A biopsy iwi ʻōiwi He kaʻina hana i hoʻohana ʻia no ka ʻike ʻana a me ke kau ʻana i nā ʻano lymphoma like ʻole, Chronic Lymphocytic Leukemia (CLL) a me nā maʻi maʻi koko ʻē aʻe.
ʻO wai ka mea e pono ai kahi biopsy iwi?
ʻO Lymphoma a me CLL nā ʻano maʻi kanesa e pili ana i ke ʻano o ke koko keʻokeʻo i kapa ʻia he lymphocyte. Hana ʻia nā Lymphocytes i loko o kou iwi iwi, a laila neʻe i loko o kāu ʻōnaehana lymphatic. He mau pūnaewele koʻikoʻi lākou o kāu ʻōnaehana pale e kōkua i ke kaua ʻana i ka maʻi a pale iā ʻoe mai ka maʻi.
Hoʻomaka maʻamau ka Lymphoma i kāu ʻōnaehana lymphatic e komo pū ana me kāu mau lymph nodes, lymphatic organ a me nā moku. Eia naʻe, hiki i ka lymphoma a i ʻole CLL ke hoʻomaka i loko o kou iwi iwi. ʻO ka mea maʻamau, hoʻomaka ia i kāu ʻōnaehana lymphatic, a i kona holomua ʻana e hele i kou iwi iwi. Aia ka lymphoma/CLL i loko o kou iwi iwi, ʻaʻole hiki iā ʻoe ke hana i nā pūnaʻi koko olakino hou e like me ka maʻamau.
Inā kānalua kāu kauka he lymphoma a i ʻole CLL paha ʻoe, hiki iā lākou ke ʻōlelo iā ʻoe e loaʻa kahi biopsy iwi iwi. Hiki i nā laʻana mai ka biopsy ke hōʻike inā loaʻa kekahi lymphoma i loko o kou iwi iwi. Hiki ke hana ʻia nā biopsies iwi iwi e ke kauka i hoʻomaʻamaʻa kūikawā a i ʻole kahu kahu.
Pono paha ʻoe i hoʻokahi biopsy iwi iwi no ka mea hiki ke hoʻohana ʻia e nānā inā paʻa kou maʻi, inā e pane ana ʻoe i ka lāʻau lapaʻau, a i ʻole e nānā inā ua hoʻi hou kāu lymphoma/CLL ma hope o ke kala ʻana.
ʻAʻole pono nā kānaka a pau me ka lymphoma i kahi biopsy iwi iwi. Hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i ka biopsy iwi iwi ke ʻano hoʻāʻo kūpono no ʻoe.
He aha ka biopsy iwi iwi?
Loaʻa ka iwi iwi i waenakonu o kou mau iwi a pau. He wahi ʻulaʻula a melemele ke nānā aku i kahi i hana ʻia ai kou mau koko koko.
A biopsy iwi ʻōiwi he kaʻina hana kahi e lawe ʻia ai nā laʻana o kou iwi iwi a nānā ʻia i ka maʻi maʻi. Lawe ʻia ka biopsy iwi iwi mai kou iwi ʻūhā, akā hiki ke lawe ʻia mai nā iwi ʻē aʻe e like me kou iwi umauma (sternum) a me nā iwi wāwae.
Ke loaʻa iā ʻoe kahi biopsy iwi iwi, lawe mau ʻia ʻelua ʻano laʻana. Aia lākou:
- ʻO ka aspirate iwi iwi (BMA): lawe ʻia kēia hoʻāʻo ʻana i kahi wahi liʻiliʻi o ka wai i loaʻa ma ka hakahaka o ka iwi
- ʻO ka iwi aspirate trepine (BMAT): lawe kēia ho'āʻo i kahi laʻana liʻiliʻi o ka ʻiʻo iwi iwi
Ke loaʻa kāu mau laʻana i ka maʻi maʻi, e nānā ke kauka maʻi iā lākou ma lalo o kahi microscope e ʻike ai inā loaʻa kekahi mau sela lymphoma. Hiki paha iā lākou ke hana i kekahi mau ho'āʻo ʻē aʻe ma kāu mau hōʻailona biopsy iwi no ka ʻike ʻana inā he mau hoʻololi genetic i kōkua i ka ulu ʻana o kāu lymphoma / CLL, a i ʻole e pili ana i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
He aha ka hana ma mua o koʻu loaʻa ʻana i kahi biopsy iwi iwi?
Na kāu kauka e wehewehe iā ʻoe i ke kumu o ko lākou manaʻo he pono ka biopsy iwi iwi. Hāʻawi lākou iā ʻoe i ka ʻike e pili ana i ke kaʻina hana, nā mea e pono ai ʻoe e hana ma mua o ke kaʻina hana a pehea e mālama ai iā ʻoe iho ma hope o ke kaʻina hana. Pono e wehewehe ʻia nā pilikia a me nā pōmaikaʻi o ke kaʻina hana ma ke ʻano āu e maopopo ai. E hāʻawi ʻia hoʻi iā ʻoe ka manawa e nīnau ai i nā nīnau āu e loaʻa ai.
Nā nīnau no kāu Kauka ma mua o kou kau inoa ʻana i kāu ʻae
ʻO kekahi mau nīnau āu e makemake ai e noʻonoʻo e nīnau:
- Hiki iaʻu ke ʻai a inu ma mua o ka biopsy iwi iwi? Inā ʻaʻole he aha kaʻu e hoʻōki ai i ka ʻai a me ka inu ʻana?
- Hiki iaʻu ke lawe i kaʻu mau lāʻau ma mua o ke kaʻina hana? (E lawe i ka papa inoa o kāu mau lāʻau a pau, nā huaora a me nā mea hoʻohui i kāu koho ʻana i mea e maʻalahi ai kēia.
- Hiki iaʻu ke hoʻokele iaʻu iho i ke keʻena maʻi i ka lā o koʻu biopsy iwi iwi?
- Pehea ka lōʻihi o ke kaʻina hana, a pehea ka lōʻihi o koʻu noho ʻana i ka haukapila a i ʻole ke keʻena kino i ka lā o koʻu biopsy iwi iwi?
- Pehea ʻoe e hōʻoia ai i koʻu ʻoluʻolu, a i ʻole e ʻeha i ka wā o ke kaʻina hana
- I ka manawa hea e hiki ai iaʻu ke hoʻi i ka hana a i ʻole ke kula?
- Makemake au i kekahi me aʻu ma hope o ke kaʻina hana?
- He aha ka mea e lawe ai no ka hoʻomaha ʻeha inā loaʻa iaʻu ka ʻeha ma hope o ke kaʻina hana?
'ae' ana
La o ka iwi iwi biopsy
Inā ʻaʻole ʻoe i loko o ka haukapila e hāʻawi ʻia iā ʻoe kahi manawa e komo ai i ka lā no kāu biopsy iwi iwi.
Hāʻawi ʻia paha ʻoe i kahi ʻaʻahu e hoʻololi ai a ʻaʻahu paha i kou lole ponoʻī. Inā ʻaʻahu ʻoe i kou ʻaʻahu ponoʻī, e hōʻoia e hiki i ke kauka ke loaʻa kahi lumi kokoke i kou ʻūhā e hana ai i ka biopsy. Hiki ke hana maikaʻi ka pālule a i ʻole ka pālule me ka puʻupuʻu manuahi a i ʻole ke kapa.
Mai ʻai a inu ʻoe ke ʻole kāu kauka a kahu hānai paha i ʻōlelo ua maikaʻi. He mea maʻamau ka hoʻokē ʻai ma mua o ka biopsy iwi iwi - ʻaʻohe mea e ʻai ai a inu ʻole ai no kekahi mau hola ma mua o kou hana ʻana. Inā ʻaʻole ʻoe e hoʻomaha, hiki iā ʻoe ke ʻai a inu. Hiki i kāu kauka a kahu hānai paha ke hōʻike iā ʻoe i ka manawa āu e hoʻōki ai i ka ʻai a me ka inu ʻana.
He mea maʻamau ka hoʻāʻo ʻana i ke koko ma mua o ka biopsy o ka iwi iwi e hōʻoia i ka hiki ke koʻokoʻo pono kou koko ma hope o ke kaʻina hana. Hiki ke lawe ʻia kekahi mau hoʻāʻo koko ʻē aʻe inā pono.
E nīnau kāu kahu hānai iā ʻoe i nā nīnau he nui a e hana i kou kahe koko, e nānā i kou hanu, pae o ka oxygen a me ka puʻuwai puʻuwai (ua kapa ʻia kēia mau mea nānā a i ʻole obs, a i kekahi manawa ua kapa ʻia nā hōʻailona koʻikoʻi).
E nīnau ana kāu kahu no ka manawa āu i ʻai ai a inu ʻoe, a me nā lāʻau e lawe nei. Inā he maʻi maʻi ʻoe, e ʻoluʻolu e hōʻike i kāu kahu hānai i hiki iā lākou ke nānā i kou pae kō koko.
Ma mua o kāu biopsy iwi iwi
E loaʻa iā ʻoe ka maʻi maʻi kūloko ma mua o kou biopsy iwi iwi, ʻo ia ka nila me ka lāʻau lapaʻau e hoʻopōʻino ai i ka wahi a no laila e liʻiliʻi ʻoe inā he ʻeha. He ʻokoʻa iki kēlā me kēia hale hana i ke ʻano o ka hoʻomākaukau ʻana iā ʻoe no ke kaʻina hana, akā hiki i kāu kahu hānai a kauka paha ke wehewehe i ke kaʻina hana iā ʻoe. E hōʻike pū lākou iā ʻoe e pili ana i nā lāʻau lapaʻau āu e loaʻa ai i ka wā a ma mua paha o kāu biopsy iwi iwi.
Inā hopohopo ʻoe a ʻeha paha, e kamaʻilio me kāu kauka a kahu hānai paha e pili ana i kēia. Hiki iā lākou ke hoʻolālā e hāʻawi iā ʻoe i ka lāʻau lapaʻau e kōkua iā ʻoe e hōʻoluʻolu a palekana e like me ka hiki.
I kekahi mau hihia, hiki iā ʻoe ke hāʻawi ʻia i ka sedation ma mua o kāu hana. Hiki iā ʻoe ke hiamoe (akā ʻaʻole ʻike ʻole) a kōkua iā ʻoe e hoʻomanaʻo ʻole i ke kaʻina hana. Akā ʻaʻole kūpono kēia no nā mea a pau, a ʻaʻole hiki iā ʻoe ke hoʻokele a hoʻohana i nā mīkini, a i ʻole e hana i nā hoʻoholo koʻikoʻi no 24 mau hola (ka lā piha a me ka pō) ma hope o ke kaʻina hana inā loaʻa ʻoe i ka hoʻomaha.
ʻO nā ʻano lāʻau ʻē aʻe e hāʻawi ʻia iā ʻoe ma mua a i ka wā o kāu biopsy iwi iwi:
- kinoea a me ka ea - Hāʻawi ke kinoea a me ka ea i ka hoʻomaha ʻeha pōkole e hanu ai ʻoe iā ʻoe iho inā pono ʻoe.
- ʻO ka lāʻau lapaʻau - hāʻawi ʻia ka lāʻau i mea e hiamoe ai ʻoe akā ʻaʻole hiamoe loa.
- Penthrox inhaler – he lāʻau i hoʻohana ʻia e hoʻemi i ka ʻeha. Ua hanu ʻia me ka hoʻohana ʻana i kahi inhaler kūikawā. Ho'ōla maʻamau ka poʻe maʻi ma hope o kēia ʻano hoʻomaha. ʻIke ʻia kēia i kekahi manawa ʻo ka "whistle green".
He aha ka hana i koʻu biopsy iwi iwi?
Lawe pinepine ʻia nā biopsies iwi mai kou pelvis (iwi hip). E noi ʻia ʻoe e moe ma kou ʻaoʻao a wili i luna, me kou mau kuli e huki i luna i kou umauma. I kekahi mau manawa kakaikahi hiki ke lawe ʻia ka laʻana mai kou sternum (iwi umauma). Inā pēlā, e moe ʻoe ma kou kua. He mea nui e ʻoluʻolu a e hōʻoia ʻoe e haʻi i ke koʻokoʻo inā ʻoluʻolu ʻole ʻoe. Na ke kauka a kahu hānai paha e hoʻomaʻemaʻe i ka wahi a hoʻokomo i ka lāʻau anesthetic kūloko i loko o ia wahi.
Hana ʻia ka aspirate iwi iwi. Na kāu kauka a kahu kahu paha e hoʻokomo i kahi nila kūikawā ma ka iwi a i loko o ka hakahaka ma waena. A laila e hoʻihoʻi lākou i kahi liʻiliʻi o ka wai o ka iwi iwi. Hiki paha iā ʻoe ke ʻeha pōkole ke huki ʻia ka hāpana. He mau minuke wale nō kēia.
I nā manawa kakaikahi hiki ʻole ke hoʻihoʻi ʻia kahi laʻana o ka wai. Inā hiki kēia, pono lākou e lawe i ka nila i waho, a e ho'āʻo hou ma kahi ʻē aʻe.
A laila e lawe kāu kauka a kahu hānai paha i kahi laʻana o ka ʻiʻo iwi iwi paʻakikī. Hoʻolālā kūikawā ʻia ka nila e lawe i kahi kiko liʻiliʻi o ka ʻiʻo o ka iwi iwi, e like me ka laula e like me ka lāʻau match.
He aha ka hopena ma hope o kaʻu biopsy iwi iwi?
Pono ʻoe e moe i lalo no kahi manawa pōkole (ma kahi o 30 mau minuke). E nānā ke koʻokoʻo no ka ʻike ʻaʻole he koko. ʻO ka hapa nui o ka poʻe e makemake ana i kahi biopsy iwi iwi ke kaʻina hana ma ke ʻano he maʻi ma waho a ʻaʻole pono e noho i ka haukapila i ka pō.
ʻO ka mālama ʻana iā ʻoe ma hope o kāu biopsy iwi iwi e hilinaʻi ʻia ma muli o ka loaʻa ʻana o kahi hoʻomaha a i ʻole. Inā loaʻa iā ʻoe ka hoʻomaha, e nānā nā kahu hānai i kou kahe koko a me ka hanu ʻana i kēlā me kēia 15-30 mau minuke no kekahi manawa - pinepine ma kahi o 2 mau hola ma hope o ke kaʻina hana. Inā ʻaʻohe mea hoʻomaha, ʻaʻole pono ʻoe e nānā pono i ke kahe koko a me kou hanu.
Inā ua loaʻa iā ʻoe ka hoʻomaha
I ka wā i ola pono ai ʻoe mai ka hoʻomaha ʻana, a ua hilinaʻi kāu mau kahu hānai ʻaʻole e kahe ke koko kou ʻeha, hiki iā ʻoe ke hoʻi i ka home. Eia nō naʻe, pono paha ʻoe i kahi mea ʻē aʻe e hoʻokele - e nīnau me kāu kahu hānai no ka wā e palekana ai ʻoe e hoʻokele hou - inā ua hoʻomaha ʻoe, ʻaʻole paha a hiki i ka lā aʻe.
E ʻeha paha ʻoe?
Ma hope o kekahi mau hola, e pau ka anesthetic kūloko a loaʻa paha iā ʻoe kekahi pilikia ma kahi i hoʻokomo ʻia ai ka nila. Hiki iā ʻoe ke lawe i ka ʻeha e like me ka paracetamol (kapa ʻia ʻo panadol a i ʻole panamax). He mea maʻamau ka Paracetamol i ka hoʻomalu ʻana i kekahi ʻeha ma hope o kāu hana ʻana akā inā ʻaʻole, a inā ʻaʻole hiki iā ʻoe ke lawe i ka paracetamol no kekahi kumu, e ʻoluʻolu e kamaʻilio me kāu kahu hānai a kauka paha e pili ana i nā koho ʻē aʻe.
ʻAʻole pono ka ʻeha, no laila, inā ʻo ia, e ʻoluʻolu e kelepona i kāu kauka a kahu hānai paha.
E loaʻa iā ʻoe kahi lole liʻiliʻi e uhi ana i ka pūnaewele, e mālama i kēia no ka liʻiliʻi o 24 mau hola. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i ka wā i hoʻopaʻa ʻia ai ka ʻeha.
He aha nā pilikia me nā biopsies iwi iwi?
He hana palekana loa ka biopsy iwi iwi.
Pain
ʻOiai e loaʻa iā ʻoe kahi anesthetic kūloko, he mea maʻamau ke ʻike i kekahi ʻeha i ka wā o ke kaʻina hana. ʻO kēia no ka mea ʻaʻole hiki ke hoʻopaʻa ʻia ka wahi i loko o kou mau iwi, akā ʻaʻole pono ʻoe e ʻeha a ʻeha i ka ʻili i loko o kou ʻili. Inā loaʻa iā ʻoe ka ʻeha i ka wā i lawe ʻia ai ka hāpana, ʻo ka maʻamau ka ʻeha pōkole pōkole e hoʻopaʻa koke.
Loaʻa paha iā ʻoe ma hope o ke kaʻina hana ma ke ʻano he anesthetic kūloko. ʻAʻole paʻakikī kēia a pono e mālama maʻalahi me ka paracetamol. E hōʻoia me kāu mau kauka e pili ana i ka hoʻomaha ʻeha e hiki iā ʻoe ke lawe inā pono ʻoe.
Nā hana kūpilikiʻi
He kakaikahi ka poino o ke a'alolo, akā i kekahi manawa, hiki mai paha ka poino a'alolo. Hiki i kēia ke kumu i kekahi nāwaliwali a me ka numbness, a he manawa pōkole. Inā loaʻa iā ʻoe ka ʻeha a nāwaliwali paha ma hope o ka biopsy o ka iwi iwi a ʻoi aku ka lōʻihi ma mua o ʻelua mau pule, e hōʻike i kāu kauka.
'Oiho
Hiki paha iā ʻoe ke kahe koko ma kahi i hoʻokomo ʻia ai ka nila a ua haʻalele iki ke koko maʻamau. Eia naʻe, hiki ke hoʻomaka hou ke koko ke hoʻi ʻoe i ka home. He mea liʻiliʻi wale nō kēia, akā inā ʻike ʻoe e kahe nui ana ke koko, e paʻa paʻa i kahi mea ma ia wahi. Inā loaʻa iā ʻoe ka ʻeke anu, e kaomi i kēlā wahi no ka mea e kōkua ke anu e hoʻōki i ke koko a hiki ke kōkua pū me kekahi ʻeha.
I nā kūlana kakaʻikahi, ʻoi aku ka koʻikoʻi o ke koko. Inā ʻaʻole pau ke koko i ka wā i kau ai ʻoe i ke kaomi a laila pono ʻoe e kelepona i kāu kauka.
Hoʻoponopono
ʻO ka maʻi maʻi he hoʻopiʻi kakaʻikahi o ke kaʻina hana. Pono ʻoe e kelepona i kāu mau kauka inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi e like me;
- ʻO ke kuni (ka wela ma luna o 38 degere Celsius)
- Hoʻonui ʻia ka ʻeha ma ka wahi i hoʻopaʻa ʻia
- ʻO ka pehu a i ʻole ka ʻulaʻula ma ka wahi o ka injection
- ʻO ka pus a i ʻole ke kahe ʻana o ke koko mai ka pūnaewele
Laʻana lawa ʻole
I kekahi manawa ʻaʻole i kūleʻa ke kaʻina hana a ʻaʻole hāʻawi ka hāpana i kahi hōʻailona. Inā hiki kēia, pono paha ʻoe i kahi biopsy iwi iwi. Pono kāu hui lapaʻau e hāʻawi i ka ʻike hou aku e pili ana i ka wā e ʻimi ai i ka ʻōlelo aʻoaʻo.
hōʻuluʻulu manaʻo
- ʻO nā kaʻina o ka iwi iwi he mau kaʻina hana palekana i hoʻohana mau ʻia no ka hōʻoia ʻana a i ʻole ka pae lymphoma, CLL a me nā maʻi maʻi koko ʻē aʻe.
- ʻO ka loaʻa ʻana o ke kaʻina hana kāu koho a pono ʻoe e kau inoa i kahi palapala ʻae inā koho ʻoe e hana i ke kaʻina hana
- E ʻaʻahu i nā lole ʻokoʻa i kāu koho
- Mai ʻai no 6 mau hola ma mua o kāu hana - ke ʻole ke kauka a kahu hānai paha e haʻi iā ʻoe
- E hōʻike i ka hui mālama ola inā loaʻa ʻoe i ka maʻi maʻi maʻi ke hiki ʻoe i kāu koho
- E hōʻoia me kāu kauka a kahu hānai paha e pili ana i nā lāʻau lapaʻau hiki iā ʻoe ke lawe ma mua o ke kaʻina hana
- E kamaʻilio me kāu kauka e pili ana i nā lāʻau hoʻomaha maikaʻi loa a i ʻole nā lāʻau anti-anxiety āu e pono ai.
- Pono ʻoe e noʻonoʻo e noho ma ka haukapila a i ʻole ke keʻena olakino a hiki i 2 mau hola ma hope o kāu hana
- E hōʻike i nā pilikia i kāu kauka.
