I-nucleal core needle (CNB) isetyenziswe xa ugqirha wakho adinga ulwazi oluthe xaxa malunga nesifuba sesifuba kunokuba i- mammogram , i- ultrasound , okanye i-aspiral aspiration .
Inaliti engundoqo, okanye inaliti engundoqo engasisigxina, ingasetyenziselwa ukufumana iisampula ezincinci ezisuka kwilungu lesifuba . Iisampuli zamathambo ziya kuthunyelwa kwibhubhorha yezilwanyana zokuhlolwa. Le nkqubo inokwenziwa kwiofisi, kwikliniki okanye esibhedlele ngugqirha oqeqeshiwe kwindlela.
Ukuba nenaliti ye-needle engundoqo kunokukunceda ukuba ugweme i- biopsy evulekile .
Amanye amagama kwiNCB:
- ingqungquthela engundoqo yomdumba we-needle
- i-needle incisional biopsy
Izizathu zokuba ne-CNB
Ukuba ne-biopsy yamabele nayiphi na uhlobo ingaba nzima, kodwa yindlela efanelekileyo yokufumanisa uhlobo lokwenene lwesifuba esibangela ukukhathazeka. Usenokuba sele unesipilisi esifanelekileyo senaliti (ukususa umbane okanye izicubu), kodwa awufumananga iziphumo ezicacileyo. Isaliti engundoqo engasisiseko (inaliti ye-16-, 14-, okanye i-11 gauge-gauge) inokuthatha iisampuli ezinkulu zamathambo ezininzi zesifuba kunye nezicubu zesifuba esiseduze. I-pathologist yakho ingenza iimvavanyo ezichanekileyo kunye neemviwo ezincinci kwiisampulu ezinkulu zeesisisulu, kukunika wena kunye nodokotela wakho ingcamango engcono yokuqhubeka.
Iintlobo Zezobugcisa
I-needore enkulu ye-biopsies yenziwe ngeendlela ezininzi ezahlukeneyo, kuxhomekeke kubukhulu okanye kwindawo yesikhumba se-sampuli. I-biopsy yenaliti ye-Freehand ingasetyenziselwa izibonda okanye izixuku ezinokuthi zenzeke lula.
Kodwa ukuba isalathisi sincinci kakhulu ukuba singabonwa, okanye sinzulu kakhulu ekujoliseni inaliti, kukho ezinye iindlela ezisetyenziselwa ukucingwa kunye nokuncedisa umatshini: i-biopsy ekhokelwa yi-ultrasound, i-biopsy eye-stereotactic ne -biopsy .
Yintoni ongayilindela
Uza kuphaphama ngexesha lwenkqubo, kodwa isifuba sakho siya kuhlutha nge-anesthetic yendawo.
Ugqirha wakho uya kufumana ihlunu ngokuthintela okanye ngokukhokela kwikhompyutha yobugcisa. Ugqirha wakho uza kufaka inaliti yengundoqo ngesikhumba sakho kwisitya ukuze uthathe iisampuli zamathambo. Ukuqinisekisa ukuchaneka kweziphumo, iisampuli ezintathu kuya ezintandathu ziya kuthathwa. Kufuneka ulindele ukuziva uxinzelelo ngexesha le nkqubo, kodwa qiniseka ukuba uvumele ugqirha wakho ukuba wazi ukuba uvakalelwa intlungu. Emva kwenkqubo, unakho ukutyumza kwiindawo zeenaliti, kodwa akukho zibazi. Uyakwazi ukubuyela emsebenzini okanye ekhaya ngokukhawuleza.
Iziphumo
Iisampulu zamathambo zakho ziya kuvavanywa kwilebhu yokukhubazeka, kwaye ingxelo ebhaliweyo iya kuthunyelwa ugqirha wakho. Umphumo ongalunganga uthetha ukuba akukho mhlaza owafunyanwa. Iiphumo elihle lithetha ukuba ubunzima bubuhlungu, kwaye kuzakufuneka iimvavanyo ezongezelelweyo ukuze kufumaneke ukuxilongwa ngokuchanekileyo.
Ukuchaneka kovavanyo
Ngenxa yokuba inaliti enkulu ingasusa isampuli enkulu, kwaye iisampuli zithathwa ngokuthelekisa, i-biopsy eyinhloko iyona echanekileyo kunokuba ifanele i-needle aspiration. I-biopsy eyona ngundoqo ingaba phakathi kwe-97 ne-100% echanekileyo ekunikeni ukuxilongwa. Ukuba unesifuba esincinci okanye iindawo ezinzima kakhulu, inaliti engundoqo ayinako ukuthabatha isampuli eselungileyo, kunye nezinye iindlela ze-biopsy zifuneka.
Izinzuzo kunye neengozi
I-needle eyinqobo ye-biopsy ichanekile ngakumbi kunomnqweno kwaye ungenasiphelo esingaphandle kwe-biopsy evulekileyo okanye evulekileyo. Inaliti ye-biopyi ayiyi kushiya izikrakra zangaphandle okanye zangaphakathi, kwaye ke aziyi kuthintela izifundo zeengcamango zangomso ezizayo. Kukho njalo ithuba lokuba inaliti ingaphuthelwa kwindawo enobungozi, kodwa ugqirha wakho uza kuzama ukunciphisa oku kwenzeka. I-needle ye-biopsy ayiyiyo yonyango, kwaye ayiyi kususa konke ukulimala. Ukuba iziphumo zakho zibuyele zikhuthaze ngomhlaza, uya kufuneka uqwalasele iimvavanyo ezininzi kunye nonyango.
Imithombo:
American Cancer Society. Kubafazi abajongene ne-Breast Biopsy. Isixhobo Sengxowankulu ye-Biopsy (CNB). Ukuhlaziywa: 09/19/2007.
Journal International of Cancer. Ukuchaneka ngokuchaneka kwe-stereotactic enkulu-core coreleal biopsy kwisifo esingenakulinganiswa nesifuba: Iziphumo zolu xwebhu oluninzi oluza kufundelwa ngokuqinisekiswa kwama-95%. Helena M. Verkooijen. Vol. 99, No. 6, iphepha 853-859, 2002.
National Cancer Institute. Ukuqonda iinguqu zoBusiso: IsiKhokelo seMpilo sabasetyhini. Uvavanyo Olulandelelweyo Ukukuxelela Okuninzi: Isalathisi Yesiko I-Biopsy.