Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi, kahi puʻupuʻu, a i ʻole kahi palapū e like me ka uliuli ma kou umauma? He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea e like me ia, ʻeā? Akā i ka hapa nui o ka manawa, he hōʻiliʻili koko liʻiliʻi kēia i loko o kou umauma, ʻo ia hoʻi kahi ʻōpū koko (hematoma). Ua like ia me kahi palapū ke hāʻule mākou i kahi. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻōpū koko (Breast Hematoma) ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
E nānā mua kākou i ke ʻano o ka hematoma o ka umauma.
I ka ʻōlelo maʻalahi, ʻo ka hematoma umauma (puana ʻia "hee-ma-to-ma") he hōʻiliʻili koko i loko o kou umauma. Ua like ia me kahi palapū. Hana ʻia ia ke ʻeha a hōʻeha ʻia paha ka umauma ma kekahi ʻano. Hiki i kēia hōʻiliʻili koko ke ʻano papau, ma lalo pono o ka ʻili, a i ʻole i loko o ka ʻiʻo umauma.
E noʻonoʻo, ke pā ʻoe i kou lima ma kekahi wahi, lilo ia i polū, ʻeā? ʻO ia ka mea e hana ʻia ana i loko o ka umauma. Ke hōʻino ʻia kahi kīʻaha koko liʻiliʻi, hōʻiliʻili kekahi koko i loko o nā ʻiʻo a puni.
Akā ʻo ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa, e hoʻomaikaʻi kēia ʻano ʻūpā koko iā lākou iho i ka hala ʻana o ka manawa, me ka ʻole o kekahi lāʻau lapaʻau.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
Hiki ke loaʻa kahi hematoma i loko o ka umauma i loko o ka umauma o kekahi kanaka inā he ʻeha a poino paha. Hiki ke loaʻa kēia ʻeha ma nā ʻano like ʻole.
ʻo kahi laʻana:
- Ma muli o ka hāʻule ʻana ma kekahi wahi.
- No ka mea, ua kaomi ʻia ke kāʻei noho i ka umauma i ka wā e holo ana i loko o ke kaʻa.
- Ma muli o kahi ulia i ka wā e pāʻani ana.
- A i ʻole ma muli paha o kahi hoʻokolokolo lapaʻau ('kaʻina hana umauma') i hana ʻia ma ka umauma.
ʻO kekahi mea ʻē aʻe, ʻo ka poʻe e lawe ana i nā lāʻau hoʻokahe koko , e like me ka aspirin a i ʻole nā lāʻau anticoagulation ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana o nā clots koko. Ma muli o kēia mau lāʻau lapaʻau e hoʻemi ai i ka hiki ke clot i ke koko, hiki i kahi ʻeha liʻiliʻi ke hoʻoulu i ke kahe koko hou aʻe.
He kūlana koʻikoʻi anei kēia? Pono anei au e makaʻu?
ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi ka hematoma ma ka umauma a e ho'ōla wale ia. Eia nō naʻe, inā manaʻo ʻoe he hematoma kou, he mea nui e hoʻomaopopo i kāu kauka.
E hoʻomanaʻo, ʻoiai inā manaʻo ʻoe e ulu wikiwiki ana kahi ʻūpā koko, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. I kēlā mau hihia, mai hoʻokaʻulua.
He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?
He maʻalahi ke ʻike ʻia kahi hematoma ma luna o ka ʻili, ma lalo pono o ka ʻili. Me he palapū lā. Eia nō naʻe, ʻaʻole paha e hōʻike kahi hematoma hohonu i kekahi mau hōʻailona o ka palapū no kekahi mau lā.
Inā loaʻa iā ʻoe ke ʻoki umauma, e hoʻomaka paha ʻoe e ʻike i nā hōʻailona o kahi ʻūlū koko, maʻamau i loko o 24 a 72 mau hola. I kekahi manawa, hiki ke hana ʻia nā ʻūlū koko ʻoiai inā he mau ʻauwai kāu i kau ʻia ma hope o ke ʻoki ʻana.
ʻO nā hōʻailona nui kēia:
- He loli o ke kala e like me ka palapū: Ua like ia me ka wā e hāʻule ai kākou a lilo ko kākou mau lālā i polū. He poni ʻeleʻele/ʻulaʻula i ka wā mua, a laila lilo i ʻōmaʻomaʻo, hina, a laila melemele ma hope o kekahi manawa a laila nalowale.
- ʻEha a me/a i ʻole ka palupalu o ka umauma.
- He puʻupuʻu e paʻa ai i ka lima: He palupalu paha kēia puʻupuʻu e like me ka huʻahuʻa, a he paʻa iki paha.
- Pehu ʻana o ka umauma.
Ke kumu nei ka ʻeha i kahi ʻōpū koko (hematoma) i loko o ka umauma?
ʻAe, i kekahi manawa hiki i kēia mau ʻūpā koko ke hōʻeha. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa iā lākou me ka ʻole o nā hōʻailona a ʻeha paha ('asymptomatic').
Inā loaʻa iā ʻoe kahi ʻeha umauma a hele ʻoe no ka mammogram i kekahi mau lā ma hope mai, e ʻike paha ʻoe i kēia ʻūpē koko. No laila, ma mua o kou loaʻa ʻana o kahi mammogram, he mea nui loa ia e hoʻomaopopo i ka loea mammogram inā ua loaʻa iā ʻoe kahi ʻeha umauma i hala koke nei.
No ke aha e hana ʻia ai nā ʻōpū koko (hematomas) i loko o nā umauma? He aha nā kumu?
ʻO ke kumu nui o nā hematomas ma ka umauma kekahi ʻano hōʻino i ka ʻiʻo o ka umauma, e like me kahi ʻeha a i ʻole ke kaʻina hana lapaʻau.
ʻo kahi laʻana:
- ʻO kekahi ulia ʻē aʻe i ka wā e pāʻani ana.
- He huki ma kekahi wahi.
- Ua hoʻopaʻa ʻia ke kāʻei noho o ke kaʻa.
ʻO kēia nā kumu i maʻamau pinepine ʻia.
Ma muli o nā hoʻokolohua umauma a me nā ʻoki kino
Hiki i kekahi mau kaʻina hana umauma ke hana i nā ʻūpē koko, akā ʻoi aku ka haʻahaʻa o ka pilikia. Inā loaʻa iā ʻoe kekahi o kēia mau hoʻokolohua a ʻoki kino paha, e hoʻomaopopo kāu kauka iā ʻoe e pili ana i ka pilikia o nā ʻūpē koko ma hope o ke kaʻina hana.
Eia kekahi mau laʻana:
- ʻO nā biopsies umauma minimally invasive he mau hoʻokolohua e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka umauma.
- Nā ʻoki kino maʻi ʻaʻai umauma.
- Nā kaʻina hana umauma plastik hoʻonaninani, no ka laʻana, ke ʻoki ʻana i ka umauma.
Aia kekahi mau pilikia no ka poʻe e lawe ana i nā lāʻau hoʻokahe koko?
ʻAe, hiki ke hana koke ʻia nā ʻūpā koko me ke kumu ʻole, ʻoiai inā he maʻi kahe koko kou a inā paha ʻoe e lawe ana i nā lāʻau hoʻokahe koko.
ʻO kekahi o nā lāʻau hoʻokahe koko i hoʻohana pinepine ʻia:
- ʻO Warfarin (Coumadin®)
- ʻApixaban (Eliquis®)
- ʻO Rivaroxaban (Xarelto®)
He mea kākaʻikahi loa, hiki i kahi ʻūpā koko e like me kēia ke lilo i hōʻailona o ka maʻi ʻaʻai umauma. Akā e hoʻomanaʻo he mea kākaʻikahi loa kēia.
Pehea e hōʻoia ai nā kauka he hematoma umauma kēia?
I ka hapa nui o ka manawa, hiki i ke kauka ke ʻike i kahi hematoma ma ka umauma ma ka hana ʻana i kahi hoʻokolokolo umauma (diagnosis clinical). ʻAʻole pono ia i nā hoʻokolohua nui. Eia nō naʻe, hoʻohana ʻia nā hoʻokolohua kiʻi i kekahi manawa e ʻike i ka mamao o ka laha ʻana o ka hematoma a inā e nui ana. A i ʻole, inā ʻaʻole maopopo ka hōʻailona, ʻo ia hoʻi, inā he kānalua inā he ʻūpā koko a i ʻole kekahi mea ʻē aʻe, hiki ke hana ʻia nā hoʻokolohua kiʻi.
Hoʻāʻo mammogram
Inā he hematoma nui kou, hiki ke like me ke kanesa ma ka mammogram. ʻOi loa aku inā he ʻiʻo palapū kokoke. Ua like ke ʻano o ka ʻiʻo palapū me nā hunaola kanesa ma ka mammogram. Eia naʻe, ʻaʻole he kanesa nā hematomas, he maikaʻi ʻole lākou.
Hoʻokolokolo Ultrasound
Hiki i kāu kauka ke hana i kahi ultrasound e ʻike ai inā paʻa ka puʻupuʻu a piha paha i ka wai. Hiki i kahi ultrasound ke nānā i nā ʻeke liʻiliʻi i piha i ka wai (i kapa ʻia he seromas) i loko o ka umauma. Hiki i kēia mau seromas ke hana pinepine ʻia me nā hematomas.
He mea pono anei kahi biopsy?
He mea kākaʻikahi loa, inā he nīnau e pili ana inā he puʻupuʻu i ʻike ʻia ma ka mammogram a i ʻole ultrasound he koko koko (hematoma) a i ʻole ke kanesa, hiki i kāu kauka ke lawe i kahi hāpana ʻiʻo liʻiliʻi (biopsy) mai ka wahi a hoʻouna aku i kahi hale hana no ka hoʻāʻo ʻana.
I kēlā me kēia manawa āu e hana ai i ka mammogram, he mea nui e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi hematoma ma mua i loko o kou umauma. ʻO kēia no ka mea hiki i ka ʻiʻo ʻeha mai kēlā ʻeha umauma ke like me ke kanesa ma ka mammogram. No laila he mea nui i kāu mau kauka ke ʻike i kou mōʻaukala olakino ke hoʻāʻo ʻia ʻoe no ka maʻi kanesa o ka umauma.
Aia kekahi lāʻau lapaʻau no kēia? He aha kaʻu e hana ai?
ʻAʻole pono ka hapa nui o nā hematomas umauma i kekahi lāʻau kūikawā. Hiki ke nānā wale ʻia lākou, no ka mea, e ho'ōla lākou iā lākou iho i ka hala ʻana o ka manawa.
Eia nō naʻe, inā e nui ana kahi ʻūpā koko, pono ʻoe e nānā iā ia e kāu kauka. I kēlā hihia, e ʻike i kāu kauka, a i ʻole e hele i ka lumi pilikia kokoke loa (ER) inā ua pani ʻia ke keʻena o ke kauka.
Nā mea hiki iā ʻoe ke hana ma ka home e hoʻomaha ai
Hiki iā ʻoe ke hoʻokele i ka pehu a me ka ʻeha i hoʻokumu ʻia e ka hematoma i loko o kou umauma ma ka home.
- E hoʻopili i ka lāʻau lapaʻau anu i loko o nā hola 48 mua.ʻO ke kau ʻana i kahi mea anu i kahi ʻūpā koko hou i hana ʻia e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha, ka mumū, a me ka pehu. E ʻōwili i kekahi mau pahu hau i loko o ke kāwele a hoʻohana paha i kahi "ʻūpā anu" no kahi o 20-30 mau minuke ʻekolu manawa i ka lā.
- E lawe i ka lāʻau lapaʻau e like me 'Acetaminophen (Tylenol®)' no ka ʻeha. Mai lawe i nā 'Nonsteroidal anti-inflammatory drugs (NSAIDs)' (e.g., Ibuprofen, Diclofenac)`, no ka mea, he mau waiwai hoʻomāmā koko ko lākou a hiki ke hoʻonui i ke kahe ʻana o ke koko.
ʻEhia ka lōʻihi o ka ho'ōla ʻana o kahi ʻōpū koko (hematoma)?
ʻO ka maʻamau, ma kahi o ʻehā a ʻeono pule e nalowale loa ai kahi ʻūpā koko (hematoma). Eia nō naʻe, i kekahi mau hihia, hiki ke hala i kekahi mau mahina. I ka manawa kākaʻikahi, hiki ke hala i nā makahiki e nalowale loa ai nā māka.
E ʻike i ke kauka e ʻike pehea e ho'ōla nei kou ʻūpā koko. Pono paha ia i ka mālama ʻana.
Aia kekahi mau manawa e pono ai ke ʻoki kino?
Inā nui loa ka hematoma, e ulu wikiwiki ana (a inā paha e like me ka nui o kou umauma) a manaʻo kāu kauka he kahe ke koko, a laila pono paha lākou e lawe iā ʻoe i ka lumi hana e wehe i ke koko a hoʻōki i ke kahe ʻana o ke koko.
Ke hana ʻia kahi ʻūpā koko a lilo i "paʻa", hiki iā ia ke noho i ka nui like no hoʻokahi a ʻelua paha pule - a laila hoʻomaka ia e emi i kona nui.
ʻAʻohe ala e pale aku ai i ke kūkulu ʻia ʻana o nā ʻōpū koko o ka umauma (Hematomas) e like me kēia?
He mea paʻakikī ke pale aku i nā hematomas umauma. Eia nō naʻe, inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, ʻoi aku ka nui o kou hiki ke loaʻa i kahi ʻūpā koko inā ʻoe e hōʻeha i kou umauma. No laila, inā ʻoe e lawe ana i ia mau lāʻau lapaʻau, e hahai i nā ʻōlelo a kāu kauka no ke ʻano e pale aku ai i ka hōʻeha ʻana i kou umauma.
Inā ʻike wau he hematoma koʻu i ka umauma, he aha kaʻu e manaʻo ai i ka wā e hiki mai ana?
ʻO ka mea paha, e omo kou kino i ke koko i loko o kou hematoma i ka hala ʻana o ka manawa, ʻo ia hoʻi e ho'ōla ia iā ia iho.
He aha nā hōʻailona e pono ai ke kōkua koke ʻia e ke kauka? (Āhea wau e ʻike ai i ke kauka?)
Inā ua loaʻa iā ʻoe kahi kaʻina hana umauma, e nānā kāu kauka no kahi hematoma i kou wā e nānā ai.
Akā inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ka maʻi, e ʻike koke i ke kauka:
- Inā e ʻulaʻula pinepine ana kou umauma, pehu, a ʻeha paha.
- Inā he wai maopopo (e like me ka pus) e kahe ana mai ka ʻeha ʻoki (incision).
- Inā ʻoe e manaʻo i kahi manaʻo mehana ke hoʻopā ʻoe i kou umauma.
- Inā he kuni kou.
Inā ʻike ʻoe i kahi hōʻailona e like me kēia, mai hoʻokaʻulua, e ʻike koke i ke kauka.
No laila, eia nā leka lawe-home e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:
ʻO ka ʻike ʻana he ʻūpā koko kou (hematoma umauma) i loko o kou umauma, ʻoiai inā ua loaʻa iā ʻoe kahi ʻeha a ke hoʻōla nei paha mai ke ʻoki ʻana o ka umauma, hiki ke lilo i mea hopohopo iki. He mea maʻamau kēlā.
Akā ʻo ka nūhou maikaʻi, e like me ka palapū maʻamau, he hōʻailona wale nō kēia ʻūpā koko o nā kīʻaha koko i hōʻino ʻia. A, e like me ka palapū maʻamau, e ho'ōla wale ia iā ia iho i ka hala ʻana o ka manawa. He akamai loa kou kino i ka hana ʻana i kēia mau hoʻoponopono liʻiliʻi.
Akā inā lōʻihi ka manawa e hoʻōla ai ʻoe, a inā he hopohopo a kānalua paha kāu e pili ana i kēia, e ʻike i ke kauka a kamaʻilio e pili ana. A laila hiki iā lākou ke hoʻoholo inā pono ia i kekahi hana komo.
No laila, mai makaʻu. E kamaʻilio me ke kauka a wehewehe i nā mea āpau. A laila e hōʻoluʻolu ʻia ʻoe.
ʻO ke koko ʻūlū o ka umauma, Hematoma o ka umauma, ʻeha o ka umauma, puʻupuʻu o ka umauma, ʻeha o ka umauma, Mammogram, Ola kino o nā wāhine











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