I-Sono-mammography ukuhlolwa kwe-ultrasound okwenziwa ukuze kutholwe izixuku ezingavamile noma ukukhula, okufana izimila zomdlavuza, emabeleni. Umdlavuza webele yisifo esisongela ukuphila esingelapheka ngokuphumelelayo uma sitholwa kusenesikhathi. Ukuhlolwa kwe-Sono-mammography kusiza ekutholeni izimila ezinjalo, ezingase zitholwe ngokunembile nge-biopsy futhi zikhishwe ngokuhlinzwa.
I-Sono-mammography iyindlela yokuthwebula esetshenziselwa ukuhlola nokuhlola izimila ezinomdlavuza emabeleni. Kuyasiza ukuveza ubugaxa obujwayelekile esicutshini sebele. Inhloso yokuhlolwa kwe-Sono-mammography ukusiza ekuxilongeni uquqaba noma ukukhula emabeleni, okuhlanganisa nalawo angena emakhwapheni futhi angase abe nomdlavuza. I-Sono mammography nayo ingaqondisa a i-biopsy. Lokhu kuhlola kuyindlela ephephile nesebenzayo yokuhlonza izigaxa zamabele.
Ukuhlolwa kwe-breast ultrasound, noma ukuhlolwa kwe-Sono-mammography, kungase kunconywe udokotela ngenxa yezizathu eziningi, kuhlanganise nalezi ezilandelayo:
Azikho izidingo eziqondile zokuhlolwa kwe-Sono-mammography; ukuhlolwa okulula kwe-ultrasound. Lokhu kuhlola kuvamise ukwenziwa endaweni yomtholampilo, ngokuvamile elabhorethri ye-radiology, futhi kwenziwa isazi se-radiologist. Isiguli esihlolwayo sidinga ukulala etafuleni lokuhlola. Udokotela we-radiologist ube esesebenzisa ijeli endaweni yebele ukuze ihlolwe futhi asebenzise uphenyo olukhethekile. I-probe iyithuluzi eliwumugqa, elinemvamisa ephezulu elisetshenziselwa ukuskena indawo yonke yesifuba kanye namakhwapha ukuze kubhekwe noma yiziphi izigaxa kulezi zindawo.
Ukuhlolwa kwe-Sono-mammography kungenye yezindlela zokuhlola ezisebenza kahle kakhulu ezisetshenziselwa ukubona izigaxa emabeleni. Lokhu kuhlolwa kunconywa ngokuyinhloko kwabesifazane abahlangabezana nezimpawu zomdlavuza webele. Kungasiza odokotela ukuthi bahlonze noma bakhiphe umdlavuza webele, okungaba yinzuzo ekwenzeni uhlelo olufanele lokwelapha lweziguli ezinomdlavuza webele oqinisekisiwe. Ukutholwa kusenesikhathi nokwelashwa kubalulekile ukuze kuthuthukiswe amathuba okuphumelela ekwelashweni komdlavuza webele.
Ngaphambi kokuhlolwa kwe-Sono-mammography, awekho amalungiselelo akhethekile adingekayo. Ingenziwa ngisho nalapho umuntu esesikhathini.
Imiphumela yokuhlolwa kwe-Sono-mammography ibikwa ngokususelwe ku-Breast imaging Reporting and Data System noma indlela ye-BI-RADS. Ngokwale ndlela, imiphumela yokuhlolwa kwe-Sono-mammography ikalwa esikalini ukusuka ku-0 kuye ku-6.
Imiphumela yokuhlolwa kwe-Sono-mammography ingase itholakale ezinsukwini ezimbalwa, ngokuvamile emasontweni amabili, ngemva kokuhlolwa. Imiphumela yokuhlolwa kwe-Sono-mammography ingahunyushwa kangcono ngudokotela. Ukuze uthole ireferensi, izincazelo zamanani okuhlolwa kwe-Sono-mammography kunikezwa ngezansi.
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IF. Cha. |
Inani (BI-RADS 0-6) |
Ukuhunyushwa |
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1. |
I-BI-RADS 0 |
Lokhu kusho ukuthi izazi ze-radiologist kungenzeka zithole indawo engase ibe nokungajwayelekile kodwa izithombe ezikhethekile ziyadingeka ukuze kuhlolwe indawo. |
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2. |
I-BI-RADS 1 (negative) |
Lokhu kubonisa ukuthi akukho okungavamile okutholakele mayelana nobuningi, izakhiwo ezihlanekezelwe noma ukubala okusolisayo. |
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3. |
I-BI-RADS 2 |
Lokhu kubonisa ukutholakala kwesakhiwo esihle ebeleni, njengama-cysts, ama-lymph nodes, nokubala okungahambi kahle. |
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4. |
I-BI-RADS 3 |
Okutholakele kulesi sigaba kubonisa izigaxa ezinhle noma ama-cyst anesiqinisekiso esingaphezu kuka-98%. Izigaxa kulesi sigaba zingaphinde zihlolwe futhi ziqashwe ukuze kuqinisekiswe ukuthi azishintshi ngokuhamba kwesikhathi. |
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5. |
I-BI-RADS 4 |
Izigaxa zamabele ezitholakala kulesi sigaba sokuhlolwa kwe-Sono-mammography zibonisa amathuba okuba nomdlavuza webele. I-biopsy yezicubu zamabele ingase ituswe. |
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6. |
I-BI-RADS 5 |
Izigaxa ezitholakala kulesi sigaba zinethuba eliphezulu lokuba yingozi (umdlavuza), futhi ukuhlolwa kwe-biopsy kungase kunconywe kakhulu. |
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7. |
I-BI-RADS 6 |
Ukuhlolwa kwe-Sono-mammography kuleli qophelo kuvame ukwenziwa ngemva kokuba umdlavuza usutholakele futhi uselashwa. Kulesi sigaba, i-Sono-mammography ingenziwa ukuze kuqashwe ukusebenza kokwelashwa komdlavuza. |
Ukuhlolwa kwe-Sono-mammography ukuhlolwa kokuxilonga okusetshenziselwa ukuthola izinto ezingavamile emabeleni, njengezigaxa namaqhubu, kwabesifazane abasethubeni elikhulu lokuba nomdlavuza webele noma labo ababonisa izimpawu zomdlavuza webele noma abalashelwa wona. Imiphumela yokuhlolwa iyatholakala ezinsukwini ezimbalwa futhi iyindlela enhle kakhulu yokulandelela ukuqhubeka kwe ukwelashwa umdlavuza webele. Izindleko zokuhlolwa kwe-Sono-mammography zingasukela ku-Rs. 900 kuya ku-Rs. 1500.
Bhuka isikhathi sokuhlolwa kwe-Sono-mammography eduze kwami e-CARE Hospitals namuhla ukuze uthole ukuhlolwa nokuxilongwa komdlavuza webele ongcono kakhulu.
Izimpendulo. Umehluko oyinhloko phakathi kwenqubo ye-Sono-mammography kanye ne-mammogram ukuthi inqubo ye-Sono-mammography, amagagasi e-ultrasound asetshenziselwa ukukhiqiza izithombe zezakhiwo zezicubu zesifuba, kuyilapho i-mammogram isebenzisa imisebe ukuze ikhiqize ukubonakala okufanayo. Nokho, izithombe ezikhiqizwa i-mammogram zinemininingwane eminingi kunalezo ezikhiqizwa inqubo ye-Sono-mammography.
Izimpendulo. Ukuhlolwa kwe-Sono-mammography noma i-mammogram ngokuvamile kunikeza imiphumela phakathi kwamaviki angu-2 ngemva kwenqubo.
Izimpendulo. Inqubo ye-Sono-mammography (ultrasound) ingasiza ekuboneni izigaxa endaweni engaphandle yezicubu zamabele, kodwa ingase ingakwazi ukubona izigaxa ngaphakathi kwezicubu eziminyene noma ezijulile zebele. I-mammogram, ngakolunye uhlangothi, iyakwazi ukubona lezi zigaxa futhi ingaveza ngisho nemininingwane ecolekile njengamadiphozi e-calcium azungeze isimila.
Izimpendulo. Ukuhlolwa kwe-Sono-mammography kuthathwa njengenqubo ephephile kune-mammogram evamile. Inqubo ye-Sono-mammography ayidingi ukusebenzisa imisebe engase ibangele umonakalo ezicutshini ezibucayi zebele kodwa i-mammogram evamile isebenzisa imisebe. Ngakho-ke, ukuhlolwa kwe-Sono-mammography kuyindlela ephephile.