Elastography da kuma yadda yake taimaka maganin cutar kankara

Mene ne nauyin nauyin halitta da kuma rawar da zai iya takawa a tantance cutar ta nono?

Kafin ka iya magance ciwon nono , dole ne ka sami shi. Gano magungunan nono na farko zai iya ceton rayuka da kuma rage lalacewar da rashin lafiya wanda yakan biyo bayan magani.

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Mene ne Elastography?

Don haka, har shekaru da yawa, masu bincike sun yi ƙoƙarin gano hanyoyin da za su iya gane ciwon daji. A shekara ta 1980, kimanin hudu daga kowace mata biyar da suka kamu da ciwon ƙirjin nono sun sami tarin kansu. Kodayake jarrabawar jaririn kansa yana da mahimmanci, yawancin cututtukan nono a yau an gano ne lokacin da mace tana da mammogram , duban dan tayi ko MRI (hotunan fuska mai haske).

Dairy Biopsy da kuma Benign Lumps

Amma koda lokacin da gwaji ya nuna kwalliya mai dadi, hanyar da aka yarda kawai a yau don gano tabbas yana da mummunan aiki ne don yin jaririn nono . Hanyoyin dan tayi da MRI zai iya gano kananan cututtuka a wasu mata fiye da mammogram, amma kuma suna nuna launi da magunguna marasa kyau.

Wannan shine dalili daya game da kimanin hudu daga cikin dukkanin kwayoyin halittu guda biyar da ke nuna cewa yankin da ake tsammani yanki ne . A takaice dai, ana bukatar 80% na biopsies ne kawai don yin sarauta akan ciwon daji.

Tiyata da ke tattare da biopsies yana da tsada kuma yana haddasa kasada. Don haka, shekaru masu yawa, mata da likitoci sunyi fatan gwajin gwaji da za su gano wuraren da ke cikin ƙirjin kuma su fada ko yayinda yake da rauni, ba tare da tiyata ba. Bayan fiye da shekaru 20 da suka gudanar da bincike, wani sabon fasahar da ake kira elastography zai iya kasancewa a shirye ya cika wannan bege.

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Elastography - Ta yaya Yayi aiki?

Elastography ya hada da sabon zamani a fasaha na hotunan ultrasonic tare da tsohuwar hanyar gano ciwon nono: taɓawa . Lokacin da wata mace ko likitanta suka matsa wa ƙirjin ƙirjin su ji daɗin lumana, sai ta taɓa nono tare da karamin karfi. Wannan karfi yana haifar da ƙirjin jikin don motsawa cikin hanyar halayyar. Hanyar fasaha don hanya mai karfi ta motsawa cikin amsawa zuwa karfi shine ake kira elasticity. Idan ka taba jin ƙwaƙwalwar ƙwayar ƙwayar cuta fiye da wani nau'i, ka sani cewa yawancin ciwon yana ji kamar ƙwaƙwalwa mai wuya, mai juyayi, kusan kamar dutse ko rami mai laushi. Masana kimiyya sun ce cututtukan ciwon sukari suna da ƙananan ƙura - ba su canza siffar da sauƙi lokacin da aka guga ba. Wannan dukiya ce da ke sa ilimin elastography yayi aiki.

Masana Kimiyyar Kayan Kayan Ciniki - Ta Yaya Ayyukan Elastography?

Don bayyana yadda yanayin muhalli yake aiki, mun shiga cikin ɗakin abinci kuma muka sanya Jell-O ® mai launin hudu - orange, lemun tsami, lemun tsami, da kuma kayan 'ya'yan itace, duk da launi daban-daban. Mun sanya almond tsakanin lemun tsami da lakaran strawberry don wakiltar wani abu mai wuya kamar ƙari.

Bincika zane na gaba don ganin abin da ya faru.

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Elastography - Bayyana Bambance-bambance da Magunguna masu tsattsauran ra'ayi

Bayanan Elastography ya ci gaba

Lokacin da muka ɗauki gelatin daga cikin mota kuma muka sanya shi a kan farantin karfe, yadudduka sunyi amfani da layi madaidaici:

Almond ba ya canza siffar (idan yana kama da shi, shi ne saboda motsi ta hanyar gelatin). Amma mafi m (na ruba) gelatin yayi tafiya a karkashin matsin saboda ya fi na roba fiye da almond.

Ta Yaya An Yi Elastogram?

Don ɗaukar "elastogram" na ƙirjin, da farko wani na'ura mai mahimmanci na duban dan adam da ke cikin nono . Nauyin ƙirjin al'ada yana da ƙananan siffofin da ke nunawa a hotuna duban dan tayi, kuma waɗannan siffofi suna aiki a matsayin alamomin matsayi na abin da ke gaba. Idan akwai wani lumps, waɗannan za su nuna ma, amma har yanzu hotunan dan tayi ba ya gaya wa likita wani abu ba fiye da gaskiyar cewa akwai lumps mai tsami, wanda mammogram yayi.

Matakan da ya dace ya zo gaba. Ƙananan adadin iko mai sarrafawa yana amfani da nono, kawai isa ya motsa shi dan kadan. (Wannan matsin yana da yawa fiye da ka karɓa lokacin da aka sanya ƙirjinka don ɗaukar mammogram na al'ada.) Tare da matsa lamba da aka yi amfani da shi (tunanin "cokali a kan gelatin"), tsarin yana ɗaukan hoto. Bayan haka, tsarin kwamfuta yana kwatanta hotuna guda biyu da kuma samar da taswirar yadda ake nunawa ga yankuna daban-daban. Wannan taswira, wanda ake kira elastogram, yana da matukar tasiri a bayyanar da ƙananan lumps, wanda yake kusan kullun. Ƙarin lumps masu yawa suna da yawa.

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Elastography - Sakamakon da Gaban Ciwon Magungunan Ciwon Kankara

Masu bincike a wasu cibiyoyin da ke Turai da Amurka sun taso da hanyoyin magance ciwon nono da sauran dalilai tun daga farkon shekarun 1990. Hanyoyi biyu na farko sune ake magana da su a matsayin mahimmanci (ko kyauta) da nauyin haɓaka.

A cikin nazarin da yawa, wadannan fasahohin sun iya fada lokacin da ciwon sukari zai zama mai zurfi a kan biopsy kusan 90% na lokaci. Akwai 'yan saitunan ƙarya (idan mummunan ciwon sukari ya dubi mummunan) da kuma kuskuren ƙarya (lokacin da ciwon sukari ya bayyana ba daidai ba kuma shine ainihin cancerous). Akwai damuwa da cewa " cututtukan nono " mai laushi irin su mucinous carcinoma zai haifar da ƙaryar karya, kuma "ƙananan" ƙwayar ƙwayar ƙwayar ƙirji irin su adenomas fibrous zai haifar da saɓo na ƙarya, kuma ana tunanin waɗannan tunani.

Yawanci, karatun zuwa kwanan wata yana da alamar gaske, tare da sake nazarin wallafe-wallafe na baya-bayan nan cewa yin amfani da na'ura mai mahimmanci zai iya taimakawa wajen jagorancin tsarin rarrabe ƙananan ƙuƙwalwar ƙwayar ƙirji a nan gaba.

_Sources:

_{Au, F. et al. Binciken da aka yi na yaduwar ƙirar ƙwararru mai mahimmanci a cikin kimantawa da ƙananan ƙwayar nono: ƙaddarar saɓin nuna bambanci. AJR American Journal of Roentgenology . 2014. 203 (3): W328-36.
Balleyguier, C. et al. Rashin shafawar nono: ka'idodin, dabara, sakamako: sabuntawa da bayyani na software na samfurori. Jaridar Turai na Radiology . 2013. 82 (3): 427-34.
Balleyguier, C. et al. Tsarin haske na nono: tsarin fasaha da aikace-aikace. Harsarki da Harkokin Cutar . 2013. 94 (5): 503-13.
Barr, R. Rubutun tarihin ƙirar fata: alamar. Journal of duban dan tayi a Medicine . 2012. 31 (5): 773-83.
Medicine Johns Hopkins. Cibiyar Dairy. Dairy Biopsy. Samun shiga 01/13/16. http://www.hopkinsmedicine.org/breast_center/treatments_services/breast_cancer_diagnosis/breast_biopsy.html
Liu, B. et al. Elastography ta hanyar fasaha na fasaha ta hanyar radiation don bambancin jima'i da ƙananan nono: wani zane-zane. Journal of Medical Ultrasonics . 2016. 43 (1): 47-55.
Ricci, P. et al. Kwafi na asibiti na kwakwalwa na ciki: Jihar na fasaha. Jaridar Turai na Radiology . 2014. 83 (3): 429-37.}