ʻO ka hemo ʻana o ka umauma

ʻO ka hemo ʻana o ka puʻupuʻu he ʻoki e wehe i kahi puʻupuʻu e maʻi maʻi umauma paha. Wehe ʻia ka aʻa a puni ka puʻupuʻu. Kapa ʻia kēia ʻoki kino me kahi biopsy umauma ʻokoʻa, a i ʻole lumpectomy.

Ke wehe ʻia kahi tumo noncancerous e like me ka fibroadenoma o ka umauma, kapa ʻia kēia he biopsy umauma kūwaho, a i ʻole kahi lumpectomy.

I kekahi manawa, ʻaʻole hiki i ka mea mālama ola ke ʻike i ka puʻupuʻu ke nānā ʻoe iā ʻoe. Eia nō naʻe, hiki ke ʻike ʻia ma nā hopena kiʻi. I kēia hihia, e hana ʻia kahi localization uea ma mua o ke kaha.

• E hoʻohana kahi radiologist i kahi mammogram a i ʻole ultrasound e hoʻonoho ai i kahi nila kuʻi (a i ʻole nā ​​nila kuʻi) i loko a i ʻole ma kahi o ka umauma ʻino ʻole.
• E kōkua kēia i ke kaukipō ʻike i kahi o ka maʻi ʻaʻai e hiki ai ke hemo.

Hana ʻia ka hemo puʻupuʻu ma ke ʻano he ʻoki kino waho i ka hapa nui o ka manawa. Hāʻawi ʻia ʻoe i ka anesthesia laulā (e hiamoe ʻoe, akā ʻaʻohe ʻeha) a i ʻole anesthesia kūloko (ala ʻoe, akā hoʻowalewale ʻia a ʻeha ʻole ka ʻeha). ʻO ke kaʻina hana he 1 mau hola paha.

Hoʻokiʻoki ka mea lapaʻau i kou umauma. Lawe ʻia ka maʻi ʻaʻai a me kekahi o nā kiko o ka umauma maʻamau a puni ia. Nānā kahi pathologist i kahi laʻana o nā mea i lawe ʻia e hōʻoia i ka lawe ʻia ʻana o ka maʻi ʻaʻai.

• Ke loaʻa ʻole nā ​​hunaola maʻi ʻino ma kahi o nā kaʻe o ka aʻa i lawe ʻia, kapa ʻia ia he margin maopopo.
• Hiki i kāu kaukipō lōkahi ke wehe i kekahi a i ʻole nā ​​kahena lymph āpau i kou ʻūlima e ʻike inā ua pālahalaha ka maʻi ʻaʻai iā lākou.

I kekahi manawa, e hoʻokau ʻia nā pāheona hao liʻiliʻi i loko o ka umauma e māka i ka wahi o ka hemo ʻana o ka ʻaʻa. He mea maʻalahi kēia e ʻike ʻia ma nā mammogram e hiki mai ana. Kōkua pū ia i ke alakaʻi ʻana i ka radiation radiation, ke pono.

E pani ka mea lapaʻau i kou ʻili me nā kuʻi a i ʻole staples. Pau paha kēia a i ʻole pono e hemo ma hope. Kākaʻikahi wale nō, kau ʻia kahi paipu hoʻoheheʻe e wehe i kahi kahe. E hoʻouna kāu kauka i ka puʻupuʻu i ka pathologist no ka hoʻāʻo hou ʻana.

ʻO keʻoki e wehe i kahi kanesa umauma ka mea pinepine i ka hana mua.

ʻO ke koho ʻana o nā ʻōpala ʻoi aku ka maikaʻi no ʻoe he paʻakikī. He paʻakikī paha ke ʻike inā ʻoi aku ka maikaʻi o ka lumpectomy a i ʻole ka mastectomy (ka hemo ʻana o ka umauma holoʻokoʻa). ʻO ʻoe a me nā mea lawelawe e mālama nei i kāu maʻi ʻaʻai umauma e hoʻoholo pū. Laulaha:

• Makemake pinepine ʻia ʻo Lumpectomy i nā puʻupuʻu umauma liʻiliʻi. ʻO kēia no ka mea he hana liʻiliʻi ia a he like ia me ka manawa like o ka hōʻola ʻana i ka maʻi ʻaʻai umauma ma ke ʻano he mastectomy. He koho maikaʻi ia e mālama ai i ka hapa nui o kou kino umauma i hoʻopilikia ʻole ʻia e ka maʻi ʻaʻai.
• Hiki ke hana ʻia ka mastectomy e hoʻoneʻe i nā kiko o ka umauma inā nui ka ʻāpana o ke kanesa a i ʻole he nui nā tumors i hiki ʻole ke hemo me ka ʻole o ka umauma.

Pono ʻoe a me kāu mea hāʻawi e noʻonoʻo:

• Ka nui o kou tum tum
• Aia i hea i kou umauma
• Inā ʻoi aku ma mua o hoʻokahi tumo
• Ehia ka nui o ka umauma i hoʻopili ʻia
• ʻO ka nui o kou umauma e pili ana i ka tumo
• Kou makahiki
• Kou mooleloʻohana
• ʻO kou olakino laulā, e pili ana inā ua hōʻea ʻoe i ka menopause
• Inā hāpai ʻoe

ʻO nā pilikia no ke ʻoki kino:

• Kahena
• Maʻi kīnā
• Hoola ʻeha maikaʻi ʻole
  
• Kaʻi puʻuwai, hahau, make
  
• Nā hopena i nā lāʻau
• Nā pilikia e pili ana i ka anesthesia ākea

Hiki ke loli ke ʻano o kou umauma ma hope o ke kahakaha ʻana. ʻIke paha ʻoe i ka nīnū ʻana, kahi ʻili, a i ʻole ʻokoʻa i ke ʻano ma waena o kou mau umauma. Eia kekahi, ʻāʻī ʻole ka ʻāpana o ka umauma a puni ka ʻoki.

Pono ʻoe i kahi kaʻina hana ʻē aʻe e wehe i nā kiko o ka umauma inā hōʻike nā hōʻike e kokoke loa ana ka maʻi ʻaʻai i ka lihi o ke kiko i lawe ʻia.

E haʻi mau i kāu mea hāʻawi:

• Inā hiki iā ʻoe ke hāpai
• He aha nā lāʻau āu e lawe nei, ʻo nā lāʻau a lāʻau paha āu i kūʻai ai me ka ʻole o ka lāʻau
• Loaʻa paha nā maʻi āpau me nā lāʻau a me ka hopena
  
• Nā hopena i ka anesthesia i ka wā i hala
  

I nā lā ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū. E nīnau pono i kāu mea nāna e hāʻawi i nā lāʻau i pono ke hoʻopau ʻia, a no ka lōʻihi ma mua o kāu kaʻina hana.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, hoʻāʻo e kū no 2 mau pule ma mua o ka ʻoki ʻana. Hiki i kāu mea hāʻawi ke kōkua.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o ke kaha ʻana.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai no ke kaʻina hana.

He pōkole loa ka wā hoʻōla no kahi lumpectomy maʻalahi. He ʻeha iki nā wahine he nui, akā inā ʻoe e ʻeha, hiki iā ʻoe ke lawe i ka lāʻau ʻeha, e like me ka acetaminophen.

E hoʻōla paha kou ʻili ma kahi o hoʻokahi mahina. Pono ʻoe e mālama i ka wahi ʻoki ʻoki. Hoʻololi i nā kapa komo e like me ka mea a kāu mea e haʻi aku ai iā ʻoe. Nānā i nā hōʻailona o ka maʻi ke hoʻi ʻoe i ka home (e like me ka ʻulaʻula, ka pehu ʻana, a me ke kahawai mai ka ʻokiʻoki). E komo i kahi lei hoʻoluʻolu e hāʻawi i ke kākoʻo maikaʻi, e like me ka haʻuki haʻuki.

Pono paha ʻoe e ninini i kahi kahe wai i kekahi mau manawa o ka lā no 1 a 2 mau pule. E noi ʻia paha ʻoe e ana a hoʻopaʻa i ka nui o ka wai i hoʻokahe ʻia. E hoʻopau ana kāu mea hāʻawi i ke kahawai ma hope.

Hiki i ka hapanui o nā wahine ke hoʻi i kā lākou hana maʻamau i hoʻokahi pule. Hōʻalo i ka hāpai hāpai, jogging, a i ʻole nā ​​hana e ʻeha ai ka wahi ʻoki lāʻau no 1 a 2 mau pule.

ʻO ka hopena o ka lumpectomy no ka maʻi ʻaʻai umauma kaukaʻi ʻia i ka nui o ka maʻi ʻaʻai, a ʻo ka make ʻana o ka tumo. Aia nō ia i ka hoʻolaha ʻana i nā lymph nodes ma lalo o kou lima.

ʻO ka lumpectomy no ka maʻi kanesa o ka umauma e ukali pinepine ʻia e radiation radiation a me nā lāʻau lapaʻau ʻē aʻe e like me chemotherapy, hormonal therapy, a i ʻole ʻelua paha.

I ka hapanui o nā hihia, ʻaʻole pono ʻoe i kahi kūkulu hou ʻana o ka umauma ma hope o ka lumpectomy.

Lumpectomy; ʻO ka excision kūloko ākea; ʻOki mālama hānai; ʻOki kino-hoʻāʻo; Part mastectomy; Hoʻokaʻawale ʻāpana; Tylectomy

• Pākuʻi ka lālā o waho - hoʻokuʻu
• Lymphedema - mālama pono iā ʻoe iho
• Mastectomy - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• Uma wahine
• Needle biopsy o ka umauma
• Wehe i ka umauma
• ʻO ka hoʻāʻo ʻana iā ʻoe iho
• ʻO ka hoʻāʻo ʻana iā ʻoe iho
• ʻO ka hoʻāʻo ʻana iā ʻoe iho
• Nā puʻupuʻu umauma
• Lumpectomy
• Nā kumu o nā puʻupuʻu umauma
• Wehe i ka puʻupuʻu umauma - series

ʻAhahui Kanaka ʻAmelika. ʻOki-mālama mālama ʻōpū (lumpectomy). www.cancer.org/cancer/breast-cancer/treatment/surgery-for-breast-cancer/breast-conservation-surgery-lumpectomy. Hoʻohou ʻia Kepakemapa 13, 2017. Loaʻa iā Nowemapa 5, 2018.

ʻO Bevers TB, Brown PH, Maresso KC, Hawk ET. Ka pale ʻana i ka maʻi ʻaʻai, ka kānana ʻana, a me ka ʻike mua. I: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. 5th lā. Piladelapia, PA: Elsevier Saunders; 2014: chap 23.

Hunt KK, Mittendorf EA. Nā maʻi o ka umauma. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 34.

ʻO ka ʻAhahui ʻAmelika o nā Kahakaha Pahu. Nā alakaʻi e hana ana a me nā hana no ka ʻoki ʻana i ka umauma / mastectomy hapa. www.breastsurgeons.org/docs/statements/Performance-and-Practice-Guidelines-for-Breast-Conserve-Surgery-Partial-Mastectomy.pdf. Hoʻohou ʻia Pepeluali 22, 2015. Loaʻa iā Nowemapa 5, 2018.

ʻO Wolff AC, Domchek SM, Davidson NE, Sacchini V, ʻo McCormick B. Ka maʻi ʻaʻai o ka umauma. I: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. 5th lā. Piladelapia, PA: Elsevier Saunders; 2014: chap 91.