A biopsy o ka thyroid gland: He aha ia mea, pehea ka mea, ua i? A biopsy o ka thyroid gland: la hoomalolo, hoomaopopo ana o na hopena o kālailai, i ka hopena o

Ma kēia kumu o ka iapaau ana o ka thyroid Ka maʻi 'aʻai ua ala ae nei ia i ka paeʻano kiʻekiʻe. Ma keia nō koe i ka pono no ka piʻiʻana i loko o ka kipi 'ole o ke kino,ʻo ia hoʻi, hana kekahi biopsy o ka thyroid gland. He aha ka mea? - E noi aku. Ke pane mea,ʻaʻole lōʻihi ma ka hoi ana mai, ina kou thyroid nodules oi aku ma mua o 1 knm i ka nui, a ina aole i ua mau e like me nāʻoihana. I ka nui, e hoike ana o ka ultrasound mea e mau loa ana me lawa. E ike i ke 'ano o ka hoʻonaʻauao' ana, e pono e lawe i ka hāpana o ka mea a me ka noʻonoʻo kona kulana.

Kuokoa ana o ke kaʻina hana e pono ai

Ka hapanui o kānakaʻepekema, e like me ka World Health Organization i 'ike i ka pono no ia i ka hana. ʻepekema kuhikuhi mai i ka hoʻonaʻauao, a me ka loa uuku nui, ina oi aku kekahi, i ka loa adverse ia ma luna o ke kanaka kino, nolaila, e möakäka hou kona ano - ka mea, o ka hana ana o kela kauka,ʻalo me ia i ka pilikia i loko o ka hoʻomanawanui. People noi no ka kōkua i keia pilikia, mea ma lalo o ka kauka o ka hooponopono. Last E hai mai hoao no ka pae ana o hormones e like me thyroid hōmona, triiodothyronine, thyroxine, a no laila, ma luna o. i papa'āweʻaweʻa kemika ultrasound examinations pau i waeia, IeAUPIIe, IAa IO hana kēia mau kaʻina hana i 3-6 manawa i ka malama, ma ka hou, nā mea maʻi pono e kū lākou iho moku'āina.

ka mua kuka

Ma kukakuka me kou kauka, e haʻi akuʻoe i nā lāliʻi, i ua pu ma ka biopsy o ka thyroid gland: He aha ka mea, o ka mea i hanaʻia, i hoomakaukau kapuwai pono, e kekahi i mea e hooko ia, a pela aku no.

Hana anesthesia?

He He ninau maoli e kupu ana ma kēlā me kēia hoomanawanui: pehea e hana i kekahi biopsy o ka thyroid gland? ʻOiai ka inoa kani scary, ke kaʻina hana iho nei i mea weliweli nui. I mea, keia ke kelepona hele nā, mai ka puncture paena me ka kūikawā loa lahilahi kui kele.

E hoomakaukau ai no ke kaʻina hana

Hana he biopsy o ka thyroid gland, no ka mea, incidentally, ua i koi 'ia ke hoomakaukau, i loko o minuke. Anesthesia kauka ma mua hana i lawe mai i mau kumu:

1. Ke hoʻomanawanui i ka hoao anaʻaneʻane ole ka eha, ua manao wale i ka pahu kui kui kele.

2. injected lāʻau 'ke hiki aku i ka hāpana hakakino kaumaha, ka mea, e oiaio no e pili i ka quality, a me ke kaʻina hana e e hai nui manawa.

O ka papa kuhikuhi hana o ka biopsy mea maikai kui kele ma puncture.

I ke kaʻina hana no ka biopsy

E hoʻoholo i ka moku'āina o ka liluwelo mea o ka aka wahi hoʻomaka hoʻokō i ka biopsy ina hana. Ua komo ai kona me ka kūikawā kuikele liluwelo mea, mai ke kahua, a ua i hiki ai i ka mahele. A pau e hoomanawanui i ka poe i ua diagnosed me ka hoʻonaʻauao pono undergo ia he hana. Ka loa akahele scrutiny ma ka biopsy e e nui Singles hoʻonaʻauao.

Ma ka Ewa o ke kaʻina hana, ina ka hoʻomanawanui ka loa hauʻoli loa,ʻo ia ke hāʻawi mai i ka kiaha dala. Na maoli hana hoʻomaka me ka hoʻomanawanui i ka kulana ma luna o ka moe a me kona poo kiola hoʻi. Ka pahu kui paena ua malamaia lakou nei, me ka waiʻona, i ukali ia e kekahi mau pana pua aku makou i loko o ka wahi aku, mai na aka wahi o ka liluwelo mea. E i kekahi mau pana pua aku makou ia oukou e pono ai, e like me he hookahi puncture hiki ole haawi pono, e kaha i ka nui o ka mea. Next, ka mea i koho lako e ua kau ma luna o ke aniani, a hoouna aku la i ka histological ninaninau.

ahonui palena

No ka mea hoʻomanawanui mea i kaupalena ': ka mea hiki ole ke ale wale iho i ke kaʻina hana. O ke kumu ho i ka mea i ke kui kele ma ka loa wiwi, a me ke kahua o ka liʻiliʻi, no laila, ke iki pahu aku ai i ke hoouna aku nei au i ke kui kele ma loko o ka hewa a me ka hema e ole lawe i ka ukana. Ke kaʻina hana holoʻokoʻa ua hana ka hoʻohana 'ana ultrasound mīkini. Ua ua pono i ka mana i ka olelo o ke kuikele ma lalo o kaʻili, ka mea maoli i ka likelihood o kona hanana i loko o ka maikaʻiʻole ia ma kēia mokuna. Ka holoʻokoʻa hana i ka i kā mākou o ka hapalua o ka hora, ka mea hiki ke hana me ka outpatient, a oiai i loko o ka haukapila.

Loiloi 'ana o nā hopena o ke kaʻina hana

Cytological ninaninau o Eia kekahi laʻana loaa i ka awelika o ka hebedoma hoʻokahi. Pololei o nā hualoaʻa ka loa kiʻekiʻe - 95%,ʻaʻole 100, no ka mea, he kanaka ololi ia mea i ke koʻokoʻo i hana i ka puncture, mai i mau i ka pono nui o ka makahiki paha, a me ke kaʻina hana iho nei he maopopo. I ka lani kiekie loa pakeneka o erroneous a uninformative diagnoses e kau mai maluna o ka mea hōʻikeʻikeʻuʻuku manawa o nā aka wahi, me ka nui o ka i, aole ia e hiki i kekahi kenimika.

Benign mau hua'ōlelo i loko o ka hihia o ia ke kaʻina hana o ka nodular goiter, a pau kona likeʻole. Ka pololei, i ka wa e loaa ana i ka hopena o 98% o na hihia a pau. Ma ka benign ka mea, ua i noʻonoʻo ana ia manawa a me na mea haʻilula keimikala diagnoses me colloids pae follicular epithelium - ka pahiki o ke aku a me ka diagnoses o 95%.

Malignant i ka 50% o ka hihia i diagnosed me ka huahelu:

• pilikia i differentiating adenoma;
• wahi me ka atypia symptoms;
• ka hoʻonuiʻana o ka follicular epithelium.

Ma na hihia a pau, i ka hua'ōlelo o kēia - follicular neoplasia.

Ka noho pilikia loa a me ka loa pinepine i malignant diagnoses:

• i maopopo nä haumäna ma kaʻike, o ka carcinoma mea he malignancy paena kokoke hoʻokahi haneri pakeneka;
• kēia carcinoma - ma kahi o 80-90 pakeneka pahiki;
• i loko o 70% o ka hihia hiki ole aliʻi mai i kaʻike, o malignancy staging he malignant wahi.

An hou Ka Ikepili o Eia kekahi laʻana

Ma kekahi mau hihia, thyroid biopsy hualoaʻa pono hou ia hoʻokolokolo 'ana. No ka laʻana, he pinepine alakai ho'āʻo ma mohala i ke kui kele ma ke alo o ka thyroglobulin a calcitonin. Mau ho'āʻo ma ke hoʻoikaika i ka pololei o ka noiʻi, ina ua paʻewa ai i ka hopena o kaʻike mau haʻawina, no laila, i kekahi manawa, hōʻike 'adenomas o ka parathyroid glands, a i aia i loko o ka thyroid gland.

I ka wa i haawiia mai ana thyroid biopsy hopena o kālailai i ka hoʻomanawanui ma kūikawā 'ano apau loa. Aia i kākau i ka nui ike i loaa mai ma hope o ka hōʻike Eia kekahi laʻana: wahi kūlana, wahi, ka nui, a no laila, ma luna o. Nō kāu, i kā mākou i ka wā o ke kakali ana no na nā hualoaʻa - i ka 7 lā, i kekahi manawa hou, i loko o kekahi mau-oaio? A, ma ka mea ku ole, i ka manawa kālailai loiloi 'mea 1-2 lā.

ala e hiki i kekahi, e nānā i malignancy

Radioisotope kaʻimiʻana - i kekahi ala e kaha i ke kūlana o nā aka wahi. He i noho aliʻi mai i ka biopsy, a me ka mea i ka mua koe ma ke alo o ia. I ka 'inikua terminology, he mea mau manaÿo: i ka wela a me ke anu aka wahi. thyroid keena omoʻia iodine i ka hapa o ka gland. I ka lawelawe ana i ke ahonui o ka radioactive iodine ma thyroid kiʻi 2 ke hoohuli ae i ke kiʻi. Inā ka gland aha ninoieo o ka ke kelepona mea, a, no ka mea kumu, 'aʻole i ka hoʻokemu iodine, ka mea huli i ka bluish kiʻi, a me ia nō ia i ke anu paena. Inā kaʻeleu iodine ke kemu, ke kiʻi huli huali alani kiʻi, ka mea, e ia he wela paena.

Ho oholo maemae eiiiiiaiou no kēia mau kiʻi mea loa paʻakikī, akā, inā ua kamailio e pili ana i na probabilities, ina o ka wela wahi, i ka pahiki ana ia mea malignant, Ua nui haʻahaʻa ma mua, inā ke kiʻi hoʻi i ka mea ku pono. Mai radioisotope kaʻimiʻana, aole ia e haawi i ka maopopo ia, kauka nō pau i io ai i kaʻike, hope loa o ka manao ma ke ano o ka biopsy o ka thyroid gland.

A biopsy o ka thyroid gland: na hopena

Puncture o ka thyroid gland, ma ka mea - ia mea loa e noho malie hoi ina hana. Ma hope o ka mea, aneane loa hoʻomōhala i kekahi complications, a ina ka mea, i, ka mea o loa nīnūnē. No laila, i kaʻino mea e hiki hiki mai - he hemorrhage i loko o ka knot a li nui ma ka puncture paena, ua malamaia lakou nei, kula haʻahaʻaa mau complications.

Kekahi uuku-lohe paha, ma ka mau, naʻaupō kanaka manaoio i cervical lymph'āina ma hope o ka lawe ana i ka hāpana mai benign ke lilo i malignant, akā, ka mea, 'o ka piha fallacy i' ole e hana. Benign hikoko ke lilo malignant ma ka ho'ākāka 'ana, ka mea wale koho - ia mea ina ke kauka i ka hookolokolo ana o kekahi laʻana i lilo i kekahi mea, akā, e hana loa kākaʻikahi. I mau, mai hoʻolohe i ka moʻolelo e pili ana i ka mea weliweli loa ia waiwai, i mea kaulana no ka biopsy o ka thyroid gland, i ka waiwai o ka mea i loa mailuilu haalele.

Ua hiki hoʻomōhala Ka maʻi 'aʻai ina mea i ole

Inā ka cancerous wahi, ia mea he malignant maʻi, a ma laila i mua ulu. Inā ma ka hoʻomaka o ka ulu ana i loko o kēia mau huahelu i i kūkulu ia i ke ano e loaʻa hou i ka maʻi 'aʻai ke ole. Ka mea mea i ka wā he wahi hoʻomaka e ulu, ia mea ua loaʻa oncology. Oiai wahi ua i hoʻomaka i ka ulu, aole ka i nui, e nānā ke kumu o ka MEA ia kekahi ikea ai ka poe aka wahi wale i oi ma ka nui o ka 1 knm a emi ina ke kahua, akā, i nā hualoaʻa o ka ultrasound i loko o ka mea maopopo e ike i na hoailona o ka maʻi 'aʻai.

Ae, o ka papa, he mau wahi, i hiki ka wā ma hope o ka puncture ma hope o kekahi mau o ka makahiki, i ka'āina hoʻomaka e ulu, a ma hope o ka lua o ka hana eia kahi mea akaka i loaʻa nō i Ka maʻi 'aʻai. A laila, loaʻa ka poe hana pela plaintive'ōlelo e like "kaʻu hoaaloha delalalas biopsy o ka thyroid gland, maikaʻi hōʻike manaʻo, a ma hope o ka hana i loko o na malama eono, hoomaka ae la knot, e ulu, ka mea i ka pilikiaʻaneʻi?". Ke lalo lainaʻaneʻi mea,ʻaʻole i ka maʻi 'aʻai,ʻikeʻia ma laila pono manawa, ke pilikia ana ke kino i loko o ekolu nuances:

• Ke puncture mua i hana ia ma ka loa uuku pa alima nui like 'ole. Loa paha, ke kauka, ka wā e hana i ke kaʻina hana, e lalau i ka hewa mea, i loko o nā hua'ōlelo, mai ku i ka pa alima.

• Kūpono mea hōʻikeʻikeʻuʻukuʻano hana. Kekahi poe akamai, o ka oi aku ka wā biopsy o ka thyroid gland, mea ia ua poorly lohe, a pehea ia pono hana, me ka hou mai i ike i ka poe hana i ka mea uuku kūlanakauhale, i ka i ka hewa hualoaʻa i loaa.

• Ke kauka-cytologist, i ka wa a ka decryption lawe mai i ka biopsy o ka thyroid gland, hiki ole ke kōkua ka lōkahi o ka pathology. Ke kaʻina hana iho hiki ke hana pono, a hiki no hoi Laʻana o nā kiʻi i ka maikai, aka, o kekahi he kauka-cytologist ike mea nui, no ka mea, o kona manao hilinaʻi nui ma luna o ka pololeiʻike.

Ia ka leo o nā mea a pau, he mea i ike e pili ana i ka thyroid biopsy ua hana, i ia mea a me ke kumu ia ua pono.