Created at:1/13/2025
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ʻO ka mammogram 3D, i kapa ʻia hoʻi he digital breast tomosynthesis, he hoʻokolohua kiʻi umauma holomua e hana ana i nā kiʻi kikoʻī a papa o kou ʻiʻo umauma. E noʻonoʻo e like me ka lawe ʻana i nā ʻāpana lahilahi he nui o kou umauma a hoʻopaʻa iā lākou e ʻike i nā ʻiʻo e uhi ana i kekahi i kekahi e hiki ke hūnā i nā pilikia i nā mammograms kuʻuna.
Kōkua kēia ʻenehana hou i nā kauka e ʻike i ka maʻi maʻi umauma ma mua a hoʻemi i ka pono no nā hoʻokolohua e hiki mai ana. Nui nā wahine i ʻike i ka hāʻawi ʻana o nā mammograms 3D iā lākou i ka hilinaʻi nui i kā lākou hopena screening no ka mea hāʻawi lākou i nā kiʻi maopopo a kikoʻī.
Hoʻohana ka mammogram 3D i nā X-ray haʻahaʻa e hopu i nā kiʻi he nui o kou umauma mai nā kihi like ʻole. Neʻe ka mīkini i kahi arc liʻiliʻi ma luna o kou umauma, e kiʻi ana i nā kiʻi i kēlā me kēia mau millimeters e hana i kahi hiʻohiʻona ʻekolu-dimensional.
ʻAʻole like me nā mammograms 2D kuʻuna e palahalaha i kou ʻiʻo umauma i hoʻokahi kiʻi, hiki i nā mammograms 3D ke ʻae i nā radiologists e nānā i kou ʻiʻo umauma ma ka papa. ʻO ia hoʻi, hiki iā lākou ke ʻike ma o ka ʻiʻo umauma paʻa a ʻike i nā mea ʻokoʻa liʻiliʻi e hiki ke hūnā ʻia ma hope o nā ʻiʻo ʻē aʻe.
He mea kōkua nui ka ʻenehana no nā wahine me ka ʻiʻo umauma paʻa, kahi e hiki ai i nā ʻiʻo maʻamau ke uhi a paʻakikī ke ʻike i ka maʻi maʻi. Hōʻike nā haʻawina i ka loaʻa ʻana o nā mammograms 3D ma kahi o 40% ʻoi aku ka nui o nā maʻi maʻi umauma invasive i hoʻohālikelike ʻia me nā mammograms 2D wale nō.
Hana nui ʻia nā mammograms 3D no ka screening maʻi maʻi umauma a no ka noiʻi ʻana i nā pilikia umauma me ka maikaʻi. He mea waiwai lākou no ka mea hiki iā lākou ke ʻike i nā maʻi maʻi e hiki ke hala i nā mammograms kuʻuna, ʻoiai i ka ʻiʻo umauma paʻa.
Hiki i kāu kauka ke ʻōlelo i kahi mammogram 3D inā he ʻiʻo umauma paʻa kou, e pili ana i ka 40% o nā wahine ma luna o 40. Hōʻike ka ʻiʻo paʻa i ke keʻokeʻo ma nā mammograms, e like me nā ʻōpū, e paʻakikī ai ka ʻike ʻana i nā pilikia me ke kiʻi 2D maʻamau.
Hiki nō iā ʻoe ke loaʻa i ka mammogram 3D inā he moʻolelo ʻohana kou o ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian, lawe i nā hoʻololi genetic e like me BRCA1 a i ʻole BRCA2, a i ʻole i loaʻa i nā biopsy umauma ma mua. Koho kekahi mau wahine i nā mammogram 3D no ka maluhia o ka noʻonoʻo e hele mai ana me ka nānā ʻana i nā kikoʻī.
Hoʻohana ʻia ka ʻenehana no nā kumu diagnostic ke loaʻa iā ʻoe nā hōʻailona e like me nā puʻupuʻu umauma, ka ʻeha, a i ʻole ka hoʻokuʻu ʻana o ka nipple. I kēia mau hihia, kōkua nā kiʻi kikoʻī i nā kauka e hoʻoholo i ka mea e hana nei i kāu mau hōʻailona a inā pono ka hoʻāʻo hou.
Ua like loa ke kaʻina hana mammogram 3D me ka mammogram kuʻuna, e lawe ana ma kahi o 10-15 mau minuke. E wehe ʻoe i nā lole mai ka pūhaka a i luna a e ʻaʻahu i ka ʻaʻahu haukapila e wehe ana ma mua, e like me nā mammogram maʻamau.
Eia ka mea e hana ʻia i ka wā o kāu mammogram 3D:
Hiki i ka ʻomi ke ʻoluʻolu ʻole, akā pono ia e hohola like i ka ʻiʻo a loaʻa nā kiʻi maopopo. Hōʻike ka hapa nui o nā wahine i ka ʻoluʻolu ʻole ma ke ʻano he kaomi pōkole ma mua o ka ʻeha. ʻO ka hana kiʻi holoʻokoʻa e lawe maʻamau ma lalo o 10 mau minuke.
Hiki iā ʻoe ke hoʻomau i nā hana maʻamau ma hope koke o kāu mammogram. Loaʻa nā hopena i loko o kekahi mau lā, a e hoʻokaʻaʻike kāu kauka iā ʻoe me nā ʻike.
He hoʻomākaukau no ka mammogram 3D he mea maʻalahi a like me ka hoʻomākaukau ʻana no kekahi mammogram. ʻO ka mea nui loa, ʻo ia ka hoʻonohonoho ʻana i kāu manawa no ka manawa kūpono i kāu pōʻai menstrual inā e loaʻa ana kāu mau manawa.
Eia nā ʻanuʻu hoʻomākaukau nui e kōkua i ka hōʻoia ʻana i ka ʻike maikaʻi loa:
Inā hopohopo ʻoe e pili ana i ke kaʻina hana, e noʻonoʻo e lawe i kahi mea hōʻoluʻolu ʻeha ma luna o ka pāʻālua ma kahi o hoʻokahi hola ma mua o kāu manawa. Nui nā wahine i ʻike e kōkua ana kēia i ka hōʻemi ʻana i kekahi ʻoluʻolu mai ka compression.
E lawe mai i kāu mau kiʻi mammogram ma mua inā e hele ana ʻoe i kahi keʻena hou. Kōkua kēia i nā radiologists e hoʻohālikelike i kāu mau kiʻi i kēia manawa me nā mea i hala e ʻike i nā loli i ka manawa.
E hele mai kāu mau hopena mammogram 3D ma ke ʻano o kahi hōʻike mai ka radiologist nāna i nānā i kāu mau kiʻi. Hoʻohana ka hōʻike i kahi ʻōnaehana maʻamau i kapa ʻia ʻo BI-RADS (Breast Imaging Reporting and Data System) e hoʻokaʻawale i nā mea i loaʻa.
Eia ke ʻano o nā ʻano BI-RADS like ʻole no ʻoe:
ʻO ka hapa nui o nā hopena mammogram e hāʻule i loko o nā mahele 1 a i ʻole 2, ʻo ia hoʻi ke nānā maʻamau nā mea a pau a i ʻole e hōʻike ana i nā loli ʻaʻole maʻi ʻaʻai. Inā loaʻa iā ʻoe kahi BI-RADS 0, mai hopohopo - ʻo ia wale nō ke ʻano o ka pono o ka radiologist i nā hiʻohiʻona hou a i ʻole nā kiʻi like ʻole e kiʻi i kahi kiʻi piha.
E wehewehe kāu kauka i ke ʻano o kāu mau hopena kikoʻī a kūkākūkā i nā hana e hiki mai ana. E hoʻomanaʻo, ʻoiai inā pono ka hoʻāʻo hou ʻana, ʻo ka hapa nui o nā mea ʻokoʻa o ka umauma e lilo i mea maikaʻi.
Hāʻawi nā mammograms 3D i nā mea maikaʻi nui ma luna o nā mammograms 2D kuʻuna, e lilo ana lākou i koho maikaʻi loa no ka nānā ʻana i ka maʻi ʻaʻai umauma. ʻO ka pōmaikaʻi nui loa ka hoʻomaikaʻi ʻana i ka ʻike ʻana i ka maʻi ʻaʻai, ʻoiai i nā wahine me ka ʻiʻo umauma paʻa.
Eia nā pōmaikaʻi nui e hiki iā ʻoe ke manaʻo mai ka mammography 3D:
He mea nui ka hoʻemi ʻana i nā mea maikaʻi ʻole no ka mea, ʻo ia hoʻi ka liʻiliʻi o nā lā hopohopo e kali ana i nā hoʻokolohua hou e hōʻike ana i nā mea a pau. ʻO kēia hoʻomaikaʻi ʻana i ka pololei e pōmaikaʻi i kou maluhia o ka noʻonoʻo a me ka ʻōnaehana mālama ola.
No nā wahine me ka ʻiʻo umauma paʻa, hiki i nā mammograms 3D ke hoʻololi i ke ola. Hiki i ka ʻiʻo paʻa ke hūnā i nā maʻi maʻi ma nā mammograms kuʻuna, akā ʻo ke kiʻi papa o ka ʻenehana 3D e kōkua i nā radiologists e ʻike ma o kēia ʻiʻo me ka maopopo.
He palekana loa nā mammograms 3D, me nā pilikia liʻiliʻi no ka hapa nui o nā wahine. ʻOi aku ka kiʻekiʻe o ka ʻike ʻana i ka radiation ma mua o nā mammograms kuʻuna, akā ua manaʻo ʻia he haʻahaʻa loa a palekana no ka nānā mau.
ʻO ka mahele radiation mai ka mammogram 3D e like me ka mea āu e loaʻa ai mai ka radiation maoli i nā pule ʻehiku. Ua manaʻo ʻia kēia hoʻonui liʻiliʻi i ka radiation i mea e ʻae ʻia ai i nā pōmaikaʻi nui i ka ʻike ʻana i ka maʻi maʻi.
Eia nā palena nui a me nā mea e noʻonoʻo ai:
He mea nui e maopopo ʻaʻole hemolele kekahi hoʻokolohua kānana. ʻOiai he maikaʻi loa nā mammograms 3D i ka ʻike ʻana i ka maʻi maʻi umauma, ʻaʻole hiki iā lākou ke ʻike i nā maʻi maʻi a pau. ʻAʻole ʻike ʻia kekahi mau maʻi maʻi ma kekahi ʻano mammogram, ʻo ia ke kumu he mea nui nā hoʻokolohua umauma lapaʻau a me ka ʻike ʻana i nā loli i kou umauma.
Inā he hopohopo kāu e pili ana i ka hōʻike ʻana i ka radiation, e kūkākūkā me kāu kauka. No ka hapa nui o nā wahine, ʻoi aku ka maikaʻi o ka ʻike mua ʻana i ka maʻi maʻi ma mua o nā pilikia radiation liʻiliʻi.
Manaʻo ʻia nā mammograms 3D no ka hapa nui o nā wahine kūpono no ka kānana mammography maʻamau. He mea pono lākou no kekahi mau pūʻulu wahine i loaʻa nā mea pilikia kiʻekiʻe a i ʻole nā ʻiʻo umauma paʻakikī e kiʻi.
He moho maikaʻi loa ʻoe no nā mammograms 3D inā loaʻa iā ʻoe kekahi o kēia mau ʻano:
Eia naʻe, ʻoiai inā ʻaʻole ʻoe e komo i kēia mau ʻāpana pilikia kiʻekiʻe, hiki nō i nā mammograms 3D ke pōmaikaʻi iā ʻoe. Nui nā wahine e koho iā lākou no ka pololei i hoʻomaikaʻi ʻia a me ka maluhia o ka noʻonoʻo a lākou e hāʻawi ai.
Hahai nā ʻōlelo aʻoaʻo makahiki no nā mammograms 3D i nā alakaʻi like me nā mammograms kuʻuna. Manaʻo ka hapa nui o nā hui lapaʻau e hoʻomaka i nā mammograms makahiki a i ʻole biennial ma waena o nā makahiki 40-50, ma muli o kāu mau mea pilikia a me nā makemake pilikino.
E kamaʻilio me kāu kauka e pili ana inā kūpono nā mammograms 3D iā ʻoe. Hiki iā lākou ke kōkua iā ʻoe e kaupaona i nā pōmaikaʻi e kūʻē i nā palena hiki ke pili i kāu kūlana pilikino a me ka mōʻaukala olakino.
Inā hōʻike kāu mammogram 3D i kahi mea maʻamau, e hoʻāʻo e hoʻomanaʻo he nui nā mea i loaʻa he maikaʻi. Ma kahi o 80% o nā biopsies umauma e hoʻi mai me ka hōʻike ʻole ʻana i ka maʻi ʻaʻai, no laila ʻaʻole ia he manaʻo he maʻi ʻaʻai umauma kāu.
E hilinaʻi nā ʻanuʻu aʻe i ka mea i loaʻa i ka mammogram a me ke ʻano kānalua. E wehewehe kāu kauka i kou kūlana kikoʻī a e ʻōlelo i ka hana aʻe.
Eia ka mea e hana maʻamau ma hope o ka hopena mammogram 3D maʻamau:
Inā ʻōlelo ʻia kahi biopsy, hana nā ʻenehana hou i kēia kaʻina hana ʻoi aku ka ʻoluʻolu ma mua o ka wā ma mua. Hana ʻia ka hapa nui o nā biopsies umauma ma ke ʻano he kaʻina hana outpatient me ka hoʻohana ʻana i ka anesthesia kūloko, a hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha lā.
E hoʻomanaʻo i ka loaʻa ʻana o kahi mea maʻamau i ka wā mua, ʻoiai inā he maʻi ʻaʻai, alakaʻi pinepine i nā hopena maikaʻi a me nā koho lapaʻau hou aʻe. Aia kāu hui mālama ola e kākoʻo iā ʻoe ma o nā hoʻokolohua a i ʻole ka mālama ʻana e pono ai.
Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻaʻole ʻoe i lohe e pili ana i kāu hopena mammogram 3D i loko o ʻelua pule o kāu hoʻokolokolo. ʻOiai loaʻa ka hapa nui o nā hopena i loko o kekahi mau lā, hiki i nā lohi ke hana i ke kaʻina hana hōʻike.
Pono ke keʻena o kāu kauka e hoʻokaʻaʻike iā ʻoe me kāu mau hopena, akā he mea kūpono ke hahai inā ʻaʻole ʻoe i lohe i kekahi mea. Mai manaʻo ʻo ka nūhou ʻole he nūhou maikaʻi ke pili i nā hopena hoʻokolohua lapaʻau.
Pono nō hoʻi ʻoe e launa pū me kāu kauka inā ʻike ʻoe i nā loli hou i kou umauma ma waena o nā mammograms, ʻoiai inā he maʻamau kāu mammogram 3D hou. Hiki i kēia mau loli ke komo:
Inā loaʻa iā ʻoe nā hopena maʻamau ʻole, e hoʻokaʻaʻike kāu kauka iā ʻoe e kūkākūkā i nā hana aʻe. Mai kānalua e nīnau i nā nīnau e pili ana i ke ʻano o nā ʻike a me ka mea āu e manaʻo ai e hele i mua.
E hoʻomanaʻo he ʻāpana wale nō nā mammograms o ka mālama olakino umauma. ʻO ka ʻike pilikino maʻamau, nā hoʻokolohua umauma lapaʻau, a me ka noho ʻana i ka lā me nā screenings i ʻōlelo ʻia e hana pū ana e kōkua i ka hopu ʻana i nā pilikia i ka wā mua ke mālama nui ʻia lākou.
ʻAe, ʻoi aku ka maikaʻi o nā mammograms 3D no nā wahine me ka ʻiʻo umauma paʻa. Hōʻike ke ʻiʻo paʻa i ke keʻokeʻo ma nā mammograms, e like me nā maʻi maʻi, e paʻakikī ai ka ʻike ʻana i ka maʻi maʻi me ke kiʻi 2D kuʻuna.
ʻO ke kiʻi layered o nā mammograms 3D e hiki ai i nā radiologists ke ʻike ma o ka ʻiʻo paʻa me ka maopopo loa. Hōʻike nā haʻawina e ʻike nā mammograms 3D ma kahi o 40% ʻoi aku ka nui o nā maʻi maʻi invasive i nā wahine me nā umauma paʻa i hoʻohālikelike ʻia me nā mammograms 2D wale nō.
ʻAʻole, ʻaʻole ʻeha nui nā mammograms 3D ma mua o nā mammograms maʻamau. ʻO ka compression a me ke kūlana he like nō ia me nā mammograms kuʻuna. ʻO ka ʻokoʻa nui ʻo ka neʻe ʻana o ka paipu X-ray i kahi arc liʻiliʻi ma luna o kou umauma, akā ʻaʻole ʻoe e ʻike i kēia neʻe.
He lōʻihi iki paha ka manawa kaomi, akā ʻaʻole ʻike ka hapa nui o nā wāhine i ka ʻokoʻa nui o ka ʻoluʻolu ʻole. Inā ua loaʻa iā ʻoe nā mammograms maʻamau ma mua, hiki iā ʻoe ke manaʻo i kahi ʻike like me ka 3D mammography.
Hahai nā 3D mammograms i nā ʻōlelo paipai hoʻonohonoho like me nā mammograms kuʻuna. Manaʻo ka hapa nui o nā hui lapaʻau i nā mammograms makahiki e hoʻomaka ana ma waena o nā makahiki 40-50, ma muli o kāu mau mea pilikia a me nā makemake pilikino.
Inā ʻoe i kahi pilikia nui no ka maʻi ʻaʻai umauma ma muli o ka mōʻaukala ʻohana, nā hoʻololi genetic, a i ʻole nā mea ʻē aʻe, hiki i kāu kauka ke paipai e hoʻomaka i ka wā ma mua a i ʻole e loaʻa nā screenings pinepine. ʻO ke kī ka mālama ʻana i ke kūlike me nā mea a pau āu a me kāu kauka e hoʻoholo ai e hana maikaʻi no kou kūlana.
He ʻokoʻa ka uhi ʻana no nā 3D mammograms e ka hoʻolālā ʻinikua a me kahi. Nui nā hoʻolālā ʻinikua i kēia manawa e uhi i nā 3D mammograms, ʻoiai no nā wahine me ka ʻiʻo umauma paʻa a i ʻole nā mea pilikia ʻē aʻe.
E nānā me kāu mea hāʻawi ʻinikua ma mua o ka hoʻonohonoho ʻana e hoʻomaopopo i kāu uhi a me nā kumukūʻai hiki ke loaʻa mai ka ʻeke. Hāʻawi kekahi mau keʻena i nā hoʻolālā uku a i ʻole nā helu i hoʻemi ʻia inā e uku ana ʻoe mai ka ʻeke.
He mea maikaʻi loa nā 3D mammograms i ka ʻike ʻana i ka hapa nui o nā ʻano maʻi ʻaʻai umauma, akā ʻaʻohe hoʻokolohua screening i kūpono. He mea maikaʻi loa lākou i ka loaʻa ʻana o nā maʻi ʻaʻai invasive a me nā ʻano maʻi ʻaʻai mua.
ʻAʻole paha e hōʻike maikaʻi kekahi mau maʻi ʻaʻai ma kekahi ʻano mammogram, me nā maʻi ʻaʻai liʻiliʻi loa a i ʻole nā mea i hana ʻole i nā loli i ʻike ʻia i ka ʻiʻo umauma. ʻO ia ke kumu e mau ai nā hoʻokolohua umauma lapaʻau a me ka ʻike ʻana i nā loli i kou umauma i nā ʻāpana nui o ka mālama olakino umauma.