Chiberekero cha m'mawere: ndichiyani komanso kuti mumvetse bwanji zotsatirazo

Zamkati

• Ndi chiyani
• Momwe mayeso amachitikira
• Zotsatira zotheka

Kufufuza kwa bere la ultrasound nthawi zambiri kumafunsidwa ndi a gynecologist kapena a mastologist atamva chotupa chilichonse pakamagwira bere kapena ngati mammogram siyikudziwika, makamaka kwa mayi yemwe ali ndi mabere akulu ndipo ali ndi vuto la khansa ya m'mawere m'banja.

Ultrasonography siyofanana ndi mammography, komanso siyilowa m'malo moyezetsa, pokhala mayeso okha omwe amatha kukwaniritsa kuwunika kwa m'mawere. Ngakhale kuti mayeserowa amathanso kuzindikira mitsempha yomwe ingawonetse khansa ya m'mawere, mammography ndiyeso loyenera kwambiri kuchitidwa kwa amayi omwe ali ndi khansa ya m'mawere.

Onani mayeso ena omwe angagwiritsidwe ntchito kuwunika kupezeka kwa khansa ya m'mawere.

Ndi chiyani

Mawere a m'mawere amawonetsedwa makamaka kuti afufuze kupezeka kwa zotupa za m'mawere kapena zotupa mwa azimayi omwe ali ndi mawere owopsa komanso omwe ali pachiwopsezo chachikulu cha khansa ya m'mawere, monga omwe ali ndi amayi kapena agogo awo omwe ali ndi matendawa. Nthawi zina komwe ma ultrasound angafunsidwe, ndi ngati:

• Kupweteka pachifuwa;
• Zoopsa kapena zotupa za m'mawere;
• Palpable nodule ndi kuwunika benign nodule;
• Kusiyanitsa nodule yolimba kuchokera ku cystic nodule;
• Kusiyanitsa chotupa chosaopsa ndi chowopsa;
• Kuti mupeze seroma kapena hematoma;
• Kuthandiza kusunga bere kapena chotupa panthawi yolemba;
• Kuti muwone momwe amadzala m'mawere;
• Ngati chemotherapy ikukhala ndi zotsatira zoyembekezeredwa ndi oncologist.

Komabe, mayeserowa si njira yabwinoko yofufuzira zosintha monga ma microcysts m'chifuwa, zotupa zilizonse zochepa kuposa 5 mm, komanso azimayi achikulire, omwe ali ndi mabere olakwika.

Momwe mayeso amachitikira

Mkazi ayenera kukhalabe atagona pabedi, wopanda bulawuzi ndi kamisolo, kotero kuti dotolo adutse gel osunga mabere kenako chida cha mawere cha ultrasound chimayanjanitsidwa ndi khungu. Adotolo azigwiritsa ntchito chipangizochi pachifuwa ndikuwonera pakompyuta ndipo pali zosintha zomwe zitha kuwonetsa kusintha monga khansa ya m'mawere.

Ultrasonography siyovuta komanso siyimitsa kupweteka, monganso momwe zimakhalira ndi mammography, koma mayeso ndi omwe ali ndi malire, osakhala njira yabwino yodziwira khansa ya m'mawere koyambirira, chifukwa sibwino kuwunika zosintha zazing'ono kuposa 5 mm awiri.

Zotsatira zotheka

Pambuyo pakuyezetsa, adokotala adzalemba lipoti pazomwe adawona pakuyesa, malinga ndi gulu la Bi-RADS:

• Gawo 0: Kuwunika kosakwanira, komwe kumafunikira kuyesanso kwazithunzi kuti muwone zosintha zomwe zingachitike.
• Gawo 1: Zotsatira zoyipa, palibe zosintha zomwe zidapezeka, ingotsatira nthawi zonse malinga ndi msinkhu wa mkaziyo.
• Gawo 2: Kusintha kwa Benign kunapezeka, monga ma cyst osavuta, ma intramammary lymph node, ma implants kapena kusintha atachita opaleshoni. Kawirikawiri, kusintha kotereku kumaimira mitsempha yolimba yomwe imakhala yolimba kwa zaka ziwiri.
• Gawo 3:Zosintha zidapezeka zomwe mwina ndizabwino, zomwe zimafunikira kuyesedwa mobwerezabwereza m'miyezi 6, kenako miyezi 12, 24 ndi 36 pambuyo pakuwunika koyambirira. Zosintha zomwe mwina zapezeka pano zitha kukhala ma nodule omwe akuwonetsa kuti ndi fibroadenoma, kapena ma cysts ovuta komanso am'magulu. Chiwopsezo chofika 2%.
• Gawo 4:Zotsatira zokayikitsa zidapezeka, ndipo biopsy ikulimbikitsidwa. Zosinthazi zitha kukhala ma nodule olimba opanda mawonekedwe owonetsa kuwopsa. Gawoli litha kugawidwa mu: 4A - okayikira pang'ono; 4B - kukayikira kwapakatikati, ndi 4C - kukayikira pang'ono. Kuopsa koopsa kwa 3% mpaka 94%, kukhala kofunikira kubwereza mayeso kuti atsimikizire matendawa.

• Gawo 5: Zosintha zazikulu zidapezeka, ndikukayikira kwakukulu kuti ndi zoyipa. Biopsy imafunikira, momwemo chotupacho chimakhala ndi mwayi wa 95% wokhala woyipa.
• Gawo 6:Khansa ya m'mawere yotsimikizika, kudikirira chithandizo chomwe chingakhale chemotherapy kapena opaleshoni.

Mosasamala kanthu za chotulukapo chake, ndikofunikira kwambiri kuti kuyezetsa kuyesedwe nthawi zonse ndi dotolo amene adamupempha, popeza matendawa amatha kusiyanasiyana kutengera mbiri ya mzimayi aliyense.