Aia ʻoe ma lalo o 45? Ke lohe ʻoe e pili ana i ka maʻi ʻaʻai umauma, ke manaʻo nei ʻoe, "ʻAuē... he maʻi ia o ka poʻe ʻelemakule?" He ʻoiaʻiʻo ua ʻike pinepine ʻia kēia maʻi i nā wahine ma luna o 50. Akā, ʻaʻole ia manaʻo ʻaʻole i pilikia nā wahine ʻōpio. I kekahi manawa, hiki i nā wahine ʻōpio ma waena o 18 a me 45 mau makahiki ke loaʻa i ka maʻi ʻaʻai umauma. No laila, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia me ka makaʻu ʻole. E kamaʻilio kākou e pili ana i kēia ma ke ʻano aloha i kēia lā.
He aha ke ʻano o ka maʻi ʻaʻai umauma e kū mai ana i ka wā ʻōpiopio?
I ka ʻōlelo maʻalahi, inā ua ʻike ʻia kahi wahine me ka maʻi ʻaʻai umauma ma waena o nā makahiki 18 a me 45, kapa mākou ia he maʻi ʻaʻai umauma e hoʻomaka koke ana. Hiki ke ulu maoli ka maʻi ʻaʻai umauma i kēlā me kēia makahiki. ʻOiai he mea kakaikahi loa, hiki nō hoʻi ke loaʻa i nā wahine ʻōpio.
He aha ka mea kūikawā e pili ana i ka maʻi ʻaʻai i loko o ke kanaka ʻōpio?
Ke loaʻa i kahi ʻōpio ka maʻi ʻaʻai umauma, hiki ke ʻokoʻa iki ia mai ka wā e ulu ai i kahi kanaka ma luna o 45 mau makahiki. Eia kekahi mau kumu.
- Hiki ke ʻike ʻia ma hope: ʻO ka hapa nui o nā nānā ʻana i ka maʻi ʻaʻai umauma, e like me nā mammograms, ua ʻōlelo pinepine ʻia ma hope o 40 mau makahiki. No laila, inā loaʻa i kahi ʻōpio nā hōʻailona, hiki iā lākou ke hoʻowahāwahā iā lākou, me ka manaʻo, "ʻAʻole kēia he mea koʻikoʻi." Hiki i kēia ke alakaʻi i ka ʻike ʻia ʻana o ke kanesa i kahi pae holomua, i ka wā i ulu mua ai .
- Hiki ke ʻoi aku ka ikaika: Ua ʻike kekahi mau noiʻi, ma muli o nā ʻano o nā hunaola kanesa (nā māka tumor), hiki i nā wahine ʻōpio ke loaʻa i nā kanesa ulu wikiwiki a ʻoi aku ka ikaika . No laila, ʻoi aku ka paʻakikī o ka mālama ʻana.
He aha nā ʻano maʻamau o ke kanesa umauma i nā poʻe ʻōpio?
ʻOiai hiki ke ulu kekahi ʻano maʻi ʻaʻai umauma i loko o kahi ʻōpio, he mea maʻamau kēia mau ʻano ʻelua.
- Invasive Ductal Carcinoma: ʻO kēia ke ʻano maʻamau o ka maʻi umauma i ʻike ʻia i nā wahine o kēlā me kēia makahiki.
- Ka Maʻi ʻAʻai Umauma ʻEkolu-Negative: He ʻano maʻi ʻaʻai kakaikahi a paʻakikī hoʻi kēia e mālama.
He aha nā hōʻailona e ʻike ʻia i ka wā ʻōpiopio?
ʻAʻole loli nā hōʻailona me ka makahiki. ʻO nā hōʻailona like o ka maʻi ʻaʻai umauma e ʻike ai kekahi poʻe ʻē aʻe he mea maʻamau ia i ka poʻe ʻōpio. ʻO ka mea nui loa, ʻo ia ka makaʻala i nā loli i kou mau umauma .
ʻAʻohe mea i ʻike i kou kino ma mua o ʻoe, no laila, mai hoʻowahāwahā i nā loli liʻiliʻi loa āu e ʻike ai.
E makaʻala i kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| He puʻu ma ka umauma a i ʻole ka armpit | Ka mea i paʻa i ka lima, e like me kahi puʻu a puʻupuʻu paha i loaʻa ʻole ma mua. |
| ʻEha umauma (Mastalgia) | ʻEha mau, ʻeha kūloko (ʻokoʻa mai ka ʻeha o ka menstrual) |
| Nā loli ʻili | ʻUlaʻula o ka ʻili, lua liʻiliʻi e like me ka ʻili ʻalani, nā kiko ʻili a i ʻole ka huehue . |
| Nipple i hoʻohuli ʻia | Me he mea lā ua huli aʻe i loko ka nipple i maʻamau ma mua. |
| Hoʻokuʻu ʻia ʻana o ka nipple | He kahe koko (ʻoi aku ke koko) mai ka ʻū o kahi makuahine ʻaʻole hānai waiū. |
| Nā ʻōpū lymph pehu | Ka pehu ʻana e like me nā puʻu ma nā ʻāʻī a i ʻole a puni ka ʻāʻī. |
| Ka mānoanoa a i ʻole ka pehu ʻana o ka umauma | ʻOi aku ka mānoanoa a i ʻole ka pehu o kekahi ʻāpana o ka umauma ma mua o kekahi. |
No ke aha e ulu ai ka maʻi ʻaʻai umauma i ka wā ʻōpiopio?
ʻO ke kumu nui o kēia, ʻo ia nā hoʻololi ʻana o ka genetics . E noʻonoʻo he mau genes ko ko kākou kino e hana ana e like me ka "brake" e hoʻōki ana i ka ulu ʻana o nā cell cancers. Kāhea mākou i kēia mau "genes tumor suppressor". ʻO "BRCA1" a me "BRCA2" ʻelua mau genes nui.
Inā loaʻa kahi mutation i loko o kēia mau genes, ʻaʻole hana pono ka "brake". A laila hiki i nā cell abnormal ke māhele me ka ʻole o ke kāohi ʻia a lilo i maʻi kanesa. Ma kahi o ka hapalua o nā maʻi kanesa umauma e loaʻa ana i nā wahine ʻōpio e pili ana me nā mutations i loko o nā genes 'BRCA1' a i ʻole 'BRCA2'.
Ma waho aʻe o kēia mau genes ʻelua, hiki i nā mutations i loko o kekahi mau genes ʻē aʻe e like me `TP53`, `PTEN`, a me `PALB2` ke hoʻopilikia pū i kēia.
Akā, ʻo ka mea nui, ʻaʻole nā maʻi ʻaʻai umauma a pau e ulu ana i nā wāhine ʻōpio i hana ʻia e nā kumu hoʻoilina. Hiki i kekahi ke kū koke mai, me ka ʻole o ka mōʻaukala ʻohana.
He aha nā kumu pilikia no kēia?
He mea nui loa ka mōʻaukala olakino o kou ʻohana ma kēia. Manaʻo paha ʻoe he kiʻekiʻe aʻe kou pilikia no ka maʻi ʻaʻai umauma inā ua loaʻa i kekahi o kou ʻohana kekahi o kēia mau maʻi.
| Nā Kumu Pilikia | |
|---|---|
| Pehea ka hopena o ka mōʻaukala ʻohana o nā maʻi | |
| He ʻohana koʻu i loaʻa i ka maʻi ʻaʻai umauma ma mua o 50 mau makahiki. | |
| Loaʻa ka maʻi ʻaʻai ma nā umauma ʻelua. | |
| Hiki ke loaʻa ka maʻi ʻaʻai ovarian i kēlā me kēia makahiki. | |
| Loaʻa i ke kāne ka maʻi ʻaʻai umauma (Male breast cancer). | |
| Loaʻa kahi moʻolelo ʻohana o ke kanesa pancreatic a i ʻole ke kanesa prostate metastatic. | |
| Nā kumu pilikia ʻē aʻe | |
| Loaʻa iā ʻoe nā hoʻololi hoʻoilina e like me 'BRCA1' a me 'BRCA2' i loko ou a i ʻole kekahi lālā o ka ʻohana. | |
| Ma hope o ka loaʻa mua ʻana o ka radiation therapy ma ka ʻāpana umauma. | |
| Loaʻa i nā kūlana precancerous e like me ka 'Atypical hyperplasia' a i ʻole 'Lobular Carcinoma in Situ (LCIS)'. | |
Inā he moʻolelo ʻohana kou o kēia ʻano, hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo ʻana i ka genetic e ʻike ai inā he hoʻololi genetic kou e hoʻonui ai i kou pilikia o ka maʻi kanesa. Inā pēlā, hiki ke kuhikuhi ʻia ʻoe no ke aʻo ʻana i ka genetic e kōkua i ka hoʻokele ʻana i kēlā pilikia.
Pehea e ʻike ai i ka maʻi?
Me ka nānā ʻole i ka makahiki, ua like ke kaʻina hana o ka ʻike ʻana i ka maʻi ʻaʻai umauma.
1. Hoʻokolokolo lapaʻau: ʻO ka mea mua, e nānā ke kauka i kou mau umauma.
2. Ke nīnau ʻana e pili ana i nā hōʻailona a me ka mōʻaukala: E nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona, ka mōʻaukala olakino pilikino a me ka ʻohana.
3. Nā Hoʻāʻo Kiʻi: Hiki ke hana ʻia nā hoʻāʻo e like me `(Mammogram)` a i ʻole `(Breast MRI)` e ʻike ai inā he ulu ʻano ʻē i loko o nā umauma.
4. Biopsy: Inā he wahi kānalua, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai laila mai a nānā ʻia ma lalo o kahi microscope. Hoʻohana ʻia kēia hoʻāʻo e hoʻoholo pono ai inā he maʻi kanesa a ʻaʻole paha.
Pono anei nā kānaka ma lalo o 40 mau makahiki e hana i ka mammogram?
ʻAʻole ʻōlelo pinepine ʻia nā mammograms no nā wahine ma lalo o 40 mau makahiki i loaʻa i ka pilikia nui. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā kumu pilikia i helu ʻia ma luna, hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine ʻana ma mua o 40 mau makahiki. Mai hopohopo inā noi lākou iā ʻoe e loaʻa nā hoʻokolohua nānā hou aʻe. E kōkua kēia i ka ʻike mua ʻana i ka maʻi kanesa, ma mua o ka laha ʻana (metastasized) i nā ʻāpana ʻē aʻe o ke kino . E hoʻonui kēia i kou manawa e mālama ʻia a hoʻōla loa ʻia.
Pehea e mālama ʻia ai?
Ke ʻike ʻoe he maʻi kanesa kou, e hana pū ʻoe a me kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa. E pili ana kēia i ke ʻano o ka maʻi kanesa āu, ke kahua i laha ai, a inā paha ʻoe e hoʻolālā e loaʻa nā keiki i ka wā e hiki mai ana .
Hiki i ka hoʻolālā lapaʻau ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau mea:
- ʻO ke ʻoki kino:ʻO ke ʻoki kino e wehe wale i ka puʻupuʻu kanesa (lumpectomy) a i ʻole ka umauma holoʻokoʻa (mastectomy).
- Chemotherapy: Lāʻau lapaʻau e hoʻopau ai i nā hunaola kanesa.
- Lapaʻau Radiation: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe.
- Lapaʻau Hormone: Nā lāʻau lapaʻau e ālai ana i nā hormones e hoʻopilikia ai i ka ulu ʻana o nā hunaola kanesa.
- Lapaʻau i Kūkuhi ʻia: Nā lāʻau lapaʻau e kuhikuhi pono ana a hoʻouka wale aku i nā hunaola kanesa.
- Immunotherapy: Hoʻoulu i ka ʻōnaehana pale o kou kino ponoʻī e hakakā i nā hunaola kanesa.
He aha nā pilikia e hiki ke loaʻa mai ka lāʻau lapaʻau?
Ma ke ʻano he wahine ʻōpiopio, pono ʻoe e makaʻala nui i kēia.
Ka Hopena ma ka Momona: Hiki i nā lāʻau lapaʻau e like me ka chemotherapy a i ʻole ka radiation therapy ke hōʻemi i kou manawa kūpono e loaʻa ai kahi hāpai olakino i ka wā e hiki mai ana. No laila, inā ʻoe e manaʻolana nei e loaʻa nā keiki, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia a kūkākūkā i nā koho mālama momona ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau .
Eia kekahi, hiki i ka lāʻau lapaʻau hormone ke hana i nā hōʻailona like me nā menopause (e.g., nā ʻālohilohi wela, ka insomnia). Eia kekahi, hiki i ka lāʻau lapaʻau ke hana i nā hopena ʻaoʻao e like me:
- Hopohopo a kaumaha paha
- Nā hopohopo no ke kiʻi o ke kino
- Luhi o ke kanesa
- ʻEha (ʻeha maʻi kanesa)
- ʻO ka lymphedema
Pehea lā e hiki ai ke ho'ōla hou ʻia mai kēia maʻi mai?
ʻO ka mea nui ma ʻaneʻi ʻaʻole wale kou mau makahiki, akā, ʻo ia ke ʻano o ka maʻi kanesa āu a me ke kahua i ka wā i ʻike ʻia ai.
I ka ʻōlelo maʻalahi, inā ʻike ʻia ke kanesa i ka wā e kaupalena ʻia ai i ka umauma , ʻo ka nui o ke ola ʻana o ʻelima mau makahiki he 91%. ʻO ia hoʻi, e ola ana ʻo 91 mai loko mai o 100 mau kānaka ma hope o ʻelima mau makahiki.
Inā ua pālahalaha ke kanesa i nā lymph node kokoke, e emi iki ana kēlā helu i 86%.
Inā ua pālahalaha ke kanesa i nā ʻōpū mamao e like me nā iwi, ke akepaʻa, a i ʻole nā māmā, e hāʻule ana kēlā helu i 31%.
Mai hopohopo i kēia mau helu helu. He ʻokoʻa ke kūlana o kēlā me kēia kanaka. ʻO ke ala maikaʻi loa e loaʻa ai ka ʻike pololei loa e pili ana i kou kūlana, ʻo ia ke kamaʻilio me kāu kauka oncology.
Pehea ʻoe e mālama ai iā ʻoe iho?
ʻO ka ʻike ʻana ua loaʻa iā ʻoe ka maʻi kanesa kekahi o nā ʻike paʻakikī loa āu e kū ai. ʻO nā manaʻo e kū mai ana, nā kamaʻilio paʻakikī e pono ai ke hana ʻia, nā manawa he nui ʻole e pono ai ke hana e ʻike i nā kauka ... Me kēia mau mea a pau, e loaʻa iā ʻoe nā lā paʻakikī, ma ke kino a me ka noʻonoʻo. Akā me ke kākoʻo kūpono, hiki iā ʻoe ke hele ma waena o kēia huakaʻi.
E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. E hele pū kāu hui lapaʻau me ʻoe i kēlā me kēia ʻanuʻu o ke ala. E nīnau iā lākou e pili ana i nā hui kākoʻo. ʻO ke kamaʻilio ʻana me ka poʻe i kū i ka maʻi kanesa i ka wā ʻōpiopio a ua ola hou mai ia mea hiki ke lilo i kumu ikaika nui. E hāʻawi kā lākou mau ʻike iā ʻoe i kahi manaʻo o ka mea e manaʻo ai i ka wā e hiki mai ana, a ma luna o nā mea a pau, ka manaʻo he kanaka kāu e hoʻomaopopo iā ʻoe.
Leka Lawe-Home
- ʻAʻole wale ka maʻi ʻaʻai umauma he maʻi e hoʻopilikia ana i nā wāhine ʻelemakule. Loaʻa pū kekahi i nā wāhine ʻōpio i ka pilikia.
- E makaʻala mau i kou kino, ʻoiai nā loli i kou mau umauma. Inā ʻike ʻoe i kekahi mea, e like me ka puʻupuʻu, ka ʻeha, a i ʻole ka loli ʻana o ka ʻili, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka.
- E makaʻala i ka mōʻaukala maʻi kanesa o kou ʻohana. He mea nui loa ia e hoʻoholo i kou pilikia.
- Inā ua ʻike ʻia ʻoe he maʻi kanesa a ke manaʻolana nei ʻoe e loaʻa nā keiki, e kamaʻilio me kāu kauka e pili ana i nā ʻano mālama i ka hānau keiki ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau .
- ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Mai makaʻu e noi i ke kōkua mai kāu hui lapaʻau, ʻohana, nā hoaaloha, a me nā hui kākoʻo.
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