ʻO ka biopsy lesion ʻili

ʻO kahi biopsy lesion ʻili ke lawe ʻia kahi ʻili liʻiliʻi o ka ʻili i hiki ke nānā ʻia. Hōʻaʻo ʻia ka ʻili e nānā no nā ʻano ʻili a i ʻole nā ​​maʻi. Hiki i kahi ʻili biopsy ke kōkua i kāu mea mālama ola e hōʻoia a hōʻalo paha i nā pilikia e like me ka maʻi ʻaʻai a i ʻole psoriasis.

Hiki ke hana ʻia ka hapa nui o nā kaʻina hana i ke keʻena o kāu mea lawelawe a i ʻole kahi keʻena olakino waho. Nui a hewahewa nā ala e hana ai i kahi biopsy o ka ʻili. ʻO ka hana hea kāu e pili ai i ka wahi, ka nui, a me ke ʻano o ka leona. ʻO kahi leona kahi wahi ʻino o ka ʻili. Hiki i kēia ke lilo i puʻupuʻu, ʻeha, a i ʻole kahi ʻāpana o ke kala o ka ʻili i maʻamau ʻole.

Ma mua o kahi biopsy, e numb kāu mea hoʻolako i ka wahi o ka ʻili no laila ʻaʻole ʻoe e ʻike i kekahi mea. Hōʻike ʻia ma lalo nā ʻano ʻokoʻa o nā biopsies o ka ʻili.

E ʻOLOHE BIOPSY

• Hoʻohana kāu mea hāʻawi i kahi pahi liʻiliʻi a i kahi pahi e hemo a ʻānai paha i nā papa o waho o ka ʻili.
• Wehe ʻia nā ʻāpana āpau a ʻāpana paha.
• ʻAʻole ʻoe e pono i nā humuhumu. E haʻalele kēia kaʻina hana i kahi ʻāpana liʻiliʻi.
• Hana pinepine ʻia kēia ʻano biopsy ke manaʻo ʻia ka maʻi ʻaʻai ʻili, a i ʻole ka hū e like me ka mea i kaupalena ʻia i ka papa luna o ka ʻili.

PUNCH BIOPSY

• Hoʻohana kāu mea hoʻolako i kahi mea ʻoki ʻoki ʻoki like me ka ʻoki kuki e hoʻoneʻe i nā papa o ka ʻili i hohonu. ʻO ka wahi i hemo e pili ana i ke ʻano a me ka nui o ka holoi peni.
• Inā kuhi ʻia kahi maʻi a pale ʻia paha, hiki i kāu mea hāʻawi ke hana ma mua o hoʻokahi biopsy. Ninaninau ʻia kekahi o nā biopsies ma lalo o ka microscope, hoʻouna ʻia ka mea ʻē aʻe i ka hale hana no ka hoʻāʻo ʻana e like me nā mole (moʻomeheu ʻili).
• Hoʻopili pū ʻia i nā ʻāpana āpau a i ʻole ʻāpana o ka leona. Hiki paha iā ʻoe ke humuhumu e pani i ka wahi.
• Hana pinepine ʻia kēia ʻano biopsy e ʻike pono i nā huhū.

BIOPSY HUAKAHI

• Hoʻohana kahi mea lapaʻau i kahi pahi ʻoki (scalpel) e wehe i ka leona holoʻokoʻa. Hoʻopili paha kēia i nā papa hohonu o ka ʻili a me ka momona.
• Ua pani ʻia kēia wahi me nā humuhumu e hoʻonoho pū i ka ʻili.
• Inā biopsied kahi ākea, hiki i ke kaukipō ke hoʻohana i ka hoʻopili ʻana o ka ʻili a i ʻole ka pale e pani i ka ʻili i hemo.
• Hana pinepine ʻia kēia ʻano biopsy ke manaʻo ʻia kekahi ʻano maʻi ʻaʻai ʻili i kapa ʻia ʻo melanoma.

BIOPSY INCISIONAL

• Lawe kēia kaʻina hana i kahi ʻāpana o kahi leona nui.
• Hoʻokiʻoki ʻia kahi ʻāpana o ka ulu a hoʻouna ʻia i ka hale hana no ka hoʻokolokolo ʻana. He mau humuhumu paha kāu, inā pono.
• Ma hope o ka hōʻoia ʻana, hiki ke mālama i ke koena o ka ulu ʻana.
• Hana pinepine ʻia kēia ʻano biopsy e kōkua i ke kuhi ʻana i ka maʻi ulia o ka ʻili a i ʻole nā ​​maʻi e pili ana i nā mea ma lalo o ka ʻili, e like me nā mea momona.

E haʻi i kāu mea hāʻawi:

• E pili ana i nā lāʻau āu e lawe nei, e like me nā wikamina a me nā mea hoʻopili, nā mea kanu lāʻau, a me nā lāʻau i kūʻai pono ʻole ʻia
• Inā loaʻa iā ʻoe nā maʻi āpau
• Inā loaʻa iā ʻoe nā pilikia kahe o ke kahe a lawe paha i kahi lāʻau ʻoi aku ke koko e like me aspirin, warfarin, clopidogrel, dabigatran, apixaban, a i ʻole nā ​​lāʻau ʻē aʻe.
• Inā ʻoe a noʻonoʻo paha e hāpai ʻoe

E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka hoʻomākaukau ʻana no ka biopsy.

E kauoha paha kāu mea hāʻawi i kahi biopsy o ka ʻili:

• E kuhikuhi i ke kumu o ka ʻāwīwī o ka ʻili
• E hōʻoia i ka ulu ʻana o ka ʻili a i ʻole ka ʻili ʻili ʻaʻole ka maʻi ʻaʻai
  

Nānā ʻia ke kinona i lawe ʻia ma lalo o kahi microscope. Hoʻihoʻi pinepine ʻia nā hopena i kekahi mau lā i hoʻokahi pule a ʻoi paha.

Inā maikaʻi ka leona ʻili (ʻaʻole ka maʻi ʻaʻai), ʻaʻole pono ʻoe i kahi lapaʻau hou aʻe. Inā ʻaʻole i hemo ka lesion o ka ʻili holoʻokoʻa i ka manawa o ka biopsy, hoʻoholo paha ʻoe a me kāu mea hāʻawi e kāpae loa iā ia.

Ke hōʻoia ka biopsy i ka hōʻoia, e hoʻomaka kāu mea hoʻolako i kahi papa hana lapaʻau. ʻO kekahi o nā pilikia ʻili e ʻike ʻia ʻo:

• Psoriasis a dermatitis paha
• ʻO ka maʻi mai bacteria a fungus paha
• Melanoma
• Ka maʻi ʻaʻai ʻeleʻele Basal
• Ka maʻi ʻaʻai ʻāpau squamous

Hiki i nā pilikia o kahi biopsy ʻili ke hoʻopili:

• Maʻi kīnā
• Pākuʻi a i ʻole keloids

E kahe iki ʻoe i ke kaʻina hana.

E hoʻi ʻoe i ka hale me ka bandage ma luna o ka wahi. Palupalu paha ka wahi biopsy no kekahi mau lā ma hope. Loaʻa paha iā ʻoe kahi liʻiliʻi o ke kahe.

Aia i kāu ʻano biopsy i loaʻa, hāʻawi ʻia iā ʻoe nā ʻōkuhi pehea e mālama ai:

• ʻO kahi ʻili biopsy o ka ʻili
• Nā kuʻi, inā loaʻa iā ʻoe
• Pākuʻi ʻili a paʻa paha, inā he hoʻokahi kāu

ʻO ka pahuhopu e mālama i ka maʻemaʻe a me ka maloʻo o ka wahi. E makaʻala i ka huʻi ʻole a hohola paha i ka ʻili ma kahi o ka wahi, kahi e kumu ai ke kahe ʻana o ke koko. Inā he mau humuhumu ʻoe, e lawe ʻia i waho ma kahi o 3 a 14 mau lā.

Inā loaʻa iā ʻoe ke kahe kūpono, kau i ka kaomi i ka wahi no 10 mau minuke a ʻoi. Inā ʻaʻole kū ke kahe, e kelepona koke i kāu mea hāʻawi. Pono ʻoe e kāhea i kāu mea hāʻawi inā loaʻa nā hōʻailona o ka maʻi, e like me:

• ʻOi aku kaʻulaʻula, pehu, a ʻeha paha
• ʻO ka hoʻoliʻiliʻi e hele mai ana a puni paha ka ʻoki i mānoanoa, ʻeleʻele, ʻōmaʻomaʻo, a melemele, a ʻaʻala paha (pus)
• Fiva

I ka manawa e hoʻōla ai ka ʻeha, he ʻeha paha kāu.

ʻIli biopsy; ʻO kahi lāʻau biopsy - ʻili; Punch biopsy - ʻili; Biopsy kūikawā - kaʻili; Biopsy Incisional - ʻili; Ka maʻi ʻaʻai ʻili - biopsy; Melanoma - biopsy; Maʻi ʻaʻai maʻi squamous - biopsy; Ka maʻi ʻaʻai basal cell - biopsy

• Basal Cell Carcinoma - kokoke loa
• Melanoma - ʻāʻī
• ʻIli

ʻO Dinulos JGH. Nā hana ʻoki lāʻau Dermatologic. I: Dinulos JGH, hoʻoponopono. ʻO Habif's Clinical Dermatology: Kahi Alakaʻi Waihoʻoluʻu i ka Diagnosis a me ka Therapy. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 27.

ʻO WA kiʻekiʻe, ʻo Tomasini CF, ʻo Argenziano G, ʻo Zalaudek I. nā loina o ka dermatology. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 0.

ʻO Pfenninger JL. ʻ biiwi lāʻau. I: Fowler GC, nā ʻaoʻao. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 26.