Indlela entsha yokuthola umdlavuza webele kusenesikhathi! Kuyini i-Molecular Breast Imaging (MBI)?

Cishe uke wezwa okuningi ngomdlavuza webele kanye nokubaluleka kokutholakala kusenesikhathi. Lokhu kuyinto sonke okudingeka siyiqaphele. Ngakho-ke namuhla ngizokutshela ngokuhlolwa okusha futhi okungenzeka kube usizo kakhulu okusetshenziselwa ukuthola umdlavuza webele. Lokhu yilokho esikubiza ngokuthi `(Molecular Breast Imaging)` noma `(MBI)` ngamafuphi. Ake sibone ukuthi kuyini lokhu, akunjalo?

Kalula nje, iyini i-MBI?

Kulungile, `(Isithombe Sesifuba Sama-Molecular)` noma `(MBI)`, uma ngikhuluma iqiniso, kuyindlela yokuhlola ekhethekile engeye `(Imithi Yenuzi).` Isetshenziselwa ukuthola ukuthi kukhona yini umdlavuza emabeleni. Ungase ucabange ukuthi imithi yenuzi iyinto enkulu. Ungakhathazeki, ngizoyichaza kalula.

Kulesi sivivinyo, kusetshenziswa inani elincane kakhulu, okungukuthi, elingenangozi, lezinto ezikhipha imisebe. Siyibiza ngokuthi `(Tracer)`. Ubuchwepheshe bale `(Tracer)` ukuthi iya emaselini akhula ngokushesha emzimbeni futhi inamathele kuwo. Manje usuyazi ukuthi amaseli omdlavuza awuhlobo lweseli elihlukana futhi likhule ngokushesha kakhulu. Ngakho le `(Tracer)` ithola izindawo lapho kukhona khona amaseli omdlavuza, futhi uma ubheka lezo zindawo ngekhamera ekhethekile, "ziyakhanya", noma zivele ngokucacile. Kufana nokukhanyisa isibani esincane ekamelweni elimnyama.

Udinga nini ukuhlolwa kwe-MBI?

Akuwona wonke umuntu okuzodingeka enze lokhu kuhlolwa "(MBI)``. Kodwa-ke, udokotela wakho angase akuncome lokhu kuhlolwa kwezinye izimo ezikhethekile. Ake sibone ukuthi lokhu kunini:

• Uma usuvele welashwa umdlavuza webele: Lokhu kuhlolwa kungasiza udokotela wakho ukuthi abone ukuthi ukwelashwa kwakho kuyasebenza yini nokuthi amaseli omdlavuza anciphile yini. Lena yindlela enhle yokuthola ukuthi ukwelashwa kwakho kusebenza kahle kangakanani.
• Uma izicubu zakho zebele ziminyene: Abanye besifazane banezicubu zebele eziminyene kanye nezicubu zendlala, kodwa banezicubu ezinamafutha amancane. Lokhu kubizwa ngokuthi izicubu zebele eziminyene. Uma unezibele ezinje, ngezinye izikhathi kungaba nzima ukuthola umdlavuza nge-mammogram evamile. Lokhu kungenxa yokuthi zombili izicubu eziminyene kanye namaseli omdlavuza abonakala emhlophe ku-mammogram. Kungaba nzima ukuwahlukanisa. Ezimweni ezinjalo, i-MBI ingasiza ngokubonisa amaseli omdlavuza kuphela.
• Uma uthola umphumela ongajwayelekile ku-mammogram noma ku-ultrasound yebele: Uma kukhona okusolisayo ku-mammogram noma ku-ultrasound yakho, udokotela wakho angase akucele i-mammogram (MBI) ukuze athole isithombe esicacile samaseli ebele, okusho ukuwabheka ngokuningiliziwe.
• Uma usuvele utholakale unomdlavuza webele: Lokhu kuhlolwa kusiza hhayi nje kuphela ukuthola ukuthi umdlavuza ukuphi, kodwa futhi nokuthi amaseli omdlavuza asakazekele kwezinye izingxenye zebele.

Uyini umehluko phakathi kwe-MBI kanye ne-3D mammogram?

Umbuzo abantu abaningi abanawo ukuthi uyini umehluko phakathi kwale ``(MBI)`` kanye ne-mammogram esiyaziyo sonke, ikakhulukazi i-3D mammogram ``(Tomosynthesis)``. Kunezinhlobo eziningana zomehluko ocacile phakathi kwalezi ezimbili.

• Izithombe:
• I-Mammogram: Njengoba ngishilo ngaphambili, amangqamuzana omdlavuza kanye nezicubu zesifuba eziqinile zibonakala njengamabala amhlophe ku-mammogram. Ngakho-ke uma izicubu zesifuba sakho "ziqinile", eminye imidlavuza ingase ingabonakali.
• I-MBI: Ku-MBI, izinhlobo eziningi zamangqamuzana omdlavuza "ziyakhanya," okusho ukuthi zibonakala zikhanya. Amanye amangqamuzana avamile, ngisho nezicubu zesifuba eziqinile, abonakala emnyama. Lokhu kuvumela ukuthi umdlavuza ubonakale ngokucacile.

• Ubuchwepheshe:
• I-mammogram ye-3D: Lokhu kusebenzisa uchungechunge lwe-X-rays ukuthatha izithombe zezicubu zebele lakho.
• I-MBI: Ku-MBI, sisebenzisa i-radioactive tracer engikhulume ngayo ekuqaleni, kanye nekhamera ekhethekile ye-gamma ukuze sithwebule izimpawu. Lokhu kubonisa kuphela amaseli akhula ngokushesha.

• Ubani odinga eyodwa:
• I-Mammogram: Ngokuvamile, ngemva kweminyaka engu-40, abesifazane abaningi bayanconywa ukuba benze i-mammogram njengokuhlolwa komdlavuza webele.
• I-MBI: Akuwona wonke owesifazane odinga i-MBI. Odokotela basebenzisa i-MBI ngaphezu kwe-mammogram ukuze bathole ulwazi olwengeziwe, hhayi esikhundleni se-mammogram. Lokho kusho ukuthi i-MBI ayiyona indawo ye-mammogram, kodwa iyisengezo.

Isebenza kanjani i-MBI? Kulula kakhulu!

Ukuhlolwa kwe-MBI kubonisa izinguquko emaseli akho ebele. Lezi zinguquko zingase zibonise umdlavuza. Njengoba ngishilo ngaphambili, amaseli omdlavuza akhula ngokushesha kakhulu, futhi amunca i-radioactive tracer ngaphezu kwamaseli avamile.

Ngakho-ke, ngemva kokujova i-`(Tracer)`, ibele lakho liyaskenwa ngaleyo `(Gamma Camera) ekhethekile. Ngemuva kwalokho, izindawo lapho i-`(Tracer)` iphezulu khona, okusho ukuthi izindawo lapho kungenzeka kube khona amangqamuzana omdlavuza, zibonakala ngokucacile ekhamera. Lokhu kwenza amangqamuzana asolisayo abonakale kakhulu.

Uzilungiselela kanjani i-MBI? Kunezinto ezimbalwa.

Kuzodingeka ulungiselele kancane ngaphambi kwalolu vivinyo. Akuyona into enkulu.

• Ezimweni eziningi, kufanele ugweme ukudla okungenani amahora amathathu ngaphambi kokuhlolwa. Kufanele futhi ugweme ukuphuza uketshezi olucacile njengobisi. Kodwa-ke, kungcono ukuhlala unamanzi ngokuphuza amanzi noma iziphuzo zemidlalo ezicacile.
• Ungase uzibuze ukuthi kungani bethi ungadli. Uma ungadli, i-`(Tracer)` imuncwa kangcono ezicutshini zebele lakho. Lokhu kwandisa ukunemba kokuhlolwa.
• Kodwa,Uma unesinye isimo sempilo, njengesifo sikashukela, kufanele nakanjani ubuze udokotela wakho ukuthi uzilungiselele kanjani. Uzokutshela ukuthi yini engcono kakhulu kuwe.
• Uma unemijikelezo evamile yokuya esikhathini, zama ukuhlela ukuskena kwakho kwe-MBI phakathi kwezinsuku 7 no-14 zomjikelezo wakho wokuya esikhathini. Bala usuku lokuqala lokuya esikhathini kwakho kokugcina njengosuku 1. Lesi yisikhathi esihle kakhulu sokwenza ukuskena kwe-MBI. Kodwa-ke, udokotela wakho angenza ukuskena nganoma yiluphi usuku lomjikelezo wakho wokuya esikhathini uma kudingeka.

Ungenza kanjani ukuhlolwa kwe-MBI? Ake sibone isinyathelo ngesinyathelo.

Uma ubhala isivivinyo se-MBI, yilokhu okuvame ukwenzeka:

1. Okokuqala, uzoyiswa ekamelweni eliyimfihlo. Lapho, uzocelwa ukuba ukhumule zonke izingubo kanye nobucwebe ngaphezu kwesinqe bese ugqoka ingubo yasesibhedlela.

2. Ngemuva kwalokho uzoyiswa ekamelweni lapho kukhona khona i-`(Gamma Camera)`. Lapho uzocelwa ukuthi uhlale esihlalweni esiphambi kwedivayisi yokuhlola.

3. Okulandelayo, ilungu labasebenzi bezokwelapha lizofaka umugqa omncane othi ``(IV)`` emthanjeni ongalweni yakho bese lifaka i-``(Tracer)`` enomsebe ngayo. Lokhu kuzozwakala njengokulunywa yintuthwane encane, kodwa ngeke kube buhlungu kakhulu.

4. Kuzodingeka ulinde cishe imizuzu emithathu kuya kwemihlanu ukuze i-`(Tracer)` ifike ezicutshini zebele lakho.

5. Bese kuqala ukuskena. Lokhu kungathatha cishe imizuzu engama-20 kuya kwengama-40. Ngesikhathi sokuskena, idivayisi izocindezela ibele lakho kancane. Kodwa lokhu ngeke kukulimaze. Ngeke kube nokucindezela okunzima lapha njengase-mammogram. Ngakho ungakhathazeki ngakho.

Kwenzekani ngemva kwe-MBI?

Ngemva kokuthi ukuskena kwe-MBI sekuqediwe, umugqa we-IV engalweni yakho uzosuswa. Usungagqoka izingubo zakho futhi. Ithimba lakho lezokwelapha lizokweluleka ngokuthi yini okufanele uyenze ngokulandelayo. Kungase kudingeke ukuthi ubonane nodokotela wakho futhi ukuze uthole ukuvakasha okulandelayo, noma ungathunyelwa komunye uchwepheshe.

Ingabe zikhona izingozi kuma-MBI? Ake sithole izinto ezimbalwa.

Ngesikhathi sokuhlolwa kwe-MBI, ubhekene nenani elincane lemisebe ngenxa ye-tracer. Ukuqhubeka ubhekene nemisebe kungandisa ingozi yomdlavuza.

Kodwa-ke, ukuchayeka emisebeni ngesikhathi se-MBI kuphansi kakhulu futhi kubhekwa njengokuphephile. Eqinisweni, kufana nokuchayeka emisebeni ngesikhathi se-mammogram. Ezimweni eziningi, izinzuzo zokuthola umdlavuza webele kusenesikhathi zidlula kakhulu izingozi zalesi silinganiso esincane sokuchayeka emisebeni.

Inani elincane kakhulu labantu lingase libe nokusabela kokungezwani komzimba ne-tracer. Uma lokhu kwenzeka, bangabonisa izimpawu ezifana nalezi:

• Izimo zesikhumba ezifana nokuqubuka, ukulunywa, noma i-eczema.
• Ukucanuzela noma ukuhlanza.
• Ubunzima bokuphefumula noma ukungalingani kwesigqi senhliziyo (lokhu akuvamile kakhulu, kwenzeka emaphesentini amancane abantu, cishe u-0.01% - 0.04%).

Uma kwenzeka into efana nale, kufanele wazise abasebenzi bezokwelapha ngokushesha.

Iyini imiphumela ye-MBI?

Udokotela we-X-ray uzohlola ngokucophelela izithombe zakho ze-MRI ukuze abone ukuthi kukhona yini amangqamuzana omdlavuza. Uma noma yiziphi izindawo ezithombeni "zikhanyisiwe," udokotela wakho angathatha isampula encane yezicubu (i-biopsy) kulezo zindawo bese eyihlola. Le biopsy izoqinisekisa ukuthi amangqamuzana empeleni angamangqamuzana omdlavuza. Imiphumela ye-biopsy izosiza futhi ekunqumeni ukwelashwa okungcono kakhulu kuwe.

Uma kungekho ukuphazamiseka kwe-MBI scan yakho, ngokuvamile kubhekwa njengomphumela "ojwayelekile". Ungabe usukhuluma nodokotela wakho mayelana nesimiso sakho sokuhlolwa komdlavuza webele, njengokuthi kufanele wenze nini i-mammogram yakho elandelayo.

I-MBI inembe kangakanani?

Izifundo zikhombisile ukuthi i-MBI ingathola cishe u-90% womdlavuza webele ezigulini ezisolwa ngomdlavuza webele. Ingathola u-82% womdlavuza omncane kakhulu, ongaphansi kwamamilimitha ayi-10 ububanzi. Izifundo zikhombisile ukuthi le miphumela inembile njenge-MRI yebele. Izifundo zikhombisile nokuthi i-MBI ingathola umdlavuza webele ophindwe kabili noma kathathu kunokuhlolwa kwe-mammogram kuphela.

Kuthatha isikhathi esingakanani ukuthola imiphumela?

Ungabuza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela, nokuthi bazokwazisa kanjani. Ezimweni eziningi, uzothola imiphumela zingakapheli isonto lokuhlolwa.

Okokugcina, izinto okufanele uzikhumbule

Ngokuvamile, ukuthola ama-mammogram njalo kuyindlela engcono kakhulu yokuthola umdlavuza webele kusenesikhathi. Kodwa-ke, ngezinye izikhathi, lapho i-mammogram yodwa inganele, ukuhlolwa okubizwa ngokuthi i-Molecular Breast Imaging (MBI) kungaba usizo kakhulu ekutholeni ulwazi olwengeziwe.

Khumbula, kunezinye izivivinyo zokuthatha izithombe zebele, njenge-ultrasound yebele kanye ne-MRI yebele, ezinganikeza ulwazi oluningiliziwe mayelana nokukhubazeka kwebele. Ukuhlolwa ngakunye kunezinzuzo nezinkinga zako. Ngakho-ke, xoxa ngakho konke lokhu nodokotela wakho. Ndawonye, ​​​​ningakhetha izindlela zokuhlola ezifanele wena, futhi nivimbele umdlavuza webele ukuthi ungakhuli, noma uma ukhula, niwuthole kusenesikhathi futhi niwelaphe ngempumelelo. Ukutholwa kusenesikhathi kuyinto ebaluleke kakhulu! Ungesabi, futhi uma unokungabaza, funa iseluleko sezokwelapha.

Umdlavuza webele , i-MBI, ukuthwebula izithombe zebele zama-molecule, i-mammogram, ukuhlolwa komdlavuza, impilo yabesifazane, imithi yenuzi