Ua manaʻo paha ʻoe ʻaʻole like ka hopena o ka maʻi ʻaʻai umauma i nā kānaka a pau? ʻOiaʻiʻo, ʻoi aku ka nui o ka loaʻa ʻana o kekahi mau wahine i ka maʻi, a ʻoi aku ka koʻikoʻi o nā ʻano maʻi ʻaʻai a lākou e ulu ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hihia kūikawā e like me kēia. ʻO ia hoʻi, ka pilina ma waena o nā wahine ʻeleʻele ma nā ʻāina e like me ʻAmelika a me ka maʻi ʻaʻai umauma. He kumuhana kēia e aʻo mai iā ʻoe, iaʻu, a me kēlā me kēia wahine ma ko mākou ʻāina i nā haʻawina waiwai nui e pili ana i ka mālama ʻana i ko lākou olakino.
No ke aha mākou e kamaʻilio nei e pili ana i kēia?
No ka manawa lōʻihi, ʻo ke kanesa o ka māmā ke kumu nui o ka make ʻana o ka maʻi kanesa i waena o nā wahine ʻeleʻele. Akā i ka makahiki 2019, ua loli kēlā, a ua lilo ke kanesa o ka umauma i kēia manawa. Hōʻike kēia i ke koʻikoʻi o kēia maʻi. Hōʻike nā haʻawina ua:
- Aia kahi manawa kūpono kiʻekiʻe aʻe o ka loaʻa ʻana o ka maʻi ʻaʻai umauma ma mua o 40 mau makahiki.
- Aia kahi pilikia kiʻekiʻe aʻe o ka hoʻomohala ʻana i nā ʻano maʻi kanesa ikaika a laha wikiwiki .
- Ke lilo nei ka momona a me nā pilikia olakino ʻē aʻe (e like me ka maʻi diabetes a me ka maʻi puʻuwai) i mea maʻamau.
- Ke ʻike ʻia ka maʻi, aia pinepine ia i kahi pae holomua kahi i laha ai i nā ʻāpana ʻē aʻe o ke kino (metastatic) .
ʻAʻole kēia ʻike e hoʻoweliweli iā mākou, akā, e hoʻonaʻauao iā mākou. Ma muli o kekahi o kēia mau mea pilikia e ʻike ʻia ana i loko o ko kākou kaiāulu, he mea nui i nā mea a pau ke makaʻala i kēia.
ʻO nā ʻano maʻamau o nā tumors malignant
ʻElua ʻano maʻi kanesa i maʻamau a ulu wikiwiki i waena o nā wahine ʻeleʻele. He mea nui e makaʻala i kēia mau mea no ka mea hiki i kekahi wahine ke loaʻa iā lākou.
| ʻAno Kanesa | Nā hiʻohiʻona kūikawā |
|---|---|
| Ka maʻi ʻaʻai umauma mumū | He ʻano laha ʻole kēia, akā he ʻano koʻikoʻi loa a laha koke. ʻIke ʻia nā hōʻailona i loko o kahi manawa pōkole, ma kahi o 3-6 mau mahina. ʻO ka ʻulaʻula, ka pehu ʻana, a me ka manaʻo mehana i loko o ka umauma. |
| Ka maʻi ʻaʻai umauma ʻekolu-maikaʻi ʻole (TNBC) | ʻO kēia ke ʻano e pono ai ka nānā nui ʻia. ʻOiai ʻaʻole ia e hilinaʻi i ka hormone, ʻaʻole ia e pane i nā lāʻau lapaʻau hormone maʻamau. No laila, ua kaupalena ʻia nā koho lapaʻau. ʻOiai me ka lāʻau lapaʻau, kiʻekiʻe ka pilikia o ka hoʻi hou ʻana. |
ʻO ke koʻikoʻi o ka maʻi kanesa TNBC
He maʻi koʻikoʻi ʻo TNBC no kekahi. ʻOkoʻa nā helu ola ma muli o ka nui o ka maʻi i ka wā e ʻike ʻia ai.
- Inā pili ka maʻi kanesa i ka umauma, ʻo ka nui o ke ola ʻana he 5 mau makahiki ma kahi o 91%.
- Inā ua pālahalaha ke kanesa i nā ʻiʻo a puni (ʻāpana) , hāʻule kēlā likelika i 66%.
- Inā ua pālahalaha ke kanesa i nā ʻōkana mamao o ke kino , he haʻahaʻa ka likelika e like me 12%.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kāu hoʻolālā lapaʻau inā ua ʻike ʻia ʻoe me kekahi ʻano maʻi ʻaʻai umauma. Inā kānalua ʻoe e pili ana i kahi lāʻau lapaʻau, e like me ke ʻoki kino a i ʻole ka chemotherapy , mai makaʻu e nīnau i ke kumu. Inā pono, loaʻa iā ʻoe ke kuleana e kiʻi i ka manaʻo ʻelua mai kekahi loea ʻē aʻe .
No ke aha i kiʻekiʻe ai ka nui o ka make ma waena o kekahi mau wahine?
Aia kekahi mau kumu i ʻoi aku ka kiʻekiʻe o ka make ʻana o ka maʻi ʻaʻai umauma i waena o nā wahine ʻeleʻele. He mea nui e hoʻomaopopo i kēia mau kumu no ka mea e pili paha lākou i nā wahine ma ko mākou ʻāina i kekahi ʻano.
- Nā pilikia me ke komo ʻana i ka mālama ola kino: Hiki ke lohi ka ʻike mua ʻana i ka maʻi ma muli o nā kumu e like me ka mamao i nā haukapila maikaʻi, ke kumukūʻai o ka mālama ʻana, a me ka nele o ke komo ʻana i nā pono hana hou e like me nā mīkini mammogram.
- Nā pilikia olakino ʻē aʻe: ʻO nā maʻi e like me ka maʻi diabetes, ka maʻi puʻuwai, a me ka momona e hoʻonui i ka pilikia o ka maʻi ʻaʻai umauma . ʻO ia ke kumu he mea nui e kaohi i kēia mau maʻi.
- ʻAʻole hānai waiū: Ua hōʻike ʻia e ka noiʻi hiki i ka hānai waiū ke hōʻemi i ka pilikia o kekahi ʻano maʻi ʻaʻai umauma. Paipai nui ʻia ka hānai waiū no hoʻokahi makahiki ma ka liʻiliʻi.
Aia kekahi pilina ma waena o nā huahana lauoho a me ke kanesa?
He pilikia kēia no nā kānaka he nui. ʻO nā huahana e like me nā mea hoʻomaha lauoho, nā kirīmi ʻili, a me nā mea hoʻonani e loaʻa paha nā kemika i kapa ʻia ʻo parabens . Hoʻohana ʻia kēia mau mea e mālama i nā huahana.
Loaʻa i nā parabens ka hiki ke hoʻohālike nāwaliwali i ka hormone estrogen i loko o ko kākou kino. Hana ka estrogen ma ke ʻano he wahie no ka ulu ʻana o kekahi mau hunaola maʻi ʻaʻai umauma.
Ke hoʻomau nei ka noiʻi ʻana i kēia. Ua hōʻike ʻia kekahi noiʻi ua hoʻopilikia nā parabens i ka ulu ʻana o nā hunaola kanesa i nā wahine ʻeleʻele, akā ʻaʻole i nā wahine keʻokeʻo. Akā, ʻōlelo nā noiʻi ʻē aʻe ʻaʻole i hōʻoia paʻa ʻia kēia pilina.
No laila, inā ʻoe e pilikia ana i ka maʻi ʻaʻai umauma a i ʻole ua loaʻa iā ʻoe ka maʻi, ʻoi aku ka maikaʻi o ka heluhelu ʻana i ka lepili i ke kūʻai ʻana i nā mea hoʻonani a nānā i nā inoa e like me `(butylparaben, ethylparaben, methylparaben, propylparaben)`. Inā kānalua, he mea naʻauao ke pale aku i ka hoʻohana ʻana i ia mau huahana.
Nā hōʻailona maʻamau o ka maʻi ʻaʻai umauma
Hiki ke ʻike ʻia kēia mau hōʻailona i kekahi wahine, i kēlā me kēia makahiki. Inā ʻike ʻoe i kekahi a ʻoi aku paha o kēia mau mea, mai hopohopo a e ʻike koke i ke kauka.
- He puʻu hou ma ka umauma a i ʻole ka ʻāʻī.
- Ka pehu ʻana o ka umauma, ma ka hapa a i ʻole ma ka ʻāpana.
- Ua like ke ʻano o ka ʻili o ka umauma me ka ʻili o ka ʻili ʻalani .
- ʻEha ma ka umauma a i ʻole ka nipple.
- Huli ʻia ka nipple a puka mai paha ka wai mai loko mai.
- Nā kīʻaha lymph pehu kokoke i ka iwi ʻāʻī a i ʻole ma ka ʻāpana armpit.
E hoʻomanaʻo pono: ʻO ke Kanesa ʻUma Mumū, hiki i ka umauma ke lilo i ʻulaʻula, pehu, a mehana. Inā ʻike koke ʻia kēia mau hōʻailona, e ʻike koke i ke kauka.
Pehea e ʻike ai i ka maʻi kanesa i ka wā mua?
ʻO ka ʻike mua ʻia ʻana, ʻo ka ʻoi aku ka holomua o ka lāʻau lapaʻau. ʻO kēia nā ʻano hana nui i loaʻa.
- Nā Mammograms: He X-ray kēia o nā umauma. Manaʻo pinepine ʻia ma hope o 40 mau makahiki e pale aku i ka make ʻana mai ke kanesa. Inā ua loaʻa kekahi o kou ʻohana i ke kanesa, hiki i kāu kauka ke paipai i kēia hoʻāʻo ma mua.
- Hoʻāʻo ʻana i ka hoʻoilina: Ma kahi o 5%-10% o nā maʻi ʻaʻai umauma i hoʻokumu ʻia e nā genes i hoʻoilina ʻia (e like me `BRCA1`, `BRCA2`). Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia a ʻike inā pono ka hoʻāʻo ʻana i ka hoʻoilina.
Hiki ke hoʻemi ʻia ka pilikia?
ʻAʻole loa ʻoe e hewa i ka loaʻa ʻana o ka maʻi kanesa. Eia nō naʻe, hiki iā mākou ke hōʻemi i ko mākou pilikia ma ka mālama ʻana i kahi nohona olakino.
- E ʻai i ka meaʻai kaulike me ka haʻahaʻa o ka starch a me ka waiwai i nā mea kanu a me nā huaʻai.
- E mālama i ke kaumaha olakino .
- E kaupalena i ka inu ʻana i ka waiʻona.
- E hoʻoikaika kino i kēlā me kēia lā.
- E pale loa i ka puhipaka. E kamaʻilio me kāu kauka inā makemake ʻoe i ke kōkua me kēia.
Leka Lawe-Home
- ʻAʻole like ke ʻano o ka maʻi ʻaʻai umauma no kēlā me kēia kanaka. ʻOi aku ka ikaika o kekahi mau ʻano (e like me TNBC), no laila he mea nui ka ʻike mua ʻana.
- E makaʻala i kou kino. Inā ʻike ʻoe i kekahi mea ʻē, e like me ka puʻupuʻu ma kou umauma, kahi loli i kou ʻili, a i ʻole kahi kahe mai kou mau nipples, e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio me kāu kauka e pili ana i ka mōʻaukala maʻi kanesa o kou ʻohana a nīnau e pili ana i ka makahiki kūpono e hoʻomaka ai i nā mammograms.
- Hiki i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino) ke hōʻemi i ka pilikia o nā maʻi he nui, me ke kanesa.
- Inā he kānalua a hopohopo paha kāu e pili ana i ka lāʻau lapaʻau āu e loaʻa nei, mai kānalua e ʻimi i ka ʻōlelo aʻo mai kekahi loea ʻē aʻe. ʻO kou olakino ka mea waiwai nui loa.
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