
Lo mhlahlandlela obanzi uhlola Ukubikwa Kwesithombe Sendlala Yendlala Yesinye kanye nenguqulo Yesistimu Yedatha (PI-RADS v2) njengoba isebenza ekuxilongweni nasekulashweni komdlavuza wendlala yesinye eShayina. Singena ohlelweni lokushaya amaphuzu, imithelela yalo ekuphathweni kwesiguli, kanye nentuthuko yakamuva ezinkethweni zokwelapha ezitholakalayo.
I-PI-RADS v2 iwuhlelo lokubika olujwayelekile olusetshenziselwa ukuhlola amathuba okuba nomdlavuza wendlala yesinye obalulekile ngokomtholampilo ngokusekelwe kokutholwe yi-multiparametric magnetic resonance imaging (mpMRI). Ukwamukelwa kwayo okusabalele eChina kuye kwathuthukisa kakhulu ukunemba nokuvumelana kokutholwa komdlavuza wendlala yesinye. Ukuqonda I-China pi rads 4 ukwelashwa komdlavuza wendlala yesinye izinketho zidinga ukubamba okuqinile kwesistimu yokufaka amaphuzu ye-PI-RADS.
Uhlelo lwe-PI-RADS v2 lunikeza amaphuzu ukusuka ku-1 kuya ku-5, kanti u-1 umele amathuba aphansi kakhulu okuba nomdlavuza obalulekile emtholampilo futhi u-5 umele amathuba aphezulu kakhulu. Amaphuzu angu-4, njengaku I-China pi rads 4 ukwelashwa komdlavuza wendlala yesinye izimo, kukhombisa amathuba amaphakathi adinga ukuhlolwa okwengeziwe. Lokhu kuvame ukubandakanya i-biopsy ehlosiwe ukuze kuqinisekiswe noma kukhishwe ubukhona bomdlavuza.
Imithelela yesikolo se-PI-RADS, ikakhulukazi amaphuzu angu-4, ibalulekile ekuqondiseni izinqumo zokwelashwa. Amaphuzu angu-4 akusho ngokuzenzakalelayo ukuthi umdlavuza ukhona, kodwa asho isidingo esikhulu sophenyo olwengeziwe.
Ezigulini ezise-China ezinesikolo se-PI-RADS 4, isinyathelo esilandelayo ngokuvamile sihlanganisa i-biopsy eqondiwe. Le nqubo isiza ukuthola ngokunembile nokusampula izindawo ezisolisayo ezikhonjwe ku-mpMRI. Uma umdlavuza uqinisekiswa, izindlela zokwelashwa ziyahlukahluka kuye ngezici eziningana, okuhlanganisa ibanga nesigaba somdlavuza, impilo yesiguli iyonke, nezinto ezithandwa umuntu. Lezi zinketho zingabandakanya:
Ukukhetha ukwelashwa okufanele kakhulu I-China pi rads 4 ukwelashwa komdlavuza wendlala yesinye kudinga ukucatshangelwa ngokucophelela kwezimo zomuntu ngamunye. Ithimba lochwepheshe bemikhakha eminingi, okuhlanganisa odokotela bomchamo, odokotela bezifo ezibangelwa amagciwane, nodokotela be-radioologists, ngokuvamile basebenza ndawonye ukuze benze uhlelo lokwelapha lomuntu siqu. Kubalulekile ukuxoxa ngazo zonke izindlela zokwelapha kanye nezinzuzo ezingaba khona kanye nezingozi nomhlinzeki wakho wokunakekelwa kwezempilo.
I-China yenze intuthuko enkulu ekwelashweni komdlavuza wendlala yesinye eminyakeni yamuva nje. Ukufinyelela kubuchwepheshe obuthuthukisiwe, obufana nokuhlinzwa kwerobhothi nezindlela ezithuthukisiwe zokukhishwa kwemisebe, kuyakhula. Ngaphezu kwalokho, ucwaningo oluqhubekayo luyaqhubeka nokucwenga ukwelashwa okukhona kanye nokuthuthukisa izindlela ezintsha.
Ukuze uthole ulwazi olwengeziwe nokwesekwa okuhlobene nomdlavuza wendlala yesinye e-China, cabanga ukuxhumana ne- I-Shandong Baofa Cancer Research Institute noma ezinye izikhungo zezempilo ezihlonishwayo ezisebenza nge-oncology.
Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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