E aʻo pono kākou e pili ana i ka Tomosynthesis - ke ʻano hana 3D hou loa no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma!

Ua lohe paha ʻoe i ka hoʻāʻo 'mammogram'. He hoʻāʻo koʻikoʻi loa kēia no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma. Akā, ua ʻike anei ʻoe aia kekahi ʻano hana hou e hoʻohana ana i ka ʻenehana mammogram like, ʻoi aku ka holomua a hāʻawi i nā hopena maopopo? ʻO ia ka mea a mākou e kapa nei ʻo 'Digital Breast Tomosynthesis' a i ʻole 'Tomosynthesis' wale nō. Ua kaulana kēia ʻo '3D Mammography'. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Tomosynthesis?

E noʻonoʻo ʻoe e nānā ana i kahi puke. ʻO ka mammogram 2D ​​maʻamau a kahiko, ua like ia me ke kiʻi ʻana i ka uhi o ka puke. Ua hui pū ʻia nā ʻaoʻao o loko, e like me ka pōpō. Inā hūnā ʻia kekahi mea, he paʻakikī ke loaʻa.

Akā, me kēia mammogram 3D hou (Tomosynthesis), ua like ia me ka hoʻohuli ʻana i nā ʻaoʻao o kēlā puke, e lawe ana i nā kiʻi kaʻawale o kēlā me kēia ʻaoʻao. Lawe ka mīkini i nā kiʻi he nui o kou umauma mai nā kihi like ʻole, ma nā 'ʻāpana' maikaʻi loa. A laila, hoʻohana kahi kamepiula i kēia mau kiʻi e hana i kahi kumu hoʻohālike ʻekolu-dimensional (3D) piha o kou umauma.

Ma muli o kēia, ʻoiai inā he puʻupuʻu liʻiliʻi a i ʻole kahi loli i hūnā ʻia i loko o ka ʻiʻo umauma, e hiki i ke kauka ke ʻike maopopo loa.

Iā wai ka mea nui maoli o kēia hoʻokolohua?

Hiki i kekahi mea makemake e hana i ka mammogram ke pōmaikaʻi mai kēia ʻano hana 3D. Eia nō naʻe, aia kekahi mau hui nona ka mea nui loa kēia. ʻO ia hoʻi, nā wahine me ka 'ʻiʻo umauma paʻa'. He nui nā wahine ma ko mākou ʻāina i loaʻa i kēia maʻi.

He aha kēia 'ʻiʻo umauma mānoanoa'?

I ka ʻōlelo maʻalahi, ua hana ʻia ka umauma me nā ʻiʻo momona a me nā ʻiʻo glandular. ʻOi aku ka nui o nā ʻiʻo glandular o kekahi mau wahine ma mua o nā ʻiʻo momona i loko o ko lākou mau umauma. ʻO ia ka mea a mākou e kapa nei he 'nā umauma paʻa.'

I kēia manawa, e nānā, ma ke kiʻi X-ray mammogram maʻamau, ʻike ʻia kēia ʻiʻo mānoanoa a me kahi puʻupuʻu, ʻelua he keʻokeʻo. Ua like ia me ka ʻimi ʻana i kahi bea pola keʻokeʻo i loko o ka ua hau. ʻO ia ke kumu e ʻoi aku ka paʻakikī o ka mammogram 2D ​​maʻamau e ʻike i ka maʻi kanesa i hūnā ʻia i loko o nā umauma mānoanoa.

He pōmaikaʻi nui kēia. I kekahi manawa, ma ka mammogram maʻamau, hiki ke kuhihewa ʻia ka ʻiʻo olakino no ka maʻi kanesa no ka mea me he mea lā e pili ana. Kāhea mākou i kēia he hopena 'wahaheʻe-maikaʻi'. ʻO ia ke kumu e pono ai ʻoe e makaʻu a hana i nā hoʻokolohua hou aku. Penei ke ʻano 3DUa hoʻemi nui ʻia nā hōʻike wahaheʻe.

I ka manawa hea e pono ai kahi hoʻāʻo tomosynthesis?

Hoʻohana ʻia kēia hoʻāʻo no ʻelua mau kumu nui.

1. Ma ke ʻano he hoʻāʻo nānā: Manaʻo nui ʻia e hoʻomaka nā wahine āpau e loaʻa i nā mammograms ma hope o 40 mau makahiki. Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai umauma, e ʻōlelo paha kāu kauka e hana mua ʻoe i kēia hoʻāʻo. No laila, he koho maikaʻi ka tomosynthesis e nānā i ka maʻi ʻaʻai ma mua o ka puka ʻana o nā hōʻailona.

2. Ma ke ʻano he hoʻāʻo hōʻoia: Inā loaʻa iā ʻoe kekahi mau hōʻailona i loko o kou mau umauma (e.g., he puʻupuʻu, ʻeha, nā loli o ka ʻili), hiki i kāu kauka ke kuhikuhi iā ʻoe no kēia hoʻāʻo e hoʻoholo ai inā he maʻi ʻaʻai ke kumu a ʻaʻole paha.

Pehea ʻoe e hoʻomākaukau ai ma mua o kēia hoʻokolohua?

He mea nui e mālama i kēia mau mea ma mua o ka hoʻāʻo.

• E haʻi i kāu kauka e pili ana i kou mōʻaukala olakino: inā ua loaʻa iā ʻoe kekahi mau pilikia umauma ma mua, inā ua hana ʻia ʻoe i ke ʻoki ʻana, he aha nā hormones āu e lawe ai, a inā ʻoe e hāpai ana a hānai waiū paha.
• E lawe pū me ʻoe i nā moʻolelo kahiko: Inā ua hana ʻia kahi mammogram ma kahi ʻē aʻe ma mua, he mea nui e lawe pū me ʻoe i kēlā mau kiʻi a me nā moʻolelo i kou wahi hou. He mea maʻalahi ke ʻike i nā ʻokoʻa liʻiliʻi loa i ka hoʻohālikelike ʻana i nā kiʻi kahiko a me nā kiʻi hou.
• E koho i kahi lā i emi iki ai ka ʻeha o kou mau umauma: ʻO ka ʻeha a me ke aloha o ka umauma ka mea haʻahaʻa loa i ka pule mua a ʻelua paha ma hope o kou wā. Inā hiki, e hoʻonohonoho i kāu hoʻokolohua ma ia lā.

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

Ma kahi o 30 mau minuke ka lōʻihi o ka hoʻāʻo holoʻokoʻa. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

• Mai hoʻopili i ka deodorant, ka pauka, a i ʻole ka lotion: E holoi i kou kino a hele maʻemaʻe. Akā, mai hoʻopili i kekahi deodorant, pauka, a i ʻole ka kirīmi ma ka ʻāpana armpit a i ʻole a puni nā umauma. Hiki i kekahi o kēia mau mea ke ʻike ʻia he mau kiko keʻokeʻo ma nā kiʻi X-ray. Hiki i kēia ke hana i nā hopena hewa.
• E noʻonoʻo e pili ana i kou mau lole: E ʻaʻahu i nā lole ʻoluʻolu e hiki ke wehe maʻalahi. Pono ʻoe e wehe i ka ʻaoʻao o luna o kou kino (me kou lole komo) a komo i kahi lole haukapila.
• Mai komo i nā mea hoʻonani: Wehe i nā mea e like me nā lei a waiho iā lākou ma ka home. Hiki i kēia ke hoʻopilikia i nā kiʻi.

Pehea e hana ai i ka hoʻāʻo?

Ua like kēia me ka mammogram maʻamau. ʻO ka ʻokoʻa wale nō, ʻo ka ʻāpana o ka mīkini e hoʻopuka ana i nā kukuna X (ka ʻōmole kukuna X) e neʻe ana i loko o kahi ʻāʻī a puni kou umauma.

E hoʻonoho ke loea ʻenehana iā ʻoe e kū ma ka ʻaoʻao o ka mīkini a noi iā ʻoe e kau i hoʻokahi umauma ma luna o kahi kahua. A laila e hoʻohaʻahaʻa ʻia kahi pā palakiko a hoʻopaʻa i kou umauma.

He mea maʻamau ka manaʻo ʻana i kekahi kaomi a ʻoluʻolu ʻole paha i kēia manawa. Eia nō naʻe, inā ʻike ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui, e haʻi aku i ke loea. Ua ʻomi ʻia ka umauma ma kēia ʻano no kekahi kumu. Kōkua kēia i ka lahilahi o nā ʻiʻo a hana i kahi kiʻi maopopo. Hoʻemi pū ia i ka nui o ka radiation i hōʻike ʻia i kou kino.

Pono ʻoe e noho mālie. E neʻe ka mīkini a lawe i kekahi mau kiʻi mai nā kihi like ʻole i loko o kekahi mau kekona. Ke pau kekahi ʻaoʻao, e nānā ʻia kekahi umauma ma ke ʻano like.

Nā ʻokoʻa koʻikoʻi ma waena o ka mammogram maʻamau (2D) a me ka mammogram tomosynthesis (3D)

I mea e maopopo ai, e nānā kākou i ka ʻokoʻa ma waena o kēia mau ʻano hana ʻelua.

Pono anei mākou e makaʻu i ka radioactivity?

He pilikia kēia no nā kānaka he nui. Hoʻopuka iki ka mammogram 3D i ka radiation ma mua o ka mammogram 2D ​​maʻamau. Eia nō naʻe, ʻaʻohe ou kumu e hopohopo ai no kēia. He haʻahaʻa loa kēia nui o ka radiation, i loko o nā palena palekana . ʻOi aku ka maikaʻi o ka ʻike mua ʻana i ka maʻi ʻaʻai umauma ma mua o kēia ʻike radiation liʻiliʻi loa.

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

E nānā pono kekahi radiologist i kāu mau kiʻi a e nānā i nā hōʻailona o ke kanesa. E kākau ʻo ia i kahi hōʻike a hoʻouna aku i ke kauka nāna ʻoe i kuhikuhi no ka hoʻokolohua. A laila e wehewehe kāu kauka i nā hopena iā ʻoe.

Loaʻa pinepine nā hopena i loko o kekahi mau lā. Ma muli o nā hopena,

• Hiki iā ʻoe ke maopopo ʻaʻole ʻoe he maʻi kanesa.
• Inā ʻike ʻoe i kahi mea kānalua, e ʻōlelo ʻia paha e hana ʻia nā hoʻokolohua hou aʻe (e like me kahi mammogram ʻē aʻe, ultrasound, MRI scan, a i ʻole biopsy) e hoʻokolokolo hou aku.

E hoʻomanaʻo he hiki i kahi biopsy ke hōʻoia 100% inā loaʻa ka maʻi kanesa .

ʻO ka mea hope loa, inā loaʻa iā ʻoe kahi mammogram e hiki mai ana, e kamaʻilio me kāu kauka e pili ana i ke ʻano Tomosynthesis (3D). Na ia e hoʻoholo inā ʻo kēia ʻano hana a i ʻole ke ʻano kuʻuna ka mea maikaʻi loa iā ʻoe, ma muli o nā ʻano o kou mau umauma a me kou mōʻaukala olakino. Mai makaʻu e nīnau i nā nīnau a ʻimi i ka wehewehe ʻana.