Ke haʻi aku ke kauka iā ʻoe ua loaʻa iā ʻoe ka 'Stage 0 Breast Cancer', nui paha nā nīnau a me nā makaʻu e hiki mai ana i kou manaʻo, ʻeā? He mea maʻamau ia no nā mea e like me "Ke manaʻo maoli nei anei kēia he maʻi kanesa koʻu?" a "He mea weliweli anei kēia?" e hiki mai ana i ka noʻonoʻo. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
He aha maoli kēia 'pae 0'?
He kumuhana paʻakikī kēia. Manaʻo kekahi mau kauka he pae mua loa kēia o ka maʻi ʻaʻai umauma. Manaʻo kekahi he 'precancer' hiki ke lilo i maʻi ʻaʻai.
I ka ʻōlelo maʻalahi, ʻo ka maʻi kanesa kahi kūlana e māhelehele ai nā pūnaewele i loko o ke kino me ke ʻano ʻē a me ke kāohi ʻole ʻia. Hiki i kēia mau pūnaewele ke komo i nā ʻiʻo olakino a puni. Eia nō naʻe, ma ke Kanesa Umauma Pae 0 , aia kēia mau pūnaewele ʻē i loko o nā ala waiū o ka umauma. ʻAʻole lākou i laha (invasive) i loko o nā ʻiʻo a puni. ʻO ke ʻano kēia he pae holomua ʻole kēia a mua loa ma mua o ke Pae 1.
ʻElua ʻano nui o kēia ʻano:
1. Ductal Carcinoma In Situ (DCIS): Ke kamaʻilio mākou e pili ana i ka Stage 0 Breast Cancer, manaʻo pinepine mākou i kēia kūlana. Maanei, aia nā pūnaewele ʻē i loko o nā ducts waiū wale nō. ʻAʻole lākou i pālahalaha i ka ʻiʻo momona e hana ana i ka hapa nui o ka umauma. ʻAʻole ʻike ʻia ke kumu pololei o kēia. ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona. Eia nō naʻe, i kekahi manawa hiki i kēia mau pūnaewele ʻē ke ulu i loko o ka maʻi ʻaʻai e pālahalaha ana i ka wā e hiki mai ana. Akā, ʻaʻohe ala e ʻōlelo maopopo ai inā e hana ʻia kēlā a ʻaʻole paha.
2. ʻO ka maʻi Paget o ka nipple ʻaʻole invasive: He ʻano maʻi umauma kakaikahi loa kēia.
Aia kekahi mau hōʻailona o kēia maʻi?
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka maʻi ʻaʻai umauma o ka pae 0 i kekahi mau hōʻailona. Akā i kekahi manawa, hiki ke ʻike ʻia kekahi mau hōʻailona. E nānā kākou i ke ʻano o ia mau mea.
| Kūlana | Nā hōʻailona hiki ke loaʻa |
|---|---|
| ʻO ka maʻi o Paget o ka nipple |
|
| DCIS (Ductal Carcinoma In Situ) |
Pehea ʻoe e ʻike ai i kēia?
No ka mea, ʻaʻohe pinepine nā hōʻailona, ʻo ke ala maikaʻi loa e ʻike ai i ke Kanesa ʻUma Stage 0 ma o ka nānā mau ʻana. ʻO nā mammograms ke ala maʻamau e ʻike ai i kēia maʻi. ʻO ka ʻoiaʻiʻo, ʻoi aku ma mua o 90% o nā hihia DCIS i loaʻa ma o nā hoʻokolohua nānā. ʻO ia ke kumu e aʻo aku ai nā kauka i nā wahine e nānā ʻia i ka wā ʻōpiopio.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?
Ua like loa nā kumu pilikia no ke Kanesa ʻUma Pae 0 me nā kumu pilikia no ke Kanesa ʻUma maʻamau. E nānā kākou i ko lākou ʻano. ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau kumu, ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi, akā ʻo ia hoʻi, ʻoi aku ka kiʻekiʻe o kou pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Makahiki | Piʻi ka pilikia me ka makahiki. |
| Moʻolelo ʻohana | He ʻohana pili loa koʻu (makuahine, kaikuahine) me ka maʻi ʻaʻai umauma. |
| Keiki ʻole | ʻOi aku ka nui o ka pilikia o nā wāhine i hānau ʻole. |
| Keiki mua | Ka hānau ʻana o kāu keiki mua ma hope o 30 mau makahiki. |
| Moʻolelo pilikino | Ma hope o ka loaʻa ʻana o nā maʻi umauma ʻaʻole i pili i ka maʻi kanesa (e like me Atypical Hyperplasia). |
| Ka hoʻomaka ʻana o ka maʻi | Hoʻomaka ka menopause ma mua o 12 mau makahiki a i ʻole ka menopause ma hope o 55 mau makahiki. |
| Nā ʻokoʻa genetic | ʻIke ʻia ka loaʻa ʻana o nā hoʻololi genetic e hoʻonui i ka pilikia o ka maʻi kanesa. |
He aha nā lāʻau lapaʻau?
Ke ʻike ʻia ʻoe me DCIS, e komo pū ana kāu hōʻike hoʻāʻo me kahi 'papa'. ʻO ka papa nuklea 3 ke ʻano i ʻoi aku ka palahalaha, a ʻo ka papa 1 ke ʻano i emi loa ka palahalaha. E hoʻāʻo ʻia hoʻi kāu mau hunaola kanesa e ʻike inā he mau mea loaʻa estrogen ko lākou. Inā he ER-positive (ER+) lākou, ʻo ia hoʻi, e ulu mālie ana ke kanesa.
Me kēia mau mea a pau, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i ka hoʻāʻo genetic.
ʻO kāu hana aʻe e pili ana i kēia mau mea āpau, a me kāu mau makemake pilikino. Manaʻo ka hapa nui o nā loea he ʻoi aku ka maikaʻi o ka loaʻa ʻana o kekahi lāʻau lapaʻau. No ka mea, ʻoiai ʻaʻole e laha ka maʻi kanesa Stage 0, hiki ke loli i ka wā e hiki mai ana, manaʻoʻiʻo lākou he ʻoi aku ka maikaʻi o ka palekana ma mua o ke kaumaha.
ʻO nā lāʻau lapaʻau maʻamau no DCIS:
- ʻO ke ʻoki kino: No nā puʻupuʻu DCIS liʻiliʻi, hiki ke hana ʻia kahi lumpectomy, kahi e wehe ai i nā cell ʻano ʻē a me kahi liʻiliʻi o nā ʻiʻo umauma e hoʻopuni ana. Koho kekahi poʻe e loaʻa kahi mastectomy, kahi e wehe ai i ka umauma holoʻokoʻa. A laila hiki ke hana ʻia ke ʻoki hana hou ʻana o ka umauma inā pono.
- Lapaʻau Radiation: Hana pinepine ʻia kēia ma hope o ka lumpectomy. Kōkua ka lāʻau lapaʻau radiation i ka luku ʻana i nā ʻāpana ʻē aʻe i wehe ʻole ʻia i ka wā o ke ʻoki ʻana a hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.
- Lapaʻau Hormone: Hiki i kēia lāʻau lapaʻau ma hope o ke ʻoki ʻana ke kōkua i ka pale ʻana i ka maʻi kanesa hou mai ka ulu ʻana ma nā umauma ʻelua.
ʻO ka mea nui loa, hoʻohana ʻia ka chemotherapy e mālama iā DCIS.ʻAʻole pono kēia. ʻO ke kumu o kēia, ʻo ia ka haʻahaʻa loa o ka pilikia o ka laha ʻana o kēia mau cell i nā ʻāpana mamao o ke kino.
He ʻoi aku ka maikaʻi o ka nānā a kali me ka ʻole o ka lāʻau lapaʻau?
He mea koʻikoʻi loa kēia a he mea nui hoʻi. Ma kahi o ka hapakolu o ka poʻe me DCIS e loaʻa ka manawa kūpono e loaʻa ai ka maʻi kanesa invasive i ka wā e hiki mai ana. No laila, hiki i kekahi mau kauka ke paipai i kahi ala 'kiaʻi a kali', me ka hoʻāʻo pinepine ʻana, ma mua o ka mālama koke ʻana.
He mea hoʻopaʻapaʻa kēia. E noʻonoʻo, inā ua hana ʻia ʻoe i ke ʻoki kino (malia paha me ka radiation therapy) i ka manawa hoʻokahi, hiki iā ʻoe ke pale ʻia mai ka loaʻa ʻana o ka maʻi kanesa e laha ʻole ai. Ma ka ʻaoʻao ʻē aʻe, hiki iā ʻoe ke hana ʻia i ka lāʻau lapaʻau ʻaʻole pono maoli.
Akā inā hoʻoholo ʻoe e kāpae i ke ʻoki kino a me ka radiation therapy i ka wā mua a hana wale i nā nānā maʻamau, aia kahi manawa liʻiliʻi e ʻoi aku ka paʻakikī o ka maʻi kanesa (paʻakikī ke mālama ʻia) i ka manawa e ʻike ai nā kauka. He hoʻoholo pilikino kēia e kūkākūkā pono ai ʻoe a me kāu kauka.
He aha ka nui o ka ho'ōla ʻana no kēia maʻi?
Eia ka nūhou maikaʻi. Inā loaʻa iā ʻoe ke Kanesa ʻUma Pae 0, ʻoi aku ka kiʻekiʻe o kou manawa e hoʻōla ai a ola holoʻokoʻa ma mua o nā mea me ke kanesa Pae III a i ʻole IV. ʻO kēia no ka mea ʻaʻole i laha ka maʻi i nā ʻāpana ʻē aʻe o ke kino.
ʻO ka helu ola ola 5 makahiki no ka poʻe me ka maʻi ʻaʻai umauma 'kūloko' (ʻo ia hoʻi, nā hihia kahi e noho mau ana nā cell ʻano ʻē i loko o ka umauma, e like me ke kahua 0) he 99% . I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻo ka mea i ʻike ʻia me ka maʻi ʻaʻai Stage 0 he 99% ka manawa e ola ai i nā makahiki 5 e hiki mai ana, e like me ka mea me ka ʻole o ka maʻi ʻaʻai.
Ma kahi o 1 i loko o 5 mau maʻi ʻaʻai umauma i ʻike hou ʻia he DCIS. Akā, aneane hiki ke ho'ōla loa ʻia ka hapa nui o nā kānaka me ke ʻano. He mea kākaʻikahi loa ka hoʻi ʻana mai o DCIS ma hope o ka mālama ʻana.
Leka Lawe-Home
- ʻO ke Kahua 0 o ka maʻi ʻaʻai umauma kahi kahua mua loa o ke kanesa. Maanei, ʻaʻole i laha nā pūnaewele ʻē ma waho o nā ala waiū.
- ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o kēia maʻi. Hoʻomaopopo ʻia ia ma o nā hoʻokolohua e like me ka mammogram.
- Aia kekahi mau koho lapaʻau. Pono ʻoe e koho i ka mea kūpono loa iā ʻoe ma hope o ke kamaʻilio ʻana me kāu kauka.
- ʻAʻole koi ʻia ka chemotherapy no kēia maʻi.
- Mai hopohopo. Kiʻekiʻe loa ka nui o ke ola no ka poʻe me ke Kanesa ʻUma Stage 0.Me ka mālama pono ʻana, hiki ke ho'ōla piha ʻia.
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