Ua loaʻa anei iā ʻoe kahi mammogram a ʻike i ka huaʻōlelo "nā umauma paʻa" ma ka hōʻike? I kou ʻike ʻana i kēlā, ua manaʻo paha ʻoe i kahi makaʻu iki a me ka hoihoi, "He aha ia?" ʻOiaʻiʻo, e like me nā mea he nui i loko o ko mākou kino, ʻo ka ʻike ʻana i ke ʻano o ka paʻa o ka umauma he mea nui loa ia no ke olakino o kou umauma. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ka nui o ka umauma?
I ka ʻōlelo maʻalahi, ua hana ʻia ka umauma i ʻekolu mau ʻāpana nui.
1. ʻIʻo glandular
2. Nā ʻauwai ( DUC ts)
3. ʻIʻo momona a me ka ʻiʻo fibrous/connective
ʻO ka mānoanoa o ka umauma e pili ana i ka nui o nā ʻiʻo glandular a me nā ʻiʻo pili e pili ana i ka nui o nā ʻiʻo momona. ʻO nā umauma me nā ʻiʻo momona liʻiliʻi a me nā ʻiʻo glandular a me nā ʻiʻo pili he mea ia a mākou e kapa nei he "nā umauma mānoanoa."
ʻO ka mea nui, ʻaʻole hiki ke hoʻoholo ʻia kēia ma ka nui a i ʻole ke ʻano o nā umauma. Hiki i nā umauma o ke kanaka ke liʻiliʻi akā paʻa, a nui paha akā ʻaʻole paʻa. Hiki ke hoʻoholo ʻia kēia me ka mammogram wale nō.
ʻO ka maʻamau, emi kēia paʻapū me ka ʻelemakule. ʻOiai ma kahi o 75% o nā wāhine ma lalo o 50 makahiki he mau umauma paʻa, ʻo ka hapakolu wale nō o nā wāhine ma luna o 50 makahiki he mau umauma paʻa. Akā, ʻokoʻa loa kēia mai kēlā kanaka a kēia kanaka.
Pehea ka hopena o ka loaʻa ʻana o nā umauma mānoanoa i ka pilikia o ka maʻi kanesa?
ʻO kēia ka mea nui loa. ʻO ka loaʻa ʻana o nā umauma mānoanoa e hoʻopilikia iā ʻoe ma nā ʻano nui ʻelua.
1. Hoʻonui iki ʻia ka pilikia o ka maʻi ʻaʻai: ʻOi aku ka kiʻekiʻe o ka pilikia o nā wahine me nā umauma paʻa i ka loaʻa ʻana o ka maʻi ʻaʻai umauma ma mua o ka poʻe me nā umauma liʻiliʻi.
2. Ke hūnā ʻana i nā hunaola kanesa ma ka mammogram: ʻO kēia ka pilikia nui loa. Ma ka mammogram X-ray, ʻike ʻia nā ʻiʻo momona he ʻeleʻele. Akā ʻike pinepine ʻia nā ʻiʻo mānoanoa (glandular, connective tissue) a me nā hunaola kanesa he keʻokeʻo. E noʻonoʻo e pili ana i ia mea, he mea maʻalahi ke loaʻa kahi ʻiliʻili keʻokeʻo ma ke alanui ʻeleʻele. Akā pehea ka paʻakikī o ka loaʻa ʻana o kahi ʻiliʻili keʻokeʻo ma kahi kula hau? Pēlā nō, hiki ke hala nā hunaola kanesa (e keʻokeʻo mau ana) e kūʻē i ke kua keʻokeʻo o nā umauma mānoanoa e ka mammogram.
No kēia mau kumu ʻelua, he mea nui e ʻike i ka nui o kou umauma i hiki iā ʻoe ke kūkākūkā me kāu kauka a hoʻoholo i nā hoʻokolohua hou āu e pono ai e hana, inā pono.
Nānā Pākuʻi no ka Mānoanoa o ka Umauma
Inā he mau umauma mānoanoa kou a he awelika a he kaulike paha kou pilikia o ka maʻi kanesa , makemake paha ʻoe e noʻonoʻo i nā hoʻokolohua ʻē aʻe me nā mammograms. E hoʻomanaʻo he pono e hana mau ʻia kēia mau hoʻoholo me ke kūkākūkā ʻana me kāu kauka .
| ʻAno hoʻāʻo | He wehewehe maʻalahi |
|---|---|
| ʻO ka Mammogram 3D / Tomosynthesis | He mana holomua o ka mammogram maʻamau. Lawe ia i nā kiʻi o ka umauma ma nā ʻāpana lahilahi, e maʻalahi ai ka ʻike ʻana i nā mea i hūnā ʻia ma waena o nā ʻiʻo mānoanoa. |
| ʻO ke kiʻi ʻana o ka ultrasound | Hoʻohana ia i nā nalu kani e nānā i nā ʻiʻo umauma. Hiki iā ia ke kōkua i ka ʻike ʻana i nā mea e like me nā puʻupuʻu i hiki ʻole i ka mammogram ke ʻike. |
| MRI Scan | He hoʻāʻo koʻikoʻi loa. Manaʻo pinepine ʻia no nā wahine i pilikia nui i ka maʻi kanesa. |
| Nā ʻenehana hou ʻē aʻe | Aia kekahi mau ʻenehana hou e like me ka Molecular Breast Imaging a me ka Contrast-enhanced Mammogram, akā ʻaʻole i hoʻohana nui ʻia. |
Nā Nīnau a me nā Pane i Nīnau Pinepine ʻia (Q&A)
E pane kākou i kekahi mau nīnau āu e loaʻa ai i ke kūkākūkā ʻana i kēia kumuhana.
1. Hiki i ka meaʻai a me ka mea inu ke hōʻemi i ka nui o ka umauma?
ʻOiaʻiʻo,ʻAʻole hiki i ka ʻai ke hoʻololi pololei i ka nui o ka umauma. I kekahi manawa, inā piʻi a emi paha ke kaumaha o kou kino, hiki ke loli ka nui o ka momona i loko o kou mau umauma. ʻOiai hiki i kēia ke loaʻa kekahi hopena i ka nui o ka umauma, ʻaʻole ia he mea hiki iā mākou ke kaohi.
2. Hiki ke hōʻalo ʻia (hōʻalo) i ka pilikia hoʻoilina i hoʻokahi hanauna?
ʻAʻole. Hoʻoili pololei ʻia nā genes e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma (e laʻa me nā hoʻololi gene BRCA) mai kēlā hanauna a i kēia hanauna. No ka laʻana, inā he hoʻololi gene BRCA ko kou kupuna wahine, akā ʻaʻole i hoʻoilina kou makuahine, ʻaʻole ʻoe e hoʻoilina pū kekahi (ke ʻole ia mai ka ʻaoʻao o kou makuakāne). No laila, ʻaʻole pili ka manaʻo o "skipping" ma ʻaneʻi.
3. Hoʻonui anei ka lāʻau lapaʻau hormone i ka mānoanoa?
ʻAe. Hiki i kekahi mau lāʻau lapaʻau hormone, ʻoiai nā mea i lawe ʻia ma hope o ka menopause, ke hoʻonui i ka nui o ka umauma. Inā ʻoe e lawe ana i ia mau lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea.
4. Hoʻohana ʻia ka naʻauao hana (AI) i nā hoʻokolohua umauma?
He kumuhana wela kēia ma ka honua i kēia manawa. Ke kōkua nei ʻo AI i ka nānā ʻana i nā mea e like me nā kukuna X i ka lāʻau lapaʻau. Akā, ʻaʻole ia he mīkini e hāʻawi iā ʻoe i kāu hōʻike mammogram. I kēia manawa, hoʻohana ʻia ʻo AI ma ke ʻano he kōkua hou i ka radiologist, e like me ka manaʻo ʻelua. I ka wā e hiki mai ana, hiki ke hoʻohana ʻia ʻo AI e hōʻoia hou aku i ka hopena o ka radiologist. No laila, ʻaʻohe mea e makaʻu ai.
5. Inā ʻoi aku ka maikaʻi o ka MRI ma mua o ka mammogram, no ke aha e hana ʻia ai nā mammograms?
He nīnau maikaʻi. Nui nā kumu.
- ʻIkepili: Ua hōʻike ʻia nā makahiki he ʻumi o ka noiʻi ʻana e hiki i nā mammograms ke hōʻemi i ka make ʻana o ka maʻi umauma a me nā pilikia. ʻO ke ʻano kēia, hiki ke ʻike mua ʻia ke kanesa, kahi e hoʻonui ai i ka manawa kūpono o ka mālama ʻana a me ka ho'ōla ʻana. ʻAʻohe ʻikepili lōʻihi a paʻa e like me ia ma ka MRI.
- ʻAʻole ʻike ʻia nā maʻi kanesa āpau: ʻAʻole ʻike ʻo MRI i nā maʻi kanesa āpau i hiki ke ʻike ʻia e ka mammogram. ʻIke wale ʻia kekahi mau ʻano maʻi kanesa e ka mammogram.
No laila, ʻo ke kūlana maʻamau o kēia manawa ma ka honua ka hoʻohana ʻana i ka mammogram ma ke ʻano he hoʻāʻo loiloi mua.
Leka Lawe-Home
- He ʻāpana ʻike koʻikoʻi ka nui o ka umauma e pili ana i ke olakino o kou umauma.
- Hoʻoholo ʻia kēia mānoanoa e ka mammogram, ʻaʻole ma ka nui a i ʻole ke ʻano o nā umauma.
- ʻO ka loaʻa ʻana o nā umauma mānoanoa e hoʻonui iki i ka pilikia o ka maʻi kanesa a hiki ke hūnā i ke kanesa ma ka mammogram.
- Inā ʻōlelo ka hōʻike he mau umauma mānoanoa kou, mai hopohopo a kamaʻilio me kāu kauka .
- Inā pono, e kūkākūkā me kāu kauka e pili ana i ka ʻimi ʻana i nā hoʻokolohua hou aʻe, e like me ka ultrasound a i ʻole MRI, a hana i ka hoʻoholo maikaʻi loa.
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