E noʻonoʻo ʻoe ua loaʻa iā ʻoe kahi scan ultrasound pelvic ma ke ʻōlelo aʻo a ke kauka. Inā hōʻike ka hōʻike aia kahi puʻupuʻu (lesion) ma ka ovary, he mea maʻamau loa ke manaʻo iki i ka makaʻu a me ka hopohopo. "ʻAuē, he maʻi kanesa kēia?" Hiki ke kū mai ka nīnau i loko o kou manaʻo. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole nā puʻupuʻu āpau e ulu ana i loko o nā ovaries he maʻi kanesa. No laila, aia kekahi ʻano hana kūikawā e hiki ke hoʻokaʻawale pololei i kēia kūlana a kōkua i nā kauka a puni ka honua e hoʻomaopopo i ka pilikia o ka maʻi kanesa ma ke ʻano like. ʻO ia ka mea i kapa ʻia ʻo O-RADS .
He aha ʻo O-RADS? E hoʻomaopopo maʻalahi kākou.
I ka ʻōlelo maʻalahi, ʻo O-RADS kahi ʻōnaehana i hoʻohana ʻia e hoʻokaʻawale i kekahi ʻano ʻē, e like me ka puʻupuʻu a i ʻole ka lesion, e ʻike ʻia ma kāu scan ma ka ovary a i ʻole kona wahi adnexal. ʻOi aku ka pololei, hāʻawi ia i kahi helu i ka pilikia o ka maʻi kanesa ma ia ʻano.
ʻO ka inoa piha o kēia ʻo ia ka Ovarian-Adnexal Reporting and Data System .
- ʻO ka Ovarian-Adnexal e pili ana i nā ʻāpana e kākoʻo ana i nā ovaries, nā fallopian tubes, a me nā ʻōpū e hoʻopuni ana i ka ʻōnaehana hānau wahine.
- He wahi i hōʻino ʻia a ʻano ʻē paha ka ʻeha o kahi ʻōkana a i ʻole nā ʻiʻo. ʻOiai ke kapa wale nei mākou ia he "puʻupuʻu," ʻaʻole ia he mea weliweli i nā manawa a pau.
Wahi a kēia ʻōnaehana O-RADS, ua hoʻokaʻawale ʻia ke kūlana i ʻike ʻia ma ke kiʻi ma kahi pālākiō mai 0 a 5. ʻO ke kiʻekiʻe o ka helu, ʻo ke kiʻekiʻe o ka pilikia o ka maʻi ʻaʻai.
Akā, ʻaʻole kēia he ʻōnaehana helu wale nō. Ua hoʻokumu pū ke kōmike nāna i hoʻolauna i kēia ʻōnaehana (na ke Kulanui ʻAmelika o Radiology) i kahi huaʻōlelo kūikawā o nā huaʻōlelo i hoʻohana ʻia ma kēia ʻano a me nā ʻōlelo paipai no ke ʻano o ka lāʻau a i ʻole ka hoʻokele kūpono no ka poʻe ma kēlā me kēia hui pilikia. No laila, he kōkua nui kēia no kāu kauka e hoʻoholo i kou kūlana.
Aia kekahi mau ʻano O-RADS?
ʻAe, aia ʻelua ʻano nui o nā scan e hoʻohana ana i ka ʻōnaehana O-RADS. ʻO ia hoʻi, ua hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ka ʻikepili i loaʻa mai ia scan.
1. O-RADS Ultrasound (US): ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ka ʻikepili i loaʻa mai nā scan ultrasound ʻōpū a i ʻole transvaginal. Hiki i kēia scan ke ʻike i nā ʻōpū he nui a me nā ʻōpū pili a me nā kūlana ʻē aʻe.
2. O-RADS MRI: I kekahi manawa, ʻaʻole lawa ka ʻike i loaʻa mai kahi scan ultrasound e hana ai i kahi hōʻailona. I ia mau hihia, hiki i ka MRI (Magnetic Resonance Imaging) ke hāʻawi i kahi kiʻi maopopo a kikoʻī hoʻi o nā ʻiʻo palupalu.Hiki i kāu kauka ke ʻōlelo aku i kahi scan. He mea nui loa ka MRI e hōʻoia a kāpae paha i ka maʻi ʻino inā he kānalua no ka maʻi ʻino.
He aha nā mea nui e loli maoli me O-RADS?
Aia kekahi mau pahuhopu nui no ka hoʻolauna ʻana i kēia ʻōnaehana. Hāʻawi ia i ka maʻalahi a me ka maopopo no nā mea maʻi a me nā kauka. E nānā kākou i ke ʻano o lākou.
| Ke kumu o ka ʻōnaehana O-RADS | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā wehewehe kūlike | Ma nā wahi a pau o ke kiʻi ʻana ma Sri Lanka a i ʻole ma nā wahi ʻē aʻe o ka honua, hiki i nā kauka e nānā ana i ka hōʻike ke hoʻomaopopo iā ia ma ke ʻano like. Hoʻomaopopo kēia i ka mālama ʻana. |
| Hoʻonui i ka pololei o ka diagnostics | Hoʻemi ia i nā hopena wahaheʻe no nā ʻōpū maikaʻi ʻole, hiki ke alakaʻi i ka hōʻemi nui ʻana i nā ʻoki kino pono ʻole . |
| E hāʻawi i nā ʻōlelo aʻoaʻo lapaʻau no kēlā me kēia mahele. | Ma muli o kāu helu O-RADS, e loaʻa i ke kauka ke alakaʻi maopopo no ka mea e hana ai ma hope (e laʻa, e hana hou i kahi scan, e nānā hou i loko o kekahi mau mahina, a i ʻole e kuhikuhi iā ʻoe i kahi loea). |
He aha nā pōmaikaʻi o ka hoʻohana ʻana iā O-RADS nou?
I ka wā ma mua, ua hoʻohana ʻia nā scan ultrasound transvaginal a me kahi hoʻāʻo koko i kapa ʻia ʻo CA-125 e ʻike i ka maʻi ʻaʻai ovarian. Eia nō naʻe, i kekahi manawa ua hiki i kēia mau ʻano ke hoʻopuka i nā hopena maikaʻi ʻole . ʻO ke ʻano kēia, ua kuhi hewa ʻia kekahi kanaka i loaʻa ʻole i ka maʻi ʻaʻai me ka maʻi ʻaʻai.
E noʻonoʻo i ka mea e hiki mai ana inā hana ʻia kēlā. E kaumaha a makaʻu loa ke kanaka. ʻAʻole wale ia, akā i kekahi manawa pono lākou e hana i nā ʻoki kino pono ʻole. Ua hōʻike ʻia e ka noiʻi ma kahi o 17.8% o nā maʻi hiki ke loaʻa nā pilikia ma hope o ke ʻoki ʻana no nā puʻupuʻu ʻaʻole maʻi kanesa. ʻO ia hoʻi, ʻo ke ʻoki kino pono ʻole e hoʻoulu wale i kahi pilikia olakino ʻē aʻe.
ʻO kekahi o nā pahuhopu nui o ka ʻōnaehana O-RADS ka hōʻemi ʻana i nā ʻoki kino pono ʻole no nā kūlana ʻaʻole maʻi kanesa a e kuhikuhi koke i ka poʻe i pilikia maoli i ka loea kūpono loa, e like me ke kauka oncology gynecologic.
ʻAʻole nānā wale ka ʻōnaehana O-RADS inā he puʻupuʻu a ʻaʻole paha. He nui nā mea i noʻonoʻo ʻia, e like me ka nui, kahi, ke ʻano, a me nā ʻano o loko o ka puʻupuʻu. Noʻonoʻo pū ia inā ua hala ʻoe i ka menopause. Hoʻohui ʻia kēia mau mea āpau e loiloi i kou pilikia.
Ma kēia ʻano, e loaʻa koke iā ʻoe kahi pane maopopo me ka ʻole o ka hoʻomaka ʻana i ka makaʻu pono ʻole, e ʻae ana iā ʻoe e kamaʻilio maopopo me kāu kauka e pili ana i ka mea e hana ai ma hope.
Leka Lawe-Home
- He ʻōnaehana helu ʻo O-RADS (0-5) e loiloi ana i ka pilikia o ka maʻi ʻaʻai ma ka ovary a i ʻole nā puʻupuʻu/loli e pili ana i ʻike ʻia ma kāu hōʻike scan.
- ʻOiai ʻoi aku ke kiʻekiʻe o ka pilikia o kahi helu kiʻekiʻe, ʻo ka helu haʻahaʻa (e.g. O-RADS 2 a i ʻole 3) ʻo ia hoʻi he ʻano maʻi maikaʻi ʻole ia. No laila, mai hopohopo.
- ʻAe kēia ʻōnaehana i nā kauka a puni ka honua e hoʻomaopopo i nā hōʻike scan ma ke ʻano like, kahi e hoʻonui ai i ka pololei o ka lāʻau āu e loaʻa ai.
- ʻO kekahi o nā pōmaikaʻi nui o kēia, ʻo ia ka hōʻemi ʻana i ka nui o nā ʻoki kino pono ʻole i hana ʻia no nā kūlana ʻaʻole maʻi kanesa.
- Inā hōʻike kāu hōʻike scan i kahi hōʻailona O-RADS, mai hopohopo, akā e kamaʻilio mālie me kāu kauka e pili ana i ke ʻano o ka hōʻailona a me nā hana e hana ai.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo