Isomo rishya ku buzima bw'ibere ryawe! Reka twige kuri iyi 3D mammogram (Tomosynthesis)?

Ese wigeze ugira ubwoba cyangwa ukagira amakenga ku mabere yawe? Cyangwa se wigeze wumva ibya kanseri y'ibere ukifuza kumenya byinshi kuri yo? Uyu munsi tugiye kuvuga ku isuzuma rya mammogram ridufasha muri ibyo bihe, kandi rikora n'ikoranabuhanga rigezweho cyane. Izina ryaryo ni digital breast tomosynthesis, cyangwa nkuko twese tubizi, 3D mammography.

Tomosynthesis ni iki? Ese koko ni mammogram ya 3D?

Mu magambo make, iyi `(Tomosynthesis)` ni ubwoko bwa mammogram bugezweho cyane bukoreshwa mu gusuzuma kanseri y'ibere . Ni ingirakamaro cyane cyane iyo ingingo z'ibere ryawe zibyimbye gato, ni ukuvuga `(ingingo z'ibere zibyimbye)`. Uzi impamvu? Nanone yitwa `(3D mammography)`. Impamvu y'ibi ni uko iyi mashini ifata amafoto menshi y'ibere ryawe mu mpande ebyiri (2D) ikayahuza yose hamwe kugira ngo ikore ishusho y'impande eshatu (3D) .

Uburyo busanzwe bwo gupima amabere bukoresha mammogram dusanzwe dukora bufata amashusho y’ibere mu buryo bwa 2D gusa. Buracyafatwa nk'uburyo bwizewe bwo gupima kanseri y'ibere. Ariko, ubu buryo bushya bwitwa tomosynthesis, bwemejwe n'Ikigo gishinzwe ibiribwa n'imiti muri Amerika (FDA) mu 2011. Ni bwiza cyane mu gupima kanseri ku buryo bushobora kuba urugero rwiza rwo gupima amabere mu gihe kizaza .

Ni nde wungukira cyane muri tomosynthesis?

Mu by’ukuri, umuntu wese wifuza gukorerwa mammogram ashobora kungukirwa n’iyi '(Tomosynthesis)'. Ariko, cyane cyane niba ibere ryawe rifite ubucucike bwinshi (aho kuba iry’ibinure), ibi ni ingenzi cyane kuri wewe . Hafi kimwe cya kabiri cy’abagore bose bivugwa ko bafite amabere afite ubucucike bwinshi. Kubera ko ibere ryawe rifite ubucucike bwinshi, biragoye gato kubona kanseri ukoresheje mammogram isanzwe ya 2D.

Tekereza kuri ubu buryo. Kimwe na mammogram isanzwe, tomosynthesis ikoresha X-ray nkeya. Imitsi minini - ni ukuvuga amagufwa, ibibyimba bikomeye, n'imitsi minini y'ibere - yinjiza iyi X-ray nyinshi. Igaragara nk'umweru kuri mammogram. Ikibazo ni uko, kubera ko kanseri n'imitsi minini y'ibere bisa nk'umweru, rimwe na rimwe bishobora kugorana gutandukanya ibyo bibiri.

Aha niho uburyo bwo gukora isuzuma ry’amabere mu buryo bwa digitale bugaragara. Bufata amafoto y’amabere yawe mu mpande nyinshi n’amashusho menshi kurusha uburyo bwo gukora isuzuma ry’amabere busanzwe. Ishusho ya 3D igaragara neza. Ibi bivuze ko bushobora kubona kanseri ishobora kuba "ihishe" mu ngirabuzima ndende z’amabere. Bushobora kandi kumenya neza ngirabuzima nzima zisa n’iziteye amakenga cyangwa "zishoboka" kuri girabuzima risanzwe. Ibi kandi bigabanya umubare w’ibisubizo bitari byo.Ibyo bivuze ko nta mahirwe yo kumenya ko "ushobora kuba ufite kanseri" utayirwaye koko. Ibyo biraruhura cyane, si byo se?

Ni ryari tomosynthesis ikenewe?

Iyi ""("Digital breast tomosynthesis")" ikoreshwa mu buryo bubiri:

Mu rwego rwo gusuzuma kanseri y'ibere hakiri kare

Itsinda rishinzwe kurwanya kanseri muri Amerika (USPSTF) risaba abagore bose gutangira kwisuzumisha kanseri bafite imyaka 40. Ariko, niba hari umuntu wo mu muryango wawe wigeze kurwara kanseri y'ibere (ni ukuvuga amateka akomeye y'umuryango), ushobora gutangira kwisuzumisha hakiri kare. Tomosynthesis ni ubundi buryo bwiza bwo gupima. Kimwe na mammogram isanzwe, ishobora kumenya kanseri hakiri kare , mbere yuko ugira ibimenyetso.

Nk'ikizamini cyo gusuzuma indwara iyo ibimenyetso bigaragaye

Niba ufite ibimenyetso by'ibere - nko kubabara mu ibere, ikibyimba mu ibere, cyangwa impinduka z'uruhu - muganga wawe ashobora gutegeka "Digital Breast Tomosynthesis". Iki ni ikizamini cya "Diagnostic". Ibi bishobora gufasha muganga wawe kwemeza ko udafite kanseri, cyangwa gufata icyemezo niba "Biopsy" ikenewe kugira ngo harebwe niba hari uturemangingo twa kanseri.

Ni nde uri gukora iki kizamini?

Ubusanzwe, umuhanga mu by'ikoranabuhanga rya radiyo cyangwa mammografiya azagushyira kuri iki kizamini, akoreshe imashini ikoresha mammografiya, hanyuma agasesengura amashusho hanyuma akamenyesha muganga wawe ibyavuye mu bushakashatsi.

Iyi mashini ya tomosynthesis ikora ite?

Iyi "Digital breast tomosynthesis (DBT)" isa cyane na mammogram isanzwe. Itandukaniro rikomeye ni uko ifata amafoto arambuye y'ibere ryawe, uhereye ku mpande nyinshi .

Tekereza ko muri mammogram isanzwe, igituza cyawe gishyirwa ku buso burambuye hanyuma kigakandagirwa hagati y’ibipande bibiri bigororotse. Imashini ifata amashusho y’igituza cyawe mu mpande ebyiri - hejuru kugeza hasi no ku mpande.

Muri DBT, ibere ryawe rishyirwa mu mwanya waryo kandi rigakandagirwa nk'uko bigenda muri mammogram isanzwe ya 2D. Ariko muri Tomosynthesis, ukuboko kw'imashini ya mammogram (umuyoboro wa X-ray) bigenda mu buryo bugoramye hejuru y'ibere ryawe. Uko bigenda, bifata amashusho menshi ya 2D mu mpande zitandukanye.

Hanyuma ayo mashusho ya 2D ashyirwa mu buryo bwa digitale hanyuma akoherezwa kuri mudasobwa. Mudasobwa ihuza ayo mashusho yose kugira ngo ikore ishusho y’ibice bitatu (3D) . Iyi shusho ya 3D igaragaza utuntu twinshi, bigatuma byoroha cyane gutandukanya ingingo nzima n’ingingo zishobora gutera kanseri.

Witegura ute ikizamini cya tomosynthesis?

Ni ngombwa kubwira muganga wawe amateka yawe yose y’ubuzima – cyane cyane ubuzima bw’ibere ryawe. Dore bimwe mu byo wakora kugira ngo witegure:

• Ganira na muganga wawe amateka y'ubuzima bwawe: Bwira muganga wawe indwara zose z'ibere wagize, kubagwa kose wakorewe, inshinge zose watewe vuba aha, n'imisemburo iyo ari yo yose urimo gufata. Bwira muganga wawe amateka y'umuryango wawe ya kanseri y'ibere. Niba utwite cyangwa wonsa, muganga wawe na we agomba kubimenya.
• Saba umuganga wawe uriho aguhe ibisubizo by'ibizamini byabanje: Niba warigeze gukorerwa mammogram ahandi, menya neza ko wohereje ayo mashusho kwa muganga wawe uriho. Biroroshye kubona ibitagenda neza iyo ugereranije amashusho urimo kubona n'ayabanje.
• Teganya ikizamini cyawe ku munsi amabere yawe atababara: Ubusanzwe amabere aba make mu cyumweru cya mbere cyangwa bibiri nyuma y'imihango yawe irangiye. Icyo ni cyo gihe cyiza cyo kwipimisha mammogram.

Ni iki wakwitega ku munsi w'ikizamini?

Tegereza ko iki kizamini kizamara iminota 30. Ushobora gutaha uwo munsi. Wibuke ibi bintu kugira ngo witegure:

• Koga mu buryo busanzwe, ariko ntugashyireho amavuta yo kwisiga nka deodorant, ifu, cyangwa amavuta yo kwisiga. Ibi bishobora kugaragara nk'utudomo tw'umweru kuri mammogram, bishobora gutuma umuntu asobanukirwa nabi ibyavuye mu isuzuma.
• Ambara imyenda yoroshye kandi yoroshye guhindura. Birashoboka ko uzakenera gukuramo igipfundikizo (hejuru n'isutiye) hanyuma ukambara ikanzu y'ibitaro ifunguka imbere.
• Ntukambare imitako. Imikufi n'amaherena maremare nabyo bishobora guhindura ishusho ya mammogram. Ni byiza kubisiga mu rugo. Baza abakozi niba nta kibazo kwambara ikintu nk'amaherena mato.

Ikizamini cya tomosynthesis gikorwa gute? Ushobora gusobanura gato?

Iyi `(DBT)` ikorwa nk'isuzuma risanzwe rya mammogram. Itandukaniro rikomeye ni uko muri `(DBT)`, ukuboko kw'imashini (umuyoboro wa X-ray) gutanga imirasire ya X-ray uko bigenda buhoro buhoro mu mugongo ukikije ibere ryawe.

• Umuhanga mu ikoranabuhanga azaguhagarika imbere y'imashini ipima mammografiya hanyuma ashyire rimwe mu mabere yawe ku rubyiniro. Azahindura uburebure bw'imashini ku rwego rukwiye kandi ashyire ibere ryawe ku buryo rigaragara neza.
• Iyo umaze gushyirwa neza, isahani ya pulasitiki imanuka buhoro buhoro, ikakanda ibere ryawe ku rubaraza. Uzumva igitutu muri iki gihe. Ni ibisanzwe kumva ubabaye. Ariko niba wumva ububabare ubwo aribwo bwose, bwira umuhanga mu by'ikoranabuhanga. Wibuke ko hari impamvu y'ingenzi iri inyuma y'ubu bubabare. Uku gukanda bituma umuhanga mu by'imirasire abona neza ingingo z'ibere ryawe. Nanone, kubera ko ingingo ikanda, ushobora gukoresha imirasire mike.
• Umutekinisiye azagenda gato kugira ngo akoreshe imashini. Ugomba kuguma uhagaze mu gihe imashini igenda.Umuhanga mu ikoranabuhanga ashobora kandi kugusaba gufunga umwuka wawe mu gihe imashini ifata amafoto (mu masegonda make).
• Umuyoboro wa X-ray ugenda mu buryo burambuye ukikije ibere ryawe, usohora X-ray nyinshi nkeya.
• Nyuma yo gufata amafoto ahagije y'ibere rimwe, umuhanga mu ikoranabuhanga akora nk'ibyo no ku rindi bere.

Ibuka: Nubwo iki kizamini gishobora gusa nkaho kikubangamiye gato, ni ingenzi cyane ku buzima bwawe. Komeza ukomere.

Ni imirasire ingahe ikoreshwa muri tomosynthesis? Ese ni ikintu cyo gutinya?

Muri Leta Zunze Ubumwe za Amerika, FDA yemeje gusa DBT gukoreshwa hamwe na mammography. Igipimo cy'imirasire yose kingana hafi inshuro eshatu ugereranyije na mammogram isanzwe. Nubwo "inshuro eshatu" zishobora kumvikana nk'aho ari nyinshi, iracyari dose nto cyane y'imirasire, kandi ifatwa nk'ingano yizewe .

Hari uburyo bushya bwa `(Tomosynthesis)` bushobora gukora amashusho y’ibice bibiri (2D) uhereye ku makuru amwe yakoreshejwe mu gukora ishusho y’ibice bitatu (3D). Ibi bigabanya cyane ubwiyongere bw’imirasire, biruta gato gusa mammogram isanzwe.

Isuzuma rya mammography, harimo na "Tomosynthesis," rikoresha ingano nto ishoboka kandi yizewe y'imirasire kugira ngo ritange amashusho meza yo kumenya kanseri y'ibere. Bityo rero ntugatinye ibi bitari ngombwa.

Ibisubizo bimeze bite? Bitubwira iki?

Umuganga w’indwara z’imirasire azasuzuma amashusho yawe kugira ngo arebe ibimenyetso bya kanseri y’ibere. Iyo abonye ikintu giteye amakenga, ashobora kugereranya ishusho ya 3D n’ibyavuye mu bushakashatsi bwawe bwa mbere bwa mammogram cyangwa amashusho ya 2D. Azakwandikira raporo umuganga wawe, uzakubwira ibisubizo.

Bitewe n'ibisubizo, ushobora kubwirwa ko udafite kanseri. Cyangwa, ushobora kubwirwa ko hakenewe ibindi bipimo kugira ngo hasuzumwe neza ingingo ikekwa. Ibi bishobora kuba birimo indi mammogram, ultrasound, MRI, cyangwa biopsy. Uburyo bwonyine bwo kumenya neza ko urwaye kanseri ni ugukorerwa biopsy.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Ibisubizo akenshi biboneka mu minsi mike , ariko hari igihe bishobora gufata igihe kirekire. Mbere yo kuva mu kigo gipima, bariza uko uzakira ibisubizo byawe n'igihe ushobora kubyitega.

None se, tomosynthesis ni nziza kuruta mammogram isanzwe?

Tomosynthesis itanga ishusho irambuye y'ibere ryawe kuruta mammogram isanzwe. Ni nziza mu gupima kanseri ku bantu bafite ingirangingo z'ibere zicucitse kandi ikagabanya ibisubizo bitari byo. Ariko, kumenya niba mammogram za 3D ari nziza kurusha mammogram za 2D zo gupima kanseri y'ibere muri rusange birakiganirwaho.Ubushakashatsi buracyakomeje.

Ni byiza gukurikiza inama za muganga wawe ku bijyanye n'ibizamini by'ibere ukeneye hashingiwe ku mateka y'ubuzima bwawe n'imiterere y'imitsi y'ibere ryawe.

Ese tomosynthesis na mammogram ya 3D ni kimwe?

Yego, nibyo koko! Tomosynthesis, tomosynthesis y'ibere, tomosynthesis y'ibere ya digitale, na mammogram ya 3D byose ni amazina y'uburyo bumwe bwo gupima.

Ese koko tomosynthesis ni nziza ku bantu bafite amabere manini?

Yego, nibyo. Ibi bitanga ishusho irambuye y'ibere ryawe, bigatuma byorohera umuganga w'imirasire gutandukanya inyama z'ibere zibyimbye na kanseri.

Ibintu by'ingenzi ugomba kwibuka mu byo twaganiriyeho (Ubutumwa bwo kujyana mu rugo)

Noneho rero ufite igitekerezo cyiza ku byo twavuzeho, Digital Breast Tomosynthesis (DBT). Ikintu cy'ingenzi ni uko niba ufite ibere ryinshi, ibi bishobora kuba amahitamo meza yo kumenya kanseri y'ibere.

• Niba igihe kigeze ngo upimwe na mammogram, baza muganga wawe niba tomosynthesis ikorwa nk'igice cy'ikizamini.
• Bitewe n'ubuzima bwawe, ndetse no kwipimisha mammogram bisanzwe bishobora kuba bihagije kugira ngo umenye kanseri.
• Mu bihe bimwe na bimwe, tomosynthesis ishobora kongera amahirwe yo kurwara kanseri, cyangwa ikagabanya stress yo kubona igisubizo cy’ibinyoma.
• Ntugatinye kubaza muganga wawe ikintu icyo ari cyo cyose kijyanye n'iki kizamini, harimo n'impamvu kikubereye (cyangwa kitakubereye). Ni ngombwa kumenya amakuru ajyanye n'ubuzima bwawe.

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