Ingqwalaselo yeCataltic Brecer Diagnosis
Ukuchonga umdlavuza wesifuba akuyiyo inye-nyathelo yenkqubo; kubandakanya ukuvavanywa kunye nenkqubo yokuchonga utshintsho olwenziwe kwibele olunokwenzeka okanye olungenayo umdlavuza. Inkqubo ingaqala xa:
1. Ngethuba lakho lempilo yonyaka, ugqirha wakho uqhuba uvavanyo lwebele lweklinikhi kwaye ufumanisa isifuba sesifuba.
2. Ukwenza isiganeko kunye nodokotela wakho okanye ugqirha wamazinyo emva kokuphawula utshintsho ekubonakaleni komzimba wakho, okanye ukufumanisa isisindo, ubunzima, okanye ukuqina kwifuba lakho.
Ngelixa ezininzi izilwanyana zingenomdlavuza, zonke izibonda kunye ne-thickenings kufuneka zibonwe kwaye zihlolwe.
Ekubeni kungekhona yonke i-cancer yamabele ekhoyo ngenca, qiniseka ukuba ugqirha wakho uyazi ukuba nayiphi na inguqulelo ongayibona okanye iimpawu onokuzenzayo, njenge-ingxube ephihliweyo, isikhumba esikhitshiweyo ebusini, isikhumba esibomvu okanye esikhulayo, sanda Ubunzima besifuba abuhambelani nomjikelezo wesini, ubuhlungu beentlungu, ukukhulelwa kweentomba, intlungu yebele, okanye i-lymph nodes e-swell.
3. I-mammogram yakho yonyaka ibona into enokukrokraza ngomhlaza wesifuba.
Emva kokuba kukho i-mammogram ebonisa into enokukrokreza ngomhlaza wesifuba, ugqirha wakho okanye ugqirha wezilwanyana angakuphakamisa ukuba ubonwe ngugqirha webele. Kuzo zonke iimeko, uya kuthunyelwa iimvavanyo ezongezelelweyo ezingabandakanya iimvavanyo zokucinga kunye ne-biopsy.
Imizingo yokujonga: iMammogram, Ultrasound, i-MRI
I-mammogram ngumfanekiso we-X-Ray wesifuba. Amammograms angakwazi ukubona iimeko ezininzi zesifuba kunye nokuchonga into ekhangela umdlavuza webele. I-mammogram iyisiskhi esisisiseko sokufumanisa kwangaphambili esingafumana umdlavuza webele kuze kube yiminyaka emibini ngaphambi kokuba ivezwe nguwe okanye ngexesha lokuhlolwa kwebele.
Ubomi bokuBoniswa kweMastaltic Resonance (MRI)
Ukujonga umfanekiso weMagnetic Resonance (MRI) isebenzisa imithombo yamandla ukudala umfanekiso wesifuba. Ingcebiso ye-MRI inganconywa ukunceda ekuhloleni umdlavuza webele kwezinye iimeko. Ayisetyenziselwa ukufumana umdlavuza webele kwibafazi bonke njengoko kungenako ukusebenza njengemimmogram kwiimeko ezithile zebele.
Ultrasound
I-Breast Ultrasound yenza iifoto zesifuba usebenzisa amaza omsindo. Ukusetyenziswa rhoqo njengolu vavanyo olulandelayo emva kokufumana i-mammogram kunye nokufumana okungavumelekanga, i-breast ultrasound iyakwazi ukwahlula phakathi kwe-cyst egcwele amanzi kunye nobunzima obunamandla obunokuba ngumdlavuza.
Nangona ezi zixhobo ezintathu zokucinga ziyakunceda ekuhloliseni umdlavuza webele, i-biopsy yodwa uvavanyo olungenza uhlolisiso olucacileyo lomhlaza webele.
ZeBeopsies ze Breast
Ngethuba ngexesha le- biopsy isifuba ugqirha ususa isampuli esincinci esiswini esiye sachongwa njengento enokukrokreza ngomhlaza wesifuba. Izicubu zivavanywa kwaye zihlolwe ngumathambo phantsi kwe-microscope.
I-Biopsies ingenziwa ngokusetyenziswa kwenaliti okanye ukwenza inkqubo encinci yokuhlinzwa.
Inal Biopsies
- Kwisipilisi esifanelekileyo senaliti, ugqirha wezilwanyana, ngubani ugqirha wezonyango, i-radiologist, okanye ugqirha ugqithisa inani elincinci leetishu kummandla osolisayo usebenzisa inaliti edibeneyo ehlanganiswe kwisirinji. Izicubu zihlolwe phantsi kwe-microscope. Ingakwazi ukunika ulwazi loogqirha malunga nomsundu ophakamileyo. Ukuba isitya siyi-cyst, i-fluid e-cyst inokucinywa. Ukuba iiseli kwindawo leyo zidla umhlaza, kunokubakho imfuneko yokuhlola iimvavanyo.
- I-biopsy eyinhloko isebenzisa inaliti enkulu engaphezulu kunokuba isetyenziselwa inaliti yokufuna ukuhoxisa izilwanyana ezincinci kwiindawo ezisolisayo kwibele. Kungenzeka ukuba kunikezele isiphumo esicacileyo kuba ezinye izicubu zithathwa ukuba zitshekishwe kunokuba zifunyenwe inaliti.
- I-stopotactic core needle biopsy isebenzisa izixhobo ze-ray-ray kunye nekhompyutha ukuhlalutya imifanekiso yesifuba. Ikhompyutha ichonga indawo echanekileyo, kwindawo ekukrokrelwa ngumhlaza wesifuba, apho isalathisi senaliti kufuneka ifakwe khona.
- I-biopsy ene-core-assisted core biop iquka ukuphazamisa isikhumba sesifuba kunye nokwenza i-incision encinci engaphantsi kwekota intshi apho kungeniswa khona umzobo ongenayo kwaye ukhokelwe kwindawo enomdlavuza usebenzisa i-ray-ray, i-ultrasound, okanye MRI ukukhupha iisampuli.
- (I-MRI) -i-biopsies ekhoyo isetyenziselwa abafazi abanommandla osolwayo onokufumaneka kuphela yi-MRI.
I- biopsy yokugonywa yenziwa ngugqirha usebenzisa enye yeendlela ezimbini ezilandelayo:
- I-biopsy engacacanga, apho kuphela inxalenye yendawo esolwayo isuswe, ivumele ukuba izicubu ezaneleyo zenze i-diagnostic.
- I - biopsy ekhethiweyo, ekhupha i-tumor yonke okanye indawo engavumelekanga.
Ukulandela i-biopsy, izicubu zesifuba zisuswe ngexesha le nkqubo zithunyelwa kwi-pathologist ukuhlola phantsi kwe-microscope kwaye uvavanywe. Ukuba ingxelo ye-pathology iqinisekisa ubungqina bomhlaza wesisu, iya kunika ulwazi malunga nomhlaza ngokwawo. Ingxelo iya kunika uhlobo lomhlaza wesifuba kunye neempawu zalo, njengokuba kungenasidlangalaleni okanye kungenakuvakalayo, ubungakanani bayo, kunye nezinga lokukhula kunye nolwazi olongezelelweyo, kubandakanywa i-hormone kunye nesimo sezofuzo kunye nezinye izinto eziza kubangela ukucwangcisa unyango.
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Kutheni singenayo i-ultrasounds annals endaweni yeMammograms?
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Yintoni enokuyilindela kwi-Clinical Examination Examination
Ukuze kuqinisekiswe ukuba umhlaza wesifuba unomdla usasazeke ngaphaya kwebele, ugqirha uya kususa enye okanye ngaphezulu kwee-lymph nodes eziphantsi kwengalo. Ugqirha uya kwenza oku phambi okanye ngexesha lotyando ukususa umhlaza. Ezi ziza ziya kuhlolwa phantsi kwe-microscope kunye neziphumo ezabelwana ngazo kunye nesigulane kunye neqela lokunyamekela.
Ukuchonga nokuxhaswa kweCarcer Breast
Xa iziphumo zovavanyo zigqityiwe kwaye zihlaziywa, umdlavuza wesifuba uphelelwe. Isitetimenti yinkqubo yokumisela ukusasazeka komhlaza ngexesha elifunyenweyo. Isigaba somhlaza sibaluleke kakhulu ekuphuhliseni isicwangciso sokuphatha umhlaza kunye nokuqikelela ukuba unyango oluyimpumelelo lungaba njani.
Inkqubo esetyenziswa kakhulu kunazo zonke yokuhlukanisa umdlavuza kumanyathelo, inkqubo ye- TNM , esekelwe kwizinto ezintathu: ubungakanani besisu, isimo se-node kunye ne-metastasis. Isigaba sokuqala se-cancer sisithiwa isigaba 0 (i-carcinoma in situ), kwaye ke udidi lwamanqanaba I (1) nge-IV (4). Ezinye zezigaba ziyahlukana ngokwengeziwe zibe zigaba ezingundoqo usebenzisa iileta A, B, neC
Isigulane sinokufuna iimvavanyo ezongezelelweyo ukufumana isigaba, kubandakanywa i-x-ray esifubeni, ukukhangela amathambo, i- CT scan, i- MRI, kunye ne- PET scan. Emva kokuba zonke iziphumo zikhona, ugqirha uyaziqwalasela ngesigulane aze achaze inkqubo yokubhala. Ugqirha ke unokwabelana ngesicwangciso sonyango esifanelekileyo kwisigaba sakhe somhlaza wesifuba esithathele ingqalelo kwimpilo yakhe yonke, ubudala, imbali yentsapho yomhlaza webele, kunye nemingcipheko.
ILizwi
Ingaba ufumanisa isalathisi okanye uchwepheshe wezobugqirha, ungavumeli ukwesaba okanye ukuphika kukugcine ungavavanywa iimvavanyo ezifunekayo ukufumanisa ukuba loo nto ingumdlavuza. Isimo sengqondo sokulinda nokubona, ngenxa yethu ininzi, kubangela ukuba uxhalabe. Ukuba ngumhlaza, ukulinda kuphela kukunika ixesha lokukhula kwaye mhlawumbi kufuna unyango olungakumbi xa ufunyanwe njengomhlaza.
Njengomsindisi wesifo somhlaza wesibeleko sesifuba kunye nomhlaza wesibeleko wesibeleko wesibeleko esenzeke iminyaka engama-10, ndiyakwazi ukuqinisekisa ukuba imithi yamanzi ingabamba iintsholongwane ezingenakuvakalelwa ngexesha lokuvavanya okanye ngexesha lokuhlolwa kwebele. Ngenxa yoko, zombini iintsholongwane zamagciwane ayenomdla we- Stage I invasives cancers engazange ifune i-chemotherapy.
Amava am ngokuthetha namakhulu amabhinqa asanda kufunyaniswa kunye namadoda amaninzi kwiminyaka yam njengesihambeli sogulana ngesigulane saseMerika, wandifundisa ukuba:
- Akukho mntu omncinane okanye omdala ukufumana umdlavuza webele.
- Ukuba ufumana isilwanyana okanye esinye isibonakaliso sesibalo esingavumelekanga, jonga ugqirha okanye ugqirha wezilwanyana ukuba uviwo olupheleleyo ngokukhawuleza.
- Ukuba i-mammogram ibonisa into enokukrokrela ngomhlaza, fumana ukutshintshwa kumthombo othembekileyo oogqirha abancinci, kwaye ufumane umbono wesibini.
- Yiba ngumlingani wakho. Yiba ngummeli wakho. Buza imibuzo. Ababoneleli bezempilo abanokwenzela uphando, kubandakanya amaziko enyango, oogqirha, oogqirha, kunye nabagqirha bezonyango xa ukhetha ukuphinda uvuselele.
- Yizisa umntu kunye nawe ukuva iziphumo zokuvavanya okanye ukuhlangabezana nomniki-nkonzo omtsha wezempilo ukuze athathe amanqaku.
> Imithombo:
> I-American Cancer Society Yenzani i-Cancer Breast? . Ukuhlaziywa kwezoNyango.06 / 01 / 2016.Kuhlaziywa: 09/13/2016
> Amacandelo okuLawula nokuLawula izifo. Ithini isifo seKesifo seBestile? Kugqitywe kwakhona: ngo-Ephreli 4, 2016. Kugqitywe ukugqibela: ngo-Ephreli 4, 2016