Doctor thurawn angin pelvic ultrasound scan i nei ang tih han ngaihtuah teh. Report-ah hian Ovary-ah tumor (lesion) a awm tih a lan chuan hlauhna leh lungkhamna tlem a awm hi thil pangngai tak a ni. "Aw, hei hi cancer a ni em?" Zawhna chu i rilruah a lo chhuak mai thei. Mahse thudik tak chu, ovary-a tumor lo awm zawng zawng hi cancer a ni vek lo. Chuvangin, he natna hi dik taka thliar hrang thei tur leh khawvel hmun hrang hranga doctor-te pawhin chutiang bawka cancer hlauhawmzia an hriatthiam theih nan hmanraw bik a awm a ni. Chu chu O-RADS an tih chu a ni.
O-RADS chu eng nge ni? A awlsam zawngin i hrethiam ang u.
A awlsam zawngin, O-RADS hi i scan-a ovary emaw a adnexal area-a thil danglam lo lang apiang, tumor emaw lesion emaw ang chi chu classified-na atana hman tur system a ni. A dik zawk chuan chutiang dinhmunah chuan cancer vei theihna tur score a pe a ni.
Hei hi a hming kimchang chu Ovarian-Adnexal Reporting and Data System tih a ni.
- Ovarian-Adnexal tih hian hmeichhe reproductive system-a ovary, fallopian tube leh a chhehvela taksa peng hrang hrangte a kawk a ni.
- Lesion chu taksa peng emaw tissue emaw hmun chhia emaw, a pangngai lo anga lang emaw a ni. "Lump" kan ti mai mai a, mahse a hlauhawm reng reng lo.
He O-RADS system ang hian scan-a hmuh theih dinhmun hi 0 atanga 5 thlenga scale-ah dah a ni a, a tam poh leh cancer vei theihna a sang zawk.
Mahse hei hi scoring system mai a ni lo. He system siamtu committee (American College of Radiology-in) chuan hemi chungchanga hman tur thumal hrang hrangte lexicon bik an rawn siam chhuak bawk a, risk group tina mite tan eng ang enkawlna emaw, enkawl dan emaw chu a dik tih rawtna an siam bawk. Chuvangin hei hi i doctor tan i dinhmun chungchanga thutlukna siamna kawngah tanpuina tha tak a ni ang.
O-RADS chi hrang hrang a awm em?
Ni e, O-RADS system hmanga scan chi hnih lian tak a awm. Chu chu, he classification hi eng scan atanga data hmuh atanga siam a ni tihna a ni.
1. O-RADS Ultrasound (US): Hei hi hman tlanglawn ber a ni. He classification hi abdominal emaw transvaginal ultrasound scan atanga data hmuh atanga lak a ni. He scan hian ovarian leh a kaihhnawih tumor leh thil dang tam tak a hmuchhuak thei a ni.
2. O-RADS MRI: A chang chuan ultrasound scan atanga information kan hmuh te hi diagnosis siam nan a tawk lo thei. Chutiang hunah chuan MRI (Magnetic Resonance Imaging) hian soft tissue te chu chiang zawk, chipchiar zawkin a tarlang thei a ni.I doctor chuan scan neih a rawt mai thei. MRI hi malignancy rinhlelhna a awm chuan malignancy finfiah emaw, paih chhuah emaw nan a pawimawh hle.
O-RADS hmanga thil danglam tak tak chu engte nge ni?
He system hman tan hian thil tum lian tak tak engemaw zat a awm a. Damlo leh doctor tan pawh awlsamna leh chiang takin a pe a ni. Eng nge an nih i en ang u.
| O-RADS system hman chhan | A awlsam zawngin... |
|---|---|
| Hrilhfiahna inmil tak tak | Sri Lanka-ah emaw khawvel hmun dangah emaw khawi hmunah pawh scan ni mah se, report entu doctor-te pawhin chutiang bawk chuan an hrethiam thei a ni. Hei hian enkawlnaah chiang takin a siam a ni. |
| Diagnostic dikna tihpun | Benign tumor-a false positive a tihtlem a, chu chuan a tul lo taka surgery neih a tihtlem phah thei a ni . |
| Category tin tan enkawlna tur rawtna pe rawh. | I O-RADS score a zirin doctor chuan a hnua i tih tur chungchangah kaihhruaina chiang tak a dawng ang (e.g., scan dang ti leh la, thla engemaw zat hnuah check leh la, specialist hnenah refer leh rawh). |
O-RADS hman hian i tan eng hlawkna nge a neih?
Tun hma chuan transvaginal ultrasound scan leh thisen test CA-125 an tih hmangin ovarian cancer an hmuchhuak thin. Mahse, heng hmanrua te hian a châng chuan false positive result a siam thei a ni . Hei hian cancer nei lo tak tak chu cancer a vei tih hmuhchhuah a ni tihna a ni.
Chutiang thil a lo thlen chuan eng nge thleng ang tih han ngaihtuah teh. Chu mi chu a tul lovah a lungngai ang a, a hlau bawk ang. Chu mai pawh ni lovin, a châng chuan a ṭûl lo taka zai pawh an nei ṭhîn. Research atanga a lan dan chuan damlo 17.8% vel chuan cancer ni lo tumor avanga operation an neih hnuah harsatna an nei thei a ni. Chumi awmzia chu tul lo taka zai hian hriselna lama harsatna dang a thlen leh mai dawn tihna a ni.
O-RADS system thil tum ber pakhat chu cancer ni lo, a tul lo taka operation tih tlem a, hlauhawm tak takte chauh specialist tling ber, gynecologic oncologist hnena rang taka refer a ni.
O-RADS system hian tumor a awm leh awm loh a en mai mai lo. Thil tam tak a ngaihtuah a, chu chu tumor lian leh te, a awmna hmun, a lan dan leh a chhungril lam mizia te hi a ni. Menopause i paltlang tawh em tih pawh a ngaihtuah tel bawk. Heng zawng zawng hi i risk tehna atan an la khawm vek a ni.
Chutiang chuan chhanna chiang tak i hmu thuai ang a, a tul lova hlauhna siam lovin i doctor nen chiang takin i sawi thei ang.
Take-Home Thuchah a ni
- O-RADS hi scoring system (0-5) a ni a, ovary-a cancer awm theihna emaw, a kaihhnawih lumps/change i scan report-a hmuh theih dan emaw a teh a ni.
- Score sang zawk hmuh theihna risk sang zawk mahse, score hniam (e.g. O-RADS 2 emaw 3) chuan benign condition a nih a rinawm ber tihna a ni. Chuvangin lungngai suh.
- He system hmang hian khawvel hmun hrang hranga doctor te pawhin scan report te pawh chutiang bawk chuan an hrethiam thei a, chu chuan i enkawlna dik tak a tipung a ni.
- Hei hian a hlawkna ber pakhat chu cancer ni lo, a tul lo taka operation tih tlem hi a ni.
- I scan report-ah O-RADS chhinchhiahna a lang a nih chuan hlauthawng suh, mahse, muangchangin i doctor hnenah chu chhinchhiahna awmzia leh a hnua i tih tur chungchang sawipui rawh.
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