Chipfuva biopsy - ultrasound
Chipfuva chechipfuva ndiko kubviswa kwemazamu enyama kuti uiongorore nezviratidzo zvegomarara repazamu kana zvimwe zvinetso.
Kune akatiwandei marudzi ezamu mazamu biopsies, anosanganisira stereotactic, ultrasound-inotungamirwa, MRI-inotungamirwa, uye yakasarudzika yemazamu biopsy. Ichi chinyorwa chinotarisa pane tsono-yakavakirwa, ultrasound-inotungamirwa yemazamu biopsies.
Unobvunzwa kusunungura mbichana kubva muchiuno zvichikwira. Iwe unopfeka jasi rinovhura kumberi. Munguva yebhaopsy, iwe wakamuka.
Unorara nemusana.
Biopsy inoitwa nenzira inotevera:
- Anopa hutano anochenesa nzvimbo iri pazamu rako.
- Unhu hwejekiseni hwakajowa.
- Chiremba anogadzira kakacheka padiki pazamu rako pamusoro penzvimbo inoda kuve biopsied.
- Chiremba anoshandisa muchina we ultrasound kutungamira tsono kunzvimbo isina kujairika pazamu rako inoda kuiswa biopsied.
- Zvidimbu zvidimbu zvidiki zvinotorwa.
- Chikamu chidiki chesimbi chinogona kuiswa muchipfuva munzvimbo yeiyo biopsy kuchimaka, kana zvichidikanwa.
Biopsy inoitwa uchishandisa imwe yeanotevera:
- Kunaka tsono kushuvira
- Hollow sindano (inonzi yakakosha tsono)
- Mhepo-yemagetsi mudziyo
- Ose ari maviri mhango tsono uye mudziyo wekutsvaira-unofambiswa
Kana kamwe sampuro yetishu yatorwa, tsono inobviswa. Ice nechisimba zvinoiswa panzvimbo ino kumisa kubuda kweropa. Bhandeji rinoiswa kunwa chero mvura. Iwe haudi chero stitches mushure mekubviswa kwetsono. Kana zvichidikanwa, mitsetse yetepi inogona kuiswa kuvhara ronda.
Iye mupi anozobvunza nezve yako nhoroondo yezvokurapa uye oita bvunzo yemazamu yebhuku.
Kana iwe ukatora mishonga yekutsvaira ropa (kusanganisira aspirin, zvinowedzera, kana mahebhu), bvunza chiremba wako kana iwe uchifanira kumira kutora izvi pamberi peiyo biopsy.
Udza chiremba wako kana iwe ungave uine pamuviri.
Usashandise mafuta, mafuta, poda, kana zvinonhuwira pasi pemaoko ako kana pamazamu ako.
Kana mushonga unovevesa uchinge wajowa, unogona kuruma zvishoma.
Munguva yekuita, iwe ungangonzwa kusanzwisisika kushoma kana kumanikidza kudiki.
Mushure mekuyedzwa, iro zamu rinogona kunge richirwadza uye nyoro kune iro kubata kwemazuva akati wandei. Iwe unozopihwa mirairo nezve izvo zviitiko zvaunogona kuita, machengeterwo ezamu rako, uye nemishonga ipi yaunotora pakurwadziwa.
Unogona kunge uine maronda, uye pachave nevanga diki kwazvo pakapinzwa tsono.
Chirwere chinotungamirirwa ne-ultrasound chinogona kuitwa kuti chiongorore zvisingawanzo kuwanikwa pane mammogram, zamu ultrasound, kana MRI.
Kuti uone kana mumwe munhu aine kenza yemazamu, biopsy inofanira kuitwa. Tissue kubva munzvimbo isina kujairika inobviswa uye kuongororwa pasi pe microscope.
Mhedzisiro mhedzisiro zvinoreva kuti hapana chiratidzo checancer kana mamwe matambudziko emuzamu.
Wako mupi achakuzivisa iwe kana uye kana iwe uchida yekutevera-up ultrasound, mammogram kana imwe bvunzo.
Bhiopsy inogona kuratidza huwandu hwenzvimbo yemazamu isiri cancer kana precancer, inosanganisira:
- Fibroadenoma (chipfuva chemuzamu icho kazhinji hachisi kenza)
- Mafuta necrosis
Biopsy mhedzisiro inogona kuratidza mamiriro akadai se:
- Atypical ductal hyperplasia
- Atypical lobular hyperplasia
- Flat epithelial atypia
- Intraductal papilloma
- Lobular carcinoma-in-situ
- Radial vanga
Mhedzisiro isina kujairika inogona kureva kuti une kenza yemazamu. Mhando mbiri huru dzekenza yemazamu inogona kuwanikwa:
- Ductal carcinoma inotangira mumachubhu (ducts) ayo anofambisa mukaka kubva pazamu kuenda kunyini. Gomarara rakawanda remazamu nderudzi urwu.
- Lobular carcinoma inotanga muzvikamu zvezamu zvinonzi makulules, zvinoburitsa mukaka.
Zvichienderana nezvakabuda mubiopsy, ungangoda kumwe kuvhiyiwa kana kurapwa.
Wako mupi achakurukura zvinorehwa nemabudiro ebiopsy newe.
Pane mukana mushoma wekutapukirwa pajekiseni kana panzvimbo yekukanganisa. Kunyanya kubuda ropa hakuwanzo.
Biopsy - zamu - Ultrasound; Ultrasound-inotungamirwa chipfuva biopsy; Core tsono yemazamu biopsy - ultrasound; Gomarara repazamu - zamu biopsy - ultrasound; Asina kujairika mammogram - zamu biopsy - ultrasound
American College yeRadiology webhusaiti. ACR inodzidzira paramende yekuita kweiyo ultrasound-inotungamirwa pachecipfu yezamu inopindira maitiro. www.acr.org/-/media/ACR/Files/Practice-Parameter/us-guidedbreast.pdf. Yakagadziridzwa 2016.Yakasvika Kurume 15, 2019.
Henry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Kenza yezamu. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chap 88.
Torrente J, Brem RF. Zvishoma zvinokanganisa mifananidzo-inotungamirwa chipfuva biopsy uye ablation. Mune: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Mifananidzo-Inotungamirwa Kupindira. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2014: chitsiko 155.