Whakaarohia kei te whai koe i tētahi matawai ultrasound pelvic i runga i te tohutohu a te tākuta. Mena kei te whakaatu te pūrongo he pukupuku (whara) kei runga i te ovary, he mea noa te mataku me te manukanuka. "Āe, he mate pukupuku tēnei?" Tērā pea ka ara ake te pātai i roto i tō hinengaro. Engari ko te pono, ehara i te mea ko ngā pukupuku katoa e tupu ana i roto i ngā ovaries he mate pukupuku. Nō reira, he tikanga motuhake kei reira hei whakarōpū tika i tēnei āhuatanga, hei āwhina hoki i ngā tākuta huri noa i te ao kia mārama ki te mōrearea o te mate pukupuku i te ara kotahi. Koinei te mea e kiia nei ko te O-RADS .
He aha te O-RADS? Kia mārama tātou.
He whakarāpopototanga noa iho, he pūnaha a O-RADS hei whakarōpū i tētahi āhua rerekē, pērā i te pukupuku, i te whara rānei, e puta mai ana i tō matawai i roto i te ovary, i tōna rohe adnexal rānei. He tika ake, ka tohaina he kaute ki te mōrearea o te mate pukupuku i roto i taua āhua.
Ko te ingoa katoa o tēnei ko te Pūnaha Pūrongo me te Raraunga Ovarian-Adnexal .
- Ko te Ovarian-Adnexal e pā ana ki ngā wāhanga e pupuri ana i ngā ovaries, ngā ngongo fallopian, me ngā okana e karapoti ana i te pūnaha whakaputa uri wahine.
- He wāhi pakaru, he āhua rerekē rānei te whara o tētahi okana, o tētahi kiko rānei. Ahakoa ka kiia noa e tātou he "puku", ehara i te mea he morearea i ngā wā katoa.
E ai ki tēnei pūnaha O-RADS, ko te āhua e kitea ana i te matawai ka whakarōpūtia i runga i te tauine mai i te 0 ki te 5. Ko te teitei ake o te tau, ko te teitei ake o te mōrearea ki te mate pukupuku.
Engari ehara tēnei i te pūnaha whakatauranga noa iho. Kua puta mai hoki i te komiti nāna i whakauru mai tēnei pūnaha (nā te American College of Radiology) tētahi papakupu motuhake o ngā kupu e whakamahia ana mō tēnei kaupapa me ngā taunakitanga mō te momo maimoatanga, te whakahaere rānei e tika ana mō ngā tāngata o ia rōpū mōrearea. Nō reira, he āwhina nui tēnei mā tō tākuta ki te whakatau i ngā whakatau mō tō āhua.
He momo O-RADS anō kei reira?
Āe, e rua ngā momo matawai matua e whakamahi ana i te pūnaha O-RADS. Arā, ko tēnei whakarōpūtanga e ahu mai ana i ngā raraunga i whiwhi mai i tēhea matawai.
1. O-RADS Ultrasound (US): Koinei te tikanga e whakamahia whānuitia ana. E hangai ana tēnei whakarōpūtanga ki ngā raraunga i whiwhihia mai i ngā matawai ultrasound puku, i ngā matawai ultrasound transvaginal rānei. Ka taea e tēnei matawai te kite i ngā pukupuku ovarian me ngā mate e pā ana, me ētahi atu mate.
2. MRI O-RADS: I ētahi wā, kāore pea e ranea ngā mōhiohio i whiwhihia mai i te matawai ultrasound hei whakatau i te mate. I ēnei wā, ka taea e te MRI (Magnetic Resonance Imaging) te whakarato i tētahi pikitia mārama ake, taipitopito ake hoki o ngā kiko ngohengohe.Tērā pea ka tūtohu tō tākuta kia mahia he matawai. He mea nui rawa te MRI hei whakaū, hei whakakore rānei i te mate pukupuku mēnā kei te whakapaetia he mate pukupuku.
He aha ngā mea matua ka rerekē me te O-RADS?
He maha ngā whāinga matua mō te whakaurunga o tēnei pūnaha. He tino whai hua, he tino mārama hoki mō ngā tūroro me ngā tākuta. Kia kite tātou he aha ēnei.
| Te kaupapa o te pūnaha O-RADS | Hei whakarāpopototanga... |
|---|---|
| Ngā whakamaoritanga ōrite | Ahakoa kei hea te matawai i Sri Lanka, i hea atu rānei o te ao, ka taea e ngā tākuta e mātaki ana i te pūrongo te mārama ki te pūrongo. Mā tēnei ka mārama te maimoatanga. |
| Whakanuia te tika o te tātaritanga | Ka whakaitihia ngā hua teka mō ngā pukupuku pai, ka taea ai te whakaiti nui i ngā pokanga kore e hiahiatia . |
| Whakaratohia ngā taunakitanga maimoatanga mō ia kāwai. | I runga i tō kaute O-RADS, ka whiwhi te tākuta i ngā tohutohu mārama mō ngā mahi hei whai ake (hei tauira, me mahi anō i tētahi matawai, tirohia anō i roto i ētahi marama, me tuku rānei koe ki tētahi tohunga). |
He aha ngā painga o te whakamahi i te O-RADS mōu?
I ngā wā o mua, i whakamahia ngā matawai ultrasound transvaginal me te whakamātautau toto e kiia nei ko CA-125 hei kimi i te mate pukupuku ovarian. Heoi, i ētahi wā ka puta he hua hē i ēnei tikanga. Ko te tikanga o tēnei, i hē te tautuhi i te mate pukupuku o te tangata kāore i te pāngia e te mate pukupuku.
Whakaarohia te mea ka tupu mēnā ka tupu tēnā. Ka pouri rawa te tangata, ka mataku hoki. Ehara i te mea koinā anake, engari i ētahi wā ka hiahiatia kia pokangahia kia kore e hiahiatia. Kua whakaatuhia e ngā rangahau tata ki te 17.8% o ngā tūroro ka pāngia e ngā raruraru i muri i te pokanga mō ngā pukupuku ehara i te matepukupuku. Ko te tikanga, mā te pokanga kore e hiahiatia ka puta he raruraru hauora anō.
Ko tētahi o ngā whāinga matua o te pūnaha O-RADS he whakaiti i ngā pokanga koretake mō ngā āhuatanga ehara i te matepukupuku, me te tuku wawe i te hunga e tino mōrearea ana ki te tohunga tino tika, pērā i te tohunga matepukupuku wahine.
Kāore te pūnaha O-RADS e titiro noa ki te mea kei reira he pukupuku, kāore rānei. He maha ngā mea e whakaarohia ana, pērā i te rahi, te wāhi, te āhua, me ngā āhuatanga o roto o te pukupuku. Ka whakaarohia hoki mēnā kua pāngia koe e te menopause. Ka tangohia ēnei āhuatanga katoa hei aromatawai i tō mōrearea.
Ma tenei, ka tere te whiwhi whakautu mārama, me te kore e puta he wehi koretake, ka taea ai e koe te kōrero mārama ki tō tākuta mo te mea hei mahi i muri mai.
Karere Tangohia ki te Kāinga
- He pūnaha whakatauranga a O-RADS (0-5) e aromatawai ana i te mōrearea o te mate pukupuku i roto i te ovary, i ngā puku/hurihanga rānei e pā ana ki tēnei e kitea ana i runga i tō pūrongo matawai.
- Ahakoa he nui ake te mōrearea o te kaute teitei ake, ko te tikanga o te kaute iti (hei tauira, O-RADS 2, 3 rānei) he mate pai pea. Nō reira kaua e manukanuka.
- Mā tēnei pūnaha ka taea e ngā tākuta o te ao katoa te mārama ki ngā pūrongo matawai i te ara kotahi, ā, ka nui ake te tika o te maimoatanga ka whiwhi koe.
- Ko tētahi o ngā painga matua o tēnei ko te whakaiti i te maha o ngā pokanga koretake e mahia ana mō ngā āhuatanga ehara i te matepukupuku.
- Ki te whakaatu tō pūrongo matawai i te tohu O-RADS, kaua e mataku, engari me kōrero marie ki tō tākuta mō te tikanga o te tohu me ngā mahi hei mahi i muri mai.
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