IAmerican Cancer Society (ACS) inokurudzira kuti vakadzi makumi maviri kusvika ku39 vawane kliniki yekuongorora mazamu (CBE) kamwe chete pamakore matatu panguva yekushanyirwa kwevakadzi vavo gore negore . Dhiyabhorosi wako mukuru anogona kuita rimwechete pane gore rega rekuongorora. Paunenge uine makore makumi mana nekukura, ACS inokurudzira kuti uwane CBE gore negore. Kuva nekliniki yepamu kuongorora kuve nzira yakanakisisa yekuchengetedza mazamu ehutano hwako, uye vanachiremba vakawanda vanosarudza kuita imwe vasati vakukutaurirei kuongorora mammogram .
Mudzidzisi wako / gynecologist, chiremba wokutanga, kana mukoti anogona kuita CBE yako kwauri. Kana uri kuona nyanzvi yezveoncologist, chiremba kana mukoti anogona kuita chirwere chechirwere chemuzamu chero nguva inenge ichidiwa. Kunyange zvazvo kune mamwe maitiro emakiriniki ekuongororwa kwezvokurapa, vamwe vashandi vehutano vane kusiyana kwavo pachavo pakuongorora.
Kuziva kuti chii chaunotarisira panguva yako kliniki yekuongorora mazamu kunogona kukubatsira kugadzirira. Dare redu rekugadzwa nguva yakanaka yekubvunza mibvunzo pamusoro pehupi hwehutano hwepabonde hwaunayo. Kana uchida kudzidza kuti ungaita sei mazamu ako ega-ega anozvidzivirira , bvunza chimwe chekudzidzisa munguva ino.
Iwe ungada kuunza pamwe nehuwandu hwekuenda kwako kumwedzi, urongwa hwemishonga iwe unogara uchitora, uye mamwe marekete ezvehutano angakanganisa hutano hwako. Zvishongedze zvakanaka, mune zvipfeko zvinogona kubviswa kubva muchiuno. Edza kupfekedza bhizimusi bha kana imwe bhini yakanyorosa iyo isingaisi mhirizhonga pamazamu ako, kana iwe uchinzwa uchitsiva mushure mekuongorora.
Kutarisa Kuongorora, Chikamu Chekutanga
Chirwere chako chepamuviri chekuongorora chinotanga nekuongorora kunoonekwa, sekunyatsozvinyatsoongorora .
Iwe uchapfekenura kubva pachiuno uye upfeke panguvo. Chiremba angatanga nekukubvunza mibvunzo nezvehutano hwako hwepabonde, kunyanya chero kuchinja kupi zvako kwaungave wakacherechedza paunenge uchiita bhurocha rako roga roga kuongorora . Iva nechokwadi chekutaurira chiremba wako kana une chirwere chepamuviri, ane pamuviri kana kuti anwisa, ave nemafuta emvere kana kuvhiyiwa, kana kuti ane mhuri yehutachiona kana yekenza yevana.
Chiremba wako achatanga nekuita maziso ekuzorora . Iwe unenge uchinge wakagara nehombodo yako yakazarurirwa mberi, uye chiremba wako achatarisa kuenzanisa, chigadziko cheganda, uye ingwe dzinochinja . Chero kusakoshesa kana kuchinja kubva kuongororo yako yapfuura kuchaonekwa. Kana mazamu ako akashandura muhukuru, maitiro, marara, kana mavara, ratidza izvi uye kurukura navo nechiremba wenyu. Saizvozvowo, kana iwe uine chirwere chinopera , chirwere chepaly kana chakakoshwa pazamu, mhonzi, kana isola-iva nechokwadi chekumbira chiremba wako kuti aongorore kuchinja uku.
Clinical Breast Exam - Visual Examination, Chikamu Chepiri
Kutarisa Kuongorora, Chikamu Chepiri
Kuongororwa kwekuona pane chikamu chako chechirwere chekuongorora kunoenderera mberi uchiri kugara. Iwe uchakumbirwa kubata maoko ako kumusoro, tambanudza maoko ako kudivi, uye kuisa maoko ako muhudyu. Izvi hazvirevi kurara - pane zvikonzero zvakanaka zvekutamisa maoko ako panguva yeCBE yako.
Mazamu ako echeputi anogara pamusoro pemapfupa emapfupa ako. Paunotambanudza maoko ako nenzira yakaenzana, mazamu ako anofanirwawo kufamba zvakasiyana. Sezvaunofambisa maoko maviri, mazamu ako achachinja maitiro zvishoma, uye angaratidza kuchinja mumutsara kana kuvepa. Nzizi dzimwe nguva dzinogona kupinda mukati apo iwe unosimudza maoko ako. Uye apo maoko ako ari kumusoro, zviri nyore kuti chiremba wako aone lymph nodes mumakumbo ako. Nzira iyo mazamu ako echeche anopindura pamusana pemaoko ako kushandiswa kunoita chiremba mamwe mazano pamusoro penzvimbo yekuisa pfungwa yako munguva yebhuku rinotora chikwata chako chekuongorora.
Manual Examination
Chikamu chechitatu chechirwere chechirwere chekuongorora kwako chidzidzo chekuongorora mazamu ako. Iwe uchakumbirwa kurara pasi nekuisa maoko ako shure pamusoro wako apo mabere ako ari kuongororwa.
Sezvaunogona kuita nokuda kwezamu rako kuzvidzivirira , chiremba wako achishandisa munwe-padhini yezvinetso kuti uchinzwe nzvimbo dzose dzemazamu ako. Mazamu anoitwa nemafuta uye mavara, uye achasiyana muhuwandu. Chiremba wako achachera mazamu ega ega nemazinga matatu ekumanikidzwa:
A: Chiedza chekuvhenekera kwemafupa
B: Medium Pressue pakati pepakati
C: Kushushikana kwakadzika kwemasupa pedyo nechifuva chemasvingo
Izvi hazvifananidzi kukonzera marwadzo kana kusanzwisiswa - asi zvinoitwa kuti ave nechokwadi chekuti bhuku rekuongorora rinenge rakakwana. Kana uine marwadzo panguva yeCBE yako, rega chiremba wako azive pakarepo.
Chero zvipi zvemazamu kana kuchinja kwemajaya zvichabva zvakanyatsocherechedza - uyewo nzira iyo mazhenje anotarisana nekumanikidzwa uye kufamba mukati mechifuva chemuzamu. Ukuru uye nzvimbo yemakumbo chero ipi zvayo uye mazamu anozoonekwa, uye kana iwe uchange uine mammogram ekuongorora, iwe radiologist uchabhadhara zvakanyanya nzvimbo idzodzo.
Lymph Node Kuongorora
Chikamu chechina chechirwere chechirwere chekuongorora chidzidzo chako ndechekuongororwa kwemashoko emakumbo ako. Iyo nodes iri mumasumbu makuru kumusoro uye kunze kwemazamu ako. Zvakakosha kutarisa izvi nekuda kwekudzivirira nokuti izvo zvinogona kuratidza utachiona kana kuputika. Muchikamu chemuviri wechipfuva, kenza dzemasera dzinogona kuenda kune dzimwe nhengo dzeropa dzinoswedera pedyo uye dzinoita kuti dzivhenekere. Lymph node nhengo chikamu chinokosha chekenza yemazamu kuongororwa.
Zviratidzo zvako zvemukati mumakumbo ako, pamusoro pemirasi yako, uye mutsipa wako zvicharatidzwa kuti zvione kana zvichanyorova kana kuti zvakasikwa. Mumufananidzo, unogona kuona nzvimbo ye nodes iyo ichaongororwa:
A: Cervical nodes pamutsipa wako
B: Supodlavicular nodes kumusoro kwekorlarbone yako
C: Node dzepraclavicular dziri shure kwekororobone yako
D: Axillary nodes mubhodhi yako
Nipple naAreola Kuongorora
Chikamu chekupedzisira chechirwere chechirwere chekuongorora chidzidzo chako ndechekuongororwa kwemashoko emapundu ako uye mashizha. Paunoita bhururo rako rega roga roga roga kuongorora , unogona kuona humwe hutachiona hunochinja - uite izvi kune chiremba wako.
Chiremba achachechera mazai ekubuda , ruvara rweganda, uye nzvimbo. Iva nechokwadi chekuudza chiremba wako kana uine marwadzo ekopi, ane pamuviri kana kuti anwisa, akave nekuvhiyiwa mazamu, kana kuva nemhuri yehutachiona kana kenza yemaawa. Kana paine chero chirwere chinopera kunze kwemukaka wemukaka, chinogona kuiswa sampuli uye kutumirwa kuongororo yebazi.
Chiremba wako achaongorora nzvimbo yako yembiru nekunyorova kunyanya kunyorera neyo index uye pakati pezvigunwe uye kuenderera mberi. Vachatarisa kuti vaone kana mbiru inodzoka zvakare panzvimbo, kana iyo inodzosera zvakare muchipfuva.
Your areolas ichaongororwawo, kuti uone kana iwe uine marwadzo kana kupfugama pasi pawo, sezvo izvo zvingangodaro kubhekwa kwepamusoro . Kana iyo isola inobhururuka, inoramba ichitsvaira, yakatsvuka, yakaoma, kana zvipembenene, inogona kunge iri utachiona kana chirwere chePaget chemukoti , rudzi rwekenza yengamu.
Batsirwa Rokuyeuka
Kuchengetedza mazamu ekuongororwa kwezamu inguva yekushandisa yekuongorora inokubatsira iwe. Kana uchiteverwa nemamorogram ekuongorora, CBE yako inzira yakanakisisa yekuongorora mazamu ako nokuda kwemazamu emuviri wepabonde kana kenza yemvere. Zviduku zviduku (pasi pe2cm) zvinowanzotanga kurapa zviri nani kudarika zvikuru, uye zvinosanganiswa nekugara kwenguva refu.
Kana ukacherechedza kuchinja mazamu ako kana kuwana chifuva chemuzamu, unofanirwa kuronga kliniki yepamu kuongororwa kwemaonero ehutungamiri uye kuwana rubatsiro. Usamirira kusvikira usangana nguva dzose kuti uongorore muviri kana iwe unonetseka nezvekuchinja mazamu ako. Tora CBE paunoona kana unonzwa kuchinja kunoita sekunetsa.
IAmerican Cancer Society (ACS) inokurudzira kuti vakadzi makumi maviri kusvika ku39 vatore CBE kamwe chete pamakore matatu panguva yekushanyirwa kwevakadzi vavo gore negore. Chiremba wemhuri yako anogona kuita rimwechete pane gore rega rekuongorora. Vakadzi 40 nevakuru vanorayirwa kuti vawane CBE gore negore. Gara uine bonde rako rega roga roga kuzvidzivirira , ugare uchirovedza muviri, ramba uchireruka, uchinge uine kudya kwakanaka , uye uite sarudzo dzakanaka dzoupenyu. Tora pamwe nachiremba wako kuti uve nehutano hwakanaka hwepamuviri.
Sources:
Unogona Kuwana Bereya Refu Here? American Cancer Society. Last Revised: 09/18/2009
Kunzwisisa Kushandura Kwechifuva: Utano Hwezvoutano hwevakadzi. Chengetedza Nehutano Hwako Nekupa Nezve Utano Hwekuchinja. National Cancer Institute. Posted: 09/28/2009.
Clinical Breast Examination: Practical Recommendations for Optimizing Performance and Reporting. Debbie Saslow, PhD, Judy Hannan, RN, MPH, Janet Osuch, MD, MS, et al. CA Cancer J Clin 2004; 54: 327-344.