Izinhlobo Nezibonelo Zezibalo Zokubeletha Nezizathu Zabo
Uma udokotela wakho ekhuluma ukuthi unezibalo zesifuba ku-mammogram yakho, kungenzeka ukwesaba. Kusho ukuthini lokhu?
Sibutsetelo
Ukubalwa kwezibeletho kungenye yezinto ezitholakalayo ezingabonwa kumama wakho omzimba , futhi zivame kakhulu. Eqinisweni isigamu sabesifazane abangaphezu kweminyaka engama-50 sizoba nokunye uhlobo lokubala kumammogram. Zibonakala njengamaqabunga amhlophe ku-mammogram yakho futhi kungenzeka noma ingabe ingakhathazeki ngomdlavuza webele, kuye ngokuthi uhlobo, iphethini, nokuhlelwa kwezibalo.
Masifunde mayelana nezinhlobo zezibalo zebele kanye nalokho okubangela.
Izinhlobo
Kunezinhlobo ezimbili zokubalwa kwamabele, okuvame ukusho izinto ezihluke kakhulu. Esikhundleni se "macro" noma "micro" udokotela wakho angasebenzisa ukuchaza lezi zinhlobo ezahlukene ezincane noma ezinkulu.
Ama-macrocalcifications
Ukwenziwa kwemikhiqizo yizinhlamvu ezinkulu ze-calcium deposits ezitholakalayo ku-mammogram. Kungenzeka ngenxa yezinguquko zemvelo esitheni sowesifazane, njengokuqina kobuhlungu bebele. Ukumiswa kwemvelo kungase kubonise nezindawo zokuvuvukala kokulimala okudala noma ukuhlukunyezwa kwebele.
Ama-macrocalcification awavame ukuxhunyaniswa nomdlavuza webele. Ngokusho kwe-American Cancer Society, ama-macrocalcification akhona ngamaphesenti angama-50 abesifazane beseneminyaka engama-50 nangamaphesenti angama-10 abesifazane abangaphansi kweminyaka engu-50.
Ukunciphisa
Ukunciphisa okuncane kuyizinhlamvu ezincane ze-calcium amasheya okungaba uphawu lokuqala lomdlavuza webele , nakuba kungenjalo ngaso sonke isikhathi.
I-pattern of microcalcifications esiswini sesifuba sesifazane kusiza isazi se-radiologist sinquma ukuthi ingabe umdlavuza webele ungaba khona.
Iphethini nesimo
Iphethini nokuma kwe-microcalcifications kuvame ukuhluka kuye ngokuthi ngabe ukutholwa kuyingozi yini noma kuyingozi. Isibonelo, ukubalwa kwama-eggshell noma izilinganiso ezinjenge-rim ku-mammogram ngokuvamile ziyingozi, njengama - calcific -like calcifications.
Benign kusho ukuthi ukubalwa akukona ngenxa yomdlavuza. Ukubalwa okuhlelwe ku-cluster okungafani nakho kunamathuba amaningi okuba yinhlonipho.
Ukuthola okusohlwini kungachazwa njengokungavamile ngosayizi noma ukuma (okuhlanjululwayo.) Izinguquko ezifana nezibalo ezinjengama -rod-like like zivame ukubonakala emdlashini webele, njengoba ziyizibalo ezihluka ngesimo nobukhulu. Izibalo ezihlelwe ngeqoqo eliqinile liphathelene nomdlavuza.
Izimbangela ze-Benign (ezingezona umdlavuza)
Kunezimbangela eziningi ezihlukahlukene zokwenza izibalo zebele, kokubili lezo ezinobungozi kanye nalabo abakhombisa ukulimala. Ezinye zezimbangela zokubalwa kwamabele ezihlobene nomdlavuza webele zihlanganisa:
- Izicubu zesikhumba ezihlobene nokulimala kwesifuba esidala (ushintsho lwe-dystrophic), okusala kusuka ekuhlinzekeni komdlavuza webele webele (i-fat necrosis), noma nje ngenxa yokugqoka nokuphuka kwamabele
- Ukwelashwa kwesisu noma ukuvuvukala okubangelwa ukutheleleka kwebele
- I-calcium iqoqwe ngaphakathi kwe-duct lebhanti
- I-calcium ixutshwe nomswakama e- cyst yebele
- Ama-powders, ama-ointments noma ama-deodorants agcina i-calcium esikhumbeni (yilapho abesifazane bekwaziswa ukuthi bangagqoki okweqile ngaphambi kokumammogram)
- Ukunakekelwa kweziphuzo zomdlavuza webele
- Ukubalwa kwamathambo ngaphakathi kwebele
- Ukubalwa ku- fibroadenoma (ukukhula okubuhlungu)
Izinyathelo Ezilandelayo
Uma ubukhulu bakho bukhombisa ukuxilongwa okukhathazayo ngomdlavuza webele, i-biopsy inconywa. I-biopsy isho ukuthi indawo encane yezicubu zesifuba ezisolisayo isuswe futhi ihlolwe ngaphansi kwe-microscope yamangqamuzana omdlavuza. Inqubo evame kakhulu eyenziwa uma kubalwa ukutholakala kuyi- stereotactic core core biopsy.
I-biopsy ayidingi ngaso sonke isikhathi uma kunezinqubo ezincane-ngezinye izikhathi nje ukulandela okulandelayo. Kubaluleke kakhulu ukwenza izivivinyo nokuhlolwa ukuze uqiniseke ukuthi uthole ulwazi oluhle kakhulu empilweni yakho.
Ukuba Ummeli Wakho NgeMammogram Yakho
Odokotela abahlale bekhuluma igama elithi "izibalo" lapho bekhuluma nabesifazane mayelana namammograms abo. Kungenzeka ukuthi bakhulume "okungavamile okuncane." Kubalulekile ukubuza ngokuqondile ukuthi yini eyatholakala uma unomphumela ongavamile. Kufanele futhi ucele ukucaciswa uma utshele nje ukuthi unezibalo.
Ungesabi ukubiza udokotela wakho noma umhlengikazi wakhe futhi ucele olunye ulwazi mayelana nosayizi noma iphethini lama-calcifications. Uma ufuna ukuzitshela ukuthi kubalulekile ukuba nazo zonke izingcezu ze-puzzle uma uthanda. Ngemuva kokufunda mayelana nezincazelo zokubalwa, ubuze nokuthi iphethini.
Imithombo
I-American Cancer Society. Amamograms kanye nezinye izivivinywa zokuzicabangela izibeletho: Udokotela ubheka ini ku-mammogram?
I-Nalawade YV. Ukuhlolwa kokubalwa kwamabele. I-Indian J Radiol Imaging. 2009. 19 (4): 282-86.
Park, J., Ko, K., Kim E., Kuzmiak, C., noHung Jung. Izilonda ze-Breast Non-Mass ku-ultrasound: Imiphumela yokugcina kanye nokuqaphelisisa kwe-Malignancy. Acta Radiologica . 2017. 1: 284185116683574.
Yi A et al. Izinkinga ezibangelwa ukushiswa komlilo emva kwekhanda lomdlavuza Ukwelashwa kwezidakamizwa: Ukubukezwa kwe-Pictorial of Findings Multimodality Imaging Findings. I-Korean J Radiol. 2009. 10 (5): 496-507.
UWilkinson, uL., uThomas, u-V., noN. Sharma. I-Microcalcification kuMammography: Izindlela Zokuchazwa nokuphikisana. I-British Journal ye-Radiology . 2017. 90 (1069): 20160594.