He aha ia kahi Biopsy Iwi Iwi?

Anter

• Pono ʻoe i kahi biopsy iwi iwi?
• Nā pōpilikia o kahi biopsy iwi ʻōiwi
• Pehea e hoʻomākaukau ai no kahi biopsy iwi ʻōiwi
• Hoʻomākaukau ʻeha
• Pehea e hana ai kāu kauka i kahi biopsy iwi momona
• He aha ka hana ma hope o ka biopsy iwi o ka iwi?
• He aha ke ʻano o kāu mau hopena biopsy?
• A:

Hiki i kahi biopsy iwi iwi ke lawe ma kahi o 60 mau minuke. ʻO ka iwi iwi ka iwi o loko o kou iwi. ʻO ia ka home i nā kīʻaha koko a me nā hunaola kōkua e hana:

• ʻulaʻula a me keʻokeʻo keena
• platelet
• momona
• kāʻawe
• iwi

ʻElua ʻano o ka momona: ʻulaʻula a melemele. ʻIke ʻia ka ʻulaʻula i loko o kou mau iwi pālahalaha e like me kou uha a me kou iwi. I kou mau makahiki, lilo ka nui o kāu momona i melemele ma muli o ka hoʻonui ʻana o nā hunaola momona. Lawe kāu kauka i ka momona ʻulaʻula, mai ka hope o kou iwi pūhaka. A e hoʻohana ʻia ka hāpana e nānā ai no nā mea ʻē aʻe o ke keʻa koko.

E nānā ke keʻena hoʻokolohua i loaʻa i kāu momona ke ʻike inā e hana ana kou iwi iwi i nā kolo koko maikaʻi. Inā ʻaʻole, e hōʻike nā hopena i ke kumu, he maʻi paha ia, ka maʻi iwi iwi, a me ka maʻi ʻaʻai.

Heluhelu hou e aʻo hou aʻe e pili ana i kahi biopsy iwi pūpū a me ka mea e hana ʻia i ka wā a ma hope o ke kaʻina hana.

Pono ʻoe i kahi biopsy iwi iwi?

Hiki i kāu kauka ke kauoha i kahi biopsy iwi iwi inā hōʻike kāu hōʻike koko i kāu kiʻekiʻe o nā platelet, a keʻokeʻo a i ʻole nā ​​ʻulaʻula o ke koko a kiʻekiʻe a haʻahaʻa paha. E kōkua kahi biopsy e hoʻoholo i ke kumu o kēia mau abnormalities, i hiki ke hoʻopili ʻia:

• anemia, a i ʻole helu helu ʻulaʻula koko haʻahaʻa
• nā maʻi pūpū iwi, e like me myelofibrosis a i ʻole myelodysplastic syndrome
• nā kūlana o ke koko, e like me leukopenia, thrombositopenia, a i ʻole polycythemia
• nā maʻi ʻaʻai o ka iwi iwi a i ʻole ke koko, e like me leukemia a i ʻole lymphomas
• hemochromatosis, kahi maʻi kūpona kahi e kūkulu ai ka hao i loko o ke koko
• maʻi ʻaʻai a kuni paha o ke kumu i ʻike ʻole ʻia

Hiki i kēia mau kūlana ke hoʻopili i kāu hana ʻana o ke koko a me nā pae o kāu ʻano cell koko.

E kauoha paha kāu kauka i kahi hoʻāʻo momona iwi e ʻike i ka lōʻihi o ka holo ʻana o ka maʻi, e hoʻoholo ai i ke kahua o ka maʻi ʻaʻai, a i ʻole e nānā i nā hopena o kahi lāʻau.

Nā pōpilikia o kahi biopsy iwi ʻōiwi

Lawe nā kaʻina olakino āpau i kekahi ʻano o ka makaʻu, akā ʻo nā pilikia mai ka hoʻāʻo ʻana o ka iwi iwi he laha loa. ʻike ʻia ma lalo o ka 1 pākēneka o ka hoʻā o ka iwi iwi ka hopena i nā hanana maikaʻi ʻole. ʻO ka makaʻu nui o kēia kaʻina hana he hemorrhage, a i ʻole ke kahe nui ʻana.

ʻO nā pilikia i hōʻike ʻia e pili pū me:

• hopena hopena i ka anesthesia
• maʻi maʻi
• ʻeha mau kahi i hana ʻia ai ka biopsy

E kamaʻilio me kāu kauka ma mua o ka biopsy inā he olakino kou a i ʻole lawe i ka lāʻau, keu hoʻi inā hoʻonui ia i kou kauka no ke kahe.

Pehea e hoʻomākaukau ai no kahi biopsy iwi ʻōiwi

ʻO ke kūkākūkā ʻana i kāu mau hopohopo kekahi o nā ala mua o ka hoʻomākaukau ʻana no kahi biopsy iwi ʻōiwi. E haʻi ʻoe i kāu kauka e pili ana i nā mea āpau:

• nā lāʻau a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei
• kou mōʻaukala olakino, keu hoʻi inā loaʻa iā ʻoe ka mōʻaukala o nā maʻi kahe
• nā maʻi āpau a i ʻole nā ​​manaʻo nui i ka lipine, anesthesia, a i ʻole nā ​​mea ʻē aʻe
• inā hāpai ʻoe a noʻonoʻo paha ʻoe
• inā he hopohopo nui kāu e pili ana i ka hana ʻana a pono ka lāʻau e kōkua ai iā ʻoe e hoʻomaha

Ke hele nei kekahi me ʻoe i ka lā o ke kaʻina hana he manaʻo maikaʻi. ʻOi aku inā ke kiʻi nei ʻoe i nā lāʻau e like me nā mea hōʻoluʻolu e kōkua ai iā ʻoe e hoʻomaha, ʻoiai ʻaʻole pono kēia i ka maʻamau. ʻAʻole pono ʻoe e kalaiwa ma hope o ka lawe ʻana iā lākou e like me kēia mau lāʻau e hiki ai iā ʻoe ke hiamoe.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka ma mua o ke kaʻina hana. E noi paha kāu kauka iā ʻoe e haʻalele i ka lawe mua ʻana i kekahi mau lāʻau. Akā, mai hōʻoki i ka lawe ʻana i kahi lāʻau inā ʻaʻole kauoha kāu kauka iā ʻoe e hana pēlā.

ʻO ka loaʻa ʻana o kahi hoʻomaha maikaʻi o ka pō a me ka hōʻike ʻana i ka manawa, a i ʻole kakahiaka paha, i kāu manawa i koho ʻia ai hiki ke kōkua iā ʻoe e hōʻemi i ke koʻikoʻi ma mua o ka biopsy.

Hoʻomākaukau ʻeha

Ma ka awelika, ʻo ka ʻeha mai ka biopsy e lilo i kahi manawa pōkole, awelika, a emi iho ma mua o ka mea i manaʻo ʻia. Hōʻike kekahi mau noiʻi e pili ana ka ʻeha i ka lōʻihi a me ka paʻakikī o kahi biopsy. Hoʻoemi nui ʻia ka ʻeha ke lawe ke kauka ʻike ma mua o 10 mau minuke e hoʻopau i ka biopsy.

ʻO kekahi kumu koʻikoʻi kou pae hopohopo. ʻO ka poʻe ʻike e pili ana i kā lākou kaʻina hana hōʻike i ka loaʻa ʻana o ka ʻeha he nui pinepine ʻole. Hōʻike pū ka poʻe i nā pae haʻahaʻa o ka ʻeha me nā biopsies e hiki mai ana.

Pehea e hana ai kāu kauka i kahi biopsy iwi momona

Hiki iā ʻoe ke hana i ka biopsy ma ke keʻena o kāu kauka, kahi keʻena lapaʻau, a i ʻole kahi haukapila. ʻO ke kauka maʻamau i loea i nā maʻi koko a i ʻole ke kanesa, e like me ka hematologist a i ʻole oncologist, e hana i ke kaʻina hana. ʻO ka biopsy maoli iho ma kahi o 10 mau minuke.

Ma mua o ka biopsy, e loli ʻoe i loko o ke kapa komo no ka haukapila a nānā i ka helu o kou puʻuwai a me ke kaomi koko. E haʻi aku kāu kauka iā ʻoe e noho ma kou ʻaoʻao a moe paha ma kou ʻōpū. A laila e hoʻopili lākou i kahi anesthetic kūloko i ka ʻili a i ka iwi e hoʻopau i ka wahi kahi e lawe ʻia ai ka biopsy. Lawe ʻia kahi biopsy iwi momona mai ka pali o kou hope hope a i ʻole ka iwi iwi.

ʻIke paha ʻoe i kahi ʻōkole pōkole e like me ka ʻaila anesthetic i injected. A laila e hana kahi kauka i kahi ʻoki liʻiliʻi i hiki ai i kahi nila kuha ke hele ma waena o kou ʻili.

Hele ka nila i loko o ka iwi a ʻohiʻohi i kou momona ʻulaʻula, akā ʻaʻole ia i hoʻokokoke i kāu iwi kuamoʻo. ʻIke paha ʻoe i kahi ʻeha puʻupuʻu a i ʻole hōʻoluʻolu ke komo ka nila i kou iwi.

Ma hope o ke kaʻina hana, e kaomi kāu kauka i ka wahi e hōʻoki i ke kahe ʻana a laila hoʻopaʻa ka ʻokiʻoki. Me kahi anesthesia kūloko, hiki iā ʻoe ke haʻalele i ke keʻena o kāu kauka ma hope o 15 mau minuke.

He aha ka hana ma hope o ka biopsy iwi o ka iwi?

Hiki paha iā ʻoe ke ʻeha iki ma kahi o hoʻokahi pule ma hope o ke kaʻina hana akā ʻaʻole makemake ka hapa nui o ka poʻe. I mea e kōkua ai i ka mālama ʻana i ka ʻeha, hiki i kāu kauka ke koi aku i nā mea hōʻemi ʻeha ma luna o ka pā e like me ka ibuprofen a i ʻole ka acetaminophen. Pono ʻoe e mālama i ka ʻeha o ka ʻokiʻoki, kahi e pili ai ka maloʻo ʻana no 24 mau hola ma hope o ka biopsy.

Hōʻalo i nā hana ikaika ma kahi o hoʻokahi a ʻelua mau lā paha e hōʻalo ai i ka wehe ʻana i kou ʻeha. A e hoʻopili koke aku i kāu kauka inā ʻike ʻoe:

• kahe nui ke koko
• hoʻonui ʻeha
• pehu
• kahena
• fiva

E hoʻāʻo ka lab i kou iwi iwi i kēia manawa. Ke kali nei no nā hopena hiki ke hala i hoʻokahi a ʻekolu mau pule. Ke hiki mai kāu hopena, hiki i kāu kauka ke kāhea a hoʻonohonoho paha i kahi manawa e ukali ai e kūkākūkā i nā hopena.

He aha ke ʻano o kāu mau hopena biopsy?

ʻO kahi kumu nui o ka biopsy e ʻike inā e holo pono ana kāu iwi iwi, a inā ʻaʻole e hoʻoholo i ke kumu. E nānā ʻia kāu laʻana e kahi pathologist nāna e hana i nā hoʻokolohua he nui e kōkua i ka hoʻoholo ʻana i ke kumu o nā mea pono ʻole.

Inā loaʻa iā ʻoe kekahi ʻano maʻi ʻaʻai e like me ka lymphoma, hana ʻia kahi biopsy o ka iwi iwi e kōkua i ke kahua o ka maʻi ʻaʻai ma o ka hoʻoholo ʻana inā ʻaʻole ka maʻi ʻaʻai i ka iwi iwi.

ʻO nā hopena maʻamau ma muli o ka maʻi ʻaʻai, maʻi, a i ʻole kekahi maʻi ʻiwi pūpū. Pono paha kāu kauka e kauoha i nā hōʻike hou aku e hōʻoia i kahi hōʻailona. A e kūkākūkā lākou i nā hopena a me nā koho lapaʻau inā pono a hoʻolālā i kāu mau hana hou i ka wā o ka hoʻonohonoho hope.

A:

ʻO ka manaʻo o kahi biopsy pūhaka hiki ke hopohopo akā ʻo ka hapa nui o nā mea maʻi e hōʻike ʻaʻole kokoke i ka maikaʻi e like me kā lākou i manaʻo ai. Heʻuʻuku ka ʻeha ma ka hapanui o nā hihia. ʻOi aku inā hana ʻia e kahi mea hoʻolako ʻike. ʻO ka lāʻau numbing i hoʻohana ʻia e like me ka mea i loaʻa iā ʻoe ma ka kauka niho a maikaʻi loa i ka helu ʻana i ka ʻili a me ka waho o ka iwi kahi e loaʻa ai nā mea loaʻa ʻeha. Hiki iā ia ke kōkua e hoʻolohe i ke mele a i ʻole kahi leo hōʻoluʻolu i ka wā o ke kaʻina hana e hoʻohoka iā ʻoe a kōkua iā ʻoe e hoʻomaha. ʻOi aku ka maʻalahi o ka maʻalahi iā ʻoe a ʻo ke kauka lapaʻau e hoʻomaʻamaʻa ana i ke kaʻina hana.