Ua hakakā ʻoe i kahi kaua paʻakikī me ke kanesa o ka umauma, ua hana ʻia ke ʻoki kino a me ka chemotherapy, a ke manaʻo nei ʻoe ua ʻoi aku ka maikaʻi. He lanakila nui kēlā. Akā ua ʻike ʻoe ma hope o ka mālama ʻana, aia kahi pilikia liʻiliʻi e hoʻi hou mai ke kanesa mua. Akā eia kekahi, hiki i kekahi poʻe ke hoʻomohala i kahi kanesa hou i pili ʻole i ke kanesa mua ma ke ʻano he hopena ʻaoʻao o ka mālama ʻana. I ka lāʻau lapaʻau, kapa mākou i kēia he ' maʻi kanesa lua' . Mai makaʻu e lohe i kēia. ʻO ka mea nui loa, ʻo ia ka ʻike pono ʻana e pili ana i ia mea.
He aha nā ʻano maʻi kanesa lua e hiki ke loaʻa?
ʻO ka maʻi kanesa lua maʻamau e hiki ke kū ma hope o ke kanesa umauma ʻo ia kekahi maʻi kanesa umauma ʻē aʻe. Akā, ʻaʻole kēia he hoʻi hou ʻana o ka mea ma mua. He mea hou kēia e ulu ana mai nā hunaola kanesa hou. Hiki ke loaʻa ma ka umauma ʻē aʻe, a inā ua wehe wale ʻia ke kanesa (lumpectomy), hiki ke loaʻa ma kahi ʻāpana ʻē aʻe o ka umauma hoʻokahi.
Ma muli o ke ʻano o ka lāʻau lapaʻau no ka maʻi ʻaʻai umauma āu i loaʻa ai, ʻoi aku paha kou pilikia ma mua o ke kanaka maʻamau o ka loaʻa ʻana o nā ʻano maʻi ʻaʻai lua ʻē aʻe. Ua helu ʻia kekahi o kēia mau mea ma lalo nei.
| Nā maʻi ʻaʻai lua e hiki ke kū ma hope o ka mālama ʻana i ka maʻi ʻaʻai umauma | |
|---|---|
| Ka maʻi ʻaʻai o ka ʻōpū salivary | Ka maʻi ʻōpū |
| Ka maʻi ʻaʻai ʻōpū | Ka maʻi ʻōpū |
| Ka maʻi ʻōpū | Ka maʻi ʻaʻai thyroid |
| Ka maʻi ʻaʻai kolona | Ka maʻi ʻaʻai palupalu - Sarcoma |
| Ka maʻi ʻaʻai māmā | Ka maʻi ʻili - Melanoma (Melanoma o ka ʻili) |
| Nā maʻi ʻaʻai koko e like me ka Acute Myeloid Leukemia (AML) | |
Ua hōʻike ʻia e ka noiʻi hiki i ka lāhui a me ka makahiki ke pāʻani i kekahi manawa i kēia. Eia kekahi, hiki ke piʻi iki ka pilikia i kou wā ʻelemakule ma hope o kou ho'ōla piha ʻana mai ka maʻi ʻaʻai umauma a ola no kekahi manawa. Akā ke hana ʻia nei ka noiʻi ʻana ma kēia. No laila he mea nui e makaʻala ma mua o ka hopohopo.
He aha nā kumu pilikia no ka lua o ka maʻi kanesa?
Aia kekahi mau kumu e hiki ke kōkua i ka ulu ʻana o kahi maʻi kanesa ʻelua ma hope o ka mālama ʻana no ka maʻi kanesa o ka umauma. E nānā kākou i ke ʻano o lākou.
Nā ʻano hoʻoilina
Hoʻoilina kekahi mau wahine i kahi hoʻololi genetic i kapa ʻia ʻo ka gene BRCA . ʻO ka loaʻa ʻana o kēia mau genes e hoʻonui i kou pilikia holoʻokoʻa o ka loaʻa ʻana o nā maʻi kanesa o ka ʻōnaehana hānau, e like me ke kanesa umauma a me ke kanesa ovarian. Inā he moʻolelo ʻohana kou no ke kanesa, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia.
Hoʻōla Pāhawewe
He lāʻau lapaʻau nui ka radiation therapy no ka maʻi ʻaʻai umauma. Pili ia i ka hoʻouna ʻana i ka radiation i ka ʻāpana umauma. Haʻahaʻa loa ka pilikia holoʻokoʻa o ka loaʻa ʻana o kahi maʻi ʻaʻai lua. Eia nō naʻe, aia kahi pilikia liʻiliʻi.
- Ka maʻi ʻaʻai māmā: He kiʻekiʻe loa kēia pilikia no nā wahine puhipaka.
- ʻO Sarcoma: He ʻano maʻi ʻaʻai kēia e hoʻopilikia ai i nā ʻiʻo pili e like me nā kīʻaha koko a me nā iwi.
- ʻAʻai koko: Nā maʻi ʻaʻai e pili ana i ka iwi e like me ka leukemia a me ka myelodysplastic syndrome (MDS).
Aia kēia pilikia i ka nui o ka radiation āu i loaʻa ai, pehea ka lōʻihi o kou hōʻike ʻia ʻana i ka radiation, a me ka nui o kou iwi iwi i hōʻike ʻia. ʻO kēia ʻano maʻi ʻaʻai lua e kū pinepine mai ana i kekahi mau makahiki ma hope o ka mālama ʻana i ka radiation.
ʻO ka mea nui, ʻo ka makahiki i hāʻawi ʻia ai ka radiation therapy e hoʻopilikia pū i kēia. No ka laʻana, ʻo ka mea i loaʻa i ka radiation therapy i ka wā ʻōpiopio, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi kanesa ʻelua i nā makahiki ma hope o ka mea i loaʻa iā ia i ka wā ʻelemakule.
Kemoterapia
Hiki i kekahi mau lāʻau chemotherapy ke hoʻonui iki i ka pilikia o ka loaʻa ʻana o ka leukemia a me MDS. ʻO nā dosis kiʻekiʻe a me nā manawa lapaʻau lōʻihi e hoʻonui hou aku i kēia pilikia. ʻO nā ʻano lāʻau chemotherapy e hoʻonui ai i ka pilikia:
- Nā mea hoʻohuihui
- Nā lāʻau lapaʻau i hoʻokumu ʻia i ka platinum
- Nā mea hoʻopaʻa ʻo Anthracycline topoisomerase II
ʻO ka lāʻau lapaʻau Tamoxifen
He lāʻau lapaʻau koʻikoʻi loa kēia i hāʻawi ʻia e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ka maʻi ʻaʻai umauma hormone receptor-positive. Eia nō naʻe, i ka wā e hoʻohana ai, ua piʻi iki ka pilikia o ka maʻi ʻaʻai uterine, no ka laʻana, ka maʻi ʻaʻai endometrial a me ka sarcoma uterine. No laila, inā loaʻa iā ʻoe kekahi kahe koko ʻano ʻē i ka wā e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e haʻi koke i kāu kauka .
Momona
ʻAʻole pili kēia i ka lāʻau lapaʻau. Akā ua ʻike ʻia e ka noiʻi ʻo ka piʻi ʻana o ke kaumaha, a i ʻole ka momona, he kumu nui ia i ka hoʻonui ʻana i ka pilikia o ka maʻi kanesa ʻelua i waena o ka poʻe i pakele i ka maʻi kanesa umauma. ʻO ka mea kūikawā, ʻo ka loaʻa ʻana o kahi helu nui o ke kino (BMI) e wehe i ka puka i ka maʻi kanesa umauma ʻelua a i ʻole nā maʻi kanesa ʻē aʻe e pili ana i ka momona.
Nā nānā ʻana no ka ʻike ʻana i nā maʻi ʻaʻai lua
Ma hope o kou hoʻopau ʻana i kāu mālama ʻana i ka maʻi ʻaʻai umauma, he mea nui loa ia e hele i nā manawa hoʻopaʻa (nā keʻena lapaʻau) a kāu kauka e kuhikuhi ai. Makemake kāu kauka e nānā mau iā ʻoe. Hāʻawi kēia mau manawa i nā manawa kūpono e:
- Ke nānā nei i nā hōʻailona ua hoʻi mai ka maʻi ʻaʻai umauma.
- No ka ʻike ʻana inā he mau hopena ʻaoʻao o nā lāʻau lapaʻau i ka wā lohi.
- Hana ʻia nā mammograms e nānā i ka hoʻi hou ʻana o ke kanesa a i ʻole nā hōʻailona o kahi kanesa ʻelua.
- E nānā i nā hōʻailona o ke kanesa ʻāʻī me nā hoʻokolohua e like me Pap smears a me nā hoʻokolohua mānoanoa o ka iwi e nānā i ke olakino o ka iwi.
He manawa kūpono kēia mau hālāwai hoʻomaʻamaʻa e nīnau ai i nā nīnau āu e loaʻa ai. Inā ʻike ʻoe i kekahi mau loli hou a i ʻole nā kūlana ʻē i kou kino ma hope o ka mālama ʻana, e haʻi koke aku i kāu kauka.
Nā mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka poʻe e ho'ōla mai ka maʻi ʻaʻai umauma ʻaʻole lākou e loaʻa i kahi maʻi ʻaʻai lua . Akā ʻoi aku ka kiʻekiʻe o ka pilikia ma mua o ke kanaka maʻamau, no laila he mea nui e makaʻala i ia mea. ʻOiai ʻaʻohe ala e pale aku ai i ka maʻi ʻaʻai lua 100%, nui nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.
- ʻIke mua: E hōʻoia e hele i nā manawa hoʻopaʻa e like me ke kauoha a kāu kauka. E hahai pololei i ka hoʻolālā lapaʻau e pale aku i ka hoʻi hou ʻana mai o ke kanesa.
- E mālama i ke kaumaha olakino: ʻO ka momona kahi kumu nui o ka pilikia, no laila e hoʻāʻo e mālama i ke kaumaha olakino ma o ka ʻai kaulike a me ka hoʻoikaika kino.
- E noho hana:E hoʻoikaika kino i kēlā me kēia lā. E hoʻomaka me nā mea liʻiliʻi. E hoʻomaka me nā mea maʻalahi e like me ka hele wāwae a me nā hoʻoikaika kino kīkoʻo, a laila e hoʻonui mālie i kou ikaika i kou loaʻa ʻana o ka ikaika.
- ʻAi olakino: E ʻai i ka ʻai momona i nā huaʻai hou, nā mea kanu, a me nā palaoa piha. E hōʻemi i ka ʻiʻo ʻulaʻula, nā ʻiʻo i hana ʻia, nā mea inu kō, a me nā meaʻai i hana nui ʻia i ka hiki.
- E kaupalena i ka waiʻona: Inā inu ʻoe i ka waiʻona, e hoʻāʻo e kaupalena iā ia i hoʻokahi ʻāpana i ka lā.
- E pale loa i ka puhipaka: E pale loa i ka puhipaka a me nā huahana paka. He kumu nui kēia no nā ʻano maʻi kanesa he nui, me ke kanesa o ka māmā.
Leka Lawe-Home
- Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau no ka maʻi ʻaʻai umauma, aia kahi pilikia liʻiliʻi o ka hoʻomohala ʻana i kahi maʻi ʻaʻai hou ʻole pili ʻole (ka maʻi ʻaʻai lua).
- Hiki i nā kumu genetic, radiation, chemotherapy, a me nā mea nohona e like me ka momona ke hoʻopilikia i kēia.
- I mea e ʻike mua ai i ka lua o ka maʻi kanesa, he mea nui loa ia e hele i nā manawa hoʻonohonoho lapaʻau i hoʻonohonoho ʻia (nā hoʻokolokolo hahai) me kāu kauka.
- Hiki iā ʻoe ke hōʻemi nui i kēia pilikia ma ka mālama ʻana i ke kaumaha olakino, ka ʻai ʻana i ka meaʻai kaulike, ka hoʻoikaika kino mau , a me ka pale ʻana i ka puhipaka.
- Mai makaʻu pono ʻole i kēia, e makaʻala a e hana mua. Inā he kānalua a he mau hōʻailona ʻē paha kāu, e nīnau koke aku i kāu kauka.
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