I mammogram report i hmuh hian beisei, thil hriat duhna leh hlauhna tlemte pawh a awm tih chu kan hre vek a ni. I report i dawn chuan a chunga damdawi lam thumal, a bik takin `BI-RADS` number i hmuh chuan i hlauthawng lehzual mai thei. Mahse, lungngai suh. Nangmah chauh i ni lo. He thuziak ah hian, awlsam takin, `BI-RADS` chu eng nge a nih leh i hriselna chungchanga a sawite kan sawi dawn a ni.
BI-RADS hi eng nge ni?
A awlsam zawngin, `BI-RADS` tih hi ``Breast Imaging Reporting and Data System.`` tih tawifelna a ni a, a takah chuan khawvel hmun hrang hranga doctor-te hman thin standard system a ni. I mammogram test result classified nan hman a ni. Chu chu, he ``BI-RADS`` score hian doctor chu i hnute X-ray-ah cancer chhinchhiahna a awm em tih chiang taka hriat theihna turin a pui a ni.
He system hnuaiah hian i report hian value 0 atanga 6 thleng a dawng ang a, chu value tinte chuan an sawi chu tunah hian kan en dawn a ni.
| BI-RADS score a ni | A awmzia awlsam tak |
|---|---|
| A hlutna chu 0 | A result erawh a chiang lo hle. Chumi awmzia chu mammogram atang hian thutlukna chiang tak siam theih a ni lo tihna a ni. Doctor chuan mammogram hmasa nen khaikhin emaw, test dang, ultrasound scan ang chi emaw tih a rawt thei bawk. |
| Hlutna 1 | A negative result a ni. Hei hi chanchin tha ber a ni! I hnuteah hian rinhlelh awm takin lumps leh changes a awm lo. A hun takah mammogram neih chhunzawm zel turin kan fuih a che. |
| Hlutna 2 | Benign condition a ni. I hnuteah cancer ni lo, hlauhawm lo lump (fibroadenoma ang chi) emaw, calcium deposit (calcifications) emaw i nei tih hmuhchhuah a ni. Hemi chungchangah hian lungkhamna tur a awm lo .I hun ruat pangngaiah mammograms la chhunzawm zel ang che. |
| Hlutna 3 | Cancer vei theihna chance a tlem hle. Hetah hian lump hmuhchhuah a ni a, mahse cancer a nih loh theihna chance 98% a awm. Amaherawhchu, doctor chuan hemi chungchangah hian tlem tal fimkhur a duh a ni. Chuvangin, a hun pangngai hmain, thla 6 vel hnuah, lump chu a danglam em tih en turin mammogram dang tih leh turin a hrilh ang che. |
| Hlutna 4 | Thil rinhlelh awm tak a ni. Heta inthlak danglamna hmuhchhuah hian cancer a nih theihna chance a nei a ni. Lungngai suh, ‘chance a awm’ tih hian ‘cancer’ tihna a ni lo. Mahse, doctor chuan hei hi finfiah turin biopsy lak a rawt ngei ang. |
| Hlutna 5 | Cancer vei theihna chance a sang hle. He value hi kan hmuh chuan mammogram lan dan a zirin malignant a nih theihna chance 95% aia tam a awm a ni. Hei hi finfiah turin biopsy tih ngei ngei tur a ni. |
| Hlutna 6 | Cancer a nih thu finfiah a ni. He value hi biopsy nei tawh, cancer vei tih finfiah tawh tan pek a ni. Hei hi mammogram neih laiin enkawl tan hma emaw, enkawl lai emaw a dinhmun enfiah nan hman a ni. |
A pawimawh ber chu BI-RADS score 4 emaw 5 emaw ni mahse ‘rinhlelhna’ a awm tihna chauh a ni. Definitive diagnosis hi biopsy hnuah chauh tih a ni.
Mammogram leh biopsy test chungchang pawh i zir ang u.
Mammogram test a ni
Hei hi a takah chuan X-ray test a ni a, hnute tan bik a siam a ni. X-ray machine hmaah i ding a, i hnute pakhat chu hmun zau takah i dah a. Tichuan, trained technician chuan chunglam atang chuan i hnute chu surface dang hmangin zawi zawiin a hmet a. Hei hi hnute tissue a thim chhuah theih nan leh hnute inthlak danglamna eng pawh X-ray-ah chiang taka hmuh theih nan tih a ni.
Hetih lai hian pressure engemaw zat, lungawi lohna, leh natna tlemte pawh i nei thei . Hei hi thil pangngai a ni. Vawikhat chu a sir khat a zawh chuan a hnute dang pawh chutiang bawk chuan enfiah a ni. I hnute chu enfiah hnuah a na deuh emaw, a hring deuh emaw pawh a ni thei.
Radiologist chuan heng X-ray images te hi a enfiah a, `BI-RADS` score chu a teh thin. He report hi i doctor hnena thawn tu a ni.
Biopsy test a ni
I BI-RADS score hi rinhlelh awm a nih chuan, 4 emaw 5 emaw ang chi, a dawt leh tur pawimawh ber chu biopsy a ni. Hei hian rinhlelh awmna hmun atanga tissue sample te tak te tak tak lak a, laboratory-a test a huam a ni. Hei hi cancer cell awm leh awm loh 100% chiang taka hriat theihna awmchhun a ni.
Mammogram rinhlelh awm tak bakah hian i doctor-in biopsy neih a rawt theihna tur thil dang engemaw zat a awm bawk:
- Doctor-in i hnute a enfiah laiin i kutah lump a hmu a nih chuan engtin nge ni ang?
- Ultrasound scan laiin thil rinhlelh awm tak hmuh a nih chuan .
- MRI scan laiin rinhlelhna hmun hriat a nih chuan .
- I hnute tuiah thil danglam danglam tak i neih chuan (e.g., crusting, indentation, or discharge).
Cancer a awm tih finfiah a nih chuan engtin nge a enkawl ang?
Hnute cancer i vei tih hmuhchhuah a nih chuan a rang thei ang bera enkawl tan hi result tha ber i hmuh theihna tur kawng tha ber a ni. I doctor leh oncologist te chuan i tan enkawlna tha ber tur an rel ang. Enkawlna kawng hrang hrang a awm a.
Inzai
Enkawlna ber chu cancer cells te paih chhuah nan surgery a ni fo thin. A châng chuan, tumor tihtlem nan operation hmain chemotherapy emaw radiation emaw pek a ni thei bawk. Surgery hi chi hnih a awm a, chungte chu:
- Lumpectomy: Hei hian cancer tumor leh a chhehvela tissue hrisel tlemte chauh lakchhuah a ni. Hei hi cancer tenau, a tir lam tan hman a ni.
- Mastectomy: Hei hian hnute pumpui lakchhuah a ni. Nakin lawka cancer vei theihna sang tak i neih chuan i doctor chuan hnute pahnih (double mastectomy) lakchhuah a rawt thei ang.
Radiation hmanga enkawlna a ni
Hei hian cancer cell emaw, operation hnua cell awm chhunte emaw tihchhiat nan energy beam chak tak hman a huam a ni. Cancer hi taksa peng dang (metastatic breast cancer)-ah a darh tawh a nih chuan he enkawlna hian a natna lan chhuahna a tihziaawm thei bawk.
Chemotherapy hmanga enkawl a ni
Hei hian cancer cells thattu emaw, an thanlenna titawp thei damdawi bik taksa pek a huam a ni. Hengte hi vein kaltlangin injection angin (intravenously) emaw, i ei thin pill/liquids angin emaw pek theih a ni.
Take-Home Thuchah a ni
- BI-RADS hi standardized reporting system a ni a, i doctor hnenah i mammogram result chiang takin a hriat theih a ni.
- BI-RADS score 1 emaw 2 emaw a nih chuan ngaihtuahawm a awm lo tihna a ni. Thil awm dan pangngai emaw, hlauhawm lo emaw a ni.
- BI-RADS score 0, 3, 4, 5 i hmuh chuan lungngai suh, test leh ngaihven belh i mamawh tihna chauh a ni. 'Cancer' tih hi chiang taka hriat theihna a ni lo.
- Biopsy chauh hian cancer a nih leh nih loh chiang takin a hriat theih.
- Report i dawn chungchangah zawhna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh. Engkim a hrilhfiah ang che.
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