Uphando olutsha, oluxhaswe yiNational Cancer Institute (NCI), lwafumanisa ukuba abafazi, abaneembongolo ezinamazinyo, banokuzuza kwiqhinga lokuhlola elingaphelelanga ekulandeleni umonakalo obuninzi kunye nokuhlolwa okungekho njengokwenziwa kwe-ultrasound, ukufundwa kwe-PET okanye i-MRI. Uphononongo lubonisa ukuba ulungelelaniso lomfazi okhulayo umdlavuza webele emva kokuba unomzimba ombi, kwaye ngaphambi kokuba ulandele i-mammogram, icebo lokuhlola eliqwalasela ezinye izinto ezinobungozi ezifana nobudala, ubuhlanga, imbali yentsapho kunye nembali yesifuba i-biopsies yomhlaza.
Amabele anomxube weethambo kunye nezicubu ezinamafutha kunye nezicubu ezinamafutha. Amabele akho acingwa njengento eninzi xa ungenawo amanqatha amaninzi, kwaye amabele akho anamaqhina amaninzi. Indlela yodwa oyaziyo ukuba isisongoma sakho sesifuba kukuba unayo i-mammogram. I-radiologist kuphela inokumisela ukunyamezela kwakho kwebele. Awunakukuva. Amabele aqinile asithethi amabele anamanzi.
Kukho iindidi ezine ezisetyenziselwa ukuchaza ubuninzi bebele:
- Izibilini ezincinci ziphantse ziphantse zonke izicubu ezinamafutha
- Amabele asasaze iindawo ze-fibroglandular
- Amabele anesisindo esisinyanisekileyo
- Amabele aphantse kuwo onke amanqabileyo kunye neentlobo ezinamafutha angenawo amanqatha amanqatha.
Amabele amaninzi angenza ukuba umdlavuza unzima kunzima kwi-mammogram. Sekunjalo, izilwanyana ziyacatshulwa njengesixhobo sokukhethwa kwezikhetho kulabo bafazi abanobubele obukhulu. Xa kunokwenzeka, ibhinqa elinamazinyo ezinamazinyo kufuneka libe ne-digital mammogram njengejitjethi ibonakaliswe ukuba yindlela ebonakalayo yokwenza isikhenketho kunomdabu wefilimu yemfuyo.
Amabele amaninzi abonakala kwimimmograms njengemhlophe, kwaye, njengokuba unako ukufihla isifo, kuba umhlaza uphinde ubonakale ube mhlophe. Ngoko ke iimvavanyo ezongezelelweyo zinikezelwa ukulawula ngaphandle nawuphi umhlaza ongafunyanwanga kwi-mammogram.
Amabele amabini aqhelekanga. Phantse isiqingatha sabasetyhini abaneemfuyo ezinamabele. Amabele amaninzi aqhelekileyo kubasetyhini abasebancinci, kunye nabasetyhini abathatha unyango lwe-hormone ukukhupha iimpawu kunye neempawu zokumiswa kwesisu.
Amabele amanzi athatyathwa njengengozi yokwandisa umdlavuza webele. Ukuxinwa kwesifuba esiphezulu kaninzi kubangele ukufunyaniswa okungekho nkohliso kwi-mammography yokuhlola.
Ukuxhalabela ingozi yomhlaza wesifuba kubasetyhini abanezibilini ezinomzimba uye wabangela ukuba i-22 ithi ibe nomthetho oyalela oogqirha ukuba baxelele abafazi ukuba banamafuba amancinci, kwaye baxoxisane ngokucinga okungeziwe nge-MRI, PET, okanye i-ultrasound elandela i-mammogram eqhelekileyo. . I-Congress okwangoku iqwalasela ukwenza umthetho ofanayo.
Nangona i-imaging eyongezelelweyo inokufumana i-cancer yamabele ephosakeleyo kwi-mammography, le migaqo yokucinga ingabangela ukunyuka kweenombolo eziphumo ezingamanga. Iimpawu zobuxoki zifuna ukuba neenkqubo ezininzi, ezibandakanya intlungu kunye nokuxhalaba kwezinto ezingenasidingo.
Uphononongo, okhokelwa nguKarla Kerlikowske, MD, weYunivesithi yaseCalifornia, eSan Francisco, yashicilelwa kwi- Annal of Medicine Internal .
Idatha esetyenziswe kwisifundo ivela kuma-365,000 amabhinqa aneminyaka engama-40 ukuya kuma-74 kwi-Consortium ye-Breast Cancer Consortium (BCSC), inkqubo exhaswa nge-NCI. Ingozi yomhlaza wesifuba eminyaka emihlanu kumfazi ngamnye uyathatha ingqwalasela yesifuba, iminyaka, ubuhlanga, nayiphi na imbali yentsapho yomdlavuza webele, kunye nembali yakhe yebele yebele ekuqikeleleni ingozi yomhlaza wesifuba kwiminyaka emihlanu ezayo.
Abaphandi bafumanisa ukuba malunga neepesenti ezingama-47 zabesetyhini babenamafu. Abo bafazi abasengozini enkulu yokufumana umhlaza phakathi kwezilwanyana ezinamatholampilo kwakukho iipesenti ezingama-75 zesifuba sabo sebele.
I-calculator yemingcipheko ye-BCSC yenziwe njengesixhobo sokuncedisa ukwenziwa kwezigqibo zonyango. Abanikezeli bokunakekelwa kweprayimari bangabalala umngcipheko weengxaki zomhlaza wesibeleko oneminyaka emi-5 basebenzise i-calculator risk and use this information kwiingxoxo zabo malunga neendlela zokuncedisa okanye ezinye iindlela zokucoca kwindlela abafazi abanamaqondo amancinci. I-calculator yomngcipheko ingasetyenziselwa ukuthelekisa umngcipheko wesibini umfazi onomngcipheko ophakathi komfazi oneminyaka efanayo nobuhlanga.
Lo mzekelo ungumzekelo omhle wokusebenzisa ulwazi ngokuhlakanipha ukujonga ubungakanani bengozi, "utshilo uStephen Taplin, MD, MPH, weCandelo leCandelo loLawulo lweCancer and Population Sciences.
Ngokusekelwe kwiziphumo zophando, uDkt. Kerlikowske uthe, "Akunangqiqo kubo bonke abafazi abanamazinyo amancinci ukuze bafumane ukuhlola okungakumbi."
Imithombo: I-National Cancer Institute, kunye no- Annals of Medicine Internal