I mammogram report-ah ‘Dense Breasts’ tih ziak i hmu tawh em? Heng thute hi i hmuh chuan tlemin i hlauthawng a, i buai deuh a ni mai thei. "Hei hi eng nge a awmzia?" Mahse, lungngai suh. Hei hi hmeichhe tam tak tan chuan a awm fo thin. Vawiin hian hnute density hi eng nge a nih tih te, i hriselna a nghawng dan te, a awlsam em em, ṭhian nena inbiakna ang maia kan tih theih dante kan sawi dawn a ni.
A awlsam zawngin, hnute density chu eng nge ni?
Ngaihtuah teh, kan hnute hi tissue chi thum atanga siam a ni.
1. Glandular tissue: Bawnghnute siamtu gland leh bawnghnute phurtu duct.
2. Fibrous tissue: Hei hi gland leh duct inzawmkhawmtu leh thlawptu connective tissue a ni.
3. Fatty tissue: Hnute hmun luah khattu leh a lian leh te, a pianzia hriltu thau.
‘Breast Density’ tih hian i hnute chhunga glandular leh fibrous tissue awm zat leh thau awm zat a kawk a ni.
- Less dense breasts : Hengte hian thau tissue an nei tam zawk.
- Hnute dense: Hengte hian glandular leh fibrous tissue an nei tam zawk.
A pawimawh ber chu hnute density hi hnute lian leh nghet leh nghet loh a zirin a hril lo. Pawn lam atanga thlir chuan hnute a dense leh dense loh chu tumahin an hre thei lo.
Engtin nge ka hnute density hi eng nge ni tih chiang takin ka hriat theih ang?
Hei hi hriat theihna awmchhun chu mammogram neih hi a ni . Mammogram-ah chuan thau tissue chu a dum a, dense tissue (glandular leh fibrous) chu a var a ni. Radiologist chuan he thlalak hi a en ang a, i hnute density chu a hre ang.
Hmeichhe naupang zawkah chuan hnute density hi a awm fo thin a, a bik takin kum 50 hnuai lam tan chuan a tam zawk a, i upat deuh deuh a, a bik takin menopause hnuah chuan he density hi a tlahniam duh hle. Mahse, hei hi mi zawng zawng tan a inang lo va, mi tin a inang lo. I density level i chiang lo a nih chuan doctor zawt la a tha ber.
Engtin nge ‘hnute dense’ neih hian cancer hlauhawmna a nghawng?
‘Hnute dense’ i nei tih hriatchhuah hi hlauh tur a ni lo. Mahse fimkhur a pawimawh a, a chhan chu thil pawimawh pahnih a nghawng a ni.
1. Cancer hriat harsa (Masking Effect): Snow pile chhunga rabbit var zawng ang maiin ngaihtuah rawh. An pahnih hian var an nih avangin rabbit hmuh a harsa khawp mai, a dik em? Chutiang chu a ni. Mammogram-ah chuan dense tissue chu a dum a lang. Vanduaithlak takin cancer cell (tumor) te pawh hi a var angin a lang bawk. Chuvangin, hnute dense takah chuan chu tissue var zinga tumor te tak te thup chu mammogram-ah chuan hmuh loh a tam zawk.
2. Cancer vei theihna a tipung: Zirchianna atanga a lan dan chuan hnute dense neih hian hnute cancer vei theihna a tipung tlem hle. Hei hian cancer i vei ngei ang tihna a ni lo , mahse a hlauhawmna chu midang aiin a sang deuh a, chuvangin kan fimkhur zawk tur a ni .
Heng pahnih avang hian i hnute density i hriat chian a pawimawh hle a, a tul chuan test dang neih belh a pawimawh hle.
Dense breasts tan hian eng test dang nge tih belh theih?
I hnute dense tak i neih a, i doctor-in a rawt chuan i mammogram pangngai bakah hian test dang eng emaw zat i nei thei bawk. Heng test te hian cancer hi thup a nih chuan hmuh theihna a tipung thei a ni.
| Test dan tur | Thuhmahruai tawi te |
|---|---|
| 3D Mammogram emaw Tomosynthesis emaw hmanga tih theih a ni | Hei hi hnute layer hrang hrang thlalak tam tak lak ang a ni. Tissue inkara thil awm chu 2D mammogram pangngai aiin chiang zawkin i hmu thei. |
| Ultrasound hmanga Scan a ni | Sound wave hmangin hnute chhung lam thlalak a siam a ni. Hei hian dense tissue chhunga awm cyst emaw tumor emaw zawng turin a pui thei a ni. |
| MRI scan (Magnetic Resonance Imaging) hmanga tihchhuah a ni. | Hei hi test sensitive tak a ni a, hnute cancer vei theihna sang tak nei tan chuan a tha tlangpui. |
| Advanced Method dangte | Molecular Breast Imaging leh Contrast-Enhanced Mammogram ang chi hmanraw changkang zawk a awm bawk. Hengte hi a la tam vak lo. |
Eng test nge i tan a tha ber?
Hei hi doctor nen inbiakna hmanga thutlukna siam tur a ni . I kum, chhungkaw cancer vei tawhna, leh i density level ang chi thilte a ngaihtuah ang a, test dang i mamawh leh mamawh loh te, a nih chuan eng nge a nih tih te a fuih ang che.
Zawhna zawh fo leh an chhanna
Ei leh in hian hnute density a ti tlem thei em?
No. Ei leh in hmangin density hi direct-in i thlak thei lo. Mahse, i taksa rih zawng a san emaw a tlahniam emaw chuan i hnute chhunga thau awm zat chu a danglam thei a ni. Hei hian indirect takin density a nghawng thei a ni.
MRI a tha zawk a nih chuan engvangin nge mammogram hi hman a la nih?
Zawhna tha tak a ni. A chhan chu, mammogram hian kum sawm tam tak chhung chu hnute cancer vanga thihna a tihziaawm tih finfiah a ni tawh a ni. Chumi awmzia chu mammogram hian cancer hi a hmaa hmuhchhuah leh enkawl a nih avangin nunna a chhanhim tih hmuhchhuah a ni tihna a ni. MRI hian data chak tak chu a la nei lo a, a bik takin hnute dense nei te tan chuan a la nei lo. Tin, MRI hian mammogram-in a hmuh theih thil thenkhat a miss thei bawk.
Genetic risk hi thlah kal zelah a kal zel thei ang em?
A awlsam zawngin, ni lo. I pi hian cancer vei theihna tipungtu gene a nei a, chu chu BRCA ang chi hi han ngaihtuah teh. Mahse i nu hian chu gene chu a rochun lo a nih chuan chu gene chu i rochun theihna tur a awm lo (i pa lam atanga lo chhuak a nih loh chuan). Chu chu gene pakhat chu thlah khat atanga thlah dangah "a zuang" lo tihna a ni.
Take-Home Thuchah a ni
- Breast density hi i hnute hriselna atana hriat tur pawimawh tak a ni.
- I density level hi mammogram hmang chauhvin hriat theih a ni.
- Hnute dense neih hi thil pangngai a ni a, mahse cancer hriat a harsa thei a, a hlauhawmna pawh a tipung deuh thei bawk.
- Lungngai suh! Hnute dense tak tak tan hian test dang tha tak tak a awm a, chu chu 3D mammogram leh ultrasound te hi a ni.
- I doctor hnenah i mammogram report, density level, leh test dang i mamawh theih apiangte chu inhawng takin sawi rawh. Hriatchhuah hi invenna tha ber a ni.
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