Ukuzibonela Ukubona Ukusiza Ukwelashwa Kwebele Ngesifo Sebele
U-Eva ekuqaleni waxilongwa ukuthi unesifo somdlavuza webele wesifo esingaba ngu-3cm. Njengengxenye yesiphakamiso sakhe sokuhlonza, wayenemisaka emibili ye-MRIs ebelekile ukuze asize udokotela wakhe ohlinzayo ukuba abone ukuthi noma yimaphi amakhemikhali omdlavuza ahlakazekile kusukela ekuguleni okuyinhloko (ayenawo) ngakho angaqiniseka ukuthi uthola amakhemikhali ahlanzekile (ayenzile). I-MRI yakhe yakha isithombe sesithathu-mzimba yesithomba, esitshela ukuthi kwakungeyona i-3cm, njengoba kuboniswa mammogram, kodwa empeleni yayingu-5cm, eyashintsha izinhlelo zayo zokwelapha - nokuphila kwakhe.
Ukuze sikusize ukuthi uqonde kabanzi mayelana nokusetshenziswa kwe-MRIs kanye nezinqumo zokwelashwa, ngibheke phezulu lokho okushiwo ochwepheshe ku- UpToDate - inkomba ye-electronic ethembekile esetshenziselwa abaningi be-oncologists abaphatha iziguli zomdlavuza webele.
Ungase noma ungadingi i- MRI yebele . Kodwa uzodinga ukwazi ubukhulu, ubukhulu, nendawo yomdlavuza wakho. Qala ngokufunda le ngcaphuno ukuze ubone ukuthi kungani i-MRI yebele ingaba ibalulekile kuwe.
Ukuqaphela I-Breast Cancer: A Ingxoxo ye-Breast MRI Kusukela ku- UpToDate
I-IMRI isebenzisa i-magnet enamandla ukudala isithombe esicacile senxenye yomzimba. Ayisebenzisi i-ray noma i-radiation. I-Breast MRI inganconywa ukusiza ekuxilongweni komdlavuza webele ezimweni ezikhethiwe. I-MRI ayinconywa ukuthi ithole umdlavuza webele kuwo wonke abesifazane ngoba ayihambisani nemimmogram yezimo ezithile zesifuba, njenge-ductal carcinoma in situ (uhlobo lomdlavuza ongenasivunguvungu noma wokuqala webele).Inendima ye-MRI yesifuba yokuxilongwa nokuphathwa komdlavuza webele ishintsha, futhi kukhona ukungavumelani ngokuqondene nokuthi yiziphi abesifazane okufanele babe ngaphansi kwe-MRI yesifuba ngaphezu kwe-mammography. "
Kuyini i-Breast MRI?
Ukufaneka kwe-magnontic resonance (MRI) kuyindlela engacabangi yokucabanga engasebenzisi ukucindezela, ama-ray, noma imisebe. I-MRI ikhiqiza isithombe esicacile sokuklama kwangaphakathi kwezicubu zakho zesifuba. Imishini eminingi ye-MRI ikhiqiza isithombe sedijithali, lapho i-radiologist ingahlola kukhompyutha, noma iphrinta ukuze itadishe.
Lolu hlobo lwesithombe lungenziwa noma ngaphandle kokusetshenziswa kwe- agent ehlukile .
Kungani i-MRIs yesibindi isetshenziswa njengengxenye ye-Workup Diagnostic Workup?
Usuvele une- mammogram , futhi mhlawumbe i- ultrasound ne- biopsy . I-MRI yesifuba ingase yenziwe nakwezinye iziguli, ukuthola ulwazi oluthe xaxa ngomdlavuza wakho, noma ukubona ukuthi izilambu ziyaphendula yini ukwelashwa. Ama-Mammograms ayabiza kakhulu kunama-MRIs, futhi athola ukuhlola i- DCIS kanye nokubalwa . I-Breast MRI ingabonakalisa kokubili amabele ngesikhathi esisodwa, futhi isebenza kahle ngisho nangamaqanda amathunya amathunjwa. Kuhle ukuthola umdlavuza webele we-invasive , ukucabanga ngezungeze izimpande zebele , nokubona ukusabalala komdlavuza okungaphezu kwe-tumor oyinhloko. I-MRI yebele ibuye isebenze ekutholeni umdlavuza ongabonwayo ngaphandle kwesinye isifuba, okuzovumela ukuphathwa kokwelapha kokubili amasayithi omzimba ngesikhathi esisodwa. Kwabesifazane abasengozini enkulu yesifo somdlavuza webele , i-MRI ingaba yindlela enhle yokubheka ngokugcwele amabele kanye ne- axilla .
Ubani Ongadinga I-MRI Yomzimba?
Ama-mammograms namanje iyindlela yokuhlola eyinhloko esetshenziselwa umdlavuza webele, futhi i-MRI yebele isetshenziselwa ngokuyinhloko njengesengezo kumzimba wesifo semvelo. Kwabesifazane abasebasha abanezakhi zofuzo ze-BRCA , i-MRI ingasetshenziswa njengokuhlolisisa umdlavuza webele, ukubona ngaphakathi kwezicubu ezincelisayo zesifuba ezingase zifihla izixuku.
Ekusebenziseni ukuxilonga, i-MRI yebele ikwazi ukusetshenziswa kulezi zimo:
- Uma owesifazane ekhukhumele ngaphansi kwe- lymph nodes , kodwa ayikho inqwaba yebele yesifuba emulmogram, khona-ke i-MRI ingasetshenziselwa ukuhlola ngokucophelela isifuba sayo ukubona ukuthi i-tumor encane ikhona yini, futhi kungenzeka ukuthi ichithe amaseli kuma-axillary nodes.
- Ukuze owesifazane osanda kutholakala enezibilini ezinomsoco, i-mammogram ingase inganikezi isiqondiso esanele somhlinzeki ohlinzayo. Ngakho-ke i-MRI ingenziwa ukuze uthole ulwazi olwengeziwe lokwakha.
- Lapho imiphumela ye-biopsy ibonisa isifo esikhulu kunombukiso we-mammogram, i-MRI ingasiza imephu ngaphandle kwesayizi nendawo yesikhumba. Lokhu kuthinta isinqumo sakho mayelana nezicubu eziningi kufanele sisuswe - i- lumpectomy noma i- mastectomy .
- Uma kubonakala sengathi kunezicubu ezingaphezu kweyodwa esifubeni esifanayo, i-MRI ingasiza isithombe ngobukhulu nobuhlobo bendawo yezinambuzane eziningi, nokusiza ekuhleleni ukuhlinzwa okufanele ukususa lezo zilonda.
Ngaphambi kokwenza isinqumo sakho sokuhlinzwa, wena nodokotela wakho ohlinzayo udinga ulwazi olunembile mayelana nomdlavuza wakho ngangokunokwenzeka. Uma une-diagnosis ecacile ye-DCIS, futhi i-mammogram yakho inikeza isithombe esihle se-tumor yakho, kungenzeka ukuthi udokotela wakho ohlinzayo unalo lonke ulwazi oludingekayo ukuze asuse umdlavuza. Kodwa uma i-mammogram yakho inganikeli imininingwane eyanele, noma uma udokotela wakho ohlinzayo noma i-radiologist enezinto eziningi ezikhathazayo mayelana nosayizi nendawo yomdlavuza, ungazuza esibelethweni se-MRI.
Ngokuqondene no-Eva, wakhetha ukujoyina isilingo somtholampilo, futhi wathatha isidakamizwa esisha esasulaza isisu sakhe kakhulu, ngaphambi kokuhlinzwa kwebele. Wabuye waba ne-biopsy eqondiswa yi-MRI, eyathola ukuthi izidakamizwa ze-satellite. Ngenhlanhla, lezo ezinye izilonda zanyamalala ngesikhathi samakhemikhali. I-MRI yakhe yayiyingxenye ebalulekile yezinqumo zakhe zokwelapha.
Ufuna ukufunda kabanzi? Bheka isihloko se- UpToDate , "Ukuthola I-Cancer Breast: A Ingxoxo ye-Breast MRI," ukuze uthole ulwazi olwengeziwe lwezokwelapha olujulile, lwamanje nolungabonakali emdlalweni webele, kufaka phakathi izincomo zezokwelapha.
Umthombo:
UDiane MF Savarese, Leah K Moynihan, "Ukuqaphela I-Cancer Breast: A Ingxoxo ye Breast MRI," UpToDate. Kufinyelelwe: February 2009.