Ma hope o ka biopsy o kou umauma no kekahi kumu ʻē aʻe, ua haʻi aku anei kāu kauka iā ʻoe he maʻi kou i kapa ʻia ʻo LCIS? Pono ʻoe i makaʻu loa i kou lohe ʻana i ka huaʻōlelo 'carcinoma'. No ka mea, ke lohe mākou i kēlā huaʻōlelo, noʻonoʻo koke mākou i ke kanesa. Akā, mai hopohopo. E kamaʻilio mākou ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo i ke ʻano maoli o LCIS, he kanesa anei ia, a me ka mea e hana ai e pili ana i ia mea.
He aha maoli ka LCIS?
I ka ʻōlelo maʻalahi, ʻo LCIS ka ulu ʻana o nā pūnaewele ʻano ʻē i loko o nā kelepa hana waiū (lobules) o kou mau umauma. E noʻonoʻo e pili ana i ia mea, ke māhele mau nei nā pūnaewele i loko o ko kākou kino a ke hoʻohou hou nei iā lākou iho. No laila, i ka wā e māhele ai nā pūnaewele i loko o kēia mau kelepa waiū, hoʻomaka lākou e ulu i nā pūnaewele ʻokoʻa iki, ʻano ʻē ma kahi o nā pūnaewele maʻamau. ʻO ia ka LCIS.
ʻO ka mea nui e pono ai ʻoe e hoʻomanaʻo ma ʻaneʻi, ʻoiai ka huaʻōlelo 'carcinoma' ma ka inoa, ʻaʻole ʻo LCIS he maʻi ʻaʻai umauma. ʻOiai ua manaʻo ʻia e kekahi poʻe he mea ia e hoʻomaka ai i ke kanesa, ʻaʻole ia he kanesa ponoʻī.
Aia kēia mau pūnaewele ʻano ʻē i kahi kūlana i kapa ʻia ʻo 'in situ'. ʻO ia hoʻi, noho lākou ma ko lākou wahi a ʻaʻole i laha i nā wahi ʻē aʻe o ka umauma. ʻO ia ke kumu ʻaʻole ia he mea weliweli.
Akā, ʻo ka loaʻa ʻana o LCIS, ʻo ia hoʻi, he ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana ma mua o ke kanaka maʻamau. Ua like ia me kahi hōʻailona hoʻomaopopo ma ke alanui. Hōʻike ia iā ʻoe aia paha kahi pōʻino ma mua, no laila e kalaiwa akahele. ʻO LCIS kēlā ʻano hoʻomaopopo.
He aha nā ʻano nui o LCIS?
Nānā nā kauka i nā ʻāpana ʻē ma lalo o kahi microscope a hoʻokaʻawale iā LCIS i ʻekolu mau ʻano nui e pili ana i ko lākou ʻano. He mea nui loa ka ʻike ʻana i ke ʻano āu i loaʻa ai no ka hoʻoholo ʻana i ka lāʻau lapaʻau.
| ʻAno LCIS | Pehea kona ʻano ma lalo o ka microscope (i hoʻomaʻalahi ʻia) |
|---|---|
| LCIS Kuʻuna | ʻIke ʻia nā pūnaewele ʻano ʻē e uhi ana i nā kelepa mammary he liʻiliʻi ma mua o nā pūnaewele maʻamau. ʻO kēia ke ʻano maʻamau. |
| ʻO ka LCIS Pleomorphic | Maanei, ʻoi aku ka nui o nā pūnaewele ʻē ma mua o nā pūnaewele maʻamau a ʻokoʻa loa ko lākou helehelena. |
| ʻO Florid LCIS (Florid LCIS) | Ua ʻākoakoa nā pūnaewele ʻano ʻē e hana i puʻu. I kekahi manawa, ʻike ʻia kahi puʻu o nā pūnaewele make i waenakonu o ka puʻu. |
Aia kekahi mau hōʻailona o LCIS?
ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona kikoʻī o LCIS. ʻO ia hoʻi, ʻaʻole ʻoe e manaʻo he puʻupuʻu kou i loko o kou umauma, ʻaʻole ʻoe e ʻeha, a ʻaʻohe ou kahe mai ka umauma.
No laila pehea e ʻike ʻia ai? ʻO ka hapa nui o ka manawa, ʻike ʻia ia ma ke ʻano ulia. No ka laʻana, ʻike ʻia ʻo LCIS i ka wā o kahi biopsy i hana ʻia no kekahi kumu ʻē aʻe, malia paha ma muli o kahi loli i ʻike ʻia ma ka mammogram a i ʻole ma muli o kahi puʻupuʻu ʻē aʻe i ʻike ʻia ma ka umauma.
He aha nā pilikia e hiki ke loaʻa mai ka LCIS?
ʻO kēia ka mea e hopohopo nei i nā kānaka he nui. ʻAʻole nā kānaka a pau me LCIS e loaʻa i ka maʻi kanesa. E hoʻomanaʻo i kēlā. Eia nō naʻe, ua hōʻike nā haʻawina he hoʻokahi o ka ʻumi (10%) o ka poʻe me LCIS ka manawa e loaʻa ai ka maʻi kanesa umauma i ka wā e hiki mai ana, ʻoiai ke ʻano i kapa ʻia ʻo 'ductal carcinoma in situ (DCIS)' a i ʻole 'lobular breast cancer'.
He mea nui e kamaʻilio me kāu kauka e pili ana i kēia pilikia a nīnau maopopo iā lākou i kou pilikia, no ka mea, hiki ke ʻokoʻa kēia pilikia ma muli o nā mea e like me ke ʻano o LCIS āu a me kou mōʻaukala ʻohana o ka maʻi ʻaʻai.
He aha ka lāʻau lapaʻau no LCIS?
ʻO ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai, aia wale nō ia ma ke ʻano o ka LCIS āu e loaʻa nei. ʻAʻole like ka mālama ʻia ʻana o nā kānaka a pau.
1. Nānā Hana
Inā loaʻa iā ʻoe ka 'Classic LCIS', e paipai pinepine kāu kauka i kēia ʻano hana. Pili kēia i ka nānā pono ʻana i kou kūlana me ka ʻole o ka hāʻawi ʻana iā ʻoe i kekahi lāʻau lapaʻau a ʻoki kino paha.
- E hoʻokolokolo i ka umauma e kāu kauka i kēlā me kēia 6 mahina .
- ʻO ka hana ʻana i ka mammogram i kēlā me kēia makahiki .
- Hiki ke ʻōlelo ʻia kekahi mau hoʻokolohua ʻē aʻe, e like me ka MRI scan umauma.
2. Lapaʻau Pale
ʻO ka pahuhopu o kēia mau lāʻau lapaʻau, ʻo ia ke pale aku i kēlā mau ʻāpana ʻē aʻe mai ka lilo ʻana i maʻi kanesa. Hoʻohana lākou i nā lāʻau lapaʻau e kōkua ai i ka hōʻemi ʻana i ka pilikia o ka maʻi kanesa.
- No kēia, hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau e like me `Selective Estrogen Receptor Modulators (SERM)` a i ʻole `Aromatase Inhibitors`. Kōkua kēia i ka hōʻemi ʻana i ka pilikia o nā maʻi ʻaʻai estrogen-sensitive (ER-positive). E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī hou aku.
3. ʻoki kino
Hoʻoikaika pinepine ʻia ke ʻoki ʻana no ka poʻe me nā ʻano 'Pleomorphic' a i ʻole 'Florid' o LCIS, no ka mea, ʻoi aku ka nui o ka pilikia o kēlā mau ʻano i ka loaʻa ʻana o ka maʻi kanesa.
- Lumpectomy: ʻO ke ʻoki ʻana i ka wahi me nā ʻāpana ʻē aʻe a me kahi liʻiliʻi o nā ʻiʻo olakino a puni.
- ʻO ka Mastectomy Bilateral Prophylactic: He ʻoki nui iki kēia. Ma kēia, wehe ʻia nā umauma ʻelua. Eia nō naʻe, ua ʻōlelo ʻia i nā hihia pilikia nui loa. No ka laʻana, inā ua loaʻa i kahi lālā o ka ʻohana pili, e like me kou makuahine, kaikuahine, a kaikamahine paha, ka maʻi ʻaʻai umauma, hiki i kāu kauka ke kūkākūkā i kēia koho me ʻoe.
He aha kā mākou e hana ai e hōʻemi i ka pilikia o LCIS?
ʻOiai ʻaʻohe ala kikoʻī e pale aku ai i ka LCIS, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma.
- E kāohi i kou kaumaha: ʻO ka momona nui kahi kumu nui o ka maʻi ʻaʻai umauma. No laila e hoʻāʻo e mālama i ke kaumaha olakino.
- Hoʻoikaika kino mau: ʻOi aku ka maikaʻi e hana ma ka liʻiliʻi he 150 mau minuke i ka pule (e.g. 30 mau minuke i ka lā, 5 mau lā o ka pule) o ka hoʻoikaika kino ikaika waena e like me ka hele wāwae a i ʻole ke kaʻa paikikala.
- E kaupalena i ka inu ʻana i ka waiʻona: Ua hōʻike ʻia e ka noiʻi kahi pilina ma waena o ka waiʻona a me ke kanesa o ka umauma. No laila, he mea nui e hoʻōki loa a i ʻole e kaupalena nui i ka inu ʻana i ka waiʻona.
- E makaʻala i nā lāʻau lapaʻau āu e lawe nei: Inā ʻoe e lawe ana i ka lāʻau lapaʻau hormone a i ʻole kekahi ʻano pila hoʻomalu hānau, e kamaʻilio me kāu kauka e pili ana i ka pilikia o kēia mau mea me LCIS. Manaʻo paha lākou e hoʻololi i kahi lāʻau lapaʻau ʻē aʻe.
Pehea e mālama ai iaʻu iho i koʻu noho ʻana me LCIS?
Ke ʻike ʻoe he LCIS kou, makaʻu ʻoe, akā pono nō hoʻi ʻoe e mālama pono i kou kino.
- Nānā ponoʻī ʻana i kou umauma: E nānā i kou mau umauma i kēlā me kēia mahina. Inā ʻike ʻoe i kekahi mea hou, e like me ka puʻupuʻu, ka loli ʻana o ka ʻili, a i ʻole ka puʻupuʻu, e ʻike koke i kāu kauka.
- E makaʻala i nā loli: E nīnau i kāu kauka e pili ana i nā hōʻailona hiki ke lilo ʻo LCIS i ka maʻi kanesa.
- Mai poina i nā keʻena lapaʻau:E hōʻoia e hele i nā manawa hoʻokolokolo a pau a kāu kauka e hāʻawi ai iā ʻoe. E kōkua kēia mau hoʻokolohua iā ʻoe e ʻike koke i nā loli.
He mea maʻamau ka makaʻu i ka wā e loaʻa ai iā ʻoe kahi hōʻailona o LCIS. Akā, ʻaʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, pono ʻoe e mālama iki i kou olakino. Me ka ʻike kūpono a me ke ʻano hana like me kāu kauka, hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli me kēia maʻi.
Leka Lawe-Home
- ʻAʻole ʻo LCIS (Lobular Carcinoma ma Situ) he maʻi ʻaʻai umauma, akā he kūlana ia e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana.
- ʻAʻohe hōʻailona o kēia maʻi a ʻike pinepine ʻia i ka wā o kahi biopsy i hana ʻia no kekahi kumu ʻē aʻe.
- Aia ka lāʻau lapaʻau i ke ʻano o ka LCIS āu e loaʻa ai. No kekahi poʻe, ua lawa ka nānā wale ʻana, aʻo kekahi poʻe e pono paha i ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana.
- E kamaʻilio ākea me kāu kauka a e hoʻomaopopo i kāu mau pilikia a me nā koho lapaʻau. Mai makaʻu a e hana i nā hoʻoholo naʻauao.
- ʻO ke ʻano ola olakino (mālama i ke kaumaha olakino, hoʻoikaika kino, hoʻēmi i ka waiʻona) e kōkua i ka hōʻemi ʻana i ka pilikia o ka maʻi ʻaʻai umauma.
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