Ua ʻōlelo anei ka hōʻike biopsy umauma 'ADH'? E kamaʻilio maʻalahi kākou e pili ana i kēia (Atypical Ductal Hyperplasia)

E ʻōlelo kākou ma hope o ka mammogram, ua lawe kāu kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo a hoʻouna aku no ka hoʻāʻo ʻana. Kāhea mākou i kēia he biopsy. Inā hoʻi mai ka hōʻike i kekahi mau lā ma hope a ʻōlelo mai "Atypical Ductal Hyperplasia" a i ʻole "ADH," hiki iā ʻoe ke makaʻu a hopohopo loa. He mea maʻamau ke noʻonoʻo, "He maʻi kanesa anei kēia?" Akā, mai hopohopo. ʻAʻole ʻo ADH he maʻi kanesa. Eia naʻe, he ʻano ia e hoʻonui iki i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka umauma i ka wā e hiki mai ana. ʻO ia ke kumu he mea nui loa ka ʻike ʻana i ia mea. I kēia lā, e kamaʻilio maʻalahi a maopopo kākou e pili ana i ke ʻano o ADH, kona manaʻo maoli, a me kā mākou mea e hana ai.

I ka ʻōlelo maʻalahi, he aha ka Atypical Ductal Hyperplasia (ADH)?

I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka umauma. Loaʻa i ko kākou mau umauma nā kelepa hana waiū (lobules) a me kahi pūnaewele o nā ʻōmole liʻiliʻi (ducts) e lawe ana i kēlā waiū i ka nipple. ʻO ka maʻamau, ua hoʻonohonoho pono ʻia nā paia o loko o kēia mau ʻōmole waiū, me ʻelua papa o nā cell.

Eia nō naʻe, i loko o kahi kūlana i kapa ʻia ʻo Atypical Ductal Hyperplasia (ADH), eia ka mea e hana ʻia:

• Hyperplasia: Hoʻonui ka nui o nā pūnaewele i loko o kēia mau ala waiū. ʻO ka huaʻōlelo "hyperplasia" ʻo ia hoʻi "ka hoʻonui ʻia o ka helu o nā pūnaewele."
• ʻAʻohe ʻano maʻamau: ʻAʻole like kēia mau pūnaewele me nā pūnaewele olakino maʻamau. ʻO ko lākou ʻano, ka nui, a me ke ʻano o ka hoʻopili ʻia ʻana o nā pūnaewele he "ʻano maʻamau." ʻO ke ʻano kēia, ma kahi o ka hoʻonohonoho ʻia ʻana i ʻelua papa, ua hoʻopili ʻia lākou i loko o kahi ʻano haunaele a maha-papa.

ʻO ka mea nui, ʻaʻole kēia mau cell he maʻi kanesa . He mau cell maikaʻi ʻole lākou. Eia nō naʻe, he mau ʻano like ko lākou me nā cell i loko o kahi kūlana i kapa ʻia ʻo Ductal Carcinoma in Situ (DCIS), ʻo ia ke kahua mua loa o ka maʻi kanesa. I nā huaʻōlelo ʻē aʻe, aia kēia mau cell ma waena o nā cell maʻamau a me nā cell cancer. ʻO ia ke kumu i ʻōlelo ʻia ai he kiʻekiʻe iki ka pilikia o ke kanaka me ADH i ka loaʻa ʻana o ka maʻi kanesa umauma i ka wā e hiki mai ana ma mua o ka mea me ka ʻole o ADH.

He mea nui: ʻAʻole ʻo ADH he maʻi kanesa. He "hōʻailona" wale nō ia e hoʻonui ai i kou pilikia o ka maʻi kanesa o ka umauma. Me he mea lā ke hāʻawi nei kou kino iā ʻoe i kahi ʻōlelo aʻo iki.

He aha ke ʻano o ka loaʻa ʻana o ADH?

Inā ʻōlelo kāu hōʻike biopsy he ADH, ʻaʻole ia he manaʻo he maʻi kanesa kou. Eia nō naʻe, manaʻo nā kauka i kēia kūlana he mea e hoʻonui ai i kou pilikia o ka maʻi kanesa o ka umauma i ka wā e hiki mai ana. Ua ʻike ʻia nā noiʻi he ʻehā manawa ka nui o ka loaʻa ʻana o ka maʻi kanesa o ka umauma i kahi wahine me ADH ma mua o ka wahine me ka ʻole o ke kūlana.

No kēia kumu, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i nā hoʻokolohua maʻi umauma kokoke iki i kāu papa hana maʻamau. Eia kekahi laʻana:

• ʻO ka hana ʻana i ka mammogram i kēlā me kēia makahiki.
• Malia paha he ultrasound umauma a i ʻole MRI scan.
• E hoʻokolokolo pinepine i ka umauma e ke kauka (nā hoʻokolohua umauma lapaʻau).

ʻO ke kumu o ka nānā mau ʻana ma kēia ʻano, ʻo ia ka hōʻoia ʻana inā ulu ka maʻi ʻaʻai, hiki ke ʻike ʻia i ka wā mua loa a mālama pono ʻia.

He aha nā hōʻailona o ADH?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona kikoʻī o ADH. ʻO ia hoʻi, ʻaʻole paha ʻoe e ʻike i kekahi mea. Ua ʻike ʻia ka hapa nui o ka poʻe me ke kūlana ke hana ʻia kahi biopsy ma muli o kahi ʻano ʻē i loaʻa ma ka mammogram no kekahi kumu ʻē aʻe.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi poʻe ke ʻike i nā hōʻailona ma lalo nei. He mea paʻakikī ke ʻōlelo inā ua hana ʻia kēia e ADH a ʻaʻole paha, akā inā ʻike ʻoe i kahi mea e like me kēia, pono ʻoe e ʻike i ke kauka.

Nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana o ADH

ʻAʻole maopopo loa i nā kauka ke kumu e hana ai nā pūnaewele i loko o kēia mau ala waiū ma kēia ʻano ʻē. Eia nō naʻe, ua manaʻoʻiʻo ʻia e hiki i nā mea pilikia like no ka maʻi ʻaʻai umauma ke kōkua pū i ka ulu ʻana o ADH.

Nā mea pilikia e hoʻopilikia ai i ka ADH

• Moʻolelo ʻohana: Loaʻa kahi lālā o ka ʻohana (ʻoi aku ka makuahine, ke kaikuahine, ke kaikamahine) me ka maʻi ʻaʻai umauma.
• Nā hoʻololi hoʻoilina: Loaʻa nā hoʻololi hoʻoilina e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma, e like me BRCA1 a i ʻole BRCA2.
• Moʻolelo pilikino: Ua loaʻa mua kekahi maʻi ʻaʻai ʻē aʻe.
• Momona: Ka hiki ʻole ke mālama i ke kaumaha o ke kino.
• Ka nohona: Ke inu ʻana i ka waiʻona a me ka hoʻohana ʻana i nā huahana paka.

Pehea e mālama ʻia ai ka ADH?

Ke hōʻoia kāu biopsy ua loaʻa iā ʻoe ʻo ADH, e ʻōlelo pinepine kāu kauka i kahi hana liʻiliʻi ʻē aʻe e like me ka hana aʻe. Ua kapa ʻia kēia he biopsy excisional .

ʻO kēia ka wehe ʻana ʻaʻole wale i ka wahi o nā ʻiʻo kahi i loaʻa ai nā cell maʻamau ʻole (ADH), akā, he wahi liʻiliʻi hoʻi o nā ʻiʻo olakino a puni. No ke aha e hana ʻia ai kēia? No ka mea, i kekahi manawa, kokoke loa i kahi i loaʻa ai ka ADH, aia paha kahi maʻi ʻoi aku ka koʻikoʻi, e like me nā pae mua o ke kanesa e like me ka 'DCIS', a i ʻole nā ​​​​​​kelepona kanesa i hūnā ʻia.

Ua hōʻike ʻia nā noiʻi ma kahi o 20% o kēia mau ʻoki kino i hana ʻia no ADH, loaʻa nā hunaola kanesa ma ia wahi. ʻO ia ke kumu he mea nui kēia ʻoki kino.

Ke hoʻihoʻi ʻia ka ʻiʻo i ka wā o ke ʻoki ʻana i ka lab a hōʻoia ʻia ua noa nā hunaola kanesa, ʻaʻole pono hou ʻoe i ka lāʻau lapaʻau. Mai ia manawa aku, ʻo kāu wale nō e hana ai, ʻo ia ke hana i nā hoʻokolohua umauma maʻamau e like me ka ʻōlelo a kāu kauka.

Nā lāʻau lapaʻau e hōʻemi ana i ka pilikia

Inā kiʻekiʻe loa kou pilikia o ka maʻi ʻaʻai umauma ma muli o kou kūlana ADH a me nā kumu ʻē aʻe (e like me ka mōʻaukala ʻohana), hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e hōʻemi i kou pilikia. Hana kēia mau lāʻau lapaʻau ma ke ālai ʻana i ka hana o ka hormone estrogen i loko o ke kino.

• Tamoxifen: No nā wahine i hala ʻole i ka menopause.
• Raloxifene (Evista®), Exemestane (Aromasin®), Anastrozole (Arimidex®): No nā wahine postmenopausal.

Hiki ke ʻōlelo ʻia kēia mau lāʻau lapaʻau a hiki i ʻelima mau makahiki. Eia nō naʻe, no ka mea, he mau hopena ʻaoʻao ko kēia mau lāʻau lapaʻau a pau, he mea nui e kūkākūkā pono me kāu kauka e hoʻoholo ai inā kūpono lākou iā ʻoe.

Nā nīnau e nīnau aku ai i kāu kauka

He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke ʻike ʻoe he ADHD kou. Mai kānalua e nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka.

• "E ke kauka, he aha ka manaʻo o kēia hōʻike hoʻāʻo aʻu?"
• "Pono maoli anei au i ke ʻoki kino?"
• "He aha koʻu pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana?"
• "ʻEhia pinepine e pono ai iaʻu e hana i nā hoʻokolohua e like me ka mammogram?"
• "He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?"
• "He manaʻo maikaʻi anei iaʻu ke loaʻa iaʻu ke aʻoaʻo hoʻoilina?"

Pehea e hiki ai iā ʻoe ke hōʻemi i kou pilikia i ka wā e noho ana me ADHD?

ʻOiai ʻaʻole hiki iā ʻoe ke kāohi i kou kūlana ADH, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka maʻi kanesa i ka wā e hiki mai ana. Hiki i kēia mau mea ke kōkua iā ʻoe e ola i kahi ola olakino.

• E mālama i ke kaumaha olakino: He mea nui loa ka hoʻoikaika kino a me ka ʻai kaulike.
• Hoʻoikaika Kino: E ho'āʻo e noho hana i kēlā me kēia lā.
• E kaupalena i ka waiʻona: E hōʻemi i ka inu ʻana i ka waiʻona i ka hiki a i ʻole e hoʻōki loa.
• Hōʻalo i ka puhipaka: ʻO ka puhipaka a me ka hoʻohana ʻana i nā huahana paka e hoʻonui nui i ka pilikia o ka maʻi kanesa.

Eia kekahi, e hoʻomaʻamaʻa i ka hana ʻana i nā hoʻokolohua umauma ponoʻī . E makaʻala i ke ʻano maʻamau o kou mau umauma ma ka liʻiliʻi hoʻokahi manawa i ka mahina. Ma kēia ʻano, hiki iā ʻoe ke ʻike koke i nā puʻupuʻu hou, nā mānoanoa, a i ʻole nā ​​​​loli.