E aʻo kākou e pili ana i ka maʻi ʻaʻai umauma: IDC a me DCIS (Invasive Ductal Carcinoma & Ductal Carcinoma in Situ)

Ke lohe kākou i ka huaʻōlelo "ka maʻi ʻaʻai umauma," makaʻu iki nā kānaka a pau, ʻeā? He mea maʻamau loa ia. Akā, ʻo ka mea nui loa, ʻo ia ka ʻike pono ʻana i kēia. No ka mea, a laila hiki iā kākou ke ʻike koke i nā hōʻailona a loaʻa i nā ʻōlelo aʻoaʻo lapaʻau e pono ai. I kēia lā, e kamaʻilio kākou e pili ana i ʻelua ʻano maʻamau o ka maʻi ʻaʻai umauma , ʻo ia hoʻi ʻo Ductal Carcinoma. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, ʻo Ductal Carcinoma kahi ʻano maʻi kanesa e hoʻomaka ana ma nā ala waiū o ka umauma. Ua ʻike anei ʻoe he ʻelua ʻano nui o kēia?

1. Invasive Ductal Carcinoma (IDC): I loko o kēia, ua haki nā hunaola kanesa i nā paia o ke ala waiū a laha i nā ʻiʻo a puni.

2. Ductal Carcinoma in Situ (DCIS): Ma kēia, aia nā hunaola kanesa i loko o ka ʻauwai waiū a ʻaʻole i pālahalaha i waho.

He ʻokoʻa nā hōʻailona, ​​​​ka hōʻailona, ​​​​a me ka mālama ʻana o kēia mau ʻano ʻelua. E kamaʻilio mua kākou e pili ana i ke ʻano maʻamau, ʻo IDC.

He aha ka Invasive Ductal Carcinoma (IDC)?

ʻO ka Invasive Ductal Carcinoma (IDC) kahi ʻano maʻamau o ka maʻi ʻaʻai umauma, e helu ana ma kahi o 80% o nā maʻi ʻaʻai umauma āpau. Hoʻomaka ia i loko o nā pūnaewele o kahi ala waiū. Akā, ʻaʻole ia e pau ma laila. Ulu nā pūnaewele, uhaʻi i nā paia o ke ala, a hoʻomaka e laha i nā ʻiʻo olakino a puni ka umauma. I ka hala ʻana o ka manawa, hiki i kēia mau pūnaewele kanesa ke laha i nā ʻāpana ʻē aʻe o ke kino.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka IDC?

He mea paʻakikī loa ke kuhikuhi pono i ke kumu o nā maʻi ʻaʻai umauma āpau. Eia nō naʻe, ʻike mākou i kekahi mau mea pilikia. Pili kekahi o kēia i ko mākou nohona, pili kekahi i nā hormones a me ka mōʻaukala ʻohana .

Aia ma lalo iho kekahi o nā kumu pilikia maʻamau i ʻike ʻia no ka IDC a me nā maʻi ʻaʻai umauma ʻē aʻe.

He aha nā hōʻailona o ka IDC?

Hiki i kekahi kanaka me IDC ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. ʻAʻole i nā manawa a pau e loaʻa ai kēia mau hōʻailona, ​​he maʻi kanesa ia, akā inā ʻike ʻoe i kahi mea e like me kēia, he mea nui e ʻike koke i kāu kauka no ka nānā ʻana.

• He puʻu ma ka umauma: he puʻu e like me ka puʻu ma ka lima.
• Mānoanoa ka ʻili: He manaʻo me he mea lā ua mānoanoa kekahi ʻāpana o ka ʻili ma ka umauma.
• ʻUlaʻula a ʻulaʻula paha : ʻUlaʻula o ka ʻili o ka umauma.
• Pehu ʻana: ʻO ka pehu ʻana e hele pū me kahi loli i ke ʻano a i ʻole ka nui o ka umauma.
• ʻEha: ʻEha hou ma ka umauma i loaʻa ʻole ma mua.
• Ka ʻili ʻana: e like me ka ʻalaniHe kūlana kahi e hoʻonui ʻia ai a piholo ʻia ai nā pores o ka ʻili o ka umauma, e like me ka ʻili ʻalani.
• Nā loli i ke ala o ka waiū umauma : piholo ke ala, lilo i ʻeha, a hoʻokahe paha i kahi wai ʻē aʻe ma mua o ka waiū (ʻoi aku ka waihoʻoluʻu koko).
• Nā puʻupuʻu ʻāʻī: Nā puʻupuʻu ma ka ʻāpana ʻāʻī i hiki ke hoʻopā ʻia e ka lima.
• Nā loli i pili ʻole i ka pōʻaiapuni menstrual o kēlā me kēia mahina: Nā loli maʻamau ʻole i ʻokoʻa mai nā loli maʻamau e hana ʻia ma mua o ka menstruation.

Pehea e ʻike ʻia ai ka IDC? (Diagnosis)

ʻO ka maʻamau, kānalua mua ʻia ka IDC ke ʻike ʻia kahi ʻano ʻē ma ka mammogram. I kekahi manawa, loaʻa paha i ke kauka kahi puʻupuʻu i ka wā o ka hoʻokolokolo kino.

1. Mammogram a me Ultrasound: ʻO kēia nā hoʻokolohua maʻalahi loa. Lawe ka mammogram i kahi kiʻi X-ray o ka umauma. Hoʻohana ka ultrasound i nā nalu kani e kiʻi i kahi kiʻi maikaʻi o nā ʻiʻo i loko o ka umauma a me nā puʻupuʻu.

2. Biopsy: ʻO kēia ka hoʻāʻo e hōʻoia 100% inā he maʻi kanesa a ʻaʻole paha. Maanei, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu kānalua me ke kōkua o kahi nila a nānā ʻia ma lalo o kahi microscope. Ma hope wale nō o kēia hoʻāʻo hiki iā mākou ke ʻike pono inā he mau hunaola kanesa a ʻaʻole paha.

Inā hōʻoia ka hōʻike biopsy he maʻi kanesa ia, e kauoha ke kauka i kekahi mau hoʻokolohua hou aʻe. ʻO kēia ke ʻike pono i ka nui o ke kanesa a inā ua pālahalaha. Hiki ke hoʻohana ʻia nā hoʻokolohua e like me ka 'CT scan', 'PET scan', 'MRI' no kēia.

He aha nā koho lapaʻau?

Aia kekahi mau koho lapaʻau no IDC. Na kāu kauka a me kāu hui lapaʻau e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu. E noʻonoʻo kēia i nā kumu he nui, me ke kahua o ke kanesa, kona nui, a inā he hormone receptor-positive.

ʻO nā ʻano lapaʻau nui:

• ʻO ke ʻoki kino:
• Lumpectomy: ʻO kēia ka wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni ia.
• Mastectomy: ʻO kēia ka wehe ʻana o ka umauma holoʻokoʻa.
• Lapaʻau Radiation: Hoʻohana ʻia nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa e waiho ʻia ma hope o ke ʻoki ʻana.
• Chemotherapy: He mau lāʻau lapaʻau ikaika kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa i laha a puni ke kino. Hāʻawi ʻia lākou e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana a i ʻole e pepehi i nā hunaola i koe ma hope.
• Lapaʻau Hormone: Inā he maʻalahi ka maʻi kanesa i ka hormone (HR+), hāʻawi ʻia nā lāʻau lapaʻau e ālai i ka hana o nā hormones e like me ka estrogen.
• Lapaʻau i hoʻolālā ʻia: Hana kēia mau lāʻau lapaʻau ma nā pahuhopu kikoʻī e hoʻopilikia ai i ka ulu ʻana o nā hunaola kanesa.
• Hoʻōla lāʻau pale:Hoʻoulu ia i ka ʻōnaehana pale ponoʻī o ke kino, e kōkua ana i ka ʻike a me ka luku ʻana i nā hunaola kanesa.

Hiki ke kuhikuhi ʻia iā ʻoe kekahi a i ʻole ka hui pū ʻana o kēia mau lāʻau lapaʻau. Hiki i kēia mau lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. Akā, aia i kēia manawa nā ala e kāohi ai i nā mea he nui o lākou. No laila, mai makaʻu e kamaʻilio ākea e pili ana i ia mea me kāu kauka.

I kēia manawa, e nānā kākou i ka Ductal Carcinoma in Situ (DCIS)

ʻO DCIS, e like me kā mākou i ʻōlelo ai ma mua, he maʻi kanesa ʻaʻole invasive i laha ʻole ma waho o nā ducts waiū. ʻO kēia ke kahua mua loa o ke kanesa, a i ʻole ke kahua 0 o ke kanesa.

Nā hōʻailona a me ka mālama ʻana o DCIS

ʻAʻohe hōʻailona o ka hapa nui o ka poʻe me DCIS. Hoʻomaopopo pinepine ʻia ia ma o ka mammogram. I kekahi manawa, ʻike ʻia nā hōʻailona e like me ka puʻu ma ka umauma a i ʻole ke kahe koko mai ka nipple.

ʻO ke ʻoki kino ka lāʻau nui no DCIS.

• Hana pinepine ʻia ka Lumpectomy (ka wehe ʻana i ka puʻupuʻu wale nō) ma hope o ka radiation therapy .
• I kekahi mau hihia kūikawā (e.g. inā ua pālahalaha ʻo DCIS ma loko o ka umauma), pono paha ka mastectomy (wehe ʻana i ka umauma holoʻokoʻa).

ʻAʻole pono ka chemotherapy i nā hihia o DCIS.

He aha kā mākou e hana ai e hōʻemi i ka pilikia o ka maʻi kanesa?

ʻAʻole hiki iā mākou ke hoʻololi i kekahi mau mea pilikia, e like me ka hoʻoilina. Eia nō naʻe, hiki i ka hoʻololi ʻana i ko mākou nohona ke hōʻemi i ka pilikia o ka maʻi ʻaʻai umauma i kekahi ʻano.

• E hōʻemi i ka waiʻona: ʻOi aku ka maikaʻi o ka pale ʻana i ka inu ʻana i ka waiʻona.
• E mālama i ke kaumaha olakino: He mea pilikia ka momona.
• E hana ikaika: E hoʻoikaika kino e like me ka hele wāwae a i ʻole ka holo ʻana no ka liʻiliʻi he 150 mau minuke i ka pule.
• E pale i ka puhipaka.
• E ʻai i ka meaʻai kaulike: E hoʻohana i ka meaʻai momona i nā mea kanu a me nā huaʻai.
• E hānai i kāu mau keiki me ka waiū umauma: Ua ʻike ʻia ka hānai ʻana i ka waiū umauma e hōʻemi i ka pilikia o ka maʻi ʻaʻai umauma.
• E hahai i ka ʻōlelo aʻo a kāu kauka: E kamaʻilio me kāu kauka e pili ana i ka mōʻaukala maʻi kanesa o kou ʻohana. E kiʻi i nā hoʻokolohua maʻamau e like me nā mammograms.