Loaʻa iā ʻoe kekahi mau loli e like me kēia ma kou mau nipples? E aʻo kākou e pili ana i ka maʻi ʻo Paget o ka umauma!

Ua ʻike anei ʻoe i kahi loli liʻiliʻi, kahi ʻānai, a i ʻole kekahi mea e like me ka ʻulaʻula ma kou nipple? He maʻi ʻili maʻamau paha ia, akā inā he kānalua iki kou, he mea nui e hoʻolohe iā ia. No ka mea, he mea kakaikahi, hiki i kēia mau hōʻailona ke lilo i hōʻailona mua o ka maʻi ʻaʻai umauma. ʻO ia kekahi o kēlā mau maʻi kakaikahi, akā he mea nui loa a mākou e kamaʻilio ai i kēia lā.

He aha ka maʻi o Paget o ka umauma?

I ka ʻōlelo maʻalahi, ʻo ka maʻi ʻo Paget o ka umauma he ʻano maʻi ʻaʻai laha ʻole ia e ulu ana i loko o ka ʻili o kou nipple . I kekahi manawa hiki iā ia ke hoʻopilikia i ka ʻili ʻeleʻele a puni ka nipple, i kapa ʻia ʻo ka areola .

E noʻonoʻo, hiki ke kaupalena ʻia kēia i kekahi manawa i ka nipple, ma ke ʻano he kahua mua o ka maʻi ʻaʻai umauma (kahua 0 o ka maʻi ʻaʻai umauma) , i kapa ʻia ʻo 'ductal carcinoma in situ' (DCIS) . A i ʻole, hiki ke hele pū me kahi 'invasive breast cancer' koʻikoʻi e pālahalaha ana i nā ducts waiū ma ka umauma hoʻokahi. Ua kapa ʻia hoʻi kēia ʻo ka maʻi mammary Paget .

ʻO kēia no ka mea ua like ka ʻili ma ka nipple me ka 'eczema' , no laila manaʻo ka poʻe he nui he ʻulaʻula maʻamau wale nō. Hiki i nā hōʻailona ke komo pū me ka maneʻo, ka ʻili ʻana o ka ʻili, ka ʻulaʻula, i kekahi manawa he ʻeha ke ʻano, a me ka kahe ʻana mai ka nipple . Akā e hoʻomanaʻo, ʻaʻole nā ​​​​mea a pau i loaʻa i kēia mau hōʻailona i loaʻa i ka maʻi Paget. Eia nō naʻe, inā loaʻa iā ʻoe kēia ʻano, ʻo ia paha nā hōʻailona mua o ka maʻi ʻaʻai umauma .

ʻO wai ka mea hiki ke hoʻomohala i kēia?

ʻO ka maʻi ʻo Paget o ka umauma ka mea nui e hoʻopilikia i nā wahine . Eia nō naʻe, he kakaikahi loa ka loaʻa ʻana o ia ma nā kāne. ʻO ka awelika o ka makahiki o ka maʻi ma kahi o 57 mau makahiki . Eia nō naʻe, ua loaʻa i nā poʻe ʻōpio a ʻoi aku ka nui ma mua o kēlā. ʻO ka maʻi ʻo Paget no ka liʻiliʻi ma mua o 4% o nā maʻi ʻaʻai umauma āpau. No laila, e like me kāu e noʻonoʻo ai, he ʻano kakaikahi kēia.

Pehea ka wikiwiki/koʻikoʻi o ka laha ʻana o kēia maʻi?

Aia maoli nō ia i ka loaʻa ʻana o ka ductal carcinoma ma lalo, a inā pēlā, i ke kahua hea ia. No ka laʻana, inā loaʻa iā ʻoe ka maʻi kanesa ma loko o kou mau ducts waiū wale nō a ʻaʻole i laha i nā ʻiʻo umauma a puni, kapa mākou iā ia he ductal carcinoma in situ (DCIS) . Ua manaʻo ʻia kēia he kahua 0. Hoʻomaʻamaʻa pinepine ʻia kēia ʻano maʻi kanesa me ke ʻoki ʻana e wehe i ka puʻupuʻu a me ka nipple , a ukali ʻia e ka radiation therapy.

Eia nō naʻe, inā pālahalaha kēia 'ductal carcinoma' ma ʻō aku o nā ducts waiū, ua kapa ʻia ia ʻo 'infiltrating ductal carcinoma'.A i ʻole 'invasive ductal carcinoma' . E ʻoi aku ka ʻino o kēia maʻi kanesa i nā pae . I nā pae mua, hiki ke mālama ʻia ma ka wehe ʻana i ka ʻiʻo umauma i hoʻopilikia ʻia a me nā 'axillary lymph nodes ' ma ka armpit. Eia nō naʻe, i ka wā e pālahalaha ai kēia 'invasive breast cancer' ma ʻō aku o ka umauma, ʻo ia hoʻi, i nā pae hope , lilo ia i mea ʻoi aku ka ikaika a paʻakikī ke mālama.

He aha nā hōʻailona?

ʻIke pinepine ʻia kēia mau hōʻailona ma kou nipple a/a i ʻole ka ʻili ʻeleʻele a puni ia (areola) . ʻO ka hapa nui, hoʻokahi wale nō umauma i hoʻopilikia ʻia, akā he mea kākaʻikahi loa, hiki ke hoʻopilikia ʻia nā mea ʻelua. I ka wā mua, me he mea lā e hele mai a hele aku kēia mau hōʻailona, ​​​​akā hiki iā lākou ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Hiki i nā hōʻailona ke komo pū me:

• Ka maneʻo o ka nipple , kahi e hiki ai ke alakaʻi i ka mumū ma hope.
• ʻIli maloʻo, ʻili ʻana o ka ʻili (ma luna a puni paha o ka nipple).
• Hiki ke ʻike ʻia kahi ʻulaʻula o ka ʻili . Hiki ke ʻulaʻula, piʻi aʻe, ʻāwili, ʻeha, a kahe paha ke koko .
• Ka mumū a me ka ʻeha .
• E like me ka pulu ʻana o ka eczema, e hana ʻia kahi ʻili a puka mai kahi wai .
• Ke koko a wai paha e like me ka pus e puka mai ana mai loko mai o ka nipple .
• Nipple pālahalaha a i hoʻohuli ʻia paha .
• He puʻupuʻu umauma i ʻike ʻia ma lalo o ka ʻili.

Mea nui: Mai hopohopo inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona. Eia nō naʻe, inā hoʻomau a ʻoi aku paha ka ʻino, pono ʻoe e ʻimi i ke kōkua lapaʻau.

He aha nā kumu? No ke aha e hana ʻia ai kēia?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kānaka ʻepekema ke kumu o ka maʻi kanesa . Akā, ke hana mau ʻia nei nā noiʻi hou e ʻike ai. ʻO ka mea a mākou e ʻike ai, ʻo kekahi o nā pūnaewele i loko o ko mākou kino e loli ana i nā loli maʻamau , e alakaʻi ana i ka mahele ʻole ʻia a me ka hana hou ʻana . Hōʻike nā noiʻi o kēia manawa e hoʻomaka paha kēia mau loli pūnaewele i loko o kā mākou DNA (genetic code) . Akā, ʻaʻole mākou i ʻike pono i ke kumu o kēia mau loli, a i ka manawa hea.

Ua ʻike nā kānaka ʻepekema aia kekahi mau "kumu pilikia" e kōkua i ka ulu ʻana o ke kanesa. Manaʻo lākou he kuleana ko kēia mau mea i ka ulu ʻana o ka maʻi. No ka laʻana, inā ʻike ʻia ʻoe i nā mea ʻawahia o ke kaiapuni , a inā ʻoe e puhipaka a inu waiʻona pinepine, ʻoi aku ka nui o kou loaʻa ʻana i ka maʻi. Eia naʻe, he mea kupanaha, 85% o nā maʻi kanesa o ka umauma e loaʻa i nā poʻe i ʻike ʻole ʻia nā kumu pilikia .

Pehea e ʻike pono ʻia ai kēia maʻi?

Ke ʻike ʻoe i ke kauka, e hoʻāʻo mua paha ʻo ia e mālama i kou kūlana me ka lāʻau like me ka eczema . Inā ʻaʻole holo pono kēlā, a inā kānalua ʻo ia i ka maʻi ʻo Paget o ka umauma, pono paha ʻo ia e lawe i kahi hāpana o ka ʻiʻo umauma a nānā iā ia ma lalo o kahi microscope. Hiki ke ʻike maʻalahi ʻia nā cell Paget ma kēia ʻano. E hana paha ʻo ia i kahi biopsy punch . Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi a poepoe o ka ʻiʻo me ka hoʻohana ʻana i kahi mea ʻoki poepoe (e like me ka punch hole).

Ma hope o kou ʻike ʻia ʻana me ka maʻi ʻo Paget o ka umauma, e makemake ana kāu kauka e ʻike inā he ductal carcinoma kou in situ a, inā pēlā, pehea ka mamao o kona laha ʻana . No ka hana ʻana i kēia, e nānā mua ʻo ia i kou ʻiʻo umauma me nā hoʻokolohua kiʻi . No ka laʻana , hiki ke hana ʻia kahi mammogram a i ʻole ka ultrasound umauma . Inā loaʻa kahi wahi kānalua, hiki iā ia ke paipai i kahi biopsy nila e lawe i kahi laʻana o ka ʻiʻo umauma.

Pehea e mālama ʻia ai?

ʻO nā lāʻau lapaʻau e komo pū me ke ʻoki kino a me kekahi manawa nā lāʻau lapaʻau maʻi kanesa hou aʻe .

ʻoki kino

Pono e wehe ʻia kekahi maʻi ʻaʻai i loko o kou umauma ma ke ʻoki ʻana. Eia nō naʻe, ʻo ka nui o nā ʻiʻo e wehe ʻia e pili ana i kou kūlana. Inā loaʻa iā ʻoe ka maʻi Paget o ka umauma wale nō, a ʻaʻohe puʻupuʻu ʻē aʻe, hiki ke loaʻa iā ʻoe kahi ʻoki liʻiliʻi, mālama umauma . ʻO ke ʻano kēia e hoʻāʻo kāu kauka e wehe wale i nā ʻiʻo i hoʻopilikia ʻia. E wehe ʻo ia i kou nipple, ka ʻili ʻeleʻele a puni ia (areola), a me kahi liʻiliʻi o nā ʻiʻo maʻamau a puni ia .

Ma muli o ka mamao o ka laha ʻana o ke kanesa, hiki i kāu kauka lapaʻau ke ʻōlelo aku i kahi mastectomy (ʻoki e wehe i ka umauma holoʻokoʻa) . Inā makemake ʻoe, hiki iā ʻoe ke hana i ke ʻoki hana hou ʻana o ka umauma ma hope.

Lapaʻau Kōkua

Ma hope o ke ʻoki ʻana, e hāʻawi ʻia paha ʻoe i nā lāʻau lapaʻau hou aʻe e pale aku ai i ka hoʻi hou ʻana mai o ke kanesa. Hiki i kēia mau 'lāʻau lapaʻau adjuvant' ke komo pū me:

• Lapaʻau radiation: Hoʻohana ʻia nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa.
• Chemotherapy: Hoʻohana ʻia nā lāʻau lapaʻau e pepehi i nā hunaola kanesa a hoʻōki paha iā lākou mai ka ulu ʻana.
• `Lāʻau lapaʻau hormone`:Kōkua nā hormones i kekahi mau maʻi ʻaʻai umauma e ulu. Ke ālai nei kēia lāʻau i kēlā mau hormones.
• Immunotherapy: Kōkua i kāu ʻōnaehana pale ponoʻī e hakakā i ka maʻi kanesa.

Hiki ke ho'ōla loa ʻia kēia maʻi?

ʻO ke kūlana o ke ola ʻana mai ka maʻi ʻaʻai umauma e pili ana i ke kahua o ke kanesa i ka wā i ʻike ʻia ai . Inā loaʻa iā ʻoe ka maʻi Paget o ka nipple, aia wale nō i loko o ka umauma, a i ʻole ka ductal carcinoma in situ (kahua 0) , ʻaʻole i pālahalaha ma waho o nā ducts waiū, maikaʻi loa kāu prognosis . ʻO ka hapa nui o ka poʻe i ʻike ʻia a mālama ʻia i ka wā mua i kēia mau kūlana e hoʻōla piha . Eia nō naʻe, i ka wā i pālahalaha ai ka maʻi ʻaʻai umauma, lilo ia i mea paʻakikī ke lanakila.

ʻO ia ke kumu he mea nui loa ka makaʻala i ka loli iki loa a e ʻimi i ke aʻo lapaʻau.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau loli i kou mau umauma, inā he mau loli i ka ʻili a i ʻole nā ​​​​loli ma lalo o ka ʻili, e ʻike mau i ke kauka. ʻO ka hapa nui o ka manawa ʻaʻole paha he maʻi kanesa, akā ʻoi aku ka maikaʻi o ka nānā ʻana . Inā loaʻa iā ʻoe nā hōʻailona e like me ka eczema ma ka nipple a puni paha a i ʻole areola, a ua hoʻāʻo ʻoe e mālama iā ʻoe iho a ʻaʻole ia e kōkua , e hoʻonohonoho pono i kahi manawa e ʻike ai i ke kauka no ka hoʻāʻo hou aku.

Pehea ʻoe e mālama ai iā ʻoe iho inā loaʻa iā ʻoe kēia maʻi?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana nou iho, ʻo ia ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa . Akā, pono nō hoʻi ʻoe i ke kākoʻo . Ma ka liʻiliʻi loa , e ʻimi i kahi āu e hilinaʻi ai e kamaʻilio pū me, e hele i kāu mau manawa i hoʻonohonoho ʻia, a i ʻole e kōkua me nā hana o ka home.

E lawe mai i kahi papa inoa o nā nīnau e nīnau aku ai i ke kauka, a e mākaukau e kākau i lalo i ka mea i ʻōlelo ʻia, a i ʻole e noi i kekahi e kākau iā ia no ʻolua. Hiki iā ʻolua ke nānā hou iā ia ma hope.

He mea nui hoʻi e noho ikaika ka noʻonoʻo i nā manawa e like me kēia. E hana i nā mea e hōʻoluʻolu ai iā ʻoe, e kamaʻilio me ka ʻohana a me nā hoaaloha, a e ʻimi i ke aʻo ʻana inā pono.

Aia kekahi pilina ma waena o ka maʻi Paget o ka umauma a me nā maʻi 'Paget' ʻē aʻe?

He nīnau kēia a nā poʻe he nui e nīnau ai. ʻO Sir James Paget, he kauka lapaʻau Pelekane i ka hopena o ke kenekulia 19, ua hana ʻo ia i kekahi mau ʻike lapaʻau. Nui nā maʻi i kapa ʻia ma hope ona, akā ʻaʻole pili lākou a pau kekahi i kekahi .

Eia kekahi laʻana, ʻo ka maʻi iwi ʻo Paget's disease of the bone' he maʻi iwi ʻaʻole ia he maʻi kanesa. ʻAʻole ia e pili i ka maʻi umauma o Paget.

Akā,Aia kekahi maʻi kanesa laha ʻole i kapa ʻia ʻo 'extramammary Paget's disease' (EMPD), nona ke ʻano like.

ʻO ka maʻi Paget o ka umauma, ua ʻike ʻia ia e ke alo o nā hunaola kanesa ʻokoʻa i loko o ka ʻili o ka nipple hiki ke ʻike ʻia ma lalo o kahi microscope. Ua kapa ʻia lākou he mau hunaola Paget no ka mea ua wehewehe mua ʻo Paget iā lākou. Loaʻa pū kēia mau hunaola Paget i ka maʻi Extramammary Paget (EMPD). Loaʻa iā ia kahi ʻulaʻula like, akā ʻaʻole ma ka nipple, akā ma nā ʻōpū . ʻOiai ua like kēia mau maʻi ʻelua, he mau maʻi ʻokoʻa lākou . ʻAʻole lākou e hui pū.

Leka Lawe-Home

ʻAe, eia kekahi o nā mea nui a mākou i kamaʻilio ai i kēia lā e kōkua iā ʻoe e hoʻomanaʻo:

• ʻO ka maʻi ʻo Paget o ka umauma kahi maʻi kanesa mua o nā ala waiū ma ka nipple . I kekahi manawa hiki ke hele pū me ka maʻi kanesa o ka umauma holomua.
• E ʻike paha ʻoe i nā loli i loko o kou nipple, e like me kahi puʻupuʻu ʻōpala, ka ʻili ʻili, ke kahe ʻana o ka wai, a i ʻole kahi ʻeha e ho'ōla ʻole .
• ʻO ka wikiwiki o kou ʻike ʻana a me ka mālama ʻana i kēia, ʻoi aku ka maikaʻi o kāu hopena ho'ōla.
• Hoʻōla loa ka hapa nui o nā kānaka, akā pono paha ke ʻoki ʻana e wehe ai .
• Inā ʻike ʻoe i kekahi mau loli ʻē i kou mau umauma, ʻoi aku hoʻi kou mau nipples, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau me ka hoʻonele ʻole i ka manawa .

Ke lana nei ko mākou manaʻo ua hoʻomaopopo ʻia ʻoe e kēia ʻike. E noho olakino!

ʻO ke kanesa o ka umauma, ka maʻi o Paget, nā hōʻailona o ka nipple, ke olakino o ka umauma, ke olakino o nā wahine, ka ʻike ʻana i ke kanesa, ka mālama ʻana i ke kanesa