ʻO kā Bi-RADS Score
Anter
- Pehea e holo ai ka ʻōnaehana helu ʻo BI-RADS?
- Māhele 0
- Māhele 1
- Māhele 2
- Māhele 3
- Māhele 4
- Māhele 5
- Māhele 6
- BI-RADS a me ka nui o ka umauma
- ʻO ka lawe lawe ʻana
He aha ka heluʻai BI-RADS?
ʻO ka helu BI-RADS kahi inoa no ka helu helu Breaging Imaging Reporting a me Database System. He ʻōnaehana scoring pūnaewele e hoʻohana e wehewehe i nā hopena mammogram.
ʻO kahi mammogram kahi hōʻike kiʻi kiʻi X e nānā i ke olakino umauma. ʻO ia ka pono hana pono e kōkua ʻike i ka maʻi ʻaʻai o ka umauma, keu hoʻi i kāna pae mua loa. Hiki nō ke hoʻohana ʻia ma ke ʻano he mea ukali ke ʻike nā kauka i nā lehulehu lehulehu i ka wā o ka hoʻokolohua umauma maʻi.
ʻOiai ʻaʻole hiki i kēia hoʻokolohua ke kuhikuhi pono i ka maʻi ʻaʻai umauma, hiki iā ia ke kōkua e ʻike i nā mea āpau ʻole. ʻAʻole i ʻike ʻia nā hopena āpau āpau he maʻi ʻaʻai.
Pehea e holo ai ka ʻōnaehana helu ʻo BI-RADS?
Hoʻohana nā kauka i ka ʻōnaehana BI-RADS e hoʻonoho ai i nā ʻike kūlohelohe i nā mahele. Loaʻa nā mahele mai ka 0 a i ka 6. ʻO ka manawa pinepine, nā wahine 40 mau makahiki a ʻoi paha i loaʻa nā helu mai ka 0 a i ka 2, e hōʻike ana i nā hopena maʻamau a i ʻole nā hopena maikaʻi ʻole he benign, a noncancerous paha. Inā loaʻa iā ʻoe ka helu 3 a ʻoi paha, paipai nā kauka a me nā radiologists i kahi kipa ukali a i ʻole kahi biopsy e hoʻoholo i ka papa o ka hana aʻe.
Māhele 0
Kuhi ka helu 0 i kahi hōʻike piha ʻole. He paʻakikī paha nā kiʻi mammogram e heluhelu a wehewehe paha. I kekahi mau hihia, makemake paha nā kauka e hoʻohālikelike i kēia mau kiʻi hou me nā mea kahiko e hoʻoholo inā ua loaʻa nā loli. Pono kahi helu BI-RADS o 0 e koi i nā hōʻoia hou a me nā kiʻi e hāʻawi i kahi loiloi hope loa.
Māhele 1
Hōʻoia kēia helu i ka hopena maikaʻi ʻole o kāu hopena mammogram. Hōʻike kahi helu o 1 ʻaʻohe maʻi ʻaʻai a kūlike ke ʻano o kou umauma. Eia nō naʻe, mea nui e hoʻomau i ka nānā ʻana i nā hana maʻamau.
Māhele 2
Hōʻike kekahi helu BI-RADS o 2 he maʻamau nā hopena o kāu mammogram. ʻAʻohe hōʻailona o ka maʻi ʻaʻai, akā ʻike paha ke kauka i kekahi mau cist benign a i ʻole nā lehulehu e hoʻopili i kāu hōʻike. Kuhi ʻia nā kipa maʻamau me kēia helu. E hoʻohana ʻia ka leka ma kāu hōʻike i mea hoʻohālikelike no nā hopena e hiki mai ana.
Māhele 3
Kuhi ʻia kahi helu o 3 e maʻamau paha nā hopena o kāu mammogram, akā aia he 2 pākēneka manawa o ka maʻi ʻaʻai. I kēia hihia, paipai nā kauka i kahi kipa ukali ma loko o ʻeono mau mahina e hōʻoia i nā hopena he maikaʻi. Pono ʻoe e kipa mau a hiki i ka hoʻomaikaʻi ʻana o kāu hopena a paʻa nā mea maʻamau ʻole. Kōkua nā kipa maʻamau i ka pale ʻana i nā biopsies lehulehu a pono ʻole. Kōkua pū lākou i ka hōʻoia mua ʻana inā loaʻa ka maʻi ʻaʻai.
Māhele 4
Kuhi ʻia kahi helu 4 mahele i kahi loaʻa a kānalua paha. I kēia ʻano, aia he 20 a 35 pākēneka loaʻa o ka maʻi ʻaʻai. No ka hōʻoia ʻana, pono kāu kauka e hana i kahi biopsy e hoʻāʻo i kahi hāpana kiʻi liʻiliʻi.
Hoʻokaʻawale ʻia kēia helu i loko o ʻekolu mau ʻāpana hou aʻe e pili ana i ka pae o ke kanalua o ke kauka.
- 4A. Ka hoʻohaʻahaʻa haʻahaʻa no ka maʻi ʻaʻai a i ʻole nā hopena malignant.
- 4B. Hoʻohuoi kūpono no ka maʻi ʻaʻai a i ʻole nā hopena malignant.
- 4C. ʻO ka kānalua kiʻekiʻe no nā hopena maʻi ʻaʻai a maʻi ʻino hoʻi.
Māhele 5
Hōʻike ka scoring 5 i kahi kānalua kiʻekiʻe o ka maʻi ʻaʻai. I kēia laʻana, aia ma ka liʻiliʻi he 95 pakeneka o ka maʻi ʻaʻai. Paipai nui ʻia kahi biopsy e hōʻoia i nā hopena a hoʻoholo i nā kaʻina aʻe no ka mālama ʻana.
Māhele 6
Hiki iā ʻoe ke helu wale i kahi 6 ma hope o kou loaʻa ʻana i kahi biopsy a loaʻa ʻia ka maʻi o ka maʻi ʻaʻai umauma. ʻO kēia mahele a me nā kiʻi e pili ana i hoʻohana ʻia ma ke ʻano hoʻohālikelike e hōʻike ana i ka pane ʻana o ka maʻi ʻaʻai i nā lāʻau e pono ai, e like me chemotherapy, ʻoki kino, a i ʻole radiation.
BI-RADS a me ka nui o ka umauma
Hiki iā BI-RADS ke hoʻokaʻawale i ka nui o ka umauma i hoʻokahi o nā hui ʻehā. ʻOi aku ka momona o nā umauma i nā momona. Hoʻolālā paha lākou i ka maʻi ʻaʻai i ka hoʻohālikelike ʻana me nā umauma liʻiliʻi liʻiliʻi me nā mea momona.
ʻO nā mahele ʻehā o ka nui o ka umauma:
- ʻO ka momona momona. Hana ʻia nā umauma momona o ka hapanui me ka fibrous liʻiliʻi a me nā mea glandular. ʻO kahi mammogram o nā umauma me kahi haʻahaʻa haʻahaʻa hiki ke hōʻike maʻalahi i nā hopena kūlohelohe.
- ʻĀpana hoʻopuehu. Nui nā momona o nā umauma me nā wahi liʻiliʻi o ka glandular a me nā kiko fibrous.
- Ka mānoanoa kūlike. Hoʻokaʻawale like nā umauma i nā mea fibrous a me nā glandular. Hiki i kēia ke lilo i mea paʻakikī e ʻike i nā ʻano liʻiliʻi liʻiliʻi.
- ʻ dpala loa. Loaʻa i ka umauma ka hulu fibrous a me nā glandular, e paʻakikī ana e ʻike i ka maʻi ʻaʻai. Hiki ke hoʻohui like ʻia me nā mea kūpono ʻole me nāʻiʻo o ka umauma maʻamau.
ʻO ka lawe lawe ʻana
Kōkua ka helu BI-RADS i kāu kauka e kamaʻilio i kāu hopena mammogram a hoʻoholo i ka lāʻau. E hoʻomanaʻo ʻaʻole hāʻawi ka helu BI-RADS i kahi kuhi.
Inā loaʻa iā ʻoe kahi helu kiʻekiʻe e hōʻike ana i ke kū ʻana o ka maʻi ʻaʻai, pono ʻoe i kahi manawa e ukali ai e hōʻoia i nā hopena a kāu kauka a loaʻa kahi hōʻailona kūpono. Hiki i kahi hōʻailona mua ke hoʻonui i kou manawa o ka paʻi ʻana i ka maʻi ʻaʻai o ka umauma.