Esikhathini esedlule, ama-x-rays esifubeni ayehlelwe njalo njengengxenye yenqubo yesiteji, kodwa lokhu kuyashintsha, futhi i-x-ray yesifuba ingahle ibe yinye yezivivinyo ozithola. Ngenkathi ama-x-rays esifubeni anesivuno esincane sokuthola amaphaseji we-lungs (uma eseqedile ukubona ukuthi umdlavuza wakho usakaze emaphashini akho), kunezinye izizathu eziningi ezenza ukunconywa i-x-ray yesifuba.
Ake sibheke ukuthi yini esazi manje mayelana nesifuba x-ray kanye nesimo somdlavuza wesifuba kanye nezinkomba ze-x-rays ngesikhathi sezokwelapha.
I-X-ray ne-Breast Stage Stage
Ngemuva kokuthola ukuthi unesifo somdlavuza webele futhi ngaphambi kokuba uqale ukwelashwa, udokotela wakho uzokuthola isigaba somdlavuza wakho. Ngokweqiniso, kungenzeka ukuthi awukwazi isiteji kuze kube yilapho usuhlinzwa, i-sentinel node biopsy, futhi kungenzeka ukuthi i-PET scan noma ezinye izivivinyo.
Ama-x-ray ayisifuba angasetshenzisiwe njengengxenye yesiteji ngokulandela imihlahlandlela ye-National Comprehensive Cancer Network. Ucwaningo lwe-2015 olubukeka esifubeni x-ray olwenziwe njengengxenye yesiteji sathola ukuthi lokhu kuvivinywa akuzange kuthuthukise ukutholakala kwemetastase yemimoya kodwa kwandisa izindleko. Ngaphezu kwalokho, i-chest x-rays kubantu abanesifo somdlavuza webele wesandulela-ngculazi sinomthelela omkhulu wezingozi ezingamanga, okungase zandise ukucindezeleka ngokomzwelo. Lokho kusho ukuthi izikhungo eziningi zomdlavuza ziyaqhubeka zenza umkhosi we-x-rays njengengxenye yenqubo yokugadla umdlavuza webele.
Izizathu Ze-X-Ray I-Chest Ngesikhathi Ukwelashwa Kwebelevuza Kwebele
Kunezizathu eziningana ngaphandle kokubeka phambili ukuthi kungani i-oncologist yakho ingalawula i-x-ray yesifuba. Ezinye zazo zihlanganisa:
- Ukuhlola noma yiziphi izinkinga zokuphefumula, ezifana nokukhwehlela noma ukuphefumula okuphefumulayo, okungenzeka ube khona ngaphambi noma ngesikhathi ukwelashwa
- Ukuze ubuke inhliziyo yakho namaphaphu ngaphambi kokuba uhlinzekwe (kanye nesifo esibuhlungu esiphelele) noma i- chemotherapy
- Ukufuna ubufakazi bokuphazamiseka komkhuhlane uma uhlakulela umkhuhlane ngenkathi ukhiphe imithi yamakhemikhali. Inani eliphansi legazi elimhlophe ( neutropenia ) lingandisa ingozi yakho.
- Ukufuna ubufakazi bokushisa kwe-pneumonitis (ukuvuvukala kwemaphaphu) ngenkathi uthola noma ngemuva kokuthola ukwelashwa kwama-radiation . Ezinye izidakamizwa ze-chemotherapy ezisetshenziselwa umdlavuza webele zingabangela ukuvuvukala kwamapayipi.
- Njengengxenye yesilingo somtholampilo . I-x-ray yesifuba ingaba yinye yezinqubo zokuhlanganyela ekuvivinyweni komtholampilo.
- Ukufuna ubufakazi be- lungast metastases (ukusakazeka komdlavuza webele emaphashini) uma uthuthukisa noma yiziphi izimpawu eziphakamisa lokhu
I-Metastatic Breast Cancer kanye ne-Chest X-Rays
Amapayipi yindawo evamile yomdlavuza webele webele kubantu abanomdlavuza wesifuba wezinyosi, futhi ngokuvamile kuvame ukudideka lapho lokhu kwenzeka. I-Cancer esakazeka emaphashini avela esifubeni (ngisho noma isisu sesifuba sisusiwe eminyakeni edlule) sisengumdlavuza webele. Uma uphume ama-tumor emaphashini bese ubheka ngaphansi kwe-microscope, uzobona amangqamuzana ebelethwe umdlavuza, hhayi amangqamuzana wamaphaphu. Uma umdlavuza webele usakazeka emaphashini okubhekiswe kuwo njengomdlavuza webele we-lung metastases, hhayi umdlavuza wamaphaphu. Lokhu kubalulekile ngoba ukhetho olungcono kakhulu lwezokwelapha yilo oluphatha umdlavuza webele, hhayi umdlavuza wamaphaphu.
Uma umdlavuza webele usakazeka emaphashini, kungase kube khona izimpawu ekuqaleni. Uma izimpawu zenzeka zivame ukufaka ukukhwehlela owomile, ukuphefumula, noma ukutheleleka okuphefumulayo okuphindaphindiwe.
Amaphesenti angaba ngu-4 abantu anezidakamizwa (okuvame kakhulu amathambo, isibindi, amaphaphu, nobuchopho) ngesikhathi sokuxilongwa.
Ukulinganiselwa kwe-X-Rays ye-Chest ekufuneni i-Cancer
Uma udokotela wakho ekhathazekile ukuthi ungaba ne-tumor noma i-metastases emaphashini akho, ukuhlolwa okungcono kuyisifo se-CT scan (noma i-PET scan). I-x-rays yekhanda ayinamkhawulo ekukhoneni kwabo ukuthola izindawo ezincane zomdlavuza (noma izidakamizwa noma isifo samaphaphu esiyinhloko).
Eqinisweni, ukuhlolwa kwesifuba sama-x-rays akunconywa ngabantu ababhema ngoba behluleka ukuthatha umdlavuza ngokushesha ukuze benze umehluko ekusindeni.
Kulabo abanezigaba eziphakeme zesifo somdlavuza webele (isibonelo, isiteji sesi-2A nangaphezulu), i-PET / CT ibhekwa njengesivivinyo esiwusizo kakhulu ukuthola ubufakazi besifo se-metastatic.
Buza imibuzo bese ulindele izimpendulo
Akuvamile ukuthi umuntu onomdlavuza webele abatshelwe ukuthi badinga i-x-rafu yesifuba, kodwa ngaphandle kokuthi sazi ukuthi kungani kwenziwa, ubuchopho bethu buzogcwalisa izimpendulo. "Mhlawumbe ukhathazekile ukuthi umdlavuza wami usemaphashini ami!" Kungenzeka nje ukuthi i-oncologist yakho ilandela ukukhwehlela ngokushisa okwakamuva owamtshela ngakho. Indlela engcono kakhulu yokugwema ukungezwani kanye nokuphazamiseka okungokomzwelo ekuqagela ukubuza imibuzo eminingi mayelana nokuhlolwa okuphakanyisiwe kuwe. Ukuba ummeli wakho siqu ukunakekelwa komdlavuza wakho kungagcini nje ekunciphiseni ukukhathazeka kodwa kungase kuthuthukise ngisho nemiphumela.
Izwi elivela
Esikhathini esedlule, imihlahlandlela yesiteleka somdlavuza webele iphakamisa ukuxilongwa kwe-chest ray ye-chest ukuze ubheke noma yibuphi ubufakazi bokuthi imithanguzo isetshenziselwa amaphaphu. Kutholakale ukuthi isivuno esivela kulezi zifundo siphansi kakhulu, futhi lokhu akusasetshenzisiwe. Kodwa-ke, kunezizathu eziningi ezingenza ukuthi udokotela wakho angase ancoma i-x-ray esifubeni ngenkathi ukwelashwa. Njengoba izinguquko zenzeka ngokusheshayo kwi-oncology, kubaluleke kakhulu kunanini ngaphambili ukubuza imibuzo futhi ube ngummeli wakho ekunakekeleni kwakho.
> Imithombo:
> Garg, P., Deo, S., Kumar, R. et al. Ukufakwa kwesiteleka kwe-PET-CT Kuskena Kunika Ukutholakala Okuphezulu Kwe-Lymph Nodes neMetastases Ekude kune-Traditional Imaging ku-Cancer Advanced Breast Cancer. I-World Journal of Surgery . 2016. 40 (8): 2036-42.
> Louie, R., Tonneson, J., Gowarty, M. et al. Ukuphelisa i-Blood Counts, Izivivinyo Zezinsizi ze-Liver, kanye nama-X-Rays we-Chest njenge-Screening Ejwayelekile Ekuqaleni kwe-Cancer Breast Cancer: Value Added or Just Cost? . Ucwaningo lwe-Cancer Research and Treatment . 2015. 154 (1): 99-103.