Ib qho lymph node biopsy yuav tsum tau kuaj xyuas rau ntau hom lymphoma.
Dab tsi yog lymph node biopsy?
A qhov nqaij me yog ib qho ntawm cov kauj ruam tseem ceeb tshaj plaws hauv kuaj mob lymphoma. Nws suav nrog kev tshem tawm cov qauv ntawm cov ntaub so ntswg (hlwb), feem ntau ua los ntawm tus kws phais. Tom qab ntawd cov hlwb raug tshuaj xyuas nyob rau hauv lub tshuab kuaj kab mob.
Ib qho lymph node biopsy yog siv los txheeb xyuas qhov kev kuaj mob ntawm lymphoma. Yog tias koj twb tau kuaj pom tus kab mob lymphoma, cov kws kho mob tuaj yeem saib cov hlwb kom paub ntau ntxiv txog hom lymphoma.
Hom lymph node biopsies
Muaj ntau hom biopsy, suav nrog:
Kev kuaj ntshav biopsy
An Kev kuaj ntshav biopsy tshem tawm a tag nrho cov qog ntshav qab zib. Qhov no yog qhov feem ntau cov hom biopsy. Nws koom nrog kev ua haujlwm me. Yog tias cov qog ntshav nyob ze ntawm daim tawv nqaij koj yuav xav tau tshuaj loog hauv zos (qhov chaw yuav loog yog li koj tsis tuaj yeem hnov dab tsi tab sis koj yuav tsis tsaug zog tag nrho). Yog tias cov qog ntshav qab zib nyob hauv koj lub cev, ces koj yuav tsum tau txhaj tshuaj loog (qhov twg koj yuav pw tsaug zog thaum lub sijhawm ua haujlwm).
Ib qho excisional node biopsy yog qhov kev tshawb nrhiav zoo tshaj plaws, vim nws khaws cov ntaub so ntswg txaus kom muaj peev xwm ua qhov tsim nyog rau kev kuaj mob.
Tej zaum koj yuav tsum tau kuaj xyuas ua ntej kuaj ntshav. Qhov no yuav coj tus kws phais mus rau qhov chaw tiag tiag kom coj mus kuaj biopsy. Thaum cov qog ntshav tawm raug tshem tawm, nws raug xa mus rau qhov chaw kuaj mob. Lub cheeb tsam yuav muab xaws thiab npog.
Koj yuav tau txais cov lus qhia txog kev tu lub qhov txhab. Yog tias koj tsis tau txais cov ntaub ntawv no, xyuas kom tseeb tias koj thov rau nws. Feem ntau koj yuav tuaj yeem mus tsev tib hnub uas koj muaj cov txheej txheem. Nws raug nquahu kom muaj ib tus neeg sau koj thiab coj koj mus tsev. Yog tias koj tau txais ib qho tshuaj loog, koj yuav tsis muaj peev xwm tsav tau.
Incisional biopsy
An incisional biopsy, uas tshem tawm ib feem ntawm lymph node. Ib qho incisional biopsy feem ntau yog siv thaum cov qog nqaij hlav loj los ntawm o los yog matted. Cov txheej txheem zoo ib yam li qhov kev txiav txim siab biopsy txawm tias tsuas yog ib feem (tsis yog tag nrho) ntawm cov qog nqaij hlav raug tshem tawm.
Siv rab koob muab siv
A core koob biopsy, uas siv a cov qauv me me ntawm cov qog ntshav qab zib; hom biopsy no tseem hu ua a 'core biopsy' los yog ib tug 'Koob biopsy'.
Qhov no feem ntau yog ua los ntawm kev siv tshuaj loog hauv zos los ua kom thaj chaw loog. Cov cheeb tsam yuav raug ntxuav thiab tom qab ntawd tus kws kho mob yuav ntxig ib rab koob hollow thiab tshem tawm ib qho me me ntawm cov ntaub so ntswg ntawm cov qog ntshav. Yog tias lub pob nyob ze rau ntawm daim tawv nqaij, tus kws kho mob yuav hnov qhov chaw yuav biopsied.
Yog lub node tob tshaj ib ultrasound or CT scan yuav siv los pab tus kws kho mob nrhiav qhov chaw zoo tshaj plaws los coj tus qauv. Ib qho hnav khaub ncaws yuav muab tso rau ntawm qhov chaw. Feem ntau koj tuaj yeem mus tsev tom qab qhov txheej txheem.
Fine koob aspirate (FNA)
A Fine koob aspirate (FNA) Qee zaum ua tiav yog tias kws kho mob xav tias koj tuaj yeem muaj lymphoma. Qhov no feem ntau yog thawj biopsy uas koj tus kws kho mob yuav tau xaj kom ua.
Ib rab koob zoo aspirate siv ib rab koob nyias nyias uas txuas nrog lub koob txhaj tshuaj kom tshem tawm cov kua dej me me thiab cov ntaub so ntswg me me ntawm cov qog. Tus kws kho mob yuav ntxig ib rab koob rau ib ncig 30 vib nas this. Rau cov qog nqaij hlav ze rau ntawm daim tawv nqaij qhov no yuav ua tiav nrog tus kws kho mob hnov cov qog nqaij hlav.
Yog lub node tob tshaj ib ultrasound a CT scan yuav siv los pab tus kws kho mob nrhiav qhov chaw zoo tshaj plaws los coj tus qauv. Txawm hais tias ib rab koob zoo tuaj yeem pab cov kws kho mob pom tias koj muaj lymphoma, nws tsis txaus rau nws tus kheej.
Kev xeem ntxiv xws li ib qho excisional los yog incisional biopsy yuav xav tau kom paub meej tias qhov kev kuaj mob ntawm lymphoma.
Yuav ua li cas tom qab biopsy?
Qhov chaw biopsied yuav raug them los ntawm kev hnav khaub ncaws tiv thaiv thiab pab pawg kho mob yuav muab cov lus qhia meej rau koj txog kev saib xyuas thaj tsam li cas. Feem ntau cov hnav khaub ncaws yuav nyob twj ywm rau 2-3 hnub. Koj yuav tsum tsis txhob tau txais qhov chaw ntub dej, piv txwv li hauv pas dej lossis da dej thiab qhov no yog sim thiab tiv thaiv kev kis kab mob. Cov cheeb tsam yuav tsum tau saib xyuas kom tsis txhob los ntshav, o los yog cov tsos mob ntawm tus kab mob xws li tawm los yog kub taub hau (kub siab tshaj 38 degrees Celsius). Nws yog ib qho tseem ceeb uas koj hu rau koj tus kws kho mob tam sim ntawd yog tias koj pom tias muaj cov tsos mob ntawm tus kab mob.
Tau txais koj cov txiaj ntsig
Nws tuaj yeem siv qee lub sijhawm kom tau txais cov txiaj ntsig kev xeem rov qab. Feem ntau cov qauv muaj ntau qhov kev sim ua rau lawv thiab qee zaum cov qauv yuav tsum raug xa mus rau chav kuaj sim lawv. Thaum qhov no tab tom ua tiav, koj cov kws kho mob tuaj yeem xa koj mus kuaj lwm yam xws li kev kuaj ntshav lossis kuaj ntshav.
Tos rau cov txiaj ntsig tuaj yeem yog lub sijhawm nyuaj, koj nkag siab tias yuav txhawj xeeb heev thaum lub sijhawm no. Koj yuav tsum tham nrog koj tus kws kho mob kom paub seb nws yuav siv sij hawm ntev npaum li cas rau cov txiaj ntsig rov qab los. Nws kuj tseem tuaj yeem pab tham txog qhov no nrog koj tsev neeg thiab GP.
