Ukuxilongwa kweNtsholongwane yokuNcedisa unyango lwe-Cancer Treatment
U-Eva waqale wafumanisa ukuba unomdlavuza webele lomhlaza we-3cm. Njengengxenye yesifo sokuxilongwa kwakhe, wayenomzimba we-MRIs amabini okwenziwe ukuba ancede ugqirha wakhe ukuba afune ukuba nayiphi na iseli yomhlaza esasabalalisa kwi-tumor enkulu (babenayo) ukuze abe nokuqinisekileyo ukuba afune ukuhlaziywa . I-MRI yakhe yenza umfanekiso wesithathu we-tumor, ebonisa ukuba kwakungekho i-3cm, njengoko yayibonakalisiwe, kodwa yayingu-5cm, eyatshintsha izicwangciso zonyango lwakhe kunye nobomi bakhe.
Ukuze kukukuncede uqonde ngakumbi malunga nokusetyenziswa kwezigqibo ze-MRIs kunye nezigqibo zonyango, ndakhangela phezulu oko iingcali zitsho kwi- UpToDate- inkcazelo ekhompyutheni ethembekileyo eyenziwa ngabaninzi be-oncologists abaphatha izigulane zomhlaza zesifuba.
Unako okanye awuyi kulufuna i- MRI yebele . Kodwa uya kufuneka ukwazi ubungakanani, ubungakanani, kunye nendawo yomhlaza wakho. Qala ngokufunda le ngqangi ukuze ubone ukuba kungani i-MRI yebele ibalulekile kuwe.
Ukuxilongwa kweCanscer Breast: Ingxoxo ye Breast MRI ukusuka kwi- UpToDate
I-Magnetic imagination (i-MRI) isebenzisa umbane onamandla ukudala umfanekiso ocacileyo wenxalenye yomzimba, ayisebenzisi i-ray-ray okanye i-radiation.I-Breast MRI inganconywa ukunceda ukuxilongwa komhlaza wesifuba kwiimeko ezikhethiweyo. I-MRI ayikhuthazwa ukuba ibone umdlavuza webele kubo bonke abesifazana kuba ayifanelekanga njenge-mammogram kwiimeko ezithile zebele, ezifana ne-ductal carcinoma in situ (uhlobo lwe-non-invasive okanye yokuqala yomhlaza wesifuba).Inendima yebele ye-MRI yokuxilongwa kunye nokulawulwa komhlaza wesifuba kuguquke, kwaye akukho nto ingavumelaniyo malunga nabesifazane abafanele babe ne-MRI yesifuba ngaphezu kwe-mammography. "
Yintoni i-MRI ye Breast?
I-imagery ye-magnontic resonance (MRI) yindlela yokucinga engabonakaliyo engasebenzisanga ukuxinwa, i-ray-ray okanye i-radiation. I-MRI idala umfanekiso ocacileyo wezakhiwo zangaphakathi zesisu sakho sebele. Uninzi lweemishini ze-MRI zivelisa umfanekiso wedijithali, owenziwe yi-radiologist kwi-computer okanye ukuprintwa ukuze ufunde.
Olu hlobo lomfanekiso lungenziwa kunye okanye ngaphandle kokusetyenziswa kwe- arhente yokuphambana .
Kutheni i-MRIs yesisu iSebenzisiwe njengengxenye ye-Diagnostic Workup?
Usuvele unayo i- mammogram , kwaye mhlawumbi i- ultrasound kunye ne- biopsy . I-MRI yesifuba inokuthi yenzelwe ezinye izigulane, ukuba ufumane ulwazi oluthe xaxa ngomhlaza wakho, okanye ubone ukuba iimvumi ziphendule unyango. Amammogram ayabizi ngaphantsi kwama-MRIs, kwaye alungileyo ekufumaneni i- DCIS kunye nokubalwa . I-Breast MRI iyakwazi ukubonisa izibilini ngexesha elilodwa, kwaye isebenza kakuhle nangamaqabunga amathumbu. Kukulungele ukufumana umdlavuza webele we-invasive , ukucinga ngeenxa zonke izilonda zebele , nokubona ukusabalala komdlavuza ongaphaya kwe-tumor yokuqala. I-MRI yesifuba iphinde iphumelele ekufumaneni umdlavuza ongenakulingelwa kwenye isifuba, eya kuvumela unyango lwangaphambili kwimizi yesisu ngokukhawuleza. Kubafazi abasemngciphekweni omkhulu wesifo somhlaza webele , i-MRI iya kuba yindlela efanelekileyo yokucwangcisa ngokupheleleyo amabele kunye ne- axila .
Ngubani onokufuna iMRI ye Breast?
Amammograms aseyindlela yokuqala yokujonga i-cancer yombele, kwaye i-MRI yebele iyasetyenziswa ngokuyinhloko njengesongezelelo kwi-mammogram. Kwababhinqa abaselula abaneengqungquthela ze- BRCA , i-MRI ingasetyenziselwa ukuhlolisisa umhlaza wesifuba, ukubona kwiisisu ezincinci ezinokuthi zifihlile abantu.
Kusetyenziswa kokuxilongwa, i-MRI yebele iya kusetyenziswa kwezi meko:
- Ukuba ibhinqa likhukhumeze i- lymph nodes , kodwa ayikho inqwaba ebonakalayo yobisi kwi-mammogram, ngoko i-MRI ingasetyenziselwa ukuyihlolisisa ibele yayo ukubona ukuba i-tumor encinci ikhoyo, kwaye inokuthi ichithe iiseli kuma-axillary nodes.
- Kwesibini esasifumene nesifo sesifuba esinamandla, i-mammogram ingenakho ukunika isiqulatho esaneleyo sokuba ugqirha. Ngoko i-MRI ingenziwa ukwenzela ukufumana ulwazi olungakumbi lokwakha.
- Xa iziphumo ze-biopsy zibonisa i-tumor enkulu kunokuba i-mammogram ibonisa ukuba, i-MRI inokunceda imephu ukukhupha ubukhulu kunye nendawo yesikhumba. Oku kukuchaphazela isigqibo sakho malunga nezicubu ezininzi kufuneka zisuswe - i- lumpectomy okanye i- mastectomy .
- Ukuba kubonakala ukuba kukho i-tumor engaphezu kwesinye esifubeni esifanayo, i-MRI inokunceda umfanekiso wesayizi kunye nolwalamano lwezithuba ezixubileyo, kunye nokunceda ekucwangceni ukuhlinzwa okufanelekileyo ukususa ezo zilonda.
Ngaphambi kokuba wenze isigqibo sakho sokuba utyando lube nalo, wena kunye nodokotela wakho ugqirha udinga ulwazi oluchanekileyo malunga nomhlaza wakho ngokusemandleni akho. Ukuba unokuxilongwa ngokucacileyo kwe-DCIS, kwaye i-mammogram yakho inika umfanekiso omhle wesifo sakho, ngoko ugqirha wakho ugqirha kakhulu unalo lonke ulwazi olufunekayo ukususa umhlaza. Kodwa ukuba i-mammogram yakho ayinikezeli iinkcukacha ezaneleyo, okanye ukuba ugqirha wakho okanye u-radiologist unenkxalabo ngakumbi malunga nobukhulu nommandla womhlaza, ngoko unokufumana inzuzo kwi-MRI yebele.
Ngokuphathelele uEva, wakhetha ukujoyina ilingo leklinikhi, waza wathatha isilwanyana esitsha esasicima isisu sakhe kakhulu, ngaphambi kokuhlinzwa. Kwakhona waba ne-biopsy ekhokelwa yi-MRI, eyafumanisa izilonda ze-satellite. Ngethamsanqa, ezo ezinye izilonda zanyamalala ngexesha likhemotherapy. I-MRI yakhe yayiyinxalenye ebalulekileyo yezigqibo zakhe zokonyango.
Ufuna ukufunda ngaphezulu? Jonga isihloko seTeDate , "Ukuxilongwa kweCanscer Breast: Ingxoxo ye-Breast MRI," ukwenzela ngolwazi olongezelelweyo olunzulu, olwangoku nolungenakulungelelaniswa ngonyango lwebele, kuquka neengcebiso zonyango.
Umthombo:
UDiane MF Savarese, Leah K Moynihan, "Ukuxilongwa kweCanscer Breast: Ingxoxo ye Breast MRI," UpToDate. Kufumaneka: ngoFebruwari 2009.