Izizathu zeFNA, iNkqubo, kunye neempembelelo zecala
Ugqirha wakho usenokuba wacebisa i-FNA (inaliti ehle) yesifo. Inkqubo eyenziwe yintoni, yintoni na yeziphumo onokuzilindela, kwaye zeziphi iziphumo ezichaphazelekayo?
Sibanzi
I-aphile epilisi ye-biopsy (i-FNA biopsy) uvavanyo olwenziweyo ukuze lubone ukuba i-tumor iyingozi (engeyomhlaza) okanye iyingozi (umdlavuza). Kwinkqubo, inaliti (kodwa ende) inaliti ifakwe emkhatsini wesikhumba kunye ne-tumor.
Isampuli encinci ifuthe kwaye inaliti isuswe.
Izizathu zokwenza i-FNA
Ukuba ugqirha wakho ufumene i-tumor kwi-x-ray okanye i-CT scan, unokufumana ingcamango yokuba ingaba i-nodule okanye ubunzima ngumhlaza. Nangona kunjalo izicubu ezinobungozi nezibuhlungu zinokubonakala zifana ngokusesikweni.
Inkqubo
I-aspine efanelekileyo (FNA) yenziwa ngokufaka inaliti encinci evela ngaphandle komzimba kwisisu kwaye isuse iiseli ezinokuhlolwa kwi-microscope. I- pathologist ijonge iiseli ukuze abone ukuba isifo sikrokratshi ngumhlaza kwaye ukuba ngumhlaza, luhlobo luni lomhlaza.
Ngomdlavuza wamaphaphu , inaliti ifakwe kwisifuba ngesikhumba esikhwameni kwaye zibe yintlungu edlalwa rhoqo kwi-CT scan yesifuba. Oogqirha banokuqinisekisa ukuba inaliti iya kwinqanaba elifanelekileyo lemiphunga ngokulijonga nge-ultrasound okanye i-CT scanner. Ukuba isilonda sisondela ngokulula kunokuba kwimpompo (umzekelo, i- lymph nodes ezinokuthi zivezwe), i-FNA ingasetyenziselwa kuloo ndawo endaweni yemiphunga.
Inzuzo
I-FNA iyingenelo encinci kunokuba i-biopsy evulekile yomphunga, enye ngokungena kwisifuba. Funda kabanzi malunga neendlela ezahlukeneyo ze- biopsy ezingasetyenziselwa ukuxilonga umhlaza wemiphunga .
Ngophando lwango-2016, kwafunyaniswa ukuba i-FNA yaphumelela ekufumaneni isampuli eyaneleyo yokuxilonga umdlavuza wamaphaphu kuma-91 ekhulwini labantu apho inkqubo yenziwa khona.
Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba le nqubo ayinakwenzeka kuzo zonke izicubu, kwaye akunako ukukhethwa kwezidumbu kwezinye iindawo emiphakeni.
Iindawo ezingamanga
Kwisifundo esichazwe ngasentla, kwafunyaniswa ukuba i-FNA yayinomdla kakhulu ekuhloleni umhlaza wemiphunga. Oko kwathiwa, i-FNA ngezinye izihlandlo ingakhokelela iziphumo ezimbi, ngamanye amazwi, ukufumana umhlaza ongekho. Kule sifundo, kwafunyaniswa ukuba inkcazo yezobugcisa yayingama-81 ekhulwini, kuthetha ukuba malunga neepesenti ezingama-20 zeso sihlandlo esingafanelekiyo somhlaza. Esi sizathu esinye esibalulekileyo sokuba oogqirha basebenzisa iindidi zeemvavanyo ukuxilonga umhlaza wamaphaphu (ngaphandle kokuba i-specimen enkulu ingatholakala kwi-biopsy evulekile.)
Iingxaki
Kukho iingxaki ezininzi ezinokwenzeka nge-FNA, kodwa ngokubanzi, le nkqubo incinci kwaye ingakhuselekanga kunezinye iindlela zokufumana i-specimen ye-biopsy.
- Ukuhlamba - Ugqirha uya kuthetha nawe malunga nayiphi na imichiza oyithathayo inokunyusa ixesha lokuphuma kwegazi. Kubalulekile ukuba uqaphele ukuba ezinye izondlo ezondlo kunye nokulungiswa kwemifuno kunokunyusa ixesha lokuphuma igazi kwaye uvumele ugqirha wakho azi malunga nayiphi na imithi okanye amanxeba oyisebenzisayo. Ukuhlamba (i-pulmary hemorrahge) ngokuqhelekileyo kubonakala kubantu asebekhulile.
- I-Pneumothorax - Ukuvuza komoya kuyinkcenkcesha eqhelekileyo, kunye nokungafihli komoya okwenzeka kwisiqingatha sabantu abale nkqubo. Ukuba kwenzeka i- pneumothorax , ityhubhu yesifuba ingafuneka ifakwe. Ngamanye amaxesha ityhubhu yesifuba iya kufuna ukushiywa endaweni ethile ixesha elide de umphunga wakho uphinde wandise kwaye ipneumothorax isisombululo.
- Ukuhluma kwegazi - Kukho umngcipheko wokuba i-FNA ingabangela ukubola kwesisu. Ingcamango kukuba ezinye iiseli zisuswe kwi-biopsy zingasala emva kwendlela yenaliti njengoko isuswe. Ukuba oko kwenzeka, iiseli zingakhula kwindawo apho zashiywa khona kwaye ziqale i-tumor entsha (i-metastasis.)
Ukufumana iziphumo zakho
Thetha ugqirha wakho ngexesha lakho le-biopsy kwaye ubuze xa uya kulindela ukuba iziphumo zifumaneke? Ngaba uya kubizwa kwifowuni okanye ngaba ufuna ukumisela ukuqeshwa ngokwahlukileyo ukuxoxa ngeziphumo?
Eyaziwayo Njenge: intsalane yokufuna inaliti (NAB), i-fine floral aspiration cytology (FNAC)
Imithombo:
Capalbo, E., Peli, M., Lovisatti, M., Cosentino, M., Mariani, P., Berti, E., noM M. Cariati. I-Trans-Thoracic Biopsy yezilonda ze-Lung: FNAB okanye i-CNB? Amava ethu kunye nokuHlola kweeNcwadi. La Raiologica Medica . 2014. 119 (8): 572-94.
Sangha, B., Hague, C., Jessup, J., O'Connor, R., noJ. Mayo. I-Transthoracic Computed Tomography-Isikhokelo Sengxowankulu Isikhokelo: Ukuthelekiswa kweSiringi leeNkcazo kunye neCape Needle Impumelelo. I-Canadian Association of Radiologists Journal . 2016. 67 (3): 284-9.