E aʻo kākou e pili ana i ke ʻano maʻamau o ka maʻi ʻaʻai umauma: Invasive Ductal Carcinoma (IDC)?

Ua ʻike anei ʻoe he mea maʻamau loa ka maʻi ʻaʻai umauma i waena o nā wahine? I waena o lākou, aia kekahi ʻano i maʻamau loa, e pili ana i kahi o ʻewalu o nā wahine he ʻumi e loaʻa ana i ka maʻi ʻaʻai umauma. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Ua kapa nā kauka i kēia invasive ductal carcinoma, a i ʻole IDC no ka pōkole. ʻO kēia ke ʻano maʻamau o ka maʻi ʻaʻai umauma hiki ke ulu ʻaʻole wale i nā wahine, akā i nā kāne pū kekahi. Akā i kēia lā e kamaʻilio hou mākou e pili ana i ke ʻano o kēia maʻi i nā wahine.

No laila he aha ka invasive ductal carcinoma (IDC)?

I ka ʻōlelo maʻalahi, hoʻomaka kēia ʻano maʻi kanesa, i kapa ʻia ʻo IDC, i loko o nā pūnaewele i loko o nā ala waiū i loko o kou mau umauma. Ua like ia me kahi mea kanu liʻiliʻi e ulu ana. ʻO ka huaʻōlelo "invasive" ʻo ia hoʻi "aggressive." ʻO ia hoʻi, ʻaʻole wale kēia mau pūnaewele kanesa i loko o nā ala waiū, akā ke hoʻomaka nei lākou e pālahalaha aku mai loko mai o lākou a i loko o nā ʻiʻo umauma a puni. E noʻonoʻo iā ia e like me nā aʻa liʻiliʻi e hele a puni ana. Mai laila mai, hiki iā lākou ke pālahalaha hou aku , i loko o ke koko a i ʻole ka ʻōnaehana lymphatic , a hiki i nā ʻāpana mamao o ke kino.

I kekahi manawa, kapa ʻia ia e nā kauka he "Ductal Carcinoma" a i ʻole "Infiltrating Ductal Carcinoma". ʻOiai ke ʻano o ka inoa, ua like nō ke ʻano. ʻO ka mea maikaʻi loa, inā loaʻa kēia maʻi kanesa ma mua o kona laha ʻana i nā ʻāpana ʻē aʻe o ke kino, hiki ke hoʻōla loa ʻia . ʻO ia ke kumu e kamaʻilio mau ai mākou e pili ana i nā hoʻokolokolo umauma.

Aia kekahi mau ʻano o ka IDC?

ʻAe, aia nā ʻano IDC like ʻole. Ua hoʻokaʻawale ʻia kēia mau mea e like me ke kūlana o ka mea loaʻa hormone o nā cell cancer. ʻO nā mea loaʻa he mau molekala protein i loaʻa i loko a i ʻole ma luna o nā cell. Hiki i kēia mau mea ke hopu i kekahi mau mea i loko o ke koko, e like me nā hormones e like me ka estrogen a me ka progesterone . Kōkua kēia mau hormones i kekahi mau cell cancer e ulu. No laila, ma ka ʻike ʻana inā loaʻa i kahi maʻi kanesa kēia mau mea loaʻa hormone a i ʻole, hiki i nā kauka ke hoʻoholo i ka lāʻau lapaʻau e kūpono loa.

ʻO nā ʻano nui o IDC i ʻike ʻia:

• ʻAʻai umauma ʻekolu-maikaʻi ʻole : ʻAʻohe ona mea loaʻa estrogen a progesterone paha i kēia ʻano, ʻaʻohe hoʻi ona protein HER2.
• ʻAʻai umauma HER2-positive (HER2+) : Hoʻopuka kēia mau hunaola kanesa i ka nui o ka protein i kapa ʻia ʻo HER2.
• ʻO ka maʻi ʻaʻai umauma ER-positive (ER+) : He mea maʻalahi kēia i ka hormone estrogen.
• ʻO ke kanesa umauma PR-positive (PR+) : He mea maʻalahi kēia i ka hormone progesterone.

He aha nā hōʻailona o IDC? Pehea mākou e ʻike ai iā lākou?

I nā manawa pinepine, ma mua o kou loaʻa ʻana o kekahi mau hōʻailona,Hiki ke ʻike ʻia ka IDC e ka mammogram i ka manawa kūpono. ʻO ia ke kumu he mea nui kēia mau hoʻokolohua. Eia nō naʻe, i kekahi manawa hiki ke ʻike ʻia nā hōʻailona. Inā hana ʻia kēlā, e makaʻala i kēia mau mea:

• Ka loli ʻana o ka nui, ke ʻano, a i ʻole ke ʻano o ka umauma .
• Ke manaʻo nei i kahi puʻupuʻu a i ʻole ka ulu ʻana ma ka umauma a i ʻole ka ʻāʻī . He liʻiliʻi paha kēia e like me ka pī. ʻAʻole paha e loaʻa kēia puʻupuʻu i loko o kou pōʻaiapuni menstrual mahina.
• He loli i ke ʻano a i ʻole ke ʻano o ka ʻili o ka umauma a i ʻole ka nipple. Hiki ke ʻike ʻia ka ʻili he piholo, ʻāwili, lua, a ʻulaʻula a pehu.
• Ke manaʻo nei i kahi ʻāpana paʻakikī ma lalo o ka ʻili, e like me ke kinikini .
• He wai koko a moakāka paha e puka mai ana mai loko mai o ka nipple .

Inā ʻike ʻoe i kahi mea e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke makaʻu ʻole a hele i ke kauka .

No ke aha i hana ʻia ai kēia IDC? He aha nā kumu?

ʻAʻole maopopo loa i nā loea ke kumu o kēia. Eia nō naʻe, manaʻoʻiʻo lākou e hiki i kekahi mau ʻano a me nā ʻike ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka IDC. E nānā kākou i ke ʻano o lākou:

• Puhi paka.
• Ka hoʻohana ʻana i ka waiʻona.
• Ka momona.
• Ma hope o ka loaʻa mua ʻana o ka radiation therapy ma ka ʻāpana umauma .
• ʻO ka hoʻomaka ʻana o ke kaʻina hana menstrual ma mua a ma hope paha ma mua o ka maʻamau.
• Ka lohi o ka hānau ʻana o nā keiki.

Eia kekahi, hiki i kekahi mau hoʻololi hoʻoilina i hoʻoilina ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka IDC. ʻO ia hoʻi, kekahi mau genes ʻano ʻē āu e hoʻoilina ai mai kou mau mākua mai.

Hiki i kēia kūlana ke hoʻoulu i nā pilikia ʻē aʻe?

ʻAe, hiki i ke kanesa IDC ke laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino . ʻOi aku ka palahalaha ʻana i nā ʻōpū e like me ke akepaʻa , nā māmā , nā iwi, a me ka lolo . ʻO ia ke kumu he mea nui ka ʻike mua a me ka mālama ʻana.

Pehea e ʻike ai nā kauka i ka IDC?

ʻO ka mea mua, e hāʻawi ke kauka iā ʻoe i kahi hoʻokolokolo kino . E nānā lākou no nā puʻupuʻu i loko o kou mau umauma a me nā ʻōpū lymph pehu i loko o kou mau armpits. A laila, e kauoha paha lākou i kekahi mau hoʻokolohua hou aʻe. Eia kekahi laʻana:

• Hoʻāʻo MRI umauma.
• Ka hoʻokolokolo ʻana o ka umauma me ka ultrasound.
• ʻO ka biopsy umauma. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a nānā iā ia ma lalo o kahi microscope. Hoʻohana ʻia kēia e hōʻoia inā he maʻi kanesa ia.

Ma muli o nā hopena o kēia mau hoʻokolohua, ua ʻōlelo ʻia e kahi kauka oncologistA na kāna hui e hana i ka hoʻolālā lapaʻau kūpono loa nāu. E ʻike lākou i ke kahua a me ke ʻano o ka maʻi kanesa.

He aha nā "Pae" o IDC?

Hoʻoholo ʻia ke kahua o ke kanesa e nā mea e like me ka wahi a me ka nui o ka puʻupuʻu. ʻElima mau kahua nui o IDC:

• Pae 0: Ua kaupalena ʻia ke kanesa i nā ʻauwai waiū. Ua kapa ʻia kēia he noninvasive ductal carcinoma in situ . ʻO ke ʻano kēia, ʻaʻole ia i lilo i invasive.
• Pae I (1): Ua pālahalaha ke kanesa ma ʻō aku o nā ala waiū i loko o ka ʻiʻo umauma, akā ʻaʻole i pālahalaha i nā lymph node. I kekahi manawa, aia paha ke kanesa i loko o nā lymph node akā ʻaʻole i loko o nā ʻiʻo umauma a puni.
• Pae II (2): Loaʻa iā ʻoe kahi puʻupuʻu liʻiliʻi i pālahalaha i hoʻokahi a ʻekolu mau lymph node. A i ʻole, loaʻa iā ʻoe kahi puʻupuʻu nui i pālahalaha ʻole i nā lymph node.
• Pae III (3): Ua pālahalaha ke kanesa i ʻoi aku ma mua o ʻekolu mau lymph node. ʻO ke kanesa e hoʻoulu ai i ka pehu ʻana o ka ʻili umauma e hāʻule pū ana i kēia pae.
• Pae IV (4): Ua laha ka maʻi ʻaʻai IDC i nā ʻōpū ʻē aʻe, e like me ke akepaʻa, nā māmā, ka lolo, a i ʻole ka paia umauma. Ua laha paha i nā iwi a i ʻole nā ​​​​kikowaena lymph ma nā wahi mamao o ke kino. Ua kapa ʻia kēia he metastatic .

He aha nā "māka" ma IDC?

Hoʻoholo ʻia ke ʻano o nā hunaola kanesa e ke ʻano like a ʻokoʻa paha o lākou mai nā hunaola maʻamau ke nānā ʻia ma lalo o kahi microscope. Hana ʻia kēia ʻano e nā kauka lapaʻau . Nānā lākou i ʻekolu ʻāpana o kahi hunaola a hāʻawi i kēlā me kēia ʻāpana i kahi ʻano. I kekahi manawa, hoʻohana ʻia nā huaʻōlelo "well-differentiated," "moderately differentiated," a i ʻole "poorly differentiated" ma kahi o kahi helu. ʻO nā ʻano nui ʻekolu:

• Papa 1 (ʻokoʻa maikaʻi): Ulu mālie nā hunaola kanesa a ua like loa me nā hunaola umauma maʻamau.
• Papa 2 (ʻokoʻa iki): ʻOi aku ka wikiwiki o ka ulu ʻana o nā pūnaewele ma mua o ka papa 1 a ʻoi aku ka like o nā pūnaewele maʻi kanesa ma mua o nā pūnaewele maʻamau.
• Papa 3 (ʻokoʻa ʻole): He ʻokoʻa loa nā pūnaewele mai nā pūnaewele maʻamau a ʻoi aku ka wikiwiki o ka ulu ʻana a me ka laha ʻana ma mua o nā papa 1 a me 2.

He aha nā lāʻau lapaʻau no IDC?

ʻOkoʻa nā koho lapaʻau ma muli o kou kūlana, ke kahua o ke kanesa, a me kāu mau makemake pilikino. Hiki i nā lāʻau lapaʻau IDC ke komo pū me:

• ʻO ke ʻoki ʻana i ka maʻi ʻaʻai umauma: Inā hana ʻia ke ʻoki ʻana, he lumpectomy paha ia (wehe ʻana i ka puʻupuʻu wale nō) a i ʻole mastectomy (wehe ʻana i ka umauma holoʻokoʻa) . Hiki ke hana hou ʻia ka umauma ma hope o ke ʻoki ʻana.Hiki iā ʻoe ke hana.
• Chemotherapy: Hiki ke hāʻawi ʻia ka Chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu a i ʻole e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana. I nā hihia i laha ai ke kanesa (Stage IV - metastatic), ʻo ia paha ke ʻano nui o ka lāʻau lapaʻau.
• Lapaʻau radiation: Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau ma hope o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe. He koho nō hoʻi kēia inā ʻaʻole hiki ke ʻoki ʻia ma muli o ka nui a i ʻole kahi o ka puʻupuʻu.
• Lapaʻau i hoʻolālā ʻia: Hoʻolālā kēia lāʻau lapaʻau maʻi kanesa i nā loli genetic e hoʻohuli i nā cell olakino i nā cell cancer.
• Lapaʻau hormone: Pono nā hunaola kanesa i nā hormones e ulu a hoʻonui. Hana ka lāʻau lapaʻau hormone ma ke ʻoki ʻana i kēlā ala komo.
• Immunotherapy: Kōkua kēia i kāu ʻōnaehana pale ponoʻī e ʻimi a luku i nā hunaola kanesa.

ʻO ka mea nui loa, ʻo ia ka hoʻoholo ʻana o kāu hui lapaʻau i ka lāʻau lapaʻau maikaʻi loa nāu, no laila e wehe a ʻoiaʻiʻo me lākou e pili ana i nā mea āpau.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻAe, e like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao. Inā loaʻa iā ʻoe ke ʻoki kino, he mea maʻamau ka loaʻa ʻana o ka ʻeha ma hope o ke ʻoki kino. Hiki i nā kauka ke hoʻohui i nā lāʻau lapaʻau ʻē aʻe me ke ʻoki kino. ʻO nā hopena ʻaoʻao maʻamau o ka chemotherapy a me ka radiation therapy e komo pū me ka luhi , ka nausea a me ka luaʻi .

Hiki i nā lāʻau lapaʻau i kuhikuhi ʻia a me ka immunotherapy ke hana i nā pilikia gastrointestinal, e like me ka constipation a me ka diarrhea. Hiki i nā hopena ʻaoʻao o ka hormone therapy ke komo pū me nā ʻā wela , ka ʻeha hui, a me ka emi ʻana o ka makemake moekolohe .

ʻOkoʻa ka pane ʻana o kēlā me kēia kanaka i ka lāʻau lapaʻau. Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau, e nīnau i kāu kauka pehea e pili ai iā ʻoe a me kou ola o kēlā me kēia lā. Eia kekahi, e nīnau e pili ana i ka mālama palliative . Kōkua ka mālama palliative iā ʻoe e hoʻokele i nā hōʻailona o ka maʻi ʻaʻai umauma a me nā hopena ʻaoʻao o ka lāʻau lapaʻau, e kōkua ana iā ʻoe e ʻoluʻolu e like me ka hiki.

Hiki ke pale ʻia ka IDC?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka IDC:

• E kiʻi i nā mammogram i ka manawa kūpono. Inā he wahine ʻoe a he moʻolelo ʻohana kou no ka maʻi ʻaʻai umauma, e nīnau i kāu kauka inā pono ʻoe e hoʻomaka e kiʻi i nā mammogram ma mua o nā poʻe ʻē aʻe.
• E ʻai i ka meaʻai kaulike e kōkua iā ʻoe e mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E pale i ka puhipaka.
• E hōʻemi i ka inu ʻana i ka waiʻona i hoʻokahi mea inu i ka lā., a i ʻole e hoʻōki loa.
• E hoʻoikaika kino i nā manawa a pau.
• E kamaʻilio me kāu kauka e pili ana i nā hoʻokolohua e hiki ke kōkua i ka hoʻoholo inā he mau hoʻololi genetic kou e hoʻonui ai i kou pilikia o ka maʻi ʻaʻai umauma.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me ka maʻi ʻaʻai umauma invasive?

ʻO nā helu ola no kēia ʻano maʻi kanesa he mau kuhi i hoʻokumu ʻia ma nā ʻike o ka poʻe i loaʻa i ka maʻi. ʻO nā hui e like me ka National Cancer Institute e hōʻiliʻili i kēia ʻikepili ma muli o ka nui o ka laha ʻana o IDC (kūloko, ʻāpana, mamao).

Eia nō naʻe, i ka noʻonoʻo ʻana i kēia mau helu helu, he mea nui e hoʻomanaʻo he mau kuhi wale nō kēia i hoʻokumu ʻia ma nā ʻike o haʻi. Hoʻopilikia ka maʻi kanesa i kēlā me kēia kanaka i kekahi ʻano ʻē aʻe . Inā he mau nīnau kikoʻī kāu e pili ana i kēia, e kamaʻilio me kāu kauka. ʻIke ʻo ia i kou kūlana, i hiki iā ia ke hāʻawi iā ʻoe i ka ʻike maikaʻi loa.

Inā loaʻa iaʻu kahi IDC, pehea e hiki ai iaʻu ke mālama iaʻu iho?

ʻAʻole maʻalahi ka noho ʻana me IDC. I kekahi mau lā, hiki ke manaʻo ʻia he kaumaha nui loa. E noʻonoʻo i kēia mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e mālama iā ʻoe iho i kāu wā e ʻike ai a me ka mālama ʻana:

• E hoʻomaha lawa. Hiki i ka IDC a me ka lāʻau lapaʻau ke hoʻoluhi nui iā ʻoe. E hoʻomanaʻo e hoʻomaha ʻaʻole wale i ka wā hiki iā ʻoe, akā i ka wā e pono ai.
• ʻAi maikaʻi. Hiki i ka lāʻau lapaʻau ke hōʻemi i kou makemake. ʻO ka ʻai momona i nā huaʻai, nā mea kanu, nā protein lean, a me nā palaoa olakino e kōkua iā ʻoe e noho ikaika i ka wā o ka lāʻau lapaʻau.
• E hoʻokele i kou kaumaha. He mea kaumaha nui ka maʻi kanesa. Hiki i nā mea e like me ka hoʻoikaika kino maʻalahi e like me ka hele wāwae mau i nā papahana hoʻoikaika kino kūikawā ke kōkua.
• E ʻimi i ke kākoʻo. He mea ola ʻoe i ka maʻi ʻaʻai umauma mai ka lā i ʻike ʻia ai ʻoe. E nīnau i kāu kauka e pili ana i nā papahana ola i ka maʻi ʻaʻai e hiki ke kōkua iā ʻoe e hoʻokele i nā pilikia o ka noho ʻana me IDC.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana ua laha ka IDC mai nā ala waiū a i ka ʻiʻo umauma, nā lymph node kokoke, a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke kino, e ʻike koke i ke kauka. Hiki i nā hōʻailona o ka metastatic IDC ke komo pū me:

• Nā puʻupuʻu hou i loko o ka umauma.
• Nā ʻōpuʻu lymph pehu i loko o ka ʻāʻī.
• ʻEha ka umauma.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• ʻEha iwi.
• ʻEha ʻōpū.
• Ka huikau.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau a loaʻa iā ʻoe nā hopena ʻaoʻao i ʻoi aku ka koʻikoʻi ma mua o ka mea i manaʻo ʻia, e hele i kahi lumi pilikia. Eia kekahi, pono ʻoeInā loaʻa iā ʻoe ke anu, a i ʻole ke kuni he 100.4 degere Fahrenheit (38 degere Celsius) a ʻoi aku paha , hiki ke lilo ia i hōʻailona o kahi maʻi a pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

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

ʻO ka nīnau ʻana i nā nīnau e hoʻomaopopo i kou kūlana kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana e mālama i kou olakino. E hoʻomanaʻo i kēia mau nīnau i ka wā e nīnau ai e pili ana i ka IDC:

• Aia i hea ka puʻupuʻu?
• Pehea ka nui o ka puʻupuʻu?
• He aha ke kūlana o ka hormone o ka puʻupuʻu?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pehea e pili ai ka lāʻau lapaʻau i koʻu ola o kēlā me kēia lā?
• He aha nā kuhi o ka nui o ke ola?

He aha ke ʻano o ka maʻi ʻaʻai umauma i ʻoi loa ka ikaika?

ʻO ke ʻano maʻi ʻaʻai umauma metastatic ʻo ia ke ʻano ʻoi loa o ka maʻi ʻaʻai umauma , ʻo ia hoʻi ua pālahalaha ke kanesa mai ka ʻiʻo umauma a i nā ʻāpana mamao o ke kino.

He aha ka triple-negative invasive ductal carcinoma?

Ma kahi o 15% o nā maʻi ʻaʻai umauma āpau he triple-negative. I kēia mau hihia, ʻaʻohe estrogen a progesterone receptors o nā cell cancer. ʻAʻole hoʻi lākou e hana nui i kahi protein i kapa ʻia ʻo HER2. ʻOi aku ka wikiwiki o ka ulu ʻana o ka triple-negative invasive ductal carcinoma a pālahalaha ma mua o nā ʻano maʻi ʻaʻai umauma ʻē aʻe. ʻO ka lāʻau lapaʻau nui no kēia ʻano maʻi ʻaʻai umauma he chemotherapy. Loaʻa pū kekahi mau maʻi i ka chemotherapy me ka immunotherapy.

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

Inā loaʻa iā ʻoe ka maʻi ʻaʻai umauma, aia kahi manawa kūpono he ʻewalu i loko o ka ʻumi e lilo ia i invasive ductal carcinoma (IDC) . Hoʻomaka kēia ma ka uhi o nā ducts waiū i loko o ka umauma. Akā ʻo ka nūhou maikaʻi, ma muli o ka nānā ʻana i ka maʻi ʻaʻai umauma, ʻoi aku ka hapalua o nā wahine i ʻike ʻia me IDC ma mua o ka laha ʻana. Ma muli o ka ʻike mua ʻana, hiki i nā kauka ke ho'ōla pinepine i ka IDC i laha ʻole. ʻO ia ke kumu he mea nui ka nānā ʻana i ka maʻi ʻaʻai umauma.

Inā he mau nīnau a hopohopo paha kāu e pili ana i ka hoʻomohala ʻana i ka IDC, e kamaʻilio me ke kauka. E loiloi lākou i kou kūlana a e ʻōlelo aku i nā hana aʻe e kūpono iā ʻoe. Mai hoʻowahāwahā i nā hōʻailona. ʻO ka hana wikiwiki ʻana hiki ke hoʻopakele i kou ola.

ʻIDC , maʻi ʻaʻai umauma, invasive ductal carcinoma, nā hōʻailona maʻi ʻaʻai umauma, ka mālama ʻana i ke kanesa, mammogram, olakino wahine