Isifuba sebele-stereotactic
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 lijolise kwi-biopsy yebele ye-stereotactic, esebenzisa i-mammography ukunceda ukukhomba indawo ebeleni efuna ukususwa.
Uyacelwa ukuba ukhulule iimpahla ukusuka esinqeni ukuya phezulu. Ngexesha le-biopsy, uvukile.
Ngokuqinisekileyo ucelwa ukuba ulale phantsi ujonge phantsi kwitafile ye-biopsy. Isifuba esixhonywayo sixhonywe ngokuvula kwitafile. Itafile iphakanyisiwe kwaye ugqirha wenza i-biopsy evela ngaphantsi. Kwezinye iimeko, i-biopsy yebele ye-stereotactic yenziwa ngelixa uhleli kwindawo ethe tye.
I-biopsy yenziwa ngale ndlela ilandelayo:
- Umboneleli wezempilo uqale acoce indawo esesifubeni sakho. Iyeza lokufaka amakhwenkwe lifakwa ngaphakathi.
- Isifuba sicinezelwe ukubamba endaweni ngexesha lenkqubo. Kuya kufuneka ubambe ngxi ngelixa i-biopsy isenziwa.
- Ugqirha wenza ukusika okuncinci kakhulu ebeleni lakho ngaphezulu kwendawo ekufuneka yenziwe biopsied.
- Sebenzisa umatshini okhethekileyo, inaliti okanye isikhwama sikhokelwa kwindawo eyiyo kanye kwindawo engaqhelekanga. Kuthathwa iisampulu ezininzi zethishu yamabele.
- Ikliphu encinci yesinyithi inokufakwa ebeleni kwindawo ye-biopsy. Ikliphu iyayiphawula kwi-biopsy yokuhlinzwa kamva, ukuba iyafuneka.
I-biopsy ngokwayo yenziwa ngokusebenzisa enye yezi zinto zilandelayo:
- Inaliti engenanto (ebizwa ngokuba yinaliti engundoqo)
- Isixhobo esisebenza ngombane
- Zombini inaliti kunye nesixhobo esisebenza ngombane
Inkqubo ihlala ithatha malunga neyure enye. Oku kubandakanya ixesha elithathwayo x-reyi. Eyona biopsy ithatha kuphela imizuzu eliqela.
Emva kokuba kuthathwe isampuli yethishu, inaliti iyasuswa. Umkhenkce noxinzelelo zifakwa kwisiza ukunqanda ukopha. Kuya kusetyenziswa ibhandeji ukufunxa nayiphi na incindi. Ukuthunga akufuneki. Imigca ebambekayo inokubekwa ngaphezulu kwalo naliphi na inxeba, ukuba liyimfuneko.
Umboneleli uya kubuza malunga nembali yakho yonyango. Uvavanyo lwebele lunokwenziwa.
Ukuba uthatha amayeza (kubandakanya iasprini, izongezo, okanye imifuno), buza ugqirha wakho ukuba kuyafuneka uyeke ukuthatha la ngaphambi kwe-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.
Ukulala ngesisu ukuya kuthi ga kwiyure e-1 kungangonwabisi. Ukusebenzisa imiqamelo okanye imiqamelo kunokunceda. Abanye abantu banikwa ipilisi yokunceda bayiphumze ngaphambi kwenkqubo.
Emva kovavanyo, isifuba sinokuba buhlungu kwaye sithambe kangangeentsuku ezininzi. Landela imiyalelo yeyiphi imisebenzi onokuyenza, indlela yokunyamekela ibele lakho, kwaye ngawaphi amayeza onokuwathatha xa usiva iintlungu.
I-biopsy yebele ye-stereotactic isetyenziswa xa ukukhula okuncinci okanye indawo yokubala ibonwa kwi-mammogram, kodwa ayinakubonwa kusetyenziswa i-ultrasound yebele.
Iisampulu zethishu zithunyelwa kugqirha wezonyango ukuba avavanywe.
Iziphumo eziqhelekileyo zithetha ukuba akukho phawu lomhlaza.
Umboneleli wakho uya kukwazisa xa ufuna i-mammogram yokulandela okanye ezinye iimvavanyo.
Ukuba i-biopsy ibonisa izicubu zesifuba ezinobungozi ngaphandle komhlaza, ngekhe ufune utyando.
Ngamanye amaxesha iziphumo ze-biopsy zibonisa iimpawu ezingaqhelekanga ezingezizo ezomhlaza. Kule meko, i-biopsy yokuhlinzwa inokucetyiswa ukuba isuse yonke indawo engaqhelekanga yoviwo.
Iziphumo ze-Biopsy zingabonisa iimeko ezinje:
- I-atypical ductal hyperplasia
- I-atypical lobular hyperplasia
- Ipapilloma yokungenelela
- I-atypia yeflethi ephathekayo
- Isibanda somsinga
- I-Lobular carcinoma-in-situ
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 lokosulelwa kwinaliti okanye kwindawo yokusika yotyando.
Ukuxhaphaza kuqhelekile, kodwa ukopha kakhulu kunqabile.
Biopsy - ibele - stereotactic; Ingono yenaliti yebelesyopsy - stereotactic; I-biopsy yebele ye-stereotactic; I-mammogram engaqhelekanga-i-biopsy yebele ye-stereotactic; Umhlaza webele-isitayile sebele stereotactic
Ikholeji yaseMelika yeRadiology iwebhusayithi. I-ACR yokuziqhelanisa neparamitha yokusebenza kwenkqubo yokungenelela kwebele ekhokelela kwiteereotactic. www.acr.org/-/media/ACR/Files/Practice-Parameters/stereo-breast.pdf. Ukuhlaziywa ngo-2016. Ufikeleleke ngo-Epreli 3, 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.
UParker C, Umphrey H, Bland K. Indima ye-biopsy yebele yestereotactic kulawulo lwezifo zebele. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 666-671.