Chii chinonzi Breast Biopsy? Chinangwa, Maitiro & Mhedzisiro

Breast biopsy inzira yekurapa uko vanachiremba vanobvisa sampuli diki yenyama yemuzamu kuti vaiongorore pasi pemicroscope. Muedzo uyu unobatsira kuona kana nzvimbo inokunetsa muzamu rako iine maseru ekenza kana kuti haina ngozi (isiri yekenza). Fungidzira sekupa timu yako yekurapa mufananidzo wakajeka zvikuru wezviri kuitika munyama yako yemuzamu kuti vakwanise kukupa hanya yakanakisisa.

Chii chinonzi breast biopsy?

Breast biopsy inosanganisira kutora chidimbu chidiki chenyama yemuzamu kubva kunzvimbo inoita seisinganzwisisike pamiedzo yekufungidzira kana ichinzwa yakasiyana panguva yekuongorora. Sampuli yenyama inotumirwa kurabhoritari uko nyanzvi dzinonzi pathologists dzinonyatsoiongorora pasi pemicroscopes ine simba. Kuongorora uku kunogona kutaura zvakajeka kana maseru acho akajairika, asina ngozi, kana ane kenza.

Chiremba wako angakurudzira biopsy mushure mekuwana chimwe chinhu panguva ye mammogram, ultrasound, MRI, kana kuongororwa kwemuviri. Chinangwa ndechekuwana mhinduro panzvimbo yekushamisika kuti chii chingavepo. Mazhinji ebreast biopsies anoratidza mhedzisiro isina ngozi, zvinoreva kuti hapana kenza iripo.

Nei breast biopsy ichiitwa?

Vanachiremba vanokurudzira breast biopsies pavanoona chimwe chinhu chinoda kuongororwa zvakanyanya. Izvi zvinogona kuva bundu rakanzwa iwe kana chiremba wako, nzvimbo isinganzwisisike pakufungidzira, kana shanduko munyama yako yemuzamu. Iyo biopsy inobatsira kusiyanisa pakati peshanduko dzisina njodzi uye idzo dzinogona kuda kurapwa.

Heano zvikonzero zvikuru nei chiremba wako angakurudzira breast biopsy:

• Bundu kana kuwanda muzamu rako rinonzwa rakasiyana kubva kunyama yakatenderedza
• Shanduko paganda remuzamu, senge dimpling, puckering, kana kutsvuka
• Kubuda kwemazamu kunobuda ropa kana kusinganzwisisike kwauri
• Nzvimbo dzinofungira dzakawanikwa pamammograms, ultrasounds, kana MRI scans
• Kurwadziwa kwemuzamu kunowanikwa kunzvimbo imwe chete
• Shanduko mumafomu emuzamu kana saizi inokunetsa iwe kana chiremba wako

Rangarira, kuda biopsy hazvirevi kuti une gomarara. Ma biopsy mazhinji anoratidza mamiriro akanaka se cysts, fibroadenomas, kana shanduko yematishu akajairika. Muedzo uyu unongopa chikwata chako chekurapa ruzivo rwavanozoda kukubatsira.

Ndeipi nzira ye breast biopsy?

Nzira ye breast biopsy inoenderana nerudzi rwaanokurudzira chiremba wako, asi mazhinji anoitwa senzira dzekunze. Iwe unowanzoenda kumba zuva rimwe chetero. Mhando dzakajairika dzinosanganisira needle biopsies, iyo inoshandisa tsono dzakatetepa kuunganidza sampuli dzematishu, uye surgical biopsies, iyo inosanganisira kuita incision diki.

Hezvino zvinoitika zvakajairika panguva yerudzi rwakajairika, core needle biopsy:

1. Iwe uchavata padivi rako kana kugara, zvichienderana nenzvimbo yenzvimbo iri kuitwa biopsy
2. Chiremba achachenesa nzvimbo yacho uye achashandisa local anesthesia kuti anetse zamu rako
3. Achishandisa ultrasound kana mammography gwara, vachaisa tsono isina chinhu munzvimbo inofungidzirwa
4. Tsono inounganidza sampuli diki dzematishu, dzaunganzwa sezwi rekudzvanya
5. Chiratidzo chidiki chinogona kuiswa panzvimbo ye biopsy kuti chishandiswe mune ramangwana
6. Nzvimbo yacho inocheneswa uye inobhandigwa, uye iwe uchagamuchira mirairo yekuchengetedza

Nzira yose inowanzo tora maminitsi makumi matatu kusvika makumi matanhatu, kunyangwe kuunganidzwa kwematishu chaiwo kunongotora maminitsi mashoma. Vakadzi vazhinji vanotsanangura kusagadzikana sekufanana nekuvhiwa ropa kana kuwana jekiseni.

Maitirwo ekugadzirira breast biopsy yako?

Kugadzirira breast biopsy yako kunobatsira kuona kuti nzira yacho inofamba zvakanaka uye iwe unonzwa wakasununguka sezvinobvira. Hofisi yachiremba wako ichakupa mirairo chaiyo, asi mamwe magadzirirwo akajairika anogona kukubatsira kuti unzwe wakavimbika uchienda munzira.

Heano matanho makuru ekugadzirira ekuchengeta mupfungwa:

• Udza chiremba wako nezve mishonga yese yaunotora, kunyanya mishonga yekutadzisa ropa kufamba zvakanaka senge aspirin kana warfarin
• Dzivisa kupfeka deodorant, powder, kana lotion pachipfuva chako nepazasi pemaoko pazuva rekuvhiyiwa
• Pfeka bhurau rinokodzera, rine rutsigiro rwakakwana rinovhurika kumberi
• Ronga kuti mumwe munhu akutyairire kumba, kunyanya kana uchizopiwa mishonga yekukotsirisa
• Ronga kutora zororo kubasa zuva rese kuti uzorore uye upore
• Idya chikafu chakareruka usati wavhiyiwa kunze kwekunge wapiwa mamwe mirairo

Zvakajairika kunzwa uine hanya usati wavhiyiwa. Funga kuuya neshamwari yaunovimba nayo kana nhengo yemhuri kuti ikutsigire, uye usazeze kubvunza timu yako yezvokurapa mibvunzo ipi neipi yaunayo nezvekuvhiyiwa.

Ungaverenga sei mhedzisiro yako yekuongorora chipfuwa?

Mhedzisiro yako yekuongorora chipfuwa inowanzo kuve yakagadzirira mukati memazuva mashoma kusvika vhiki mushure mekuvhiyiwa. Chiremba anoongorora sampuli yako yetishu uye anogadzira mushumo wakadzama uyo chiremba wako achakuongorora newe. Kunzwisisa zvinorehwa nemhedzisiro iyi kunogona kukubatsira kuti unzwe wakagadzirira musangano wako wekutevera.

Mhedzisiro yekuongorora inowanzowira muzvikamu zvitatu zvikuru. Mhedzisiro yakanaka zvinoreva kuti maseru ekenza haana kuwanikwa, uye tishu inoratidza shanduko dzakajairika kana dzisiri dzekenza senge cysts kana fibroadenomas. Mhedzisiro ine njodzi yakakwirira inoratidza maseru asiri ekenza asi anogona kuwedzera njodzi yako yekuvandudza kenza yemazamu mune ramangwana. Mhedzisiro yakaipa zvinoreva kuti maseru ekenza akaonekwa.

Kana mhedzisiro yako ikaratidza kenza, mushumo uyu uchabatanidza mamwe mashoko pamusoro pemhando yekenza, kuti inoita sei, uye kana iine mahomoni. Ruzivo urwu runobatsira timu yako yezvokurapa kugadzira chirongwa chekurapa chinoshanda zvakanyanya kune mamiriro ako chaiwo. Yeuka, kunyangwe kuongororwa kwekenza nhasi kune nzira dzakawanda dzekurapa dzakabudirira.

Ndezvipi zvinhu zvine njodzi zvekuda kuongororwa chipfuwa?

Zvimwe zvinhu zvinogona kuwedzera mukana wekuti ungada biopsy yezamu pane imwe nguva muhupenyu hwako. Kunzwisisa izvi zvinhu zvinokonzera njodzi zvinogona kukubatsira kuti urambe wakaziva nezvehutano hwemazamu ako uye kuchengetedza zvirongwa zvenguva dzose zvekutarisa nachiremba wako.

Zvinhu zvinowanzoita njodzi zvinosanganisira:

• Zera rekupfuura makore makumi mana, apo shanduko yematishu emazamu uye njodzi yegomarara inowedzera zvakasikwa
• Nhoroondo yemhuri yegomarara remazamu kana remazai, kunyanya muhama dzepedyo
• Nhoroondo yako yematambudziko emazamu, kusanganisira biopsies yapfuura kana gomarara remazamu
• Matishu emazamu akakora, ayo anogona kuita kuti mammograms dzive dzakaoma kuverenga
• Genetic mutations senge BRCA1 kana BRCA2
• Kurapa kwemwaranzi kwakapfuura kunzvimbo yechipfuwa
• Hormone replacement therapy kana mamwe marapirwo ekubereka
• Kusambova nevana kana kuva nemwana wako wekutanga mushure memakore makumi matatu

Kuva nezvinhu izvi zvinokonzera njodzi hazvireve kuti uchanyatso kuda biopsy, asi zvinosimbisa kukosha kwekuongorora mazamu nguva dzose uye kutevera mazano echiremba wako ekutarisa. Vakadzi vazhinji vane zvinhu zvakawanda zvinokonzera njodzi havambodi biopsy, nepo vamwe vasina zvinhu zvinoita senge njodzi vangada imwe.

Ndezvipi zvinhu zvinogona kuitika zvebiopsy yezamu?

Biopsies yezamu inowanzoita nzira dzakachengeteka kwazvo dzine huwandu hushoma hwezvinhu zvinogona kuitika. Vakadzi vazhinji vanongonzwa kusagadzikana kudiki uye vanodzoka kuzviitwa zvakajairika mukati memazuva mashoma. Zvisinei, semamwe maitiro ekurapa, kune zvimwe zvingaitika zvekuziva.

Zvimwe zvinowanzoitika zvaungasangana nazvo zvinosanganisira:

• Kuvhiringika uye kuzvimba kutenderedza nzvimbo ye biopsy, iyo inowanzoita kuti ipere mukati mevhiki
• Kurwadziwa kudiki kusvika pakati nepakati kana kunyorova kunopindura zvakanaka kumishonga yekurwadziwa isingatengeswe
• Ropa diki kana mvura yakajeka kubva panzvimbo ye biopsy
• Shanduko dzenguva pfupi muchimiro chemazamu kana matishu akakosha akabviswa

Matambudziko akakomba haawanzoitiki asi anogona kusanganisira hutachiona panzvimbo yebiopsy, kubuda ropa zvakanyanya, kana maitiro ekurwara nemishonga yekuzorodza. Matambudziko aya anoitika muvanhu vashoma vanopfuura 1% yebiopsy yemazamu. Chikwata chako chekurapa chichakutarisa zvakanaka uye chichakupa mirairo yakajeka yekuti ungavabata riini kana uine zvaunonetseka nazvo.

Ndingafonera riini chiremba kuti nditeverwe mushure mebiopsy yemazamu?

Misa yezvipo zvebiopsy yemazamu inorongwa mukati mevhiki mushure mekuvhiyiwa kwako, asi unofanira kutaurirana nachiremba wako nekukurumidza kana uine zviratidzo zvinonetsa. Chikwata chako chekurapa chinoda kuona kuti uri kupora zvakanaka uye kukurukura mhedzisiro yako kana dzichiwanzika.

Unofanira kufonera chiremba wako nekukurumidza kana ukaona:

• Zviratidzo zveutachiona zvakaita seruvara rutsvuku rwuri kuwedzera, kupisa, kana pus panzvimbo yebiopsy
• Fivha iri pamusoro pe101°F (38.3°C) mumazuva mashoma ekutanga mushure mekuvhiyiwa
• Kubuda ropa kusingamire nekumanikidza zvinyoro nyoro
• Kurwadziwa kwakanyanya kusingavandudzi nemishonga yekurwadziwa yakarairwa
• Kuzvimba kusinganzwisisike kunoita sekuti kuri kuipa pane kuvandudza

Musangano wako wakarongeka wekutevera wakakosha pakuongorora mhedzisiro yako uye kukurukura chero matanho anotevera. Kana mhedzisiro yako ikaratidza zvinhu zvakanaka, chiremba wako anogona kukurudzira kudzokera kuchirongwa chako chekuongorora nguva dzose. Kana kuongorora kwakawanda kana kurapwa kuchidikanwa, vachakubatsira kunzwisisa sarudzo dzako uye kukubatanidza nenyanzvi dzakakodzera.

Mibvunzo inowanzo bvunzwa nezve biopsy yemazamu

Mubvunzo 1. Ko bvunzo yebiopsy yemazamu yakanaka pakuona gomarara remazamu here?

Hongu, biopsy yemazamu inoonekwa seyakajairika yegoridhe pakuongorora gomarara remazamu. Ndiyo nzira yakanyatsojeka yekuziva kana tishu yemazamu inofungidzirwa iine masero egomarara. Kusiyana nemiedzo yekufungidzira inogona chete kuratidza nzvimbo dzekunetseka, biopsy inopa mhinduro dzakajeka nekubvumira vanachiremba kuti vaongorore masero chaiwo pasi pemicroscope.

Mabasa ekuongorora mazamu anopfuura 95% akarurama pakusiyanisa pakati petishu ine kenza neisina kenza. Iri chiyero chekururama kwakanyanya zvinoreva kuti unogona kuvimba nemigumisiro kuti ikutungamirire mukusarudza kurapwa kwako. Kana kenza ikawanikwa, biopsy inopawo ruzivo rwakakosha pamusoro perudzi rwekenza uye hunhu hunobatsira vanachiremba kuronga nzira yekurapa inoshanda zvakanyanya.

Mubvunzo 2. Kuva nebreast biopsy kunowedzera njodzi yekenza here?

Aihwa, kuva nebreast biopsy hakuwedzeri njodzi yako yekuva nekenza yemazamu. Iri idambudziko rakajairika, asi tsvagiridzo yesainzi yakaratidza nguva dzose kuti maitiro ebiopsy pachayo haakonzeri kenza kana kuita kuti kenza iripo ipararire. Huwandu hudiki hwetishu inobviswa panguva ye biopsy haikanganisi hutano hwako hwemazamu kana njodzi yekenza.

Vamwe vanhu vanonetseka kuti kukanganisa tishu kungaita kuti masero ekenza apararire, asi izvi hazvisi maitiro ekenza. Kana kenza iripo, yatovepo zvisinei nebiopsy. Maitiro acho anongobatsira vanachiremba kuiziva kuti vagone kupa kurapwa kwakakodzera nekukurumidza sezvinobvira.

Mubvunzo 3. Maitiro ebreast biopsy anorwadza sei?

Vakadzi vazhinji vanowana mabasa ekuongorora mazamu achirwadza zvishoma pane zvavaitarisira. Maitiro acho anowanzoita sekunge uine ropa rakatorwa kana kuwana jekiseni. Iwe uchagamuchira anesthesia yemuno kuti uvhare nzvimbo yacho, saka haufanire kunzwa kurwadziwa kwakanyanya panguva yekuunganidzwa kwetishu pachayo.

Unogona kunzwa kumwe kumanikidzwa kana kusagadzikana kudiki panguva yemaitiro, uye kumwe kurwadziwa mushure meizvozvo kwakafanana nekukuvara. Vakadzi vazhinji vanogona kubata chero kusagadzikana mushure mekuita nemishonga yekurwadza yakadai seibuprofen kana acetaminophen. Kusagadzikana kunowanzoita mukati memazuva mashoma.

Mubvunzo 4. Ndingaita maekisesaizi mushure mebreast biopsy here?

Unofanira kudzivisa kurovedza muviri zvakanyanya uye kusimudza zvinhu zvinorema kwemavhiki anenge rimwe mushure mekuongororwa kwemazamu kuti kupore zvakanaka. Mabasa akareruka sekufamba anowanzoita zvakanaka uye anogona kubatsira kutenderera kweropa nekupora. Chiremba wako achakupa zvirambidzo zvebasa zvinoenderana nerudzi rwekuongororwa kwawakaita.

Kazhinji, unogona kudzokera kumabasa ako akajairika kusanganisira kurovedza muviri kana chero kupfava uye kunzwa kurwadziwa kwapera, kazhinji mukati memazuva 7-10. Kana wakaita kuvhiyiwa kukuru, unogona kuda kumirira zvishoma usati watangazve mabasa akazara. Nguva dzose tevera mirairo chaiyo yechiremba wako yezvinhu zvako.

Q.5 Zvinotora nguva yakareba sei kuti mhedzisiro yekuongororwa kwemazamu ibude?

Mhedzisiro yekuongororwa kwemazamu inowanzo tora mazuva ebhizinesi 2-5, kunyangwe dzimwe nyaya dzakaoma dzinogona kutora kusvika vhiki. Nguva inoenderana nerudzi rwemiedzo iyo pathologist inoda kuita pasampuli yako yematishu. Kuongorora kwakajairika kunowanzo kupa mhedzisiro nekukurumidza, nepo mamwe maedzo akaita sekuyedzwa kwehormone receptor anogona kutora nguva yakareba.

Hofisi yechiremba wako inowanzo kukufonera kana mhedzisiro yawanikwa, kana kuti unogona kuigamuchira kuburikidza neportal yemurwere online. Usanetseka kana zvikatora mazuva mashoma - iyi nguva yekumirira yakajairika uye hairatidzi chero chinhu pamusoro pemhedzisiro yako. Iyo pathologist iri kutora nguva inodiwa kuti ikupe ruzivo rwakanyatsojeka sezvinobvira.