We yu du ɛgzam na yu brɔst, ilɛksɛf na mammogram ɔ ɔltra saund, ɛn yu gɛt di ripɔt, yu kin fred smɔl ɛn want fɔ no mɔ we yu si di wɔd dɛn ɛn di nɔmba dɛn we de pan am. Ɛspɛshali if i rayt ‘BI-RADS’ wit sɔm nɔmba, yu go tink se, ‘O, wetin na dis?’ I rili nɔmal tin. Bɔt nɔ wɔri. Tide wi go tɔk bɔt wetin na BI-RADS, wetin i rili min, ɛn aw i kin afɛkt yu wɛlbɔdi.
Wetin na BI-RADS simpul wan?
Fɔ tɔk am simpul wan, BI-RADS na akɔdin to “Breast Imaging-Reporting and Data System.” Dis na standad sistɛm we di raydiɔlɔjis dɛn kin yuz fɔ diskrayb yu brɔst ɛgzam ripɔt. Imajin, ilɛk usay yu de na Sri Lanka ɔ ɛnisay na di wɔl, ɔlman de tɔk di sem langwej. Dis sistɛm de yuz di tɛst dɛn we yu dɔn du, we min se:
- Mammografi we dɛn kin yuz
- Ultrasɔund fɔ di Brest
- MRI skan we dɛn kin du
Ripɔt di rizɔlt fɔ tɛst dɛn lɛk.
Tu men rizin dɛn bin de we mek dɛn bigin fɔ yuz dis sistɛm.
1. Bring wan standad fɔ ripɔt: I nɔ mata usay dɛn du tɛst na Sri Lanka, dɛn kin ripɔt am di sem we. Dis we ya, yu nɔ go kɔnfyus we yu de sɛn yu ditil frɔm wan dɔktɔ to ɔda wan. Ɔlman kin ɔndastand am izi wan.
2. Tɔk klia wan bɔt di risk fɔ gɛt bɔdi kansa: Dis we ya de gi yu wan klas we izi fɔ ɔndastand bɔt di risk fɔ gɛt bɔdi kansa.
Sɔntɛm yu ripɔt nɔ gɛt di BI-RADS nɔmba we dɛn rayt wit bold. Bɔt dɛn go put am insay di ful ripɔt we yu dɔktɔ go gɛt. Yu kin aks yu dɔktɔ bɔt am.
BI-RADS klasifikeshɔn ɛn in minin
Di BI-RADS sistem gɛt klasification frɔm 0 to 6. Ɛni wan pan dɛn nɔmba ya de tɛl difrɛn stori. Lɛ wi tek tɛm luk wetin ɛni wan pan dɛn min, ɛn wetin fɔ du nɛks we dis kayn tin apin.
| BI-RADS nɔmba | Minin | Wetin fɔ du nɛks |
|---|---|---|
| BI-RADS 0. Di wan dɛn we de wok | Di tɛst nɔ kɔmplit. Dis min se dɛn nɔ go ebul fɔ rich wan kɔnklushɔn bikɔs di pikchɔ dɛn we dɛn gɛt nɔ klia ɔ dɛn nid fɔ no mɔ. Dis nɔ min se ɛnitin de we nɔ rayt. | yu kin nid fכ kכmpεr am wit yu ol mammogram ripot כ fכ du כda tεst dεm (e.g., כda mammogram, ultrasound skan). |
| BI-RADS 1. Di wan dɛn we de wok | Nɔ prɔblɛm (Nɛgitiv) . Dis na di bɛst rizɔlt. I min se no lump ɔ chenj nɔ de we yu kin tink se na yu bɔdi. | Gɛt skrinin ɔltɛm di rayt tɛm bay yu ej ɛn risk. |
| BI-RADS 2. Di wan dɛn we de wok | Benign Fayndin we pɔsin kin fɛn Dis min bak se kansa nɔ de. כltu, sכm tin dεm de we nכ de kεnsar (e.g. sist, fibroadenomas) we yu kin si. Dɛn tin ya nɔ bad. | Dis na nɔmal tin bak. Mek yu chɛk-ap ɔltɛm di rayt tɛm. |
| BI-RADS 3. Di wan dɛn we de wok | Sɔntɛm na Benign Wetin yu si pan dis na 98% nɔr kin bi kansa. Bɔt smɔl risk de bikɔs i nɔ shɔ 100%. | Bɔku tɛm di dɔktɔ go tɛl yu fɔ fala di pɔsin fɔ shɔt tɛm insay lɛk 6 mɔnt fɔ si if tin dɔn chenj. |
| BI-RADS 4. Di wan dɛn we de wok | Dawt Dis na di nɔmba we de mek bɔku pipul dɛn fred. Bɔt i nɔ min se yu gɛt kansa. I jɔs min se "i de sɔprayz, so lɛ wi luk insay am mɔ." | Di dɔktɔ go mɔs se dɛn fɔ tek bayɔpsi , we na fɔ pul wan pat pan di tisu fɔ mek dɛn chɛk am. |
| BI-RADS 5. Di wan dɛn we de wok | I rili de sho se pɔsin gɛt bad bad sik Bay di simptom dɛm we dɛn si pan dis kes, di chans fɔ gɛt kansa rili bɔku (mɔ pas 95%). | Bayopsi rili nid fɔ kɔnfɔm. |
| BI-RADS 6. Di wan dɛn we de wok | Bayopsi-Proven Malignancy we dɛn no dis kin kכmכt we dεn du tεst bifo tritmεnt (e.g., bifo dεn כpεrayshכn) afta we dεn bin dכn du bayopsi bifo dεn kכnfכm se kεnsar de. | Dɛn go du ɔda wok dɛn akɔdin to di tritmɛnt plan we di dɔktɔ dɔn tɛl dɛn. |
Wetin na di bɛnifit dɛn we di BI-RADS sistɛm gɛt?
Dis we ya kin rili fayn fɔ dɔktɔ ɛn di wan dɛn we sik.
- Standardization: We dɔktɔ na Kɔlɔmbɔ, Sri Lanka, ɛn dɔktɔ na Jafna se BI-RADS 4, i min di sem tin. Dis kin ridyus di chans fɔ mek mistek ɛn kɔnfyushɔn fɔ ɔndastand yu ripɔt dɛn bad bad wan.
- Risk Assessment: Dis klasification de gi yu wan rough idea of yu risk fɔ gɛt kansa, we de ɛp yu dɔktɔ fɔ disayd aw kwik yu nid fɔ du mɔ test.
- Efyushɔn: Bifo yu nid fɔ tɔk bɔt ɛni ripɔt ditayli, dis de sev di wan dɛn we de stɔdi bɔt raydio in tɛm bay we dɛn de put dɛn insay kategori.
Yu tink se no bad tin nɔ de fɔ dis we?
Lɛk ɛni we, dis wan gɛt sɔm smɔl smɔl tin dɛn we i nɔ ebul fɔ du.
- Subjectivity: Mɔtalman de klas wan skan imej. So, to smɔl pat, wetin wan raydiɔlɔjis de si kin difrɛn smɔl frɔm wetin ɔda raydiɔlɔjis de si.
- Falz Rizɔlt: Pan ɔl we i nɔ kin apin so ɔltɛm , sɔntɛnde wan tɛst kin ripɔt wan rizɔlt we dɛn kin sɔprayz (fals positive) we nɔ gɛt kansa, ɔ wan tɛst kin ripɔt pɔsitiv rizɔlt (false negatif). Dis kin mek yu wɔri we yu nɔr nid ɔr kin delay fɔ no di sik. Bɔt mɛmba se dis nɔ kin apin so ɔltɛm.
- Nɔ gɛt patikyula infɔmeshɔn (Unspecific):Di BI-RADS nɔmba jɔs de tɛl yu if sɔntin de we yu de sɔprayz ɔ nɔ de. I nɔ de gi ɛni dip infɔmeshɔn bɔt us kayn say we pipul dɛn de tink se de ɔ wetin i bi. Na dat mek dɛn nid fɔ du tɛst lɛk bayɔpsi.
Yu tink se BI-RADS 4 min kansa?
Dis na di big kwɛstyɔn we bɔku pipul dɛn gɛt. Di ansa na, nɔ.
BI-RADS 4 nɔ min se yu gɛt kansa. I min se di rizulyt fɔ yu skan na "suspicious." Dis min se i kin bi kansa ɔ i nɔ kin bi. Di risk fɔ gɛt kansa kin kɔmɔt frɔm rili smɔl to ay. Na dat mek dɛn kin du bayɔpsi fɔ no fɔ tru.
BI-RADS 4 nɔ min se yu gɛt kansa. I min se, ‘Wi nid fɔ luk insay dis mɔ, so lɛ wi go to di nɛks step.’
So if yu ripɔt se BI-RADS 4, nɔ wɔri we yu nɔ nid. I jɔs min se yu dɔktɔ go rifer yu fɔ mek dɛn du ɔda tɛst.
Mɛsej we dɛn kin kɛr go na os
- BI-RADS na wan standad we pipul dεn no na di wכl we dεn de yuz fכ klas di rizulεt dεm fכ yu brεst egzamεn ripot dεm (mammogram, ultrasound).
- Dis nɔmba de tɛl yu wetin na yu kansa risk ɛn us step fɔ tek nɛks.
- BI-RADS 1 ɛn 2 min gud rizɔlt wit nɔ prɔblɛm.
- Ivin if yu gɛt ay mak lɛk BI-RADS 4 ɔ 5, i nɔ min se yu gɛt kansa. I jɔs min se ‘i de sɔprayz ɛn i nid fɔ tɛst am mɔ.’
- If yu gɛt ɛni kwɛstyɔn bɔt di BI-RADS nɔmba we de na yu ripɔt, nɔ panik ɛn tɔk to yu dɔktɔ bɔt am. Na in nɔmɔ go ebul fɔ ɛksplen klia wan wetin i min fɔ yu sityueshɔn.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt