Izizathu ze-FNA, Inqubo, nemiphumela emibi
Kungenzeka ukuthi udokotela wakho wakhuthaza i-FNA (inaliti ehle) yesisu. Inqubo yenziwe kanjani, yiziphi izinhlobo ongayilindela, futhi yiziphi imiphumela emibi?
Sibutsetelo
I-nest fine aspiration biopsy (i-FNA biopsy) ivivinyo elenziwe ukuze libone ukuthi isisu sinesisindo (esingenomdlavuza) noma esibi (umdlavuza). Ngenqubo, inaliti enhle (kodwa ende) ifakwe ebusweni besikhumba futhi ibe yisisu.
Isampula encane i-aspirated futhi inaliti isusiwe.
Izizathu Zokukwenza I-FNA
Uma udokotela wakho ethole isifo esikhwameni se-x-ray noma CT, angase abe nomqondo othile ukuthi noma ngabe i-nodule noma ubuningi ngumdlavuza. Kodwa izicubu ezinobuthi nezimbi zingahle zibukeke ngendlela efanayo ngokuskena.
Inqubo
Isifiso esihle senaliti (FNA) senziwa ngokufaka inaliti encane engaphandle komzimba ibe yisisu futhi isuse amangqamuzana angahlolwa ngaphansi kwe-microscope. I- pathologist ibuka amangqamuzana ukubona ukuthi isifo esinomsolo ngumdlavuza futhi uma umdlavuza, uhlobo luni lomdlavuza.
Ngomdlavuza wamaphaphu , inaliti ifakwa esifubeni ngesikhumba esikhumulweni esifubeni futhi sibe yisisu esivame ukutholakala ku-CT scan yesifuba. Odokotela bangaqinisekisa ukuthi inaliti iya endaweni efanele yamaphaphu ngokuyibuka nge-ultrasound noma i-CT scanner. Uma i-lesion isondela kalula kunelasemaphaphu (isibonelo, ama- lymph nodes angase azwe), i-FNA ingasetshenziswa kuleyo sayithi esikhundleni samapayipi.
Izinzuzo
I-FNA ingenasiphelo esingaphansi kwe-biopsy evulekile yamapayipi, enye ngokufaka ukungena ngaphakathi esifubeni. Funda kabanzi mayelana nezinqubo ezahlukene ze- biopsy ezingasetshenziswa ukuhlola umdlavuza wamaphaphu .
Esifundweni sika-2016, kwafunyanwa ukuthi i-FNA iphumelele ekutholeni isampula eyanele ukuxilongwa ngokwanele ngomdlavuza wamaphaphu ngamaphesenti angu-91 abantu abenza leyo nqubo.
Kubalulekile ukuthi uqaphele ukuthi le nqubo ayinakwenzeka kuzo zonke izicubu, futhi kungenzeka ukuthi akuyona inketho yamathumba kwezinye izindawo emaphashini.
Amaphutha Amanga
Esifundweni esicacisiwe ngenhla, kwafunyanwa ukuthi i-FNA yayibucayi kakhulu ekuxilongweni emdlavuza wamaphaphu. Lokho kusho ukuthi i-FNA ngezinye izikhathi inganikeza imiphumela emibi, ngamanye amazwi, ukuthola umdlavuza okwamanje awukho. Kulesi sifundo, kutholakale ukuthi ukucaciswa kwalo mbandela kwakungamaphesenti angu-81, kusho ukuthi cishe amaphesenti angama-20 esikhathi sokuthola ukuhlolwa kwesifo somdlavuza kungalungile. Lesi yisinye sezizathu ezibalulekile ukuthi odokotela bavame ukusebenzisa inhlanganisela yezivivinyo ukuze bahlolwe umdlavuza wamaphaphu (ngaphandle uma isibonelo esikhulu singatholakala ku-biopsy evulekile.)
Izinkinga
Kunezinkinga eziningana ezenzekayo nge-FNA, kodwa ngokujwayelekile, le nqubo ayifuni kakhulu futhi iphephile kunezinye izindlela zokuthola i-specimen ye-biopsy.
- Ukweqa - Wena udokotela uzokukhuluma nganoma yimiphi imithi oyithathayo engakhuphula isikhathi sokuphuma. Kubalulekile ukuqaphela ukuthi ezinye izithako zokudla okunomsoco kanye nokulungiselela amakhemikhali kungakhuphula isikhathi sokugaya futhi uvumele udokotela wakho wazi nganoma yiziphi izidakamizwa ezingaphezu kwe-counter noma izithako ozisebenzisayo. Ukweqa (i-hemorrahge ye-pulmonary) ngokuvamile kuvame kubantu asebekhulile.
- I-Pneumothorax - Ukuvuza kwe-air kuyinkinga evamile, okunye ukuvuza kwemoya okwenzeka cishe kuhhafu yabantu abaphethe le nqubo. Uma kwenzeka i- pneumothorax , ithubhu yesifuba ingadinga ukufakwa. Ngezinye izikhathi i-tube yamathumba kuzodingeka ishiywe endaweni okwesikhashana kuze kube yilapho iphaphu lakho likhula futhi i-pneumothorax ixazululwe.
- Ukukhula kwe-tumor - Kunengozi yokuthi i-FNA ingabangela ukulimala kwe-tumor. Umcabango wukuthi amanye amangqamuzana asusiwe nge-biopsy angashiywa ngemuva kwenkambo yenaliti njengoba isusiwe. Uma lokhu kwenzeka, amangqamuzana angakhula endaweni lapho asele khona futhi aqale isisu esisha (i-metastasis.)
Ukuthola Imiphumela Yakho
Khuluma nodokotela wakho ngesikhathi se-biopsy yakho bese ubuza ukuthi uzolindele yini ukuthi imiphumela itholakale? Ingabe uzobizwa ngefoni noma udinga ukusetha ukuqokwa okuhlukile ukuze uxoxe ngemiphumela?
Futhi eyaziwa ngokuthi: i- needle aspiration biopsy (NAB), i-fine floral aspiration cytology (FNAC)
Imithombo:
Capalbo, E., uPelili, M., Lovisatti, M., Cosentino, M., Mariani, P., Berti, E., noM. Cariati. I-Trans-Thoracic Biopsy yama-Lung Lesions: FNAB noma i-CNB? Okuhlangenwe nakho kwethu nokubukezwa kweZincwadi. La Raiologica Medica . 2014. 119 (8): 572-94.
Sangha, B., Hague, C., Jessup, J., O'Connor, R., noJ. Mayo. I-Transthoracic Computed Tomography-Isiqondiso Sokwelapha Isibungqungquthela: Ukuqhathaniswa Nesidakamizwa Esiyinhloko kanye Nezindlela Ezinhle Zokuphefumula. I-Canadian Association of Radiologists Journal . 2016. 67 (3): 284-9.