He mea paʻakikī ke hoʻopuka i kou manaʻo i ka wā e haʻi aku ai kāu kauka iā ʻoe he maʻi ʻaʻai umauma kou. Akā hiki ke ʻoi aku ka paʻakikī ke hoʻohana kāu kauka i nā huaʻōlelo e like me "Stage 2" a me "Grade 3." He aha ke ʻano o kēia mau pae a me nā māka? ʻO ka ʻike ʻana i kēia mau mea e kōkua iā ʻoe e ikaika i ka noʻonoʻo a hana i nā hoʻoholo kūpono e pili ana i kāu lāʻau. No laila e kamaʻilio kākou e pili ana i kēia me ka makaʻu ʻole, maʻalahi a maopopo.
He aha ka ʻokoʻa ma waena o ke Kahua a me ka Papa?
ʻOiai ke kani like nei kēia mau huaʻōlelo ʻelua ke lohe ʻoe iā lākou, ʻelua mau manaʻo maoli ko lākou.
- Ka Pae o ke Kanesa: I ka ʻōlelo maʻalahi, ʻo ke 'pae' o ke kanesa e pili ana i ka mamao o ka laha ʻana o ke kanesa i loko o ke kino . E like me nā aʻa o kahi lāʻau, nānā ia i ka mamao o ka laha ʻana o ke kanesa mai ka umauma, a inā paha ua laha i nā lymph node kokoke a i ʻole nā ʻōpū ʻē aʻe.
- Papa Kanesa: ʻO ke 'papa' o kahi kanesa e pili ana i ke ʻano o ka huhū o nā hunaola kanesa . ʻO ia hoʻi, pehea ka ʻokoʻa o ko lākou ʻano mai nā hunaola olakino ma lalo o kahi microscope, a pehea ka wikiwiki o ko lākou māhele ʻana a me ka laha ʻana.
He mea nui loa kēia mau mea ʻelua no ke kauka e koho i ka lāʻau lapaʻau maikaʻi loa nāu.
E ʻike i nā pae o ka maʻi ʻaʻai umauma
ʻO ka maʻamau, ua helu ʻia nā pae o ke kanesa umauma mai ka 0 a i ka 4. ʻO ka haʻahaʻa o ka helu, ʻo ka emi ʻana o ka laha ʻana o ke kanesa.
- Pae 0: ʻO kēia ke kahua mua loa. Aia nā hunaola kanesa i loko o nā ʻauwai waiū wale nō. ʻAʻole lākou i pālahalaha i waho. Ua kapa ʻia kēia he `(Ductal Carcinoma In Situ - DCIS)`. He maʻi hiki ke mālama ʻia kēia.
- Pae I: ʻO kēia kahi i laha ai ke kanesa i nā ʻiʻo umauma olakino. Akā, he liʻiliʻi nō ka puʻupuʻu (malia paha ka nui o ka pīnati) a ua kaupalena ʻia ke kanesa i ka umauma a me kekahi mau lymph node kokoke. Hiki ke ho'ōla ʻia nā kanesa i kēia pae.
- Pae II: Ua ʻoi aku ka nui o ka puʻupuʻu (ua like paha me ka nui o ka lemona), a ua pālahalaha paha i nā lymph node ma ka ʻāʻī, akā ua kaupalena ʻia ke kanesa i ka ʻāpana umauma.
- Pae III: ʻO kēia ka mea a mākou e kapa nei he "locally advanced" cancer. Maanei, ua pālahalaha ke kanesa i ka paia umauma a i ʻole ka ʻili, a ua pālahalaha paha i kekahi mau lymph node. Akā ʻo ka mea nui loa, ʻaʻole ia i pālahalaha i nā ʻōpū mamao e like me ke akepaʻa a i ʻole nā māmā. Me ka mālama kūpono, ua hiki i nā poʻe he nui ke kāohi i ke kanesa i kēia pae a hoʻōla.
- Pae IV:ʻO kēia ke kahua holomua loa. Maanei ua pālahalaha ke kanesa ma ʻō aku o ka umauma i nā ʻōpū mamao, e like me nā iwi, nā māmā, ke akepaʻa a i ʻole ka lolo . Kāhea pū mākou i kēia he kanesa 'metastatic'. ʻOiai he paʻakikī ke ho'ōla piha i kēia kahua, hiki i nā lāʻau lapaʻau holomua o kēia lā ke kāohi i ka ulu ʻana o ke kanesa, hōʻemi i nā hōʻailona a ʻae i nā poʻe he nui e ola i kahi ola maikaʻi no nā mahina, i kekahi manawa he mau makahiki .
Ka pae maʻi kanesa a me nā hoʻokolohua koʻikoʻi ʻē aʻe
Hoʻoholo ʻia ke ʻano ma ka nānā ʻana i nā hunaola kanesa i loaʻa ma o ke ʻoki ʻana a i ʻole ka biopsy ma lalo o kahi microscope.
| Papa | Manaʻo |
|---|---|
| Papa 1 | Ua like loa nā hunaola kanesa me nā hunaola olakino. Ulu mālie lākou a laha mālie. |
| Papa 2 | He ʻokoʻa iki nā hunaola kanesa mai nā hunaola olakino. Ulu lākou ma ka wikiwiki kūpono. |
| Papa 3 | He ʻokoʻa loa nā hunaola kanesa mai nā hunaola olakino. Ulu koke lākou a laha. |
Nā Mea Loaʻa Hormone a me ke Kūlana HER2
He hoʻokolohua ʻē aʻe kēia i mea nui loa i ka hoʻoholo ʻana i ka lāʻau lapaʻau.
- Kūlana ER/PR: Pono kekahi mau hunaola maʻi ʻaʻai umauma i nā hormones wahine ʻo 'Estrogen (ETU) ' a me 'Progesterone (PR)' e kōkua iā lākou e ulu. E hoʻāʻo ʻia kāu mau hunaola maʻi ʻaʻai e ʻike inā he mau mea loaʻa iā lākou e pane ana i kēia mau hormones. Inā hana lākou, e 'ER-positive' a i ʻole 'PR-positive' lākou. Hiki i ka lāʻau lapaʻau hormone ke lilo i mea kūpono loa no ia poʻe.
- Ke kūlana HER2: ʻO ka `HER2` kahi protein e hoʻolalelale i ka ulu ʻana o nā hunaola kanesa. Inā hana nui kāu kanesa i kēia protein `HER2`, he `HER2-positive` ia. Aia nā lāʻau lapaʻau i kuhikuhi ʻia no kēia.
- ʻEkolu-Negative: Inā maikaʻi ʻole kahi maʻi kanesa no kēia mau mea ʻekolu: ER, PR, a me HER2, kapa mākou ia he "ʻEkolu-Negative Breast Cancer." ʻOkoʻa nā ʻano lapaʻau no kēia.
Ma ka hōʻiliʻili ʻana i kēia ʻike a pau, e hana ke kauka i kahi hoʻolālā lapaʻau e kūpono iā ʻoe a e hāʻawi iā ʻoe i nā hopena maikaʻi loa.
He aha kēia ʻōnaehana TNM?
ʻO kekahi ʻano kikoʻī a nā kauka e hoʻohana ai e hoʻoholo pololei i ke kahua o ka maʻi ʻaʻai ua kapa ʻia ʻo "TNM Staging System." ʻO ke ʻano o nā leka ma kēia ʻōnaehana penei.
| Leka | Manaʻo | He wehewehe maʻalahi |
|---|---|---|
| T (Pumo) | ʻO ka hua nui | ʻEhia ka nui o ka puʻupuʻu? Hōʻike ʻia inā ua pālahalaha i ka ʻili a i ʻole ka paia umauma e ka leka T a ukali ʻia e kahi helu (T1, T2...). ʻO ke kiʻekiʻe o ka helu, ʻo ka nui o ka puʻupuʻu. |
| N (Nā Pūnaehana) | Nā kikowaena lymph | Ua laha anei i nā lymph node kokoke? Hōʻike ʻia ka nui o ka laha ʻana e ka leka N a me kahi helu (N0, N1...). ʻO ke ʻano o N0 ʻaʻole ia i laha. |
| M (Metastasis) | Hoʻolaha mamao | Hōʻike ka leka M inā ua pālahalaha ke kanesa i nā ʻōpū mamao (e like me nā iwi a me nā māmā) (metastasis). ʻO ke ʻano o M0 ʻaʻohe laha mamao. ʻO ke ʻano o M1 ua pālahalaha. |
Mai makaʻu i nā helu ola.
Ke nānā ʻoe ma ka pūnaewele, e ʻike ʻoe i nā helu e like me ka "5-year survival rate." He mea maʻamau ke makaʻu i ka ʻike ʻana i kēia mau helu. Akā e hoʻomanaʻo, he mau awelika wale nō kēia ma muli o nā tausani o ka ʻikepili o ka mea maʻi.
ʻAʻohe mea hiki ke ʻōlelo pololei i ka mea e hiki mai ana iā ʻoe. Hiki ke ʻokoʻa kāu mau hopena ma muli o nā kumu he nui, me kou makahiki, ke olakino holoʻokoʻa, a pehea ʻoe e pane ai i ka lāʻau lapaʻau. ʻO ka mea ʻē aʻe, ua hoʻokumu ʻia kēia mau helu ma ka ʻikepili mōʻaukala. Ke loli mau nei kēia mau helu no ka maikaʻi i ka loaʻa ʻana o nā lāʻau lapaʻau hou.
No laila, mai pīhoihoi nui e pili ana i kēia mau helu. ʻO ke kanaka maikaʻi loa e ʻike pehea e pili ai kēia mau mea i kou kūlana, ʻo ia kāu kauka. E kamaʻilio ākea me ia e pili ana i kēia.
Leka Lawe-Home
- Hōʻike mai ke kahua o ke kanesa i ka mamao o kona laha ʻana. Hōʻike mai ke ʻano i ke ʻano o ka hoʻouka kaua ʻana o nā hunaola kanesa.
- ʻO ka ʻike ʻana i ke kahua, ka nui, a me nā ʻike ʻē aʻe (ER, PR, HER2) o kou maʻi ʻaʻai e hiki ke kōkua iā ʻoe e koho i ka lāʻau kūpono a maikaʻi loa nāu.
- ʻOiai i nā pae holomua e like me ke kahua III, aia kahi manawa kūpono e ho'ōla ai me ka mālama kūpono. ʻOiai i ke kahua IV, hiki i nā lāʻau lapaʻau hou ke kōkua iā ʻoe e ola maikaʻi no nā makahiki he nui me ka kaohi ʻana i ka maʻi.
- He mau helu awelika wale nō nā helu (Survival Rates) āu e ʻike ai ma ka pūnaewele. ʻAʻole paha lākou e pili i kou kūlana pilikino. No laila, mai makaʻu iā lākou.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. He lālā koʻikoʻi ʻoe o kāu hui mālama ola. ʻO ke kamaʻilio ʻana e pili ana i kēia me kou ʻohana a me nā hoaaloha e kōkua pū iā ʻoe e hilinaʻi hou aku.
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