Uma udokotela wakho eyala i-ductogram (ebizwa nangokuthi i-galactogram) ungase uzibuze ukuthi kunjani ukuhlolwa nokuthi yiziphi izimo ezingatholakala. I-ductogram iyindlela ekhethekile kakhulu engatholakali kuyo yonke indawo, ngakho-ke ungase ungajwayele ukuhlolwa.Ukuhlolwa lokhu kuhanjiswe nini futhi yiziphi izimo abangasiza ngazo ukuxilonga?
Kufanele ulungiselele kanjani ukuhlolwa? Ingabe ukuhlolwa akunakukhathazeka? Ake sibuke yonke le mibuzo.
I-Ductogram - Ukufanekisa Amadoksi Amabele
I-ductogram (ebizwa nangokuthi i-galactogram) isetshenziselwa ukubuka amathanga akho webele. Kungaba usizo ekutholeni imbangela yokukhishwa kwengono , i-ductogram idinga ukuthi i-ejenti yokuphambene ijojowe esifubeni, njengawo ngesikhathi se- MRI yebele . Ithuluzi elincanyana (cannula) lisetshenziselwa ukufaka amanzi emzimbeni wesifuba, njenganjengesikhathi sokulahla kwe-ductal. I-agent ehlukile ye-injected ivumela amathanga akho ebisi ukuthi abonise ngokucacile kumammogram. Njengoba i-ductography iyinkambiso ekhethekile kakhulu, i-radiologist eqeqeshwe kakhulu futhi enolwazi kufanele yenze le nqubo. Ucwaningo manje lubheka ukuhlanganiswa kweductography ngokubambisana noM MR oqhathaniswa nokwabelana ngokukwazi ukucacisa imbangela yokukhishwa kwengono.
Ukuba ne-Ductogram
I-ductogram yakho iyokwenziwa ngenkathi uthola ukukhishwa kwengono.
Lokhu kusiza i-radiologist yakho ukuthola umzila oqondile ohambayo. Kuphela ukuhamba okukhipha uketshezi kuzohlolwa ngesikhathi sokucwaninga kwakho kokucabanga.
Yini Okugqoka I-Ductogram
Ngosuku lwe-ductogram yakho, ungasebenzisi i-talcum powder, i-deodorant noma i-lotion yesikhumba. Lezi zingaphazamisa imiphumela yemifanekiso.
Gqoka ukuze uthole induduzo, njengoba uzocelwa ukuba ususe zonke izingubo zakho kusuka okhalweni phezulu. Khetha okuphezulu okulula okukhipha nokususa. Uma ungakwenza, gwema ukugqoka i-underwire bra, ngoba uzoba ne- mammogram ne-compress njengengxenye yalokhu kuhlolwa. Isifuba sakho singase sibe sore ngemva kokuhlolwa, futhi ibhotela elithambile lizozizwa likhululekile kunebhri elinobucayi.
Ukuqalisa Nge-Ductogram Yakho
Egumbini lokuhlola, uzolala phansi etafuleni bese uthola isifuba esinomkhuhlane wezinsipho. Ingono yakho izohlanzwa futhi inzalo ukuze kube lula ukuthola umgwaqo ogijima. Okulandelayo, udokotela wakho uzocindezela esifubeni sakho, ukuze athole indawo ye- trigger . I-trigger zone yiyona ndawo ezohlala idala ukukhulelwa kwengono lapho kusetshenzwa ingcindezi. Uma amadokodo akho azokhishwa ngokuhlinzwa, le ndawo yokuqeda izosiza ohlinzayo wakho.
Ukuhlola Ukukhishwa Kwakho Ingono
Isampula sokukhishwa kwamanzi wakho kuzothathwa futhi ihlolwe. Umbala nobukhulu uma ukukhishwa kuphawulwa, futhi umhluku wokuhlola ungasetshenziswa ukuhlola igazi. Ukukhulelwa kwamanzi kuhlotshaniswa nama-papilloma ase-intraductal, i-ductal ectasia, isifo se-cystic nomdlavuza webele.
Ukufaka i-Tube ne-Agent Contrast
Uma umgwaqo ukhonjisiwe futhi ukukhishwa kwesisipuni sampuli, udokotela wakho uzosebenzisa izibuko zokugcoba ukuze abone ukuhamba okuqondile.
I-tube encane kakhulu neziguquguqukayo, ebizwa ngokuthi i-cannula, izofakwa ngokucophelela kulolu duct insipho yakho. Ukucindezelwa komnene kuzosetshenziswa, futhi akufanele kuveze ubuhlungu, kepha uma kwenzeka, kufanele uvumele udokotela wakho azi. Ithebhu izofakwa endaweni, bese ixhunywe kwisirinji encane egcwala i-agent ehlukile. Lokhu kuzokwehliswa kancane kancane emkhatsini wakho wobisi. Udokotela wakho uzoqapha ukugwema amabhubhu emoyeni ebhukwini, njengoba lokho kungenza isithombe esiphelele sibe nenembile kancane.
I-Ductogram Injani?
Ungase uzibuze ukuthi i-ductogram izozizwa kanjani. Umzwa kulula ukuchaza labo abanamabele esikhathini esedlule, lapho kungenzeka ukuthi unayo inzwa lapho ubisi bakho "behlisa phansi." I-tray egcwele i-ejenti yokuphambene nayo izozizwa njenge-duct egcwele ubisi lwebele ngaphambi kokuba ingane isondliwe.
Ngokuqinisekile, lapho amabele akho abe ngaphezulu kakhulu phakathi kwemizwa, ungase ukhumbule ukungahambi kahle, futhi ungase uqaphele lo mzwa futhi. Uma ingono yakho iqala ukulimaza, noma ingcindezi ngaphakathi kwendlela yakho iyabuhlungu, kunezinto eziningana udokotela wakho angayenza ukuze asize. I-gel ye-anesthetic noma ukucindezeleka okufudumele kungasetshenziswa ukuze ukwenze ukhululeke ngokwengeziwe. Udokotela wakho akafuni ukukubangela ubuhlungu, futhi uma usukhuni, kungabambezeleka noma kuvimbele ukuhlolwa kokuqhubeka. Khuluma uma uzwa ubuhlungu!
Ukuthola isithombe seDuctogram
Njengoba i-tube isendaweni ekhona, udokotela wakho angasebenzisa umshini we- ultrasound ukuze abone ukuthi ngabe ukungafani okuketshezi okuketshezi kwenziwe yini. Uma umgwaqo wakho ugcwele ngokwanele, ungaqhubeka emshinini we-mammogram ukuze ucabange. Abanye odokotela bazosusa ithubhu bese bebeka tape phezu kwe-ingono yakho, ukugcina i-agent ehlukile ngaphakathi kwe-duct yakho, futhi odokotela abathile bazoshiya ithubhu endaweni. Isifuba sakho sizobekwa njengohlobo lwe-mammogram, futhi ukucindezelwa kuzosetshenziselwa (kodwa ngaphansi kwengcindezi kunomzimba ovamile) ngenkathi isithombe sithathwa. Uma ama-bubbles emoyeni noma ithubhu isendleleni yesithombe, amanye ama-angles angathathwa.
Ukuthola imiphumela kusuka ku-Ductogram yakho
I-radiologist yakho izofunda ngokucophelela izithombe kusuka ku-ductogram yakho bese ubhala umbiko ngemiphumela. Udokotela wakho noma i-radiologist uzokuxhumana nawe ngemiphumela, akunike ukuxilongwa nokuncoma kokulandelwa. Uma usuhlinzwa ukuba ususe amadoksi noma izicubu eziseduze, i-ductogram yangaphambi kokusebenza ingenziwa, ngokufaka idayi eluhlaza okwesibhakabhaka (efana ne- sentinel node biopsy ), ukusiza udokotela wakho ohlinzayo ukubona umgwaqo okufanele ususwe.
Izimo ezingahle zibonwe nge-Ductogram
Izimo eziningana ezingavamile ezibandakanya amathanga ebisi angase atholakale ngosizo lwe-ductogram zihlanganisa:
- I-ectasia ye-Ductal
- Izinguquko ze-Fibrocystic
- Ama-papillomas angama-intraductal
- Umdlavuza wesibeletho
Ngaphandle kokuthola imbangela yokukhishwa kwezinsipho zakho, ukuba ne-ductogram kungasiza ukuqondisa udokotela wakho ohlinzayo emadayeni okumele asuswe, isibonelo, ngesikhathi sokuhlinzwa kwamapillomom engaphakathi noma i-ductal carcinoma (umdlavuza webele.)
Ngaphezu kwalokho, kulabo abane-intraductal carcinoma in situ ( DCIS .) Ukwelashwa kwe-intraductal ngendlela ye-ductogram kunganikeza indlela encane yokuvimbela ukuthuthukiswa komdlavuza ongenayo ngesikhathi unciphisa ukuhlukumezeka kwesifuba.
> Imithombo:
> Berna-Serna, J., Torres-Ales, C., Berna-Mestre, J., noL. Polo. Indima ye-Galactography ekuqaphelweni kokuqala kweCanscer Breast. Ukunakekelwa kwebele . 2013. 8 (2): 122-6.
> Mahoney, M., Gordon, E., Rao, J., Jin, Y., Hylton, N., no S. Love. Ukwelashwa Kwe-Intraductal ye-Ductal Carcinoma e-Situ: Isifundo Se-Presurgery. I-Cancer Clinical Cancer . 2013. 13 (4): 280-6.
> Nicholson, B., Harvey, J., Patrie, J., noJ. Mugler. I-3D-MR Ductography ne-Contrast-Enhanced MR Mammography ezigulini ezinezinsolo zokuxoshwa kwe-Nipple Discharge; Isifundo Sokwethenjelwa. I-Breast Journal . 2015. 21 (4): 352-62.