Chidzidzo chinopupurira kuti mammography (x-rays yezamu) mazinga emadzimai akachengetwa akatsika ne 6% kusvika 17% pakati pevatsvene, veAsia, nevakadzi veAsia, asi vakadzi vemadiro vane kuderera kuduku.
Kudzidza, kwakatungamirirwa naJohn Wharam, MB, MBA, kubva kuHarvard Pilgrim Health Care Institute, kuBoston, uye inobhadharwa nechipo kubva kuAmerican Cancer Society, yakashuma pamusoro pemammography rates makore matatu mushure me 2009 United States Preventive Services Task Force akazivisa kuchinja mune zvinongororwa zvekuita mammography screenings.
Dare rekutsvakurudza rakadzidza mammography rates yevakadzi vanokwana mamiriyoni 5,5 vakadzi 40-64 vane makore vakanyoreswa muhurongwa hwehutano hwehutano hwehutano muna 2005 kusvika muna 2012.
Kudzidza kuwanikwa kunobudiswa paIndaneti ye Journal of Clinical Oncology.
Kuparara kwemitengo kwakaitika mumakore matatu achangobva kubuda mushure mekukakavadzana muna 2009 apo United States Preventive Services Task Force (USPSTF) yakashandura mammography kuronga mazano kumunhu mumwe nomumwe kuongorora zvisarudzo zvevakadzi vane makore 40 kusvika ku49 uye kuongorora makore maviri evakadzi ane makore makumi mashanu kusvika kuzana makumi mana. IU USPSTF yakabva yachinja gwaro iri, zvichiita kuongorora vakadzi pasi pemakumi mashanu nenyaya yekuzvisarudzira kuti ichataurirwe navanachiremba. IAmerican Cancer Society inoshuma pamusoro pekuvandudzwa kweichangobva kuitwa.
Paunofunga nezvezvikurudziro, yeuka mazano eUUSPSTF akazvimiririra neUnited States; uye kwete nzvimbo yepamutemo yehurumende dzeUnited States.
Mazano
Pamberi pehupoti hweUSPSTF, kuronga kwaiva kwemakore 1 kusvika ku2 kwemakore 40 kusvika ku49 vakadzi uye gore negore kune vakadzi vanopfuura makumi mashanu. Izvi zvinoramba nguva yakakurudzirwa yekutsvakurudza kenza yepamusoro, kurapwa nevatsigiri vevashandi vanowanzoona vakadzi mumakore avo ekutanga makumi mashanu nekuda kwekuchengetwa kwekupedzisira kwekenza.
Vakawanda vevakadzi vakanga vasina kutora mammogram kuongorora mumakore avo makumi mana.
Zvinosuruvarisa, vakadzi vazhinji havadi kukurudzirwa kupi kwekurega kudzoka mammogram. Hapana anoda kuwana x-ray iyo inogona kuratidza kenza. Vakadzi vakanzwa kana kuziva kubva pane zvavanoona kuti mamamamiro anogona kunge asinganzwisisiki mumuviri pamwe chete nekunyanya kuzvidya mwoyo. Vose vanoda kuzvifungidzira nezvekudzoka shure kune imwe. Izvo zvose mukadzi wese anoda kuziva kuti mammogram anokwanisa kutora kenza isati yave yakakura zvokuti inonzwiwa nechiremba wezvechiremba mune zvakanyatsoongorora mazamu.
Batsiro reMammograms uye Kutanga Kuziva
Muna 1999 uye zvakare mugore ra2009 mammograms angu egore negore akaratidza chimwe chinhu chinopokana nekenza yemazamu. Hapana imwe yemakondomu angu maviri anonyanya kuvhara mazamu anokwanisa kunzwika mune zvakazara mazamu ezvakaitwa munguva pfupi ndisati ndaita mammograms. Chimwe nechimwe chaiva kenza yekare uye isina kupararira kupfuura kwepamu. Ndakanga ndisingadi chemotherapy nokuda kwekenza.
Kana iwe usingadi chemotherapy sechikamu chekurapa kwako, unodzivisa mimwe migumisiro inogona kukanganisa. Izvo zvakaoma mumuviri kuti vakadzi nevarume vakawanda vashande kana kuchengetedza purogiramu inoshanda mukati memwedzi inovatora kuti vapedzise mararamiro avo.
Chemotherapy inowanzokonzera kupera kwechiso kwenguva pfupi. Chemotherapy inokanganisa maitiro ezvirwere zvemuviri uye inoisa avo mukurapa pahuwandu hwehutachiona hwehutachiona.
Mapoka ekukurudzira kenza yepabonde ane hanya nevakadzi ivavo vane makore makumi mana, avo vava kudavira kuti vanogona kudzoka vane mammograms kusvikira vava nemakore makumi mashanu. Chirwere chepabonde chinowedzera kuva nehasha kune vakadzi vaduku, vasina, kunyange zvakadaro, vakapfuura nekuguma.
Kubvira pakurondedzerwa kweUSPSTF, zvidzidzo zvakasiyana-siyana zvakanyora zvinobatsira zvemadzimai emadzimai ari pakati pemakore 40 kusvika ku49. Chimwe chekudzidza, naJudith Malmgren mumwe mupurofesa wepademiology paYunivhesiti yeWashington School of Public Health uye Community Medicine yakashuma kuti "Vakadzi vane chirwere chemashure mumakore avo makumi mana vane hutano hwepakutanga, purogiramu yepakutanga, kufanirana kwakanaka."
Pane imwe nguva 50, maererano neshumo re2009, mukadzi anongoda mammogram makore maviri oga oga. Asi, boka guru pane zvitsva zvinotaridzirwa zvekenza yemazamu, gore negore, rinoitika kuvakadzi vari pakati pemakore 55 kusvika ku 64.
Kubvira muna 1969, apo mammography yakauya mukushandiswa kukuru-kupararira, yakange ichikwira kumusoro ichikwira vakadzi vachigutsa kuwana mammograms egore negore. Mumakore ose aya, takaona mazamu echechi akabatwa mberi kuburikidza nemammography.
Hongu, pane shoma shoma yekenza yakarasika uye zviratidzo zvenhema. Zvisinei, National Cancer Institute inotaura kuti kuwana hukuru hwekuongorora maziso uye kuva nechirwere chekliniki kuongororwa, nguva dzose, ndiyo nzira dzakanakisisa dzekuona kenza yemazamu kare. Nzvimbo dzakawanda mammography nzvimbo dziri muUnited States zvino dzinoshandisa mammography ye digalog ine ruzivo rwakaratidzwa hwekubudirira mukunyora zviduku, pakutanga kwepakati yekenza yekenza.
Pasi Pasi
Izvo mukadzi wose anofanira kuisa mupfungwa paanosarudza nguva yekutanga kuva nemamota, uye kazhinji sei kuva neumwe, ndiko kukurumidza kuziva uye kupindira kunoponesa hupenyu; inowana kenza mangwanani uye inogona kudzivirira mukadzi kurapa kwakakura kunofanirwa kurapa kenza yemakore ekupedzisira.
Kunobva:
Mammography Mitengo 3 Makore Mushure megore ra1999 Preventive Services Task Force Guidelines Changes J. Frank Wharam, MB, BCh, BAO, MPH, Department of Population Medicine, Harvard Medical School uye Harvard Pilgrim Health Care Institute, 133 Brookline Ave, 6th Floor, Boston , MA 02114.