Kua rongo pea koe i te whakamātautau 'mammogram'. He whakamātautau tino nui tēnei mō te kitenga wawe i te mate pukupuku o te ū. Engari i mōhio koe he tikanga hou tēnei e whakamahi ana i te hangarau mammogram kotahi, he mea matatau ake, ā, he mārama ake ngā hua? Koinei te mea e kiia nei e mātou ko te 'Digital Breast Tomosynthesis', ko te 'Tomosynthesis' noa iho rānei. E mōhiotia whānuitia ana tēnei ko te '3D Mammography'. I tēnei rā, ka kōrerohia e mātou tēnei mea mā te ngāwari, i roto i te huarahi e mārama ai koe.
He aha te Tomosynthesis?
Whakaarohia kei te titiro koe ki tētahi pukapuka. He rite te mammogram 2D tawhito ki te tango whakaahua o te uhi o te pukapuka. He rite ngā whārangi o roto ki te pōro e raranga ana. Ki te hunaia tētahi mea, he uaua ki te kitea.
Engari, me tēnei mammogram 3D hou (Tomosynthesis), he rite ki te huri i ngā whārangi o taua pukapuka, te tango whakaahua motuhake o ia whārangi. He maha ngā whakaahua o tō ū ka tangohia e te mīhini mai i ngā koki rerekē, i roto i ngā 'porowhita' tino angiangi. Kātahi ka whakamahia e te rorohiko ēnei whakaahua hei hanga i tētahi tauira toru-ahu (3D) katoa o tō ū.
Nā konei, ahakoa he puku iti, he panoni rānei kei roto i te kiko o te ū, ka taea tonu e te tākuta te kite mārama.
Ki a wai te hiranga o tēnei whakamātautau?
Ka taea e te hunga katoa e hiahia ana ki te mammogram te whai hua mai i tēnei tikanga 3D. Heoi, kei reira ētahi rōpū e tino hira ana tēnei ki a rātou. Arā, ko ngā wāhine he 'kiko matotoru o te ū'. He maha ngā wāhine o tō tātou whenua e pāngia ana e tēnei mate.
He aha tēnei 'kiko matotoru o te ū'?
He māmā noa iho, he mea hanga te ū i te kiko ngako me te kiko repe. He nui ake ngā kiko repe o ētahi wāhine i te kiko ngako i roto i ō rātou ū. Koinei te mea e kiia nei e mātou he 'ū matotoru'.
Nā, tirohia, i runga i te whakaahua X-ray o te mammogram noa, ka puta mai tēnei kiko matotoru me te pukupuku, he mā. He rite ki te rapu i tētahi pea mā i roto i te ua hukarere. Koia te take he nui ake te tūponotanga o te mammogram 2D noa ki te ngaro i te mate pukupuku e huna ana i roto i ngā ū matotoru.
Heoi, i roto i te tikanga Tomosynthesis (3D), ka taea te tiro motuhake i te kiko o te ū hei 'porowhita', kia mārama ai te rerekētanga i waenga i te kiko totoka noa me te pukupuku whakapae.
He painga nui anō tēnei. I ētahi wā, i runga i te mammogram noa, ka pohehe te kiko hauora he mate pukupuku nā te mea he āhua taupatupatu. Ka kiia tēnei he hua 'hē-pai'. Koia te take me mataku koe, me mahi anō i ētahi atu whakamātautau. Ko te tikanga 3D tēnei.Ka tino whakaitihia ngā hua teka-pai.
Āhea te wā e hiahiatia ai he whakamātautau tomosynthesis?
E rua ngā take matua e whakamahia ai tēnei whakamātautau.
1. Hei whakamātautau tirotiro: Ko te tikanga me tīmata ngā wāhine katoa ki te whiwhi mammogram i muri i te 40 tau te pakeke. Mena kua pāngia tētahi o tō whānau e te mate pukupuku ū, ka tūtohu pea tō tākuta kia mahia wawetia tēnei whakamātautau. Nō reira, he kōwhiringa pai te tomosynthesis hei tirotiro i te mate pukupuku i mua i te puta mai o ngā tohu.
2. Hei whakamātautau tātaritanga: Mena kei a koe ētahi tohu i roto i ō ū (hei tauira, he puku, he mamae, he panoni kiri), ka tukuna pea koe e tō tākuta mō tēnei whakamātautau hei whakatau mena he mate pukupuku te take.
Me pēhea te whakarite i mua i tēnei whakamātautau?
He mea nui kia tiakina ēnei mea i mua i te whakamātautau.
- Kōrerotia tō hītori hauora ki tō tākuta: mēnā kua pāngia koe e ētahi raruraru ū i mua, mēnā kua pokangahia koe, he aha ngā homoni e tangohia ana e koe, ā, mēnā kei te hapu koe, kei te whāngai u rānei.
- Kawea ngā tuhinga tawhito: Mena kua mahia he mammogram ki tētahi atu wāhi i mua, he mea nui kia haria aua whakaahua me ngā tuhinga ki tō wāhi hou. He ngāwari ki te kite i ngā rerekētanga iti rawa ina whakatauritea ngā whakaahua tawhito me ngā whakaahua hou.
- Kōwhiria he rā e iti rawa ai te mamae o ō ū: Ko te mamae me te ngawari o ō ū te mea tino iti rawa i te wiki tuatahi, i ngā wiki e rua rānei i muri i tō paheketanga. Ki te taea, whakaritea tō whakamātautau i taua rā.
He aha ngā mea hei tumanako atu i te rā o te whakamātautau?
E 30 meneti te roa o te whakamātautau katoa. Ka taea e koe te hoki ki te kāinga i taua rā anō.
- Kaua e pania he deodorant, he paura, he hinu rānei: Horoia tō tinana, ā, kia ma. Kaua e pania he deodorant, he paura, he kirīmi rānei ki te rohe o te kēkē, ki te taha rānei o ngā ū. Ka puta pea ētahi o ēnei matū hei ira mā i runga i ngā whakaahua hihi-X. Ka puta pea he hua hē.
- Whakaarohia ō kākahu: Kia mau ki ngā kākahu whakamarie ka taea te tango ngāwari. Me tango e koe te wāhanga o runga o tō tinana (tae atu ki ō kākahu o roto) ka kakahuria he kākahu hōhipera.
- Kaua e mau whakapaipai: Tangohia ngā mea pēnei i ngā hei kakī ka waiho ki te kāinga. Ka pā pea ēnei ki ngā whakaahua.
Me pēhea te mahi i te whakamātautau?
He rite tonu tēnei ki te whai mammogram noa. Ko te rerekētanga anake ko te wāhanga o te mīhini e tuku ana i ngā hihi-X (te ngongo hihi-X) e neke ana i roto i te pewa huri noa i tō ū.
Ka meinga koe e te tohunga hangarau kia tū i te taha o te mīhini, ka tono atu kia whakatakotoria tētahi o ō ū ki runga i tētahi papa. Kātahi ka tukuna iho he pereti kirihou hei pēhi i tō ū.
He mea noa te pēhanga, te kore whakamarie rānei i tēnei wā. Heoi, ki te pāngia koe e te mamae e kore e taea te whakamā, kōrero atu ki te tohunga hangarau. He take tēnei e pēhia ai te ū. Ka āwhina tēnei ki te angiangi i te kiko, ā, ka mārama ake te āhua. Ka whakaitihia hoki te nui o te irahiko e pāngia ana e tō tinana.
Me noho pūmau koe. Ka neke te mīhini, ka tango pikitia mai i ngā koki rerekē i roto i ētahi hēkona. Kia oti tetahi taha, ka tirohia te ū i te ara kotahi.
Ngā rerekētanga matua i waenga i te mammogram (2D) noa me te mammogram tomosynthesis (3D)
Hei mārama ake, me titiro tātou ki te rerekētanga o ēnei tikanga e rua.
| Āhuatanga | Mammogram 2D noa | Tomosynthesis (mammogram 3D) |
|---|---|---|
| Me pēhea te tango pikitia | E rua ngā pikitia papatahi o te ū kotahi e tangohia ana mai i ngā koki e rua (runga-raro me te taha). | Ka neke te mīhini, ka tango i ngā whakaahua angiangi rite ki te 'poro' mai i ngā koki rerekē. |
| Ko te ahua i puta mai | He whakaahua rua-ahu (2D). Tērā pea ka āhua taupatupatu ngā kiko. | He hanga anō ā-toru-ahu (3D). Ka taea te tiro i te kiko paparanga i te paparanga. |
| He pai mō ngā ū matotoru | He tūponotanga kei ngaro ngā matepukupuku huna. | He tino pai. He tino teitei te kaha ki te kite i ngā matepukupuku huna. |
| Ngā Whakapono Hē | Tērā pea ka nui ake ngā mea ka tupu. | He iti rawa te tūponotanga o te puta. |
Me wehi rānei tātou i te irahiko?
He raruraru tēnei mō te tini o te tangata. He nui ake te hihi o te mammogram 3D i te mammogram 2D noa. Heoi, kāore he take e manukanuka ai koe mō tēnei. He tino iti tēnei horopeta hihi, kei roto i ngā rohe haumaru . He nui ake ngā painga o te kitenga wawe i te mate pukupuku o te ū i tēnei iti rawa o te hihi.
Me pēhea te whiwhi i ngā hua? He aha tā rātou e kī mai ana ki a tātou?
Ka āta tirohia e te tohunga hihi-X ō whakaahua, ā, ka rapu i ngā tohu o te mate pukupuku. Ka tuhia e ia he pūrongo ka tukuna atu ki te tākuta nāna koe i tuku mō te whakamātautau. Kātahi ka whakamāramahia e tō tākuta ngā hua ki a koe.
I te nuinga o te wā ka kitea ngā hua i roto i ngā rā torutoru. I runga i ngā hua,
- Ka taea e koe te tino mohio kāore koe i te mate pukupuku.
- Ki te kite koe i tētahi mea whakapae, ka tūtohutia pea kia whakamātauria anō koe (hei tauira, he mammogram anō, he ultrasound, he MRI, he biopsy rānei) hei tirotiro anō.
Kia maumahara ko te koiora anake ka taea te whakaū 100% mēnā kei te kitea te mate pukupuku .
Hei whakamutunga, ki te mea kei te haere mai he mammogram, kōrero ki tō tākuta mō te tikanga Tomosynthesis (3D). Māna e whakatau mēnā ko tēnei tikanga, ko te tikanga tuku iho rānei te mea pai mōu, i runga i ngā āhuatanga o ō ū me tō hītori hauora. Kaua e wehi ki te pātai me te rapu whakamārama.
Karere Tangohia ki te Kāinga
- He hangarau 3D (toru-ahu) matatau ake te Tomosynthesis i te mammogram noa.
- He pai ake te whai huatanga o tēnei tikanga mō te kite i te mate pukupuku, inā koa mō ngā wāhine he matotoru ngā kiko o te ū.
- Ka taea e tēnei tikanga te kite i ngā matepukupuku iti ahakoa kāore pea e kitea i te wā o te mammogram noa.
- He tino iti te mōrearea o ngā hua rūpahu ina kore he matepukupuku me tēnei tikanga.
- He iti rawa te nui o te irahiko e whakamahia ana, ā, he tino haumaru hoki.
- Me kōrero tonu ki tō tākuta mēnā he tika tēnei whakamātautau māu.
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