Iyini i-lymph node biopsy?
I-biopsy yinkambiso encane lapho kutholakala khona izicubu ezincane kusuka ku- lymph node noma enye ingxenye yomzimba ocatshangwa ukuthi une-tumor, futhi ithunyelwe ebhokisithri ukuze ihlolwe futhi ihlolwe ngumuntu we-pathologist. Uma kucatshangwa i-lymphoma, ama-lymph nodes angase abe ne-biopsied.
Kungani kubalulekile ukuthatha i-biopsy?
Izicubu ezithathwe kulezi zindawo zingacutshungulwa ebhokisini, futhi zinikezwe kumuntu ohlala esibhedlela.
I-pathologist ibheka lezi zicubu ngaphansi kwe-microscope bese ekhomba ukuthi hlobo luni lwesifo lukhona. Akuzona zonke izindwangu ezikhulisiwe eziye zavuvukala ngoba ziqukethe amangqamuzana e-lymphoma namanye amangqamuzana asabela ekufikeni kwe-lymphoma. Ezinye izimbangela ezidingekayo kufanele zikhishwe ngaphandle, kuhlanganise nokutheleleka ngamagciwane kanye nama-virus.
I-biopsy ye-lymph node iyenziwa kanjani?
Ukuze kutholakale ukuthi i-lymphomas , i-biopsy ngokuvamile idinga ukuthathwe kumlenze we-lymph. Inqubo ingenziwa esikhungweni sokuhlinzeka ngeziguli noma esibhedlela. Udokotela wakho uzokhetha indawo emzimbeni wakho lapho angazizwa khona i-lymph nodes ekhulisiwe. Uzonikezwa umjovo we-anesthetic wendawo ukuze ungazizwa ubuhlungu ngesikhathi senqubo. Ukunqunywa okuncane kunesikhumba bese kukhishwa ama-lymph nodes ambalwa noma ambalwa. I-cut is stitched back. Inqubo ithatha imizuzu engaba ngu-30 kuya ku-45. Ungaya ekhaya maduze emva kwenqubo.
Kungase kudingeke ukuthi uyeke ukuthatha noma yiliphi igazi elincane elilodwa noma ngaphezulu ngaphambi kwenqubo, futhi ungacelwa ukuba ungadli noma uphuze noma yini ngaphambi kwenqubo ye-biopsy. Qinisekisa ukuthi ufunda noma yimiphi imiyalo eyinikezwe kusengaphambili. Uma kukhona okungaqondakali kuwe noma unemibuzo eqhubekayo, cela udokotela wakho ukuze axazulule ngaphambi kwenqubo.
Ukufinyelela ama-node nama-tumor ejulile emzimbeni:
Ngezinye izikhathi izilonda ezikhulayo noma ezinye izingxenye ezithintekayo ezidinga ukuhlolwa zingase zibe ngaphakathi ngaphakathi komzimba lapho i-biopsy elula ingenakwenziwa khona. Udokotela angase athathe usizo lwe-radiologist ukuskena umzimba futhi aqondise inaliti engxenyeni ngqo enesidumbu. Inaliti ingabe isondeza izicubu ezingathunyelwa ku-pathologist ukuze zihlolwe.
I-fine nestle aspiration cytology (FNAC):
I-FNAC iyinkqubo elula lapho inaliti enhle isetshenziselwa ukuncelisa (aspirate) amanye amaseli avela kuma-nodes noma izicubu ezidinga ukuhlolwa. Akubanga neze ubuhlungu, futhi kuyindlela esheshayo engenziwa ehhovisi likadokotela. I-Ultrasound ingasetshenziselwa ukuqondisa inaliti ngokunemba okungcono. Kodwa lokhu kuvivinywa akunjengoba yi-biopsy yokuhlola i-lymphoma ekuqaleni. Amaseli anesifiso ku-FNAC awakwazi njalo ukusitshela uhlobo oluqondile lwe-lymphoma. Kwezinye izicubu lapho i-biopsy ingenakwenziwa khona kalula, lokhu kuhlolwa kusetshenziselwa ukuthola izicubu zokuhlola.
Imithombo:
UJohn A. Daller, MD. I-lymph node biopsy, i-MedlinePlus, ngo-8/5/2014. Ilabhulali Kazwelonke Yezokwelapha yase-US.
Abasebenzi beMayo Clinic. I-lymph nodes, i-Jan. 02, 2014. I-MayoClinic.org.