Ðe wò no ŋuti nyatakaka gblɔ be (BI-RADS)? Ènya nusi ema nyea? Mina míaƒo nu tso eŋu tsitotsito!

Ne wowɔ ultrasound, mammogram, alo MRI na wò no la, ɖewohĩ èkpɔ nane si woyɔna be BI-RADS le nyatakakaa dzi. Alo ɖewohĩ wò ɖɔkta gblɔe na wò. Eyata, le ame geɖe gome la, esia nye nusi womenya vie o, eyata woate ŋu atɔtɔ vie eye woabia be, "Nukae nye BI-RADS sia?" Mègatsi dzi o, mina míaƒo nu tso eŋu bɔbɔe eye eme nakɔ.

Nukae nye `BI-RADS`? Nukatae wozãnɛ?

Kpuie ko la, `BI-RADS` nye kpukpui na Eŋlisigbe me nya "Breast Imaging-Reporting and Data System" . Le Sinhalagbe me la, efia nane abe "No ƒe Nɔnɔmetatawo Ŋuti Nyatakaka kple Nyatakakadzraɖoƒe". Esia nye ɖoɖo vevi aɖe ŋutɔ. Elabena, menye le Sri Lanka ɖeɖeko o, ke le xexeame katã la, keklẽŋusẽŋutinunyalawo (si fia be ɖɔkta siwo wɔa fotoɖeɖe abe `(Ultrasound)`, `(Mammogram)` eye wodzroa woƒe dodokpɔ me tsonu me) zãa ɖoɖo sia tsɔ ŋlɔa nyatakakawo ɖe wò no dodokpɔ ŋuti nyatakakawo me.

Tsɔe be, èna wowɔ no me dɔdzẽ le teƒe aɖe, eye ame bubu wɔe le teƒe bubu. Aleke gbegbe wòatɔtɔe ne amesiame meƒo nu tso emetsonu mawo ŋu le mɔ ɖeka nu, le gbe ɖeka me o? Woto BI-RADS ɖoɖo sia vɛ be wòanye kuxi ma gbɔ kpɔnu.

Susu vevi eve tae woto ɖoɖo sia vɛ ɖo:

1. Ðo nyatakakawo nana ɖe ɖoɖo nu: Ðo mɔ si sɔ na keklẽŋusẽŋutinunyalawo be woagblɔ nusiwo ŋu woke ɖo le no dodokpɔwo me. Esia ana be amesiame, eɖanye afika kee wòle le xexeame o, ase nyatakakaawo gɔme le mɔ ɖeka nu. Esia aɖe nugɔmemasemase ƒe afɔkua dzi akpɔtɔ ŋutɔ.

2. Na no me dɔdzẽ ƒe afɔkua gɔmesese nanɔ bɔbɔe: Afɔku si le no me dɔdzẽ xɔxɔ me ɖeɖefia le mɔ si gɔme wòle bɔbɔe na wò kple ɖɔkta bubu siwo daa dɔ na wò la nu.

Ðewohĩ màkpɔ dzesi si nye `(BI-RADS)` tẽ le wò elektrɔnik atikewɔwɔ ŋuti nuŋlɔɖi me (`(Elektrɔnik Atikewɔwɔ Ŋuti Nuŋlɔɖi)`). Gake ele wò ɖɔkta ƒe nuŋlɔɖi me godoo. Àte ŋu abia wò ɖɔkta be nukae nye wò `(BI-RADS)` dzesi kple nusi wòfia hã. Esia nye wò gomenɔamesi.

Nukae nye `BI-RADS` ƒe hatsotsowo? Nukae wò dzesiwo gblɔ?

Zi geɖe la, wotsɔa xexlẽdzesiwo naa BI-RADS ƒe hatsotsowo tso zero (0) va ɖo ade (6). Esia nye ɖoɖo ma ke si wozãna eɖanye no ka kee nèdo kpɔ o (Mammogram, Ultrasound, MRI). Gake le BI-RADS ƒe dzesi si nèxɔ nu la, wò beléle si woatsɔ akplɔ wò ɖo ate ŋu ato vovo. Le kpɔɖeŋu me, ne wowɔ Mammogram na wò eye woxɔ BI-RADS ƒe dzesi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgawɔ Mammogram, Ultrasound, MRI, alo Biopsy (woɖea lãkusi sue aɖe ɖa hena dodokpɔ).

Na míakpɔ nusi hatsotso siawo dometɔ ɖesiaɖe gblɔ ko:

• `BI-RADS 0`: Mede blibo o
• Esia fia be dodokpɔa mate ŋu aƒo nya ta bliboe o eye be nyatakaka bubuwo hiã. Ateŋu ahiã be nàtsɔ `(Mammogram)` nyatakaka siwo va yi asɔ kple wo nɔewo, alo woateŋu abia tso asiwò be nàwɔ `(Mammogram)` ƒe nukpɔkpɔ siwo le tẽ wu alo `(Ultrasound)` dodokpɔwo. Esia mefia be nane gblẽ o, ɖeko wòfia be nyatakaka mesɔ gbɔ o.

• `BI-RADS 1`: Nya manyomanyo
• Esiae nye emetsonu nyuitɔ kekeake! Esia fia be womekpɔ ƒu alo tɔtrɔ aɖeke si ŋu ɖikeke le le wò no me o. Nusianu sɔ. Wokafui be nàdo no kpɔ edziedzi (`(Routine screening)`) le ɣeyiɣi si woɖo ɖi dzi.

• `BI-RADS 2`: Nusiwo Wokpɔ Nyuie
• Esia hã nye emetsonu nyui aɖe. Esia fia be ne wokpɔ nane le no me gɔ̃ hã (le kpɔɖeŋu me, ʋuka si me tsi yɔ fũu, ƒu si menye kansa o abe fibroadenoma ene) hã la, menye kansae wònye o eye menye dɔlékui aɖeke hã o . Naneke meli si ŋu woatsi dzi ɖo ne nu mawo tɔgbe li gɔ̃ hã o. Le go sia me la, wokafui hã be woalé ŋku ɖe noawo ŋu le ɣeyiɣi si wozãna ɖaa dzi.

• `BI-RADS 3`: Ðewohĩ Benign, Kpuie-Dometsotso Dometsotso Dodokpɔ
• Esia fia be nusi ŋu woke ɖo la mate ŋu anye kansa o 98%, si fia be ɖewohĩ dɔléle aɖeke mele eŋu o . Ke hã, be woaka ɖe edzi 100% la, wokafui be woagawɔ dodokpɔ bubu (Mammogram alo Ultrasound) le abe ɣleti 6 ene megbe. Esia nye be woakpɔe ɖa be nusi ŋu woke ɖo la trɔna alo lolona ɖe edzi le ɣeyiɣi aɖe megbe hã. Zi geɖe la, nu siawo nɔa nenema alo wodzona. Eyata mègatsi dzi o.

• `BI-RADS 4`: Nusiwo Mesɔ O si ŋu ɖikeke le, Ele be Woabu Biopsy ŋu
• Esiae nye dzesi si nana ame geɖe tsia dzodzodzoe. Esia fia be mɔnukpɔkpɔ li be nusi ŋu woke ɖo le dodokpɔa wɔɣi la nye kansa, eyata ɖikeke le eŋu . Gake `BI-RADS 4` mefia be kansa li o. Kansa ƒe afɔku ate ŋu atso 2% va ɖo 95%. Eyata ɖɔkta ateŋu aɖo aɖaŋu be woawɔ `(Biopsy)`, si fia be woatsɔ lãkusi sue aɖe adoe kpɔ, be woanya nusi tututu ŋu woke ɖo sia.
• Wogama `BI-RADS 4` ƒe hatsotso la ɖe hatsotso sue etɔ̃ me (4A, 4B, 4C), si fia be kansa ƒe afɔkua le sue, le titina, eye wòdzi ɖe edzi vie. Wò ɖɔkta agblɔ nya geɖe tso esia ŋu na wò. Nu vevitɔe nye be màvɔ̃ na nusiwo ado tso `(Biopsy)` wɔwɔ me o, ke boŋ be nàwɔe eye nànyae kple kakaɖedzi.

• `BI-RADS 5`: Efia Nu Vɔ̃ɖi Vevie, Wokafu Biopsy Vevie
• Esia fia nusi ŋu woke ɖo.Kansa ƒe mɔnukpɔkpɔ (`(Malignancy)`) sɔ gbɔ ŋutɔ (wu 95%). Eyata wokafui godoo be woawɔ `(Biopsy)` atsɔ aɖo kpe esia dzi. Ewɔ nublanui ŋutɔ be woaxɔ emetsonu sia, gake ele vevie be woakpɔ dɔlélea nyuie eye woadze atikewɔwɔ gɔme kaba ale si woate ŋui.

• `BI-RADS 6`: Wonya be Biopsy-si Woɖo kpe edzi be Dɔléle Vɔ̃ɖi
• Wozãa hatsotso sia hena dodokpɔ siwo wowɔ be woɖe no me dɔdzẽ le ŋuwò xoxo tsɔ ɖo kpe edzi be no me dɔdzẽ le ŋuwò eye wole edada wɔm . Le kpɔɖeŋu me, wozãa dzesi sia le dodokpɔ siwo wowɔna do ŋgɔ na amekoko be woakpɔ alesi kansa la loloe kple alesi wòawɔ nui ne wodae.

Amerikatɔwo ƒe Kekeliŋutinunyalawo ƒe Kɔledzi (ACR) ye to BI-RADS ɖoɖoa vɛ zi gbãtɔ le ƒe 1993 me be woatsɔ ana no me dɔdzẽ ŋuti nyatakakawo nasɔ ɖe ɖoɖo nu. Emegbe wotrɔ asi le eŋu na MRI kple ultrasound. Esia tae keklẽŋusẽŋutinunyala siwo le xexeame godoo zãa nya ɖeka ma ke ne wole nu ƒom tso no dodokpɔ ŋu.

Viɖe kawoe le `BI-RADS` ɖoɖoa ŋu?

Viɖe vevi geɖe le mɔnu sia ŋu:

• Dzesidede: Abe alesi míegblɔe va yi ene la, keklẽŋusẽŋutinunyalawo katã gblɔa nusiwo ŋu woke ɖo le mɔ ɖeka nu, eye wozãa nya ɖeka. Nusɔsɔ sia nana nyatakakawo ƒe nyonyome nyona ɖe edzi eye wòɖea nugɔmemasemase dzi kpɔtɔna. Ne ètso ɖɔkta ɖeka gbɔ yi bubu gbɔ hã la, nyatakakaa gɔmesese le bɔbɔe.
• Afɔku ƒe dodokpɔ: `(BI-RADS)` mɔnua naa akɔntabubu si me kɔ le afɔku si le wò no me dɔdzẽ xɔxɔ me ŋu. Esia kpena ɖe ŋuwò be nàwɔ ɖoɖo ɖe dodokpɔ siwo kplɔe ɖo kaba (`(Urgency)`) ŋu.
• Dɔwɔwɔ nyuie: To dodokpɔ me tsonu dada ɖe hatsotsowo me le mɔ sia nu la, mehiã be keklẽŋusẽŋutinunyalawo naɖe nusiwo ŋu woke ɖo la me le mɔ vovovowo nu ɣesiaɣi o. Esia naa ɣeyiɣi dzi ɖena kpɔtɔna eye wònana dɔwɔwɔ wɔa dɔ nyuie wu.

Bu eŋu kpɔ, ne wò nyatakaka gblɔ be "BI-RADS 2", wò, wò ƒomea ƒe ɖɔkta , kple wò kansaŋutinunyala ( ne ehiã ) katã miese nusi wòfia gɔme kasia. Emae nye nusi sɔ wu le esia me.

Ðe kuxi aɖewo le `BI-RADS` ɖoɖoa ŋua?

Togbɔ be esia nye mɔnu xɔasi aɖe hã la, seɖoƒe kple kuxi aɖewo le eŋu:

• Nya si ku ɖe ame ŋu: Mɔ aɖe li na keklẽŋusẽŋutinunyala ŋutɔ ƒe ʋɔnudɔdrɔ̃ kple nuteƒekpɔkpɔ ne ele hatsotso aɖe dim le nusiwo wokpɔ le fotoɖemɔ̃ dzi nu. Ne ame eve lé ŋku ɖe fotoɖemɔ̃ ɖeka ŋu la, ɖewohĩ vovototo boo aɖeke manɔ wo dome o.
• Aʋatso emetsonuwo: Togbɔ be ƒã ŋutɔ hã la, alakpa nyuiwo ate ŋu ado mo ɖa.- Eyae nye be, ate ŋu adze abe kansa aɖeke meli o ene - alo ate ŋu anye be alakpanya manyomanyowo le esi - si fia be ate ŋu ato kansa ŋu togbɔ be ele afima hã. Ne edzɔ alea la, ate ŋu ana ame natsi dzimaɖi madzemadzee alo ahe kansa kpɔkpɔ ɖe megbe. Gake, ɖo ŋku edzi be nusiawo mebɔ kura o.
• Menye tẽ o: Togbɔ be dodokpɔ me tsonuawo ƒoƒo ƒu ɖekae ƒe mɔnu sia ɖɔ nusi ŋu ɖikeke le si ŋu woke ɖo hã la, nyatakaka bubuwo tso nusi ŋu ɖikeke le ŋu (abe eƒe lolome, nɔnɔme, teƒe si wòle) metsɔ ``(BI-RADS)`` ƒe dzeside ɖeɖeko na o. Woŋlɔ nyatakaka siawo ɖe vovo le nyatakakaa me.

Ðe `BI-RADS` ate ŋu anya nyuie ne kansa li? Ðe `BI-RADS 4` fia kansa?

Esia hã nye kuxi na ame geɖe. ``BI-RADS'' ɖoɖoa meɖoa kansa ɖe hatsotsowo me (``Classification'') alo gblɔa kansa ƒe afɔɖeɖe (``Staging'') o. Nusi to vovo koe nye ``BI-RADS 6'' ƒe hatsotso. Elabena efia be woɖo kpe kansa ƒe anyinɔnɔ dzi xoxo to ``Biopsy'' me.

``BI-RADS'' ƒe hatsotso bubuawo (vevietɔ 3, 4, kple 5) ɖeko kansa ƒe mɔnukpɔkpɔ fiana . Le kpɔɖeŋu me, ``BI-RADS 3'' fia be nusi ŋu woke ɖo la menye ɖikeke o, gake ele be woagalé ŋku ɖe ŋuwò ake le ɣleti 6-12 megbe.

Fifia biabia vevitɔ kekeake: Ðe `BI-RADS 4` fia kansaa?

Ao, `BI-RADS 4` mefia be kansa le ŋuwò o. Efia be nane si mebɔ o alo ɖikeke le wò dodokpɔ me tsonu me, eyata wokafui be nàwɔ `(Biopsy)` be nànya nusi tututu wònye. Abe alesi míegblɔe va yi ene la, afɔku si le no me dɔdzẽ xɔxɔ le `BI-RADS 4` ƒe hatsotso me ateŋu ato vovo tso 2% va ɖo 95%. Esia fia be ne wowɔ `(Biopsy)` la, woɖoa kpe edzi be menye kansae wònye le ame akpa gãtɔ me o. Eyata dzi meɖe le ƒowò alo nàtsi dzodzodzoe ne èkpɔ `BI-RADS 4` o.

Enye nusi sɔ be nàse le ɖokuiwò me be yetɔtɔ eye nyabiase geɖe nanɔ ye si ne èkpɔ dodokpɔ me tsonu si mesɔ o. Vevietɔ ne esesẽ be woase nusi le dodokpɔa ƒe nyatakakaa me gɔme. Afi mae ``(BI-RADS)`` ɖoɖoa va le.Ehe dzidzenu aɖe vɛ na nyawo kple nyagbe siwo dzena le wò no dodokpɔ ƒe nyatakaka me. Esia nana nèsea nusi keklẽŋusẽŋutinunyala la susu tso wò dodokpɔa me tsonu ŋu gɔme nyuie.

Nu vevitɔ kekeake si wòle be míasrɔ̃ tso esia me (Take-Home Message) .

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, esiawoe nye nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui:

• `(BI-RADS)` nye mɔnu si dzi woato atsɔ no dodokpɔ ƒe nyatakakawo (`(Mammogram)`, `(Ultrasound)`, `(MRI)`) ƒe emetsonuwo afia le mɔ si sɔ nu.
• Ema ana nàkpɔ afɔku si le wò kansa xɔxɔ me la nyuie.
• `(BI-RADS)` ƒe dzesiwo tso 0 va ɖo 6. Menye dzesi ɖesiaɖee fia be kansa li o.
• `BI-RADS 1` kple `2` nye emetsonu nyuiwo, naneke meli si ŋu woatsi dzi ɖo o.
• `BI-RADS 0` fia be nyatakaka bubuwo hiã.
• ``BI-RADS 3`` fia be ɖewohĩ enyo, gake ehiã be nàgakpɔe ake le ɣeyiɣi aɖe megbe.
• `BI-RADS 4` alo `5` fia be ɖikeke le eŋu, eyata ele be woawɔ `(Biopsy)`. `BI-RADS 4` mefia kokoko be kansae o.
• `BI-RADS 6` nye dzesi si wozãna na amesi nya xoxo be kansa le ye ŋu.

Nu vevitɔ enye be nàƒo nu kple wò ɖɔkta gaglãa tso dzesi si nye ``BI-RADS'' kple nusi wòfia na wò nɔnɔmea ŋu, eɖanye no ka kee nèdo kpɔ o. Woate ŋu aɖo nyabiase alo nu siwo ŋu nètsi dzi ɖo ɖesiaɖe ŋu.

Enye nusi sɔ be nàtsi dzimaɖi ahatsi dzodzodzoe le dodokpɔ ɖesiaɖe si nàxɔ ta. Gake nyatakaka nyuitɔ nyanya kple wò ɖɔkta ƒe aɖaŋuɖoɖo dzi wɔwɔ akpe ɖe ŋuwò nàwɔ nyametsotso nyuitɔwo le wò lãmesẽ ŋu.

` No me dɔdzẽ, BI-RADS, no me dɔdzẽ, ultrasound, MRI, no me dɔdzẽ, kansa ƒe afɔku