Iyiphi Inhlobo Yezinqubo Zokubeletha Kwebhongo Okulungile Kuwe?
Uma uye waba nokuhlolwa kwamammogram noma isifuba okubangele ukukhathazeka, noma uma uzwela isifuba esifubeni sakho , kufanele ukhulume nodokotela wakho noma udokotela. Uma udokotela wakho ekuncoma, kungase kudingeke ukuthi ube ne-biopsy yebele, ukuze unqume ukuthi izicubu ezithintekile empeleni ziyingozi yini, i-cyst kuphela, noma inguquko ejwayelekile. Kunezinhlobo eziningana zezindlela ze-biopsy zebele, futhi ngayinye inezinzuzo nezinsalela.
Isisu se-Breast
I-biopsy yinkqubo ethatha isampula yamathambo ukuze ithunyelwe ukuhlolwa ebhodini. Kubalulekile ukuthola imiphumela enembile evela kwi-biopsy ngoba uma kukhona isifo, umphumela we-biopsy uzokusiza ukuthola ukuthi isiphi isinyathelo sakho esilandelayo okufanele sibe khona. Lokho kusho ukuthi kunezindlela eziningana ezahlukene lapho isampula yamathambo ingatholakala khona. Lokhu kufaka:
- Isifiso esihle senaliti
- I-needle enkulu ye-biopsy
- Biopsy Stereotactic
- Vula (i-biopsy yokuhlinza)
Ake sibheke ngayinye yalezi zinqubo ngokuhlukile.
I-Fine-Needle Aspiration Breast Biopsy
Ngesikhathi sesifuba esihle sezinyosi zesifuba sebele, udokotela ohlinzayo uyodonsa inaliti encane esikhunjeni esikhwameni sakho nasesikhumeni. Amaseli azokwehliswa enaliti, futhi anikezwe isifo sokubeletha ukubuka ngaphansi kwe-microscope. I-needle aspiration ingase yenziwe futhi ukuze inqume ukuthi i-lump iqinile noma i-liquid (i-cyst). Uma isikhumba singumshini we-cyst, ngemuva kokuthi umkhuhlane ususiwe, i-cyst izosula futhi iphele.
Uma engekho uketshezi, futhi izicubu ezinhlakeni kunzima kakhulu ukudweba enaliti, khona-ke ungadinga uhlobo oluhlukile lwe-biopsy, ukuze uthole imiphumela engcono kakhulu.
Isisindo Sesiko Sezinsana Zezinyosi
Ukuze uthole inaliti ye-sindular beal biopsy , udokotela ohlinzayo uzosebenzisa inaliti enkulu, engenalutho, ene-tip ekhethekile. Udokotela ohlinzayo ubeka le naliti esikhumbeni futhi angene esikhwameni.
(Lokhu kuvame ukuqhutshwa ngesikhombisi se-ultrasound ngesikhathi se-ultrasound yebele.) Isampula esincane kakhulu samathambo siyothathwa singenaliti enkulu. Ngezinye izikhathi udokotela ohlinzayo uzosebenzisa futhi ukusondeza, ukuze asuse isampuli esincane kakhulu. Isampula ithunyelwa ukuhlolwa kwelebhu. Uma udokotela ohlinzayo enenkinga yokukhomba, futhi isampuli yesisindo ayiniki umphumela ocacile, kungase kudingeke ukuba le nqubo iphindwe, noma udokotela wakho angase asikisele uhlobo oluhlukile lwenqubo.
Ukukhathazeka okukodwa ngesisekelo senaliti ye-needle yukusakaza isisu (inzalo ye-neoplastic) eceleni komugqa wensilinga njengoba isampuli ihoxisiwe. Ngokuyinhloko, lokhu akubonakali kuyinkinga kakhulu, kodwa, kulabo abanomdlavuza webele wesithathu ophezulu futhi / noma ukufakelwa kwezinaliti eziningi, i-biopsy eyinhloko ingaba yisici esiyingozi ekukhuleni kwe-tumor.
I-Stereotactic Breast Biopsy
I- biopsy yebele ye-stereotactic isetshenziselwa ukuthola isampula lesishukela esiswini esingenakuzwa ngesikhathi sokuhlolwa kwebele kepha singabonakala kumammogram noma i-ultrasound. Isibungu singase sibe sijule kakhulu ngaphakathi kwebele ukuze sibe nengqondo (sizwe ngeminwe yakho.) Udokotela ohlinzayo uzosebenzisa uhlobo olukhethekile lwe-imaging ye-X, ukuze athole umcengezi ongenalutho, ukuze uthole isampuli esinembile .
Inaliti izolandela i-X-ray endaweni yokukhathazeka futhi ithathe isampula yesikhumba. Muva nje, abanye odokotela abahlinzayo baye baqala ukufaka insimbi encane esakhiweni se-biopsy, ngemva kokuthatha isampula lesishukela, ukuze esikhathini esizayo noma imilenze, bangabona lapho i-biopsy yenziwe khona. Loluhlobo lwe-biopsy luzokwenza ezinye izicubu ezibomvu, lapho kuvela khona i-biopsy, kodwa ithegi yensimbi izosiza odokotela bakho ukuba bahlukanise phakathi kwezicubu ezinzima kanye nendawo enobuthi esifubeni sakho.
Vula (Okuhlinzekwa) Isibeletho Sebele
I- biopsy evulekile yokuhlinzeka ngesifuba idinga ukusika esikhumbeni, ukuze kususwe isampula, noma ngezinye izikhathi, yonke inhlama.
I-biopsy yokuvula evulekile izokwenziwa esibhedlela noma esikhungweni sokuhlinzeka. Uma udokotela wakho ohlinzayo engakwazi ukuzwa isisindo futhi engazi ukuthi angathatha isampula yesikhumba, uzocelwa ukuthi ube ne-mammogram eyenziwe ngaphambi nje kokuhlinzwa. I-mammogram izobonisa indawo ehlosiwe, futhi inaliti izofakwa endaweni esolisayo, ukuqondisa udokotela ohlinzayo ilungelo lesayithi. Isampula yamathambo izokhishwa ngokuhlinzwa futhi ithunyelwe ukuhlolwa ngokushesha. Uma udokotela ohlinzayo elahlekile endaweni ehlosiwe, kungenzeka ukuthi athathe elinye isampuli, ngesikhathi esifanayo. Lokhu kukusiza ukuthi uthole imiphumela enembile kunazo zonke kusuka ekuhlolweni kwelebhu, okwenziwa yilebhu kusampula lesisindo. Lokhu kungaba inqubo encane encane, engase ishiye isikhumba esincane esikhumbeni sakho, futhi izokhipha izicubu ezithile ezilahla endaweni ye-biopsy.
Isisindo esihle se-Needle Biopsy vs Isidingo Sokwakheka Kwesisindo
Ngokuvamile, uma kukhona ukukhetha phakathi kwenhlawulo ye-needle biopsy kanye nenaliti ye-biopsy eyinhloko, i-biopsy enaliti emihle icatshangwa ukuthi iyindlela ekhethekayo (kodwa ayikho njalo.) Ukuzwela (ithuba lokuhlolwa lizobona umdlavuza okhona okwamanje) mkhulu kunesisekelo senaliti ye-biopsy kune-biopsy emihle yenaliti. Okucacile (ithuba lokuthi ukuxilongwa kahle kulungile ngempela), kunjalo, kufana phakathi kokuhlolwa okubili.
Izivivinyo Ezingeziwe Ngemva Kwesisu Sezinsana Zakho
Ungadinga ukuhlolwa okuqhubekayo noma ama-biopsies, uma izinkinga zitholakala ngesikhathi se-biopsy yokuqala, noma uma imiphumela yokuhlolwa ingacacile, noma uma udokotela wakho ekhathazekile ngendawo ethile yebele lakho.
Ngaphansi Kwezinhlobo Ezihlukahlukene Ze-Breast Biopsy
Kungase kube ukudideka ukucubungula zonke izinhlobo ezahlukene zesifuba sebele, kodwa ngokuvamile, uhlobo lwesigca noma ukungavamile kumammogram noma i-ultrasound kuzokuqondisa wena nodokotela wakho ngendlela enhle kakhulu. Ngenhlanhla, ukuthola isampula yezicubu kusuka ku-biopsy kungase kuvele kucacise imibuzo mayelana nokuthi ukungajwayelekile kuyinto umdlavuza webele noma ngenxa yenqubo enobungozi esifubeni sakho. Kubalulekile ukuqaphela ukuthi, njengakho konke okuvivinywa, ama-biopsies asebele abengenangqondo, futhi uma unenkinga ephikisayo noma ukukhathazeka ngemuva kwe-biopsy kubalulekile ukukhuluma nodokotela wakho futhi ucabangele ezinye izinketho zokuhlola.
> Imithombo:
> Santiago, L., Adrada, B., Huang, M., Wei, W., no R. Candelaria. Ucwaningo lwe-Cancer Research and Treatment . 2017 Julayi 20. (Epub ngaphambi kokuphrinta).
> Tani, E., Fuentes-Martinez, N., noL. Skoog. Ukubuyekezwa kokusetshenziswa kwe-Fine-Needle Aspiration Ukuphefumula Kwezingubo Zomzimba Omncane Wokuthola Ukuhlola Nokucwaninga. Acta Cytologica . 2017. 61 (4-5): 305-315.
> Wang, M., He, X., Chang, Y., Sun, G., noL. Thabane. Ukuzwela nokucacisa Ukuqhathaniswa kwe-Fine Needle Ukuphefumula i-Cytology ne-Core Needle Biopsy ekuhlolweni kwezilonda zesisu: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta-Analysis. Isisu . 2017. 31: 157-166.