Xav txog tias koj muaj kev kuaj mob ultrasound hauv plab raws li cov lus qhia ntawm tus kws kho mob. Yog tias daim ntawv qhia qhia tias muaj qog (mob) ntawm lub zes qe menyuam, nws yog ib qho ib txwm muaj uas yuav ntshai thiab txhawj xeeb me ntsis. "Auj, qhov no puas yog mob qog noj ntshav?" Lo lus nug yuav tshwm sim hauv koj lub siab. Tab sis qhov tseeb yog, tsis yog txhua qhov qog uas loj hlob hauv lub zes qe menyuam yog mob qog noj ntshav. Yog li, muaj ib txoj kev tshwj xeeb uas tuaj yeem faib qhov mob no kom raug thiab pab cov kws kho mob thoob plaws ntiaj teb nkag siab txog qhov kev pheej hmoo ntawm mob qog noj ntshav tib yam. Qhov ntawd yog qhov hu ua O-RADS .
O-RADS yog dab tsi? Cia peb nkag siab yooj yim.
Hais yooj yim xwb, O-RADS yog ib lub tshuab siv los faib txhua yam tsis zoo, xws li qog lossis qhov txhab, uas tshwm sim ntawm koj daim duab scan hauv lub zes qe menyuam lossis nws thaj chaw adnexal. Qhov tseeb dua, nws muab qhab nia rau qhov kev pheej hmoo ntawm mob qog noj ntshav hauv qhov mob ntawd.
Lub npe tag nrho ntawm qhov no yog Ovarian-Adnexal Reporting and Data System .
- Ovarian-Adnexal yog hais txog cov khoom uas txhawb nqa lub zes qe menyuam, cov raj fallopian, thiab cov kabmob ib puag ncig ntawm lub cev poj niam lub cev.
- Ib qho mob yog ib qho chaw puas tsuaj lossis zoo li tsis zoo ntawm ib lub cev lossis cov nqaij. Txawm hais tias peb tsuas hu nws ua "lub qog," nws tsis yog ib txwm muaj kev phom sij.
Raws li lub kaw lus O-RADS no, tus mob uas pom ntawm daim duab luam theej tau muab faib ua pawg ntawm 0 txog 5. Tus lej siab dua, qhov muaj feem yuav mob qog noj ntshav ntau dua.
Tiam sis qhov no tsis yog tsuas yog ib qho kev ntsuas xwb. Pawg neeg uas tau qhia txog qhov system no (los ntawm American College of Radiology) kuj tau tsim ib phau ntawv txhais lus tshwj xeeb ntawm cov lus siv rau hauv qhov no thiab cov lus qhia txog hom kev kho mob lossis kev tswj hwm twg tsim nyog rau cov neeg hauv txhua pawg neeg muaj kev pheej hmoo. Yog li qhov no yuav yog ib qho kev pab zoo rau koj tus kws kho mob los txiav txim siab txog koj tus mob.
Puas muaj hom O-RADS?
Yog, muaj ob hom kev luam theej tseem ceeb uas siv lub kaw lus O-RADS. Qhov ntawd yog, qhov kev faib tawm no yog raws li cov ntaub ntawv tau los ntawm qhov kev luam theej twg.
1. O-RADS Ultrasound (Tebchaws Meskas): Qhov no yog txoj kev siv ntau tshaj plaws. Kev faib tawm no yog raws li cov ntaub ntawv tau los ntawm kev ntsuas ultrasound hauv plab lossis transvaginal. Kev ntsuas no tuaj yeem ntes tau ntau yam qog nqaij hlav ntawm zes qe menyuam thiab lwm yam mob.
2. O-RADS MRI: Qee zaum cov ntaub ntawv tau los ntawm kev ntsuas ultrasound yuav tsis txaus los kuaj mob. Hauv cov xwm txheej zoo li no, MRI (Magnetic Resonance Imaging) tuaj yeem muab cov duab meej dua thiab ntxaws dua ntawm cov nqaij mos.Koj tus kws kho mob yuav pom zoo kom ua ib qho kev ntsuas mob qog nqaij hlav. Kev kuaj MRI yog ib qho tseem ceeb heev los xyuas kom meej lossis tshem tawm qhov mob qog nqaij hlav yog tias muaj kev xav tias muaj mob qog nqaij hlav.
Cov yam tseem ceeb uas hloov pauv tiag tiag nrog O-RADS yog dab tsi?
Muaj ntau lub hom phiaj tseem ceeb rau kev qhia txog lub kaw lus no. Nws muab kev yooj yim thiab kev nkag siab meej rau cov neeg mob thiab cov kws kho mob. Cia peb saib seb lawv yog dab tsi.
| Lub hom phiaj ntawm O-RADS system | Hais yooj yim xwb... |
|---|---|
| Kev txhais lus sib xws | Txawm yog qhov kev luam theej duab ua nyob qhov twg hauv Sri Lanka lossis lwm qhov chaw hauv ntiaj teb no los xij, cov kws kho mob uas saib daim ntawv tshaj tawm tuaj yeem nkag siab tib yam. Qhov no ua rau muaj kev meej meej hauv kev kho mob. |
| Ua kom qhov tseeb ntawm kev kuaj mob nce ntxiv | Nws txo cov kev kuaj mob cuav rau cov qog nqaij hlav benign, uas tuaj yeem ua rau txo qis kev phais tsis tsim nyog . |
| Muab cov lus qhia txog kev kho mob rau txhua pawg. | Raws li koj qhov qhab nia O-RADS, tus kws kho mob yuav tau txais cov lus qhia meej txog yam yuav ua tom ntej (piv txwv li, ua lwm qhov kev luam theej duab, rov qab los xyuas dua hauv ob peb lub hlis, lossis xa koj mus rau tus kws tshwj xeeb). |
Cov txiaj ntsig ntawm kev siv O-RADS rau koj yog dab tsi?
Yav dhau los, kev siv tshuab ultrasound transvaginal thiab kev kuaj ntshav hu ua CA-125 tau siv los kuaj mob qog nqaij hlav zes qe menyuam. Txawm li cas los xij, cov txheej txheem no qee zaum muaj peev xwm ua rau muaj cov txiaj ntsig tsis tseeb . Qhov no txhais tau tias ib tus neeg uas tsis muaj mob qog nqaij hlav tau raug kuaj pom tias muaj mob qog nqaij hlav tsis raug.
Xav txog seb yuav muaj li cas yog tias qhov ntawd tshwm sim. Tus neeg ntawd yuav nyuaj siab thiab ntshai heev. Tsis yog li ntawd xwb, tab sis qee zaum lawv yuav tau phais mob tsis tsim nyog. Kev tshawb fawb tau qhia tias kwv yees li 17.8% ntawm cov neeg mob tuaj yeem muaj teeb meem tom qab phais mob rau cov qog nqaij hlav uas tsis yog mob qog noj ntshav. Qhov ntawd txhais tau tias kev phais mob tsis tsim nyog tsuas yog ua rau muaj teeb meem kev noj qab haus huv ntxiv xwb.
Ib qho ntawm lub hom phiaj tseem ceeb ntawm O-RADS system yog kom txo cov kev phais tsis tsim nyog rau cov mob uas tsis yog mob qog noj ntshav thiab kom xa mus rau cov neeg uas muaj kev pheej hmoo tiag tiag rau tus kws tshwj xeeb tsim nyog tshaj plaws, xws li tus kws kho mob poj niam.
Lub tshuab O-RADS tsis yog saib seb puas muaj qog nqaij hlav xwb. Nws yuav xav txog ntau yam, xws li qhov loj, qhov chaw, tsos, thiab cov yam ntxwv sab hauv ntawm qog nqaij hlav. Nws kuj yuav xav txog seb koj puas tau dhau los ntawm kev laus. Tag nrho cov yam no raug coj los ua ke los ntsuas koj qhov kev pheej hmoo.
Ua li no, koj yuav tau txais cov lus teb meej meej sai sai thiab tsis ua rau muaj kev ntshai tsis tsim nyog, cia koj tham kom meej meej nrog koj tus kws kho mob txog yam yuav ua tom ntej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- O-RADS yog ib qho kev ntsuas qhov ntsuas (0-5) uas ntsuas qhov kev pheej hmoo ntawm mob qog noj ntshav hauv lub zes qe menyuam lossis cov qog/kev hloov pauv uas pom ntawm koj daim ntawv qhia scan.
- Txawm hais tias qhov kev pheej hmoo ntawm qhov qhab nia siab dua yog siab dua, qhov qhab nia qis (piv txwv li O-RADS 2 lossis 3) txhais tau tias nws feem ntau yog ib qho mob tsis muaj teeb meem. Yog li ntawd, tsis txhob txhawj.
- Lub kaw lus no tso cai rau cov kws kho mob thoob plaws ntiaj teb kom nkag siab txog cov ntawv ceeb toom scan tib yam, uas ua rau qhov tseeb ntawm kev kho mob uas koj tau txais.
- Ib qho ntawm cov txiaj ntsig tseem ceeb ntawm qhov no yog kev txo qis tus naj npawb ntawm kev phais mob tsis tsim nyog rau cov mob uas tsis yog mob qog noj ntshav.
- Yog tias koj daim ntawv qhia txog kev luam theej qhia txog lub cim O-RADS, tsis txhob ntshai, tab sis tham nrog koj tus kws kho mob kom zoo txog lub ntsiab lus ntawm lub cim thiab cov kauj ruam uas yuav tsum ua tom ntej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus