I-lymph node biopsy iyadingeka ukwenza ukuxilongwa kwezinhlobo eziningi ze-lymphoma.
Iyini i-lymph node biopsy?
A i-biopsy ingesinye sezinyathelo ezibaluleke kakhulu ku ukuxilongwa kwe-lymphoma. Kubandakanya ukukhishwa kwesampula yezicubu (amaseli), ngokuvamile eyenziwa udokotela ohlinzayo. Amaseli abe esehlolwa ngesibonakhulu.
I-lymph node biopsy isetshenziselwa ukuqinisekisa ukuxilongwa kwe-lymphoma. Uma usuvele une-diagnosis ye-lymphoma, odokotela bangabheka amaseli ukuze bathole okwengeziwe ngohlobo lwe-lymphoma.
Izinhlobo ze-lymph node biopsies
Kunezinhlobo ezahlukene ze-biopsy, kuhlanganise:
I-excision biopsy
An i-excision biopsy isusa a i-lymph node yonke. Yilokho ejwayelekile kakhulu uhlobo lwe-biopsy. Kuhilela ukuhlinzwa okuncane. Uma i-lymph node iseduze nobuso besikhumba cishe uzodinga isibulali-zinzwa sasendaweni (indawo izoba ndikindiki ngakho ungezwa lutho kodwa ngeke ulale ngokuphelele). Uma i-lymph node ijule ngaphakathi emzimbeni wakho, kungase kudingeke ukuthi uthole isibulali-zinzwa esivamile (Lapho uzobe ulele khona ngesikhathi senqubo).
I-excisional node biopsy iyindlela yophenyo engcono kakhulu, njengoba iqoqa inani elanele lezicubu ukuze likwazi ukwenza ukuhlolwa okudingekayo ukuze kutholakale ukuxilongwa.
Kungase kudingeke ukuthi wenze iskena ngaphambi kwe-biopsy. Lokhu kuzoqondisa udokotela ohlinzayo lapho eyothatha khona i-biopsy. Uma i-lymph node isusiwe, ithunyelwa elabhorethri ukuze ihlolwe. Indawo izothungwa futhi imbozwe.
Uzonikezwa imininingwane yokuthi usinakekela kanjani isilonda. Uma ungalutholi lolu lwazi, qiniseka ukuthi uyalucela. Ezimweni eziningi uzokwazi ukuya ekhaya ngalo lolo suku wenze inqubo. Kuyancomeka ukuthi kube nomuntu ozokulanda akuyise ekhaya. Uma uthola i-anesthetic evamile, ngeke ukwazi ukushayela.
I-incisional biopsy
An i-biopsy ye-incision, okuyinto ikhipha ingxenye ye-lymph node. I-incisional biopsy ivame ukusetshenziswa lapho ama-lymph nodes emakhulu kusukela ekuvuvukeni noma ekuhlanganisweni. Inqubo iyafana neye-excision biopsy nakuba kukhishwa ingxenye kuphela (esikhundleni sayo yonke) ye-lymph node.
I-Core inaliti biopsy
A core inaliti biopsy, okuthatha a isampula encane ye-lymph node; lolu hlobo lwe-biopsy lwaziwa nangokuthi a 'i-core biopsy' noma 'i-needle biopsy'.
Lokhu ngokuvamile kwenziwa kusetshenziswa isibulali-zinzwa sasendaweni ukwenza indawo ibe ndikindiki. Indawo izohlanzwa bese udokotela efaka inaliti engenalutho futhi akhiphe ucezu oluncane lwethishu ku-lymph node. Uma i-node iseduze nesikhumba udokotela uzozwa indawo okufanele i-biopsy.
Uma i-node ijulile kune-an i-ultrasound or CT scan izosetshenziselwa ukusiza udokotela ukuthi athole indawo engcono kakhulu yokuthatha isampula. Indawo yokugqoka izofakwa esizeni. Ngokuvamile ungaya ekhaya ngemva kwenqubo.
I-fine needle aspirate (FNA)
A i-fine needle aspirate (FNA) kwenziwa ngezikhathi ezithile uma odokotela besola ukuthi ungaba ne-lymphoma. Lokhu kuvame ukuba yi-biopsy yokuqala udokotela wakho okungenzeka ukuthi uyalele ukuthi yenziwe.
I-aspirate yenaliti enhle isebenzisa inaliti ezacile kakhulu, engenalutho exhunywe kusirinji ukuze ikhiphe uketshezi oluncane kanye nezicucu ezincane kakhulu zezicubu ethumba. Udokotela uzofaka inaliti cishe imizuzwana engama-30. Ukuze ama-lymph nodes asondele ebusweni besikhumba lokhu kuzokwenziwa lapho udokotela ezwa i-lymph node.
Uma i-node ijulile kune-an i-ultrasound a CT scan izosetshenziselwa ukusiza udokotela ukuthi athole indawo engcono kakhulu yokuthatha isampula. Nakuba i-aspirate yenaliti enhle ingasiza odokotela bathole ukuthi une-lymphoma, ayanele iyodwa.
Okunye ukuhlolwa okufana ne- i-excisional noma i-incisional biopsy izodingeka ukuze kuqinisekiswe ukutholakala kwe-lymphoma.
Kwenzekani ngemva kwe-biopsy?
Indawo ene-biopsied izombozwa ingubo evikelayo futhi ithimba lezokwelapha lizokunikeza imiyalelo ecacile yokuthi ungayinakekela kanjani indawo. Ezimweni eziningi, ukugqoka kuzohlala izinsuku ezingu-2-3. Kufanele ugweme ukuthola indawo ibe manzi kakhulu, isibonelo echibini noma ebhavini futhi lokhu kuwukuzama ukuvikela noma yiziphi izifo. Indawo kufanele iqashelwe ukuthi ayinakho yini ukopha, ukuvuvukala noma izimpawu zokutheleleka njengokuphuma koketshezi noma umkhuhlane (izinga lokushisa elingaphezu kuka-38 degrees Celsius). Kubalulekile ukuthi uxhumane nodokotela wakho ngokushesha uma ubona noma yiziphi izimpawu zokutheleleka.
Ukuthola imiphumela yakho
Kungathatha isikhathi ukubuyisela imiphumela yokuhlolwa. Ngokuvamile amasampula aba nokuhlolwa okuningi okwenziwa kuwo futhi ngezinye izikhathi amasampula adinga ukuthunyelwa ezindaweni zokucwaninga ukuze awahlole. Ngenkathi lokhu kwenziwa, odokotela bakho bangase bakuthumele ukuthi uyokwenza okunye ukuhlola okufana nezikena noma ukuhlolwa kwegazi.
Ukulinda imiphumela kungaba yisikhathi esinzima, ngokuqondakalayo ungase ukhathazeke kakhulu ngalesi sikhathi. Kufanele ukhulume nodokotela wakho ukuze uthole ukuthi kuzothatha isikhathi esingakanani ukuthi imiphumela ibuye. Kungasiza futhi ukuxoxa ngalokhu nomndeni wakho kanye nodokotela wakho.
