Ua lohe paha ʻoe e pili ana i nā implants umauma, i hoʻohana ʻia e hoʻonui i kou mau umauma a i ʻole e hana hou i kahi umauma i wehe ʻia ma muli o ke kanesa. Akā i ka manawa like, loaʻa paha iā ʻoe kahi nīnau nui, malia paha he makaʻu, i loko o kou manaʻo: 'Hiki i kēia mau mea ke hoʻoulu maoli i ka maʻi kanesa?' He nīnau kēia a ka poʻe he nui. No laila i kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, me ka hūnā ʻole i kekahi mea.
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He aha ka pilina maoli ma waena o nā implants umauma a me ke kanesa?
ʻO ka mea mua e ʻōlelo ai, ʻaʻole nā implants umauma e hoʻoulu i ka maʻi ʻaʻai umauma. ʻAʻole lākou e hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. Ua hōʻoia ʻia kēia e ka noiʻi. No laila, ʻaʻole pono ʻoe e hopohopo no ia mea.
Akā, aia kekahi mea ʻē aʻe e pono ai mākou e makaʻala ma ʻaneʻi. Ua hōʻike ʻia e ka noiʻi he liʻiliʻi loa ka pilikia o nā wāhine i loaʻa nā implants umauma i ka loaʻa ʻana o kahi ʻano maʻi kanesa kakaʻikahi loa. ʻAʻole kēia he maʻi kanesa umauma. Ua kapa ʻia kēia ʻo BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma) .
I ka ʻōlelo maʻalahi, ʻo BIA-ALCL kahi maʻi kanesa e ulu ana i loko o nā pūnaewele o ka ʻōnaehana pale . I ka pololei, he maʻi kanesa ia o nā lymph nodes, ʻo ia hoʻi, he lymphoma. Ma ke ʻano lapaʻau, pili ia i ka māhele "Non-Hodgkin's Lymphoma". Ulu ia ma kahi e hōʻiliʻili ai nā ʻiʻo ʻeha a me ka wai a puni ka implant umauma.
ʻO ka mea nui, ʻaʻole ʻo BIA-ALCL he maʻi kanesa e ulu ana i loko o ka ʻiʻo umauma. Eia kekahi, he mea kākaʻikahi loa ia. ʻO ke ʻano kēia, ʻaʻole e loaʻa i nā mea a pau i loaʻa kahi implant umauma.
No ke aha e pili ai kēia ʻano maʻi ʻaʻai me kēia mau hoʻoili ʻana?
ʻAʻole i loaʻa i nā kānaka ʻepekema kahi kumu paʻa 100 pakeneka no kēia. Akā, aia nā manaʻo like ʻole. Manaʻo kekahi poʻe loea he hopena lōʻihi ma waena o ka ʻili o nā implants umauma a me ke kino, a i ʻole ka mumū mau, ke kumu. Manaʻo pū lākou e hōʻiliʻili paha kekahi mau ʻano bacteria ma ka ʻili o nā implants. Ke hoʻomau nei ka noiʻi ʻana i kēia.
ʻOiai inā hana ʻia kāu implant me ka silicone a i ʻole ka saline , ʻaʻole ia he hopena koʻikoʻi i kēia pilikia. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi he ʻoi aku ka nui o ka pilikia o nā implant textured.
He aha kāu e hana ai inā ua loaʻa mua iā ʻoe nā implants umauma?
Inā ua loaʻa iā ʻoe nā implants umauma, mai hopohopo. ʻO ka mea mua, e hoʻomanaʻo he liʻiliʻi loa ka pilikia o ka loaʻa ʻana o BIA-ALCL. Wahi a nā loea ma kahi o hoʻokahi i loko o 50,000 mau wahine i loaʻa nā implants e loaʻa i ka maʻi. Eia nō naʻe, he mea nui e makaʻala.
ʻO ka mea nui āu e hana ai, ʻo ia ke makaʻala mau i kou mau umauma a e ʻike koke i ke kauka inā ʻike ʻoe i kekahi mau loli.
He aha nā hōʻailona e pono ai ʻoe e makaʻala?
ʻO nā hōʻailona maʻamau o BIA-ALCL ka pehu mau, ka hōʻiliʻili ʻana o ka wai, ka ʻeha, a i ʻole kahi puʻupuʻu ma kahi i hoʻoili ʻia ai. Hiki ke loaʻa kēia mau hōʻailona i nā makahiki ma hope o ke hoʻoili ʻana. E kōkua ka papa ma lalo nei iā ʻoe e hoʻomaopopo pono i kēia mau hōʻailona.
| Nā hiʻohiʻona e nānā ai ma BIA-ALCL | |
|---|---|
| Hōʻailona | ʻIke hou aku |
| ʻO ka pehu hou a i ʻole ka hōʻiliʻili ʻana o ka wai | He pehu koke a mālie paha a puni ka nipple a i ʻole i loko o ka umauma. ʻO kēia ka hōʻailona maʻamau. |
| Nā puʻupuʻu a i ʻole ka loli o ke ʻano o ka umauma | Ke loaʻa ʻana o kahi puʻupuʻu i loaʻa ʻole ma mua a i ʻole kahi loli ʻē i ke ʻano o ka umauma. |
| ʻEha | ʻEha mau a pinepine paha a puni ka anus. |
| Paʻa o ka umauma | Ka manaʻo o ka paʻakikī ʻana o ka ʻili a i ʻole nā ʻiʻo a puni ka implant a i ʻole ka ulu ʻana o nā ʻiʻo ʻeha hou. |
| ʻŌhū ʻili | ʻUlaʻula a ʻulaʻula paha ma ka ʻili a puni ka implant. |
| Nā hiʻohiʻona ʻē aʻe | I kekahi manawa pinepine ʻole, hiki ke hāʻule ka lauoho a i ʻole ka luhi nui (he hōʻailona o ka nāwaliwali o ke kino). |
E hoʻomanaʻo, ʻaʻole i hoʻokumu mau ʻia kēia mau hōʻailona e BIA-ALCL. Hiki ke hana ʻia e ka haki ʻana o ka implant a i ʻole kekahi maʻi ʻē aʻe. No laila, inā ʻike ʻoe i kekahi mau loli, mai hopohopo a e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
Nā hoʻokolohua lapaʻau a me nā lāʻau lapaʻau
Ke ʻike ʻoe i ke kauka me kēia mau hōʻailona, e nānā lākou iā ʻoe. Inā manaʻo lākou he BIA-ALCL kou, e kauoha pinepine lākou i kahi scan, e like me ka ultrasound a i ʻole MRI. Hiki iā lākou ke lawe i kahi wai liʻiliʻi mai ka puʻupuʻu a hoʻohana i kahi nila lahilahi loa e lawe i kahi laʻana (biopsy nila).
ʻO ka nūhou maikaʻi, he maʻi ʻaʻai ka BIA-ALCL hiki ke hoʻōla loa ʻia inā ʻike mua ʻia. ʻO ka lāʻau lapaʻau mua, ʻo ia ke ʻoki ʻana e wehe loa i ka implant umauma a me nā ʻiʻo ʻeha a puni e loaʻa ana nā hunaola kanesa. I ka hapanui o nā hihia, ua hoʻōla loa ʻia ka maʻi ma hope o kēia ʻoki ʻana.
He aha ka mea e hana ai kekahi inā e noʻonoʻo ana lākou e pili ana i kahi transplant?
Inā ʻoe e noʻonoʻo ana i nā implants umauma, he mea nui e makaʻala i kēia mau pilikia. E kamaʻilio ākea me kāu kauka ʻoki e pili ana i kēia. E hōʻoia e hoʻomaopopo pono i nā pono a me nā pōʻino o ka implant, me ka pilikia o BIA-ALCL.
Ua hoʻokumu nā hui honua, e like me ka FDA (US Food and Drug Administration), i nā lula he nui e hoʻomaopopo i nā mea maʻi e pili ana i kēia mau pilikia. No laila, ma mua o ke ʻoki ʻana, pono ke kauka e hoʻopiha i kahi papa inoa kūikawā me ʻoe (papa inoa hoʻoholo a ka mea maʻi) e hōʻoia i kou maopopo i nā pilikia āpau.
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- ʻAʻole nā implants umauma e hoʻoulu a hoʻonui paha i ka pilikia o ka maʻi ʻaʻai umauma.
- Eia nō naʻe, he ʻano laha ʻole loa i kapa ʻia ʻo BIA-ALCL, e pili ana me nā hoʻoili ʻana,He liʻiliʻi loa ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai o ka ʻōnaehana pale.
- Inā ua loaʻa iā ʻoe kahi implant umauma, mai hopohopo. He haʻahaʻa loa ka pilikia. Eia nō naʻe, inā ʻike ʻoe i ka pehu ʻana, ka ʻeha, kahi puʻupuʻu, a i ʻole kekahi mau loli i kou umauma, mai hoʻowahāwahā iā ia.
- Inā ʻike ʻoe i kekahi mau loli ʻē, e ʻike koke i kāu kauka. Mai hoʻāʻo ponoʻī.
- He maʻi hiki ke mālama ʻia ʻo BIA-ALCL inā ʻike mua ʻia, no laila he mea nui ka ʻike a me ka hana mua.
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