Ufuna ukwazi ngobuningi bebele lakho (Fibroglandular Density)? Ungakhathazeki, ake sixoxe ngakho!

Cishe uke walibona igama elithi "Fibroglandular Density" embikweni wakho we-mammogram. Noma mhlawumbe udokotela wakho ukutshele into efana nokuthi, "Amabele akho aqinile." Kuvamile ukuzizwa wesaba futhi unelukuluku uma uzwa into efana nale. Ngakho-ke, namuhla sizoxoxa ngokuthi iyini i-fibroglandular density nokuthi inawo yini umthelela empilweni yakho.

Kuyini ngempela ubuningi be-Fibroglandular?

Kalula nje, ubuningi be-fibroglandular buyindlela yokulinganisa uhlobo lwezicubu emabeleni akho. Lokhu kungatholakala ngokunembile nge-mammogram. Amabele ethu akhiwe ngezinhlobo ezintathu eziyinhloko zezicubu:

1. Izicubu ezixhumene ne-fibrous: Lezi yizicubu ezixinene kancane. Zibonakala zimhlophe ku-mammogram. Kungenxa yalo mbala omhlophe ukuthi amangqamuzana omdlavuza nawo abonakala emhlophe, okungenza kube nzima ukuthola umdlavuza ngezinye izikhathi. Uma unenqwaba yalolu hlobo lwezicubu ezine-fibrous emabeleni akho, silubiza ngokuthi "ubuningi obukhulu be-fibroglandular," noma "amabele aminyene."

2. Izicubu ze-glandular: Lokhu futhi kuyizicubu ezixineneyo . Yilapho kungena khona izindlala zobisi kanye nemigudu yobisi. Lezi zicubu zibonakala zimhlophe ku-mammogram, okwenza kube nzima kakhulu ukuthola umdlavuza. Uma kunezicubu eziningi, kuthiwa zinobuningi obukhulu be-fibroglandular.

3. Izicubu ezinamafutha: Lokhu akuzona izicubu eziqinile . Zibonakala zimnyama noma zikhanya ku-mammogram. Lokhu kwenza kube lula ukubona izindawo ezimhlophe zezicubu, njengomdlavuza, uma ubhekene nesizinda samafutha. Uma amabele akho enamafutha amaningi, kusho ukuthi "une-fibroglandular density ephansi."

Ngakho-ke, ubuningi be-fibroglandular buyinani lezicubu ze-fibrous kanye ne-glandular emabeleni akho uma kuqhathaniswa nenani lezicubu ezinamafutha. Lokhu ngezinye izikhathi kubizwa ngokuthi "ubuningi besifuba."

Ingabe kufanele sikhathazeke ngalokhu kuqina kwe-fibroglandular?

Eqinisweni, ubuningi be-fibroglandular bubalulekile ngoba kungaba nzima ngodokotela we-radiologist ukuthola umdlavuza webele ku-mammogram uma unezicubu zebele eziqinile. Lokhu kungenxa yokuthi kokubili umdlavuza kanye nezicubu zebele eziqinile zibonakala zimhlophe ku-mammogram. Lokhu kubizwa ngokuthi "ukugquma" - okusho ukuthi umdlavuza "ungafihlwa" ngamabele aqinile.

Kodwa, ungakhathazeki uma i-mammogram yakho ithi "amabele aminyene"! Akuyona into enkulu. Kuye ngemiphumela ye-mammogram yakho kanye nengozi yakho yokuba nomdlavuza webele, udokotela wakho angase asikisele ezinye izivivinyo ukuze athole isithombe esingcono samabele akho.

Yiziphi izinto ezithinta ukuminyana kwamabele?

Ukuba nezicubu zebele eziqinile empeleni kuyinto evamile kakhulu. Cishe ingxenye yabesifazane iwela kulesi sigaba. Kunezici eziningana ezingaba nomthelela ekukhuleni kwamabele akho aqinile:

• Ubudala: Amabele abesifazane abasebasha avame ukuba makhulu, kodwa njengoba bekhula, izicubu ezinamafutha zinganda futhi ubuningi bungase bunciphe.
• Imithi yama-hormone: Eminye imithi yokwelapha ngama-hormone (isib. ama-hormone anikezwa ngesikhathi sokunqamuka kokuya esikhathini) ingabangela ukwanda kokuqina kwamabele.
• Ufuzo: Uma othile emndenini wakho enamabele aqinile, kungenzeka kakhulu ukuthi nawe ube nawo.
• Isisindo somzimba: Ngokuvamile, abesifazane abanesisindo esincane somzimba bangase babe nokuqina kwamabele okwenyuka, kuyilapho labo abanesisindo esiphezulu somzimba kungenzeka ukuthi banciphile ukuqina kwamabele ngenxa yokwanda kwezicubu zamafutha.

Udokotela wakho uzokhuluma nawe ngobuningi bebele lakho nokuthi kungathinta kanjani ukutholakala komdlavuza. Uma usengozini encane yokuba nomdlavuza webele, ukuba namabele aqinile kungase kungabi yinto enkulu. Kodwa-ke, uma usengozini enkulu yokuba nomdlavuza, udokotela wakho uzoxoxa nawe ngokuhlolwa okwengeziwe komdlavuza webele.

Yiziphi izinhlobo ezahlukene zobuningi be-fibroglandular?

Ubuningi bamabele akho buhlukaniswe ngezigaba ezine eziyinhloko, kusukela kwezicubu ezixinene kakhulu kuya kwezicubu ezixinene kakhulu.

Kuyini "izicubu zesifuba ezihlakazekile ze-fibroglandular"?

Odokotela bemisebe bahlukanisa izicubu zebele lakho besebenzisa isikali esibizwa ngokuthi i-Breast Imaging Reporting and Data System (BI-RADS). Lesi sikali se-BI-RADS silinganisa ubuningi be-fibroglandular yakho.

• "Ubuningi be-fibroglandular obusakazekile" kusho ukuthi amabele akho anengxube yezicubu eziqinile nezinamafutha, kodwa iningi lawo liyizicubu ezinamafutha.
• "Izicubu zesifuba ezixinene kakhulu" kusho ukuthi amabele akho anengxube yezicubu ezixinene nezinamafutha, kodwa izicubu ezixinene yizo eziningi kakhulu.

Uma lezi zinhlobo ezimbili zihlanganiswa, zimboza cishe u-80% wabantu baseMelika. Abesifazane abaningi ezweni lethu bangazibona lezi zimo.

Ingabe umdlavuza we-fibroglandular density osabalele?

Cha, akunjalo nhlobo. Kumane nje kuyindlela yokulinganisa izicubu zebele lakho. Ukuba ne-"diffuse fibroglandular tissue" kusho ukuthi kunezindawo ezinobukhulu ku-mammogram yakho ezibukeka zinobukhulu. Njengoba kushiwo ngaphambili, kokubili umdlavuza kanye nezicubu zebele ezinobukhulu zibonakala zimhlophe ku-mammogram,Ubuningi buhlobene nomdlavuza webele kuphela ngoba uma unamabele aqinile, kungaba nzima kancane kudokotela ukuthola izindawo ezinomdlavuza.

Yiziphi izimo zezokwelapha ezingase zihlotshaniswe nokuminyana kwe-fibroglandular?

Ubuningi be-fibroglandular yakho buhlotshaniswa nengozi yakho yokuba nomdlavuza webele. Manje kunobufakazi obandayo bokuthi njengoba ubuningi bukhula, ingozi yakho yokuba nomdlavuza inganda ngezinga elithile . Kunezizathu ezimbili eziyinhloko zalokhu:

1. Ama-mammogram ngezinye izikhathi awakwazi ukuthola umdlavuza webele oqinile: Izicubu zebele eziqinile zingabangela ukuthi umdlavuza uphuthelwe yi-mammogram. Ngokwezinye izifundo, kufika ku-27% womdlavuza emabeleni aqinile ungaphuthelwa yi-mammogram.

2. Amabele aqinile anamathuba amaningi okuthola umdlavuza: Nakuba izizathu eziqondile zalokhu zingacacile, umuntu onamabele aqinile usengozini enkulu yokuthola umdlavuza webele kunomuntu onamabele anamafutha amaningi.

Kulinganiswa kanjani ubuningi be-fibroglandular? Yiziphi lezo zivivinyo?

Ukuze uthole ukuthi une-fibroglandular density, kuzodingeka wenze i-mammogram. I-mammogram uhlobo olukhethekile lwe-X-ray oluthatha izithombe zangaphakathi kwamabele akho.

Kuye ngohlobo lwezicubu zebele onazo, ubuchwepheshe obuthuthukisiwe bokuthwebula izithombe bungaba usizo ukubona ukuthi umdlavuza uyaqala yini:

• I-3D mammography (i-breast tomosynthesis): Lokhu kusebenzisa umthamo ophansi we-X-rays (cishe imisebe ephindwe kabili kune-2D mammogram ejwayelekile) ukuthatha izithombe eziningana zebele lakho kusuka kuma-engeli ahlukene. Lezi zithombe zihlanganiswa ukuze kudalwe isithombe sesifuba sakho esinezinhlangothi ezintathu (3D). Lokhu kuhle kakhulu kubantu abanezicubu ezixineneyo, njengoba kunciphisa inani lezicubu ezihambisanayo. Lobu buchwepheshe buvumela udokotela we-radiologist ukuthi "azulazule" phakathi kwezicubu ezixineneyo, ukuze izinto ezingajwayelekile zibonakale ngokucacile.
• I-ultrasound yebele: Lokhu kusebenzisa amaza omsindo ukuthatha isithombe sezicubu zebele lakho bese kusibonisa esikrinini.
• I-MRI Yesifuba: Lokhu kusebenzisa omayibuthe namagagasi omsakazo ukuqopha izakhiwo ezingaphakathi kwamabele akho nokubonisa izithombe esikrinini.
• Ukuthwebula izithombe zesifuba zama-molecule (MBI): Kulolu vivinyo, udokotela wakho ufaka i-radioactive tracer emthanjeni osengalweni yakho. Le tracer ihamba egazini lakho. Ikhamera ekhethekile iqopha indlela i-tracer esabela ngayo nezicubu ezinomdlavuza nezingenawo umdlavuza emzimbeni wakho. Lokhu kusabela kuboniswa esikrinini ngendlela ehlukile phakathi kwezicubu ezinomdlavuza nezingenawo umdlavuza.

Ukuhlolwa ngakunye kwalokhu kunezinzuzo nezinkinga zako. Isibonelo, i-MRI kanye ne-ultrasound kungabona umdlavuza ongatholakali yi-mammography, kodwa ngezinye izikhathi kungahlonza kabi amangqamuzana angewona umdlavuza njengomdlavuza (lokhu kubizwa ngokuthiUmphumela omuhle ongamanga . Nakuba imishini ekhethekile efana ne-3D mammography ingathola umdlavuza i-mammogram yendabuko engawutholi, isebenzisa imisebe eningi kancane kune-2D mammogram. Uma usengozini enkulu yokuba nomdlavuza, ukuvezwa kwemisebe eyengeziwe kungaba yingozi. Futhi, ukutholakala kwalezi zobuchwepheshe nokuthi zibiza malini kuyahlukahluka kuye ngomshwalense.

Khuluma nodokotela wakho mayelana nezinketho zokuhlola azincomayo, ngokusekelwe engcupheni yakho yokuba nomdlavuza webele. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi i-mammogram iseyindlela ejwayelekile yokuthola umdlavuza webele kusenesikhathi. Ezinye izindlela zobuchwepheshe, njenge-ultrasound yebele kanye ne-MRI yebele, azifaki esikhundleni se-mammogram evamile.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Qiniseka ukuthi ubuza udokotela wakho ngobuningi be-fibroglandular yakho. Uma usuwazi ukuthi amabele akho aqine kangakanani, buza ukuthi lokhu kuyithinta kanjani impilo yakho. Nansi eminye imibuzo ongayibuza:

• Angakanani amathuba ami okuthola umdlavuza webele?
• Ingabe amabele ami aminyene?
• Ukuqina kwebele lami kuyithinta kanjani imiphumela ye-mammogram?
• Yiziphi izinhlobo ezingcono kakhulu zokuthola umdlavuza?
• Yiziphi izinhlobo zezithombe ozincomayo zokuhlolwa komdlavuza webele?
• Ingabe kufanele ngicabangele ukuhlolwa okwengeziwe?
• Kufanele kwenziwe kangaki lezi zivivinyo?

Ekugcineni, into ebaluleke kakhulu okufanele uyikhumbule!

Uma udokotela ekhuluma ngobuningi be-fibroglandular, kungaba yinto eyesabekayo uma ukhathazekile ngengozi yakho yokuba nomdlavuza webele. Kodwa akufanele ukhathazeke ngakho ngokungadingekile. Amabele akho enziwe ngohlobo oluthile lwezicubu ezingase zibe inselele noma zingabi yinselele ekuhlolweni komdlavuza. Amabele aminyene, noma ubukhulu be-fibroglandular obuphezulu, kusho ukuthi ungazuza ekuhlolweni okwengeziwe kwezithombe ukuze unqobe eminye yemikhawulo ye-mammography. Into ebaluleke kakhulu ukubona udokotela wakho njalo, wenze ukuhlolwa kwakho ngesikhathi, futhi ulandele imiyalelo yakhe.

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