Ke ʻike ʻoe ua loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai ka maʻi ʻaʻai umauma, ʻo kekahi o nā nīnau nui a me nā makaʻu e hiki mai ana i ka noʻonoʻo, "Pehea ka wikiwiki o ka laha ʻana?" He mea maʻamau ka noʻonoʻo ʻana i ka wikiwiki o ka māhele ʻana o nā hunaola kanesa , ʻo ia hoʻi ka wikiwiki o ka ulu ʻana o ka puʻupuʻu. "Pehea ka lōʻihi o kēia i loko o koʻu kino?" "Pehea ka lōʻihi o ka hiki ʻana i kona nui o kēia manawa?" Ke noʻonoʻo nei paha ʻoe.
ʻO kaʻoiaʻiʻo, ʻaʻohe ala o nā kauka e haʻi pololei ai i ka wā i hoʻomaka ai ka ulu ʻana o kahi maʻi kanesa i loko o kou kino. No laila, he paʻakikī ke ʻōlelo pololei i ka lōʻihi o ka ulu ʻana i kona nui o kēia manawa. Hiki ke lilo i kekahi mau pule, kekahi mau mahina, a ʻoi aku paha. ʻO ka maʻamau, ma hope o ka ʻike ʻia ʻana o kahi maʻi kanesa, wehe loa nā kauka iā ia me ke ʻoki ʻana, no laila ʻaʻohe ala e ʻike ai i ka wikiwiki o kona ulu ʻana. Eia nō naʻe, aia kekahi mau ʻoiaʻiʻo ʻepekema e hiki ke kōkua iā mākou e hoʻomaopopo i kēia.
He aha nā mea e hoʻopilikia ai i ka ulu ʻana o ka maʻi kanesa?
ʻOiai ʻaʻole hiki ke ʻōlelo pololei i ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai umauma, hiki i nā kauka ke nānā i kekahi mau ʻano o ka puʻupuʻu e loaʻa ai kahi manaʻo inā he puʻupuʻu ulu wikiwiki a lohi paha. E hoʻoholo kēia mau mea i ka wikiwiki a me ke ʻano o ka lāʻau lapaʻau āu e pono ai.
I ka ʻōlelo maʻalahi, ʻokoʻa kēlā me kēia kanaka a me kēlā me kēia maʻi kanesa. Eia kekahi o nā kumu nui e hoʻoholo ai i ka wikiwiki o ka ulu ʻana o kāu maʻi kanesa.
| Kumu | Pehea e pili ai |
|---|---|
| ʻAno Kanesa | Aia nā ʻano ʻano like ʻole o ke kanesa umauma. ʻOi aku ka wikiwiki o ka ulu ʻana o kekahi mau ʻano ma mua o nā mea ʻē aʻe. No ka laʻana, ʻoi aku ka wikiwiki o ka triple-negative ma mua o ka hormone receptor-positive . E hoʻoholo kāu kauka i ke ʻano ma ka nānā ʻana i kahi ʻāpana liʻiliʻi o kāu puʻupuʻu (biopsy). |
| Kahua | Hoʻoholo ʻia ke kahua e ka mea inā aia nō ke kanesa i loko o nā ʻauwai waiū a i ʻole ua pālahalaha i nā ʻiʻo umauma, nā lymph node ma ka ʻāʻī, a i ʻole nā kikowaena ʻē aʻe. Aia nā kahua mai 0 a IV (ʻehā). ʻO ke kahua IV ke ʻano ua pālahalaha ke kanesa ma waho o ka umauma a i nā ʻōkana mamao, e like me ka lolo a i ʻole ke akepaʻa. ʻOi aku ka nui o ka ulu ʻana o nā kanesa i pālahalaha ma waho o nā ʻauwai waiū. |
| Papa (Papa) | E hāʻawi kāu kauka i kāu maʻi kanesa i kahi māka mai ka 1 a i ka 3. Hoʻoholo ʻia kēia e ke ʻano 'ʻano ʻē' o nā hunaola kanesa ma lalo o kahi microscope. Hiki i nā hunaola kanesa e like me nā hunaola maʻamau (Papa 1) ke laha maʻalahi, ʻoiai ʻo nā hunaola e like me ke ʻano ʻē a me ke ʻano ʻē (Papa 3) hiki ke ulu a laha koke. |
| Kou Makahiki | ʻO ka maʻamau, ʻike pinepine ʻia ka maʻi ʻaʻai umauma i nā wahine ma luna o 50 mau makahiki. Eia nō naʻe, inā loaʻa i kahi kanaka ʻōpio ka maʻi ʻaʻai umauma, ʻoi aku ka nui o ke ʻano huhū. |
| Nā ʻano hoʻoilina | Ua hānau ʻia kekahi poʻe me nā loli genetic e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa a me ka ulu wikiwiki ʻana. ʻOi aku ka nui, pili nā loli i loko o nā genes (BRCA1) a me (BRCA2) me ka ulu wikiwiki ʻana o ka maʻi kanesa umauma. Inā pono, hiki i kāu kauka ke kuhikuhi iā ʻoe no ka hoʻāʻo genetic e ʻike ai. |
Nā ʻano maʻi ʻaʻai umauma a me ko lākou wikiwiki ulu ʻana
E nānā kākou i kekahi o nā ʻano maʻamau o ka maʻi ʻaʻai umauma a me ko lākou wikiwiki ulu ʻana. E kōkua kēia iā ʻoe e loaʻa kahi ʻike maopopo o kou kūlana.
| ʻAno Kanesa | Ka ulu ʻana a me nā hiʻohiʻona kūikawā |
|---|---|
| ʻO ke Kānana ʻAna o ka Ductal ma kahi (DCIS) | He maʻi kanesa mua loa kēia i kapa ʻia ʻo Stage 0. ʻAʻole i pālahalaha nā hunaola kanesa ma waho o nā ʻauwai waiū. Ma ka wehewehe ʻana, ʻaʻole kēia he maʻi kanesa e ulu wikiwiki ana. Eia nō naʻe, i kekahi manawa hiki i kēia ke lilo i maʻi kanesa invasive. |
| Loaʻa ka Hormone Receptor (HR)-maikaʻi | No kēia ʻano ka hapa nui o nā maʻi ʻaʻai umauma. Loaʻa i kēia mau hunaola maʻi ʻaʻai nā mea loaʻa e pane ana i nā hormones estrogen a/a i ʻole progesterone. ʻO ka maʻamau, ulu kēia ʻano i nā wahine. Hiki i nā lāʻau lapaʻau e ālai ana i nā hormones ke kāohi hou aku i ko lākou ulu ʻana. |
| HER2-maikaʻi | Ma kahi o 20% o nā maʻi ʻaʻai umauma o kēia ʻano. Loaʻa iā lākou kahi pae kiʻekiʻe o kahi protein i kapa ʻia ʻo HER2. ʻO kēia protein ke kumu o ka ulu wikiwiki ʻana o ke kanesa. Akā i kēia manawa, mahalo i ka lāʻau lapaʻau i kuhikuhi ʻia e kuhikuhi ana i kēia protein HER2, loaʻa i ka poʻe me kēia ʻano nā hopena maikaʻi. |
| ʻEkolu-maikaʻi ʻole | ʻAʻohe o kēia mau hunaola kanesa i nā mea loaʻa hormone (HR) a i ʻole ka protein HER2. No laila, he paʻakikī ke mālama. Ulu a laha koke kēia ʻano (ʻoi aku ka ikaika). |
| Ka maʻi ʻaʻai umauma mumū | He ʻano laha ʻole kēia a wikiwiki loa ka laha ʻana . Lilo ka umauma i ʻulaʻula, pehu, a i kekahi manawa he ʻili lua, e like me ka ʻili ʻalani. |
Ka ulu ʻana o ke kanesa a me ke koʻikoʻi o ka hoʻāʻo ʻana
ʻO ka pahuhopu nui o ka nānā ʻana i ka maʻi ʻaʻai umauma, ʻo ia ka ʻike mua ʻana i ka maʻi ʻaʻai, ma mua o kona ulu ʻana a laha ʻana ma ke kino holoʻokoʻa. ʻO nā maʻi ʻaʻai i loaʻa i ka wā o nā mammograms maʻamau , he liʻiliʻi pinepine ka nui a ʻaʻole paha e laha.
E hoʻomanaʻo, ʻoiai ke ʻano o ka huhū o ka maʻi kanesa, inā hiki ke loaʻa koke a ma kahi hoʻokahi, ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla piha ai.
No ka mea, he paʻakikī ke ʻike ʻana i nā maʻi kanesa e ulu wikiwiki ana i nā wā mua, he haʻahaʻa paha ka nui o ke ola no ka poʻe me kēia ʻano maʻi kanesa. No laila, ʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai nā maʻi kanesa e ulu wikiwiki ana a ikaika hoʻi, ʻo ia ke kiʻi ʻana i nā mammograms i nā manawa maʻamau mai ka makahiki kūpono.
He aha nā hoʻokolohua kūpono iā ʻoe?
ʻO ka mea maʻamau, ua ʻōlelo ʻia nā wāhine me ka pilikia haʻahaʻa e hoʻomaka i ka mammograms ma hope o 40 mau makahiki. Eia nō naʻe, inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai umauma, he predisposition genetic kou, a i ʻole he mau kumu pilikia ʻē aʻe, pono paha ʻoe e hoʻomaka i ka nānā ʻana ma mua.
ʻO ka ʻōlelo aʻoaʻo maikaʻi loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia pilikino a hoʻomohala i kahi papa hana nānā e kūpono iā ʻoe. Mai makaʻu e nīnau i kāu kauka i kāu mau nīnau.
Leka Lawe-Home
- He ʻokoʻa ka wikiwiki o ka ulu ʻana o kēlā me kēia maʻi ʻaʻai umauma . He kū hoʻokahi ia i kou kino a me ke ʻano o ke kanesa.
- Hoʻopilikia kekahi mau kumu i kēia helu, me ke ʻano, ke kahua, ke ʻano o ke kanesa, kou makahiki, a me nā kumu genetic.
- Aia nā ʻano maʻi kanesa ikaika a me nā ʻano maʻi kanesa e ulu lohi loa.
- ʻOiai ke ʻano o ke kanesa, ʻo ka ʻike mua ʻia ʻana, ʻo ka nui aʻe o ka hiki ke mālama ʻia a hoʻōla ʻia.
- ʻO ka loaʻa ʻana o nā hoʻokolohua maʻamau, e like me nā mammograms, ke ala maikaʻi loa e ʻike mua ai i ka maʻi kanesa. E kamaʻilio me kāu kauka e pili ana i kahi papa hana hoʻokolohua kūpono iā ʻoe.
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