Mwina munamvapo mawu akuti 'Breast MRI'. Kapena dokotala mwina anakuuzani kuti muchite mayesowa. Kodi kwenikweni MRI ya m'mawere (Magnetic Resonance Imaging) ndi chiyani? Mwachidule, ndi mayeso omwe amajambula mkati mwa thupi lanu. Koma sagwiritsa ntchito X-ray. M'malo mwake, amagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti afotokoze bwino komanso mwatsatanetsatane za minofu ya m'mawere anu. Dokotala wanu angagwiritsenso ntchito 'Breast MRI' pamodzi ndi 'Mammogram' kuti aone ngati khansa ya m'mawere ili ndi khansa. Kapena angagwiritse ntchito 'biopsy' kuti atenge chidutswa chaching'ono cha minofu ya m'mawere kuti aone ngati pali khansa kapena kuti khansayo yafalikira bwanji.
N’chifukwa chiyani dokotala angakuuzeni kuti muyezedwe MRI ya m’mawere?
Pali zifukwa zingapo zomwe dokotala wanu angakupempheni kuti muyesedwe. Tiyeni tiwone zomwe zili:
- Ngati muli pachiwopsezo chachikulu chotenga khansa ya m'mawere (monga ngati wina m'banja mwanu adadwala nayo, kapena ngati muli ndi kusintha kwa majini monga BRCA1 kapena BRCA2), mungapemphedwe kuti muchite izi kuwonjezera pa mammogram yanu yanthawi zonse.
- Ngati mabere anu ali ndi minofu yokhuthala ('mabere okhuthala'), izi zitha kukhala zofunikira ngati mayeso ena.
- Kwa munthu amene wangopezeka ndi khansa ya m'mawere, fufuzani molondola momwe khansayo yafalikira .
- Dziwani zambiri zokhudza matenda a m'mawere omwe ndi ovuta kuwazindikira molondola pogwiritsa ntchito mammogram kapena ultrasound ya m'mawere.
- Yang'anani ngati ma implants a m'mawere (monga silinda) aphulika, kapena ngati munthu amene ali ndi ma implants ali ndi khansa.
Kodi mumabaya madzi apadera (utoto wosiyana) pa izi?
Inde, nthawi zambiri, utoto wosiyanitsa umagwiritsidwa ntchito pa mayeso a 'Breast MRI' awa. Izi zimatchedwa 'Gadolinium'. Izi zimaperekedwa kwa inu kudzera mu mzere waung'ono wa 'IV' mumtsempha womwe uli m'dzanja lanu. Izi zimathandiza 'Radiologist', katswiri wa radiologist, kuti awone bwino zomwe zili bwino komanso zomwe sizili bwino m'mabere mwanu. Izi ndi zosiyana ndi utoto wosiyanitsa womwe umagwiritsidwa ntchito pa 'CT scan' ('Computed Tomography scan'), eti?
Kodi pali mgwirizano wotani pakati pa MRI ya m'mawere ndi khansa ya m'mawere?
Madokotala akapezeka ndi khansa ya m'mawere, nthawi zambiri amalangiza kuti achite `Breast MRI` kuti adziwe zambiri za khansayi. Izi ndi zina zomwe angapeze:
- Kodi khansa yafalikira mpaka pati? Izi zikutanthauza kuti yafalikira mpaka pa nipple, pakhungu, kapena minofu ya pachifuwa.
- Yang'anani malo ena omwe ali ndi khansa kapena minofu yosazolowereka m'mawere. Ngakhale ziphuphu zazing'ono (mabala) zomwe sizingawonekere pa mammogram zitha kupezeka ndi MRI.
- Yang'anani ma lymph nodes omwe ali m'khwapa mwanu kuti muwone ngati akukulirakulira. Ngati akukulirakulira, ichi chikhoza kukhala chizindikiro chakuti khansa yafalikira (yafalikira) pamenepo.
- Izi zimathandizanso kuona momwe chithandizo cha khansa ya m'mawere chilili chothandiza, makamaka chemotherapy, yomwe imaperekedwa kuti ichepetse chotupacho opaleshoni isanachitike.
Chinanso, `Breast MRI` ingathandizenso kuona momwe malo ochotsera lumpectomy alili patatha zaka zingapo kuchokera pamene chithandizo cha khansa ya m'mawere chachitika. Chifukwa nthawi zina `Mammogram` ndi `Ultrasound` zimatha kuwoneka chimodzimodzi, kaya chilonda kapena khansa yabwerera.
Kodi muyenera kukonzekera bwanji musanachite MRI ya m'mawere?
Kodi ndi bwino kuuza katswiri wanu wa radiology kapena radiology technologist zinthu izi musanachite MRI ya m'mawere?
- Palibe vuto ngati muli ndi pakati kapena mukuyamwitsa . Chifukwa ngati muli ndi pakati, simungathe kuchitidwa MRI yokhala ndi utoto wosiyana. Kuyamwitsa kungakhudzenso zithunzi za MRI.
- Ngati n'kovuta kugona pansi ndi mimba kwa mphindi 30 mpaka 60.
- Ngati munayamba mwakhalapo ndi vuto la ziwengo chifukwa cha utoto wosiyana ndi utoto.
- Ngati mukuopa malo otsekeka (claustrophobia), nthawi zina mungapatsidwe mankhwala ochepetsa ululu kuti akuthandizeni kupumula musanayesedwe.
Komanso, ngati muli ndi zinthu zachitsulo kapena zipangizo zachipatala zomwe zaikidwa m'thupi lanu, muyenera kuuza dokotala wanu ndi katswiri wa MRI za izo. Yang'anani izi:
- Kaya ndi pacemaker kapena defibrillator.
- Zipangizo zamagetsi kapena zipangizo zoyambitsa matenda, mwachitsanzo choyambitsa mitsempha ya vagus.
- Choyikamo cha cochlear kapena choyikamo china cha khutu.
- Ma clip ndi ma coil a aneurysm.
- Ma stents si mumtima.
- Zipangizo zoyezera magazi, mwachitsanzo zoyezera magazi kuundana.
- Zidutswa zachitsulo m'thupi kapena m'maso (monga zipolopolo, zidutswa zachitsulo, ufa wachitsulo).
Zipangizozi sizingagwiritsidwe ntchito nthawi imodzi ndi MRI:
- Chipangizo chomwe chimayesa kuchuluka kwa shuga m'magazi mosalekeza (`Continuous glucose monitor (CGM)`).
- "Pampu ya insulin".
- Mapepala oletsa kubereka (monga mapepala oletsa kubereka, mapepala a nikotini).
Ngati mukugwiritsa ntchito zipangizo zamtunduwu, ndi bwino kulankhula ndi dokotala wanu za izi ndikufunsa zomwe angachite pa MRI.
Kodi chimachitika ndi chiyani pa MRI ya m'mawere?
Nazi zinthu zina zomwe mungayembekezere mukamachita MRI ya m'mawere:
- Uyenera kuvala diresi la kuchipatala.
- Ngati mukuchitidwa MRI, osati kuti mufufuze ngati pali choyikamo cha m'mawere, mzere wa IV udzayikidwa mumtsempha womwe uli m'dzanja lanu kuti mubayire utoto wosiyana panthawi yoyezetsa.
- Mudzagona chafufumimba patebulo lokhala ndi mabowo opangidwa kuti agwirizane ndi mabere anu. Katswiri wa ukadaulo adzakuthandizani kudziyimitsa bwino. Ngati muli ndi vuto lililonse, auzeni, chabwino?
- Katswiri wa ukadaulo adzaika maginito mu makina a MRI. Adzatenga zithunzi kuchokera pa kompyuta m'chipinda china, akukuyang'anirani kudzera pawindo. Muthanso kulankhula ndi katswiri wa ukadaulo kudzera pa intercom ngati mukufuna.
- Makina akajambula zithunzi, ndikofunikira kwambiri kukhala chete momwe mungathere kuti zithunzizo ziwonekere bwino komanso kuti zisakhale zowoneka bwino. Makina a MRI amapanga phokoso lalikulu panthawi yonse yoyeserera. Izi zikutanthauza kuti makinawo akugwira ntchito bwino. Mudzapatsidwa ma plugs oti muyike m'makutu anu kuti mubise phokosolo.
- Ngati MRI yanu ikufuna utoto wosiyanitsa, katswiri wa ukadaulo adzayibaya pambuyo poti zithunzi zoyamba zajambulidwa. Kenako, zithunzi zambiri zidzajambulidwa pamene utotowo ukubayidwa kapena pambuyo poti jakisoni watha.
- Mayeso akatha, katswiri wa radiology adzakufunsani kuti mudikire kwakanthawi pamene akuyang'ana zithunzizo, ndipo angakufunseni ngati pakufunika zithunzi zina.
- Mukatha kujambula zithunzi zokwanira, katswiri wa zaukadaulo adzachotsa mzere wanu wa IV ndikuyika bandeji yaying'ono pamalopo. Kenako mayesowo adzatha.
Pambuyo poti MRI ya m'mawere yachitika?
Mukamaliza MRI ya m'mawere, mutha kuchita zinthu zanu zachizolowezi. Komabe, ngati munachitidwa MRI breast biopsy, yomwe imaphatikizapo kutenga minofu kuchokera ku MRI, muyenera kutsatira malangizo a dokotala wanu ndendende. Monga tanenera kale, ngati munamwa mankhwala ochepetsa ululu musanayesedwe, muyenera kupempha wina kuti akutengereni kunyumba.
Kodi MRI ya m'mawere imatenga nthawi yayitali bwanji?
Ngakhale malo ambiri amapereka mphindi 40 mpaka 60 pa `Breast MRI`, `scan` yeniyeni imatenga mphindi pafupifupi 20 zokha. Nthawi yotsalayo imagwiritsidwa ntchito pa `mafunso owunikira`, kuyika `IV`, ndi `malo oyenera`.
Kodi pali zoopsa zilizonse ndi MRI ya m'mawere?
Zoopsa zochitidwa MRI ya m'mawere zimakhala zochepa kwambiri ngati inu ndi katswiri wa zaukadaulo mutsatira malangizo achitetezo mosamala. Zoopsa zomwe zingakhalepo ndi izi:
- Kusamvana ndi utoto wosiyana: Pali mwayi wochepa wokhala ndi vuto la kusamvana ndi utoto wosiyana. Komabe, izi sizichitika kawirikawiri. Ngakhale zitachitika, nthawi zambiri zimakhala zazing'ono ndipo gulu lachipatala lidzachiza mwachangu.
- Zotsatira zabodza: Popeza MRI ndi mayeso ovuta kwambiri, imatha kukhala ndi zotsatira zabodza. Izi zikutanthauza kuti minofu yomwe ili yachibadwa ingawoneke kuti ndi yachilendo. Komabe, ngati katswiri wa radiology awona china chake chachilendo m'minofu ya bere lanu, angafune mayeso ena kuti adziwe chomwe chili.
Kodi zotsatira za MRI ya m'mawere ndi ziti?
Lipoti lanu la MRI lingasiyane malingana ndi ngati munachitidwa MRI ya m'mawere kuti muwone ngati muli ndi chiopsezo cha khansa ya m'mawere (kuyezetsa), kuti mudziwe matenda (kuzindikira), kapena kuti muwone ngati muli ndi khansa kale. Komabe, dokotala amene analamula MRI yanu ya m'mawere adzakambirana nanu zotsatira zake.
Akatswiri onse a radiology amagwiritsa ntchito njira yofanana yofotokozera zotsatira za mayeso a mabere. Imatchedwa Breast Imaging Reporting and Data System (BI-RADS) . Imayesa zotsatira zake pa sikelo ya 0 mpaka 6. Zotsatira zanu za MRI nthawi zambiri zimapezeka mu akaunti yanu ya electronic medical record (ngati muli nayo) komanso mu ofesi ya dokotala wanu mkati mwa masiku amodzi kapena awiri ogwira ntchito. Dokotala wanu adzakambirana nanu zotsatira zake.
Kodi kusiyana pakati pa MRI ya m'mawere ndi mammogram ndi kotani?
Madokotala amagwiritsa ntchito mammogram ndi MRI ya m'mawere kuti athandize kuzindikira khansa ya m'mawere ndi zina zolakwika m'mawere.
Ma mammogram nthawi zambiri ndi njira yoyamba yodziwira khansa ya m'mawere, makamaka chifukwa ndi njira yokhayo yodziwira matenda yomwe ingathe kuzindikira molondola kuchuluka kwa ma calcifications , zomwe ndi chizindikiro choyambirira cha khansa zina za m'mawere.
Palinso kusiyana kwa momwe mayeso awiriwa amagwirira ntchito.
Kodi MRI ya m'mawere ndi yabwino kuposa Mammogram?
Palibe chinthu chonga chimodzi kukhala chabwino kuposa china. Chimagwiritsidwa ntchito pazifukwa zosiyanasiyana. Mammogram ndi njira yabwino kwambiri yoyezera khansa ya m'mawere. Kuwonjezera pa mammogram, MRI ingathandizenso anthu omwe ali pachiwopsezo chachikulu chotenga khansa ya m'mawere kapena omwe adapezeka ndi khansa ya m'mawere. Dokotala wanu adzakufotokozerani mayeso omwe ali abwino kwa inu kutengera momwe mulili.
Pomaliza, zinthu zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)
Kuyeza MRI ya m'mawere ndi mayeso ofunikira kwambiri omwe amathandiza kuzindikira, kuzindikira, ndikuwunika khansa ya m'mawere ndi zina zomwe sizili bwino m'mawere. Ndizachibadwa kumva mantha pang'ono komanso kuda nkhawa musanachite MRI. Mutha kukhala ndi mafunso ndi nkhawa zambiri zokhudza zomwe zotsatira za mayeso zidzawonetsa komanso momwe zidzakhudzira thanzi lanu. Musazengereze kulankhula ndi dokotala wanu za izi. Iye akhoza kukufotokozerani za MRI ya m'mawere ndikukudziwitsani zomwe zidzachitike pambuyo pake.
Kumbukirani, kuzindikira msanga ndiyo njira yabwino kwambiri yodzitetezera ku matenda ambiri . Choncho ngati dokotala akukupemphani kuti muchite mayeso otere, musachite mantha, dziwani tsatanetsatane wake ndipo muvomereze.
` MRI ya m'mawere, Khansa ya m'mawere, Mammogram, MRI Scan, Kuzindikira Khansa, Thanzi la Akazi, Mayeso Azachipatala











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