Mammogram - helu helu
ʻO nā helu helu he waihona liʻiliʻi o ka calcium i loko o kāuʻiʻo umauma. ʻIke pinepine ʻia lākou ma kahi mammogram.
ʻO ka calcium āu e ʻai ai a i ʻole lawe ai i lāʻau lapaʻau ʻaʻole ia e hoʻokumu i ka helu ʻana i ka umauma.
ʻO ka hapa nui o nā kaleka ʻaʻole ia he hōʻailona no ka maʻi ʻaʻai. Nā kumu e komo pū paha:
- Waiho Calcium i nā aʻa i loko o kou umauma
- Mōʻaukala o ka maʻi maʻi umauma
- Nā lumps noncancerous (benign) a i ʻole cista
- ʻO ka hōʻeha i hala i kaʻiʻo umauma
ʻO nā helu helu nui, pōʻaiapuni (macrocalcification) ka mea maʻamau i nā wahine ma mua o 50 mau makahiki. He like lākou me nā kiko keʻokeʻo liʻiliʻi ma ka mammogram. ʻAʻole pili paha lākou i ka maʻi ʻaʻai. ʻAʻole makemake iki ʻoe i nā hoʻokolohua hou aʻe.
ʻO nā microcalcified kahi specs calcium liʻiliʻi i ʻike ʻia ma ka mammogram. ʻO ka hapanui o ka manawa, ʻaʻole lākou i maʻi ʻaʻai. Eia nō naʻe, pono e nānā pono i kēia mau wahi inā loaʻa iā lākou kahi hiʻohiʻona ma ka mammogram.
I ka manawa hea e pono ai ka hoʻāʻo hou?
Ke loaʻa nā microcalcification ma ka mammogram, e noi paha ke kauka (radiologist) i kahi ʻike nui aku i hiki ai ke nānā pono ʻia nā wahi.
Kāhea ʻia nā helu ʻike ʻole ʻia he pilikia. ʻAʻole pono kahi ukali kikoʻī. Akā, hiki i kāu kauka olakino ke koi iā ʻoe e loaʻa i kahi mammogram i kēlā me kēia makahiki.
I kekahi mau hihia, kapa ʻia nā helu helu he ʻano ʻē aʻe akā ʻaʻole like me kahi pilikia (e like me ka maʻi ʻaʻai). Pono ka hapa nui o nā wahine i kahi mammogram ukali i 6 mau mahina.
Nā helu helu i kūpono ʻole i ka nui a i ʻole ʻano i ʻākoʻako paʻa ʻia, ua kapa ʻia he helu kānalua. E paipai kāu mea hāʻawi i kahi biopsy core stereotactic. ʻO kēia kahi biopsy nila o ka nila e hoʻohana ana i kahi ʻano o ka mīkini mammogram e kōkua i ka loaʻa ʻana o ka helu. ʻO ke kumu o ka biopsy e ʻike ai inā maikaʻi nā kalina (ʻaʻole ka maʻi ʻaʻai) a i ʻole malignant (maʻi ʻaʻai).
ʻO ka hapa nui o nā wahine i loaʻa nā helu helu kānalua ʻaʻohe maʻi ʻaʻai.
Nā microcalcification a i ʻole nā macrocalcification; Maʻi ʻaʻai umauma - helu helu; Mammography - helu helu
- Mamamogram
Ikeda DM, Miyake KK. Ka Ikepili Mamala o nā helu helu umauma. I: Ikeda DM, Miyake KK, eds. Kiʻi i ka umauma: nā koi. ʻEkolu huaʻōlelo. St Louis, MO: Elsevier; 2017: chap 3.
Siu AL; Nā Hana Hana Hana. Ke nānā ʻana no ka maʻi ʻaʻai umauma: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2016; 164 (4): 279-296. PMID: 26757170 www.ncbi.nlm.nih.gov/pubmed/26757170.