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.

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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 - 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.