Ka maʻi ʻaʻai umauma i ka wā ʻōpiopio? (Ka maʻi ʻaʻai umauma mua) E makaʻala kākou i kēia!

Ua manaʻo paha ʻoe e hiki ke ulu ka maʻi ʻaʻai umauma i ka wā ʻōpiopio, ma waena o 18 a me 45 mau makahiki? ʻAʻole kēia he mea kupanaha e like me kou manaʻo. I kekahi manawa, hiki ke hana ʻia kēlā mau kūlana i waena o kā mākou mau hoaaloha pili. No laila, he mea nui loa ia e makaʻala i kēia. I kēia lā, e kamaʻilio mākou me nā kikoʻī a me ka maʻalahi e pili ana i ka maʻi ʻaʻai umauma mua .

He aha ke Kanesa ʻŪmaʻi Mua i ka Hoʻomaka Mua?

I ka ʻōlelo maʻalahi, ʻo ke kanesa umauma ʻōpio ka wā e ʻike ai nā kauka iā ʻoe me ke kanesa umauma ma waena o nā makahiki 18 a me 45. Lohe pinepine mākou ʻo ke kanesa umauma ka mea maʻamau i nā wahine ma luna o 50 mau makahiki. He ʻoiaʻiʻo kēlā. Akā, ʻaʻole ia manaʻo ʻaʻole hiki i ka poʻe ʻōpio ke loaʻa. I kekahi manawa, hiki i nā ʻōpio a me nā mākua ʻōpio ke loaʻa pū kekahi.

Pehea ka ʻokoʻa o ke kanesa o ka umauma i nā wahine ʻōpio?

Eia ke kumu nui. Ke loaʻa i kahi wahine ʻōpio ka maʻi ʻaʻai umauma, ʻoi aku paha ka holomua ma mua o ka ulu ʻana i loko o kekahi ma luna o 45. ʻO kekahi kumu, ua pālahalaha iki paha ke kanesa ke loaʻa i kēia hui makahiki. Hoʻomaka pinepine nā nānā maʻamau no ka maʻi ʻaʻai umauma ma hope o 40 mau makahiki. ʻO kekahi kumu, ʻaʻole paha e ʻike maikaʻi nā wahine ʻōpio i nā hōʻailona a ʻaʻole paha e haʻi aku i ke kauka a hiki i ka wā ma hope.

Eia kekahi, ʻo ka maʻi ʻaʻai umauma i nā wahine ma lalo o 45 mau makahiki hiki ke ʻoi aku ka ikaika a paʻakikī hoʻi e mālama. Hoʻoholo ʻia kēia e nā mea e like me nā māka tumor .

He aha nā ʻano maʻamau o ke kanesa umauma i nā wahine ʻōpio?

Hiki i nā wāhine ʻōpio ke loaʻa i kekahi ʻano maʻi ʻaʻai umauma, akā aia ʻelua mau ʻano i maʻamau:

• Invasive Ductal Carcinoma: ʻO kēia ke ʻano maʻamau o ka maʻi umauma i ʻike ʻia i kēlā me kēia makahiki.
• Ka Maʻi ʻAʻai Umauma ʻEkolu-Negative: He ʻano kakaikahi kēia o ka maʻi ʻaʻai umauma. Hiki ke paʻakikī ke mālama ʻia.

Pehea ka maʻamau o kēia i waena o nā wāhine ʻōpio?

ʻOi aku ka liʻiliʻi o ka maʻi ʻaʻai umauma i waena o nā wahine ʻōpio ma mua o ka poʻe ma luna o 45 mau makahiki. Eia naʻe, ʻaʻole ia he manaʻo he mea kakaikahi. Ma ke ʻano maʻamau, ma kahi o 10% o nā hihia maʻi ʻaʻai umauma i ʻike hou ʻia i waena o nā wahine ʻōpio.

Wahi a ka ʻikepili mai ʻAmelika Hui Pū ʻIa, ma kahi o 1 i loko o 196 mau wahine ma waena o 15 a me 39 mau makahiki e loaʻa i ka maʻi ʻaʻai umauma invasive. No laila, he mea nui e makaʻala i kēia.

He aha nā hōʻailona?

Ua like nā hōʻailona o ka maʻi ʻaʻai umauma i nā wahine ʻōpio me nā mea o nā hui makahiki ʻē aʻe. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau me ka hopohopo ʻole.

• Nā puʻu ma nā umauma a i ʻole nā ​​puʻu ma ka ʻaoʻao o ka ʻāʻī.
• ʻEha umauma (Mastalgia).
• Nā loli i ka ʻili o nā umauma: ʻulaʻula, dimpling, a i ʻole ka rash.
• Nipple i hoʻohuli ʻia.
• Ke kahe ʻana o ka nipple - hiki ke ʻeha a ʻeha ʻole paha.
• Nā ʻōpū lymph pehu.
• Manaʻo o ka mānoanoa a i ʻole ka pehu ʻana i ka ʻili o ka umauma a i ʻole ka nipple.

E hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi kanesa ia. Eia nō naʻe, he mea naʻauao ke nānā ʻia e ke kauka.

He aha nā kumu no ka hoʻomohala ʻana i kēia maʻi kanesa i ka wā ʻōpiopio?

Ma kahi o ka hapalua o nā maʻi ʻaʻai umauma āpau i nā wahine ʻōpio e pili ana i nā hoʻololi genetic i loko o nā genes i kapa ʻia ʻo BRCA1 a i ʻole BRCA2 . ʻO ka maʻamau, hoʻomalu kēia mau genes i ka ulu ʻana o nā cell ʻano ʻē e hiki ai ke hoʻoulu i ka maʻi kanesa. E like me ke kuapo. Akā i ka wā e hoʻololi ʻia ai kēia mau genes, ulu kēlā mau cell ʻano ʻē ma waho o ke kaohi. Inā loaʻa iā ʻoe kahi mutation gene BRCA1 a i ʻole BRCA2 , ua piʻi aʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma a me ka ovarian.

Ke ʻimi nei nā kānaka noiʻi i nā hoʻololi ʻano ʻē aʻe e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma i nā wahine ʻōpio. ʻO nā hoʻololi ʻana i nā genes e like me TP53, PTEN, STK11, PALB2, a me CDH1 e pili ana me kahi pilikia kiʻekiʻe. Aia kekahi mau genes ʻē aʻe e like me kēia, a ke manaʻolana nei mākou e ʻike hou aku i kēia mau pilina i nā makahiki e hiki mai ana.

Eia nō naʻe, he mea nui e hoʻomaopopo ʻaʻole nā ​​maʻi ʻaʻai umauma a pau e ulu ana i nā wahine ʻōpio ma muli o nā kumu hoʻoilina. Hiki i kekahi mau maʻi ʻaʻai ke kū koke mai .

He aha nā kumu pilikia?

He hopena nui ko ka mōʻaukala olakino o kou ʻohana i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā ʻōpiopio. Inā loaʻa i kekahi o kou ʻohana a i ʻole kekahi o kēia mau kūlana, ʻoi aku paha kou pilikia:

• He kanaka i loaʻa i ka maʻi ʻaʻai umauma ma mua o 50 mau makahiki.
• Kekahi kanaka i loaʻa i ka maʻi ʻaʻai ma nā umauma ʻelua.
• He kanaka i loaʻa i ka maʻi ʻaʻai umauma kāne.
• He kāne me ka maʻi ʻaʻai prostate metastatic.
• ʻO ke kanaka i loaʻa i ka maʻi ʻaʻai ovarian i kēlā me kēia makahiki.
• He kanaka i loaʻa i ka maʻi ʻaʻai pancreatic.
• He kanaka me ka maʻi ʻaʻai umauma triple-negative.

Nā kumu pilikia ʻē aʻe:

• Loaʻa nā hoʻololi gene e like me BRCA1 a me BRCA2 , a i ʻole he lālā o ka ʻohana me kēia mau hoʻololi.
• Ma hope o ka loaʻa mua ʻana o ka radiation therapy ma ka ʻāpana umauma.
• Nā kūlana umauma precancerous e like me Atypical Hyperplasia a i ʻoleLoaʻa nā kūlana e like me Lobular Carcinoma ma Situ (LCIS) .
• Inā no ka ʻohana Iudaio Ashkenazi ʻoe.

Inā he moʻolelo ʻohana kou no ka maʻi ʻaʻai umauma, hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo ʻana i ka genetic . He hoʻāʻo koko kēia. Hiki iā ia ke ʻike inā he mutation genetic kou e hoʻonui ai i kou pilikia o ka maʻi ʻaʻai umauma a i ʻole nā ​​maʻi ʻaʻai ʻē aʻe. Inā he mutation kou, hiki i kāu kauka ke kuhikuhi iā ʻoe i ke aʻoaʻo genetic . Hiki i kēia ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i kou pilikia. Hiki nō hoʻi ke kuhikuhi ʻia ʻoe i kahi keʻena umauma pilikia kiʻekiʻe no ka hoʻokele pilikia a me ka hahai ʻana.

Pehea e hana ʻia ai ka hōʻailona?

ʻAʻohe mea i kou mau makahiki, ʻo ke ʻano o ka ʻike ʻana o nā kauka i ka maʻi ʻaʻai umauma e mau ana. ʻO ka mea mua, e hana ke kauka i kahi hoʻokolokolo umauma . A laila, e nīnau lākou e pili ana i kāu mau hōʻailona, ​​​​mōʻaukala olakino pilikino, a me ka mōʻaukala olakino ʻohana. Hiki ke hana ʻia nā hoʻokolohua kiʻi e nānā i nā ulu ʻē aʻe i loko o kou mau umauma. Inā loaʻa kekahi mau pilikia, hiki i ke kauka ke lawe i kahi laʻana liʻiliʻi o kou ʻiʻo umauma no ka hoʻāʻo ʻana (he biopsy) .

He aha nā loiloi umauma i loaʻa no nā wāhine ʻōpio?

Inā ʻoe ma lalo o 40 a loaʻa iā ʻoe ka nui o ka maʻi kanesa o ka umauma, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua e like me kēia:

• Hoʻāʻo MRI umauma.
• Nā mammograms pinepine.

Pono anei nā wāhine ma lalo o 40 mau makahiki e hana i nā mammograms?

ʻAʻole ʻōlelo pinepine ʻia nā mammograms nānā no nā wahine ma lalo o 40 mau makahiki. Eia nō naʻe, inā loaʻa iā ʻoe kahi hoʻololi genetic i ʻike ʻia a inā paha ua loaʻa i kou ʻohana ka maʻi ʻaʻai umauma i ka wā ʻōpiopio, e ʻōlelo paha kāu kauka e hoʻomaka ʻoe i ka nānā ʻana ma mua. Mai hopohopo inā ʻōlelo lākou i ka nānā hou aku.

ʻO ka pōmaikaʻi o ka nānā mua ʻana, inā loaʻa iā ʻoe ka maʻi ʻaʻai umauma, hiki ke ʻike ʻia i ka wā mua, ma mua o ka laha ʻana (metastasized) i nā ʻōpū ʻē aʻe , ʻo ia hoʻi ka pane maikaʻi loa i ka lāʻau lapaʻau.

Pehea e mālama ʻia ai ke kanesa o ka umauma i nā wahine ʻōpio?

Hoʻomaka ka lāʻau lapaʻau me kahi kūkākūkā ma waena ou a me kāu kauka. E kūkākūkā lākou i nā mea e like me kou ʻano maʻi kanesa, ke kahua o ke kanesa, a inā paha ʻoe e manaʻolana e hoʻomaka i kahi ʻohana a loaʻa paha nā keiki. Ma hope o ka noʻonoʻo ʻana i kēia mau mea a pau, e hana pū ʻolua e hana i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.

Ma muli o kou kūlana a me nā māka tumo , hiki i ka hoʻolālā lapaʻau ke komo pū me:

• ʻO ke ʻoki ʻana i ka maʻi ʻaʻai umauma: Wehe ʻana i ka puʻupuʻu wale nō (Lumpectomy) a i ʻole wehe ʻana i ka umauma holoʻokoʻa (Mastectomy).
• Kemoterapi.
• Ka lāʻau lapaʻau hormone.
• Ka lāʻau lapaʻau immunotherapy.
• Hoʻōla radiation.
• Hoʻōla i kuhikuhi ʻia.

He aha nā pilikia o ka mālama ʻana?

Hiki i ka chemotherapy a i ʻole ka radiation therapy ke hoʻopilikia i kou hiki ke loaʻa kahi hāpai olakino . Inā ʻoe e hoʻolālā e hoʻomaka i kahi ʻohana, he mea nui e kamaʻilio me kāu kauka e pili ana i nā koho mālama hānau ma mua o ka hoʻomaka ʻana i ka mālama ʻana i ka maʻi ʻaʻai umauma.

Inā ʻoe e lawe i nā mea pale estrogen ma ke ʻano he ʻāpana o ka lāʻau lapaʻau hormone , hiki iā ʻoe ke ʻike i nā hōʻailona o ka menopause .

Eia kekahi, hiki i nā lāʻau lapaʻau maʻi umauma ke hana i nā hopena ʻē aʻe, e like me:

• Hopohopo a kaumaha paha.
• Nā hopohopo no ke kiʻi o ke kino.
• Luhi o ke kanesa.
• ʻEha maʻi kanesa.
• Lymphedema - ʻO ke ʻano kēia o ka pehu ʻana o nā lima a i ʻole ka umauma.

Hiki ke hoʻemi ʻia ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā ʻōpiopio?

ʻAʻohe ala e pale loa ai i ke kanesa o ka umauma i kēlā me kēia makahiki. Eia nō naʻe, inā ʻike ʻia ʻoe he kiʻekiʻe ka pilikia no ka maʻi kanesa o ka umauma, he mea nui e hana i nā hoʻokolohua umauma mua a maʻamau. Hiki i kāu kauka ke paipai i ka ʻōlelo aʻoaʻo genetic .

Inā ʻike ʻoe i kahi puʻupuʻu, ʻeha, a i ʻole kekahi loli ʻē aʻe i kou umauma, e ʻike koke i ke kauka. I ke ʻano o ka maʻi kanesa, ʻo ka ʻike mua ʻana ka manawa kūpono loa no ka mālama ʻana.

He aha nā koho iaʻu inā aia wau i ka māhele pilikia kiʻekiʻe?

Inā loaʻa iā ʻoe kahi hoʻololi genetic a he kiʻekiʻe kou pilikia no ka maʻi ʻaʻai umauma, e kamaʻilio me kāu kauka. E kūkākūkā ʻo ia i kāu mau kumu pilikia kikoʻī a hoʻomohala i kahi papa hana nānā. I kekahi mau hihia, hiki ke aʻo ʻia ʻoe e noʻonoʻo i ka mastectomy prophylactic .

He aha ka nui o ke ola no ka maʻi ʻaʻai umauma i nā wahine ʻōpio?

I ka wā e ho'ōla hou ai mai ka maʻi ʻaʻai umauma, ʻoi aku ka nui o ke ʻano a me ke kahua o ke kanesa ma mua o kou mau makahiki.

ʻO ka nui o ke ola ʻana no ʻelima mau makahiki no nā wahine me ka maʻi ʻaʻai umauma invasive i ʻole i laha (metastasized) ma kahi o 91%. ʻO ke ʻano kēia, ʻo ka hapa nui o ka poʻe i ʻike ʻia i kēia pae o ka maʻi e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻana.

Inā pālahalaha ke kanesa ma ʻō aku o ka umauma - i nā lymph nodes a i ʻole nā ​​​​​​kikowaena ʻē aʻe - e emi ana ka nui o ke ola. ʻO ka nui o ke ola ʻelima makahiki no ke kanesa umauma i pālahalaha i nā lymph nodes he 86%.

Inā pālahalaha ke kanesa i kahi mamao o kou kino, e like me nā iwi, ke akepaʻa, nā māmā, a i ʻole ka lolo , hiki i ka helu ola ʻelima makahiki ke hāʻule i ka 31%.

Ma muli o ke ʻano o kēlā me kēia kanaka, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka maʻi kanesa e pili ana i ke ʻano o kou maʻi kanesa, ke kahua, a me nā mea e manaʻo ʻia i nā makahiki e hiki mai ana.

Pehea e hiki ai iaʻu ke mālama iaʻu iho?

ʻO ka ʻike ʻana ua loaʻa iā ʻoe ka maʻi kanesa paha ka mea paʻakikī loa āu e kū ai i kou ola. E nui nā manaʻo, nā mea paʻakikī ke kamaʻilio e pili ana, a me nā lā a me nā pō e pono ai ʻoe e kali e ʻike i nā kauka. E loaʻa nā lā paʻakikī, ma ke kino a me ka noʻonoʻo. Akā, me ke kākoʻo kūpono, hiki ke hana ʻia kēia huakaʻi.

Hiki i kāu kauka ke hoʻohui iā ʻoe i nā hui kākoʻo , hāʻawi i ka ʻike e pili ana i ke ola ʻana i ka maʻi kanesa, a hāʻawi i nā ʻōlelo aʻoaʻo i kōkua i nā wahine ʻōpio me ka maʻi kanesa o ka umauma.

I ka makahiki hea e hiki ai ke ulu ka maʻi ʻaʻai umauma?

ʻO ka ʻoiaʻiʻo, hiki ke ulu ka maʻi ʻaʻai umauma i ka wā ʻōpio (ʻoiai he mea kakaikahi loa ia). Ma kahi o 10% o nā hihia maʻi ʻaʻai umauma i ʻike hou ʻia i loko o ka poʻe ma lalo o 45 mau makahiki.

ʻAʻohe manawa kūpono e loaʻa ai ka maʻi kanesa. Akā, ʻo ka ʻike ʻana i ka wā ʻōpiopio hiki ke mehameha loa. Manaʻo paha ʻoe ʻo ʻoe ka mea ʻōpio loa i loko o ka lumi kali o ke kauka. Akā, ʻaʻole ʻoe hoʻokahi. E noho pū ana kāu hui mālama maʻi kanesa me ʻoe i kēlā me kēia ʻanuʻu o ke ala. E nīnau iā lākou e pili ana i nā kumuwaiwai i loaʻa no nā wahine me ka maʻi umauma i ka wā ʻōpiopio. ʻO ke kamaʻilio ʻana me kekahi mea i loaʻa i kahi ʻike like e hiki ke kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai a, ʻo ka mea nui loa, e manaʻo ua hoʻomaopopo ʻia.

Leka Hoʻihoʻi Hope Loa

ʻĀ, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai:

• Hiki ke ulu ka maʻi ʻaʻai umauma i ka wā ʻōpiopio. No laila, he mea nui loa ka mālama ʻana i kou mau umauma a e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau loli.
• Inā he moʻolelo ʻohana kou no ka maʻi kanesa, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā lākou ke paipai i nā mea e like me ka hoʻāʻo ʻana i ka genetics.
• E makaʻala i nā hōʻailona. Mai hoʻowahāwahā i nā puʻupuʻu, ka ʻeha, nā loli o ka ʻili, a i ʻole ke kahe ʻana o ka nipple.
• ʻOi aku ka maikaʻi o ka ʻike mua ʻana. ʻO ka ʻike mua ʻia ʻana, ʻo ka nui o ka kūleʻa o ka lāʻau lapaʻau.
• ʻAʻole ʻoe hoʻokahi. Ke kū nei i kahi kūlana e like me kēia, e ʻimi i ke kōkua mai nā kauka, ka ʻohana, nā hoaaloha, a me nā hui kākoʻo. He mea nui loa nō hoʻi ke olakino noʻonoʻo.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ke kanesa o ka umauma, ke kanesa i ka wā ʻōpiopio, nā genes BRCA, nā hōʻailona kanesa, ka mālama ʻana i ke kanesa, ke olakino o ka umauma, nā hoʻololi genetic