Zojambula Zogwiritsira Ntchito Zothandiza Kuchiza Mankhwala a khansa
Eva poyamba anapeza kuti ali ndi chotupa cha khansa ya m'mawere . Monga mbali ya matendawa, iye anali ndi mawere a MRIs awiri omwe amachitidwa kuti amuthandize dokotalayo kuti aone ngati maselo a kansa anali atalalika kuchokera ku chotupa chachikulu (anali nacho) kotero kuti atsimikizidwe kuti azitha kuika opaleshoni yoyera. MRI yake inapanga chithunzi cha katatu, kutanthauza kuti si 3cm, monga momwe mammogram ake adasonyezera, koma adalidi 5cm, zomwe zinasintha mapulani ake - ndi moyo wake.
Pofuna kukuthandizani kumvetsetsa zambiri zokhudza kugwiritsidwa ntchito kwa ma CRM komanso njira zothandizira, ndinayang'ana zomwe akatswiri amanena pa UpToDate - mawu ovomerezeka omwe amagwiritsidwa ntchito ndi ambiri oncologists omwe amachititsa odwala khansa ya m'mawere.
Mukhoza kapena simusowa mRI ya m'mawere . Koma muyenera kudziwa kukula, kukula kwake, ndi malo a khansa yanu. Yambani mwa kuwerenga ichi kuti muwone chifukwa chake mawere a MRI angakhale ofunika kwa inu.
Kuzindikira Khansa ya M'thupi: Zokambirana za M'thupi la Mbuzi Kuchokera Kumtundu Wathu
"Maganizo a magnetic resonance (MRI) amagwiritsira ntchito maginito amphamvu kuti apange chithunzi chapadera cha thupi. Sichigwiritsa ntchito ma-ray kapena ma radiation. MRI sichivomerezeka kuti azindikire khansa ya m'mawere mwa amayi onse chifukwa si bwino ngati mammogram ena a m'mawere, monga ductal carcinoma in situ (mtundu wa khansa yosatetezeka kapena oyambirira).Udindo wa mawere a MRI kuti azindikire ndi kusamalira khansa ya m'mawere ikusintha, ndipo pali kusagwirizana kuti amayi ayenera kuchita chiyani m'thupi la MRI kuphatikizapo mammography. "
Kodi MRI Yachiberekero Ndi Chiyani?
Kujambula kwa maginito (MRI) ndi njira yosaganizira yosagwiritsa ntchito, x-rays, kapena radiation. MRI imapanga chithunzithunzi cha tsatanetsatane wa zomangidwe za mkati mwanu. Makina ambiri a MRI amapanga chithunzi cha digito, chimene katswiri wa zamagetsi amatha kuchifufuza pa kompyuta, kapena kusindikiza kuti aphunzire.
Chithunzi cha mtundu uwu chikhoza kuchitika ndi popanda kugwiritsa ntchito chojambulira chosiyana .
Nchifukwa chiyani Amayi a Amayi Amagwiritsidwa Ntchito Monga Mbali Yopangidwira Kuzindikira?
Muli kale ndi mammogram , ndipo mwinamwake ultrasound ndi biopsy . Matenda a MRI angaperekedwe kwa odwala ena, kuti adziwe zambiri za khansara yanu, kapena kuona ngati zotupa zikuyankha mankhwala. Mammograms ndi otsika mtengo kuposa MRIs, ndipo ndi bwino kupeza DCIS komanso mawerengedwe . Matenda a Miri amatha kufotokozera mawere awiri kamodzi, ndipo amagwira bwino ngakhale ndi minofu yambiri. Ndi bwino kupeza khansa ya m'mawere yopweteka , kuganizira zozungulira ma implants , ndikuwona kufalikira kwa khansara kupitirira chifuwa chachikulu. Matenda a MRI amathandizanso kupeza khansa yosadziŵika bwino m'mafupa ena, omwe amatha kulandira mankhwala oyambitsa matendawa nthawi yomweyo. Kwa amayi omwe ali pachiopsezo chachikulu cha khansa ya m'mawere , MRI ingakhale njira yabwino yowonekera pachifuwa ndi axilla .
Ndani Angayesedwe MRI Yachiberekero?
Mammograms akadali njira yoyesera yogwiritsira ntchito khansa ya m'mawere, ndipo bere la MRI limagwiritsidwa ntchito makamaka monga chowonjezera ku mammografia. Kwa atsikana omwe ali ndi majeremusi a BRCA , MRI ingagwiritsidwe ntchito ngati kuyesera khansa ya m'mawere, kuti ione mkati mwa minofu yambiri yamphongo imene ingabisala misala.
Pofuna kugwiritsira ntchito, chifuwa cha MRI chikhoza kugwiritsidwa ntchito pazifukwa izi:
- Ngati mayi atha kutupa minofu yam'mimba , koma palibe chifuwa chodziwika bwino cha m'mawere, ndiye kuti MRI ingagwiritsidwe ntchito kuyang'anitsitsa mbuzi yake kuti ione ngati chotupa chochepa chiripo, ndipo chikhoza kutaya maselo ku nkhono.
- Mayi watsopano amene ali ndi mawere wambiri, sangathe kupereka malangizo oyenera kwa dokotalayo. Choncho MRI ikhoza kuchitidwa kuti mudziwe zambiri zamakono.
- Zotsatira za biopsy zimasonyeza chifuwa chachikulu kuposa mamemogram, MRI ikhoza kuthandiza mapu kukula ndi malo a chotupacho. Izi zimakhudza chisankho chanu chokhudza minofu yambiri yomwe imayenera kuchotsedwa - lumpectomy kapena mastectomy .
- Ngati zikuwoneka kuti pali chotupa choposa chimodzi m'matumbo omwewo, MRI ingathandize chithunzi kukula ndi kugonana kwa mimba zambiri, komanso kuthandizira kupanga opaleshoni yoyenera kuchotsa zotupazo.
Musanapange chisankho chanu pa opaleshoni imene mungachite, inu ndi dokotala wanu mukufunikira kudziwa zambiri za khansa yanu ngati n'kotheka. Ngati muli ndi matenda ozindikira a DCIS, ndipo mammogram yanu imapereka chithunzithunzi cha chotupa chanu, ndiye dokotala wanu opaleshoni amakhala ndi zambiri zomwe zingathetsere khansa. Koma ngati mammogram anu sapereka zambiri, kapena dokotala wanu kapena radiologist ali ndi nkhawa zambiri za kukula ndi malo a khansa, ndiye kuti mungapindule ndi bere la MRI.
Koma Eva, adasankha kuti adziyese matenda a kachipatala, ndipo adatenga mankhwala atsopano omwe anathyola chifuwa chake kwambiri, asanachite opaleshoni ya m'mawere. Anali ndi kachilombo koyendetsa MRI, komwe kankazindikira kuti pulogalamu ya satana imatha. Mwamwayi, zilonda zinazo zinatheratu pa mankhwala a chemotherapy. MRI yake inali yovuta kwambiri pa zosankha zake.
Mukufuna kuphunzira zambiri? Onani mutu waToDate , "Kuzindikira Khansa ya M'thupi: Kukambitsirana kwa Breast MRI," kuti mudziwe zambiri zamakono zokhudza matenda a kansa ya m'mawere, kuphatikizapo akatswiri a udokotala.
Chitsime:
Diane MF Savarese, Leah K Moynihan, "Kuzindikira Khansa Yamtundu: A Kukambirana kwa Breast MRI," UpToDate. Kupezeka: February 2009.