Ake sifunde ngqo nge-Tomosynthesis - indlela yakamuva ye-3D yokuthola umdlavuza webele kusenesikhathi!

Kungenzeka ukuthi uke wezwa ngokuhlolwa kwe-'mammogram'. Lokhu ukuhlolwa okubaluleke kakhulu ekutholakaleni komdlavuza webele kusenesikhathi. Kodwa ubuwazi ukuthi kunendlela entsha esebenzisa ubuchwepheshe obufanayo be-mammogram, obuthuthuke kakhulu futhi obunikeza imiphumela ecacile? Yilokho esikubiza ngokuthi 'i-Digital Breast Tomosynthesis' noma nje 'i-Tomosynthesis'. Lokhu kwaziwa kakhulu ngokuthi 'i-3D Mammography'. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kalula nje, iyini i-Tomosynthesis?

Zicabange ubheka incwadi. I-mammogram evamile, endala ye-2D ifana nokuthatha isithombe sesembozo sencwadi. Amakhasi angaphakathi ahlangene ndawonye, ​​njengebhola. Uma kukhona okufihliwe, kunzima ukukuthola.

Kodwa, ngale mammogram entsha ye-3D (i-Tomosynthesis), kufana nokuphendula amakhasi aleyo ncwadi, uthatha izithombe ezihlukene zekhasi ngalinye. Umshini uthatha izithombe eziningi zebele lakho kusuka emakhoneni ahlukene, 'ngezingcezu' ezincane kakhulu. Bese, ikhompyutha isebenzisa lezi zithombe ukudala imodeli ephelele yebele lakho enezinhlangothi ezintathu (3D).

Ngenxa yalokhu, noma ngabe kukhona iqhubu elincane noma ushintsho olufihliwe ngaphakathi kwezicubu zebele, udokotela uzokwazi ukukubona kahle kakhulu.

Lolu vivinyo lubaluleke kakhulu kubani?

Noma ubani ofuna ukwenza i-mammogram angazuza kule ndlela ye-3D. Kodwa-ke, kunezinye izinhlangano okubaluleke kakhulu kuzo lokhu. Okusho ukuthi, abesifazane 'abanezicubu zesifuba eziqinile'. Abesifazane abaningi ezweni lethu banalesi simo.

Iyini le 'zicubu zesifuba eziminyene'?

Kalula nje, ibele lakhiwe ngezicubu ezinamafutha kanye nezicubu zezindlala. Abanye besifazane banezicubu zezindlala eziningi kunezicubu ezinamafutha emabeleni abo. Yilokho esikubiza ngokuthi 'amabele aminyene.'

Manje, bheka, esithombeni se-X-ray se-mammogram esivamile, lesi zicubu ezixinene kanye nesimila, kokubili kuvela kumhlophe. Kufana nokufuna ibhere elimhlophe elimhlophe esivunguvungwini seqhwa. Yingakho i-mammogram ejwayelekile ye-2D ingase iphuthelwe umdlavuza ofihliwe emabeleni aminyene.

Lokhu kunenye inzuzo enkulu. Ngezinye izikhathi, ku-mammogram evamile, izicubu ezinempilo zingaphambaniswa nomdlavuza ngoba kubukeka sengathi ziyahambisana. Lokhu sikubiza ngokuthi umphumela 'ongamanga'. Yingakho kudingeka wesabe futhi wenze izivivinyo ezengeziwe. Indlela ye-3D injenaIzimpawu ezingamanga ziyancipha kakhulu.

Kunini lapho kudingeka khona ukuhlolwa kwe-tomosynthesis?

Lolu vivinyo lusetshenziselwa izinjongo ezimbili eziyinhloko.

1. Njengokuhlolwa kokuhlolwa: Ngokuvamile kunconywa ukuthi bonke abesifazane baqale ukuthola ama-mammogram ngemva kweminyaka engu-40. Uma othile emndenini wakho eke waba nomdlavuza webele, udokotela wakho angancoma ukuthi wenze lokhu kuhlolwa kusenesikhathi. Ngakho-ke, i-tomosynthesis iyindlela enhle yokuhlola umdlavuza ngaphambi kokuba kuvele izimpawu.

2. Njengokuhlolwa kokuxilonga: Uma unezimpawu emabeleni akho (isib. iqhubu, ubuhlungu, izinguquko zesikhumba), udokotela wakho angakuthumela kulolu vivinyo ukuze anqume ukuthi imbangela ingumdlavuza noma cha.

Kufanele uzilungiselele kanjani ngaphambi kwalolu vivinyo?

Kubalulekile ukunakekela lezi zinto ngaphambi kokuhlolwa.

• Tshela udokotela wakho ngomlando wakho wezokwelapha: uma uke waba nezinkinga zamabele ngaphambilini, uma uke wahlinzwa, ukuthi yimaphi ama-hormone owathathayo, nokuthi ukhulelwe noma uncelisa.
• Hamba namarekhodi amadala: Uma wake wenza i-mammogram kwenye indawo ngaphambili, kubalulekile ukuhamba nalawo zithombe namarekhodi uye endaweni yakho entsha. Kulula ukubona ngisho nomehluko omncane kakhulu uma uqhathanisa izithombe ezindala nezintsha.
• Khetha usuku lapho amabele akho engabuhlungu kakhulu: Ubuhlungu bebele kanye nokuthamba kuvame ukuba sezansi kakhulu phakathi nesonto lokuqala noma amabili ngemva kokuya esikhathini. Uma kungenzeka, hlela ukuhlolwa kwakho ngalolo suku.

Yini ongayilindela ngosuku lokuhlolwa?

Isivivinyo sonke sithatha cishe imizuzu engama-30. Ungaya ekhaya ngalolo suku.

• Ungayifaki i-deodorant, i-powder, noma i-lotion: Geza umzimba wakho bese uhlanza. Kodwa ungafaki i-deodorant, i-powder, noma ukhilimu endaweni engaphansi kwekhwapha noma eduze kwamabele. Ezinye zalezi zinto zingabonakala njengamabala amhlophe ezithombeni ze-X-ray. Lokhu kungabangela imiphumela engalungile.
• Cabanga ngezingubo zakho: Gqoka izingubo ezikhululekile ongazikhumula kalula. Kuzodingeka ukhumule ingxenye ephezulu yomzimba wakho (kufaka phakathi izingubo zangaphansi) bese ugqoka ingubo yasesibhedlela.
• Ungagqoki ubucwebe: Susa izinto ezifana nemigexo bese uzishiya ekhaya. Lokhu kungathinta nezithombe.

Ungenza kanjani isivivinyo?

Lokhu kufana nje nokuba ne-mammogram ejwayelekile. Umehluko kuphela ukuthi ingxenye yomshini ekhipha ama-X-ray (i-X-ray tube) ihamba ngendlela ezungeze ibele lakho.

Uchwepheshe uzokubeka eceleni komshini bese ekucele ukuthi ubeke isifuba esisodwa epulatifomu. Ipuleti lepulasitiki lizobe selincishiswa bese licindezela isifuba sakho.

Kuvamile ukuzwa ingcindezi noma ukungakhululeki ngalesi sikhathi. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki, tshela uchwepheshe. Ibele licindezelwa ngale ndlela ngesizathu esithile. Lokhu kusiza ekunciphiseni izicubu futhi kuveze isithombe esicacile. Kuphinde kunciphise inani lemisebe umzimba wakho ovezwa kuyo.

Udinga ukuhlala unganyakazi. Umshini uzohamba futhi uthathe izithombe eziningana kusuka ema-engeli ahlukene ngemizuzwana embalwa. Uma uhlangothi olulodwa seluqediwe, elinye ibele lihlolwa ngendlela efanayo.

Umehluko obalulekile phakathi kwe-mammogram ejwayelekile (2D) kanye ne-tomosynthesis (3D) mammogram

Ukuze siqonde kangcono, ake sibheke umehluko phakathi kwalezi zindlela ezimbili.

Ingabe kufanele sesabe ukusebenza kwemisebe?

Lokhu kuyinkinga kubantu abaningi. I-3D mammogram ikhipha imisebe eminingi kancane kune-2D mammogram evamile. Kodwa-ke, awunaso isizathu sokukhathazeka ngalokhu. Lo mthamo wemisebe uphansi kakhulu, ngaphakathi kwemingcele ephephile . Izinzuzo zokutholwa komdlavuza webele kusenesikhathi zidlula kakhulu lokhu kuvezwa kwemisebe okuncane kakhulu.

Imiphumela itholakala kanjani? Isitshelani?

Udokotela we-X-ray uzohlola izithombe zakho ngokucophelela futhi abheke izimpawu zomdlavuza. Uzobhala umbiko bese ewuthumela kudokotela okuthumelele ukuhlolwa. Udokotela wakho uzobe esekuchazela imiphumela.

Imiphumela ivame ukutholakala zingakapheli izinsuku ezimbalwa. Kuye ngemiphumela,

• Ungaqiniseka ukuthi awunawo umdlavuza.
• Uma ubona okuthile okusolisayo, ungase unconywe ukuthi wenze ukuhlolwa okwengeziwe (isib. enye i-mammogram, i-ultrasound, i-MRI scan, noma i-biopsy) ukuze kuhlolwe kabanzi.

Khumbula ukuthi ukuhlolwa kwe-biopsy kuphela okungaqinisekisa ngokuphelele ukuthi umdlavuza ukhona yini .

Okokugcina, uma uzokwenziwa i-mammogram, khuluma nodokotela wakho ngendlela ye-Tomosynthesis (3D). Uzonquma ukuthi le ndlela noma indlela evamile ikulungele yini, ngokusekelwe ezicini zamabele akho kanye nomlando wakho wezokwelapha. Ungesabi ukubuza imibuzo nokufuna ukucaciselwa.