Ke ʻike ʻia ʻoe he maʻi ʻaʻai umauma, e hana kāu kauka i kekahi mau hoʻokolohua e aʻo hou aʻe e pili ana i nā hunaola maʻi ʻaʻai. Hana pinepine ʻia kēia ma ka lawe ʻana i kahi ʻāpana o ka ʻiʻo maʻi ʻaʻai ma o ke ʻoki kino a i ʻole kahi biopsy. ʻO kekahi o kēia mau hoʻokolohua, ʻo ia ke ʻike inā loaʻa i nā hunaola maʻi ʻaʻai nā ' mea loaʻa hormone '. E noʻonoʻo i kēia mau mea loaʻa e like me nā 'loka' liʻiliʻi ma ka ʻili o nā hunaola. Ke komo nā 'kī' i kapa ʻia he hormones i loko o kēia mau loka, loaʻa i nā hunaola kahi leka e ulu.
ʻO ka Progesterone kahi hormone i hana maoli ʻia i loko o ko kākou kino. He mea nui loa ia no nā mea e like me ka wā ʻōpio, ka menstruation, a me ka hāpai ʻana i nā wahine. Loaʻa i kekahi mau cell cancer umauma nā receptors ma ko lākou ʻili e hiki ke hoʻopaʻa i kēia hormone. Ua kapa ʻia kēia ʻano maʻi kanesa he progesterone-receptor positive, a i ʻole PR-positive (PR+) cancer umauma. ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hele ʻana mai o ka hormone progesterone a hoʻopaʻa i nā cell cancer a kōkua iā lākou e ulu hou aʻe. No laila, hoʻāʻo nā lāʻau lapaʻau no kēia e hoʻōki i kēia kaʻina hana hormone.
ʻO kekahi hormone e hana like ana, ʻo ia ka estrogen. Inā loaʻa i nā hunaola kanesa nā mea loaʻa estrogen, ua kapa ʻia ʻo ia he estrogen-receptor positive, a i ʻole ER-positive (ER+) cancer.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?
Inā he PR-positive, ER-positive, a i ʻole nā mea ʻelua o kāu mau hunaola kanesa, ua kapa pinepine ʻia ʻo ia he maʻi kanesa umauma hormone-receptor positive (HR+). ʻO ka mea pōmaikaʻi, he 7 wale nō o 10 mau maʻi kanesa umauma i ʻike ʻia he ʻano kēia. ʻOiai hiki ke ulu kēia ʻano kanesa i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā wahine i hala i ka menopause.
Ma keʻano laulā, ʻo nā mea pilikia like e hoʻopilikia ai i kekahi maʻi ʻaʻai umauma e hoʻopilikia pū i ka maʻi ʻaʻai HR-positive. E nānā kākou i ke ʻano o lākou.
| Kumu pilikia | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻOiai he wahine | ʻOi aku ka nui o ka pilikia o nā wāhine ma mua o nā kāne. |
| Ka ʻelemakule ʻana | Piʻi ka pilikia me ka makahiki. |
| Nā mea ʻē i loko o nā hunaola umauma | Inā ua loaʻa iā ʻoe ka ulu ʻana o nā cell maʻamau ʻole i loko o ka umauma (e like me LCIS ). |
| Moʻolelo ʻohana | Inā ua loaʻa i kahi lālā pili o ka ʻohana ka maʻi ʻaʻai umauma. |
| ʻŌpio mua | Hoʻomaka ka menstruation ma mua o 12 mau makahiki. |
| Ka lohi o ka loaʻa ʻana o nā keiki | ʻO ka hānau ʻana i kāu keiki mua ma hope o 35 mau makahiki a i ʻole ʻaʻole loa e hāpai. |
| Ka pau ʻana o ka menopause | Ka menopause ma hope o 55 mau makahiki. |
| Ke lawe nei i ka lāʻau lapaʻau hormone | Ke lawe nei i ka lāʻau hoʻololi hormone ma hope o ka menopause. |
He aha nā hōʻailona?
ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o ka hapa nui o nā wāhine ke ʻike ʻia lākou he maʻi ʻaʻai umauma. Akā, ʻike ʻia ia ma ka hanana i ka wā o ka mammogram maʻamau.
Ua like nā hōʻailona o ka maʻi ʻaʻai umauma HR-positive me nā ʻano maʻi ʻaʻai umauma ʻē aʻe. Eia kekahi o nā hōʻailona maʻamau.
| Hōʻailona | E mālama i kēia. |
|---|---|
| He puʻu hou ma ka umauma | ʻO kēlā me kēia puʻupuʻu hou āu e ʻike ai, ʻoiai inā ʻaʻole ia he ʻeha. |
| He pehu ʻana i loko o ka umauma | Ka pehu ʻana o ka umauma holoʻokoʻa a i ʻole kekahi hapa o ia mea. |
| ʻEha umauma a i ʻole ka nipple | He ʻeha mau a kūikawā. |
| Nā loli ʻili | ʻIli piholo, ʻano ʻili ʻalani, mānoanoa o ka ʻili, ʻulaʻula, a ʻili maloʻo a unahi paha. |
| Nā loli o ka nipple | Piʻo aʻe ka nipple a puka mai paha ka wai kahe. |
| Nā ʻōpū lymph pehu | Nā puʻu ma ka ʻāʻī a i ʻole a puni ka ʻāʻī e hiki ke paʻa i ka lima. |
Pehea ka hoʻohana ʻana o ka lāʻau lapaʻau hormone?
I ka hoʻomohala ʻana i kāu hoʻolālā lapaʻau, e noʻonoʻo pono kāu kauka i ke kūlana hormonal o kou maʻi ʻaʻai. ʻO ka lāʻau lapaʻau hormone ka lāʻau nui a koʻikoʻi loa no ka maʻi ʻaʻai PR-positive. ʻO ka pahuhopu ka pale ʻana i nā hunaola kanesa mai ka hoʻohana ʻana i nā hormones e ulu.
I ka ʻōlelo maʻalahi, ʻoki ka lāʻau lapaʻau hormone i ka lako o ka 'meaʻai' (nā hormones) e pono ai ke kanesa.
Hiki ke hana i kēia ma nā ʻano nui ʻelua:
- Ka wehe ʻana i nā ovaries ma ke ʻoki kino: Hoʻemi kēia i ka hana ʻana o nā hormone o ke kino.
- Nā pila a i ʻole nā inikini hoʻōla hormone: Pale kēia mau lāʻau lapaʻau i ke kino mai ka hana ʻana i nā hormones, a i ʻole e ālai i nā mea loaʻa (loka) ma nā hunaola kanesa, e pale ana iā lākou mai ka nakinaki ʻana i nā hormones (kī).
ʻO ke ʻano o ka lāʻau lapaʻau hormone āu e loaʻa ai e hilinaʻi pū ʻia i ka wā i hala ai ʻoe i ka menopause. Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau i kēlā me kēia pae o ke kanesa. Ma muli o ke kahua o ke kanesa, hāʻawi ʻia ka lāʻau lapaʻau hormone me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki kino a i ʻole ka chemotherapy.
He aha nā lāʻau lapaʻau ʻē aʻe?
Ma waho aʻe o ka lāʻau lapaʻau hormone, hiki ke hāʻawi ʻia iā ʻoe i hoʻokahi a ʻoi aku paha o kēia mau mea no ka maʻi ʻaʻai umauma PR-positive.
- ʻOki kino: ʻOki kino e wehe i nā hunaola kanesa. No ka laʻana, wehe wale i ka puʻupuʻu (`Lumpectomy`) a i ʻole wehe i ka umauma holoʻokoʻa (`Mastectomy`).
- Chemotherapy: Nā lāʻau lapaʻau ikaika i hāʻawi ʻia e luku i nā hunaola kanesa.
- Lapaʻau radiation : Hoʻohana i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa i koe.
- Lapaʻau i Hoʻolālā ʻia: Nā lāʻau lapaʻau e hoʻolālā ana i nā protein kikoʻī e kōkua i ka ulu ʻana o nā hunaola kanesa. Hiki i kēia mau mea ke hoʻonui i ka pono o nā lāʻau lapaʻau hormone.
He aha ka wānana?
Eia kekahi nūhou maikaʻi nāu. ʻOi aku ka lohi o ka ulu ʻana o nā maʻi kanesa hormone-receptor-positive (HR+) ma mua o nā maʻi kanesa hormone-receptor-negative (HR-Negative). Eia kekahi, loaʻa iā ʻoe kahi pōmaikaʻi i ka mālama ʻana no ka mea hiki iā ia ke ālai i ka hana o nā hormones a hoʻōki i ka ulu ʻana o ke kanesa. Eia naʻe, e like me nā maʻi kanesa āpau, pili ka lāʻau lapaʻau e hiki mai ana i ka wā mua o ka ʻike ʻia ʻana.
Akā, aia kekahi mea e hoʻomanaʻo ai. ʻOiai hiki i ka lāʻau lapaʻau hormone ke kāohi i ka ulu ʻana a me ka laha ʻana o ke kanesa, hiki ke hana ʻia i kekahi manawa he mau makahiki ma hope o ka lāʻau lapaʻau. ʻO ia ke kumu e hāʻawi ai nā kauka i ka lāʻau lapaʻau hormone no nā manawa lōʻihi, i kekahi manawa no 5 a 10 paha mau makahiki.
No laila, he mea nui loa e kamaʻilio ākea a maopopo hoʻi me kāu kauka e pili ana i ke kūlana o ka mea loaʻa hormone o kou maʻi ʻaʻai a pehea e pili ai i kāu hoʻolālā lapaʻau a me ke ala e hiki mai ana.
Leka Lawe-Home
- ʻO ke kanesa umauma PR-Positive (PR+) ʻo ia hoʻi ke hoʻohana nei nā hunaola kanesa i ka hormone progesterone e ulu.
- He mea maʻamau loa kēia ʻano maʻi kanesa, ʻoi aku hoʻi ma hope o ka menopause.
- ʻO ka hormone therapy kahi ʻano lapaʻau nui a maikaʻi loa i hoʻohana ʻia no kēia.
- Ma keʻano laulā, maikaʻi ka wānana no kēia mau maʻi ʻaʻai no ka mea lohi ko lākou ulu ʻana, akā pono ka mālama lōʻihi a me nā nānā kino maʻamau e pale aku i ka hoʻi hou ʻana.
- Mai kānalua e kamaʻilio me kāu kauka e pili ana i kou kūlana, ka lāʻau lapaʻau, a me nā hopohopo āu e loaʻa ai.
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