Ke noʻonoʻo kākou i ke kanesa o ka umauma, manaʻo kākou a pau i nā wāhine. He mea maʻamau kēlā. Akā, ua ʻike anei ʻoe, ʻoiai he mea kakaikahi loa, hiki i nā kāne ke loaʻa i ke kanesa o ka umauma? He kumuhana kēia i ʻike ʻole ʻia e ka poʻe he nui, a ʻaʻole hoʻi e kamaʻilio e pili ana. ʻO ia ke kumu inā loaʻa i ke kāne kēia maʻi, ʻoi aku ka nui o ka ʻike ʻia ʻana i ka wā lohi. No laila i kēia lā ua manaʻo mākou e kamaʻilio e pili ana i kēia ma ke ʻano maʻalahi a aloha hoʻi, e like me kā mākou kamaʻilio ʻana me kahi hoaaloha a ʻohana paha.
I ka ʻōlelo maʻalahi, ʻoiai ʻaʻole nui nā umauma o nā kāne e like me nā wahine, he liʻiliʻi ko lākou ʻiʻo umauma. ʻOi aku ka pololei, ua like ka nui o nā ʻiʻo umauma o lākou me ke kaikamahine ma mua o kona hiki ʻana i ka wā ʻōpio. ʻOiai e ulu ana nā ʻiʻo umauma o ke kaikamahine i ka hala ʻana o ka manawa, ʻaʻole nā kāne. Eia naʻe, no ka mea he ʻiʻo umauma ko lākou, aia pū kekahi mau kāne i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka umauma. Hoʻokahi wale nō i loko o 1,000 mau kāne e loaʻa i ka maʻi i ko lākou ola. ʻO ke ʻano kēia he mea kakaikahi loa ia.
Ua manaʻo nā kauka ma mua he ʻoi aku ka koʻikoʻi o ke kanesa umauma i nā kāne ma mua o ke kanesa umauma i nā wahine. Akā i kēia manawa, ua ʻike ʻia ua aneane like ke koʻikoʻi o nā mea ʻelua. ʻO ka pilikia nui ma ʻaneʻi, ʻo ia ka lohi o ka ʻike ʻia ʻana o ke kanesa umauma i nā kāne. ʻO kēia no ka mea, ʻaʻole noʻonoʻo nui nā kāne i ia mea ʻoiai inā ʻike lākou i kahi loli ma ko lākou umauma, e like me kahi puʻupuʻu.
ʻO wai ka mea i pilikia nui?
He mea kākaʻikahi loa ka loaʻa ʻana o ke kanesa umauma i ke kāne ma lalo o 35 mau makahiki. Piʻi ka pilikia i kou wā ʻelemakule. ʻO ka hapa nui o nā hihia o ke kanesa umauma kāne i hōʻike ʻia i nā makahiki 60 a me 70.
Eia kekahi, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma. E nānā kākou iā lākou ma kahi papa.
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Loaʻa kahi hoahānau wahine pili me ka maʻi ʻaʻai umauma | Inā ua loaʻa i kekahi e like me kou makuahine, kaikuahine, a kaikamahine paha ka maʻi ʻaʻai umauma, hiki ke hoʻonui iki ʻia ka pilikia ma muli o nā mana hoʻoilina. |
| Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau radiation i ka umauma | Inā ua loaʻa iā ʻoe ka lāʻau radiation ma ka umauma no kekahi maʻi ʻē aʻe, he mea pilikia nō hoʻi kēlā. |
| Ka hoʻonui ʻana o ka umauma (Gynecomastia) | Hiki i kekahi mau lāʻau lapaʻau, nā lāʻau lapaʻau hormone, nā maʻi, a i ʻole nā mea ʻawahia ke hoʻonui i nā umauma i nā kāne. Hoʻonui pū kēia mau kūlana i ka pilikia. |
| ʻO ka lawe ʻana i ka hormone estrogen | ʻOi aku ka nui o ka pilikia o nā kāne e lawe ana i ka hormone estrogen no kekahi mau lāʻau lapaʻau. |
| Nā kūlana genetic laha ʻole | Nā kūlana genetic laha ʻole e like me Klinefelter's syndrome. |
| Maʻi akepaʻa koʻikoʻi (Cirrhosis) | ʻO nā maʻi ate koʻikoʻi e like me ka cirrhosis hiki ke hana i nā hormonal imbalances i loko o ke kino a hoʻonui i ka pilikia. |
| Nā maʻi testicular | Hiki i ka mumps ke hoʻoulu i ka pehu ʻana o nā testicles (mumps orchitis), ka hōʻino ʻana i nā testicles, a i ʻole ka hāʻule ʻole ʻana o nā testicles mai ke kino aku. |
| Momona | Hoʻonui ka momona i ka pilikia o ka hana nui ʻana o ka hormone estrogen e nā hunaola momona o ke kino. |
He aha nā hōʻailona o kēia?
Ua like loa nā hōʻailona o ke kanesa umauma i nā kāne me nā hōʻailona o nā wāhine. I ka manawa pinepine, ʻike mua ʻia ka maʻi ma hope o ka ʻike ʻana o ke kāne i kahi puʻupuʻu ma kona umauma.
ʻO ka mea nui loa, ʻo ia ka maʻamau ʻole o ka ʻeha o kēia puʻupuʻu , ʻo ia ke kumu e hoʻowahāwahā ai ka poʻe he nui.
ʻO nā hōʻailona ʻē aʻe:
- Ua piholo i loko ka nipple.
- Ka hoʻokuʻu ʻana o ke koko a i ʻole ka wai mai loko mai o ka nipple .
- ʻUlaʻula, pehu, a ʻeha paha o ka nipple a i ʻole ka ʻili a puni.
- He puʻu a pehu paha ma ka ʻāʻī (he cyst paha kēia).
ʻIke pinepine nā kāne i ke kauka ma hope o ka loaʻa ʻana o kahi hōʻailona koʻikoʻi, e like me ke kahe ʻana o ke koko mai ka nipple. I kēlā manawa, ua pālahalaha paha ke kanesa i nā ʻāpana ʻē aʻe o ke kino. No laila, inā ʻike ʻoe i kekahi mau loli liʻiliʻi a i ʻole nā puʻupuʻu i loko o kou umauma, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka.
Nā ʻano hōʻailona a me ka mālama ʻana
Pehea e ʻike ai i ka maʻi?
Hoʻohana ʻia ke ʻano hana like i hoʻohana ʻia no ka ʻike ʻana i ka maʻi ʻaʻai umauma i nā wahine no nā kāne.
- Hoʻokolohua Kino: E nānā ke kauka i kou umauma a me kou ʻāpana armpit.
- Mammography : He hoʻokolokolo X-ray o nā umauma.
- Biopsy: ʻO kēia ke ala maopopo loa e hōʻoia ai i ka hōʻailona. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.
He aha nā lāʻau lapaʻau?
Ua like like nā lāʻau lapaʻau i hāʻawi ʻia i nā kāne a me nā wahine. I ka manawa pinepine, hāʻawi ʻia ka hui pū ʻana o nā lāʻau lapaʻau ma mua o hoʻokahi lāʻau lapaʻau. E nānā kākou i kēlā ma kahi papa.
| ʻAno lapaʻau | He aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻoki kino | ʻO ka lāʻau lapaʻau maʻamau ka hana ʻoki kino i kapa ʻia he mastectomy . Pili kēia i ka wehe ʻana i ka ʻiʻo umauma holoʻokoʻa. I kekahi manawa, hana ʻia ke ʻoki kino e wehe wale i ka puʻupuʻu. Wehe ʻia kekahi a ʻoi aku paha nā puʻupuʻu ma ka ʻāʻī a nānā ʻia e ʻike inā ua laha ke kanesa. |
| Hoʻōla Pāhawewe | Hāʻawi ʻia kēia lāʻau lapaʻau e luku i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana. Inā ua pālahalaha loa ke kanesa no ke ʻoki ʻana, hiki ke hāʻawi ʻia ka radiation therapy ma ke ʻano he lāʻau lapaʻau nui. |
| Kemoterapia | ʻO kēia ka hāʻawi ʻana i nā lāʻau lapaʻau (nā pila a i ʻole nā inikini) e pepehi i nā hunaola kanesa. Hāʻawi ʻia kēia lāʻau lapaʻau ma hope o ke ʻoki ʻana e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa. Hiki nō hoʻi ke hāʻawi ʻia ma ke ʻano he lāʻau lapaʻau nui inā ua laha ke kanesa. |
| Hoʻōla Hormone | Pono kekahi ʻano maʻi ʻaʻai umauma i kekahi mau hormones e ulu ai. Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i ka hana o kēlā mau hormones. ʻOiai he 90% o nā maʻi ʻaʻai kāne he mea maʻalahi i ka hormone, ʻoi aku ka maikaʻi o kēia lāʻau lapaʻau i nā kāne ma mua o nā wahine. ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo tamoxifen . He mea nui: ʻAʻole pono nā kāne me ka maʻi ʻaʻai umauma e lawe i ka testosterone no kekahi kumu , no ka mea hiki iā ia ke hoʻoulu i nā hunaola kanesa. |
| Hoʻōla i kuhikuhi ʻia | He nui loa ka protein i kapa ʻia ʻo HER2 i loko o kekahi mau hunaola kanesa o nā kāne. Hoʻolaha koke kēia i ka kanesa. Hana nā lāʻau lapaʻau e like me Trastuzumab ma ke kāohi ʻana i ka hana o kēia protein a me ke kāohi ʻana i ka ulu ʻana o nā hunaola kanesa. |
E hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe ka maʻi ʻaʻai umauma a ua ho'ōla ʻia ma hope o ka mālama ʻana, he mea nui e mālama i kahi pilina no ke ola holoʻokoʻa me kāu kauka a loaʻa nā nānā maʻamau. He mea nui ka mālama olakino maʻamau no ka noho olakino.
Leka Lawe-Home
- ʻAʻole wale ka maʻi kanesa o ka umauma he maʻi e hoʻopilikia ai i nā wahine. ʻOiai he mea kakaikahi, hiki iā ia ke hoʻopilikia i nā kāne. No laila he mea nui e makaʻala i kēia.
- Inā ʻike ʻoe i kekahi mau puʻupuʻu, pehu ʻana, loli ʻana o ka ʻili, a i ʻole nā loli ma kou umauma a i ʻole ka ʻāpana armpit (dimpling, discharge), mai hoʻowahāwahā iā ia, ʻoiai inā ʻaʻole ia he ʻeha. E ʻike koke i ke kauka.
- I kēia maʻi, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka nui aʻe o ka manawa e mālama ʻia ai a hoʻōla piha ʻia.
- Inā manaʻo ʻoe he mau kumu pilikia kou, e kamaʻilio me kāu kauka e pili ana i ia mea.
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