Ka maʻi ʻaʻai umauma i nā kāne

ʻO ka maʻi ʻaʻai umauma ka maʻi ʻaʻai e hoʻomaka i kaʻiʻo o ka umauma. Loaʻa i nā kāne a me nā wahine i kaʻiʻo umauma. ʻO kēia ka mea i hiki i kekahi, me nā kāne a me nā keikikāne, ke ulu i ka maʻi ʻaʻai umauma.

Kākaʻikahi ka maʻi ʻaʻai umauma i nā kāne. ʻO ka helu o ka maʻi ʻaʻai umauma kāne ma lalo o 1% o nā maʻi ʻōpū umauma.

ʻAʻole maopopo ke kumu o ka maʻi ʻaʻai o ka umauma i nā kāne. Akā aia kekahi mau kumu pilikia e hana i ka maʻi ʻaʻa o ka umauma i nā kāne.

• Hōʻike i ka pāhawewe
• Nā pae estrogen kiʻekiʻe ma muli o nā kumu e like me ka inu nui, cirrhosis, momona, a me kekahi mau lāʻau e mālama ai i ka maʻi ʻaʻai prostate.
• ʻO Heredity, e like me ka moʻolelo ʻohana o ka maʻi ʻaʻai umauma, BRCA1 a i ʻole BRCA2 gen i hoʻohuli ʻia, a me kekahi mau maʻi kūlohelohe, e like me Klinefelter Syndrome
• ʻO ke kino o ka umauma nui (gynecomastia)
• ʻO nā makahiki ʻelemakule - ʻike pinepine ʻia nā kāne me ka maʻi ʻaʻai umauma ma waena o nā makahiki 60 a 70

Nā ʻōuli o ka maʻi ʻaʻai umauma i nā kāne pū:

• Lū a ʻōhū paha i kaʻiʻo o ka umauma. ʻOi aku ka nui o kekahi umauma ma mua o ka umauma.
• He puʻupuʻu liʻiliʻi ma lalo o ka nipple.
• Hoʻololi maʻamau i ka nipple a i ʻole ka ʻili a puni ka piko e like me ka ʻulaʻula, ka unahi ʻana, a i ʻole ka ʻū ʻana.
• Hoʻokuʻu nipple.

Lawe kāu mea mālama ola i kāu moʻolelo olakino a me ka mōʻaukala olakino ʻohana. E loaʻa iā ʻoe kahi hoʻokolohua kino a me kahi hōʻike umauma.

E kauoha paha kāu mea hāʻawi i nā hoʻokolohua ʻē aʻe, e like me:

• He mamamogram.
• Pākuʻi ultrasound.
• He MRI o ka umauma.
• Inā hōʻike kekahi o nā hōʻike i ka maʻi ʻaʻai, e hana kāu mea hāʻawi i kahi biopsy e nānā no ka maʻi ʻaʻai.

Inā loaʻa ka maʻi ʻaʻai, e kauoha kāu mea hāʻawi i nā hoʻokolohua ʻē aʻe e ʻike.

• Pehea ka ulu koke o ka maʻi ʻaʻai
• Pehea paha e palahalaha ai
• He aha nā lapaʻau e ʻoi aku paha
• He aha nā manawa e hoʻi ai ka maʻi ʻaʻai

Pākuʻi ʻia paha nā hoʻokolohua:

• ʻImi iwi
• CT scan
• Scanner PET
• ʻO ka biopsy lymph node Sentinel e nānā inā ua pālahalaha ka maʻi ʻaʻa i nā lymph node

E hoʻohana ʻia ka biopsy a me nā hoʻokolohua ʻē aʻe i ka papa a pae i ka tumo. E kōkua nā hopena o kēlā mau hoʻāʻo e hoʻoholo i kāu lāʻau.

Nā koho lapaʻau no ka maʻi ʻaʻai umauma i nā kāne pū:

• ʻO ke keʻoki e wehe i ka umauma, nā lymph node ma lalo o ka lima, ke kau ʻana ma luna o nā mākala o ka umauma, a me nā mākala o ka umauma, inā pono
• ʻO ka radiation radiation ma hope o ke kahakaha ʻana e luku ai i nā hunaola maʻi ʻē aʻe a i mea e māka ai nā tumors kikoʻī
• ʻO Chemotherapy e pepehi i nā hunaola maʻi ʻaʻai i hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino
• Hormone therapy e ālai ai i nā homoni e kōkua paha i kekahi ʻano o ka maʻi ʻaʻai umauma e ulu

I ka wā a ma hope o ka mālama ʻana, e noi paha kāu mea hāʻawi iā ʻoe e loaʻa hou nā hoʻokolohua. Pākuʻi paha kēia i nā hoʻokolohua āu i loaʻa ai i ka wā o ka hōʻailona. E hōʻike nā hoʻokolohua ukali i ka hana o ka lāʻau. E hōʻike pū lākou inā hoʻi ka maʻi ʻaʻai.

Hoʻopili ka maʻi ʻaʻai i kou manaʻo e pili ana iā ʻoe iho a me kou ola. Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike like a me nā pilikia e hiki ke kōkua iā ʻoe e hōʻemi i ka noho kaʻawale. Hiki i ka hui ke kuhikuhi iā ʻoe i nā kumuwaiwai kōkua no ka mālama ʻana i kāu kūlana.

E noi i kāu mea hāʻawi e kōkua iā ʻoe e ʻike i kahi hui kākoʻo o nā kāne i hōʻoia ʻia me ka maʻi ʻaʻai umauma.

ʻO ka nānā manawa lōʻihi no nā kāne me ka maʻi ʻaʻai umauma maikaʻi loa ke loaʻa ka maʻi ʻaʻai a mālama mua ʻia.

• Ma kahi o 91% o nā kāne i mālama ʻia ma mua o ka palahalaha ʻana o ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino ʻaʻohe maʻi ʻaʻai ma hope o 5 mau makahiki.
• Ma kahi o 3 o 4 mau kāne i mālama ʻia no ka maʻi ʻaʻai i palahalaha aʻe i nā lymph nodes akā ʻaʻole i nā wahi ʻē aʻe o ke kino manuahi ʻole ka maʻi ʻaʻai ma 5 mau makahiki.
• ʻO nā kāne i loaʻa i ka maʻi ʻaʻai i laha aku i nā ʻāpana mamao o ke kino he manawa liʻiliʻi ko lākou e ola ana i ka wā lōʻihi.

Hoʻopili nā pilikia me nā hopena ʻaoʻao mai ke ʻoki ʻana, radiation, a me chemotherapy.

Kāhea koke aku i kāu mea hāʻawi inā ʻike ʻoe i kahi mea ʻokoʻa e pili ana i kou umauma, me nā puʻupuʻu, nā loli o ka ʻili, a i ʻole ka hoʻokuʻu ʻana.

ʻAʻohe ala maopopo e pale aku ai i ka maʻi ʻaʻai umauma i nā kāne. ʻO ke ala maikaʻi e pale aku ai iā ʻoe iho ʻo:

• ʻIke i hiki i nā kāne ke hoʻomohala i ka maʻi ʻaʻai umauma
• E ʻike i kāu mau pilikia a kamaʻilio pū me kāu mea hāʻawi e pili ana i ka kānana a me ka ʻike mua ʻana me nā hoʻāʻo inā pono
• ʻIke i nā hōʻailona hiki ke loaʻa i ka maʻi ʻaʻai umauma
• E haʻi i kāu mea hāʻawi inā ʻike ʻoe i nā loli i kou umauma

Infiltrating ductal carcinoma - kāne kāne; Ductal carcinoma ma kahi - kāne; Carcinoma Intraductal - kāne kāne; Ka maʻi ʻaʻai umauma nānawī - kāne; Maʻi Paget o ka nipple - kāne; Ka maʻi ʻaʻai umauma - kāne kāne

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 Jain S, Gradishar WJ. Ka maʻi ʻaʻai umauma kāne. I: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. ʻO ka umauma: Hoʻoponopono piha o nā maʻi maʻi a me nā maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 76.

Pūnaewele ʻo National Cancer Institute. Ka mālama ʻana i ka maʻi ʻaʻai umauma kāne (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/breast/hp/male-breast-treatment-pdq. Hoʻohou ʻia ʻAukake 28, 2020. Loaʻa iā ʻOkakopa 19, 2020.