Ua ʻōlelo anei ka hōʻike biopsy iā ADH? Mai hopohopo, e kamaʻilio kākou e pili ana i kēia! (Atypical Ductal Hyperplasia)

Ua ʻike paha ʻoe i kahi loli i kou umauma, a ua ʻōlelo paha kāu kauka i kahi biopsy ma hope o ka mammogram. Ke loaʻa iā ʻoe kēlā hōʻike biopsy a ʻike ʻoe ua ʻōlelo ʻia "Atypical Ductal Hyperplasia" a i ʻole "ADH," he mea maʻamau ke makaʻu a me ka hopohopo. "He maʻi kanesa anei kēia?" "He aha ka mea e hiki mai ana iaʻu i kēia manawa?" He nui paha kāu mau nīnau ma kou manaʻo. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ADH, no ke aha e hana ʻia ai, a me ka mea e hana ai e pili ana i ia mea ma ke ʻano maʻalahi a maopopo.

He aha ke ʻano o ka Atypical Ductal Hyperplasia (ADH)?

I ka ʻōlelo maʻalahi, ʻo ADH kahi ulu ʻano ʻē o nā pūnaewele i loko o nā ala waiū o kou mau umauma. ʻAʻole ia he maʻi kanesa. Akā, ʻaʻole hoʻi he mea maʻamau.

E noʻonoʻo, ua like nā ʻauwai waiū i loko o ko kākou mau umauma me nā ʻōmole liʻiliʻi. Hana ʻia ka paia o loko o kēia mau ʻōmole me nā ʻāpana huna. I loko o ke kanaka olakino, ua hoʻonohonoho pono ʻia kēia mau ʻāpana huna i ʻelua papa, me ke akahele loa, a me ka nani o ka laina.

Akā i loko o kekahi kanaka me ADH, he ʻano huikau kēia mau pūnaewele, ua hoʻākoakoa ʻia kekahi ma luna o kekahi, a ulu i kekahi mau papa. A he ʻano ʻē hoʻi ke ʻano o kēia mau pūnaewele. ʻAʻole kēia mau pūnaewele he mau pūnaewele maʻi kanesa, ʻo ia hoʻi he 'maikaʻi' lākou. Eia nō naʻe, ua like kekahi o ko lākou mau ʻano me nā pūnaewele i loko o kahi kūlana i kapa ʻia ʻo "DCIS - Ductal Carcinoma In Situ", ʻo ia hoʻi kahi pae mua loa o ka maʻi kanesa o ka umauma.

Ua like kēia me ke kukui melemele ma ke alanui. ʻAʻole ia he manaʻo he ulia pōpilikia, akā ʻo ia hoʻi, pono ʻoe e akahele loa i ka neʻe ʻana i mua.

ADH a me ALH: He aha ka ʻokoʻa ma waena o kēia mau mea ʻelua?

Hiki paha iā ʻoe ke lohe i ka huaʻōlelo 'Atypical Hyperplasia'. ʻO kēia ka inoa maʻamau no kēia ulu ʻana o nā cell maʻamau ʻole. ʻElua ʻano nui o kēia. He mea nui e ʻike i ka ʻokoʻa ma waena o nā mea ʻelua.

Hoʻonui nā ʻano ʻelua i ka pilikia o ka maʻi kanesa i ka wā e hiki mai ana. Ua hōʻike ʻia nā noiʻi he ʻehā manawa ka nui o ka loaʻa ʻana o ka maʻi kanesa o ka umauma i kahi wahine me kekahi o kēia mau kūlana ma mua o ka mea me ka ʻole o ia mea.

He aha nā hōʻailona o ADH?

I ka hapanui o nā hihia, ʻaʻole hana ka ADH i kekahi mau hōʻailona kikoʻī. ʻIke pinepine ʻia ia ma ke ʻano ulia. Hoʻomaopopo pinepine ʻia ka ADH ke ʻike ʻia kahi ʻano ʻē o ka umauma (e.g., microcalcifications) i ka wā o ka mammogram i hana ʻia no kekahi kumu ʻē aʻe a hana ʻia kahi biopsy e noiʻi hou aku i ka ʻano ʻē.

Eia nō naʻe, he mea kakaikahi loa, hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me kēia:

• Ua ʻike ʻia kahi puʻupuʻu ma ka umauma ma ka lima.
• Ke manaʻo nei i ka ʻeha ma ka umauma.
• Ka hoʻokahe ʻana o ke kino mai ka nipple mai, he mea ʻē aʻe ia he koko.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻaʻole ia ma muli o ADH. Eia nō naʻe, inā ʻike ʻoe i kekahi mau loli ʻē i kou mau umauma , he mea naʻauao ke ʻike koke i kāu kauka a nānā ʻia.

Nā kumu a me nā mea pilikia o ADH

ʻAʻole maopopo i nā kauka ke kumu o kēia ʻano hana ʻē aʻe o kēia mau hunaola waiū. Eia nō naʻe, ua manaʻoʻiʻo ʻia aia kekahi mau mea e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma e pili pū ana me ka pilikia o ka hoʻomohala ʻana i ka ADH.

He aha kēia mau mea pilikia?

• Moʻolelo ʻohana: Inā ua loaʻa i kahi lālā o ka ʻohana (ʻoi aku hoʻi kahi hoahānau pili e like me ka makuahine, kaikuahine, a kaikamahine paha) ka maʻi ʻaʻai umauma.
• Nā loli hoʻoilina: ʻO ka loaʻa ʻana o nā hoʻololi hoʻoilina e like me `(BRCA1, BRCA2)` e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma.
• Moʻolelo pilikino: Inā ua loaʻa iā ʻoe kekahi maʻi ʻē aʻe ma mua.
• Momona: Ka hiki ʻole ke mālama i ke kaumaha o ke kino.
• Ka nohona:ʻO ka inu pinepine ʻana i ka waiʻona a me ka hoʻohana ʻana i nā huahana paka.

He mea nui e hoʻomanaʻo e hiki i kekahi kanaka me ka ʻole o kekahi o kēia mau mea pilikia ke hoʻomohala i ka ADH a i ʻole ka maʻi ʻaʻai umauma.

ʻO ke kaʻina hana o ka ʻike ʻana a me ka mālama ʻana iā ADH

E nānā kākou i ka mea a kāu kauka e hana ai ma hope o ka hōʻoia ʻana iā ADH.

1. Biopsy ʻoki kino / Excisional

Hoʻomaʻamaʻa mua ʻia ʻo ADH me ka 'biopsy nila', ʻo ia hoʻi ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka umauma me kahi mea like me ka nila a nānā iā ia.

Ke hōʻoia ʻia ʻo ADH, ʻo ka hana aʻe no nā kauka, ʻo ia ka hana ʻana i kahi 'surgical biopsy' a i ʻole 'excisional biopsy' . Pili kēia i ka wehe ʻana i ka ʻāpana holoʻokoʻa o nā cell maʻamau ʻole, me kekahi mau ʻiʻo olakino a puni lākou.

No laila, ma ka wehe ʻana a me ka nānā ʻana i ka ʻāpana holoʻokoʻa, hiki iā ʻoe ke maopopo he 100% ʻaʻohe mau hunaola ʻino ʻē aʻe a puni. Ma kahi o 20% o nā ʻokiʻoki i hana ʻia ma kēia ʻano, ua loaʻa nā hunaola kanesa ma waho aʻe o ADH. No laila, ua hana ʻia kēia ʻokiʻoki no kou palekana.

2. Nā lāʻau lapaʻau e hōʻemi ana i ka pilikia

Inā nānā ʻia ka ʻiʻo ma hope o ke ʻoki ʻana a ʻaʻohe mau hunaola kanesa i koe, ʻo ka hapa nui ʻaʻole pono ka lāʻau hou. Eia nō naʻe, inā manaʻo kāu kauka he kiʻekiʻe loa kou pilikia o ka maʻi kanesa i ka wā e hiki mai ana, ma muli o nā mea e like me kou mōʻaukala pilikino a me kou ʻohana, hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i kēlā pilikia.

Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i ka hana o ka hormone estrogen i loko o ke kino, ka mea i ʻike ʻia e kōkua i ka ulu ʻana o kekahi ʻano maʻi ʻaʻai umauma.

• ʻO Tamoxifen no nā wahine ma mua o ka menopause.
• Nā lāʻau lapaʻau e like me Raloxifene a i ʻole Anastrozole no nā wahine post-menopausal.

ʻO ka maʻamau, ʻōlelo ʻia kēia mau lāʻau lapaʻau no kahi o 5 mau makahiki. ʻOiai hiki iā lākou ke hana i kekahi mau hopena ʻaoʻao, he kakaikahi nā hopena ʻaoʻao koʻikoʻi. Inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha, he mea ia e kūkākūkā ai ʻoe me kāu kauka.

3. Nānā Paʻa

Ke ʻike ʻia ʻoe me ADH, ʻo ka mea nui loa, ʻo ia ka nānā pono ʻana i kou mau umauma. Hiki i kāu kauka ke ʻōlelo i kēia mau mea:

• Mammogram Makahiki: Mai hōʻalo i kēia.
• Hoʻokolokolo Umauma Lapaʻau: E nānā ʻia kou mau umauma e ke kauka i kēlā me kēia 6 a 12 mau mahina.
• MRI Umauma: Inā kiʻekiʻe kou pilikia, hiki ke ʻōlelo ʻia kahi scan MRI i hoʻokahi manawa i ka makahiki me ka mammogram.
• Hoʻokolohua Umauma Ponoʻī: E aʻo pehea e nānā ai i kou mau umauma ma ka home i hoʻokahi manawa i ka mahina a e hoʻolilo iā ia i mea maʻamau. Inā ʻike ʻoe i kekahi mau loli, e haʻi koke i kāu kauka .

He aha ka pilikia o ka loaʻa ʻana o ka maʻi kanesa no kekahi me ADH?

ʻAʻole ʻo ADH he maʻi kanesa, akā hoʻonui ia i ka pilikia i ka wā e hiki mai ana. Mai hopohopo i kēia mau helu helu, ʻaʻole lākou manaʻo e loaʻa i nā mea āpau me ADH ka maʻi kanesa.

• I loko o 5 mau makahiki o ka ʻike ʻia ʻana me ADH, ma kahi o 7 o 100 mau kānaka (7%) e loaʻa i ka maʻi ʻaʻai umauma.
• Ma hope o 10 mau makahiki , ma kahi o 13 o 100 mau kānaka (13%) e loaʻa paha iā ia.
• Ma hope o 25 mau makahiki , hiki i kahi 30 o 100 mau kānaka (30%) ke loaʻa iā ia.

Hōʻike kēia i ke koʻikoʻi o ka nānā mau ʻana , ʻoiai e piʻi ana ka pilikia i ka hala ʻana o ka manawa. No ka mea, inā paha e ulu ka maʻi kanesa ma kekahi ʻano, hiki i ka nānā mau ʻana ma kēia ʻano ke ʻike iā ia i kahi wā mua loa. A laila ʻoi aku ka kiʻekiʻe o ka manawa e mālama ʻia ai a ho'ōla piha ʻia.

He aha kaʻu e hana ai e hōʻemi i ka pilikia?

ʻOiai ʻaʻohe ala maopopo e pale aku ai i ka ADH, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana. He mea maikaʻi loa kēia no kou olakino holoʻokoʻa.

• E mālama i ke kaumaha olakino: E ho'āʻo e noho i kahi kaumaha olakino no kou kiʻekiʻe.
• Hoʻoikaika kino i kēlā me kēia lā: E hana ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino ikaika i ka lā.
• E kaupalena i ka waiʻona: Inā inu ʻoe i ka waiʻona, e kaupalena iā ia i ka hiki. ʻOi aku ka maikaʻi o ka hoʻōki loa ʻana i ka inu ʻana inā hiki.
• E hōʻalo i ka puhipaka: E hoʻōki loa i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka.
• ʻAi olakino: E ʻai i ka ʻai momona i nā mea kanu, nā huaʻai, a me nā mea kanu lāʻau, a haʻahaʻa hoʻi i ka ʻaila, ke kō, a me ka paʻakai.