Loaʻa iā ʻoe kekahi DCIS (Ductal Carcinoma in Situ)? Mai makaʻu, e kamaʻilio kākou e pili ana i kēia

Ke haʻi aku kāu kauka iā ʻoe he maʻi ʻaʻai umauma noninvasive kou, a i ʻole Ductal Carcinoma in Situ (DCIS), hiki iā ʻoe ke manaʻo i ka makaʻu nui a me ka haʻalulu. He mea maʻamau ka loaʻa ʻana o nā nīnau e like me, 'He aha kaʻu e hana ai i kēia manawa? He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?' Akā, mai makaʻu. ʻOiai ua kapa ʻia ʻo ia he maʻi ʻaʻai, aia nō ia i nā pae mua loa, ʻo ia hoʻi, ʻaʻole i laha. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.

He aha maoli ka DCIS?

I ka ʻōlelo maʻalahi, ʻo DCIS kahi kūlana kahi e ulu ai nā hunaola kanesa i loko wale nō o nā ʻauwai waiū i loko o ka umauma. E noʻonoʻo i kēia mau ʻauwai waiū e like me nā paipu liʻiliʻi. I ka DCIS, aia nā hunaola kanesa i loko wale nō o kēia mau paipu. ʻAʻole lākou i pālahalaha ma waho o nā paipu, ʻo ia hoʻi, ʻaʻole lākou i pālahalaha i nā ʻiʻo palupalu ʻē aʻe i loko o ka umauma. ʻO kēia ka mea a nā kauka e kapa nei "in situ" (ʻo ia hoʻi 'ma kahi').

Pono anei au e hana i ke ʻoki kino?

ʻO ka mea paha, ʻae. ʻO ke ʻoki kino ka lāʻau lapaʻau nui a maʻamau no DCIS. Akā, mai makaʻu e ʻōlelo "ʻoki kino." ʻElua ʻano nui o ke ʻoki kino. E wehewehe kāu kauka iā ʻoe i ke ʻano hana maikaʻi loa no kou kūlana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

ʻAʻole e pau kāu lāʻau lapaʻau ma hope o ke ʻoki ʻana. Aia nō kekahi mau hana hiki iā ʻoe ke hana e pale aku ai i ka hoʻi hou ʻana mai o ke kanesa.

Hoʻōla Pāhawewe

Inā ua loaʻa iā ʻoe kahi lumpectomy , ʻōlelo pinepine ʻia ka radiation therapy ma hope o ke ʻoki ʻana. ʻO ka pahuhopu ka luku ʻana i nā hunaola kanesa liʻiliʻi a ʻike ʻole ʻia e waiho ana ma ia wahi ma hope o ke ʻoki ʻana. Hoʻemi nui kēia i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.

• ʻO ke ʻano hana maʻamau: Pili kēia i ka hoʻopili ʻana i ka radiation i waho i ka umauma mai kahi mīkini no kahi o 5 mau lā o ka pule no kekahi mau pule.
• Nā ʻano hana ʻē aʻe: I kekahi manawa, hāʻawi ʻia ka radiation i ka ʻāpana o ka umauma kahi i loaʻa ai ke kanesa, ma mua o ka umauma holoʻokoʻa. Aia kekahi ʻano hana e hoʻokomo ʻia ai kahi hua radioactive liʻiliʻi i loko o ka umauma no ka mālama ʻana. Eia nō naʻe, ʻo kēia mau ʻano hana ʻelua, e hāʻawi ana i ka radiation i ka umauma holoʻokoʻa, ke aʻo ʻia nei e ʻike inā like ko lākou pono.

Hoʻōla Hormonal

Hiki ke ʻōlelo ʻia kekahi mau wahine e lawe i kahi lāʻau lapaʻau hormone, e like me tamoxifen , ma waho aʻe o ka radiation therapy. Kōkua pū kēia i ka hōʻemi ʻana i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.

Akā, hāʻawi wale ʻia kēia lāʻau lapaʻau inā he 'hormone-receptor-positive' kou maʻi kanesa. He aha ke ʻano o ia mea? ʻO ia hoʻi, ʻo ka hormone estrogen, ka mea i hana maoli ʻia i loko o kou kino, ke kōkua nei i ka ulu ʻana o nā hunaola kanesa. E hoʻāʻo kāu kauka iā ʻoe e ʻike inā he ʻano kēia kou maʻi kanesa. ʻO ia ka mea e hoʻoholo ai inā pono ʻoe i kēia lāʻau lapaʻau a ʻaʻole paha.

E pono anei iaʻu ka chemotherapy?

ʻAʻole paha. He makaʻu nui kēia no nā kānaka he nui. ʻO ka Chemotherapy kahi lāʻau lapaʻau e hoʻohana ana i nā lāʻau ikaika e luku i nā ʻāpana e māhele wikiwiki ana (e like me nā ʻāpana kanesa) ma ke kino holoʻokoʻa. Eia nō naʻe, no ka mea, ʻo DCIS kahi maʻi i hoʻopaʻa ʻia i nā ala waiū a ʻaʻole i laha i nā ʻāpana ʻē aʻe o ke kino, ʻaʻole i ʻōlelo pinepine ʻia ka chemotherapy no kāna mālama ʻana.

Pono hou anei au e hana ʻoki kino?

I kekahi manawa hiki ke hana ʻia kēia. ʻOi loa aku inā ua loaʻa iā ʻoe kahi lumpectomy , inā ma hope o ka nānā ʻana i ka ʻiʻo i wehe ʻia, manaʻo ke kauka ʻaʻole i lawa ka ʻiʻo 'maʻemaʻe' (olakino) i wehe ʻia a puni nā hunaola kanesa, pono paha kahi hana ʻelua. Ua kapa ʻia kēia ʻo 'clear margins'. Hana ʻia kēia e wehe loa i nā hunaola kanesa i koe a e pale iā ʻoe.

Pono ʻoe e noʻonoʻo i ke kūkulu hou ʻana o ka umauma?

Ma hope o ka lumpectomy a i ʻole mastectomy, koho kekahi mau wahine e hana i ke ʻoki hana hou ʻana o ka umauma. He hoʻoholo pilikino loa kēia. ʻAʻole pono ia ma ke ʻano lapaʻau. ʻAʻole pono e hana koke ʻia ma hope o ke ʻoki mua. Inā makemake ʻoe, e ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i kāu mau koho, pehea e hana ʻia ai, a inā paha he kūpono ia iā ʻoe.