Wi ɔl no di filin fɔ we yu de wet, fɔ want fɔ no mɔ, ɛn ivin fɔ fred smɔl we yu gɛt yu mammogram ripɔt. We yu gɛt yu ripɔt, yu kin fred mɔ we yu si di mɛdikal tɛm pan am, mɔ di nɔmba `BI-RADS`. Bɔt nɔ wɔri. Nɔto jɔs yu. Insay dis atikul, wi go tɔk bɔt, rili simpul wan, wetin na `BI-RADS` ɛn wetin i se bɔt yu wɛlbɔdi.
Wetin na BI-RADS?
Fɔ tɔk am simpul wan, `BI-RADS` na abbrevieshɔn fɔ ``Breast Imaging Reporting and Data System.`` Dis na rili wan standad sistɛm we dɔktɔ dɛn ɔlsay na di wɔl de yuz. Dɛn kin yuz am fɔ klas di rizɔlt fɔ yu mammogram tɛst. dat min se dis ``BI-RADS`` skכ de εp di dכkta fכ gεt klia aidia fכ if di εks-ray fכ yu brεst sho eni sayn fכ kεnsar כ nכ.
Ɔnda dis sistɛm, yu ripɔt go gɛt valyu frɔm 0 to 6. Wetin ɛni wan pan dɛn valyu dɛn de se na in wi go luk naw.
| BI-RADS skɔ | Simpul minin |
|---|---|
| Valyu fɔ 0 | Di tin dɛn we dɛn dɔn fɛn nɔ klia. Dis min se dɛn nɔ go ebul fɔ pul klia kɔnklushɔn frɔm di mammogram. Di dɔktɔ kin se yu fɔ kɔmpia am wit di mammogram we yu bin dɔn du bifo ɔ du ɔda tɛst, lɛk fɔ du ɔltra saund skan. |
| Valyu fɔ 1 | Wan bad tin we kin apin. Dis na di bɛst nyus! No lump ɔ chenj nɔ de we yu kin tink se na yu bɔdi. Dɛn advays yu fɔ kɔntinyu fɔ du mamogram ɔltɛm. |
| Valyu 2. Di tin we de apin | Kɔndishɔn we nɔ gɛt wan prɔblɛm. Dɛn dɔn no se yu gɛt wan lump we nɔ gɛt kansa, we nɔ de du bad (lɛk fibroadenoma) ɔ we gɛt kalsiɔm (kalsifikeshɔn) na yu bɔdi. No rizin nɔ de fɔ wɔri bɔt dis.Kɔntinyu fɔ tek mammogram di tɛm we yu de du yu ɔltɛm. |
| Valyu 3. Di tin we de apin | Di chans fɔ gɛt kansa rili smɔl. Dɛn dɔn si wan lump ya, bɔt 98% chans de fɔ mek i nɔ gɛt kansa. Bɔt di dɔktɔ want fɔ tek tɛm smɔl bɔt dis. So, i go tɛl yu fɔ du ɔda mammogram bifo di tɛm we yu kin du am, lɛk 6 mɔnt afta dat, fɔ si if di lump dɔn chenj. |
| Valyu 4. Di tin we de apin | Kɔndishɔn we pɔsin kin sɔprayz pan. Di chenj we dɛn dɔn no ya gɛt chans fɔ bi kansa. Nɔ wɔri, ‘chans de’ nɔ min ‘kansa’. Bɔt di dɔktɔ go mɔs tɛl dɛn fɔ du bayɔpsi fɔ kɔnfirm dis. |
| Valyu 5. Di tin we de apin | Di chans fɔ gɛt kansa rili bɔku. if dεn gεt dis valyu, i pas 95% chans fכ mek i bi malignant bay di we aw di mammogram de sho. Dɛn kin rili du bayɔpsi fɔ kɔnfɔm dis. |
| Valyu fɔ 6 | Dɛn dɔn kɔnfyus se i gɛt kansa. Dɛn kin gi dis valyu to pɔsin we dɔn ɔlrɛdi gɛt bayɔpsi ɛn we dɛn dɔn kɔnfyus se i gɛt kansa. Dɛn kin yuz dis we dɛn de du mammogram fɔ chɛk di stetɔs bifo dɛn bigin tritmɛnt ɔ we dɛn de trit am. |
Di impɔtant tin na dat ivin if di BI-RADS skɔ na 4 ɔ 5, i jɔs min se ‘sɔspɛkt’ de. Difinitiv diagnosis na afta dɛn dɔn du bayɔpsi.
Lɛ wi lan bak bɔt mamogram ɛn bayɔpsi tɛst.
Mamogram tɛst fɔ di wan dɛn we de du mami ɛn dadi biznɛs
Dis na rili ɛkstrem rayt tɛst we dɛn mek spɛshal fɔ di bɔdi. Yu tinap bifo wan X-ray mashin ɛn put wan pan yu bɔdi na flat say. Dɔn, wan tɛknishian we tren kin pres yu brɔst jisnɔ frɔm ɔp wit ɔda say. dεn kin du dis so dat di brεst tisu go tכn εn εni chenj na di brεst go de klia wan pan di εks-ray.
Yu kin fil sɔm prɛshɔn, nɔr kin fil fayn, ɛn ivin fil smɔl pen dis tɛm. Dis na nɔmal tin. We dɛn dɔn dɔn wan say, dɛn kin chɛk di ɔda bɔdi di sem we. Yu brɔst kin at smɔl ɔ i kin tan lɛk afta dɛn dɔn chɛk yu.
wan raydiolojist de egzamin dεn εks-ray imej dεm ya εn i de disayd di `BI-RADS` skכ. Na in de sɛn dis ripɔt to yu dɔktɔ.
Bayɔpsi tɛst
If yu BI-RADS skɔ de sɔprayz, lɛk 4 ɔ 5, di nɛks impɔtant tin fɔ du na fɔ tek bayɔpsi. Dis involv fɔ tek wan rili smɔl tisu sɛmpul frɔm di say we dɛn sɔprayz ɛn tɛst am na lɛbɔtri. dis na di onli we fכ no wit 100% sכri if kansa sεl dεm de כ nכ de.
Apat frɔm di mammogram we dɛn kin tink bɔt, bɔku ɔda tin dɛn de we yu dɔktɔ kin tɛl yu fɔ tek bayɔpsi:
- Wetin yu go du if di dɔktɔ si wan bɔtul na yu an we i de chɛk yu bɔdi?
- If dɛn si sɔntin we dɛn kin sɔprayz pan we dɛn de du ɔltra saund skan.
- If dɛn no se na say we dɛn tink se de apin we dɛn de du MRI skan.
- if yu gεt εni chenj dεm we nכ sכmtεm na yu nipl (e.g., krεs, indent, dischaj).
If dɛn kɔnfirm se kansa, wetin na di tritmɛnt?
If dɛn no se yu gɛt bɔdi kansa, fɔ bigin tritmɛnt kwik kwik wan na di bɛst we fɔ gɛt di bɛst rizɔlt. Yu dɔktɔ ɛn ɔnkɔlɔjis go disayd di bɛst tritmɛnt fɔ yu. Bɔku men tritmɛnt dɛn de we yu kin gɛt.
Ɔpreshɔn
Bɔku tɛm, di men tritmɛnt na ɔpreshɔn fɔ pul di kansa sɛl dɛn. Sɔntɛnde, dɛn kin gi kemotɛrapi ɔ raytin bifo dɛn du di ɔpreshɔn fɔ mek di tumbu smɔl. Tu kayn ɔpreshɔn de:
- Lumpectomy: Dis min se yu fɔ pul di kansa tɔŋ nɔmɔ ɛn smɔl wɛlbɔdi tisu we de rawnd am. Dɛn kin yuz dis fɔ smɔl smɔl kansa dɛn we kin bigin.
- Mastectomy: Dis min se dɛn kin pul di wan ol bɔdi. If yu de pan big risk fɔ gɛt kansa tumara bambay, yu dɔktɔ kin se yu fɔ pul ɔl tu yu bɔdi (dɛn kin pul yu bɔdi tu tɛm).
Rɛdieshɔn Tɛrapi
Dis min se dɛn fɔ yuz pawaful ɛnaji bim fɔ pwɛl di kansa sɛl dɛn ɔ di sɛl dɛn we lɛf afta dɛn dɔn du di ɔpreshɔn. If di kansa dɔn skata to ɔda pat na di bɔdi (mɛtastatik brɔst kansa), dis tritmɛnt kin ɛp bak fɔ ridyus di sayn dɛm.
Kimotɛrapi
Dis min fɔ gi di bɔdi spɛshal mɛrɛsin dɛn we de kil di kansa sɛl dɛn ɔ stɔp dɛn fɔ gro. Dɛn kin gi dɛn tin ya as injɛkshɔn tru wan vein (intravenously) ɔ as pils/likwid we yu de tek.
Mɛsej we dɛn kin kɛr go na os
- BI-RADS na wan standad ripɔt sistɛm we de gi yu dɔktɔ klia aidia bɔt di rizɔlt fɔ yu mammogram.
- If yu gɛt BI-RADS mak we na 1 ɔ 2, dat min se natin nɔ de fɔ wɔri bɔt. Na nɔmal ɔr nɔr bad tin.
- Nɔ wɔri if yu gɛt BI-RADS mak we na 0, 3, 4, ɔ 5. I jɔs min se yu nid fɔ gɛt mɔ tɛst ɔ atɛnshɔn. I nɔto difinitiv diagnosis fɔ ‘kansa.’
- Na bayɔpsi nɔmɔ go ebul fɔ no klia wan if na kansa ɔ nɔto kansa.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt di ripɔt we yu gɛt, tɔk to yu dɔktɔ bɔt am opin wan. I go ɛksplen ɔltin to yu.
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