I-ultrasound yebele: yeyantoni kwaye ungasiqonda njani isiphumo

Umxholo

• Yenzelwe ntoni
• Luqhutywa njani uviwo
• Iziphumo ezinokubakho

Uviwo lwe-ultrasound lwebele luhlala lucelwa ngugqirha wezifo zabasetyhini okanye isazi se-mastologist emva kokuziva nasiphi na isigaqa ngexesha lokuchana kwebele okanye ukuba i-mammogram ayihambelani, ngakumbi kumfazi onamabele amakhulu kwaye unamatyala omhlaza webele kusapho.

I-Ultrasonografi ayifani ne-mammografi, kwaye ayithathi ndawo kolu vavanyo, kuba luvavanyo kuphela olunakho ukuncedisa kuvavanyo lwebele. Nangona olu vavanyo lunokuchonga amaqhuqhuva anokubonisa umhlaza webele, i-mammography lolona vavanyo lufanelekileyo olwenziwa kwabasetyhini abanomhlaza webele.

Jonga ezinye iimvavanyo ezinokusetyenziselwa ukuvavanya ubukho bomhlaza wamabele.

Yenzelwe ntoni

I-ultrasound yamabele iboniswa ngokukodwa ukuphanda ubukho bezigaxa zesifuba okanye ii-cysts kwabasetyhini abanesifuba esixineneyo kwaye abasemngciphekweni omkhulu womhlaza wamabele, njengabo banomama okanye ootatomkhulu noomakhulu abanesi sifo. Ezinye iimeko apho kunokucelwa i-ultrasound yamabele, kwimeko ye:

• Iintlungu zebele;
• Ukwenzakala okanye ukudumba iinkqubo ibele;
• I-nodule enokubambeka kunye nokubeka iliso kwi-nodule enobungozi;
• Ukwahlula i-nodule eqinileyo kwi-cystic nodule;
• Ukwahlula amaqhuqhuva amabi namabi;
• Ukufumana i-seroma okanye i-hematoma;
• Ukunceda ukujonga isifuba okanye iqhuma ngexesha le-biopsy;
• Ukujonga imeko yezimiliselo zamabele;
• Ukuba i-chemotherapy inesiphumo esilindelweyo yi-oncologist.

Nangona kunjalo, olu vavanyo alukho ukhetho olungcono lokuphanda utshintsho olufana nee-microcysts ebeleni, nasiphi na isilonda esincinci kune-5 mm, kunye nakwabasetyhini abadala, abanamabele amabi.

Luqhutywa njani uviwo

Umfazi kufuneka ahlale elele kwi-stretcher, ngaphandle kwe-blouse kunye ne-bra, ukuze ugqirha adlulise i-gel ngaphezulu kwamabele kwaye emva koko isixhobo se-ultrasound sesifuba sidityaniswe nolusu. Ugqirha uza kusilayida esi sixhobo phezu kwamabele kwaye abukele kwiscreen sekhompyuter kwaye kukho utshintsho olunokubonisa utshintsho olufana nomhlaza wamabele.

I-Ultrasonografi ayonwabisi, kwaye ayibangeli zintlungu, njengoko kunjalo nge-mammography, kodwa luvavanyo olunemiqobo, hayi olona khetho lufanelekileyo lokufumanisa umhlaza wamabele kwangoko, kuba ayilunganga ukujonga utshintsho oluncinci kune-5 mm enobubanzi.

Iziphumo ezinokubakho

Emva kovavanyo, ugqirha uza kubhala ingxelo malunga noko akubonileyo ngexesha lovavanyo, ngokwe-Bi-RADS yokuhlelwa:

• Udidi 0: Uvavanyo olungaphelelanga, olufuna olunye uvavanyo lomfanekiso ukuze lubone utshintsho olunokwenzeka.
• Udidi 1: Iziphumo ezingalunganga, akukho lutshintsho lufunyenweyo, landela nje rhoqo ngokwexesha lobudala bomfazi.
• Udidi 2: Utshintsho lweBenign lufunyenwe, njengama-cysts alula, i-intramammary lymph node, implants okanye utshintsho emva kotyando. Ngokwesiqhelo, olu hlobo lotshintsho lubonisa amaqhuqhuva anobungozi azinzileyo iminyaka emi-2.
• Udidi 3:Utshintsho lufunyenwe olunokuba lulungile, lufuna uviwo oluphindaphindiweyo kwiinyanga ezi-6, emva koko i-12, 24 kunye ne-36 yeenyanga emva kovavanyo lokuqala olutshintshileyo. Utshintsho olunokuba lufunyenwe apha lunokuba ziimodyuli ezibonisa ukuba yi-fibroadenoma, okanye ii-cysts ezinzima kunye namaqela. Umngcipheko wobubi ukuya kuthi ga kwiipesenti ezi-2.
• Udidi 4:Iziphumo ezifumanekayo zafunyanwa, kwaye i-biopsy iyacetyiswa. Utshintsho lunokuba ngamaqhuqhuva aqinileyo ngaphandle kweempawu ezibonisa ubungqongqo. Eli candelo lingahlulwa kwakhona kwi: 4A - ukukrokra okuphantsi; I-4B - ukusola okuphakathi, kunye ne-4C - urhano olulinganiselweyo. Umngcipheko wobubi yi-3% ukuya kwi-94%, iyimfuneko ukuphinda uviwo ukuqinisekisa isifo.

• Udidi 5: Utshintsho olunzulu lwafunyanwa, kukrokrelwa ukuba kubi. I-biopsy iyafuneka, kwimeko apho isigaxa sinethuba le-95% lokuba libi.
• Udidi 6:Umhlaza webele oqinisekisiweyo, ulindele unyango olunokuba yichemotherapy okanye utyando.

Nokuba siphi na isiphumo, kubaluleke kakhulu ukuba uvavanyo luhlale luvavanywa ngugqirha obelucelile, kuba isifo sinokuhluka ngokwembali yezempilo yowasetyhini ngamnye.