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.
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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.
| ʻAno maʻi kanesa | He wehewehe maʻalahi |
|---|---|
| HR+/HER2- (Luminal A) | ʻO kēia ke ʻano maʻamau. Loaʻa iā ia nā mea loaʻa hormone (HR), akā ʻaʻohe ona mea loaʻa HER2. Pane maikaʻi ia i ka lāʻau hormonal, no laila kiʻekiʻe ka nui o ka ho'ōla ʻana. |
| HR+/HER2+ (Luminal B) | Loaʻa iā ia nā mea loaʻa hormone a me nā mea loaʻa HER2. Hiki i kēia ʻano ke ulu wikiwiki iki. |
| HR-/HER2+ | ʻAʻohe ona mea hoʻokipa hormone, akā loaʻa iā ia ka mea hoʻokipa HER2. He kūpono loa ka lāʻau lapaʻau i hoʻopaʻa ʻia no HER2 no kēia. |
| ʻEkolu-ʻAʻole (TNBC) | ʻO kēia ke ʻano ʻoi aku ka ikaika. No ka mea, ʻaʻohe ona mea loaʻa ʻekolu no ka estrogen, progesterone, a me HER2, ʻaʻole hiki ke mālama ʻia me ka lāʻau hormone a i ʻole ka lāʻau i kuhikuhi ʻia i ka HER2. ʻO Chemotherapy ka lāʻau lapaʻau nui. ʻIke pinepine ʻia kēia ʻano i nā wahine ʻōpio. |
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.
ʻO ka mea nui, hiki i kekahi wahine ke loaʻa i ka maʻi ʻaʻai umauma, inā he BRCA mutation kona a i ʻole. Inā ua loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai umauma i ka wā ʻōpiopio, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i ka hana ʻana i ka hoʻāʻo genetic.
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.
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Check Availability →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%.
Maopopo iā ʻoe ka ʻokoʻa? Hiki i ka ʻike mua ʻana ke ʻokoʻa ma waena o ka ho'ōla ʻana a me ka make.
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.
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- ʻAʻole ka maʻi ʻaʻai umauma he mea e makaʻu ai a e hūnā ai, akā, he mea e makaʻala ai a e kū aku ai.
- Aia nā ʻano maʻi kanesa like ʻole, no laila hiki ke ʻokoʻa ka lāʻau lapaʻau mai kēlā kanaka a kēia kanaka.
- ʻOiai aia kahi mana hoʻoilina, hiki i ko mākou nohona (ʻai, hoʻoikaika kino) ke hōʻemi i ka pilikia.
- ʻO ka ʻike mua ʻana ke kī i ka hoʻopakele ʻana i nā ola. Inā ʻike mua ʻia, kiʻekiʻe loa ka manawa e hoʻōla ai.
- Inā ʻike ʻoe i kekahi mau loli i kou mau umauma (he puʻupuʻu, he loli i ka ʻili), mai hopohopo a mai hoʻokaʻulua, e ʻike koke i kāu kauka.
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