Ma ke ʻano he wahine, he mea nui loa ka mālama ʻana i ke olakino o kou umauma . Akā i kekahi manawa ke lohe ʻoe i kahi huaʻōlelo e like me ' mammogram ', manaʻo iki ʻoe i ka makaʻu a me ka hopohopo, ʻeā? Manaʻo ʻoe i nā ʻano mea like ʻole, e like me ka ʻeha, ka mea e hana ʻia, a me ka mea e hōʻike ʻia ma ka hōʻike. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mammogram ma ke ʻano maʻalahi loa, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha, i maopopo ai kāu mau nīnau a pau.
I ka ʻōlelo maʻalahi, he aha ka mammogram?
He hoʻāʻo X-ray kūikawā ka mammogram e hoʻohana ana i kahi haʻahaʻa loa o ka radiation (low-dose X-ray ) e nānā i nā ʻiʻo i loko o kou mau umauma. He ʻokoʻa loa kēia mai kahi X-ray i lawe ʻia o ko kākou mau iwi . Hoʻohana nā kauka iā ia no ʻelua mau kumu nui.
1. Mammogram Nānā (hoʻāʻo ma mua o ka hōʻailona): Hana ʻia kēia e ʻimi i nā hōʻailona mua o ke kanesa o ka umauma ma mua o ka ʻike ʻia ʻana o kekahi mau hōʻailona (e like me ka puʻupuʻu a i ʻole ka ʻeha). Ua like ia me ka hoʻoponopono ʻana i kahi kaʻa ma mua o ka hiki ʻana mai o kahi pilikia. ʻO ka pahuhopu ma ʻaneʻi, ʻo ia ka ʻike mua ʻana.
2. Diagnostic Mammogram (hoʻāʻo i hana ʻia ke kū mai kahi hōʻailona): Inā loaʻa iā ʻoe kekahi mau hōʻailona e like me kahi puʻupuʻu hou i kou umauma, ʻeha, kahe ʻana o ka nipple, a i ʻole nā loli ʻili, hana ʻia kēia hoʻāʻo e ʻike pono i ke kumu.
E hoʻomanaʻo, ma hope o ke kanesa ʻili , ʻo ke kanesa umauma ke ʻano maʻamau o ke kanesa i nā wahine. Akā ʻo ka nūhou maikaʻi, inā ʻike mua ʻia ke kanesa umauma, ʻo ka nui o ke ola ʻana he 5 makahiki e like me 99% . No laila, ʻo kēia hoʻāʻo mammogram kekahi o nā mea kaua ikaika loa i loaʻa iā mākou e kūʻē i ke kanesa umauma.
Aia kekahi mau ʻano mammogram like ʻole?
ʻAe, ʻelua ʻano nui o nā mammograms.
- ʻO ka Mammogram Kikohoʻe 2D: Lawe kēia i nā kiʻi o kekahi o kou mau umauma mai nā kihi ʻelua (mai luna a lalo a mai ʻaoʻao a i ʻaoʻao). ʻO kēia ke ʻano kuʻuna.
- ʻO ka Mammogram Kikohoʻe 3D (Tomosynthesis Umauma Kikohoʻe):He ʻano hana hou a holomua iki kēia. Maanei, ua kaomi ʻia ka umauma i hoʻokahi manawa, a neʻe ka mīkini i loko o kahi ʻāʻī, e lawe ana i kekahi mau kiʻi X-ray. A laila, hoʻohui kahi kamepiula i kēia mau kiʻi, e hana ana i kahi kiʻi ʻekolu-dimensional (3D), me he mea lā e ʻoki ana i nā ʻāpana lahilahi o ka umauma. ʻAe kēia i ke kauka e ʻike i ka mea i loko o ka ʻiʻo umauma me ka maopopo a me ka hohonu.
Hiki i ka mammogram ke haʻi 100% inā he maʻi kanesa?
ʻO kēia kahi e hana hewa ai ka poʻe he nui. ʻAʻole. ʻAʻole hiki i ka mammogram ke hōʻoia i ke alo o ka maʻi kanesa.
E noʻonoʻo i kahi kaʻa e kū ʻia ana e nā mākaʻi ma ke alanui no ke kānalua. ʻAʻole hiki iā ʻoe ke hoʻōki wale a ʻōlelo he hewa kekahi mea me ia. Pono ʻoe e nānā pono. Pēlā nō ka mammogram. Hoʻomaopopo wale ia inā he mea kānalua i loko o ka umauma.
No ka hōʻoia ʻana inā he maʻi kanesa ka wahi i ʻike ʻia a i ʻole, hiki i ke kauka ke ʻōlelo aku i nā hoʻokolohua hou aʻe, e like me ka ultrasound umauma a i ʻole ka biopsy umauma , ʻo ia hoʻi ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka wahi kānalua. Ma hope wale nō o ka biopsy hiki ke hoʻoholo pono ʻia inā he maʻi kanesa a i ʻole.
ʻO wai ka mea e pono ke hana i ka mammogram? ʻEhia pinepine?
Ma keʻano laulā, e like me nā ʻōlelo aʻoaʻo o ka honua, ua ʻōlelo ʻia e hana nā wāhine a pau i kahi mammogram ma ka liʻiliʻi i kēlā me kēia ʻelua makahiki, e hoʻomaka ana i ka makahiki 40 a hiki i ka makahiki 75 .
Eia naʻe, ʻaʻole kēia he lula maʻamau no nā mea āpau. Inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma, hiki i kāu kauka ke ʻōlelo aku e hana ʻoe i kēia hoʻāʻo ma mua o 40 mau makahiki a kokoke paha i ia (e.g. i kēlā me kēia makahiki).
ʻO wai ka mea e piʻi aʻe ai ka pilikia o ka maʻi ʻaʻai umauma?
Inā pili kekahi o kēia mau mea iā ʻoe, he mea nui e kamaʻilio me kāu kauka a hoʻomohala i kahi papa hana mammogram kūpono iā ʻoe.
- Inā ua loaʻa iā ʻoe ka maʻi ʻaʻai umauma ma mua.
- Inā ua loaʻa i kou ʻohana pili (makuahine, kaikuahine, kaikamahine) ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian .
- Inā ua ʻike ʻia ʻoe me nā hoʻololi genetic e hoʻonui ai i kou pilikia o ka maʻi ʻaʻai umauma, e like me BRCA1 a me BRCA2 .
- Inā loaʻa iā ʻoe kekahi mau maʻi umauma ʻaʻole i loaʻa i ka maʻi kanesa, e like me ka atypical ductal hyperplasia , e hoʻonui ana i kou pilikia i ka wā e hiki mai ana.
- Inā he mau umauma mānoanoa kou (e haʻi ʻia kēia ma kāu hōʻike mammogram).
ʻOiai he mea kakaikahi loa, aia kekahi mau manawa i nā kāne i loaʻa i ka pilikia kiʻekiʻe ma muli o ka mōʻaukala ʻohana o ka maʻi kanesa e pono ai e hana i nā mammograms.
Pehea ʻoe e hoʻomākaukau ai no ka mammogram?
Pono e hoʻomākaukau ʻoe ma mua a ma ka lā o kēia hoʻokolohua. E wehewehe kākou penei.
| Pehea e hoʻomākaukau ai | Wehewehena |
|---|---|
| I ka wā e wehe ai i ka lā | Mai hoʻokomo i ka hāmeʻa i hoʻokahi pule ma mua a i ʻole i ka wā o kou wā. ʻO kēia no ka mea hiki i kou mau umauma ke ʻoi aku ka maʻalahi i kēia mau manawa, e hoʻolilo ana i ka hoʻāʻo ʻana i mea paʻakikī. ʻOi aku ka maikaʻi o ka hoʻokomo ʻana i ka hāmeʻa ma kahi o hoʻokahi pule ma hope o ka pau ʻana o kou wā. |
| Nā leka hoʻomaopopo kūikawā | Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e haʻi i kāu kauka i ka wā e hoʻopaʻa ai ʻoe i kāu manawa. Eia kekahi, e haʻi i kāu kauka inā he mau implants umauma kāu a i ʻole ua loaʻa iā ʻoe kahi lāʻau pale i hala koke nei. |
| I ka lā o ka hoʻāʻo | Mai hoʻopili i ka deodorant, ka mea ʻala, ka lotion, a i ʻole ka pauka kino ma kou mau ʻāʻī. Hiki i kekahi o nā ʻāpana i loko o kēia mau mea ke ʻike ʻia ma ke ʻano he mau ʻila ma nā kiʻi X-ray, hiki ke hoʻopilikia i ka pololei o ka hōʻike. |
| Nā lole | ʻOiai pono ʻoe e hōʻike loa i kou kino o luna mai ka pūhaka a i lalo, ʻoi aku ka maʻalahi o ke komo ʻana i kahi lole ʻelua ʻāpana, e like me ka lole wāwae a i ʻole ka pālule me kahi blouse, ma kahi o kahi lole hoʻokahi ʻāpana e like me ke kapa komo. |
He aha ka mea e hana maoli ana i ka wā o ka mammogram?
ʻAʻole paʻakikī kēia kaʻina hana e like me kou manaʻo. ʻO ka maʻamau, he 15-20 mau minuke ka lōʻihi.
1. ʻO ka mea mua, e noi ʻia ʻoe e wehe i nā lole a me nā mea hoʻonani a pau ma luna o ka pūhaka. Akā, e hāʻawi ʻia iā ʻoe kahi ʻaʻahu e wehe ana i mua.
2. A laila e lawe ʻia ʻoe i ka mīkini mammogram. E kōkua aku ke loea iā ʻoe.
3. Pono ʻoe e kau i kekahi o kou mau umauma ma luna o kahi pā kūikawā i loko o ka mīkini.
4. A laila, hoʻohana ʻia kekahi hoe plastik ʻē aʻe e ʻomi mālie i kou umauma. He mea nui kēia ʻomi no ka mea e ʻae ai i ka ʻiʻo umauma e pālahalaha like a hana i kahi kiʻi X-ray maopopo me ka ʻole o ka blurring. Hoʻemi pū ia i ka nui o ka radiation.
5. E lawe ʻia ke kiʻi X-ray i loko o kekahi mau kekona ma hope o ke kaomi ʻana i kēia i lalo.
6. A laila e hana like no ka umauma ʻē aʻe.
7. A pau ka hana, hiki iā ʻoe ke hoʻi i kou mau lole a hoʻomau i kāu hana e like me ka maʻamau i kēlā lā hoʻokahi.
ʻO ka nīnau a nā mea a pau e nīnau nei: He ʻeha anei ka mammogram?
He mea kēia a ka poʻe he nui e makaʻu nei. ʻO ka ʻoiaʻiʻo, ʻokoʻa ia mai kēlā kanaka a kēia kanaka. Manaʻo kekahi poʻe i kahi ʻoluʻolu ʻole, kahi manaʻo paʻa . Hiki i kekahi ke ʻike he ʻeha iki .
Akā ʻo ka mea maikaʻi loa, he mau kekona wale nō kēia ʻeha. Hoʻokuʻu ka mīkini i ke kaomi ke lawe ʻia ke kiʻi. Inā ʻoe e ʻeha hiki ʻole ke hoʻomanawanui, e haʻi koke i ke loea.
ʻO ka ʻoluʻolu ʻole āu e manaʻo ai e pili ana paha i nā kumu e like me:
- Ka nui a me ka mānoanoa o kou mau umauma.
- ʻO ke kahua hea ʻoe o kou pōʻaiapuni menstrual?
- Ka ʻike a me ke akamai o ka ʻenehana.
- Loaʻa iā ʻoe ka hiki ke hoʻomaha a mālama i ke kūlana kūpono.
He aha ka mea i loko o ka hōʻike?
ʻO ka maʻamau, hiki mai kāu hōʻike mammogram i loko o kekahi mau lā. I kekahi manawa hiki ke lōʻihi iki. Hoʻohana ʻia kahi ʻōnaehana maʻamau e hoʻokaʻawale i nā hopena o kēia hōʻike. Ua kapa ʻia ʻo ia ʻo ka Breast Imaging Reporting and Data System (BI-RADS) .
| Helu BI-RADS | Manaʻo maʻalahi |
|---|---|
| 0 | ʻAʻole lawa ka ʻike. Pono nā hoʻokolohua hou aʻe (e like me ke ultrasound). |
| 1 | Maikaʻi ʻole. ʻAʻohe mea ʻē. E hana i ka hoʻāʻo aʻe e like me ka maʻamau. |
| 2 | Aia kekahi mea ʻaʻole maʻi kanesa (benign) . (Laʻana: he puʻupuʻu) akā ʻaʻole ia he maʻi kanesa. |
| 3 | ʻAʻole paha he maʻi ʻaʻai ia, akā pono ʻoe e nānā hou ʻia i loko o 6 mau mahina. |
| 4 | Kānalua. He wahi liʻiliʻi ka manawa kūpono o ka maʻi kanesa. Pono kahi biopsy. |
| 5 | Kānalua loa. Nui ka manawa kūpono o ka maʻi kanesa. Pono maoli kahi biopsy. |
| 6 | ʻO kekahi kanaka i hōʻoia mua ʻia he maʻi kanesa ma o kahi biopsy. |
Mai hopohopo inā loaʻa iā ʻoe kahi hōʻike "kūpono ʻole". ʻAʻole ia he manaʻo he maʻi kanesa kou. ʻO ia hoʻi, aia kekahi mea kānalua a pono e noiʻi hou ʻia. E wehewehe kāu kauka i ka mea e hana ai ma hope.
He aha inā he mau implants umauma koʻu?
Inā he mau implants umauma kāu, ʻaʻole ia he pilikia no ka mammogram. Eia nō naʻe, pono ʻoe e hoʻomaopopo i ka loea nāna e hana i ka hoʻokolohua a me ka wā e hana ai i kāu manawa.
Ma muli o ka paʻakikī o nā implants ke ʻike i nā ʻiʻo umauma āpau i ka manawa hoʻokahi, me ka helu maʻamau o nā kiʻi, ua lawe ʻia kekahi mau kiʻi kūikawā (nā hiʻohiʻona implant displacement (ID)) . Maanei, ua hoʻihoʻi mālie ʻia ka implant i hope, e lawe mai ana i nā ʻiʻo umauma i mua, a ua lawe ʻia nā kiʻi. No laila, ʻaʻohe kumu e makaʻu ai.
Leka Lawe-Home
- ʻO nā mammograms ka hoʻāʻo maikaʻi loa a koʻikoʻi loa no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma. Mai makaʻu iā lākou.
- He hoʻāʻo kēia e lawe wale ʻia i kekahi mau minuke a he mea ʻoluʻolu ʻole paha, akā hiki iā ia ke kōkua i ka hoʻopakele ʻana i kou ola i ka wā lōʻihi.
- E kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi mammogram ma hope o 40 mau makahiki. Inā he mau kumu pilikia kou, pono paha ʻoe e hoʻomaka ma mua.
- Mai hopohopo inā loaʻa iā ʻoe kahi hōʻike "kūpono ʻole". ʻAʻole ia he manaʻo he maʻi kanesa kou, akā ʻo ia hoʻi he pono ʻoe e hana i nā hoʻāʻo hou aku.
- Inā ʻike ʻoe i kekahi mau loli, puʻupuʻu, a ʻeha paha i kou mau umauma, e ʻike koke i ke kauka, me ka kali ʻole no kāu mammogram aʻe.
Mammogram, maʻi ʻaʻai umauma, X-ray, olakino wahine, nānā ʻana i ka maʻi ʻaʻai
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