Nā mea e pono ai ʻoe e ʻike e pili ana i ka maʻi ʻaʻai umauma

Ua ʻike ʻia anei kekahi o kou ʻohana a i ʻole he hoaaloha me ka maʻi ʻaʻai umauma? Inā ʻaʻole, e hopohopo iki paha ʻoe a hoihoi paha i ke kamaʻilio ʻana e pili ana i ia mea. He aha maoli ke ʻano o ka maʻi ʻaʻai umauma ? ʻO wai ka mea e loaʻa ai? Pehea ka pilikia? E kamaʻilio kākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi a aloha hoʻi i kēia lā. He mea nui loa ka ʻike ʻana i kēia mau mea nou a me kāu poʻe aloha.

Pehea e hoʻokaʻawale ai nā kauka i ka maʻi ʻaʻai umauma?

ʻAʻole like nā ʻano āpau o ke kanesa o ka umauma. Hoʻokaʻawale nā ​​kauka iā ia ma nā ʻano like ʻole. Hoʻokaʻawale lākou iā ia ma muli o kahi o ka umauma e hoʻomaka ai ke kanesa, nā mea loaʻa o ka hormone i loko o nā hunaola kanesa, a pehea i laha ai ke kanesa. Hoʻoholo kēia hoʻokaʻawale ʻana i ka lāʻau lapaʻau a hāʻawi i kahi manaʻo o nā manawa e hoʻōla ai.

I ka ʻōlelo maʻalahi, aia ʻelua mau ʻano nui:

1. ʻAʻole invasive (hoʻokahi wale nō wahi): ʻO ke ʻano kēia ʻaʻole i laha ka maʻi kanesa ma mua o kahi i hoʻomaka ai. E noʻonoʻo e like me ka mauʻu. Ua kaupalena ʻia i hoʻokahi wahi. ʻO kahi laʻana maikaʻi o kēia ʻo ' Ductal Carcinoma in Situ (DCIS).' Maanei, aia nā hunaola kanesa i loko o nā ducts waiū wale nō.

2. Hoʻouka kaua: ʻO kēia ka wā i pālahalaha ai ke kanesa ma ʻō aku o nā ala waiū a i ʻole nā ​​​​gland hana waiū (lobules) kahi i hoʻomaka ai, i nā ʻāpana ʻē aʻe o ka umauma a i ʻole nā ​​​​​​kikowaena lymph ma ka armpit. Hāʻule ka hapa nui o nā kanesa umauma i loko o kēia māhele.

Eia kekahi, ua hoʻokaʻawale ʻia lākou e like me nā mea loaʻa i loaʻa ma nā hunaola kanesa. ʻO kēia mau mea loaʻa he mau mea e hoʻopilikia ai i ka ulu ʻana o nā hunaola kanesa.

Nā ʻano ʻokoʻa ʻē aʻe

• Ka maʻi ʻaʻai umauma mumū: He ʻano laha ʻole kēia e laha koke ana. Lilo ka umauma i ʻulaʻula a pehu.
• ʻO ka maʻi Paget o ka nipple: He ʻano maʻi kanesa e kū ana i loko o ka nipple.
• Angiosarcoma: Hoʻomaka i loko o nā pūnaewele o nā kīʻaha koko.
• Ka Maʻi ʻAʻai Umauma Metastatic: ʻO kēia ka wā e hemo ai nā hunaola kanesa mai ka umauma a hele i nā ʻāpana ʻē aʻe o ke kino (pinepine i nā iwi, ka lolo, nā māmā, a i ʻole ke akepaʻa) e hana i nā puʻupuʻu hou.

He aha nā kumu pilikia no ka maʻi ʻaʻai umauma?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. Hiki iā mākou ke kaohi i kekahi o kēia mau mea, a ʻaʻole hiki i kekahi.

Eia kekahi o nā kumu pilikia nui:

• Makahiki: ʻOi aku ka nui o ka pilikia o nā wāhine ma luna o 50 makahiki.
• Moʻolelo ʻohana: Loaʻa kahi ʻohana pili, e like me ka makuahine, kaikuahine, a kaikamahine paha, me ka maʻi ʻaʻai umauma.
• Moʻolelo pilikino: Inā ua loaʻa mua iā ʻoe ka maʻi kanesa ma kekahi umauma, aia nō hoʻi ʻoe i ka pilikia o ka loaʻa ʻana ma kekahi umauma.
• Menopause: Ka hoʻomaka ʻana o ka menstruation ma mua o 12 mau makahiki a i ʻole ka hoʻomaka ʻana o ka menopause ma hope o 55 mau makahiki.
• Ka loaʻa ʻana o nā keiki: Ka loaʻa ʻana o kāu keiki mua ma hope o 30 mau makahiki, ʻaʻohe keiki, a i ʻole ʻaʻole hānai waiū i kāu mau keiki.
• Lapaʻau radiation ma mua: Ma hope o ka loaʻa ʻana o ka radiation therapy ma mua ma ka ʻāpana umauma.
• ʻAno nohona: Ka momona nui, ka inu ʻona, a me ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau hormone a me nā pila hoʻomalu hānau.

Pehea e ʻike ai i ka maʻi kanesa i ka wā mua?

MammogramHe kiʻi X-ray ia o nā umauma. ʻO kēia ke ala maikaʻi loa e ʻike ai i ka maʻi kanesa ma mua o ka puka ʻana o nā hōʻailona. ʻO ka ʻike mua ʻia ʻana, ʻoi aku ka maikaʻi o ka manawa e ho'ōla piha ʻia me ka lāʻau lapaʻau.

Inā he wahi kānalua ma ka mammogram, hiki i ke kauka ke ʻōlelo aku i kahi MRI, ultrasound scan, a me ka biopsy (lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo no ka hoʻokolokolo ʻana) e hōʻoia inā he maʻi ʻaʻai ia a, inā pēlā, pehea ka mamao o kona laha ʻana.

Hāʻawi nā hui olakino like ʻole a puni ka honua i nā ʻōlelo aʻoaʻo like ʻole e pili ana i ka makahiki a me ka alapine (frequency) o nā mammograms. ʻO ka ʻōlelo aʻoaʻo maʻamau, ʻo ia ke hoʻomaka ma hope o 40 makahiki . Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i ka papa hana nānā i kūpono loa iā ʻoe.

Pehea ke ʻano o ka mālama ʻana a me ka hiki ke hoʻōla?

ʻOi aku ka nui o ka poʻe e ola nei i ka maʻi ʻaʻai umauma i kēia lā ma mua o ka wā ma mua, mahalo i ka ʻike mua ʻana a me ka hoʻomaikaʻi ʻana i nā lāʻau lapaʻau.

• Inā ʻaʻole i pālahalaha ka maʻi ʻaʻai ma waho o ka umauma, ʻo ka manawa kūpono e ola ai no 5 mau makahiki he 99% .
• Inā ua pālahalaha aku i nā lymph node kokoke, aia ka 86% o ka manawa kūpono.
• Inā ua pālahalaha aku i nā ʻāpana mamao o ke kino (metastatic) , ʻo 29% ka manawa kūpono. Akā naʻe i kēia hihia, ola kekahi poʻe no nā makahiki he nui.

He aha nā lāʻau lapaʻau?

Pili nā koho lapaʻau i nā kumu he nui, me ke ʻano o ka maʻi kanesa āu, ka nui o ka puʻupuʻu, a me nā hopena o nā hormones.

• Nā lāʻau lapaʻau kuʻuna: ʻO ke ʻoki ʻana, ka radiation therapy, a me ka chemotherapy ka mea i hoʻohana pinepine ʻia.
• Nā Lapaʻau i Hoʻolālā ʻia: ʻO kēia nā lāʻau lapaʻau hou loa a ʻoi loa ka maikaʻi. Hana lākou ma ka hoʻolālā ʻana i nā hunaola kanesa wale nō.
• Lapaʻau hormone: Hāʻawi ʻia nā lāʻau lapaʻau e like me 'Tamoxifen' no nā maʻi ʻaʻai e pili ana i ka hormone.
• Nā lāʻau lapaʻau HER2: No nā maʻi kanesa HER2-positive, nā lāʻau lapaʻau e like me Trastuzumab (Herceptin) e ālai i ka protein HER2 a hoʻōki i ka ulu ʻana o nā hunaola kanesa.
• Immunotherapy: Kōkua nā lāʻau lapaʻau e like me "Pembrolizumab (Keytruda)" i kā mākou ʻōnaehana pale ponoʻī e hakakā i nā hunaola kanesa.
• Nā mea kāohi PARP: Hoʻohana ʻia nā lāʻau lapaʻau e like me ʻOlaparib (Lynparza) no nā maʻi ʻaʻai me nā hoʻololi ʻana o ka gene BRCA.

E hana kāu kauka i nā hoʻokolohua genetic a me nā hoʻokolohua ʻē aʻe e hoʻoholo ai i ka lāʻau kūpono a kūleʻa hoʻi nāu.