He hoʻolimalima hou no ke olakino o kou umauma! E aʻo kākou e pili ana i kēia mammogram 3D (Tomosynthesis)?

Ua hopohopo iki paha ʻoe a kānalua paha e pili ana i kou mau umauma? A i ʻole ua lohe paha ʻoe e pili ana i ke kanesa o ka umauma a makemake ʻoe e ʻike hou aku e pili ana i ia mea? I kēia lā e kamaʻilio mākou e pili ana i kahi hoʻāʻo mammogram e kōkua mai iā mākou i ia mau manawa, a hana ia me ka ʻenehana holomua loa. ʻO kona inoa ʻo digital breast tomosynthesis, a i ʻole e like me kā mākou e ʻike nei, 3D mammography.

He aha ka tomosynthesis? He mammogram 3D maoli nō paha ia?

I ka ʻōlelo maʻalahi, ʻo kēia `(Tomosynthesis)` he ʻano mammogram holomua loa i hoʻohana ʻia no ka ʻike ʻana i ka maʻi ʻaʻai umauma . He mea pono loa ia inā he ʻano paʻapū kou ʻiʻo umauma, ʻo ia hoʻi, `(Dense breast tissue)`. Ua ʻike anei ʻoe i ke kumu? Ua kapa ʻia hoʻi ʻo `(3D mammography)`. ʻO ke kumu o kēia, ʻo ia ka lawe ʻana o kēia mīkini i nā kiʻi ʻelua-dimensional (2D) o kou umauma a hoʻohui iā lākou āpau e hana i kahi kiʻi ʻekolu-dimensional (3D) .

ʻO ka mammogram maʻamau a mākou e hana mau ai e lawe wale i nā kiʻi ʻelua-dimensional (2D) o ka umauma. Manaʻo ʻia ʻo ia ke ala hilinaʻi loa e ʻike ai i ka maʻi ʻaʻai umauma. Eia nō naʻe, ua ʻāpono ʻia kēia ʻenehana hou, i kapa ʻia ʻo tomosynthesis, e ka US Food and Drug Administration (FDA) i ka makahiki 2011. He maikaʻi loa ia i ka ʻike ʻana i ka maʻi ʻaʻai a hiki ke lilo i kūlana gula no ka nānā ʻana i ka umauma i ka wā e hiki mai ana .

ʻO wai ka mea e pōmaikaʻi nui ai mai ka tomosynthesis?

ʻOiaʻiʻo, hiki i kekahi mea makemake e loaʻa i kahi mammogram ke pōmaikaʻi mai kēia `(Tomosynthesis)`. Akā, ʻoiai inā paʻa kou ʻiʻo umauma (ma mua o ka ʻiʻo momona), he mea waiwai nui kēia iā ʻoe . Ma kahi o ka hapalua o nā wahine a pau i ʻōlelo ʻia he mau umauma paʻa. Ma muli o ka paʻa o kou ʻiʻo umauma, ʻoi aku ka paʻakikī o ka loaʻa ʻana o ke kanesa me ka mammogram 2D ​​maʻamau.

E noʻonoʻo i kēia ʻano. E like me ka mammogram maʻamau, hoʻohana ka tomosynthesis i kahi haʻahaʻa haʻahaʻa o nā kukuna X. ʻO nā ʻiʻo paʻa - ʻo ia hoʻi, ka iwi, nā puʻupuʻu paʻa, a me nā ʻiʻo umauma paʻa - e omo i ka nui o kēia mau kukuna X. ʻIke ʻia lākou he keʻokeʻo ma ka mammogram. ʻO ka pilikia, no ka mea, ʻike ʻia ke keʻokeʻo nā maʻi ʻaʻai a me nā ʻiʻo umauma paʻa, hiki i kekahi manawa ke paʻakikī ke hoʻokaʻawale i nā mea ʻelua.

ʻO kēia kahi e komo mai ai ka tomosynthesis umauma kikohoʻe. Lawe ia i nā kiʻi o kou umauma mai nā kihi he nui a me nā kiʻi he nui ma mua o ka mammogram maʻamau. He moakāka loa ke kiʻi 3D i loaʻa. ʻO ia hoʻi, hiki iā ia ke ʻike i ka maʻi ʻaʻai i "hūnā ʻia" paha i loko o nā ʻiʻo umauma mānoanoa. Hiki iā ia ke ʻike pololei i nā ʻiʻo olakino e nānā "kānalua" a "hiki paha" paha ma ka mammogram maʻamau. Hoʻemi pū kēia i ka nui o nā hopena maikaʻi ʻole.ʻO ia hoʻi, ʻaʻole ʻoe e ʻike he "loaʻa paha iā ʻoe ke kanesa" me ka loaʻa ʻole o ia mea. He mea hōʻoluʻolu nui kēlā, ʻeā?

I ka manawa hea e pono ai ka tomosynthesis?

Hoʻohana ʻia kēia ``(Digital breast tomosynthesis)`` ma kekahi o nā ʻano ʻelua:

Ma ke ʻano he hoʻāʻo nānā no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma

Ua ʻōlelo ka US Preventive Services Task Force (USPSTF) e hoʻomaka nā wāhine āpau e loaʻa i nā mammograms i ka makahiki 40. Eia nō naʻe, inā ua loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai umauma (ʻo ia hoʻi, kahi mōʻaukala ʻohana ikaika), makemake paha ʻoe e hoʻomaka e nānā mua ʻia. He koho maikaʻi loa ʻo Tomosynthesis i ka nānā ʻana. E like me ka mammogram kuʻuna, hiki iā ia ke ʻike mua i ke kanesa , ma mua o kou loaʻa ʻana o kekahi mau hōʻailona.

Ma ke ʻano he hoʻāʻo diagnostic i ka wā e kū mai ai nā hōʻailona

Inā loaʻa iā ʻoe kekahi mau hōʻailona umauma - e like me ka ʻeha o ka umauma, kahi puʻupuʻu i kou umauma, a i ʻole nā ​​​​loli ʻili - hiki i kāu kauka ke kauoha i kahi "Digital Breast Tomosynthesis". He hoʻāʻo "Diagnostic" kēia. Hiki i kēia ke kōkua i kāu kauka e hōʻoia ʻaʻole ʻoe he maʻi kanesa, a i ʻole e hoʻoholo inā pono kahi "Biopsy" e ʻike inā he mau hunaola kanesa.

ʻO wai ka mea e hana nei i kēia hoʻokolohua?

ʻO ka maʻamau, e hoʻonoho kahi loea radiological a mammographer paha iā ʻoe no kēia hoʻokolohua, e hoʻohana i ka mīkini mammography, a laila e kālailai i nā kiʻi a hōʻike i nā hopena i kāu kauka .

Pehea ka hana ʻana o kēia mīkini tomosynthesis?

Ua like loa kēia "Digital breast tomosynthesis (DBT)" me ka mammogram maʻamau. ʻO ka ʻokoʻa nui, ʻo ia ke kiʻi ʻana i nā kiʻi kikoʻī o kou umauma, mai nā kihi he nui aʻe .

E noʻonoʻo i loko o kahi mammogram maʻamau, ua kau ʻia kou umauma ma luna o kahi pālahalaha a kaomi ʻia (ʻomi ʻia) ma waena o ʻelua mau papa ākea. Lawe ka mīkini i nā kiʻi ʻelua-dimensional (2D) o kou umauma mai nā kihi ʻelua - mai luna a lalo a me ka ʻaoʻao a i ka ʻaoʻao.

Ma DBT, ua kau ʻia kou umauma a kaomi ʻia ma ke ʻano like me ka mammogram 2D ​​maʻamau. Eia naʻe, ma Tomosynthesis, neʻe ka lima o ka mīkini mammogram (ka ʻōmole X-ray) ma kahi ʻāʻī piʻo ma luna o kou umauma. I kona neʻe ʻana, lawe ia i nā kiʻi 2D he nui mai nā kihi like ʻole.

A laila hoʻololi ʻia kēia mau kiʻi 2D i kikohoʻe a hoʻouna ʻia i kahi kamepiula. Hoʻohui ke kamepiula i kēia mau kiʻi āpau e hana i kahi kiʻi ʻekolu-dimensional (3D) . Hōʻike kēia kiʻi 3D i nā kikoʻī he nui, e maʻalahi ai ka ʻike ʻana i ka ʻokoʻa ma waena o nā ʻiʻo olakino a me nā ʻiʻo i hiki ke lilo i maʻi kanesa.

Pehea ʻoe e hoʻomākaukau ai no kahi hoʻāʻo tomosynthesis?

He mea nui e haʻi i kāu kauka i kāu mōʻaukala olakino piha - ʻoiai ke olakino o kou umauma. Eia kekahi mau mea e hana ai e hoʻomākaukau ai:

• E kūkākūkā i kāu mōʻaukala olakino me kāu kauka: E haʻi i kāu kauka e pili ana i nā maʻi umauma āu i loaʻa ai, nā ʻokiʻoki āu i loaʻa ai, nā inikini āu i loaʻa ai, a me nā hormones āu e lawe nei. E haʻi i kāu kauka e pili ana i kou mōʻaukala ʻohana o ka maʻi ʻaʻai umauma. Inā hāpai ʻoe a hānai waiū paha, pono e ʻike kāu kauka i kēia.
• E hoʻouna aku kāu kauka o kēia manawa i nā hopena o nā hoʻokolohua ma mua: Inā ua hana ʻia kahi mammogram ma kahi ʻē aʻe ma mua, e hōʻoia e hoʻouna i kēlā mau kiʻi i kāu kauka o kēia manawa. ʻOi aku ka maʻalahi o ka ʻike ʻana i nā mea ʻē ke hoʻohālikelike ʻoe i nā kiʻi āu e loaʻa nei me nā mea ma mua.
• E hoʻonohonoho i kāu hoʻokolohua i ka lā ʻaʻole ʻeha kou mau umauma: ʻOi aku ka liʻiliʻi o ka palupalu o ka umauma i ka pule mua a ʻelua paha ma hope o ka pau ʻana o kou wā. ʻO ia ka manawa kūpono loa e kiʻi ai i kahi mammogram.

He aha ka mea e manaʻo ai i ka lā o ka hoʻokolohua?

E manaʻo e hala kēia hoʻāʻo ma kahi o 30 mau minuke . Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. E hoʻomanaʻo i kēia mau mea e hoʻomākaukau ai:

• E ʻauʻau ma ke ʻano maʻamau, akā, mai hoʻopili i nā mea hoʻonani e like me ka deodorant, ka pauka, a i ʻole ka lotion. Hiki i kēia mau mea ke ʻike ʻia he mau kiko keʻokeʻo ma ka mammogram, kahi e alakaʻi ai i ka wehewehe hewa ʻana i nā hopena.
• E ʻaʻahu i nā lole ʻoluʻolu e maʻalahi ke hoʻololi. Pono paha ʻoe e wehe i kou ʻaʻahu luna (luna a me ka pale umauma) a komo i kahi lole haukapila e wehe ana ma ke alo.
• Mai komo i nā mea hoʻonani. Hiki i nā lei a me nā apo pepeiao lōʻihi ke hoʻopilikia i ke kiʻi mammogram. ʻOi aku ka maikaʻi o ka waiho ʻana iā lākou ma ka home. E nīnau i nā limahana inā he mea maikaʻi ke komo i kahi mea e like me nā apo pepeiao liʻiliʻi.

Pehea e hana ʻia ai kahi hoʻāʻo tomosynthesis? Hiki iā ʻoe ke wehewehe iki?

Hana ʻia kēia `(DBT)` e like me ka mammogram maʻamau. ʻO ka ʻokoʻa nui, ma `(DBT)`, hoʻopuka ka lima o ka mīkini (ka ʻōmole X-ray) i nā kukuna X i kona neʻe mālie ʻana ma kahi ʻāʻī a puni kou umauma.

• E hoʻonoho ke kauka ʻenehana iā ʻoe e kū i mua o ka mīkini mammography a kau i kekahi o kou mau umauma ma luna o ke kahua. E hoʻoponopono lākou i ke kiʻekiʻe o ka mīkini i ka pae kūpono a hoʻonoho i kou umauma i ʻike maopopo ʻia.
• Ke kau pono ʻoe i kou kūlana, e hoʻohaʻahaʻa mālie ʻia kahi papa palaki, e kaomi ana i kou umauma i ke kahua. E manaʻo ʻoe i kekahi kaomi i kēia manawa. He mea maʻamau ka manaʻo ʻole. Akā inā manaʻo ʻoe i kekahi ʻeha, e haʻi aku i ka mea loea. E hoʻomanaʻo, aia kekahi kumu koʻikoʻi ma hope o kēia ʻoluʻolu ʻole. ʻO kēia kaomi ʻana e hiki ai i ka radiologist ke ʻike maopopo i kou ʻiʻo umauma. Eia kekahi, no ka mea ua kaomi ʻia ka ʻiʻo, hiki ke hoʻohana ʻia kahi mahele haʻahaʻa o ka radiation.
• E neʻe iki ka loea e hoʻokele i ka mīkini. Pono ʻoe e noho mālie ʻoiai e neʻe ana ka mīkini.Hiki i ke loea ke noi iā ʻoe e paʻa i kou hanu ʻoiai e lawe ana ka mīkini i nā kiʻi (no kekahi mau kekona).
• Neʻe ka ʻōmole X-ray i loko o kahi ʻāʻī a puni kou umauma, e hoʻopuka ana i kekahi mau kukuna X-ray haʻahaʻa.
• Ma hope o ke kiʻi ʻana i nā kiʻi lawa o kekahi umauma, hana like ka mea ʻenehana no kekahi umauma ʻē aʻe.

E hoʻomanaʻo: ʻOiai paha he mea ʻoluʻolu ʻole kēia hoʻāʻo, he mea nui loa ia no kou olakino. No laila e noho ikaika.

ʻEhia ka nui o ka radiation i hoʻohana ʻia i ka tomosynthesis? He mea anei ia e makaʻu ai?

Ma ʻAmelika Hui Pū ʻIa, ua ʻāpono wale ka FDA iā DBT no ka hoʻohana ʻana me ka mammography. ʻO ka nui o ka radiation ma kahi o ʻekolu manawa o ka mammogram maʻamau. ʻOiai ke kani nei ka "ʻekolu manawa" e like me ka nui, he haʻahaʻa loa ia o ka radiation, a ua manaʻo ʻia he nui palekana .

Aia nā ʻano hana hou `(Tomosynthesis)` e hiki ai ke hana i nā kiʻi ʻelua-dimensional (2D) mai ka ʻikepili like i hoʻohana ʻia e hana i kahi kiʻi ʻekolu-dimensional (3D). Hoʻemi hou kēia i ka hōʻike ʻana o ka radiation, ʻoi iki aʻe ma mua o ka mammogram maʻamau.

Hoʻohana ka Mammography, me ka "Tomosynthesis," i ka haʻahaʻa loa a me ka palekana o ka radiation e hāʻawi i nā kiʻi kiʻekiʻe e ʻike ai i ka maʻi ʻaʻai umauma. No laila, mai makaʻu pono ʻole i kēia.

Pehea nā hopena? He aha kā lākou e haʻi mai ai iā mākou?

E nānā kekahi radiologist i kāu mau kiʻi e ʻimi i nā hōʻailona o ka maʻi ʻaʻai umauma. Inā ʻike ʻo ia i kekahi mea kānalua, hiki iā ia ke hoʻohālikelike i ke kiʻi 3D me kāu mau hopena mammogram ma mua a i ʻole nā ​​​​kiʻi 2D. E kākau ʻo ia i kahi hōʻike no kāu kauka, nāna e haʻi iā ʻoe i nā hopena.

Ma muli o nā hualoaʻa, e haʻi ʻia paha iā ʻoe ʻaʻole ʻoe he maʻi kanesa. A i ʻole, e haʻi ʻia paha iā ʻoe e pono ana nā hoʻokolohua hou aʻe e nānā hou aku i nā ʻiʻo kānalua. Hiki i kēia ke komo pū me kahi mammogram ʻē aʻe, kahi ultrasound, kahi MRI, a i ʻole kahi biopsy. ʻO ke ala wale nō e ʻike pono ai he maʻi kanesa kou, ʻo ia ka loaʻa ʻana o kahi biopsy.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

Loaʻa pinepine nā hopena i loko o kekahi mau lā , akā i kekahi manawa hiki ke lōʻihi. Ma mua o kou haʻalele ʻana i ka hale hoʻāʻo, e nīnau pehea ʻoe e loaʻa ai i kāu mau hopena a me ka wā e hiki ai iā ʻoe ke manaʻo iā lākou.

No laila, ʻoi aku ka maikaʻi o ka tomosynthesis ma mua o ka mammogram maʻamau?

Hāʻawi ʻo Tomosynthesis i kahi kiʻi kikoʻī o kou umauma ma mua o ka mammogram maʻamau. ʻOi aku ka maikaʻi o ia i ka ʻike ʻana i ka maʻi kanesa i ka poʻe me nā ʻiʻo umauma paʻa a hōʻemi i nā hopena maikaʻi ʻole. Eia nō naʻe, ke hoʻopaʻapaʻa ʻia nei inā ʻoi aku ka maikaʻi o nā mammogram 3D ma mua o nā mammogram 2D ​​no ka nānā ʻana i ka maʻi kanesa umauma ma ke ʻano laulā.Ke hoʻomau nei ka noiʻi.

He mea maikaʻi ke hahai i nā ʻōlelo a kāu kauka e pili ana i nā hoʻokolohua umauma āu e pono ai ma muli o kou mōʻaukala olakino a me ke ʻano o kou ʻiʻo umauma.

He like anei ka tomosynthesis a me ka 3D mammogram?

ʻAe, pololei kēlā! ʻO Tomosynthesis, breast tomosynthesis, digital breast tomosynthesis, a me 3D mammogram nā inoa a pau no ke kaʻina hana hoʻāʻo like.

He ʻoiaʻiʻo anei he ʻoi aku ka maikaʻi o ka tomosynthesis no ka poʻe me nā umauma mānoanoa?

ʻAe, pololei kēlā. Hāʻawi kēia i kahi kiʻi kikoʻī o kou umauma, e maʻalahi ai i kahi radiologist ke ʻike i ka ʻokoʻa ma waena o nā ʻiʻo umauma paʻa a me ke kanesa.

ʻO nā mea nui loa e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)

ʻAe, i kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i kā mākou mea i kamaʻilio ai, ʻo Digital Breast Tomosynthesis (DBT). ʻO ka mea nui, inā he ʻiʻo umauma mānoanoa kou, hiki i kēia ke lilo i koho maikaʻi loa no ka ʻike ʻana i ka maʻi ʻaʻai umauma.

• Inā ua hiki i ka manawa e loaʻa ai iā ʻoe kahi mammogram, e nīnau i kāu kauka inā hana ʻia ka tomosynthesis ma ke ʻano he ʻāpana o ka hoʻāʻo.
• Ma muli o kou olakino, ʻoiai he mammogram maʻamau paha e lawa ia e ʻike ai i ka maʻi kanesa.
• I kekahi mau hihia, hiki i ka tomosynthesis ke hoʻonui i ka manawa kūpono e loaʻa ai ka maʻi kanesa, a i ʻole e hōʻemi paha i ke kaumaha o ka loaʻa ʻana o kahi hopena wahaheʻe.
• Mai kānalua e nīnau i kāu kauka i kekahi mea e pili ana i kēia hoʻokolohua, me ke kumu he kūpono ia iā ʻoe (a i ʻole). He mea nui e hoʻomaopopo ʻia e pili ana i kou olakino.

ʻO ke kanesa o ka umauma, tomosynthesis, mammogram 3D, mammogram, hoʻokolokolo umauma, nā umauma paʻa, ʻike ʻana i ke kanesa