Kua rongo kē koe i tētahi mea pēnei i roto i ō ū? (Ductal Carcinoma in Situ - DCIS) Me kōrero tātou mō tēnei!

Kua rongo koe i te ingoa 'DCIS'? Tērā pea i whakahuatia tēnei e tētahi tākuta i tō whakamātautau ū (Mammogram). He mate pukupuku tēnei e puta ana i roto i ngā awa waiū o te ū, ā, ka taea te kite i te wā tōmua. Kaua e manukanuka, mā te mōhio ki tēnei ka nui te whakamarie i a koe.

He aha te DCIS (Ductal Carcinoma in Situ)?

He whakarāpopototanga noa iho, ko te DCIS he mate pukupuku e puta ana i roto i ngā awa waiū i roto i ō ū. Ko ēnei awa e kawe ana i te waiū mai i ō ū ki ō uma ina whāngai ū koe. Ko te tikanga o te kupu "in situ" ko "in place". Ko te tikanga kua tupu ngā pūtau mate pukupuku i roto i ngā awa waiū, ā, kāore anō kia horapa ki ētahi atu wāhanga o te ū.

I ētahi wā ka karangatia tēnei e ngā tākuta he mate pukupuku ū kore-whakaeke , he mate pukupuku ū i mua i te-whakaeke . Ko te tikanga tēnei kāore ngā pūtau mate pukupuku i tipu ki tua atu i ngā pakitara o ngā awa miraka. Kāore te DCIS e horapa (metastasize) ki ētahi atu wāhanga o te tinana, pērā i ngā mate pukupuku kaha ake, kaha ake.

Heoi, ahakoa kāore te DCIS e horapa ki waho o te ū, i ētahi wā ka taea e ia te whanake hei mate pukupuku ductal invasive . Arā, ka taea e ia te horapa ki waho o te ū. Koia te mea nui kia kōrero ki te tākuta mō tēnei. Kātahi ka taea e koe te kōrero mō ngā kōwhiringa maimoatanga hei whakaiti i tēnei mōrearea.

He pēhea te noa o te DCIS?

Ko te DCIS te momo mate pukupuku ū tino noa i roto i ngā wāhine. E 20% ki te 25% o ngā mate pukupuku ū hou kua kitea koia tēnei. Ka taea hoki e ngā tāne te pāngia e te DCIS, engari he tino onge (iti iho i te 0.1% o ngā mate pukupuku kua kitea).

I tēnei wā, kua paku piki ake te maha o ngā kēhi DCIS kua pūrongohia. Engari e ai ki ngā tohunga, ehara i te mea nā te mea kua piki ake te maha o ngā kēhi DCIS, engari nā te mea he maha atu ngā tāngata e tātaritatia ana, e rongoatia ana hoki . Arā, mā ngā whakamātautau pēnei i ngā mammogram kua taea ai te kite wawe i te mate.

He aha ngā tohu o te DCIS?

I te nuinga o te wā, kāore te DCIS e whakaatu i tētahi tohu motuhake . Tērā pea kāore koe e kite i tētahi mea. Heoi, he tokoiti noa iho te hunga ka kite i ēnei mea:

• Te ahua he puku kei roto i te ū.
• Te mākūkū o te kiri o te ū.
• He rerenga (hei tauira, he toto) e puta mai ana i te uma.

Ki te kite koe i tētahi mea pēnei, me haere tonu koe ki te tākuta, tika?

He aha ngā take o te DCIS?

Ka puta te DCIS ina whakarerekē ngā pūtau hauora i roto i ō ara waiū., ko te tikanga kua rerekē tō rātou āhua, ā, kei te tere haere te tipu, kāore e taea te whakahaere. Pērā i te tipu iti e kore e taea te whakahaere pērā i te taru. Engari kāore anō kia mōhiotia e ngā tohunga he aha i rerekē ai ēnei pūtau i te wā ohorere, he aha rānei te take e huri ai te DCIS o ētahi tāngata hei mate pukupuku kaha, ko ētahi kāore.

He aha ngā āhuatanga mōrearea mō te whakawhanaketanga o te DCIS?

Tērā ētahi āhuatanga ka piki ake ai tō mōrearea, tō tūponotanga rānei, ki te whakawhanake i te DCIS. Me titiro tātou ki ēnei āhuatanga:

• Mena kua pāngia ō whanaunga toto (whaea, tuahine, tamahine) e te mate pukupuku ū.
• Mena kua pāngia koe e te mate pukupuku ū i mua , ki te mea rānei kei a koe tētahi āhuatanga e tipu rerekē ai ngā pūtau o te ū, pērā i te atypical hyperplasia .
• He wahine koe (he mea tino noa tēnei i waenga i ngā wāhine).
• Neke atu i te 30 tau te pakeke . Ka piki ake te mōrearea i te pakeketanga.
• Mena ka tīmata tō paheketanga i mua i te 12 tau te pakeke .
• Mena i whānau tāu pēpi tuatahi i muri i te 30 tau .
• Mena he matotoru rawa te kiko o tō ū, tera pea he "kiko matotoru o tō ū" . Ka taea anake tēnei te kite mā te mammogram.
• Mena kei a koe ētahi whakarerekētanga ira (hei tauira, ngā ira BRCA1 me BRCA2) e whakanui ana i tō mōrearea ki te mate pukupuku.
• Mena kua whiwhi koe i te rongoā irahiko ki te ū, ki te uma rānei i mua (mō tētahi atu mate).
• Mena kāore anō koe kia hapu , kia whāngai u rānei i tētahi pēpi.
• Mena kua tīmata te paheketanga i muri i te 55 tau te pakeke .

Heoi, ahakoa kotahi, neke atu rānei o ēnei āhuatanga mōrearea, ehara i te mea ka pāngia koe e te DCIS, tika? Hei tauira, ko te whai hītori whānau mō te matepukupuku ū he āhuatanga mōrearea mō te DCIS, engari ko te nuinga o te hunga whai DCIS kāore he hītori whānau mō te matepukupuku ū. Ka whakanui ake ngā āhuatanga mōrearea i te tūponotanga o te pāngia e te mate. Nō reira, he mea nui kia mōhio ki ēnei āhuatanga.

He aha ngā raruraru ka puta mai i te DCIS?

Ko te mea nui, ki te kore koe e rongoā i te DCIS, ka huri hei mate pukupuku ductal invasive . Ko te tikanga ka taea e te mate pukupuku te tipu mai i ngā awa waiū ka horapa ki ētahi atu kiko o te ū. Nō reira, ki te kitea koe he DCIS, he mea tino nui kia whiwhi rongoā wawe tonu.

Hei tāpiritanga, i muri i tō maimoatanga mō te DCIS, kei te tūpono koe ki te whakawhanake i ētahi atu mate hauora i a koe e pakeke haere ana. Hei tauira:

• Te osteoporosis (te angiangi o ngā wheua)
• toto toto tiketike
• Mate ngakau

Hei whakaiti i te mōrearea o ēnei raruraru, he mea whakaaro nui kia pātai atu ki tō tākuta kia pēhea te auau o ngā tirotiro me ngā tirotiro whai muri i te mate.

Me pēhea te tātaritanga o te DCIS?

Neke atu i te 90% o ngā take DCIS ka kitea e ngā tākuta mā roto i ngā mammogram . Arā, he hihi-X o ō ū. Mena ka whakaatuhia e ngā hua o tō mammogram tetahi mea whakapae, pērā i ngā putunga konupūmā iti (microcalcifications), ka mahia e rātou he koiora hei whakaū.

• Mammogram: Haunga te whakamātautau ū auau (mammogram tirotiro), ka tono pea tō tākuta i tētahi mammogram motuhake (mammogram tātaritanga). Ka taea e tēnei te tango pikitia taipitopito ake o te kiko o tō ū mai i ngā koki rerekē. He roa ake te wā e pau ana i te mammogram noa.
• Te Kohikohi i te Uma: Ka whakahaerehia e ngā tākuta tēnei whakamātautau hei whakarite kāore he pūtau matepukupuku i roto i tō ū. I roto i tēnei whakamātautau, ka tangohia he wahi kiko iti ka tirohia i raro i te karu hiko.

He tohu kei te DCIS?

Ae, e toru ngā taumata o te DCIS e whakarōpūhia ana e ngā tākuta. Ka whakatauhia ēnei taumata e te āhua rerekē o ngā pūtau matepukupuku i raro i te karuārai me te tere o te tipu.

• Te iti o te tipu (pōturi te tipu): He rite tonu te āhua o ngā pūtau matepukupuku ki ngā pūtau ū hauora. Pōturi te tipu.
• Te taumata waenga (te tere tipu): He rite te āhua o ngā pūtau rerekē ki ngā pūtau ū hauora, engari he rerekē paku i te taumata iti.
• Teitei te tipu (te tere o te tipu, me te kore e taea te whakahaere): He rerekē te āhua o ngā pūtau matepukupuku i ngā pūtau ū hauora. Koinei ngā mea e tere tipu ana, ā, ko te mea pea ka huri hei matepukupuku kaha.

He aha ngā wāhanga o te DCIS?

He mate pukupuku ū wāhanga 0 te DCIS. He maha ngā wā ka taea te rongoā, ā, ka taea te whakaora. Ka whakarōpūhia e ngā tākuta ngā mate pukupuku mai i te wāhanga 0 ki te IV (4). Ko te tikanga o te wāhanga 0 kei te wāhi kotahi tonu te mate pukupuku i tīmata ai, ā, kāore anō kia horapa. Ahakoa he wāhanga 0 tonu te DCIS, ka taea e te pukupuku te hanga i tētahi rahi, ā, ka uru pea ki ngā awaawa miraka maha i roto i te ū.

He aha ngā maimoatanga mō te DCIS?

Ahakoa ehara te DCIS i te mate pukupuku kino, he mea nui kia whiwhi maimoatanga . Me tirotiro tonu rānei tō āhua e te tākuta. Nā te mea ka taea e ētahi momo DCIS, inā koa ko ngā mea tino teitei, te horapa kino mēnā kāore e rongoatia. Ko te tikanga ka horapa te mate pukupuku ki tua atu i ō awa waiū, ā, ki roto i ngā kiko ū e karapoti ana.

Ko ngā maimoatanga e whakamahia whānuitia ana mō te DCIS ko:

• Pokanga Tiaki-U (BCS) te Pokanga Lumpectomy rānei: Ko te tango i te wāhi o ngā pūtau matepukupuku anake, me te iti o te kiko hauora o te ū e karapoti ana i te matepukupuku. Ka tangohia e tēnei he iti o te kiko hauora (tawhiti) kia kore ai he pūtau rerekē e toe. Ka waiho e tō tākuta te nuinga o tō ū kia ora tonu.
• Whakaora irahiko: I te nuinga o te wā ka tukuna tēnei maimoatanga i muri i te pokanga BCS. Ka whakamahia hei patu i ngā pūtau matepukupuku e toe ana, hei whakaiti hoki i te tūponotanga o te hokinga mai o te matepukupuku. Ko ētahi tāngata e hiahia ana ki tēnei maimoatanga mō ētahi rā, ko ētahi mō ētahi wiki. Ka kōrero tō tākuta ki a koe mō tō mahere maimoatanga takitahi.
• Te tango i te uma e pāngia ana: Ko te tango i te uma katoa e pāngia ana, i ētahi wā ko ngā uma e rua (te tango i te uma e rua). Mena kāore koe e tika ana mō te BCS (hei tauira, mena kua horapa te DCIS ki te uma katoa, he nui rawa te pukupuku, kāore rānei koe e hiahia ki te rongoā irahiko), me tango pea koe i te uma.

Mena kua tangohia tō uma, ka hiahia pea koe ki te whakaaro ki te hanga anō i ō ū . He pokanga tēnei hei hanga anō i te āhua o ō ū. Ka taea tēnei te mahi i te wā kotahi me tō tango i tō uma, i muri rānei i tēnā. Mena he BCS tōu, kāore e hiahiatia te hanga anō i ō ū. Kōrero ki tō tākuta mō te āhua e hiahia ana koe kia tiaki i ō ū i muri i te maimoatanga.

He aha te mea ka tupu i muri i te pokanga DCIS?

I muri i te pokanga, ka tohua pea e tō tākuta he rongoā hei ārai i te hokinga mai o te DCIS, inā koa mēnā he tairongo ki ngā homoni tō DCIS (ER-positive). Ko ngā rongoā tino noa ko:

• Tamoxifen (Tamoxifen - Nolvadex®)
• Ko nga aukati Aromatase ( hei tauira, anastrozole, letrozole)

Ko te rongoā homoni tēnei e kiia ana ko te rongoā. Mā te aukati i te homoni estrogen i te āwhina i te tipu o ngā pūtau matepukupuku ka mahi ēnei rongoā. E rima tau te roa o te wā rongoā katoa.

Ka taea te ārai i te DCIS?

He maha ngā āhuatanga mōrearea mō te DCIS (hei tauira, te hītori whānau, ngā ira) ehara i te mea ka taea e tātou te whakahaere, te ārai rānei. Heoi, ki te kitea wawetia , he nui ake te tūponotanga ka taea te rongoā i te DCIS. Koia te hiranga o ngā mammogram .

• Ko te nuinga o ngā wāhine me tīmata ki te whiwhi mammogram i ia tau (i ia rua tau rānei, i runga i ngā tohutohu a tā rātou tākuta) i muri i te ekenga ki te 40 tau .
• Mena he nui ake tō tūponotanga ki te pāngia e te mate pukupuku ū (hei tauira, mena kei roto i tō whānau te mate pukupuku), ka tūtohu pea tō tākuta kia tīmata wawe koe i te tirotiro.

He pai ake te kōrero ki tō tākuta mō te auau o te mammogram i runga i ō āhuatanga mōrearea.

He aha te roanga o te oranga mō te DCIS?

Koinei te rongo pai rawa atu! He tino teitei ngā reiti oranga mō te hunga whai DCIS . E ai ki te American Cancer Society, tata ki te katoa e whai DCIS ana (me te hunga e whiwhi maimoatanga ana) ka taea te whakaora . Ko te tikanga ko te reiti oranga 10-tau kei te 98-99%.

He tino pai ngā hua i muri i te maimoatanga. Kāore i te maha ngā wā ka hoki mai te DCIS. Ahakoa ka puta anō (i roto i te ū kotahi, i te ū kē atu rānei, hei mate pukupuku kaha pea), ka taea tonu te rongoā me te whakaora. Nō reira, kāore te DCIS e mōrearea ki te ora, ki te tika te rongoā.

Me pēhea taku tiaki i ahau anō?

I te DCIS, me noho tonu koe i raro i te tirotiro a te tākuta i muri i te maimoatanga.

• I te nuinga o te wā me toro atu koe ki te tākuta mō tētahi whakamātautau tinana i ia 6 ki te 12 marama , mō te iti rawa i te rima tau, ā, kotahi i te tau.
• Waihoki, me mahi pea koe i tētahi mammogram i ia tau.
• Mena kei te tango koe i te rongoā homoni, me tango e koe kia rite ki ta to taote i tohutohu ai.

Heoi, he rerekē te āhua o te katoa. Mahi tahi me tō tākuta ki te whakatau i tō mahere tiaki i muri i te maimoatanga. He mea nui kia ata whai i ngā tohutohu a tō tākuta.

Āhea ahau me toro atu ki te tākuta?

Kaua e wareware ki ō tirotiro me ō mammogram e ai ki ngā tohutohu a tō tākuta. I tēnei wā, tiakina ō ū.

• Ki te kite koe i tētahi puku hou i roto i tō ū.
• Mena ka kite koe i ngā panonitanga o te kiri o ō ū (whero, pokapoka, kitakita, āhua kiri karaka rānei).
• Mena ka kite koe i tētahi panoni i roto i tō uma (te kōpiko, te whero, te kiri e mākūkū ana, te rere mai o te wai).
• Mena he mamae tonu tōu ū, tō keke rānei.

Ki te kite koe i ētahi huringa hei tohu mō te mate pukupuku o te ū , kaua e mataku, kaua hoki e whakaroa, engari me toro atu ki te tākuta tonu.

He aha ngā pātai me pātai atu koe ki tō tākuta?

Ina kitea e koe he DCIS tōu, he mea noa te maha o ngā pātai. Pātai atu ki tō tākuta mō ēnei pātai katoa. Anei ētahi tauira:

• He aha te taumata o te DCIS kei a au?
• He aha te momo maimoatanga e hiahiatia ana e au? Pokanga? Rongoā irahiko? Rongoā homoni?
• He aha ngā pānga taha o ēnei maimoatanga?
• Kia pēhea te roa o te maimoatanga?
• Ka taea e au te mahi i a au e whiwhi maimoatanga ana?
• He aha te tūponotanga ka hoki anō te DCIS?
• Kia pēhea te auau o taku haerenga mai mō ngā tirotiro whai muri?
• Kia pēhea te auau o taku mahi mammogram?
• Kei te mōrearea tōku whānau? Me aha rātou?

He mea nui te kitenga kua pāngia koe e te mate pukupuku. He mea noa te mataku me te manukanuka nā te mea kāore koe e mōhio he aha te mea ka tūpono. Kei konei tō tākuta hei āwhina i a koe. Ko te DCIS he momo mate pukupuku he nui te tūponotanga ka ora . Ka taea e tō tākuta te waihanga i tētahi mahere maimoatanga whaiaro e tika ana māu.

Ko te mea tino nui hei maumahara māu (Karere hei tango ki te kāinga)

Āe, anei ētahi mea hei maumahara māu mō te `DCIS` (Ductal Carcinoma in Situ) i kōrerohia e tātou:

• He mate pukupuku tino tīmatanga (Wāhanga 0) te DCIS e noho ana ki ngā awa waiū o te ū. Ko te tikanga kāore anō kia horapa ki waho o te ū.
• I te nuinga o te wā, kāore e whakaatu i tētahi tohu motuhake . Ka kitea mā te mammogram .
• Nā te mea ka taea e te DCIS te huri hei mate pukupuku urutā, he mea nui kia kitea wawetia, kia rongoātia hoki .
• Ko te maimoatanga he pokanga (lumpectomy, mastectomy rānei) . Tērā pea ka hoatu hoki te rongoā irahiko me te rongoā homoni.
• He mate tino taea te rongoā i te DCIS. Nō reira kaua e mataku, engari me anga atu ki te maimoatanga me te maia.
• Kia mahara kia tirohia ō makawe me ō mammogram i ngā wā kua whakaritea e tō tākuta .

Ko te mea nui, kaua e noho mokemoke koe. Kei a koe tō tākuta, tō whānau, me ō hoa katoa. Kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tēnei. Ko te tiaki i tō hauora te āwhina nui rawa atu ka taea e koe.

` DCIS, Matepukupuku Pūwero i te Wāhi Tūturu, Matepukupuku Uma, Matepukupuku Pūwero Miraka, Mammogram, Biopsy, Lumpectomy, Mastectomy, Hauora o ngā Uma