Isifuba sesifuba - i-ultrasound

I-biopsy yebele ukususwa kwezicubu zesifuba ukuyihlola izimpawu zomdlavuza webele noma ezinye izifo.

Kunezinhlobo eziningana ze-biopsies zamabele, kufaka phakathi i-stereotactic, eqondiswa yi-ultrasound, eqondiswa yi-MRI, kanye ne-excisional breast biopsy. Lo mbhalo ugxile kokuncishiswa kwenaliti, okuqondiswa nge-ultrasound biopsies.

Uyacelwa ukuba ukhumule kusuka okhalweni kuye phezulu. Ugqoka ingubo evuleka ngaphambili. Ngesikhathi sokuhlolwa komzimba, uvukile.

Ulele ngomhlane.

I-biopsy yenziwa ngale ndlela elandelayo:

• Umhlinzeki wezempilo uhlanza indawo esesifubeni sakho.
• Umuthi wokugunyaza uyajova.
• Udokotela usika okuncane kakhulu esifubeni sakho phezu kwendawo edinga ukufakwa ku-biopsied.
• Udokotela usebenzisa umshini we-ultrasound ukuqondisa inaliti endaweni engavamile ebeleni lakho edinga ukufakwa ku-biopsied.
• Kuthathwa izingcezu ezimbalwa zezicubu.
• Isiqeshana sensimbi esincane singafakwa esifubeni endaweni ye-biopsy ukuyimaka, uma kudingeka.

I-biopsy yenziwa kusetshenziswa okukodwa kokulandelayo:

• Isifiso senaliti esihle
• Inaliti engenalutho (ebizwa ngenaliti eyinhloko)
• Idivayisi enikwe amandla
• Kokubili inaliti engenalutho nedivayisi enamandla

Lapho isampula lesicubu selithathiwe, inaliti iyasuswa. Kufakwa iqhwa nengcindezi esizeni ukuvimba noma yikuphi ukopha. Kusetshenziswa ibhandishi ukumunca noma iluphi uketshezi. Awudingi kuthungwa ngemuva kokukhishwa kwenaliti. Uma kudingeka, imicu yeteyipu ingabekwa ukuvala isilonda.

Umhlinzeki uzobuza ngomlando wakho wezokwelapha futhi enze ukuhlolwa kwesifuba mathupha.

Uma uthatha imishanguzo yokuncipha kwegazi (kufaka phakathi i-aspirin, izithasiselo, noma amakhambi), buza udokotela wakho ukuthi ngabe uyakudinga yini ukuyeka ukuyiphuza ngaphambi kokuhlolwa komzimba.

Tshela udokotela wakho uma kungenzeka ukhulelwe.

UNGAYisebenzisi into yokugcoba, amakha, impuphu, noma iphunga elincane ngaphansi kwezingalo zakho noma emabeleni akho.

Lapho umuthi obandayo ufakwa, ungahle ulume kancane.

Ngesikhathi senqubo, ungazizwa ungakhululeki noma ukucindezela okuncane.

Ngemuva kokuhlolwa, isifuba singaba buhlungu futhi sithambe lapho sithintwa izinsuku ezimbalwa. Uzonikezwa iziyalezo mayelana nokuthi yimiphi imisebenzi ongayenza, ukuthi ungalinakekela kanjani ibele lakho, nokuthi imiphi imithi ongayiphuza ukuze uthole izinhlungu.

Ungahle ube nokulimala, futhi kuzoba khona isibazi esincane kakhulu lapho kufakwe khona inaliti.

I-biopsy yesifuba eqondiswa nge-ultrasound ingenziwa ukuze kuhlolwe ukutholakala okungajwayelekile ku-mammogram, ibele le-ultrasound, noma i-MRI.

Ukunquma ukuthi ngabe umuntu unomdlavuza webele, kufanele kwenziwe i-biopsy. Kususwa izicubu ezisendaweni engajwayelekile bese zihlolwa ngaphansi kwesibonakhulu.

Umphumela ojwayelekile usho ukuthi alukho uphawu lomdlavuza noma ezinye izinkinga zamabele.

Umhlinzeki wakho uzokwazisa uma futhi udinga i-ultrasound yokulandelela, i-mammogram noma olunye uvivinyo.

I-biopsy ingakhomba izimo eziningana zamabele ezingewona umdlavuza noma i-precancer, kufaka phakathi:

• I-Fibroadenoma (isigaxa sesifuba ngokuvamile esingawona umdlavuza)
• I-fat necrosis

Imiphumela ye-Biopsy ingakhombisa imibandela efana nale:

• I-atypical ductal hyperplasia
• I-atypical lobular hyperplasia
• I-flat epithelial atypia
• I-papilloma yokufundela
• I-Lobular carcinoma-in-situ
• Isibanda somsakazo

Imiphumela engajwayelekile ingasho ukuthi unomdlavuza webele. Izinhlobo ezimbili eziyinhloko zomdlavuza webele zingatholakala:

• I-Ductal carcinoma iqala kumashubhu (amapayipi) ahambisa ubisi kusuka esifubeni kuya kwingono. Iningi lomdlavuza webele yilolu hlobo.
• I-Lobular carcinoma iqala ezingxenyeni zesifuba ezibizwa ngama-lobules, ezikhiqiza ubisi.

Ngokuya ngemiphumela ye-biopsy, ungadinga ukuhlinzwa okuqhubekayo noma ukwelashwa.

Umhlinzeki wakho uzoxoxa nawe ngencazelo yemiphumela ye-biopsy.

Kukhona ithuba elincane lokutheleleka endaweni yokujova noma yokusika. Ukopha ngokweqile akuvamile.

I-Biopsy - isifuba - i-ultrasound; Isifuba esiqondiswa yi-Ultrasound; Ingono yenaliti yesifuba - i-ultrasound; Umdlavuza webele - i-biopsy yebele - i-ultrasound; I-mammogram engavamile - i-biopsy yebele - i-ultrasound

Iwebhusayithi yaseAmerican College of Radiology. Ipharamitha yokusebenza ye-ACR yokusebenza kwezinqubo zokungenelela zesifuba eziqondiswa nge-ultrasound. www.acr.org/-/media/ACR/Files/Practice-Parameter/us- Guidedbreast.pdf. Kubuyekezwe i-2016.Kufinyelelwe ngoMashi 15, 2019.

UHenry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Umdlavuza webele. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 88.

ITorrente J, iBrem RF. I-biopsy yesifuba eqondiswa isithombe kancane kanye ne-ablation. Ku: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, abahleli. Ukungenelela Okuqondiswa Ngezithombe. Okwesibili. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 155.