Nā mea e pono ai ʻoe e ʻike e pili ana i ke Kanesa ʻUma Luminal B!

Ua lohe paha ʻoe i nā mea he nui e pili ana i ke kanesa o ka umauma. Akā, ua ʻike anei ʻoe he nui nā ʻano kanesa o ka umauma? ʻĀ, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano kūikawā i kapa ʻia ʻo ke kanesa o ka umauma Luminal B. He mea paʻakikī paha kēia inoa, akā mai hopohopo. E kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo. No ka mea, ʻo ka ʻike ʻana i nā mea e like me kēia he mea nui loa ia no ʻoe a me kāu poʻe aloha.

He aha ʻo Luminal B? He aha kona mau hiʻohiʻona kūikawā?

I ka ʻōlelo maʻalahi, ʻo Luminal B kahi ʻano maʻi ʻaʻai umauma he hormone receptor-positive (HR+). ʻO kēia no ka mea ʻo kekahi mau protein (receptors) i loko o nā hunaola kanesa e hoʻopaʻa i ka hormone estrogen, e hoʻoulu ai i ka ulu ʻana o ke kanesa. ʻO ka huaʻōlelo "luminal" e pili ana i nā hunaola e hoʻopili ana i loko o nā ala waiū i loko o kou umauma. E noʻonoʻo e like me ke ʻano o loko o kahi paipu.

I kēia manawa, e nānā kākou i nā ʻano kūikawā ʻē aʻe o nā hunaola kanesa Luminal B. Ua like kēia me ke kāleka hōʻoia o kēia kanesa. E aʻo pono nā kauka i kēia mau ʻano e hoʻoholo ai i ka lāʻau lapaʻau kūpono loa iā ʻoe.

• ʻO ka mea loaʻa Estrogen maikaʻi (ER+): ʻO kēia ke ʻano koʻikoʻi loa. Loaʻa i nā pūnaewele kanesa Luminal B nā protein i kapa ʻia ʻo Estrogen Receptors (ER) hiki ke hoʻopaʻa i ka hormone Estrogen. ʻO ka Estrogen kahi hormone i hana maoli ʻia i loko o ke kino wahine. No laila, ke hoʻopaʻa kēia hormone i nā pūnaewele kanesa, loaʻa i ka kanesa ka hoʻoikaika e ulu. Ua like ia me ka hoʻoinu ʻana a me ka hānai ʻana i kahi mea kanu.
• Haʻahaʻa a maikaʻi ʻole paha no nā mea loaʻa Progesterone (PR- a i ʻole PR haʻahaʻa): Ke hoʻohālikelike ʻia me ke ʻano maʻi umauma Luminal A, he kakaikahi loa nā protein o nā pūnaewele Luminal B, a i ʻole kekahi manawa ʻaʻohe, e hoʻopaʻa ana i ka hormone wahine nui ʻē aʻe, ʻo ka progesterone.
• Ke kūlana HER2 (HER2-maikaʻi (HER2+) a i ʻole HER2-maikaʻi ʻole (HER2-)): He mea nui loa nō hoʻi kēia. ʻO HER2 ke kū nei no kahi protein i kapa ʻia ʻo 'Human Epidermal Growth Factor Receptor 2'. He mea kēia e kōkua maʻamau i ka ulu ʻana o nā cell. Eia nō naʻe, hana nui kekahi mau cell maʻi ʻaʻai umauma i kēia protein HER2, me ka ʻole o ke kāohi ʻia. I nā maʻi ʻaʻai Luminal B, hiki ke loaʻa kēia protein HER2 ma ke keu (HER2-maikaʻi / HER2+), a i ʻole hiki ke loaʻa ma nā pae maʻamau (HER2-maikaʻi ʻole / HER2-). ʻOkoʻa nā ʻano lapaʻau ma muli o kēia kūlana.
• Nā pae kiʻekiʻe o ka protein Ki-67 (Kiʻekiʻe i loko o Ki-67):He protein kūikawā ʻo Ki-67 i loaʻa wale i nā cell e māhele wikiwiki ana. ʻOi aku ka kiʻekiʻe o kēia protein i nā maʻi kanesa Luminal B. Kōkua kēia i nā kauka e hoʻomaopopo i ka wikiwiki o ka māhele ʻana o nā cell cancer, ʻo ia hoʻi ka wikiwiki o ka ulu ʻana o ke kanesa. ʻO ia ke kumu e ulu wikiwiki ai nā maʻi kanesa Luminal B ma mua o nā maʻi kanesa Luminal A.
• Kiʻekiʻe ke kūlana: ʻO ke kūlana o kahi maʻi kanesa, ʻo ia ke ʻano like a ʻokoʻa paha o nā hunaola kanesa mai nā hunaola olakino ke nānā ʻia ma lalo o kahi microscope. ʻO ke kūlana kiʻekiʻe, ʻo ia hoʻi, he ʻokoʻa loa nā hunaola kanesa mai nā hunaola olakino a e ulu koke a laha koke. ʻOi aku ke kūlana kiʻekiʻe o nā maʻi kanesa Luminal B ma mua o Luminal A. ʻO ke ʻano kēia, ʻoi aku ko lākou huhū, hiki ke ulu nui, a ʻoi aku ka nui o ka hiki ke hoʻi hou ma hope o ka mālama ʻana.

Hiki iā ʻoe ke ʻike, ʻo kēia mau leka, nā helu, a me nā pōkole (e like me ER, PR, HER2, Ki-67) e hoʻohui i ka nui o ka ʻike e pili ana i nā hunaola kanesa i loko o kou umauma. Ma ka nānā ʻana i kēia ʻike e hiki ai i nā kauka ke hoʻolālā i ka lāʻau lapaʻau pilikino nou a wānana i ke ʻano o nā hopena āu e manaʻo ai mai ka lāʻau lapaʻau.

Pehea ka maʻamau o ke kanesa umauma Luminal B?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Ehia ka poʻe i loaʻa i kēia maʻi?' ʻO ka ʻoiaʻiʻo, ma waena o 15% a me 20% o nā hihia maʻi ʻaʻai umauma i hōʻike ʻia ma ka honua holoʻokoʻa he kēia ʻano maʻi ʻaʻai. He emi iki kēia ma mua o ke ʻano maʻamau i kapa ʻia ʻo Luminal A. Akā, ʻaʻole liʻiliʻi kēia pakeneka, ʻeā? ʻO ia ke kumu he mea nui e makaʻala i kēia.

He aha nā hōʻailona o ka maʻi ʻaʻai umauma Luminal B?

I ka manawa pinepine, hiki i nā kauka ke ʻike iā ia ma mua o kou loaʻa ʻana o kekahi mau hōʻailona, ​​ma o nā nānā umauma maʻamau , e like me ka mammogram. ʻO ia ke kumu he mea nui e hana i kēia mau hoʻokolohua i kou mau makahiki. Akā i kekahi manawa e ʻike paha ʻoe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• He puʻu i loko o ka umauma: He puʻu paʻakikī kēia a like me ka laholio, ʻaʻole hiki ke neʻe maʻalahi.
• ʻEha umauma: E ʻeha paha ʻoe ma kekahi a i ʻole nā ​​umauma ʻelua.
• Hoʻokahe ʻana o ka nipple: Pono ʻoe e hopohopo inā loaʻa iā ʻoe ka hoʻokahe ʻana o ka nipple, ʻoiai inā ua hui pū ʻia me ke koko.
• Nā loli o ka ʻili: E ʻike paha ʻoe i ka ʻili ʻana o ka ʻili, ka mānoanoa, a i ʻole ke kala ʻana o ka ʻili o ka umauma.
• Ka pehu ʻana ma lalo o ka armpit: Hiki i nā lymph nodes ma ka ʻāpana armpit ke pehu.

Inā ʻike ʻia kahi hōʻailona e like me kēia,Mai hopohopo a e ʻike koke i ke kauka. ʻAʻole nā ​​puʻupuʻu āpau he maʻi kanesa, akā he mea naʻauao ke nānā ʻia.

He aha ke kumu o ka maʻi ʻaʻai umauma Luminal B?

ʻO ka ʻoiaʻiʻo, ulu ka maʻi ʻaʻai umauma Luminal B i ka wā e loli koke ai nā hunaola umauma olakino a hoʻomaka e ulu me ke kāohi ʻole ʻia. Akā, ʻaʻole maopopo i nā loea ke kumu o kēia. Hiki ke hana ʻia e ka hui pū ʻana o nā kumu.

E like me kā mākou i kūkākūkā ai ma mua, aia nā protein i loko o nā pūnaewele Luminal B e hoʻoulu ai i ka ulu ʻana o ke kanesa ke hoʻopaʻa lākou i ka hormone estrogen. No laila, inā kiʻekiʻe kou pae estrogen no ka manawa lōʻihi, hiki iā ia ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o kēia kanesa. Eia kekahi laʻana:

• Inā ua hoʻomaka mua kou wā ma mua o ka maʻamau, ʻo ia hoʻi, ma mua o 12 mau makahiki.
• A i ʻole inā ʻo ka menopause, ʻo ia hoʻi ka pau loa ʻana o ka menstruation, e hana ma hope o ka manawa maʻamau, ma hope o 55 mau makahiki.
• A i ʻole inā ua lōʻihi ʻoe e lawe ana i ka hormone replacement therapy (HRT) e kāohi i nā hōʻailona pili i ka menopause.

Ma waho aʻe o kēia mau mea, aia kekahi mau kumu ʻē aʻe e hiki ai ke hoʻonui i ka pilikia o ka maʻi ʻaʻai umauma luminal B:

• Moʻolelo ʻohana: Inā ua loaʻa i kou makuahine, kaikuahine, kaikamahine, a hoahānau paha ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian, ua ʻoi aku kou pilikia.
• Makahiki: Piʻi aʻe ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma ma hope o 50 mau makahiki.
• ʻIʻo umauma mānoanoa: Inā ʻike ʻia ka ʻiʻo umauma mānoanoa ma ka mammogram, he mea pilikia nō hoʻi kēlā.
• Nā ʻokoʻa hoʻoilina: Hiki i nā hoʻololi hoʻoilina i hoʻoilina ʻia i kekahi mau genes, e like me BRCA1 a me BRCA2, ke hoʻonui nui i ka pilikia o ka maʻi ʻaʻai umauma.
• ʻO ka radiation therapy i hala: Inā ua loaʻa mua iā ʻoe ka radiation therapy i ka umauma a i ʻole ka umauma no kekahi kumu ʻē aʻe.

ʻO ka loaʻa ʻana o kēia mau mea pilikia, ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi kanesa. Eia nō naʻe, he mea nui e makaʻala iā lākou.

Pehea e ʻike ʻia ai ke kanesa o ka umauma Luminal B?

E noʻonoʻo ʻoe he mau hōʻailona kou o ke kanesa o ka umauma, a i ʻole he mammogram e hōʻike ana i kahi mea kānalua. ʻO ka mea mua a ke kauka e hana ai, ʻo ia ka hana ʻana i kahi hoʻokolokolo kino. ʻO ia hoʻi, e nānā kino lākou i kou mau umauma e nānā i nā puʻupuʻu a i ʻole nā ​​​​loli ʻē aʻe.

A laila, no ka ʻike hou aku, kauoha pinepine lākou i nā hoʻokolohua kiʻi hou e like me kēia:

• ʻO ka mammogram diagnostic: ʻOi aku ka kikoʻī o kēia ma mua o ka mammogram maʻamau.
• ʻO ke nānā ʻana o ka ultrasound: Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he paʻa kahi puʻupuʻu a he cyst piha i ka wai paha.
• ʻO kahi scan MRI (Magnetic Resonance Imaging): Pono paha kēia i kekahi mau hihia kūikawā.

Ma hope o kēia mau hoʻokolohua, e lawe maoli ke kauka i kahi hāpana ʻiʻo umauma (biopsy umauma) a hoʻouna aku no ka hoʻāʻo ʻana. ʻO kēia wale nō ke ala e hōʻoia ai inā aia ka maʻi kanesa a ʻaʻole paha, a inā pēlā, he aha ke ʻano. ʻO ka biopsy e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi wahi kānalua a hoʻouna aku i kahi lab e nānā ʻia ma lalo o kahi microscope.

ʻO kahi pathologist, he kauka loea i ka nānā ʻana i nā ʻiʻo, e nānā i kāu hāpana ʻiʻo e ʻike inā he mau hunaola kanesa. Inā loaʻa nā hunaola kanesa, e hana lākou i nā hoʻokolohua receptor hormone (no ER, PR) a me nā hoʻokolohua HER2 e hoʻoholo ai i ke ʻano o ke kanesa. ʻO kēia mau hoʻokolohua, ʻo ka mea i hoʻohana pinepine ʻia he hoʻokolohua i kapa ʻia ʻo immunohistochemistry (IHC) . Hoʻohana kēia i nā dyes fluorescent a me nā enzymes e hōʻike i nā molekala kikoʻī ma nā hunaola kanesa. I kekahi manawa, nānā ʻia nā pae Ki-67 ma kēia ʻano.

Hiki i kēia mau hoʻokolohua ma kāu hāpana ʻiʻo ke kōkua i kāu hui lapaʻau e ʻike i nā lāʻau lapaʻau e kūpono loa iā ʻoe, a hāʻawi pū iā ʻoe i kahi manaʻo no ke ʻano o ka hoʻi hou ʻana mai o ke kanesa ma hope o ka mālama ʻana.

Pehea e hoʻohana ʻia ai ʻo Luminal B e mālama i ka maʻi ʻaʻai umauma?

Hiki ke ʻokoʻa ke ʻano o ka mālama ʻana no ka maʻi ʻaʻai umauma Luminal B mai kēlā kanaka a kēia kanaka. Aia ia i nā kumu he nui, me kou kūlana pilikino, ke kahua o ke kanesa, kou kūlana HER2 (HER2+ a i ʻole HER2-), kou pae Ki-67, a me kou olakino holoʻokoʻa. E noʻonoʻo kāu hui lapaʻau i kēia mau mea āpau e hana i ka hoʻolālā mālama maikaʻi loa nāu.

ʻO nā ʻano lapaʻau nui i hoʻohana ʻia:

• Hoʻōla hormone: ʻOiai ʻo Luminal B kahi maʻi kanesa e pili ana i ka hormone (HR+), ʻo ia ka lāʻau lapaʻau nui maʻamau. Hana kēia ma ke kāohi ʻana i ka hormone estrogen mai ka hiki ʻana aku i nā hunaola kanesa, a i ʻole ma ka hoʻēmi ʻana i ka pae o ka estrogen i loko o ke kino. Hoʻohana ʻia nā lāʻau lapaʻau e like me Tamoxifen a me Aromatase Inhibitors no kēia.
• ʻO ke ʻoki kino: Pili kēia i ka wehe ʻana i nā hunaola kanesa mai ka umauma.
• Lumpectomy: ʻO kēia ka wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni ia, e waiho ana i ka hapa nui o ka umauma.
• Mastectomy: ʻO kēia ka wehe ʻana i ka umauma holoʻokoʻa.

I ka wā o ke ʻoki ʻana, hiki ke wehe ʻia nā lymph nodes ma ka armpit e ʻike ai inā ua pālahalaha ke kanesa.

• Hoʻōla radiation:Ma hope o ke ʻoki ʻana, hāʻawi ʻia ka radiation therapy e pepehi i nā hunaola kanesa i koe ma ia wahi. Hāʻawi pinepine ʻia kēia, ʻoiai inā ua hana ʻia kahi lumpectomy.
• Lapaʻau i kuhikuhi ʻia: Kuhi kēia ʻano lapaʻau i nā molekala kikoʻī e kōkua i ka ulu ʻana o nā hunaola kanesa. No ka laʻana, inā he HER2-positive (HER2+) ka maʻi kanesa Luminal B, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kuhikuhi ana i ka protein HER2 (e.g. Trastuzumab). Hoʻoholo ʻia kēia mau mea e ke kahua o ke kanesa a me nā ʻano receptor ʻē aʻe.
• Kemoterapi: Hiki ke hāʻawi ʻia ka chemotherapy adjuvant e pepehi i nā hunaola kanesa i pepehi ʻole ʻia e nā lāʻau lapaʻau ʻē aʻe, a i ʻole e pale i ka laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino. ʻOi aku ka wikiwiki o ka ulu ʻana o nā kanesa Luminal B ma mua o Luminal A a ʻoi aku ka kiʻekiʻe o nā pae Ki-67, no laila ua ʻōlelo ʻia kēia no kekahi mau maʻi kiʻekiʻe. E haʻi aku kāu kauka iā ʻoe inā he koho maikaʻi kēia nāu.

E hoʻomanaʻo, ʻokoʻa paha ka lāʻau no kekahi me ka maʻi ʻaʻai Luminal B HER2-positive (HER2+) ma mua o ka lāʻau no kekahi me ka maʻi ʻaʻai Luminal B HER2-negative (HER2-). No laila he mea nui e ʻike i kēia mau ʻano āpau o kou maʻi ʻaʻai.

He aha ka wānana no ka poʻe me ka maʻi ʻaʻai umauma Luminal B?

ʻO ka wānana, a i ʻole ka manaʻolana o ke ola a me ka hoʻōla ʻana, o kekahi me ka maʻi ʻaʻai umauma Luminal B e pili ana i ka holomua o ka puʻupuʻu i ka wā i ʻike ʻia ai (ke kahua o ke kanesa). E like me nā maʻi kanesa āpau, ʻo ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou kūlana e ola ai.

Ma muli o ke kahua i ʻike ʻia ai, hiki ke ho'ōla ʻia ka maʻi ʻaʻai umauma Luminal B, ʻo ia hoʻi, hiki i ka maʻi ke hoʻomaha me ka mālama ʻana. Eia nō naʻe, hiki nō hoʻi ke hoʻi hou mai. ʻOi aku ka nui o ka hiki ke hoʻi hou mai ka maʻi ʻaʻai Luminal B ma mua o Luminal A.

ʻO ka pilikia o ka hoʻi hou ʻana o ke kanesa e pili ana i kekahi mau kumu, me ke kahua o ka maʻi, kona wikiwiki ulu, nā pae Ki-67, ke kūlana HER2, a me ka pane ʻana i ka lāʻau. No laila, ʻoiai inā ʻoe e hoʻomaha ana, e hoʻomau kāu kauka i ka nānā ʻana i kou olakino. He mea nui e loaʻa nā hahai mau . Hiki iā lākou ke paipai i nā lāʻau lapaʻau hou aʻe (e like me ka hormone therapy) ma hope o ke ʻoki ʻana a me ka radiation therapy e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.

Nā helu ola o ke kanesa umauma Luminal B

I kēia manawa, e kamaʻilio iki kākou e pili ana i kēia mau helu helu. Akā, he mau waiwai awelika wale nō kēia.Pono ʻoe e hoʻomanaʻo ʻaʻole kēia he mau kuhi pololei no ka lōʻihi o kou ola ʻana a i ʻole pehea ʻoe e pane ai i kahi lāʻau lapaʻau. Hoʻokumu ʻia lākou ma ka ʻikepili mai kahi hui nui o nā maʻi.

• ʻO ka nui o ke ola ʻana no ʻelima makahiki no ka poʻe me ka maʻi ʻaʻai umauma HR+/HER2+ (hormone receptor positive/human epidermal growth factor receptor 2 positive) ma kahi o 91.5% . ʻO ke ʻano kēia, mai kēlā me kēia 100 poʻe me kēia ʻano maʻi ʻaʻai, ma kahi o 91 e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana.
• ʻO kēia pakeneka o ka poʻe me ka HR+/HER2- (hormone receptor positive/human epidermal growth factor receptor 2 negative) ka maʻi ʻaʻai umauma ma kahi o 95.1% .

ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu kauka e hoʻomaopopo pono i ke ʻano o ka hopena o kēia mau helu iā ʻoe. Hiki iā ia ke wehewehe iā ʻoe ma ke ʻano kūpono no kou kūlana pilikino.

Pehea e hōʻemi ai ʻo Luminal B i ka pilikia o ka maʻi ʻaʻai umauma?

ʻAʻole hiki iā mākou ke hoʻololi i kekahi mau mea pilikia, e like me ka mōʻaukala ʻohana o ka maʻi. Eia nō naʻe, ʻo ka hana ʻana i kekahi mau hoʻololi nohona e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hoʻomohala ʻana i kekahi ʻano maʻi umauma, me ka luminal B:

• E pale i ka puhipaka: He mea pilikia ka puhipaka no nā maʻi kanesa he nui.
• Hoʻonui i ka hana kino: He mea maikaʻi loa ka hoʻoikaika kino no ka liʻiliʻi he 30 mau minuke i kekahi mau lā o ka pule.
• E kaupalena i ka inu ʻana i ka waiʻona: He mea nui e hōʻemi i ka inu ʻana i ka waiʻona.
• E mālama i ke kaumaha olakino: He mea nui loa ka mālama ʻana i ke kaumaha olakino no kou kiʻekiʻe, ʻoiai ma hope o ka menopause.
• ʻAi kaulike: E ʻai i ka ʻai momona i nā huaʻai, nā mea kanu, a me nā palaoa holoʻokoʻa.

Pehea wau e mālama ai iaʻu iho? He aha kaʻu e hana ai i ka wā e noho ana me ka maʻi kanesa?

Luminal B Hiki i ka noho ʻana me ka maʻi ʻaʻai umauma ke paʻakikī loa, ma ke kino a me ka noʻonoʻo. I kekahi mau lā e manaʻo maikaʻi paha ʻoe, a i ka lā aʻe e manaʻo paha ʻoe i ke kaumaha, ke kaumaha, ke kaumaha, a me ka makaʻu. He mea maʻamau kēlā. No laila, he mea nui e mālama pono iā ʻoe iho i kāu hōʻailona a me ka mālama ʻana.

Eia kekahi mau mea e hiki ke kōkua iā ʻoe:

• ʻAi maikaʻi: E ʻai i nā meaʻai momona. E hoʻokomo i nā huaʻai, nā mea kanu, nā protein lean, a me nā palaoa piha i kāu papaʻai. Inā nalowale kou makemake i ka wā o ka mālama ʻana, e nīnau i kāu kauka a i ʻole kekahi meaʻai meaʻai.
• E ʻimi i nā ala e hoʻokele ai i ke kaumaha:Hiki iā ʻoe ke hoʻomaha i kou manaʻo ma ka hana ʻana i nā mea e like me ka noʻonoʻo ʻana, yoga, nā hoʻomaʻamaʻa hanu, a me ke komo ʻana i kahi leʻaleʻa e lawe mai iā ʻoe i ka hauʻoli.
• E hoʻomaha nui: He mea nui loa ka lawa ʻana o ka hiamoe. Mai hana i ka lā a pau, e hoʻomaha iki ma waena.
• E hui pū me kahi kaiāulu kākoʻo: E nīnau i kāu kauka e pili ana i nā papahana ola maʻi kanesa a i ʻole nā ​​​​hui kākoʻo. Hiki i kēia mau hui ke kōkua iā ʻoe e hālāwai me nā poʻe e hele nei i nā mea like me ʻoe, e kaʻana like i nā manaʻo, a hoʻēmi i nā manaʻo o ka mehameha. Hiki i kou ʻohana a me kou mau hoaaloha ke lilo i kumu kākoʻo nui.

Āhea wau e ʻike ai i ke kauka?

I ka wā a ma hope o ka mālama ʻana, inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​e haʻi koke i kāu kauka. Eia kekahi, e haʻi i kāu kauka inā manaʻo ʻoe i kekahi ʻeha a nāwaliwali paha ma kekahi ʻāpana o kou kino. Mai poina i kāu mau manawa hoʻopaʻa.

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

Ke ʻike ʻoe he maʻi ʻaʻai umauma Luminal B kou, he mea maʻamau ka nui o nā nīnau ma kou manaʻo. Mai makaʻu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• He HER2-positive a he HER2-negative paha koʻu maʻi kanesa?
• He aha ke ʻano a me ke kahua o koʻu maʻi kanesa?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pehea e hana ai kēia lāʻau lapaʻau?
• ʻEhia mau manawa e pono ai iaʻu e ʻike i ke kauka ma hope o ka mālama ʻana (nā hahai ʻana)?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau? Pehea wau e hana ai me lākou?
• He aha kaʻu pakeneka Ki-67? He aha ke ʻano o ia mea?
• He aha kāu e haʻi mai ai iaʻu e pili ana i kaʻu wānana?

ʻO ka lohe ʻana i nā huaʻōlelo "he maʻi kanesa kou" hiki ke lilo i mea weliweli loa āu e lohe ai. He mea maʻamau ka nui o nā nīnau e holo ana i loko o kou manaʻo i kou hoʻomaʻamaʻa ʻana i kēia kūlana hou a me ka maopopo ʻole. Aia kāu hui lapaʻau ma laila e kōkua iā ʻoe. E hilinaʻi iā lākou. Me ke kanesa umauma Luminal B, hiki iā lākou ke hoʻopilikino i kāu hoʻolālā lapaʻau e pili ana i ka ʻike ma ka pae molekala o kāu mau cell. E kamaʻilio me kāu kauka e aʻo hou e pili ana i ka hopena o kāu mau hopena lab i kāu hoʻolālā lapaʻau. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi.

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

ʻO ke kanesa umauma Luminal B kahi ʻano kanesa umauma i pili i ka hormone a ulu wikiwiki. He estrogen receptor (ER) maikaʻi (+), hiki i ke kūlana HER2 ke maikaʻi (+) a maikaʻi ʻole paha (-), a kiʻekiʻe pinepine nā pae Ki-67.

• E makaʻala no nā hōʻailona:Inā ʻike ʻoe i kahi puʻupuʻu ma kou umauma, ʻeha, kahe mai kou nipple, a i ʻole nā ​​loli o ka ʻili, e ʻimi koke i ke kōkua lapaʻau.
• He mea nui ka ʻike pololei: ʻO ka biopsy a me nā hoʻokolohua pili wale nō ke ala e ʻike ai i ke ʻano kikoʻī o ka maʻi kanesa.
• Aia nā koho lapaʻau: ka lāʻau lapaʻau hormone, ke ʻoki kino, ka lāʻau lapaʻau radiation, ka lāʻau lapaʻau i hoʻolālā ʻia, a me ka chemotherapy. Na kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe.
• ʻO ka mālama mua ʻana e alakaʻi i nā hopena maikaʻi aʻe: ʻO ka ʻike mua ʻana a me ka mālama ʻana e hoʻonui i nā manawa e hoʻōla ai.
• ʻAʻole ʻoe hoʻokahi: Aia nā kauka, nā kahu maʻi, ka ʻohana, nā hoaaloha, a me kahi hui kākoʻo e kōkua iā ʻoe ma kēia huakaʻi.

Lana ko mākou manaʻo ua kōkua kēia ʻike iā ʻoe e hoʻomaopopo i kēia maʻi. E noho olakino!

ʻO ke kanesa umauma Luminal B, ke kanesa umauma, nā mea loaʻa hormone, estrogen, HER2, nā ʻano o ke kanesa, ka mālama ʻana i ke kanesa, ke olakino wahine