Ua ʻike anei ʻoe i kekahi manawa he ʻano ʻokoʻa iki ke ʻano o ka ʻili ma kou mau umauma, e like me ka ʻili ʻalani me nā lua liʻiliʻi a me kahi ʻano ʻinoʻino? I ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'Peau D'Orange' (peau-d'orange). Ma ka ʻōlelo Palani, ʻo ia hoʻi "ʻili ʻalani". ʻO ka mea nui loa, ʻaʻole kēia he maʻi. Eia naʻe, hiki ke lilo i hōʻailona o kekahi maʻi ʻē aʻe i loko o ke kino. No laila, he mea nui loa ka makaʻala i kēia a ʻaʻole e makaʻu iā ia.
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He aha maoli ke kumu o kēia ʻili ʻalani (Peau D'Orange)?
I ka ʻōlelo maʻalahi, ʻo ke kumu nui o kēia, ʻo ia ka pehu ʻana i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai ma lalo o ka ʻili. Kāhea pū nā kauka i kēia he '(Edema)'. E noʻonoʻo, i ka wā e hōʻiliʻili ai ka wai ma lalo o ka ʻili, hoʻomaka ka papa luna o ka ʻili (kapa mākou he 'epidermis') e kīkoʻo e hana i kahi. Akā, ʻo nā pores i loko o ko mākou ʻili e ʻae ai i ka hou e puka aku ua paʻa ʻia e ka ʻili, e like me nā pihi ma kahi uluna. ʻO ia ka manawa e like ai ka ʻili o ka ʻili me nā dimples liʻiliʻi a i ʻole nā puʻupuʻu .
Hiki i kēia ʻano ke hele pū me ka ʻeha, ke kaumaha, a me ka pehu ʻana i ka umauma. I kekahi manawa, hiki ke manaʻo ʻia he ʻoʻoleʻa a mānoanoa, e like me ka ʻili, ke hoʻopā ʻia.
He maʻi kanesa mau anei kēia? Pono anei au e hopohopo?
ʻAʻole. ʻO kēia ka mea mua e hoʻomaopopo ai. Nui nā kumu e hiki ai i nā ʻiʻo umauma ke pehu, ʻulaʻula, paʻakikī, a ʻeha paha. No ka laʻana, hiki ke hana i ka wā hāpai, hānai waiū, i ka wā o ke kaʻina hana menstrual, a i ʻole ma muli o nā pilikia ʻili maʻamau. Eia nō naʻe, ʻo ke ʻano kikoʻī i kapa ʻia ʻo 'Peau D'Orange', ʻo ia hoʻi, ke ʻano dimpled o ka ʻili ʻalani, e hana ʻia i ka wā e hōʻiliʻili ai ka wai (edema) ma lalo.
Eia nō naʻe, ʻo ke kumu koʻikoʻi loa e hopohopo nui ai mākou ʻo ia kahi maʻi i kapa ʻia ʻo Inflammatory Breast Cancer (IBC) .
He ʻano maʻi kanesa kakaikahi loa kēia akā laha wikiwiki loa, no laila he mea nui loa ka makaʻala i ia mea.
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Check Availability →E makaʻala e pili ana i ka Inflammatory Breast Cancer (IBC)
ʻOiai ʻo kēia ʻano maʻi kanesa he hapa liʻiliʻi loa ia (ʻaʻole ma mua o 5%) o nā maʻi kanesa umauma āpau i ʻike ʻia ma Sri Lanka, ʻo kona ʻano e pono ai ka mālama koke ʻana .
I ka IBC, ālai nā hunaola kanesa i nā kīʻaha lymph i loko o ka ʻili o ka umauma. Pale kēia i ke kahe pono ʻana o ke wai lymphatic mai nā lymph nodes ma lalo o ka armpit a i ʻole ma luna o ka iwi collarbone, e hōʻiliʻili ai i loko o ka umauma. ʻO kēia hōʻiliʻili wai ke kumu o ke ʻano 'peau d'orange'.
E makaʻala no kēia mau hōʻailona, ka mea e ʻike koke ʻia ma hoʻokahi umauma wale nō.
| Nā Hōʻailona ʻē aʻe o IBC |
|---|
| * ʻEha, mae, a me ka maneʻo. |
| * Ka hoʻonui ʻana o ka umauma a i ʻole ke kaumaha. |
| * Manaʻo mehana i loko o ka umauma. |
| * Ka pehu maopopo. |
| * ʻUlaʻula ma luna o hoʻokahi hapakolu o ka umauma. |
| * Nā nipples palahalaha a hoʻohuli ʻia paha. |
Hoʻoholo ʻia nā koho lapaʻau no IBC e ke kauka ma muli o ke kūlana o ka mea maʻi. Hiki iā lākou ke komo pū me:
- Kemoterapia
- ʻO ke ʻoki kino - Pono pinepine e wehe ʻia ka umauma holoʻokoʻa.
- Hoʻōla radiation
- Hoʻōla i kuhikuhi ʻia
- Hoʻōla lāʻau hormone
He aha nā kumu ʻē aʻe ma waho aʻe o ke kanesa?
E like me kā mākou i kūkākūkā mua ai, ʻo ke kumu nui o ka ʻike ʻia ʻana o ka Peau D'Orange ʻo ia ka hōʻiliʻili ʻana o ka wai ma lalo o ka ʻili (Edema). Hiki ke loaʻa kēia ʻano Edema no nā kumu he nui, ʻaʻole wale ka maʻi kanesa.
ʻO kahi laʻana he kūlana i kapa ʻia ʻo Lymphedema . ʻO kēia ka wā e kahe pono ʻole ai ka wai lymph a hōʻiliʻili ma kahi hoʻokahi. Hiki ke hana ʻia kēia kūlana ma hope o ka mālama ʻana i ka maʻi ʻaʻai umauma (ʻoki kino, radiation therapy). Hiki nō hoʻi ke hana ʻia no nā kumu ʻē aʻe.
| ʻO nā kūlana ʻē aʻe ʻaʻole hiki ke hoʻoulu i ke ʻano o Peau D'Orange |
|---|
| * Ka pale ʻana a i ʻole ka maʻi ʻana o nā ala waiū (Mastitis) |
| * Nā maʻi pili pili (e like me 'Scleroderma', 'Sarcoidosis') |
| * Nā maʻi umauma ʻē aʻe (Maʻi) |
| * Ka hāʻule ʻana o ka puʻuwai |
| * Maʻi thyroid |
| * Nā hopena i kekahi mau lāʻau hoʻomaha ʻeha a i ʻole nā lāʻau lapaʻau koko |
| * Ka hopena alerika |
| * Nā ʻūpā koko |
| * Hāpai keiki |
| * Nā puʻupuʻu ʻē aʻe ʻaʻole maʻi kanesa (Tumors) koe wale nō ʻo IBC |
Inā kū mai ka edema ma muli o ke kumu e like me kēia, ma waho aʻe o ka pehu ʻana, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka mae ʻole, ka paʻa o ka ʻili, a me ka mānoanoa o ka ʻili . I ia hihia, e hoʻāʻo mua kāu kauka e mālama i ke kumu kumu.
Eia kekahi, hiki ke kuhikuhi ʻia nā loli ʻana i ka ʻai , ka hoʻoikaika kino , ka pohō kaumaha , a inā pono , nā diuretics a i ʻole nā huaʻai wai .
He aha kāu e hana ai inā ʻike ʻia kahi hōʻailona e like me kēia?
ʻO kēia ka ʻāpana koʻikoʻi loa. Inā ʻike ʻoe i ka lua, ka pehu ʻana, ka ʻulaʻula, ka ʻeha, a i ʻole kekahi mau loli ʻē aʻe i ka ʻili o kou umauma, mai hopohopo. Akā, mai hoʻowahāwahā pū kekahi.
ʻO ka mea mua a me ka mea nui loa āu e hana ai, ʻo ia ke ʻike koke i kāu kauka a hoʻāʻo ʻia.
Ma mua o ka ʻimi ʻana i ka ʻike ma ka pūnaewele a me ka makaʻu, ʻo ka hopena maikaʻi loa ka ʻike ʻana i ke kauka kūpono. E nānā kāu kauka iā ʻoe a, inā pono, e kuhikuhi iā ʻoe no nā hoʻokolohua e like me ka ultrasound scan, mammogram, a i ʻole biopsy e ʻike pono ai i ke kumu. E hoʻomanaʻo, ʻo ka ʻike mua ʻana e hoʻonui i nā manawa kūpono o ka mālama ʻana no kekahi kūlana.
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- ʻAʻole he maʻi ka ʻili ʻalani (Peau D'Orange), akā, he hōʻailona ia o kahi maʻi i loko o ke kino.
- ʻOiai ʻo ke kumu koʻikoʻi loa o kēia ʻo ia ka 'Inflammatory Breast Cancer (IBC),' aia kekahi mau kumu ʻē aʻe ʻaʻole kanesa, me nā maʻi, ka hāpai ʻana, a me nā mea hou aku.
- Inā ʻike ʻoe i kekahi mau loli i ka ʻili o kou umauma, e like me ka pehu ʻana, ka ʻulaʻula, a i ʻole ka ʻeha , mai hoʻokaʻulua a e ʻimi koke i ke kōkua lapaʻau.
- Ma mua o ka hopohopo a me ka ʻimi ʻana i ka ʻike ma ka pūnaewele, ʻoi aku ka naʻauao o ke kipa ʻana i ke kauka a ʻike i ke kumu pololei.
- ʻO ka ʻike mua ʻana e hoʻonui i nā manawa kūpono o ka mālama pono ʻana i kekahi kūlana.
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