Chii chinonzi Molecular Breast Imaging? Chinangwa, Maitiro & Mhedzisiro

Molecular breast imaging (MBI) imhando yakakosha yekutarisa mishonga yenyukireya inogona kuona gomarara rezamu nekusimbisa nzvimbo uko maseru egomarara ari kukura. Iyi nzira yekutarisa inononoka inoshandisa huwandu hudiki hwe radioactive tracer inokweverwa kumasero egomarara, ichivaoneka pamakamera akakosha anogona kuona matambudziko ayo mammograms enguva dzose angangokanganwa.

Funga nezve MBI sekupa chiremba wako lens yakasiyana yekutarisa nayo. Nepo mammograms ichiratidza chimiro chematishu ako ezamu, MBI inoratidza chiitiko chiri kuitika mukati memasero ako. Izvi zvinoita kuti zvibatsire zvikuru vakadzi vane matishu akakora ezamu, uko magomarara dzimwe nguva anogona kuvanzwa kuseri kwematishu akajairika pamammograms akajairika.

Chii chinonzi molecular breast imaging?

Molecular breast imaging imuedzo wemishonga yenyukireya unoshandisa radioactive tracer kutsvaga masero egomarara rezamu. Iyo tracer, inonzi technetium-99m sestamibi, inojekeswa muruoko rwako uye inofamba kuburikidza neropa rako kuenda kunzvimbo uko maseru ari kupatsanurwa nekukurumidza, izvo zvinowanzo ratidza gomarara.

Muedzo unoshanda nekuti maseru egomarara anowanzo tora zvakawanda zve tracer kupfuura matishu akajairika ezamu. Makamera akakosha egamma anobva atora mifananidzo yekugoverwa kweiyi tracer, achigadzira mifananidzo yakadzama inoratidza chiremba wako chaizvo kwese uko chero chiitiko chinofungidzirwa chingave chiri kuitika. Iyi nzira haina kurwadza zvachose uye haidi chero compression yematishu ako ezamu.

MBI dzimwe nguva inonziwo breast-specific gamma imaging (BSGI), kunyangwe tekinoroji uye nzira zvakafanana. Mazwi ese ari maviri anoreva iyi nzira inononoka, inoshanda yekutarisa gomarara rezamu iyo inowedzera mammogram yako yenguva dzose.

Nei molecular breast imaging ichiitwa?

Chiremba wako angakurudzira MBI kana uine nyama yechipfuva yakakora inoita kuti mammograms dzive dzakaoma kuverenga nemazvo. Nyama yakakora inoita chena pa mammograms, uye ndizvo zvinoitawo kenza, zvinoreva kuti tuma tumor tudiki dzimwe nguva dzinogona kupotswa mumamiriro ezvinhu aya.

MBI inonyanya kukosha kuvakadzi vane njodzi yakawedzerwa yekenza yemazamu asi vasiri vakakodzera kuongororwa kweMRI. Izvi zvinogona kusanganisira vakadzi vane nhoroondo yemhuri yekenza yemazamu, biopsy dzemazamu dzakapfuura dzichiratidza shanduko dzine njodzi yakanyanya, kana zvinhu zvemajini zvinowedzera njodzi yavo yekenza.

Muedzo uyu unoshandiswawo kana vanachiremba vachida kuwana mufananidzo wakajeka wenzvimbo dzinofungidzirwa dzakawanikwa pa mammograms kana bvunzo dzemuviri. Dzimwe nguva MBI inogona kubatsira kuona kana nzvimbo inonetsa iri kenza chaizvo kana kungori nyama yakakora, zvichikuchengetedza kubva kubiopsies isingakoshi.

Mukuwedzera, MBI inogona kubatsira pakuongorora kuti kurapwa kwekenza yemazamu kuri kushanda sei. Iyo tracer uptake inogona kuratidza kana tumor dziri kupindura chemotherapy kana mamwe marapirwo, ichipa timu yako yekurapa ruzivo rwakakosha nezve kufambira mberi kwako.

Ndeipi nzira yekufananidza mazamu emamorekuru?

Maitiro eMBI anotanga nekubaiwa kudiki kweiyo radioactive tracer mutsinga muruoko rwako. Kubaiwa uku kunonzwa kufanana nekubvisa ropa kwese kwawakaita, nekungobaya nekukurumidza kubva mutsono. Iyo tracer inotora anenge maminitsi mashanu kusvika gumi kuti itenderere mumuviri wako uye isvike munyama yako yemazamu.

Kana iyo tracer yakava nenguva yekugovera, iwe uchaiswa zvakanaka muchigaro padhuze nekamera yakakosha ye gamma. Iyo kamera inoita seyakafanana nemuchina we mammography, asi yakagadzirirwa kunge yakasununguka zvakanyanya sezvo kusina compression kunodiwa.

Panguva yekufananidza, iwe uchafanirwa kugara wakanyarara apo kamera inotora mifananidzo kubva kumakona akasiyana. Iyo yese yekufananidza inowanzo tora anenge maminitsi makumi matatu kusvika makumi mana, nekuona kwega kwega kuchigara anenge maminitsi 8 kusvika 10. Unogona kufema zvakajairika panguva yese yacho.

Makamera achatora mifananidzo yemazamu ese ari maviri, kunyangwe kana zai rimwe chete richiongororwa. Izvi zvinobatsira chiremba wako kuenzanisa mativi maviri uye zvinovimbisa kuti hapana chinopotswa. Musangano wese, kubva mukubaiwa kusvika pakupedzisa, kazhinji zvinotora anenge awa.

Maitiro ekugadzirira kuongorora kwako mazamu emamorekuru?

Kugadzirira MBI kwakananga uye kunoda shanduko shoma kune yako tsika. Unogona kudya nekunwa zvakajairika usati waita bvunzo, uye haufanirwe kumisa kutora chero mishonga yako yenguva dzose kunze kwekunge wakanzi zvakananga nachiremba wako.

Iwe uchada kupfeka mbatya dzakanaka, dzine zvidimbu zviviri sezvo uchizofanira kubvisa hembe kubva muchiuno kumusoro kune maitiro. Hembe kana bhurau rine bhatani rinogadzira kuchinja kuri nyore kupfuura pullover. Nzvimbo yekuongorora ichakupa gown rechipatara rinovhurika kumberi.

Zvakakosha kuti uzivise timu yako yehutano kana uri nepamuviri kana kuyamwisa, sezvo radioactive tracer inogona kukanganisa mwana wako. Kana uri kuyamwisa, ungangoda kupomba uye kurasa mukaka wemazamu kwezuva kana maviri mushure mekuita.

Bvisa chero zvishongo, kunyanya mitsipa kana mhete, usati waita bvunzo sezvo simbi inogona kukanganisa kuongorora. Unogona zvakare kuda kudzivirira kushandisa deodorant, powder, kana lotion panzvimbo yako yechipfuva pazuva rekuongorora, sezvo zvigadzirwa izvi dzimwe nguva zvinogona kuoneka pamifananidzo.

Maitiro ekuverenga mhedzisiro yako yekuongorora mazamu emamorekuru?

Mhedzisiro yako yeMBI icharatidza kana iyo radioactive tracer yakaunganidzwa munzvimbo ipi neipi yematishu ako emazamu. Mhedzisiro yakajairika zvinoreva kuti iyo tracer yakagoverwa zvakaenzana mumativi ese ematishu ako emazamu pasina chero nzvimbo dzinonetsa dzekuwedzera kutora.

Kana paine nzvimbo uko iyo tracer yakanyanya kuisa pfungwa, izvi zvichaonekwa se

Nyanzvi yako yezve radiology ichanyatsoongorora mifananidzo iyi pamwe chete nemammogram yako uye chero imwe imaging yawakaita. Vachatarisa saizi, chimiro, uye kusimba kwenzvimbo dzisina kujairika kuti vaone kana kumwe kuongorora kuchidikanwa.

Mhedzisiro yacho inowanikwa mukati memazuva mashoma, uye chiremba wako achazvikurukura newe maererano neutano hwako hwemazamu. Kana chero nzvimbo dzichida kumwe kuongororwa, chiremba wako achatsanangura matanho anotevera, angasanganisira mamwe mafoto kana biopsy.

Chii chinoita kuti molecular breast imaging ive yakarurama?

Zvimwe zvinhu zvinogona kukanganisa kuti MBI inowana sei kenza yemazamu mune yako chaiyo kesi. Dense breast tissue inonyatsoita kuti MBI ive inoshanda kupfuura mammograms, sezvo nzira yezve nuclear medicine isingadziviswe nekukora kwetishu sezvinoitwa nemwaranzi yeX.

Saizi yezvinhu zvinogona kuita tumor inotamba basa mukururama kwekuona. MBI yakanaka pakutsvaga kenza inosvika 1 centimeter kana yakakura, asi tumor diki diki dzinogona kupotswa. Ichi ndicho chikonzero nei MBI ichishanda zvakanyanya sechikamu chekuongorora kwakazara pane seyekuedzwa kwega.

Mishonga yakati wandei inogona kukanganisa kutora kweiyo tracer. Kana iwe uchitora mishonga yemoyo, kunyanya avo vari mumhuri ye calcium channel blocker, zivisa chiremba wako sezvo izvi zvinogona kukanganisa kuti iyo tracer inopararira sei mumuviri wako.

Nhoroondo yako yezvokurapa ichangoburwa inogonawo kukanganisa mhedzisiro. Kana iwe wakaita breast biopsy, kuvhiyiwa, kana radiation therapy mumwedzi mishoma yapfuura, maitiro aya anogona kukonzera kuzvimba kunogona kukanganisa tracer uptake uye zvinogona kutungamira kumhedzisiro yakaipa.

Ndezvipi njodzi dze molecular breast imaging?

Kuratidzwa kwemwaranzi kubva kuMBI kwakafanana nezvaungagamuchira kubva kuCT scan yechipfuva chako. Kunyange izvi zviri zhinji mwaranzi kupfuura mammogram, ichiri kutariswa sedosi yakaderera uye inowanzo chengeteka kune vakadzi vazhinji kana ichishandiswa zvakakodzera.

Chiratidzo cherediyo chinoshandiswa muMBI chine hafu-hupenyu hupfupi, zvinoreva kuti chinokurumidza kuora mumuviri wako. Ruzhinji rwehuwandu hweradiyo richange rapera mukati me24 maawa, uye iwe uchabvisa chiratidzo kuburikidza nebasa rako rakajairika reitsvo.

Maitiro ekuita allergic kune chiratidzo haawanzoitika asi anogoneka. Nzvimbo yekujekesa inogona kuona kupwanya kudiki kana kurwadziwa, zvakafanana nezvaunganzwa mushure mekuita chero ropa rekudhirowa kana jekiseni. Matambudziko akakomba kubva kune maitiro acho pachayo haanzwike.

Vamwe vakadzi vanonetseka nezve chiratidzo cherediyo chichikanganisa nhengo dzemhuri dzavo, asi huwandu hweradiation hudiki zvekuti hapana matanho chaiwo anodiwa padhuze nemhuri, mhuka dzinovaraidza, kana vashandi mushure mekuongororwa.

Ndingafungei kuongorora mazamu emamorekuru rini?

Unogona kunge uri munhu akakodzera MBI kana uine nyama yamazamu yakakora uye njodzi yakakwira yekenza yemazamu. Izvi zvinosanganisira vakadzi vane nhoroondo yemhuri yakasimba yekenza yemazamu kana yeovari, kunyanya kana kuyedzwa kwemajini kwakaratidza kuti une shanduko mumajini akaita seBRCA1 kana BRCA2.

Vakadzi vakambove nebiopsies yemazamu ichiratidza shanduko dzine njodzi, senge atypical ductal hyperplasia kana lobular carcinoma in situ, vanogona zvakare kubatsirwa neMBI screening. Chiremba wako anogona kuikurudzira kana uine zvinhu zvakawanda zvinokanganisa zvinokwidza njodzi yako yehupenyu hwekukura kwekenza yemazamu pamusoro peavhareji.

Kana iwe wakambove nezvakawanikwa zvinonetsa pane mammogram zvinoda kumwe kuongororwa, MBI inogona kupa rumwe ruzivo rwekubatsira chiremba wako kuona kana biopsy ichidikanwa. Izvi zvinogona kubatsira kunyanya mukudzivirira maitiro asina kufanira uchivimbisa kuti hapana chinhu chakakosha chinopotswa.

Zvisinei, MBI haina kukurudzirwa kuti ishandiswe sekuongorora kwenguva dzose muvakadzi vane njodzi yepakati. Kuwedzera kuratidzwa kweradiation uye mutengo zvinoita kuti zvakakodzera zvikuru kuvakadzi vane zvinhu zvakakosha zvinokanganisa kana mamiriro ekiriniki anoda kugona kuona kwakawedzerwa.

Kufananidza sei kuongorora mazamu kwemamorekuru nekumwe kuongorora?

Kana tichienzanisa nemammography, MBI iri nani zvikuru pakuona kenza mumativi emuzamu akakora. Kunyange zvazvo mammograms inogona kukanganisa kusvika ku50% yegomarara mumativi akakora zvikuru, MBI inochengetedza kururama kwayo pasinei nekukora kwemazamu.

MRI inowanzofungidzirwa seyakajairika yegoridhe yekutarisa kenza yemazamu yakanyanya njodzi, asi MBI inopa zvakawanda zvakanakira. Zvinonyaradza vakadzi vazhinji sezvo pasina chikonzero chekurara wakanyarara munzvimbo yakavharirwa kwemaminitsi 30-45, uye kazhinji haina kudhura kupfuura MRI yemazamu.

Kusiyana neMRI, MBI haidi jekiseni reIV rinopesana iro vamwe vanhu vasingakwanise kutsungirira nekuda kwematambudziko eitsvo kana allergies. Iyo radioactive tracer inoshandiswa muMBI inowanzoita allergic reactions uye inogadziriswa zvakasiyana nemuviri wako pane MRI contrast.

Ultrasound chimwe chishandiso chinoshandiswa kuongorora matishu emuzamu, asi chinowanzo shandiswa kuongorora nzvimbo dzakatarwa panzvimbo yekutarisa. MBI inopa maonero akazara emazamu ese ari maviri uye inogona kuona magomarara angasaratidzike pa ultrasound.

Mibvunzo inowanzo bvunzwa nezve kuongorora mazamu kwemamorekuru

Mubvunzo 1: Kuongorora mazamu kwemamorekuru kunorwadza here?

Aihwa, MBI kazhinji haina kurwadza. Kusagadzikana chete kwaungasangana nako kupinza pfupi kubva mutsono apo tracer inojekeswa, yakafanana nekuita ropa. Kusiyana nemammograms, hapana kudzvanywa kwematishu ako emuzamu panguva yekufananidza.

Mubvunzo 2: Ndingafanira kuongororwa mazamu kwemamorekuru kakawanda sei?

Kakawanda kunoenderana nezvinhu zvako zvinokanganisa uye mazano echiremba wako. Vakadzi vazhinji vanobatsirwa neMBI vanoiita gore negore, yakafanana nekutarisa mammogram. Zvisinei, chiremba wako achasarudza nguva yakakodzera zvichienderana nemamiriro ako chaiwo uye njodzi.

Mubvunzo 3: Ndingazvikwanisa here kutyaira ndichidzokera kumba mushure mekuongororwa mazamu kwemamorekuru?

Hongu, unogona kuzvityaira kumba mushure meMBI. Maitiro acho haabatanidzi sedation kana chero mishonga inogona kukanganisa kugona kwako kutyaira. Unofanira kunzwa zvakajairika zvachose pakarepo mushure mekunge bvunzo yapera.

Q4: Inishuwarenzi ichavhara here mufananidzo wemazamu emamorekuru?

Kuvharwa kweinishuwarenzi yeMBI kunosiyana zvichienderana nechirongwa chako chaiwo uye mamiriro ekurapa. Vanoita inishuwarenzi vazhinji vanovhara bvunzo kana zvichidikanwa zvekurapa kune varwere vane njodzi yakanyanya kana kuongorora zvinhu zvinofungira. Tarisa nemupi wako weinishuwarenzi uye timu yehutano nezvekufukidzwa usati waronga.

Q5: Chii chinoitika kana mufananidzo wangu wemazamu emamorekuru ukaratidza nzvimbo isina kujairika?

Kana MBI ikaratidza nzvimbo yekunetsekana, chiremba wako anowanzo kuraira mamwe maedzo kuti aone kana iri kenza kana mamiriro akanaka. Izvi zvinogona kusanganisira ultrasound yakatarwa, MRI, kana biopsy yematishu. Yeuka kuti zvinhu zvakawanda zvisina kujairika paMBI zvinobuda zvakanaka, saka edza kusanyanya kunetseka uchimirira mhedzisiro yekutevera.