Uvavanyo lweSkrini zokuVavanya uVavanyo lweNtsholongwane yeCanscer Breast
Ukuba uvile ukuba izilwanyana zingaphoswa ngamathumbu, okanye ukuba i-ultrasounds ingabamba indima ekuxilongeni unokuzibuza, "Kutheni singenayo i-ultrasounds yonyaka kunokuba iimmogram?" Emva kwakho konke, izilwanyana ezingenakunqweneleka, zikuncwina kwi-radiation, kwaye ngaphezu kwayo, i-breast ultrasounds ingcono ekufumaneni ezinye izinto ezingaqhelekanga.
Makhe sithethe ngempendulo yalo mbuzo, ukungafani phakathi kweentlobo ezimbini zezifundo, nokuba ngaba awucelile le mibuzo impendulo inokukunceda uqonde ngakumbi iimvavanyo onokuzifumana kwixesha elizayo kunye nendima nganye.
I-ultrasounds Ngaba i-Diagnostic, i-Mammogram i-Screening
Ukwahlula okuphambili phakathi kwezilwanyana ezincinci kunye nebele ye-breast ultrasounds yinendima abayidlalayo.
Amammograms avavanyo olufanelekileyo lokuhlola, oko kuthetha ukuba banikela ngolwazi oluninzi kubantu abangenazo iimpawu zeengxaki zebele. Ukujonga i-ultrasounds, ngokuchaseneyo, akuyi kuba yindlela yokuhlola umdlavuza webele ngenxa yezizathu ezininzi, kubandakanywa ukuba abakwazi ukufanekisa yonke ibele ngexesha elilodwa.
I- breast ultrasound , ngokubhekiselele, idla ngokubangela izizathu zokuxilonga, ngokuphindaphindiweyo emva kokuba i-mammogram ibonisa indawo esolwayo okanye ubuninzi kwibele. I-breast ultrasound ikulungele ukuhlukanisa i-cyst ene-fluid ene-fluid egciniweyo esuka ebunini obuqinileyo esiswini. Nge-cyst, inqweno ingenziwa phantsi kwe-ultrasound ukususa umbane kunye nokuphelisa indawo enokukrokra ngokupheleleyo.
I-ultrasound inokukunceda ukucacisa ubunzima besifuba ovakalelwa kukuba wena, nokuba awubonakali kwi-mammogram.
Imida ye Ultrasound
Kukho imida emininzi yebele ye-breast ultrasound engayifanelekanga ukuhlolwa kokuhlola. Ezi ziquka:
- I-Ultrasound ayikwazi ukuthatha umfanekiso wesifuba sonke kanye kanye njengoko kuxoxwe ngentla.
- I-ultrasound ayikwazi ukuthatha umfanekiso wemimandla engaphakathi ngaphakathi kwebele. I-Ultrasound ilungele ukuvavanya izibilini ezingenangqondo kwibele, kodwa i-mammogram ingcono ukukwazi ukungaqapheli izinto ezingaqhelekanga ezincinzini.
- I-ultrasound ayikwazi ukwenza i-100 ekhulwini imifanekiso echanekileyo yokuxilongwa.
- I-ultrasound ayibonisi i- microcalcifications , into eqhelekileyo yimizimba ejikeleze isisu. Uninzi lweengcinezelo zesifuba zakuqala zikhankanywa ngokusekelwe ekubaleni kwibele. Ukuba ubuninzi obunokufunyanwa kwi-ultrasound ngokuqhelekileyo kufuneka ukuba lukhulu kunokuba yintoni enokukrokra kwi-mammogram.
Imirhumo echanekileyo yeeMammograms kunye ne-Ultrasounds
Akukho teknoloji, i-mammogram okanye i-ultrasound, iphelele. Kwaye kwimeko ye-ultrasound, izinga lobuchule lomqhubi lenza umehluko omkhulu kwiziphumo zakho. Omnye ugqirha ungaphuthelwa into ethile, ngelixa omnye uchwepheshe angayifumana.
I-breast ultrasound ibaluleke kakhulu nangona i-mammogram eqhelekileyo ukuba unomlenze ongenakunyaka. Akuqhelekanga kubantu abaye bafumana isilwanyana (ikakhulukazi izibonda kufuphi nomhlaba wesifuba) ukuba babe ne-mammogram evamile. Kule meko, isifuba se-ultrasound sinokubona umhlaza wesifuba ungcono kunomzimba. Le ngongoma apha, nangona kunjalo, ukuba xa kukho isalathisi asikho ukuthetha ngokucoca, kodwa kunokuxilongwa. Kule ndlela, i-breast ultrasound iya kuthathwa njengesivivinyo sokuxilonga ukuba uhlolisise umtya.
Ezinye iikhompyutheni zobungqina bebele
Amagmograms okanye i-breast ultrasounds ayifumani yonke i-cancer yebele, kunye nezinye iindlela ezinokukhetha.
Ngokomzekelo, kubafazi abasemngciphekweni omkhulu wokuba nomdlavuza webele, i- MRI yebele iya kuba yinto ekhethekileyo yokujonga. Oku kunjalo ngokukodwa kubasetyhini abasetyhini abanomzimba obuninzi obunobumba obuninzi obuchanekileyo.
Ezinye iimvavanyo ezingacetyiswa ziquka i- elastography , i- digital mammography , okanye i-mammography ye-optical ngaphandle kokunyanzeliswa. I-thermography yesisu ibonakala isebenza kwabanye bafazi. Ezi zixhobo ziqhubeka nokuguquka njengoko abaphandi bajonga uvavanyo olulungileyo ukuze bafumane i-cancer yebele kwizigaba zokuqala zesifo.
Izaziso ezixhalabele iMammograms
Ukuchayeka kweemitha kwi-mammogram kuncinci kakhulu.
Kufana nokufana nokusetyenziswa kwe-ray ray yamazinyo kwaye ngaphantsi kwezinto ezifunekayo kwi-x-ray esifubeni. Amammograms angenza buhlungu ixesha elifutshane. Umgca weentlungu, nangona kunjalo, ukuba utyando lwebele lwebele, oluqhelekileyo lukhulu kakhulu nge-tumor enkulu, buhlungu kubude bexesha elide.
I-National Cancer Institute ithi izibonelelo ze-mammography zigqithise kakhulu ukulimala kwimizi ekhoyo. Nangona kunjalo, qiniseka ukuba uqaphele umniki-nkonzo wakho wezempilo kunye nomculi we-x-ray ukuba kukho nantoni na ukuba ukhulelwe, njengoko baya kufuna ukukhusela nayiphi na i-radiation exposure to fetus.
Ngaphantsi kweMammography vs Breast Ultrasound for Screening and Diagnosis
Amammograms aqhelekileyo asetyenziswe njengoluvavanyo lokuhlola abantu abangenazo iimpawu zebele. Ukuba ibhinqa inempawu, ezinjengopopu okanye i-ingophi yokukhupha, okanye ukuba ukungaqhelekanga kufumaneka kwi-mammogram, i-breast ultrasound ingaba vavanyo oluhle kakhulu lokuxilonga ukuqhubela phambili ukuvavanya ukungaqhelekanga.
Nangona i-breast ultrasounds ayilona vavanyo olufanelekileyo lokuhlola i-cancer yombele, kukho iindlela ezingezizo i-mammography kulabo abasemngciphekweni omkhulu okanye abanqwenela ukuthintela imirhumo (njengabo bakhulelwe.) Kulezi zicwangciso i-MRI ibinokuba ngcono, kodwa ubiza kakhulu, uvavanyo lokuhlola.
> Imithombo:
> Elmore, J. Ukuqwalaselwa kweCarcer Breast: Amacandelo kunye neziNconywa. UpToDate . Ukuhlaziywa 06/05/17.
> Macklin, S., Gass, J., Mitri, G., Atwal, P., kunye no-S. Hines. Indima yokuHlola i-MRI kwi-Era yesiGaba esilandelayo kunye nokuTshintshiselwa koMngcipheko wamaGenesis. ICatal Cancer . 2017 Juni 22. (Epub ngaphambi kokuprinta).
> INational Cancer Institute. Ukuhlolwa kweCanscer Screening (PDQ) - I-Health Professional Version. Ukuhlaziywa 06/19/17. https://www.cancer.gov/types/breast/hp/breast-screening-pdq