Kei te mōhio koe ki (O-RADS)? He aha te hiranga o tēnei tikanga mō te tautuhi i ngā raruraru o te whatukuhu?

He mea noa te mataku nui ina kitea he panoni, he raruraru rānei (he whara) i roto i ngā ovaries, i ngā wāhi rānei e karapoti ana i a rātou (e kiia ana ēnei he wāhi `(adnexal)`)? Kaua e manukanuka. He tikanga motuhake kei reira hei āwhina i ngā tākuta i roto i ēnei take, hei whakarato hoki i ngā mōhiohio tika ake. Ko te ingoa o taua tikanga ko `(O-RADS)`. Me kōrero noa tātou mō tēnei i tēnei rā.

He aha te (O-RADS)? Kia mārama tātou!

Ko te O-RADS™ he whakarāpopototanga mō te Ovarian-Adnexal Reporting and Data System. He taputapu motuhake tēnei e whakamahia ana e ngā tākuta. E mōhio ana koe ki te take? Ka whakamahia hei whakarōpū i ngā whara, ngā huringa, ngā puku rānei e kitea ana i te matawai o ō ovaries (ngā wāhi huri noa rānei, arā, ko ngā adnexals—ngā ngongo fallopian, ngā ovaries, me te kiko honohono e pupuri ana i ngā okana o tō pūnaha whakaputa uri).

E ai ki te pūnaha O-RADS, ka whakarōpūtia he whara 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 tūponotanga ki te whakawhanake i te mate pukupuku . Anei te mahi:

• O-RADS 0: Ko te tikanga tēnei kāore e taea te whakamahi i ngā mōhiohio mai i te matawai hei aromatawai tika, ā, me whai whakamātautau anō. Tērā pea kāore te matawai i te mārama.
• O-RADS 1: Koinei te hua pai rawa atu! Ko te tikanga he hauora, he noa hoki ō ovaries.
• O-RADS 2: I konei, ahakoa he `(whara)`, he tino iti te tūponotanga ka matepukupuku (he iti iho i te 1%). Ko ēnei he `(pai)`, arā, ehara i te matepukupuku.
• O-RADS 3: I konei, he iti noa te tūponotanga kei reira te mate pukupuku, engari he iti (i waenga i te 1% me te 10%). He nui ake te āwangawanga o ngā tākuta mō ēnei, ā, ka tono pea rātou kia mahia anō he matawai ā muri ake nei.
• O-RADS 4: I konei, he taumata taurite te tūponotanga o te mate pukupuku (i waenga i te 10% me te 50%). He ahua whakapae ēnei. Nō reira, ka whakahaerehia pea e ngā tākuta ētahi atu whakamātautau mō tēnei, ā, ka tukuna pea koe ki tētahi tohunga.
• O-RADS 5: Ko te tikanga he tino teitei te mōrearea o te mate pukupuku (neke atu i te 50%). I tēnei wā, me mahi tonu.

Engari ehara i te mea he pūnaha whakarōpū noa iho te O-RADS. Nā te komiti nāna i whakawhanake (i ahu mai i te American College of Radiology) i whakawhanake hoki i tētahi papakupu (he huinga kupu paerewa e whakamahia ana hei whakaahua i ngā mea e kitea ana i runga i ngā matawai - e kiia nei ko te papakupu) me ngā taunakitanga mō ngā maimoatanga e tika ana mō ngā tāngata o ia rōpū mōrearea. He āwhina nui tēnei mō ngā tākuta ki te whakatau kaupapa.

Āhea te whakamahinga o te O-RADS?

Tērā pea ka whakamahia e tō tākuta tēnei pūnaha "(O-RADS)" hei tautuhi me te whakarōpū i ngā mea pēnei i:

• Ngā pūkahukahu ovarian: He pūkahukahu ēnei e puta ana i runga i ō ovaries. Ko ētahi pūkahukahu he pēke wai noa iho, ā, kāore i te mōrearea. Engari ko ētahi he mea hei āwangawanga.
• Ngā puku adnexal: He pukupuku, he puku rānei e puta mai ana i roto i ngā ngongo fallopian, i roto rānei i ngā hononga e pupuri ana i ngā okana o te pūnaha whakaputa uri. Tērā pea he momo rerekē ēnei.

Nō reira, ki te kitea tētahi āhuatanga pēnei i roto i te matawai, ka āwhina a O-RADS ki te mārama ki tōna āhua tuturu me te aromatawai i tōna mōrearea.

He aha ngā tikanga matua o (O-RADS)?

E rua ngā "wāhanga" matua o O-RADS, i runga i te momo matawai i whakamahia. Arā, he rerekē paku i runga i te momo matawai i whakamahia hei tiki i ngā mōhiohio.

(O-RADS Ultrasound - US)

Koinei te tikanga matua, te tikanga matua hoki e whakamahia ana i roto i te O-RADS. I konei, ka whakamahia he ultrasound puku, he ultrasound transvaginal rānei. E mōhio ana koe, ko te ultrasound he tikanga tango pikitia o roto o te tinana mā te whakamahi i ngā ngaru oro.

Ka taea e te hangarau ultrasound te kite mārama i ngā ovaries me ō rātou whara e pā ana. Mā te ultrasound transvaginal ka taea te whakaputa whakaahua tino mārama nā te mea ka taea te mahi tata rawa ki ngā ovaries.

(MRI O-RADS)

Ko te Whakaahua Āhua Aukume (MRI) he whakamātautau e whakarato ana i ngā mōhiohio taipitopito mō ngā kiko ngohengohe o te tinana. Ka whakamahia e te MRI ngā papa aukume me ngā ngaru reo irirangi. He whakamātautau uaua ake, he utu nui ake hoki i te ultrasound.

Mena kāore i te rawaka ngā mōhiohio a ngā tākuta mai i te ultrasound, mehemea rānei e hiahia ana rātou ki ētahi atu mōhiohio hei whakatau i te mate, mehemea rānei he uaua ki te whakaū mena he mate pukupuku tētahi mate, ka whakamahia tēnei tikanga MRI. Ko te O-RADS MRI te tukanga tātari i ngā whakaahua MRI me te whakarōpū i aua whakaahua ki roto i ngā O-RADS.

He aha te mea e tupu ana ki (O-RADS)? He aha te hiranga o tēnei?

He maha ngā whāinga matua o te pūnaha O-RADS. He mea tino nui ēnei māu me ō tākuta.

• Te whakarato i ngā whakamārama ōrite mō ngā pūrongo whakamātautau: Whakaarohia te nui o te raruraru mēnā me whakamārama koe i tō pūrongo matawai i tētahi ara i a koe e haere ana ki tētahi tākuta, ā, i tētahi ara anō i a koe e haere ana ki tētahi atu? Nā te O-RADS, ka whakarōpūhia e ngā tākuta me ngā hōhipera katoa i te Hononga o Amerika (ā, i nāianei i roto i ngā whenua maha o te ao) ngā whara o te ovarian me ngā whara e pā ana ki te ara kotahi, paerewa. Ko te tikanga o tēnei ahakoa kei hea koe e whiwhi maimoatanga ai, ka rite tonu te tikanga o te pūrongo. Mā tēnei ka whakakorea te maha o ngā whakapoauautanga.

• Te whakanui ake i te tika o te tautuhi mate:I roto i ngā whara o te whēkau me ngā whara e pā ana, ka whakaitihia e te O-RADS te tūponotanga o ngā hua teka mō te mate pukupuku. Ka whakaitihia hoki e ia te pokanga koretake mō ngā āhuatanga pai. Ka tātarihia e te O-RADS ngā āhuatanga o te whara (hei tauira, te rahi, te āhua, me ngā ihirangi) i roto i te huarahi pūtaiao.

• Te whakarato i ngā taunakitanga maimoatanga mō ia kāwai: Mā te pūnaha `(O-RADS)`, ka whiwhi ngā tākuta i ngā taunakitanga maimoatanga paerewa mō ia kāwai mōrearea (arā, ko te O-RADS 0 ki te 5). Hei tauira, mō te tangata he kāwai O-RADS 2, ka tukuna he taunakitanga pēnei i te, "Kāore he mea hei manukanuka, kāore pea tēnei e kino, ka tirohia anō mātou i roto i tētahi wā poto." Engari mō te O-RADS 4, 5 rānei, ka tukuna he taunakitanga pēnei i te, "Me mahi e mātou ētahi atu whakamātautau mō tēnei i roto i te wā poto, ā, me tuku koe ki tētahi tohunga mēnā e tika ana".

He aha ngā painga o te pūnaha (O-RADS)? He aha i pai ai mōu?

Kua whakaatuhia e ngā rangahau he maha ngā wā ka puta he hua hē i ngā whakamātautau tirotiro mate pukupuku ovarian mā te whakamahi i te ultrasound transvaginal me te tohu pukupuku CA-125. Ko te tikanga, tera pea ka kitea he mate pukupuku koe, engari i muri mai ka kitea kāore koe i pangia e te mate pukupuku. Whakaarohia te ahotea me te manukanuka ka puta mai i tēnā! Me mahi pokanga pea koe mō te kore take?

I ētahi wā, ka pokangahia ngā tūroro ahakoa kāore i te tino hiahiatia. He mea nui, ko ngā pokanga e mahia ana mō ngā "whara" "pai" ehara i te matepukupuku he 17.8%. Ara, he nui te ōrau o te hunga e pokangahia ana kāore e tika ana ka pāngia e ngā raruraru hauora e pā ana ki te pokanga.

Ka whakaarohia e te pūnaha O-RADS ētahi āhuatanga. Hei tauira, ko ngā āhuatanga o te whara (te rahi, te wāhi, te āhua, mēnā he mea totoka kei roto, te rere o te toto, me ētahi atu) me te mea kua pāngia koe e te menopause. Nā te mea mēnā ka puta he whara hou ki te ovary i roto i te tangata kua pāngia e te menopause, me nui ake tō āwangawanga mōna.

Ko te whāinga matua he whakaiti i ngā pokanga koretake mō te hunga he whara kore-matepukupuku. Ko tētahi atu whāinga he tuku wawe i te hunga he whara whakapae, he whara matepukupuku rānei ki tētahi tohunga tika ake (hei tauira, he tākuta matepukupuku wahine). Nō reira, ka tukuna noa koe ki te pokanga mēnā e tino hiahiatia ana.

Nā wai i hanga te pūnaha (O-RADS)?

Kāore tēnei pūnaha nui e puta noa i te pō kotahi, āe? I te tau 2018, i tautokona e te American College of Radiology, te whakahaere matua o te radiology i te United States, tētahi komiti o ngā tākuta o te ao e tohu ana i ngā momo tohungatanga (pēnei i te gynecology, radiology, me te oncology), ā, i whakawhanakehia te pūnaha O-RADS. I whakahoutia anō hoki e te komiti O-RADS US - Ultrasound te papakupu i te Whiringa-ā-rangi 2022. Ko te tikanga he pūnaha e whakahoutia tonutia ana ki ngā mōhiotanga hou.

He aha te whakamarie e whiwhi ai koe i tēnei?

He mea noa te whakaaro kua mutu te ao, ā, ka taumaha te ngākau ina kitea he mea whakapae kua puta mai i roto i tō matawai. I a koe e whakamātautau ana hei whakaū i te mate, hei whakarite rānei kāore he hē, ka piki haere tō manukanuka me tō mataku i ia rā, i ia rā.

Heoi, mā te tikanga O-RADS ka whakaiti i te tūponotanga ka puta he hua whakamātautau teka-pai. Ko te tikanga he iti ake te tūponotanga ka kitea he mate pukupuku koe ina kāore koe i te mate. Ka whakaitihia hoki te tūponotanga o te pokanga koretake. Mā te tikanga O-RADS ka āwhina koe ki te tiki i ngā whakautu e hiahiatia ana e koe kia tere ake, kia tika ake hoki. Kāore ianei tēnei i te tino whakamarie?

Karere Tangohia ki te Kāinga

Ko ngā mea tino nui hei maumahara māu i roto i ngā mea kua kōrerotia e tātou ko ēnei:

• He tikanga tino nui, he tikanga paerewa, he tikanga pūtaiao hoki te O-RADS e āwhina ana i ngā tākuta ki te tautuhi me te whakarōpū i ngā raruraru ovarian me ngā raruraru e pā ana (ngā whara).
• Ko te hua o tēnei tikanga he tika ake ngā tautuhi mate, he iti ake ngā pokanga kore e hiahiatia, ā, he mārama ake hoki ngā aratohu mō ngā maimoatanga e hiahiatia ana e koe.
• Mena he whakarōpūtanga O-RADS tō pūrongo matawai, kōrero ki tō tākuta mō tēnei mea, kia mōhio ai koe ki ētahi atu kōrero. Kaua e manukanuka, kei konei ēnei tikanga hei āwhina i a koe.
• Kia maumahara, ko te tautuhi wawe me te maimoatanga tika ngā huarahi pai ki te noho ora. Nō reira, whai i ngā tohutohu a tō tākuta, ā, me whiwhi i ngā whakamātautau e tika ana.

Ko tāku tumanako ka kitea e koe he whai hua tēnei mōhiohio!

` O-RADS, Ovarian, Adnexal, Lesion, Ultrasound, MRI, Matepukupuku, Wynecology