Ua manaʻo paha ʻoe i kahi mea e like me ka puʻu liʻiliʻi i loko o kou umauma? He mea maʻamau ke manaʻo iki i ka makaʻu i ka wā e hana ʻia ai kēlā, ʻeā? Manaʻo ka poʻe he nui, "ʻAuē, he maʻi kanesa kēia?" Akā, ua ʻike anei ʻoe ʻaʻole nā puʻu āpau e ulu ana i loko o nā umauma he maʻi kanesa? I kēia lā e kamaʻilio mākou e pili ana i kahi mea a nā wahine he nui e ulu ai, akā ʻaʻole ia he mea weliweli loa, akā he mea pono ke ʻike. ʻO ia hoʻi ʻo `(Breast Cysts)`, a i ʻole e like me kā mākou e ʻōlelo nei ma Sinhala, e pili ana i nā cysts umauma.
He aha ka Cyst o ka Umauma?
I ka ʻōlelo maʻalahi, ʻo ka `(Breast Cyst)` he ʻeke liʻiliʻi i piha i ka wai e hana ʻia ana i loko o kou umauma. ʻAʻole kēia he mau maʻi kanesa (he `(Benign)` lākou). Hana ʻia lākou i ka wā e hakahaka ai nā ala waiū i loko o kou umauma, a piha ka hakahaka i ka wai. He liʻiliʻi loa kekahi `(Cysts)` a ʻaʻole hiki ke ʻike ʻia. Eia nō naʻe, hiki i kekahi ke ulu a hiki i kekahi mau ʻīniha ka nui. Ke nui lākou, hiki iā ʻoe ke ʻike iā lākou a i kekahi manawa hiki iā lākou ke hoʻoluhi. Hiki ke hana ʻia ma mua o hoʻokahi o kēia mau cysts i loko o hoʻokahi a i ʻole nā umauma ʻelua, a i ʻole i loko o nā puʻupuʻu.
ʻO ka mea nui loa, ʻaʻole e hoʻonui kēia mau "(Breast Cysts)" i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. A ʻaʻole lākou e lilo i maʻi koʻikoʻi ʻē aʻe i ka hala ʻana o ka manawa. No laila, mai makaʻu pono ʻole, ʻeā?
ʻIke pinepine ʻia kēia ʻano maʻi i:
- No nā wahine ma waena o 35 a me 50 mau makahiki.
- No nā wāhine e loaʻa mau ana i ka wā mahina (`(Premenopausal)`).
- ʻO nā wahine i pau ka menstruation akā ke lawe nei i ka hormone therapy (HRT) (Postmenopausal).
Aia kekahi ʻano like ʻole o nā cysts umauma?
ʻAe, ʻekolu ʻano nui o nā puʻupuʻu umauma. E nānā kākou i ke ʻano o lākou.
1. ʻO ka Cyst Umauma Maʻalahi
ʻO kēia ke ʻano maʻamau, e helu ana ma kahi o 90% o nā puʻupuʻu umauma āpau. Ua piha lākou i ka wai. ʻAʻole loa lākou he maʻi kanesa. ʻAʻohe mea paʻa i loko o kēia mau puʻupuʻu, a he laumania loa ka paia o ka puʻupuʻu.
2. ʻO ka Cyst Umauma Paʻakikī
Hiki i kēia ʻano puʻupuʻu ke loaʻa nā ʻāpana wai a me nā ʻāpana paʻa. Ma kahi o 20% o kēia ʻano puʻupuʻu he manawa kūpono ia e lilo i ka maʻi ʻaʻai umauma. No laila, inā loaʻa iā ʻoe kahi puʻupuʻu e like me kēia, e lawe pinepine kāu kauka i kahi ʻāpana ʻiʻo a hoʻouna aku no kahi biopsy. A laila hiki iā ʻoe ke ʻike maopopo inā he maʻi ʻaʻai a ʻaʻole paha.
3. ʻO ka Cyst Umauma Paʻakikī
Ua piha pū kēia ʻano cysts i ka wai. Eia nō naʻe, i kekahi manawa hiki ke lilo ka wai i mea ʻōlinolino iki, a i ʻole he ʻano ʻē iki paha nā kihi o ka cyst. I kekahi manawa, wehe ʻia ka wai mai kēia mau cysts me kahi nila (`(Aspiration)`) a hoʻouna ʻia no ka hoʻokolokolo ʻana. I kekahi manawa, e noi paha ke kauka iā ʻoe e hoʻi mai ma kahi o ʻeono mahina no ka nānā ʻana. ʻO kēia no ka mea he haʻahaʻa loa ka manawa e lilo ai kēia mau cysts i maʻi kanesa (ʻaʻole iʻoi aku ma mua o 2%).
Ma waho aʻe o kēia hoʻokaʻawale ʻana, ua kapa ʻia nā cysts umauma ʻo "Microcysts" a me "Macrocysts" ma muli o ko lākou nui. He mau cysts liʻiliʻi loa nā "Microcysts". I kekahi manawa hiki ke ʻike wale ʻia me kahi hoʻāʻo "Ultrasound" a i ʻole kahi microscope. He mau cysts nui iki nā "Macrocysts" hiki ke hoʻopā ʻia.
Pehea ka maʻamau o nā cysts umauma? He aha nā hōʻailona?
ʻOi aku ka maʻamau o nā puʻupuʻu umauma ma mua o kou manaʻo. Ma ka awelika, ma kahi o 7% o nā wahine e loaʻa i kēia maʻi i kekahi manawa o ko lākou ola.
I kēia manawa, e nānā kākou i nā hōʻailona.
He liʻiliʻi loa kekahi mau puʻupuʻu a ʻaʻole paha ʻoe e manaʻo i kekahi mea. Akā inā he puʻupuʻu umauma nui kou, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- He puʻupuʻu i hiki ke hoʻopā ʻia ma ka lima: Hiki i kēia ke palupalu i kekahi manawa, i kekahi manawa he paʻakikī iki. Akā i ka hapanui o ka manawa he palupalu ia.
- ʻAno: Manaʻo pinepine ʻia e like me kahi puʻupuʻu poepoe, laumania, a wehewehe maikaʻi ʻia.
- ʻEha a palupalu paha: Hiki paha iā ʻoe ke manaʻo i ka ʻeha a palupalu paha ma kahi i loaʻa ai kēia puʻupuʻu, ʻoiai ma mua o kou wā mahina.
- Hoʻololi ka nui: Hiki ke manaʻo ʻia ka puʻupuʻu e ʻoi aku ka nui i ka hoʻomaka ʻana o kou wā, a hiki ke manaʻo ʻia he liʻiliʻi ma hope o kou wā.
- Hoʻoneʻe maʻalahi: ʻOiai inā nui ka cyst, manaʻo paha e hiki ke neʻe ʻia a puni ma lalo o ka ʻili.
Hiki i kēia mau puʻupuʻu umauma ke liʻiliʻi e like me ka hua laiki a i ʻole ka pīni ʻōmaʻomaʻo, a i ʻole ka nui e like me ka pōpō kolepa. Nui nā wahine e ʻike i nā loli a me ka ʻeha ma kēia mau puʻupuʻu i ka wā e hoʻokokoke mai ai ko lākou wā mahina, ʻo ia ka wā e loli ai nā pae hormone. Hiki i kekahi ke ʻike i ka wai o ka nipple a i ʻole ka ʻeha ma ia wahi.
No ke aha i hana ʻia ai kēia mau cysts umauma?
ʻAʻole ʻike ʻia ke kumu kikoʻī o ka maʻi ʻaʻai umauma. Manaʻo nā loea ua hana ʻia e nā loli kūlohelohe o nā hormones i loko o ko kākou kino. ʻO ka mea nui, ua manaʻo ʻia ua pili ka hormone `(Oestrogen)`. Ma hope o ka menopause, emi nā pae `(Oestrogen)`, no laila ʻaʻole i maʻamau ka maʻi ʻaʻai umauma.
Ua manaʻo ʻia hoʻi hiki iā lākou ke hana ma ke ʻano he ʻāpana o ke ola maʻamau o ka umauma. ʻO ia hoʻi, i ka wā e emi ai ka ʻiʻo glandular e hana ana i ka waiū (kahi hana i kapa ʻia ʻo "involution"), i kekahi manawa hiki i ka wai ke paʻa a hana i nā cysts e like me kēia.
Hiki i nā cysts umauma ke hoʻoulu i nā pilikia?
ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau puʻupuʻu umauma e hoʻoulu i nā pilikia koʻikoʻi a hoʻoweliweli i ke ola. Eia naʻe,
- I kekahi manawa hiki ke lilo i ka maʻi i kēia mau cysts.
- A i ʻole, hiki i ka cyst ke lilo i mea nui loa, paʻakikī, a ʻeha . I kēlā hihia, pono paha e wehe i ke kahe me kahi nila (`(Aspiration)`).
Inā ʻoe i ka pilikia nui o ka loaʻa ʻana o ka maʻi ʻaʻai umauma (no ka laʻana, inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai), hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine ʻana a i ʻole nā hoʻokolohua hou aʻe.
Pehea e ʻike pono ai inā he mau cysts umauma kou? (Diagnosis)
ʻO ka hapa nui o ka manawa, ʻike nā kauka i kēia mau puʻupuʻu umauma ma ka ulia pōpilikia i ka wā o nā nānā ʻana i ka maʻi ʻaʻai umauma maʻamau, e like me nā mammograms. Eia nō naʻe, i kekahi manawa hiki iā ʻoe ke loaʻa i kahi puʻupuʻu umauma nui iā ʻoe iho.
No ka ʻike pono inā he puʻupuʻu umauma kou, hiki i kāu kauka ke hana i kēia mau mea:
1. Ke hana ʻana i kahi hoʻokolokolo kino: E nānā ʻia kou umauma a e ʻike ʻia ke ʻano o ka puʻupuʻu (paʻakikī, palupalu, pehea ke ʻano o nā kihi) a me kona wahi kikoʻī.
2. Ultrasound o ka umauma: ʻO kēia wale nō ke ala e hoʻoholo ai inā he paʻa a wai paha ka puʻupuʻu. Hoʻohana ia i kahi mea e like me nā kukuna sonar.
3. Mammogram: Inā ʻoe ma luna o 30 mau makahiki, a i ʻole inā ua hiki i ka manawa e loaʻa ai iā ʻoe kahi mammogram, e noi ʻia ʻoe e hana i kēia hoʻokolohua. He ʻano X-ray kūikawā kēia.
Inā ʻoe i ka pilikia nui o ka loaʻa ʻana o ka maʻi kanesa, hiki i kāu kauka ke paipai i ka MRI umauma (Magnetic Resonance Imaging). ʻO kēia ka hoʻāʻo koʻikoʻi loa no ka ʻike mua ʻana i ka maʻi kanesa umauma i nā wahine i ka pilikia nui.
Pehea e hana ʻia ai ka ʻume ʻana i ka nila (a i ʻole ka biopsy nila)?
ʻO ka mea e hana ʻia, ʻo ia ke lawe ʻana o ke kauka a i ʻole ke kanaka i aʻo ʻia i kahi nila lahilahi a hakahaka a hoʻokomo i loko o ka cyst. A laila, hoʻohana lākou i kahi syringe e huki mālie i ke wai i loko o ka cyst. A laila emi ka cyst. He hana wikiwiki a ʻeha ʻole kēia.
He aha nā lāʻau lapaʻau no nā cysts o ka umauma?
ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia mau cysts umauma i kekahi lāʻau lapaʻau. ʻO nā cysts umauma maʻalahi, ʻoi aku hoʻi, ʻaʻole lākou e hōʻeha, a i kekahi manawa e nalo wale aku lākou. ʻAʻole anei he mea kupaianaha kēlā?
Eia nō naʻe, inā ʻoe e ʻike nei i ka ʻoluʻolu ʻole a i ʻole ka ʻeha ma muli o ka cyst, hiki i kāu kauka ke wehe i ke wai mai loko mai me kahi nila e like me ka mea i ʻōlelo ʻia ma mua. Eia nō naʻe, aia kahi manawa e hoʻopiha hou ʻia ai ke wai ma hope o ka wehe ʻia ʻana. Inā hoʻomau ia i ka ulu ʻana a me ke kumu o ka ʻeha, pono paha ke ʻoki ʻana e wehe i ka cyst. Eia naʻe, he mea kakaikahi loa kēia.
Inā loaʻa iā ʻoe nā puʻupuʻu umauma "Complex" a i ʻole "Complicated" i ʻōlelo mua ʻia, pono ʻoe e hana i nā nānā maʻamau e ʻike inā he mau loli.
Ke nalo wale aku nei kēia mau cysts umauma?
ʻAe, i ka hapa nui o ka manawa e nalowale ana kēia mau puʻupuʻu umauma iā lākou iho i ka hala ʻana o ka manawa. Eia naʻe,Inā ʻike ʻoe i kekahi mau loli hou i kou mau umauma (e like me ka puʻupuʻu, ka ʻeha, a i ʻole ke kahe ʻana mai ka nipple), he mea nui e ʻike i ke kauka no ka nānā ʻana. ʻO nā hoʻokolokolo umauma maʻamau, nā kipa makahiki i kāu kauka, a me ka mammogram inā pono e kōkua i ka ʻike ʻana i kēia mau loli i ka wā mua.
He aha ka mea e hana ʻia i kahi cyst umauma inā ʻaʻole mālama ʻia?
Inā liʻiliʻi loa kahi puʻupuʻu umauma a ʻaʻole ʻoe e ʻike nei i kekahi ʻeha a ʻoluʻolu ʻole paha, hiki i kāu kauka ke hoʻoholo e nānā iā ia no kekahi manawa me ka ʻole o ka lāʻau lapaʻau. Hiki paha ke nalo wale aku. Eia nō naʻe, inā ʻoe e ʻoluʻolu ʻole ana, a i ʻole e hoʻomau ka ulu ʻana o ka puʻupuʻu, ʻo ka wehe ʻana i ke wai ka lāʻau maikaʻi loa no kāu mau hōʻailona.
ʻAʻole hiki iā kākou ke pale aku i ke kūkulu ʻia ʻana o kēia mau cysts umauma?
ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu umauma. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka nānā ponoʻī ʻana i ka umauma a me nā mammograms maʻamau nā ala maikaʻi loa e mālama ai i ke olakino maikaʻi o ka umauma. Inā loaʻa iā ʻoe kahi puʻupuʻu hou, mai hoʻowahāwahā wale a ʻōlelo, "ʻĀ, he puʻupuʻu wale nō paha." He mea naʻauao mau ke ʻike i ke kauka no ka nānā ʻana.
ʻO kekahi mau nīnau a me nā pane a ka poʻe he nui
Hiki i ka Cyst Umauma ke lilo i Kanesa?
He nīnau kēia a nā poʻe he nui e nīnau ai. Haʻahaʻa loa ka loaʻa ʻana o ka maʻi ʻaʻai.
- ʻAʻole maʻi kanesa (benign) nā cysts umauma maʻalahi. He 90% o nā puʻupuʻu umauma ko lākou.
- ʻO ka maʻamau, ʻaʻole ia he maʻi kanesa nā cysts umauma paʻakikī. ʻOi aku ka liʻiliʻi o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa ma mua o 2%.
- ʻO nā cysts umauma paʻakikī nā mea me ka pilikia kiʻekiʻe loa o ka loaʻa ʻana o ka maʻi kanesa. ʻOiai i kēlā manawa, ʻike wale ʻia lākou ma 14% a 23% o nā hihia. ʻO ia ke kumu e loaʻa ai iā lākou ka nānā nui.
Hoʻonui anei nā cysts umauma i ka pilikia o ka maʻi ʻaʻai umauma?
ʻAʻole. ʻAʻole e hoʻonui ka loaʻa ʻana o nā puʻupuʻu umauma i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. E hoʻomanaʻo i kēia.
Hiki i ka Cyst o ka umauma ke lilo i puʻupuʻu?
ʻAʻole. ʻAʻole loa e lilo kahi cyst umauma ʻaʻole maʻi kanesa (`(Benign breast cyst)`) i puʻupuʻu kanesa (`(Tumor)`). He kuhihewa kēia i waena o nā poʻe he nui.
No laila, he koʻikoʻi anei nā cysts umauma? Āhea mākou e hopohopo ai no lākou?
He mea maʻamau loa nā puʻupuʻu umauma i waena o nā wāhine. ʻO ka hapa nui o ka manawa, ʻaʻole ia he hōʻailona o kahi pilikia koʻikoʻi. No laila, mai hopohopo pono ʻole. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ka maikaʻi o ka nānā ʻana e ke kauka inā ʻike ʻoe i kekahi mau puʻupuʻu hou a i ʻole nā loli. Ma kēlā ʻano, hiki iā ʻoe ke hoʻomaha maʻalahi.
Nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka e pili ana i nā cysts umauma
Inā haʻi aku ke kauka iā ʻoe he puʻupuʻu kou ma ka umauma, he mea nui loa e nīnau i kēia mau nīnau:
- He aha ke ʻano o kēia puʻupuʻu umauma (`(Maʻalahi, Paʻakikī, a Paʻakikī paha)`)?
- Pono anei kēia i ka wehe ʻana i ke wai (`(Aspirate)`), ka hana ʻana i kahi hoʻāʻo ʻiʻo (`(Biopsy)`), a i ʻole ka wehe ʻana i ke ʻoki kino?
- Pono anei iaʻu e hana i nā mammograms maʻamau a i ʻole nā ultrasounds?
- Inā wau e lawe ana i ka Hormone Replacement Therapy (HRT), pono anei wau e hoʻomau i ka lawe ʻana?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He mea maʻamau loa nā puʻupuʻu umauma, ʻoi aku hoʻi i waena o nā wahine i ko lākou mau makahiki he 40. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o kēia mau puʻupuʻu he mea ʻino ʻole a ʻaʻohe mea e hopohopo ai.
Eia nō naʻe, e hoʻomanaʻo, ʻoiai he mea maʻamau nā puʻupuʻu umauma, inā ʻike ʻoe i kahi puʻupuʻu hou, puʻupuʻu, a i ʻole kahi loli i loko o kou umauma, e nānā mau ʻia e ke kauka. Mai hoʻowahāwahā iā ia, me ka manaʻo, "He mea maʻamau paha kēia." ʻOi aku ka maikaʻi o ka mālama ʻana i kou olakino a e makaʻala. Inā he kānalua kāu, mai makaʻu e kamaʻilio me ke kauka.
Nā Cysts o ka Umauma, Ola Kino o nā Wahine, Nā Puʻupuʻu o ka Umauma, Mammogram, Ultrasound, Nā Hormones











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo