Izivivinyo zokuhlola ukuhlola izivivinywa zokuhlola izifo ze-Cancer Breast
Uma usuzwile ukuthi ama-mammograms ngezinye izikhathi angaphuthelwa izicubu, noma ukuthi ama-ultrasound angadlala indima ekuxilongweni ungase uzibuze, "Kungani singenayo i-ultrasounds yonyaka kunokuba mammograms?" Phela, izidakamizwa zingase zingakhululeki, zikuveze emisebeni, futhi ngaphezu kwalokho, ama-breast ultrasounds angcono ekutholeni ezinye izinto ezingavamile.
Ake sikhulume ngempendulo yalo mbuzo, umehluko phakathi kwalezi zinhlobo ezimbili zezifundo, Kungakhathaliseki ukuthi uke wazibuza le mibuzo impendulo ingakusiza ukuba uqonde kangcono izivivinyo ongazithola esikhathini esizayo nendima ngayinye.
Ama-Ultrasound Ingabe Ukuxilongwa, Ama-Mammograms Awenzela Ukuhlola
Umehluko omkhulu phakathi kwama-breast and breast ultrasounds yiyona indima abayidlalayo.
Ama-mammograms ahlola ukuhlolwa okuhle, okusho ukuthi banikeza ulwazi oluningi kubantu abangenayo izimpawu zezinkinga zebele. Ukuhlolwa kwe-ultrasound, ngokuphambene, ngeke kube yindlela yokuhlola umdlavuza webele wesibindi ngezizathu eziningana, kubandakanya ukuthi abakwazi ukubonisa lonke isifuba ngesikhathi esisodwa.
I- breast ultrasound , nayo, ivame ukuqhutshwa ngezizathu zokuxilonga, njalo ngemva kokumama kwemvelo kudalula indawo esolisayo noma isibalo esiswini. I-ultrasound yebele ikulungele ukuhlukanisa i-cyst ene-fluid egcwala amanzi esesiswini esiswini esifubeni. Nge-cyst, i- aspiration ingenziwa ngaphansi kwe-ultrasound ukukhipha uketshezi nokuqeda indawo esolisayo ngokuphelele.
I-ultrasound ingasiza futhi ukuchaza ubuningi besifuba ozizwa uqobo, ngisho noma kungabonakali ku-mammogram.
Ukulinganiselwa kwe-Ultrasound
Kunamkhawulo amaningana webele we-breast ultrasound okwenza kube kungalungile ukuhlolwa kokuhlola. Lokhu kufaka:
- I-Ultrasound ayikwazi ukuthatha isithombe sesifuba sonke ngesikhathi esisodwa njengoba kuxoxwe ngenhla.
- I-Ultrasound ayikwazi ukuthatha isithombe sezindawo ezijulile ngaphakathi kwebele. I-Ultrasound inhle ekuhloleni izibilini ezingenasiswini esifubeni, kodwa i-mammogram ikwazi ukukwazi ukungaqapheli okungajwayelekile okujulile esifubeni.
- I-Ultrasound ayikwazi ukwenza amaphesenti angu-100 anembile yokuhlola.
- I-Ultrasound ayikhombisi ama- microcalcifications , isici esivamile kunazo zonke zezicubu ezungeze isisu. Amanqamu amaningi amaningi okubeletha amabele asolwa ngokuqala ngokusekelwe ekubalweni kwesifuba. Ukuze isisindo esitholakale ku-ultrasound ngokuvamile kufanele sibe sikhulu kakhulu kunalokho okungase kusolwe kusuka kumammogram.
Izinhlobonhlobo ngokuqondile kwama-Mammograms kanye nama-ultrasound
Awukho ubuchwepheshe, amandla omzimba noma i-ultrasound, ephelele. Futhi esimweni se-ultrasound, izinga lekhono lomqhubi lenza umehluko omkhulu emiphumeleni yakho. Omunye uchwepheshe angaphuthelwa into, kanti omunye ochwepheshe angayithola.
I-ultrasound yesifuba ibaluleke kakhulu ngisho nangokwemvelo ejwayelekile uma unesilonda esingenalutho. Kuyinto engavamile kubantu abaye bathola inhlama (ikakhulukazi izinyembezi eduze nesifuba) ukuze babe nomzimba ovamile. Kulesi simo, i-ultrasound yebele ingase ibone umdlavuza webele kuncono kune-mammogram. Iphuzu lapha, noma kunjalo, ukuthi lapho kutholakala inhlama asikhulumi ngokuhlola, kodwa kunalokho ukuxilongwa. Kulesi silungiselelo, i-breast ultrasound ingabhekwa njengesivivinyo sokuxilonga ukuze kuhlolwe isilonda.
Okunye ubuchwepheshe bokufanekisa ububele
Ama-mammograms noma i-breast ultrasounds ayitholi wonke amakhemikhali ebele, kanti ezinye izinketho zingadingeka.
Isibonelo, abesifazane besengozini enkulu yokuthuthukisa umdlavuza webele, i- MRI yebele ingase ibe yindlela engcono yokuhlola. Lokhu kuyiqiniso ikakhulukazi kwabesifazane abasha abanesifuba esinomsoco sokuthi ubani obomvu akuyona into enembile.
Ezinye izivivinyo ezingase zinconywe zifaka i- elastography , i- digital mammography , noma i-mammogra optical ngaphandle kokucindezela. I-Breast thermography ibonakala isebenza kwabanye besifazane. Lezi zindlela ziqhubeka nokuguquka njengoba abacwaningi befuna ukuhlolwa okungcono ukuze bathole umdlavuza webele esifundeni sokuqala saleso sifo.
I-Radiation ikhathazekile ngamamamograms
Ukuvezwa kwemisebe emangcwabeni kuncane kakhulu.
Kufana nokuthi kusetshenziswe kuma-ray ray yamazinyo futhi ngaphansi kunalokho okudingekayo kwi-x-ray yesifuba esivamile. Ama-mammograms angabuhlungu isikhathi esifushane. Okubalulekile ngokubuhlungu, noma kunjalo, ukuthi ukuhlinzwa umdlavuza webele, okuvame ukwanda kakhulu nge-tumor enkulu, kubuhlungu isikhathi eside.
I-National Cancer Institute ithi izinzuzo ze-mammography zidlula ukulimala okungaba khona ekuvezweni kwemisebe. Kodwa-ke, qiniseka ukuthi uqaphele umhlinzeki wakho wokunakekelwa kwezempilo kanye nochwepheshe we-x-ray uma kungenzeka ukuthi ukhulelwe, ngoba bazofuna ukugwema noma yikuphi ukuvezwa kwemisebe ebusweni.
Ngezansi kuMammography vs Breast Ultrasound for Screening and diagnosis
Amammograms avame ukusetshenziswa njengesivivinyo sokuhlola kubantu abangenayo izimpawu zebele. Uma owesifazane enezibonakaliso, njengokungcoliswa kwesikhumba noma i-nipple, noma uma kungavamile ukutholakala kumzimba wesisu, i-breast ultrasound ingaba isilingo esihle sokuxilonga ukuze uqhubeke uhlola ukungajwayelekile.
Ngesikhathi i-ultrasound yebele ingewona ukuhlolwa okuhle kwekhanda lomdlavuza webele, kunezinketho ngaphandle kwe-mammography kulabo abasengozini enkulu noma abafisa ukugwema imishanguzo (njengalabo abakhulelwe.) Kulezi zilungiselelo i-MRI yebele ingaba ngcono, kodwa ukubiza ukuhlola okubizayo kakhulu.
> Imithombo:
> Elmore, J. Screening for Cancer Breast: Amasu nezincomo. UpToDate . Kubuyekezwe 06/05/17.
> Macklin, S., Gass, J., Mitri, G., Atwal, P., no S. Hines. Indima Yokuhlola I-MRI Esikhathini Se-Era of Generation Generation Sequencing and Moderate-Risk Mutations Genetics. I-Cancer Ejwayelekile . 2017 Juni 22. (Epub ngaphambi kokuphrinta).
> National Cancer Institute. Ukuhlolwa kwesifo somdlavuza webele (PDQ) - I-Health Professional Version. Kubuyekezwe 06/19/17. https://www.cancer.gov/types/breast/hp/breast-screening-pdq