ʻO ka ʻike ʻana ua loaʻa iā ʻoe ka maʻi ʻaʻai umauma hiki ke lilo i mea paʻakikī loa, weliweli, a me ka naʻau kaumaha i kou ola. He mea maʻamau ka loaʻa ʻana o hoʻokahi tausani mau nīnau i loko o kou manaʻo i kahi manawa e like me kēia. ʻO kekahi o nā palapala koʻikoʻi loa āu e loaʻa ai i kēia huakaʻi ʻo kāu hōʻike pathology , a i ʻole e like me kā mākou e ʻike nei, ʻo ka Hōʻike Pathology . Hiki iā ʻoe ke loaʻa i kēia hōʻike ma mua o kou kamaʻilio ʻana me kāu kauka. ʻO ka ʻike ʻana i ka jargon lapaʻau i loko e hiki ke huikau hou aku. Akā, mai hopohopo, e hoʻomaopopo kākou i nā mea o kēia hōʻike pākahi, ma ke ʻano maʻalahi.
He aha ka mea maoli i loko o kēia hōʻike pathology?
I ka ʻōlelo maʻalahi, he hōʻike kēia o nā mea i loaʻa i kahi pathologist nāna i nānā i kahi ʻāpana ʻiʻo i lawe ʻia mai kou kino (biopsy) a i ʻole i wehe ʻia i ka wā o ke ʻoki kino. Ua like ia me kahi mākaʻi e nānā ana i nā hōʻike a hāʻawi i kahi hōʻike. ʻO ka maʻamau, he hoʻokahi a ʻelua paha pule e loaʻa ai kēia hōʻike ma hope o kahi biopsy.
ʻOiai ʻokoʻa iki ke ʻano o kēia hōʻike mai kēlā haukapila a i kēia haukapila, aia nō kēia mau mea i loko o ia hōʻike.
| ʻĀpana o ka hōʻike | ʻO ke ʻano maʻalahi |
|---|---|
| ʻIke e pili ana iā ʻoe | Hoʻokomo pū ʻia kēia me nā kikoʻī maʻamau e like me kou inoa, makahiki, mōʻaukala olakino, a me ka lā i lawe ʻia ai ka ʻiʻo. |
| ʻIkepili | Ua ʻōlelo maopopo ʻia ma ʻaneʻi inā he maʻi kanesa (maikaʻi a ʻino paha) ka hāpana ʻiʻo i nānā ʻia. ʻAʻole nā puʻupuʻu a pau e ulu ana ma ka umauma he maʻi kanesa. Inā he maʻi kanesa, ua wehewehe ʻia kona ʻano ma ʻaneʻi. |
| Ka Wehewehe ʻana o ka Puʻupuʻu | Ua māhele ʻia kēia i ʻelua ʻāpana. ʻO ka "wehewehe nui" ke ʻano o ka puʻupuʻu i ka maka ʻōlohelohe (ka nui, ke ʻano). ʻO ka "wehewehe microscopic" ke ʻano o nā cell ma lalo o ka microscope. |
| Kūlana o ka mea hoʻokipa hormone | Nānā lākou e ʻike inā loaʻa i nā hunaola kanesa nā mea loaʻa e hiki ke hoʻopaʻa i nā hormones estrogen a progesterone paha. He mea nui loa kēia i ka hoʻoholo ʻana i ka lāʻau lapaʻau. |
| Papa Puʻupuʻu | Hāʻawi ʻia ka puʻupuʻu i kahi māka mai ka 1 a i ka 3. He maʻi kanesa lohi ka ulu ʻana o ka Māhele 1 me ka haʻahaʻa o ka makaʻu o ka laha ʻana. ʻO ka Māhele 3 ke ʻano ulu wikiwiki loa. |
He mea hou aʻe e pili ana i ka hōʻailona
Ma ka ʻāpana hōʻailona , hiki ke helu ʻia kou kūlana ma ke ʻano he hoʻokahi o ʻekolu:
- Maikaʻi (ʻaʻole maʻi kanesa): ʻO kēia ka nūhou maikaʻi. ʻO ia hoʻi, ʻaʻole maʻi kanesa ka puʻupuʻu. ʻO ka hapa nui o nā puʻupuʻu i loko o ka umauma o kēia ʻano.
- ʻAʻai umauma ʻaʻole invasive: ʻO ke ʻano kēia e noho mau ana nā hunaola kanesa ma kahi i hoʻomaka ai (no ka laʻana, i loko o kahi ala waiū) a ʻaʻole i laha i nā ʻiʻo a puni. ʻO Ductal Carcinoma In Situ (DCIS) kekahi ʻano.
- Ka maʻi ʻaʻai umauma invasive: ʻO ia hoʻi, ua laha nā hunaola kanesa mai kahi i hoʻomaka ai lākou (nā ʻōpū waiū a i ʻole nā ducts) a i nā ʻiʻo umauma a puni. Ua laha paha lākou i nā lymph nodes ma ka wāwae a i ʻole nā ʻāpana ʻē aʻe o ke kino. Aia ʻelua ʻano o kēia ʻano kanesa e hōʻike ʻia paha.
- Ka Maʻi ʻAʻai Ductal Invasive: Ke kanesa e hoʻomaka ana i loko o nā ducts waiū a pālahalaha.
- Kanesa Lobular Invasive: Ke kanesa e hoʻomaka ana i loko o nā kelepa hana waiū (lobules) a pālahalaha.
No ke aha i ʻole ai ke kahua o ke kanesa i loko o kēia hōʻike?
Ke noʻonoʻo nei paha ʻoe no ke aha i ʻōlelo ʻole ai kēia hōʻike i ke kahua o ka maʻi kanesa (Kahua 1, 2, 3, a i ʻole 4). Aia ke kumu no kēlā.
ʻO ka hōʻike pathology hoʻokahi wale nō kaʻanuʻu koʻikoʻi i ke kaʻina hana o ka hoʻoholo ʻana i ke kahua o ka maʻi kanesa. ʻAʻole ia e hāʻawi i ke kiʻi piha.
No ka hoʻoholo pololei ʻana i ke kahua o ke kanesa, e hoʻohana nā kauka i kēia hōʻike pathology.Eia kekahi mau mea hou aʻe e hoʻohui i ka ʻike . Eia kēia mau mea:
- Ua pālahalaha anei ke kanesa i nā lymph nodes kokoke?
- Ua laha anei ke kanesa i nā ʻōkana mamao o ke kino (e like me ke akepaʻa, nā māmā, nā iwi)?
No ka ʻike ʻana i kēia mau mea, pono paha ʻoe e hana i nā hoʻokolohua ʻē aʻe (e like me CT scan, MRI scan , bone scan). No laila, ʻaʻole ka hōʻike pathology ka moʻolelo holoʻokoʻa, he ʻāpana koʻikoʻi wale nō ia o ka moʻolelo.
Nā mea e nīnau aku ai i kāu kauka
I ke kamaʻilio ʻana me kāu kauka e pili ana i kāu hōʻike pathology, mai makaʻu e nīnau i kāu mau nīnau. E noi iā ia e wehewehe i nā mea āu i maopopo ʻole ai.
He nui nā kauka e ʻōlelo nei ua hoʻopuni a hoʻoluʻu nā mea maʻi i nā ʻāpana o kā lākou hōʻike a lākou i maopopo ʻole ai, no ka mea makemake lākou e ʻike pololei i nā mea āpau. He ʻano maikaʻi loa kēia. Hōʻike ia i kou mālama nui ʻana i kou olakino.
ʻO kekahi ʻōlelo aʻoaʻo koʻikoʻi, ʻo ia ka lawe ʻana mai i kahi lālā o ka ʻohana a i ʻole he hoaaloha hilinaʻi me ʻoe i kēia kūkākūkā. No ka mea, he mea paʻakikī paha ke hoʻomanaʻo i nā mea a pau a ke kauka e ʻōlelo ai i kou wā e kaumaha ana. ʻO ka loaʻa ʻana o kahi kanaka ʻelua e lilo ia i mea kōkua nui a e kōkua pū iā ʻoe e kākau i nā memo.
He aha ka mea e hana ma hope o ka hōʻike ʻana o ka pathology?
Ma hope o kou ʻike ʻia ʻana he maʻi ʻaʻai umauma kou, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea umauma a i ʻole oncologist.
ʻO kēlā loea ka mea nāna e hoʻohui i kou kūlana holoʻokoʻa. ʻO ia hoʻi, ma ka lawe ʻana i nā mea āpau mai kāu hoʻokolohua kino, nā hōʻike mammogram a me ultrasound, nā hōʻike MRI, a me kēia hōʻike pathology, e hana lākou i kahi hoʻolālā lapaʻau e pili pono ana iā ʻoe .
"ʻOi aku ka pilikino o nā hoʻolālā lapaʻau ma mua o ka wā ma mua," wahi a nā loea. ʻO ia hoʻi, ʻaʻole paha e pono nā lāʻau like i loaʻa i kāu hoaaloha iā ʻoe. E loaʻa iā ʻoe ka lāʻau maikaʻi loa no kou maʻi ʻaʻai.
Inā loaʻa iā ʻoe nā ʻoki kino hou a i ʻole nā biopsies i ka wā e hiki mai ana, e loaʻa iā ʻoe kahi hōʻike pathology hou no kēlā me kēia. He mau hanana koʻikoʻi kēlā me kēia i kāu huakaʻi lapaʻau.
Leka Lawe-Home
- He palapala koʻikoʻi loa ka Hōʻike Pathology i kāu huakaʻi lapaʻau. Akā, mai hopohopo inā ʻaʻole hiki iā ʻoe ke heluhelu a hoʻomaopopo iā ʻoe iho.
- Hōʻike kēia hōʻike iā ʻoe i ke ʻano a me ke ʻano o ke kanesa, ʻaʻole ke kahua o ke kanesa. Hoʻoholo ʻia ke kahua ma hope o kekahi mau hoʻokolohua hou aʻe.
- E kūkākūkā i kēia hōʻike me kāu kauka. Mai kānalua e nīnau i kāu mau nīnau, ʻaʻohe mea liʻiliʻi.
- He ikaika a he kōkua nui ka loaʻa ʻana o kahi lālā o ka ʻohana a i ʻole he hoaaloha hilinaʻi me ʻoe i ka wā e hele ai i kahi kūkākūkā koʻikoʻi e like me kēia.
- ʻAʻole kēia hōʻike he mea e makaʻu ai. ʻO ia ka mea hana mua i hoʻohana ʻia e hana i ka hoʻolālā lapaʻau kūpono loa iā ʻoe. ʻO kēia ka hana mua ma ke ala e hoʻōla ai.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo