ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka hoʻāʻo MBI (Molecular Breast Imaging)

He mea maʻamau no nā wāhine he nui ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe lākou i ka huaʻōlelo kanesa umauma. Pēlā nō hoʻi no nā hoʻokolohua i hana ʻia no ia mea. Malia paha ua ʻōlelo kāu hōʻike mammogram 'dense breast tissue', a i ʻole ua ʻōlelo kāu kauka he mea ʻokoʻa i loko o ka hōʻike, he nui kāu mau nīnau e hiki mai ana i kou manaʻo. I kēia lā, e kamaʻilio mākou e pili ana i kahi hoʻokolohua kūikawā e hiki ke kōkua i ia mau manawa a loaʻa ka ʻike hohonu hou aku. ʻO ia ka Molecular Breast Imaging, a i ʻole ka hoʻokolohua MBI no ka pōkole.

I ka ʻōlelo maʻalahi, he aha kēia hoʻāʻo MBI?

ʻAe, e wehewehe maʻalahi kākou i kēia. ʻO MBI kahi ʻano hoʻāʻo kūikawā e pili ana i ke kahua o ka lāʻau lapaʻau i kapa ʻia ʻo ka lāʻau lapaʻau nukelea. Mai makaʻu ke lohe ʻoe i ka huaʻōlelo "lāʻau lapaʻau nukelea." Pili kēia i ka hoʻokomo ʻana i kahi mea radioactive liʻiliʻi a palekana (kapa mākou iā ia he tracer) i loko o kou kino a hoʻohana iā ia e ʻimi i nā hunaola kanesa.

E noʻonoʻo i nā hunaola kanesa e like me nā hunaola e pōloli mau ana a makeʻe nui i ka meaʻai. Ke hāʻawi mākou i kēlā mea hōʻike i ke kino, hoʻopili kēia mau hunaola kanesa makeʻe i kēlā mea hōʻike me ka wikiwiki a ʻoi aku ma mua o nā hunaola olakino maʻamau ʻē aʻe. A laila, ke nānā mākou iā ia me kahi kāmela kūikawā, ʻike ʻia nā wahi i hōʻiliʻili nui ai kēlā mea hōʻike, ʻo ia hoʻi, nā wahi i loaʻa ai nā hunaola kanesa, me he mea lā ua hoʻā ʻia ke kukui. Pēlā mākou e ʻike ai i nā wahi kānalua.

I ka manawa hea ʻoe e pono ai i kahi hoʻāʻo MBI?

ʻAʻole pono nā kānaka a pau i kahi hoʻāʻo MBI. Aia kekahi mau hihia kūikawā e paipai paha ai kāu kauka i kēia hoʻāʻo.

• Inā ke loaʻa nei iā ʻoe ka lāʻau lapaʻau no ka maʻi ʻaʻai umauma: Kōkua kēia hoʻāʻo e ʻike i ka maikaʻi o kāu lāʻau lapaʻau a inā paha e hoʻopau ʻia ana nā hunaola kanesa.
• Inā he ʻiʻo umauma mānoanoa kou: He mea nui loa kēia. Ke loaʻa iā ʻoe nā ʻiʻo umauma mānoanoa, hiki i kahi mammogram maʻamau ke hala i nā puʻupuʻu liʻiliʻi no ka mea ke ʻano keʻokeʻo nei ke kanesa a me ke kino olakino. Eia nō naʻe, hiki i ka MBI ke kōkua nui i ka ʻike ʻana i ke kanesa i loko o kēia poʻe no ka mea ʻo nā hunaola kanesa wale nō ke ʻano ʻālohilohi.
• Inā he wahi kānalua ma kāu hōʻike mammogram a i ʻole ka hōʻike ultrasound scan: Hiki iā MBI ke kōkua iā ʻoe e loaʻa i kahi kiʻi maopopo o kēlā wahi kānalua a hōʻoia hou inā he maʻi ʻaʻai maoli ia a ʻaʻole paha.
• Inā ua ʻike ʻia ʻoe me ka maʻi ʻaʻai umauma: Hoʻohana ʻia kēia hoʻāʻo e ʻike ai inā ua laha nā hunaola kanesa i nā ʻāpana ʻē aʻe o ka umauma ma waho aʻe o ke kanesa ponoʻī.

He aha ka ʻokoʻa ma waena o ka MBI a me ka 3D Mammogram?

He nīnau kēia a ka poʻe he nui. "No ke aha i lawa ʻole ai ka mammogram? He aha ka ʻokoʻa nui ma waena o nā mea ʻelua?" E ʻike maopopo kākou i kēia ma kahi papa.

Pehea e hoʻomākaukau ai ma mua o ka hoʻokolohua MBI?

Aia kekahi mau mea e pono ai ʻoe e hana ma mua o kēia hoʻāʻo. ʻO ka hahai pono ʻana i kēia mau mea hiki ke hoʻonui i ka pololei o ka hoʻāʻo.

• ʻAi a me ka Mea Inu: E hōʻalo i nā wai a me nā meaʻai paʻa e like me ka waiū no ʻekolu hola ma mua o ka hoʻāʻo ʻana. ʻO kēia no ka mea ʻoi aku ka maikaʻi o ka hoʻopili ʻia ʻana o ka tracer e nā hunaola umauma ke pōloli ʻoe.
• Wai: Akā, ʻaʻole maikaʻi ke hoʻomaloʻo i kou kino. No laila, e inu i nā wai maopopo he nui e like me ka wai a me ka wai huaʻai.
• Nā maʻi e like me ka maʻi diabetes: Inā loaʻa iā ʻoe kekahi maʻi olakino e like me ka maʻi diabetes mellitus, e kamaʻilio me kāu kauka e pili ana i ka hoʻokē ʻai.
• Ka pōʻaiapuni menstrual: Inā hiki, e hoʻāʻo e hoʻonohonoho i kēia hoʻāʻo ma waena o nā lā 7 a me 14 o kāu pōʻaiapuni menstrual. (ʻO ka lā mua o kou wā e helu ʻia ʻo ia ka lā 1.) ʻOiai ʻoi aku ka maikaʻi o ka hana ʻana i ka hoʻāʻo i kēia manawa, hiki ke hana ʻia i kēlā me kēia lā inā he pilikia.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

ʻO ka ʻike mua ʻana i ka mea e manaʻo ai i ka lā o ka hoʻokolohua e kōkua i ka hoʻēmi ʻana i kou hopohopo.

1. ʻO ka mea mua, e lawe ʻia ʻoe i kahi lumi pilikino, e noi ʻia e wehe i nā lole a me nā mea hoʻonani a pau mai ka pūhaka a i luna, a e hoʻokomo i kahi lole haukapila.

2. A laila e lawe ʻia ʻoe i ka lumi me ke kāmela gamma a e hoʻonoho ʻia ʻoe ma kahi noho i mua o ka mīkini.

3. A laila, hoʻokomo ʻia kahi cannula liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima, kahi e hoʻokomo ʻia ai ka tracer radioactive i loko o kou kino.

4. Pono ʻoe e kali ma kahi o 3 a 5 mau minuke no ka hoʻopili ʻia ʻana o ka mea hoʻopili i loko o ka ʻiʻo umauma.

5. A laila hoʻomaka ke scan. Hiki i kēia ke hala ma waena o 20 a me 40 mau minuke. I kēia manawa, e like me ka mammogram, e kaomi mālie ʻia ka umauma me ka mīkini. Akā, ʻaʻole ia e ʻeha.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o ka pau ʻana o ke scan, e wehe ʻia ke kaula IV ma kou lima. A laila hiki iā ʻoe ke ʻaʻahu maʻamau a hoʻi i ka home. E aʻo aku kāu hui lapaʻau iā ʻoe i ka mea e hana ai, ka lā e loaʻa ai iā ʻoe kāu mau hopena, a me kekahi lāʻau lapaʻau hou aʻe.

Aia kekahi mau pilikia i kēia hoʻāʻo?

E like me nā hoʻokolohua lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi e pili ana, a he mea nui e ʻike iā lākou.

Ka hōʻike ʻana i ka radiation

Mai makaʻu i ka lohe ʻana i ka huaʻōlelo "radioactive." I ka wā o ka MBI, ua hōʻike ʻia ʻoe i kahi liʻiliʻi loa o ka radiation . Ua manaʻo ʻia kēia he pae palekana, e like me ka nui āu e hōʻike ai i ka wā o ka mammogram maʻamau. I nā hihia he nui, ʻoi aku ka nui o nā pono o ka ʻike ʻana i ka maʻi kanesa ma mua o nā pilikia o kēia liʻiliʻi o ka radiation.

Nā hopena maʻi ʻaleka

He mea kākaʻikahi loa, hiki i kekahi poʻe ke maʻi i ka mea hoʻohana i ka lāʻau hoʻoheheʻe. Inā hana ʻia kēia, hiki ke ʻike ʻia nā hōʻailona e like me:

• Ka ʻeha o ka ʻili, ka maneʻo, a i ʻole ka ʻulaʻula.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Ka paʻakikī o ka hanu ʻana a i ʻole ke ʻano puʻuwai ʻē aʻe (he mea kakaikahi loa kēia, e kū ana i kahi pakeneka liʻiliʻi o ka poʻe, ma kahi o 0.01% - 0.04%).

He aha kā mākou e aʻo ai mai nā hopena?

E nānā kekahi radiologist i kāu mau kiʻi MBI.

• Hopena Maʻamau: Inā ʻaʻohe wahi ʻālohilohi ma ke kiʻi, ua manaʻo ʻia he hopena "maʻamau". E kamaʻilio me kāu kauka e pili ana i ka manawa e pono ai ʻoe e hana i kāu mammogram aʻe.
• Inā he mau wahi kānalua: Inā ʻālohilohi kahi kiko ma ke kiʻi ʻana, ʻo ia hoʻi he mau pūnaewele e ulu wikiwiki ana ma ia wahi. ʻAʻole e lilo kēlā mau wahi āpau i maʻi kanesa. Akā no ka ʻike pono ʻana, hiki i kāu kauka ke kuhikuhi i kahi biopsy o ia wahi. ʻO ia hoʻi ke lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kēlā wahi kānalua a nānā iā ia ma lalo o kahi microscope. ʻO ia wale nō ke ala e maopopo ai he 100% inā he maʻi kanesa kēlā mau pūnaewele a ʻaʻole paha.

Pehea ka pololei o ka hoʻāʻo MBI?

Ua hōʻike ʻia nā noiʻi he hoʻāʻo pololei loa ka hoʻāʻo MBI.

• Ma kahi o 90% o nā maʻi i manaʻo ʻia he maʻi ʻaʻai umauma ua ʻike ʻia me MBI.
• Ua hiki i kēia hoʻokolohua ke ʻike i 82% o nā maʻi kanesa liʻiliʻi loa, ʻoi aku ka liʻiliʻi ma mua o 10 millimeters.
• Ua like kēia pololei me ke ʻano pololei o ka MRI umauma.
• ʻO ka mea nui loa, hōʻike ka noiʻi e kōkua ka hoʻāʻo MBI i ka ʻike ʻana i ka maʻi ʻaʻai umauma ʻelua a ʻekolu manawa pinepine ma mua o ka mammogram wale nō .

ʻO nā mammograms maʻamau ke ala maikaʻi loa e ʻike mua ai i ke kanesa o ka umauma. Akā inā ʻaʻole hāʻawi ka mammogram wale nō i kahi kiʻi maopopo, he mea hana ikaika ka hoʻāʻo MBI e hāʻawi ana i ka ʻike hou aku a waiwai nui. Aia kekahi mau hoʻāʻo ʻē aʻe, e like me ka ultrasound umauma a me ka MRI umauma. Loaʻa i kēlā me kēia o kēia mau hoʻāʻo kona mau pono a me nā hemahema. ʻO ka mea nui loa, ʻo ia ke kamaʻilio pū ʻana me kāu kauka e koho i nā ʻano loiloi maikaʻi loa no kou kūlana, a inā he kanesa, hiki ke ʻike ʻia a mālama ʻia i ka wā hikiwawe loa.