Uma, njengabesifazane abaningi, wesaba ukuthola i-mammography, ungase uvame ukuqeda ukuhlela eyodwa njalo. Manje, kungenzeka kube nesinye isizathu sokuba nomzimba ngaphandle kokutholakala kokuqala komdlavuza webele. Uma i-mammography ingase futhi ikwazi ukubona ingozi yesifo senhliziyo, ingabe lokho kungaba yisisusa esengeziwe ongase udingeke sibe nayo njalo?
Nakuba, njengabesifazane, abaningi bethu besaba umdlavuza webele ngaphezu kwesifo senhliziyo, isifo senhliziyo sibulala okungaphezu kwesifo somdlavuza webele. Yebo, umdlavuza webele ushintsha izimpilo zethu; lishintsha ukuzithokozisa kwethu futhi kusishiya siphila ngokwesaba ukuphindaphindiwe. Isifo senhliziyo siyangcolisa ikhwalithi yethu yokuphila, ngokuvamile ibeka umkhawulo ekuhambeni kwethu, nakwabesifazane abaningi, ngokunciphisa kakhulu ukuphila.
Imiphumela yocwaningo olulodwa lubonisa ukuthi i-mammography ingayilanda ngempumelelo lezi zifo zombili. Usho kanjani u-nohlobo olunjalo lokungenela kokuqala?
Ucwaningo, olusekela ukusebenzisa i-mammography njengethuluzi lokuhlola lokucwaninga, libizwa ngokuthi, "I-Digital Mammography: Ukuhlolwa kwe-Coronary Artery Disease?" Yanikezwa ngo-Ephreli 2016, kwi-American College of Cardiology Scientific Session in Chicago.
Ingabe wayazi ukuthi i-calcium emithanjeni yebele, ethathwa ku-mammography, ibikezela ukuthi isakhi sokuqala se-plaque emithambo yezinhliziyo?
I-Digital mammography, ebhekwa njengezinga legolide lokuhlolwa komdlavuza wesifuba, manje libhekwa njengethuluzi lokuhlola lokubheka ukuhlonza abesifazane, ikakhulu abesifazane abasebasha, engozini yesifo senhliziyo. Ukuqaphela lokhu kubungozi kumammography kungase kuvumele ukungenelela kwangaphambi kwesikhathi.
Idatha evela kulolu cwaningo ibonisa, okokuqala, isixhumanisi esiphakathi kwenani le-calcium emithanjeni yesifuba, engabonakala kalula kwi-digital mammography, nokuba khona kwe-calcium eyakhiwe emithanjeni ye-coronary. Ukubalwa kwe-coronary arterial kubonakala njengesibonakaliso sokuqala sesifo senhliziyo.
UDkt. Harvey Hecht, uprofesa esikhungweni se-Icahn School of Medicine nomqondisi wezithombe zenhliziyo e-Mount Sinai St. Luke Hospital, eNew York City, umlobi oholayo wocwaningo. Ukhulume ngalolu cwaningo ku-release release yakamuva eyatholakala ku-EurekAlert !, incwadi yesayensi. "Abesifazane abaningi, ikakhulukazi abasha abasebasha, abazi kahle imishanguzo yabo ye-coronary. Ngokusekelwe kwedatha yethu, uma i-mammogram ibonisa ukubalwa kwesibindi sebele, ingaba ifulegi elibomvu, umzuzwana we-'a aha ', ukuthi kungenzeka ukuthi unamapulethi emithanjeni yakhe ye-coronary. "
Ucwaningo lwafaka abesifazane abangu-292. Abesifazane abangaba ngu-70%, esifundweni, obanikazi babo babonisa ukubalwa kwesibindi samabele emulmogram yabo, betholakala ukuthi banokubalwa kwesibalo se-coronary. Abacwaningi babelane ukuthi uma ubukhulu besifazane obuncane babonisa ukubalwa kwesibindi sebele, unethuba elingama-83% lokuba nesibalo se-coronary calcification.Kunamathuba amanga amanga.
Njengoba kunikezwe izindleko ezengeziwe, ukunganaki noma ukuvezwa kwemisebe yowesifazane uma ihlolwe kokubili okungavamile kwesifuba nokubalwa kwesibindi, isigijimi sokutadisha kufanele sibheke futhi sibike ukubalwa kwesibindi sebele. "Lolu lwazi lungaba ngumsindisi wokuphila kwabanye besifazane," kusho uDkt. Hecht. Uthe, "Ngithemba ukuthi lezi zithole zizokwenza abadoli, abavame ukubika ukubalwa kwamabele okubeletha, ukubika njalo hhayi nje ukuba khona noma ukungabi khona kwesibalo sezinyosi zesifuba kodwa futhi ukulinganisa nokwazisa inani.Ukuqalwa kwesibindi kunomfazi owesifazane, cishe kungenzeka ukuthi abe ne-calcium emithanjeni yakhe yenhliziyo.
Uma konke kudinga ukuhlolisisa izithombe, singayinaki kanjani? "
Kusetshenziswa ama-mammograms ayizigidi ezingu-37 ngonyaka e-United States. Abesifazane abatholayo ama-mammograms kufanele, uma kunokwenzeka, bathole i-digital mammography njengoba kuzwela kakhulu ukuba khona kwe-calcification. Ukuthola isikhungo sokuhlola esisebenzisa i-digital mammography akufanele kube nzima kakhulu njengoba i-digital mammography manje itholakale kuma-unit angu-96% wezinhlamvu zokugaya ezise-US
UDkt. Hecht ugcizelela ukuthi lezi zithole zifuna ukuhlolwa nokuqinisekiswa kwezifundo ezinkulu. Uma isifundo esinjalo, isifundo somphumela omkhulu kakhulu wezihloko ezingu-39,000 okwamanje siqhubeka eNetherlands.
Lolu cwaningo luzotholakala ku-Intanethi ku- JACC: Ukucabanga Ngenhliziyo .
Uma unethuba lokubona umdlavuza webele esifundeni sokuqala, futhi isifo senhliziyo futhi, akufanele yini ukukhathazeka nokungahambi kahle ongase uhlobanise nokuthola i-mammography?
> Umthombo:
> Mammograms: Enye Indlela Yesikrini Sezifo Zezinhliziyo