Ɔkwan foforo a wɔfa so hu nufu mu kokoram ntɛm! Dɛn ne Molecular Breast Imaging (MBI)?

Ebia woate nufu mu kokoram ne hia a ɛho hia sɛ wohu ntɛm ho asɛm pii. Eyi yɛ biribi a ɛsɛ sɛ yɛn nyinaa hu. Enti ɛnnɛ mɛka sɔhwɛ bi a ɛyɛ foforo koraa na ebetumi ayɛ nea mfaso wɔ so kɛse a wɔde hu nufu mu kokoram ho asɛm akyerɛ mo. Eyi ne nea yɛfrɛ no `(Molecular Breast Imaging)` anaa `(MBI)` tiawa. Ma yɛnhwɛ nea eyi yɛ, ɛnte saa?

Sɛ yɛbɛka no tiawa a, dɛn ne MBI?

Okay, `(Molecular Breast Imaging)` anaa `(MBI)` yɛ, sɛ yɛbɛka no pɛpɛɛpɛ a, sɔhwɛ kwan titiriw bi a ɛyɛ `(Nuclear Medicine) dea.` Wɔde hwehwɛ sɛ kokoram wɔ nufu no mu anaa. Ebia wubesusuw sɛ nuklea aduruyɛ yɛ ade kɛse. Mma ɛnhaw wo, mɛkyerɛkyerɛ mu tiawa.

Wɔ sɔhwɛ yi mu no, wɔde radioactive nneɛma kakraa bi pɛ, kyerɛ sɛ, ɛnyɛ asiane biara na edi dwuma. Yɛfrɛ no `(Tracer)`. Ade titiriw a ɛwɔ saa `(Tracer)` yi mu ne sɛ ɛkɔ na ɛbata nkwammoaa a enyin ntɛmntɛm wɔ nipadua no mu no ho. Seesei wunim sɛ kokoram nkwammoaa yɛ nkwammoaa bi a ɛpaapae na enyin ntɛmntɛm. Enti saa `(Tracer)` yi hwehwɛ mmeae a kokoram nkwammoaa no wɔ, na sɛ wode mfoninitwa afiri soronko bi hwɛ saa mmeae no a, "ɛhyerɛn", anaasɛ ɛba pefee. Ɛte sɛ nea woresɔ kanea ketewaa bi wɔ dan a emu yɛ sum mu.

Bere bɛn na wuhia MBI sɔhwɛ?

Ɛnyɛ obiara na ɛho behia sɛ ɔnya saa ``(MBI)`` sɔhwɛ yi. Nanso, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wɔ nsɛm titiriw bi mu. Ma yɛnhwɛ bere a eyinom ne:

• Sɛ wɔresa wo nufu mu kokoram dedaw a: Saa nhwehwɛmu yi betumi aboa wo duruyɛfo ma wahu sɛ w’ayaresa no reyɛ adwuma na kokoram nkwammoaa no so atew anaa. Eyi yɛ ɔkwan pa a wobɛfa so ahu sɛnea w’ayaresa no reyɛ adwuma yiye.
• Sɛ wo nufu mu ntini yɛ den a: Mmea binom wɔ nufu mu ntini ne ntini mu ntini a ɛyɛ den, nanso srade sua. Wɔfrɛ eyi nufu mu ntini a ɛyɛ den. Sɛ wowɔ nufu a ɛte sɛɛ a, ɛtɔ mmere bi a ebetumi ayɛ den sɛ wubehu kokoram bere a woyɛ wo nufu mu nhwehwɛmu daa. Eyi te saa efisɛ ntini a ɛyɛ den ne kokoram nkwammoaa nyinaa da adi fitaa wɔ mammogram mu. Ebetumi ayɛ den sɛ wobɛkyerɛ wɔn mu nsonsonoe. Wɔ tebea horow a ɛtete saa mu no, MBI betumi aboa denam kokoram nkwammoaa no nkutoo a ɛbɛkyerɛ no so.
• Sɛ wunya nea ɛnteɛ wɔ nufu mu nhwehwɛmu anaa nufu mu ultrasound mu a: Sɛ biribi a ɛyɛ adwenem naayɛ wɔ wo nufu mu nhwehwɛmu anaa ultrasound mu a, ebia wo duruyɛfo bɛkra sɛ wɔnyɛ mammogram (MBI) na ama woahu nufu mu nkwammoaa no ho mfonini pefee, a ɛkyerɛ sɛ wobɛhwɛ no kɔ akyiri.
• Sɛ wɔahu sɛ wowɔ nufu mu kokoram dedaw a: Ɛnyɛ baabi a kokoram no wɔ nko na nhwehwɛmu yi boa ma wohu, na mmom sɛ ebia kokoram nkwammoaa atrɛw akɔ nufu no afã afoforo nso.

Nsonsonoe bɛn na ɛda MBI ne 3D mammogram ntam?

Asɛmmisa bi a nnipa pii wɔ ne sɛ nsonsonoeɛ bɛn na ɛda saa ``(MBI)`` yi ne mammogram a yɛn nyinaa nim, titire 3D mammogram ``(Tomosynthesis)`` ntam. Nsonsonoe pii da adi pefee wɔ abien no ntam.

• Mfonini ahorow:
• Mammogram: Sɛnea madi kan aka no, kokoram nkwammoaa ne nufu mu ntini a ɛyɛ den nyinaa da adi sɛ nsensanee fitaa wɔ mammogram so. Enti sɛ wo nufu mu ntini yɛ ``dense'' a, ɛda adi sɛ kokoram ahorow bi bɛyera.
• MBI: Wɔ MBI mu no, kokoram nkwammoaa ahorow pii "yɛ hare," a ɛkyerɛ sɛ ɛte sɛ nea ɛhyerɛn. Nkwammoaa afoforo a ɛteɛ, nufu mu ntini a ɛyɛ den mpo, te sɛ nea ɛyɛ sum. Eyi ma wotumi hu kokoram no pefee.

• Tɛknɔlɔgyi:
• 3D mammogram: Eyi de X-ray ahorow di dwuma de twa wo nufu mu ntini ahorow ho mfonini.
• MBI: Wɔ MBI mu no, yɛde radioactive tracer a madi kan aka ho asɛm no di dwuma, ne gamma camera soronko bi de kyere nsɛnkyerɛnne no. Eyi da nkwammoaa a enyin ntɛmntɛm no nkutoo adi.

• Hena na ohia biako:
• Mammogram: Mpɛn pii no, sɛ mmea dodow no ara di mfe 40 a, wɔkamfo kyerɛ sɛ wɔnyɛ mammogram sɛ nhwehwɛmu a wɔde hwehwɛ nufu mu kokoram mu.
• MBI: Ɛnyɛ ɔbea biara na ohia MBI. Nnuruyɛfo de MBI di dwuma de ka mammogram ho de nya nsɛm pii, na ɛnyɛ sɛ wɔde mammogram bedi dwuma. Ɛno kyerɛ sɛ MBI nyɛ nea wɔde besi mammogram ananmu, na mmom ɛyɛ aduan a wɔde ka ho.

Ɔkwan bɛn so na MBI yɛ adwuma? Ɛyɛ mmerɛw yiye!

MBI nhwehwɛmu no kyerɛ nsakrae a aba wo nufu mu nkwammoaa mu. Ebia nsakrae yi bɛkyerɛ sɛ kokoram. Sɛnea madi kan aka no, kokoram nkwammoaa nyin ntɛmntɛm yiye, na ɛtwetwe radioactive tracer no sen nkwammoaa a ɛteɛ no.

Enti, bere a wɔde `(Tracer)` no ahyɛ mu akyi no, wɔde saa `(Gamma Camera) titiriw no scan wo nufu no.` Afei, mmeae a `(Tracer)` no korɔn, a ɛkyerɛ sɛ mmeae a ɛda adi sɛ kokoram nkwammoaa wɔ no, da adi pefee wɔ mfoninitwa afiri no so. Eyi ma nkwammoaa a adwenem naayɛ wom no da adi kɛse.

Wobɛyɛ dɛn asiesie wo ho ama MBI? Nneɛma kakraa bi na ɛwɔ hɔ.

Ɛho behia sɛ wusiesie wo ho kakra ansa na sɔhwɛ yi aba. Ɛnyɛ asɛm kɛse.

• Mpɛn pii no, anyɛ yiye koraa no, ɛsɛ sɛ wokwati sɛ wubedidi nnɔnhwerew abiɛsa ansa na woayɛ nhwehwɛmu no. Ɛsɛ sɛ wokwati nso sɛ wobɛnom nsu a emu tew te sɛ nufusu. Nanso, eye sɛ wobɛkɔ so anya nsu denam nsu a wobɛnom anaa agumadi mu anonne a emu tew so.
• Ebia woresusuw nea enti a wɔka sɛ ɛnsɛ sɛ wodi no ho. Sɛ wunnnidi a, `(Tracer)` no kɔ wo nufu mu ntini mu yiye. Eyi ma sɔhwɛ no pɛpɛɛpɛyɛ kɔ soro.
• Nanso,Sɛ wowɔ akwahosan tebea foforo te sɛ asikreyare a, akyinnye biara nni ho sɛ ɛsɛ sɛ wubisa wo duruyɛfo sɛnea wusiesie wo ho. Ɔbɛkyerɛ wo nea eye ma wo.
• Sɛ wo brayɛ ba daa a, bɔ mmɔden sɛ wobɛyɛ wo MBI scan no ho nhyehyɛe wɔ wo brayɛ no nnafua 7 kosi 14 ntam. Kan da a edi kan wɔ wo nna a etwa to no mu sɛ da 1. Eyi ne bere a eye sen biara a ɛsɛ sɛ woyɛ MBI scan. Nanso, wo duruyɛfo betumi ayɛ scan no da biara a wobɛkɔ brayɛ mu sɛ ɛho hia a.

Ɔkwan bɛn so na wɔyɛ MBI sɔhwɛ no? Momma yɛnhwɛ anammɔn biara.

Sɛ woyɛ MBI sɔhwɛ no a, eyi ne nea ɛtaa ba:

1. Nea edi kan no, wɔde wo bɛkɔ dan bi a obiara nni mu mu. Ɛhɔ no, wɔbɛka akyerɛ wo sɛ yi ntade ne agude a ɛwɔ w’asen so nyinaa na hyɛ ayaresabea atade.

2. Afei wɔde wo bɛkɔ dan a ``Gamma Camera'' no wɔ mu. Ɛhɔ na wɔbɛka akyerɛ wo sɛ tena nkongua bi so wɔ afiri a wɔde sɔ hwɛ no anim.

3. Afei, aduruyɛ adwumayɛfoɔ bi de ``(IV)`` nhama ketewa bi bɛhyɛ ntini bi mu wɔ wo nsa mu na ɔde radioactive ``(Tracer)`` no afa mu. Eyi bɛyɛ te sɛ ntɛtea ketewaa bi a wɔaka, nanso ɛrenyɛ yaw kɛse.

4. Ɛbɛhia sɛ wotwɛn bɛyɛ simma mmiɛnsa kɔsi anum ansa na `(Tracer)` no atu kwan akɔ wo nufu mu ntini mu.

5. Afei scan no fi ase. Eyi betumi agye bɛyɛ simma 20 kosi 40. Bere a wɔreyɛ scan no, afiri no bɛmia wo nufu no brɛoo. Nanso eyi renyɛ yaw. Wɔrennya hard pressing biara wɔ ha te sɛ mammogram mu. Enti mma ɛnhaw wo wɔ ho.

Dɛn na ɛba wɔ MBI no akyi?

Sɛ wɔyɛ MBI scan no wie a, wobeyi IV line a ɛwɔ wo nsa mu no afi hɔ. Afei wubetumi asan ahyɛ wo ntade. Wo nnuruyɛfo kuw no betu wo fo wɔ nea ɛsɛ sɛ woyɛ akyi. Ebia ɛho behia sɛ wosan kɔ wo duruyɛfo nkyɛn kɔhwɛ wo, anaasɛ wɔde wo bɛkɔ oduruyɛfo foforo nkyɛn.

So asiane bi wɔ MBI ahorow mu? Momma yɛnhwehwɛ nneɛma kakraa bi.

Bere a wɔreyɛ MBI scan no, wohyia mframa kakraa bi esiane tracer no nti. Sɛ obi kɔ so de ne ho hyɛ mframa a ano yɛ den mu a, ebetumi ama asiane a ɛwɔ hɔ sɛ obenya kokoram no ayɛ kɛse.

Nanso, mframa a ɛbɔ wɔ MBI bere mu no sua koraa na wobu no sɛ asiane biara nni ho. Nokwarem no, bɛyɛ sɛ nea ɛte sɛ mframa a wɔde ma bere a wɔreyɛ mammogram no. Mpɛn pii no, mfaso a ɛwɔ nufu mu kokoram a wobehu ntɛm so no dɔɔso sen asiane ahorow a ɛwɔ mframa a ano yɛ den kakraa bi yi mu no koraa.

Ebia nnipa kakraa bi pɛ na wɔn ho nyɛ wɔn hyew wɔ tracer no ho. Sɛ eyi ba a, wobetumi ada sɛnkyerɛnne ahorow te sɛ:

• Honam ani tebea horow te sɛ akisikuru, ɛyaw, anaa akisikuru.
• Akisikuru anaa ɔfe.
• Ɔhome mu haw anaa koma a ɛnyɛ pɛpɛɛpɛ (eyinom ho yɛ na yiye, ɛba nnipa ɔha biara mu nkyem kakraa bi mu, bɛyɛ 0.01% - 0.04%).

Sɛ biribi te sɛ eyi si a, ɛsɛ sɛ wobɔ nnuruyɛfo no amanneɛ ntɛm ara.

Dɛn ne nea afi MBI mu aba?

Oduruyɛfo a ɔhwɛ mframa so bɛhwɛ wo MRI mfonini ahorow no mu yiye ahwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa. Sɛ "wɔahyerɛn" mmeae biara a ɛwɔ mfonini ahorow no so a, wo duruyɛfo betumi afa ntini ketewaa bi (biopsy) afi saa mmeae no mu na wahwɛ mu. Saa biopsy yi bɛkyerɛ sɛ ebia nkwammoaa no yɛ kokoram nkwammoaa ankasa anaa. Nea ebefi biopsy no mu aba nso bɛboa ma woahu ayaresa a eye sen biara ma wo.

Sɛ biribiara nni wo MBI scan no so a, wɔtaa bu no sɛ ɛyɛ nea efi mu ba a "ɛyɛ daa". Afei wubetumi ne wo duruyɛfo akasa afa wo nufu mu kokoram nhwehwɛmu nhyehyɛe ho, te sɛ bere a ɛsɛ sɛ woyɛ wo nufu mu nhwehwɛmu a edi hɔ no.

MBI yɛ nokware dɛn?

Nhwehwɛmu ada no adi sɛ MBI tumi hu nufu mu kokoram bɛyɛ 90% wɔ ayarefo a wosusuw sɛ wɔwɔ nufu mu kokoram mu. Etumi hu kokoram nketewa paa 82%, a ne kɛse nnu milimita 10. Nhwehwɛmu ahorow ada no adi sɛ nea efi mu ba yi yɛ pɛpɛɛpɛ te sɛ nufu mu MRI. Nhwehwɛmu ahorow nso ada no adi sɛ MBI tumi hu nufu mu kokoram a ɛboro nufu mu kokoram mmɔho abien kosi abiɛsa sen mammogram nkutoo.

Bere tenten ahe na egye ansa na woanya nea efi mu ba?

Wubetumi abisa wo duruyɛfo bere tenten a ebegye ansa na woanya nea efi mu ba, ne ɔkwan a wɔbɛfa so ama woahu. Mpɛn pii no, wubenya nea efi mu ba no wɔ dapɛn biako mu wɔ sɔhwɛ no akyi.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Mpɛn pii no, nufu mu kokoram a wɔbɛyɛ no daa no ne ɔkwan a eye sen biara a wobɛfa so ahu nufu mu kokoram ntɛm. Nanso, ɛtɔ mmere bi a, sɛ mammogram nkutoo nnɔɔso a, sɔhwɛ bi a wɔfrɛ no Molecular Breast Imaging (MBI) betumi ayɛ nea mfaso wɔ so kɛse na ama wɔanya nsɛm foforo.

Kae sɛ nufu mu mfoninitwa nhwehwɛmu afoforo wɔ hɔ, te sɛ nufu mu ultrasound ne nufu mu MRI, a ebetumi ama woanya nsɛm a ɛkɔ akyiri afa nneɛma a ɛnteɛ wɔ nufu no mu ho. Sɔhwɛ biara wɔ mfaso ne ɔhaw ahorow. Enti, wo ne wo duruyɛfo nsusuw eyinom nyinaa ho. Mobɛbom apaw akwan a wɔfa so yɛ nhwehwɛmu a ɛfata mo, na moasiw nufu mu kokoram ano, anaasɛ sɛ ɛba a, mohu ntɛm na mosa no yiye. Sɛ wohu ntɛm a, ɛno ne ade a ɛho hia sen biara! Nsuro, na sɛ w’adwene mu yɛ wo naa a, hwehwɛ aduruyɛ mu afotu.

` Nufu mu kokoram, MBI, molecule nufu mfonini, mammogram, kokoram nhwehwɛmu, mmea akwahosan, nuklea aduruyɛ