Ke noʻonoʻo kākou i ke 'maʻi ʻaʻai umauma', manaʻo pinepine kākou i kahi puʻupuʻu i loko o ka umauma, ʻeā? Akā, ua ʻike anei ʻoe ʻaʻole i puka mai nā maʻi ʻaʻai umauma a pau ma ke ʻano he puʻupuʻu? I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻano maʻi ʻaʻai e hana iki ana, e pālahalaha malū ana i loko o ke kino. Ua kapa ʻia kēia ʻo Invasive Lobular Carcinoma, a i ʻole (ILC) no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka Invasive Lobular Carcinoma (ILC)?
ʻAe, e ʻōlelo kākou penei. Loaʻa i kou mau umauma nā kelepa e hana ana i ka waiū. Ua kapa ʻia kēia e nā kauka he "lobules." Hoʻomaka kēia ʻano maʻi kanesa i loko o kēia mau kelepa e hana ana i ka waiū.
ʻAʻole e like me nā ʻano maʻi ʻaʻai umauma ʻē aʻe, ʻo kēia mau hunaola maʻi ʻaʻai ILC, ma kahi o ka hui pū ʻana e hana i kahi puʻupuʻu, e pālahalaha ana ma o nā ʻiʻo umauma ma nā lālani o nā hunaola pākahi . E noʻonoʻo e like me kahi laina o nā ʻanuʻu. ʻO ia ke kumu e laha ai kahi puʻupuʻu ma kēia ʻano.
ʻO ka ILC ka mea e pili ana i kahi 10% a 15% o nā maʻi ʻaʻai umauma. Hoʻoulu pinepine ʻia kēia ʻano maʻi ʻaʻai e ka hormone wahine estrogen. He maʻi ʻaʻai lohi loa hoʻi ia e ulu ana . Hiki ke noho no nā makahiki ma mua o kou loaʻa ʻana o kekahi mau hōʻailona a i ʻole e ʻike ʻia e ka mammogram. E like me nā maʻi ʻaʻai ʻē aʻe, hiki i ka ILC ke laha ma o ka ʻiʻo umauma a i nā ʻāpana ʻē aʻe o ke kino.
Inā ʻaʻohe puʻupuʻu, pehea ʻoe e ʻike ai i nā hōʻailona o kēia?
ʻO kēia ka mea nui loa. ʻOiai ʻaʻole hana ka maʻi kanesa ILC i puʻupuʻu, pono ʻoe e makaʻala loa e pili ana i nā loli liʻiliʻi ʻē aʻe i loko o ka umauma. ʻAʻole paha ʻoe e ʻike i kekahi loli i nā pae mua. Akā i ka holomua ʻana o ka maʻi kanesa, hiki ke ʻike ʻia kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka mānoanoa a i ʻole ka loli ʻana o ka ʻili o ka umauma | ʻO ka ʻili ma kekahi wahi o ka umauma e mānoanoa paha ma mua o ka maʻamau. Aia paha he mau lua liʻiliʻi, e like me ka ʻili ma ka ʻili ʻalani. |
| ʻO ka pehu ʻana o ka umauma a i ʻole ka piha ʻana | ʻOiai inā ua nalowale kahi puʻupuʻu, hiki i kekahi ʻaoʻao a i ʻole kekahi hapa o ka umauma ke pehu a piha paha ma mua o ka maʻamau. Hiki nō hoʻi ke loaʻa kahi loli i ke ʻano a i ʻole ka nui o ka umauma. |
| Nipple i hoʻohuli ʻia | ʻO ke alo maʻamau ma waho me he mea lā e piholo ana i loko. |
| He puʻu ma ka ʻāʻī | ʻOiai inā ʻaʻohe ou puʻupuʻu i loko o kou umauma, hiki nō iā ʻoe ke manaʻo i kahi puʻupuʻu ma kou ʻāʻī. |
| ʻEha a mehana paha ka umauma | Hiki iā ʻoe ke loaʻa ka ʻeha o ka umauma a i ʻole ka mehana ke pā aku no ke kumu ʻole. |
| Hoʻokuʻu ʻia ʻana o ka nipple | ʻO kēlā me kēia ʻano kahe ʻana (ʻoi aku ke koko) mai ka nipple, ke ʻole ʻoe he makuahine hānai. |
ʻO ka mea nui loa, ʻaʻohe mea i ʻike i kou mau umauma ma mua ou, no laila inā ʻike ʻoe i kahi loli iki, mai hoʻowahāwahā iā ia.
He aha nā kumu pilikia no ka hoʻomohala ʻana i kēia maʻi kanesa?
E like me nā maʻi kanesa āpau, he paʻakikī ke ʻōlelo pololei i ke kumu o kēia. He hoʻololi genetic ia e hoʻolilo ai i nā cell olakino i maʻi kanesa. Akā ua ʻike nā kānaka noiʻi i kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka ILC.
- ʻOiai ma luna o 55 mau makahiki.
- ʻO ka hānau ʻana o kāu keiki mua ma hope o 30 mau makahiki a i ʻole ka loaʻa ʻole o nā keiki.
- Ua loaʻa mua iaʻu ka maʻi ʻaʻai umauma.
- Loaʻa kahi lālā o ka ʻohana (ʻoi aku ka makuahine, ke kaikuahine, ke kaikamahine) me ka maʻi ʻaʻai umauma a i ʻole ke kanesa o ka ʻōpū.
- ʻO ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo Lobular Carcinoma In Situ (LCIS): ʻAʻole kēia he maʻi kanesa, akā he loli cell e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā e hiki mai ana.
- Hoʻoilina ʻia kekahi mau hoʻololi genetic.
- ʻO ke ola kino ma mua o 12 mau makahiki.
- Hoʻomaka ka menopause ma hope o 55 mau makahiki.
- Ke lawe nei i kekahi lāʻau lapaʻau hormone no nā hōʻailona e kū mai ana ma hope o ka menopause.
He aha nā pilikia kikoʻī o ka ILC?
Aia ʻelua mau pilikia like ʻole o ka maʻi ʻaʻai ILC e pono ai ka nānā kūikawā.
1. Ka laha ʻana i nā wahi ʻē aʻe o ke kino: ʻO nā ʻano maʻi ʻaʻai umauma ʻē aʻe e laha pinepine i ka lolo, nā iwi, ke akepaʻa, a me nā māmā. Hiki i ke kanesa ILC ke laha i kēlā mau wahi. Akā eia kekahi, hiki iā ia ke laha i nā wahi ʻē aʻe kahi i laha ʻole ai ke kanesa.
- ʻŌnaehana hoʻoheheʻe (ʻōpū, ʻōpū)
- ʻŌnaehana hānau wahine (ovaries, uterus)
- ʻO ka uhi o loko o ka lua ʻōpū (peritoneum)
- ʻO nā uhi e hoʻopuni ana i ka lolo a me ke kaula spinal (Leptomeninges)
- ʻIʻo a puni ka maka
2. Ka hoʻi hou ʻana ma hope o kekahi manawa o ka mālama ʻana: ʻO kēia ka mea weliweli loa e pili ana i kēia maʻi kanesa. ʻOiai ma hope o ka mālama ʻana a me ka manaʻo ua ho'ōla ʻia, hiki i ke kanesa ke hoʻi hou ma kahi mamao o ke kino ma hope o kahi manawa o 10 a 15 mau makahiki . Kāhea mākou i kēia ʻo `(Metastatic Invasive Lobular Carcinoma)`.
Pehea e ʻike ai nā kauka i kēia?
Ke ʻike ʻoe i ke kauka e pili ana i kahi puʻupuʻu umauma, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā i kou umauma a me kou ʻauwae. ʻOiai ʻaʻole he puʻupuʻu ka ILC, ʻaʻole paha e ʻike ʻia e kahi hoʻokolohua maʻamau. No laila, hiki ke kuhikuhi ʻia ʻoe no nā hoʻokolohua e like me kēia.
- Mammogram: He X-ray o ka umauma. Eia nō naʻe, ma muli o ke ʻano o ka laha ʻana o ke kanesa ILC, ʻaʻole hiki ke ʻike maopopo ʻia ma ka mammogram i kekahi manawa.
- ʻO ke ʻano ultrasound o ka umauma: Kōkua kēia i ka nānā pono ʻana i kahi wahi kikoʻī o ka umauma.
- ʻO ke kiʻi MRI umauma: Hiki i kēia ke hana i nā kiʻi maopopo loa a kikoʻī o nā ʻiʻo umauma. He mea nui loa ka MRI no ka ʻike ʻana i nā maʻi ʻaʻai paʻakikī e ʻike e like me ILC.
Inā kū mai kekahi kānalua mai kēia mau hoʻokolohua, ʻo ka hana aʻe he biopsy . ʻO ke ʻano kēia, ua lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka umauma ma lalo o ka anesthesia a nānā ʻia ma lalo o kahi microscope. ʻO kēia biopsy wale nō ke hōʻoia i ka 100% inā loaʻa nā hunaola kanesa a ʻaʻole paha.
Nā pae o ke kanesa
Ke hōʻoia ka biopsy he maʻi kanesa ia, ua hoʻoholo ʻia ka nui o ke kanesa a ua hoʻoholo ʻia kona pae. Hoʻolālā ʻia ka lāʻau lapaʻau ma muli o kēia pae.
| Kahua | Wehewehena |
|---|---|
| Kahua I | ʻOi aku ka liʻiliʻi o ke kanesa ma mua o 2 kenimika. Ua pālahalaha paha i nā lymph node kokoke a ua nalowale paha. |
| Pae II | Aia ka nui o ke kanesa ma waena o 2-5 kenimika a ua pālahalaha aku i nā lymph node kokoke. A i ʻole ʻoi aku ka nui ma mua o 5 kenimika akā ʻaʻole i pālahalaha aku i nā lymph node. |
| Pae III | Ua pālahalaha ke kanesa i kekahi mau lymph node ma ka umauma a me nā lymph node kokoke. |
| Pae IV | Ua pālahalaha ke kanesa i nā ʻōpū mamao o ke kino, e like me nā māmā, ke akepaʻa, a i ʻole nā iwi. (Metastatic) |
He aha nā lāʻau lapaʻau no ILC?
E noʻonoʻo kāu kauka i nā kumu he nui, me ke kahua o kou maʻi ʻaʻai, inā he hormone-sensitive (ER+), a me kou olakino holoʻokoʻa, e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe. ʻO ka maʻamau, pili paha kēia i hoʻokahi a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau.
- ʻOki kino: Wehe ʻana i ka ʻāpana o ka umauma a i ʻole ka umauma holoʻokoʻa i loaʻa nā hunaola kanesa.
- Kemoterapi: Ke hāʻawi ʻana i nā lāʻau ikaika e pepehi i nā hunaola kanesa. Hiki ke hāʻawi ʻia ma mua a ma hope paha o ke ʻoki ʻana.
- Lapaʻau Radiation: Hoʻohana ʻia nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa e waiho ʻia ma hope o ke ʻoki ʻana.
- Lapaʻau Hormone: Inā he maʻalahi ka maʻi kanesa i ka estrogen (ER+), hāʻawi ʻia nā lāʻau lapaʻau e ālai i ka hana o kēlā mau hormones.
- Lapaʻau i hoʻolālā ʻia: Nā lāʻau lapaʻau e hoʻolālā ana i nā loli genetic kikoʻī e hoʻopilikia ai i ka ulu ʻana o nā cell cancer.
ʻOkoʻa ka manawa hoʻōla ma hope o ka mālama ʻana mai kēlā kanaka a kēia kanaka a ma muli o ka mālama ʻana āu e loaʻa ai. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
He aha nā kūlana e ola ai me kēia maʻi?
Makaʻu mākou a pau ke lohe mākou i ka huaʻōlelo kanesa. Akā, he mea nui e ʻike i kēia mau mea. ʻO kēia mau "helu ola" ka pakeneka o ka poʻe e ola ana i 5 a 10 paha mau makahiki ma hope o ka ʻike ʻia ʻana he kanesa.
Ua hōʻike ʻia nā noiʻi he 94% o nā wahine i ʻike ʻia me ka maʻi ʻaʻai ILC e ola mau ana ma hope o 5 mau makahiki. Ma hope o 10 mau makahiki, piʻi kēia pakeneka i kahi o 86% . Ke hoʻohālikelike ʻia me nā ʻano maʻi ʻaʻai umauma ʻē aʻe, ua haʻahaʻa iki ka helu ola 10 makahiki. Ke hoʻomau nei nā kauka i ka noiʻi e ʻike i nā kumu a hoʻomaikaʻi i nā lāʻau lapaʻau.
E hoʻomanaʻo, he mau helu wale nō kēia. ʻAʻole lākou he mau wānana e pili ana i kou kūlana pilikino. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka wehewehe maikaʻi loa no kou kūlana.
Leka Lawe-Home
- ʻO ka Invasive Lobular Carcinoma (ILC) kahi ʻano maʻi ʻaʻai umauma ʻaʻole i ʻike mau ʻia he puʻupuʻu.
- E makaʻala i nā loli liʻiliʻi i ka ʻili o ka umauma, e like me ka mānoanoa, ka pehu ʻana, nā loli i ke ʻano, a me ke komo ʻana o ka nipple.
- He mea nui loa ka ʻike i ke kūlana maʻamau o kou mau umauma. E hana i kahi hoʻokolokolo umauma ponoʻī i kēlā me kēia mahina.
- Inā ʻike ʻoe i kahi loli iki a ʻano ʻē paha, mai hoʻowahāwahā iā ia me ka manaʻo, "ʻAʻohe paha." E ʻike koke i ke kauka.
- E like me nā maʻi kanesa āpau, ʻo ka wikiwiki o ka ʻike ʻia ʻana o kēia, ʻo ka nui aʻe o ka holomua ʻana o ka lāʻau.
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