I muri i te tango i te koiora o tō ū mō tētahi atu take, i kī atu tō tākuta he mate tōu e kiia nei ko te LCIS? Me tino mataku koe i tō rongonga i te kupu 'carcinoma'. Nā te mea ina rongo tātou i taua kupu, ka whakaaro tonu tātou ki te mate pukupuku. Kaua e manukanuka. Ka kōrero tātou i roto i tētahi huarahi māmā kia mārama ai koe he aha te LCIS, he mate pukupuku rānei, me te aha te mahi mōna.
He aha rawa te LCIS?
Ki te kī māmā noa, ko te LCIS te tipu o ngā pūtau rerekē i roto i ngā repe whakaputa waiū (lobules) o ō ū. Whakaarohia, kei te wehewehe tonu, kei te whakahou anō hoki ngā pūtau o roto i ō tātou tinana. Nō reira, ina wehewehea ngā pūtau i roto i ēnei repe waiū, ka tīmata rātou ki te tipu hei pūtau rerekē, rerekē, kaua hei pūtau noa. Koinei te LCIS.
Ko te mea nui hei maumahara māu i konei, ahakoa te kupu 'carcinoma' i roto i te ingoa, ehara te LCIS i te mate pukupuku ū. Ahakoa e whakaarohia ana e ētahi he tohu o te mate pukupuku, ehara i te mate pukupuku tonu.
Kei roto ēnei pūtau rerekē i te āhua e kiia nei ko 'in situ'. Arā, kei te noho tonu rātou ki tō rātou wāhi, ā, kāore i horapa ki ētahi atu wāhanga o te ū. Koia te take kāore i te mōrearea.
Engari, ki te whai koe i te LCIS, he nui ake te tūponotanga ka pāngia koe e te mate pukupuku ū ā muri ake nei i te tangata noa. He rite ki te tohu whakatūpato i te rori. E kī ana ki a koe tera pea he tūpono kei mua, nō reira kia tūpato te taraiwa. Ko te LCIS taua momo whakatūpato.
He aha ngā momo matua o te LCIS?
Ka tirohia e ngā tākuta ngā pūtau rerekē i raro i te karuārai, ā, ka wehea ngā momo LCIS kia toru, i runga i te āhua o aua pūtau. He mea nui te mōhio ki te momo kei a koe hei whakatau i te maimoatanga.
| Momo LCIS | Te āhua o raro i te karu hiko (he whakamāmā) |
|---|---|
| LCIS Matarohia | He iti ake te āhua o ngā pūtau rerekē e tū ana i ngā repe ū i ngā pūtau noa. Koinei te momo tino kitea. |
| LCIS Pleomorphic | I konei, he nui ake ngā pūtau rerekē i ngā pūtau noa, ā, he tino rerekē hoki ō rātou āhua. |
| Florid LCIS (Florid LCIS) | Kua huihui mai ngā pūtau rerekē hei hanga i tētahi puranga. I ētahi wā, ka kitea he puranga pūtau mate i waenganui o te puranga. |
He tohu kei te LCIS?
I te nuinga o te wā, kāore he tohu motuhake o te LCIS. Arā, kāore koe e rongo i te ahua he puku kei roto i tō ū, kāore koe e rongo i te mamae, ā, kāore hoki he rerenga mai i te ū.
Nā, me pēhea te tautuhi i tōna mate? I te nuinga o te wā, ka kitea noa iho. Hei tauira, ka tautuhia te LCIS i te wā o te koiora i mahia mō tētahi atu take, nā te mea pea i kitea he huringa i runga i te mammogram, nā te mea rānei i kitea tētahi atu puku i roto i te ū.
He aha ngā raruraru ka pā mai i te LCIS?
Koinei te mea e mataku ai te tini tāngata. Ehara i te mea ka pāngia te katoa e te LCIS e te mate pukupuku. Kia maumahara ki tēnā. Heoi, kua whakaatuhia e ngā rangahau tata ki te kotahi i roto i te tekau (10%) o te hunga e pāngia ana e te LCIS ka pāngia e te mate pukupuku ū ā muri ake nei, inā koa he āhuatanga e kiia nei ko te 'ductal carcinoma in situ (DCIS)' te 'lobular breast cancer' rānei.
He mea nui kia kōrero koe ki tō tākuta mō tēnei mōrearea, me te pātai mārama atu ki a ia he aha tō mōrearea, nā te mea ka rerekē pea tēnei mōrearea i runga i ngā āhuatanga pēnei i te momo LCIS kei a koe me te hītori whānau o te mate pukupuku.
He aha te maimoatanga mō te LCIS?
Ko te maimoatanga e whiwhi ana koe ka whakawhirinaki katoa ki te momo LCIS kei a koe. Kāore e rite te maimoatanga mō te katoa.
1. Te Tirotiro Kaha
Mena he 'Classic LCIS' tōu, ka tūtohu pinepine tō tākuta i tēnei huarahi. Ko te tikanga o tēnei ko te aroturuki tonu i tō āhua me te kore e hoatu he rongoā, he pokanga rānei ki a koe.
- Me tirotiro tō tākuta i ō ū i ia ono marama .
- Te whai mammogram i ia tau .
- Tērā pea ka tūtohutia kia whakamahia ētahi atu whakamātautau, pērā i te matawai MRI o te ū.
2. Te Whakaora Ārai
Ko te whāinga o ēnei maimoatanga he ārai i aua pūtau rerekē kei huri hei matepukupuku. Ka whakamahia e rātou ngā rongoā hei āwhina i te whakaiti i te mōrearea o te matepukupuku.
- Mō tēnei, ka taea e koe te whakamahi i ngā rongoā pēnei i te 'Selective Estrogen Receptor Modulators (SERM)' me te 'Aromatase Inhibitors'. Ka āwhina ēnei ki te whakaiti i te mōrearea o ngā mate pukupuku e tairongo ana ki te estrogen (ER-positive). Mā tō tākuta tēnei e whakamārama atu ki a koe me ngā taipitopito atu.
3. Pokanga
He maha ngā wā ka tūtohutia kia pokanga te hunga whai momo LCIS 'Pleomorphic' 'Florid' rānei, nā te mea he nui ake te tūponotanga o te whakawhanake i te mate pukupuku i aua momo.
- Lumpectomy: Ko te tango pokanga anake i te wāhi kei reira ngā pūtau rerekē me te iti o te kiko hauora e karapoti ana.
- Te Tātaritanga o te Puku o te Utu ā-Waenga Ārai: He pokanga nui ake tēnei. Ka tangohia ngā ū e rua. Heoi, e taunakihia ana mō ngā take tino mōrearea. Hei tauira, mēnā kua pāngia tētahi mema o te whānau tata, pērā i tō whaea, tō tuahine, tō tamāhine rānei, e te mate pukupuku ū, ka kōrero pea tō tākuta mō tēnei kōwhiringa ki a koe.
He aha tā tātou e taea ai te whakaiti i te mōrearea o te LCIS?
Ahakoa kāore he huarahi motuhake hei ārai i te whanaketanga o te LCIS, he maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te mate pukupuku ū e pā ana ki tēnei.
- Whakahaerehia tō taumaha: Ko te momonatanga tetahi o ngā tino take mōrearea mō te mate pukupuku o te ū. Nō reira, ngana kia mau tonu tō taumaha hauora.
- Te whakakori tinana auau: He mea pai kia 150 meneti te iti rawa i te wiki (hei tauira, 30 meneti i te rā, 5 ngā rā i te wiki) o ngā whakakori tinana kaha-waenga pērā i te hikoi, te eke pahikara rānei.
- Whakawhāitihia te inu waipiro: Kua whakaatuhia e ngā rangahau he hononga i waenga i te waipiro me te mate pukupuku o te ū. Nō reira, he mea nui kia mutu rawa, kia tino whakawhāitihia rānei te inu waipiro.
- Kia tūpato ki ngā rongoā e tangohia ana e koe: Mena kei te tango koe i te rongoā homoni, i ētahi momo pire ārai whānau rānei, kia mōhio koe ki te kōrero ki tō tākuta mō te mōrearea o ēnei ki te LCIS. Tērā pea ka tūtohu rātou kia huri ki tētahi atu rongoā.
Me pēhea taku tiaki i ahau anō i a au e noho tahi ana me te LCIS?
Ina mōhio koe kei a koe te LCIS, ka mataku koe, engari me tino tiaki hoki koe i tō tinana.
- Te tirotiro i a koe anō mō ō ū: Tirohia ō ū i ia marama. Ki te kite koe i tētahi mea hou, pērā i te puku, te panoni kiri, te panoni rānei o te uma, me toro atu ki tō tākuta tonu.
- Kia tūpato ki ngā huringa: Pātai atu ki tō tākuta mō ngā tohu ka pā mai mēnā ka huri te LCIS hei matepukupuku.
- Kaua e wareware ki ngā whare hauora:Kia mahara ki te haere ki ngā wā tirotiro katoa e whakaritea ana e tō tākuta. Mā ēnei whakamātautau koe e āwhina ki te tautuhi wawe i ngā huringa katoa.
He mea noa te mataku ina whiwhi koe i te tātaritanga LCIS. Engari ehara i te mea he mate pukupuku tōu. Engari me tiaki nui ake tō hauora. Mā te mōhiotanga tika me te huarahi mahi tahi me tō tākuta, ka taea e koe te ora hauora, harikoa hoki me tēnei mate.
Karere Tangohia ki te Kāinga
- Ehara te LCIS (Lobular Carcinoma in Situ) i te mate pukupuku o te ū, engari he āhuatanga e whakapiki ake ai i te mōrearea o te mate pukupuku o te ū ā muri ake nei.
- Kāore he tohu o tēnei mate, ā, ka kitea pinepinetia i te wā o te koiora e mahia ana mō tētahi atu take.
- Ko te maimoatanga e whakawhirinaki ana ki te momo LCIS kei a koe. Mō ētahi tāngata, he nui te tirotiro noa iho, ko ētahi ia me rongoā, me pokanga rānei.
- Kōrero māhorahora ki tō tākuta, kia mārama hoki ki ō mōrearea me ngā kōwhiringa maimoatanga. Kaua e mataku, engari me whakatau whai whakaaro.
- Mā te noho hauora (te pupuri i te taumaha hauora, te whakakori tinana, te whakaiti i te waipiro) ka āwhina i te whakaiti i te mōrearea o te mate pukupuku o te ū.
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