I roto i te pūrongo koiora i tuhia ai te ADH? Kaua e manukanuka, me kōrero tāua mō tēnei! (Atypical Ductal Hyperplasia)

Tērā pea kua kite koe i tētahi panonitanga i roto i tō ū, kua tūtohutia rānei e tō tākuta he koiora i muri i te mammogram. Ina whiwhi koe i taua pūrongo koiora, ā, ka kite koe kei roto te kupu "Atypical Ductal Hyperplasia" "ADH" rānei, he mea noa te mataku me te manukanuka. "He mate pukupuku tēnei?" "He aha te mea ka pā ki ahau ināianei?" He maha pea āu pātai kei roto i tō hinengaro. Engari kaua e manukanuka. I tēnei rā, ka kōrero tātou mō te ADH, te take e puta ai, me te aha te mahi mōna i roto i tētahi huarahi māmā, mārama hoki.

He aha rawa te Āhua o te Atypical Ductal Hyperplasia (ADH)?

He kupu ngāwari noa iho, ko te ADH he tipu rerekē o ngā pūtau i roto i ngā awa waiū o ō ū. Ehara i te mate pukupuku. Engari ehara hoki i te mea noa.

Whakaarohia, he rite ngā awa waiū i roto i ō tātou ū ki ngā ngongo iti. He pūtau te pakitara o roto o ēnei ngongo. I roto i te tangata hauora, e rua ngā paparanga o ēnei pūtau, he tino ātaahua te whakarārangi.

Engari i roto i te tangata whai ADH, he ahua pōrearea ēnei pūtau, he puranga tetahi ki runga i a rātou, ā, he maha ngā paparanga e tipu ana. Ā, he ahua rerekē hoki te āhua o ēnei pūtau. Ehara ēnei pūtau i te pūtau matepukupuku, ko te tikanga he 'pai'. Heoi, ko ētahi o ō rātou āhuatanga he rite ki ngā pūtau kei roto i te āhua e kiia nei ko te "DCIS - Ductal Carcinoma In Situ", he wāhanga tino wawe o te matepukupuku ū.

He rite tēnei ki te rama kōwhai i runga i te rori. Ehara i te mea he aituā kei te haere, engari me tino tupato koe i a koe e haere whakamua ana.

ADH me ALH: He aha te rerekētanga i waenganui i ēnei e rua?

Tērā pea ka rongo koe i te kupu 'Atypical Hyperplasia'. Koinei te ingoa whānui mō tēnei tipu pūtau rerekē. E rua ngā momo matua o tēnei. He mea nui kia mōhio ki te rerekētanga i waenga i ngā mea e rua.

Ka whakanui ake ngā momo e rua i te mōrearea o te mate pukupuku ā muri ake nei. Kua whakaatuhia e ngā rangahau he whā ngā wā ka nui ake te tūponotanga o te wahine e pāngia ana e tētahi o ēnei āhuatanga ki te pāngia e te mate pukupuku ū i te tangata kāore i te pāngia e te mate pukupuku ū.

He aha ngā tohu o te ADH?

I te nuinga o te wā, kāore te ADH e puta he tohu motuhake. He maha ngā wā ka kitea noa iho. Ko te tikanga ka tātaritatia te ADH ina kitea he rerekētanga o te ū (hei tauira, he microcalcifications) i te wā o te mammogram e mahia ana mō tētahi atu take, ā, ka mahia he koiora hei tirotiro anō i te rerekētanga.

Heoi, he tino onge, ka pāngia pea ētahi tāngata e ēnei tohu:

• Ka pāngia te ringa e te puku i te ū.
• Te mamae o te ū.
• He rerenga toto rerekē mai i te uma (tino toto rawa).

Mena kei a koe ngā tohu pēnei, ehara i te mea nā te ADH. Heoi, ki te kite koe i ētahi huringa rerekē i roto i ō ū , he mea whakaaro nui kia kite tonu koe i tō tākuta, kia tirotirohia hoki koe.

Ngā take me ngā āhuatanga mōrearea o te ADH

Kāore anō kia tino mōhio ngā tākuta he aha i pērā ai te whanonga o ēnei pūtau awa miraka. Heoi, e whakaponohia ana ko ētahi o ngā āhuatanga e whakanui ana i te mōrearea o te mate pukupuku o te ū e hono ana ki te mōrearea o te whakawhanake i te ADH.

He aha ēnei āhuatanga mōrearea?

• Hītori whānau: Mena kua pāngia tētahi mema o te whānau (ina koa he whanaunga tata pēnei i te whaea, te tuahine, te tamahine rānei) e te mate pukupuku ū.
• Ngā huringa ira: Kei a koe ngā whakarerekētanga ira pēnei i te `(BRCA1, BRCA2)` e whakanui ana i te mōrearea o te mate pukupuku o te ū.
• Hītori whaiaro: Mena kua pāngia koe e tētahi atu mate pukupuku i mua.
• Momonatanga: Te korenga e taea te pupuri i te taumaha tinana hauora.
• Te āhua noho:Te inu waipiro pinepine me te whakamahi tupeka.

He mea nui kia maumahara ahakoa te tangata kāore i te whai i ēnei āhuatanga mōrearea, ka taea e ia te whakawhanake i te ADH, i te mate pukupuku ū rānei.

Te tukanga tātaritanga me te rongoā i te ADH

Me titiro tātou ki ngā mahi a tō tākuta i muri i te tātaritanga o te ADH.

1. Ko te Biopsy Pokanga / Tapahi

He maha ngā wā ka tātaritatia tuatahitia te ADH mā te 'koiora ngira', arā, ko te tango i tētahi wahi iti o te kiko mai i te ū mā te whakamahi i tētahi taputapu rite ki te ngira, kātahi ka tirotirohia.

Kia whakaūtia te ADH, ko te mahi e whai ake nei mā ngā tākuta ko te mahi i tētahi 'koiora pokanga', i tētahi 'koiora tapahi' rānei. Ko te tikanga o tēnei ko te tango pokanga i te wāhanga katoa o ngā pūtau rerekē, me ētahi kiko hauora e karapoti ana i a rātou.

Nō reira, mā te tango me te tirotiro i te wāhi katoa, ka taea e koe te tino mōhio kāore he pūtau kino kē atu i te taha. I roto i te 20% o ngā pokanga i mahia i tēnei ara, kua kitea ngā pūtau matepukupuku hei tāpiri atu ki te ADH. Nō reira, i mahia ai tēnei pokanga hei haumaru mōu.

2. Ngā Rongoā Whakaiti-Mōrearea

Mena ka tirohia te kiko i muri i te pokanga, ā, kāore he pūtau matepukupuku e toe ana, i te nuinga o te wā kāore he maimoatanga anō e hiahiatia ana. Heoi, ki te whakaaro tō tākuta he tino teitei tō tupono ki te matepukupuku ā muri ake nei, i runga i ngā āhuatanga pēnei i tō hītori whaiaro me tō hītori whānau, ka tohua pea e ia he rongoā hei āwhina i te whakaiti i taua tupono.

Ko te mahi a ēnei rongoā mā te aukati i te mahi a te homoni estrogen i roto i te tinana, e mōhiotia ana ka whai wāhi ki te tipu o ētahi momo mate pukupuku ū.

• Tamoxifen mō ngā wāhine kua pāngia e te paheketanga.
• Ngā rongoā pēnei i te Raloxifene , te Anastrozole rānei mō ngā wāhine kua mutu te pākia o te wahine.

E rima tau te roa o te whakamahinga o ēnei rongoā. Ahakoa ka pā mai ētahi pānga taha, he onge noa iho ngā pānga taha kino. Me kōrero koe ki tō tākuta mēnā he tika tēnei rongoā māu, kāore rānei.

3. Te Tirotiro Tata

Kia kitea tō mate ADH, ko te mea nui ko te aro nui ki ō ū. Tērā pea ka tūtohu tō tākuta i ēnei e whai ake nei:

• Te Mammogram ā-Tau: Kaua rawa e mahue tēnei.
• Whakamātautau Ū Haumanu: Kia tirohia ō ū e te tākuta i ia 6 ki te 12 marama.
• MRI o te ū: Mena he nui tō mōrearea, ka tūtohutia pea kia mahia he matawai MRI kotahi i te tau, hei tāpiri atu ki te mammogram.
• Whakamātautau Ū-ā-koe: Akohia me pēhea te tirotiro i ō ū i te kāinga kotahi i te marama, ā, me whakarite kia noho hei tikanga. Ki te kite koe i tētahi huringa, kōrero tonu atu ki tō tākuta .

He aha te mōrearea o te whakawhanake i te mate pukupuku mō te tangata whai ADH?

Ehara te ADH i te matepukupuku, engari ka piki ake te mōrearea ā muri ake nei. Kaua e mataku ki ēnei tatauranga, ehara i te mea ka pāngia te hunga katoa e pāngia ana e te ADH e te matepukupuku.

• I roto i ngā tau e 5 i muri i te tātaritanga o te ADH, tata ki te 7 i roto i te 100 tāngata (7%) ka pāngia e te mate pukupuku ū.
• I muri i ngā tau 10 , tata ki te 13 i roto i te 100 tāngata (13%) ka pāngia e tēnei mate.
• I muri i te 25 tau , tata ki te 30 i roto i te 100 tāngata (30%) ka pāngia e tēnei mate.

E whakaatu ana tēnei i te hiranga o te tirotiro auau , i te mea ka piki haere te mōrearea i roto i te wā. Ahakoa ka puta te mate pukupuku i tētahi ara, mā te tirotiro auau ka taea te kite i te mate i te wā tino wawe. Kātahi ka nui ake te tūponotanga o te maimoatanga me te whakaora katoa.

He aha taku e taea ai hei whakaiti i te mōrearea?

Ahakoa kāore he huarahi tino tika hei ārai i te ADH, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te mate pukupuku ū ā muri ake nei. He tino pai hoki ēnei mō tō hauora whānui.

• Kia mau ki te taumaha hauora: Ngana kia mau ki te taumaha hauora mō tō roa.
• Whakakorikori tinana i ia rā: Me mahi i te iti rawa 30 meneti o te whakakorikori tinana kaha i te rā.
• Whakaitihia te waipiro: Ki te inu waipiro koe, whakawhāitihia kia rite ki te nui e taea ana. He pai ake te mutu rawa te inu mena ka taea.
• Kaua e kai hikareti: Kati rawa te kai hikareti me te whakamahi i ngā hua tupeka.
• Kai hauora: Kai i ngā kai e nui ana ngā huawhenua, ngā hua rākau, me ngā otaota, ā, kia iti te hinu, te huka, me te tote i roto.