Ibele biopsy - stereotactic

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 ne-excisional breast biopsy. Lo mbhalo ugxile kwi-stereotactic breast biopsy, esebenzisa i-mammography ukusiza ukukhomba indawo esifubeni esidinga ukususwa.

Uyacelwa ukuba ukhumule kusuka okhalweni kuye phezulu. Ngesikhathi sokuhlolwa komzimba, uvukile.

Cishe ucelwa ukuthi ulale ubheke phansi etafuleni le-biopsy. Isifuba esenziwa nge-biopsied silenga ngembobo etafuleni. Itafula liphakanyisiwe kanti udokotela wenza i-biopsy ngaphansi. Kwezinye izimo, i-stereotactic breast biopsy yenziwa ngenkathi uhleli endaweni eqondile.

I-biopsy yenziwa ngale ndlela elandelayo:

• Umhlinzeki wezempilo uqale ahlanze indawo esesifubeni sakho. Umuthi wokugunyaza uyajova.
• Isifuba sicindezelwe phansi ukusibamba sisendaweni ngesikhathi senqubo. Udinga ukubamba umile ngenkathi kwenziwa i-biopsy.
• Udokotela usika okuncane kakhulu esifubeni sakho phezu kwendawo edinga ukufakwa ku-biopsied.
• Kusetshenziswa umshini okhethekile, inaliti noma umgodla uqondiswa uye ngqo endaweni engavamile. Amasampula amaningana wezicubu zesifuba ayathathwa.
• Isiqeshana sensimbi esincane singafakwa esifubeni endaweni ye-biopsy. Isiqeshana simaka i-biopsy yokuhlinzwa kamuva, uma kudingeka.

I-biopsy uqobo lwayo kwenziwa kusetshenziswa okukodwa kokulandelayo:

• Inaliti engenalutho (ebizwa ngenaliti eyinhloko)
• Idivayisi enikwe amandla
• Kokubili inaliti nedivayisi ephehlwa ngomshini

Inqubo ivame ukuthatha cishe ihora elilodwa. Lokhu kufaka isikhathi esithathayo kuma-x-ray. I-biopsy yangempela ithatha imizuzu embalwa kuphela.

Ngemuva kokuthi kuthathwe isampula lezicubu, inaliti iyasuswa. Kufakwa iqhwa nengcindezi esizeni ukuvimba noma yikuphi ukopha. Kuzosetshenziswa ibhandishi lokumunca noma yiluphi uketshezi. Ukuthungwa akudingeki. Imichilo yokunamathisela ingabekwa ngaphezu kwanoma yisiphi isilonda, uma kudingeka.

Umhlinzeki uzobuza ngomlando wakho wezokwelapha. Ukuhlolwa kwebele kungenziwa.

Uma uthatha imishanguzo (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.

Ukulala esiswini sakho kuze kube ihora eli-1 kungahle kungakhululeki. Ukusebenzisa amakhushini noma imicamelo kungasiza. Abanye abantu banikezwa iphilisi elizobasiza ukuthi baphumule ngaphambi kwenqubo.

Ngemuva kokuhlolwa, isifuba singaba buhlungu futhi sithambe izinsuku ezimbalwa. Landela imiyalelo yokuthi imiphi imisebenzi ongayenza, ukuthi ungalinakekela kanjani ibele lakho, nokuthi imiphi imithi ongayithatha ukuze uthole ubuhlungu.

I-stereotactic breast biopsy isetshenziswa lapho ukukhula okuncane noma indawo yokubala ibonwa ku-mammogram, kepha ayikwazi ukubonwa kusetshenziswa i-ultrasound yesifuba.

Amasampula ezicubu athunyelwa kudokotela wezifo ukuze ahlolwe.

Umphumela ojwayelekile usho ukuthi alukho uphawu lomdlavuza.

Umhlinzeki wakho uzokwazisa uma udinga i-mammogram yokulandelela noma okunye ukuhlolwa.

Uma i-biopsy ibonisa izicubu zesifuba ezinobungozi ngaphandle komdlavuza, kungenzeka ungadingi ukuhlinzwa.

Kwesinye isikhathi imiphumela ye-biopsy ikhombisa izimpawu ezingajwayelekile ezingewona umdlavuza. Kulokhu, i-biopsy yokuhlinza inganconywa ukuthi isuse yonke indawo engajwayelekile yokuhlolwa.

Imiphumela ye-Biopsy ingakhombisa imibandela efana nale:

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

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 yokuhlinzwa okusikiwe.

Ukuqubuka kuvamile, kepha ukopha ngokweqile akuvamile.

I-Biopsy - isifuba - stereotactic; I-Core needle breast biopsy - stereotactic; I-stereotactic breast biopsy; I-mammogram engajwayelekile - i-stereotactic breast biopsy; Umdlavuza webele - i-stereotactic breast biopsy

Iwebhusayithi yaseAmerican College of Radiology. Ipharamitha yokusebenza ye-ACR yokusebenza kwezinqubo zokungenelela zebele eziqondiswa nge-stereotactic. www.acr.org/-/media/ACR/Files/Practice-Parameters/stereo-breast.pdf. Kubuyekezwe i-2016. Kufinyelelwe ngo-Ephreli 3, 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.

UParker C, Umphrey H, Bland K. Indima ye-stereotactic breast biopsy ekuphathweni kwezifo zamabele. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 666-671.