Pono anei mākou e makaʻala i ka maʻi ʻaʻai umauma, ma mua o ka makaʻu?

Ke lohe kākou i ka huaʻōlelo "maʻi ʻaʻai," nui ka poʻe o kākou e hopohopo nei. I waena o lākou, ke lohe kākou i ka huaʻōlelo maʻi ʻaʻai umauma, hopohopo nui kā kākou mau wāhine. Akā, ʻaʻole ka makaʻu ka hopena maikaʻi loa. Akā, ʻo ka hoʻomaopopo ʻana a me ka ʻike ʻana i kēia ke ala maikaʻi loa e pale aku ai iā kākou iho. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka maʻi ʻaʻai umauma ma ke ʻano maʻalahi a aloha hoʻi.

Ua like anei ke kanesa o ka umauma no kēlā me kēia kanaka? A i ʻole he mau ʻano like ʻole?

ʻAʻole. ʻO ka ʻōlelo pololei, ʻaʻole like ka ulu ʻana o ka maʻi ʻaʻai umauma i nā kānaka a pau. Aia nā ʻano like ʻole, a i ʻole nā ​​​​​​ʻano like ʻole, o ka maʻi ʻaʻai umauma. Hoʻokaʻawale nā ​​​​kauka i kēia mau ʻano ma muli o ka loaʻa ʻana o kekahi mau protein (nā mea loaʻa) e kōkua i ka ulu ʻana o nā hunaola maʻi. I ka ʻōlelo maʻalahi, ua like kekahi mau hunaola maʻi me nā keiki liʻiliʻi pōloli. Pono lākou i nā mea e like me nā hormones i loko o ko mākou kino ma ke ʻano he "meaʻai" e ulu ai.

ʻElua ʻano nui o nā mea loaʻa:

1. Nā mea loaʻa hormone (HR): ʻO kēia nā hormones wahine estrogen a me progesterone . Inā loaʻa kēia mau mea loaʻa ma nā hunaola kanesa, kōkua kēia mau hormones i ka ulu ʻana o ke kanesa.

2. Mea hoʻokipa HER2: ʻO kēia kekahi protein i kapa ʻia ʻo `(Human Epidermal Growth Factor Receptor 2).` Inā nui loa kēia ma nā hunaola kanesa, hiki i ke kanesa ke ulu koke.

Ua māhele ʻia nā maʻi kanesa i kekahi mau ʻano ma muli o ka loaʻa ʻana o kēia mau mea loaʻa iā lākou a ʻaʻole paha. E nānā kākou i nā ʻano nui.

Pehea e pili ai nā genes i ka maʻi kanesa?

Manaʻo kekahi poʻe, "ʻAʻohe mea o koʻu hanauna i loaʻa iā ia, no laila ʻaʻohe ala e hiki ai iaʻu ke hoʻomohala." Akā, ʻaʻole ia he ʻoiaʻiʻo loa. Eia nō naʻe, aia kekahi mana hoʻoilina e hele mai ana mai kēlā hanauna a i kēia hanauna.

Aia nā genes kūikawā i loko o ko kākou kino e kāohi ana i ke ʻano o ka māhele ʻana o nā cell. Inā he mutation i loko o kēia mau genes, hiki i nā cell ke hoʻomaka e māhele me ke kāohi ʻole a loaʻa ka maʻi kanesa. ʻO nā genes i ʻike nui ʻia e pili ana i ka maʻi kanesa o ka umauma ʻo BRCA1 a me BRCA2 . ʻO ka wahine me ka mutation i loko o kēia mau genes he kiʻekiʻe loa ka pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka umauma (a me ka maʻi kanesa ovarian) ma mua o nā mea ʻē aʻe.

Eia kekahi, ke hana ʻia nei nā noiʻi ma luna o kekahi mau genes ʻē aʻe, e like me `TP53` a me `PALB2`. I ka holomua ʻana o ka ʻepekema, e hiki iā mākou ke loaʻa nā lāʻau lapaʻau maikaʻi loa no kēia mau mea.

Ke hoʻopilikia nei ko kākou nohona i ka pilikia?

ʻAe, ʻoiaʻiʻo nō. ʻAʻole wale nā ​​​​genes, akā ʻo ko kākou nohona he hopena nui hoʻi i ka pilikia o ka maʻi ʻaʻai umauma. Ua hōʻike kekahi mau noiʻi e piʻi aʻe ka pilikia o ka maʻi ʻaʻai ke hoʻohana mākou i ke ʻano o ka nohona o nā ʻāina i hoʻomohala ʻia. Aia kekahi mau kumu no kēia.

• Momona: Ke piʻi ka momona o ke kino, ʻoiai ma hope o ka menopause, piʻi ka nui o ka estrogen. He mea pilikia kēia no nā maʻi ʻaʻai HR+.
• ʻAi olakino ʻole: ʻO ka ʻai ʻana i ka meaʻai kiʻekiʻe i nā meaʻai i hana ʻia, ka ʻiʻo ʻulaʻula, ke kō, a me ka momona e hoʻonui i ka pilikia. ʻO ka ʻai waiwai i nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa pihaKōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi kanesa .
• Ka nele i ka hoʻoikaika kino: ʻOi aku ka nui o ka pilikia o ka poʻe e alakaʻi nei i kahi nohona noho ma mua o ka poʻe e alakaʻi nei i kahi ola hana.
• ʻAʻole hānai waiū: Aia nā hōʻike maopopo e hōʻemi ana ka hānai waiū i ka pilikia o ka makuahine i ka maʻi ʻaʻai umauma.
• Ka inu ʻona: ʻO ka inu ʻona kekahi kumu nui e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma .

No ke aha he mea e hoʻōla ai ke ʻike mua ʻana?

ʻO ka leka koʻikoʻi loa ma kēia ʻatikala penei paha: ʻOiai ke koʻikoʻi o ka maʻi ʻaʻai umauma, hiki ke ho'ōla loa ʻia inā ʻike mua ʻia . I ka wā e hoʻopaneʻe ʻia ai, e ʻoi aku ka ʻino o ke kūlana.

E noʻonoʻo, inā ʻike ʻia ke kanesa i ka wā mua, i ka wā e kaupalena ʻia ai i ka umauma (kahua kūloko), ʻoi aku ka nui o ke ola ʻana o 5 makahiki ma mua o 95% . ʻO ia hoʻi, e ola maikaʻi ana he 95 mai loko mai o 100 mau kānaka.

Eia nō naʻe, inā ua pālahalaha ke kanesa i nā lymph node kokoke (kahua kūloko), ʻo kēia pakeneka ma kahi o 85%. ʻO ka mea pōʻino, inā ʻike ʻia ke kanesa ma hope o kona pālahalaha ʻana i nā ʻōpū mamao e like me ke akepaʻa, nā māmā, a me ka lolo (kahua mamao), hāʻule kēia pakeneka i ka haʻahaʻa o 30%.

No ke aha lā mākou e hoʻopaneʻe ai? I kekahi manawa, no ka makaʻu, ka hilahila, me ka manaʻo, "He puʻupuʻu liʻiliʻi wale nō ia, e ola ia ma kona iho," a i ʻole no ka naʻaupō, hoʻopaneʻe mākou i ka ʻike ʻana i ke kauka. ʻO ia ka hewa nui loa a mākou e hana ai.

He aha kāu e hana ai?

• Hoʻokolokolo Umauma Ponoʻī: E nānā i kou mau umauma ma ka liʻiliʻi i hoʻokahi manawa i ka mahina. E makaʻala koke inā ʻike ʻoe i kahi puʻupuʻu, kahi loli o ka ʻili, kahi loli o ke ʻano, a i ʻole kahi kahe mai ka nipple.
• E ʻike i kāu kauka: Inā ʻoi aku ʻoe ma mua o 40 a ʻaʻohe ou hōʻailona, ​​e kamaʻilio me kāu kauka a loaʻa i kahi mammogram inā pono. Hiki i ka mammogram ke ʻike i nā puʻupuʻu liʻiliʻi a mākou e ʻike ʻole ai.
• Mai hopohopo: Mai hopohopo a peʻe inā ʻike ʻoe i kekahi mau loli. ʻAʻole nā ​​puʻupuʻu āpau i loko o ka umauma he maʻi kanesa. Akā na ke kauka e hoʻoholo inā he maʻi kanesa a ʻaʻole paha. No laila inā he kānalua iki kou, e ʻike koke i kāu kauka.

Ua holomua loa nā koho lapaʻau i kēia manawa. Nui nā koho, e like me ke ʻoki kino, chemotherapy, radiotherapy, hormone therapy, a me ka focused therapy. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. ʻO ka mea nui, ʻaʻole e hoʻopaneʻe i ka lāʻau.