I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kumuhana i maʻamau i waena o nā wahine ma ko mākou ʻāina, a he mea hoʻoweliweli ia i nā mea he nui. ʻO ia ka maʻi ʻaʻai umauma . Akā, ʻaʻole maikaʻi ke makaʻu e kamaʻilio e pili ana i kēia. No ka mea, inā ua hoʻomaopopo pono ʻia mākou e pili ana i kēia maʻi, inā ʻike mua ʻia nā hōʻailona, hiki ke ho'ōla loa ʻia. No laila, inā ʻike ʻoe i kahi loli i kou kino, ʻoi aku hoʻi i kou mau umauma, mai hoʻowahāwahā iā ia. E nānā kākou i kēia mau hōʻailona āu e pono ai e makaʻala.
He aha nā hōʻailona maʻamau o ka maʻi ʻaʻai umauma?
Hiki ke ʻokoʻa nā hōʻailona o ka maʻi ʻaʻai umauma mai kēlā kanaka a kēia kanaka. ʻAʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona i nā pae mua. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau āu e makaʻala ai.
ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana i ke ʻano maʻamau o kou mau umauma. A laila e maʻalahi ka ʻike koke ʻana i nā loli liʻiliʻi.
Aia ma lalo iho kekahi mau hōʻailona maʻamau e pono ʻoe e makaʻala nui.
| Hōʻailona | Ua wehewehe maʻalahi ʻia |
|---|---|
| He puʻu ma ka umauma a i ʻole ka armpit | ʻO kēia ka hōʻailona maʻamau. Manaʻo ia e like me kahi puʻupuʻu hou a i ʻole ka mānoanoa ʻaʻole ma mua. ʻAʻohe ʻeha o kēia mau puʻupuʻu. |
| Nā loli ʻili | Hiki ke ʻulaʻula ka ʻili ma ka umauma, loaʻa kahi ʻulaʻula, a i ʻole he lua paha. I kekahi manawa he ʻano lua paha ka ʻili , e like me ka ʻili o ka ʻili ʻalani . |
| Pehu ʻana | He puʻupuʻu ma ka ʻāʻī a kokoke paha i ka iwi ʻāʻī. ʻO ia hoʻi, ua laha paha ke kanesa i nā lymph node kokoke. |
| Nā loli o ka nipple | Ke komo ʻana o ka ʻūpā, ka loli ʻana o ke ʻano, ka maneʻo, ka mumū, a i ʻole nā ʻeha. |
| Nā leo ʻē | He kahe maopopo, koko, a i ʻole kekahi kala ʻē aʻe mai ka nipple (ke ʻole ʻoe e hāpai ana a hānai waiū paha). |
| Ka loli ʻana o ke ʻano a i ʻole ka nui o ka umauma | He ʻokoʻa loa ka manaʻo o kekahi umauma mai kekahi, he palahalaha, a i ʻole he ʻokoʻa ka mahana. |
Akā, he maʻi ʻaʻai anei nā puʻupuʻu umauma a pau?
Eia kekahi mea nui loa. Mai hopohopo inā loaʻa iā ʻoe kahi puʻupuʻu i loko o kou umauma. ʻAʻole nā puʻupuʻu a pau i loko o ka umauma he maʻi kanesa. ʻO ka hapa nui o nā puʻupuʻu i hana ʻia e nā maʻi olakino ʻē aʻe.
- Nā Cysts: He mau ʻeke piha wai ʻole kēia, he mau ʻeke ia e pono ʻole ai.
- ʻO Fibroadenomas: He mau puʻupuʻu paʻa ʻole kēia no ka maʻi kanesa, ʻoi aku ka maʻamau i nā wahine ʻōpio .
- Nā maʻi umauma: Hiki ke loaʻa mai i ka wā e hānai ai i ka waiū.
- Nā ʻeha liʻiliʻi: ʻO kahi ʻeha i ka umauma ma hope e hana ai i ka ʻiʻo ʻeha e like me kahi puʻupuʻu.
Akā ʻo ka mea nui loa, ʻaʻole pono mākou e hoʻoholo i ke ʻano o ka puʻupuʻu . Inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole kekahi loli ʻē aʻe, e ʻike pono i kāu kauka a e nānā iā ia. ʻO ia ka mea palekana loa e hana ai.
Nā ʻano maʻi kanesa like ʻole a me ko lākou mau ʻano kūikawā
Aia nā ʻano like ʻole o ke kanesa umauma. Loaʻa paha i kēlā me kēia ʻano kona mau ʻano ponoʻī. E nānā iki kākou i kekahi o nā ʻano nui.
ʻO ke kanesa ductal
ʻO kēia ke ʻano maʻamau o ka maʻi ʻaʻai umauma. Hoʻomaka ia ma nā ducts lawe waiū o ka umauma. I nā pae mua, hiki ke kaupalena ʻia ke kanesa i nā ducts. Ua kapa ʻia kēia ʻo "Ductal Carcinoma in Situ (DCIS)". ʻAʻole pinepine kēia ʻano i nā hōʻailona. ʻIke pinepine ʻia ma o kahi hoʻāʻo "mammogram". Eia nō naʻe, i kekahi manawa e ʻike ʻia kahi puʻupuʻu a i ʻole ka kahe mai ka nipple.
Ke pālahalaha ka maʻi kanesa ma waho o nā ducts a i loko o nā ʻiʻo a puni, kapa mākou ia he "Invasive breast cancer ". A laila e ʻike ʻia nā hōʻailona maʻamau i ʻōlelo ʻia ma mua.
Ka maʻi ʻaʻai umauma mumū (IBC)
He ʻano laha ʻole kēia a wikiwiki hoʻi ka laha. Hiki i kona mau hōʻailona ke like me ka maʻi umauma, no laila pono ʻoe e makaʻala pono i kēia.
- ʻUlaʻula o ka umauma, pehu, a me ka manaʻo mehana.
- Ka mānoanoa o ka ʻili , e like me ka ʻili ʻalani.
- Ka piʻo ʻana o ka nipple.
- ʻEha a me ka mumū.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai manaʻo he maʻi maʻamau wale nō ia a e ʻike koke i ke kauka.
ʻO ka maʻi o Paget o ka umauma
He ʻano kākaʻikahi nō hoʻi kēia. Maanei, hoʻopilikia ka maʻi ʻaʻai i ka nipple a me ka ʻili a puni ia (areola). Hiki i nā hōʻailona ke like me ka eczema.
- Lilo ka ʻili ma ka nipple i unahi, ʻulaʻula, a me ka ʻili ʻana .
- Ka kahe melemele a koko paha mai ka nipple.
- Ka mumū a me ka maneʻo.
Ke laha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino (Metastatic Breast Cancer)
Inā ʻaʻole mālama pono ʻia ke kanesa o ka umauma, hiki i nā hunaola kanesa ke laha i nā ʻāpana ʻē aʻe o ke kino ma o ke koko a i ʻole ka ʻōnaehana lymphatic. Kāhea mākou i kēia kūlana ʻo `(Metastatic Breast Cancer)`. I kēia hihia, ʻike ʻia nā hōʻailona ma muli o ke ʻano i laha ai ke kanesa.
- Inā pālahalaha ia i nā iwi: ʻeha iwi koke a mau, haki maʻalahi nā iwi.
- Inā pālahalaha ia i nā māmā: ka ʻū maloʻo mau, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma.
- Inā pālahalaha ia i ke akepaʻa: pehu ʻōpū, melemele o ka ʻili a me nā maka (jaundice), nalowale o ka makemake e ʻai, ʻeha ʻōpū.
- Inā pālahalaha ia i ka lolo: nā ʻeha poʻo mau, nā pilikia ʻike, nā hopu ʻana, ka nalowale o ke kaulike.
Loaʻa nō hoʻi i nā kāne ka maʻi ʻaʻai umauma?
ʻAe. He mea kēia a ka poʻe he nui i ʻike ʻole ai. ʻAʻole ka maʻi kanesa o ka umauma kahi maʻi e hoʻopilikia wale i nā wahine. ʻOiai he mea kakaikahi loa, hiki i nā kāne ke loaʻa i ka maʻi kanesa o ka umauma. Ua like nā hōʻailona me nā mea o nā wahine.
- He puʻupuʻu ʻeha ʻole ma ka umauma a i ʻole ka ʻāʻī.
- Ka puka ʻana a i ʻole ka hoʻokuʻu ʻana o ka nipple.
- Nā loli o ka ʻili ma ka ʻāpana umauma.
No ka mea he mea kākaʻikahi loa kēia, ʻaʻole paha e nānā nui nā kāne i kēia mau hōʻailona. No laila, he mea nui loa e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau loli e like me kēia, ʻoiai inā he kāne ʻoe.
Nā hōʻailona o ka hoʻi hou ʻana mai o ke kanesa ma hope o ka mālama ʻana (Recurrence)
Hiki i ke kanesa umauma ke hoʻi hou mai ma hope o ka mālama ʻia ʻana, i kekahi manawa he mau makahiki ma hope. No laila he mea nui e mālama i kou kino, ʻoiai ma hope o ka mālama ʻia ʻana.
- ʻIke ʻia kahi puʻupuʻu hou ma ka umauma i mālama ʻia a i ʻole kokoke i ka ʻōpala ʻoki.
- He pehu a puʻupuʻu paha ma ka ʻāʻī a i ʻole ka ʻūhā.
- ʻEha mau o ka umauma.
- ʻO ka puka ʻana mai o nā hōʻailona 'Metastatic' i ʻōlelo ʻia ma luna (e like me ka ʻeha o ka iwi, ka paʻakikī o ka hanu ʻana).
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka.
Leka Lawe-Home
- He mea nui e makaʻala i ke ʻano maʻamau o kou mau umauma. E hoʻomaʻamaʻa i ka hana ʻana i kahi hoʻokolokolo umauma ponoʻī i kēlā me kēia mahina.
- Inā ʻike ʻoe i kahi puʻupuʻu hou ma kou umauma a i ʻole kou ʻāʻī, kahi loli o ka ʻili, kahi loli ma kou nipple, ʻeha ʻē, a pehu paha, mai hoʻonele i ka manawa a e ʻike i ke kauka.
- ʻOiai ʻaʻole nā puʻupuʻu a pau ma ka umauma he maʻi kanesa, he mea nui e nānā ʻia e ke kauka.
- Hiki i nā wāhine ma luna o 40 mau makahiki ke ʻike i ka maʻi kanesa ma mua o ka puka ʻana o nā hōʻailona ma o ka hana mau ʻana i nā mammograms e like me ka ʻōlelo a kā lākou kauka.
- Aneane hiki ke ho'ōla loa ʻia ke kanesa o ka umauma me ka ʻike mua ʻana. No laila, mai makaʻu, e makaʻala, a e hana mua.
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