Isivumelwano esitsha ngobomi bempilo yebele lakho! Masifunde ngale mammogram ye-3D (iTomosynthesis)?

Ngaba wakha woyika okanye wakrokrela amabele akho? Okanye wakha weva ngomhlaza webele waza wafuna ukwazi okungakumbi ngawo? Namhlanje siza kuthetha ngovavanyo lwe-mammogram olusinceda ngamaxesha anjalo, kwaye lusebenza ngobuchwepheshe obuphambili kakhulu. Igama lalo yi-digital breast tomosynthesis, okanye njengoko sonke sisazi, i-3D mammography.

Yintoni i-tomosynthesis? Ngaba yi-3D mammogram?

Ngamafutshane, le `(Tomosynthesis)` luhlobo oluphambili kakhulu lwe-mammogram olusetyenziselwa ukubona umhlaza webele . Iluncedo ngakumbi ukuba izicubu zakho zebele zixinene kancinci, oko kukuthi, `(izicubu zebele ezixineneyo)`. Uyazi ukuba kutheni? Ikwabizwa ngokuba yi `(3D mammography)`. Isizathu soku kukuba lo matshini uthatha imifanekiso emininzi yesifuba sakho enamacala amabini (2D) kwaye uyihlanganise yonke ukuze wenze umfanekiso onamacala amathathu (3D) .

I-mammogram eqhelekileyo esiqhele ukuyenza ithatha imifanekiso yesifuba enemilinganiselo emibini (2D). Isathathwa njengeyona ndlela ithembekileyo yokufumanisa umhlaza webele. Nangona kunjalo, le teknoloji intsha, ebizwa ngokuba yi-tomosynthesis, yamkelwa yi-US Food and Drug Administration (FDA) ngo-2011. Ilungile kakhulu ekufumaneni umhlaza kangangokuba inokuba ngumgangatho wegolide wokuhlolwa kwebele kwixesha elizayo .

Ngubani ozuza kakhulu kwi-tomosynthesis?

Enyanisweni, nabani na ofuna ukwenza i-mammogram angazuza kule `(Tomosynthesis)`. Kodwa, ingakumbi ukuba izicubu zakho zebele zixinene (endaweni yezicubu ezinamafutha), oku kubaluleke kakhulu kuwe . Malunga nesiqingatha sabo bonke abafazi kuthiwa banamabele axineneyo. Ngenxa yokuba izicubu zakho zebele zixineneyo, kunzima kancinci ukufumana umhlaza nge-2D mammogram eqhelekileyo.

Cinga ngale ndlela. Njenge-mammogram eqhelekileyo, i-tomosynthesis isebenzisa idosi ephantsi ye-X-ray. Izicubu ezixineneyo - oko kukuthi, amathambo, amathumba aqinileyo, kunye nezicubu zesifuba ezixineneyo - zifunxa uninzi lwale X-ray. Zibonakala zimhlophe kwi-mammogram. Ingxaki kukuba, kuba zombini umhlaza kunye nezicubu zesifuba ezixineneyo zibonakala zimhlophe, ngamanye amaxesha kunokuba nzima ukwahlula zombini ezi zinto.

Kulapho i-digital breast tomosynthesis ingena khona. Ithatha imifanekiso yebele lakho kwii-engile ezininzi kunye nemifanekiso emininzi kune-mammogram eqhelekileyo. Umfanekiso we-3D ophumayo ucacile kakhulu. Oku kuthetha ukuba inokubona umhlaza onokuthi "ufihliwe" kwizicubu zebele ezixineneyo. Iyakwazi nokuchonga ngokuchanekileyo izicubu eziphilileyo ezinokubonakala "zikrokreleka" okanye "zinokwenzeka" kwi-mammogram eqhelekileyo. Oku kunciphisa inani leziphumo ezingalunganga.Oko kuthetha ukuba akuyi kuba lula ukufumanisa ukuba "usenokuba nomhlaza" ngaphandle kokuba nawo. Kukuthuthuzela kakhulu oko, akunjalo?

Ifuneka nini i-tomosynthesis?

Le ``(Digital breast tomosynthesis)`` isetyenziswa ngenye yeendlela ezimbini:

Njengovavanyo lokuhlola umhlaza webele kwangethuba

I-US Preventive Services Task Force (USPSTF) icebisa ukuba bonke abafazi baqale ukwenza ii-mammograms xa beneminyaka engama-40 ubudala. Nangona kunjalo, ukuba kukho umntu kusapho lwakho okhe waba nomhlaza webele (oko kukuthi, imbali yosapho enamandla), unokufuna ukuqala ukuvavanywa kwangethuba. I-Tomosynthesis yindlela entle yokuvavanya. Njenge-mammogram yendabuko, inokuyibona umhlaza kwangethuba , ngaphambi kokuba ube nazo naziphi na iimpawu.

Njengovavanyo lokuxilonga xa kuvela iimpawu

Ukuba uneempawu zebele – ezinje ngeentlungu zebele, iqhuma elisesifubeni sakho, okanye utshintsho lolusu – ugqirha wakho unokuyalela i-"Digital Breast Tomosynthesis". Olu luvavanyo lwe-"Diagnostic". Oku kunokunceda ugqirha wakho aqinisekise ukuba awunayo umhlaza, okanye agqibe ekubeni ngaba i-"Biopsy" iyafuneka na ukuze kubonwe ukuba kukho iiseli zomhlaza.

Ngubani owenza olu vavanyo?

Ngokwesiqhelo, ingcali ye-radiologic okanye i-mammographer iya kukubeka kolu vavanyo, isebenzise umatshini we-mammography, ize emva koko ihlalutye imifanekiso ize ibike iziphumo kugqirha wakho.

Isebenza njani le tomosynthesis machine?

Le "Digital breast tomosynthesis (DBT)" ifana kakhulu ne-mammogram eqhelekileyo. Umahluko ophambili kukuba ithatha imifanekiso eneenkcukacha zebele lakho, ukusuka kwiikona ezingaphezulu .

Khawuthelekelele ukuba kwi-mammogram eqhelekileyo, ibele lakho libekwe kwindawo ethe tyaba kwaye licinezelwe (licinezelwe) phakathi kweepleyiti ezimbini ezithe tye. Umatshini uthatha imifanekiso yebele lakho enamacala amabini (2D) ukusuka kwiikona ezimbini - ukusuka phezulu ukuya ezantsi kunye namacala omabini.

Kwi-DBT, ibele lakho libekwe kwaye licinezelwe ngendlela efanayo naleyo yenziwa kwi-2D mammogram eqhelekileyo. Nangona kunjalo, kwi-Tomosynthesis, ingalo yomatshini we-mammogram (ityhubhu ye-X-ray) ihamba nge-arc egobileyo phezu kwebele lakho. Njengoko ishukuma, ithatha imifanekiso emininzi ye-2D kwii-engile ezahlukeneyo.

Le mifanekiso ye-2D emva koko ifakwa kwidijithali ize ithunyelwe kwikhompyutha. Ikhompyutha idibanisa yonke le mifanekiso ukuze yenze umfanekiso onemilinganiselo emithathu (3D) . Lo mfanekiso we-3D ubonisa iinkcukacha ezininzi, nto leyo eyenza kube lula ukubona umahluko phakathi kwezicubu eziphilileyo kunye nezicubu ezinokuba ngumhlaza.

Ulungiselela njani uvavanyo lwe-tomosynthesis?

Kubalulekile ukuxelela ugqirha wakho imbali yakho epheleleyo yezonyango – ingakumbi impilo yakho yebele. Nazi ezinye izinto onokuzenza ukuze uzilungiselele:

• Xoxa ngembali yakho yezonyango nogqirha wakho: Xelela ugqirha wakho ngazo naziphi na iingxaki zamabele onazo, naluphi na utyando olwenzileyo, naluphi na utyando olusandula ukulufumana, kunye naziphi na iihomoni ozithathayo. Xelela ugqirha wakho ngembali yosapho lwakho yomhlaza wamabele. Ukuba ukhulelwe okanye uncancisa, ugqirha wakho naye kufuneka azi ngale nto.
• Cela ugqirha wakho wangoku akuthumelele iziphumo zovavanyo lwangaphambili: Ukuba ukhe wenziwa i-mammogram kwenye indawo ngaphambili, qiniseka ukuba uthumela loo mifanekiso kugqirha wakho wangoku. Kulula ukubona izinto ezingaqhelekanga xa uthelekisa imifanekiso oyifumanayo neyangaphambili.
• Cwangcisa uviwo lwakho ngosuku apho amabele akho engenabuhlungu: Ubuhlungu bebele budla ngokuba buthathaka kwiiveki zokuqala okanye ezimbini emva kokuba ixesha lakho liphelile. Elo lixesha elifanelekileyo lokwenza i-mammogram.

Yintoni onokuyilindela ngomhla wovavanyo?

Lindela ukuba olu vavanyo luthathe malunga nemizuzu engama-30 . Ungagoduka ngaloo mini inye. Gcina ezi zinto engqondweni ukuze uzilungiselele:

• Hlamba rhoqo, kodwa ungafaki naziphi na izinto zokuthambisa ezifana ne-deodorant, i-powder, okanye i-lotion. Ezi zinokubonakala njengamabala amhlophe kwi-mammogram, nto leyo enokubangela ukuba iziphumo zingacaci kakuhle.
• Nxiba impahla ekhululekileyo elula ukuyitshintsha. Kuya kufuneka ukhulule umphezulu wakho (umphezulu kunye nebra) uze unxibe ilokhwe yesibhedlele evuleka ngaphambili.
• Musa ukunxiba izacholo. Iintsimbi zomqala kunye namacici amade nazo zinokuphazamisa umfanekiso we-mammogram. Kungcono ukuzishiya ekhaya. Buza abasebenzi ukuba kulungile na ukunxiba into efana namacici amancinci.

Uvavanyo lwe-tomosynthesis lwenziwa njani? Ungaluchaza kancinci?

Le `(DBT)` yenziwa njenge-mammogram eqhelekileyo. Umahluko ophambili kukuba kwi-`(DBT)`, ingalo yomatshini (ityhubhu ye-X-ray) ikhupha ii-X-ray njengoko ihamba kancinci nge-arc ejikeleze ibele lakho.

• Ingcali yetekhnoloji iya kukwenza ume phambi komatshini we-mammography uze ubeke elinye lamabele akho eqongeni. Baza kulungisa ukuphakama komatshini kwinqanaba elifanelekileyo baze babeke ibele lakho ukuze libonakale ngokucacileyo.
• Wakuba ubekwe kakuhle, ipleyiti yeplastiki iya kwehla kancinci, icinezele ibele lakho eqongeni. Uza kuziva uxinzelelo ngeli xesha. Kuqhelekile ukuba uzive ungakhululekanga. Kodwa ukuba uziva nayiphi na intlungu, xelela ingcali yetekhnoloji. Khumbula, kukho isizathu esibalulekileyo emva kokungakhululeki. Oku kucinezelwa kuvumela ingcali ye-radiologist ukuba ibone izicubu zebele lakho ngokucacileyo. Kwakhona, ngenxa yokuba izicubu zicinezelwe, idosi ephantsi yemitha ingasetyenziswa.
• Ingcali iza kuhamba kancinci ukuze isebenze umatshini. Kufuneka uhlale ungashukumi ngelixa umatshini uhamba.Ingcali ingakucela ukuba ubambe umphefumlo wakho ngelixa umatshini uthatha imifanekiso (imizuzwana embalwa).
• Ityhubhu ye-X-ray ihamba ngendlela ejikeleze ibele lakho, ikhupha ii-X-ray ezininzi ezinedosi ephantsi.
• Emva kokuthatha imifanekiso eyaneleyo yebele elinye, ingcali yezobuchwepheshe yenza okufanayo nakwelinye ibele.

Khumbula: Nangona olu vavanyo lusenokubonakala lungakhululeki kancinci, lubaluleke kakhulu kwimpilo yakho. Ngoko ke hlala uqinile.

Ingakanani imitha esetyenziswayo kwi-tomosynthesis? Ngaba yinto ekufuneka uyoyike?

E-United States, i-FDA ivumile kuphela i-DBT ukuba isetyenziswe kunye ne-mammography. Idosi iyonke yemitha iphantse ibe kathathu kuneye-mammogram eqhelekileyo. Nangona "izihlandlo ezithathu" zinokuvakala ngathi zininzi, iseyidosi ephantsi kakhulu yemitha, kwaye ithathwa njengomlinganiselo okhuselekileyo .

Kukho iindlela ezintsha ze-`(Tomosynthesis)` ezinokwenza imifanekiso enamacala amabini (2D) ukusuka kwidatha efanayo esetyenziselwa ukwenza umfanekiso onamacala amathathu (3D). Oku kunciphisa ngakumbi ukuvezwa kwimitha, okungaphezulu kancinci kune-mammogram eqhelekileyo.

I-Mammography, kuquka i-"Tomosynthesis," isebenzisa idosi ephantsi nekhuselekileyo yemitha ukuze ibone umhlaza webele. Ngoko ke musa ukoyika oku ngokungeyomfuneko.

Zinjani iziphumo? Zisixelela ntoni?

Ingcali ye-radiology iza kuhlola imifanekiso yakho ukuze ikhangele iimpawu zomhlaza webele. Ukuba ibona into ekrokrisayo, inokuthelekisa umfanekiso we-3D neziphumo zakho zangaphambili ze-mammogram okanye imifanekiso ye-2D. Iza kubhala ingxelo kugqirha wakho, oya kukuxelela iziphumo.

Ngokuxhomekeke kwiziphumo, unokuxelelwa ukuba awunayo umhlaza. Okanye, unokuxelelwa ukuba kufuneka uvavanyo olongezelelweyo ukuze kuhlolwe ngakumbi izicwili ezikrokrelekayo. Oku kungabandakanya enye i-mammogram, i-ultrasound, i-MRI, okanye i-biopsy. Eyona ndlela yokwazi ngokuqinisekileyo ukuba unomhlaza kukwenza i-biopsy.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Iziphumo zihlala zifumaneka kwiintsuku ezimbalwa , kodwa ngamanye amaxesha kungathatha ixesha elide. Ngaphambi kokuba uphume kwindawo yovavanyo, buza ukuba uza kuzifumana njani iziphumo zakho kwaye ungazilindela nini.

Ngoko ke, ingaba i-tomosynthesis ingcono kune-mammogram eqhelekileyo?

I-Tomosynthesis inika umfanekiso ocacileyo webele lakho kune-mammogram eqhelekileyo. Ingcono ekufumaneni umhlaza kubantu abanezicubu zebele ezixineneyo kwaye inciphisa iziphumo ezingezizo ezilungileyo. Nangona kunjalo, kusaxoxwa ngokuba ingaba ii-mammogram ze-3D zingcono kune-mammogram ze-2D zokuhlola umhlaza webele ngokubanzi.Uphando lusaqhubeka.

Kungcono ukulandela iingcebiso zikagqirha wakho malunga nokuba loluphi uvavanyo lwebele olufunekayo ngokusekelwe kwimbali yakho yezonyango kunye nohlobo lwezicubu zebele lakho.

Ngaba i-tomosynthesis kunye ne-3D mammogram ziyafana?

Ewe, kunjalo! I-Tomosynthesis, i-breast tomosynthesis, i-digital breast tomosynthesis, kunye ne-3D mammogram zonke ngamagama enkqubo yovavanyo efanayo.

Ngaba yinyani into yokuba i-tomosynthesis ingcono kubantu abanamabele axineneyo?

Ewe, kunjalo. Oku kunika umfanekiso oneenkcukacha ngakumbi webele lakho, okwenza kube lula kakhulu ukuba ingcali ye-radiologist ikwazi ukubona umahluko phakathi kwezicubu zebele ezixineneyo kunye nomhlaza.

Ezona zinto zibalulekileyo ekufuneka uzikhumbule kwizinto esizithethileyo (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoku unombono olungileyo malunga nento ebesithetha ngayo, iDigital Breast Tomosynthesis (DBT). Into ebalulekileyo kukuba ukuba unezicubu zebele ezixineneyo, oku kungaba lukhetho oluhle lokufumanisa umhlaza webele.

• Ukuba lixesha lokuba wenze i-mammogram, buza ugqirha wakho ukuba i-tomosynthesis yenziwe na njengenxalenye yovavanyo.
• Ngokuxhomekeke kwimpilo yakho, nokuba yi-mammogram eqhelekileyo inokwanela ukubona umhlaza.
• Kwezinye iimeko, i-tomosynthesis inokwandisa amathuba okufumana umhlaza, okanye inokunciphisa uxinzelelo lokufumana iziphumo ezingezizo ezilungileyo.
• Ungaze ungathandabuzi ukubuza ugqirha wakho nantoni na malunga nolu vavanyo, kuquka nokuba kutheni lukulungele (okanye lungafanelekanga). Kubalulekile ukuba nolwazi ngempilo yakho.

Umhlaza webele , i-tomosynthesis, i-3D mammogram, i-mammogram, uvavanyo lwebele, amabele axineneyo, ukufunyanwa komhlaza