Imwe nzira inowanikwa yekuongorora chirwere chetroyi chinoshungurudza
Nzira yakakurumbira yekuongororwa kwehutachiona hwehutachiona kana kuti mashoma ndeye nzira inozivikanwa seyakanaka yenyuchi inoshuva biopsy, yakafukidzwa seFNA.
Mune FNA, nheyo yakanaka kwazvo, ine tsvina inowanikwa muhutori hwako, kuti uwane aspirate (kana kuti "kutsvaga") masero uye / kana mvura inobva muhutachiona hwehutachiona kana hukuru mujinga. Muenzaniso wakawanikwa unogona kuongororwa nokuda kwekuvapo kwemasero anouraya.
FNA Inoparadzaniswa Sei Nesimbi?
Mune nheyo yepisipi biopsy, mucheka, huru nenyuchi inoshandiswa kuwana "core" mhando yenyama yekuongorora, uye mienzaniso yakawanda inogona kuverengerwa zviduku zviduku zvinogona kutumirwa kuti zviwedzere kuongororwa. Nhengo yezvinyorwa zvinowanzoshandiswa uchishandisa aneshesia, uye izvi zvinowanzova nengozi shoma yekubuda ropa inosanganiswa navo, saka inowanzowanzoitwa nechiremba anobva kunze kunze kwekuvhima kana kuvandudza zvivako zvekuvhiya.
Kana HMO kana sangano risina vadzidzisi vane unyanzvi pakuita FNA, kana kuti hakuna ma-cytopathologist anowanika kuita iyo yakasiyana-siyana yekududzira inoda kuwanikwa kweFNA, varwere vanogona kunge vane nheyo yakakura yenyuchi, sezvinoitwa izvi, asi zvimwe zvinoparadza kune varwere, inoda unyanzvi hushoma kuwana sarudzo yakakodzera, uye unyanzvi hushoma hwevanodzidza pathologist kuverenga nekududzira.
Ndiani Anofanira Kuita FNA?
Kazhinji, FNAs inogadzirwa nema endocrinologists, cytopathologists, kana chiremba.
Masero aya anodzidza uye anoongororwa ne cytopathologist.
Iva nechokwadi chekuti muongorori ane ruzivo rwakawanda pakuita zvakanaka zvidimbu zvesingano. Bvunza kuti ndezvipi zvinoda kuitwa nevaridzi mwedzi woga woga, uye kubvunza "zvisingabatsiri" kana kuti "zvisingaenzaniswi" zviyero zvemuenzaniso. Usagara uchingofunga kuti endocrinologist inonyanya unyanzvi mune iyi nzira - iye kana angave asingaiti nguva ino kuita izvi.
Mutengo wekusaongorora kana kuti kusagutsikana-sampuli dzisingagoni kushandiswa kuongorori rekuongorora, uye dzinofanira kuva redone - dzinogona kuva dzakakwirira kune vashandi vasina ruzivo. Yolanda Oertel, MD, muropathologist kubva kuWashington Hospital Centre uyo akataura nezveFNA muTroroid Cancer Survivor's Association (ThyCa) Conference muWashington, DC, inorayira varwere kuti vawane chiyero pane nzvimbo iyo aspiration yavo iri kuitika. Avhareji anogona kumhanya kubva pa5 kusvika ku15 muzana. Dr. Oertel, uyo ane maitiro anonyanya kuratidza utachiona uye zvaanoda zvechifuva, uye ndiani anoda zvinotapira makumi mapfumbamwe nemwedzi mwedzi mumwe nomumwe, ane "kusinganzwisisiki" yezinga iri pasi pe 0.5 muzana.
Cherechedza: muedzo chaiwo unowanika pane zvinowanzoitwa FNA, iyo inonzi Afirma Thyroid Analysis , kubva kuVeracyte, iyo inopedza huzhinji hwekusagadzirisa, kusagadziriswa, kana kusagadzikana kweFNA. Muedzo unofanirwa kurongedzwa kuti uite sechikamu chebasa rebiopsy.
Ndepapi FNA Inoitwa?
Zvizhinji zveFNA zvinowanikwa muhofisi yechiremba, kunyange zvazvo zvimwe zvingaitwa sekuvhiyiwa kwenguva refu .
Dr. Oertel, zvisinei, anorayira kuti varwere vasawana FNA kunze kwechipatara. Kunyange zvazvo nzira yacho inowanzochengetedzwa, uye zvinhu zvinowanzoenda zvisina kururama, kune ngozi shomanana yekudzivirira ropa, asi iyo inogona kukurumidzirwa kurapwa muchipatara.
Chii chinonzi Ultrasound-Inotungamirirwa FNA?
Kana chivharo chisingawaniki-kureva, iwe unogona kuinzwa neruoko rwako-vashandi vakawanda havadi kushandisa ultrasound kutungamirira hurongwa hweFNA.
Mimwe minyunguduru yakanyanyisa-inoreva nhema kana inogona kunzwika kana iwe uchimedza, kana kuti haigoni kunzwa asi yakatorwa ne ultrasound, cat scan kana MRI. Muzviitiko izvi, mushandi angashandisa ultrasound kuti ave nechokwadi chokuti FNA inonyatsoitwa.
Associated Risks
Utachiona FNA inowanzoonekwa yakachengeteka, uye inenge isingatongogumiri mune zvinetso.
Zvichakuvadza Here?
Izvozvo zvinoenderana neunyanzvi hwehutano, iwe pachako maonero ekurwadziwa.
Vamwe vashandi vachashandisa lidocaine, anesthetic yemunharaunda, kuti vashandise nzvimbo yejojo. Asi varwere vanogunun'una kuti izvi zvinogona kukuvadza zvakanyanya kupfuura zvakakonzerwa neFNA. Vamwe vashandi havashandisi anesthetic. Pahurukuro yeTyCa, Dr. Oertel akatsanangura kuti haashandisi anesthetic, anosarudza kushandisa iceji kuti asvike paganda. Mhedzisiro yaro: anesthetic sindete inogadzira bundu uye kuzvimba kunopoteredza nzvimbo yejojo iyo inogona kukanganisa kukwanisa kuwana mufananidzo wakarurama.
Pain uye Recovery
Iwe unogona kunge uine kurwadziwa zvishoma nekudururira uye kuputika panzvimbo dzejojo, uye zvichida kuvhiringidzwa kwakanyanya mukumedza. Kumbira chiremba wako pamusoro pezvirongwa maererano nemishonga yekurwadza kweFNA-vakawanda vanokurudzira kutora acetaminophen kana ibuprofen sezvinorayirwa kuti kuderedze kusagadzikana kupi zvako.
Unogona Kudzokera Kubasa Here?
Vanhu vakawanda vanonzwa vakasununguka kuti vadzoke kuzoshanda zuva rimwe chete kana kuti mangwana mushure mekunge vane FNA.
Asi iwe unofanirwa kudzivisa kushanda nesimba uye mitambo kwemaawa anenge makumi mana mushure meFNA.
Migumisiro Yekutarisira
Nyeredzi inowanzove yakakonzera kenza kana ine zvimwe zvipingamupinyi:
- Mitsvuku yakakura: kupfuura 4 masentimita inowanzova nekenza kupfuura kuvharidzira pasi masendimita mana
- Varume vane mishonga yakawanda ndivo vanowanzove vane kenza kupfuura vakadzi vane mishonga yevakadzi, zvisinei, madumbu mumadzimai ane pamuviri anowanzove ane kenza kupfuura kuvhunduka mumukadzi asina kubata
- Mushonga wega woga unowanzove wekenza kupfuura hutachiona hunowanikwa mune "multinodular" utachiona
- Nodules mumunhu anopfuura 20 kana kupfuura kupfuura 70
- Nhoroondo yekunze kwemutsipa weutsi mumwana
- "Cold" kuratidzira pamusoro pe ultrasound, zvinoreva kuti chirungu hachina kuvhara iodine kana kuti kuita hormone yekemikari
Pakupedzisira, zvakadaro, inenge 5 muzana yemakumbo ose ehutachiona ane kenza.
Ko kana Icho Chinonzi Benign?
Kana uine benign nodule, chiremba wako angangobata chirwere. Kuti uwane mamwe ruzivo, dzidza nezvemakumbo ematokisi, mashizha uye maiti sekutangira kwako.
Zvakadini Kana Ichi Chirwere / Kanzira?
Kana iwe uchitarirwa nekenza yekemekari , yako yekutanga yekumira inofanira kunge iri nyaya inotevera, sumo yekenza yekroid , iyo inotanga nguva yekutanga yekuziva nezvekenza yekemikari, kusanganisira papillary , follicular, medullary, uye kenza yaplastic , kusanganisira mapoka ekutsigira uye kutevera-up treatment. Nhanho yako inotevera inofanira kuva yekubatanidza neTroroid Cancer Survivor's Association, uye kushandisa zvakasununguka mabasa avo akawanda ekutsigira varwere.
Ko kana Izvo Zvisingazivikanwi Kana Zvisingagumi?
Kana chirwere chisina kukwana, munguva yakapfuura, vanachiremba vakurudzira kuvhiyiwa kubvisa zvose kana chikamu chetachiona. Asi 20 kusvika ku30% yezvisingatauriki kana zvisingagumi zvinokonzera kenza, zvisinei. Izvi zvinoguma mukuvhiya kusingakoshi, pamwe chete nehupenyu hwose hypothyroidism kune vazhinji vevaya vanorayira mushure mekuvhiyiwa. Chiyero chakabudiswa muna 2011, iyo Afirma Thyroid FNA Analyse, yakagadzirwa naVeracyte, inodzivisa kusinganzwisisiki / kusagadziriswa kwemigumisiro yezviputi, zvichiita kuti zvive nemafungiro akajeka eFNA, nekudzivirira kudikanwa kwekuvhiyiwa mune inofungidzirwa 70 kusvika ku80 muzana yevarwere vasina kukwana / indeterminate nodules, asi hapana kenza.
Unogona Kuve Nokunyengera Kunhema Here?
Mhedzisiro dzenhema, dzakadai sezvakaipa zvenhema zvichiratidza kuti FNA yako yakaipa iyo inenge iine kenza, kana kuti zviratidzo zvenhema zvinoratidzira bhenignue sebenzi, yakawanda kupfuura iwe unofunga. Dzimwe nyanzvi dzinofungidzira kuti chiyero chema2 kusvika ku4 muzana yeFNA yose inogona kuva mhinduro dzenhema.
Shoko Rinobva
Uye kana uine zvisinganzwisisiki kana zvisingagoneki uye usati waita kuti FNA iongorwe uchishandisa nzira yeAppirma Thyroid FNA Analyse, iwe unogona kuedza kuedza iyo kuedza kuongorora nodule zvakananga usati wapera chirwere.second pfungwa.
Kana uine mhedzisiro yakaipa asi uine zvipingamupinyi zvemhuri kana nhoroondo yemhuri yekenza yehutano, kunyanya, unofanira kufunga kuwana imwe pfungwa pane FNA yako. Uye, kana uine chikonzero chakanaka chinoratidza chirwere, wechipiri pfungwa inokosha zvakare.
Iwe unganzwa usina kunetseka pamusoro pekutaura izvi kune chiremba wako, kana kuti unonzwa kuti zvichaonekwa zvisina kunaka nachiremba wako, asi, sezvakataurwa naDkt. Oertel mumharidzo yake kumusangano weTiCa, "Ita pfungwa yechipiri. iwe ungasadaro! "
> Kwakabva:
> Dr. Yolanda Oertel, Musangano weChroid Cancer Survivor's Association.