(O-RADS) hi i hre tawh em? Ovarian problem hriatchhuah nan he method hi engtiang chiahin nge a pawimawh?

Scan-a ovaries emaw, a chhehvel emaw (hei hi `(adnexal)` area kan ti)-ah hian inthlak danglamna emaw, harsatna (lesion) emaw a awm tih a hriat chuan hlauhna nasa tak neih hi thil pangngai a ni? Mahse, lungngai suh. Chutiang thila doctor-te ṭanpui thei leh thu dik zawk pe theitu hmanraw bik a awm a ni. Chu method chu `(O-RADS)` an ti a. Vawiin hian he thu hi han sawi mai ila.

(O-RADS) chu eng nge ni? I hrethiam ang u!

O-RADSTM hi Ovarian-Adnexal Reporting leh Data System tihna a ni. A awlsam zawngin sawi ila, doctor-te hmanraw bik a ni. Eng atan nge a nih i hria em? I ovary (a nih loh leh a chhehvel, adnexals kan tih ang chi—fallopian tubes, ovaries, leh i reproductive system organs inzawmkhawmtu connective tissue) scan-a hliam, inthlak danglamna, lumps hmuh chhuah apiang classified nan hman a ni.

O-RADS system ang chuan lesion chu 0 atanga 5 thlenga grade a ni a , a tam poh leh cancer vei theihna a sang zawk . A hnathawh dan chu hetiang hi a ni:

• O-RADS 0: Hei hian scan atanga information lo chhuak chu assessment dik tak siam nan hman theih a ni lo tihna a ni a, test belh a ngai a ni. Scan chu a chiang lo mai thei.
• O-RADS 1: Hei hi result tha ber a ni! I ovary te chu a hrisel a, a normal tihna a ni.
• O-RADS 2: Hetah hian `(lesion)` awm mahse cancer a nih theihna chance a tlem hle (a tam zawkah chuan 1% aia tlem lo). Hengte hi `(benign)` anga ngaih an ni tlangpui a, cancer vei an ni lo tihna a ni.
• O-RADS 3: Hetah hian cancer a awm theihna chance tlemte a awm a, mahse a tlem (a tlangpuiin 1% leh 10% inkar). Doctor-te chuan hengte hi tlem an ngaihtuah zawk a, rei vak lo hnuah scan dang tih leh turin an ti mai thei bawk.
• O-RADS 4: Hetah hian cancer vei theihna hi a hniam lam (a tlangpuiin 10% leh 50% inkar) a ni. Hengte hi rinhlelh awm deuh a ni. Chuvangin doctor-te chuan he thil chungchangah hian test dang an ti leh thei a, specialist hnenah pawh an refer thei bawk.
• O-RADS 5: Hei hian cancer vei theihna a sang hle (a tam zawkah chuan 50% aia tam) tihna a ni. Hetiang a nih chuan hmalak vat a ngai a ni.

Mahse O-RADS hi classification system mai ni lovin a tam zawk. A siamtu committee (American College of Radiology atanga lo piang) chuan lexicon (scan-a thil hmuh tur sawina atana hman thin standard words set - lexicon tia koh) leh risk group tina mite tan eng treatment nge tha tur tih rawtna te pawh an siam bawk. Hei hi doctor-te tan thutlukna siamna kawngah a \angkai hle.

Engtikah nge O-RADS hi hman a nih?

I doctor chuan he ``(O-RADS)`` system hi hmangin thil chi hrang hrang a hriat theih nan leh a thliar hrang thei ang:

• Ovarian cysts: Hei hi i ovary-a lumps lo awm a ni. Cyst thenkhat chu fluid-filled sac mai a ni a, a hlauhawm lo. Mahse ṭhenkhat chu ngaihtuahawm tak a ni.
• Adnexal masses: Tumor emaw mass emaw, fallopian tube-a emaw, reproductive system-a taksa peng hrang hrangte inzawmkhawmtu ligament-a lo awm. Chungte chu chi hrang hrang pawh a ni thei bawk.

Chuvangin, hetiang dinhmun hi scan-a hmuh a nih chuan O-RADS hian a nihna dik tak hriatthiamna leh a risky zia tehna atan a pui thin.

(O-RADS) hman dan tlangpui te chu engte nge ni?

O-RADS hi "section" lian pahnih a awm a, chu chu scan hman chi hrang hrang a zirin a ni. Chu chu, information hmuhna atana hman scan chi hrang hrang a zirin a danglam deuh tihna a ni.

(O-RADS Ultrasound - US hmanga tihchhuah a ni)

Hei hi O-RADS-a hmanraw hman ber leh hman ber a ni. Hetah hian abdominal ultrasound emaw transvaginal ultrasound emaw hman a ni. I hriat angin ultrasound hi sound wave hmanga taksa chhungril thlalak lakna hmanrua a ni.

Ultrasound technology hmang hian ovary leh a kaihhnawih natna te chu chiang takin a hmu thei a ni. A bik takin transvaginal ultrasound hian ovary hnaih takah tih theih a nih avangin thlalak chiang tak tak a siam thei a ni.

(O-RADS MRI) hmanga tih a ni.

Magnetic Resonance Imaging (MRI) hi kan taksa peng nêm (soft tissue) chungchang chipchiar zawka hriat theih a ni. MRI hian magnetic field leh radio wave a hmang a. Ultrasound aiin test buaithlak zawk leh man to zawk a ni.

Doctor ten ultrasound atanga information an neih tlem chuan emaw, diagnosis siam nan information tam zawk an mamawh a nih chuan, emaw, condition pakhat chu cancer a nih leh nih loh finfiah a harsat chuan, he MRI method hi hman a ni. O-RADS MRI hi MRI thlalak te thlirletna leh O-RADS-a thliar hran dan a ni.

(O-RADS) nen hian eng nge thleng tak tak? Hei hi eng nge a awmzia?

O-RADS system hian thil tum lian tak tak a nei a. Hengte hi nang leh i doctor te tan a pawimawh hle.

• Test report-te tâna hrilhfiahna mumal tak pêk: Doctor pakhat hnêna i kal laiin scan report chu kawng khata hrilhfiah a ngai a, doctor dang i kal hunah kawng danga hrilhfiah a ngai a nih chuan eng ang harsatna nge a awm ang tih han ngaihtuah teh? O-RADS avang hian United States-a doctor leh damdawi in zawng zawng (tunah chuan khawvel ram tam takah) chuan ovarian leh a kaihhnawih natna te chu a inang tlangin, standardized takin an thliar hrang a ni. Chumi awmzia chu khawi hmunah pawh inenkawlna dawng mah la, report hian awmzia a nei vek dawn tihna a ni. Hei hian buaina tam tak a ti bo a ni.

• Diagnosis dikna tihpun: 1.1.Ovarian leh a kaihhnawih natnaah chuan O-RADS hian malignancy false positive a awm theihna a ti tlem a ni. Tin, benign condition tan pawh a tul lo taka operation tih a tihtlem bawk. O-RADS hian lesion awm dan (e.g., size, shape, leh contents) chu scientific takin a zirchiang thin.

• Category tinte tana enkawlna rawtna pek: `(O-RADS)` system hmang hian doctor-te chuan risk category tin (chu chu O-RADS 0 atanga 5 a ni) tan standard treatment recommendation an dawng thin. Entirnan, O-RADS category 2 nei tan chuan, "Thil ngaihtuah tur a awm lo, hei hi a hlauhawm lo mai thei, rei vak lo hnuah kan check leh ang," tih ang chi rawtna. Mahse O-RADS 4 emaw 5 emaw tan chuan, "Hemi chungchangah hian test tam zawk kan tih thuai a ngai a, a tul chuan specialist hnenah kan refer che a ngai" tih ang chi rawtna hi pek a ni.

(O-RADS) system hian eng nge a thatna? Engvangin nge i tan a tha?

Research atanga a lan dan chuan transvaginal ultrasound leh tumor marker CA-125 hmanga ovarian cancer screening test hian a chang chuan false positive result a pe thei a ni. Chu chu cancer i vei tih hmuhchhuah i ni mai thei tihna a ni a, mahse a hnuah chuan cancer i nei ngai lo tih i hrechhuak leh ang. Chumi nêna lo awm tûr lungkhamna leh lungkhamna chu han mitthla teh! Chhan awm lovin operation neih a ngai pawh a ni mai thei?

A châng chuan damlote chuan a ṭûl tak tak loh lai pawhin operation an nei ṭhîn. Pawimawh tak chu cancer ni lo ``benign`` ``lesions`` surgery tih hian complication rate 17.8% a nei a ni. Phên dangin sawi ila, a ṭul lo taka operation nei zinga a tam zawk chuan operation nena inzawm hriselna lama harsatna an nei ṭhin.

O-RADS system hian thil engemaw zat a ngaihtuah a. Entirnan, lesion ziarang (a lian leh te, a awmna hmun, a lan dan, a chhungah solid material a awm leh awm loh, thisen supply, etc.) leh menopause i paltlang tawh em tih te. Hei hi a chhan chu menopause paltlang tawhte ovary-ah lesion thar a lo awm a nih chuan tlem tal i ngaihtuah zawk tur a ni.

A tum ber chu cancer ni lo hliam nei te tan a tul lo taka operation tih tlem a ni. Thil tum dang chu rinhlelhna emaw cancer vei emaw nei te chu specialist tling zawk (entir nan, gynecologic oncologist) hnenah rang taka refer a ni. Chuvangin, i mamawh tak tak a nih chauhvin surgery atan refer i ni ang.

Tuin nge (O-RADS) system hi siam?

Chutiang system pawimawh tak chu zan khat thil thuah chauh a thleng lo a ni lawm ni? Kum 2018 khan United States-a radiology pawl lar ber American College of Radiology chuan international physician-te committee pakhat, an thiamna hrang hrang (gynecology, radiology, leh oncology ang chi) aiawhtu committee an sponsor a, O-RADS system an siam bawk. O-RADS US - Ultrasound committee chuan November 2022 khan lexicon hi an update hial a, hei hian hriatna thar nena update reng reng system a ni tihna a ni.

Hemi atang hian eng thlamuanna nge i hmuh?

Khawvel hi a tawp tawh ang maia inhriat a, i scan atanga rinhlelh awm tak a lo chhuak tih i hriat chuan i thinlungah phurrit rit tak i nei tih hi thil pangngai a ni. I natna hriat chian nan emaw, engmah dik lo a awm lo tih chian nan emaw test tam zawk i neih chuan i lungkhamna leh hlauhna chu nitin a pung thei a ni.

Mahse, O-RADS method hian false-positive test result i hmuh theihna a ti tlem a ni. Chu chu cancer i neih tak tak loh laiin i vei tlem zawk tihna a ni. Chu chuan a tul lova operation neih theihna a ti tlem bawk. O-RADS method hian i mamawh chhanna chu rang zawk leh dik zawkin a hmu thei che a ni. Chu chu thlamuanna lian tak a ni lo maw?

Take-Home Thuchah a ni

Kan sawi tawh atanga i hriat reng tur pawimawh tak tak chu hengte hi a ni:

• O-RADS hi thil pawimawh tak, standardized, leh scientific method a ni a, doctor-te chu ovarian leh a kaihhnawih harsatna (lesions) te hriatchhuah leh classified-na atan a pui a ni.
• Hetiang hmanrua hian natna chi hrang hrang dik zawka hriat theihna a siam a, a tul lo taka operation tih tlem zawk a ni a, eng enkawlna nge i mamawh tih kaihhruaina chiang zawk a awm bawk.
• I scan report hian O-RADS classification a neih chuan i doctor nen sawiho la, zir belh rawh. Ngaihtuah buai suh, heng hmanrua te hi i tanpui nan a awm a ni.
• Hriselna atana hrisel taka awm theihna tur kawng tha ber chu a hmaa hriatchhuah leh enkawl dan dik a ni tih hre reng ang che. Chuvangin Doctor thurawn zawm la, a tul ang ang test la rawh.

He thu hi i tangkaipui ngei ka beisei!

` O-RADS, Ovarian, Adnexal, Lesion, Ultrasound, MRI, Cancer, Hmeichhia te