Ndondomeko yatsopano yokhudza thanzi la bere lanu! Tiyeni tiphunzire za 3D mammogram (Tomosynthesis) iyi?

Kodi munayamba mwachita mantha pang'ono kapena kukayikira za mabere anu? Kapena munamvapo za khansa ya m'mawere ndipo mukufuna kudziwa zambiri za iyo? Lero tikambirana za mayeso a mammogram omwe amatithandiza nthawi ngati zimenezi, ndipo amagwira ntchito ndi ukadaulo wapamwamba kwambiri. Dzina lake ndi digito breast tomosynthesis, kapena monga tonse tikudziwira, 3D mammography.

Kodi tomosynthesis ndi chiyani? Kodi ndi mammogram ya 3D yeniyeni?

Mwachidule, `(Tomosynthesis)` iyi ndi njira yapamwamba kwambiri yogwiritsira ntchito mammogram yomwe imagwiritsidwa ntchito kuzindikira khansa ya m'mawere . Ndi yothandiza makamaka ngati minofu ya m'mawere anu ndi yokhuthala pang'ono, kutanthauza, `(minofu ya m'mawere yokhuthala)`. Kodi mukudziwa chifukwa chake? Imatchedwanso `(3D mammography)`. Chifukwa cha izi ndikuti makinawa amatenga zithunzi zambiri za m'mawere anu zamitundu iwiri (2D) ndikuziphatikiza zonse pamodzi kuti apange chithunzi chamitundu itatu (3D) .

Mammogram yodziwika bwino yomwe timachita nthawi zambiri imatenga zithunzi za bere la magawo awiri (2D). Ikuonedwabe kuti ndiyo njira yodalirika kwambiri yodziwira khansa ya m'mawere. Komabe, ukadaulo watsopanowu, wotchedwa tomosynthesis, unavomerezedwa ndi US Food and Drug Administration (FDA) mu 2011. Ndi wabwino kwambiri pozindikira khansa kotero kuti ukhoza kukhala muyezo wagolide woyezera bere mtsogolo .

Ndani amene amapindula kwambiri ndi tomosynthesis?

Ndipotu, aliyense amene akufuna kuchitidwa mammogram angapindule ndi `(Tomosynthesis)` iyi. Koma, makamaka ngati minofu ya bere lanu ndi yokhuthala (m'malo mwa minofu yamafuta), izi ndi zofunika kwambiri kwa inu . Pafupifupi theka la akazi onse akuti ali ndi mabere okhuthala. Chifukwa minofu ya bere lanu ndi yokhuthala, zimakhala zovuta kupeza khansa pogwiritsa ntchito mammogram wamba wa 2D.

Taganizirani izi motere. Monga mammogram wamba, tomosynthesis imagwiritsa ntchito X-ray yochepa. Minofu yolimba - kutanthauza mafupa, zotupa zolimba, ndi minofu yolimba ya m'mawere - imayamwa ma X-ray ambiri awa. Amaoneka oyera pa mammogram. Vuto ndilakuti, chifukwa khansa ndi minofu yolimba ya m'mawere zimaoneka zoyera, nthawi zina zimakhala zovuta kusiyanitsa ziwirizi.

Apa ndi pomwe njira yopangira mabere ya digito imayambira. Imajambula zithunzi za bere lanu kuchokera mbali zambiri komanso zithunzi zambiri kuposa mammogram wamba. Chithunzi cha 3D chomwe chimachokeracho chili chomveka bwino. Izi zikutanthauza kuti imatha kuzindikira khansa yomwe "ingabisike" mu minofu yolimba ya bere. Imathanso kuzindikira molondola minofu yathanzi yomwe ingawoneke "yokayikitsa" kapena "yotheka" pa mammogram wamba. Izi zimachepetsanso kuchuluka kwa zotsatira zabodza.Zimenezi zikutanthauza kuti simudzatha kudziwa kuti "mungakhale ndi khansa" popanda kukhala nayo. Ndi mpumulo waukulu, sichoncho?

Kodi tomosynthesis imafunika liti?

``(Digital breast tomosynthesis)`` iyi imagwiritsidwa ntchito m'njira ziwiri:

Monga mayeso owunikira kuti adziwe khansa ya m'mawere msanga

Gulu Loyang'anira Ntchito Zopewera Matenda ku US (USPSTF) limalimbikitsa kuti akazi onse ayambe kuchitidwa mammogram ali ndi zaka 40. Komabe, ngati wina m'banja mwanu adadwalapo khansa ya m'mawere (monga mbiri yakale ya m'banja), mungafune kuyamba kuyezetsa msanga. Tomosynthesis ndi njira yabwino kwambiri yoyezetsa matenda m'malo moyezetsa matenda. Monga mammogram yachikhalidwe, imatha kuzindikira khansa msanga , musanakhale ndi zizindikiro zilizonse.

Monga mayeso ozindikira matenda pamene zizindikiro zachitika

Ngati muli ndi zizindikiro zilizonse za m'mawere - monga kupweteka kwa m'mawere, chotupa m'mawere anu, kapena kusintha kwa khungu - dokotala wanu angakupatseni "Digital Breast Tomosynthesis". Iyi ndi mayeso a "Diagnostic". Izi zingathandize dokotala wanu kutsimikizira kuti mulibe khansa, kapena kusankha ngati "Biopsy" ikufunika kuti muwone ngati pali maselo a khansa.

Ndani akuchita mayeso awa?

Kawirikawiri, katswiri wa zaukadaulo wa radiologic kapena mammographer adzakuyikani pamalo oyeserera awa, kugwiritsa ntchito makina a mammography, kenako n’kusanthula zithunzizo ndikufotokozera dokotala wanu zotsatira zake.

Kodi makina opangidwa ndi tomosynthesis awa amagwira ntchito bwanji?

"Digital breast tomosynthesis (DBT)" iyi ndi yofanana kwambiri ndi mammogram wamba. Kusiyana kwakukulu ndikuti imatenga zithunzi zambiri za bere lanu, kuchokera mbali zosiyanasiyana .

Tangoganizirani kuti mu mammogram yachizolowezi, bere lanu limayikidwa pamalo athyathyathya ndikukanikizidwa (kukanikiza) pakati pa mbale ziwiri zopingasa. Makinawa amatenga zithunzi za bere lanu za mbali ziwiri (2D) kuchokera mbali ziwiri - pamwamba mpaka pansi ndi mbali imodzi.

Mu DBT, bere lanu limayikidwa ndikukanikizidwa mofanana ndi momwe zimakhalira mu 2D mammogram yachizolowezi. Komabe, mu Tomosynthesis, mkono wa makina a mammogram (chubu cha X-ray) umayenda mozungulira bere lanu. Pamene ikuyenda, imatenga zithunzi zambiri za 2D kuchokera mbali zosiyanasiyana.

Zithunzi za 2D izi zimasinthidwa kukhala digito ndikutumizidwa ku kompyuta. Kompyutayo imaphatikiza zithunzi zonsezi kuti ipange chithunzi cha magawo atatu (3D) . Chithunzi cha 3D ichi chikuwonetsa zambiri, zomwe zimapangitsa kuti zikhale zosavuta kuzindikira kusiyana pakati pa minofu yathanzi ndi minofu yomwe ingakhale khansa.

Kodi mumakonzekera bwanji mayeso a tomosynthesis?

Ndikofunikira kuuza dokotala wanu mbiri yanu yonse ya matenda - makamaka thanzi la bere lanu. Nazi zina zomwe mungachite kuti mukonzekere:

• Kambiranani mbiri yanu yachipatala ndi dokotala wanu: Uzani dokotala wanu za matenda aliwonse a m'mawere omwe mwakumana nawo, opaleshoni iliyonse yomwe mwachitidwa, jakisoni iliyonse yomwe mwalandira posachedwapa, ndi mahomoni aliwonse omwe mukumwa. Uzani dokotala wanu za mbiri ya banja lanu ya khansa ya m'mawere. Ngati muli ndi pakati kapena mukuyamwitsa, dokotala wanu ayeneranso kudziwa izi.
• Uzani dokotala wanu wapano kuti akutumizireni zotsatira za mayeso am'mbuyomu: Ngati mudachitidwapo mammogram kwina, onetsetsani kuti mwatumiza zithunzizo kwa dokotala wanu wapano. N'zosavuta kuona zolakwika mukayerekezera zithunzi zomwe mukupeza ndi zam'mbuyomu.
• Konzani nthawi yoyezetsa mawere anu tsiku lomwe mawere anu sakupweteka: Kufewa kwa mawere nthawi zambiri kumakhala kochepa mkati mwa sabata yoyamba kapena iwiri mutatha msambo. Imeneyi ndi nthawi yabwino yoti mupite ku mammogram.

Kodi mungayembekezere chiyani pa tsiku la mayeso?

Yembekezerani kuti mayesowa atenga pafupifupi mphindi 30. Mutha kupita kunyumba tsiku lomwelo. Kumbukirani zinthu izi kuti mukonzekere:

• Sambani nthawi zonse, koma musagwiritse ntchito zodzoladzola monga deodorant, ufa, kapena lotion. Izi zitha kuwoneka ngati madontho oyera pa mammogram, zomwe zingayambitse kutanthauzira molakwika zotsatira zake.
• Valani zovala zomasuka zomwe sizivuta kusintha. Mwina mungafunike kuchotsa pamwamba (pamwamba ndi bra) ndikuvala diresi la kuchipatala lomwe limatseguka kutsogolo.
• Musamavale zodzikongoletsera. Mikanda ndi ndolo zazitali zimatha kusokoneza chithunzi cha mammogram. Ndi bwino kuzisiya kunyumba. Funsani ogwira ntchito ngati kuli bwino kuvala zinthu ngati ndolo zazing'ono.

Kodi mayeso a tomosynthesis amachitidwa bwanji? Kodi mungawafotokozere pang'ono?

`(DBT)` iyi imachitika ngati mammogram wamba. Kusiyana kwakukulu ndikuti mu `(DBT)`, mkono wa makina (chubu cha X-ray) umatulutsa ma X-ray pamene ukuyenda pang'onopang'ono mozungulira bere lanu.

• Katswiri wa ukadaulo adzakuyimitsani patsogolo pa makina oyezera mabere ndikuyika limodzi mwa mabere anu papulatifomu. Adzasintha kutalika kwa makinawo kukhala pamlingo woyenera ndikuyika bere lanu kuti liwoneke bwino.
• Mukayiyika bwino, mbale yapulasitiki idzatsika pang'onopang'ono, ndikukankhira bere lanu pa pulatifomu. Mudzamva kupsinjika pang'ono panthawiyi. Ndizachilendo kumva kusasangalala pang'ono. Koma ngati mukumva kupweteka kulikonse, uzani katswiri wa ukadaulo. Kumbukirani, pali chifukwa chofunikira chomwe chimayambitsa kusasangalala kumeneku. Kukanikiza kumeneku kumathandiza katswiri wa radiation kuwona minofu ya bere lanu bwino. Komanso, chifukwa minofuyo yakanikiza, mphamvu yochepa ya radiation ingagwiritsidwe ntchito.
• Katswiri adzasuntha pang'ono kuti agwiritse ntchito makinawo. Muyenera kukhala chete pamene makinawo akuyenda.Katswiri wa ukadaulo angakupempheninso kuti muchepetse mpweya wanu pamene makinawo akujambula zithunzi (kwa masekondi angapo).
• Chubu cha X-ray chimayenda mozungulira bere lanu, ndikutulutsa ma X-ray angapo otsika.
• Akatenga zithunzi zokwanira za bere limodzi, katswiri wa ukadaulo amachitanso chimodzimodzi ndi bere lina.

Kumbukirani: Ngakhale kuti mayesowa angaoneke ngati osasangalatsa pang'ono, ndi ofunikira kwambiri pa thanzi lanu. Choncho khalani olimba mtima.

Kodi ndi mphamvu yochuluka bwanji ya radiation yomwe imagwiritsidwa ntchito popanga tomosynthesis? Kodi ndi chinthu choopera?

Ku United States, FDA yavomereza DBT yokha kuti igwiritsidwe ntchito limodzi ndi mammography. Mlingo wonse wa radiation ndi pafupifupi katatu kuposa wa mammogram wamba. Ngakhale kuti "katatu" kungamveke ngati wochuluka, akadali mlingo wochepa kwambiri wa radiation, ndipo amaonedwa kuti ndi wotetezeka .

Pali njira zatsopano za `(Tomosynthesis)` zomwe zingapangitse zithunzi za mbali ziwiri (2D) kuchokera ku deta yomweyi yomwe imagwiritsidwa ntchito popanga chithunzi cha mbali zitatu (3D). Izi zimachepetsanso kuwala kwa dzuwa, koma pang'ono kuposa mammogram wamba.

Mammography, kuphatikizapo ``Tomosynthesis,'' imagwiritsa ntchito mlingo wotsika kwambiri komanso wotetezeka wa radiation kuti ipereke zithunzi zapamwamba kwambiri kuti izindikire khansa ya m'mawere. Choncho musachite mantha ndi izi mopanda chifukwa.

Kodi zotsatira zake zimakhala bwanji? Kodi zikutiuza chiyani?

Katswiri wa radiology adzayang'ana zithunzi zanu kuti aone zizindikiro za khansa ya m'mawere. Ngati awona chilichonse chokayikitsa, akhoza kufananiza chithunzi cha 3D ndi zotsatira zanu zam'mbuyomu za mammogram kapena zithunzi za 2D. Iye adzalemba lipoti kwa dokotala wanu, yemwe adzakuuzani zotsatira zake.

Kutengera ndi zotsatira zake, mungadziwitsidwe kuti mulibe khansa. Kapena, mungauzidwe kuti mayeso ena amafunika kuti mufufuze minofu yokayikitsa. Izi zitha kuphatikizapo mammogram ina, ultrasound, MRI, kapena biopsy. Njira yokhayo yodziwira kuti muli ndi khansa ndikuchita biopsy.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Zotsatira nthawi zambiri zimapezeka mkati mwa masiku ochepa , koma nthawi zina zimatenga nthawi yayitali. Musanachoke pamalo oyesera, funsani momwe mudzalandirire zotsatira zanu komanso nthawi yomwe mungayembekezere.

Kodi tomosynthesis ndi yabwino kuposa mammogram wamba?

Tomosynthesis imapereka chithunzi chatsatanetsatane cha bere lanu kuposa mammogram wamba. Ndi bwino kuzindikira khansa mwa anthu omwe ali ndi minofu yolimba ya bere ndipo imachepetsa zotsatira zabodza. Komabe, kukangana kukadali kukambidwa ngati mammogram a 3D ndi abwino kuposa mammogram a 2D poyezetsa khansa ya m'mawere.Kafukufuku akupitirirabe.

Ndi bwino kutsatira malangizo a dokotala wanu okhudza mayeso a mabere omwe mukufuna kutengera mbiri yanu yachipatala komanso mtundu wa minofu ya mabere anu.

Kodi tomosynthesis ndi 3D mammogram ndi chinthu chimodzi?

Inde, ndi zoona! Tomosynthesis, breast tomosynthesis, digital breast tomosynthesis, ndi 3D mammogram zonse ndi mayina a njira yoyesera yomweyi.

Kodi ndi zoona kuti tomosynthesis ndi yabwino kwa anthu omwe ali ndi mabere okhuthala?

Inde, ndi zoona. Izi zikupereka chithunzi chatsatanetsatane cha bere lanu, zomwe zimapangitsa kuti zikhale zosavuta kwa dokotala wa radiology kudziwa kusiyana pakati pa minofu yolimba ya bere ndi khansa.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano muli ndi lingaliro labwino pa zomwe takhala tikulankhula, Digital Breast Tomosynthesis (DBT). Chofunika ndichakuti ngati muli ndi minofu yolimba ya m'mawere, iyi ikhoza kukhala njira yabwino yodziwira khansa ya m'mawere.

• Ngati nthawi yakwana yoti muyesedwe mammogram, funsani dokotala wanu ngati tomosynthesis yachitika ngati gawo la mayeso.
• Kutengera thanzi lanu, ngakhale kuchitidwa mammogram nthawi zonse kungakhale kokwanira kuzindikira khansa.
• Nthawi zina, tomosynthesis ingakulitse mwayi wopeza khansa, kapena ingachepetsenso nkhawa yolandira zotsatira zabodza.
• Musazengereze kufunsa dokotala wanu chilichonse chokhudza mayesowa, kuphatikizapo chifukwa chake ndi oyenera kwa inu (kapena ayi). Ndikofunikira kudziwa zambiri za thanzi lanu.

Khansa ya m'mawere, tomosynthesis, 3D mammogram, mammogram, kuyezetsa mabere, mabere okhuthala, kuzindikira khansa