Kahi Alakaʻi Comprehensive i ka maʻi ʻaʻai umauma

Anter

• Nā ʻōuli maʻi ʻaʻai
• Nā ʻano o ka maʻi ʻaʻai umauma
• Maʻi ʻaʻai umauma inflammatory
• Ka maʻi ʻaʻai ʻekolu-ʻole o ka umauma
• Ka maʻi ʻaʻai umauma metastatic
• Ka maʻi ʻaʻai umauma kāne
• Nā kiʻi maʻi ʻaʻai umauma
• Nā pae o ka maʻi ʻaʻai umauma
• Pae 0 ka maʻi ʻaʻai umauma
• Paʻa maʻi ʻōpū 1
• Kanesa 2 umauma maʻi 'aʻai
• Pae maʻi ʻōpū 3
• Kanesa 4 umauma maʻi 'aʻai
• ʻIke o ka maʻi ʻaʻai umauma
• Biopsy umauma
• Mālama maʻi ʻaʻai
• ʻOki kino
• Lapaʻau hoʻomākala
• ʻO Chemotherapy
• Hoʻoikaika Hormone
• Nā Lapaʻau
• Mālama maʻi ʻaʻai
• Pehea ka maʻamau o ka maʻi ʻaʻai umauma?
• Nā kumu pilikia no ka maʻi ʻaʻai o ka umauma
• Ka helu o ke ola ʻana i ka maʻi ʻaʻai umauma
• Ka pale ʻana i ka maʻi ʻaʻai umauma
• Nā mea ola
• Ke nānā ʻana i ka maʻi ʻaʻai umauma
• Lapaʻau mālama
• Hōʻike umauma
• Nā hoʻāʻo iho
• Hōʻoia umauma e kāu kauka
• ʻIke i ka maʻi ʻaʻai umauma

Nānā i ka maʻi ʻaʻai umauma

Hana ʻia ka maʻi ʻaʻai ke hoʻololi ʻia nā loli i kapa ʻia i nā genes e mālama i ka ulu ʻana o ka cell. E hoʻokuʻu i nā hoʻololi i nā ʻāpana e mahele a hoʻonui i ke ala i kaohi ʻole ʻia.

ʻO ka maʻi ʻaʻai umauma ka maʻi ʻaʻai e hoʻomohala i nā hunaola umauma. ʻO ka maʻamau, hana ke kanesa i nā lobule a i ʻole nā ​​aʻa o ka umauma. ʻO Lobules nā glands e hoʻohua i ka waiū, a ʻo nā duct nā ala e lawe i ka waiū mai nā glands a i ka nipple. Hiki i ka maʻi ʻaʻai ke loaʻa i loko o nā mea momona a i ʻole nā ​​mea hoʻopili fibrous i loko o kou umauma.

Hoʻokomo pinepine nā hunaola maʻi ʻaʻai ʻole i nā maʻi umauma olakino ʻē aʻe a hiki ke hele i nā lymph node ma lalo o nā lima. ʻO nā lymph node kahi ala mua e kōkua i nā hunaola maʻi ʻea e neʻe i nā ʻāpana ʻē aʻe o ke kino. E ʻike i nā kiʻi a aʻo hou e pili ana i ke ʻano o ka umauma.

Nā ʻōuli maʻi ʻaʻai

I kona wā mua, ʻaʻole hiki i ka maʻi ʻaʻai umauma ke hana i kekahi ʻōuli. I nā manawa he nui, ʻuʻuku paha kahi tumo i hiki ke ʻike ʻia, akā hiki ke ʻike ʻia kahi ʻano ʻē ma ka mammogram. Inā hiki ke ʻike ʻia kahi tumo, ʻo ka hōʻailona mua he puʻupuʻu hou i ka umauma ʻaʻole ma mua. Eia naʻe, ʻaʻole maʻi āpau nā maʻi ʻaʻai.

Hiki i kēlā me kēia ʻano maʻi ʻaʻai o ka umauma ke kumu o nā ʻōuli like ʻole. ʻO ka like o ka nui o kēia mau ʻōuli, akā hiki i kekahi ke ʻokoʻa. Nā ʻōuli no nā maʻi maʻi umauma ʻoi loa e like me:

• kahi puʻupuʻu a mea momona paha i manaʻo ʻia he ʻokoʻa ma mua o nā mea a puni a ua ulu i kēia manawa
• ʻeha ka umauma
• ʻulaʻula, pitted ʻili ma luna o kou umauma holoʻokoʻa
• pehu i loko a i ʻole ʻāpana o kou umauma
• kahi hoʻokuʻu nipple ma mua o ka waiū umauma
• kahe koko mai kou nipple
• ka ʻili ʻana, ka unahi ʻana, a i ʻole ka ʻili ʻana o ka ʻili i kou nipple a i ʻole ka umauma
• kahi hoʻololi koke, wehewehe ʻole ʻia i ke ʻano a i ʻole ka nui o kou umauma
• nipple huliu
• hoʻololi i ka helehelena o kaʻili ma kou umauma
• kahi puʻupuʻu a ʻōhū paha ma lalo o kou lima

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, ʻaʻole ia he manaʻo ua loaʻa ʻoe i ka maʻi ʻaʻai umauma. ʻO kahi laʻana, ʻeha ma kou umauma a i ʻole pūpū umauma hiki ke kumu ʻia e kahi cyst benign. Eia nō naʻe, inā ʻike ʻoe i kahi puʻupuʻu i kou umauma a i ʻole he mau hōʻailona ʻē aʻe, pono ʻoe e ʻike i kāu kauka no ka hoʻokolokolo hou ʻana a me ka hoʻāʻo ʻana. E aʻo hou aʻe e pili ana i nā hōʻailona kūpono o ka maʻi ʻaʻai umauma.

Nā ʻano o ka maʻi ʻaʻai umauma

Nui a hewahewa nā ʻano maʻi ʻaʻai o ka umauma, a ua haki lākou i ʻelua mau papa nui: “invasive” a me “noninvasive,” a i ʻole ma situ. ʻOiai ua pālahalaha ʻia ka maʻi ʻaʻai hoʻopilikia mai nā aʻa o ka umauma a i ʻole nā ​​glands i nā ʻāpana ʻē aʻe o ka umauma, ʻaʻole i pālahalaha ʻia ka maʻi ʻaʻai noninvasive mai kaʻiʻo maoli.

Hoʻohana ʻia kēia mau ʻāpana ʻelua e wehewehe i nā ʻano maʻamau o ka maʻi ʻaʻai umauma, i hoʻopili ʻia:

• Ka maʻi kanalā o Ductal. Ductal carcinoma ma kahi (DCIS) kahi ʻano noninvasive. Me DCIS, hoʻopaʻa ʻia nā hunaola maʻi ʻaʻai i nā aʻa i loko o kou umauma a ʻaʻole i hoʻouka i kaʻiʻo umauma e pili ana.
• Carcinoma Lobular ma kahi. Lobular carcinoma in situ (LCIS) he maʻi ʻaʻai e ulu ana i nā glands e hana ana i ka waiū o kou umauma. E like me DCIS, ʻaʻole i hōʻea mai nā hunaola maʻi ʻino i nā mea a puni.
• Kanu maʻi ʻino. ʻO ka maʻi kanesa maʻi kūpikipiki (IDC) ka ʻano maʻamau o ka maʻi ʻaʻai umauma. Hoʻomaka kēia ʻano maʻi kanesa o ka umauma i nā waiū o kou umauma a laila komo mai i nā mea kokoke i ka umauma. Ke palahalaha ka maʻi 'aʻai o ka umauma i nā mea ma waho o kāu mau waiū waiū, hiki iā ia ke hoʻomaka e hoʻolaha i nā meaola a me nā mea kokoke.
• ʻO ka maʻi maʻi lobular invasive. Hoʻokumu mua ka maʻi maʻi lobular invasive (ILC) i loko o nā lobule o kou umauma a ua komo hewa i kahi mea kokoke.

ʻO nā ʻano ʻē aʻe, liʻiliʻi o ka maʻi kanesa o ka umauma pū:

• Maʻi Paget o ka nipple. Hoʻomaka kēia ʻano maʻi kanesa o ka umauma i nā ʻūlū o ka nipple, akā i kona ulu ʻana, hoʻomaka ia e hoʻopili i ka ʻili a me nā areola o ka nipple.
• Tumo Phyllodes. Ke ulu nei kēia ʻano maʻi ʻaʻai ʻole o ka umauma i nā mea hoʻopili o ka umauma. ʻO ka hapa nui o kēia mau tumors he kino, akā he maʻi maʻi kō kekahi.
• Angiosarcoma. ʻO kēia ka maʻi ʻaʻai e ulu ana ma nā kīʻaha koko a i ʻole nā ​​kīʻaha lymph i ka umauma.

ʻO ke ʻano o ka maʻi ʻaʻai āu e hoʻoholo ai i kāu mau koho lapaʻau, a me kāu hopena hopena lōʻihi paha. E aʻo hou aʻe e pili ana i nā ʻano maʻi ʻaʻai.

Maʻi ʻaʻai umauma inflammatory

He maʻi laha ʻole ʻo ka maʻi ʻaʻai umauma maʻi (IBC) akā ʻano kolohe o ka maʻi ʻaʻai umauma. Hana wale ʻo IBC ma waena o nā hihia maʻi ʻaʻai umauma.

Me kēia kūlana, pale nā ​​hunaola i nā pūnana lymph kokoke i nā umauma, no laila ʻaʻole hiki i nā kīʻaha lymph i ka umauma ke hoʻokahe pono. Ma kahi o ka hoʻokumu ʻana i kahi tumo, hoʻonāukiuki ʻo IBC i kou umauma, nānā ʻulaʻula, a mehana loa. Hiki paha i kahi umauma maʻi maʻi i pitted a mānoanoa, e like me ka ʻalani ʻalani.

Hiki i ka IBC ke hana ʻino a hiki ke holomua me ka wikiwiki. No kēia kumu, he mea nui e kāhea koke aku i kāu kauka inā ʻike ʻoe i kekahi hōʻailona. E ʻike hou aʻe e pili ana i ka IBC a me nā ʻōuli e hiki ke kumu.

Ka maʻi ʻaʻai ʻekolu-ʻole o ka umauma

ʻO ka maʻi ʻaʻai ʻekolu maikaʻi ʻole o ka maʻi maʻi maʻi, e hoʻopili wale ana ma kahi o 10 a 20 pākēneka o ka poʻe me ka maʻi ʻaʻai umauma. E ʻike ʻia ma ke ʻano he maʻi ʻaʻai ʻekolu-ʻole, pono i kahi tumo ʻekolu o nā ʻano aʻe:

• Ua nele i nā estrogen receptor. ʻO kēia nā mea loaʻa ma nā hunaola e hoʻopaʻa ai, a i ʻole hoʻopili ʻia i ka estrogen estrogen. Inā loaʻa i nā tumo he mau estrogen reseptor, hiki i ka estrogen ke hoʻoulu i ka maʻi ʻaʻai e ulu.
• Loaʻa iā ia nā mea loaʻa ʻole progesterone. ʻO kēia mau mea loaʻa he ʻulaʻula e hoʻopili i ka progesterone hormone. Inā loaʻa i kahi tumo nā mea loaʻa progesterone, hiki i ka progesterone ke hoʻonāukiuki i ka maʻi ʻaʻai e ulu.
• ʻAʻohe ona protein HER2 hou aʻe ma luna o kona ʻili. ʻO HER2 kahi protein e hoʻoulu ai i ka ulu ʻana o ka maʻi ʻaʻai.

Inā kū ka tumo i kēia mau pae hoʻohālikelike ʻekolu, ua kapa ʻia ia he maʻi ʻaʻai ʻekolu-maikaʻi ʻole. ʻO kēia ʻano maʻi kanesa o ka umauma he mea hiki ke ulu a pāhola koke ma mua o nā ʻano maʻi ʻaʻai ʻē aʻe.

He paʻakikī nā lāʻau maʻi umauma Triple-maikaʻi e mālama ma muli o ka maikaʻi ʻole o ka hoʻomaʻamaʻa hormonal no ka maʻi ʻaʻai. E aʻo e pili ana i nā mālama ʻana a me nā helu e ola ai no ka maʻi ʻaʻai ʻekolu ʻole maikaʻi.

Ka maʻi ʻaʻai umauma metastatic

ʻO ka maʻi ʻaʻai umauma Metastatic kahi inoa ʻē aʻe no ka maʻi ʻaʻai umauma pae. ʻO ia ka maʻi ʻaʻai umauma i pāhola aʻe mai kou umauma a i nā ʻāpana ʻē aʻe o kou kino, e like me kou mau iwi, nā akemāmā, a me ke akepaʻa.

He pae kiʻekiʻe kēia o ka maʻi ʻaʻai umauma. E hana kāu oncologist (kauka maʻi ʻaʻai) i kahi hoʻolālā lapaʻau me ka pahuhopu o ka hoʻōki ʻana i ka ulu a hoʻolaha ʻana o ka tumo a i ʻole nā ​​tumors. E aʻo e pili ana i nā koho lapaʻau no ka maʻi ʻaʻai metastatic, a me nā mea e hoʻopili i kāu kuana.

Ka maʻi ʻaʻai umauma kāne

ʻOiai heʻuʻuku kā lākou o ia mea, loaʻa i nā kāne nāʻiʻo o ka umauma e like me ka hana a nā wahine. Hiki i nā kāne ke loaʻa i ka maʻi ʻaʻai umauma, akā ʻoi aku ka nui. Wahi a ka American Cancer Society (ACS), ʻo ka maʻi ʻaʻai umauma he 100 mau manawa ka liʻiliʻi ma mua o nā kāne keʻokeʻo ma mua o nā wahine keʻokeʻo, a 70 mau manawa liʻiliʻi ma mua o nā kāne ʻeleʻele ma mua o nā wahine ʻeleʻele.

ʻO ka mea i ʻōlelo ʻia, ʻo ka maʻi ʻaʻai o ka umauma e loaʻa i nā kāne e like ke koʻikoʻi e like me ka loaʻa ʻana o nā wahine i ka maʻi ʻōpū. He mau hōʻailona like pū kekahi. E heluhelu hou aʻe e pili ana i ka maʻi ʻaʻai umauma i nā kāne a me nā ʻōuli e kiaʻi ai.

Nā kiʻi maʻi ʻaʻai umauma

Hiki i ka maʻi ʻaʻai umauma ke kumu o kahi o nā ʻōuli, a hiki ke ʻike ʻia kēia mau ʻōuli ʻokoʻa i nā kānaka like ʻole.

Inā ʻoe e hopohopo e pili ana i kahi kiko a i ʻole hoʻololi i kou umauma, hiki ke kōkua ke ʻike i ke ʻano o nā pilikia o ka umauma i ka maʻi ʻaʻai maoli. E aʻo hou aʻe e pili ana i nā ʻōuli o ka maʻi ʻaʻai, a ʻike i nā kiʻi o nā mea i hiki ke nānā aku.

Nā pae o ka maʻi ʻaʻai umauma

Hiki ke hoʻokaʻawale ʻia ka maʻi ʻaʻai o ka umauma i nā pae ma muli o ka nui o ka tumo a i ʻole nā ​​tumors a pehea ka nui i laha ai. ʻO nā ʻōpala nunui a / a i hōʻeuʻeu paha i nā pūnaewele kokoke a i ʻole nā ​​kino i kahi kiʻekiʻe kiʻekiʻe ma mua o nā maʻi maʻi liʻiliʻi a / a i ʻole i loko o ka umauma. I mea e hoʻokumu ai i ka maʻi ʻaʻai umauma, pono e ʻike nā kauka:

• inā invasive a noninvasive paha ka maʻi ʻaʻai
• pehea ka nui o ka tumo
• inā pili nā lymph nodes
• inā ua pālahalaha ka maʻi ʻaʻai i nā mea kokoke a i ʻole nā ​​meaola

ʻElima hanana nui o ka maʻi ʻaʻai umauma: nā pae 0 a 5.

Pae 0 ka maʻi ʻaʻai umauma

ʻO ke kahua 0 DCIS. Hoʻopili paʻa ʻia nā hunaola maʻi ʻaʻai ma DCIS i nā aʻa i ka umauma a ʻaʻole i pālahalaha ʻia i nā kiko kokoke.

Paʻa maʻi ʻōpū 1

• Kahua 1A: ʻO ka tumo mua he 2 kenimika ākea a ʻoi iki paha a ʻaʻole pili nā lymph nodes.
• Kahua 1B: ʻIke ʻia ka maʻi ʻaʻai ma nā lymph node kokoke, a ʻaʻohe paha he tumo i ka umauma, a ʻoi aku ka liʻiliʻi o ka tumo ma mua o 2 cm.

Kanesa 2 umauma maʻi 'aʻai

• Kahua 2A: ʻOi aku ka liʻiliʻi o ka tumo ma mua o 2 cm a ua pālahalaha ʻia i 1-3 mau lymph node kokoke, a ma waena paha o 2 a me 5 cm a ʻaʻole i pālahalaha ʻia i nā lymph node.
• Kahua 2B: Aia ka tumo ma waena o 2 a me 5 cm a pālahalaha i 1-3 axillary (armpit) lymph nodes, a i ʻole ʻoi aku ka nui ma mua o 5 cm a ʻaʻole i pālahalaha ʻia i nā lymph node.

Pae maʻi ʻōpū 3

• Kahua 3A:
  • Ua pālahalaha ʻia ka maʻi ʻaʻai i 4-9 axillary lymph nodes a i hoʻonui ʻia paha i nā lymph node mammary o loko, a hiki i kēlā me kēia tumo ke nui.
  • ʻOi aku ka nui o nā tumors ma mua o 5 cm a ua pālahalaha ka maʻi ʻaʻai i 1-3 axillary lymph nodes a i ʻole nā ​​pona umauma.
• Kahua 3B: Ua hoʻouka ʻia kahi tumo i ka paia o ka umauma a i ʻole ʻili a ʻaʻole paha i komo i 9 mau lymph node.
• Kahua 3C: ʻIke ʻia ka maʻi ʻaʻai ma 10 a ʻoi aku paha o nā lymph node axillary, node lymph kokoke i ka iwi iwi, a i ʻole nā ​​mammary node o loko.

Kanesa 4 umauma maʻi 'aʻai

Hiki i ke kanulau umauma ʻehā ke loaʻa i kahi tumo o kēlā me kēia nui, a ua pālahalaha ʻia nā hunaola maʻi maʻi i nā lymph node kokoke a mamao hoʻi a me nā lālā mamao.

ʻO ka hoʻāʻo ʻana o kāu kauka e hoʻoholo ai i ke kahua o kou umauma maʻi ʻaʻai, nāna e hoʻopili i kāu lapaʻau. E ʻike pehea e mālama ʻia ai nā ʻano maʻi ʻaʻai umauma.

ʻIke o ka maʻi ʻaʻai umauma

E hoʻoholo inā hopena ʻia kāu mau ʻōuli e ka maʻi ʻaʻai o ka umauma a i ʻole ke ʻano umauma maikaʻi, e hana ana kāu kauka i kahi hoʻokolohua kino piha me ka hoʻāʻo ʻana i ka umauma. Hiki paha iā lākou ke noi i hoʻokahi a ʻoi paha nā hoʻokolohua diagnostics e kōkua e hoʻomaopopo i ke kumu o kāu mau hōʻailona.

ʻO nā hoʻāʻo e hiki ke kōkua i ke kuhi ʻana i ka maʻi ʻaʻai umauma me:

• Mamamogram. ʻO ke ala maʻamau e ʻike ai ma lalo o ka ʻili o kou umauma me kahi hōʻike kiʻi i kapa ʻia he mammogram. Nui nā wahine ma 40 a ʻoi makahiki i loaʻa i nā makahiki mau makahiki e nānā i ka maʻi ʻaʻai umauma. Inā kānalua kāu kauka he maʻi tumo kāu a i ʻole kahi kānalua, e noi lākou i kahi mammogram. Inā ʻike ʻia kahi ʻino ma kāu mammogram, noi paha kāu kauka i nā hoʻokolohua hou aʻe.
• Kukuna ultrasound. Hoʻohana kahi ultrasound umauma i nā nalu kani e hana i kahi kiʻi o nā pūnaewele i loko o kou umauma. Hiki i kahi ultrasound ke kōkua i kāu kauka e hoʻokaʻawale ma waena o kahi nui paʻa, e like me ka tumo, a me kahi cyst benign.

Hōʻike paha kāu kauka i nā hoʻokolohua e like me MRI a i ʻole biopsy umauma. E aʻo e pili ana i nā hoʻokolohua ʻē aʻe i hiki ke hoʻohana ʻia e ʻike i ka maʻi ʻaʻai o ka umauma.

Biopsy umauma

Inā kānalua kāu kauka i ka maʻi ʻaʻai o ka umauma, kauoha paha lākou i kahi mammogram a me kahi ultrasound. Inā ʻaʻole hiki i kēia mau hōʻoia ʻelua ke haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi ʻaʻai, hiki i kāu kauka ke hana i kahi hōʻike i kapa ʻia he biopsy umauma.

Ma kēia hōʻike, e hoʻoneʻe kāu kauka i kahi laʻana kikoʻī mai kahi kānalua e hoʻāʻo. Aia kekahi mau ʻano biopsies o ka umauma. Me kekahi o kēia mau hoʻāʻo, hoʻohana kāu kauka i kahi nila no ka lawe ʻana i ka laʻana kiko. Me nā poʻe ʻē aʻe, hana lākou i kahi ʻokiʻoki i kou umauma a laila hemo i ka hāpana.

E hoʻouna kāu kauka i kahi laʻana kikoʻī i kahi keʻena hoʻokolohua. Inā hōʻoia maikaʻi ka laʻana no ka maʻi ʻaʻai, hiki i ka labo ke hoʻāʻo hou iā ia e haʻi i kāu kauka i ke ʻano o ka maʻi ʻaʻai āu. E aʻo hou e pili ana i nā biopsies o ka umauma, pehea e hoʻomākaukau ai no hoʻokahi, a me nā mea e manaʻo ai.

Mālama maʻi ʻaʻai

ʻO ke kahua o kou umauma umauma, pehea ka nui o ka hoʻouka kaua ʻana (inā iā ia), a me ka nui o ka ulu ʻana o ka tumo i pāʻani nui i ka hoʻoholo ʻana i ke ʻano o ka lapaʻau e pono ai.

E hoʻomaka, e hoʻoholo kāu kauka i ka nui o kāu maʻi ʻaʻai, pae, a me ka papa (pehea e ulu a pālahalaha ai). Ma hope o kēlā, hiki iā ʻoe ke kūkākūkā i kāu koho koho. ʻO ke ʻoki kino ka lāʻau maʻamau no ka maʻi ʻaʻai umauma. Nui nā wahine i loaʻa nā lāʻau lapaʻau hou, e like me chemotherapy, hoʻomōhala hoʻomāka ʻia, radiation, a i ʻole hormone therapy.

ʻOki kino

Hiki ke hoʻohana ʻia i kekahi ʻano o ke kaha ʻana e wehe i ka maʻi ʻaʻai o ka umauma, me:

• Lumpectomy. Lawe kēia kaʻina hana i ka tumor a me kekahi mea a puni e waiho ana i ke koena o ka poli.
• Mastectomy. I kēia kaʻina hana, wehe kahi lākōkō i kahi umauma holoʻokoʻa. I kahi mastectomy pālua, hemo ʻia nā umauma ʻelua.
• ʻO biopsy kelena Sentinel. Lawe kēia ʻoki i kekahi o nā lymph node i loaʻa ka hoʻokahe ʻia mai ka tumo. E hoʻāʻo ʻia kēia mau lymph node. Inā ʻaʻohe o lākou maʻi ʻaʻai, ʻaʻole pono ʻoe i kahi ʻoki hou e wehe i nā lymph node hou aʻe.
• ʻO ka dissection lymph node dissert. Inā hoʻoneʻe ʻia nā pūnana lymph i ka manawa o ka biopsy sentinel node i nā hunaola maʻi ʻino, hiki i kāu kauka ke wehe i nā lymph node hou aʻe.
• ʻO mastectomy prophylactic contralateral. ʻOiai aia ka maʻi ʻaʻai o ka umauma ma hoʻokahi umauma wale nō, koho ʻia kekahi mau wahine e loaʻa i ka mastectomy prophylactic propalal Lawe kēia ʻoki i kou umauma olakino e hōʻemi i kou makaʻu i ka ulu ʻana i ka maʻi ʻaʻai umauma hou.

Lapaʻau hoʻomākala

Me ka radiation radiation, hoʻohana ʻia nā kaola kukuna kiʻekiʻe o ka pāhawewe e māka a pepehi i nā hunaola maʻi ʻaʻai. Hoʻohana ka hapanui o nā mālama radiation i ka radiation radiation i waho. Hoʻohana kēia hana i ka mīkini nui ma waho o ke kino.

ʻO ka holomua i ka mālama ʻana i ka maʻi ʻaʻai i hiki ai i nā kauka ke hoʻomālamalama i ka maʻi ʻaʻai mai loko o ke kino. Kapa ʻia kēia ʻano lapaʻau radiation i brachytherapy. No ke alakaʻi ʻana i ka brachytherapy, hoʻonoho nā kauka i nā ʻano radioactive, a i ʻole nā ​​ʻāpana, i loko o ke kino kokoke i ka pūnaewele tumo. Noho mau nā hua ma laila no kahi manawa pōkole a hana e luku i nā hunaola maʻi ʻaʻai.

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau lapaʻau i hoʻohana ʻia e luku i nā hunaola maʻi ʻaʻai. Hiki i kekahi poʻe ke mālama i ka chemotherapy iā ia iho, akā hoʻohana pinepine ʻia kēia ʻano lapaʻau me nā lāʻau ʻē aʻe, ʻo ia hoʻi ke ʻoki.

I kekahi mau hihia, makemake nā kauka e hāʻawi i nā mea maʻi i ka chemotherapy ma mua o ke kaha ʻana. ʻO ka manaʻolana e hoʻoliʻiliʻi ka lāʻau lapaʻau i ka tumo, a laila ʻaʻole pono ke ʻoki e like me ka invasive. He nui nā hopena ʻē aʻe i makemake ʻole ʻia ʻo Chemotherapy, no laila e kūkā kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau.

Hoʻoikaika Hormone

Inā maʻalahi kou ʻano o ka maʻi ʻaʻai umauma i nā homone, hiki i kāu kauka ke hoʻomaka iā ʻoe ma ka hoʻomaʻamaʻa hormone. Hiki i ka Estrogen a me ka progesterone, ʻelua mau homone wahine, ke hoʻonāukiuki i ka ulu ʻana o nā puʻupuʻu maʻi umauma umauma. Hana ka Hormone therapy ma o ka pale ʻana i ka hana ʻana o kou kino i kēia mau hormones, a i ʻole ke kāohi ʻana i nā mea loaʻa i ka hormone ma nā hunaola maʻi ʻaʻai. Hiki i kēia hana ke kōkua i ka lohi a hoʻopau paha i ka ulu ʻana o kāu maʻi ʻaʻai.

Nā Lapaʻau

Hoʻonohonoho ʻia kekahi mau ʻano lāʻau e hoʻouka i nā mea kūlohelohe a i ʻole nā ​​hoʻololi ʻana i loko o nā hunaola maʻi ʻaʻai. ʻO kahi laʻana, Herceptin (trastuzumab) hiki ke pale i ka hana o kou kino o ka protein HER2. Kōkua ʻo HER2 i ka ulu ʻana o nā hunaola maʻi ʻaʻai, no laila ke lawe nei i kahi lāʻau e hoʻolohi i ka hana ʻana o kēia protein hiki ke kōkua i ka lohi o ka ulu ʻana o ka maʻi ʻaʻai.

E haʻi hou aku kāu kauka iā ʻoe e pili ana i nā lapaʻau kikoʻī a lākou e ʻōlelo ai nāu. E aʻo hou aʻe e pili ana i ka mālama ʻana i ka maʻi ʻaʻai umauma, a me ka hopena o ka hormona i ka ulu ʻana o ka maʻi ʻaʻai.

Mālama maʻi ʻaʻai

Inā ʻike ʻoe i kahi puʻupuʻu ʻē aʻe a i ʻole kiko i kou umauma, a i ʻole nā ​​hōʻailona ʻē aʻe o ka umauma umauma, e hoʻokohu e ʻike i kāu kauka. Maikaʻi nā manawa ʻaʻole ka maʻi ʻaʻai umauma. ʻO kahi laʻana, nui nā kumu kūpono ʻē aʻe no nā puʻupuʻu umauma.

Akā inā lilo kou pilikia i maʻi ʻaʻai, e hoʻomanaʻo ʻo ka mālama mua ke kī. Hiki ke mālama a hoʻōla pinepine ʻia ka maʻi ʻaʻai o ka wā mua inā loaʻa koke ia. ʻO ka lōʻihi o ka maʻi ʻaʻai umauma e ʻae ʻia e ulu, ʻo ka ʻoi aku ka paʻakikī o ka mālama ʻana.

Inā ua loaʻa iā ʻoe kahi hōʻailona maʻi ʻaʻai umauma, e hoʻomanaʻo i ka hoʻomaikaʻi mau ʻana o ka maʻi ʻaʻai, a me nā hopena. No laila e hāhai i kāu hoʻolālā hoʻomaʻamaʻa a hoʻāʻo e noho maikaʻi. E ʻike i nā mea hou aʻe e pili ana i ka nānā no nā pae ʻokoʻa o ka maʻi ʻaʻai umauma.

Pehea ka maʻamau o ka maʻi ʻaʻai umauma?

He polokalamu manuahi ʻo Breast Cancer Healthline no ka poʻe i kū i kahi hōʻailona maʻi ʻaʻai umauma. Loaʻa ka polokalamu ma ka App Store a me Google Play. Hoʻoiho ma aneʻi.

Wahi a ka, ʻo ka maʻi ʻaʻai ʻo ka maʻi ʻaʻai ʻoi loa ma nā wahine. Wahi a nā helu helu mai ka ACS, ma kahi o 268,600 mau hihia hou o ka maʻi ʻaʻai maʻi maʻi i manaʻo ʻia e ʻike ʻia ma ʻAmelika Hui Pū ʻIa i ka makahiki 2019. ʻO ka maʻi ʻaʻai maʻi maʻi maʻi ka maʻi ʻaʻai i hoʻolaha ʻia mai nā aʻa a i ʻole nā ​​glands i nā ʻāpana ʻē aʻe o ka umauma. Ma mua o ka 41,000 mau wahine e manaʻo ʻia e make i kēia maʻi.

Hiki ke hōʻoia ʻia ka maʻi ʻaʻai umauma i nā kāne. Ua koho pū ka ACS i ka makahiki 2019, ʻoi aku ka nui o 2,600 kāne e ʻike ʻia, a ma kahi o 500 mau kāne e make i kēia maʻi. E ʻike hou aʻe e pili ana i nā helu maʻi ʻaʻai o ka umauma a puni ka honua.

Nā kumu pilikia no ka maʻi ʻaʻai o ka umauma

Nui a hewahewa nā kumu e hoʻonui ai i kou manawa e loaʻa ai i ka maʻi ʻaʻai umauma. Eia naʻe, ʻo ka loaʻa ʻana o kekahi o kēia mau mea ʻaʻole ia he manaʻo e hoʻomohala maoli ʻoe i ka maʻi.

ʻAʻole hiki ke hōʻalo i kekahi mau kumu pilikia, e like me ka mōʻaukala ʻohana. Hiki iā ʻoe ke hoʻololi i nā kumu pilikia ʻē aʻe, e like me ka puhipaka. ʻO nā kumu pilikia no ka maʻi ʻaʻai umauma pū:

• Makahiki. Hoʻonui ʻia kou makaʻu no ka hoʻomohala ʻana i ka maʻi ʻaʻai umauma i kou mau makahiki. Loaʻa nā hapanui o nā maʻi ʻōpū invasive i nā wahine ma mua o 55 mau makahiki.
• Ka inu lama. ʻO ka inu ʻana i ka nui o ka waiʻona i hāpai i kou makaʻu.
• Loaʻa i nāʻiʻo umauma paʻa. Hana nāʻiʻo umauma paʻa i nā mammograms paʻakikī e heluhelu. Hoʻonui ia i kou makaʻu i ka maʻi ʻaʻai umauma.
• Hoohanau. keʻokeʻo hiki i nā wahine ke hoʻonui i ka maʻi ʻaʻai umauma ma mua o nā kāne keʻokeʻo, a ʻo nā wahine ʻeleʻele he 70 mau manawa e ulu ana i ka maʻi ʻaʻai umauma ma mua o nā kāne ʻeleʻele.
• ʻO Genes. ʻO nā wahine i loaʻa ka BRCA1 a me BRCA2 gen mutations e ʻoi aku ka ulu ʻana i ka maʻi ʻaʻai umauma ma mua o nā wahine ʻaʻole. Hiki i nā hoʻololi ʻana o nā ʻē aʻe ke hoʻopili i kou makaʻu.
• Mānā mua. Inā loaʻa iā ʻoe kou wā ma mua ma mua o ka makahiki 12, nui aʻe kou makaʻu no ka maʻi ʻaʻai umauma.
• Hānau i ka makahiki makua. ʻO nā wahine i loaʻa ʻole kā lākou keiki mua a hiki i ka hala ʻana o 35 mau makahiki i ka nui o ka makaʻu o ka maʻi ʻaʻai umauma.
• Hoʻoikaika Hormone. ʻO nā wahine i lawe a lawe paha i ka estrogen postmenopausal a me nā lāʻau progesterone e hōʻemi i kā lākou mau hōʻailona o nā hōʻailona menopause i ʻoi aku ka nui o ka maʻi kanesa o ka umauma.
• Hoʻoilina hoʻoilina. Inā loaʻa ka maʻi umauma i ka hoahānau wahine pili, ua hoʻonui ʻoe i ka makaʻu no ka hoʻomohala ʻana iā ia. Hoʻopili kēia i kou makuahine, kupunawahine, kaikuahine, a kaikamahine paha. Inā ʻaʻohe ou moʻolelo ʻohana o ka umauma maʻi ʻaʻai, hiki iā ʻoe ke hoʻomohala i ka maʻi ʻaʻai umauma. ʻO ka ʻoiaʻiʻo, ʻo ka hapanui o nā wahine e hoʻomohala iā ia ʻaʻohe moʻolelo ʻohana o ka maʻi.
• Hoʻomaka ka menopause lohi. ʻO nā wahine e hoʻomaka ʻole i ka menopause a hiki i ka hala ʻana o ka makahiki 55 e hoʻomohala i ka maʻi ʻaʻai umauma.
• ʻAʻole hāpai. ʻO nā wahine i hāpai ʻole a hāpai ʻole i ka hāpai ʻana a piha ka manawa e hoʻomohala i ka maʻi ʻaʻai umauma.
• Maʻi ʻaʻai umauma mua. Inā loaʻa ʻoe i ka maʻi ʻaʻai umauma i hoʻokahi umauma, nui aʻe kāu makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻai o ka umauma i kāu umauma ʻē aʻe a i ʻole i kahi ʻokoʻa o ka umauma i hoʻopilikia ʻia.

Ka helu o ke ola ʻana i ka maʻi ʻaʻai umauma

Hoʻololi ka nui o ke ola ʻana o ka maʻi ʻaʻai ma muli o nā kumu he nui. ʻO nā kumu nui ʻelua ʻo ke ʻano o ka maʻi ʻaʻai āu a me ke kahua o ka maʻi ʻaʻai i ka manawa e loaʻa ai iā ʻoe kahi hōʻailona. ʻO nā kumu ʻē aʻe i hoʻokani paha i kāu makahiki, ke kāne, a me ka lāhui.

ʻO ka nūhou maikaʻi ke ola ʻana i ka maʻi ʻaʻai umauma. Wahi a ka ACS, i ka makahiki 1975, ʻo ka helu ola he 5 mau makahiki no ka maʻi ʻaʻai umauma i 75.2 pakeneka. Akā no nā wahine i ʻike ʻia ma waena o 2008 a me 2014, 90.6 pakeneka ia. ʻOkoʻa nā helu ola ʻelima mau makahiki no ka maʻi ʻaʻai umauma ma muli o ke kahua ma ka hōʻoia, mai ka 99 pākēneka no nā wahi maʻi ʻōiwi kūloko a hiki i ka 27 pākēneka no nā maʻi maʻi metastatic. E ʻike i ka ʻike hou aʻe e pili ana i nā helu helu e ola ai a me nā kumu e hoʻopili iā lākou.

Ka pale ʻana i ka maʻi ʻaʻai umauma

ʻOiai aia nā kumu pilikia ʻaʻole hiki iā ʻoe ke kaohi, ka ukali ʻana i kahi nohona olakino, ke kiʻi ʻana i nā kānana maʻamau, a me ka lawe ʻana i nā hana pale a ke kauka i ʻōlelo ai e hiki ke kōkua i ka hōʻemi ʻana i kāu makaʻu o ka ulu ʻana i ka maʻi ʻaʻai umauma.

Nā mea ola

Hiki i nā mea ola ke hoʻopili i kāu makaʻu i ka maʻi ʻaʻai umauma. ʻO kahi laʻana, ʻoi aku ka nui o ka makaʻu o nā wahine momona i ka ulu ʻana i ka maʻi ʻaʻai umauma. Ke mālama nei i ka papaʻai olakino a me ka loaʻa ʻana o ka hoʻoikaika hou ʻana hiki ke kōkua iā ʻoe e lilo i ka paona a hoʻohaʻahaʻa i kou makaʻi.

ʻO ka inu ʻana i ka waiʻona nui a hoʻonui i kou makaʻu. He ʻoiaʻiʻo kēia o ka inu ʻana i ʻelua a ʻoi paha inu i kēlā lā i kēia lā, a me ka inu inu ʻana. Eia nō naʻe, ua ʻike ʻia hoʻokahi noiʻi ʻana ʻoiai hoʻokahi inu i kēlā me kēia lā e hoʻonui i kou makaʻu i ka maʻi ʻaʻai umauma. Inā inu ʻoe i ka waiʻona, e kamaʻilio me kāu kauka e pili ana i ka nui a lākou e ʻōlelo ai nāu.

Ke nānā ʻana i ka maʻi ʻaʻai umauma

ʻO ka loaʻa ʻana o nā mammogram maʻamau ʻaʻole hiki ke pale aku i ka maʻi ʻaʻai o ka umauma, akā hiki iā ia ke kōkua i ka hōʻemi ʻana i nā pilikia e ʻike ʻole ʻia. Hāʻawi ke Kulanui ʻAmelika o nā Kauka (ACP) i kēia mau ʻōlelo koi no nā wahine ma ka awelika o ka makaʻu no ka maʻi ʻaʻai umauma:

• Nā makahiki wahine 40 a 49: ʻAʻole koi ʻia kahi mammogram makahiki, akā pono nā wahine e kūkākūkā i kā lākou makemake me kā lākou kauka.
• Nā makahiki wahine 50 a 74: Paipai ʻia kahi mammogram i kēlā me kēia makahiki.
• Nā Wahine 75 a ʻoi. ʻAʻole kākoʻo hou ʻia nā mammogram.

Paipai pū ka ACP e kūʻē iā mammograms no nā wahine me ke ola o 10 mau makahiki a ʻoi paha.

He alakaʻi wale nō kēia, a ʻokoʻa nā ʻōlelo aʻoaʻo mai ka American Cancer Society (ACS). Wahi a ka ACS, pono i nā wahine ke koho i ka loaʻa ʻana o nā kānana makahiki ma 40 mau makahiki, e hoʻomaka i ka kānana makahiki ma 45 makahiki, a neʻe i ke kānana makahiki ʻelua ma 55 mau makahiki.

ʻOkoʻa nā ʻōlelo kikoʻī no nā mammogram no kēlā me kēia wahine, no laila e kamaʻilio me kāu kauka e ʻike inā pono ʻoe e loaʻa i nā mammogram maʻamau.

Lapaʻau mālama

Hoʻonui ka makaʻu ʻana o kekahi mau wahine i ka maʻi ʻaʻai umauma ma muli o nā kumu hoʻoilina. ʻO kahi laʻana, inā he BRCA1 a i ʻole BRCA2 mutation o kou makuahine a makua paha ʻoe, ʻoi aku ka kiʻekiʻe o ka makaʻu iā ʻoe ia. Hāpai nui kēia i kou makaʻu i ka maʻi ʻaʻai umauma.

Inā pilikia ʻoe i kēia hoʻololi, e kamaʻilio me kāu kauka e pili ana i kāu koho diagnostic a me prophylactic. Makemake paha ʻoe e hoʻāʻo ʻia e ʻike inā loaʻa iā ʻoe kahi hoʻololi. A inā ʻike ʻoe aia iā ia, e kūkākūkā me kāu kauka i nā hana mua e hiki ai iā ʻoe ke lawe e hōʻemi i kou makaʻu i ka loaʻa ʻana i ka maʻi ʻaʻai umauma. Hiki i kēia mau ʻanuʻu ke hoʻopili i kahi mastectomy prophylactic (wehe ʻoki ʻana o kahi umauma).

Hōʻike umauma

Ma waho aʻe o nā mammograms, ʻo nā hoʻokolohua umauma kahi ala ʻē aʻe e kiaʻi ai i nā hōʻailona o ka maʻi ʻaʻai umauma.

Nā hoʻāʻo iho

Hana nā wahine he nui i ka nānā ʻana iā ʻoe iho i ka umauma. ʻOi aku ka maikaʻi e hana i kēia hōʻike i hoʻokahi manawa i ka mahina, i ka manawa like i kēlā me kēia mahina. Hiki i ke hoʻokolohua ke kōkua iā ʻoe e maʻa me ke ʻano o ka nānā ʻana o kou mau umauma a ʻike ʻoe i nā loli e hiki mai ana.

E noʻonoʻo naʻe, noʻonoʻo ka ACS i kēia mau hoʻokolohua he koho, no ka mea ʻaʻole i hōʻike ʻia kahi noiʻi i kēia manawa i kahi pōmaikaʻi o nā hoʻokolohua kino, inā hana ʻia ma ka home a i ʻole he kauka.

Hōʻoia umauma e kāu kauka

ʻO nā kulekele like no ka hoʻāʻo ponoʻī i hāʻawi ʻia ma luna aʻe he ʻoiaʻiʻo no nā hōʻike umauma i hana ʻia e kāu kauka a mea lawelawe olakino ʻē aʻe. ʻAʻole lākou e hōʻeha iā ʻoe, a hana paha kāu kauka i kahi loiloi umauma i kāu kipa makahiki.

Inā loaʻa iā ʻoe nā hōʻailona e hopohopo nei iā ʻoe, he mea maikaʻi e hana i kāu kauka e hana i ka hōʻoia umauma. I ka wā o ka hoʻokolohua, e nānā kāu kauka i kou mau umauma no nā kiko ʻole a i ʻole nā ​​hōʻailona o ka maʻi ʻaʻai umauma. Hiki paha i kāu kauka ke nānā i nā ʻāpana ʻē aʻe o kou kino e ʻike inā hiki ke pili nā hōʻailona āu e loaʻa nei i kekahi ʻano ʻē aʻe. E aʻo hou aʻe e pili ana i ka mea a kāu kauka e nānā ai i ka wā o ka hōʻoia umauma.

ʻIke i ka maʻi ʻaʻai umauma

ʻO ka mea pōmaikaʻi no nā wahine a me nā kāne a puni ka honua, ʻike nui ka poʻe i kēia mau lā i nā pilikia e pili ana i ka maʻi ʻaʻai umauma. Ua kōkua nā hana e ʻike ai i ka maʻi ʻaʻai umauma i ka poʻe e aʻo i ke ʻano o ko lākou pilikia, pehea lākou e hōʻemi ai i ka pae o ka makaʻu, he aha nā ʻōuli a lākou e nānā ai, a he aha nā ʻano kānana e loaʻa iā lākou.

Mālama ʻia ka mahina hoʻomaopopo ʻo Ka maʻi ʻaʻai i kēlā me kēia ʻOkakopa, akā nui ka poʻe i hoʻolaha i ka ʻōlelo i loko o ka makahiki. E nānā i kēia blog blog umauma no ka ʻike o ke kanaka mua mai nā wahine e noho nei me kēia maʻi me ke kuko a me ka hoʻomākeʻaka.