Isifuba sebele - i-ultrasound
I-biopsy yebele kukususwa kwethambo lebele ukuyivavanya ngeempawu zomhlaza wamabele okanye ezinye iingxaki.
Kukho iintlobo ezininzi ze-biopsies zesifuba, kubandakanywa i-stereotactic, i-ultrasound-ekhokelwa, i-MRI ekhokelwa, kunye ne-biopsy yesifuba. Eli nqaku ligxile kwi-inaliti-esekwe kwi-biopsies yebele ekhokelwa yi-ultrasound.
Uyacelwa ukuba ukhulule iimpahla ukusuka esinqeni ukuya phezulu. Unxibe ingubo evuleka ngaphambili. Ngexesha le-biopsy, uvukile.
Ulale ngomqolo.
I-biopsy yenziwa ngale ndlela ilandelayo:
- Umboneleli wezempilo uyayicoca indawo esesifubeni sakho.
- Iyeza lokufaka amakhwenkwe lifakwa ngaphakathi.
- Ugqirha wenza ukusika okuncinci kakhulu ebeleni lakho ngaphezulu kwendawo ekufuneka yenziwe biopsied.
- Ugqirha usebenzisa umatshini we-ultrasound ukukhokela inaliti kwindawo engaqhelekanga esifubeni sakho efuna ukuba ichazwe.
- Kuthathwa iziqwenga ezincinci zethishu.
- Ikliphu encinci yesinyithi ingafakwa ebeleni kwindawo ye-biopsy ukuyiphawula, ukuba iyafuneka.
I-biopsy yenziwa ngokusebenzisa enye yezi zinto zilandelayo:
- Umnqweno wenaliti olungileyo
- Inaliti engenanto (ebizwa ngokuba yinaliti engundoqo)
- Isixhobo esisebenza ngombane
- Zombini inaliti engenanto kunye nesixhobo esisebenza ngombane
Nje ukuba kuthathwe isampulu yethishu, inaliti iyasuswa. Umkhenkce noxinzelelo zifakwa kwisiza ukunqanda ukopha. Ibhandeji isetyenziselwa ukufunxa nayiphi na incindi. Awudingi naluphi na umthungo emva kokuba inaliti ikhutshiwe. Ukuba kukho imfuneko, imitya ye tape ingabekwa ukuvala inxeba.
Umboneleli uya kubuza malunga nembali yakho yezonyango kwaye enze uvavanyo lwebele lwencwadana.
Ukuba uthatha amayeza okucoca igazi (kubandakanya iasprini, izongezo, okanye amayeza), cela ugqirha wakho ukuba uyafuna na ukuyeka ukuwathabatha ngaphambi kokuba kwenziwe i-biopsy.
Tshela ugqirha wakho ukuba unokukhulelwa.
UNGAYisebenzisi into yokuthambisa, isiqholo, umgubo, okanye i-deodorant phantsi kweengalo zakho okanye emabeleni akho.
Xa iyeza elenzayo lingeniswa, lisenokuhlaba kancinci.
Ngexesha lenkqubo, unokuziva ungonwabanga okanye uxinzelelo lokukhanya.
Emva kovavanyo, isifuba sinokuba buhlungu kwaye sithambile ekuchukumiseni kangangeentsuku ezininzi. Uya kunikwa imiyalelo malunga nokuba yeyiphi na imisebenzi onokuyenza, indlela yokunyamekela isifuba sakho, kunye nokuba ngawaphi amayeza onokuwathatha xa usiva iintlungu.
Unokuba nokugruzuka, kwaye kuyakubakho isikhumba esincinci kakhulu apho inaliti yafakwa khona.
I-biopsy yesifuba esikhokelwa yi-ultrasound inokwenziwa ukuvavanya iziphumo ezingaqhelekanga kwi-mammogram, kwi-ultrasound yebele, okanye kwi-MRI.
Ukuchonga ukuba ngaba umntu unomdlavuza webele, kufuneka kwenziwe i-biopsy. Izicubu ezivela kwindawo engaqhelekanga ziyasuswa kwaye zivavanywe phantsi kwemicroscope.
Iziphumo eziqhelekileyo zithetha ukuba akukho phawu lomhlaza okanye ezinye iingxaki zebele.
Umboneleli wakho uya kukwazisa ukuba kwaye xa ufuna i-ultrasound yokulandela, i-mammogram okanye olunye uvavanyo.
I-biopsy inokuchonga inani leemeko zesifuba ezingekho ngumhlaza okanye i-precancer, kubandakanya:
- I-Fibroadenoma (iqhuma lebele elihlala lingumhlaza)
- Amafutha necrosis
Iziphumo ze-Biopsy zingabonisa iimeko ezinje:
- I-atypical ductal hyperplasia
- I-atypical lobular hyperplasia
- I-atypia yeflethi ephathekayo
- Ipapilloma yokungenelela
- I-Lobular carcinoma-in-situ
- Isibanda somsinga
Iziphumo ezingaqhelekanga zinokuthetha ukuba unomdlavuza webele. Iindidi ezimbini eziphambili zomhlaza wamabele zinokufumaneka:
- I-Ductal carcinoma iqala kwimibhobho (imibhobho) ehambisa ubisi ukusuka ebeleni luye kwingono. Uninzi lomhlaza webele lolu hlobo.
- I-Lobular carcinoma iqala kwiindawo ezithile zebele ezibizwa ngokuba zii-lobules, ezivelisa ubisi.
Kuxhomekeke kwiziphumo zebhayopsy, unokufuna olunye unyango okanye unyango.
Umboneleli wakho uya kuxoxa ngentsingiselo yeziphumo ze-biopsy kunye nawe.
Kukho ithuba elincinci losulelo kwindawo yenaliti okanye kwindawo yokusika. Ukopha kakhulu kunqabile.
Biopsy - webele - ultrasound; Isifuba esikhokelwa yi-Ultrasound; Ingono yenaliti yebelesyopsy - i-ultrasound; Umhlaza webele - i-biopsy yebele- i-ultrasound I-mammogram engaqhelekanga-i-biopsy yebele- i-ultrasound
Ikholeji yaseMelika yeRadiology iwebhusayithi. I-ACR yokuziqhelanisa neparamitha yokusebenza kwenkqubo yokungenelela kwebele ekhokelwa yi-ultrasound. www.acr.org/-/media/ACR/Files/Practice-Parameters/us-guidedbreast.pdf. Ukuhlaziywa kwe2016.Kufunyenwe ngo-Matshi 15, 2019.
UHenry NL, u-Shah PD, uHaider I, uFreer PE, uJagsi R, uSabel MS. Umhlaza webele. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl. 88.
IsiThuthi J, iBrem RF. Ubuncinci obunokungenisa imifanekiso ekhokelwa ngumfuziselo wesifuba kunye nokwehliswa. Ku: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, ii-eds. Ungenelelo olukhokelwa ngumfanekiso. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 155.