He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe he maʻi ʻaʻai umauma kou. ʻOi loa aku i ka wā e lohe ai ʻoe i kahi huaʻōlelo e like me "Stage II," he nui nā nīnau e hiki mai ana i ka noʻonoʻo. "He aha kaʻu e hana ai i kēia manawa?" a "Hiki ke ho'ōla ʻia kēia?" aia paha ma kou noʻonoʻo. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia, ʻo ia hoʻi, ka maʻi ʻaʻai umauma pae II a me nā lāʻau lapaʻau holomua no ia mea, ma ke ʻano maʻalahi a aloha hoʻi.
ʻO ka mea mua, he aha kēia pae ʻelua (Papa II)?
I ka ʻōlelo maʻalahi, ʻo ke kanesa umauma pae II kahi kūlana kahi e paʻa mau ana ke kanesa i ka umauma a i ʻole nā kikowaena lymph kokoke. ʻO ke ʻano kēia ʻaʻole i laha ke kanesa i nā ʻōpū mamao o ke kino. He mea nui loa kēia no ka mea hiki ke mālama ʻia ke kanesa i kēia pae.
E hoʻohana pinepine nā kauka e mālama iā ʻoe i ka hui pū ʻana o nā lāʻau lapaʻau ma mua o hoʻokahi ʻano lapaʻau. E hāʻawi kēia iā ʻoe i nā hopena maikaʻi loa. I kēia manawa, e nānā kākou i kēlā mau lāʻau lapaʻau.
| ʻAno Lapaʻau | He wehewehe maʻalahi |
|---|---|
| ʻoki kino | Ka wehe ʻana i ka puʻupuʻu kanesa a i ʻole ka umauma holoʻokoʻa. ʻO kēia ka lāʻau lapaʻau mua i hoʻohana pinepine ʻia. |
| Hoʻōla Pāhawewe | Hoʻohana ʻia ia e luku i nā hunaola kanesa i manaʻo ʻia e noho ana ma hope o ke ʻoki ʻana. |
| Kemoterapia | Nā lāʻau ikaika i hāʻawi ʻia e luku i nā hunaola kanesa i laha paha ma ke kino holoʻokoʻa. |
| Hoʻōla Hormone | He lāʻau lapaʻau kūikawā no kekahi mau ʻano maʻi kanesa e pono ai nā hormones e ulu. |
| Hoʻōla i kuhikuhi ʻia | He lāʻau lapaʻau hou e pili ana i nā protein kikoʻī i loko o nā hunaola kanesa a hoʻōki i ko lākou ulu ʻana. |
E kamaʻilio kākou e pili ana i ka lāʻau lapaʻau me nā kikoʻī.
I kēia manawa, e nānā kākou i kēlā me kēia o kēia mau ʻano lapaʻau me nā kikoʻī hou aku.
ʻO ke ʻoki kino: Nā ʻanuʻu kumu
ʻO ke ʻoki kino ke ʻano maʻamau no ka maʻi ʻaʻai umauma pae II. ʻElua mau ʻano hana nui:
- Lumpectomy: Pili kēia i ka wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo a puni. Ua kapa ʻia hoʻi kēia he ʻoki mālama umauma . Hana pinepine ʻia kēia inā he liʻiliʻi ka puʻupuʻu kanesa.
- Mastectomy: Inā nui ka puʻupuʻu kanesa, hiki i ke kauka ke hoʻoholo e wehe i ka umauma holoʻokoʻa. Ua kapa ʻia kēia ʻoki ʻana he "Mastectomy".
Me ka nānā ʻole i ka mea hea o kēia mau ʻoki ʻelua i hana ʻia, e wehe pinepine ke kauka ʻoki a nānā i kekahi mau lymph node ma ka ʻāpana armpit e ʻike ai inā ua pālahalaha ke kanesa ma laila. Ma hope o ka mastectomy, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ke ʻoki hana hou ʻana o ka umauma inā makemake ʻoe.
Lapaʻau Radiation: No ka luku ʻana i nā cell i koe
ʻO ka maʻamau, hāʻawi ʻia ka lāʻau lapaʻau radiation ma hope o ka lumpectomy. E hoʻomanaʻo, hiki i ke ʻoki kino ke waiho i kekahi mau hunaola kanesa liʻiliʻi a ʻike ʻole ʻia. Hāʻawi ʻia kēia lāʻau lapaʻau e hoʻopau loa i nā hunaola i koe a pale i ka hoʻi hou ʻana mai o ke kanesa. I kekahi manawa, hāʻawi ʻia nā wāhine i loaʻa i ka mastectomy i ka lāʻau lapaʻau radiation, ʻoiai inā nui ka puʻupuʻu a inā he mau hunaola kanesa i loko o nā umauma.
Chemotherapy: He lāʻau lapaʻau ikaika e hana ana ma ke kino holoʻokoʻa
He lāʻau lapaʻau kēia i kamaʻāina i nā poʻe he nui, akā he mea hopohopo iki. ʻO ka 'Chemotherapy' kahi lāʻau lapaʻau ikaika i hāʻawi ʻia e luku i nā hunaola kanesa e waiho paha ma kekahi wahi o ke kino ma hope o ke ʻoki ʻana.
I kekahi mau hihia, hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana. ʻO ke kumu, ʻo ia ka hoʻēmi ʻana i kahi puʻupuʻu kanesa nui, e hoʻemi ana iā ia a maʻalahi hoʻi e wehe me kahi ʻoki maʻalahi e like me ka lumpectomy.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau ma nā ʻano he nui. Hiki ke hāʻawi ʻia ma ke ʻano he pila a i ʻole he wai. Akā, hāʻawi pinepine ʻia ia ma ke ʻano intravenous. ʻAʻole hāʻawi mau ʻia kēia lāʻau lapaʻau. Hāʻawi ʻia ia ma nā pōʻaiapuni, e hāʻawi ana i ke kino i kahi hoʻomaha.Hāʻawi ʻia ia ma kekahi mau ʻano.
Lapaʻau Hormone: No nā maʻi ʻaʻai e pili ana i ka hormone
He lāʻau lapaʻau kūikawā loa kēia. Aia kekahi mau ʻano maʻi ʻaʻai umauma e ulu ana ma luna o nā hormones e like me ka estrogen i loko o ko kākou kino. Ua kapa ʻia kēia mau mea he mau maʻi ʻaʻai hormone receptor-positive .
Inā ʻo kou maʻi ʻaʻai kekahi o kēia mau ʻano, e ʻōlelo paha kāu kauka i ka lāʻau lapaʻau hormone. Hana kēia mau lāʻau lapaʻau ma ke ālai ʻana i nā hormones e pono ai nā hunaola kanesa.
- Hāʻawi ʻia ka lāʻau Tamoxifen i nā wāhine o kēlā me kēia makahiki.
- Hoʻohana ʻia nā lāʻau lapaʻau e like me Anastrozole (Arimidex), Exemestane (Aromasin), a me Letrozole (Femara) no nā wahine postmenopausal.
- Ma waho aʻe o kēia, aia kekahi mau ʻano lāʻau lapaʻau ʻē aʻe.
No nā wahine premenopausal, hiki ke noʻonoʻo ʻia ke ʻoki ʻana e wehe i nā ovaries e hoʻōki i ka hana ʻana o nā hormones e kōkua i ka ulu ʻana o ke kanesa. A i ʻole, hiki i nā lāʻau lapaʻau e like me Goserelin (Zoladex) ke hoʻōki i nā ovaries mai ka hana ʻana i nā hormones no kekahi manawa.
Lapaʻau Olaola/Pahuhopu: He ʻano hana hou a holomua hoʻi
He lāʻau lapaʻau holomua loa kēia i hele mai me ka holomua o ka lāʻau lapaʻau hou. Ma kahi o 25% o nā wahine me ka maʻi ʻaʻai umauma he nui loa ka protein i kapa ʻia ʻo HER2 ma ka ʻili o kā lākou mau hunaola kanesa. ʻO kēia protein ke kumu o ka ulu ʻana o ka maʻi ʻaʻai a laha koke.
Hoʻopili nā lāʻau lapaʻau i kuhikuhi ʻia i ka protein HER2 a hoʻōki iā ia mai ka hana ʻana.
- ʻO Trastuzumab (Herceptin) lāua ʻo Pertuzumab (Perjeta) nā lāʻau lapaʻau i hoʻohana pinepine ʻia o kēia ʻano.
- Hoʻokomo pinepine ʻia kēia mau lāʻau me ka chemotherapy, no laila e hoʻonui ai i ka holomua o ka chemotherapy.
E aʻo e pili ana i nā hoʻokolohua lapaʻau.
ʻO kahi hoʻokolohua lapaʻau he haʻawina e hoʻāʻo ai i ka pono a me ka palekana o nā lāʻau lapaʻau i ʻike hou ʻia, nā lāʻau lapaʻau, a i ʻole nā hui pū ʻana o nā lāʻau lapaʻau i nā kānaka. Loaʻa i nā wahine he nui me ke kanesa umauma pae II ka manawa kūpono e komo i kēia mau hoʻokolohua.
Hiki i kēia ke hāʻawi iā ʻoe i ke komo ʻana i nā lāʻau lapaʻau holomua a holomua. E hoʻomanaʻo, ua hoʻomaka nā lāʻau lapaʻau holomua a mākou e hoʻohana nei i kēia lā ma ke ʻano he hoʻokolohua lapaʻau i kekahi manawa. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia a nīnau inā he hoʻokolohua kūpono iā ʻoe.
Leka Lawe-Home
- Hiki ke ho'ōla ʻia ke kanesa o ka umauma pae II.Kūlana. No laila, mai makaʻu.
- Hoʻohana nā kauka i ka hui pū ʻana o kekahi mau lāʻau lapaʻau e hāʻawi iā ʻoe i nā hopena maikaʻi loa.
- ʻO ke ʻoki ʻana ka lāʻau lapaʻau mua, a ukali ʻia e ka radiation therapy a me ka chemotherapy.
- Ma muli o ke ʻano o kou maʻi kanesa (e like me ka hormone-positive, HER2-positive), e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau kikoʻī (hormonal a i ʻole ka lāʻau lapaʻau i hoʻolālā ʻia) i kūpono loa iā ʻoe.
- E ʻoluʻolu e kūkākūkā i nā nīnau, hopohopo, a kānalua paha āu e loaʻa ai me kāu kauka. E hoʻoponopono ʻo ia i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.
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