I-ultrasound yebele: yenzelwe ini nokuthi uwuqonde kanjani umphumela

-Delile

• Yenzelwe ini
• Kwenziwa kanjani ukuhlolwa
• Imiphumela engenzeka

Ukuhlolwa kwesifuba se-ultrasound kuvame ukucelwa ngudokotela wezifo zabesifazane noma i-mastologist ngemuva kokuzwa noma yisiphi isigaxa ngesikhathi sokushaywa kwebele noma uma i-mammogram ingaphelele, ikakhulukazi kowesifazane onamabele amakhulu futhi onezifo zomdlavuza webele emndenini.

I-Ultrasonography ayifani ne-mammography, futhi ayithathi indawo yalolu vivinyo, ekubeni ukuhlolwa kuphela okwazi ukugcwalisa ukuhlolwa kwebele. Yize lokhu kuhlolwa kungakhomba namaqhuqhuva akhombisa umdlavuza webele, i-mammography isivivinyo esifanelekile kunazo zonke okufanele senziwe kwabesifazane abanomdlavuza webele osolwayo.

Bona ezinye izivivinyo ezingasetshenziswa ukuhlola ubukhona bomdlavuza webele.

Yenzelwe ini

I-ultrasound yamabele ikhonjiswa ikakhulukazi ukuphenya ubukhona bezigaxa zesifuba noma ama-cysts kwabesifazane abanamabele aminyene futhi abasengozini enkulu yomdlavuza webele, njengalabo abanomama noma ogogo nomkhulu abanalesi sifo. Ezinye izimo lapho kungacelwa khona i-ultrasound yebele, uma kwenzeka:

• Ubuhlungu besifuba;
• Izinqubo zokuhlukumezeka noma ukuvuvukala kwesifuba;
• I-nodule ethintekayo nokuqapha i-benign nodule;
• Ukuhlukanisa i-nodule eqinile kusuka ku-cystic nodule;
• Ukuhlukanisa amaqhuqhuva anobungozi futhi abulalayo;
• Ukuthola i-seroma noma i-hematoma;
• Ukusiza ukugcina isifuba noma isigaxa ngesikhathi sokuhlolwa komzimba;
• Ukuhlola isimo sezimila zamabele;
• Uma i-chemotherapy inomphumela olindelwe yi-oncologist.

Kodwa-ke, lokhu kuhlolwa akuyona inketho engcono yokuphenya ngoshintsho olufana nama-microcysts esifubeni, noma yisiphi isilonda esingaphansi kuka-5 mm, kanye nakwabesifazane asebekhulile, abanamabele amabi.

Kwenziwa kanjani ukuhlolwa

Owesifazane kufanele ahlale elele ku-stretcher, ngaphandle kwe-blouse kanye ne-bra, ukuze udokotela adlulise i-gel phezu kwamabele bese kuthi i-ultrasound yebele ifakwe esikhunjeni. Udokotela uzokwehlisa lo mshini phezu kwamabele bese ebuka esikrinini sekhompyutha futhi kunezinguquko ezingakhombisa ushintsho njengomdlavuza webele.

I-Ultrasonography ayikhathazi, futhi ayibangeli buhlungu, njengoba kunjalo nge-mammography, kepha yisivivinyo esinemikhawulo, esingesona isinqumo esingcono kakhulu sokuthola umdlavuza webele kusenesikhathi, ngoba akukuhle ukuhlola ushintsho oluncane kuno-5 mm ububanzi.

Imiphumela engenzeka

Ngemuva kokuhlolwa, udokotela uzobhala umbiko ngalokho akubonile ngesikhathi sokuhlolwa, ngokwesigaba se-Bi-RADS:

• Isigaba 0: Ukuhlolwa okungaphelele, okudinga okunye ukuhlolwa kwesithombe ukuthola izinguquko ezingaba khona.
• Isigaba 1: Umphumela omubi, akukho zinguquko ezitholakele, vele ulandele njalo ngokuya ngeminyaka yowesifazane.
• Isigaba 2: Izinguquko ze-Benign zitholakele, njengama-cysts alula, ama-lymph node we-intramammary, okufakelwa noma izinguquko ngemuva kokuhlinzwa. Imvamisa, lolu hlobo loshintsho lumele amaqhuqhuva anobungozi aqinile azinzile iminyaka emi-2.
• Isigaba 3:Izinguquko zitholakele okungenzeka ukuthi zilungile, ezidinga ukuhlolwa okuphindiwe ezinyangeni eziyi-6, bese kuthi izinyanga eziyi-12, 24 nezingama-36 ngemuva kokuhlolwa okushintshiwe kokuqala. Izinguquko okungenzeka zitholakale lapha kungenzeka kube yizigaxa eziphakamisa ukuthi iyi-fibroadenoma, noma ama-cysts ayinkimbinkimbi futhi aqoqiwe. Ingozi enobungozi efinyelela ku-2%.
• Isigaba 4:Kutholakale okutholakele okusolisayo, futhi kunconywa ne-biopsy. Izinguquko zingaba amaqhubu aqinile ngaphandle kwezimpawu ezisikisela ubungqingili. Lesi sigaba singahlukaniswa futhi sibe yi: 4A - ukusola okuphansi; I-4B - ukusola okuphakathi, ne-4C - ukusola okulingene. Ubungozi obubi be-3% kuya ku-94%, kuyadingeka ukuphinda ukuhlolwa ukuqinisekisa ukuxilongwa.

• Isigaba 5: Kutholwe izinguquko ezinqala, kusolwa kakhulu ukuthi ziyingozi. Kudingeka i-biopsy, lapho kwenzeka ukuthi isigaxa sinamathuba angama-95% okuba sibi.
• Isigaba 6:Umdlavuza webele oqinisekisiwe, ulinde ukwelashwa okungaba ukwelashwa ngamakhemikhali noma ukuhlinzwa.

Kungakhathaleki ukuthi uthini umphumela, kubaluleke kakhulu ukuthi ukuhlolwa kuhlolwe njalo ngudokotela owucelile, ngoba ukuxilongwa kungahluka ngokuya ngomlando wezempilo wowesifazane ngamunye.