Pono kahi biopsy lymph node e hana i kahi hōʻailona no ka hapa nui o nā ʻano lymphoma.
He aha ka lymph node biopsy?
A nā lāʻau kanu ʻo ia kekahi o nā mea nui loa i loko ka ʻike ʻana i ka lymphoma. Hoʻopili ia i ka wehe ʻana i kahi laʻana o ka ʻiʻo (nā pūnaʻi), hana maʻamau e ke kauka lapaʻau. A laila nānā ʻia nā cell ma lalo o kahi microscope.
Hoʻohana ʻia kahi biopsy lymph node e hōʻoia i ka ʻike o ka lymphoma. Inā loaʻa iā ʻoe kahi hōʻailona o ka lymphoma, hiki i nā kauka ke nānā i nā cell e ʻike hou aku i ke ʻano o ka lymphoma.
ʻO nā ʻano biopsies lymph node
Aia nā ʻano like ʻole o ka biopsy, me:
ʻO ka biopsy ʻokiʻoki
An biopsy ʻokoʻa wehe a ʻōnaʻi lymph holoʻokoʻa. ʻO kēia ka loa, he pono ole ʻano biopsy. Hoʻopili ia i kahi hana liʻiliʻi. Inā kokoke ka puʻu lymph i ka ʻili o ka ʻili, pono paha ʻoe i kahi anesthetic kūloko (e ʻeha ka wahi no laila ʻaʻole hiki iā ʻoe ke manaʻo i kekahi mea akā ʻaʻole ʻoe e hiamoe loa). Inā ʻoi aku ka hohonu o ka puʻu lymph i loko o kou kino, a laila pono ʻoe e loaʻa i kahi anesthetic maʻamau (Ma hea ʻoe e hiamoe ai i ka wā o ke kaʻina hana).
ʻO kahi biopsy node excisional ka koho noiʻi maikaʻi loa, no ka mea, e hōʻiliʻili ʻo ia i ka nui o ka nui o ka ʻiʻo e hiki ai ke hana i ka hoʻāʻo pono no kahi hōʻailona.
Pono paha ʻoe e nānā i mua o ka biopsy. E alakaʻi kēia i ke kauka i kahi kūpono e lawe ai i ka biopsy. Ke wehe ʻia ka puʻu lymph, hoʻouna ʻia ia i kahi keʻena no ka hoʻokolokolo ʻana. E humuhumu ʻia ka wahi a uhi ʻia.
E hāʻawi ʻia iā ʻoe ka ʻike e pili ana i ka mālama ʻana i ka ʻeha. Inā ʻaʻole i loaʻa iā ʻoe kēia ʻike, e ʻike pono ʻoe e noi no ia. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi āu e hana ai. Manaʻo ʻia e hōʻiliʻili kekahi iā ʻoe a lawe iā ʻoe i ka home. Inā loaʻa iā ʻoe kahi maʻi maʻi maʻamau, ʻaʻole hiki iā ʻoe ke hoʻokele.
Biopsy ʻokiʻoki
An biopsy ʻokiʻoki, ka mea wehe ʻia kahi ʻāpana o kahi puʻupuʻu lymph. Hoʻohana pinepine ʻia kahi biopsy ʻokiʻoki i ka nui o nā ʻōpū lymph mai ka pehu ʻana a i ʻole ka moena. Ua like ke kaʻina hana me ka biopsy excision ʻoiai ua wehe ʻia kahi hapa wale nō (ma kahi o nā mea āpau) o kahi puʻupuʻu lymph.
Biopsy kikine ʻehā
A biopsy o ka nila kumu, e lawe ana i a liʻiliʻi liʻiliʻi o kahi pūpū lymph; ʻike ʻia kēia ʻano biopsy he a 'core biopsy' ai ole ia, he 'ʻala biopsy'.
Hana ʻia kēia me ka hoʻohana ʻana i kahi anesthetic kūloko e hoʻopau ai i ka wahi. E hoʻomaʻemaʻe ʻia ka wahi a laila e hoʻokomo ke kauka i kahi nila puka a wehe i kahi ʻāpana liʻiliʻi mai ka ʻōpū lymph. Inā pili ka node i ka ʻili e ʻike ke kauka i ka wahi e biopsied.
Inā ʻoi aku ka hohonu o ka node ma mua o kahi ke kaha or C scan e hoʻohana ʻia e kōkua i ke kauka e ʻimi i kahi maikaʻi loa e lawe ai i ka hāpana. E kau ʻia kahi lole ma ka pūnaewele. Hiki iā ʻoe ke hoʻi i ka home ma hope o ke kaʻina hana.
ʻO ka aspirate o ka nila maikaʻi (FNA)
A ʻO ka aspirate o ka nila maikaʻi (FNA) Hana ʻia i kekahi manawa inā manaʻo nā kauka e loaʻa iā ʻoe ka lymphoma. ʻO kēia ka biopsy mua loa a kāu kauka i kauoha ai e hana.
Hoʻohana ʻia kahi niila maikaʻi aspirate i kahi niila ʻuʻuku loa, puha i hoʻopaʻa ʻia i kahi syringe e lawe i kahi wai liʻiliʻi a me nā ʻāpana liʻiliʻi liʻiliʻi loa o ka ʻiʻo. E hoʻokomo ke kauka i kahi nila no kahi o 30 kekona. No nā pūpū lymph kokoke i ka ʻili o ka ʻili, e hana ʻia kēia me ka manaʻo o ke kauka i ka puʻu lymph.
Inā ʻoi aku ka hohonu o ka node ma mua o kahi ke kaha a C scan e hoʻohana ʻia e kōkua i ke kauka e ʻimi i kahi maikaʻi loa e lawe ai i ka hāpana. ʻOiai hiki ke kōkua i nā kauka e ʻike inā loaʻa iā ʻoe ka lymphoma, ʻaʻole lawa iā ia iho.
ʻO nā hoʻokolohua hou aʻe e like me kahi pono ʻia ka biopsy excisional a i ʻole ʻokiʻoki e hōʻoia i ka ʻike o ka lymphoma.
He aha ka hana ma hope o ka biopsy?
E uhi ʻia ka wahi biopsied e kahi lole pale a hāʻawi ka hui lapaʻau iā ʻoe i nā ʻōlelo aʻoaʻo e pili ana i ka mālama ʻana i ia wahi. I ka hapanui o nā hihia, e noho mau ka lole no 2-3 mau lā. Pono ʻoe e pale i ka pulu ʻana o ka wahi, no ka laʻana i loko o ka loko a i ʻole ka ʻauʻau a ʻo ia ka mea e hoʻāʻo a pale i nā maʻi. Pono e kiaʻi ʻia ka wahi no ke kahe koko, pehu a i ʻole nā hōʻailona o ka maʻi e like me ka hoʻokuʻu ʻana a i ʻole ke kuni (ka wela ma luna o 38 degere Celsius). He mea nui e hoʻopili koke i kāu kauka inā ʻike ʻoe i nā hōʻailona o ka maʻi.
Loaʻa i kāu mau hopena
Hiki ke lōʻihi ka loaʻa ʻana o nā hopena hōʻike. He nui nā hoʻāʻo ʻana i nā laʻana a i kekahi manawa pono e hoʻouna ʻia nā laʻana no nā laboratories e hoʻāʻo iā lākou. ʻOiai e hana ʻia ana kēia, hiki i kāu mau kauka ke hoʻouna iā ʻoe e hana i nā hoʻokolohua ʻē aʻe e like me ka scans a i ʻole ka hoʻāʻo koko.
He manawa paʻakikī ke kali ʻana i nā hopena, maopopo paha ke hopohopo nui ʻoe i kēia manawa. Pono ʻoe e kamaʻilio me kāu kauka e ʻike i ka lōʻihi o ka hoʻi ʻana mai o nā hopena. Hiki ke kōkua pū ke kūkākūkā i kēia me kou ʻohana a me GP.
