E aʻo kākou e pili ana i ka nānā ʻana i ka maʻi ʻaʻai māmā!

Ua noʻonoʻo paha ʻoe inā hiki iā kākou ke loaʻa ka maʻi kanesa i loko o ko kākou kino me ka ʻole o nā hōʻailona? ʻOiaʻiʻo, he maʻi leo ʻole ka maʻi kanesa māmā. I ka hapa nui o ka manawa, hiki ke lohi loa ke ʻike ʻia nā hōʻailona. Akā, mai hopohopo! Aia kahi hopena maikaʻi no kēia. ʻO ia ka nānā ʻana i ka maʻi kanesa māmā.

I ka ʻōlelo maʻalahi, ʻo ka nānā ʻana i ke kanesa o ka puʻuwai he CT scan haʻahaʻa (LDCT) i hana ʻia i hoʻokahi manawa i ka makahiki. Hiki iā ia ke ʻike i nā puʻupuʻu liʻiliʻi loa i loko o kou mau māmā e hiki ke lilo i kanesa, ʻoiai inā liʻiliʻi lākou. Lawe ka scan LDCT i nā kiʻi maopopo o loko o kou mau māmā. ʻO ka nānā ʻana he hoʻāʻo maʻamau a i ʻole ka hoʻāʻo kiʻi i hana ʻia e ʻike ai inā he maʻi kou ma mua o kou loaʻa ʻana o kekahi mau hōʻailona.

Ke noʻonoʻo nei paha ʻoe, "No ke aha e hoʻāʻo ʻia ai au no ka maʻi kanesa inā ʻaʻohe oʻu pilikia?" Akā, he kakaikahi nā hōʻailona o ka maʻi kanesa māmā i kona mau wā mua, i ka wā e maʻalahi ai ke mālama ʻia. Hoʻomaopopo pinepine ʻia ka maʻi kanesa māmā i ka wā e ʻoi aku ka holomua o ka maʻi. I kēlā manawa, ua haʻahaʻa nā manawa e ola ai.

Inā he mea puhipaka ʻoe i kēia manawa a ua haʻalele paha i loko o 15 mau makahiki, he manaʻo maikaʻi ia e hoʻomaka e nānā ʻia ke hiki iā ʻoe he 50. ʻOiai hiki i kekahi ke loaʻa i ka maʻi ʻaʻai māmā, ʻo ka poʻe puhipaka o kēia manawa a me ka poʻe puhipaka mua ka mea i loaʻa i ka pilikia nui loa.

ʻO wai ka mea e pono e noʻonoʻo pono i ka hana ʻana i ka nānā ʻana i ka maʻi kanesa o ka māmā?

Manaʻo nā kauka e loaʻa iā ʻoe kahi scan CT haʻahaʻa haʻahaʻa i kēlā me kēia makahiki inā ʻoe e hoʻokō i nā pae hoʻohālikelike a pau :

• Inā ʻoe ma waena o 50 a me 80 mau makahiki.
• Inā he mea puhi paka ʻoe i kēia manawa, a inā paha ua hala ma mua o 15 mau makahiki mai kou haʻalele ʻana i ka puhi paka.
• Inā he moʻolelo puhipaka kou ma ka liʻiliʻi he "20-pack years".

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha ka 'pack-year'?" ʻAe, e wehewehe maʻalahi wau. Ua helu ʻia ma ka hoʻonui ʻana i ka helu o nā ʻeke cigarette āu e puhi ai i kēlā me kēia lā (aia he 20 mau cigarette i loko o kahi ʻeke) me ka helu o nā makahiki āu i puhi ai. No ka laʻana, inā ua puhi ʻoe i hoʻokahi ʻeke i ka lā no 20 mau makahiki, ʻo ia ka mōʻaukala '20-pack year'. A i ʻole, inā ua puhi ʻoe i ʻelua mau ʻeke i ka lā no 10 mau makahiki, ʻo ia ka mōʻaukala '20-pack year'. Inā pilikia ʻoe i ka helu pololei ʻana i kēia, mai hopohopo. E nīnau i kāu kauka, hiki iā ia ke kōkua iā ʻoe.

Ua hoʻomohala ʻia kēia mau alakaʻi e kahi hui o nā loea olakino i kapa ʻia ʻo United States Preventive Services Task Force (USPSTF) . Ua hoʻokumu ʻia lākou ma nā haʻawina nānā ʻana i ka maʻi ʻaʻai māmā hou loa.

Pehea e hana ai kēia loiloi maʻi ʻaʻai māmā?

He mea maʻalahi loa kēia. ʻO ka nānā ʻana i ka maʻi kanesa māmā e pili ana i ka lawe ʻana i nā kiʻi o loko o kou umauma. ʻAʻole hiki i kēia mau kiʻi wale nō ke haʻi iā ʻoe "he maʻi kanesa kēia." Eia naʻe, hiki i kēia mau kiʻi ke hōʻike i nā puʻupuʻu liʻiliʻi ('mau puʻupuʻu'). A laila e nānā hou ʻia lākou e ʻike inā he maʻi kanesa lākou a ʻaʻole paha.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?

ʻAʻohe hoʻomākaukau kūikawā e pono ai no kēia (Lung Cancer Screening CT scan). Eia nō naʻe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka inā he mau kuhikuhi kūikawā kāna nou. ʻOi aku ka maikaʻi o ke komo ʻana i nā lole palupalu a me nā mea hoʻonaninani liʻiliʻi. Inā loaʻa iā ʻoe kekahi mau maʻi olakino, ʻoi aku hoʻi nā maʻi hanu, e haʻi mua i nā limahana ma kahi hoʻāʻo a i ʻole kāu kauka. Hiki paha iā lākou ke hoʻonohonoho hou i ka scan no kekahi lā ʻē aʻe e hōʻoia i ka pololei o nā hopena.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

Eia ka mea e hana ʻia i ka wā o ka scan kanesa māmā:

• E noi aku ke loea e hana ana i ke scan iā ʻoe e wehe i nā mea nani, nā wati, a i ʻole nā ​​​​mea hao ʻē aʻe. Hiki ke noi ʻia paha ʻoe e ʻaʻahu i kahi lole e hoʻolōʻihi ʻia mai ka pūhaka a luna.
• E hoʻomoe ʻia ʻoe ma luna o kahi moena e komo ai i loko o ka scanner.
• A laila e komo mālie ana ka moena i loko o ka mīkini scan, e like me ka ʻōmole a i ʻole ka donut.
• I ka hoʻohuli ʻana o ka scanner a puni ʻoe, hiki i ka moena ke neʻe i mua a i mua ʻoiai e paʻi kiʻi ana ka mīkini.
• I ka wā o ke kiʻi ʻana, e haʻi aku ke loea iā ʻoe e hanu i loko, a i ʻole e hanu i waho, a laila e paʻa i kou hanu no kekahi manawa. Pono ʻoe e hoʻāʻo e hana i kēlā mau mea i ka mea hiki iā ʻoe.
• ʻAʻole e noho pū ke loea me ʻoe i loko o ka lumi scan. Akā, e noho ʻo ia ma waho a kamaʻilio me ʻoe ma o ka microphone. No laila, ʻaʻohe mea e makaʻu ai.
• Ma hope o ka lawe ʻana o ke kauka i nā kiʻi a pau āna e pono ai, e puka mai ka moena mai loko mai o ka mīkini nānā. A laila hiki iā ʻoe ke ala aʻe.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

ʻAʻohe ʻōlelo kūikawā nou e hahai ai ma hope o ka loaʻa ʻana o kēia scan (LDCT). Hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau.

Aia kekahi mau pilikia me kēia hoʻāʻo?

ʻAe, e like me nā mea ʻē aʻe a pau, aia kekahi mau pilikia liʻiliʻi e pili ana. E nānā kākou i ke ʻano o ia mau mea:

• Nā hopena wahaheʻe. ʻO ke ʻano kēia, hiki i kahi scan ke loaʻa i kahi mea i loko o kou mau māmā e like me ke kanesa, akā ʻaʻole ia he kanesa maoli. No ka laʻana, he nui nā puʻupuʻu liʻiliʻi i loko o kou mau māmā (nā nodules pulmonary) ʻaʻole ia he mea ʻino. Akā ʻo ka hana ʻana i nā hoʻokolohua hou aʻe, malia paha he ʻoki kino, ma mua o kou ʻike maopopo ʻana inā he kanesa kekahi mea a ʻaʻole paha, hiki ke lilo i mea hopohopo iki, ʻeā?
• He mea hiki paha i kahi puʻupuʻu i ʻike ʻia ma o ka nānā ʻana ʻaʻole loa e hōʻike i nā hōʻailona iā ʻoe a ʻaʻole loa e laha. Akā pono nō paha e mālama ʻia.
• Ka hōʻike ʻia ʻana o ka radiation. He liʻiliʻi loa ka nui o ka radiation āu e loaʻa ai mai kahi scan computed tomography haʻahaʻa (LDCT). Akā, ʻaʻole ia he zero. ʻO ka hoʻomau ʻana i ka radiation e hoʻonui iki i kou pilikia o ka maʻi kanesa. Akā, he mea nui e hoʻomanaʻo he haʻahaʻa loa ka nui o ka radiation i hāʻawi ʻia.

I kekahi manawa, ke hana nā kauka i kēia mau scan e ʻimi i ka maʻi ʻaʻai māmā, ʻike lākou i nā kūlana ʻē aʻe (nā ʻike ulia pōpilikia) a lākou i manaʻo ʻole ai. No ka laʻana , kahi kūlana e like me COPD (Chronic Obstructive Pulmonary Disease) a i ʻole kekahi mea e like me ka puʻupuʻu umauma. Pono paha kekahi o kēia mau ʻike ulia pōpilikia i ka mālama ʻana. Akā, ʻaʻole pono lākou a pau i ka mālama ʻana. Hiki iā lākou ke alakaʻi i nā hoʻokolohua pono ʻole a me ke kaumaha.

No laila he aha nā pono o ka lawe ʻana i kēia hoʻokolohua?

Aia kekahi mau pono i ka nānā ʻana no ka maʻi ʻaʻai māmā me kahi scan CT haʻahaʻa, a i ʻole LDCT:

• Hiki i nā kauka ke ʻike i nā puʻupuʻu liʻiliʻi loa me kahi CT scan, hoʻohālikelike ʻia me kahi X-ray umauma maʻamau. Hōʻike nā haʻawina e hoʻohana ana i nā X-ray maʻamau e ʻimi i ka maʻi kanesa māmā ʻaʻole ia e like me ka maikaʻi i ka ʻike ʻana i ka maʻi kanesa ma mua a i ʻole ka hoʻonui ʻana i ke ola e like me LDCT.
• ʻOi aku ka haʻahaʻa o ka nui o ka radiation i hoʻohana ʻia i loko o kahi scan computed tomography haʻahaʻa (LDCT) ma mua o kahi scan computed tomography (CT) maʻamau.

Pehea mākou e loaʻa ai nā hopena o ka hōʻike hoʻāʻo?

E nānā hou ana kekahi radiologist a me kāu kauka i kāu mau scan a hāʻawi iā ʻoe i kahi hōʻike me nā hopena. Hiki i kāu hōʻike hoʻāʻo maʻi kanesa māmā ke komo pū me nā kikoʻī e like me:

• Maikaʻi ʻole. ʻO ia hoʻi, ʻaʻole lākou i ʻike i kekahi mea ma kāu scan i like me he maʻi kanesa lā.
• ʻAno maikaʻi. Pili kēia i nā nodules ʻaʻole like me ke kanesa. ʻO ia hoʻi, ʻaʻohe mea e hopohopo ai.
• ʻO ke ʻano "paha he maikaʻi" e pili ana i nā puʻupuʻu i ʻike ʻole ʻia he maʻi kanesa, akā ua ʻōlelo ʻia e nānā hou ʻia ke kiʻi e hōʻoia.
• Kānalua. He mau puʻupuʻu kēia e like me he maʻi kanesa. Pono ʻoe e hana i nā kiʻi hou aʻe a me kahi biopsy paha.
• He mea kānalua loa. He mau puʻupuʻu kēia e like me ke kanesa. Pono ʻoe e hana i nā kiʻi hou aʻe a me kahi biopsy. E kuhikuhi aku kāu kauka iā ʻoe i kahi loea kanesa māmā (he oncologist).
• ``Koʻikoʻi a koʻikoʻi paha``. Hiki i ke kauka radiology ke ʻōlelo ``koʻikoʻi`` a i ʻole ``koʻikoʻi paha`` e pili ana i kahi mea a lākou e ʻike ai ʻaʻole ia he maʻi kanesa akā pono paha ke kiʻi hou aku a i ʻole ka hoʻāʻo ʻana.
• ʻAʻole piha.ʻO ke ʻano kēia, ʻaʻole hiki iā lākou ke wehewehe pololei i kāu scan. Hiki paha kēia no ka mea he maʻi māmā kou, a i ʻole no ka mea makemake lākou e hoʻohālikelike iā ia me kahi scan ma mua. Pono ʻoe e hana hou i kahi scan i loko o kekahi mau mahina e loaʻa ai kahi hōʻailona pololei.

ʻEhia ka lōʻihi e loaʻa ai nā hopena?

Hiki ke ʻokoʻa ka manawa e pono ai e loaʻa ai nā hopena hoʻāʻo maʻi kanesa māmā mai kēlā kanaka a kēia kanaka. Inā makemake ʻoe i kekahi nānā ʻana, e kelepona koke aku kāu kauka iā ʻoe. A i ʻole, hiki ke hala i hoʻokahi lā a i kekahi mau lā. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i ka wā e hiki ai iā ʻoe ke manaʻo i nā hopena.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

E kūkākūkā kāu kauka i nā hopena o kāu hoʻāʻo ʻana i ka maʻi kanesa māmā me ʻoe. Inā pono, ʻo nā hana aʻe e hiki iā ʻoe ke hana e komo pū me:

• ʻO kekahi scan (LDCT) i loko o ʻekolu a ʻeono mahina.
• Hana ʻia kahi scan CT diagnostic ma ke ʻano he hana hoʻāʻo.
• Ke hana nei i kahi scan PET/CT.
• Hālāwai me kekahi loea maʻi kanesa (`oncologist`).
• E ʻike i kahi pulmonologist (no nā kūlana hanu ʻaʻole maʻi kanesa) a i ʻole kekahi loea ʻē aʻe.

I ka manawa hea e pono ai iaʻu ke ʻike i kaʻu kauka?

Inā manaʻo ʻoe he kiʻekiʻe kou pilikia no ka maʻi ʻaʻai māmā a kūpono paha ʻoe no kēia hoʻāʻo, e kamaʻilio me kāu kauka. Inā he mau nīnau kāu e pili ana i ka CT scan haʻahaʻa a i ʻole nā ​​hopena o kāu hoʻāʻo, mai kānalua e nīnau.

Āhea e hiki ai iaʻu ke hoʻōki i ka lawe ʻana i kēia hoʻokolohua?

Inā pili kekahi o kēia mau mea iā ʻoe, hiki paha iā ʻoe ke hōʻalo i kāu nānā ʻana i ka maʻi kanesa o ka māmā makahiki:

• Inā he 81 ou mau makahiki a ʻoi paha.
• Inā ʻoe e puhipaka ana no 15 mau makahiki a ʻoi aku paha, e emi ana kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai māmā i ka hala ʻana o ka manawa mai kou puhi hope ʻana i kahi cigarette.
• Inā ʻaʻole hiki iā ʻoe ke hana ʻoki no ka maʻi ʻaʻai māmā i ke kahua mua ma muli o kahi kūlana olakino, a inā ʻaʻole ʻoe makemake e hana pēlā.

He mea kūpono maoli anei ka hana ʻana i kēia hoʻāʻo ʻana no ka maʻi kanesa o ka māmā?

ʻAe, ʻoiaʻiʻo nō! Ma ka nānā ʻia ʻana no ka maʻi ʻaʻai māmā, hiki iā ʻoe ke ʻike koke iā ia, i ka wā hiki ke mālama ʻia. Hōʻike nā haʻawina he ʻoi aku ma mua o 50% o ka poʻe i nānā ʻia i kēlā me kēia makahiki (ʻo ia hoʻi ma kahi o hoʻokahi i loko o ʻelua) ua ʻike ʻia ko lākou maʻi ʻaʻai māmā i ka wā mua. Eia nō naʻe, ma kahi o 28% wale nō o ka poʻe me ka maʻi ʻaʻai māmā i ʻike ʻia i ka wā mua.

ʻO ia hoʻi, hiki iā ʻoe ke noʻonoʻo i ka hiki ke hoʻopakele i ke ola me kēia nānā ʻana!

Aia kekahi mau hoʻokolohua e hiki ai ke ʻike i ka maʻi kanesa o ka māmā mai ke koko?

ʻAʻole, ʻaʻohe hoʻāʻo koko i kēia manawa e hiki ke ʻike a hōʻoia paha i ka maʻi ʻaʻai māmā.

ʻO ka mea hope loa, aia kekahi mau mea nui e pono ai ʻoe e hoʻomanaʻo

He maʻi koʻikoʻi ka maʻi ʻaʻai māmā. Eia nō naʻe, ʻo ka loaʻa ʻana o kahi nānā ʻana i ka maʻi ʻaʻai māmā i kēlā me kēia makahiki he mea hana ikaika ia no ka ʻike mua ʻana a me nā koho lapaʻau kūpono loa. E kamaʻilio me kāu kauka e pili ana inā he kiʻekiʻe kou pilikia no ka maʻi ʻaʻai māmā a inā pono ʻoe e loaʻa i kēia hoʻāʻo. Hiki iā ia ke kōkua i ka hoʻopakele ʻana i kou ola.

E hoʻomanaʻo, inā ʻoe e puhipaka ana, ʻaʻole loa e lohi ke haʻalele. ʻO ka haʻalele ʻana i ka puhipaka ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka maʻi ʻaʻai māmā. He mea kūpono ke hoʻāʻo e haʻalele i ka puhipaka i ka wā e ʻike ai ʻoe i kēia hoʻokolohua.

ʻO ke kanesa māmā, ka nānā ʻana i ke kanesa, CT scan, puhi paka, olakino, pale ʻana, LDCT, nānā ʻana, kanesa, māmā