Kunzwisisa Mammogram yako kana Ultrasound Report
Chii chinonzi mammogram BIRADS score uye zvinorevei?
Nehuwandu hwemammograms akaitwa munyika yose, radiologists akatarisira kuwana nzira yekuenzanisa nekuenzanisa mammograms. Sezvo mammograms achiitwa pane zvakasiyana-siyana zvivako uye kuverengwa neveivoi radiologists, vose vanogona kushandisa tsanangudzo dzakasiyana uye mazwi ekufananidzira, kuenzanisa kunogona kuoma pane zvishoma.
Kuti tidzidze kuwirirana pakati pemaramamiro ekuwana uye pangozi yekenza yemazamu, taida nzira yekuenzanidza mifananidzo yemammogram yakaitwa nehuwandu hwevakadzi. Kushandisa Kufananidza Kuenzanisa Kwebonde uye Data System (BIRADS) mhinduro yekusava nekusingaperi kweiyo data.
Kana iwe wakanga uine mammogram uye ukapiwa chikwangwani chako cheBIRAD iwe unogona kunge uchizvidya mwoyo kuti unorevei zvinorevei. Ngatitarisei pamatanho matanhatu akasiyana, uye chimwe nechimwe chazvo chinogona kureva kwauri kubva pane zvidzidzo kutarisa nhamba huru yevakadzi.
Chiitiko chekufananidzira kwebonde uye Data System (BIRADS) -Definition
Mushumo wenyu wemuviri unosanganisira zvinhu zvakawanda zvekambani zvinosanganisira chero zviwanikwa uye tsanangudzo yezvimwe zvinhu zvisingaiti. Chimwe chikamu chemugove wako chichakuratidza chikwata chekufananidzira kweBabast uye Data System (BIRADS).
Nhamba yako yeBIRADS inhamba pakati pe1 ne6 iyo inoratidza maonero ehudhilogist maererano nekusavapo kana kuvapo kwekenza yemazamu.
Tichakurukura kuti nhamba dzakasiyana dzinorevei pasi, asi zvakakosha kukurukura zviwanikwa zvako nechiremba wako zvakare. Chibereko chemufaro hachigoni kugoverwa pane chimwe chezvikamu zvitanhatu uye zvakakosha kunzwa zvaanenge achifunga pamusoro pako zvakananga, kwete kungonzwa nhamba.
Nhamba yako ichaita, iwe, ichikupa pfungwa yekutarisa kwako uye zvingaita zvirongwa zvekurapa.
BIRADS yakagadzirwa neAmerican College of Radiologists semuenzaniso wekuenzanisira kuenzanisa mammograms uye mazamu emifananidzo yakawanda . Inogadzirisa chikamu cheNhamba Yekutsamwa (LOS) -kwaniso yekenza yebonde .
Kuwana Matamamiro Ako Mamamogram uye BIRAD Nhamba
Mushure mokunge mammogram yako kana kuti mazamu ultrasound, radiologist ichaverenga mufananidzo uye kunyora mushumo, kupa maonero pamusoro pehutano hwako hwezamu.
Vanhu vazhinji vanofunga nezvemammograms se "hongu-kwete" mhando dzemishumo. Izvozvo hazvisi izvo zvinogona kuonekwa pane zvakasarudzwa pasi apa, uye kune zvakawanda mukati kana mvere nzvimbo dzinowanikwa pamammograms uye ultrasounds. Mukuva mubatsiri wako pachako mune zvehutano hwako zvakakosha kuti imi mose mugamuchire kopi yemigumisiro yenyu, uye kurukurai chaizvo izvo mammogram ako anorondedzera nechiremba wako uye / kana radiologist.
Meaning of BIRAD Zvikoro
Iwe weBIRAD chikwangwani chichakupa nhamba iripo pakati pe 0 ne6 mune izvo zvitsva pa mammogram yako zvinotsanangurwa, asi izvi zvinorevei kwauri iwe pachako?
- Chikamu che 0: Chikamu che 0 hachirevi kuti hapana kuwanikwa kwekufunganya. Pane izvi zvinoreva kuti yako ultrasound kana mammogram haigone kuverengwa kunze kwekuwedzera kutsanangurira kana kufungidzira.
- Zvikamu 1 kusvika zviviri: Zvikoro we1 kana kuti 2 zvinoreva "kutarisa" uye kurondedzera mitsara umo hapana chimwe chinhu chisina kujairika chinowanikwa, kana kuti chero kusakanganiswa kunoonekwa ne radiologist kunoratidzika kunge kunobata bonde mamiriro ezvinhu. Izvi hazvirevi kuti iwe hausi pangozi yekenza yemazamu kana kuti haikwanise kuva nekenza yepamu. Zvakakosha kucherechedza kuti kenza yemazamu inogona kuvapo nechiremera chakazara zvachose, uye izvi zvinenge zvisati zvamboitika. Kana uwandu hwemamiriyoni ako ari munharaunda iyi, zvichiri kukosha kuva nekliniki yepamu kuongororwa pane imwe nguva inogadzirirwa iwe uye chiremba wako. Zvakakoshawo kutevera chero upi zvawakazviona iwe pachako pazvidzidzo zvezamu. Zvimwe zviedzo, zvakadai sezamu reMRI kana chifuva chezamu zvinogona kudiwa kunyange kana chikwata chako cheBIRAD chiri 1 kana 2 kana uine zviratidzo kana zvimwe zvinonetseka (zvakadai sechinonzi genetic predisposition to breast cancer).
- Zvikamu zvitatu kusvika ku5: Chikamu chinopfuura 3 chinoreva kuti iwe unoda rumwe rudzi rwekutevera. Izvi zvinogona kusanganisira mamwe maonero, mazamu ultrasound, mazamu MRI, chimiro chechifu chinonzi biopsy , kana kusanganiswa kwezviedzo kana vamwe.
- Chikamu chechitanhatu: Chikamu chepfumbamwe chinopiwa chete mushure mokunge biopsy iongororwa uye inowanikwa kuva nekenza. Munyaya iyi, kurapwa kwaizodikanwa.
BIRADS Kuenzanisa:
Izvo zvikamu zvinorondedzerwa pano, pamwe zvakanyorwa mu tafura iri pasi kuitira kuti iwe unogona kufungidzira kusiyana.
Chikamu 0: Hachina kukwana
Huru yako kana ultrasound haina kupa radiologist ruzivo rwakawanda kuti rujekese kujekesa. Izvi hazvirevi kuti chiremba wako anonyanya kunetseka nekenza yemazamu. Zvingave kuti kuongorora kwako kunoratidzika mutsvuku kubva kune chigadzirwa chekare kana kuti chirwere kana kuti bundu ramazamu rakakura zvakakwana kuti rive nyore kunzwa risingafungi zvakajeka. Iwe unofanirwa kuva nechifananidzo chekutevera chawakaitwa.
Chikamu 1: Kazhinji
Izvo hazvina masangano anonyunyuta kana mabhizinesi kuti ataure uye mavara ako anotaridzika aine utano.
Chikamu chechipiri: Benign kana Negative
Mazamu akaenzana uye maitiro uye mavara anotaridzika akaenzana. Chero cysts, fibroadenomas , kana kuti mamwe mashoma anooneka ane hanya.
Chikamu 3: Zvichida Benign
Hakuchina zvipembenene zvinoshungurudza, masasa, kana kuti ma calcifications kuti ataure, asi kutevedza kusimbisa kuti hapana kenza iripo inokurudzirwa. Izvi zvinogona kudiwa kana radiologist yako isina mhemberero yako kana mammogram apfuura pakuenzanisa.
Chikamu Chechina: Zvichida Chirwere
Kune zvimwe zvipembenene zvinoshungurudza, masasa, kana kuti mabhuku kunyorera uye chifuva chechifu chinokurudzirwa kutarisa nzvimbo inoshusha.
Chikamu 5: Malignant
Kune vanhu vakawanda vane chitarisiko chekenza. Bhiopsy inokurudzirwa kuti iite zvakajeka kuongorora. Zvakakosha kuziva kuti kunyange zvazvo chikamu ichi chiri "chinotyisa" kune vanhu vakawanda vanogona kuonekwa sekenza asi iyo inobatana nekugadzirisa chirongwa pane. Mamiriro ezvinhu akafanana neadenosis , fat necrosis , mavara emarayira, mastitis, uye nezvimwe dzimwe nguva zvinogona kufanana nekenza pane mhuka.
Chikamu Chechipiri: Chiremera Chine Utachiona : Chikamu 6 chinoshandiswa chete kana mishonga kubva mumuviri wechirwere ichi yaongororwa uye inowanikwa kuva nekenza. Kana izvi zvikaitika, kurapa kwakadai sekuvhiya , chemotherapy, uye / kana kupiswa kwemaawa kunodiwa.
BIRADS Zvikamu Table
| Chikamu | Kuziva | Nhamba yeCriteria |
| 0 | Haikwanisi | Mhuka yako kana kuti ultrasound haina kupa radiologist ruzivo rwakakwana kuti zvijekese kuongororwa; kutevera-up imaging kunokosha |
| 1 | Negative | Hapana chinhu chekutaura pamusoro; chiitiko chekuongorora zvakakurudzirwa |
| 2 | Benign | Icho chinonyatsotsvaga kuwana kutsvaga; chiitiko chekuongorora zvakakurudzirwa |
| 3 | Probably Benign | Zvitsva izvo zvine mikana yakawanda yekuve nebenign (> 98 muzana); mwedzi mitanhatu pfupi pfupi kutevera |
| 4 | Kutyisidzira kusaipa | Haisi unhu hwekenza yemazamu, asi zvinonzwisisika zvingava zvakaipa (3 kusvika 94 muzana); biopsy inofanira kuonekwa |
| 5 | Kunyanya Kushungurudza kweMalignancy | Chirwere chinokonzera kukanganisa kwekuipa (> = 95 muzana); tora chiito chakakodzera |
| 6 | Zinozivikanwa Nezvinyorwa Zvakaonekwa Zvine Mhosva | Zvipembenene zvinozivikanwa sezvakaipa zvinofanirwa kufungidzirwa zvisati zvaitika kugadziriswa kwakakwana; vimbisa kuti kurapwa kwapera |
Mhedziso yeBIRAD Score
Zvakare zvakakosha kuziva kuti chikwata chako cheBIRADS hachina kutora chiremba wako kana majekistro mafungiro maererano nemammogram yako, ultrasound, mamwe maedzo, kana kuwanikwa pane chipatara chekuongorora. Zvimwe zvitsva hazvingakodzeri zvakananga kune zvataurwa pamusoro apa, uye kunyange mukati mezvikamu, zvinogona kuva nezvakawanda zvakasiyana zvekuwana. Kune vakadzi vaduku, kunyanya vana, uye vari kuyaruka, chikwata cheBIRADS chingasave chakavimbika
Pasi Pano paBIRADS Yako Chikamu
Chikwata chako cheBIRADS pane mammogram yako uye / kana ultrasound yakaputsika muzvikamu zvitanhatu zvichienderana nemukana wezvimwe zviwanikedzo zvekuve nekenza yemazamu. Izvi zvinogona kubatsira mukufananidzira kufungidzira uye kurapwa kwako, asi kunofanira kushandiswa nguva dzose pamwe nekukurukurirana nachiremba wako uye / kana radiologist. Zvakakoshawo kuziva kuti kuwanikwa kune mammogram kana ultrasound chete hakugoni kuziva kana kenza iripo. Cancers dzimwe nguva inorasikirwa pamuviri, uyewo, zvimwe zvitsva zvinoratidzika sekenza zvinogona kuitika kuti zvive zvakanaka. Kuenderera mberi kuedzwa, kana neine mazamu eMRI kana mazamu emakumbo angada kudiwa zvisinei kuti zvipi zvako zvinotarisana nezviratidzo zvako uye nhoroondo yemhuri.
> Sources:
> John's Hopkins Medicine. Kufananidzira Kwebonde, Kuzivisa, uye Dhidhiyo Dhidhiyo (BIRADS). https://www.hopkinsmedicine.org/breast_center/treatments_services/breast_cancer_screening/digital_mammography/breast_imaging_reporting_data_system.html
> Koning, J., Davenport, K., Poole, P., Kruk, P., uye J. Grabowski. Kufananidza Kwebonde-Kuzivisa uye Dhidhiyo Dzakaitwa (BIRADS) Kurongwa mu 51 Kunakidzwa Nechirwere Chechirwere cheMasasa Masasa. Zvinyorwa zveAmerican College of Surgeons . 2014. 219 (3): S78-S79.