Ma ke ʻano he wahine, he mea nui loa ka mālama ʻana i ke olakino o kou umauma . Eia nō naʻe, ʻo ka huaʻōlelo ' mammogram ' hiki ke hoʻāla i kekahi manawa i ka hopohopo a i ʻole ke kānalua, ʻeā? He mea maʻamau ke noʻonoʻo inā e ʻeha ia, he aha ka mea e hana ʻia, a i ʻole nā mea e hōʻike ʻia e nā hopena. Ma muli o kēia, ma Nirogi Lanka, makemake mākou e kamaʻilio e pili ana i nā mea āpau e pono ai ʻoe e ʻike e pili ana i nā mammograms—maʻalahi a ākea, e like me nā hoaaloha e kamaʻilio ana—e hoʻomaha i kou manaʻo.
I ka ʻōlelo maʻalahi, he aha ka mammogram?
He hoʻokolohua X-ray kūikawā ka mammogram e hoʻohana ana i kahi mahele haʻahaʻa loa o ka radiation e nānā i nā ʻiʻo i loko o kou mau umauma. He ʻokoʻa loa kēia mai nā X-ray a mākou e hoʻohana ai no ko mākou mau iwi . Hoʻohana nui nā kauka i kēia mau mea no ʻelua mau kumu nui:
1. Nānā Mammogram: Hana ʻia kēia ma mua o kou ʻike ʻana i kekahi mau hōʻailona (e like me ka puʻupuʻu a i ʻole ka ʻeha) e ʻike i nā hōʻailona mua loa o ka maʻi ʻaʻai umauma. E noʻonoʻo e like me ka lawe ʻana i kāu kaʻa no kahi nānā lawelawe ma mua o ka hewa ʻana o kekahi mea. ʻO ka pahuhopu ka ʻike ʻana i nā pilikia i ka wā hikiwawe loa.
2. Mammogram Diagnostic: Inā ua loaʻa iā ʻoe nā hōʻailona hou—e like me kahi puʻupuʻu, ʻeha, kahe ʻana o ka nipple, a i ʻole nā loli ʻili—hoʻohana ʻia kēia hoʻāʻo e ʻike pono i ke kumu o lākou.
E hoʻomanaʻo, ma hope o ke kanesa ʻili , ʻo ke kanesa umauma kekahi o nā kanesa maʻamau i waena o nā wahine. Eia nō naʻe, ʻo ka nūhou maikaʻi loa, i ka wā e ʻike mua ʻia ai ke kanesa umauma, ʻo ka nui o ke ola ʻana he 5 makahiki he 99% . ʻO ia ke kumu he hoʻāʻo mammogram kekahi o nā mea hana ikaika loa a mākou i ke kaua ʻana i ke kanesa umauma.
Aia kekahi mau ʻano mammogram like ʻole?
ʻAe, ʻelua mau ʻano nui:
- ʻO ka Mammogram Kikohoʻe 2D: Ma kēia ʻano kuʻuna, lawe ʻia nā kiʻi o kou umauma mai nā kihi ʻelua (mai luna a lalo a me ka ʻaoʻao a i ka ʻaoʻao).
- ʻO ka Mammogram Kikohoʻe 3D (Digital Breast Tomosynthesis): He ʻano hana holomua kēia. Maanei, ua kaomi ʻia ka umauma i hoʻokahi manawa, a neʻe ka mīkini i loko o kahi ʻāʻī e hopu i nā kiʻi X-ray he nui. A laila hōʻuluʻulu kahi kamepiula i kēia mau mea i loko o kahi kiʻi 3D, e like me ka nānā ʻana i nā ʻāpana o ka ʻiʻo umauma. ʻAe kēia i ke kauka e ʻike i nā ʻano o loko o ka umauma me ka maopopo a me ka hohonu.
Hiki i ka mammogram ke hōʻoia i ka maʻi kanesa 100%?
ʻO kēia kahi e huikau ai nā kānaka he nui. ʻAʻole, ʻaʻole hiki i ka mammogram ke hōʻoia maopopo he maʻi kanesa kou.
E noʻonoʻo e like me kahi mākaʻi e huki ana i kahi kaʻa no kahi nānā. ʻOiai ua huki ʻia, ʻaʻole ia he manaʻo ua hana hewa ka mea hoʻokele; pono e noiʻi pono ʻia. Hana like ka mammogram. Hoʻomaopopo wale ia inā he wahi kānalua e pono ai ke nānā pono ʻia .
No ka hōʻoia ʻana inā he maʻi kanesa kahi wahi kānalua, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aʻe, e like me ka Ultrasound o ka umauma a i ʻole ka Biopsy o ka umauma., kahi e lawe ʻia ai kahi hāpana liʻiliʻi o ka ʻiʻo no ka hoʻokolokolo ʻana. ʻO ka biopsy wale nō ke ala e hōʻoia ai a kāpae paha i ka maʻi kanesa me ka maopopo.
ʻO wai ka mea e pono ke hana i ka mammogram, a pehea ka pinepine?
Ma keʻano laulā, kuhikuhi nā kulekele honua e hoʻomaka nā wahine a pau i ka mammogram i kēlā me kēia ʻelua makahiki mai ka makahiki 40 a hiki i ka makahiki 75.
Eia nō naʻe, ʻaʻole kēia he kānāwai hoʻokahi no nā mea āpau. Inā ʻoi aku kou pilikia no ka maʻi ʻaʻai umauma, hiki i kāu kauka ke ʻōlelo e hoʻomaka ma mua o 40 a i ʻole e hana pinepine iā lākou (e laʻa, i kēlā me kēia makahiki).
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka maʻi ʻaʻai umauma?
Inā pili kekahi o kēia mau mea iā ʻoe, he mea nui e kamaʻilio me kāu kauka e hana i kahi papa hana mammogram kūpono iā ʻoe:
- He moʻolelo ma mua kou no ka maʻi ʻaʻai umauma .
- He moʻolelo ʻohana ikaika kou (makuahine, kaikuahine, kaikamahine) o ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian .
- Ua hōʻoia ʻia ua lawe ʻoe i nā hoʻololi ʻana o ka gene BRCA1 a i ʻole BRCA2 , ka mea e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma.
- Loaʻa iā ʻoe kekahi mau kūlana umauma ʻaʻole maʻi kanesa, e like me ka atypical ductal hyperplasia , e hoʻonui ai i ka pilikia i ka wā e hiki mai ana.
- He mau umauma mānoanoa kou (e haʻi ʻia kēia ma kāu hōʻike mammogram).
I nā manawa kakaikahi loa, pono paha i nā kāne me ka mōʻaukala ʻohana pilikia kiʻekiʻe ke hana i nā mammograms.
Pehea ʻoe e hoʻomākaukau ai no ka mammogram?
Aia kekahi mau hoʻomākaukau maʻalahi e pono ai ʻoe e hana ma mua a ma ka lā o kāu hoʻokolokolo. E wehewehe kākou i kēlā mau mea.
| Pehea e hoʻomākaukau ai | Nā kikoʻī |
|---|---|
| Ke Hoʻonohonoho ʻana i kāu Hoʻonohonoho | E ho'āʻo e pale i ka hoʻonohonoho ʻana i kāu hoʻokolohua i ka pule ma mua a i ʻole i ka wā o kou wā. Hiki i kou mau umauma ke ʻoi aku ka maʻalahi i kēia manawa, kahi e hiki ai ke hoʻoluhi i ka hoʻokolohua. ʻO ka manawa maikaʻi loa ma kahi o hoʻokahi pule ma hope o ka pau ʻana o kou wā. |
| Nā Hoʻolaha Koʻikoʻi | E ʻoluʻolu e hoʻomaopopo i kā mākou limahana i ka wā e hoʻopaʻa ai inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. Eia kekahi, e hōʻoia e haʻi aku inā he mau implants umauma kāu a i ʻole ua loaʻa iā ʻoe kahi lāʻau pale i hala koke nei. |
| Ma ka lā o ka hoʻokolohua | Mai hoʻopili i ka deodorant, ka mea ʻala, ka lotion, a i ʻole ka pauka kino ma kou mau lima a i ʻole ka umauma. Loaʻa i kēia mau huahana nā ʻāpana e hiki ke ʻike ʻia ma ke ʻano he mau kiko ma nā kiʻi X-ray a hiki ke hoʻopilikia i ka pololei o kāu hōʻike. |
| Nā lole | No ka mea pono ʻoe e wehe i kou mau lole mai ka pūhaka a i luna, ʻoi aku ka maʻalahi o ke komo ʻana i kahi lole ʻelua ʻāpana (e like me ka blouse me nā lole komo a i ʻole ka pālule) ma mua o ke komo ʻana i kahi lole. |
He aha ka mea e hana ʻia i ka wā o ka mammogram?
He maʻalahi ke kaʻina hana a maʻamau he 15-20 mau minuke wale nō.
1. E noi ʻia ʻoe e wehe i nā mea hoʻonani a me nā lole mai ka pūhaka a i luna a e hāʻawi ʻia iā ʻoe kahi ʻaʻahu e wehe ana ma ke alo.
2. E alakaʻi kekahi loea iā ʻoe i ka mīkini mammogram a kōkua iā ʻoe me ke kau ʻana.
3. E kau ʻia kou umauma ma luna o kahi kahua kūikawā.
4. A laila e ʻomi mālie kahi hoe palaki i kou umauma. He mea nui kēia ʻomi ʻana , no ka mea, e hohola ana i nā ʻiʻo e hōʻoia i nā kiʻi maopopo a kiʻekiʻe hoʻi a hoʻemi i ka nui o ka radiation e pono ai.
5. Lawe ʻia ke kiʻi X-ray ʻoiai e kaomi pōkole ʻia kou umauma no kekahi mau kekona.
6. A laila hana hou ʻia ke kaʻina hana no kēlā ʻaoʻao.
7. Ke pau, hiki iā ʻoe ke ʻaʻahu a hoʻomau koke i kāu mau hana maʻamau o kēlā me kēia lā.
Nā Hopohopo Maʻamau: He ʻeha anei ka mammogram?
Nui ka poʻe e hopohopo nei no kēia. ʻO ka ʻoiaʻiʻo, ʻokoʻa ia mai kēlā kanaka a kēia kanaka. Hiki i kekahi ke manaʻo i kahi ʻoluʻolu ʻole a i ʻole ke kaomi , aʻo kekahi e ʻike paha he ʻeha iki ia.
Eia nō naʻe, he mau kekona wale nō ka ʻoluʻolu ʻole. Ke hopu ʻia ke kiʻi, hoʻokuʻu ʻia ke kaomi. Inā manaʻo ʻia ka ʻoluʻolu ʻole e hiki ʻole ke hoʻomanawanui, e ʻoluʻolu e ʻōlelo a haʻi koke aku i ka mea loea.
Hiki i kou ʻike ke hilinaʻi i nā kumu e like me:
- Ka nui a me ka mānoanoa o kou umauma.
- ʻO ka manawa o kou pōʻaiapuni menstrual.
- ʻO ka ʻike a me ke akamai o ka mea loea.
- ʻO kou hiki ke hoʻomaha a mālama i ke kūlana e pono ai.
Ke Hoʻomaopopo nei i kāu Hōʻike
E loaʻa pinepine ana kāu mau hopena mammogram i loko o kekahi mau lā. Hoʻokaʻawale ʻia nā hopena me ka hoʻohana ʻana i kahi ʻōnaehana maʻamau i ʻike ʻia ʻo ka Breast Imaging Reporting and Data System (BI-RADS) .
| Helu BI-RADS | Manaʻo i hoʻomaʻalahi ʻia |
|---|---|
| 0 | ʻIke piha ʻole. Pono ke kiʻi ʻana aku (e laʻa, Ultrasound). |
| 1 | Maikaʻi ʻole. ʻAʻohe mea ʻē i ʻike ʻia. E hoʻomau me ka nānā maʻamau. |
| 2 | Maikaʻi. ʻAʻole maʻi ʻaʻai nā mea i ʻike ʻia. |
| 3 | ʻOiai he maʻi ʻole ia, ua ʻōlelo ʻia e hana hou i kahi hoʻokolokolo ma hope o 6 mau mahina. |
| 4 | Kānalua. He haʻahaʻa ka hiki ke loaʻa ka maʻi ʻino. Paipai ʻia kahi biopsy. |
| 5 | Kānalua loa. He kiʻekiʻe ka likelika o ka maʻi ʻino. Pono ka biopsy. |
| 6 | ʻIke ʻia ka maʻi ʻino i hōʻoia ʻia e ka biopsy. |
Mai hopohopo inā loaʻa iā ʻoe kahi hopena "ʻAno ʻē". ʻAʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, aia kahi ʻike e pono ai ka noiʻi hou aku. E wehewehe pono kāu kauka i nā hana e hiki mai ana.
He aha inā he mau implants umauma koʻu?
ʻAʻole pale ka loaʻa ʻana o nā implants umauma iā ʻoe mai ka loaʻa ʻana o kahi mammogram. Eia nō naʻe, pono ʻoe e hoʻomaopopo iā mākou i ka wā e hoʻopaʻa ai i kāu manawa a hoʻomaopopo i ka ʻenehana ma mua o ka hoʻomaka ʻana o ke scan.
No ka mea hiki i nā implants umauma ke uhi i nā ʻiʻo ma lalo i kekahi manawa, e lawe mākou i kekahi mau hiʻohiʻona kūikawā hou i ʻike ʻia ʻo nā hiʻohiʻona implant displacement (ID) ma mua o nā kiʻi maʻamau. I loko o kēia kaʻina hana, ua hoʻoneʻe mālie ʻia ka implant i hope e lawe mai i ka ʻiʻo umauma maoli i mua no kahi kiʻi maopopo. ʻAʻohe pono e hopohopo e pili ana i kēia ʻanuʻu hou.
Nā Manaʻo Koʻikoʻi no Kou Ola Kino
- ʻO ka mammogram ke kūlana gula a me ka mea hana koʻikoʻi loa no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma. E ʻoluʻolu, mai hopohopo i ke kaʻina hana.
- ʻOiai paha e loaʻa iā ʻoe kahi ʻoluʻolu ʻole pōkole a iki, he mau minuke wale nō kēia kaʻina hana a he hoʻopukapuka ola ia i kou olakino lōʻihi.
- Inā he 40 ou mau makahiki a ʻoi paha, e kūkākūkā i nā mammogram maʻamau me kāu kauka. Inā he mau kumu pilikia kūikawā kāu, pono paha ʻoe e hoʻomaka i ka nānā ʻana ma mua koke.
- Inā loaʻa iā ʻoe kahi hopena "ʻano ʻē", mai hoʻāʻo e hopohopo. ʻAʻole kēia manaʻo he maʻi kanesa kou; ʻo ia hoʻi, pono ka noiʻi hou aʻe a i ʻole ke kiʻi ʻana.
- Inā ʻike ʻoe i kekahi mau loli, nā puʻupuʻu, a i ʻole ka ʻeha mau i loko o kou mau umauma, mai kali no kāu mammogram i hoʻonohonoho ʻia aʻe—e kelepona koke aku i kāu mea mālama ola.
Mammogram, Mammogram, Ka maʻi ʻaʻai umauma, Ka maʻi ʻaʻai umauma, X-ray, Ola kino wahine, olakino wahine, Nānā ʻana i ke kanesa, nānā ʻana, Nirogi Lanka
