I-CT Lung Cancer Screening

by ULynne Eldridge, MD

Izinkinga Okufanele Uzicabange Ngaphambi Kokuthola I-CT Scan kuya Isikrini Se-Cancer Cancer

Ukuhlolwa komdlavuza we-Lung yindawo engenza umehluko omkhulu esikhathini esizayo somdlavuza wamaphaphu. Njengoba ama-pap smears anciphise ingozi yomdlavuza womlomo wesibeletho, kanti amakholonikosi abangele ukuhla kwesifo somdlavuza wekoloni , kungaba kuhle ukuba nethuluzi lokuhlola ukuthola umdlavuza wamaphaphu ezinyathelweni zangaphambili, ezinokuphulukiswa kakhulu. Ngalesi sikhathi, amakhemikhali amaphaphu amaningi awanakutholakali aze afike esiteji esithuthukile.

Ngenxa yokutholakala kwesikhashana, isilinganiso sokusinda kwabantu abasha abasanda kutholakala nomdlavuza wamaphaphu singamaphesenti angu-17 ahlukumezayo.

Esikhathini esidlule, kokubili ama-x-rays kanye ne- sputum cytology babhekwa njengezindlela zokuthola umdlavuza wamaphaphu ekuqaleni, kepha akukho nhlobo yalezi zinqubo ezitholakale zithuthukisa isikhathi eside. Ngakho-ke, ama-x-rays abesilisa abavamile asetshenziselwa ukubhema ukuhlola umdlavuza wamaphaphu.

Izikhombandlela Zokuhlola I-cancer Lung

Inqubo kuphela okwamanje etholakalayo yokuhlolwa komdlavuza wamaphaphu ngaphambi kokuba izimpawu zikhona kukhona ukuvunguza (okubizwa ngokuthi i-helical) CT scan. I-scan ye-CT yokuvunguza ifana ne-CT evamile (uhlobo lwe-CT esiningi lwethu olujwayele ukujwayele) kodwa lwenziwa ngokushesha futhi luphumela ekuvezeni kancane emisebeni. Ucwaningo olukhulu lwakamuva lubuthole ukuthi abantu abanobungozi abanobuchwepheshe bokuhlolwa kwe-CT ngonyaka iminyaka engama- 20 banciphisa ingozi yokufa ngomdlavuza wamaphaphu .

Lokhu kungahunyushwa kubantu abaningi abangaba ngu-20 000 abasindiswa minyaka yonke! Ingozi ephezulu kulolu cwaningo yachazwa njengabantu abaneminyaka engama-55 no-74 ababenomlando weminyaka engu- 30 wokubhema. Naphezu kwalezi zindaba ezithakazelisayo mayelana nesilinganiso sokufa kwabantu abaphansi, ezinye izinkinga kudingeka zicatshangelwe ukuze wenze isinqumo esinolwazi njengoba uhlola izinzuzo nezingozi zesimo sakho.

Izinkinga okufanele zicatshangelwe zihlanganisa:

Amaphutha

Ukuze inqubo yokuhlola iyakwamukelwa, idinga ukubili kokuzwela , lokho kunembile ekutholeni izifo ezinkathini zokuqala, kodwa futhi okuqondile , okusho ukuthi ayithathi izibalo eziningi kakhulu ezingatholakali. Enye inkinga nge-CT ukuhlola ukuthi bangakwazi ukuthatha amabala emaphashini angenayo umdlavuza. Lokhu kungaholela ezinkambweni ezingadingekile zokusiza ukuxilonga okutholakele nokuhlinzwa okungadingekile. Kwesinye isifundo esidala , izikhathi eziningi kaningi zamaphaphu wamaphaphu atholakala njengoba kwabikezelwa, kodwa ukuhlinzwa okungaphezulu kuka-10 kwenziwa, futhi ukuhlolwa kwakungatholakali ukufa okuphansi. Isivivinyo sokuhlolwa kwe- National Lung Cancer Screening sabe sesibonisa ingozi ephansi yokufa ngumdlavuza wamaphaphu kubantu abathinteka kakhulu njengoba kuboniswe ngenhla. Kodwa amaphesenti angu-40 alabo abahlolwayo atholakale ukuthi ayinalo okungajwayelekile ekuhlolweni okwenzeka kamuva. Kulokhu, ingozi yamathuba amanga (njengamanye ama-radiological studies kanye nama-biopsies angenzeka) kudingeka kulinganiswe ngokuzuzwa kokuthola umdlavuza wamaphaphu ezinyathelweni zangaphambili. Ngamanye amazwi, uma unquma ukuba nokuhlinzwa komdlavuza wamaphaphu, kubalulekile ukuba uzilungiselele "ukwethusa" - ukutholakala kokuthile okusolisayo okulandelayo okuba yinto engekho.

Isihloko esilandelayo sixoxa ngalokhu kuqhubeka:

Kungenzeka I-Cancer - Uma Ukuhlolwa Kwakho Kwe-Lung Kwembula Kwembulunga I-Nodule

Ukukhathazeka

Ucwaningo olusanda kutholakala ukuthi labo abathola imiphumela engavamile ekuhloleni komdlavuza wamaphaphu abazange babone ukukhathazeka okukhulu. Kodwa-ke lezi yizibalo, futhi abantu ngabanye bangase bazizwe bekhathazeka kakhulu lapho bebhekene nokuhlola umphumela ongajwayelekile I-athikili elandelayo ikhuluma ngalokhu okulandelayo:

Ukubhekisisa I-Cancer Ukucabangela Ukukhathazeka - Ukubhekana Nezizathu Ezingaqondile

Ukuvezwa Kwama-Radiation

Ngenkathi ukuhlolwa kwe-CT ukuhlolwa komdlavuza wamaphaphu kubangelwa ukudonswa kwemisebe encane kunezingcingo ezijwayelekile ze-CT (uhlobo lwe-CT Scans iningi lethu liyazi), ingozi yokuba nomdlavuza wamaphaphu ekuvezweni kwemisebe ingabonakala, ikakhulukazi uma kuhlolwa kwenziwa ngonyaka.

Kwesinye isifundo, ukwanda kwamaphesenti angu-5,5 emdlalweni wamaphaphu wamaphaphu kubangelwa ukuhlolwa kwonyaka. Lokhu kusho ukuthi ukulungele ukuhlolwa, kuzodingeka ukwandise ukusinda okungaphezu kwama-5.5%. Kungase kube nokwanda kwezinga lomdlavuza wesifuba kubantu besifazane kusukela imisebe iqondiswa esifubeni.

Izindleko

Esinye isinqumo ekuhloleni ukuhlolwa kokuhlola kungakhathaliseki ukuthi kuyabiza imali. Lokhu kuhilela ukubheka izindleko zokuhlola ngokubheka umphumela wokuhlola (inani leminyaka yokuphila elondoloziwe,) futhi yindawo yamanje yokuphikisana. I-Care Affordable Act idinga ukuthi abanikazi besikhwama sokuphepha babheke izinqubo ze-B noma ngaphezulu njengoba kunqunywe yi-United States Preventive Services Task Force (USPSTF.) Ibanga le "B" lisho ukuthi i-USPSTF incoma inqubo nokuthi kunokuqiniseka okuphezulu ukuthi inzuzo enemali iyingqayizivele. I-Medicare manje ihlanganisa ukuhlolwa kwalabo abahlangabezana nemigomo.

Ukuyeka ukubhema

Enye inzuzo yokuhlolisisa eyatholwa yamuva kuyinani elikhulayo lokuyeka ukubhema phakathi kwabantu abathile abaye bahlolwa. Kubonakala sengathi abantu bayakukhahlela lo mkhuba uma benokukhubazeka okukhulu ekuhloleni ukuthi ngabe laba basolisa yini umdlavuza wamaphaphu noma cha.

Ingabe Kulungile?

Ukuhlolwa komdlavuza we-Lung kuyisinqumo somuntu ngamunye okufanele sikhulunywe nomhlinzeki wakho wezempilo, ongakusiza ekuhloleni izingozi nezinzuzo zenqubo. Njengoba nje ukuhlolwa kungabonakaliswa kwabanye abantu abangahlangabezane nemigomo (ngenxa yokuchayeka komsebenzi, ukuvezwa kwe-asbestos, ukukhishwa kwe-radon, njll,) akuwona wonke umuntu ohlangabezana nalezi zinqubo ngumuntu ofanelekayo wokuhlola.

_Imithombo

_{I-American College of Radiology.} _{Ukuhluleka kwe-MEDCAC Ukusekela I-Medicare Coverage ye-CT Lung Cancer Screening Kungase Kube Nendawo Abaningi Abadala Basengozini.} _04/30/14. _{http://www.acr.org/About-Us/Media-Center/Press-Releases/2014-Press-Releases/MEDCAC-Failure-to-Support-Medicare-Coverage-for-CT-Lung-Cancer-Screening- I-May-Place-Abadala-engozini}

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