Ma hea e palahalaha ai ka maʻi ʻaʻai umauma?

Anter

• Nā ʻano o ka maʻi ʻaʻai umauma hou
• He aha nā hōʻailona o ka maʻi ʻaʻai umauma metastatic?
• Iwi
• Akepaʻa
• Lungs
• Lolo
• He aha ke kumu o ka maʻi ʻaʻai umauma metastatic?
• Ke hōʻoia nei i ka maʻi ʻaʻai umauma metastatic
• Ke mālama nei i ka maʻi ʻaʻai umauma metastatic
• ʻO ka lawe lawe ʻana
• Hiki iā ʻoe ke pale i ka maʻi ʻaʻai umauma metastatic?

Ma hea e laha aku ai ka maʻi ʻaʻai umauma?

ʻO ka maʻi ʻaʻai Metastatic ka maʻi ʻaʻai i hohola ʻia i nā ʻāpana ʻokoʻa o ke kino ma mua o kahi i hoʻomaka ai. I kekahi mau hihia, ua pāhola paha ka maʻi ʻaʻai e ka manawa o ka ʻike mua. I nā manawa ʻē aʻe, hoʻolaha paha ka maʻi ʻaʻai ma hope o ka lapaʻau mua.

ʻO kahi laʻana, ʻo kekahi kanaka i mālama ʻia no ka maʻi ʻaʻai umauma pae mua e ʻike ʻia me ka maʻi ʻaʻai kūloko a kūloko paha a i ʻole ka maʻi ʻaʻai umauma metastatic. ʻO ka maʻi ʻaʻa maʻi ʻo ka maʻi ʻaʻai e hoʻi mai ma hope o kāu lapaʻau mua.

Hiki ke hana i ka metastasis a me kahi kūloko a kūloko paha me nā ʻano āpau o ka maʻi ʻaʻai.

ʻO nā wahi metastasis maʻamau no ka maʻi ʻaʻai umauma ka:

• iwi
• ake
• māmā
• lolo

Manaʻo ʻia ʻo ka maʻi ʻaʻai umauma Metastatic i ka maʻi ʻaʻai pae kiʻekiʻe. Hiki i nā metastasis maʻi ʻaʻai a i ʻole ka hoʻi hou ʻana i ka wahi a i ʻole ka ʻāina i mau mahina i mau makahiki ma hope o ka mālama mua ʻana i ka maʻi ʻaʻai umauma.

Nā ʻano o ka maʻi ʻaʻai umauma hou

Hiki paha i ka maʻi ʻaʻai umauma ke kū hou i kahi, kaona, a i ʻole ka mamao.

Ka maʻi ʻaʻai umauma kūloko i ka wā e ulu ai kahi tumo hou i ka umauma i loli mua ʻia. Inā hemo ka umauma, ulu paha ka tumo i ka paia o ka umauma a i ʻole ka ʻili kokoke.

Ka maʻi 'aʻai umauma hou hana i ka wahi like me ka maʻi ʻaʻai kumu. I ke kumu o ka maʻi ʻaʻai o ka umauma, ʻo kēia paha nā lymph nodes ma luna aʻe o ka iwi iwi a i ʻole ma ka ʻāpana lima.

Ka maʻi ʻaʻai umauma hou ke hele nei i ka wā e huakaʻi ka maʻi ʻaʻai i kahi ʻāpana ʻokoʻa o ke kino. He mamao loa kēia wahi hou mai ka maʻi ʻaʻai mua. Ke hoʻi hou ka maʻi ʻaʻai, ua manaʻo ʻia he maʻi ʻaʻai metastatic.

He aha nā hōʻailona o ka maʻi ʻaʻai umauma metastatic?

ʻAʻole nā ​​kānaka āpau me ka maʻi ʻaʻai umauma metastatic ʻike i nā ʻōuli. Ke hiki mai nā ʻōuli, hiki ke loli. Pili nā ʻōuli i ka wahi o ka metastasis a me kona koʻikoʻi.

Iwi

Hiki i ka Metastasis i nā iwi ke hōʻeha i ka iwi nui.

Akepaʻa

Hiki i ka Metastasis i ke akepaʻa ke kumu:

• jaundice, a melemele paha o ka ʻili a me nā keʻokeʻo o nā maka
• ʻumeʻume
• abdominal eha
• nalo ʻai ʻole
• nausea
• ka luaʻi

Lungs

Hiki i ka Metastasis i nā ake māmā ke kumu:

• ʻūhā mau
• ʻeha ka umauma
• luhi
• pokole o ka hanu

Lolo

Hiki i ka Metastasis i ka lolo ke kumu:

• ʻeha poʻo poʻo a i ʻole kaomi i ke poʻo
• nā haunaele ʻike
• nausea
• ka luaʻi
• haʻi waha
• nā hoʻololi i ka pilikino a i ʻole ka lawena
• ka hopu ʻana
• nāwaliwali
• ʻōlohelohe
• lolo
• pilikia me ke kaulike a hele wāwae paha

Nā ʻōuli kikoʻī ʻole e hele pū me kekahi ʻano o ka maʻi ʻaʻai umauma metastatic me:

• luhi
• nalo ʻai ʻole
• Kaumaha emi
• fiva

ʻAʻole paha ma muli o ka maʻi ʻaʻai ponoʻī e hoʻokumu ʻia ai kekahi mau ʻōuli, akā na ka lapaʻau ʻana e mālama ʻia ana ʻoe. Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kamaʻilio me kāu kauka. Hiki paha iā lākou ke ʻōlelo i kahi lāʻau e hoʻohaʻahaʻa ai i kekahi mau ʻōuli.

He aha ke kumu o ka maʻi ʻaʻai umauma metastatic?

Hoʻolālā ʻia nā mālama ʻana i ka maʻi ʻaʻai umauma e hoʻopau i nā hunaola maʻi ʻea i koe ma hope o ke kaha ʻana. ʻO nā hana kūpono e pili ana i ka radiation, ka hormone therapy, chemotherapy, a me ka therapeutical target.

I kekahi mau hihia, ola kekahi o nā hunaola maʻi ʻino i kēia mau ʻano hana. E hemo paha kēia mau hunaola maʻi maʻi mai ka tumo kumu. Hele kēia mau pūnaewele i ko lākou ala i nā ʻāpana ʻē aʻe o ke kino ma o nā ʻōnaehana holoholo a lymphatic paha.

I ka manawa e noho ai nā pūnaewele i kahi o ke kino, hiki iā lākou ke hana i kahi tumo hou. Hiki ke hana wikiwiki a hoʻomohala paha i nā makahiki ma hope o ka lapaʻau mua.

Ke hōʻoia nei i ka maʻi ʻaʻai umauma metastatic

Hoʻohana ʻia kekahi mau hoʻokolohua e hōʻoia i kahi kuhi o ka maʻi ʻaʻai umauma metastatic. Pākuʻi ʻia kēia mau mea:

• MRI
• CT scan
• Nā kukuna X
• ʻōniu iwi
• meaola biopsy

Ke mālama nei i ka maʻi ʻaʻai umauma metastatic

ʻAʻohe lāʻau lapaʻau no ka maʻi ʻaʻai umauma metastatic. Aia kekahi mau lapaʻau e pale ana i ka holomua hou ʻana, ka hōʻemi ʻana i nā ʻōuli, a me ka hoʻomaikaʻi ʻana i ka maikaʻi a me ka lōʻihi o ke ola. Hoʻohana ʻia nā mālama ʻana i kēlā me kēia kanaka.

Pili lākou i ka ʻano a me ka nui o ka hoʻi hou ʻana, ke ʻano o ka maʻi ʻaʻai, ka lāʻau i loaʻa mua, a me kou olakino holoʻokoʻa. Hiki i nā koho lapaʻau ke hoʻopili ʻia:

• hormone therapy for estrogen receptor-positive (ER-positive) umauma maʻi 'aʻai, ʻo ia kaʻano maʻamau o ka umauma maʻi' aʻai
• chemotherapy
• nā lāʻau i kuhi i nā proteins kikoʻī ma nā hunaola maʻi ʻaʻai e hoʻōki i ka ulu ʻana, i kekahi manawa i kapa ʻia he lāʻau hoʻomāka ʻia
• nā lāʻau kūkulu iwi e hoʻoliʻiliʻi i ka ʻeha o ka iwi a hoʻonui i ka ikaika o ka iwi
• lāʻau pāhawewe
• ʻoki kino

Ua ʻae ka US Food and Drug Administration (FDA) i ka lāʻau palbociclib (Ibrance) i ka makahiki 2015 no ka hoʻohana pū ʻana me ka mea kāohi aromatase. Hoʻohana ʻia kēia hui ʻana e mālama iā ER-positive, HER2-negative metastatic cancer cancer i nā wahine postmenopausal.

ʻO nā hoʻoponopono ʻē aʻe i hoʻohana ʻia i ka maʻi ʻaʻai umauma maikaʻi-hormone e komo pū me:

• nā modulator receptor estrogen koho
• hoopiha (Faslodex)
• everolimus (Afinitor)
• ʻO ka mea pāpā ʻo PARP, e like me ka olaparib (Lynparza)
• lāʻau hoʻohiʻai ovarian
• hoʻopau i nā ovarian e hoʻōki i nā ovaries mai ka hana ʻana i ka estrogen

Ma waho aʻe o ka chemotherapy, ka mālama ʻana no ka HER2-positive metastatic umauma maʻi ʻaʻai maʻamau i loko o ka HER2 i manaʻo ʻia e like me:

• pertuzumab (Perjeta)
• trastuzumab (Herceptin)
• ado-trastuzumab emtansine (Kadcyla)
• lapatinib (Tykerb)

ʻO ka lawe lawe ʻana

Ke hoʻoholo nei i kahi koho lapaʻau e neʻe ai i mua me ka ʻikepili a me ka noʻonoʻo pono. ʻOiai ʻoe e hana pū me kāu kauka e hoʻomaopopo i kāu mau koho, aia iā ʻoe ke koho. Ke noʻonoʻo nei ʻoe i nā hiki, e hoʻomanaʻo i kēia mau ʻōlelo aʻoaʻo:

• Mai wikiwiki i kekahi mea. E hoʻolōʻihi i ka manawa e noʻonoʻo ai i kāu mau koho, a loaʻa ka manaʻo ʻelua inā pono.
• Lawe mai i kekahi me ʻoe i kau kauka kaʻi. E kākau a noi paha i kāu kauka inā hiki iā ʻoe ke hoʻopaʻa i kāu kipa. Hiki i kēia ke kōkua e ʻike pono ʻaʻole ʻoe e poina i kekahi mea i kūkā ʻia.
• E nīnau i nā nīnau. E wehewehe i kāu kauka i nā pono kūpono a pau, nā pilikia a me nā hopena ʻē aʻe e pili ana i kēlā me kēia lāʻau.
• E noʻonoʻo i kahi hoʻokolokolo hoʻokolokolo. E ʻike inā aia kekahi mau hoʻokolohua hoʻokolohua e hiki ai iā ʻoe ke koho. Loaʻa paha he koho hoʻokolohua hoʻokolohua i loaʻa no kāu maʻi ʻaʻai kikoʻī.

ʻOiai ʻo ka loaʻa ʻana o kahi maʻi maʻi umauma metastatic hiki ke loli, nui nā koho lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i nā hōʻailona a hoʻolōʻihi i ke kali ʻana o ke ola. ʻOiai ʻaʻohe mālama curative o kēia manawa, e ola kekahi mau wahine no nā makahiki he nui me ka maʻi ʻaʻai umauma metastatic.

Ke hoʻomau nei ka noiʻi ʻana pehea e hoʻōki ai i ka ulu ʻana o ka maʻi ʻaʻai, hoʻonui i ka ʻōnaehana pale, a hoʻohaunaele i ka metastasis maʻi ʻaʻai, a hiki ke loaʻa nā koho lapaʻau hou i ka wā e hiki mai ana.

Hiki iā ʻoe ke pale i ka maʻi ʻaʻai umauma metastatic?

ʻAʻohe ala kikoʻī e hōʻoia ai i kāu kanesa ʻaʻole e hoʻi hou a metastasize paha ma hope o ka hoʻomaʻamaʻa ʻana, akā aia kekahi mau hana e hiki ai iā ʻoe ke hōʻemi i kou makaʻi.

Aia kēia mau ʻanuʻu i:

• ka mālama ʻana i kahi kaupaona olakino
• haʻalele i ka puhipaka
• noho ʻeleu
• e ʻai ana i nā huaʻai a me nā mea kanu hou (ma ka liʻiliʻi 2 1/2 mau kīʻaha i kēlā me kēia lā), nā legume, nā kīʻaha piha, nā moa, a me nā iʻa
• e hoʻemi ana i kāu lawe ʻana i ka ʻulaʻula a ʻai wale i ka ʻulaʻula wiwi i nā ʻāpana liʻiliʻi
• e hōʻalo nei i nā meaʻai i hana ʻia a me ke kō
• keʻoki nei i ka waiʻona i hoʻokahi inu i kēlā me kēia lā no nā wahine