Maopopo iaʻu ke ʻano weliweli a me ka hoʻohoka paha ke haʻi aku kāu kauka iā ʻoe he maʻi ʻaʻai umauma kou, a ʻo ia ke Pae I. Hiki ke manaʻo ʻia ua hiolo koke kou honua holoʻokoʻa. Akā e kali iki, e kamaʻilio kākou e pili ana i kēia. ʻO ke Pae I ke kahua mua loa o ke kanesa. I kēia pae, ʻaʻole i laha nui ke kanesa ma waho o ka umauma. No laila, hiki ke ho'ōla ʻia kēia maʻi. ʻO ka mea nui loa, ʻo ke koho ʻana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
He aha nā koho lapaʻau e loaʻa ana?
Hoʻomaʻamaʻa pinepine ʻia ke kanesa umauma pae I me ka hui pū ʻana o nā lāʻau lapaʻau, ma mua o hoʻokahi lāʻau lapaʻau. E like me ka hoʻohui ʻana i ʻekolu a ʻelima mau meaʻai like ʻole i kahi meaʻai, hana pū kēia mau lāʻau lapaʻau e hoʻopau loa i ke kanesa a kōkua i ka pale ʻana i kona hoʻi hou ʻana mai. E nānā kākou i nā lāʻau lapaʻau nui.
ʻO ke ʻoki kino - ʻO kēia ka hana mua.
I kēia manawa, ʻo ke ʻoki kino ke ʻano maʻamau o ka lāʻau lapaʻau. No ka mea, he liʻiliʻi nō ka puʻupuʻu kanesa, ʻoi aku ka maʻalahi o ka wehe ʻana. Maanei, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ʻelua mau koho.
1. Lumpectomy: Pili kēia i ka wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. Ua kapa ʻia kēia ʻo "breast-conserving surgery" no ka mea ua waiho ʻia ka hapa nui o ka umauma.
2. Mastectomy: I kekahi mau hihia, pono paha e wehe ʻia ka umauma holoʻokoʻa ma ke ʻoki ʻana. Ua kapa ʻia kēia he mastectomy.
ʻOiai ke ʻano o ke ʻoki kino āu e hana ai, e wehe ke kauka i hoʻokahi a ʻoi aku paha nā lymph node ma kou armpit a nānā iā lākou. Ua ʻike anei ʻoe i ke kumu? No ka ʻike ʻana inā ua hele kekahi mau cell cancer i laila. Inā ʻaʻole lākou, he nūhou maikaʻi kēlā!
Ma hope o ka mastectomy, hiki iā ʻoe ke koho e hana i ke ʻoki hana hou ʻana o ka umauma inā makemake ʻoe. E kamaʻilio me kāu kauka e pili ana i kēia.
Lapaʻau Radiation - E hoʻopau kākou i nā pūnaewele i koe.
E noʻonoʻo ʻoe ma hope o kou pau ʻana i ka pulumi ʻana i kou hale, holoi pono ʻoe iā ia e hōʻoia ʻaʻohe ʻāpana lepo i koe. Ua like ka radiation therapy. Hāʻawi ʻia kēia lāʻau lapaʻau ma hope o ke ʻoki ʻana e hoʻopau loa i nā hunaola kanesa i waiho ʻia, ʻoiai inā ʻaʻole ʻike ʻia e ka maka ʻōlohelohe.
- ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau ma hope o ka lumpectomy .
- I kekahi manawa, ʻoiai ma hope o ka mastectomy , pono paha ka radiation therapy ma muli o ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... | Pahuhopu nui |
|---|---|---|
| ʻoki kino | Ka ʻoki ʻana i ka puʻupuʻu maʻi ʻaʻai. | Ka wehe kino ʻana i ke kanesa mai ka umauma. |
| Hoʻōla Pāhawewe | Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe. | E luku i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana a pale i ke kanesa mai ka hoʻi hou ʻana mai. |
| Kemoterapia | Ke luku ʻana i nā hunaola kanesa me nā lāʻau lapaʻau ikaika e hele ana ma ke kino holoʻokoʻa. | Ke luku nei i nā hunaola kanesa i pālahalaha paha i nā wahi āpau o ke kino a me ka hoʻēmi ʻana i ka pilikia o ka hoʻi hou ʻana. |
Chemotherapy - e pale i ka hoʻi hou ʻana mai o ke kanesa
He lāʻau ikaika ka Chemotherapy e pepehi ana i nā hunaola kanesa. Hāʻawi ʻia kēia mau lāʻau ma ke ʻano intravenous (IV) a i kekahi manawa he mau pila. Ma muli o ka hele ʻana o kēia mau lāʻau ma ke kino holoʻokoʻa i loko o ke koko, hiki iā lākou ke loaʻa a pepehi i nā hunaola kanesa liʻiliʻi loa i pālahalaha paha ma waho o ka umauma.
ʻOiai inā nui loa kou puʻupuʻu, e ʻōlelo paha kāu kauka i ka chemotherapy. Hāʻawi ʻia kēia lāʻau lapaʻau i nā pōʻaiapuni . ʻO ia hoʻi, hāʻawi ʻia ʻoe i ka lāʻau lapaʻau no kekahi mau lā, a laila hāʻawi ʻia ʻoe i kekahi mau lā hoʻomaha. I loko o kēia wā hoʻomaha, loaʻa i nā ʻāpana olakino o kou kino kahi manawa e hoʻōla ai.
Nā lāʻau lapaʻau kūikawā koʻikoʻi, ʻoiai inā ʻaʻole pono nā kānaka a pau
I kēia manawa, aia nā lāʻau lapaʻau i hoʻolālā ʻia no kekahi mau ʻano maʻi kanesa. Ma hope o ka nānā ʻana i kāu mau hunaola maʻi kanesa, e hoʻoholo kāu kauka inā kūpono kēia mau lāʻau lapaʻau iā ʻoe.
Hoʻōla Hormone
He mea hoihoi loa kēia. E noʻonoʻo pehea e pono ai kekahi mau mea kanu i nā mea hoʻoulu kūikawā e ulu ai. Pēlā nō, pono kekahi ʻano maʻi ʻaʻai umauma i nā hormones e like me ka estrogen i loko o ko mākou kino e ulu ai.Hoʻohana ʻia e like me ka "meaʻai". Ua kapa ʻia kēia he maʻi kanesa "hormone receptor-positive" .
Inā like kou maʻi kanesa me kēia, he ʻano hana kūpono loa ka lāʻau lapaʻau hormone. ʻO ka hana a kēia, ʻo ia ke kāohi ʻana i nā hunaola kanesa mai ka loaʻa ʻana o nā hormones e "hānai" iā lākou. Hoʻohana ʻia nā lāʻau lapaʻau e like me `(Tamoxifen)` no kēia. Aia kekahi mau lāʻau lapaʻau ʻē aʻe e like me `(Anastrozole)` a me `(Letrozole)` no nā wahine i hala i ka menopause.
I kekahi manawa, no nā wāhine ʻōpio i hala ʻole i ka menopause, hiki ke noʻonoʻo ʻia ke ʻoki ʻana e wehe i nā ovaries e hoʻōki i ka hana ʻana i nā hormones. He mea kēia āu e kūkākūkā ai me kāu kauka.
Hoʻōla i kuhikuhi ʻia
He lāʻau lapaʻau holomua kēia. Ma kahi o 20% o nā wāhine me ka maʻi ʻaʻai umauma he nui loa ka protein i kapa ʻia ʻo `HER2` (Her-two) i loko o kā lākou mau hunaola kanesa. Hiki i kēia protein ke hoʻoulu i ka ulu ʻana o ke kanesa a laha wikiwiki iki.
Inā he HER2-positive kou maʻi kanesa, hana ka lāʻau lapaʻau i kuhikuhi ʻia ma ka kuhikuhi pololei ʻana i ka protein HER2 a hoʻōki iā ia mai ka hana ʻana. ʻO Trastuzumab (Herceptin) ka lāʻau lapaʻau i hoʻohana nui ʻia. Hoʻōki kēia lāʻau lapaʻau i ka ulu ʻana o nā hunaola kanesa a hoʻolilo i ka chemotherapy i ʻoi aku ka maikaʻi.
Makemake ʻoe e ʻike e pili ana i nā lāʻau lapaʻau hou loa? - Nā Hoʻokolohua Lapaʻau
He mau haʻawina lapaʻau kēia e noiʻi ana i nā lāʻau lapaʻau hou loa. Loaʻa i nā wāhine he nui me ke kanesa Stage I ka manawa kūpono e komo i kēia mau mea. Ma o kēia, loaʻa paha iā ʻoe ka manawa kūpono e loaʻa ai nā lāʻau lapaʻau holomua loa i hoʻohana ʻole ʻia. Inā makemake ʻoe i kēia, e ʻoluʻolu e nīnau i kāu kauka no nā kikoʻī.
Leka Lawe-Home
- He kahua mua loa ke kanesa o ka umauma o ke kahua I. E hauʻoli ʻoe ua loaʻa iā ʻoe, no ka mea, hiki ke ho'ōla nui ʻia.
- He nui kāu mau koho lapaʻau e koho ai. ʻO ke ʻoki kino ke ʻano lapaʻau nui.
- Hoʻohana ʻia ka radiation therapy, chemotherapy, hormone therapy, a me ka therapy i hoʻolālā ʻia e hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa .
- ʻAʻole pono nā kānaka a pau i nā lāʻau lapaʻau a pau. Ma muli o ke ʻano o kou maʻi kanesa, e hoʻomohala ʻia kahi hoʻolālā lapaʻau nou.
- E kamaʻilio ākea me kāu kauka e pili ana i kēia mau koho āpau. Mai makaʻu e nīnau. ʻO ia ka manawa e hiki ai iā ʻoe ke hana i ka hoʻoholo maikaʻi loa. ʻAʻole ʻoe hoʻokahi i kēia huakaʻi!
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