Koj puas paub txog (O-RADS)? Txoj kev no tseem ceeb npaum li cas rau kev kuaj mob teeb meem zes qe menyuam?

Nws yog ib qho ib txwm muaj uas yuav ntshai heev thaum daim duab scan qhia txog kev hloov pauv lossis teeb meem (qhov txhab) hauv lub zes qe menyuam lossis thaj chaw nyob ib puag ncig lawv (peb hu cov no '(adnexal)' thaj chaw)? Tab sis tsis txhob txhawj. Muaj ib txoj kev tshwj xeeb uas pab cov kws kho mob hauv cov xwm txheej zoo li no thiab muab cov ntaub ntawv tseeb dua rau koj. Txoj kev ntawd hu ua '(O-RADS)'. Cia peb tham txog qhov no yooj yim hnub no.

(O-RADS) yog dab tsi? Cia peb nkag siab meej!

O-RADS™ sawv cev rau Ovarian-Adnexal Reporting and Data System. Hais yooj yim xwb, nws yog ib lub cuab yeej tshwj xeeb uas cov kws kho mob siv. Koj puas paub nws yog siv rau dab tsi? Nws yog siv los cais cov qhov txhab, kev hloov pauv, lossis cov qog uas pom ntawm daim duab scan ntawm koj lub zes qe menyuam (lossis thaj chaw ib puag ncig, uas yog qhov peb hu ua adnexals—cov raj fallopian, ovaries, thiab cov ntaub so ntswg sib txuas uas tuav cov kabmob ntawm koj lub cev yug me nyuam ua ke).

Raws li lub kaw lus O-RADS, qhov mob raug ntsuas ntawm qhov ntsuas ntawm 0 txog 5. Tus lej siab dua, qhov muaj feem yuav mob qog noj ntshav ntau dua . Nov yog nws ua haujlwm li cas:

• O-RADS 0: Qhov no txhais tau tias cov ntaub ntawv los ntawm kev luam theej duab tsis tuaj yeem siv los ua qhov kev ntsuam xyuas tseeb, thiab xav tau kev kuaj ntxiv. Kev luam theej duab yuav tsis meej.
• O-RADS 1: Qhov no yog qhov tshwm sim zoo tshaj plaws! Nws txhais tau tias koj lub zes qe menyuam noj qab nyob zoo thiab zoo li qub.
• O-RADS 2: Ntawm no, txawm tias muaj '(qhov mob)' los xij, qhov muaj feem yuav ua mob qog noj ntshav yog qis heev (feem ntau tsawg dua 1%). Cov no feem ntau suav tias yog '(benign)', txhais tau tias lawv tsis yog mob qog noj ntshav.
• O-RADS 3: Ntawm no, muaj ib qho me me uas yuav muaj mob qog noj ntshav, tab sis nws qis (feem ntau ntawm 1% thiab 10%). Cov kws kho mob txhawj xeeb ntau ntxiv txog cov no, thiab tej zaum yuav hais kom koj ua lwm qhov kev luam theej duab hauv ib pliag.
• O-RADS 4: Ntawm no, qhov muaj feem yuav mob qog noj ntshav yog nyob rau theem nruab nrab (feem ntau ntawm 10% thiab 50%). Cov no yog qhov txawv me ntsis. Yog li cov kws kho mob yuav ua qhov kev kuaj ntxiv rau qhov no, thiab yuav xa koj mus rau tus kws tshwj xeeb.
• O-RADS 5: Qhov no txhais tau tias qhov kev pheej hmoo ntawm mob qog noj ntshav siab heev (feem ntau ntau dua 50%). Hauv qhov no, yuav tsum tau ua tam sim ntawd.

Tiam sis O-RADS tsis yog tsuas yog ib qho kev faib tawm xwb. Pawg neeg uas tau tsim nws (uas tau pib nrog American College of Radiology) kuj tau tsim ib phau ntawv txhais lus (ib pawg lus siv los piav qhia txog yam uas pom ntawm cov duab scans - hu ua phau ntawv txhais lus) thiab cov lus qhia rau cov kev kho mob twg tsim nyog rau cov neeg hauv txhua pawg neeg muaj kev pheej hmoo. Qhov no yog ib qho kev pab zoo rau cov kws kho mob hauv kev txiav txim siab.

Thaum twg siv O-RADS?

Koj tus kws kho mob yuav siv qhov "(O-RADS)" system no los txheeb xyuas thiab faib cov khoom xws li:

• Cov cysts ntawm zes qe menyuam: Cov no yog cov pob uas tsim rau ntawm koj lub zes qe menyuam. Qee cov cysts tsuas yog cov hnab uas muaj kua dej thiab tsis txaus ntshai. Tab sis qee qhov yog qee yam uas yuav tsum txhawj xeeb txog.
• Cov qog nqaij hlav Adnexal: Cov qog nqaij hlav lossis cov qog nqaij hlav uas tsim nyob rau hauv cov raj fallopian lossis hauv cov leeg uas tuav cov kab mob ntawm lub cev yug me nyuam ua ke. Cov no kuj tuaj yeem muaj ntau hom sib txawv.

Yog li, yog tias pom ib qho mob zoo li no ntawm daim ntawv luam theej, O-RADS pab nkag siab txog nws qhov xwm txheej tseeb thiab ntsuas seb nws muaj kev pheej hmoo npaum li cas.

Cov txheej txheem tseem ceeb ntawm (O-RADS) yog dab tsi?

Muaj ob ntu tseem ceeb ntawm O-RADS, nyob ntawm hom kev luam theej siv. Qhov ntawd yog, nws txawv me ntsis nyob ntawm hom kev luam theej siv los tau txais cov ntaub ntawv.

(O-RADS Ultrasound - Tebchaws Meskas)

Qhov no yog txoj kev tseem ceeb thiab siv thawj zaug hauv O-RADS. Ntawm no, siv ultrasound plab lossis transvaginal ultrasound. Raws li koj paub, ultrasound yog ib txoj kev thaij duab sab hauv lub cev siv cov suab nthwv dej.

Kev siv tshuab ultrasound pom tau cov zes qe menyuam thiab lawv cov qhov txhab uas cuam tshuam kom meej heev. Tshwj xeeb tshaj yog transvaginal ultrasound tuaj yeem tsim cov duab meej heev vim nws tuaj yeem ua ze heev rau cov zes qe menyuam.

(O-RADS MRI)

Kev Siv Duab Xam Xaj Sib Nqus (MRI) yog ib qho kev kuaj uas muab cov ntaub ntawv ntxaws ntxiv txog cov nqaij mos ntawm peb lub cev. MRI siv cov teb sib nqus thiab cov nthwv dej xov tooj cua. Nws yog ib qho kev kuaj uas nyuaj dua thiab kim dua li kev siv tshuab ultrasound.

Yog tias cov kws kho mob tsis muaj cov ntaub ntawv txaus los ntawm kev kuaj mob ultrasound, lossis yog tias lawv xav tau cov ntaub ntawv ntxiv los kuaj mob, lossis yog tias nws nyuaj rau paub tseeb tias tus mob puas yog mob qog noj ntshav lossis tsis yog, txoj kev MRI no raug siv. O-RADS MRI yog tus txheej txheem ntawm kev tshuaj xyuas cov duab MRI thiab faib lawv ua O-RADS.

Muaj dab tsi tshwm sim tiag tiag nrog (O-RADS)? Qhov no tseem ceeb npaum li cas?

Lub kaw lus O-RADS muaj ntau lub hom phiaj tseem ceeb. Cov no tseem ceeb heev rau koj thiab koj cov kws kho mob.

• Muab kev txhais lus tsis tu ncua rau cov ntawv qhia kev kuaj mob: Xav txog seb nws yuav muaj teeb meem npaum li cas yog tias koj yuav tsum txhais cov ntawv qhia kev luam theej ib txoj kev thaum koj mus rau ib tus kws kho mob thiab lwm txoj kev thaum koj mus rau lwm tus? Vim yog O-RADS, txhua tus kws kho mob thiab tsev kho mob hauv Tebchaws Meskas (thiab tam sim no hauv ntau lub tebchaws thoob ntiaj teb) faib cov qhov txhab ntawm zes qe menyuam thiab lwm yam hauv tib txoj kev. Qhov no txhais tau tias txawm koj mus kho mob qhov twg los xij, daim ntawv qhia yuav txhais tau tib yam. Qhov no tshem tawm ntau qhov kev tsis meej pem.

• Ua kom qhov tseeb ntawm kev kuaj mob nce ntxiv:Hauv cov qhov txhab ntawm zes qe menyuam thiab lwm yam, O-RADS txo qhov muaj feem yuav muaj qhov tsis tseeb rau qhov mob qog nqaij hlav. Nws kuj txo qhov kev phais tsis tsim nyog rau cov mob tsis muaj mob. O-RADS tshuaj xyuas cov yam ntxwv ntawm qhov txhab (piv txwv li, qhov loj me, cov duab, thiab cov ntsiab lus) hauv txoj kev tshawb fawb heev.

• Muab cov lus qhia txog kev kho mob rau txhua pawg: Los ntawm lub kaw lus `(O-RADS)`, cov kws kho mob tau txais cov lus qhia txog kev kho mob rau txhua pawg kev pheej hmoo (uas yog O-RADS 0 txog 5). Piv txwv li, rau ib tus neeg uas muaj O-RADS pawg 2, cov lus qhia zoo li, "Tsis muaj dab tsi yuav tsum txhawj txog, qhov no tej zaum yuav tsis muaj teeb meem, peb yuav rov qab los xyuas dua me ntsis." Tab sis rau O-RADS 4 lossis 5, cov lus qhia zoo li, "Peb yuav tsum ua ntau qhov kev kuaj mob sai sai no thiab xa koj mus rau tus kws tshwj xeeb yog tias tsim nyog" tau muab.

Cov txiaj ntsig ntawm lub kaw lus (O-RADS) yog dab tsi? Vim li cas nws thiaj zoo rau koj?

Kev tshawb fawb tau qhia tias kev kuaj mob qog nqaij hlav zes qe menyuam siv lub tshuab ultrasound transvaginal thiab lub cim qog CA-125 qee zaum tuaj yeem muab cov txiaj ntsig tsis tseeb. Qhov ntawd txhais tau tias koj yuav raug kuaj pom tias muaj qog nqaij hlav, tab sis tom qab ntawd pom tias koj yeej tsis tau muaj qog nqaij hlav. Xav txog kev ntxhov siab thiab kev ntxhov siab uas yuav los nrog qhov ntawd! Tej zaum txawm tias yuav tsum tau phais mob yam tsis muaj laj thawj?

Qee zaum, cov neeg mob yuav tsum tau phais txawm tias tsis tsim nyog los xij. Qhov tseem ceeb, kev phais rau cov "mob" uas tsis yog mob qog noj ntshav muaj feem cuam tshuam txog 17.8%. Hauv lwm lo lus, feem ntau ntawm cov neeg uas tau phais tsis tsim nyog yuav muaj teeb meem kev noj qab haus huv ntsig txog kev phais.

Lub tshuab O-RADS xav txog ntau yam. Piv txwv li, cov yam ntxwv ntawm qhov mob (qhov loj, qhov chaw, tsos, seb puas muaj cov khoom khov kho sab hauv, cov ntshav ntws, thiab lwm yam) thiab seb koj puas tau dhau los ntawm kev laus. Qhov no yog vim tias yog tias muaj qhov mob tshiab tshwm sim ntawm lub zes qe menyuam hauv ib tus neeg uas tau dhau los ntawm kev laus, koj yuav tsum txhawj xeeb ntxiv txog nws.

Lub hom phiaj tseem ceeb yog kom txo qhov kev phais tsis tsim nyog rau cov neeg uas muaj cov qhov txhab uas tsis yog mob qog noj ntshav. Lwm lub hom phiaj yog xa cov neeg uas muaj cov qhov txhab uas xav tias muaj mob qog noj ntshav mus rau tus kws kho mob tshwj xeeb uas tsim nyog dua (piv txwv li, tus kws kho mob poj niam). Yog li ntawd, koj tsuas yog yuav raug xa mus phais yog tias koj xav tau tiag tiag.

Leej twg tsim lub (O-RADS) system?

Ib lub kaw lus tseem ceeb zoo li no tsis yog tshwm sim ib hmos xwb, puas yog? Xyoo 2018, American College of Radiology, lub koom haum radiology ua thawj coj hauv Tebchaws Meskas, tau txhawb nqa ib pawg neeg kws kho mob thoob ntiaj teb uas sawv cev rau ntau qhov chaw ntawm kev txawj ntse (xws li kev kho mob poj niam, radiology, thiab oncology), thiab tau tsim lub kaw lus O-RADS. Pawg neeg O-RADS US - Ultrasound txawm hloov kho cov lus txhais lus thaum Lub Kaum Ib Hlis 2022. Qhov no txhais tau tias nws yog ib lub kaw lus uas tau hloov kho tas li nrog cov kev paub tshiab.

Koj tau txais kev pab dab tsi los ntawm qhov no?

Nws yog ib qho ib txwm muaj uas koj yuav xav tias lub ntiaj teb tau nres thiab koj xav tias lub nra hnyav rau hauv koj lub siab thaum koj pom tias muaj qee yam txawv txawv tau tawm hauv koj daim ntawv scan. Thaum koj mus kuaj ntxiv kom paub tseeb tias koj tau kuaj mob lossis kom paub tseeb tias tsis muaj dab tsi tsis ncaj ncees lawm, koj qhov kev ntxhov siab thiab kev ntshai tuaj yeem nce ntxiv txhua hnub.

Txawm li cas los xij, txoj kev O-RADS txo qhov muaj feem uas koj yuav tau txais cov txiaj ntsig kuaj tsis tseeb. Qhov ntawd txhais tau tias koj yuav tsis tshua muaj feem yuav raug kuaj pom tias muaj mob qog noj ntshav thaum koj tsis muaj nws tiag tiag. Qhov ntawd kuj txo qhov muaj feem ntawm kev phais mob tsis tsim nyog. Txoj kev O-RADS pab koj tau txais cov lus teb uas koj xav tau sai dua thiab raug dua. Qhov ntawd puas yog qhov kev pab loj heev?

Cov Lus Qhia Txog Kev Coj Mus Tsev

Cov lus qhia tseem ceeb uas koj yuav tsum nco ntsoov txog peb cov lus qhia yog cov no:

• O-RADS yog ib txoj kev tshawb fawb tseem ceeb heev, raws li qauv, thiab pab cov kws kho mob txheeb xyuas thiab faib cov teeb meem ntawm zes qe menyuam thiab lwm yam teeb meem (cov qhov txhab).
• Txoj kev no ua rau muaj kev kuaj mob kom raug dua, tsawg dua kev phais tsis tsim nyog, thiab muaj kev qhia meej dua txog kev kho mob uas koj xav tau.
• Yog tias koj daim ntawv qhia txog kev luam theej muaj O-RADS kev faib tawm, nrog koj tus kws kho mob tham txog nws thiab kawm paub ntau ntxiv. Tsis txhob txhawj, cov txheej txheem no nyob ntawm no los pab koj.
• Nco ntsoov tias, kev kuaj mob thaum ntxov thiab kev kho mob kom zoo yog txoj hauv kev zoo tshaj plaws los ua lub neej noj qab haus huv. Yog li ntawd, ua raws li koj tus kws kho mob cov lus qhia thiab mus kuaj mob uas tsim nyog.

Vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig!

O -RADS, Qe qe menyuam, Adnexal, Lesion, Ultrasound, MRI, Mob Cancer, Gynecology