ʻO ke ultrasound umauma: he aha ia a pehea e maopopo ai i ka hopena
Anter
ʻO ke noi ʻana o ka umauma e noi pinepine ʻia e ka gynecologist a i ʻole ka mastologist ma hope o ka manaʻo ʻana i kekahi puʻupuʻu i ka wā o ka umauma a i ʻole inā ʻaʻole maopopo ʻole ka mammogram, ʻo ia hoʻi i ka wahine he nui nā umauma a he mau maʻi kanesa umauma i ka ʻohana.
ʻAʻole like ka Ultrasonography me ka mammography, a ʻaʻohe mea pani no kēia hōʻike, he hōʻike wale nō i hiki ke kākoʻo i ka loiloi umauma. ʻOiai hiki i kēia hoʻāʻo ke ʻike i nā nodule e hōʻike i ka maʻi ʻaʻai o ka umauma, ʻo ka mammography ka hōʻike kūpono kūpono loa e hana ʻia ma nā wahine me ka maʻi kanesa o ka umauma.
E ʻike i nā hoʻokolohua ʻē aʻe i hiki ke hoʻohana ʻia e loiloi i ke alo o ka maʻi ʻaʻai umauma.
No ke aha ia
Hōʻike ʻiʻo ʻia ʻo ultrasound umauma e ʻimi i ka loaʻa ʻana o nā puʻupuʻu umauma a i ʻole nā cista i nā wahine me nā umauma nui a me ka makaʻu nui i ka maʻi ʻaʻai umauma, e like me nā makuahine a makua paha me kēia maʻi. ʻO nā hanana ʻē aʻe kahi e noi ʻia ai ka ultrasound umauma, aia i ka hihia o:
- ʻEha ʻeha;
- Ka ulia a me nā hana hoʻomeamea o ka umauma;
- Paluleable nodule a me ka nānā ʻana i ka nodule benign;
- E hoʻokaʻawale i kahi nodule paʻa mai kahi nodule cystic;
- E hoʻokaʻawale i nā nodule maikaʻi a maikaʻi ʻole;
- E ʻike i ka seroma a i ʻole hematoma;
- E kōkua i ka nānā ʻana i ka umauma a i ʻole ka puʻupuʻu i ka wā o kahi biopsy;
- E nānā i ke kūlana o nā umauma implants;
- Inā loaʻa ka hopena o ka chemotherapy e ka oncologist.
Eia nō naʻe, ʻaʻole kēia koho he koho ʻoi aku ka maikaʻi e nānā i nā loli e like me microcstst i ka umauma, ʻo nā liona liʻiliʻi ma mua o 5 mm, a ʻo nā wahine ʻelemakule hoʻi, nā umauma palapū.
Pehea e pau ai ka hōʻike
Pono ka wahine e moe i luna o kahi moe, me ka ʻole o ka blus a me ka pāpale, i hāʻawi ai ke kauka i kahi gel ma nā umauma a laila kau ʻia ka mea kani ultrasound me ka ʻili. E paheʻe ke kauka i kēia pono ma luna o nā umauma a kiaʻi ma ka papapihi kamepiula a aia nā hoʻololi i hiki ke hōʻike i nā loli e like me ka maʻi ʻaʻai umauma.
ʻAʻole hōʻoluʻolu ʻo Ultrasonography, ʻaʻole hoʻi ia e ʻeha, e like me ka hihia me ka mammography, akā he hōʻike ia i loaʻa nā palena, ʻaʻole ʻo ia ke koho maikaʻi loa e ʻike pono ai i ka maʻi ʻaʻai umauma ma mua, no ka mea ʻaʻole maikaʻi e nānā i nā loli ma mua o 5 mm. i ke anawaena.
Nā hopena hiki
Ma hope o ka hoʻāʻo, e kākau ke kauka i kahi hōʻike e pili ana i nā mea āna i ʻike ai i ka wā o ka hoʻokolohua, e like me ka Bi-RADS mahele.
- Māhele 0: Loiloi piha ʻole, e koi ana i kahi hōʻike kiʻi hou e ʻike ai i nā loli hiki.
- Māhele 1: ʻO ka hopena maikaʻi ʻole, ʻaʻole i loaʻa nā loli, e hāhai maʻamau wale nō e like me ka makahiki o ka wahine.
- Māhele 2: Ua loaʻa nā hoʻololi Benign, e like me nā cist maʻalahi, nā lymph node intramammary, nā implants a i ʻole nā hoʻololi ʻana ma hope o ke kaha ʻana. ʻO ka maʻamau, ʻo kēia ʻano loli e hōʻike ana i nā nodule paʻa paʻa paʻa paʻa no 2 mau makahiki.
- Māhele 3:Ua loaʻa nā loli he maikaʻi paha, e koi ana i kahi hoʻokolokolo hou i 6 mau mahina, a laila 12, 24 a me 36 mau mahina ma hope o ka ninaninau mua ʻia. ʻO nā hoʻololi i loaʻa ʻia ma aneʻi paha nā nodule e hōʻike nei he fibroadenoma, a i ʻole cista paʻakikī a hui ʻia. Loaʻa ka makaʻu malignancy a 2%.
- Māhele 4:Ua loaʻa nā hopena kanalua, a ua paipai ʻia ka biopsy. Hiki i nā hoʻololi ke lilo i nodule paʻa me ka ʻole o nā ʻano e hōʻike ana i ka maikaʻi. Hiki ke mahele ʻia kēia mahele i: 4A - kānalua haʻahaʻa; 4B - kānalua waena, a me 4C - kānalua kaulike. Palekana kamepiula 3% i ka 94%, pono e hana hou i ka hōʻike e hōʻoia i ka ʻike.
- Māhele 5: Ua loaʻa nā loli nui, me ke ʻano kānalua no ka hōʻino. Koi ʻia kahi biopsy, a ma ia hihia he 95% ka manawa o ka puʻupaʻa e hele a hōʻino.
- Māhele 6:ʻO ka maʻi ʻaʻai umauma i hōʻoia ʻia, ke kali nei i ka lāʻau e chemotherapy a i ʻoki ʻia paha.
Me ka nānā ʻole i ka hopena, he mea nui ia e loiloi mau ʻia ka hoʻokolohua e ke kauka nāna i noi iā ia, ʻoiai hiki ke loli ke ʻano like ʻole e like me ka moʻolelo olakino o kēlā me kēia wahine.