Ukuba ugqirha wakho uye wayala i-ductogram (ebizwa ngokuba yi-galactogram) unokuzibuza ukuba kunjani ukufumana uvavanyo kunye nokuba zeziphi iimeko ezinokuthi zifumaneke. I-ductogram yinkqubo ekhethekileyo kakhulu ayifumanekanga kuyo yonke indawo, ngoko ungaziqhelana novavanyo.Izi zivivinyo zinikwe kwaye ziphi na iimeko zokunceda ukuxilonga?
Ufanele uzilungiselele njani uvavanyo? Ingaba uvavanyo aluhlali lukhulu? Masiqwalasele yonke le mibuzo.
I-Ductogram - Ukucingwa kwee-Ducts Breast
I-ductogram (ebizwa ngokuba yi-galactogram) isetyenziselwa ukujonga iifom. Kunokuba luncedo ekufumaneni imbangela yokukhutshwa kweentsimbi, i-ductogram idinga ukuba i-ejenti eyahlukileyo ifakwe kwisifuba, njengokuba ngexesha le- MRI yebele . Ityhubhu encinci (i-cannula) isetyenziselwa ukubeka umthamo kwisitya sebele, njengexesha lokuhlamba. I-ejenti yokuphambana ejoyiweyo ivumela ukuba amata akho amata akhombise ngokucacileyo kwi-mammogram. Ekubeni i-ductography yinkqubo ekhethekileyo, i-radiologist eqeqeshwe kakhulu kunye namava kufuneka iyenze le nkqubo. Uphando ngoku lujonge ukudibanisa i-ductography ngokunxulumene noM MR ophuculweyo ngokubhekiselele ekukwazi ukuchonga imbangela yokukhutshwa kweentsimbi.
Ukuba neDuctogram
I-ductogram yakho iya kwenziwa ngelixa unesipontsho sokukhupha.
Oku kunceda i-radiologist yakho ikufumene umzila othile ophazamisayo. Kuphela uhambo olukhupha umbane luya kuvavanywa ngexesha lokufunda kwakho ukucinga.
Okokugqoka kwiDuctogram
Ngomhla we-ductogram yakho, ungasebenzisi ipowuni ye-talcum, ukukhwabanisa okanye ukukhanda kwesikhumba. Ezi ziyakwazi ukuphazamisa iziphumo zokucinga.
Ugqoke induduzo, njengoko uya kucelwa ukuba ususe zonke iimpahla zakho ukusuka okhalweni. Khetha uphezulu ophezulu olula ukususa nokutshintsha. Ukuba unako, thintela ukugqoka ibhondi yangaphansi, kuba uya kuba ne- mammogram kunye nexinzelelo njengenxalenye yale mvavanyo. Isifuba sakho sinokuba luhlungu emva kokuvavanywa, kwaye ibhotile ene-soft-cup iyakuziva ikhululekile kunokuba ibhondi enekrosi.
Ukuqalisa ngeDuctogram yakho
Kwigumbi lokuhlola, uya kulala etafileni uze ufumene isifuba esinokutshatyalaliswa kweentsimbi. Ingxobo yakho iya kuhlambuluka kwaye ifakwe inzalo ukuze kube lula ukufumana umzila ophazamisayo. Emva koko, ugqirha wakho uya kufakazela ibele yakho, ukuba afune indawo yokucima . Ummandla weqhosha ngummandla oza kubangela ukuba kuqhutywe iimbumba xa kukho uxinzelelo. Ukuba iinqwelo zakho ziya kukhishwa ngogqirha, lo mhlaba okhulayo uya kunceda ugqirha wakho.
Ukuvavanya Ingxowa Yakho Ingosi
Isampuli yokukhupha umbane wakho uya kuthathwa kwaye ivavanywe. Umbala kunye nobukhulu ukuba ukukhutshwa kuya kuphawulwa, kwaye umgca wokuhlola ungasetyenziselwa ukuvavanya igazi. Ukukhulelwa kwamanzi kudibaniswa neepillomas, i-ductal ectasia, isifo se-cystic kunye nomhlaza wesifuba.
Ukufaka i-Tube kunye ne-Agent Agent
Emva kokuba i-duct ichongiwe kwaye i-sampul out disampled sampled, ugqirha wakho uya kusebenzisa iiglasi zokukhawuleza ukuze abone umzila othile.
Ibhubhu encinci kwaye iguquguqukayo, ebizwa ngokuba yi-cannula, iya kufakwa ngenyameko kule ngxube kwiphonsi yakho. Uxinzelelo oluncinci luya kusetyenziswa, kwaye alufanele luvelise nayiphi na intlungu, kodwa ukuba luyenzayo, kufuneka uvumele ugqirha wakho azi. Itheyibhu iya kufakwa kwindawo, ize ixhunywe kwisirinji encinci egcwele i-ejenti ehlukile. Oku kuya kutsalwa ngokukhawuleza kwi-milk tray yakho. Ugqirha wakho uya kuzinyamekela ukuphepha iibhubhu zomoya ngaphakathi kwiphubhu, njengoko oko kungenza umfanekiso ochanekileyo ungabi ncam.
I-Ductogram ivakalelwa njani?
Usenokuzibuza ukuba i-ductogram iya kuziva njani. Ukuvakalelwa kulula ukuchaza ukuba abo banamabele ngexesha elidlulileyo, apho unokuba novakalelo obenalo xa ubisi lwakho "luyehlisa." I-tray egcwele i-ejenti eyahlukileyo iya kuziva ngathi i-duct egcwele ubisi lwebele ngaphambi kokuba umntwana asondliwe.
Ngokuqinisekileyo, xa amabele akho aphelile phakathi kweemvakalelo, unakho ukukhumbula ukungahambi kakuhle, kwaye ungayibona loo mvakalelo. Ukuba iimbumba zakho ziqala ukulimaza, okanye uxinzelelo ngaphakathi kwindlela yakho ebuhlungu, kukho izinto ezininzi ugqirha wakho anokuzenza ukuze ancede. I-gel ye-Anesthetic okanye i-compresses efudumele ingasetyenziselwa ukwenza ukhululeke ngakumbi. Ugqirha wakho akafuni kukubangela intlungu, kwaye ukuba unzima, unokulibazisa okanye ukukhusela ukuhlolwa kokuqhubeka. Thetha ukuba uziva intlungu!
Ukufumana umfanekiso weDuctogram
Ngethuba elisekhona, ugqirha wakho unokusebenzisa umshini we- ultrasound ukubona ukuba ukuchasana okwaneleyo kumanzi kuye kwafakwa. Xa igumbi lakho ligcwele ngokwaneleyo, unokuqhubeka nomatshini wezilwanyana ukucinga. Abanye oogqirha baya kususa ityhubhu baze bafake iteksi phezu kwe-ingono yakho, ukugcina i-agent engafaniyo ngaphakathi kwidare yakho, kwaye oogqirha abathile baya kushiya i-tube kwindawo. Isifuba sakho siya kufakwa njenge-mammogram, kwaye uxinzelelo luya kusetyenziselwa (kodwa ngaphantsi kwengcinezelo kunokuba ne-mammogram eqhelekileyo) ngelixa kuthathwa umfanekiso. Ukuba i-bubbles emoyeni okanye ityhubhu isendleleni yomfanekiso, ezinye ii-angles zingathathwa.
Ukufumana iziphumo kwiDuctogram yakho
I-radiologist yakho iya kufunda ngokucophelela imifanekiso kwi-ductogram yakho kwaye ubhale ingxelo kwimiphumo. Ugqirha okanye u-radiologist uya kuqhagamshelana nawe ngeziphumo, kukunika uxilongo kunye nokucebisa ukulandelelana. Ukuba utyunjwa ukuba ususe ama-ducts okanye izicubu eziseduze, i-ductogram engaphambili iyakwenziwa, ngokudibanisa idayi eluhlaza okwesibhakabhaka (efana ne- nodeal node biopsy ), ukukunceda ugqirha wakho ukuba ubone i-duct okumelwe isuswe.
Imiqathango enokuthi ixilongwe neDuctogram
Imiqathango emininzi engabonakaliyo ebandakanya ubisi obisiweyo onokufunyanwa ngoncedo lwe-ductogram lubandakanya:
- I-ectasia yeDuctal
- Iinguqu zeFibrocystic
- Iipilisiom
- Umhlaza webele
Ukongezelela ekufumaneni imbangela yokukhutshwa kwelinku, ukufumana i-ductogram kunokunceda ugqirha wakho ugqirha kwiidatha ezifuneka zisuswe, umzekelo, ngexesha lotyando lweepillomas okanye i-ductal carcinoma (umhlaza wesifuba.)
Ukongezelela, abo abane-intraductal carcinoma in situ ( DCIS .) Unyango lwe-intraductal ngendlela ye-ductogram inokunikela ngendlela encinci yokukhusela ukuphuhliswa kwesifo somhlaza ngenkqubela ekunciphiseni ingcinezelo ukuya kwibele.
> Imithombo:
> Berna-Serna, J., Torres-Ales, C., Berna-Mestre, J., noL. Polo. Indima yeGalactography kwiNgcaciso yeSandulela seCanscer Breast. Unakekelo lwebele . 2013. 8 (2): 122-6.
> Mahoney, M., Gordon, E., Rao, J., Jin, Y., Hylton, N., no S. Love. Ulwaphulo lwe-Ductal Carcinoma kwi-Situ: I-Study Presurgery Study. Cancer Clinic . 2013. 13 (4): 280-6.
> UNicholson, B., uHarvey, J., Patrie, J., noJj. Mugler. I-3D-MR Ductography kunye ne-Contrast-Enhanced MR Mammography kwizigulane ezineNkunkuma yokuLawula i-Nipple; IsiFundo soNcedo. Breast Journal . 2015. 21 (4): 352-62.