Ua ʻike paha ʻoe i ka huaʻōlelo "Fibroglandular Density" ma kāu hōʻike mammogram. A i ʻole ua haʻi aku kāu kauka iā ʻoe i kahi mea e like me, "Ua mānoanoa kou mau umauma." He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hoihoi ke lohe ʻoe i kahi mea e like me kēia. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka fibroglandular density a inā he hopena kona i kou olakino.
He aha maoli ka Fibroglandular Density?
I ka ʻōlelo maʻalahi, ʻo ka nui o ka fibroglandular ke ana o ke ʻano o nā ʻiʻo i loko o kou mau umauma. Hiki ke hoʻoholo pololei ʻia kēia me ka mammogram. Hana ʻia ko mākou mau umauma i ʻekolu ʻano nui o nā ʻiʻo:
1. ʻIʻo hoʻopili fibrous: He mau ʻiʻo ʻoi aku ka mānoanoa o kēia mau ʻiʻo. ʻIke ʻia lākou he keʻokeʻo ma ka mammogram. Ma muli o kēia kala keʻokeʻo i ʻike ʻia ai nā hunaola kanesa he keʻokeʻo, hiki i kekahi manawa ke paʻakikī ke ʻike i ke kanesa. Inā he nui kou ʻano ʻiʻo fibrous i loko o kou mau umauma, kapa mākou ia he "high fibroglandular density," a i ʻole "dense breasts."
2. ʻIʻo glandular: He ʻiʻo mānoanoa nō hoʻi kēia. Maanei e komo mai ai nā ʻōpū waiū a me nā ala waiū. ʻIke ʻia kēia ʻiʻo he keʻokeʻo ma ka mammogram, e lilo ana i mea paʻakikī iki ke ʻike i ka maʻi kanesa. Inā he nui kēia ʻiʻo, ua ʻōlelo ʻia he kiʻekiʻe ka nui o ka fibroglandular.
3. ʻIʻo momona: ʻAʻole kēia he ʻiʻo mānoanoa . ʻIke ʻia he ʻeleʻele a translucent paha ma ka mammogram. ʻOi aku ka maʻalahi o ka ʻike ʻana i nā wahi keʻokeʻo o nā ʻiʻo, e like me ke kanesa, e kūʻē i kahi kua o ka momona. Inā he ʻiʻo momona ka hapa nui o kou mau umauma, ʻo ia hoʻi he "haʻahaʻa ka nui o ka fibroglandular."
No laila, ʻo ka nui o ka fibroglandular ka nui o nā ʻiʻo fibrous a me nā glandular i loko o kou mau umauma i hoʻohālikelike ʻia me ka nui o nā ʻiʻo momona. I kekahi manawa ua kapa ʻia kēia ʻo "breast density."
Pono anei mākou e hopohopo e pili ana i kēia nui o ka fibroglandular?
ʻO ka ʻoiaʻiʻo, he mea nui ka nui o ka fibroglandular no ka mea he mea paʻakikī i kahi radiologist ke ʻike i ke kanesa o ka umauma ma kahi mammogram inā he ʻiʻo umauma paʻa kou. ʻO kēia no ka mea ʻike ʻia ke kanesa a me nā ʻiʻo umauma paʻa he keʻokeʻo ma kahi mammogram. Ua kapa ʻia kēia he "masking" - ʻo ia hoʻi, hiki ke "hūnā" ʻia kahi kanesa e nā umauma paʻa.
Akā, mai hopohopo inā ʻōlelo kāu mammogram "nā umauma paʻa"! ʻAʻole ia he mea nui. Ma muli o kāu mau hopena mammogram a me kou pilikia o ka maʻi ʻaʻai umauma, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua hou e kiʻi i kahi kiʻi maikaʻi aʻe o kou mau umauma.
He aha nā mea e hoʻopilikia ai i ka nui o ka umauma?
He mea maʻamau ka loaʻa ʻana o nā ʻiʻo umauma mānoanoa. Ma kahi o ka hapalua o nā wāhine e hāʻule ana i loko o kēia māhele. Aia kekahi mau kumu e hiki ke kōkua i ka ulu ʻana o kou mau umauma mānoanoa:
- Makahiki: ʻOi aku ka mānoanoa o nā umauma o nā wahine ʻōpio, akā i ko lākou ʻelemakule ʻana, hiki ke hoʻonui ʻia ka ʻiʻo momona a emi iho paha ka nui.
- Nā lāʻau lapaʻau hormone: ʻO kekahi mau lāʻau lapaʻau hormone (e laʻa, nā hormones i hāʻawi ʻia no ka menopause) hiki ke hoʻonui i ka nui o ka umauma.
- ʻIke Hoʻoilina: Inā he mau umauma mānoanoa ko kekahi o kou ʻohana, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
- Kaumaha o ke kino: Ma keʻano laulā, ʻo nā wāhine me ke kaumaha haʻahaʻa o ke kino ua piʻi aʻe paha ka nui o ka umauma, ʻoiai ʻo ka poʻe me ke kaumaha kino kiʻekiʻe aʻe paha ua emi iho ka nui o ka umauma ma muli o ka hoʻonui ʻia o ka momona.
E kamaʻilio kāu kauka me ʻoe e pili ana i ka paʻa o kou umauma a pehea e hiki ai ke hoʻopilikia i ka ʻike ʻana i ka maʻi kanesa. Inā he haʻahaʻa kou pilikia o ka maʻi kanesa o ka umauma, ʻaʻole paha he mea nui ka loaʻa ʻana o nā umauma paʻa. Eia nō naʻe, inā he kiʻekiʻe kou pilikia o ka maʻi kanesa, e kūkākūkā kāu kauka me ʻoe i nā nānā hou aku no ka maʻi kanesa o ka umauma.
He aha nā ʻano like ʻole o ka nui o ka fibroglandular?
Ua māhele nui ʻia ka mānoanoa o kou mau umauma i ʻehā mau māhele, mai nā ʻiʻo mānoanoa haʻahaʻa loa a i nā ʻiʻo mānoanoa kiʻekiʻe loa.
He aha ka "ʻiʻo umauma fibroglandular i hoʻopuehu ʻia"?
Hoʻokaʻawale nā X-rayologists i kou ʻiʻo umauma me ka hoʻohana ʻana i kahi unahi i kapa ʻia ʻo Breast Imaging Reporting and Data System (BI-RADS). Ke helu nei kēia unahi BI-RADS i kou nui fibroglandular.
- ʻO ke ʻano o ka "Scattered fibroglandular density" he hui pū ʻana o nā ʻiʻo mānoanoa a me ka momona i loko o kou mau umauma, akā ʻo ka hapa nui he ʻiʻo momona.
- ʻO ke ʻano o ka "ʻiʻo umauma paʻa like ʻole" he hui ʻana o nā ʻiʻo paʻa a me nā ʻiʻo momona i loko o kou mau umauma, akā ʻo ka ʻiʻo paʻa ka mea nui loa.
Ke hui pū ʻia kēia mau ʻano ʻelua, uhi lākou i kahi 80% o ka heluna kanaka ʻAmelika. Hiki i nā wahine he nui ma ko mākou ʻāina ke ʻike i kēia mau kūlana.
He maʻi ʻaʻai fibroglandular density diffuse anei?
ʻAʻole, ʻaʻole loa. He ana wale nō ia o kou ʻiʻo umauma. ʻO ka loaʻa ʻana o ka "ʻiʻo fibroglandular diffuse" ʻo ia hoʻi he mau wahi o ka mānoanoa ma kāu mammogram e nānā nui ana. E like me ka mea i ʻōlelo ʻia ma mua, ʻike ʻia keʻokeʻo nā maʻi ʻaʻai a me nā ʻiʻo umauma mānoanoa ma ka mammogram,Pili wale ka nui o ka umauma i ka maʻi ʻaʻai umauma no ka mea inā he nui kou mau umauma, hiki ke paʻakikī iki i ke kauka ke ʻike i nā kiko maʻi ʻaʻai.
He aha nā kūlana olakino e pili ana me ka nui o ka fibroglandular?
Ua pili kou nui o ka fibroglandular i kou pilikia o ka maʻi ʻaʻai umauma. Aia i kēia manawa ke piʻi nei nā hōʻike e hōʻike ana i ka piʻi ʻana o ka nui, hiki ke piʻi aʻe kou pilikia o ka maʻi ʻaʻai i kekahi ʻano . ʻElua mau kumu nui no kēia:
1. I kekahi manawa, ʻaʻole ʻike ʻia nā mammograms i nā maʻi ʻaʻai umauma paʻa: Hiki i nā ʻiʻo umauma paʻa ke kumu o ka ʻike ʻole ʻia ʻana o kahi maʻi ʻaʻai ma ka mammogram. Wahi a kekahi mau noiʻi, hiki i ka 27% o nā maʻi ʻaʻai i nā umauma paʻa ke ʻike ʻole ʻia ma ka mammogram.
2. ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi kanesa i nā umauma paʻa: ʻOiai ʻaʻole maopopo nā kumu pololei no kēia, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka umauma i ka umauma ma mua o ka mea nona nā umauma momona.
Pehea e ana ʻia ai ka nui o ka fibroglandular? He aha nā hoʻokolohua?
No ka ʻike ʻana i kou nui o ka fibroglandular, pono ʻoe e hana i kahi mammogram. He ʻano X-ray kūikawā ka mammogram e lawe i nā kiʻi o loko o kou mau umauma.
Ma muli o ke ʻano o ka ʻiʻo umauma āu, hiki ke hoʻohana ʻia nā ʻenehana kiʻi kiʻi hou aʻe e ʻike ai inā e ulu ana ka maʻi kanesa:
- ʻO ka mammography 3D (tomosynthesis umauma): Hoʻohana kēia i kahi haʻahaʻa o nā kukuna X (ma kahi o 1.5 a 2 mau manawa o ka radiation o kahi mammogram 2D maʻamau) e lawe i kekahi mau kiʻi o kou umauma mai nā kihi like ʻole. Hoʻohui ʻia kēia mau kiʻi e hana i kahi kiʻi ʻekolu-dimensional (3D) o kou umauma. He mea maikaʻi loa kēia no ka poʻe me nā ʻiʻo mānoanoa, no ka mea, hoʻemi ia i ka nui o nā ʻiʻo e uhi ana. Hiki i kēia ʻenehana i ka radiologist ke "ʻōwili" ma o nā ʻiʻo mānoanoa, no laila hiki ke ʻike maopopo ʻia nā mea ʻē.
- ʻO ke kani ultrasound o ka umauma: Hoʻohana kēia i nā nalu kani e lawe i ke kiʻi o kou ʻiʻo umauma a hōʻike iā ia ma kahi pale.
- MRI Umauma: Hoʻohana kēia i nā magnet a me nā nalu lekiō e hoʻopaʻa i nā ʻano i loko o kou mau umauma a hōʻike i nā kiʻi ma kahi pale.
- Kiʻi umauma molecular (MBI): Ma kēia hoʻokolohua, hoʻokomo kāu kauka i kahi tracer radioactive i loko o kahi aa koko ma kou lima. Hele kēia tracer ma o kou kahe koko. Hoʻopaʻa kahi kāmela kūikawā pehea e pane ai ka tracer me nā ʻiʻo kanesa a me nā ʻiʻo ʻaʻole kanesa i loko o kou kino. Hōʻike ʻia kēia hopena ma kahi pale ma ke ʻano ʻokoʻa ma waena o nā ʻiʻo kanesa a me nā ʻiʻo ʻaʻole kanesa.
Loaʻa i kēlā me kēia o kēia mau hoʻāʻo kona mau pono a me nā hemahema. No ka laʻana, hiki i ka MRI a me ka ultrasound ke ʻike i nā maʻi kanesa i hala ʻole i ka mammography, akā hiki iā lākou ke kuhi hewa i nā cell noncancerous e like me ka maʻi kanesa (ua kapa ʻia kēiaHe hopena maikaʻi ʻole . ʻOiai hiki i nā lako hana kūikawā e like me ka mammography 3D ke ʻike i nā maʻi kanesa i hala ʻole i ka mammogram kuʻuna, hoʻohana ia i ka radiation ʻoi aku ka nui ma mua o ka mammogram 2D. Inā loaʻa iā ʻoe ka pilikia kiʻekiʻe o ka loaʻa ʻana o ka maʻi kanesa, hiki ke pilikia ka hōʻike ʻana i ka radiation hou aʻe. Eia kekahi, ʻokoʻa ka loaʻa ʻana o kēia mau ʻenehana a me ke kumukūʻai o lākou ma muli o ka uhi ʻinikua.
E kamaʻilio me kāu kauka e pili ana i nā koho nānā āna e ʻōlelo ai, ma muli o kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka mammogram ke kūlana gula no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma. ʻO nā ʻenehana ʻē aʻe, e like me ka ultrasound umauma a me ka MRI umauma, he mea hoʻohui ia, ʻaʻole ma kahi o, kahi mammogram maʻamau.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
E hōʻoia e nīnau i kāu kauka e pili ana i kou nui o ka fibroglandular. Ke ʻike ʻoe i ke ʻano o ka nui o kou mau umauma, e nīnau pehea e pili ai i kou olakino. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:
- He aha koʻu mau manawa kūpono e loaʻa ai ka maʻi ʻaʻai umauma?
- Ua mānoanoa koʻu mau umauma?
- Pehea ka hopena o ka paʻa o koʻu umauma i nā hopena o ka mammogram?
- He aha nā ʻano kiʻi maikaʻi loa e ʻike ai i ka maʻi kanesa?
- He aha nā ʻano kiʻi āu e ʻōlelo ai no ka nānā ʻana i ka maʻi ʻaʻai umauma?
- Pono anei au e noʻonoʻo i nā hoʻokolohua hou aʻe?
- ʻEhia pinepine e hana ʻia ai kēia mau hoʻokolohua?
ʻO ka mea hope loa, ʻo ka mea nui loa e hoʻomanaʻo!
Ke kamaʻilio ke kauka e pili ana i ka nui o ka fibroglandular, hiki ke hopohopo iki inā hopohopo ʻoe e pili ana i kou pilikia o ka maʻi ʻaʻai umauma. Akā, ʻaʻole pono ʻoe e hopohopo no ia mea me ke kumu ʻole. Hana ʻia kou mau umauma i kahi ʻano ʻiʻo e hiki ai ke hoʻokūkū i ka nānā ʻana i ka maʻi ʻaʻai. ʻO nā umauma paʻa, a i ʻole ka nui o ka fibroglandular kiʻekiʻe, ʻo ia hoʻi, hiki iā ʻoe ke pōmaikaʻi mai nā hoʻokolohua kiʻi hou aʻe e lanakila ai i kekahi o nā palena o ka mammography. ʻO ka mea nui loa, ʻo ia ke ʻike pinepine i kāu kauka, e hana i kāu mau hoʻokolohua i ka manawa kūpono, a e hahai i kāna mau kuhikuhi.
ʻo ka nui o ka umauma, ka nui o ka umauma, mammogram, maʻi ʻaʻai umauma, nā umauma paʻa, ka nui o ka umauma, mammogram, maʻi ʻaʻai umauma
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