He ala hou e ʻike mua ai i ke kanesa o ka umauma! He aha ka Molecular Breast Imaging (MBI)?

Ua lohe paha ʻoe i nā mea he nui e pili ana i ka maʻi ʻaʻai umauma a me ke koʻikoʻi o ka ʻike mua ʻana. He mea kēia e pono ai kākou a pau e makaʻala. No laila i kēia lā e haʻi aku wau iā ʻoe e pili ana i kahi hoʻokolohua hou a hiki ke hoʻohana nui ʻia no ka ʻike ʻana i ka maʻi ʻaʻai umauma. ʻO kēia ka mea a mākou e kapa nei he `(Molecular Breast Imaging)` a i ʻole `(MBI)` no ka pōkole. E nānā kākou i ke ʻano o kēia, ʻeā?

I ka ʻōlelo maʻalahi, he aha ka MBI?

ʻAe, ʻo `(Molecular Breast Imaging)` a i ʻole `(MBI)`, ʻo ia hoʻi, he ʻano hoʻāʻo kūikawā no `(Nuclear Medicine).` Hoʻohana ʻia ia e ʻike inā he maʻi ʻaʻai i loko o nā umauma. Manaʻo paha ʻoe he mea nui ka lāʻau lapaʻau nukelea. Mai hopohopo, e wehewehe maʻalahi wau.

Ma kēia hoʻāʻo ʻana, hoʻohana ʻia kahi liʻiliʻi loa, ʻo ia hoʻi, kahi mea radioactive ʻino ʻole. Kāhea mākou iā ia he `(Tracer)`. ʻO ka mea kūikawā o kēia `(Tracer)` ʻo ia ka hele ʻana a pili i nā cell e ulu wikiwiki ana i loko o ke kino. I kēia manawa ua ʻike ʻoe he ʻano cell nā cell kanesa e māhelehele a ulu wikiwiki loa. No laila, ʻike kēia `(Tracer)` i nā wahi o nā cell kanesa, a ke nānā ʻoe i kēlā mau wahi me kahi kāmela kūikawā, "hoʻomālamalama" lākou, a i ʻole e puka maopopo mai. Ua like ia me ke hoʻā ʻana i kahi kukui liʻiliʻi i loko o kahi lumi pouli.

Āhea ʻoe e pono ai i kahi hoʻāʻo MBI?

ʻAʻole pono nā kānaka a pau e hana i kēia hoʻāʻo "(MBI)". Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku i kēia hoʻāʻo i kekahi mau hihia kūikawā. E nānā kākou i ka wā e hiki mai ana kēia mau mea:

• Inā ke mālama ʻia nei ʻoe no ka maʻi ʻaʻai umauma: Hiki i kēia hoʻāʻo ke kōkua i kāu kauka e ʻike inā e hana ana kāu lāʻau lapaʻau a inā ua emi nā hunaola o ke kanesa. He ala maikaʻi kēia e ʻike ai i ka maikaʻi o kāu lāʻau lapaʻau.
• Inā paʻa kou ʻiʻo umauma: Loaʻa i kekahi mau wahine nā ʻiʻo umauma paʻa a me nā ʻiʻo glandular, akā emi ka momona. Ua kapa ʻia kēia he ʻiʻo umauma paʻa. Ke loaʻa iā ʻoe nā umauma e like me kēia, hiki i kekahi manawa ke paʻakikī ke loaʻa ka maʻi kanesa me ka mammogram maʻamau. ʻO kēia no ka mea ʻike ʻia nā ʻiʻo paʻa a me nā hunaola kanesa keʻokeʻo ma ka mammogram. Hiki ke paʻakikī ke hoʻokaʻawale iā lākou. I kēlā mau hihia, hiki i ka MBI ke kōkua ma ka hōʻike ʻana i nā hunaola kanesa wale nō.
• Inā loaʻa iā ʻoe kahi hopena maʻamau ʻole ma ka mammogram a i ʻole ka ultrasound umauma: Inā he mea kānalua ma kāu mammogram a ultrasound paha, hiki i kāu kauka ke kauoha i kahi mammogram (MBI) e kiʻi i kahi kiʻi maopopo o nā hunaola umauma, ʻo ia hoʻi ke nānā pono iā lākou.
• Inā ua ʻike mua ʻia ʻoe me ka maʻi ʻaʻai umauma: Kōkua kēia hoʻāʻo e hoʻoholo ʻaʻole wale kahi o ke kanesa, akā inā paha ua laha nā hunaola kanesa i nā ʻāpana ʻē aʻe o ka umauma.

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

ʻO kahi nīnau a ka poʻe he nui, he aha ka ʻokoʻa ma waena o kēia "(MBI)" a me ka mammogram a mākou e ʻike nei, ʻoiai ka mammogram 3D "(Tomosynthesis)". Aia kekahi mau ʻokoʻa maopopo ma waena o nā mea ʻelua.

• Nā Kiʻi:
• Mammogram: E like me kaʻu i ʻōlelo ai ma mua, ʻike ʻia nā hunaola kanesa a me nā ʻiʻo umauma mānoanoa ma ke ʻano he mau kiko keʻokeʻo ma ka mammogram. No laila, inā "mānoanoa" kou ʻiʻo umauma, ʻoi aku ka nui o ka ʻike ʻole ʻia ʻana o kekahi mau maʻi kanesa.
• MBI: I loko o MBI, ua "hoʻomālamalama ʻia" nā ʻano hunaola kanesa he nui, ʻo ia hoʻi ke ʻano ʻālohilohi nei lākou. ʻO nā hunaola maʻamau ʻē aʻe, ʻoiai nā ʻiʻo umauma mānoanoa, ke ʻano ʻeleʻele nei. ʻAe kēia i ka maʻi kanesa e ʻike maopopo ʻia.

• ʻenehana:
• ʻO ka mammogram 3D: Hoʻohana kēia i kahi moʻo o nā kukuna X e kiʻi i nā kiʻi o kou ʻiʻo umauma.
• MBI: Ma MBI, hoʻohana mākou i ka mea hoʻāʻo radioactive aʻu i ʻōlelo ai ma mua, a me kahi kāmela gamma kūikawā e hopu i nā hōʻailona. Hōʻike wale kēia i nā cell e ulu wikiwiki ana.

• ʻO wai ka mea e pono ai:
• Mammogram: Ma ke ʻano laulā, ma hope o 40 mau makahiki, ua ʻōlelo ʻia ka hapa nui o nā wahine e hana i ka mammogram ma ke ʻano he hoʻāʻo nānā no ka maʻi ʻaʻai umauma.
• MBI: ʻAʻole pono nā wahine āpau i kahi MBI. Hoʻohana nā kauka i kahi MBI ma waho aʻe o ka mammogram e loaʻa ai ka ʻike hou aku, ʻaʻole ma kahi o ka mammogram. ʻO ia hoʻi, ʻaʻole ka MBI he pani no ka mammogram, akā he mea hoʻohui.

Pehea e hana ai ʻo MBI? He maʻalahi loa ia!

Hōʻike ka hoʻāʻo MBI i nā loli i loko o kou mau hunaola umauma. Hiki i kēia mau loli ke hōʻike i ka maʻi kanesa. E like me kaʻu i ʻōlelo ai ma mua, ulu koke nā hunaola kanesa, a omo lākou i ka mea hōʻike radioactive ma mua o nā hunaola maʻamau.

No laila, ma hope o ke komo ʻana o ka `(Tracer)`, e scan ʻia kou umauma me kēlā `(Gamma Camera)` kūikawā. A laila, ʻike maopopo ʻia nā wahi i kiʻekiʻe ai ka `(Tracer)`, ʻo ia hoʻi nā wahi i loaʻa ai nā hunaola kanesa, ma ke kāmela. ʻO kēia ka mea e ʻike nui ʻia ai nā hunaola kānalua.

Pehea ʻoe e hoʻomākaukau ai no kahi MBI? Aia kekahi mau mea.

Pono ʻoe e hana i kahi hoʻomākaukau iki ma mua o kēia hoʻokolohua. ʻAʻole ia he mea nui.

• I ka hapanui o nā hihia, pono ʻoe e pale i ka ʻai ʻana no ʻekolu hola ma mua o ka hoʻāʻo. Pono hoʻi ʻoe e pale i ka inu ʻana i nā wai maopopo e like me ka waiū. Eia nō naʻe, ʻoi aku ka maikaʻi o ka noho hydrated ma ka inu ʻana i ka wai a i ʻole nā ​​​​mea inu haʻuki maopopo.
• Ke noʻonoʻo nei paha ʻoe no ke aha lākou e ʻōlelo ai ʻaʻole e ʻai. Ke ʻai ʻole ʻoe, ʻoi aku ka maikaʻi o ka komo ʻana o ka `(Tracer)` i loko o kou ʻiʻo umauma. Hoʻonui kēia i ka pololei o ka hoʻāʻo.
• Akā,Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe, e like me ka maʻi diabetes mellitus, pono ʻoe e nīnau i kāu kauka pehea e hoʻomākaukau ai. E haʻi aku ʻo ia iā ʻoe i ka mea maikaʻi loa iā ʻoe.
• Inā he mau pōʻaiapuni menstrual maʻamau kāu, e hoʻāʻo e hoʻonohonoho i kāu scan MBI ma waena o nā lā 7 a me 14 o kāu pōʻaiapuni menstrual. E helu i ka lā mua o kou pōʻaiapuni hope loa ma ke ʻano he lā 1. ʻO kēia ka manawa kūpono loa e hana ai i kahi scan MBI. Eia nō naʻe, hiki i kāu kauka ke hana i ka scan i kēlā me kēia lā o kāu pōʻaiapuni menstrual inā pono.

Pehea e lawe ai i ka hoʻokolohua MBI? E nānā kākou i kēlā me kēia ʻanuʻu.

Ke lawe ʻoe i ka hoʻāʻo MBI, eia ka mea maʻamau e hana ʻia:

1. ʻO ka mea mua, e lawe ʻia ʻoe i kahi lumi pilikino. Ma laila, e noi ʻia ʻoe e wehe i nā lole a me nā mea hoʻonani a pau ma luna o ka pūhaka a e ʻaʻahu i kahi lole haukapila.

2. A laila e lawe ʻia ʻoe i ka lumi kahi i loaʻa ai ka "Gamma Camera". Ma laila e noi ʻia ai ʻoe e noho ma luna o kahi noho i mua o ka mea hoʻāʻo.

3. A laila, e hoʻokomo kekahi limahana lapaʻau i kahi laina liʻiliʻi "(IV)" i loko o kahi aa koko ma kou lima a hoʻokomo i ka radioactive "(Tracer)" ma o ia mea. E like kēia me kahi nahu ʻanuʻu liʻiliʻi, akā ʻaʻole ia e ʻeha loa.

4. Pono ʻoe e kali ma kahi o ʻekolu a ʻelima mau minuke no ka `(Tracer)` e hele i kou ʻiʻo umauma.

5. A laila hoʻomaka ke scan. Hiki i kēia ke hala ma kahi o 20 a 40 mau minuke. I ka wā o ke scan, e kaomi mālie ka hāmeʻa ma kou umauma. Akā, ʻaʻole kēia e ʻeha. ʻAʻohe kaomi ikaika ma ʻaneʻi e like me ka mammogram. No laila, mai hopohopo no ia mea.

He aha ka mea e hana ma hope o ka MBI?

Ma hope o ka pau ʻana o ke kiʻi MBI, e wehe ʻia ke kaula IV ma kou lima. A laila hiki iā ʻoe ke hoʻokomo hou i kou mau lole. E aʻo aku kāu hui lapaʻau iā ʻoe i ka mea e hana ai ma hope. Pono paha ʻoe e ʻike hou i kāu kauka no kahi kipa ʻana, a i ʻole e kuhikuhi ʻia ʻoe i kahi loea ʻē aʻe.

Aia kekahi mau pilikia i loko o nā MBI? E ʻike kākou i kekahi mau mea.

I ka wā o kahi scan MBI, ua hōʻike ʻia ʻoe i kahi liʻiliʻi o ka radiation ma muli o ka tracer. ʻO ka hoʻomau ʻana i ka radiation hiki ke hoʻonui i ka pilikia o ka maʻi kanesa.

Eia nō naʻe, ua haʻahaʻa loa ka ʻike ʻia ʻana o ka radiation i ka wā MBI a ua manaʻo ʻia he palekana. ʻO ka ʻoiaʻiʻo, ua like ia me ka ʻike ʻia ʻana o ka radiation i ka wā o ka mammogram. I ka hapanui o nā hihia, ʻoi aku ka nui o nā pono o ka ʻike ʻana i ka maʻi ʻaʻai umauma ma mua o nā pilikia o kēia liʻiliʻi o ka ʻike ʻia ʻana o ka radiation.

He kakaikahi loa paha ka poʻe e loaʻa i kahi hopena maʻi i ka tracer. Inā hana ʻia kēia, hiki iā lākou ke hōʻike i nā hōʻailona e like me:

• Nā ʻano ʻili e like me ka ʻūlū, ka maneʻo, a i ʻole ka eczema.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Nā pilikia hanu a i ʻole nā ​​​​​​kūpono ʻole o ka puʻuwai (he mea laha ʻole kēia, e kū ana i kahi pakeneka liʻiliʻi o ka poʻe, ma kahi o 0.01% - 0.04%).

Inā loaʻa kekahi mea e like me kēia, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau.

He aha nā hopena o ka MBI?

E nānā pono kekahi radiologist i kāu mau kiʻi MRI e ʻike inā he mau hunaola kanesa. Inā "hoʻomālamalama ʻia" kekahi mau wahi ma nā kiʻi, hiki i kāu kauka ke lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (he biopsy) mai kēlā mau wahi a nānā iā ia. E hōʻoia kēia biopsy inā he mau hunaola kanesa maoli nā hunaola. E kōkua pū nā hopena o ka biopsy i ka hoʻoholo ʻana i ka lāʻau lapaʻau maikaʻi loa nāu.

Inā ʻaʻohe ʻano ʻē ma kāu scan MBI, ua manaʻo ʻia he hopena "maʻamau". A laila hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kāu papa hana nānā ʻana i ka maʻi umauma, e like me ka wā e pono ai ʻoe e hana i kāu mammogram aʻe.

Pehea ka pololei o MBI?

Ua hōʻike ʻia nā haʻawina e hiki i ka MBI ke ʻike ma kahi o 90% o nā maʻi kanesa umauma i nā poʻe maʻi i manaʻo ʻia he maʻi kanesa umauma. Hiki iā ia ke ʻike i 82% o nā maʻi kanesa liʻiliʻi loa, ʻoi aku ka liʻiliʻi ma mua o 10 milimita ke anawaena. Ua hōʻike ʻia nā haʻawina ua like ka pololei o kēia mau hopena me ka MRI umauma. Ua hōʻike pū ʻia nā haʻawina e hiki i ka MBI ke ʻike i ʻelua a ʻekolu manawa ka nui o nā maʻi kanesa umauma ma mua o ka mammogram wale nō.

ʻEhia ka lōʻihi e loaʻa ai nā hopena?

Hiki iā ʻoe ke nīnau i kāu kauka i ka lōʻihi o ka loaʻa ʻana o nā hopena, a pehea lākou e hoʻomaopopo ai iā ʻoe. I ka hapanui o nā hihia, e loaʻa iā ʻoe nā hopena i loko o hoʻokahi pule o ka hoʻāʻo.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Ma keʻano laulā, ʻo ka loaʻa ʻana o nā mammograms maʻamau ke ala maikaʻi loa e ʻike mua ai i ka maʻi ʻaʻai umauma. Eia nō naʻe, i kekahi manawa, ke lawa ʻole ka mammogram wale nō, hiki i kahi hoʻokolohua i kapa ʻia ʻo Molecular Breast Imaging (MBI) ke lilo i mea pono loa no ka loaʻa ʻana o ka ʻike hou aku.

E hoʻomanaʻo, aia kekahi mau hoʻokolohua kiʻi umauma ʻē aʻe, e like me ka ultrasound umauma a me ka MRI umauma, hiki ke hāʻawi i ka ʻike kikoʻī e pili ana i nā ʻano ʻē i loko o ka umauma. Loaʻa i kēlā me kēia hoʻokolohua kona mau pono a me nā pōʻino. No laila, e kūkākūkā i kēia mau mea āpau me kāu kauka. I ka hui pū ʻana, hiki iā ʻoe ke koho i nā ʻano hoʻokolohua kūpono iā ʻoe, a pale i ka ulu ʻana o ka maʻi ʻaʻai umauma, a inā ulu ia, e ʻike koke a mālama pono iā ia. ʻO ka ʻike mua ka mea nui loa! Mai makaʻu, a inā he kānalua kāu, e ʻimi i ka ʻōlelo aʻo lapaʻau.

ʻO ke kanesa o ka umauma, MBI, kiʻi umauma molekala, mammogram, nānā ʻana i ke kanesa, olakino wahine, lāʻau lapaʻau nukelea