E hoʻomaopopo kākou i ka helu BI-RADS ma kāu hōʻike mammogram.

Ua ʻike mākou a pau i ke ʻano o ka manaʻolana, ka hoihoi, a me kahi makaʻu iki e hele mai me ka loaʻa ʻana o kāu hōʻike mammogram. Ke loaʻa iā ʻoe kāu hōʻike, ʻoi aku paha kou hopohopo ke ʻike ʻoe i nā huaʻōlelo lapaʻau ma luna, ʻoiai ka helu `BI-RADS`. Akā, mai hopohopo. ʻAʻole ʻo ʻoe wale nō. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana, me ka maʻalahi loa, i ke ʻano o `BI-RADS` a me kāna ʻōlelo e pili ana i kou olakino.

He aha ka BI-RADS?

I ka ʻōlelo maʻalahi, ʻo `BI-RADS` kahi pōkole no ``Breast Imaging Reporting and Data System``. He ʻōnaehana maʻamau kēia i hoʻohana ʻia e nā kauka a puni ka honua. Hoʻohana ʻia ia e hoʻokaʻawale i nā hopena o kāu hoʻāʻo mammogram. ʻO ia hoʻi, kōkua kēia helu ``BI-RADS`` i ke kauka e loaʻa kahi manaʻo maopopo inā hōʻike ka X-ray o kou mau umauma i kekahi mau hōʻailona o ka maʻi kanesa a ʻaʻole paha.

Ma lalo o kēia ʻōnaehana, e loaʻa i kāu hōʻike kahi waiwai mai ka 0 a i ka 6. ʻO ka mea a kēlā me kēia mau waiwai e ʻōlelo nei, ʻo ia ka mea a mākou e nānā nei i kēia manawa.

E aʻo pū kākou e pili ana i ka mammogram a me nā hoʻokolohua biopsy.

Hoʻāʻo mammogram

He hoʻāʻo X-ray kēia i hana kūikawā ʻia no nā umauma. Kū ʻoe i mua o kahi mīkini X-ray a kau i kekahi o kou mau umauma ma luna o kahi pālahalaha. A laila, kaomi mālie kekahi loea i aʻo ʻia i kou umauma mai luna me kahi ʻili ʻē aʻe. Hana ʻia kēia i mea e lahilahi ai ka ʻiʻo umauma a ʻike maopopo ʻia nā loli i loko o ka umauma ma ka X-ray.

Hiki paha iā ʻoe ke manaʻo i kekahi kaomi, ʻoluʻolu ʻole, a me kahi ʻeha iki i kēia manawa. He mea maʻamau kēia. Ke pau kekahi ʻaoʻao, e nānā ʻia kekahi umauma ma ke ʻano like. Hiki paha i kou umauma ke ʻeha iki a palupalu paha ma hope o ka nānā ʻana.

Nānā kekahi radiologist i kēia mau kiʻi X-ray a hoʻoholo i ka helu `BI-RADS`. ʻO ia ka mea nāna e hoʻouna i kēia hōʻike i kāu kauka.

Hoʻāʻo Biopsy

Inā kānalua kāu helu BI-RADS, e like me 4 a i ʻole 5, ʻo ka mea nui aʻe e hana ai, ʻo ia ka biopsy. Pili kēia i ka lawe ʻana i kahi hāpana ʻiʻo liʻiliʻi loa mai ka wahi kānalua a hoʻāʻo iā ia ma kahi keʻena hoʻokolohua. ʻO kēia wale nō ke ala e ʻike ai me ka maopopo 100% inā loaʻa nā hunaola kanesa.

Ma waho aʻe o kahi mammogram kānalua, aia kekahi mau kūlana ʻē aʻe e hiki ai i kāu kauka ke ʻōlelo aku i kahi biopsy:

• He aha inā loaʻa i ke kauka kahi puʻupuʻu ma kou lima i ka wā e nānā ana i kou umauma?
• Inā ʻike ʻia kekahi mea kānalua i ka wā o ka nānā ʻana o ka ultrasound.
• Inā ʻike ʻia kahi wahi kānalua i ka wā o ka MRI scan.
• Inā he mau loli ʻē aʻe kou ihu (e.g., ʻili ʻili, indentation, discharge).

Inā ua hōʻoia ʻia ka maʻi kanesa, he aha ka lāʻau lapaʻau?

Inā ua ʻike ʻia ʻoe he maʻi ʻaʻai umauma, ʻo ka hoʻomaka koke ʻana i ka mālama ʻana ke ala maikaʻi loa e loaʻa ai nā hopena maikaʻi loa. Na kāu kauka a me ke kauka oncology e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. Aia kekahi mau koho lapaʻau nui.

ʻoki kino

ʻO ka lāʻau lapaʻau nui pinepine ka ʻoki ʻana e wehe i nā hunaola kanesa. I kekahi manawa, hiki ke hāʻawi ʻia ka chemotherapy a i ʻole ka radiation ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu. ʻElua ʻano ʻoki:

• Lumpectomy: ʻO kēia ke wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. Hoʻohana ʻia kēia no nā maʻi kanesa liʻiliʻi, mua.
• Mastectomy: Pili kēia i ka wehe ʻana i ka umauma holoʻokoʻa. Inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā e hiki mai ana, hiki i kāu kauka ke ʻōlelo aku e wehe i nā umauma ʻelua (ka mastectomy pālua).

Hoʻōla Pāhawewe

Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu ikaika e luku i nā hunaola kanesa a i ʻole nā ​​hunaola i waiho ʻia ma hope o ke ʻoki ʻana. Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (ka maʻi ʻaʻai umauma metastatic), hiki i kēia lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hōʻailona.

Kemoterapia

ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau kūikawā e pepehi ai i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he inikini ma o kahi aʻa (intravenously) a i ʻole he mau pila/wai āu e lawe ai.