Wehe biopsy māmā

ʻO kahi biopsy māmā ākea kahi ʻoki e wehe i kahi ʻāpana o nā kiko mai ka māmā. Nānā ʻia ka laʻana no ka maʻi ʻaʻai, maʻi ʻaʻai, a i ʻole maʻi lolo.

Hana ʻia kahi biopsy ākea ākea ma ka haukapila e hoʻohana ana i ka anesthesia ākea. ʻO kēia ka mea e hiamoe ʻoe a noa ka ʻeha. E hoʻokomo ʻia kahi paipu ma kou waha i lalo o kou ʻāʻī e kōkua iā ʻoe e hanu.

Hana ʻia ke kahakaha i ke ala aʻe:

• Ma hope o ka hoʻomaʻemaʻe i ka ʻili, hana ka mea lapaʻau i kahi ʻoki liʻiliʻi ma ka ʻaoʻao hema a ʻākau paha o kou umauma.
• Hoʻokaʻawale mālie ʻia nā iwi ʻaoʻao.
• E hoʻokomo ʻia paha kahi pae nānā ma o kahi puka liʻiliʻi ma waena o nā iwi ʻaoʻao e ʻike ai i kahi e biopsi ʻia.
• Lawe ʻia ke kele mai ka akemāmā a hoʻouna ʻia i kahi hale hana no ka hoʻokolokolo ʻana.
• Ma hope o ke kaha ʻana, pani ʻia ka ʻeha me nā humuhumu.
• E waiho paha kāu mea kauka lāʻau i kahi ʻōmole palika liʻiliʻi i loko o kou umauma e pale aku ai i ka ea a me ka wai mai ke kūkulu ʻana.

Pono ʻoe e haʻi i ka mea mālama ola inā hāpai ʻoe, maʻi maʻi i nā lāʻau āpau, a inā he pilikia kahe kou. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai, e like me nā mea kanu, nā mea hoʻopiha, a me nā mea i kūʻai ʻia me ka ʻole o ka lāʻau.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka ʻai ʻole a me ka inu ʻole ma mua o ke kaʻina hana.

Ke ala ʻoe ma hope o ke kaʻina hana, e hiamoe ʻoe no kekahi mau hola.

E loaʻa ana kekahi palupalu a me ka ʻeha ma kahi o ka ʻoki lāʻau. Hoʻokomo ka hapa nui o nā kauka lapaʻau i kahi anesthetic kūloko hana lōʻihi ma ka pūnaewele ʻokiʻoki i loaʻa iā ʻoe ka ʻeha liʻiliʻi ma hope.

Loaʻa paha ʻoe i kahi ʻāʻī ʻeha mai ka paipu. Hiki iā ʻoe ke hoʻomāmā i ka ʻeha ma ka ʻai ʻana i nā ʻāpana hau.

Hana ʻia ka biopsy ākea ākea e loiloi i nā pilikia o ka lolo i ʻike ʻia ma ka x-ray a i ʻole ka CT scan.

E maʻamau nā akemāmā a me nā māmā.

Nā hopena kūpono ʻole ma muli o:

• Nā maʻi puʻupuʻu Benign (ʻaʻole cancerous)
• Kanesa
• ʻO kekahi mau maʻi (bacterial, viral, a fungal paha)
• Nā maʻi pūpū (fibrosis)

Hiki i ke kaʻina hana ke kōkua i ke koho ʻana i nā ʻano ʻano like ʻole, e like me:

• Maʻi maʻi Rheumatoid
• Sarcoidosis (pākī e hoʻopili i nā akemāmā a me nā kino o ke kino)
• Granulomatosis me ka polyangiitis (pākī ʻana o nā kīʻaha koko)
• Pulmonary hypertension (ke koko kiʻekiʻe ma nā aʻa o nā akemāmā)

Aia kekahi manawa kūpono o:

• Puʻu lewa
• Ka nui o ke kahe o ke koko
• Maʻi kīnā
• Ka hōʻeha i ka māmā
• ʻO Pneumothorax (hāhā hāhā)

Biopsy - hāmama hāmama

• Lungs
• Hoʻokiʻoki no ka biopsy māmā

Chernecky CC, Berger BJ. ʻO Biopsy, kikoʻī pūnaewele - hiʻohiʻona. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 199-202.

Wald O, Izhar U, Sugarbaker DJ. Lū, pā umauma, pleura, a me mediastinum. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 21st ed. Piladelapia, PA: Elsevier; 2022: chap 58.