Zvikonzero zveFNA, Nzira, uye Maitiro Akashata
Chiremba wako angangodaro akarayira FNA (yakanaka ine sindete) yechirwere. Nzira iyo inogadziriswa sei, ndezvipi zvaungatarisira, uye ndezvipi zvinogona kuitika?
Overview
Nhengo yakanaka inoshuva inoshushikana (FNA biopsy) inoedzwa kuti uone kana chironda chiri chakanaka (kwete chekenza) kana chakaipa (kenza). Mukati, nzira yakanaka (asi yakareba) neta inowanikwa kuburikidza nepamusoro peganda uye mumumarara.
Chinoti chiduku chiduku chinoshuva uye tsono inobviswa.
Zvikonzero Zvokuita FNA
Kana chiremba wako awana chirwere pachifukidzo x-ray kana CT scan, angave aine pfungwa yekuziva kana kuti kwete kana musuru kana masero ari kenza. Asi zvirwere zvinorwara uye zvinopisa zvinogona kutarisa zvakafanana pane kuverenga.
Nzira
Nhengo yakanaka yekutsvaga (FNA) inowanikwa nokuisa nhengo ine tsvina kubva kunze kwemuviri kusvika mumarara uye kubvisa masero anogona kuongororwa pasi pe microscope. Mumwe chiremba anotarisa masero kuti aone kana chironda chinoshungurudza chirwere uye kana chiri kenza, chirwere chipi chekenza.
Nemukenza wemapapu , tsono inowanikwa mubhokisi kuburikidza neganda riri pachipfuva uye mutezo unowanzowanikwa pane CT scan of the chest. Vanachiremba vanogona kuve nechokwadi kuti nenyuchi inoenda kune imwe nzvimbo yepamapapu nekuitarisa kuburikidza ne ultrasound kana CT scanner. Kana chironda chiri nyore kusvika kune avo vari mumapapu (somuenzaniso, lymph nodes inogona kunzwika), FNA inogona kushandiswa panzvimbo iyoyo panzvimbo pemapapu.
Kubatsirwa
FNA inonyanya kusapisa kupfuura yehuputi yakasununguka yemapapu, imwe kuburikidza nekukanda mubhokisi. Dzidza zvakawanda pamusoro pemhando dzakasiyana-siyana dzehuopsy dzinogona kushandiswa kuongororwa nemukenza wemapapu .
Mukudzidza kwe2016, yakawanikwa kuti FNA yakabudirira mukuwana samuti yakakwana yekuwana chirwere chekenza yemapapu zvakakwana mu 91 muzana yevanhu iyo nzira yacho yakaitwa.
Zvakakosha kucherechedza, zvisinei, kuti izvi hazvibviri kumaronda ose, uye hazvizove sarudzo yemamota mune dzimwe nzvimbo mumapapupa.
Nhema Nhamba
Muchidzidzo chataurwa pamusoro apa, zvakawanikwa kuti FNA yakanga yakanyatsonaka pakuongorora mukenza yemapapu. Izvozvo zvakati, FNA dzimwe nguva inogona kupa mhinduro dzakaipa, mune mamwe mazwi, kuwana kenza inenge isiri iyo imomo. Muchidzidzo ichi, zvakawanikwa kuti zvakananga zvegadziriro yacho yaiva 81 muzana, zvinoreva kuti kusvika 20 muzana yenguva iyo kuongorora kusina kukodzera kwekenza kunogona kuitwa. Ichi ndicho chikonzero chimwe chinokosha nei vanachiremba vachiwanzoshandisa kusangana kwezviedzo kuti vaongorore mutsa wemapapu (kunze kwekuti mufananidzo mukuru unogona kuwanikwa muhuputi yakasununguka.)
Matambudziko
Pane zvipingamupinyi zvakasiyana-siyana zvinogona kuitika neFNA, asi kazhinji, izvi zvinopera zvisingasviki uye zvakachengeteka pane dzimwe nzira dzekuwana shanduro yebhiopsy.
- Kupera - Iwe chiremba achakutaurira nezvemishonga ipi zvayo yaunotora inogona kuwedzera nguva yeropa. Zvakakosha kucherechedza kuti zvimwe zvekudya zvinovaka muviri uye kugadzirwa kwemishonga kunogona kuwedzera nguva yeropa uye kurega chiremba wako achiziva pamusoro pemishonga inopfuura-iyo-mishonga kana zvigadziridzo zvaunoshandisa. Kubvisa (pulmonary hemorrahge) inowanzoitika kuvanhu vakwegura.
- Pneumothorax - Mhepo inoputika inowanzobatana, kune imwe nzvimbo yemhepo inoputika inowanikwa mukati mehafu yevanhu vane nzira iyi. Kana pneumothorax ikaitika, chikwata chebhokisi chingada kuiswa. Dzimwe nguva pfupa rebhokisi rinofanira kusara panzvimbo panzvimbo kwenguva kusvikira mapapu ako achiwedzera uye pneumothorax yakagadzirisa.
- Kumhanyira mbeu - Kune ngozi yekufungidzira kuti FNA inogona kukonzera kuora mbeu. Mhedziso ndeyekuti mamwe masero akabviswa kuburikidza ne biopsy angasara shure mushure mejinga sezvo ichibviswa. Kana izvi zvikaitika, masero anogona kukura munzvimbo yavakasara shure uye kutanga chironda chitsva (metastasis.)
Kuwana Zvaunowana
Taura nachiremba wako panguva yechiratidzo chako uye unobvunza kana achatarisira kuti mhinduro dzivepo? Ungadaidzwa here pafoni kana iwe unofanirwa kuisa sarudzo yakasiyana kuti ukurukure zvawanikwa?
Uyewo Anozivikanwa Se: nenyuchi aspiration biopsy (NAB), yakanaka nenyuchi aspiration cytology (FNAC)
Sources:
Capalbo, E., Peli, M., Lovisatti, M., Cosentino, M., Mariani, P., Berti, E., naMari Cariati. Tsika-Tsika Yakagadzikana yeMakumbo Masvini: FNAB kana CNB? Dzidzo Yedu uye Kudzokorora kweMabhuku. La Raiologica Medica . 2014. 119 (8): 572-94.
Sangha, B., Hague, C., Jessup, J., O'Connor, R., uye J. Mayo. Transthoracic Computed Tomography-Inotungamirirwa Nechirongwa cheSungwe Nyuchi: Kuenzaniswa kweCore Needle uye Zvakanakisisa Simba Mafuta Aspiration. Canadian Association of Radiologists Journal . 2016. 67 (3): 284-9.