Kana gwaro rako remammogram richiti "Nyama yezamu rako yakakora zvakanyanya" kana kuti "Nyama yezamu yakakora", ungave uchinetseka zvishoma, handiti? Ungave uchifunga kuti, "Ndine chimwe chinhu chakakomba here?" Asi hapana chikonzero chekunetseka . Ichi chinhu chinoonekwa nevakadzi vazhinji, kunyanya isu vekuSri Lanka, kakawanda. Saka, ngatitaurei nezvazvo zvakajeka uye zviri nyore nhasi.
Chii chinonzi "nyama yezamu yakakora" iyi?
Zvichitaurwa zviri nyore, zvinoreva kuti mazamu ako ane fibrous neglandular tishu yakawandisa uye ane mafuta mashoma . Ichi hachisi chirwere. Ingofunga, inenge hafu yevakadzi vese vane chirwere ichi.
Chinhu chakakosha ndechekuti usanzwe zviratidzo zvekuva nenyama yakakora yezamu. Hauzonzwi kurwadziwa kwezamu, shanduko, kana kutozviongorora wega uri kumba. Kunyangwe chiremba akakuongorora, hazvizoonekwe.
Saka unozviziva sei izvi? Kazhinji, kana uchiongororwa mammogram (kunyanya 3D mammogram - inozivikanwawo se digital breast tomosynthesis), izvi zvinotaurwa mumushumo. Chiremba weX-ray achatarisa mammogram yako okuudza kana nyama yezamu rako yakakora kana kuti kwete. Vanachiremba vanogonawo kudana izvi kuti 'breast density' kana kuti 'fibroglandular density'.
Saka, sei zvichikosha kuziva izvi?
Zvinogona kushamisa zvishoma kuziva kuti nyama yezamu rako yakakora. Asi hazvisi zvekunetseka nazvo. Zvisinei, zvakakosha kutaura nachiremba wako nezveizvi uye kunzwisisa zvinotaurwa neongororo yako ye mammogram.
Pane nyaya huru mbiri mune izvi:
1. Sezvo nyama dzezamu dzichiwedzera kukora, zvinogona kuoma kuwana zvinhu zvakaita semasero ekenza pa mammogram. Nekuti nyama dzakakora nemasero ekenza zvinoonekwa sezvichena pa mammogram. Zvakafanana nekutsvaga tsuro chena mudutu rechando.
2. Vanhu vane nyama dzakakora dzemazamu vanogona kunge vaine mukana wakakura wekubata kenza yemazamu kupfuura vamwe. Izvi hazvirevi kuti vachazobatwa nekenza, asi kuti vari panjodzi yakakura zvishoma.
Saka, usavhundutswa nemashoko anoti "Mazamu Matete." Asi usakanganwa kutaura nachiremba wako nezvenyaya iyi.
Ngatidzidzei zvishoma nezvenyama yezamu redu?
Kuti tinzwisise nyaya iyi ye "nyama yakasimba", zvinobatsira kuti tive neruzivo rudiki rwemhando dzenyama dzinoumba mazamu edu. Kune mhando nhatu huru dzenyama:
- Nyama ine mafuta / Nyama ine mafuta:Izvi hazvina kukora zvakanyanya. Pakuongororwa kwemazamu, zvinoita serima, dzimwe nguva zvinopenya. Saka kana paine chinhu chichena (senge kenza) muzamhu rakadai, chinogona kuonekwa zviri nyore.
- Nyama ine fibrous connective: Iyi nyama yakakora. Inobatsira kutsigira, kudzivirira, uye kubatanidza tsandanyama dzedu nedzimwe nyama pamwe chete. Inoita sechena pa mammogram.
- Mitezo yefibroglandular: Apa ndipo panowanikwa magland anogadzira mukaka nemidziyo inotakura mukaka kuenda kuzamu. Kufanana nemiti yefibrous, iyi yakakora uye inotaridzika sechena pa mammogram.
Saka, kana huwandu hwenyama ine fibrous uye fibro-glandular mumazamu ako hwakakura kupfuura huwandu hwenyama ine mafuta, saka tinoadaidza kuti "mazamu akakora."
Vanachiremba vanoyera sei ukobvu uhwu?
Nyanzvi dzezve radiology dzinoshandisa nzira yekuronga ukobvu hwematishu ezamu. Inonzi Breast Imaging Reporting and Data System (BI-RADS) . Pasi penzira iyi, ukobvu hwezamu hwakakamurwa kuita zvikamu zvina zvikuru. Funga nezvazvo seizvi:
- Rudzi A (Anenge aine mafuta akawanda): Mazamu anowanzova nemafuta akawanda (anopfuura 90%). Aya matete kwazvo. Kana paine chimwe chinhu chisingawanzoitiki, chinogona kuonekwa zviri nyore pa mammogram.
- Boka B (Nzvimbo dzakapararira dzine huwandu hwe fibroglandular): Nyama dzakakora (fibroglandular tissue) dzakapararira pano neapo dzine mafuta akawanda. Zvichiri nyore kuona zvinhu zvakaita sekenza.
- Chikamu C (Chikamu chakakora): Zamu rakazara nenyama yakakora yakawanda. Zvisinei, huwandu uhwu hahuna kufanana, asi hunosiyana kubva panzvimbo nenzvimbo. Mumhando idzi dzemazamu, mamwe magomarara anogona kunge akavanzwa kuseri kwenyama yakakora pakuongorora mazamu, zvichiita kuti zviome kuwana.
- Chikamu D (Chakanyanya kukora): Zamu racho rakakora zvakanyanya. Izvi zvinoreva kuti rinowanzova nenyama ine fibrous neglandular. Panyaya iyi, zvinogona kutonyanya kuoma kuona kenza ne mammogram chete. Nekuti kenza nenyama yacho zvichena, zvinonetsa kusiyanisa.
Mushumo wako wekuongorora mazamu ucharatidza chikamu ichi cheBI-RADS, icho chichakubatsira kunzwisisa kuti mazamu ako akakora zvakadii.
Chii chinokonzera kuti mazamu aya aite matete?
Hapana chikonzero chimwe chete chaicho chekuwedzera mazamu, asi pane zvimwe zvinhu zvinogona kukonzera izvi:
- Zera: Mazamu anowanzova matete zvakanyanya kana wava nemakore ekuma20 ne30. Sezvaunokura, huwandu uhwu hunogona kudzikira zvishoma nezvishoma, kunyanya mushure mekuguma kuenda kumwedzi.
- Kurema kwemuviri: Kuyera muviri zvishoma (BMI) zvinoreva kuti vanhu vatete vane mukana mukuru wekuva nenyama yakakora yemazamu.
- Nhoroondo yemhuri: Kuwanda kwemazamu kunokonzerwa nemajini.Zvinogona kunge zviri chimwe chinhu chinouya nazvo. Izvi zvinoreva kuti kana amai vako kana hanzvadzi dzako vaine mazamu akakora, iwe ungangove nawowo.
- Mishonga: Mimwe mishonga yemahormone, yakadai semishonga yekutsiva mahormone panguva yekuenda kumwedzi, inogona kukonzera shanduko mukuwanda kwemazamu.
Pane mushonga weizvi here?
Kwete. Parizvino hapana mushonga chaiwo kana kuvhiyiwa kunogona kuderedza huwandu hwematishu ane fibrous uye fibroglandular mumazamu ako. Ichi hachisi chirwere, saka hapana mushonga.
Zvisinei, kana mazamu ako epazamu akaratidza kuti une mazamu akakora, chiremba wako achaita ongororo yengozi yekenza yemazamu. Izvi zvinotarisa njodzi yako yekubata kenza yemazamu muhupenyu hwako hwese.
Zvichibva pakuongorora njodzi iyi uye mhedzisiro yekuongorora mammogram, chiremba anogona kuraira mimwe miedzo. Izvi zvinosanganisira:
- MRI yeZamu (Magnetic Resonance Imaging): Bvunzo iyi inoshandisa simba remagineti, mafungu eredhiyo, uye komputa kuti ibudise mifananidzo yakajeka uye yakadzama yenyama yezamu. Kazhinji inogona kuona kunyange kenza diki dzakavanda pakati penyama dzakakora.
- Ultrasound yezamu: Bvunzo iyi inoshandisa mafungu eruzha kugadzira mifananidzo yenyama yezamu. Inobatsira kuwana ruzivo pamusoro pemazamu.
- Kuongororwa kweMolecular Breast Imaging (MBI): Uku kuongororwa kwakakosha. Chinhu chine radioactive chinopinzwa mumuviri uye chinoonekwa nechinhu chakakosha chekuskena. Kana paine masero ekenza mukati menyama yezamu yakakora, anoonekwa zvakajeka.
Havasi vese vanoda bvunzo idzi dzekuwedzera. Chiremba wako ndiye achasarudza kana dzichidikanwa zvichienderana nehuremu hwako, nhoroondo yemhuri yako, nezvimwe zvinhu zvinogona kukonzera njodzi.
Ko nyama yakasimba inogona kushanduka kuita kenza here?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kwete, nyama yakakora haichinji zvakananga kuita kenza. Kenza yemazamu inoitika kana masero emazamu achichinja-chinja ova kenza. Izvi zvinogona kuitika mumazamu ane nyama yakawanda ine mafuta kana mazamu ane nyama yakawanda yakakora.
Asi, sezvambotaurwa, kuva nenyama yezamu yakakora zvakanyanya kunowedzera njodzi yekubatwa nekenza yemazamu . Izvi zvinodaro nekuti kenza yemazamu inowanzotanga mune zvinonzi fibroglandular tissue. Saka, kana uine fibroglandular tissue yakawanda mumazamu ako, kenza "inowanikwa" yakawanda inogona kukura. Ndosaka njodzi yako ichiwedzera zvishoma.
Yeuka kuti kuva nemazamu matete hazvirevi kuti uchava negomarara. Zvisinei, zvakakosha kuti uzvizive uye uongororwe zvakanaka.
Saka, ndezvipi zvinhu zvinonyanya kukosha zvatinofanira kurangarira?
Zvakanaka, saka, kubva pane zvatataura nezve "Dense Breast Tissue," hezvino zvimwe zvinhu zvaunofanira kuyeuka:
- Izvi zvakajairika: Kuwedzera kwehuremu hwematishu emazamu hakusi chirwere, asi chirwere chinokanganisa vakadzi vazhinji.
- Tsvaga ruzivo kubva muongororo ye mammogram: Unogona kuziva kana uine chirwere ichi kana kuti kwete nekuongororwa kwe mammogram.
- Taura nachiremba wako: Kana ukaona kuti mazamu ako akanyanya kukora, taura nachiremba wako nezvazvo uye kurukura nezvengozi dzako uye zvekuita zvinotevera. Taurawo nezvekuwedzera kuongororwa, kunyanya kana nyama yako "yakanyanya kukora" (BI-RADS D).
- Ongororwa nguva dzose: Ungave uine mazamu akakora kana kuti kwete, nzira yakanakisisa yekuona kenza yemazamu nekukurumidza ndeyekuongororwa mazamu nguva dzose uye kuongororwa zvimwe kana zvichidikanwa. Usakanganwa kuzviongorora mazamu pamwedzi.
- Nyama yakaoma haigone kubviswa: Hapana nzira yekubvisa nyama yakaoma iyi. Saka, tinofanira kutarisa pakuona chirwere ichi nekukurumidza.
Saka, ndinovimba wava kunzwisisa zviri nani nezve "Dense Breast Tissue". Chinhu chakakosha ndechekuti usatye, uve neruzivo, uye ugare uine hutano hwakanaka. Kana uine mimwe mibvunzo, iva nechokwadi chekubvunza chiremba wako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Ko matishu ezamu akakora igomarara rezamu here?
Kwete! Iyi haisi kenza kana chirwere. Iyi inyaya yakajairika mumazamu evakadzi. Zamu remukadzi rinoumbwa nemusanganiswa we'mafuta' ne'glandular/connective tissue' (Dense tissue). Iyi inyaya yekuti mazamu evakadzi vadiki neavo vane mahormone akawandisa ane mafuta mashoma uye akawanda e'dense tissue' iyoyo.
💬 Zvine njodzi here kana ndine nyama yakakora iyi mumazamu angu?
Ngozi chete iripo ndeyekuti kana bundu rikabuda muzamu rako, bundu racho rinenge rakachena, uye nyama yakakora ichenawo. Saka, zvakaoma kuti vanachiremba vaone bundu rekenza 'rakavigwa kuseri kwenyama chena iyoyo' nekutarisa mammogram nguva dzose. Uyewo, vanhu ava vari panjodzi huru yekubatwa nekenza yemazamu.
💬 Ungaona sei kenza kana isingaonekwe pa mammogram?
Usavhunduke kana chiremba wako akakuudza kuti une 'Dense Breast'. Pamusoro pekuongororwa kwemazamu, chiremba wako achakurudzira kuti uitwe 'Breast Ultrasound Scan' kana 'Breast MRI' kuti uwane rumwe ruzivo rwakakwana seimwe nzira yekuchengetedza.
Kuwanda kwemazamu , mammogram, kenza yemazamu, hutano hwemazamu, hutano hwevakadzi, BI-RADS, tishu yemazamu
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