Kuongororwa Kufananidza Kubatsira Breast Cancer Treatment Decisions
Evha pakutanga akaongororwa ane 3cm inoderedza chirwere chekenza yemvere . Sezvo chikamu chekuongorora kwake, aive nemazamu maviri emakwenzi eMisitiki akaitwa kuti abatsire chirwere chechiremba kuona kana chero kenza yemukenza yakanga yapararira kubva kumarara makuru (aive nawo) kuitira kuti ave nechokwadi chokuti awane tsvina yakachena yekuvhiya (akaita). MRI yake yakagadzira mufananidzo wechitatu-mutsara wemarara, achiratidza kuti yakanga isiri 3cm, sezvakaratidzwa mammogram, asi zvechokwadi yaiva 5cm, iyo yakachinja zvirongwa zvayo zvekurapa - uye hupenyu hwake.
Kuti ndikubatsire kunzwisisa zvakawanda pamusoro pekushandiswa kweMMIs uye zvirongwa zvekurapa, ndakatarisa izvo izvo nyanzvi dzinoti muUpToDate - inovimbika magwaro ekushandisa iyo inoshandiswa nevakawanda veoncologists vanobata chirwere chepachifu chemazamu.
Iwe unogona kana unenge usingadi mazamu emuMRI . Asi iwe unoda kuziva hukuru, chiyero, uye nzvimbo yekenza yako. Tanga nekuverenga iyi nyanzvi kuona kuti nei chifuva cheMRI chingakosha iwe.
Kuongororwa Kenza Kanzvadzi: A Kukurukurirana kweBermin MRI Kubvira Kumusoro
"Magnetic resonance imaging (MRI) inoshandisa magnet ane simba kuti igadzire chimiro chakajeka chechikamu chemuviri, hachishandisi ma-ray-ray kana mazai emvura. MRI haina kukurudzirwa kuti ione kenza yemazamu muvakadzi vose nokuti haisi yakanaka semammogram kune mamwe mazamu emucheche, akadai se ductal carcinoma in situ (rudzi rwekenza isingaoneki kana yekutanga yepamuti).Basa rezamu reMRI rekuongorora uye kutarirwa kwekenza yebonde iri kuchinja, uye kune kusawirirana pamusoro pekuti vakadzi vanofanira kuitei muMRI yemazamu kuwedzera kune mammography. "
Chii chinonzi Breri MRI?
Magnetic resonance imaging (MRI) inzira isingatauri yekufungidzira isingashandisi kuoma, x-rays, kana kuti rayation. MRI inogadzira mufananidzo wakajeka wekugadzirwa kwemukati kwemuviri wako. Mishonga yakawanda yeMRI inobereka chifananidzo chedhijitori, iyo nyanzvi yezvemagetsi inogona kuongorora pamakombiyuta, kana kuti kudhindwa kuti udzidze.
Rudzi urwu rwechifananidzo runogona kuitwa kana kuti kusina kushandiswa kwemajairiri akasiyana .
Nei Chirwere MRIs Chichishandiswa Sechikamu Chekuona Kuziva?
Iwe wakatove une mammogram , uye zvichida ultrasound uye biopsy . Chifuva cheMRI chinogonawo kuitwa kune vamwe varwere, kuwana ruzivo rwakawanda pamusoro pekenza yako, kana kuti kuona kana tumarara dziri kupindura kurapwa. Mammograms haana mari shoma kupfuura MRIs, uye akanaka pakuona DCIS pamwe nekuverenga . Chirwere cheMRI chinogona kuenzanisa mazamu maviri panguva imwechete, uye inoshanda zvakanaka kunyange nehutema hwemvere. Zvakanaka pakuwana kenza yemazamu isina kuvhiringidzika , kufungidzira zvakapoteredza mazai emvere , nekuona kupararira kunogona kupararira kwekenza kupfuura chiremera chikuru. Chifuva cheMRI chinoshandawo pakutsvaga kenza isingafungiri mune imwe mvere, iyo inobvumira kushandiswa kwekutanga kwemasimusi panzvimbo imwe chete. Kune vakadzi vari pangozi yakakura yekenza yemazamu , MRI inogona kuva nzira yakanaka yekuzorora zvakakwana mazamu uye axilla .
Ndiani Angada MRI Yemazamu?
Mammograms achiri chiito chekuongorora maitiro chinoshandiswa chekenza yemazamu, uye pachipfuva cheMRI chinoshandiswa kunyanya sekuwedzera kune imwe mammamiro. Kuvakadzi vechidiki vane mutachiona we BRCA , MRI inogona kushandiswa sekuongororwa kwekenza yemazamu, kuti ione mukati memafupa ane mazamu akawanda anogona kuvhara masasa.
Mukuona kuongorora, sangano reMRI rinogona kushandiswa mumamiriro ezvinhu aya:
- Kana mukadzi akazununguka ari pasi pe- lymph nodes , asi hapana mazamu anozivikanwa ari mumuviri, ipapo MRI inogona kushandiswa kunyatsonyatsoongorora mazamu ake kuona kana tumarara duku iripo, uye inogona kunge yakateura masero kumadhora e-axillary.
- Kune mukadzi achangobva kuongororwa ane mazamu akaoma, mammamiriyoni angasaita nhungamiro yakakwana kumuchiremba. Saka MRI inogona kuitwa kuitira kuwana mamwe mazano ekugadzira.
- Kana zviitiko zvehupsy zvinoratidza chiremera chakakura pane chinonzi mammogram inoratidza, MRI inogona kubatsira mapurisa nekukura kwechiremera. Izvi zvinokanganisa chisarudzo chako pamusoro pezvizhinji zvemuviri zvinoda kubviswa - lumpectomy kana mastectomy .
- Kana zvichiita sokuti kune dumbu rinopfuura rimwe chete, iyo MRI inogona kubatsira mufananidzo wehukuru uye ukama hwomukati hwemakumbo akawanda, uye rubatsiro mukugadzirira chirongwa chakanaka kubvisa izvo zvipembenene.
Usati waita chisarudzo chekuvhiyiwa kwaunoita, iwe nechiremba wako chinoda ruzivo rwakakwana pamusoro pekenza yako sezvinogona. Kana uine hutachiona hwe DCIS, uye mammogram ako anopa mufananidzo wakaisvonaka wechirwere chako, ipapo chiremba wako anogona kunge ane ruzivo rwese rwunoda kubvisa kenza. Asi kana mammogram ako asingatauri zvakakwana, kana kana chiremba wako kana chiremba wezvehurogi ane zvimwe zvinetso pamusoro pehukuru uye nzvimbo yekenza, iwe unogona kubatsirwa kubva pachipfuva cheMRI.
Kana Eva, akasarudza kupinda muchirwere chechipatara, ndokutora mishonga mitsva yakakonzera chirwere chake zvikuru, vasati vambovhiyiwa mazamu. Aivawo nechirwere cheMRI-chaitungamirirwa, icho chaiona shanduro dzedaneti. Nenzira yakanaka, mamwe mavanga aya akanyangarika panguva yekemotherapy. MRI yake yaiva chikamu chekuita zvisarudzo zvokurapa.
Unoda kudzidza zvakawanda here? Ona UpToDate musoro unoti, "Kuongorora Kanzvadzi Yemawere: A Kukurukurirana kweBrit MRI," pakuwedzera mune-zvakadzika, zvezvino uye zvisingafungi nezvehutano hwehutachiwana hwekenza yepamu, kusanganisira nyanzvi dzechiremba mazano.
Kunobva:
Diane MF Savarese, Leah K Moynihan, "Kuongorora Mucheche weKenza: A Kukurukurirana kweBrit MRI," UpToDate. Yakasvika: February 2009.