Ke loaʻa iā ʻoe kahi hoʻokolohua umauma, inā he mammogram a he ultrasound paha, a loaʻa iā ʻoe ka hōʻike, e hopohopo iki paha ʻoe a hoihoi i ka ʻike ʻana i nā huaʻōlelo a me nā helu ma luna. ʻOiai inā ʻōlelo ʻia ʻo 'BI-RADS' me kekahi helu, e noʻonoʻo paha ʻoe, 'Auē, he aha kēia?' He mea maʻamau ia. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o BI-RADS, kona manaʻo maoli, a pehea e hiki ai ke hoʻopilikia i kou olakino.
He aha wale nō ka BI-RADS?
I ka ʻōlelo maʻalahi, ʻo BI-RADS kahi huaʻōlelo pōkole no "Breast Imaging-Reporting and Data System." He ʻōnaehana maʻamau kēia a nā radiologists e hoʻohana ai e wehewehe i kāu mau hōʻike hoʻokolokolo umauma. E noʻonoʻo, ma hea ʻoe ma Sri Lanka a i ʻole ma nā wahi āpau o ka honua, ʻōlelo like nā mea a pau. Hoʻohana kēia ʻōnaehana i nā hoʻokolohua āu i hana ai, ʻo ia hoʻi:
- Mammography
- Ultrasound umauma
- Nānā MRI
E hōʻike i nā hopena o nā hoʻokolohua e like me.
ʻElua kumu nui no ka hoʻolauna ʻana i kēia ʻōnaehana.
1. E lawe mai i hoʻokahi kūlana maʻamau i ka hōʻike ʻana: Ma nā wahi a pau e hana ʻia ai kahi hoʻokolohua ma Sri Lanka, ua hōʻike ʻia ma ke ʻano like. Ma kēia ʻano, ʻaʻohe huikau i ka hoʻouna ʻana i kāu ʻike mai kekahi kauka i kekahi. Hiki i nā mea a pau ke hoʻomaopopo maʻalahi.
2. E hōʻike maopopo i ka pilikia o ka maʻi ʻaʻai umauma: Hāʻawi kēia ʻano hana i kahi hoʻokaʻawale maʻalahi e hoʻomaopopo ai i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma.
ʻAʻole paha i loaʻa i kāu hōʻike ka helu BI-RADS i helu ʻia me ka wiwo ʻole. Eia nō naʻe, e hoʻokomo ʻia ia i loko o ka hōʻike piha a kāu kauka e loaʻa ai. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i ia mea.
Ka hoʻokaʻawale ʻana o BI-RADS a me kona manaʻo
Loaʻa i ka ʻōnaehana BI-RADS kahi hoʻokaʻawale ʻana mai ka 0 a i ka 6. Hōʻike kēlā me kēia o kēia mau helu i kahi moʻolelo ʻokoʻa. E nānā kākou i ke ʻano o kēlā me kēia, a me ka mea e hana ai ma hope o ia kūlana.
| Helu BI-RADS | Manaʻo | He aha ka mea e hana ai ma hope |
|---|---|---|
| BI-RADS 0 | ʻAʻole i piha ka hoʻāʻo. ʻO ke ʻano kēia, ʻaʻole hiki ke hoʻokō ʻia kahi hopena no ka mea ʻaʻole maopopo nā kiʻi i loaʻa a i ʻole pono ka ʻike hou aku. ʻAʻole kēia manaʻo he mea hewa kekahi. | Pono paha ʻoe e hoʻohālikelike iā ia me kāu hōʻike mammogram kahiko a i ʻole e loaʻa nā hoʻokolohua hou aʻe (e laʻa, kekahi mammogram ʻē aʻe, ultrasound scan). |
| BI-RADS 1 | ʻAʻohe pilikia (ʻAʻole maikaʻi) ʻO kēia ka hopena maikaʻi loa. ʻO ia hoʻi, ʻaʻohe puʻupuʻu a i ʻole nā loli kānalua i kou mau umauma. | E hana i ka nānā ʻana maʻamau i ka manawa kūpono e pili ana i kou makahiki a me kou pilikia. |
| BI-RADS 2 | Loaʻa maikaʻi ʻO ke ʻano hoʻi kēia ʻaʻohe maʻi kanesa. Eia nō naʻe, aia kekahi mau mea ʻaʻole maʻi kanesa (e like me nā cysts, fibroadenomas) hiki ke ʻike ʻia. ʻAʻole kēia mau mea he mea ʻino. | He kūlana maʻamau nō hoʻi kēia. E kiʻi i kahi nānā maʻamau i ka manawa kūpono. |
| BI-RADS 3 | Malia paha he maikaʻi ʻO ka mea āu e ʻike ai ma kēia, he 98% paha ia he maʻi kanesa. Akā, aia kahi pilikia iki no ka mea, ʻaʻole ia he 100% maopopo. | E ʻōlelo pinepine ke kauka i kahi hoʻomaʻamaʻa pōkole ma kahi o 6 mau mahina e ʻike ai inā ua loli nā mea. |
| BI-RADS 4 | Kānalua ʻO kēia ka helu e hopohopo nei i nā kānaka he nui. Akā, ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, "he mea kānalua ia, no laila e nānā hou aku kākou." | E ʻōlelo paha ke kauka i kahi biopsy , ʻo ia hoʻi ka wehe ʻana i kahi ʻāpana o ke kino no ka hoʻokolokolo ʻana. |
| BI-RADS 5 | Manaʻo Kiʻekiʻe o ka Malignancy Ma muli o nā hōʻailona i ʻike ʻia ma kēia hihia, kiʻekiʻe loa ka likelika o ka maʻi ʻaʻai (ʻoi aku ma mua o 95%). | Pono maoli kahi biopsy e hōʻoia. |
| BI-RADS 6 | ʻIke ʻia ka maʻi ʻino i hōʻoia ʻia e ka Biopsy Loaʻa kēia i ka wā o kahi hoʻāʻo i hana ʻia ma mua o ka mālama ʻana (e.g., ma mua o ke ʻoki ʻana) ma hope o ka hōʻoia ʻana o kahi biopsy ma mua i ka loaʻa ʻana o ka maʻi kanesa. | E hoʻokō ʻia nā hana hou aʻe e like me ka hoʻolālā lapaʻau i kuhikuhi ʻia e ke kauka. |
He aha nā pōmaikaʻi o ka ʻōnaehana BI-RADS?
He mea pono loa kēia ʻano hana no nā kauka a me nā mea maʻi.
- Hoʻohālikelike: Ke ʻōlelo kekahi kauka ma Colombo, Sri Lanka, a me kekahi kauka ma Jaffna iā BI-RADS 4, ua like ia manaʻo. Hoʻemi nui kēia i nā manawa kūpono o nā hewa a me ka huikau i ka hoʻomaopopo ʻana i kāu mau hōʻike.
- Loiloi Pōpilikia: Hāʻawi kēia hoʻokaʻawale ʻana iā ʻoe i kahi manaʻo maʻamau o kou pilikia o ka loaʻa ʻana o ka maʻi kanesa, e kōkua ana i kāu kauka e hoʻoholo i ka wikiwiki o kou pono e hana i nā hoʻāʻo hou aʻe.
- Ka Pono: Ma kahi o ka wehewehe kikoʻī ʻana i kēlā me kēia hōʻike, mālama kēia i ka manawa o nā radiologists ma ka hoʻokaʻawale ʻana iā lākou.
ʻAʻohe anei he mau hemahema i kēia ʻano hana?
E like me kekahi ʻano hana, he mau palena iki kēia.
- Ke kumuhana: Hoʻokaʻawale ke kanaka i kahi kiʻi scan. No laila, i kahi liʻiliʻi loa, ʻokoʻa iki paha ka mea a kekahi radiologist e ʻike ai mai ka mea a kekahi radiologist e ʻike ai.
- Nā Hopena Wahaheʻe: ʻOiai he mea kakaikahi loa , i kekahi manawa hiki i kahi hoʻāʻo ke hōʻike i kahi hopena kānalua (maikaʻi wahaheʻe) i ka wā ʻaʻohe maʻi kanesa, a hiki i kahi hoʻāʻo ke hōʻike i kahi hopena maikaʻi (maikaʻi wahaheʻe). Hiki i kēia ke hoʻoulu i ka hopohopo pono ʻole a hoʻopaneʻe paha i ka ʻike ʻana. Eia nō naʻe, e hoʻomanaʻo he mea kakaikahi loa kēia.
- ʻAʻohe ʻike kikoʻī (ʻAʻole kikoʻī):ʻO ka helu BI-RADS wale nō ke haʻi aku iā ʻoe inā he mea kānalua a ʻaʻole paha. ʻAʻole ia e hāʻawi i ka ʻike hohonu e pili ana i ke ʻano o kahi kānalua ma laila a i ʻole kona ʻano. ʻO ia ke kumu e pono ai nā hoʻokolohua e like me ka biopsy.
Ke ʻano nei anei ʻo BI-RADS 4 i ka maʻi kanesa?
ʻO kēia ka nīnau nui loa a ka poʻe he nui. ʻO ka pane, ʻaʻole.
ʻAʻole manaʻo ʻo BI-RADS 4 he maʻi kanesa kou. ʻO ia hoʻi, he "kānalua" nā hopena o kāu scan. ʻO ia hoʻi, he maʻi kanesa paha ia a ʻaʻole paha. Hiki ke piʻi ka pilikia o ka maʻi kanesa mai ka haʻahaʻa loa a i ke kiʻekiʻe. ʻO ia ke kumu e hana ʻia ai kahi biopsy e ʻike pono ai.
ʻAʻole manaʻo ʻo BI-RADS 4 he maʻi kanesa kou. ʻO ia hoʻi, 'Pono mākou e nānā hou aku i kēia, no laila e neʻe kākou i ka hana aʻe.'
No laila, inā ʻōlelo kāu hōʻike ʻo BI-RADS 4, mai hopohopo pono ʻole. ʻO ia hoʻi, e kuhikuhi aku kāu kauka iā ʻoe no ka hoʻāʻo hou aku.
Leka Lawe-Home
- He kūlana i ʻike ʻia ma ka honua holoʻokoʻa ʻo BI-RADS i hoʻohana ʻia no ka hoʻokaʻawale ʻana i nā hopena o kāu mau hōʻike hoʻokolokolo umauma (mammogram, ultrasound).
- Hōʻike kēia helu iā ʻoe i kou pilikia o ka maʻi kanesa a me nā hana e hana ai.
- ʻO ke ʻano o BI-RADS 1 a me 2 he mau hopena maikaʻi me ka pilikia ʻole.
- ʻOiai inā loaʻa iā ʻoe kahi helu kiʻekiʻe e like me BI-RADS 4 a i ʻole 5, ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, 'he mea kānalua ia a pono e hoʻāʻo hou ʻia.'
- Inā he mau nīnau kāu e pili ana i ka helu BI-RADS ma kāu hōʻike, mai hopohopo a kamaʻilio me kāu kauka e pili ana i ia mea. ʻO ia wale nō ke hiki ke wehewehe pono i ke ʻano o ia mea no kou kūlana.
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