Kangakanani uphethwe umdlavuza wamabele ngo-Israyeli

Wonke umuntu uyazi ukuthi izinga ukwelashwa uphethwe kuyadingeka. Namuhla, akekho noyedwa kulaba baholi neyaziwayo ekulweni nesifo somdlavuza Israyeli, futhi emazweni amaningi ayalingana ohlelweni lokunakekelwa kwezempilo kuleli. Ngaphezu kwalokho, abaningi zokwelapha kanye kusebenta kwahulumende amasu ezisetshenziswa emhlabeni wonke, okungukuthi ukuthuthukiswa Israeli ososayensi. Ngakho, yini ukuhlolwa kanye nezinqubo udinga ukuya nesineke ngaphambi uzoqoka ekwelapheni umdlavuza wamabele ngo-Israyeli?

Ukuxilongwa yomdlavuza webele kwa-Israyeli

Konke kuqala nge ucwaningo ngesisekelo okuyinto umlando wezokwelapha. Ukuhlolwa okwengeziwe uqhutshwa nguchwepheshe (mammalogy oncologist) ngesikhathi lapho kwenziwe ekutadisheni ebusweni nasesifubeni, uhlaka izinhlangothi zazo ziyalingana. Futhi, ngokuphuza palpation udokotela uhlola nokwakheka nezindlala mammary nezimpawu endaweni ngifuna esifubeni emakhwapheni.

Isinyathelo esilandelayo komdlavuza webele uwuhlobo ukudlula mammography kanye ultrasound luhlolo.

-X-ray mammography webele luhlolo ngokuthi omunye izindlela ezimbili:

1. Ikhompyutha mammograms --X-ray processing image esebenzisa uhlelo olukhethekile lwe-computer;
2. mammography Digital - ukuthola isithombe ayisetshenziswa -X-ray mshini, umtshina ekhethekile.

Ultrasound luhlolo ngokuhlanganyela mammography kwenza kube angakwazi ukuhlonza lezo okuqinile ekwakhekeni, izinhlumba kanye izimila imvelo ingozi nesibulalayo.

Esimweni lapho isiguli azobonisa okusolisayo imfundo, babe bayonikezwa cwaningo ezengeziwe.

izifundo Laboratory e komdlavuza webele kwa-Israyeli

Namuhla, ukuze kutholakale imithi oyinikiwe umdlavuza wamabele ezilandelayo zocwaningo asetshenziswa Israyeli:

1. Isifundo wamaprotheni inqubo yokukhula YAKHE-2 usebenzisa INHLANZI ubuchwepheshe, ogxile ekutadisheni izinqubo ezenzeka kuma-chromosome. Immunostaining futhi ingasetshenziswa;
2. Ukuhlaziya igazi ngoba okuqukethwe therein isimila eneshadi (izinto ukubukeka okuyinto okungukuthi sici for ethile hlobo lomdlavuza), okungukuthi Cea nama-CA 15-3. Kumele kuqashelwe ukuthi le ndlela alinikezi ikhono ukunquma ngokunembile khona isifo, futhi ngenxa yalokho, isetshenziswa kudagnosi kwangaphambilini;
3. Hlola kuvelana hormone progesterone futhi i-estrogen, ngesisekelo okungase okunikezwe Inkambo yokwelashwa kwama-hormone ngesikhathi umdlavuza wamabele ngo-Israyeli;
4. Ukutadisha-DNA ijwabu isimila (cytometry) ukunquma izinga yayo ulaka;
5. Ihlola e isimiso sokujikeleza kwegazi zamangqamuzana omdlavuza usebenzisa sts ukuhlaziywa. Ngokusekelwe imiphumela eyatholakala kulolu cwaningo ungenza isibikezelo isimila inchubekelembili bese ukhetha uhlelo lokwelapha.

Uma ukuhlolwa laboratory, mammography kanye ultrasound ucwaningo lubonisa ukuthi isiguli isimila kumiswa endaweni webele, komdlavuza wamabele ngo Israyeli ihlinzeka biopsy. Lolu cwaningo okungukuthi ukuthi odokotela Ukuthatha isampula ethintekile ezicutshini futhi ucwaningo kubo egunjini lokucwaninga esibhedlela.

Namuhla e komdlavuza webele kwa-Israyeli, lezi zinhlobo ezilandelayo biopsies:

1. TRUCUT Nuclear inaliti biopsy noma izicubu isampuli wacosha ngaphansi izinzwa wendawo kusetshenziswa inaliti esihle;
2. Fine-inaliti biopsy noma FNA kuhilela ukusetshenziswa isipetu ekhethekile futhi ayidingi esibhedlela noma izinzwa. It livame ukusetshenziswa izibonelo zalokho a izimila ezithathekayo usebenzisa radiology kanye ultrasound for esinembile navigation isiqondiso;
3. Ukuze uqinisekise ukuthi umdlavuza ayizange kuhanjiswe ku-lymph kuyinto biopsy sentinel lymph node;
4. Futhi esetshenziswa biopsy usebenzisa cleaner ukuncela futhi Mammoth ubuchwepheshe (ukwethulwa inzwa isimila nezicubu ekhethekile).

Namuhla ngokuvamile sisetshenziswa-magnetic resonance imaging (ikuvumela ukuba bathole izilonda eziningi) futhi positron ekushayweni tomography (ukuthola metastases akude foci). Ngaphambili, esikhundleni PET-CT esetshenziswa IKhompyuthaYami scan lwamathambo kanye ikhompyutha tomography.

Futhi kungase iqondiswa ultrasound isibindi, njengoba izimila abulalayo ngokuvamile iyakhula nezindlala mammary ngalesi sitho.