Ina whiwhi koe i tētahi whakamātautau ū, ahakoa he mammogram, he ultrasound rānei, ā, ka tae mai te pūrongo, tera pea ka mataku koe, ka hiahia hoki koe ki te mōhio ina kite koe i ngā kupu me ngā tau kei runga. Ina koa mēnā kei roto ko 'BI-RADS' me tētahi tau, tera pea ka whakaaro koe, 'Āe, he aha tēnei?' He mea noa iho. Kaua e manukanuka. I tēnei rā ka kōrero tātou mō te BI-RADS, tōna tikanga tūturu, me tōna pānga ki tō hauora.
He aha te tikanga o te BI-RADS?
Ki te whakarāpopototanga, ko te BI-RADS he kupu whakarāpopoto mō te "Breast Imaging-Reporting and Data System." He pūnaha paerewa tēnei e whakamahia ana e ngā tohunga hihi-X hei whakaahua i ō pūrongo whakamātautau ū. Whakaarohia, ahakoa kei hea koe i Sri Lanka, i hea rānei o te ao, he reo kotahi te reo e kōrerohia ana e te katoa. Ka whakamahia e tēnei pūnaha ngā whakamātautau kua mahia e koe, ko te tikanga:
- Mammography
- Te Whakamātautau Umu
- Matawai MRI
Pūrongohia ngā hua o ngā whakamātautau pēnei i.
E rua ngā take matua i whakaurua mai ai tēnei pūnaha.
1. Kia kotahi te paerewa mō te tuku pūrongo: Ahakoa kei hea te whakamātautau e mahia ana i Sri Lanka, ka tukuna tonutia i te huarahi kotahi. Mā tēnei, kāore he rangirua ina tukuna ō taipitopito mai i tētahi tākuta ki tētahi atu. Ka taea e te katoa te mārama.
2. Whakamōhiotia mārama te mōrearea o te mate pukupuku o te ū: Mā tēnei tikanga ka māmā ki te mārama te whakarōpūtanga o tō mōrearea ki te whakawhanake i te mate pukupuku o te ū.
Kāore pea i roto i tō pūrongo te nama BI-RADS kua whakarārangihia ki ngā momotuhi matotoru. Heoi, ka whakaurua ki roto i te pūrongo katoa ka whiwhi tō tākuta. Ka taea e koe te pātai atu ki tō tākuta mō tēnei mea.
Te whakarōpūtanga BI-RADS me tōna tikanga
He whakarōpūtanga kei te pūnaha BI-RADS mai i te 0 ki te 6. He rerekē te kōrero a ia o ēnei tau. Me titiro tātou ki te tikanga o ia tau, me te aha te mahi i muri mai i roto i tēnei āhuatanga.
| Tau BI-RADS | Te tikanga | Me aha i muri mai |
|---|---|---|
| BI-RADS 0 | Kāore anō kia oti te whakamātautau. Ko te tikanga o tēnei, kāore e taea te whakatau i tētahi whakatau nā te mea kāore i te mārama ngā whakaahua i tae mai, nā te mea rānei e hiahiatia ana ētahi atu kōrero. Ehara tēnei i te kī he hapa kei roto. | Me whakarite pea e koe ki tō pūrongo mammogram tawhito, me whai whakamātautau anō rānei (hei tauira, tētahi atu mammogram, he matawai ultrasound). |
| BI-RADS 1 | Kāore he raruraru (Kāore) Koinei te hua pai rawa atu. Ko te tikanga kāore he puku, he panoni rānei e kitea ana i roto i ō ū. | Me tirotiro i tō tau me tō mōrearea i ia wā, i te wā e tika ana. |
| BI-RADS 2 | Te Kimi Pai Ko te tikanga hoki tēnei kāore he matepukupuku. Heoi anō, kei reira ētahi mea kāore e pā ki te matepukupuku (hei tauira, ngā kiore, ngā fibroadenoma) ka kitea. Kāore ēnei e kino. | He āhuatanga noa anō hoki tēnei. Me tirotiro tō hauora i te wā tika. |
| BI-RADS 3 | He pai pea Ko te mea e kitea ana e koe i roto i tēnei, e 98% te tūponotanga kāore he mate pukupuku. Engari he iti noa te mōrearea nā te mea kāore i te tino mōhiotia. | He maha ngā wā ka tūtohu te tākuta kia tirohia anōtia koe mō te wā poto i roto i te ono marama pea, kia kite ai mēnā kua rerekē ngā mea. |
| BI-RADS 4 | Whakahē Koinei te tau e mataku ai te tini o te tangata. Engari ehara i te mea he mate pukupuku tōu. Ko tōna tikanga "he mea whakapae, nō reira me tirotiro anō tātou." | Tērā pea ka tūtohu te tākuta i tētahi koiora , arā, ko te tango i tētahi tauira o te kiko hei tirotiro. |
| BI-RADS 5 | He Tino Whakaaro mō te Mate Pukupuku I runga i ngā tohu i kitea i tēnei kēhi, he tino teitei te tūponotanga ka pāngia koe e te mate pukupuku (neke atu i te 95%). | Me tino hiahiatia he koiora hei whakaū. |
| BI-RADS 6 | Te Mate Kino Kua Whakamātauhia e te Biopsy Ka whiwhihia tēnei i roto i tētahi whakamātautau i mahia i mua i te maimoatanga (hei tauira, i mua i te pokanga) i muri i te whakaūnga o te koiora o mua kei te kitea te mate pukupuku. | Ka whakahaerehia ētahi atu mahi i runga anō i te mahere maimoatanga kua whakaritea e te tākuta. |
He aha ngā painga o te pūnaha BI-RADS?
He tino whai hua tēnei tikanga mā ngā tākuta me ngā tūroro.
- Whakapūmautanga: Ina kīia e te tākuta i Colombo, Sri Lanka, me te tākuta i Jaffna te BI-RADS 4, he rite tonu te tikanga. Ka tino whakaitihia e tēnei te tūponotanga o ngā hapa me te pōhēhētanga i roto i te mārama ki ō pūrongo.
- Aromatawai Mōrearea: Mā tēnei whakarōpūtanga ka kitea he māramatanga whānui mō tō mōrearea ki te mate pukupuku, ā, ka āwhina i tō tākuta ki te whakatau me pēhea te tere o te whakahaere i ētahi atu whakamātautau.
- Whai Huatanga: Engari ko te whakaahua taipitopito i ia pūrongo, ka penapenahia te wā o ngā tohunga hihi-X mā te whakarōpū i a rātou.
Kāore he ngoikoretanga o tēnei tikanga?
Pērā i tētahi atu tikanga, he iti noa ngā herenga o tēnei.
- Te Whaiaroaro: Ka whakarōpū te tangata i tētahi whakaahua matawai. Nō reira, i tētahi wāhi iti noa iho, ka rerekē pea te mea e kitea ana e tētahi tohunga hihi i te mea e kitea ana e tētahi atu tohunga hihi.
- Ngā Hua Hē: Ahakoa he tino onge , i ētahi wā ka puta he hua whakapae i roto i te whakamātautau (hē pai) i te mea kāore he matepukupuku, ka puta rānei he hua pai i roto i te whakamātautau (hē kino). Ka puta he āwangawanga koretake, ka whakaroa rānei i te tātaritanga. Heoi, kia maumahara he tino onge tēnei.
- Te kore o ngā mōhiohio motuhake (Kāore i te tino mārama):Ko te tau BI-RADS anake e whakaatu ana mēnā he mea whakapae, kāore rānei. Kāore e whakarato i ngā mōhiohio hōhonu mō te momo wāhi whakapae kei reira, mō tōna āhua rānei. Koia te take e hiahiatia ai ngā whakamātautau pēnei i te koiora.
Ko te tikanga o te BI-RADS 4 he mate pukupuku?
Koinei te pātai nui rawa atu a te tini tāngata. Ko te whakautu, kāore.
Ehara i te mea ko te BI-RADS 4 te tohu he mate pukupuku tōu. Ko tōna tikanga he "whakahē" ngā hua o tō matawai. Ko te tikanga pea he mate pukupuku, kāore rānei. Ka rerekē te mōrearea o te mate pukupuku mai i te tino iti ki te tino teitei. Koia te take e mahia ai he koiora hei rapu i te tino pono.
Ehara i te mea kei a koe te mate pukupuku BI-RADS 4. Ko tōna tikanga, 'Me tirotirohia tēnei e tātou, nō reira me neke atu tātou ki te taahiraa e whai ake nei.'
Nō reira, ki te mea kei roto i tō pūrongo te BI-RADS 4, kaua e manukanuka. Ko tōna tikanga ka tukuna koe e tō tākuta mō ētahi atu whakamātautau.
Karere Tangohia ki te Kāinga
- He paerewa rongonui ā-ao a BI-RADS e whakamahia ana hei whakarōpū i ngā hua o ngā pūrongo whakamātautau ū (mammogram, ultrasound).
- Mā tēnei tau koe e mōhio ai ki te mōrearea o tō mate pukupuku me ngā mahi e whai ake nei hei mahi māu.
- He pai ngā hua o te BI-RADS 1 me te 2, kāore he raruraru.
- Ahakoa ka whiwhi koe i tētahi kaute teitei pērā i te BI-RADS 4, 5 rānei, ehara i te mea he mate pukupuku tōu. Ko tōna tikanga he 'whakapae, ā, me whakamātautau anō.'
- Mena he pātai āu mō te nama BI-RADS kei runga i tō pūrongo, kaua e mataku , engari me kōrero ki tō tākuta mōna. Ko ia anake ka taea te whakamārama tika i tōna tikanga mō tō āhuatanga.
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