Mifananidzo yemifananidzo Yakanaka uye Isina kunaka

Chii Chichiita Mazino eBabhedha Kuita seMammogram?

Vanhu vazhinji vanongoronga mararamiro avo, asi iwe unoziva nezvakawanikwa zvinonzi radiologists zvinotarisa pamifananidzo iyi? Unogona sei kuudza musiyano pakati pemazuva anowanikwa mazamu, fibrocystic tissue, uye kenza yemazamu mumifananidzo iyi?

Ngatitarise zvimwe zvezviwanikwa zvinowanikwa pane mammamiro aungaverenga nezvazvo mumushumo wako, uyewo kuti sei dzimwe nguva zvakaoma kuziva kana kusakanganisika chinhu chinetso kana kwete kunze kweimwe mimwe miedzo yakadai seyamabere ultrasound, chifuva MRI, kana kuti chifuva chechipiri.

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Kazhinji Breast Tissue pane Mammogram
Chii chinonzi chimiro chechimiro chinowanzoita sechinoita uye kuchinja kusingaoneki kunoita sei ?. National Cancer Institute

Vakawanda vakadzi vachave nevana vavo vokutanga vanopoteredza makore makumi mana, uye izvi zvinogona kushanda sechinhu chakanaka chekutanga chekuenzanidza mifananidzo yako munguva yemberi.

Kune mhando dzakasiyana dzakasiyana-siyana dzekenza yekuongorora mazano, izvo zvinowirirana zvichienderana nesangano rinoita mazano. IAmerican College of Obstetrics uye Gynecology inokurudzira kuongorora kwegore kubva pamakore makumi mana. IAmerican Cancer Society inorumbidza mammograms gore negore pakati pemakore makumi mashanu nemakumi mashanu, uye US Preventive Services Task Force inokurudzira mammograms mamwe gore rimwe nerimwe pakati pemakore makumi mashanu nemakumi manomwe. "Chisarudzo chakanaka" kwauri ndicho icho iwe uye chiremba wako unosarudza paunobva pane yako chaiyo pangozi uye zvido zvako.

Kuva nechimbuzi chekutanga chetsika zvisinei nokuti nguva yakawanda yemammograms yako inobatsira zvikuru. Nokufamba kwenguva, mazamu emukadzi anogona kuchinja, kunyanya mushure mekuberekwa, kutevera chifuva chechifu, kana kuti nemazamu emvere. Hazvisi zvisingawanzoiti kuti uwane maronda, maitiro, mashizha, maverengi, kana mashizha.

Mammograms anobatsira nekutanga kuona uye kuongorora kenza yepazamu. Nzvimbo dzakasviba nemachena pachifananidzo chemamiriyoni dzinofananidzwa nemafuta anowanzogadzirwa nemafuta uye mazamu ane mazamu nemafuta uye lobes, zvichienderana. Mazamu ehombodo achaonekwa akachena nokuti ane duru kupfuura mamwe maitiro muzamu.

Ichi chifananidzo chinonzi mammogram yemafuta anowanzova mafuta, anowanzoitwa nevakadzi vakwegura, izvo hazvina zvakawanda zviduku. Chimiro chemhando yekutsvaga zvipembenene zvisingagadziriswi, zvipembenene zvinorema, kana kenza yemvere zvinonyatsojeka kana zvichiitwa kune vakadzi vane mazamu asina kuoma, kazhinji vakadzi vakuru.

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Kazhinji Dense Breast Tissue pane Mammogram
Chimiro chemukati chinoratidza dense asi chidimbu chechifu. National Cancer Institute

Vasikana vechidiki, zvikuru avo avo vasina vana, kazhinji vane dense uye yakasimba. Bhuku rakanyorova rinoita kuti chimiro chemamimographic chive chakaoma kuverenga. Zvigadzirwa zvemhando yepamusoro zvinogona kugadziriswa kuva mufananidzo wakaoma kana kuti mafuta, asi mammograms anoonekwa seakarurama pane mamwe mafuta uye vakadzi vakwegura.

Ichi chifananidzo chemammogram chinoratidzira mammograms maviri ezvakawanda zvemazamu mazamu. Nzvimbo dzine rima dzine mavara ane mafuta, nzvimbo dzekudzivirira ndezvinyanyisa zvinyuchi zvine mahara, lobes, nezvimwe zvinhu. Nzvimbo dzakaoma dzenhengo yemhuka dzinoratidza mazamu emucheche angangodaro (chikamu chemuti wemukaka) kana mazamu emvere.

Vakadzi veMeenopaopausal, kunyanya vakadzi vasina kumbova nepamuviri, vanogona kunge vane mazamu akaoma. Nemhaka yokuti mafupa ari nyore kuti mammamiro aone kuburikidza, mazamu ane mazamu akawanda anogona dzimwe nguva kuvanza zvinyorwa zvezvinhu zvinoda kuswedera pedyo. Kana imwe nzvimbo inoda mufananidzo wakanaka, chifuva ultrasound inowanzotora danho rinotevera.

Kuvakadzi vechidiki vane nhoroondo yakasimba yemhuri yekenza yebonde, kana avo vanozivikanwa kuti vane mazamu emagetsi anowedzera njodzi, chifuva MRI dzimwe nguva inogona kupa mifananidzo yakanakisisa apo nyuchi dzemazamu dziripo.

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Breast Calcifications pane Mammogram
Chimiro chemufananidzo chinoratidza kuonekwa kwekuverenga. National Cancer Institute

Mumufananidzo uyu wemuviri, nzvimbo dzine rima inowanzova mafuta ane mazamu uye nzvimbo dzechiedza dzinotyisa. Muchena mavara ndiwo ma calcifications, ayo anoratidzwa nemiseve tsvuku. Idzo mazamu kuverenga maitiro ari mumatare, sezvo calcification inowanikwa mumakwenzi emukaka emuzamu. Izvi zvinoratidzika sechiremera chisina kujairika, asi kwete chikafu.

Zvinyorwa zvishoma zvidiki zvishoma zve calcium zvinogona kuratidzika mumasumbu kana kuti maitiro (semidenderedzwa) uye zvinosanganiswa nemamwe masero echitanda mumatomu emvere. Kazhinji, iyo inowedzera kushandiswa kwemasero haisi yekushaya kenza, asi dzimwe nguva masango mashoma emagetsi anokwanisa kuva chiratidzo chekutanga chekuchenesa masero. Kuparara kwechidimbu kunowanzova chiratidzo chemuviri wenyama .

Muchiitiko ichi, mukadzi wacho akarayirwa kuti ave nemamamiro ekutevera mumwedzi mitatu kuti aenzanise. Kana mukadzi ane bundu rinobatanidza nekuverengwa, zvisinei, pakarepo kuongororwa kunodiwa.

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Fibrocystic Breast Tissue pane Mammogram
Chimiro chemufananidzo chinoratidza kuonekwa kwehutanocystic mushu. National Cancer Institute

I- fibroadenoma kana cyst inonzi benign breast masses inogona kuonekwa mumagunha e fibrocystic. Izvi zvinogona kuonekwa zvoga, kana mumapoka, uye zvinowanzoonekwa pamammograms zvichionekwa sevanhu vakawanda. Iyi mammogram inoratidza nzvimbo dzakasvibiswa izvo zvinowanzochinja zve fibrocystic . Iwe unogonawo kuona mamwe madhu, nemaitiro avanoumba.

Kazhinji fibrocystic inoshandiswa muhombodo yako inogona kuchinjwa nehutachiona hwemamiriyoni ehutachiona hunogona kubviswa pakuenda kumwedzi. Vanenge hafu yevakadzi vose vanoona kuchinja kwe fibrocystic muzvipfuva zvavo, kunyanya munguva yavo yekubereka.

Fibrocystic inoshandiswa muzamu kazhinji haisi chiratidzo chechirwere uye hachidi kurapwa. Iko kushanduka dzimwe nguva kunokonzera kurwadziwa kwepamuviri uye kuchena, naizvozvo kana izvi zvikava dambudziko, enda kunechiremba wako kuti abatsirwe.

Kana kusakanganiswa kunofungidzirwa kuva cyst, chifuva che ultrasound chinowanzoitwa kuti chisimbise kuti iri cyst panzvimbo yehutu hwakasimba. Neine ultrasound mutungamiri, radiologist inogona kuisa sindete mu cyst kuti iidye, uye cyst ichapera pa ultrasound.

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Breast Tumor pane Mammogram
Chimiro chemamiriyoni chinoratidza chida chinenge chikafu chechifuva. National Cancer Institute

Iyi mammogram inoratidza nzvimbo dzine rima dzemazuva akawanda mafuta ane mazamu. Nzvimbo dzakapisa dzine mazamu ane mazamu akaomeswa anosanganisira ducts uye lobes. Nzvimbo yakachena ndiyo inotyisa, ichiratidza tumarara yekenza , inoratidzwa nemuseve mutsvuku muzasi yekona yekona yemufananidzo.

Chirwere chekenza muzamu chinoumbwa nehuwandu hwemasero ekenza ari kukura munzira isiri, isina kudzora. Dumbu racho rinogona kuputira mhuka dzomukati, kana inogona kukonzera masero muropa kana lymph system. Kana zviremera zviya zvichienda kune imwe nzvimbo yepakutanga uye zvinopararira kune dzimwe nhengo dzomuviri, zvinonzi semasastatic breast cancer.

Chifuva chesafuro kazhinji chinoda kurapwa kuburikidza nekuvhiyiwa uye kunogona kudikanwa chemotherapy, mazairo, chinangwa chetachiona, uye / kana hormonal therapy. Apo chifuva chezamu chinowanikwa mukutanga kwekenza yepema, zvinowanzoita kuti zvibudirwe kurapwa, kudzivirira kuparadzirwa kwayo kana kudzoka zvakare.

Zvakakosha kucherechedza kuti kunyange kana kuchinja kunotarisa zvikuru sekenza pane mammogram, pane zvimwe zvinoshandisa bonde zvinoshanduka zvinomirira kenza yepafu . Kana izvi zvichiitika, kufungidzira zvakanyanya, uye kazhinji kechipiri, zvinodiwa kuti uzive kana ichokwadi kanzira kana kwete.

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Chibereko Chakuisa pane Mamamogram
Kuonekwa kwechifuva kunomira mumammogram. Mufananidzo © Pam Stephan

Iyi mammogram inoratidza maonero maviri emuzamu mushure mekuita mastectomy nekugadziriswa nemushonga wekusikwa kwemazamu . Mukadzi uyu aive achibudirira kuburikidza nemhando yekenza yebonde inonzi invasive ductal carcinoma . Mammograms anotorwa mushure mekuongororwa kwekenza yepamuviri inokosha kuongorora kuongororwa. Hapana humwe uchapupu hwekenza yemazamu mumifananidzo iyi.

Mammograms inogona kuitwa pamapfupa emvere kana kushandiswa kuduku kunoshandiswa kupfuura izvo zvinodiwa pazvisikwa zvepanyama. Mune maonero maviri mairi ekudzorerwa kwemazamu, iyo inogadziriswa inoratidzika sechiedza, nzvimbo ine ruvara. Izvi zvinowanikwa muhomwe yerusvingo rwechifuva. Muranda wepfupa mushumba unooneka semusviba-rima kunze kwekusimudza.

Cherechedza kuti maonero epamusoro, anonzi cranial-caudal view, anoratidza nzvimbo duku kudarika diagonal view, inonzi mediolateral view. Kuva nemafungiro aya maviri kunobatsira kuti vanachiremba vatarise utano hwemucheche.

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Mammogram uye MRI Mufananidzo Maenzanisa
Mammogram Mashoko Mammogram uye MRI Mafupa Emadzimai Kuenzanisa. National Cancer Institute

Mammograms ndiyo nyanzvi yekuongorora maitiro inoshandiswa mukurapa kwepamuviri, asi kuti uwane humwe ruzivo rwakanyanya kune imwe nzvimbo, kana kuti kuvhara vakadzi vari pangozi yakakura vane mazamu ane mazamu, MRI (magnetic resonance imaging) inokwanisa kutora kusiyana kwepamusoro, mufananidzo wakajeka.

Breast MRIs inodhura zvikuru kudarika mammograms, uye iyo midziyo haisi yakawanda iripo. Nokuda kwechikonzero ichi, teknolojia yeMRI haina kushandiswa pakuita maitiro ekuongorora mazamu asi kunyanya kushandiswa kuongororwa maitiro asina kukodzera kana kuvhara avo vari pangozi yakanyanya yekukura kenza yemvere. Inowanzoshandiswawo, kunyanya kuvakadzi vaduku, kutarisa imwe mazamu ekufambisa kenza yepamu kana mukadzi ane chirwere kune rumwe rutivi.

Izvozvi zviviri zvakaenzanirana-ne-kurutivi zvakaenzanidza zvinoratidza mammography kuruboshwe uye MRI kurudyi. Chifananidzo cheMRI chinoratidzira huwandu hwehuwandu hwemashoko, iyo inobatsira zvikuru kutsigira kuongororwa.

Kana mamamamiro akaratidza mazamu emuviri anoita seashungurudza, MRI kana ultrasound inogona kupa ruzivo rwakarurama. Kana iyo MRI inopupurira kuti mashoma anotarisa kenza, nhanho inotevera ndeyese yemazamu .

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Mharidzo yako yeMamogram

Mushumo wenyu wemuviri ucharondedzera zvakawanikwa zvakataurwa pamusoro apa. Kana usina chokwadi chezvinhu zvipi zvitsva zvinoreva, taura nachiremba wako.

Mukuwedzera pakucherechedza chero zvitsva, iwe uchaona nhamba inonzi inonzi BIRADS nhamba.BIRADS inomiririra Breast Imaging Reporting uye Data System, uye inopa nhamba iyo inofungidzira pamusoro pemikana yokuti mammogram yako akajairika kana kuratidza kenza. Kana iwe usati uine biopsy, iwe uchaita nhamba pakati pe1 ne5.

Pasi Pano paMamamogram Images

Mammograms inogona kunge inobatsira pakusarudzwa kwokutanga kwekenza yemazamu uye inogona kuwana kanzira dzisati dzagadziriswa. Panguva imwecheteyo, kunetseka kwehuwandu hwehuwandu hwehutachiona hwakakonzerwa mumakore achangopfuura. Semuenzaniso, kuvapo kwe microcalcifications, asi dzimwe nguva kurondedzera chiremba wako kune kenza yemukati, kune zvakawanda zvinokonzera zvinokonzera zvakare.

Kuwedzerwa kune izvi ndezvirevo zvakasiyana-siyana nemasangano akawanda, uyewo mafungiro akasiyana evechiremba vakawanda. Izvi zvinowira kune iyo ndeyokuti iwe unoda kuva mupepeti wako muhutano hwako. Dzidza nezvekukanganisa kwemasimba. Kana iwe uine hanya nekuda kwehutano hwemhuri yekenza yemazamu, taura nachiremba wako nezvesarudzo yekuve nehadzi yeMRI. Kana iwe ukakukura bundu, chifuva che ultrasound dzimwe nguva chinonyanya kubatsira mukugadzirisa.

Kunyange zvazvo zvose izvi zvichikosha, "kurapa" kwakanakisisa ndekudzivirira kenza kuti irege kuitika panzvimbo yekutanga. Kunyange zvazvo zvirwere zvakawanda zvinokonzera pasina chikonzero chakajeka, uye tinoziva kuti vazhinji vakadzi vane utano hwakanaka vanoita kenza yemvere, pane zvimwe zvaungaita kuti udzikise ngozi yako. Kudya kudya kwakagwinya kwakagadzirwa nezvibereko nemiriwo kutanga. Kuita zvekuita zvemazuva ose kunofanirawo. Zvidzidzo zviri kurevawo kuti vakadzi vane mazana emadhamini anoderera anokwanisa kuva nehuwandu hwehuwandu. Pamusangano wako unotevera, bvunza chiremba wako kuti aone vhidhiyo yako yevhitamini D. Kana yakaderera iye anogona kukubatsira kuwana nzira dzekusimudza, zvisinei zvinoreva kutora nguva shomanana muzuva kana kutora vitamini D kuwedzera.

> Sources

> America Cancer Society. Chiremba Anotsvagai pane Mammogram? Updated 10/09/17. https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/mammograms/what-does-the-doctor-look-for-onam-mammogram.html

> Iwase, M., Tsunoda, H., Nakayama, K. et al. Kuwisira pasi Nzvimbo Dzakashata-Dzakagadzirwa: Akabatanidzwa maAmorio Mafuro Anowanika pa Kuongorora Mafuro Akaitwa Nechirangaridzo Chine Ngozi. Chirwere chepabonde . 2017 24 (4): 579-584.