Chifuwa cha m'mawere - ultrasound

Chidziwitso cha m'mawere ndicho kuchotsa minofu ya m'mawere kuti iwayese ngati ali ndi khansa ya m'mawere kapena zovuta zina.

Pali mitundu ingapo yamabere biopsies, kuphatikiza stereotactic, kutsogozedwa ndi ultrasound, kutsogozedwa ndi MRI, komanso kukondera kwa mawere. Nkhaniyi ikufotokoza za ma biopsies oyendetsedwa ndi singano.

Mukufunsidwa kuti muvule kuyambira mchiuno kupita mmwamba. Mumavala mkanjo wotseguka kutsogolo. Panthawi yolemba, mwadzuka.

Wagona chagada.

Zolembazo zachitika motere:

• Wothandizira zaumoyo amatsuka malo omwe ali pachifuwa chanu.
• Mankhwala ochititsa mankhwala amabayidwa.
• Dotolo amadula pang'ono pachifuwa panu pamalo omwe amafunika kuti asinthidwe.
• Dokotala amagwiritsa ntchito makina a ultrasound kuti atsogolere singano kumalo osazolowereka omwe ali pachifuwa chanu omwe amafunika kuti awoneke.
• Zidutswa zingapo zazing'ono zimatengedwa.
• Chidutswa chaching'ono chachitsulo chitha kuikidwa pachifuwa pamalo a biopsy kuti chiziwonetse, ngati zingafunike.

Zolembazo zachitika pogwiritsa ntchito izi:

• Zolakalaka zabwino za singano
• Dzenje singano (yotchedwa singano yapakati)
• Zida zopumira
• Zipangizo zonse ziwiri zopanda zingwe

Chotupacho chikatengedwa, singano imachotsedwa. Ice ndi kukakamiza kumagwiritsidwa ntchito pamalopo kuti athetse magazi. Bandeji amamatira kuyamwa madzi aliwonse. Simukusowa zokopa zilizonse singano itachotsedwa. Ngati zingafunike, atha kujambula tepi kuti atseke bala.

Wothandizira adzakufunsani za mbiri yanu yachipatala ndikupanga mayeso a m'mawere.

Ngati mumamwa mankhwala ochepetsa magazi (kuphatikiza ma aspirin, zowonjezera mavitamini, kapena zitsamba), funsani dokotala ngati mukufuna kusiya kumwa izi zisanachitike.

Uzani dokotala wanu ngati mungakhale ndi pakati.

MUSAGWIRITSE mafuta odzola, mafuta onunkhira, ufa, kapena zonunkhiritsa pansi pamanja kapena pachifuwa.

Mankhwala osokoneza bongo akabayidwa, atha kuluma pang'ono.

Mukamachita izi, mutha kumva kupweteka pang'ono kapena kupanikizika pang'ono.

Pambuyo pa kuyezetsa, bere limakhala lopweteka komanso lofewa kufikira masiku angapo. Mupatsidwa malangizo pazomwe mungachite, momwe mungasamalire bere lanu, ndi mankhwala omwe mungamwe ngati mukumva kuwawa.

Mutha kukhala ndi mabala, ndipo padzakhala chilonda chaching'ono pomwe singano idalowetsedwa.

Chifuwa chotsogozedwa ndi ultrasound chitha kuchitidwa kuti chifufuze zovuta zopezeka pa mammogram, bere ultrasound, kapena MRI.

Kuti mudziwe ngati wina ali ndi khansa ya m'mawere, biopsy iyenera kuchitidwa. Minofu yochokera kumalo achilendo imachotsedwa ndikuyesedwa pansi pa microscope.

Zotsatira zabwinobwino zikutanthauza kuti palibe chisonyezo cha khansa kapena mavuto ena amabere.

Wothandizira anu adzakudziwitsani ngati mungafunikire kuyesedwa kwa ultrasound, mammogram kapena mayeso ena.

Biopsy imatha kuzindikira mawere angapo omwe si khansa kapena precancer, kuphatikiza:

• Fibroadenoma (chotupa cha m'mawere chomwe nthawi zambiri sichikhala khansa)
• Mafuta necrosis

Zotsatira za biopsy zitha kuwonetsa zinthu monga:

• Matenda osokoneza bongo
• Atypical lobular hyperplasia
• Lathyathyathya zaminyewa atypia
• Mapulogalamu apamwamba papilloma
• Lobular carcinoma-in-situ
• Chingwe chozungulira

Zotsatira zosazolowereka zitha kutanthauza kuti muli ndi khansa ya m'mawere. Mitundu iwiri yayikulu ya khansa ya m'mawere imapezeka:

• Ductal carcinoma imayamba m'machubu (timadontho) tomwe timasuntha mkaka kuchokera m'mawere kupita kunsonga. Khansa zambiri za m'mawere zimakhala zamtunduwu.
• Lobular carcinoma imayamba m'malo ena a bere otchedwa lobules, omwe amatulutsa mkaka.

Kutengera zotsatira za biopsy, mungafunike kuchitidwa opaleshoni ina kapena chithandizo china.

Wothandizira anu adzakambirana nanu tanthauzo la zotsatira zakufa kwanu.

Pali mwayi wochepa wopatsira kachilomboka pa jekeseni kapena pobowola. Kutaya magazi kwambiri ndikosowa.

Chiwopsezo - bere - ultrasound; Chifuwa chotsogozedwa ndi Ultrasound; Core singano biopsy - ultrasound; Khansa ya m'mawere - chifuwa chachikulu - ultrasound; Matenda osadziwika - chifuwa cha m'mawere - ultrasound

Tsamba la American College of Radiology. ACR chizolowezi chazomwe zimagwiritsidwa ntchito pamagwiridwe anthawi zonse a mawere. www.acr.org/-/media/ACR/Files/Practice-Parameters/us-guidedbreast.pdf. Kusinthidwa 2016.Idapezeka pa Marichi 15, 2019.

Henry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Khansa ya m'mawere. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 88.

Mtsinje J, Brem RF. Chifuwa chochepa kwambiri chotsogozedwa ndi zithunzi komanso kuchotsa. Mu: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, olemba. Zochita Zowongolera Zithunzi. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 155.