Ubucukumbuzi bw'amabere

Ubucukumbuzi bw'amabere ni uburyo bwo gukuramo igice cy'umubiri w'amabere kugira ngo kigepwe. Igice cy'umubiri gikurwaho kijyanwa muri laboratwari, aho abaganga babishoboye gusesengura amaraso n'ingingo z'umubiri (abapatologi) bareba icyo gice cy'umubiri maze bagatanga ibyavuye mu isuzuma. Ubucukumbuzi bw'amabere bushobora gusabwa niba ufite ikibazo mu mabere yawe, nko kugira ikibyimba cyangwa ibindi bimenyetso bya kanseri y'amabere. Bushobora kandi gukoreshwa mu gusuzumana ibyavuye bitunguranye ku bipimo bya mammogram, ultrasound cyangwa ibindi bipimo by'amabere.

Muganga wawe ashobora kugusaba kubaga igice cy'amabere niba: Wowe cyangwa muganga wawe yumva ikibyimba cyangwa ukubyana mu mabere, kandi muganga wawe akeka ko ufite kanseri y'amabere Mammogram yawe igaragaza agace gakekwa mu mabere Ultrasound cyangwa isesengura ry'amabere rya MRI bigaragaje ibimenyetso bikekwa ufite impinduka zidasanzwe z'umutobe cyangwa uruhu rw'umutobe, harimo no gukomera, gukomera, gucika cyangwa ibintu by'amaraso

Ibyago bifitanye isano na biopsi ya nyabibondo birimo: Ukwishima no kubyimba kw'ibere Dukurikira: kwandura cyangwa kuva amaraso aho biopsi yakorewe Ihinduka mu buryo ibere rigaragara, bitewe n'ingano y'umubiri wakuweho n'uburyo ibere rikiza Ikiruhuko cy'inyongera cyangwa ubundi buvuzi, bitewe n'ibisubizo bya biopsi Baza itsinda ry'abaganga bawe niba ufite umuriro, niba ahantu biopsi yakorewe hahinduka umutuku cyangwa gushyuha, cyangwa niba ufite amazi adasanzwe ava aho biopsi yakorewe. Ibi bishobora kuba ibimenyetso by'indwara ishobora gusaba kuvurwa vuba.

Mbere y'uko bakubaga amabere, umubwire muganga niba: ufite ibyo uri allergique kuri byo, ufite aspirine mu minsi irindwi ishize, ufata imiti igabanya amaraso, utahagarara ku nda igihe kirekire. Niba igikorwa cyo kubaga amabere kizakorwa hakoreshejwe MRI, umubwire muganga niba ufite umutima wa pacemaker cyangwa ikindi gicuruzwa cya elegitoronike gishyirwa mu mubiri wawe. Nanone umubwire muganga niba utwite cyangwa ukeka ko ushobora kuba utwite. MRI ntigikoreshwa muri ibi bihe.

Uburyo butandukanye bwo kubaga amabere bushobora gukoreshwa kugira ngo hafatwe igice cy'umubiri cy'umere. Muganga wawe ashobora kugusaba uburyo runaka bushingiye ku bunini, aho buherereye n'ibindi biranga agace kakekwa mu mubere wawe. Niba bitumvikana impamvu ufite uburyo bumwe bwo kubaga aho kuba ubundi, saba muganga wawe kubisobanura. Kubaga byinshi, uzabona inshinge yo kubyimba agace k'umubiri k'umere kazabagwa. Ubwoko bw'uburyo bwo kubaga amabere harimo: Biopsy ya Fine-needle aspiration. Iyi ni yo mibare yoroshye yo kubaga amabere kandi ishobora gukoreshwa mu gusuzuma ikibyimba gishobora kumvikana mu isuzuma ry'amabere. Muri ubu buryo, urashyira ku meza. Ufata ikibyimba n'ukuboko kumwe, muganga wawe akoresha ikindi kubera igishishwa kinanutse cyane mu kibyimba. Igishishwa gifatanye n'urushinge rushobora gukusanya igice cy'uturemangingo cyangwa amazi ava mu kibyimba. Fine-needle aspiration ni uburyo bwihuse bwo kumenya itandukaniro hagati ya kiste yuzuye amazi n'ikibyimba gikomeye. Bishobora kandi gufasha kwirinda uburyo bwo kubaga burimo kwangiza. Ariko, niba ikibyimba gikomeye, ushobora gukenera uburyo bwo gukusanya igice cy'umubiri. Biopsy ya Core needle. Ubu bwoko bwo kubaga amabere bushobora gukoreshwa mu gusuzuma ikibyimba cy'umere kigaragara kuri mammogram cyangwa ultrasound cyangwa muganga wawe yumva mu isuzuma ry'amabere. Umuganga w'amashusho cyangwa umuganga akoresha igishishwa kinanutse, gito, kugira ngo akureho ibice by'umubiri by'ikibyimba cy'umere, akenshi akoresheje ultrasound nk'umuyobozi. Ibice byinshi, buri kimwe kingana n'ingano y'ingano, bikusanywa kandi bigasesengurwa. Bitewe n'aho ikibyimba giherereye, ubundi buryo bwo kubona amashusho, nka mammogram cyangwa MRI, bushobora gukoreshwa mu kuyobora aho igishishwa gishyirwa kugira ngo hafatwe igice cy'umubiri. Biopsy ya Stereotactic. Ubu bwoko bwo kubaga bukoresha mammograms kugira ngo bimenye aho ibice bikekwa biherereye mu mubere. Muri ubu buryo, ubusanzwe urashyira hasi ku meza y'ubuganga y'ubuganga ifite imwe mu mabere yawe yashyizwe mu mwobo uri ku meza. Cyangwa ushobora kugira ubu buryo wicaye. Ushobora gukenera kuguma muri iyi myanya iminota 30 kugeza ku isaha imwe. Niba uri hasi kuburyo, ameza azamurwa umaze kubona umwanya mwiza. Ubere bwawe buhindagurika hagati y'ibikoresho bibiri mu gihe mammograms zifashwe kugira ngo zigaragarire umuganga w'amashusho aho ahantu hagomba kubagwa. Umuganga w'amashusho akora umunwa muto - hafi 1/4 inch (hafi 6 millimeters) - mu mubere. Hanyuma ashyiramo igishishwa cyangwa igikoresho gifite umuyoboro, hanyuma akuramo ibice byinshi by'umubiri. Biopsy ya Core needle ikoresha ultrasound. Ubu bwoko bwa core needle biopsy bukoresha ultrasound - uburyo bwo kubona amashusho bukoresha ibishushanyo by'amajwi byinshi kugira ngo bigire amashusho y'ibice biri mu mubiri. Muri ubu buryo, urashyira inyuma cyangwa ku ruhande rwawe ku meza ya ultrasound. Afashe igikoresho cya ultrasound ku mubere, umuganga w'amashusho ashaka ikibyimba, akora umunwa muto kugira ngo ashyiremo igishishwa, hanyuma afate ibice byinshi by'umubiri. Biopsy ya Core needle ikoresheje MRI. Ubu bwoko bwa core needle biopsy bukorwa munsi y'ubuyobozi bwa MRI - uburyo bwo kubona amashusho bufata amashusho menshi y'umubiri w'umubiri hanyuma ubayahuza, ukoresheje mudasobwa, kugira ngo ugire amashusho ya 3D. Muri ubu buryo, urashyira hasi ku meza y'ubuganga y'ubuganga. Amabere yawe aherereye mu mwobo uri ku meza. Mashini ya MRI itanga amashusho afasha kumenya aho hagomba kubagwa. Umunwa muto ufite ubugari bwa 1/4 inch (hafi 6 millimeters) ukorwa kugira ngo igishishwa cy'umuti gikomeze gushyirwamo. Ibice byinshi by'umubiri bifatwa. Mu gihe cyo kubaga amabere bivugwa haruguru, ikimenyetso gito cy'icyuma cyangwa titanium cyangwa clip ishobora gushyirwa mu mubere aho habagwa. Ibi bikorwa kugira ngo niba biopsy igaragaza utugingo twa kanseri cyangwa utugingo twa kanseri, muganga wawe cyangwa umuganga ashobora kubona aho habagwa kugira ngo akureho umubiri w'umubiri mu gihe cy'igihe (kubaga). Iyi clips ntabwo itera ububabare cyangwa kwangiza kandi ntibuza iyo unyura mu bimenyetso by'icyuma, nko ku kibuga cy'indege. Kubaga. Mu gihe cyo kubaga, igice cyangwa byose by'ikibyimba cy'umere bikurwaho kugira ngo bisuzumwe. Kubaga bisanzwe bikorwa mu cyumba cy'abaganga bakoresheje imiti yo gusinzira itangwa mu mutsi wo mu kuboko cyangwa ukuboko n'imiti yo kubyimba umubiri. Niba ikibyimba cy'umere kitashobora kumvikana, umuganga w'amashusho ashobora gukoresha uburyo bwitwa wire cyangwa seed localization kugira ngo akore ikarita y'inzira igana ku kibyimba ku muganga. Ibi bikorwa mbere y'igihe cyo kubaga. Mu gihe cyo gukoresha wire localization, impera y'umugozi muto ishyirwa mu kibyimba cy'umere cyangwa ica ica. Niba seed localization ikorwa, imbuto nto ya radioactive izashyirwaho ikoresheje igishishwa kinanutse. Imbuto izayobora umuganga aho kanseri iherereye. Imbuto ni nziza kandi itanga umwanya muto cyane w'imirasire. Mu gihe cyo kubaga, umuganga azagerageza gukuraho ikibyimba cyose cy'umere hamwe n'umugozi cyangwa imbuto. Kugira ngo habeho ubwumvikane ko ikibyimba cyose cyakuweho, umubiri woherezwa muri laboratwari y'ibitaro kugira ngo usuzumwe. Abahanga mu by'indwara bakora muri laboratwari bazakora kugira ngo bemeze ko kanseri y'amabere iri mu kibyimba. Basuzuma kandi imiterere (imiterere) y'ikibyimba kugira ngo bamenye niba utugingo twa kanseri turi mu miterere (imiterere myiza). Niba utugingo twa kanseri turi mu miterere, ushobora gukenera ubundi kubaga kugira ngo umubiri w'umubiri ukurweho. Niba imiterere ari nziza (imiterere mbi), kanseri imaze gukurwaho neza.