3-D Mais Xes: Yam Koj Yuav Tsum Tau Paub Txog

Zoo Siab

• Cov txiaj ntsig yog dab tsi?
• Dab tsi yog qhov tsis zoo?
• Leej twg yog tus xaiv rau cov txheej txheem no?
• Tus nqi ntau npaum li cas?
• Dab tsi tshwm sim
• Tshawb fawb zoo li cas?
• Cov nqa mus

Txheej txheem cej luam

Xoo fais fab yog xoo hluav taws xob ntawm cov kua mis. Nws tau siv los pab kuaj pom tus mob cancer mis. Raws li kev cai, cov duab no tau yees ua 2-D, yog li ntawd lawv thiaj li muaj cov duab dub thiab dawb uas cov kws kho mob kuaj hauv computer saib.

Kuj tseem muaj 3-D mammograms muaj siv nrog siv 2-D mammogram lossis ib leeg. Qhov kev kuaj no yuav siv sijhawm ntau cov duab ntawm lub mis ib zaug los ntawm ntau cov ces kaum sib txawv, tsim kom pom cov duab ntshiab thiab ntau qib.

Koj kuj tseem yuav hnov ​​ntau dua cov thev naus laus zis hu ua digital mis tomosynthesis lossis tomo zoo nkauj.

Cov txiaj ntsig yog dab tsi?

Raws li Tebchaws Asmeskas Kev Tshawb Pom Kab Mob Cancer Mis, yuav luag 63,000 tus poj niam yuav raug txheeb xyuas tias muaj mob qog mis tsis mob loj hauv xyoo 2019, thaum yuav luag 270,000 tus pojniam yuav raug txheeb xyuas tias muaj daim foos tsis zoo no.

Kev paub thaum ntxov yog tus yuam sij rau kev kis tus kabmob ua ntej nws kis thiab rau kev txhim kho tus nqi ntawm kev muaj sia nyob ntev.

Lwm qhov zoo ntawm 3-D mammography muaj xws li cov hauv qab no:

• Nws tau pom zoo rau kev siv los ntawm Asmeskas Cov Khoom Noj thiab Tshuaj (FDA).
• Nws zoo dua rau kev kuaj mob cancer mis hauv cov poj niam hluas uas muaj daim npog lub mis.
• Nws ua cov ncauj lus kom ntxaws duab uas zoo ib yam li koj yuav tau txais nrog CT scan.
• Nws txo qis kev soj ntsuam ntxiv rau cov cheeb tsam uas tsis mob cancer.
• Thaum ua rau ib leeg, nws tsis yog nthuav tawm lub cev mus rau hluav taws xob ntau dua li ib txwm muaj lub cev qoj ib ce.

Dab tsi yog qhov tsis zoo?

Thaj tsam li 50 feem pua ​​ntawm Lub Tsev Menyuam Txoj Kev Kho Mob Cancer Menyuam Yaus muaj 3-D mammograms, uas txhais tau tias cov thev naus laus zis no tsis tau muaj txhij txhua rau txhua tus.

Nov yog qee qhov ntawm lwm qhov peev xwm xav tau:

• Nws raug nqi ntau dua 2-D mammography, thiab kev tuav pov hwm yuav yog lossis tsis npog nws.
• Nws siv sijhawm me ntsis ntev dua los ua thiab txhais.
• Thaum siv ua ke nrog 2-D mammography, kis tau hluav taws xob muaj ntau dua me ntsis.
• Nws yog lub thev naus laus zis tshiab, uas txhais tau hais tias tseem tsis tau tsim txhua qhov kev pheej hmoo thiab txiaj ntsig.
• Tej zaum nws yuav ua rau kev kuaj xyuas ntau tshaj lossis "paub tsis tseeb txog."
• Nws tsis muaj nyob hauv txhua qhov chaw, yog li koj yuav xav tau ncig ua si.

Leej twg yog tus xaiv rau cov txheej txheem no?

Thaum muaj 40 xyoo cov poj niam uas muaj feem yuav muaj mob qog mis yuav tsum tham nrog lawv tus kws kho mob txog thaum twg mam pib kuaj.

American Cancer Society tshwj xeeb tshaj yog pom zoo tias cov poj niam hnub nyoog ntawm 45 txog 54 xyoos tau xoo fais fab txhua xyoo, tom qab kev mus ntsib txhua 2 xyoo txog rau thaum muaj hnub nyoog 64 xyoo.

Tebchaws Asmeskas Pabcuam Tiv Thaiv Cov Haujlwm thiab American College ntawm Cov Kws Kho Mob tau pom zoo kom cov pojniam tau txais qog mismograms txhua xyoo, txij li hnub nyoog 50 txog 74 xyoo.

Yuav ua li cas txog lub mis tomosynthesis? Cov thev naus laus zis no yuav muaj txiaj ntsig zoo rau cov poj niam hauv txhua pawg hnub nyoog. Ntawd tau hais tias, cov poj niam cov kua mis tom qab lub cev yuav tsis ntom, ua rau cov qog ua kom pom yooj yim siv 2-D thev naus laus zis.

Raws li qhov tshwm sim, 3-D qog mismograms yuav pab tau tshwj xeeb tshaj yog rau cov hluas, tus poj niam premenopausal uas muaj denser lub mis cov ntaub so ntswg, raws li Harvard Kev Noj Qab Haus Huv.

Tus nqi ntau npaum li cas?

Raws li kev kwv yees kwv yees, 3-D kev kuaj mob mamm kim kim dua li cov tshuaj ib txwm muaj, yog li koj cov kev pov hwm yuav tsub koj ntau rau kev kuaj no.

Ntau yam kev tuav pov hwm pov hwm them rau 2-D xeem tag nrho raws li kev tiv thaiv kev tiv thaiv. Nrog rau lub mis tomosynthesis, kev tuav pov hwm yuav tsis them tus nqi txhua lossis yuav tsub tus nqi them ntxiv txog $ 100.

Qhov xov xwm zoo yog tias Medicare pib npog kev kuaj 3-D hauv xyoo 2015. Txog rau thaum ntxov 2017, tsib lub xeev tau txiav txim siab ntxiv qhov yuav tsum tau kev pab them nqi ntawm digital mis tomosynthesis. Cov xeev nrog daim nqi yuav suav nrog Maryland, New Hampshire, New Jersey, New York, thiab Texas.

Yog tias koj muaj kev txhawj xeeb txog tus nqi, hu rau koj tus kws kho mob kom paub txog koj txoj kev pab them nqi tshwj xeeb.

Dab tsi tshwm sim

Muaj 3-D mammogram zoo ib yam li qhov kev paub 2-D. Qhov tseeb, qhov txawv tsuas yog koj yuav pom yog nws siv sijhawm ib feeb ntev dua los ua qhov kev ntsuas 3-D.

Hauv kev kuaj ob zaug, koj lub mis tau zaws ntawm ob daim phiaj. Qhov txawv yog tias nrog 2-D, cov duab no tsuas yog coj los ntawm sab xub ntiag thiab sab ntawm lub kaum ntse ntse. Nrog 3-D, cov duab raug coj los hauv qhov uas hu ua "cov nplais" los ntawm ntau cov ces kaum.

Ua cas tsis xis nyob? Ib zaug ntxiv, cov kev paub 2-D thiab 3-D muaj ntau ntau dua. Muaj tsis muaj ntau tsis xis nyob txuam nrog kev kuaj siab tshaj li ib txwm muaj.

Hauv ntau qhov xwm txheej, koj yuav muaj ob qho tag nrho 2-D thiab 3-D kuaj ua ke. Nws yuav siv cov radiologist siv sijhawm ntev dua los txhais cov txiaj ntsig los ntawm 3-D mammograms vim tias muaj ntau cov duab los saib.

Tshawb fawb zoo li cas?

Cov ntaub ntawv loj zuj zus qhia tias 3-D mammograms tuaj yeem txhim kho tus nqi kuaj mob qog noj ntshav.

Hauv kev tshawb fawb luam tawm hauv The Lancet, cov kws tshawb nrhiav tau tshawb xyuas qhov kev tshawb nrhiav uas siv 2-D mammogram ib leeg piv rau siv ob 2-D thiab 3-D mammograms ua ke.

Ntawm 59 qog nqaij hlav tau kuaj pom, 20 pom pom siv ob lub npe 2-D thiab 3-D thev naus laus zis. Tsis muaj leej twg muaj cov qog nqaij hlav twg pom pom siv 2-D kuaj ib leeg.

Kev rov qab soj ntsuam tshawb nrhiav cov kev tshawb pom no tab sis ceeb toom tias kev sib xyaw ntawm 2-D thiab 3-D mammography tuaj yeem ua rau "kev rov qab hais txog qhov tsis zoo." Hauv lwm lo lus, thaum kuaj pom tias mob qog nqaij ntau dua thaum siv cov thev naus laus zis sib txuas, nws kuj tseem tuaj yeem ua rau muaj feem ua rau muaj peev xwm dhau sijhawm.

Tseem muaj dua lwm txoj kev tshawb nrhiav tau saib lub sijhawm nws yuav siv sijhawm ntau npaum li cas los txais cov duab thiab nyeem lawv rau cov cim qhia txog mob qog nqaij hlav. Nrog 2-D mammograms, qhov nruab nrab lub sijhawm yog nyob ib puag ncig 3 feeb thiab 13 vib nas this. Nrog 3-D mammograms, qhov nruab nrab lub sijhawm yog nyob ib puag ncig 4 feeb thiab 3 feeb.

Kev txhais cov qhabnias nrog 3-D tau ntev dua li: 77 vib nas this piv rau 33 vib nas this. Cov kws tshawb nrhiav tau xaus lus tias lub sijhawm ntxiv no tsim nyog nws. Kev sib xyaw ntawm 2-D thiab 3-D duab txhim kho kev txheeb xyuas qhov tseeb thiab ua rau kev txua tsawg dua.

Cov nqa mus

Tham nrog koj tus kws kho mob txog 3-D qog mismograms, tshwj xeeb yog tias koj tau premenopausal los yog xav tias koj muaj cov kua ntswg tuab. Koj lub chaw pov hwm kev them nqi tuaj yeem piav qhia txog cov nuj nqis uas cuam tshuam nrog, nrog rau chaw nyob ze koj uas ntsuas 3-D.

Txawm hais tias hom twg koj xaiv, nws yog qhov tseem ceeb kom kuaj koj qhov kev kuaj txhua xyoo. Kev kuaj pom tus mob cancer mis ntxov pab txhawb nqa tus kab mob ua ntej nws kis mus rau lwm qhov ntawm lub cev.

Pom kev mob qog noj ua ntej tseem yuav qhib ntau txoj kev kho thiab tej zaum yuav ua kom koj txoj sia nyob zoo ntxiv.