Chipfuva biopsy - stereotactic

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 stereotactic yemazamu biopsy, iyo inoshandisa mammography kubatsira kuratidza nzvimbo iri muzamu inoda kubviswa.

Unobvunzwa kusunungura mbichana kubva muchiuno zvichikwira. Munguva yebhaopsy, iwe wakamuka.

Iwe ungangodaro wakabvunzwa kuti urere wakatarisa pasi patafura yebhiopsy. Chipfuva chiri kuitwa biopsied chinorembera kuburikidza nekuvhura kwetafura. Tafura yacho inomutswa uye chiremba anoita biopsy kubva pasi. Mune zvimwe zviitiko, stereotactic yemazamu biopsy inoitwa iwe pawakagara panzvimbo yakatwasuka.

Biopsy inoitwa nenzira inotevera:

• Anopa hutano anotanga achenesa nzvimbo iri pazamu rako. Unhu hwejekiseni hwakajowa.
• Chipfuva chakatsikirirwa pasi kuti chigare chakamira panguva yekuita kwacho. Iwe unofanirwa kuramba wakadzikama apo biopsy iri kuitwa.
• Chiremba anogadzira kakacheka padiki pazamu rako pamusoro penzvimbo inoda kuve biopsied.
• Uchishandisa yakakosha muchina, tsono kana sheati inotungamirwa kunzvimbo chaiyo yenzvimbo isina kujairika. Maenzaniso akati wandei ezvipfuva zamu anotorwa.
• Chikamu chidiki chesimbi chinogona kuiswa muzamu munzvimbo yebiopsy. Iyo clip inoratidzira iyo yekuvhiya biopsy gare gare, kana zvichidikanwa.

Biopsy pachayo inoitwa uchishandisa imwe yeanotevera:

• Hollow sindano (inonzi yakakosha tsono)
• Mhepo-yemagetsi mudziyo
• Dzese tsono uye chishina-chine simba-mudziyo

Iyo nzira inowanzo kutora inenge 1 awa. Izvi zvinosanganisira iyo nguva inotora yeiyo x-ray. Iyo chaiyo biopsy inotora maminetsi akati wandei.

Mushure mekunge sampuro yetissue yatorwa, tsono inobviswa. Ice nechisimba zvinoiswa panzvimbo ino kumisa kubuda kweropa. Bhandeji rinozoshandiswa kutora chero mvura. Kusona hakudi. Zvipfeko zvekunamatira zvinogona kuiswa pamusoro pechero ronda, kana zvichidikanwa.

Iye mupi anozobvunza nezve yako nhoroondo yekurapa. Bvunzo yemazamu inogona kuitwa.

Kana iwe ukatora mishonga (inosanganisira 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.

Kurara padumbu rako kusvika paawa imwe kunogona kusanzwisisika. Kushandisa makushoni kana mapiro kunogona kubatsira. Vamwe vanhu vanopihwa piritsi rekubatsira kuvazorodza pamberi pekuita.

Mushure mekuyedzwa, iro zamu rinogona kunge richirwadza uye nyoro kwemazuva akati wandei. Tevedza rairo pane izvo zviitiko zvaunogona kuita, machengeterwo ezamu rako, uye nemishonga ipi yaunotora pakurwadziwa.

Stereotactic zamu biopsy inoshandiswa kana kukura kudiki kana nzvimbo yekuverenga kunoonekwa pane mammogram, asi haigone kuonekwa uchishandisa ultrasound yezamu.

Iwo maturu sampuli anotumirwa kuna pathologist kuti aongororwe.

Mhedzisiro mhedzisiro zvinoreva kuti hapana chiratidzo checancer.

Wako mupi achakuzivisa iwe kana iwe uchida yekutevera-mammogram kana imwe bvunzo.

Kana iyo biopsy inoratidza benign mazamu tishu pasina cancer, iwe ungangodaro usingade kuvhiyiwa.

Dzimwe nguva mhedzisiro yebhiopsy inoratidza zviratidzo zvisina kujairika izvo zvisiri gomarara. Muchiitiko ichi, bhiopsy yekuvhiya inogona kukurudzirwa kubvisa iyo nzvimbo isingawanzo kuongororwa.

Biopsy mhedzisiro inogona kuratidza mamiriro akadai se:

• Atypical ductal hyperplasia
• Atypical lobular hyperplasia
• Intraductal papilloma
• Flat epithelial atypia
• Radial vanga
• Lobular carcinoma-in-situ

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 pakuvhiya saiti.

Kupopota kwakajairika, asi kubuda ropa kwakanyanya hakuwanzoitika.

Biopsy - chipfuva - stereotactic; Core tsono yemazamu biopsy - stereotactic; Stereotactic chipfuva biopsy; Isina kujairika mammogram - stereotactic chifuva biopsy; Gomarara repazamu - stereotactic breast biopsy

American College yeRadiology webhusaiti. ACR tsika paramende yekuita kweiyo stereotactic-inotungamirwa chipfuva kupindira maitiro. www.acr.org/-/media/ACR/Files/Practice-Parameter/stereo-breast.pdf. Yakagadziridzwa 2016. Yakasvika muna Kubvumbi 3, 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.

Parker C, Umphrey H, Bland K. Basa re stereotactic yemazamu biopsy mukutungamira kwechirwere chepamu. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 666-671.