Ke haʻi aku kāu kauka iā ʻoe he maʻi ʻaʻai umauma 'Stage 0' kou, makaʻu paha ʻoe a hoihoi hoʻi. He maʻi ʻaʻai maoli anei kēia? A i ʻole he mea mua ia no ke kanesa? He aha ka mea e hiki mai ana? He tausani mau nīnau e like me kēia e holo nei i loko o kou manaʻo. Mai hopohopo, he mea maʻamau loa ia. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ke ʻano o ka maʻi ʻaʻai umauma Stage 0?
ʻO kaʻoiaʻiʻo, aia kekahi mau manaʻo i waena o nā kauka e pili ana i kēia. Manaʻo kekahi poʻe loea ʻo ia ke kahua mua o ka maʻi ʻaʻai umauma. Manaʻo kekahi he kahua precancer ia.
I ka ʻōlelo maʻalahi, ʻo ke kanesa ka mahele ʻana o nā cell ʻano ʻē i kāohi ʻole ʻia. Hiki i kēia mau cell ke hoʻouka i nā ʻiʻo olakino a puni. Eia nō naʻe, ma ke kahua 0 o ke kanesa umauma, ʻaʻole e laha kēia mau cell ʻano ʻē ('non-invasive'). ʻO ke ʻano kēia e noho mau ana nā cell ma kahi i hoʻomaka ai lākou a ʻaʻole i laha i nā ʻiʻo a puni. Eia nō naʻe, aia kahi manawa e hiki ai iā lākou ke hana pēlā i ka wā e hiki mai ana. He kahua ʻoi aku ka liʻiliʻi o kēia ma mua o ke kanesa Stage I.
ʻElua ʻano nui o ke kahua 0 o ka maʻi ʻaʻai umauma .
1. ʻO ka maʻi Paget ʻaʻole invasive: He ʻano laha ʻole kēia. He ʻano maʻi ʻaʻai ia e kū mai ana ma ka nipple.
2. Ductal Carcinoma in Situ (DCIS): ʻO kēia ka mea a mākou e ʻōlelo pinepine ai ke kamaʻilio mākou e pili ana i ka maʻi ʻaʻai umauma Stage 0. I kēia hihia, ulu nā pūnaewele ʻē aʻe i loko o nā ducts waiū i loko o kou umauma. ʻO ka mea nui, ʻaʻole i pālahalaha kēia mau pūnaewele ma waho o nā ducts, kahi i loaʻa ai ka hapa nui o ka ʻiʻo momona o ka umauma.
ʻAʻole ʻike ʻia ke kumu kikoʻī o DCIS. ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona. Eia nō naʻe, i kekahi manawa hiki ke ʻike ʻia kahi puʻupuʻu liʻiliʻi a i ʻole e puka mai kahi kahe koko mai ka nipple .
Hiki i kēia mau pūnaewele ʻano ʻē ke ulu aʻe paha i loko o ka maʻi kanesa invasive. ʻAʻohe mea hiki ke wānana pololei i ka wā e hiki mai ai kēia. ʻO ia ka pilikia nui loa i kēia kūlana.
Pono anei kēia e mālama ʻia? Pehea wau e hoʻoholo ai?
Ma hope o kou ʻike ʻia ʻana me DCIS, hāʻawi ʻia kahi māka ma ka hōʻike pathology āu e loaʻa ai.
- Papa nuklea 3: ʻO kēia ke ʻano me ka hiki ke hoʻolaha.
- Papa nuklea 1: He haʻahaʻa loa ka manawa e laha ai kēia.
E hoʻāʻo ʻia nō hoʻi ʻoe e ʻike inā loaʻa i kāu mau hunaola kanesa nā mea loaʻa estrogen. Hiki i kāu kauka ke kapa i kēia he "ER-positive" a i ʻole "ER+." Inā pēlā, ʻo ia hoʻi, e ulu mālie paha kāu kanesa.
I kēia manawa, hiki i kāu kauka ke kuhikuhi i ka hoʻāʻo genetic, hiki ke ʻike inā he mau loli kāu i kāu mau genes e hoʻonui ai i kou pilikia o ka maʻi ʻaʻai umauma .
ʻO kāu mea e hana ai ma hope aku e pili ana i kēia mau mea a pau, a me kāu mau makemake pilikino .
Manaʻo ka hapa nui o nā kauka he ʻoi aku ka maikaʻi o ka loaʻa ʻana o kekahi lāʻau lapaʻau no ka mea inā ʻaʻole e laha ka maʻi kanesa Stage 0, hiki ke loli i ka wā e hiki mai ana. No laila, pili pū ka ʻōlelo, "ʻOi aku ka maikaʻi o ka palekana ma mua o ke kaumaha" ma ʻaneʻi.
ʻEkolu mau koho lapaʻau nui. E nānā kākou iā lākou ma kahi papa.
| Koho Lapaʻau | I ka ʻōlelo maʻalahi... (Wehewehe Maʻalahi) |
|---|---|
| Lumpectomy | ʻO ke ʻoki ʻana kēia e pili ana i ka wehe ʻana i ka wahi me nā hunaola ʻē a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. |
| ʻO ka Lumpectomy a me ka radiation therapy | Ma hope o ke ʻoki kino i luna, hāʻawi ʻia ka radiation therapy e luku i nā pūnaewele ʻē aʻe e koe paha. |
| Ka hoʻopau ʻana i ka mastectomy | Wehe kēia ʻoki kino i ka umauma holoʻokoʻa. Hiki ke ʻōlelo ʻia inā ua pālahalaha ʻo DCIS ma loko o ka umauma a i ʻole no nā kumu ʻē aʻe. |
E kali iki anei kākou me ka ʻole o ka lāʻau lapaʻau? (Ke kali makaʻala)
He kumuhana hoʻopaʻapaʻa kēia. Manaʻo kekahi poʻe loea he koho maikaʻi kahi hoʻolālā i kapa ʻia ʻo "kiaʻi makaʻala," ʻo ia hoʻi ka mālama ʻole ʻana iā ia koke akā ke nānā ʻana i ke kūlana me nā hoʻokolohua maʻamau. Ma kahi o hoʻokahi hapakolu o nā wahine me DCIS e loaʻa i ka maʻi kanesa e laha ana i ka wā e hiki mai ana.
No laila, e ʻōlelo paha kāu kauka e pale ʻoe i ka mālama koke ʻana a ma kahi o ia e nānā i ke kūlana me nā hoʻokolohua nānā maʻamau.
Loaʻa i kēia nā pono a me nā hemahema. E noʻonoʻo e pili ana i ia mea...
Inā hana ʻoe i ke ʻoki kino (malia paha me ka radiation therapy) i ka wā mua, hiki paha iā ʻoe ke pale aku i ka laha ʻana o ka maʻi ʻaʻai i ulu ʻole. Ma ka ʻaoʻao ʻē aʻe, ua hana paha ʻoe i kahi lāʻau ʻeha no kahi mea e lilo ʻole ai i pilikia.
Akā inā hoʻoholo ʻoe e kali me ke ʻoki ʻole ʻana, a minamina ua lilo kou kūlana i maʻi kanesa metastatic, hiki ke ʻoi aku ka koʻikoʻi (a paʻakikī hoʻi ke mālama) ke ʻike ʻia.
He hoʻoholo pilikino loa kēia. Pono ʻoe a me kāu kauka e hana i kēia hoʻoholo pū, ma hope o ke kūkākūkā pono ʻana. E haʻi aku i kou mau hopohopo a me kou mau makaʻu a pau me kāu kauka.
Leka Lawe-Home
- ʻO ke kahua 0 o ka maʻi ʻaʻai umauma, a i ʻole DCIS, he ʻano maʻi ʻaʻole ia e komo i loko o nā ʻauwai waiū. Aia nā pūnaewele ʻē i loko o nā ʻauwai waiū wale nō.
- Hiki paha i kēia maʻi ke lilo i maʻi kanesa i ka wā e hiki mai ana. He mea hiki ʻole ke haʻi mua.
- ʻO ka mālama ʻia ʻana a i ʻole ka ʻole ʻana, a me ke ʻano o ka lāʻau e hoʻohana ai, ma muli ia o kekahi mau kumu (ke ʻano o ka maʻi kanesa, ke kūlana ER) a me kāu mau makemake pilikino.
- ʻO nā koho nui he ʻoki kino ('Lumpectomy' a i ʻole 'Mastectomy'), radiation therapy, a i ʻole ka ʻole o ka lāʻau lapaʻau a me ka nānā pono ʻana ('kali makaʻala').
- ʻAʻole kēia he hoʻoholo āu e hana ai hoʻokahi. E kamaʻilio ākea a kikoʻī me kāu kauka e hana i ka hoʻoholo kūpono loa iā ʻoe.
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