Biopsy umauma - ultrasound
ʻO kahi biopsy umauma ka wehe ʻana i nā kiko o ka umauma e nānā iā ia no nā hōʻailona o ka maʻi ʻaʻai a i ʻole nā maʻi ʻē aʻe.
Nui a hewahewa nā ʻano o nā biopsies o ka umauma, me stereotactic, alakaʻi ʻia e ultrasound, alakaʻi ʻia e MRI, a me ka biopsy umauma ʻokoʻa. Kuhi kēia ʻatikala i nā biopsies umauma i alakaʻi ʻia e ka ultrasound.
Nonoi ʻia ʻoe e wehe i ka lole mai ka pūhaka a luna. E ʻaʻahu ʻoe i ka holokū e wehe i mua. I ka wā o ka biopsy, ala ʻoe.
Moe ʻoe i kou kua.
Hana ʻia ka biopsy i ke ala penei:
- Hoʻomaʻemaʻe ka mea mālama ola i ka wahi ma kou umauma.
- Hoʻokomo ʻia ka lāʻau numbing.
- Hana ke kauka i kahi ʻoki liʻiliʻi loa ma kou umauma ma luna o ka wahi e pono ai ke biopsied.
- Hoʻohana ke kauka i kahi mīkini ultrasound e alakaʻi i ka nila i kahi wahi kūpono ʻole i kou umauma e pono ai biopsied.
- Lawe ʻia nā ʻāpana liʻiliʻi o nā kiko.
- Hiki ke hoʻokomo ʻia i kahi pāpale hao liʻiliʻi i loko o ka umauma ma kahi o ka biopsy e māka iā ia, inā pono.
Hana ʻia ka biopsy me ka hoʻohana ʻana i kekahi o kēia mau mea:
- ʻO ka makemake o ka nila maikaʻi
- Nila puha (kapa ʻia he nila nui)
- Hāmeʻa holo uila
- ʻO kahi nila kuha a me ka mana uila
I ka manawa i lawe ʻia ai ka hāpana kiko, lawe ʻia ka nila. Hoʻopili ʻia ka hau a me ke kaomi i ka pūnaewele e hōʻoki i ke kahe ʻana o ke kahe. Hoʻopili ʻia kahi bandage e omo i kekahi wai. ʻAʻole pono ʻoe i nā humuhumu ma hope o ka lawe ʻia ʻana o ka nila. Inā pono, kau ʻia nā ʻope o ka lepe e hoʻopaʻa i ka ʻeha.
E nīnau ka mea hāʻawi e pili ana i kāu mōʻaukala olakino a hana i kahi hoʻokolohua umauma lima.
Inā ʻoe e lawe i nā lāʻau lahilahi i ke koko (me aspirin, nā mea hoʻopili, a i ʻole nā mea kanu), e nīnau i kāu kauka inā pono ʻoe e hōʻoki i ka lawe ʻana i kēia mau mea ma mua o ka biopsy.
E haʻi i kāu kauka inā hāpai ʻoe.
Mai hoʻohana i ka waiona, ka mea ʻala, ka pauka, a me ka deodorant ma lalo o kou mau lima a i ʻole ma kou umauma.
Ke kuhi ʻia ka lāʻau numbing, nahu iki paha ia.
I ka wā o ke kaʻina hana, ʻike paha ʻoe i kahi hōʻoluʻolu iki a i ʻole kaomi māmā.
Ma hope o ka hoʻāʻo, ʻeha a palupalu paha ka umauma i ka paʻi no kekahi mau lā. Hāʻawi ʻia iā ʻoe nā kuhikuhi e pili ana i nā hana i hiki iā ʻoe ke hana, pehea e mālama ai i kou umauma, a he aha nā lāʻau i hiki iā ʻoe ke lawe no ka ʻeha.
Loaʻa paha iā ʻoe kahi palapū, a ma laila e loaʻa kahi wahi liʻiliʻi liʻiliʻi kahi i hoʻokomo ʻia ai ka nila.
Hiki ke hana ʻia kahi biopsy umauma i alakaʻi ʻia e ultrasound e loiloi i nā hopena maʻamau ma ka mammogram, ultrasound umauma, a i ʻole MRI.
E hoʻoholo inā loaʻa i ka maʻi ʻaʻai umauma, pono e hana i kahi biopsy. Lawe ʻia ka kele mai ka wahi ʻino a nānā ʻia ma lalo o kahi microscope.
ʻO kahi hopena maʻamau ʻaʻohe hōʻailona o ka maʻi ʻaʻai a i ʻole nā pilikia umauma.
E haʻi aku kāu mea lawelawe iā ʻoe inā a inā pono ʻoe i kahi ultrasound ukali, mammogram a i ʻole nā hoʻokolohua ʻē aʻe.
Hiki i kahi biopsy ke hoʻomaopopo i kekahi mau kūlana o ka umauma ʻaʻole maʻi ʻaʻai a i ʻole precancer, me:
- Fibroadenoma (puʻupuʻu umauma ʻaʻole ʻo ka maʻi ʻaʻai)
- Fat nekrosis
Hōʻike paha nā hopena Biopsy i nā kūlana e like me:
- Hyperplasia ductal atypical
- Hyperplasia lobular liʻiliʻi
- Atypia epithelial pālahalaha
- Papilloma Intraductal
- Lobular carcinoma-in-situ
- ʻ .ʻili Radial
ʻO nā hopena kūpono ʻole ke ʻano he maʻi ʻaʻai ʻoe. ʻElua mau ʻano nui o ka maʻi ʻaʻai o ka umauma i loaʻa.
- Hoʻomaka ka maʻi maʻi o Ductal i nā paipu (duct) e hoʻoneʻe i ka waiū mai ka umauma a i ka nipple. ʻO ka hapa nui o nā maʻi ʻaʻai umauma o kēia ʻano.
- Hoʻomaka ka carcinoma lobular i nā ʻāpana o ka umauma i kapa ʻia he lobule, kahi e hua ai ka waiū.
Kaukaʻi ʻia i nā hopena biopsy, pono ʻoe i kahi ʻoki hou a i ʻole lāʻau lapaʻau.
E kūkākūkā kāu mea hāʻawi i ke ʻano o nā hopena biopsy me ʻoe.
Aia kekahi manawa kūpono o ka maʻi i ka injection a i ʻole incision pūnaewele. Kākaʻikahi ka kahe nui ʻana o ke kahe.
Biopsy - umauma - ultrasound; ʻO ke biopsy umauma i alakaʻi ʻia e Ultrasound; ʻO ka biopsy umauma kui kele - ultrasound; Ka maʻi ʻaʻai umauma - biopsy umauma - ultrasound; Mammogram pono ʻole - biopsy umauma - ultrasound
Pūnaewele ʻAmelika Hui Pū ʻIa o Radiology. Hoʻomaʻamaʻa ACR hoʻomaʻamaʻa no ka hana o ke ultrasound-alakaʻi percutaneud intervensi ʻōnaehana. www.acr.org/-/media/ACR/Files/Practice-Parameter/us-guidedbreast.pdf. Hoʻohou 2016.Loaʻa iā Malaki 15, 2019.
ʻO Henry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Kanesa o ka umauma. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 88.
ʻO Torrente J, Brem RF. ʻO ke biopsy umauma alakaʻi alakaʻi liʻiliʻi liʻiliʻi a me ka hoʻopau ʻana. I: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Nā hana alakaʻi alakaʻi kiʻi. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 155.