Ngaba ufuna ukwazi nge-fibroglandular Density yakho? Ungakhathazeki, masithethe ngayo!

Mhlawumbi sele ulibonile igama elithi "Fibroglandular Density" kwingxelo yakho ye-mammogram. Okanye mhlawumbi ugqirha wakho ukuxelele into efana nale, "Amabele akho aqinile." Kuqhelekile ukuba uzive usoyika kwaye unomdla xa usiva into efana nale. Ngoko ke, namhlanje siza kuthetha ngokuba yintoni i-fibroglandular density kunye nokuba ingaba inempembelelo na kwimpilo yakho.

Yintoni kanye kanye iFibroglandular Density?

Ngamafutshane, uxinano lwe-fibroglandular luyindlela yokulinganisa uhlobo lwezicubu emabeleni akho. Oku kunokufunyanwa ngokuchanekileyo nge-mammogram. Amabele ethu enziwe ngeentlobo ezintathu eziphambili zezicubu:

1. Izicubu ezidityanisiweyo ezinemicu: Ezi zizicubu ezixineneyo kancinci. Zibonakala zimhlophe kwi-mammogram. Kungenxa yalo mbala umhlophe ukuba iiseli zomhlaza nazo zibonakale zimhlophe, nto leyo enokwenza kube nzima ukubona umhlaza ngamanye amaxesha. Ukuba unezi zicubu ezininzi ezinamicu emabeleni akho, sizibiza ngokuba "yi-fibroglandular density ephezulu," okanye "amabele axineneyo."

2. Izicubu ze-Glandular: Ezi zizicubu ezixineneyo . Kulapho ke kungena khona i-milk glands kunye ne-milk ducts. Ezi zicubu zibonakala zimhlophe kwi-mammogram, nto leyo eyenza kube nzima ngakumbi ukubona umhlaza. Ukuba kukho uninzi lwezi zicubu, kuthiwa zinoxinano oluphezulu lwe-fibroglandular.

3. Izicubu ezinamafutha: Le ayizizo izicubu ezixineneyo . Ibonakala imnyama okanye ikhanya kwi-mammogram. Oku kwenza kube lula ukubona iindawo ezimhlophe zezicubu, njengomhlaza, xa ujonga imvelaphi yamafutha. Ukuba amabele akho ikakhulu anezicubu ezinamafutha, oko kuthetha ukuba "une-fibroglandular density ephantsi."

Ngoko ke, uxinano lwe-fibroglandular bubungakanani bezicubu ezine-fibrous kunye ne-glandular emabeleni akho xa kuthelekiswa nobungakanani bezicubu ezinamafutha. Oku ngamanye amaxesha kubizwa ngokuba "luxinano lwebele."

Ngaba sifanele sikhathazeke ngale fibroglandular density?

Enyanisweni, uxinano lwe-fibroglandular lubalulekile kuba kunokuba nzima kwi-radiologist ukubona umhlaza webele kwi-mammogram ukuba unezicubu zebele ezixineneyo. Oku kungenxa yokuba umhlaza kunye nezicubu zebele ezixineneyo zibonakala zimhlophe kwi-mammogram. Oku kubizwa ngokuba yi-"masking" - oko kuthetha ukuba umhlaza "unokufihla" ngamabele axineneyo.

Kodwa, ungakhathazeki ukuba i-mammogram yakho ithi "amabele axineneyo"! Ayiyonto inkulu leyo. Ngokuxhomekeke kwiziphumo ze-mammogram yakho kunye nomngcipheko wakho wokuba nomhlaza webele, ugqirha wakho unokucebisa ezinye iimvavanyo ukuze afumane umfanekiso ongcono wamabele akho.

Zithini izinto ezichaphazela uxinano lwamabele?

Ukuba nezicubu zebele ezixineneyo kuyinto eqhelekileyo. Malunga nesiqingatha sabasetyhini bawela kolu luhlu. Kukho izinto ezininzi ezinokubangela ukuba amabele akho aqine:

• Ubudala: Amabele amabhinqa aselula adla ngokuba makhulu, kodwa njengoko ekhula, izicubu ezinamafutha zinokwanda kwaye uxinano lunokuncipha.
• Amayeza eehomoni: Ezinye iindlela zonyango zeehomoni (umz., iihomoni ezinikwa abantu abaya exesheni) zinokubangela ukuba uxinano lwamabele lunyuke.
• I-genetics: Ukuba kukho umntu kusapho lwakho onamabele aqinileyo, nawe unokuba nawo.
• Ubunzima bomzimba: Ngokubanzi, abafazi abanobunzima obuphantsi basenokuba nobunzima obuphezulu bebele, ngelixa abo banobunzima obuphezulu bebele basenokuba nobunzima obuphantsi ngenxa yokwanda kwamafutha ezicubu.

Ugqirha wakho uza kuthetha nawe malunga noxinano lwamabele akho kunye nendlela olunokuchaphazela ngayo ukufunyaniswa komhlaza. Ukuba unobungozi obuphantsi bomhlaza wamabele, ukuba namabele aqinileyo kusenokungabi yingxaki enkulu. Nangona kunjalo, ukuba usengozini enkulu yomhlaza, ugqirha wakho uza kuxoxa nawe ngokuhlolwa komhlaza wamabele okongezelelweyo.

Ziziphi iintlobo ezahlukeneyo zoxinano lwe-fibroglandular?

Uxinano lwamabele akho lwahlulwe lwaba ziindidi ezine eziphambili, ukusuka kwizicubu ezixineneyo kakhulu ukuya kwizicubu ezixineneyo kakhulu.

Yintoni "izicubu zesifuba ezisasazekileyo ze-fibroglandular"?

Iingcali ze-radiology zihlela izicwili zebele lakho zisebenzisa isikali esibizwa ngokuba yiBreast Imaging Reporting and Data System (BI-RADS). Esi sikali se-BI-RADS silinganisa uxinano lwe-fibroglandular yakho.

• "Ubuninzi be-fibroglandular density" kuthetha ukuba amabele akho anomxube wezicubu ezixineneyo nezinamafutha, kodwa uninzi lwazo zizicubu ezinamafutha.
• "Izicubu zesifuba ezixineneyo" zithetha ukuba amabele akho anomxube wezicubu ezixineneyo nezinamafutha, kodwa izicubu ezixineneyo zezona zininzi.

Xa ezi ntlobo zimbini zidityanisiwe, zigubungela malunga ne-80% yabemi baseMelika. Abafazi abaninzi kwilizwe lethu banokuzibona ezi meko.

Ngaba umhlaza we-fibroglandular density cancer usasazeka?

Hayi, akunjalo konke konke. Yindlela nje yokulinganisa izicubu zebele lakho. Ukuba ne-"diffuse fibroglandular tissue" kuthetha ukuba kukho iindawo ezinoxinano kwi-mammogram yakho ezibonakala zixinene. Njengoko bekutshiwo ngaphambili, zombini umhlaza kunye nezicubu zebele ezixineneyo zibonakala zimhlophe kwi-mammogram,Ubuninzi bunxulumene nomhlaza webele kuphela kuba ukuba unamabele aqinileyo, kunokuba nzima kancinci kugqirha ukubona amabala anomhlaza.

Ziziphi iimeko zonyango ezinokunxulunyaniswa noxinano lwe-fibroglandular?

Uxinano lwakho lwe-fibroglandular lunxulunyaniswa nomngcipheko wakho wokuba nomhlaza webele. Ngoku kukho ubungqina obandayo bokuba njengoko uxinano lusanda, umngcipheko wakho wokuba nomhlaza unokwanda ngandlela thile . Kukho izizathu ezibini eziphambili zoku:

1. Iimammogram ngamanye amaxesha azinazo ii-dense cancers: Izicubu zebele ezixineneyo zinokubangela ukuba umhlaza ungafumaneki kwi-mammogram. Ngokwezinye izifundo, ukuya kuthi ga kwi-27% yee-cancers kumabele axineneyo zinokungafumaneki kwi-mammogram.

2. Amabele aqinileyo anokuba nomhlaza: Nangona izizathu ezichanekileyo zoku zingacacanga, umntu onamabele aqinileyo usemngciphekweni omkhulu wokuba nomhlaza wamabele kunalowo unamabele atyebileyo kakhulu.

Ilinganiswa njani i-fibroglandular density? Ziziphi ezo zilingo?

Ukuze ufumane ubungqingqwa be-fibroglandular yakho, kuya kufuneka wenze i-mammogram. I-mammogram luhlobo olukhethekileyo lwe-X-ray oluthatha imifanekiso yangaphakathi yamabele akho.

Ngokuxhomekeke kuhlobo lwezicubu zebele onazo, ubuchwepheshe obuphambili bokuthatha imifanekiso bunokuba luncedo ekuboneni ukuba umhlaza uyakhula na:

• I-3D mammography (i-breast tomosynthesis): Oku kusebenzisa idosi ephantsi ye-X-rays (malunga ne-1.5 ukuya kwi-2 yemitha ye-2D mammogram eqhelekileyo) ukuthatha imifanekiso eliqela yebele lakho kwii-engile ezahlukeneyo. Le mifanekiso idityaniswe ukwenza umfanekiso wesifuba sakho onemilinganiselo emithathu (3D). Oku kulungile ngakumbi kubantu abanezicubu ezixineneyo, njengoko kunciphisa ubungakanani bezicubu ezidityanisiweyo. Le teknoloji ivumela i-radiologist ukuba "iskrole" kwizicubu ezixineneyo, ukuze izinto ezingaqhelekanga zibonakale ngokucacileyo.
• I-ultrasound yebele: Oku kusebenzisa amaza esandi ukuthatha umfanekiso wezicubu zebele lakho uze uzibonise kwiscreen.
• I-MRI yesifuba: Oku kusebenzisa iimagnethi kunye namaza erediyo ukurekhoda izakhiwo ezingaphakathi kwamabele akho kunye nokubonisa imifanekiso kwiscreen.
• Ukuthathwa kwemifanekiso yesifuba seMolekyuli (MBI): Kolu vavanyo, ugqirha wakho ufaka i-radioactive tracer emthanjeni osengalweni yakho. Le tracer ihamba ngegazi lakho. Ikhamera ekhethekileyo irekhoda indlela i-tracer esabela ngayo kwizicubu ezinomhlaza nezingenamhlaza emzimbeni wakho. Le mpendulo iboniswa kwiscreen ngokwahlukileyo phakathi kwezicubu ezinomhlaza nezingenamhlaza.

Uvavanyo ngalunye luneengenelo kunye neengxaki zalo. Umzekelo, i-MRI kunye ne-ultrasound zinokubona umhlaza ongafakwanga yi-mammography, kodwa ngamanye amaxesha zinokubona iiseli ezingezizo umhlaza njengezinomhlaza (oku kubizwa ngokuba yi-Isiphumo esingalunganga . Nangona izixhobo ezikhethekileyo ezifana ne-3D mammography zinokubona umhlaza ongekho kwi-mammogram yendabuko, isebenzisa imitha engaphezulu kancinci kune-2D mammogram. Ukuba usemngciphekweni omkhulu wokuba nomhlaza, ukuvezwa kwimitha eyongezelelweyo kunokuba yingozi. Kwakhona, ukufumaneka kwezi teknoloji kunye nokuba zibiza malini kuyahluka ngokuxhomekeke kwi-inshorensi.

Thetha nogqirha wakho malunga neendlela zokuhlola azicebisayo, ngokusekelwe kumngcipheko wakho wokuba nomhlaza webele. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba i-mammogram iseyindlela efanelekileyo yokubona umhlaza webele kwangethuba. Ezinye iindlela zobuchwepheshe, ezifana ne-ultrasound yebele kunye ne-MRI yebele, zongeza kwi-mammogram eqhelekileyo, kungekhona endaweni yayo.

Ndingayibuza yiphi imibuzo ugqirha?

Qiniseka ukuba ubuza ugqirha wakho malunga nobunzima be-fibroglandular yakho. Wakuba wazi ukuba amabele akho aqinile kangakanani, buza ukuba oku kuyichaphazela njani impilo yakho. Nazi ezinye zemibuzo onokuyibuza:

• Angakanani amathuba am okuba nomhlaza webele?
• Ngaba amabele am aqinile?
• Uxinano lwamabele am luyichaphazela njani iziphumo ze-mammogram?
• Ziziphi iindlela ezilungileyo zokubona umhlaza?
• Zeziphi iintlobo zemifanekiso ozicebisayo xa uvavanya umhlaza webele?
• Ngaba kufuneka ndicinge ngovavanyo olongezelelweyo?
• Kufuneka zenziwe kangaphi ezi mvavanyo?

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule!

Xa ugqirha ethetha ngobuninzi be-fibroglandular, kunokuba yinto eyoyikisayo ukuba uxhalabile ngomngcipheko wakho wokuba nomhlaza webele. Kodwa akufanele ukhathazeke ngayo ngokungeyomfuneko. Amabele akho enziwe ngohlobo oluthile lwezicubu ezinokuba ngumceli mngeni okanye ezingenakubangela umngeni ekuhlolweni komhlaza. Amabele axineneyo, okanye ubunzima be-fibroglandular obuphezulu, kuthetha ukuba ungazuza kwiimvavanyo ezongezelelweyo zokuthatha imifanekiso ukuze woyise eminye yemida ye-mammography. Eyona nto ibalulekileyo kukubona ugqirha wakho rhoqo, wenze iimvavanyo zakho ngexesha, kwaye ulandele imiyalelo yakhe.

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