ʻO ka biopsy Lymph node

ʻO kahi biopsy lymph node ke wehe ʻana i nā kiko o ka lymph node no ka nānā ʻana ma lalo o kahi microscope.

ʻO nā lymph node he mau gland liʻiliʻi e hana i nā hunaola keokeo (lymphocytes), e hakakā nei i ka maʻi. Hiki i nā lymph node ke hei i nā grobia e hoʻopuka nei i kahi maʻi. Hiki i ka maʻi ʻaʻai ke hoʻolaha aku i nā lymph node.

Hana pinepine ʻia kahi biopsy lymph node i loko o kahi lumi hana i ka haukapila a i ʻole kahi kikowaena ʻoki kino. Hana ʻia ka biopsy ma nā ʻano like ʻole.

ʻO kahi biopsy ākea kahi ʻoki e wehe i nā mea āpau a ʻāpana paha o ka pona lymph. Hana pinepine ʻia kēia inā loaʻa kahi lymph node i hiki ke ʻike ʻia ma ka hōʻike. Hiki ke hana i kēia me ka anesthesia kūloko (ka lāʻau numbing) i injected i loko o ka wahi, a i ʻole ma lalo o ka anesthesia āpau. Hana ʻia nā kaʻina hana i ke ala penei:

• Moe ʻoe ma ka papa hōʻike. Hāʻawi ʻia ʻoe i ka lāʻau e hōʻoluʻolu iā ʻoe a hiamoe ʻoe a i ʻole loaʻa iā ʻoe kahi anesthesia ākea, ʻo ia hoʻi ua hiamoe ʻoe a ʻaʻohe ʻeha.
• Hoʻomaʻemaʻe ʻia ka pūnaewele biopsy.
• Hana ʻia kahi ʻoki ʻoki liʻiliʻi (incision). Lawe ʻia ka pona lymph a ʻāpana paha o ka piko.
• Hoʻopili ʻia ka ʻokiʻoki me nā humuhumu a hoʻopili ʻia kahi bandage a me ka mea hoʻopili wai.
• Hiki i kahi biopsy hāmama ke lawe i 30 a 45 mau minuke.

No kekahi mau maʻi ʻaʻai, hoʻohana ʻia kahi ala kūikawā e ʻimi ai i ka lymph node maikaʻi loa i ka biopsy. Kāhea ʻia kēia ʻo sentinel lymph node biopsy, a pili ia:

ʻO kahi liʻiliʻi o ka tracer, kahi tracer radioactive (radioisotope) a i ʻole ka waihoʻoluʻu polū a i ʻole ʻelua paha, i ʻīkī ʻia ma ke kahua tumo a i ʻole ma kahi o ka tumo.

Kahe ka tracer a kala paha i ka piko (kūloko) kokoke a i ʻole nā ​​piko. Kapa ʻia kēia mau helu nā helu sentinel. ʻO nā pūnana sentinel nā pūnana lymph mua kahi e laha aku ai kahi maʻi ʻaʻai.

Lawe ʻia ke kikowaena sentinel a i ʻole nā ​​aka.

Hiki ke wehe ʻia nā biopsies Lymph node i loko o ka ʻōpū me kahi laparoscope. ʻO kēia kahi paipu liʻiliʻi me kahi kukui a me ka kāmela i hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi i loko o ka ʻōpū. E hana ʻia i hoʻokahi a ʻoi aku mau ʻokiʻoki a hoʻokomo ʻia nā mea hana e kōkua ai e hemo i ka piko. Aia ka pona lymph a wehe ʻia kahi ʻāpana a pau paha. Hana pinepine ʻia kēia ma lalo o ka anesthesia ākea, ʻo ia hoʻi e hiamoe a ʻaʻohe ʻeha ka mea i loaʻa i kēia kaʻina hana.

Ma hope o ka hemo ʻana o kahi hāpana, hoʻouna ʻia i ka hale hana no ka hoʻokolokolo ʻana.

Pili kahi biopsy nila i ka hoʻokomo ʻana i kahi nila i loko o kahi kōpona lymph. Hiki ke hana ʻia kēia ʻano biopsy e kahi radiologist me kahi anesthesia kūloko, e hoʻohana ana i ka ultrasound a i ʻole ka CT scan e loaʻa ai ka piko.

E haʻi i kāu mea hāʻawi:

• Inā hāpai ʻoe
• Inā loaʻa iā ʻoe nā maʻi āpau o ka lāʻau
• Inā loaʻa iā ʻoe nā pilikia kahe
• He aha nā lāʻau āu e lawe nei (me nā mea hoʻopili a me nā lāʻau lapaʻau)

E noi paha kāu mea lawelawe iā ʻoe e:

• E hōʻoki i ka lawe ʻana i nā mea lahilahi o ke koko, e like me aspirin, heparin, warfarin (Coumadin), a i ʻole clopidogrel (Plavix) e like me ke kuhikuhi
• Mai ʻai a inu ʻole i kekahi mea ma hope o kekahi manawa ma mua o ka biopsy
• E hōʻea i kahi manawa no ke kaʻina hana

Ke kuhi ʻia ka anesthetic kūloko, e ʻike ʻoe i kahi kui a me kahi ʻū mālie. E ʻeha ka pūnaewele biopsy no kekahi mau lā ma hope o ka hoʻāʻo.

Ma hope o kahi biopsy hāmama a laparoscopic paha, akahai ka ʻeha a hiki iā ʻoe ke kāohi maʻalahi iā ia me kahi lāʻau ʻeha o ka counter. Hiki paha iā ʻoe ke ʻike i kahi palaho a i ʻole ke kahe ʻana o ka wai i kekahi mau lā. E hāhai i nā ʻōkuhi no ka mālama ʻana i ka ʻokiʻoki. ʻOiai ke hoʻōla nei ka ʻokiʻoki, e hōʻalo i nā ʻano hoʻoikaika ikaika a i nā hāpai koʻikoʻi paha e hōʻeha ai i ka ʻeha a me ka hōʻoluʻolu ʻole. E noi i kāu mea nāna e hāʻawi i nā kuhikuhi kikoʻī e pili ana i nā hana i hiki iā ʻoe ke hana.

Hoʻohana ʻia ka hoʻāʻo e ʻike pono i ka maʻi ʻaʻai, sarcoidosis, a i ʻole kahi maʻi (e like me ka maʻi palu):

• Ke ʻike ʻoe a i ʻole kāu mea hāʻawi i nā ʻōpū pehu a ʻaʻole lākou e hele
• Ke loaʻa nā lymph node ʻokoʻa ma kahi scanner mammogram, ultrasound, CT, a MRI paha
• No kekahi poʻe me ka maʻi ʻaʻai, e like me ka maʻi ʻaʻai umauma a i ʻole melanoma, e ʻike ai inā ua laha ke kanesa (sentinel lymph node biopsy a i ʻole ka nila biopsy e ka radiologist)

Kōkua nā hopena o ka biopsy i kāu mea nāna e hoʻoholo i nā hoʻokolohua hou aʻe.

Inā hōʻike ʻole kahi biopsy lymph node i nā hōʻailona o ka maʻi ʻaʻai, ʻoi aku ka nui o nā pūnana lymph ʻē aʻe ma kahi kokoke pū kekahi me ka maʻi ʻaʻai ʻole. Hiki i kēia ʻike ke kōkua i ka mea hāʻawi e hoʻoholo e pili ana i nā hoʻokolohua hou a me nā mālama ʻana.

Nā hualoaʻa kūpono ʻole ma muli o nā ʻano like ʻole, mai nā maʻi ʻoluʻolu loa i ka maʻi ʻaʻai.

ʻO kahi laʻana, no nā:

• Nā maʻi ʻōiwi (ka umauma, ka māhū, ka waha)
• HIV
• Ka maʻi ʻaʻai o ka lymphʻaʻaʻa (Hodgkin a non-Hodgkin lymphoma)
• Maʻiʻaʻai (tuberculosis, popoki maʻi maʻi)
• ʻO ka hoʻohaunaele o nā lymph node a me nā mea ʻē aʻe a me nā mākia (sarcoidosis)

Hiki i ka biopsy Lymph node ke hopena i kekahi o kēia mau mea:

• Kahena
• ʻO ka maʻi (i nā hihia maʻamau, loaʻa i ka ʻeha a pono ʻoe e lawe i nā lāʻau ʻaloʻalo)
• Ka ʻeha o ke aʻalolo inā hana ʻia ka biopsy ma kahi lymph node kokoke i nā aʻa (hele pinepine ka numbness i loko o kekahi mau mahina)

ʻO Biopsy - lymph nodes; Wehe biopsy lymph node; ʻO ka biopsy makemake o ka nila; ʻO Biopsy lymph node Sentinel

• ʻŌnaehana Lymphatic
• ʻO nā metastases lymph node, CT scan

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.

Chung A, Giuliano AE. Lymphatic mapping and sentinel lymphadenectomy no ka maʻi ʻaʻai o ka umauma. I: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. ʻO ka umauma: Hoʻoponopono piha o nā maʻi Benign a me nā maʻi malignant. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 42.

Pūnaewele ʻo National Cancer Institute. ʻO biopsy lymph node Sentinel. www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet. Hoʻohou i Iune 25, 2019. Loaʻa iā Iulai 13, 2020.

ʻO NA ʻōpio, Dulaimi E, Al-Saleem T. Lymph nodes: cytomorphology a me ka cytometry kahe. I: Bibbo M, Wilbur DC, eds. Cytopathology Comprehensive. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 25.