Kei te hiahia koe ki te mōhio mō te matotoru o tō ū (Fibroglandular Density)? Kaua e manukanuka, me kōrero tāua!

Kua kite pea koe i te kupu "Fibroglandular Density" i runga i tō pūrongo mammogram. Tērā pea i kī atu tō tākuta ki a koe i tētahi mea pēnei, "He matotoru ō ū." He mea noa te mataku me te hiahia ki te mōhio ina rongo koe i tētahi mea pēnei. Nō reira, i tēnei rā ka kōrero tātou mō te aha te matotoru o te fibroglandular, me te mea he pānga ki tō hauora.

He aha rawa te Kīanga o te Fibroglandular?

He māmā noa iho, ko te mātotoru o te kiriuhi pūtau he ine i te momo kiko o roto i ō ū. Ka taea te whakatau tika i tēnei mā te mammogram. E toru ngā momo kiko matua o ō tātou ū:

1. Ngā kiko honohono muka: He kiko paku matotoru ake ēnei. He mā te āhua i runga i te mammogram. Nā tēnei tae mā tonu ka puta ai hoki ngā pūtau matepukupuku he mā, ā, i ētahi wā ka uaua te kite i te matepukupuku. Mena he nui tēnei momo kiko muka i roto i ō ū, ka kiia e mātou ko te "high fibroglandular density," ko te "ngā ū matotoru rānei."

2. Kiko o te repe: He kiko matotoru hoki tēnei. Koinei te wāhi e puta mai ai ngā repe waiū me ngā awa waiū. He mā te āhua o tēnei kiko i runga i te mammogram, ā, he uaua ake te kite i te mate pukupuku. Mena he nui tēnei kiko, ka kiia he nui te kiko o te fibroglandular.

3. Tio ngako: Ehara tēnei i te kiko matotoru . He pango, he mārama rānei te āhua i runga i te mammogram. Mā tēnei ka māmā ake te kite i ngā wāhi mā o te kiko, pērā i te mate pukupuku, i te papamuri o te ngako. Mena he kiko ngako te nuinga o ō ū, ko te tikanga he "iti te kiato fibroglandular" tōu.

Nō reira, ko te kiato o te pūtau fibrous te nui o te kiko muka me te kiko repe i roto i ō ū, ki te whakaritea ki te nui o te kiko ngako. I ētahi wā ka kiia tēnei ko te "kiato o te ū".

Me āwangawanga rānei tātou mō tēnei kiato o te pūtau uaua?

Ina hoki, he mea nui te kiato o te fibroglandular nā te mea he uaua ki te tohunga hihi-X te kite i te matepukupuku o te ū i runga i te mammogram mēnā he kiko ū matotoru tōu. Nā te mea he mā te āhua o te matepukupuku me te kiko ū matotoru i runga i te mammogram. Ka kiia tēnei he "masking" - ko te tikanga ka taea te "huna" i te matepukupuku e ngā ū matotoru.

Engari, kaua e manukanuka mēnā kei roto i tō mammogram te kupu "ngā ū matotoru"! Ehara i te mea nui. I runga i ngā hua o tō mammogram me tō mōrearea ki te mate pukupuku ū, ka tūtohu pea tō tākuta i ētahi atu whakamātautau hei tiki pikitia pai ake mō ō ū.

He aha ngā mea e pā ana ki te matotoru o te ū?

He mea noa te whai kiko matotoru o te ū. Tata ki te haurua o ngā wāhine kei roto i tēnei kāwai. He maha ngā āhuatanga ka whai wāhi ki te whanaketanga o ō ū matotoru:

• Tau: He matotoru ake ngā ū o ngā wāhine taitamariki, engari i a rātou e pakeke haere ana, ka piki ake te kiko ngako, ā, ka heke iho te mātotoru.
• Ngā rongoā homoni: Ka taea e ētahi maimoatanga homoni (hei tauira, ngā homoni e hoatu ana mō te paheketanga) te whakanui ake i te kiato o ngā ū.
• Ira: Mena he matotoru ngā ū o tētahi o tō whānau, he nui ake te tūponotanga ka pāngia koe e aua ū.
• Taumaha tinana: I te nuinga o te wā, ko ngā wāhine he iti te taumaha tinana, tera pea kua piki ake te kiato o ngā ū, ko te hunga he nui ake te taumaha tinana, tera pea kua heke te kiato o ngā ū nā te nui haere o te kiko ngako.

Ka kōrero tō tākuta ki a koe mō te matotoru o ō ū, me pēhea te pānga ki te kimi i te mate pukupuku. Mena he iti tō mōrearea ki te mate pukupuku o te ū, kāore pea he āwangawanga nui mō te matotoru o ō ū. Heoi, ki te mea he nui tō mōrearea ki te mate pukupuku, ka kōrero tō tākuta ki a koe mō ētahi atu tirotiro mate pukupuku o te ū.

He aha ngā momo rerekē o te mātotoru o te pūtau uaua?

E whā ngā wāhanga matua o te matotoru o ō ū, mai i te kiko tino matotoru ki te kiko tino matotoru.

He aha te "kiko ū fibroglandular marara"?

Ka whakarōpūhia e ngā tohunga hihi-X ngā kiko o tō ū mā te whakamahi i tētahi tauine e kiia nei ko te Pūnaha Pūrongo me te Raraunga Whakaahua o te Uma (BI-RADS). Ka arotakehia e tēnei tauine BI-RADS tō kiato fibroglandular.

• Ko te tikanga o te "kiato o te pūtau kiko marara" he ranunga kiko matotoru me te kiko ngako kei roto i ō ū, engari ko te nuinga he kiko ngako.
• Ko te tikanga o te "kiko ū matotoru rerekē" he ranunga kiko matotoru me te kiko ngako kei roto i ō ū, engari ko te kiko matotoru te mea tino nui.

Ina whakakotahitia ēnei momo e rua, e 80% pea o te taupori o Amerika e pāngia ana e ēnei mate. He maha ngā wāhine o tō tātou whenua ka kite i ēnei āhuatanga.

He mate pukupuku horapa te kiato fibroglandular?

Kāo, kāore rawa. He ine noa iho tēnei i te kiko o tō ū. Mēnā he "kiko fibroglandular horapa" te tikanga he wāhi matotoru kei runga i tō mammogram e āhua matotoru ana. E ai ki te kōrero i mua ake nei, he mā te āhua o te mate pukupuku me te kiko matotoru o te ū i runga i te mammogram,He hononga anake te matotoru ki te mate pukupuku o te ū, nā te mea ki te mea he matotoru ō ū, ka uaua ake pea mā te tākuta te kite i ngā ira pukupuku.

He aha ngā āhuatanga hauora ka hono pea ki te mātotorutanga o te pūtau fibroglandular?

E hono ana tō kiato fibroglandular ki tō mōrearea ki te mate pukupuku o te ū. Inaianei kei te piki haere ngā taunakitanga e whakaatu ana i te pikinga ake o te kiato, ka piki ake pea tō mōrearea ki te mate pukupuku ki tētahi taumata . E rua ngā take matua mō tēnei:

1. I ētahi wā ka ngaro ngā mate pukupuku o te ū matotoru i roto i ngā mammogram: Ka ngaro pea te mate pukupuku i roto i te mammogram i te kiko matotoru o te ū. E ai ki ētahi rangahau, tae atu ki te 27% o ngā mate pukupuku i roto i ngā ū matotoru ka ngaro pea i roto i te mammogram.

2. He nui ake te tūponotanga ka pāngia te mate pukupuku e ngā ū matotoru: Ahakoa kāore i te mārama ngā take tuturu mō tēnei, he nui ake te tūponotanga ka pāngia te mate pukupuku o te ū e te tangata he ū matotoru i te tangata he nui ngā ū momona.

Me pēhea te ine i te mātotoru o te pūtau kiko? He aha aua whakamātautau?

Hei kimi i te kiato o tō ū, me whai mammogram koe. He momo hihi-X motuhake te mammogram e tango pikitia ana i te taha o roto o ō ū.

I runga i te momo kiko o te ū kei a koe, tera pea ka whai hua ngā hangarau whakaahua matatau ake hei tirotiro mēnā kei te whanake te mate pukupuku:

• Te mammography 3D (tomosynthesis o te ū): Ka whakamahia he horopeta iti o ngā hihi-X (tata ki te 1.5 ki te 2 ngā wā o te irahiko o te mammogram 2D ​​paerewa) hei tango pikitia o tō ū mai i ngā koki rerekē. Ka whakakotahihia ēnei pikitia hei hanga pikitia toru-ahu (3D) o tō ū. He tino pai tēnei mō te hunga he kiko matotoru, nā te mea ka whakaitihia te nui o te taupatupatu o ngā kiko. Mā tēnei hangarau ka taea e te tohunga hihi-X te "panuku" i roto i te kiko matotoru, kia mārama ake ai te kite i ngā āhuatanga rerekē.
• Te tirotiro oro-ā-u: Ka whakamahia ngā ngaru oro hei tango pikitia o te kiko o tō ū, ka whakaaturia ki te mata.
• MRI o te ū: Ka whakamahia e tēnei he aukume me ngā ngaru reo irirangi hei hopu i ngā hanganga i roto i ō ū, ā, ka whakaatuhia ngā whakaahua ki te mata.
• Whakaahua ngota o te ū (MBI): I roto i tēnei whakamātautau, ka werohia e tō tākuta he tohu irahiko ki roto i tētahi uaua i roto i tō ringa. Ka haere tēnei tohu i roto i ō toto. Ka hopukina e tētahi kāmera motuhake te tauhohenga a te tohu ki ngā kiko matepukupuku me ngā kiko kore-matepukupuku i roto i tō tinana. Ka whakaatuhia tēnei tauhohenga ki runga i te mata i runga i tētahi mata rerekē i waenga i ngā kiko matepukupuku me ngā kiko kore-matepukupuku.

He painga, he ngoikoretanga hoki ō ia whakamātautau. Hei tauira, ka taea e te MRI me te ultrasound te kite i ngā mate pukupuku e ngaro ana i te mammography, engari i ētahi wā ka taea e rātou te tautuhi hē i ngā pūtau kore-mate pukupuku hei mate pukupuku (e kiia ana tēneiHe hua hē pai . Ahakoa ka taea e ngā taputapu motuhake pēnei i te mammography 3D te kite i ngā mate pukupuku e ngaro ana i te mammogram tuku iho, he nui ake te hihi e whakamahia ana e ia i te mammogram 2D. Mena he nui te mōrearea ki te pangia e te mate pukupuku, ka mōrearea pea te pānga atu o te hihi. Waihoki, ka rerekē te wātea o ēnei hangarau me te utu i runga i te kapinga inihua.

Kōrero ki tō tākuta mō ngā kōwhiringa tirotiro e taunaki ana ia, i runga i te tūponotanga o te mate pukupuku o te ū. Ko te mea nui kia maumahara ko te mammogram tonu te paerewa koura mō te kitenga wawe i te mate pukupuku o te ū. Ko ētahi atu hangarau, pērā i te ultrasound o te ū me te MRI o te ū, he tāpiri atu ki te mammogram noa, ehara i te mea hei whakakapi mōna.

He aha ngā pātai me pātai atu e au ki te tākuta?

Me pātai atu ki tō tākuta mō te matotoru o tō ū. Kia mōhio koe ki te matotoru o ō ū, pātai atu me pēhea te pānga ki tō hauora. Anei ētahi pātai ka taea e koe te pātai:

• He aha ngā tūponotanga ka pāngia ahau e te mate pukupuku o te ū?
• He mātotoru ōku ū?
• He aha te pānga o te matotoru o ōku ū ki ngā hua o te mammogram?
• He aha ngā momo whakaahua pai rawa atu hei kite i te mate pukupuku?
• He aha ngā momo whakaahua e taunaki ana koe mō te tirotiro matepukupuku o te ū?
• Me whakaaro ahau ki ētahi atu whakamātautau?
• Kia pēhea te auau o ēnei whakamātautau?

Hei whakamutunga, ko te mea tino nui hei maumahara!

Ina kōrero te tākuta mō te kiato o te fibroglandular, ka paku mataku pea mēnā kei te āwangawanga koe mō tō tūponotanga ki te mate pukupuku o te ū. Engari kaua e manukanuka nui. He momo kiko motuhake ō ū, ā, kāore pea e waiho hei wero ki te tirotiro mate pukupuku. Ko te tikanga o te kīkī o ngā ū, te kiato nui o te fibroglandular rānei, ka whai hua pea koe i ngā whakamātautau whakaahua tāpiri hei wikitoria i ētahi o ngā herenga o te mammography. Ko te mea nui ko te toro atu ki tō tākuta i ia wā, te mahi i ō whakamātautau i te wā tika, me te whai i āna tohutohu.

` te kiato o te pūtau kikokore, te kiato o te ū, te mammogram, te mate pukupuku o te ū, ngā ū matotoru, te kiato o te ū, te mammogram, te mate pukupuku o te ū