So wo nufu yɛ den dodo? (Dense Breast Tissue) - Momma yɛnka eyi ho asɛm!

Sɛ wo mammogram amanneɛbɔ ka sɛ "Wo nufu mu ntini yɛ den dodo" anaa "Nufu mu ntini a ɛyɛ den" a, ebia wobɛhaw kakra, ɛnte saa? Ebia wobɛdwene sɛ, "Oo, so mewɔ biribi a anibere wom?" Nanso ɛho nhia sɛ wohaw wo ho . Eyi yɛ biribi a mmea pii, titiriw yɛn a yɛwɔ Sri Lanka no, taa hu. Enti, momma yɛnka eyi ho asɛm pefee na ɛnyɛ den nnɛ.

Dɛn ne saa "nufu mu ntini a ɛyɛ den" yi?

Sɛ yɛbɛka no tiawa a, ɛkyerɛ sɛ wo nufu no wɔ nhama ne ntini mu ntini pii dodo na srade nso sua dodo . Eyi nyɛ yare. Susuw ho hwɛ, mmea nyinaa mu bɛyɛ fã na wɔwɔ saa tebea yi.

Ade a ɛho hia ne sɛ wonte nka sɛ wowɔ nufu mu ntini a ɛyɛ den no ho sɛnkyerɛnne biara . Worente nufu mu yaw biara nka, nsakrae biara, anaa mpo wo ho a wobɛhwehwɛ wɔ wo nufu mu wɔ fie. Sɛ oduruyɛfo bi hwehwɛ wo mu mpo a, ɛrenhu.

Enti wobɛyɛ dɛn ahu eyi? Mpɛn pii no, sɛ woyɛ mammogram (titiriw 3D mammogram - aka digital breast tomosynthesis) a, wɔka eyi ho asɛm wɔ amanneɛbɔ no mu. Radiologist no bɛhwɛ wo mammogram no na waka akyerɛ wo sɛ wo nufu mu ntini yɛ den anaasɛ ɛnte saa. Nnuruyɛfo nso betumi afrɛ eyi sɛ ‘nufu mu duru’ anaa ‘fibroglandular density’.

Enti, dɛn nti na ɛho hia sɛ yehu eyi?

Ebetumi ayɛ nwonwa kakra sɛ wubehu sɛ wo nufu mu ntini yɛ den. Nanso ɛnyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Nanso, ɛho hia sɛ wo ne wo duruyɛfo kasa fa eyi ho na wote nea wo mammogram amanneɛbɔ no ka ase.

Nsɛm atitiriw abien na ɛwɔ eyi mu:

1. Bere a nufu mu ntini reyɛ den no, ebetumi ayɛ den sɛ wubehu nneɛma te sɛ kokoram nkwammoaa wɔ mammogram mu. Efisɛ ntini a ɛyɛ den ne kokoram nkwammoaa da adi fitaa wɔ mammogram mu. Ɛte sɛ nea worehwehwɛ kraman fitaa wɔ sukyerɛmma mu.

2. Ebia nnipa a wɔn nufu mu ntini yɛ den yiye no betumi anya nufu mu kokoram kakra sen afoforo. Eyi nkyerɛ sɛ akyinnye biara nni ho sɛ wobenya kokoram, na mmom sɛ asiane kɛse wom kakra.

Enti, mma "Dense Breast Tissue" amanneɛbɔ no nnyɛ wo hu. Nanso, mma wo werɛ mmfi sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho.

Momma yensua yɛn nufu mu ntini ho ade kakra?

Sɛ yɛbɛte saa "solid tissue" asɛm yi ase a, ɛboa sɛ yebenya adwene kakra wɔ ntini ahorow a ɛka bom yɛ yɛn nufu no ho. Ntini ahorow atitiriw abiɛsa na ɛwɔ hɔ:

• Srade a ɛwɔ nipadua mu / Nsrade a ɛwɔ nipadua mu:Eyinom nyɛ den pii. Wɔ mammogram mu no, ɛte sɛ nea ɛyɛ tuntum, na ɛtɔ mmere bi a ɛyɛ hann. Enti sɛ biribi fitaa (te sɛ kokoram) wɔ nufu mu te sɛ eyi a, ɛnyɛ den sɛ wobehu.
• Fibrous connective tissue: Eyi yɛ ntini a ɛyɛ den. Ɛboa ma yɛboa yɛn ntini ne yɛn ntini afoforo, bɔ yɛn ho ban, na ɛkura mu. Ɛda adi fitaa wɔ mammogram so.
• Fibroglandular tissue: Ɛha na ntini a ɛma nufusu ne ntini a ɛde nufusu kɔ nufusu no mu no wɔ. Te sɛ ntini a ɛyɛ nhama no, eyi yɛ den na ɛda adi fitaa wɔ mammogram mu.

Enti, sɛ fibrous ne fibro-glandular ntini dodow a ɛwɔ wo nufu mu no dɔɔso sen srade dodow a, ɛnde yɛfrɛ no "nufu a ɛyɛ den."

Ɔkwan bɛn so na nnuruyɛfo susuw saa duru yi?

Radiologistfo de nhyehyɛe bi di dwuma de kyekyɛ nufu mu ntini a ɛyɛ duru mu. Wɔfrɛ no Nufu mu Mfonini Amanneɛbɔ ne Nsɛm Ho Nhyehyɛe (BI-RADS) . Wɔ nhyehyɛe yi ase no, wɔkyekyɛ nufu no mu duru mu akuw atitiriw anan. Susuw ho sɛ eyi:

• Type A (Ɛkame ayɛ sɛ ne nyinaa yɛ srade): Nufu no mu dodow no ara (bɛboro 90%) yɛ srade ntini. Eyinom yɛ teateaa yiye. Sɛ biribi a ɛyɛ soronko wɔ hɔ a, ɛnyɛ den sɛ wobetumi ahu wɔ mammogram so.
• Kuw B (Mmeae a fibroglandular density wɔ apete): Ntini a ɛyɛ den (fibroglandular tissue) apete ha ne ha a srade ntini wom. Ɛda so ara yɛ mmerɛw sɛ wubehu nneɛma te sɛ kokoram.
• Ɔfã C (Heterogeneously dense): Ntini a ɛyɛ den pii ahyɛ nufu no ma. Nanso, saa density yi nyɛ pɛ, na mmom ɛsono mmeae biara. Wɔ nufu ahorow yi mu no, ebia kokoram ahorow bi ahintaw wɔ ntini a ɛyɛ den no akyi wɔ mammogram mu, na ama ayɛ den kakra sɛ wobehu.
• Ɔfã D (Ɛyɛ den yiye): Nufu no yɛ den yiye. Eyi kyerɛ sɛ ne fã kɛse no ara yɛ nhama ne ntini mu ntini. Wɔ eyi mu no, ebetumi ayɛ den kɛse mpo sɛ wɔde mammogram nkutoo behu kokoram. Esiane sɛ kokoram no ne ntini no nyinaa yɛ fitaa nti, ɛyɛ den sɛ wobehu nsonsonoe a ɛda wɔn ntam.

Wo mammogram amanneɛbɔ no bɛkyerɛw BI-RADS kuw yi, na ɛbɛboa wo ma woate sɛnea wo nufu no mu yɛ den no ase.

Dɛn na ɛma saa nufu yi yɛ den?

Biribiara pɔtee biara nni hɔ a ɛde nufu no mu yɛ den, nanso nneɛma pii wɔ hɔ a ebetumi ama:

• Mfe: Mpɛn pii no, nufu yɛ den fi awosu mu wɔ wo mfe 20 ne 30 mu. Bere a worenyin no, saa density yi betumi so atew nkakrankakra, titiriw bere a woagyae brayɛ akyi.
• Nipadua mu duru: Body Mass Index (BMI) a ɛba fam kyerɛ sɛ nnipa a wɔyɛ teateaa no taa nya nufu mu ntini a ɛyɛ den.
• Abusua abakɔsɛm: Nufu a ɛyɛ den no fi awosu mu.Ebetumi ayɛ biribi a ɛka ho. Ɛno kyerɛ sɛ sɛ wo maame anaa wo nuabeanom nufu a ɛyɛ den a, ɛda adi sɛ wo nso wubenya bi.
• Nnuru: Hormone ayaresa bi te sɛ hormone a wɔde si ananmu ma obi a wagyae brayɛ no betumi ama nsakrae aba nufu mu duru mu.

So aduru bi wɔ hɔ a wɔde sa eyi?

Dabi, mprempren nnuru anaa oprehyɛn pɔtee biara nni hɔ a ebetumi atew nhama ne ntini a ɛwɔ wo nufu mu no so. Eyi nyɛ yare, enti ayaresa biara nni hɔ.

Nanso, sɛ wo nufu mu nhwehwɛmu kyerɛ sɛ wowɔ nufu a ɛyɛ den a, wo duruyɛfo bɛyɛ nhwehwɛmu a ɛkyerɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram. Eyi hwɛ asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram wɔ wo nkwa nna nyinaa mu.

Oduruyɛfo no betumi agyina asiane ho nhwehwɛmu yi ne nea efii mammogram mu ba no so ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo. Eyinom bi ne:

• Nufu mu MRI (Magnetic Resonance Imaging): Wɔde magnetic field, radio asorɔkye, ne kɔmputa na ɛyɛ sɔhwɛ yi de yɛ nufu mu ntini ho mfonini a emu da hɔ yiye na ɛkɔ akyiri. Ɛda adi kɛse sɛ ebehu kokoram nketenkete mpo a ahintaw wɔ ntini a ɛyɛ den mu.
• Nufu mu ultrasound: Wɔde nnyigyei asorɔkye na ɛyɛ sɔhwɛ yi de yɛ nufu mu ntini ho mfonini. Ɛboa ma wonya nsɛm de ka mammogram ho.
• Molecular Breast Imaging (MBI) sɔhwɛ: Eyi yɛ sɔhwɛ titiriw. Wɔde ade bi a ɛma anyinam ahoɔden gu nipadua no mu na wɔde afiri titiriw bi a wɔde hwehwɛ nneɛma mu hwɛ. Sɛ kokoram nkwammoaa wɔ nufu mu ntini a ɛyɛ den no mu a, wɔtwe adwene si so pefee.

Ɛnyɛ obiara na ohia sɔhwɛ afoforo yi. Wo duruyɛfo begyina wo mu duru, w’abusua abakɔsɛm, ne nneɛma afoforo a ɛde asiane ba so besi gyinae sɛ ebia ɛho hia anaasɛ ɛnte saa.

So ntini a ɛyɛ den betumi adan kokoram?

Eyi yɛ asɛm a nnipa pii bisa. Dabi, ntini a ɛyɛ den no dan kokoram tẽẽ. Nufu mu kokoram ba bere a nufu mu nkwammoaa sesa na ɛbɛyɛ kokoram no. Eyi betumi asi wɔ nufu a srade pii wom mu anaasɛ nufu a ntini a ɛyɛ den pii wom mu.

Nanso sɛnea yɛadi kan aka no, sɛ wowɔ nufu mu ntini a ɛyɛ den yiye a, ɛma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no yɛ kɛse kakra . Ɛte saa efisɛ nufu mu kokoram taa fi ase wɔ nea wɔfrɛ no fibroglandular tissue mu. Enti, dodow a wowɔ fibroglandular tissue pii wɔ wo nufu mu no, dodow no ara na kokoram betumi anyin "mmeae" pii. Ɛno nti na asiane a ɛwɔ wo mu no kɔ soro kakra no.

Kae sɛ, sɛ wowɔ nufu a ɛyɛ den a, ɛnkyerɛ sɛ wubenya kokoram. Nanso, ɛho hia sɛ wuhu na woyɛ nhwehwɛmu a ɛfata.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae?

Okay, enti, ɛfiri deɛ yɛaka ho asɛm fa "Dense Breast Tissue" ho no, nneɛma bi a ɛsɛ sɛ wokae ampa nie:

• Eyi yɛ ade a ɛfata: Nufu mu ntini a ɛkɔ soro no nyɛ yare, na mmom ɛyɛ tebea a ɛka mmea pii.
• Hwehwɛ fi mammogram amanneɛbɔ mu: Wubetumi ahu sɛ ebia wowɔ saa tebea yi anaasɛ wunni bi denam mammogram nhwehwɛmu so.
• Wo ne wo duruyɛfo nkasa: Sɛ wuhu sɛ wo nufu yɛ den dodo a, wo ne wo duruyɛfo nka ho asɛm na wo ne wo susuw asiane ahorow a ɛwɔ mu ne nea ɛsɛ sɛ woyɛ akyi. Ka sɔhwɛ foforo nso ho asɛm, titiriw sɛ wo ntini no "yɛ den yiye" (BI-RADS D).
• Kɔhwɛ wo daa: Sɛ́ ebia wowɔ nufu a ɛyɛ den anaasɛ enni bi no, ɔkwan a eye sen biara a wobɛfa so ahu nufu mu kokoram ntɛm ne sɛ wobɛyɛ nufu mu nhwehwɛmu daa ne nhwehwɛmu afoforo sɛ ɛho hia a. Mma wo werɛ mmfi sɛ wobɛyɛ wo ho nhwehwɛmu ɔsram biara.
• Wontumi nyi ntini a ɛyɛ den: Ɔkwan biara nni hɔ a wobetumi afa so ayi ntini a ɛyɛ den yi afi hɔ. Enti, ɛsɛ sɛ yɛde yɛn adwene si sɛnea yebehu ntɛm so.

Enti, mewɔ anidaso sɛ seesei woanya ntease pa wɔ "Dense Breast Tissue" ho. Nea ɛho hia paa ne sɛ ɛnsɛ sɛ wosuro, wobɛbɔ wo amanneɛ, na woakɔ so anya apɔwmuden. Sɛ wowɔ nsɛmmisa foforo bi a, hwɛ hu sɛ wubebisa wo duruyɛfo.

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