Ua ʻike mākou i ke ʻano weliweli a me ka hopohopo āu e manaʻo ai inā loaʻa iā ʻoe kahi puʻupuʻu i loko o kou umauma. Hiki i ka huaʻōlelo "maʻi ʻaʻai" ke hoʻopūhoihoi nui iā mākou. Akā ʻo ka mea nui e pono ai ʻoe e ʻike, ʻaʻole like nā maʻi ʻaʻai umauma āpau. Aia kekahi mau ʻano maʻi ʻaʻai i emi iki ka huhū ma mua o nā mea ʻē aʻe a pane maikaʻi aku i ka lāʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano maʻi ʻaʻai umauma kakaʻikahi loa, akā hoʻokahi i loaʻa ka nui o ka ho'ōla.
He aha ke Kanesa ʻUma Mucinous?
I ka ʻōlelo maʻalahi, he ʻano maʻi ʻaʻai umauma kakaʻikahi loa ka mucinous carcinoma . ʻAʻole ia ma mua o 2% o nā maʻi ʻaʻai umauma āpau. He ʻano maʻi ʻaʻai nō hoʻi ia e hoʻomaka ana ma nā ʻauwai waiū o ka umauma a laha i nā ʻiʻo a puni. I mea e pololei ai, hāʻule ia i loko o ka māhele o `(Invasive Ductal Cancer)`.
Akā ʻo ka mea kūikawā e pili ana i kēia, aia kahi mea i kapa ʻia ʻo 'mucin' a puni kēia mau hunaola kanesa . E noʻonoʻo iā ia he mea mānoanoa a pipili e like me ka mucus i loko o ko kākou ihu a me nā ʻōpū. ʻO kēia ke ʻano o kēia mucin. I loko o kēia kanesa, ke lana nei nā hunaola kanesa i loko o kēia mea like me ka jelly i kapa ʻia ʻo mucin. I kekahi manawa ua kapa ʻia kēia he colloid carcinoma.
Ma muli o kēia uhi e like me ka mucus i kapa ʻia ʻo mucin, ʻaʻole hiki i nā hunaola kanesa ke neʻe wikiwiki a puni, ʻo ia hoʻi, ʻaʻole hiki iā lākou ke komo i nā ʻiʻo a puni, ma mua o nā ʻano kanesa ʻē aʻe. ʻO kēia ke kumu nui e emi ai ka huhū o kēia kanesa a pane maikaʻi i ka lāʻau.
I kekahi manawa, aia wale nō kēia mau hunaola kanesa mucinous i loko o ka puʻupuʻu . Kapa mākou ia he 'pure mucinous carcinoma'. I kekahi manawa, hiki ke ʻike ʻia kēia mau hunaola mucinous i hui pū ʻia me nā ʻano kanesa umauma ʻē aʻe. Eia nō naʻe, he kiʻekiʻe loa ka nui o ka ho'ōla ʻana o ke ʻano 'pure'.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa?
Hoʻopilikia nui kēia ʻano maʻi ʻaʻai i nā wahine. He mea kākaʻikahi loa i ke kāne ke loaʻa iā ia.
ʻOiai hiki ke loaʻa kēia ʻano i kēlā me kēia makahiki, ʻike pinepine ʻia ma hope o ka menopause , ʻo ia hoʻi, i waena o nā wahine ma waena o 60 a me 70 mau makahiki.
He aha nā hōʻailona o ka mucinous carcinoma?
E like me ka hapa nui o nā maʻi ʻaʻai umauma, ʻaʻole paha e hōʻike kēia i kekahi mau hōʻailona i nā pae mua. Akā i ka hala ʻana o ka manawa, ʻo ka hōʻailona nui āu e ʻike ai he puʻupuʻu i loko o ka umauma .
Hiki paha iā ʻoe ke ʻike i kēia puʻupuʻu i ka wā o ka nānā ponoʻī ʻana i ka umauma. A i ʻole e loaʻa paha i ka wā o ka nānā ʻana e ke kauka. ʻO ka maʻamau, hiki i kēia puʻupuʻu ke like me 3 kenimika ka nui. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā puʻupuʻu liʻiliʻi a nui aʻe paha.
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
Ke hele ʻoe e ʻike i ke kauka me kahi puʻupuʻu ma kou umauma, e hana ʻo ia i kekahi mau hoʻokolohua e hoʻoholo ai inā he mucinous carcinoma a i ʻole kekahi ʻano ʻē aʻe.
| Hoʻāʻo | I ka ʻōlelo maʻalahi, he aha ke ʻano o ia mea? |
|---|---|
| Hoʻokolohua kino | E nānā lima ke kauka i kou mau umauma ʻelua e nānā i ke ʻano o ka puʻupuʻu, kona nui, a inā e neʻe a ʻaʻole paha. |
| Mammogram | He kiʻi X-ray kēia o ka umauma. ʻO ka maʻamau, he lihi i wehewehe pono ʻia ka mucinous carcinoma a ʻike ʻia he puʻupuʻu e puka mai ana mai nā ʻiʻo a puni. Kākaʻikahi ka hōʻike ʻana i nā waihona calcium (calcifications). |
| ʻO ke kiʻi ʻana o ka ultrasound | Kōkua kēia hoʻāʻo e loaʻa nā kiʻi maopopo o ka puʻu, inā he paʻa a piha paha i ka wai, a me kona ʻano. |
| MRI Scan | I kekahi mau hihia, hiki ke ʻōlelo ʻia kahi scan MRI e kiʻi i kahi kiʻi maopopo o ka laha ʻana o ke kanesa a me nā wahi ʻē aʻe o ka umauma. |
| Biopsy | ʻO kēia ke ala maopopo e ʻike ai i ka maʻi. Hoʻohana ʻia kahi nila liʻiliʻi a ʻoki paha e wehe i kahi ʻāpana ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope. Nānā kēia hoʻāʻo no ke alo o kahi mea i kapa ʻia ʻo mucin i loko o ka puʻupuʻu. |
He aha nā lāʻau lapaʻau no kēia?
Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau no ka mucinous carcinoma. Aia kēia i ka nui o ke kanesa, ke ʻano o ka puʻupuʻu, kona kūlana receptor hormone, a inā ua pālahalaha ke kanesa i nā lymph nodes.
Hiki ke hoʻokaʻawale ʻia nā ʻano lapaʻau nui penei:
| Lapaʻau | Wehewehena |
|---|---|
| Lumpectomy | ʻO kēia ka wehe ʻana i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. ʻAʻole wehe ʻia ka umauma holoʻokoʻa. |
| Ka hoʻopau ʻana i ka mastectomy | Ma kēia, wehe ʻia ka umauma holoʻokoʻa. Manaʻo ʻia kēia ʻoki kino inā nui ka puʻupuʻu a inā he nui nā wahi o ka umauma. |
| Kemoterapia | Ke hāʻawi nei i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa. Inā ʻaʻole i laha ka maʻi kanesa mucinous i nā lymph nodes a i ʻole he mea maʻalahi i nā hormones, ʻaʻole pono paha ka chemotherapy. Na kāu kauka e hoʻoholo i kēia. |
| Hoʻōla Pāhawewe | Ma hope o ke ʻoki ʻana o ka lumpectomy, hoʻohana ʻia ka radiation ikehu kiʻekiʻe e luku i nā hunaola kanesa i koe. |
| Hoʻōla Hormonal | ʻO ka hapa nui o nā maʻi ʻaʻai mucinous he mea maʻalahi ia i nā hormones estrogen a i ʻole progesterone. ʻO kēia lāʻau lapaʻau e pili ana i ka hāʻawi ʻana i nā lāʻau lapaʻau (e like me tamoxifen) e ālai ana i ka hana o kēia mau hormones. He lāʻau lapaʻau kūpono loa kēia. |
ʻO ka mea nui loa, he maikaʻi loa ka wānana o ka mucinous carcinoma. Ke hoʻohālikelike ʻia me nā maʻi ʻaʻai umauma ʻē aʻe, ʻoi aku ka kiʻekiʻe o ka nui o ke ola o nā maʻi i ʻike ʻia me kēia ʻano. No laila, me ka hoʻolālā lapaʻau kūpono, ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla piha ai.
Leka Lawe-Home
- He ʻano maʻi ʻaʻai umauma kakaikahi loa ka Mucinous Breast Cancer a ʻaʻole ikaika loa .
- Ma muli o ka hoʻopuni ʻia ʻana o nā hunaola kanesa e kahi mea like me ka mucus (mucin), lohi ka wikiwiki o ka laha ʻana o ka maʻi kanesa. ʻO kēia ka mea e kiʻekiʻe loa ai ka wikiwiki o ka ho'ōla ʻana.
- ʻO ka hōʻailona nui he puʻupuʻu ma ka umauma. Inā ʻike ʻoe i kekahi mea e like me ia, mai hopohopo a e ʻike koke i ke kauka.
- Ua hōʻoia ʻia ka maʻi e kahi biopsy.
- He mau lāʻau lapaʻau maikaʻi loa ke ʻoki ʻana, ka radiation therapy, a me ka hormone therapy . Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.
- He mea nui loa ka hana ʻana i nā hoʻokolokolo umauma ponoʻī i kēlā me kēia mahina a me ka hana ʻana i nā mammograms kūpono i kou makahiki.
Ka maʻi ʻaʻai umauma, Ka maʻi ʻaʻai umauma Mucinous, Colloid Carcinoma, Nā puʻupuʻu umauma, Ola kino o nā wāhine, Lāʻau lapaʻau no ke kanesa, ka maʻi ʻaʻai umauma sinhala
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