Ua ʻūpā loa anei kou mau umauma? (ʻIʻo ʻUlu Pāpaʻa) - E kamaʻilio kākou e pili ana i kēia!

Inā ʻōlelo kāu hōʻike mammogram "Ua paʻa loa kou ʻiʻo umauma" a i ʻole "ʻIʻo Umauma Paʻa", hopohopo iki paha ʻoe, ʻeā? Ke noʻonoʻo nei paha ʻoe, "ʻAuē, he mea koʻikoʻi koʻu?" Akā , ʻaʻohe pono e hopohopo . He mea kēia a nā wāhine he nui, ʻoiai mākou ma Sri Lanka, e ʻike pinepine ai. No laila, e kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.

He aha kēia "ʻiʻo umauma mānoanoa"?

I ka ʻōlelo maʻalahi, ʻo ia hoʻi, he nui loa nā ʻiʻo fibrous a me nā glandular o kou mau umauma a he liʻiliʻi loa nā ʻiʻo momona . ʻAʻole kēia he maʻi. E noʻonoʻo wale, ma kahi o ka hapalua o nā wahine a pau i loaʻa i kēia maʻi.

ʻO ka mea nui, ʻaʻole ʻoe e ʻike i kekahi mau hōʻailona o ka loaʻa ʻana o nā ʻiʻo umauma mānoanoa. ʻAʻole ʻoe e ʻike i kekahi ʻeha o ka umauma, nā loli, a i ʻole kahi hoʻokolokolo umauma ponoʻī ma ka home. ʻOiai inā e nānā ke kauka iā ʻoe, ʻaʻole ia e ʻike ʻia.

No laila pehea ʻoe e ʻike ai i kēia? ʻO ka maʻamau, ke loaʻa iā ʻoe kahi mammogram (ʻoi aku hoʻi kahi mammogram 3D - ʻo ia hoʻi ka tomosynthesis umauma kikohoʻe), ua ʻōlelo ʻia kēia ma ka hōʻike. E nānā ka radiologist i kāu mammogram a haʻi iā ʻoe inā paʻa kou ʻiʻo umauma a ʻaʻole paha. Hiki i nā kauka ke kapa i kēia 'density breast' a i ʻole 'fibroglandular density'.

No laila, no ke aha he mea nui e ʻike i kēia?

Hiki ke lilo i mea kupanaha iki ke ʻike ʻia he mānoanoa kou ʻiʻo umauma. Akā, ʻaʻole ia he mea e hopohopo ai. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia a hoʻomaopopo i ka mea a kāu hōʻike mammogram e ʻōlelo nei.

ʻElua mau pilikia nui ma kēia:

1. I ka wā e mānoanoa ai nā ʻiʻo umauma, hiki ke paʻakikī ke loaʻa nā mea e like me nā hunaola kanesa ma ka mammogram. No ka mea, ʻike ʻia nā ʻiʻo mānoanoa a me nā hunaola kanesa he keʻokeʻo ma ka mammogram. Ua like ia me ka ʻimi ʻana i kahi lāpaki keʻokeʻo i loko o ka ua hau.

2. ʻO ka poʻe me nā ʻiʻo umauma paʻa loa , ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma ma mua o nā poʻe ʻē aʻe. ʻAʻole kēia manaʻo e loaʻa maoli iā lākou ka maʻi ʻaʻai, akā, ʻoi aku ka nui o ko lākou pilikia.

No laila, mai hopohopo ʻoe i ka hōʻike "Dense Breast Tissue". Akā, mai poina e kamaʻilio me kāu kauka e pili ana i kēia.

E aʻo iki kākou e pili ana i ko kākou ʻiʻo umauma?

I mea e hoʻomaopopo ai i kēia moʻolelo "ʻiʻo paʻa", he mea kōkua ka loaʻa ʻana o kahi manaʻo iki o nā ʻano ʻiʻo e hana ana i ko kākou mau umauma. ʻEkolu mau ʻano nui o nā ʻiʻo:

• ʻIʻo momona / ʻiʻo adipose:ʻAʻole paʻa kēia mau mea. Ma ka mammogram, ʻike ʻia lākou he ʻeleʻele, i kekahi manawa he translucent. No laila, inā he mea keʻokeʻo (e like me ke kanesa) i loko o ka umauma e like me kēia, hiki ke ʻike maʻalahi ʻia.
• ʻIʻo hoʻohui fibrous: He ʻiʻo mānoanoa kēia. Kōkua ia i ke kākoʻo, pale, a hoʻopaʻa i ko mākou mau ʻiʻo a me nā ʻiʻo ʻē aʻe. ʻIke ʻia he keʻokeʻo ma ka mammogram.
• ʻIʻo fibroglandular: ʻO kēia kahi e loaʻa ai nā kelepa hana waiū a me nā ducts e lawe ana i ka waiū i ka nipple. E like me ka ʻiʻo fibrous, he mānoanoa kēia a ʻike ʻia he keʻokeʻo ma ka mammogram.

No laila, inā ʻoi aku ka nui o nā ʻiʻo fibrous a me fibro-glandular i loko o kou mau umauma ma mua o ka nui o nā ʻiʻo momona, a laila kapa mākou iā lākou he "nā umauma paʻa."

Pehea e ana ai nā kauka i kēia mānoanoa?

Hoʻohana nā kauka radiology i kahi ʻōnaehana e hoʻokaʻawale i ka mānoanoa o nā ʻiʻo umauma. Ua kapa ʻia ʻo ia ʻo ka Breast Imaging Reporting and Data System (BI-RADS) . Ma lalo o kēia ʻōnaehana, ua māhele ʻia ka mānoanoa o ka umauma i ʻehā mau māhele nui. E noʻonoʻo penei:

• ʻAno A (ʻAneʻane momona loa): ʻO ka hapa nui o nā umauma (ʻoi aku ma mua o 90%) he ʻiʻo momona. He lahilahi loa kēia. Inā he mea ʻē, hiki ke ʻike maʻalahi ʻia ma ka mammogram.
• Hui B (Nā wahi i hoʻopuehu ʻia o ka nui o ka fibroglandular): Ua hoʻopuehu ʻia nā ʻiʻo mānoanoa (ʻiʻo fibroglandular) ma ʻō a ma ʻaneʻi me nā ʻiʻo momona. He maʻalahi nō hoʻi ke ʻike i nā mea e like me ke kanesa.
• Māhele C (Heterogeneously dense): Ua piha ka umauma i kahi nui o nā ʻiʻo paʻa. Eia naʻe, ʻaʻole like kēia paʻa, akā ʻokoʻa mai kēlā wahi a i kēia wahi. I loko o kēia ʻano umauma, hiki ke hūnā ʻia kekahi mau maʻi kanesa ma hope o nā ʻiʻo paʻa ma kahi mammogram, e paʻakikī iki ai ke loaʻa.
• Māhele D (ʻUmi loa): He ʻumi loa ka umauma. ʻO ia hoʻi, ua hana nui ʻia ia me nā ʻiʻo fibrous a me nā glandular. I kēia hihia, hiki ke paʻakikī loa ka ʻike ʻana i ke kanesa me ka mammogram wale nō. No ka mea, he keʻokeʻo ke kanesa a me ka ʻiʻo, he paʻakikī ke hoʻokaʻawale iā lākou.

E papa inoa ana kāu hōʻike mammogram i kēia māhele BI-RADS, nāna e kōkua iā ʻoe e hoʻomaopopo i ke ʻano o ka mānoanoa o kou mau umauma.

He aha ke kumu e mānoanoa ai kēia mau umauma?

ʻAʻohe kumu kikoʻī hoʻokahi o ka puʻupuʻu o ka umauma, akā aia kekahi mau kumu e hiki ke kōkua:

• Makahiki: ʻOi aku ka paʻa o nā umauma i kou mau makahiki 20 a me 30. I kou wā ʻelemakule, hiki ke emi mālie kēia paʻa, ʻoiai ma hope o ka menopause.
• Kaumaha o ke kino: ʻO ka haʻahaʻa o ke Kino Mass Index (BMI) ʻo ia hoʻi, ʻoi aku ka nui o ka ulu ʻana o nā ʻiʻo umauma mānoanoa o ka poʻe wīwī.
• Moʻolelo ʻohana: He mea hoʻoilina ka nui o ka umauma.He mea paha ia e hele pū me ia. ʻO ia hoʻi, inā he mau umauma mānoanoa ko kou makuahine a mau kaikuahine paha, e loaʻa paha iā ʻoe.
• Nā lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau hormone, e like me ka hormone replacement therapy no ka menopause, hiki ke hana i nā loli i ka nui o ka umauma.

Aia kekahi lāʻau lapaʻau no kēia?

ʻAʻole. ʻAʻohe lāʻau lapaʻau a ʻoki kino paha i kēia manawa e hiki ke hōʻemi i ka nui o nā ʻiʻo fibrous a me fibroglandular i loko o kou mau umauma. ʻAʻole kēia he maʻi, no laila ʻaʻohe lāʻau lapaʻau.

Eia nō naʻe, inā hōʻike kāu mammogram he mau umauma mānoanoa kou, e hana kāu kauka i kahi loiloi pilikia o ka maʻi ʻaʻai umauma. Nānā kēia i kou pilikia o ke ola holoʻokoʻa o ka loaʻa ʻana o ka maʻi ʻaʻai umauma.

Ma muli o kēia loiloi pilikia a me nā hopena mammogram, hiki i ke kauka ke kauoha i nā hoʻokolohua hou aʻe. ʻO kēia mau mea:

• MRI Umauma (Magnetic Resonance Imaging): Hoʻohana kēia hoʻāʻo i nā kahua magnetic, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi kikoʻī a maopopo loa o nā ʻiʻo umauma. ʻOi aku ka maʻalahi o ka ʻike ʻana i nā maʻi ʻaʻai liʻiliʻi i hūnā ʻia ma waena o nā ʻiʻo mānoanoa.
• Ultrasound umauma: Hoʻohana kēia hoʻāʻo i nā nalu kani e hana i nā kiʻi o nā ʻiʻo umauma. Kōkua ia i ka loaʻa ʻana o ka ʻike ma waho aʻe o ka mammogram.
• Hoʻāʻo Kiʻi ʻUma Molecular (MBI): He hoʻāʻo kūikawā kēia. Hoʻokomo ʻia kahi mea radioactive i loko o ke kino a nānā ʻia me kahi mea scan kūikawā. Inā he mau hunaola kanesa i loko o ka ʻiʻo umauma mānoanoa, ua ʻike maopopo ʻia lākou.

ʻAʻole pono nā kānaka a pau i kēia mau hoʻokolohua hou. Na kāu kauka e hoʻoholo inā he mea pono lākou ma muli o kou kaumaha, ka mōʻaukala ʻohana, a me nā kumu pilikia ʻē aʻe.

Hiki i nā ʻiʻo paʻa ke lilo i maʻi ʻaʻai?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole, ʻaʻole e lilo pololei ka ʻiʻo paʻa i ka maʻi kanesa. Loaʻa ka maʻi kanesa o ka umauma ke loli nā hunaola umauma a lilo i maʻi kanesa. Hiki ke hana kēia i nā umauma me nā ʻiʻo momona a i ʻole i nā umauma me nā ʻiʻo paʻa.

Akā, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka loaʻa ʻana o nā ʻiʻo umauma mānoanoa loa e hoʻonui iki i kou pilikia o ka maʻi ʻaʻai umauma . ʻO ia no ka mea hoʻomaka pinepine ka maʻi ʻaʻai umauma i ka mea i kapa ʻia ʻo ka ʻiʻo fibroglandular. No laila, ʻo ka nui o nā ʻiʻo fibroglandular i loko o kou mau umauma, ʻo ka nui o nā "wahi" e ulu ai ke kanesa. ʻO ia ke kumu e hoʻonui iki ʻia ai kou pilikia.

E hoʻomanaʻo, ʻo ka loaʻa ʻana o nā umauma mānoanoa ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka maʻi kanesa. Eia nō naʻe, he mea nui e makaʻala i ia mea a loaʻa ka nānā pono ʻana.

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo?

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai e pili ana i ka "Dense Breast Tissue," eia kekahi mau mea āu e hoʻomanaʻo pono ai:

• He mea maʻamau kēia: ʻO ka hoʻonui ʻia ʻana o ka nui o nā ʻiʻo o ka umauma ʻaʻole ia he maʻi, akā he kūlana e hoʻopilikia ai i nā wahine he nui.
• E ʻike mai kahi hōʻike mammogram: Hiki iā ʻoe ke ʻike inā loaʻa iā ʻoe kēia ʻano a i ʻole me kahi hoʻāʻo mammogram.
• E kamaʻilio me kāu kauka: Inā ʻike ʻoe ua paʻa loa kou mau umauma, e kamaʻilio me kāu kauka e pili ana i ia mea a kūkākūkā i kāu mau pilikia a me ka mea e hana ai ma hope. E kūkākūkā pū i nā hoʻāʻo hou aʻe, ʻoiai inā "paʻa loa" kou ʻiʻo (BI-RADS D).
• E hana i nā nānā maʻamau: Inā he mau umauma paʻa kou a ʻaʻole paha, ʻo ke ala maikaʻi loa e ʻike mua ai i ka maʻi ʻaʻai umauma, ʻo ia ka loaʻa ʻana o nā mammograms maʻamau a me nā hoʻokolohua ʻē aʻe inā pono. Mai poina e hana i nā hoʻokolohua umauma ponoʻī i kēlā me kēia mahina.
• ʻAʻole hiki ke wehe ʻia nā ʻiʻo paʻakikī: ʻAʻohe ala e wehe ai i kēia ʻiʻo paʻakikī. No laila, pono mākou e kālele i ka ʻike mua ʻana.

No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou ʻike i kēia manawa no ka "Dense Breast Tissue". ʻO ka mea nui loa, ʻaʻole e makaʻu, e ʻike, a e noho olakino. Inā he mau nīnau hou aku kāu, e ʻoluʻolu e nīnau i kāu kauka.

ʻO ka nui o ka umauma, mammogram, maʻi ʻaʻai umauma, olakino o ka umauma, olakino o nā wahine, BI-RADS, ʻiʻo umauma