Wopɛ sɛ wuhu wo nufu mu duru (Fibroglandular Density) ho asɛm? Mma ɛnhaw wo, momma yɛnka ho asɛm!

Ebia woahu asɛmfua "Fibroglandular Density" wɔ wo mammogram amanneɛbɔ so. Anaasɛ ebia wo duruyɛfo no ka kyerɛɛ wo biribi te sɛ, "Wo nufu yɛ den." Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na wopɛ sɛ wuhu bere a wote biribi te sɛ eyi no. Enti, ɛnnɛ yɛbɛka nea fibroglandular density yɛ ne sɛ ebia ɛwɔ nkɛntɛnso biara wɔ w’akwahosan so ho asɛm.

Dɛn ankasa ne Fibroglandular Density?

Sɛ yɛbɛka no tiawa a, fibroglandular density yɛ nea wɔde susuw ntini ko a ɛwɔ wo nufu mu. Wobetumi de mammogram ahu eyi pɛpɛɛpɛ. Yɛn nufu no yɛ ntini ahorow atitiriw abiɛsa:

1. Fibrous connective tissue: Eyinom yɛ ntini a ɛyɛ den kakra . Wɔda adi fitaa wɔ mammogram mu. Ɛyɛ kɔla fitaa yi nti pɛpɛɛpɛ na kokoram nkwammoaa nso da adi sɛ fitaa, na ɛtɔ mmere bi a ebetumi ama ayɛ den sɛ wobehu kokoram. Sɛ wowɔ saa ntini a ɛyɛ nhama yi pii wɔ wo nufu mu a, yɛfrɛ no "high fibroglandular density," anaa "nufu a ɛyɛ den."

2. Ntini a ɛwɔ ntini mu: Eyi nso yɛ ntini a ɛyɛ den . Eyi ne baabi a nufusu ntini ne nufusu ntini no ba Saa ntini yi nso da adi fitaa wɔ mammogram mu, na ɛma ɛyɛ den kakra sɛ wobehu kokoram. Sɛ saa ntini yi dɔɔso a, wɔkyerɛ sɛ ɛwɔ fibroglandular density kɛse.

3. Srade a ɛwɔ nipadua no mu: Eyi nyɛ ntini a ɛyɛ den . Ɛda adi sɛ tuntum anaasɛ ɛyɛ hann wɔ mammogram so. Eyi ma ɛyɛ mmerɛw sɛ wubehu ntini fitaa te sɛ kokoram wɔ srade akyi. Sɛ wo nufu no mu dodow no ara yɛ srade a, ɛkyerɛ sɛ wowɔ "low fibroglandular density."

Enti, fibroglandular density yɛ nhama ne ntini dodow a ɛwɔ wo nufu mu bere a wɔde toto srade dodow ho no. Ɛtɔ da bi a wɔfrɛ eyi "nufu mu duru."

So ɛsɛ sɛ yɛhaw yɛn ho wɔ saa fibroglandular density yi ho?

Nokwarem no, fibroglandular density ho hia efisɛ ebetumi ayɛ den ama radiologist sɛ obehu nufu mu kokoram wɔ mammogram so sɛ wowɔ nufu mu ntini a ɛyɛ den a. Eyi te saa efisɛ kokoram ne nufu mu ntini a ɛyɛ den nyinaa da adi fitaa wɔ mammogram mu. Wɔfrɛ eyi ``masking'' – a ɛkyerɛ sɛ kokoram betumi ``de asie'' denam nufu a ɛyɛ den so.

Nanso, sɛ wo mammogram no ka sɛ "nufu a ɛyɛ den" a, mma ɛnhaw wo! Ɛnyɛ asɛm kɛse. Ɛdenam nea efii wo nufu mu nhwehwɛmu mu bae ne asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram so no, wo duruyɛfo betumi ahyɛ nyansa sɛ wɔnyɛ nhwehwɛmu foforo bi na ama woahu wo nufu ho mfonini yiye.

Nneɛma bɛn na ɛka nufu a ɛyɛ den?

Nufu mu ntini a ɛyɛ den a wubenya no abu so koraa ankasa. Mmea bɛyɛ fã hyɛ saa kuw yi mu. Nneɛma pii wɔ hɔ a ebetumi ama wo nufu a ɛyɛ den no ayɛ kɛse:

• Mfe a wɔadi: Mmabaa nufu taa yɛ den, nanso bere a wɔrenyin no, srade a ɛwɔ nipadua no mu no tumi yɛ kɛse na emu duru so tew.
• Hormone nnuru: Hormone ayaresa ahorow bi (e.g., hormone a wɔde ma bere a obi agyae brayɛ) betumi ama nufu no mu ayɛ den.
• Awosu: Sɛ obi wɔ w’abusua mu nufu a ɛyɛ den a, ɛda adi sɛ wo nso wubenya bi.
• Nipadua mu duru: Mpɛn pii no, ebia mmea a wɔn mu duru sua no nufu mu duru akɔ soro, bere a ebia wɔn a wɔn mu duru dɔɔso no nufu mu duru so atew esiane srade a ɛkɔ soro nti.

Wo duruyɛfo no ne wo bɛkasa afa wo nufu mu duru ne sɛnea ebetumi aka kokoram a wohu no ho. Sɛ asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no sua a, ebia nufu a ɛyɛ den a wubenya no renyɛ ade a ɛhaw wo kɛse. Nanso, sɛ wowɔ asiane kɛse mu sɛ wubenya kokoram a, wo duruyɛfo no ne wo besusuw nufu mu kokoram ho nhwehwɛmu foforo ho.

Dɛn ne fibroglandular density ahorow ahorow?

Wɔakyekyɛ wo nufu mu duru mu titiriw ayɛ no akuw anan, efi ntini a ɛba fam koraa so kosi ntini a ɛyɛ den yiye so.

Dɛn ne "fibroglandular nufu mu ntini a apete"?

Radiologistfo de nsenia bi a wɔfrɛ no Breast Imaging Reporting and Data System (BI-RADS) na ɛkyekyɛ wo nufu mu ntini mu. Saa BI-RADS nsenia yi kyerɛ wo fibroglandular density.

• "Scattered fibroglandular density" kyerɛ sɛ wo nufu no wɔ ntini a ɛyɛ den ne srade a wɔadi afra, nanso dodow no ara yɛ srade ntini.
• "Heterogeneously dense breast tissue" kyerɛ sɛ wo nufu no wɔ ntini a ɛyɛ den ne srade a wɔadi afra, nanso ntini a ɛyɛ den no na ɛdɔɔso sen biara.

Sɛ wɔka saa ahorow abien yi bom a, ɛkata Amerikafo dodow bɛyɛ 80% so. Mmea pii a wɔwɔ yɛn man yi mu tumi hu tebea horow yi.

So fibroglandular density a ɛtrɛw no yɛ kokoram?

Dabi, ɛnte saa koraa. Ɛyɛ wo nufu mu ntini a wɔde susuw kɛkɛ. Sɛ wowɔ "diffuse fibroglandular tissue" a, ɛkyerɛ sɛ mmeae bi wɔ wo mammogram no so a ɛte sɛ nea ɛyɛ den. Sɛnea yɛadi kan aka no, kokoram ne nufu mu ntini a ɛyɛ den nyinaa da adi fitaa wɔ mammogram mu, .Density ne nufu mu kokoram nkutoo wɔ abusuabɔ efisɛ sɛ wowɔ nufu a ɛyɛ den a, ebetumi ayɛ den kakra ama oduruyɛfo no sɛ obehu kokoram mmeae.

Ayaresa mu tebea horow bɛn na ebia ɛne fibroglandular density wɔ abusuabɔ?

Wo fibroglandular density ne asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no wɔ abusuabɔ. Mprempren adanse a ɛrenya nkɔanim wɔ hɔ a ɛkyerɛ sɛ bere a density kɔ soro no, asiane a ɛwɔ hɔ sɛ wubenya kokoram nso betumi akɔ soro akodu baabi . Nneɛma atitiriw abien nti na ɛte saa:

1. Ɛtɔ mmere bi a, nufu mu kokoram a ɛyɛ den no ntumi nhu nufu mu kokoram: Nufu mu ntini a ɛyɛ den betumi ama kokoram bi ayera wɔ nufu mu kokoram ho. Sɛnea nhwehwɛmu ahorow bi kyerɛ no, kokoram a ɛkɔ soro kodu 27% wɔ nufu a ɛyɛ den mu no, wobetumi ayera wɔ mammogram mu.

2. Nufu a ɛyɛ den no taa nya kokoram: Ɛwom sɛ ntease pɔtee a enti eyi ba no mu nna hɔ de, nanso obi a ne nufu yɛ den no wɔ asiane kɛse mu sɛ obenya nufu mu kokoram sen obi a ne nufu dodow no ara yɛ srade.

Ɔkwan bɛn so na wosusuw fibroglandular density? Dɛn ne sɔhwɛ ahorow no?

Sɛ wubehu wo fibroglandular density a, ɛho behia sɛ woyɛ mammogram. Mammogram yɛ X-ray soronko bi a ɛtwa wo nufu mu mfonini.

Ɛdenam nufu mu ntini ko a wowɔ so no, ebia mfaso wɔ mfoninitwa mfiridwuma a ɛkɔ akyiri so de hwɛ sɛ kokoram renya anaa:

• 3D mammography (nufu mu tomosynthesis): Eyi de X-ray dodow a ɛba fam (bɛyɛ 2D mammogram a wɔtaa de di dwuma no mmɔho 1.5 kosi 2) di dwuma de twa wo nufu ho mfonini pii fi mmeae ahorow. Wɔde saa mfonini ahorow yi bom ma ɛyɛ wo nufu ho mfonini a ɛwɔ afã abiɛsa (3D). Eyi ye titiriw ma nnipa a wɔwɔ ntini a ɛyɛ den, efisɛ ɛtew ntini a ɛka bom no so. Saa mfiridwuma yi ma radiologist no tumi "twitwa" fa ntini a ɛyɛ den no mu, enti wobetumi ahu nneɛma a ɛnteɛ pefee.
• Nufu mu ultrasound: Eyi de nnyigyei asorɔkye di dwuma de twa wo nufu mu ntini no mfonini na wɔde kyerɛ wɔ screen so.
• Nufu MRI: Eyi de magnet ne radio asorɔkye di dwuma de kyere nneɛma a ɛwɔ wo nufu mu no na ɛda mfonini ahorow no adi wɔ screen so.
• Molecular breast imaging (MBI): Wɔ sɔhwɛ yi mu no, wo duruyɛfo de radioactive tracer gu ntini bi a ɛwɔ wo basa mu mu. Saa tracer yi fa wo mogya mu. Mfoninitwa afiri titiriw bi kyerɛw sɛnea tracer no ne ntini a kokoram wom ne nea enni kokoram wɔ wo nipadua mu no yɛ n’ade. Wɔda saa adeyɛ yi adi wɔ screen so wɔ ɔkwan soronko so wɔ ntini a kokoram ne nea enni kokoram ntam.

Sɔhwɛ ahorow yi mu biara wɔ mfaso ne ɔhaw ahorow. Sɛ nhwɛso no, MRI ne ultrasound tumi hu kokoram ahorow a mammography ntumi nhu, nanso ɛtɔ mmere bi a wotumi hu nkwammoaa a ɛnyɛ kokoram no wɔ ɔkwan a ɛnteɛ so sɛ ɛyɛ kokoram (wɔfrɛ eyiAtoro a ɛyɛ papa a efi mu ba . Ɛwom sɛ mfiri titiriw te sɛ 3D mammography tumi hu kokoram ahorow a atetesɛm mu mammogram ayera de, nanso ɛde mframa a ɛdɔɔso kakra di dwuma sen 2D mammogram. Sɛ asiane kɛse wom sɛ wubenya kokoram a, mframa a wɔde bɔ wo ho ban foforo no betumi ayɛ nea asiane wom. Afei nso, ɛsono sɛnea mfiridwuma yi wɔ hɔ ne sika dodow a wɔbɔ no gyina insurance a wɔde tua ho ka so.

Wo ne wo duruyɛfo nkasa mfa nhwehwɛmu akwan horow a ɔkamfo kyerɛ ho, a egyina asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram so. Ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ mammogram da so ara yɛ sika kɔkɔɔ gyinapɛn a wɔde hu nufu mu kokoram ntɛm. Mfiridwuma afoforo te sɛ nufu mu ultrasound ne nufu mu MRI ka nufu mu nhwehwɛmu a wɔyɛ no daa ho, na ɛnyɛ nea wɔde besi ananmu.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Hwɛ hu sɛ wubebisa wo duruyɛfo no wo fibroglandular density ho asɛm. Sɛ wuhu sɛnea wo nufu mu yɛ duru wie a, bisa sɛnea ɛka w’akwahosan. Nsɛmmisa bi a wubetumi abisa ni:

• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ menya nufu mu kokoram?
• So me nufu yɛ den?
• Ɔkwan bɛn so na me nufu a ɛyɛ den no ka nea efi mammogram mu ba no?
• Mfonini ahorow bɛn na eye sen biara a wɔde hu kokoram?
• Mfonini ahorow bɛn na wokamfo kyerɛ sɛ wɔmfa nyɛ nufu mu kokoram nhwehwɛmu?
• So ɛsɛ sɛ misusuw sɔhwɛ foforo a mɛyɛ ho?
• Mpɛn ahe na ɛsɛ sɛ wɔyɛ sɔhwɛ ahorow yi?

Awiei koraa no, ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae!

Sɛ oduruyɛfo ka fibroglandular density ho asɛm a, sɛ wohaw wo ho wɔ asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no ho a, ebetumi ayɛ hu kakra. Nanso ɛnsɛ sɛ wohaw wo ho wɔ ho a ɛho nhia. Wo nufu no yɛ ntini pɔtee bi a ebia ɛbɛyɛ asɛnnennen wɔ kokoram nhwehwɛmu mu anaasɛ ɛrenyɛ saa. Nufu a ɛyɛ den, anaasɛ fibroglandular density a ɛkɔ soro no kyerɛ sɛ ebia wubenya mfaso afi mfoninitwa nhwehwɛmu afoforo mu de adi anohyeto ahorow bi a ɛwɔ mammography mu no so nkonim. Ade a ɛho hia sen biara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn daa, ayɛ wo nhwehwɛmu wɔ bere ano, na woadi n’akwankyerɛ akyi.

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