Inā ua loaʻa iā ʻoe kahi mammogram i hala koke aku nei, ua haʻi aku paha kāu kauka a loea paha iā ʻoe ua paʻa kou mau umauma, a i ʻole he 'umauma paʻa kou.' He mea maʻamau ke hopohopo iki a makaʻu hoʻi ke lohe ʻoe i kēia mau ʻōlelo. "Nā umauma paʻa? He aha ke ʻano o ia mea? He maʻi anei? He aha kaʻu e hana ai i kēia manawa?" He nui paha kāu mau nīnau ma kou manaʻo. No laila, mai makaʻu. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
I ka ʻōlelo maʻalahi, he aha kēia mau 'Uma Paʻa'?
ʻO ka mea mua e hoʻomaopopo ai, ʻaʻole he maʻi nā ʻŪhā Paʻa, ʻaʻole hoʻi he mea e pono ai ʻoe e mālama . Eia kekahi, ʻaʻole ia he mea hiki iā ʻoe ke kaohi. Hiki ke loli kēia kūlana i ka hala ʻana o ka manawa.
ʻAʻole kēia e pili ana i ke ʻano a me ka manaʻo o kou mau umauma. Pili ia i ke ʻano o kou mau umauma ma ka mammogram, ʻo ia hoʻi kahi X-ray.
E noʻonoʻo, ua hana ʻia ko kākou mau umauma i ʻelua mau ʻāpana nui:
1. ʻIʻo momona: ʻIke ʻia kēia mau mea he ʻeleʻele a ʻeleʻele hoʻi ma ka mammogram.
2. ʻIʻo Glandular a me ka Pili: ʻO kēia māhele e pili ana i nā glands hana waiū, nā ducts e lawe ana i ka waiū, a me nā ʻiʻo pili e hāʻawi i ke ʻano i nā umauma. ʻIke ʻia kēia mau mea a pau he keʻokeʻo ma ka mammogram.
ʻO ke ʻano o ka ' umauma mānoanoa ', ʻoi aku ka nui o nā ʻiʻo glandular a me nā ʻiʻo hoʻohui o kou mau umauma, kahi i ʻike ʻia he keʻokeʻo, ma mua o nā ʻiʻo momona. I ka ʻōlelo maʻalahi, ʻoi aku ka keʻokeʻo o ko lākou ʻike ʻia ma ka mammogram.
E nānā ke kauka radiology i kāu mammogram a hoʻokaʻawale i ka mānoanoa o kou mau umauma i ʻehā mau māhele nui e pili ana i ka lakio o nā wahi keʻokeʻo a me nā wahi ʻeleʻele.
| Pae Mānoanoa | He wehewehe maʻalahi |
|---|---|
| 1. ʻO ka hapa nui o ka momona | He ʻiʻo momona ka hapa nui o nā umauma. He kakaikahi loa nā wahi keʻokeʻo ma ka mammogram. |
| 2. Nā Densities Fibroglandular i hoʻopuehu ʻia | ʻOiai he nui ka ʻiʻo momona, aia nō hoʻi nā ʻāpana keʻokeʻo i hoʻopuehu ʻia ma ʻō a ma ʻaneʻi. |
| 3. ʻAno like ʻole ka mānoanoa | ʻO ka hapa nui o nā umauma he ʻiʻo mānoanoa (nā wahi keʻokeʻo), me kekahi mau ʻiʻo momona (nā wahi ʻeleʻele) i hoʻopuehu ʻia ma nā wahi a pau. |
| 4. ʻOi loa ka paʻa | ʻAneʻane ʻaʻohe ʻiʻo momona i loko o nā umauma. Ua like ke ʻano o ka mammogram holoʻokoʻa, keʻokeʻo. |
Inā hāʻule ʻoe i loko o nā māhele 3 a me 4, ʻōlelo mākou he 'Uma Paʻa' kou. Kokoke i ka hapalua o nā wahine ma Sri Lanka a puni ka honua he mau umauma paʻa ko lākou. No laila, he kūlana maʻamau loa kēia.
He aha nā kumu o ka pehu ʻana o ka umauma?
Aia kekahi mau kumu e hoʻopilikia ai i ka nui o ka umauma, a ʻo ka hapa nui o ia mau mea ʻaʻole i loko o ko mākou mana .
- Makahiki: ʻOi aku ka mānoanoa o nā umauma o nā wāhine ʻōpio ma mua o nā wāhine ʻelemakule. I ko kākou ʻelemakule ʻana, ʻoiai ma hope o ka menopause, emi ka mānoanoa o nā umauma i ka wā e pani ai ka ʻiʻo momona i ka ʻiʻo glandular.
- Hoʻoilina: Inā he mau umauma mānoanoa ko kou makuahine, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
- Nā Hormones: ʻO ka lawe ʻana i ka lāʻau hoʻololi hormone a i ʻole ka hoʻohana ʻana i nā pila hoʻomalu hānau e hoʻonui i ka nui o ka umauma.
- Ka hānai waiū ʻana: Hana ʻia ka waiū i loko o nā ʻiʻo glandular, no laila hiki ke hoʻonui ʻia ka mānoanoa o nā umauma i ka wā e hānai waiū ai.
Pehea e pili ai kēia i nā mammograms a me ka pilikia o ka maʻi kanesa?
ʻO kēia ka mea nui loa e pono ai kākou e kālele aku. ʻElua mau pilikia nui i ka loaʻa ʻana o nā 'Uma Mānoanoa'.
1. Paʻakikī i ka heluhelu ʻana i nā mammograms
E hoʻomanaʻo, e like me kaʻu i ʻōlelo ai ma mua, ʻike ʻia nā ʻiʻo mānoanoa keʻokeʻo ma ka mammogram. ʻO ka mea pōʻino, ʻo ka maʻi ʻaʻai umaumaʻIke ʻia nā puʻupuʻu a me nā puʻupuʻu ʻē aʻe i keʻokeʻo ma ka mammogram.
No laila, i ka mānoanoa ʻana o ka umauma, ʻo ia hoʻi ke keʻokeʻo nei, ʻo ka loaʻa ʻana o kahi puʻupuʻu keʻokeʻo ʻē aʻe o nā hunaola kanesa i hūnā ʻia i loko o kēlā kua keʻokeʻo hiki ke paʻakikī e like me ka loaʻa ʻana o kahi lāpaki keʻokeʻo i loko o kahi ʻino hau. I kekahi manawa hiki i kēia ke alakaʻi i kahi kanesa liʻiliʻi e nalowale ana.
Akā, ʻaʻole kēia manaʻo e ho'ōki ʻoe i ka loaʻa ʻana o nā mammograms. ʻAʻole! ʻO nā mammograms nō ka hoʻāʻo maikaʻi loa a hōʻoia ʻia no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma. Ua hoʻonui nui ka ʻenehana kikohoʻe o kēia lā (Digital Mammography) i ka hiki ke ʻike i ka maʻi ʻaʻai, ʻoiai i loko o nā umauma paʻa.
2. Ka pilikia o ke kanesa
Ua hōʻike ʻia e ka noiʻi ʻana he mea pilikia ka loaʻa ʻana o nā umauma mānoanoa (ʻoi aku hoʻi nā ʻano 3 a me 4) no ka loaʻa ʻana o ka maʻi ʻaʻai umauma. Eia naʻe, ʻaʻole kēia manaʻo e loaʻa maoli nō iā ʻoe ka maʻi ʻaʻai. He hoʻokahi wale nō ia o nā haneli o nā kumu e hoʻonui ai i kou pilikia.
No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i kou pilikia holoʻokoʻa no ka maʻi kanesa . Eia kekahi laʻana:
- Ua loaʻa anei kekahi o kou ʻohana (makuahine, kaikuahine) i ka maʻi ʻaʻai umauma? (Mōʻaukala ʻOhana)
- Ua loaʻa iā ʻoe kahi biopsy umauma ma mua a loaʻa iā ʻoe nā cell pilikia kiʻekiʻe?
- Kou makahiki a me kou lāhui
Inā he mau kumu pilikia ʻē aʻe kāu e like me kēia, me nā puʻupuʻu umauma, hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua hou aʻe.
He aha nā hoʻokolohua ʻē aʻe e hiki ke hana ʻia?
Ma waho aʻe o ka mammogram, hiki i kāu kauka ke ʻōlelo i kēia mau hoʻokolohua no nā wahine me nā umauma mānoanoa a me nā mea pilikia ʻē aʻe.
- ʻO ka Tomosynthesis Umauma Kikohoʻe (DBT): Ua kapa ʻia kēia he mammogram 3D. Ma kahi o kahi kiʻi pālahalaha hoʻokahi e like me ka mammogram maʻamau, hana ia i kiʻi ʻekolu-dimensional (3D) ma ka hoʻohui ʻana i kahi moʻo o nā kiʻi i lawe ʻia mai nā kihi like ʻole o ka umauma. ʻOi aku ka maʻalahi o ka loaʻa ʻana o nā mea i hūnā ʻia i loko o nā ʻiʻo mānoanoa.
- Ultrasound: He hoʻāʻo e hoʻohana ana i nā nalu kani e hana i nā kiʻi o loko o ka umauma. Hiki i kēia ke ʻike i nā puʻupuʻu e poina paha i kahi mammogram.
- MRI (Magnetic Resonance Imaging): Hoʻohana kēia i kahi kahua magnetic e hana i nā kiʻi maopopo loa a kikoʻī o nā umauma. ʻO ka maʻamau, ua ʻōlelo ʻia no nā wahine i loaʻa ka pilikia kiʻekiʻe loa no ka maʻi ʻaʻai umauma.
ʻO kahi hemahema o kēia mau hoʻokolohua hou aʻe, hiki iā lākou ke ʻike i nā puʻupuʻu maikaʻi ʻole, ʻaʻole kanesa. Kāhea mākou i kēia mau 'False Positives'. Hiki i kēia ke alakaʻi i ka makaʻu pono ʻole, nā hoʻokolohua hou aʻe, a me ke ʻoki kino pono ʻole paha. No laila,ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a hoʻoholo i ka hoʻokolohua kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻAʻole he maʻi ka 'Uma Paʻa'. He kūlana maʻamau a maʻamau loa ia.
- Hiki i kēia kūlana ke paʻakikī ke ʻike i nā puʻupuʻu kanesa i ka wā o ka mammogram.
- ʻO ka loaʻa ʻana o nā umauma mānoanoa kekahi kumu pilikia no ka maʻi ʻaʻai umauma. ʻAʻole ia manaʻo e loaʻa iā ʻoe ka maʻi ʻaʻai.
- Inā ʻōlelo kāu hōʻike mammogram ʻo 'Nā Umauma Paʻa', mai hopohopo a kūkākūkā i kou pilikia holoʻokoʻa a me nā hoʻokolohua e hiki mai ana me kāu kauka.
- Me ka nānā ʻole i nā hoʻokolohua, ʻo ke ala maikaʻi loa e hoʻopakele ai i nā ola mai ka maʻi ʻaʻai umauma, ʻo ia ka hana ʻana i nā mammograms maʻamau.
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