Biopsy umauma - stereotactic
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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 ka biopsy umauma stereotactic, kahi e hoʻohana ai i ka mammography e kōkua ai i ke kiko ʻana i ka wahi i ka umauma e pono ai e hemo.
Nonoi ʻia ʻoe e wehe i ka lole mai ka pūhaka a luna. I ka wā o ka biopsy, ala ʻoe.
E noi paha ʻoe e moe i lalo i ka papa biopsy. ʻO ka umauma e hoʻopili ʻia ana e kau ʻia ma kahi hāmama i ka papa. Hāpai ʻia ka pākaukau a hoʻokō ke kauka i ka biopsy o lalo. I kekahi mau hihia, hana ʻia ka biopsy umauma stereotactic ke noho ʻoe i kahi kū i luna.
Hana ʻia ka biopsy i ke ala penei:
- Hoʻomaʻemaʻe ka mea mālama ola i ka wahi ma kou umauma. Hoʻokomo ʻia ka lāʻau numbing.
- Kaomi ʻia ka umauma e paʻa i ke kūlana i ke kaʻina hana. Pono ʻoe e paʻa i ka hana ʻia ʻana o ka biopsy.
- Hana ke kauka i kahi ʻoki liʻiliʻi loa ma kou umauma ma luna o ka wahi e pono ai ke biopsied.
- Ke hoʻohana nei i kahi mīkini kūikawā, alakaʻi ʻia kahi nila a kahi ʻāpana i kahi kikoʻī o ka wahi kūpono ʻole. Lawe ʻia kekahi mau laʻana o nā kiko o ka umauma.
- Hiki ke hoʻokomo ʻia i kahi pāpale hao liʻiliʻi i loko o ka umauma i ka wahi biopsy. Kaha ʻia ʻo ia no ka biopsy ʻoki lāʻau ma hope, inā pono.
Hana ʻia ka biopsy ponoʻī me ka hoʻohana ʻana i kekahi o kēia mau mea:
- Nila puha (kapa ʻia he nila nui)
- Hāmeʻa holo uila
- ʻO kahi kui kele a me ka uila
ʻO ke kaʻina hana ma kahi o 1 hola. Pākuʻi ʻia kēia i ka manawa no nā kukuna x. He mau minuke wale nō ka biopsy maoli.
Ma hope o ka lawe ʻia ʻana o 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. E hoʻopili ʻia kahi bandage e omo i kekahi wai. ʻAʻole pono nā humuhumu. Hiki ke kau ʻia i nā ʻāpana lina ma luna o kahi ʻeha, inā pono.
E nīnau ka mea hāʻawi e pili ana i kāu mōʻaukala olakino. E hana ʻia kahi hoʻokolohua umauma.
Inā ʻoe e lawe i nā lāʻau (me aspirin, nā mea hoʻopiha, a i ʻole nā mea kanu), e nīnau i kāu kauka inā pono ʻoe e haʻalele 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.
Ke hōʻoluʻolu nei ka moe ʻana i kou ʻōpū a hiki i ka hola 1. Hiki ke kōkua i ka hoʻohana ʻana i nā pale a me nā uluna. Hāʻawi ʻia kekahi poʻe i kahi pila e kōkua ai e hoʻomaha iā lākou ma mua o ke kaʻina hana.
Ma hope o ka hoʻāʻo, ʻeha a palupalu paha ka umauma no kekahi mau lā. E hāhai i nā ʻōkuhi i nā hana e hiki ai 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.
Hoʻohana ʻia ka biopsy umauma Stereotactic ke ʻike ʻia kahi ulu liʻiliʻi a i ʻole kahi ʻāpana o ka helu ʻana ma ka mammogram, akā ʻaʻole hiki ke ʻike ʻia me ka hoʻohana ʻana i kahi ultrasound o ka umauma.
Hoʻouna ʻia nā laʻana kikoʻī i kahi pathologist e nānā ʻia.
ʻO kahi hopena maʻamau ʻaʻohe hōʻailona o ka maʻi ʻaʻai.
E haʻi aku kāu mea lawelawe iā ʻoe inā pono ʻoe i kahi mammogram ukali a i ʻole nā hoʻokolohua ʻē aʻe.
Inā hōʻike ka biopsy i nā kiko o ka umauma maikaʻi me ka ʻole o ka maʻi ʻaʻai, ʻaʻole ʻoe e pono i kahi ʻoki.
I kekahi manawa hōʻike nā hopena biopsy i nā ʻōuli maʻamau ʻaʻole maʻi ʻaʻai. I kēia hihia, koi ʻia kahi biopsy ʻoki e wehe i ka wahi āpau āpau no ka hoʻokolokolo ʻana.
Hōʻike paha nā hopena Biopsy i nā kūlana e like me:
- Hyperplasia ductal atypical
- Hyperplasia lobular liʻiliʻi
- Papilloma Intraductal
- Atypia epithelial pālahalaha
- ʻ .ʻili Radial
- Lobular carcinoma-in-situ
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 kahi manawa kūpono o ka maʻi i ka ʻoki a i ʻole kahi ʻoki ʻoki.
ʻO ka palapu he mea maʻamau ia, akā ʻano laha ʻole ke kahe nui ʻana o ke kahe.
Biopsy - umauma - stereotactic; ʻO ka biopsy umauma kui kele - stereotactic; Biopsy umauma Stereotactic; Mammogram pono ʻole - biopsy umauma stereotactic; Ka maʻi ʻaʻai umauma - biere ʻaʻa umauma stereotactic
Pūnaewele ʻAmelika Hui Pū ʻIa o Radiology. Hoʻomaʻamaʻa ACR hoʻomaʻamaʻa no ka hana o stereotactic-alakaʻi ʻia nā kaʻina hana i loko o ka umauma. www.acr.org/-/media/ACR/Files/Practice-Parameter/stereo-breast.pdf. Hoʻohou 2016. Loaʻa iā ʻApelila 3, 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.
Parker C, Umphrey H, Bland K. Ke kuleana o ka biopsy umauma stereotactic i ka mālama ʻana i ka maʻi umauma. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 666-671.