He mau puʻupuʻu paha kou e like me kēia ma kou mau umauma? E kamaʻilio kākou e pili ana i (Intraductal Papilloma)!

Ua ʻike anei ʻoe i kahi mea ʻē, e like me kahi puʻupuʻu liʻiliʻi i loko o kou umauma, a i ʻole ua ʻike ʻoe i kahi mea e like me ke wai e puka mai ana mai kou nipple a hopohopo iki? Ke hana ʻia kēlā, noʻonoʻo mākou i nā ʻano mea like ʻole, ʻeā? Akā, ʻaʻole nā ​​puʻupuʻu a i ʻole nā ​​loli a pau he maʻi kanesa weliweli. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e kū mai ana i loko o nā umauma, akā ʻaʻole ia he maʻi kanesa, akā he mea kūpono ke nānā aku. He ʻano ia i kapa ʻia ʻo `(Intraductal Papilloma)`. He ʻano ʻē paha ka inoa ke lohe ʻoe, akā e hoʻomaopopo maʻalahi kākou.

He aha kēia (Intraductal Papilloma)? I ka ʻōlelo maʻalahi loa...

I ka ʻōlelo maʻalahi, ʻo ka Intraductal Papilloma he ulu maikaʻi ʻole e hana ʻia ana i loko o nā ʻauwai waiū i loko o kou mau umauma. E noʻonoʻo, he ʻōnaehana o nā ʻōmole liʻiliʻi ko kākou mau umauma e hana ana i ka waiū a lawe iā ia i ka nipple, ʻeā? ʻO kēia mau ʻōmole, ʻo ia hoʻi, nā ʻauwai waiū, kahi e hana ʻia ai kēia mau ulu. ʻO ka huaʻōlelo "Papilloma" ʻo ia hoʻi ka ulu ʻana e like me ka wart. Hana ʻia kēia mau mea me kahi ʻano cell i kapa ʻia ʻo "Epithelial cells." ʻO kēia mau "Epithelial cells" he ʻano cell e uhi ana i nā ʻili o loko a me waho o ko kākou kino. ʻO "Intraductal" ʻo ia hoʻi "i loko o kahi duct" (intra - i loko, ductal - e pili ana i kahi duct). No laila, ʻo kēia mau mea a pau, ʻo ka Intraductal Papilloma he ulu maikaʻi ʻole e hana ʻia ana i loko o nā ʻauwai waiū, e like me ka wart.

ʻO ka mea nui, ʻo kēia puʻupuʻu i kapa ʻia ʻo "Intraductal Papilloma" ʻaʻole ia he maʻi kanesa (benign). Eia nō naʻe, e nānā kāu kauka i kēia puʻupuʻu e hōʻoia ʻaʻole i loaʻa i nā cell atypical e hiki ke lilo i maʻi kanesa. No laila he mea nui loa ia e makaʻala i kēia.

Aia kekahi mau ʻano o kēia (Intraductal Papilloma)?

ʻAe, ʻelua mau ʻano nui:

1. Papilloma hoʻokahi:

• ʻO kēia ke ʻano maʻamau. E like me ka inoa e hōʻike nei, hana ʻia ia ma ke ʻano he puʻupuʻu hoʻokahi.
• Hoʻomaka pinepine kēia ma nā ʻauwai waiū nui kokoke i kou nipple.
• Ke nui iki aʻe ka puʻupuʻu, hiki iā ʻoe ke ʻike iā ia ma hope a kokoke paha i ka nipple, e like me kahi puʻupuʻu liʻiliʻi.
• ʻO ka nūhou maikaʻi, ʻaʻole kēia ʻano papilloma e hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i kou ola.

2. Nā papillomas he nui a i ʻole Papillomatosis:

• Ma kēia ʻano, ʻoi aku ma mua o hoʻokahi puʻupuʻu e ulu ana.
• Hoʻokumu ʻia kēia mau mea i loko o nā ʻauwai waiū liʻiliʻi i loaʻa ma kahi mamao iki mai ka nipple.
• Hiki i ka poʻe me kēia ʻano ke loaʻa i kahi piʻi iki o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ko lākou ola. Akā, mai hopohopo, e wehewehe hou aku kāu kauka iā ʻoe e pili ana i ke ʻano o kēia "ʻano iki".
• ʻO kahi wale nō 10% o nā papillomas i ʻike ʻia e pili ana i kēia ʻano, i kapa ʻia ʻo "Papillomatosis." ʻO ia hoʻi, he mea kākaʻikahi iki ia.

Pehea ka maʻamau o ka Intraductal Papilloma?

ʻO nā papillomas intraductal ma kahi o 10% o nā ʻeha umauma maikaʻi. ʻIke ʻia ka hapa nui o kēia mau mea he mau papillomas hoʻokahi. No laila, ʻaʻole kēia he maʻi laha ʻole.

He aha nā hōʻailona o kēia maʻi? Pehea mākou e ʻike ai?

ʻAʻole nā ​​papillomas āpau e hoʻoulu i nā hōʻailona. I kekahi manawa, ʻike ke kauka i kahi puʻupuʻu ʻē ke loaʻa iā ʻoe kahi hoʻāʻo, e like me ka mammogram, no kekahi kumu ʻē aʻe. ʻAʻole paha ʻoe e ʻike i ia manawa.

Eia nō naʻe, hiki i kekahi mau papillomas ke hoʻololi i nā umauma. E makaʻala i nā hōʻailona e like me kēia:

• He kahe koko a maopopo paha mai ka nipple: Hoʻopilikia pinepine kēia i hoʻokahi umauma wale nō. Inā ʻike ʻoe i kēia e hana koke ana, mai hopohopo a e ʻike i ke kauka.
• He puʻu liʻiliʻi i ʻike ʻia ma hope o ka nipple: ʻEha paha kēia puʻu a ʻaʻole paha.
• Ke ʻeha a ʻoluʻolu ʻole paha ma kekahi wahi o ka umauma: Inā loaʻa iā ʻoe ka ʻoluʻolu ʻole mau ma kahi like, e makaʻala hoʻi i kēlā.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau. ʻO ia ka mea maikaʻi loa e hana ai. He mea nui loa ka ʻike ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo kūpono ma mua o ka ʻimi wale ʻana i ka ʻike ma ka pūnaewele.

He aha ke kumu o ka Intraductal Papilloma?

Hoʻokumu ʻia ka Intraductal Papilloma e ka ulu nui ʻana o nā cell epithelial i loko o nā ducts waiū, a mākou i kūkākūkā ai ma mua. Ua like ia me kahi mea kanu e ulu wikiwiki ana. Eia naʻe, ʻaʻole maopopo i nā loea ke kumu e ulu wikiwiki ai kēia mau cell. Ke hoʻomau nei ka noiʻi.

Manaʻo kekahi poʻe, ke lohe lākou i ka huaʻōlelo "papilloma", he pili ia i ka maʻi `(Human Papillomavirus - HPV)`. Akā, ʻaʻohe pilina like. He ʻoiaʻiʻo nō kekahi mau ʻano kiʻekiʻe o ka maʻi HPV e hoʻonui i ka pilikia o ka loaʻa ʻana o nā maʻi kanesa like ʻole. Eia naʻe, ʻaʻole ka maʻi HPV e hoʻoulu i ka `(Intraductal Papilloma)`, ʻaʻole hoʻi e hoʻonui i ka pilikia. ʻOi aku ka maikaʻi o ka huikau ʻole ʻana i nā mea ʻelua, ʻeā?

He aha nā kumu pilikia e hoʻopilikia ai i kēia?

Ke hoʻomau nei ka noiʻi ʻana e hoʻoholo pono i nā kumu pilikia e kōkua ai i ka ulu ʻana o `(Intraductal Papilloma).` ʻO ka mea i ʻike ʻia i kēia manawa, ʻo ia ka mea e hiki ai i kēia ke hoʻonui i kou pilikia o ka loaʻa ʻana o kēia maʻi:

• Makahiki: Inā ʻoe ma waena o 35 a me 55 mau makahiki, ʻoi aku ka nui o kou loaʻa ʻana i ka Intraductal Papilloma. ʻO ka hapa nui o ka poʻe i ʻike ʻia he perimenopausal. Eia nō naʻe, ʻoi aku ka ʻōpio o ka poʻe me nā papillomas he nui ma mua o ka poʻe me hoʻokahi papilloma.
• Ka hōʻike ʻana i ka hormone estrogen:Hiki ke piʻi aʻe kou pilikia inā ua pili ʻoe i ka hormone `(Oestrogen)` i kou ola a pau. No ka laʻana, ʻo ka wā ʻōpiopio mua, ka menopause lohi, a me ka loaʻa ʻole o nā keiki e hoʻonui i ka manawa e pili ana kou kino i ka `(Oestrogen)`. Eia kekahi, ʻo ka hoʻohana ʻana i nā pila hoʻomalu hānau i loaʻa ka `(Oestrogen)` he kumu ia.
• Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻaʻai umauma, ʻoi aku kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma. Hiki i kēia ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi umauma ʻaʻole maʻi ʻaʻai e like me ka intraductal papilloma.

Ke hoʻonui nei ka Intraductal Papilloma i ka pilikia o ka maʻi kanesa?

ʻO kēia ka pilikia nui loa no nā kānaka he nui. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ʻo Intraductal Papilloma he maʻi kanesa. Eia nō naʻe, hopohopo nā kauka e pili ana i kēia mau puʻupuʻu no ka mea ua manaʻo ʻia lākou he "high-risk precursor lesion." ʻO ke ʻano kēia i kekahi manawa hiki i nā kauka ke loaʻa nā cell e hiki ke lilo i maʻi kanesa (malignant) i loko a kokoke paha i ka papilloma.

Akā, he mea kākaʻikahi loa kēia. Hiki i nā kauka ke ʻike i nā mea e like me kēia i kekahi manawa:

• ʻO nā pūnaewele atypical, a i ʻole Atypical Ductal Hyperplasia (ADH): ʻO kēia ka manawa e māhele wikiwiki ai nā pūnaewele i loko o kāu mau ala waiū a ulu ma ke ʻano ʻē. Hiki i kēia mau pūnaewele ke lilo i mau pūnaewele maʻi kanesa ma hope. Eia nō naʻe, he hapa liʻiliʻi wale nō, ma kahi o 3%, o nā Intraductal Papillomas e ulu aʻe i ADH.
• ʻO Ductal Carcinoma In Situ (DCIS): He maʻi kanesa ʻaʻole invasive a preinvasive paha ʻo DCIS. ʻO ke ʻano kēia, ʻaʻole ia e pālahalaha ma waho o nā ducts waiū e like me nā maʻi kanesa ʻē aʻe. ʻOi aku ka liʻiliʻi o ka pakeneka o DCIS, ma kahi o 2.5%, o nā papillomas intraductal.

ʻOi aku ka nui o ka poʻe me nā papillomas he nui i loaʻa i kēia mau cell atypical ma mua o ka poʻe me nā papillomas hoʻokahi. Hoʻonui iki nā papillomas he nui i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka hala ʻana o ka manawa. Ke noiʻi nei nā mea noiʻi i nā kumu no kēia.

Akā ʻo ka mea nui e hoʻomanaʻo ai, hiki ke ho'ōla loa ʻia ʻo ADH a me DCIS. No laila, inā ʻike mua ʻia, ʻaʻohe mea e hopohopo ai.

Pehea e ʻike ʻia ai ka Intraductal Papilloma?

ʻO ke ala wale nō e ʻike pono ai inā he Intraductal Papilloma kou, ʻo ia ke hana i kahi biopsy umauma . I loko o kahi biopsy, wehe kāu kauka i ka ʻāpana a pau a i ʻole kekahi hapa o ka puʻupuʻu a hoʻouna iā ia i kahi keʻena hoʻokolohua. Ma laila, nānā kahi pathologist iā ia e ʻike inā he mau cell ʻē.

Hiki i nā haʻawina kiʻi maʻamau e like me ka mammogram, ultrasound, a i ʻole magnetic resonance imaging (MRI) ke hōʻike i nā ulu ʻano ʻē. Eia nō naʻe, ʻaʻole hiki ke ʻōlelo maopopo he papilloma ka puʻupuʻu me ka ʻole o ka biopsy.

Eia kekahi laʻana, hiki ke ʻike ʻia kahi Intraductal Papilloma ma ke ʻano he puʻu, he nodule, a i ʻole nā ​​calcifications ma ka mammogram. Hiki ke ʻike ʻia kēia mau hiʻohiʻona i nā ʻano puʻupuʻu umauma he nui, ʻo ia hoʻi ka maʻi kanesa a me ka ʻole ka maʻi kanesa.

No laila, i mea e ʻike pololei ai i ka Intraductal Papilloma, pono ke kauka e nānā pololei i ka ʻiʻo.

Pehea ʻoe e mālama ai i kēia ʻano puʻupuʻu i loko o nā umauma?

ʻO ke ʻano o ka mālama ʻana no ka `(Intraductal Papilloma)` e pili ana i kekahi mau kumu, e like me ka nui o nā puʻupuʻu i loaʻa iā ʻoe, inā paha he mau pūnaewele ʻē aʻe ko lākou, kou mau hōʻailona, ​​ka nui o ka puʻupuʻu, a me kou pilikia o ka maʻi ʻaʻai umauma.

• Nā papillomas hoʻokahi: Inā he mau pūnaewele ʻē aʻe kēia a i ʻole ke kumu nei i nā hōʻailona, ​​​​pono paha e wehe ʻia. ʻO ka nui o ka puʻupuʻu a me kou pilikia o ka maʻi ʻaʻai umauma e hoʻopilikia pū kekahi i ka pono o ke ʻoki ʻana. I kekahi manawa, hoʻoholo nā kauka e nānā i nā papillomas hoʻokahi me nā x-ray.
• Nā papillomas he nui: Pono e wehe ʻia kēia mau mea no ka mea, ʻoiai ʻaʻole lākou he maʻi kanesa, loaʻa iā lākou kahi manawa kiʻekiʻe e hoʻomohala i nā loli precancerous.

Pono e wehe ʻia nā papillomas intraductal a pau?

I kekahi manawa, e ʻōlelo paha kāu kauka e nānā i nā papillomas liʻiliʻi, ʻaʻohe hōʻailona, ​​hoʻokahi. Eia nō naʻe, pono e wehe ʻia ka hapa nui o nā papillomas intraductal.

Aia kekahi mau lāʻau lapaʻau no ka wehe ʻana i nā papillomas:

• ʻO ka hoʻokaʻawale ʻana i ke kōkua o ka Vacuum (VAE): Pili kēia i ka wehe ʻana i ka puʻupuʻu me ka hoʻohana ʻana i kahi nila liʻiliʻi i hoʻopili ʻia i kahi mea omo .
• ʻO ka biopsy umauma excisional (ʻike ʻia hoʻi ʻo Lumpectomy): Ma kēia ʻoki kino, ua wehe ʻia ka puʻupuʻu a me kahi ʻāpana liʻiliʻi o nā ʻiʻo olakino a puni ia (kahi palena) e hōʻoia i ʻole e waiho ʻia nā cell ʻē.
• Mastectomy: Inā he nui kou mau papillomas a he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma, pono paha ʻoe e wehe i ka umauma holoʻokoʻa (mastectomy). Eia nō naʻe, he mea kakaikahi loa kēia a hana wale ʻia i nā hihia kūikawā.

Ma muli o kāu hōʻike biopsy, e wehewehe ana kāu kauka iā ʻoe i nā koho lapaʻau e kūpono loa iā ʻoe.

Pehea ke koʻikoʻi o ka Intraductal Papilloma?

ʻAʻole ʻo Intraductal Papilloma he maʻi kanesa. Eia nō naʻe, i nā hihia kakaikahi, hiki i kēia mau puʻupuʻu ke loaʻa nā cell ʻano ʻē e pono ai ke mālama ʻia. Inā he nui kou mau papillomas, hiki ke hoʻonui iki ʻia kou pilikia o ka maʻi kanesa i kou ola. ʻO ke ʻano kēia e pono ai ʻoe e nānā pinepine ʻia no ka maʻi kanesa.

ʻO ka nūhou maikaʻi, hiki ke pale ʻia kēia mau cell maʻamau ʻole, a i ʻole nā ​​cell precancerous, mai ka hoʻokumu ʻia ʻana e nā lāʻau lapaʻau e wehe ai iā lākou. A inā he mau cell maʻamau ʻole kāu, hiki i ke ʻoki kino ke pale iā lākou mai ka lilo ʻana i cancerous. No laila, mai hopohopo.

Hiki ke pale i ke kūkulu ʻia ʻana o nā papillomas?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka ulu ʻana o ka `(Intraductal Papilloma).` Eia naʻe, ma ka loaʻa ʻana o nā nānā maʻamau ʻana i ka maʻi ʻaʻai umauma, hiki i kāu kauka ke nānā pono i kou olakino umauma. He mea kōkua nui nō hoʻi ke ʻike i ke kauka no ka ʻōlelo aʻo i ka wā e ʻike ai ʻoe i kekahi mau loli i kou mau umauma.

Ma ka ʻike ʻana i nā loli i ka wā mua a me ka loaʻa ʻana o ka lāʻau kūpono, hiki ke pale ʻia nā maʻi umauma ʻaʻole maʻi kanesa mai ka lilo ʻana i kanesa.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā ua ʻike ʻia ʻoe me ka Intraductal Papilloma, e nīnau pono i kāu kauka i kēia mau nīnau:

• ʻEhia mau puʻupuʻu i loaʻa iaʻu?
• He aha nā kaʻina hana kiʻi e pono ai iaʻu e hana e ʻike i nā papillomas a pau?
• He aha ka manaʻo o nā hopena o kaʻu hōʻike `(Biopsy)`?
• Aia anei au i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma?
• E pono anei iaʻu ke ʻoki kino a i ʻole kekahi lāʻau ʻē aʻe e wehe ai i kēia papilloma?
• ʻEhia mau manawa e pono ai iaʻu e hana i nā hoʻokolohua kanesa o ka umauma ma hope o ka mālama ʻana?

Ma waho aʻe o kēia mau nīnau, e kamaʻilio ākea me kāu kauka e pili ana i nā mea āu e noʻonoʻo nei, nā makaʻu, a i ʻole nā ​​kānalua āu. A laila wale nō e hiki ai iā ʻoe ke loaʻa kahi ʻike maopopo.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO nā papillomas intraductal he mau ulu ʻaʻole ia he kanesa. Eia nō naʻe, inā loaʻa iā ʻoe hoʻokahi a ʻoi aku paha nā papillomas, pono paha ʻoe i ka mālama ʻana a i ʻole ka nānā mau ʻana. ʻAʻole loa e lilo ka hapa nui o nā papillomas intraductal i kanesa, akā hiki ʻole iā lākou ke ulu i nā cell ʻano ʻē. ʻO kāu mau hopena biopsy, ka helu o nā papillomas āu i loaʻa ai, a me kou pilikia o ke ola holoʻokoʻa o ka loaʻa ʻana o ka maʻi ʻaʻai umauma e hoʻoholo i kāu mau koho lapaʻau.

No laila, inā ʻike ʻoe i kekahi mau loli i kou mau umauma, mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka. ʻO ka ʻike mua ʻana ke ala maikaʻi loa e hoʻomaikaʻi ai. E hāʻawi kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo a me ka lāʻau maikaʻi loa. Mai hopohopo, ʻaʻole ʻoe hoʻokahi!

ʻO ka Intraductal Papilloma, Nā Puʻupuʻu Umauma, Kahe ʻana o ka Nipple, Ola Kino o ka Umauma, Nā Puʻupuʻu ʻAʻole Kanesa, Ola Kino Wahine, Biopsy