ʻO ka hapa nui o ka manawa, ke ʻike mākou i kahi puʻupuʻu i loko o ko mākou umauma, makaʻu koke mākou, ʻeā? ʻO ka mea mua e hiki mai ana i ka noʻonoʻo, ʻo ia ka makaʻu o ka maʻi kanesa paha. Eia naʻe, ʻaʻole nā puʻupuʻu a pau e hana ʻia ana i loko o ka umauma he kanesa. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e hana ʻia ana i loko o ka umauma, he mea kakaikahi iki ia, akā he mea nui loa ia no mākou e makaʻala. ʻO kēia ka mea a mākou e kapa nei he Phyllodes Tumors.
He aha nā ʻōpū Phyllodes?
I ka ʻōlelo maʻalahi, he ʻano puʻupuʻu umauma kakaʻikahi ʻo Phyllodes Tumor. ʻAʻole ia ma mua o 1% o nā puʻupuʻu umauma āpau. No laila, ʻo ia wale nō ke hōʻike nei i kona kakaʻikahi. Hoʻomaka kēia mau puʻupuʻu i loko o nā ʻiʻo pili o ka umauma.
ʻO ke ʻano o ka huaʻōlelo Helene "phyllodes" ʻo ia hoʻi 'e like me ka lau.' Ua kapa ʻia kēia mau nodules pēlā no ka mea ke ʻano o ko lākou ulu ʻana e like me ke ʻano o ka lau.
Ua māhele ʻia kēia mau puʻupuʻu i ʻekolu mau ʻano nui.
| ʻAno Puʻupuʻu | He wehewehe maʻalahi |
|---|---|
| Maikaʻi (ʻaʻole maʻi kanesa) | ʻAʻole kēia he mau hunaola kanesa. ʻO ka hapa nui, ʻo ia hoʻi ke ʻano maʻamau, ʻo ia kēia ʻano. ʻAʻohe mea e hopohopo nui ai. |
| Palena | He kūlana waena kēia me ka hui pū ʻana o nā hiʻohiʻona maʻi ʻaʻai a me nā hiʻohiʻona ʻaʻole maʻi ʻaʻai. |
| ʻO ka maʻi ʻino (maʻi kanesa) | ʻO kēia nā ʻano i loaʻa nā pūpū kanesa, akā he hapa liʻiliʻi wale nō, ma kahi o 25%, o nā ʻōpū Phyllodes āpau e pili ana i kēia ʻano. |
Hiki i kēia mau ʻano puʻupuʻu āpau ke ulu. Akā ʻo ka nūhou maikaʻi, ʻaʻole lākou e laha pinepine i nā wahi ʻē aʻe o ke kino. ʻOiai inā e wehe ʻia lākou ma ke ʻoki ʻana, aia kahi manawa liʻiliʻi e ulu hou ai lākou.
He aha nā hōʻailona o kēia?
ʻO ka maʻamau, ʻo ka puʻupuʻu Phyllodes e like me kahi puʻupuʻu laumania a ʻeha ʻole i loko o ka umauma. Hiki iā ʻoe ke ʻike iā ia iho, a i ʻole e ʻike paha ke kauka i kou nānā ʻana.
ʻO ka mea ʻokoʻa loa e pili ana i kēia mau puʻupuʻu, hiki iā lākou ke ulu wikiwiki loa . E noʻonoʻo, hiki iā lākou ke ulu a hiki i kahi 3 kenimika (ʻoi aku ma mua o hoʻokahi ʻīniha) i loko o kekahi mau pule a i ʻole mau mahina. ʻOiai nā puʻupuʻu maikaʻi ʻole e ulu koke. I ka ulu ʻana o ka puʻupuʻu , hiki i kekahi manawa ke ʻike ʻia he pehu mai ka ʻili o ka ʻili, a i kekahi manawa hiki ke manaʻo ʻia e like me ka huki ʻana o ka ʻili. He mea kākaʻikahi loa, hiki ke hana ʻia kahi ʻōpū ma ka ʻili o ka ʻili.
Nā kumu a me nā kumu pilikia no nā Phyllodes Tumors
ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia mau puʻupuʻu. Eia nō naʻe, ua ʻike ʻia ʻo nā wahine me kahi maʻi genetic kakaʻikahi i kapa ʻia ʻo Li-Fraumeni syndrome ʻoi aku ka nui o ka loaʻa ʻana iā lākou. He mea kakaʻikahi loa lākou i nā kāne.
ʻOiai hiki i nā wāhine o kēlā me kēia makahiki ke loaʻa i kēia mau puʻupuʻu, ʻike pinepine ʻia lākou i nā wāhine i ko lākou mau makahiki he 40.
ʻO ka mea nui, inā loaʻa iā ʻoe kahi puʻupuʻu Phyllodes ʻaʻole maʻi kanesa (benign), ʻaʻole ia e hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana.
Pehea ʻoe e ʻike pono ai inā he Phyllodes Tumor kēia?
Aia kekahi mau hoʻokolohua e hiki ke hana ʻia e hōʻoia inā he puʻupuʻu kēia ʻano i loko o kou umauma. E kuhikuhi aku kāu kauka iā ʻoe no kēia mau hoʻokolohua.
| Hoʻāʻo | He aha ka hopena o kēlā? |
|---|---|
| Mammogram | E hāʻawi kēia i kahi kiʻi maopopo o ka puʻupuʻu. ʻO ka maʻamau, he poepoe a he ʻōvalo paha ka ʻano o ka puʻupuʻu Phyllodes me nā palena maopopo. |
| ʻO ke kiʻi ʻana o ka ultrasound | Mālama kēia iā ʻoe e ʻike maopopo i ke ʻano, nā palena, a me ke ʻano o loko o ka puʻupuʻu. |
| ʻO ka Biopsy nila koʻikoʻi | Maanei, hoʻokomo ke kauka i kahi nila liʻiliʻi i loko o ka puʻupuʻu, lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo, a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. |
| Biopsy Excisional (wehe ʻana i ka puʻupuʻu) | ʻO kēia ke ʻano hana paʻa loa. Pono ka nui o ka poʻe e hana i kēia e hōʻoia i ka hōʻailona. Maanei, hana lākou i ke ʻoki kino e wehe i ka puʻupuʻu holoʻokoʻa a nānā iā ia. A laila hiki iā mākou ke ʻōlelo 100% me ka maopopo inā he malignant, benign, a borderline paha. |
He aha nā lāʻau lapaʻau no kēia?
Me ka nānā ʻole i ke ʻano o ka puʻupuʻu Phyllodes, ʻoiai inā ʻaʻole ia he maʻi kanesa (benign), pono e wehe ʻia ma ke ʻoki ʻana. He mea nui loa kēia. Inā he maʻi kanesa (malignant) ka puʻupuʻu, pono paha kahi lāʻau hou aʻe.
ʻoki kino
ʻO ka mea nuiAia kekahi mau ʻano hana ʻoki kino .
- ʻO ke ʻoki ʻoki ākea: Ma kēia, wehe ʻia ka puʻupuʻu me kahi liʻiliʻi o ka ʻiʻo umauma olakino a puni. Hana ʻia kēia e pale i ka ulu hou ʻana o ka puʻupuʻu ma kahi like.
- Lumpectomy: He lumpectomy nō hoʻi kēia. Maanei, wehe ʻia ka puʻupuʻu me kahi o 1 kenimika o nā ʻiʻo olakino a puni. Ma hope o ke ʻoki ʻana, nānā kahi loea (pathologist) i ka ʻiʻo i wehe ʻia ma lalo o kahi microscope. Hiki i kēia ke hōʻoia inā ua wehe loa ʻia ka puʻupuʻu.
- Mastectomy: Hana ʻia kēia ʻoki kino inā nui loa ka puʻupuʻu, maʻi ʻaʻai (malignant), a inā liʻiliʻi loa ka umauma e hiki ke wehe maʻalahi ʻia me ka lumpectomy. Maanei, wehe ʻia kekahi hapa a i ʻole ka umauma holoʻokoʻa. Inā pono, hiki ke hana ʻia ke ʻoki kino hou ʻana o ka umauma i ka manawa like a ma hope paha.
ʻO ka nūhou maikaʻi, ʻaʻole laha pinepine nā ʻōpū Phyllodes i nā lymph nodes ma ka armpit, no laila ʻaʻole pono e wehe ʻia.
Ka radiation a i ʻole chemotherapy
Inā loaʻa iā ʻoe kahi puʻupuʻu Phyllodes ʻino a ʻaʻole i pālahalaha ma waho o ka umauma, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy. I nā hihia kakaikahi kahi i pālahalaha ai ka puʻupuʻu ma waho o ka umauma, hiki ke hāʻawi ʻia ka chemotherapy.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? (Hope up)
Ma muli o ka hiki i kēia mau puʻupuʻu ke hana hou, he mea nui loa ka mālama pono ʻana i ke olakino ma hope o ke ʻoki ʻana.
- I loko o 4-6 mau mahina ma hope o ke ʻoki ʻana, pono ʻoe e ʻike i kāu kauka no ka hoʻokolokolo umauma, kahi mammogram, a me kahi scan ultrasound. Hiki i kāu kauka ke ʻōlelo aku i kahi MRI .
- He mea nui e hana i nā mammograms a/a i ʻole nā ultrasounds i ka manawa kūpono, e like me ka papa kuhikuhi i hāʻawi ʻia e kāu kauka.
- Inā he puʻupuʻu maʻi kanesa (ʻino) kou, pono paha ʻoe e hana i kahi CT scan o kou umauma a me kou ʻōpū i hoʻonohonoho ʻia no kahi o 5 mau makahiki ma hope o ke ʻoki ʻana.
No laila, pono anei kākou e makaʻu i kēia kūlana?
He maikaʻi loa nā hopena ma hope o ka wehe ʻana i kahi puʻupuʻu ʻaʻole maʻi kanesa (benign). ʻAʻohe mea e makaʻu ai.
Hiki ke ho'ōla loa ʻia nā puʻupuʻu ʻino me ka lāʻau lapaʻau. Eia nō naʻe, ʻoi aku ka nui o ko lākou hiki ke hoʻi hou mai. ʻOiai hiki ʻole iā lākou ke laha pinepine i nā wahi ʻē aʻe, e like me nā māmā, he kiʻekiʻe loa ka nui o ke ola o nā wāhine me nā puʻupuʻu Phyllodes maʻi kanesa. No laila, he mea nui e pale aku i ka hopohopo a hahai pololei i nā kuhikuhi a ke kauka.
Leka Lawe-Home
- He ʻano puʻupuʻu kakaikahi nā puʻupuʻu Phyllodes e hana ʻia ana i loko o ka umauma. ʻAʻole ka hapa nui o kēia mau mea he maʻi kanesa.
- Hiki i kēia mau puʻupuʻu ke ulu koke, no laila inā ʻike ʻoe i kahi puʻupuʻu e ulu wikiwiki ana i loko o kou umauma, e ʻike koke i ke kauka.
- Hiki ke hoʻoholo pono inā he puʻupuʻu Phyllodes kēia ma hope o ka wehe ʻia ʻana o ka puʻupuʻu a nānā ʻia (biopsy).
- ʻOiai ʻaʻole kēia puʻupuʻu he maʻi kanesa (benign), pono e wehe ʻia ma ke ʻoki ʻana.
- Ma hope o ke ʻoki ʻana, he mea nui e hana i nā hoʻokolohua e pono ai e like me ke kauoha a ke kauka, no ka mea, hiki i kēia mau mea ke hana hou.
- ʻOiai inā he puʻupuʻu maʻi kanesa, maikaʻi loa nā hopena me ka mālama kūpono. No laila, mai makaʻu.
ʻO ka maʻi ʻaʻai Phyllodes Sinhala, nā puʻupuʻu umauma, ka maʻi ʻaʻai umauma, puʻupuʻu umauma , ʻoki kino umauma, mammogram
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