Inā ua ʻike ʻia ʻoe a i ʻole kekahi āu i ʻike ai me ka maʻi ʻaʻai umauma , he mea maʻamau ke makaʻu, ka pīhoihoi, a me ke kānalua. "He aha ka mea e hana nei i kēia manawa?", "He aha ke ʻano o ka lāʻau lapaʻau e loaʻa iaʻu?", "E ho'ōla ʻia anei kēia?" he mau nīnau a pau e hiki mai ana i ka noʻonoʻo. ʻO ka mea mua, e hoʻomaopopo ʻaʻole ʻoe hoʻokahi i kēia manawa. I kēia lā e kamaʻilio mākou e pili ana i ke 'kahua', kahi mea nui e hoʻoholo ai i ka mālama ʻana i ka maʻi ʻaʻai umauma, a pehea e hoʻolālā ʻia ai ka mālama ʻana e like me kēlā me kēia pae.
He aha ke 'kahua' o ka maʻi kanesa?
I ka ʻōlelo maʻalahi, ʻo ke kahua o ke kanesa kahi ala e wehewehe ai i ka mamao o ka laha ʻana o ke kanesa i loko o kou kino. E like me ke kaha ʻana i ko mākou wahi ma ka palapala ʻāina, hoʻohana nā kauka i kēia ʻōnaehana o ke 'staging' e hoʻomaopopo i ke kūlana pololei o ke kanesa. Hoʻoholo ʻia kēia e ʻelua mau kumu nui.
1. Ka nui o ka puʻupuʻu: Pehea ka nui o ka puʻupuʻu?
2. Ka laha ʻana a i ʻole ka metastasis: Ua pālahalaha anei ka puʻupuʻu ma waho o ka umauma, i nā lymph node ma nā armpits, a i ʻole i nā ʻāpana mamao ʻē aʻe o ke kino (e like me ke akepaʻa, nā māmā, nā iwi)?
Ma muli o kēia ʻike, ua māhele ʻia ka maʻi ʻaʻai umauma i ʻelima mau pae nui (0 a IV). He mea nui loa ka ʻike ʻana i kēia nou a me ka hui lapaʻau e mālama nei iā ʻoe.
Ua hoʻoholo wale ʻia ka lāʻau lapaʻau e ke kahua?
ʻAʻole. ʻOiai ʻo ke kahua kahi kumu nui, ʻaʻole ia wale nō. E noʻonoʻo kāu kauka i nā kumu ʻē aʻe he nui e hana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
- Ke ʻano o ka maʻi ʻaʻai umauma āu i loaʻa ai: Aia nā ʻano like ʻole o ka maʻi ʻaʻai umauma.
- Ka helu o nā puʻupuʻu kanesa: Hoʻokahi puʻupuʻu a he nui paha?
- Ka wikiwiki o ka ulu ʻana o ke kanesa: Ulu mālie kekahi mau kanesa, aʻo kekahi e pālahalaha koke.
- Kou makahiki a me ke olakino holoʻokoʻa: He mea nui hoʻi e ʻike inā he mau maʻi ʻē aʻe kou, e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai.
- Ua loaʻa anei iā ʻoe ka maʻi ʻaʻai umauma ma mua?
- ʻO ke ʻano o nā hunaola kanesa: Inā paha e pili ana nā hormones wahine i ka ulu ʻana o nā hunaola kanesa (ke kūlana o ka mea loaʻa hormone), a inā paha he mau kumu genetic kikoʻī e like me HER2 i loko o kēlā mau hunaola, he mea nui loa ia i ka hoʻoholo ʻana i ka lāʻau lapaʻau.
E hoʻomanaʻo, he ʻokoʻa ke kanesa o kēlā me kēia kanaka. No laila, ʻaʻole paha e hana ka lāʻau like i hāʻawi ʻia i kāu hoaaloha iā ʻoe. ʻO kāuUa hoʻopilikino kūikawā ʻia ka hoʻolālā lapaʻau nou.
He aha nā lāʻau lapaʻau no kēlā me kēia pae?
ʻAe, e nānā kākou i nā lāʻau lapaʻau e kūpono no kēlā me kēia pae. He alakaʻi wale nō kēia e hoʻomaka ai. E hoʻomanaʻo e hoʻoholo ʻia kāu hoʻolālā lapaʻau kikoʻī e kāu kauka.
| Kahua o ke kanesa | ʻO ke ʻano maʻalahi | Nā lāʻau lapaʻau i hoʻohana pinepine ʻia |
|---|---|---|
| Pae 0 (Ductal Carcinoma in Situ - DCIS) | ʻO kēia ke kahua mua loa. Aia nā hunaola kanesa i loko o nā ʻauwai waiū o ka umauma wale nō. ʻAʻole lākou i laha i nā ʻiʻo a puni. | - ʻO ke ʻoki kino: ka wehe ʻana i ka puʻupuʻu wale nō (lumpectomy) a i ʻole ka wehe piha ʻana paha o ka umauma (mastectomy). - Lapaʻau Radiation: Hāʻawi pinepine ʻia ma hope o ka wehe ʻana i ka puʻupuʻu. - Lapaʻau hormone: Inā he ʻano maʻi ʻaʻai e hilinaʻi ana i ka hormone. |
| Kahua I | He liʻiliʻi nō ke kanesa. Aia ia i loko o ka umauma. ʻAʻole ia i laha i nā lymph nodes ma ka armpit (a i ʻole ua laha iki wale nō). | - ʻO ke ʻoki kino: (Lumpectomy a i ʻole Mastectomy). Hana ʻia kahi biopsy lymph node sentinel. - Lapaʻau radiation: Hāʻawi mau ʻia kēia inā he lumpectomy kāu. - Nā lāʻau lapaʻau ʻē aʻe: Ma muli o ke ʻano o ke kanesa, pono paha ka chemotherapy, ka lāʻau hormonal, a i ʻole ka lāʻau i hoʻolālā ʻia. |
| Pae II | Ua nui iki aʻe ka puʻupuʻu, a/a i ʻole ua pālahalaha paha ke kanesa i nā lymph node kokoke i ka ʻāʻī. | - ʻO ke ʻoki kino: (Lumpectomy a i ʻole Mastectomy). - Chemotherapy: Hiki ke hāʻawi ʻia ma mua o ke ʻoki ʻana (e hoʻēmi i ka puʻupuʻu) a ma hope paha. - Lapaʻau radiation. - Ka lāʻau lapaʻau hormonal a me ka lāʻau lapaʻau i hoʻolālā ʻia: ma muli o ke ʻano o ka maʻi kanesa. |
| Pae III | He kūlana 'locally advanced' kēia. Ua pālahalaha ke kanesa ma waho o ka umauma a hiki i ka paia umauma a i ʻole ka ʻili. Ua pālahalaha ia i kekahi mau lymph node ma ka armpit. Akā, ʻaʻole ia i pālahalaha i nā ʻōpū mamao. | - Kemoterapi: Hoʻomaka pinepine ka lāʻau lapaʻau me ka chemotherapy. ʻO ka pahuhopu ka hoʻēmi ʻana i ka puʻupuʻu ma mua o ke ʻoki ʻana. - ʻO ke ʻoki kino: ʻO ka hapa pinepine ʻo ka Mastectomy. - Lapaʻau radiation: ma hope o ke ʻoki kino. - Nā lāʻau lapaʻau hormone a me nā mea i hoʻolālā ʻia. |
| Pae IV | He maʻi kanesa 'metastatic' kēia. Ua pālahalaha ke kanesa ma ʻō aku o ka umauma a me nā lymph node kokoke i nā ʻōpū mamao o ke kino (e like me nā iwi, nā māmā, ke akepaʻa, ka lolo). | - Pahuhopu nui: e kāohi i ka maʻi, e hōʻemi i nā hōʻailona, a hoʻomaikaʻi i ke ʻano o ke ola. - Nā Lapaʻau: He mau lāʻau lapaʻau ʻōnaehana kēia e hoʻopilikia ai i ke kino holoʻokoʻa. ʻO ka Chemotherapy, ka lāʻau hormonal, ka lāʻau i hoʻolālā ʻia, a me ka immunotherapy nā mea nui. - Hiki ke hoʻohana ʻia ka radiation therapy a i ʻole ke ʻoki kino i nā hihia kūikawā, e like me ka hōʻemi ʻana i ka ʻeha. |
E kamaʻilio me kāu kauka.
Manaʻo paha kēia ʻike he mea kaumaha iki, akā ʻo ka mea nui, ua hoʻolālā ʻia kēia mau lāʻau lapaʻau a pau e kōkua iā ʻoe e loaʻa ka mea nui loa mai kāu lāʻau lapaʻau. E kūkākūkā kāu hui lapaʻau i kēia mau mea a pau me ʻoe.
E hana i kahi papa inoa o kāu mau nīnau a me kou mau makaʻu a lawe pū me ʻoe i kāu kauka. Mai makaʻu e nīnau i nā nīnau e like me, "He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?", "Pehea ka lōʻihi o koʻu noho ʻana ma ka haukapila?", "Pono anei au e hoʻololi i kaʻu ʻai?" He mea komo ikaika ʻoe i kāu mau hoʻoholo mālama ola ponoʻī.
Hiki ke paʻakikī ka huakaʻi o ka mālama ʻana i ka maʻi ʻaʻai umauma. Akā e hoʻomanaʻo, me ka ʻepekema lapaʻau holomua o kēia wā, hiki ke ho'ōla ʻia ka maʻi, ʻoiai inā ʻike mua ʻia. A he nui nā lāʻau lapaʻau maikaʻi loa e hiki ke kōkua i ka mālama ʻana i kahi ola maikaʻi i kēlā me kēia pae.
Leka Lawe-Home
- He hana pilikino loa ka mālama ʻana i ka maʻi ʻaʻai umauma i kēlā me kēia kanaka.
- ʻO ke kahua o ke kanesa kahi mea nui i ka hoʻoholo ʻana i ka lāʻau lapaʻau. Akā, ʻaʻole ia wale nō. Nui nā kumu ʻē aʻe e hoʻopilikia iā ia, me ke ʻano o ke kanesa, kou kūlana hormonal, a me kou makahiki.
- ʻO ka wikiwiki o ka ʻike ʻia ʻana o ke kanesa, ʻoi aku ka nui o nā koho lapaʻau a ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla piha ʻia ai.
- Mai makaʻu e nīnau i kāu kauka a kamaʻilio e pili ana i kou mau makaʻu a me kou hopohopo. He ʻāpana koʻikoʻi ʻoe o kāu huakaʻi olakino.
- ʻO ke kākoʻo a me ke aloha o ka ʻohana a me nā hoaaloha e lilo ia i ikaika nui iā ʻoe ma kēia huakaʻi. Mai ho'āʻo e hakakā hoʻokahi.
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