Inā ua loaʻa iā ʻoe nā implants umauma a i ʻole ke noʻonoʻo nei e kiʻi iā lākou, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi ʻaʻai laha ʻole e pili ana i nā implants umauma, akā ʻaʻole nui ka poʻe e kamaʻilio e pili ana. Mai hopohopo ke lohe ʻoe i kēia, no ka mea, he ʻano laha ʻole kēia. Eia nō naʻe, he mea nui loa ka makaʻala i kēia no kou palekana.
He aha maoli ka BIA-ALCL?
I ka ʻōlelo maʻalahi, ʻo ka inoa piha o kēia ʻo Breast Implant-Associated Anaplastic Large Cell Lymphoma, a i ʻole BIA-ALCL. ʻAʻole kēia he maʻi ʻaʻai umauma. He mea nui e hoʻomanaʻo i kēlā. ʻO BIA-ALCL kahi ʻano lymphoma, kahi maʻi ʻaʻai e pili ana i ka ʻōnaehana pale o ko mākou kino.
Hoʻomohala ia i loko o ka capsule fibrous a me ke kahe e hoʻopuni ana i ka implant umauma. He maʻi kanesa ʻino loa ia. Hiki ke ho'ōla loa ʻia ka hapa nui o nā kānaka ma o ke ʻoki ʻana e wehe i ka implant a me nā ʻiʻo e hoʻopuni ana. Eia nō naʻe, i nā hihia kakaikahi a ʻoi aku ka koʻikoʻi, hiki iā ia ke laha i nā lymph node kokoke, e like me nā mea ma ka armpit, a i nā ʻāpana ʻē aʻe o ke kino.
Pehea ka maʻamau o kēia ʻano?
ʻO kēia ka mea nui loa. He kūlana kakaikahi loa ʻo BIA-ALCL. He miliona mau wahine a puni ka honua i loaʻa nā implants umauma. Akā, i Ianuali 2020, ua hōʻike wale ʻia kēia maʻi he 733 mau manawa ma ka honua holoʻokoʻa. ʻO ia hoʻi, ua haʻahaʻa loa ka manawa e hiki ai. No laila, ʻoiai ʻoe e ʻike nei i kēia, mai makaʻu nui.
He aha ke ʻano o nā implants umauma e pili ana i kēia?
Ua hōʻike ʻia nā noiʻi a hiki i kēia lā ʻo BIA-ALCL ka mea i pili pinepine ʻia me nā implants umauma textured . I ka wā ma mua, ua hoʻohana ʻia nā implants textured no ka mea ua kōkua lākou i ka umauma e noho ma kahi me ka neʻe ʻole.
He kakaikahi loa nā hōʻike e pili ana i kēia maʻi me nā implants umauma laumania. Eia kekahi, inā paha ua hoʻopiha ʻia ka implant me ka silicone a i ʻole ka saline, ʻaʻole ia e pili i kēia maʻi.
E aʻo pū kākou e pili ana i nā implants i hoʻihoʻi ʻia.
Wahi a ka US Food and Drug Administration (FDA), ma kahi o 85% o nā maʻi BIA-ALCL i hōʻike ʻia ua hoʻokomo ʻia me kahi implant textured i kapa ʻia ʻo BIOCELL®, i hana ʻia e Allergan. ʻO ka hopena, ua hoʻoholo ʻo Allergan e hoʻihoʻi i kēlā ʻano implant mai ka mākeke.
Inā loaʻa iā ʻoe kekahi o kēia mau mea hoʻokomo i hoʻihoʻi ʻia, ʻaʻole ke ʻōlelo nei ka FDA e wehe koke ʻoe iā ia. Akā, ke aʻo aku nei lākou iā ʻoe e makaʻala i nā hōʻailona.
He aha nā hōʻailona āu e pono ai e ʻike?
ʻIke pinepine ʻia nā hōʻailona ma hoʻokahi umauma wale nō. Hiki ke ʻike ʻia nā hōʻailona i hoʻokahi makahiki ma hope o ke kau ʻia ʻana o ka implant, a i ʻole hiki ke ʻike ʻia i nā makahiki ma hope. I nā wahine, hoʻomaka pinepine nā hōʻailona ma kahi o 8 mau makahiki ma hope o ke kau ʻia ʻana o ka implant.
E makaʻala i nā hōʻailona ma lalo nei.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Pehu a hoʻonui paha o ka umauma | E nui aʻe ana kekahi umauma ma mua o kekahi, a i ʻole e ulu mai ana kahi puʻupuʻu hou. ʻO kēia ka hōʻailona maʻamau. |
| Manaʻo o ka paʻa i loko o ka umauma | Ke hoʻopā au i kuʻu umauma, ʻoi aku ka paʻa o kona manaʻo ma mua o ka maʻamau. |
| Nā puʻupuʻu i loko o ka umauma a i ʻole ka armpit | He puʻu i hiki ke hoʻopā ʻia ma ka lima a i ʻole ma ka ʻaoʻao o ka ʻāʻī. |
| ʻEha | ʻEha mau ma ka umauma a i ʻole ka ʻāpana armpit. |
| Nā loli ʻili (kākaʻikahi) | ʻO kekahi mea e like me ka ʻulaʻula a i ʻole ka palapū o ka ʻili ma luna o ka umauma. He mea kākaʻikahi loa kēia. |
Akā e hoʻomanaʻo, ʻaʻole kēia mau hōʻailona āpau i hoʻokumu ʻia e ka maʻi kanesa. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia lākou e,
- ʻO ke kuʻi ʻana o ke kapikala
- Ka haki ʻana o ka implant
- He maʻi
- ʻEha hou (Trauma)
Aia paha kekahi mau kumu ʻē aʻe ʻaʻole ia he maʻi kanesa, e like me: No laila, inā ʻike ʻoe i kekahi mau loli, mai hopohopo, akā e ʻike mua i kāu kauka.
Pehea e ʻike ʻia ai kēia?
Inā loaʻa iā ʻoe nā hōʻailona, e nānā mua kāu kauka iā ʻoe. A laila, inā kānalua ʻia ʻo BIA-ALCL, hiki iā lākou ke kuhikuhi iā ʻoe no nā hoʻokolohua e like me kēia.
1. Nā Hoʻāʻo Kiʻi: ʻO ka mea mua āu e hana ai, ʻo ia ka nānā ʻana i ka ultrasound. E nānā kēia i kekahi hōʻiliʻili wai a i ʻole nā puʻupuʻu i loko o ka umauma. Inā ʻaʻole maopopo loa ia, hiki ke hana ʻia kahi nānā MRI e nānā i ka umauma a me nā lymph nodes me ka kikoʻī.
2. Biopsy: Inā hōʻike ka scan i ka wai a i ʻole kahi puʻupuʻu, ʻo ka hana aʻe he biopsy nila. Maanei, lawe ʻia kahi hāpana liʻiliʻi o ka wai a i ʻole ka ʻiʻo me ka hoʻohana ʻana i kahi nila lahilahi a hoʻouna ʻia i kahi lab.
3. Hoʻāʻo ʻana ma ke Keʻena Hoʻokolohua: Ma ke keʻena hoʻokolohua, ua nānā ʻia ka hāpana ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. Hana ʻia nā hoʻokolohua kūikawā (hoʻāʻo biomarker) e hōʻoia inā he BIA-ALCL kēia a i ʻole kekahi maʻi ʻē aʻe.
Pehea e mālama ʻia ai?
Inā ua hōʻoia ʻia ka maʻi, e hoʻouna ʻia ʻoe i kahi kauka oncologist.
- ʻO ke ʻoki kino ka lāʻau nui: ʻO ka lāʻau nui a kūleʻa loa no BIA-ALCL, ʻo ia ka wehe ʻana i ka implant umauma a me ka ʻiʻo ʻeha holoʻokoʻa (capsule) e hoʻopuni ana iā ia.
- I nā pae mua, ʻo ke ʻoki kino wale nō ke koho: Inā aia ka maʻi i kona mau pae mua a hiki i ke kauka ʻoki ke wehe i ka membrane holoʻokoʻa, ʻaʻohe lāʻau ʻē aʻe e pono ai.
- Nā lāʻau lapaʻau ʻē aʻe: Eia nō naʻe, inā ua pālahalaha ke kanesa, a inā ʻaʻole hiki ke wehe loa ʻia ka membrane, pono paha ʻoe i nā lāʻau lapaʻau hou aʻe. Hiki i kēia mau mea ke komo pū me:
- Lapaʻau radiation: Ke hoʻohana nei i nā kukuna ikehu kiʻekiʻe e pepehi i nā hunaola kanesa.
- Chemotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa.
He aha ka mea hiki ke hana ʻia e hōʻemi ai i ka pilikia?
ʻOiai ʻaʻohe ala e pale ai i kēia maʻi, hiki i ka ʻike mua ʻana ke hoʻomaikaʻi nui i nā hopena.
- Nā hoʻokolokolo umauma ponoʻī i kēlā me kēia mahina: E nānā i kou mau umauma i kēlā me kēia mahina. E nānā i kekahi pehu, puʻupuʻu, ʻeha, a i ʻole nā loli ʻē aʻe.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau loli: Inā ʻike ʻoe i kahi loli iki loa, mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka.
- E ʻike i kāu implant: E ʻike i ke ʻano o ka implant umauma āu (textured a smooth paha) a me ka hui i hana ʻia ai. Inā ʻaʻole ʻoe i ʻike i kēia mau kikoʻī, hiki iā ʻoe ke nīnau i kāu kauka ʻoki kino a i ʻole ka haukapila kahi i hana ai ʻoe i ke ʻoki kino.
- E pili ana i nā Mammograms: ʻOiai he mea nui nā mammograms no ka ʻike ʻana i ka maʻi ʻaʻai umauma, ʻaʻole lākou e kōkua pinepine i ka ʻike ʻana i kēia kūlana lymphoma i kapa ʻia ʻo BIA-ALCL.
ʻO ka mea nui loa, ʻo ia ka ʻike mua ʻana a wehe i ka appendix a me ka membrane holoʻokoʻa ma o ke ʻoki ʻana. Inā ʻoe e hana i kēlā, hiki iā ʻoe ke ho'ōla loa i kēia maʻi.
Leka Lawe-Home
- He maʻi ʻaʻai ʻōnaehana pale (lymphoma) kakaʻikahi loa ʻo BIA-ALCL, akā he koʻikoʻi loa ia e pili ana i nā implants umauma. ʻAʻole ia he maʻi ʻaʻai umauma.
- Hoʻopili pinepine ʻia kēia me nā implants textured.
- Inā ua loaʻa iā ʻoe kahi implant umauma, he mea nui e ʻike i nā kikoʻī o kāu implant (ʻano, mea hana).
- E nānā i kou mau umauma iā ʻoe iho i kēlā me kēia mahina. Inā ʻike ʻoe i kekahi mea e like me ka pehu ʻana, nā puʻupuʻu, ka ʻeha, a i ʻole kahi loli o ke ʻano , mai hopohopo a e ʻike koke i ke kauka.
- Inā ʻike mua ʻia kēia maʻi, kiʻekiʻe loa ka hiki ke ho'ōla piha ʻia me ke ʻoki ʻana.
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