Ua ʻike anei ʻoe i (O-RADS)? Pehea ke koʻikoʻi o kēia ʻano hana no ka ʻike ʻana i nā pilikia ovarian?

He mea maʻamau ke makaʻu nui i ka wā e hōʻike ai kahi scan i kahi loli a i ʻole kahi pilikia (kahi lesion) i loko o nā ovaries a i ʻole nā ​​​​wahi e hoʻopuni ana iā lākou (kapa mākou i kēia mau wahi '(adnexal)')? Akā, mai hopohopo. Aia kekahi ʻano hana kūikawā e kōkua i nā kauka i ia mau hihia a hāʻawi iā ʻoe i ka ʻike pololei. Ua kapa ʻia kēlā ʻano hana ʻo `(O-RADS)`. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha ka (O-RADS)? E hoʻomaopopo pono kākou!

ʻO O-RADS™ ke kū nei no Ovarian-Adnexal Reporting and Data System. I ka ʻōlelo maʻalahi, he mea hana kūikawā ia a nā kauka e hoʻohana ai. ʻIke anei ʻoe i ke kumu o ia mea? Hoʻohana ʻia ia e hoʻokaʻawale i nā ʻeha, nā loli, a i ʻole nā ​​puʻupuʻu i loaʻa ma kahi scan o kāu ovaries (a i ʻole nā ​​​​wahi a puni, ʻo ia ka mea a mākou e kapa nei he adnexals—nā fallopian tubes, ovaries, a me nā ʻiʻo hoʻohui e hoʻopaʻa ana i nā ʻōpū o kāu ʻōnaehana hānau).

Wahi a ka ʻōnaehana O-RADS, ua helu ʻia kahi lesion ma kahi pālākiō mai ka 0 a i ka 5. ʻO ke kiʻekiʻe o ka helu, ʻo ke kiʻekiʻe o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa . Eia ke ʻano o ka hana ʻana:

• O-RADS 0: ʻO ke ʻano kēia, ʻaʻole hiki ke hoʻohana ʻia ka ʻike mai ka scan e hana i kahi loiloi pololei, a pono e hoʻāʻo hou ʻia. ʻAʻole paha e maopopo ka scan.
• ʻO-RADS 1: ʻO kēia ka hopena maikaʻi loa! ʻO ia hoʻi, ua olakino a maʻamau kāu mau ovaries.
• O-RADS 2: Maanei, ʻoiai inā he `(lesion)`, haʻahaʻa loa ka manawa kūpono e lilo ai i maʻi kanesa (pinepine emi ma lalo o 1%). Manaʻo pinepine ʻia kēia mau mea he `(benign)`, ʻo ia hoʻi, ʻaʻole lākou he maʻi kanesa.
• O-RADS 3: Maanei, aia kahi manawa liʻiliʻi e loaʻa ai ke kanesa, akā he haʻahaʻa ia (ma waena o 1% a me 10%). Hopohopo iki nā kauka e pili ana i kēia mau mea, a e noi paha iā ʻoe e hana hou i kahi scan i loko o kekahi manawa.
• O-RADS 4: Maanei, ʻo ka manawa kūpono o ka maʻi ʻaʻai ma kahi pae waena (ma waena o 10% a me 50%). He mea kānalua iki kēia. No laila, hiki i nā kauka ke hana i nā hoʻokolohua hou aʻe ma kēia, a hiki ke kuhikuhi iā ʻoe i kahi loea.
• O-RADS 5: ʻO ke ʻano kēia he kiʻekiʻe loa ka pilikia o ka maʻi ʻaʻai (ʻoi aku ma mua o 50%). I kēia hihia, pono ka hana koke.

Akā, ʻoi aku ka ʻoihana o O-RADS ma mua o kahi ʻōnaehana hoʻokaʻawale wale nō. Ua hoʻomohala pū ke kōmike nāna i hoʻomohala iā ia (i hoʻomaka me ke Kulanui ʻAmelika o Radiology) i kahi lexicon (kahi hoʻonohonoho o nā huaʻōlelo maʻamau i hoʻohana ʻia e wehewehe i nā mea i ʻike ʻia ma nā scans - i kapa ʻia he lexicon) a me nā ʻōlelo paipai no nā lāʻau lapaʻau kūpono no nā poʻe ma kēlā me kēia hui pilikia. He kōkua nui kēia no nā kauka i ka hoʻoholo ʻana.

I ka manawa hea e hoʻohana ʻia ai ʻo O-RADS?

Hiki i kāu kauka ke hoʻohana i kēia ʻōnaehana "(O-RADS)" e ʻike a hoʻokaʻawale i nā mea e like me:

• ʻO nā cysts ovarian: He mau puʻupuʻu kēia e hana ʻia ma kāu mau ovaries. ʻO kekahi mau cysts he mau ʻeke piha wai wale nō a ʻaʻole ia he mea weliweli. Akā, he mea e hopohopo ai kekahi.
• Nā puʻupuʻu adnexal: Nā puʻupuʻu a i ʻole nā ​​puʻupuʻu e hana ʻia ana i loko o nā ʻōpū fallopian a i ʻole i loko o nā ligaments e hoʻopaʻa ana i nā ʻōpū o ka ʻōnaehana hānau. Hiki i kēia ke ʻano like ʻole.

No laila, inā ʻike ʻia kahi ʻano e like me kēia ma kahi scan, kōkua ʻo O-RADS i ka hoʻomaopopo ʻana i kona ʻano pololei a loiloi i kona pilikia.

He aha nā ʻano hana nui o (O-RADS)?

ʻElua mau "ʻāpana" nui o O-RADS, ma muli o ke ʻano o ka scan i hoʻohana ʻia. ʻO ia hoʻi, ʻokoʻa iki ia ma muli o ke ʻano o ka scan i hoʻohana ʻia e loaʻa ai ka ʻike.

(O-RADS Ultrasound - US)

ʻO kēia ke ʻano nui a mua i hoʻohana ʻia ma O-RADS. Maanei, hoʻohana ʻia ka ultrasound ʻōpū a i ʻole ka ultrasound transvaginal. E like me kou ʻike, ʻo ka ultrasound kahi ʻano hana o ka lawe ʻana i nā kiʻi o loko o ke kino me ka hoʻohana ʻana i nā nalu leo.

Hiki i ka ʻenehana ultrasound ke ʻike maopopo i nā ovaries a me ko lākou mau ʻeha pili. ʻO ka ultrasound transvaginal ma ke ʻano kūikawā hiki ke hana i nā kiʻi maopopo loa no ka mea hiki ke hana ʻia kokoke loa i nā ovaries.

(MRI O-RADS)

ʻO ke Magnetic Resonance Imaging (MRI) kahi hoʻokolohua e hāʻawi ana i ka ʻike kikoʻī e pili ana i nā ʻiʻo palupalu o ko mākou kino. Hoʻohana ka MRI i nā kahua magnetic a me nā nalu lekiō. He hoʻokolohua paʻakikī a pipiʻi hoʻi ia ma mua o ka ultrasound.

Inā ʻaʻole lawa ka ʻike o nā kauka mai kahi ultrasound, a inā makemake lākou i ka ʻike hou aku e hana i kahi hōʻailona, ​​a inā paʻakikī ke hōʻoia inā he maʻi kanesa a ʻaʻole paha, hoʻohana ʻia kēia ʻano MRI. ʻO O-RADS MRI ke kaʻina hana o ka nānā ʻana i nā kiʻi MRI a me ka hoʻokaʻawale ʻana iā lākou i loko o O-RADS.

He aha ka mea e hana maoli me (O-RADS)? He aha ke koʻikoʻi o kēia?

He nui nā pahuhopu nui o ka ʻōnaehana O-RADS. He mea nui loa kēia mau mea iā ʻoe a me kāu mau kauka.

• Ke hāʻawi nei i nā wehewehe kūlike no nā hōʻike hoʻāʻo: E noʻonoʻo i ka nui o ka pilikia inā pono ʻoe e wehewehe i kahi hōʻike scan i kekahi ʻaoʻao ke hele ʻoe i kekahi kauka a me kekahi ʻaoʻao ke hele ʻoe i kekahi? Ma muli o O-RADS, ua hoʻokaʻawale kēlā me kēia kauka a me ka haukapila ma ʻAmelika Hui Pū ʻIa (a i kēia manawa ma nā ʻāina he nui a puni ka honua) i nā ʻeha ovarian a me nā mea pili i ke ʻano like a maʻamau. ʻO ke ʻano kēia, ʻaʻohe mea ma hea ʻoe e loaʻa ai ka lāʻau lapaʻau, e like ka manaʻo o ka hōʻike. Hoʻopau kēia i ka nui o ka huikau.

• Hoʻonui i ka pololei o ka hōʻoia ʻana:I loko o nā ʻeha ovarian a me nā mea pili, hōʻemi ʻo O-RADS i ka manawa kūpono o nā hopena wahaheʻe no ka malignancy. Hoʻemi pū ia i ke ʻoki kino pono ʻole no nā kūlana maikaʻi ʻole. Hoʻopili ʻo O-RADS i nā ʻano o kahi ʻeha (e.g., ka nui, ke ʻano, a me nā mea i loko) ma ke ʻano ʻepekema loa.

• Ke hāʻawi nei i nā ʻōlelo aʻoaʻo lapaʻau no kēlā me kēia mahele: Ma o ka ʻōnaehana `(O-RADS)`, loaʻa i nā kauka nā ʻōlelo aʻoaʻo lapaʻau maʻamau no kēlā me kēia mahele pilikia (ʻo ia hoʻi ʻo O-RADS 0 a 5). No ka laʻana, no kekahi me ka mahele O-RADS o 2, he ʻōlelo aʻoaʻo e like me, "ʻAʻohe mea e hopohopo ai, ʻaʻole paha he mea ʻino kēia, e nānā hou mākou i loko o kekahi manawa." Akā no ka O-RADS 4 a i ʻole 5, hāʻawi ʻia kahi ʻōlelo aʻoaʻo e like me, "Pono mākou e hana i nā hoʻokolohua hou aʻe ma kēia koke a kuhikuhi iā ʻoe i kahi loea inā pono".

He aha nā pono o ka ʻōnaehana (O-RADS)? No ke aha he mea maikaʻi ia nou?

Ua hōʻike ʻia e ka noiʻi ʻana hiki i nā hoʻokolohua nānā ʻana i ke kanesa ovarian me ka hoʻohana ʻana i ka ultrasound transvaginal a me ka māka tumor CA-125 ke hāʻawi i nā hopena maikaʻi ʻole. ʻO ia hoʻi, ua ʻike ʻia paha ʻoe he maʻi kanesa, akā ma hope e ʻike ʻoe ʻaʻole ʻoe i loaʻa i ke kanesa. E noʻonoʻo i ke kaumaha a me ka hopohopo e hele mai me kēlā! Malia paha he pono ke hana ʻoki kino me ke kumu ʻole?

I kekahi manawa, hana ʻia ke ʻoki kino i nā maʻi ʻoiai ʻaʻole pono maoli. ʻO ka mea nui, ʻo nā ʻoki kino i hana ʻia no nā "ʻeha maikaʻi ʻole" ʻaʻole maʻi kanesa he 17.8% ka nui o ka pilikia. I nā huaʻōlelo ʻē aʻe, he hapa nui o ka poʻe e hana ʻia ke ʻoki kino pono ʻole e hoʻomohala i nā pilikia olakino e pili ana i ke ʻoki kino.

Noʻonoʻo ka ʻōnaehana O-RADS i kekahi mau kumu. No ka laʻana, nā ʻano o ka lesion (ka nui, kahi, ke ʻano, inā he mea paʻa i loko, ka lako koko, a me nā mea ʻē aʻe) a inā ua hala ʻoe i ka menopause. ʻO kēia no ka mea inā ulu kahi lesion hou ma kahi ovary i loko o kekahi i hala i ka menopause, pono ʻoe e hopohopo hou aʻe e pili ana i ia mea.

ʻO ka pahuhopu nui ka hōʻemi ʻana i ke ʻoki kino pono ʻole no ka poʻe me nā ʻeha ʻaʻole maʻi kanesa. ʻO kekahi pahuhopu ʻē aʻe, ʻo ia ka kuhikuhi koke ʻana i ka poʻe me nā ʻeha kānalua a maʻi kanesa paha i kahi loea kūpono (no ka laʻana, he kauka maʻi gynecologic). No laila, e kuhikuhi wale ʻia ʻoe no ke ʻoki kino inā pono maoli ʻoe.

ʻO wai ka mea nāna i hana i ka ʻōnaehana (O-RADS)?

ʻAʻole hiki ke hana wale ʻia kēlā ʻōnaehana koʻikoʻi i ka pō hoʻokahi, ʻeā? I ka makahiki 2018, ua kākoʻo ke Kulanui ʻAmelika o Radiology, ka hui radiology alakaʻi ma ʻAmelika Hui Pū ʻIa, i kahi kōmike o nā kauka honua e pani ana i nā ʻano loea like ʻole (e like me ka gynecology, radiology, a me ka oncology), a ua hoʻomohala i ka ʻōnaehana O-RADS. Ua hōʻano hou ke kōmike O-RADS US - Ultrasound i ka huaʻōlelo i Nowemapa 2022. ʻO ke ʻano kēia he ʻōnaehana ia e hoʻonui mau ʻia me ka ʻike hou.

He aha ka hōʻoluʻolu āu e loaʻa ai mai kēia?

He mea maʻamau ke manaʻo ua kū ke ao nei a ke kaumaha nei kou puʻuwai ke ʻike ʻoe ua puka mai kekahi mea kānalua mai kāu scan. Ke hele nei ʻoe i nā hoʻokolohua hou aʻe e hōʻoia i kahi hōʻailona a i ʻole e hōʻoia ʻaʻohe mea hewa, hiki i kou hopohopo a me kou makaʻu ke hoʻonui i kēlā me kēia lā.

Eia nō naʻe, hōʻemi ke ʻano O-RADS i ka manawa kūpono e loaʻa ai iā ʻoe nā hopena hoʻāʻo wahaheʻe. ʻO ia hoʻi, ʻaʻole ʻoe e ʻike ʻia he maʻi kanesa ke loaʻa ʻole iā ʻoe. Hoʻemi pū kēlā i ka pilikia o ke ʻoki kino pono ʻole. Kōkua ke ʻano O-RADS iā ʻoe e loaʻa i nā pane āu e pono ai me ka wikiwiki a me ka pololei. ʻAʻole anei he mea hōʻoluʻolu nui kēlā?

Leka Lawe-Home

ʻO nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai, ʻo ia kēia:

• He ʻano hana koʻikoʻi loa ʻo O-RADS, maʻamau, a ʻepekema hoʻi e kōkua ana i nā kauka e ʻike a hoʻokaʻawale i nā pilikia ovarian a me nā pilikia pili (nā lesions).
• ʻO ka hopena o kēia ʻano hana he ʻoi aku ka pololei o nā hōʻailona, ​​​​​​ka emi ʻana o nā ʻoki kino pono ʻole, a me ke alakaʻi maopopo ʻana i nā lāʻau lapaʻau āu e pono ai.
• Inā loaʻa i kāu hōʻike scan kahi hoʻokaʻawale O-RADS, e kamaʻilio me kāu kauka e pili ana i ia mea a aʻo hou aʻe. Mai hopohopo, aia kēia mau ʻano hana e kōkua iā ʻoe.
• E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama kūpono ʻana nā ala maikaʻi loa e ola ai i kahi ola olakino. No laila, e hahai i nā ʻōlelo aʻoaʻo a kāu kauka a loaʻa nā hoʻokolohua e pono ai.

Manaʻolana wau he pono kēia ʻike nou!

ʻO -RADS, Ovarian, Adnexal, Lesion, Ultrasound, MRI, Kanesa, Gynecology