Isivumelwano esisha ngempilo yebele lakho! Ake sifunde ngale mammogram ye-3D (i-Tomosynthesis)?

Wake wesaba noma wasola amabele akho? Noma wake wezwa ngomdlavuza webele futhi wafuna ukwazi okwengeziwe ngawo? Namuhla sizokhuluma ngokuhlolwa kwe-mammogram okusisiza ngezikhathi ezinjalo, futhi kusebenza ngobuchwepheshe obuthuthukisiwe kakhulu. Igama layo yi-digital breast tomosynthesis, noma njengoba sonke sazi, i-3D mammography.

Kuyini i-tomosynthesis? Ingabe i-mammogram ye-3D ngempela?

Kalula nje, le `(Tomosynthesis)` uhlobo oluthuthuke kakhulu lwe-mammogram olusetshenziselwa ukuthola umdlavuza webele . Iwusizo kakhulu uma izicubu zebele lakho ziminyene kancane, okungukuthi, `(izicubu zebele eziminyene)`. Uyazi ukuthi kungani? Ibizwa nangokuthi `(3D mammography)`. Isizathu salokhu ukuthi lo mshini uthatha izithombe eziningi zesifuba sakho ezinezinhlangothi ezimbili (2D) bese uzihlanganisa zonke ukuze wakhe isithombe esinezinhlangothi ezintathu (3D) .

I-mammogram ejwayelekile esivame ukuyenza ithatha izithombe zesifuba ezinezinhlangothi ezimbili (2D). Isabhekwa njengendlela ethembekile kakhulu yokuthola umdlavuza webele. Kodwa-ke, lobu buchwepheshe obusha, obubizwa ngokuthi i-tomosynthesis, bavunywa yi-US Food and Drug Administration (FDA) ngo-2011. Buhle kakhulu ekutholeni umdlavuza kangangokuthi bungaba yindinganiso yegolide yokuhlolwa kwebele esikhathini esizayo .

Ubani ozuza kakhulu nge-tomosynthesis?

Eqinisweni, noma ubani ofuna ukwenza i-mammogram angazuza kulokhu (i-Tomosynthesis)`. Kodwa, ikakhulukazi uma izicubu zebele lakho ziminyene (kunokuba izicubu ezinamafutha), lokhu kubaluleke kakhulu kuwe . Cishe ingxenye yabo bonke abesifazane kuthiwa banamabele aminyene. Ngenxa yokuthi izicubu zebele lakho ziminyene, kunzima kancane ukuthola umdlavuza nge-mammogram ejwayelekile ye-2D.

Cabanga ngale ndlela. Njenge-mammogram ejwayelekile, i-tomosynthesis isebenzisa umthamo ophansi we-X-ray. Izicubu eziminyene - okungukuthi, amathambo, izimila eziqinile, kanye nezicubu zesifuba eziminyene - zimunca eziningi zalezi X-ray. Zibonakala zimhlophe ku-mammogram. Inkinga iwukuthi, ngoba kokubili umdlavuza kanye nezicubu zesifuba eziminyene zibonakala zimhlophe, ngezinye izikhathi kungaba nzima ukuhlukanisa lezi ezimbili.

Yilapho i-digital breast tomosynthesis ingena khona. Ithatha izithombe zebele lakho kusuka ema-engeli amaningi kanye nezithombe eziningi kune-mammogram evamile. Isithombe esiphumela ku-3D sicacile kakhulu. Lokhu kusho ukuthi ingabona umdlavuza ongase "ucashe" ezicutshini zebele eziminyene. Ingaphinde ibone ngokunembile izicubu ezinempilo ezingabonakala "zisolisa" noma "zingenzeka" ku-mammogram evamile. Lokhu kunciphisa nenani lemiphumela engalungile.Lokho kusho ukuthi ngeke uthole ukuthi "ungase ube nomdlavuza" ngaphandle kokuba nawo ngempela. Lokho kuyimpumuzo enkulu, akunjalo?

I-tomosynthesis idingeka nini?

Lokhu ``(i-digital breast tomosynthesis)`` kusetshenziswa ngenye yezindlela ezimbili:

Njengokuhlolwa kokuhlolwa kokutholwa komdlavuza webele kusenesikhathi

I-US Preventive Services Task Force (USPSTF) itusa ukuthi bonke abesifazane baqale ukuthola ama-mammogram lapho beneminyaka engu-40. Kodwa-ke, uma othile emndenini wakho eke waba nomdlavuza webele (okungukuthi, umlando womndeni oqinile), ungase ufune ukuqala ukuhlolwa kusenesikhathi. I-Tomosynthesis iyindlela enhle yokukhetha esikhundleni sokuhlolwa. Njenge-mammogram yendabuko, ingabona umdlavuza kusenesikhathi , ngaphambi kokuba ube nezimpawu.

Njengokuhlolwa kokuxilonga lapho kuvela izimpawu

Uma unezimpawu zebele – njengobuhlungu bebele, iqhubu ebeleni lakho, noma izinguquko zesikhumba – udokotela wakho angase akucele ukuthi kwenziwe i-"Digital Breast Tomosynthesis". Lokhu ukuhlolwa "kokuxilonga". Lokhu kungasiza udokotela wakho ukuqinisekisa ukuthi awunawo umdlavuza, noma anqume ukuthi "i-Biopsy" iyadingeka yini ukuze kubonwe ukuthi kukhona yini amangqamuzana omdlavuza.

Ubani owenza lolu vivinyo?

Ngokuvamile, uchwepheshe we-radiologic noma i-mammographer uzokubeka kulolu vivinyo, asebenzise umshini we-mammography, bese ehlaziya izithombe bese ebika imiphumela kudokotela wakho.

Lo mshini we-tomosynthesis usebenza kanjani?

Le "Digital breast tomosynthesis (DBT)" ifana kakhulu ne-mammogram ejwayelekile. Umehluko omkhulu ukuthi ithatha izithombe ezinemininingwane eminingi zebele lakho, kusukela emaceleni amaningi .

Cabanga ukuthi ku-mammogram evamile, ibele lakho libekwa endaweni eyisicaba bese licindezelwa (licindezelwe) phakathi kwamapuleti amabili avundlile. Umshini uthatha izithombe zebele lakho ezinezinhlangothi ezimbili (2D) kusukela emakhoneni amabili - phezulu kuya phansi kanye nasohlangothini oluya kolunye.

Ku-DBT, ibele lakho libekwe futhi licindezelwe ngendlela efanayo naleyo esetshenziswa ku-2D mammogram ejwayelekile. Nokho, ku-Tomosynthesis, ingalo yomshini we-mammogram (ithubhu le-X-ray) ihamba ngendlela egobile phezu kwebele lakho. Njengoba ihamba, ithatha izithombe eziningi ze-2D ezivela ema-engeli ahlukene.

Lezi zithombe ze-2D zibe seziguqulwa zibe yidijithali bese zithunyelwa kukhompyutha. Ikhompyutha ihlanganisa zonke lezi zithombe ukuze idale isithombe esinezinhlangothi ezintathu (3D) . Lesi sithombe se-3D sibonisa imininingwane eminingi, okwenza kube lula kakhulu ukubona umehluko phakathi kwezicubu ezinempilo nezicubu ezingaba nomdlavuza.

Ulungiselela kanjani ukuhlolwa kwe-tomosynthesis?

Kubalulekile ukutshela udokotela wakho umlando wakho wezokwelapha ogcwele – ikakhulukazi impilo yakho yebele. Nazi ezinye izinto ongazenza ukuze uzilungiselele:

• Xoxa ngomlando wakho wezokwelapha nodokotela wakho: Tshela udokotela wakho nganoma yiziphi izimo zamabele oye wabhekana nazo, noma yikuphi ukuhlinzwa oye wakwenza, noma yimiphi imijovo oye wayenza muva nje, kanye nanoma yimaphi ama-hormone owathathayo. Tshela udokotela wakho ngomlando womndeni wakho womdlavuza webele. Uma ukhulelwe noma uncelisa, udokotela wakho kufanele futhi azi ngalokhu.
• Cela udokotela wakho wamanje akuthumelele imiphumela yokuhlolwa kwangaphambilini: Uma wake wenza i-mammogram kwenye indawo ngaphambili, qiniseka ukuthi uthumela lezo zithombe kudokotela wakho wamanje. Kulula ukubona ukukhubazeka uma uqhathanisa izithombe ozitholayo nezangaphambilini.
• Hlela ukuhlolwa kwakho ngosuku lapho amabele akho engenabuhlungu: Ubuhlungu bebele buvame ukuba buthakathaka phakathi nesonto lokuqala noma amabili ngemva kokuphela kwesikhathi sakho sokuya esikhathini. Leso yisikhathi esihle kakhulu sokuthola i-mammogram.

Yini ongayilindela ngosuku lokuhlolwa?

Lindela ukuthi lolu vivinyo luthathe cishe imizuzu engama-30 . Ungaya ekhaya ngalolo suku. Khumbula lezi zinto ukuze uzilungiselele:

• Geza njalo, kodwa ungafaki noma yiziphi izimonyo ezifana ne-deodorant, i-powder, noma i-lotion. Lokhu kungabonakala njengamabala amhlophe ku-mammogram, okungaholela ekuchazeni kabi imiphumela.
• Gqoka izingubo ezikhululekile okulula ukuzishintsha. Cishe kuzodingeka ukhumule ingaphezulu lakho (ingaphezulu ne-bra) bese ugqoka ingubo yasesibhedlela evuleka ngaphambili.
• Ungagqoki ubucwebe. Imigexo namacici amade nakho kungaphazamisa isithombe se-mammogram. Kungcono ukuwashiya ekhaya. Buza abasebenzi ukuthi kulungile yini ukugqoka into efana namacici amancane.

Ukuhlolwa kwe-tomosynthesis kwenziwa kanjani? Ungakuchaza kancane?

Lokhu `(DBT)` kwenziwa njenge-mammogram evamile. Umehluko omkhulu ukuthi ku-`(DBT)`, ingalo yomshini (ithubhu le-X-ray) ikhipha ama-X-ray njengoba ihamba kancane nge-arc ezungeze ibele lakho.

• Uchwepheshe uzokubeka phambi komshini we-mammography bese ebeka elinye lamabele akho epulatifomu. Bazolungisa ukuphakama komshini kube sezingeni elifanele bese bebeka ibele lakho ukuze libonakale kahle.
• Uma usubekwe kahle, ipuleti lepulasitiki lizokwehla kancane kancane, licindezele ibele lakho epulatifomu. Uzozwa ingcindezi ethile ngalesi sikhathi. Kujwayelekile ukuzwa ukungakhululeki okuthile. Kodwa uma uzwa ubuhlungu, tshela uchwepheshe. Khumbula, kunesizathu esibalulekile salokhu kungakhululeki. Lokhu kucindezela kuvumela udokotela we-radiologist ukuthi abone izicubu zebele lakho ngokucacile. Futhi, ngenxa yokuthi izicubu zicindezelwe, umthamo ophansi wemisebe ungasetshenziswa.
• Uchwepheshe uzohamba kancane ukuze asebenzise umshini. Kumelwe uhlale unganyakazi ngenkathi umshini uhamba.Uchwepheshe angase futhi akucele ukuthi ubambe umoya wakho ngenkathi umshini uthatha izithombe (imizuzwana embalwa).
• Ishubhu le-X-ray lihamba ngendlela ezungeze ibele lakho, likhipha ama-X-ray amaningana anesilinganiso esiphansi.
• Ngemva kokuthatha izithombe ezanele zebele elilodwa, uchwepheshe wenza okufanayo nakwelinye ibele.

Khumbula: Ngisho noma lokhu kuhlolwa kungase kubonakale kungakhululekile kancane, kubaluleke kakhulu empilweni yakho. Ngakho-ke hlala uqinile.

Ingakanani imisebe esetshenziswa ekwenzeni i-tomosynthesis? Ingabe kuyinto okufanele uyesabe?

E-United States, i-FDA igunyaze i-DBT kuphela ukuthi isetshenziswe kanye ne-mammography. Umthamo wemisebe ophelele cishe uphindwe kathathu kunowe-mammogram ojwayelekile. Nakuba "kathathu" kungase kuzwakale sengathi kuningi, kusengumthamo wemisebe ophansi kakhulu, futhi kubhekwa njengenani eliphephile .

Kunezindlela ezintsha ze-`(Tomosynthesis)` ezingadala izithombe ezinezinhlangothi ezimbili (2D) kusuka kudatha efanayo esetshenziselwa ukudala isithombe esinezinhlangothi ezintathu (3D). Lokhu kunciphisa kakhulu ukuvezwa kwemisebe, okungaphezu nje kwe-mammogram evamile.

I-Mammography, okuhlanganisa ne-"Tomosynthesis," isebenzisa isilinganiso esiphansi kakhulu nesiphephile sokukhishwa kwemisebe ukuze inikeze izithombe ezisezingeni eliphezulu zokuthola umdlavuza webele. Ngakho-ke ungesabi lokhu ngokungadingekile.

Injani imiphumela? Isitshelani?

Udokotela we-X-ray uzohlola izithombe zakho ukuze abheke izimpawu zomdlavuza webele. Uma ebona noma yini esolisayo, angaqhathanisa isithombe se-3D nemiphumela yakho yangaphambilini ye-mammogram noma izithombe ze-2D. Uzobhalela udokotela wakho umbiko, ozokutshela imiphumela.

Kuye ngemiphumela, ungase utshelwe ukuthi awunawo umdlavuza. Noma, ungase utshelwe ukuthi kudingeka ukuhlolwa okwengeziwe ukuze kuhlolwe izicubu ezisolisayo. Lokhu kungafaka enye i-mammogram, i-ultrasound, i-MRI, noma i-biopsy. Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi unomdlavuza ukwenza i-biopsy.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Imiphumela ivame ukutholakala ezinsukwini ezimbalwa , kodwa ngezinye izikhathi kungathatha isikhathi eside. Ngaphambi kokuba ushiye indawo yokuhlola, buza ukuthi uzoyithola kanjani imiphumela yakho nokuthi ungayilindela nini.

Ngakho-ke, ingabe i-tomosynthesis ingcono kune-mammogram evamile?

I-Tomosynthesis inikeza isithombe esiningiliziwe sesifuba sakho kune-mammogram ejwayelekile. Ingcono ekutholeni umdlavuza kubantu abanezicubu zesifuba eziqinile futhi inciphisa imiphumela engalungile. Kodwa-ke, kusaphikiswana ngokuthi ama-mammogram e-3D angcono yini kune-mammogram ye-2D yokuhlola umdlavuza webele ngokuvamile.Ucwaningo lusaqhubeka.

Kungcono ukulandela izincomo zikadokotela wakho mayelana nokuthi yikuphi ukuhlolwa kwamabele okudingayo ngokusekelwe emlandweni wakho wezokwelapha kanye nohlobo lwezicubu zebele lakho.

Ingabe i-tomosynthesis kanye ne-3D mammogram ziyinto efanayo?

Yebo, kunjalo! I-Tomosynthesis, i-breast tomosynthesis, i-digital breast tomosynthesis, kanye ne-3D mammogram konke lokhu kungamagama enqubo efanayo yokuhlola.

Kuyiqiniso yini ukuthi i-tomosynthesis ingcono kubantu abanamabele aminyene?

Yebo, kunjalo. Lokhu kunikeza isithombe esiningiliziwe sebele lakho, okwenza kube lula kakhulu ngodokotela we-radiologist ukuhlukanisa phakathi kwezicubu zebele eziqinile nomdlavuza.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule kulokho esixoxe ngakho (Umyalezo Wokuya Ekhaya)

Kulungile, manje usunomqondo omuhle ngalokho ebesikhuluma ngakho, i-Digital Breast Tomosynthesis (DBT). Into ebalulekile ukuthi uma unezicubu zebele eziqinile, lokhu kungaba yindlela enhle yokuthola umdlavuza webele.

• Uma sekuyisikhathi sokuba wenze i-mammogram, buza udokotela wakho ukuthi i-tomosynthesis yenziwe yini njengengxenye yokuhlolwa.
• Kuye ngempilo yakho, ngisho ne-mammogram ejwayelekile inganele ukuthola umdlavuza.
• Kwezinye izimo, i-tomosynthesis ingandisa amathuba okuthola umdlavuza, noma inganciphisa nokucindezeleka kokuthola umphumela ongalungile.
• Ungalokothi unqikaze ukubuza udokotela wakho noma yini mayelana nalolu vivinyo, okuhlanganisa nokuthi kungani lukulungele (noma cha). Kubalulekile ukwazi ngempilo yakho.

Umdlavuza webele, i-tomosynthesis, i-3D mammogram, i-mammogram, ukuhlolwa kwebele, amabele aminyene, ukutholwa komdlavuza