentinel node biopsy?

ʻO ka sentinel node ka lymph node mua e loaʻa ai ka wai mai kahi kahua maʻi. I ka wā o kēia kaʻina hana, ʻike a wehe kāu kauka lapaʻau i kēia node kikoʻī e nānā iā ia no nā sela maʻi ʻaʻai ma lalo o ka microscope.

Hana kāu ʻōnaehana lymphatic e like me ka pūnaewele o nā alaloa e lawe ana i ka wai ma kou kino. Ke haʻalele nā sela maʻi ʻaʻai mai kahi maʻi, hele lākou ma kēia mau ala i ka lymph node kokoke loa. Ma ka hoʻāʻo ʻana i kēia node "sentinel", hiki i nā kauka ke hoʻoholo inā ua hoʻomaka ka maʻi ʻaʻai e laha me ka wehe ʻole ʻana i nā lymph node he nui.

ʻO kēia ala i manaʻo ʻia he liʻiliʻi ka ʻoki ʻana iā ʻoe me ka hāʻawi ʻana i ka ʻike koʻikoʻi e pili ana i ke ʻano o kāu maʻi ʻaʻai. Hoʻohana pinepine ʻia ke kaʻina hana no ka maʻi ʻaʻai umauma, melanoma, a me kekahi mau ʻano maʻi ʻaʻai ʻē aʻe.

No ke aha e hana ʻia ai ka sentinel node biopsy?

Paipai nā kauka i ka sentinel node biopsy e hoʻoholo inā ua laha ka maʻi ʻaʻai i kāu lymph node. Hoʻopilikia pololei kēia ʻike i kāu hoʻolālā lapaʻau a kōkua i ka wānana ʻana i kou manaʻo.

He nui nā kumu nui o ke kaʻina hana i kāu mālama ʻana i ka maʻi ʻaʻai. ʻO ka mea mua, kōkua ia i ka pae ʻana i kāu maʻi ʻaʻai, ʻo ia hoʻi ka hoʻoholo ʻana i ka nui o ka holomua. ʻO ka lua, alakaʻi ia i nā hoʻoholo lapaʻau e pili ana inā pono ʻoe i ke ʻoki hou, chemotherapy, a i ʻole ka radiation therapy.

Ma mua o ka loaʻa ʻana o ka biopsy node sentinel, wehe pinepine nā kauka i nā node lymph he nui e nānā no ka laha ʻana o ka maʻi kanesa. Hiki i kēia hana, i kapa ʻia ʻo ka dissection node lymph, ke hana i nā hopena ʻaoʻao mau e like me ka pehu ʻana o ka lima. Hāʻawi ka biopsy node sentinel i nā kauka e hōʻiliʻili i ka ʻike nui like i ka wā e pale aku ai i kēia mau pilikia.

He aha ke kaʻina hana no ka biopsy node sentinel?

Aia ke kaʻina hana biopsy node sentinel i ka hoʻokomo ʻana i kahi mea huli kūikawā kokoke i kāu maʻi, a laila e hahai ana i kona ala e ʻike ai i ka node sentinel. Wehe kāu kauka lapaʻau i kēia node ma o kahi ʻoki liʻiliʻi no ka hoʻāʻo ʻana i ka hale hana.

Eia ka mea e hana ʻia i ka wā o kāu kaʻina hana, i kēlā me kēia ʻanuʻu:

1. E loaʻa iā ʻoe ka anesthesia e hōʻoluʻolu iā ʻoe i ka wā o ke ʻoki
2. Hoʻokomo kāu kauka lapaʻau i kahi mea huli radioactive a/a i ʻole ka waihoʻoluʻu uliuli kokoke i kāu pūnaewele maʻi
3. Hele ka mea huli ma o kāu ʻōnaehana lymphatic i ka node sentinel
4. Hoʻohana kāu kauka lapaʻau i kahi probe kūikawā e ʻimi i ka hōʻailona radioactive
5. Hana ʻia kahi ʻoki liʻiliʻi e komo a wehe i ka node sentinel
6. Hoʻouna ʻia ka node i ka hale hana pathology no ka loiloi koke a i ʻole ka loiloi kikoʻī

ʻO ka hana holoʻokoʻa e lawe maʻamau i 30 a 60 mau minuke, ma muli o ka wahi a me ka paʻakikī o kāu hihia. Hiki i ka hapa nui o nā kānaka ke hele i ka home i ka lā hoʻokahi, ʻoiai paha e pono kekahi i kahi noho pōkole ma ka haukapila.

Pehea e hoʻomākaukau ai no kāu biopsy node sentinel?

Hoʻomaka kāu hoʻomākaukau me kahi kūkākūkā ma mua o ke ʻoki ʻana kahi e wehewehe ai kāu hui lapaʻau i ke kaʻina hana a pane i kāu mau nīnau. E loaʻa iā ʻoe nā ʻōlelo kikoʻī e pili ana i ka ʻai ʻana, ka inu ʻana, a me nā lāʻau lapaʻau ma mua o ke ʻoki.

E hāʻawi kāu hui mālama ola iā ʻoe i nā alakaʻi hoʻomākaukau kikoʻī e komo pū ana:

• Ke kāpae ʻana i kekahi mau lāʻau lapaʻau e hiki ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko
• Hoʻokē ʻai no 8-12 hola ma mua o ke ʻoki ʻana inā e loaʻa ana iā ʻoe ka anesthesia maʻamau
• Hoʻonohonoho i ka lawe ʻana iā ʻoe i ka home ma hope o ke kaʻina hana
• Ke ʻaʻahu nei i nā lole ʻoluʻolu a me nā lole ākea i ka lā o ke ʻoki ʻana
• Wehe i nā mea nani, nā aniani maka, a me ka pena kui

E hōʻike i kāu hui lapaʻau e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā huaora a me nā mea hoʻohui. Makemake nō hoʻi lākou e ʻike e pili ana i nā maʻi āpau āu e loaʻa nei, ʻoiai i ka iodine a i ʻole nā ​​waihoʻoluʻu.

Pehea e heluhelu ai i nā hopena biopsy node sentinel?

E hōʻike maopopo kāu hōʻike pathology inā loaʻa nā pūnaewele maʻi maʻi i kāu node sentinel. ʻO ka hopena maikaʻi ʻole ʻaʻole i ʻike ʻia nā pūnaewele maʻi maʻi, ʻoiai ʻo ka hopena maikaʻi e hōʻike ana ua laha ka maʻi maʻi i ka lymph node.

ʻO ka hoʻomaopopo ʻana i kāu mau hopena e kōkua iā ʻoe e komo i nā hoʻoholo lapaʻau. Inā maikaʻi ʻole kāu node sentinel, ʻaʻole pono e wehe i nā lymph node hou. ʻO ia hoʻi, ʻaʻole i hoʻomaka kāu maʻi maʻi e laha ma o kāu ʻōnaehana lymphatic, he lono hoʻoikaika.

Inā maikaʻi kāu node sentinel, e kūkākūkā kāu kauka i nā hana aʻe me ʻoe. Hiki i kēia ke komo i ka wehe ʻana i nā lymph node hou, ka hoʻoponopono ʻana i kāu hoʻolālā lapaʻau, a i ʻole ka hoʻohui ʻana i nā lāʻau lapaʻau e kuhikuhi i nā pūnaewele maʻi maʻi i laha paha. E hoʻomanaʻo ʻoiai ʻo nā hopena maikaʻi ʻaʻole e hoʻololi i kou hiki ke loaʻa ka lapaʻau kūpono.

He aha nā mea pilikia no ka pono o ka biopsy node sentinel?

Paipai kāu kauka i ka biopsy node sentinel e pili ana i kāu ʻano maʻi maʻi, ka nui, a me kahi. ʻO kekahi mau ʻano o kāu maʻi e hiki ai ke laha i ka lymph node, e hōʻoia ana i kēia kaʻina hana.

Nui nā mea e pili ana inā pono ʻoe i kēia kaʻina hana:

• Ka nui o ka ʻōpū ma mua o 1-2 kenimika
• Nā pūnaewele maʻi ʻaʻai kiʻekiʻe a i ʻole ka hana ʻino
• Nā ʻano maʻi ʻaʻai e like me ka maʻi ʻaʻai umauma a i ʻole melanoma
• Ke kūlana o ka ʻōpū ma nā wahi i loaʻa ka wai lymphatic nui
• Nā hōʻailona o ka komo ʻana o ka lymph node ma nā scans kiʻi

Ke noʻonoʻo nei kāu hui lapaʻau i kēia mau mea me kou olakino holoʻokoʻa a me nā pahuhopu lapaʻau. E wehewehe lākou i ke kumu e ʻōlelo nei lākou i ke kaʻina hana a pehea e kūpono ai i kāu hoʻolālā mālama ākea.

He aha nā pilikia hiki ke loaʻa i ka biopsy node sentinel?

He palekana ka biopsy node sentinel, akā e like me nā kaʻina hana ʻoki, loaʻa kekahi mau pilikia. ʻO ka hapa nui o nā pilikia he liʻiliʻi a he manawa pōkole, e hoʻoponopono ana i loko o kekahi mau pule o ke ʻoki.

ʻO nā pilikia maʻamau āu e ʻike ai, ʻo ia:

• ʻO ka ʻeha a i ʻole ka pehu ʻana ma ke kahua ʻoki
• ʻO ka ʻeha liʻiliʻi a i ʻole ka hōʻoluʻolu e hoʻomaikaʻi me ka hoʻomaha a me ka lāʻau lapaʻau
• ʻO ka uliuli a i ʻole ka ʻōmaʻomaʻo o ka ʻili a me ka mimi mai ka waihoʻoluʻu
• ʻO ka ʻeha a i ʻole ka ʻeha ma ia wahi e hoʻoponopono maʻamau i ka manawa
• He pilikia liʻiliʻi o ka maʻi ma ke kahua ʻoki

ʻO nā pilikia kakaʻikahi akā ʻoi aku ka koʻikoʻi e pili ana i nā hopena maʻi i nā mea ʻike, ka ʻeha mau, a i ʻole ka lymphedema (ka hōʻiliʻili ʻana o ka wai e hana ana i ka pehu). Mālama pono kāu hui ʻoki iā ʻoe a hāʻawi i nā ʻōlelo aʻo no ka ʻike ʻana i nā hōʻailona e pono ai ka lāʻau lapaʻau.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka biopsy node sentinel?

E hoʻokaʻaʻike koke i kāu hui mālama ola inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, ka ʻeha nui, a i ʻole ka pehu ʻana ma hope o kāu kaʻina hana. Hoʻōla ka hapa nui o nā kānaka me ka maʻalahi, akā ʻo ka ʻike ʻana i nā hōʻailona hōʻailona e kōkua i ka hōʻoia ʻana i ka lāʻau lapaʻau wikiwiki inā pono.

E kelepona koke i kāu kauka inā ʻike ʻoe:

• Ka wela ma mua o 101°F (38.3°C)
• Ke ulu nei ka ʻulaʻula, ka mehana, a i ʻole ka pūpū ma kahi i ʻoki ʻia ai
• ʻEha nui ʻaʻole e hoʻomaikaʻi me nā lāʻau i kuhikuhi ʻia
• Hoʻomaka koke ka pehu nui ʻana ma kou lima a i ʻole wāwae
• ʻO ka maʻi ʻaʻai mau a i ʻole ka luaʻi

Pono nō hoʻi ʻoe e hoʻokaʻaʻike mai me nā hopohopo a i ʻole nā nīnau e pili ana i kou ola hou ʻana. Makemake kāu hui lapaʻau e kākoʻo iā ʻoe ma kēia kaʻina hana a e pane i nā hopohopo āu e loaʻa ai.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka sentinel node biopsy

Q.1 He mea maikaʻi anei ka hoʻāʻo sentinel node biopsy no ka ʻike ʻana i ka laha ʻana o ka maʻi kanesa?

ʻAe, he mea pololei loa ka sentinel node biopsy no ka ʻike ʻana inā ua laha ka maʻi kanesa i kou mau lymph node. Hōʻike nā haʻawina e ʻike pololei ana ia i ka laha ʻana o ka maʻi kanesa ma kahi o 95% o nā hihia, e lilo ana ia i mea hana maikaʻi loa no ka hoʻolālā ʻana i kāu maʻi kanesa.

Ua pani nui kēia kaʻina hana i ka wehe ʻana i ka lymph node nui no ka mea hāʻawi ia i ka ʻike koʻikoʻi like me nā hopena ʻaoʻao liʻiliʻi. Nānā pono kāu pathologist i ka sentinel node, i kekahi manawa e hoʻohana ana i nā stains kūikawā e ʻike i nā helu liʻiliʻi o nā cell maʻi kanesa.

Q.2 ʻO ka sentinel node biopsy maikaʻi ke ʻano o ka laha ʻana o kaʻu maʻi kanesa ma nā wahi a pau?

ʻAʻole, ʻo ka sentinel node biopsy maikaʻi ʻaʻole ia he manaʻo ua laha ka maʻi kanesa i kou kino a pau. Hōʻike ia ua hiki aku nā cell maʻi kanesa i ka lymph node mua ma ke ala wai, akā ua manaʻo ʻia he laha mua kēia.

Nui ka poʻe me nā sentinel node maikaʻi e pane maikaʻi loa i ka lāʻau. E hoʻohana kāu hui oncology i kēia ʻike e paipai i nā lāʻau lapaʻau hou e hana pono i nā cell maʻi kanesa i koe a hoʻomaikaʻi i kou wā e hiki mai ana.

Q.3 Pehea ka lōʻihi o ka loaʻa ʻana o nā hopena sentinel node biopsy?

E loaʻa iā ʻoe kāu mau hopena i loko o 3-7 mau lā ma hope o ke ʻoki ʻana. Hiki i kekahi mau kikowaena lapaʻau ke hāʻawi i nā hopena mua i ka wā o kāu ʻoki ʻana me ka hoʻohana ʻana i kahi ʻenehana i kapa ʻia ʻo ka frozen section analysis.

He mau lā ka lōʻihi o ka hōʻike pathology piha no ka mea e nānā pono ana kāu pathologist i ka ʻiʻo a hana paha i nā hoʻokolohua hou. E hoʻonohonoho kāu kauka i kahi manawa e kūkākūkā i kāu mau hopena a me nā hana e hiki mai ana i kāu hoʻolālā lapaʻau.

Q.4 Pono anei au i ke ʻoki hou inā he maikaʻi koʻu node sentinel?

Aia ke ʻoki hou i nā mea he nui, me ke ʻano o kāu maʻi ʻaʻai, ka nui o ke komo ʻana o ka lymph node, a me kāu hoʻolālā lapaʻau holoʻokoʻa. ʻAʻole pono ka nui o nā maʻi me nā node sentinel maikaʻi i ke ʻoki lymph node nui.

Hoʻohana pinepine ka lapaʻau maʻi ʻaʻai i kēia wā i ka chemotherapy, radiation therapy, a i ʻole nā ​​lāʻau i manaʻo ʻia e hoʻoponopono i ke komo ʻana o ka lymph node. E kūkākūkā kāu hui oncology inā e pōmaikaʻi ke ʻoki hou i kāu kūlana.

Q.5 Hiki iaʻu ke hoʻoikaika kino maʻamau ma hope o ka biopsy node sentinel?

Hiki iā ʻoe ke hoʻi mālie i nā hana maʻamau, me ka hoʻoikaika kino, akā e hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i kāu hoʻōla. Hiki i ka hapa nui o nā kānaka ke hoʻomaka i nā hana māmā i loko o kekahi mau lā a me ka hoʻoikaika kino piha i loko o 2-4 mau pule.

E hoʻomaka me nā neʻe mālie a hoʻonui mālie i kāu pae hana ke ʻoluʻolu ʻoe. E pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻoikaika kino ikaika a hiki i ka wā e ola piha ai kāu pūnaewele ʻoki a hāʻawi kāu kauka iā ʻoe i ke kukui ʻōmaʻomaʻo.