Nā Hōʻike ʻIki Pōpē Breast: He aha kāu e ʻike ai e pili ana i kou olakino umauma

Anter

• Mamamogram
• Pākuʻi ultrasound
• Biopsy umauma
• Pākuʻi MRI umauma
• Nā ho'āʻo e hoʻonoho i ka maʻi ʻaʻai umauma
• Ke kiʻi nei i ka manaʻo ʻelua
• ʻO ka lawe lawe ʻana

Hōʻike Overview

Hoʻomaka ka maʻi ʻaʻai o ka umauma ke hoʻomohala a ulu ulu ʻole ʻia nā hunaola ʻole i kaʻiʻo umauma. ʻOkoʻa ka hopena no kēlā me kēia wahine, no laila ʻike nui ka ʻike mua ʻana.

Paipai ke Kulanui o nā Kauka ʻAmelika i nā wahine ma waena o nā makahiki 40 a me 49 e kamaʻilio i kā lākou kauka e pili ana i ka hoʻomaka ʻana o ka loaʻa ʻana o nā mammogram ma mua o ka makahiki 50. Paipai pū lākou i nā wahine i ka awelika o ka maʻi ʻaʻai o ka umauma ma waena o nā makahiki 50 a me 74. kānana ʻia i kēlā me kēia makahiki.

Hoʻolālā ka American Cancer Society i nā ʻōlelo koi ʻokoʻa no ka nānā ʻana i ka maʻi ʻaʻai umauma, me nā mammogram makahiki e hoʻomaka ana i ka makahiki 45 (a i ʻole ma mua inā he ʻohana ka maʻi o ka umauma maʻi ʻaʻai.

Inā he wahine ʻōpio ʻoe ʻaʻole i hoʻomaka i ka hana mau ʻana i nā mammograms, he mea nui ia e kamaʻāina me kou umauma i hiki iā ʻoe ke ʻike i nā loli i loko o lākou a hōʻike iā lākou i kāu kauka.

Hiki i kēia ke kōkua iā ʻoe i ka makaʻala ʻana i nā puʻupuʻu, ʻeleʻele, kahi nipple huli, ʻulaʻula, a me nā hoʻololi ʻē aʻe i kou umauma. Hiki i kāu kauka ke alakaʻi i kahi loiloi umauma maʻi maʻi i nā makahiki makahiki.

ʻO nā hoʻokolohua diagnostics ʻokoʻa e kōkua i ke kuhi a ʻike koke i ka maʻi ʻaʻai umauma. E heluhelu e aʻo hou e pili ana i kēia mau ho'āʻo.

Mamamogram

Paipai ʻia nā mammogram makahiki no nā makahiki 45 a ʻoi paha o nā makahiki, akā hiki iā ʻoe ke hoʻomaka i ka nānā ʻana i kahi 40. ʻO ka mammogram kahi X-ray e kiʻi wale nei i nā kiʻi o nā umauma. Kōkua kēia mau kiʻi i nā kauka e hoʻomaopopo i nā mea kūpono ʻole i kou umauma e like me ka lehulehu, kahi e hōʻike ai i ka maʻi ʻaʻai.

E hoʻomanaʻo i kahi ʻokoʻa ma kāu mammogram ʻaʻole ia he manaʻo he maʻi umauma ʻoe, akā pono paha ʻoe e hoʻāʻo hou.

Pākuʻi ultrasound

ʻO kahi ultrasound kahi hoʻāʻo e hoʻohana i nā nalu kani e hana i nā kiʻi o loko o kou kino. Ināʻike kāu mammogram i kahi nui, hiki i kāu kauka ke kauoha i kahi ultrasound e hōʻike hou aku i ka nui. E kauoha paha kāu kauka i kahi ultrasound inā aia kahi puʻupuʻu i ʻike ʻia ma kou umauma.

Kōkua nā ultrasounds i nā kauka e hoʻoholo inā he wai a paʻa paha kahi puʻupuʻu a i ʻole ka nui. Kuhi kahi nui piha piha i ka wai i kahi cyst, kahi noncancerous.

Hiki i kekahi o nā lehulehu ke hui pū me ka wai a paʻa, kahi maʻa mau akā hiki ke koi ʻia i kahi kiʻi ʻimi manawa manawa pōkole a i ʻole kahi hāpana e pili ana i ke ʻano o ke kiʻi ultrasound.

No ka hana ʻana i kahi ultrasound umauma, kau kau kauka i ka gel ma kou umauma a hoʻohana i kahi hulina lima e hana i kiʻi o kāu kiko umauma.

Biopsy umauma

Lawe kahi biopsy i kahi laʻana o nā kiko mai kahi puʻupuʻu a i ʻole ka nui e hoʻoholo ai inā he maʻi ʻaʻai a maʻi paha. ʻO kēia maʻamau kahi hana ʻoki kino waho.

Nui a hewahewa nā ala e hana ai i kahi biopsy umauma, kaukaʻi ʻia i ka nui o ka tumo. Inā liʻiliʻi ka tumo a ʻaʻole kānalua loa, hiki i kahi kauka lāʻau a radiologist paha ke alakaʻi i kahi biopsy nila.

Hoʻokomo ke kauka i nā kaʻina hana i ka nila i loko o kou umauma a hemo i kahi ʻāpana o nā kiko. Hana ʻia kēia me a i ʻole me ka ʻole o ke alakaʻi kiʻi e pili ana i ka ʻōlelo a kāu kauka.

Pono ʻoe i kahi biopsy ʻoki lāʻau i kekahi mau ʻano. Lawe kēia i nā mea āpau a ʻāpana paha o ka puʻupuʻu. Hiki i ke kaukipoki ke hemo i kekahi mau lymph node i hoʻonui ʻia.

Hoʻokumu pū kēia mau biopsies i ke kūlana gula no ka loiloi i nā ʻaʻa.

• ʻO ka biopsy aspiration maikaʻi-nila: Hoʻohana ʻia kēia ʻano biopsy ke paʻa ka puʻupuʻu. Hoʻokomo ke kauka i kahi nila kui lahilahi a hoʻihoʻi i kahi ʻāpana liʻiliʻi o ke kiko no ka hoʻopaʻa ʻia e kahi pathologist. I kekahi mau hihia, makemake paha ke kauka e nānā i kahi puʻupuʻu cystic i manaʻo ʻia e hōʻoia ʻaʻohe maʻi ʻaʻai i kahi cyst.
• ʻO ka biopsy nila nui: kēia kaʻina hana pili i ka hoʻohana ʻana i kahi nila nui a me ka paipu e huki i kahi hāpana o nā kiko a hiki i ka nui o ka peni. Alakaʻi ʻia ka nila e ka manaʻo, ka mammography, a me ka ultrasound. Inā loaʻa kahi wahine i kahi ʻike maikaʻi e ʻike ʻia e ka mammogram, a laila e hana ʻia kahi biopsy alakaʻi ʻia e ka mammogram. ʻIke ʻia kēia ma ke ʻano he biopsy umauma stereotactic.
• ʻOki lāʻau (a i ʻole "wehe") biopsy: No kēia ʻano biopsy, hemo kahi ʻokiʻoki i kahi ʻāpana (biopsy incisional) a i ʻole nā ​​mea āpau (exclusive biopsy, broad local excision, or lumpectomy) o kahi puʻupuʻu no ka loiloi ma lalo o kahi microscope. Inā liʻiliʻi a paʻakikī paha ka puʻupuʻu e loaʻa ai ma ka hoʻopā ʻana, hiki i ke kaukipō ke hoʻohana i kahi hana i kapa ʻia he localization uea e palapala i kahi ala i ka nuipa ma mua o ka ʻoki ʻana. Hiki ke hoʻokomo ʻia kahi uea e ke alakaʻi ʻana o ultrasound a i ʻole ke alakaʻi ʻana o mammogram.
• ʻO biopsy kelena Sentinel: ʻO kahi biopsy sentinel node kahi biopsy mai kahi lymph node kahi e laha mua ai ka maʻi ʻaʻai. I ka hihia o ka maʻi ʻaʻai umauma, lawe pinepine ʻia kahi biopsy sentinel node mai nā lymph node i ka axilla, a i ʻole ka armpit. Hoʻohana ʻia kēia ho'āʻo e kōkua i ka hoʻoholo ʻana i ka loaʻa ʻana o ka maʻi ʻaʻai i nā lymph node ma ka ʻaoʻao o ka umauma i pā ʻia e ka maʻi ʻaʻai.
• ʻO Biopsy alakaʻi ʻia kiʻi: No kahi biopsy alakaʻi kiʻi ʻia, hoʻohana ke kauka i kahi ʻano kiʻi e like me ultrasound, mammogram, a i ʻole MRI e hana i kiʻi manawa maoli o kahi wahi kānalua i hiki ʻole ke ʻike maʻalahi ʻia ma o kou ʻili. E hoʻohana kāu kauka i kēia kiʻi e kōkua i ke alakaʻi ʻana i kahi nila kele i kahi ʻoi loa no ka hōʻiliʻili ʻana i nā pūnaewele kānalua.

Hiki i ke kālailai ʻana o kēia mau biopsies ke kōkua i kāu kauka e hoʻoholo i ka papa o kou maʻi ʻaʻai, nā hiʻohiʻona o ka tumo, a pehea e pane ai kāu maʻi ʻaʻai i kekahi mau ʻano lāʻau.

Pākuʻi MRI umauma

ʻAʻole kahi scan MRI umauma kahi mea hōʻike maʻamau no ka maʻi ʻaʻai umauma ma muli o ka nui o ka makaʻu no nā hopena wahaheʻe. Akā inā he mau pilikia kāu no ka maʻi ʻaʻai umauma, ma ke ʻano he hoʻomalu e ʻōlelo paha kāu kauka iā MRI me nā mammogram makahiki.

Hoʻohana kēia hoʻokolohua i ka magnet a me nā nalu uila e hana i kahi kiʻi o loko o kou umauma.

Nā ho'āʻo e hoʻonoho i ka maʻi ʻaʻai umauma

Ma hope o kou ʻike ʻia me ka maʻi ʻaʻai o ka umauma, ʻo ka hopena aʻe e hōʻike nei i kāu pae. ʻO ka ʻike i ke kahua pehea e hoʻoholo ai kāu kauka i ka papa ʻoi loa o ka lapaʻau. Aia ke kau i ka nui o ka tumo a inā ua pālahalaha ʻia ma waho o kou umauma.

Hiki i nā hunaola maʻiʻaʻai i hohola i nā lymph node ke hele i nā wahi like ʻole o kou kino. I ke kaʻina hana, hiki i kāu kauka ke kauoha i kahi helu piha o ke koko a hana i kahi mammogram o kou umauma ʻē aʻe e nānā i nā hōʻailona o kahi tumo.

Hiki paha i kāu kauka ke hoʻohana i kekahi o nā hōʻike aʻe e hoʻoholo ai i ka nui o kāu maʻi ʻaʻai a me ke kōkua pū me ka ʻike.

• ʻImi iwi: Hiki ke pālahalaha ʻia ka maʻi ʻaʻai Metastasized i nā iwi. Hāʻawi kahi scan iwi i kāu kauka e nānā i kou mau iwi no nā hōʻike o nā pūnaʻi maʻi maʻi.
• CT scan: ʻO kēia kekahi ʻano o ka X-ray no ka hoʻokumu ʻana i nā kiʻi kikoʻī o kāu iʻa. Hiki i kāu kauka ke hoʻohana i kahi scan CT e ʻike ai inā ua pālahalaha ʻia ka maʻi ʻaʻai i nā mea kino ma waho o ka umauma, e like me kou umauma, ʻūhā, a i ʻole ka ʻōpū.
• MRI scan: ʻOiai ʻaʻole kēia hōʻike hōʻike kiʻi he mea pono kānana maʻi ʻaʻai, he mea pono ia no ke kau ʻana i ka maʻi ʻaʻai umauma. Hoʻokumu kahi MRI i nā kiʻi uila o nā ʻāpana like ʻole o kou kino. Hiki iā ia ke kōkua i kāu kauka e hoʻoholo inā ua hoʻolaha ʻia nā hunaola maʻi ʻaʻai i kāu iwi kuamoʻo, ka lolo, a me nā mea ʻē aʻe.
• Ka Hānai Ā Huhu scanner: ʻO kahi scan PET kahi hōʻike ʻokoʻa. Hoʻokomo kāu kauka i kahi kala i loko o kou aa. Ke hele nei ke kala i kou kino, hana kahi kāmela kūikawā i nā kiʻi 3-D o loko o kou kino. Kōkua kēia i kāu kauka e hoʻomaopopo i kahi o nā tumors.

Ke kiʻi nei i ka manaʻo ʻelua

ʻO ka loaʻa ʻana o ka manaʻo ʻelua i ka wā o kāu mālama maʻi maʻi maʻi he mea maʻamau. He manaʻo maikaʻi e kiʻi i kāu manaʻo ʻelua ma mua o ka hoʻomaka ʻana i ka lāʻau, no ka mea, hiki i ka manaʻo ʻelua ke hoʻololi i kāu hōʻailona a pēlā kāu lapaʻau. Eia nō naʻe, hiki iā ʻoe ke kiʻi i ka manaʻo ʻelua i kēlā me kēia manawa i kou wā o ka mālama ʻana.

I kou mālama ʻana i ka maʻi ʻaʻai, e noʻonoʻo e noi i kahi manaʻo ʻelua i kēia mau hanana:

• ma hope o ka pau ʻana o kāu hōʻike pilikino
• ma mua o ke kaha ʻana
• ʻoiai e hoʻolālā ana i nā hana ma hope o ke kahakaha ʻana
• i ka wā o ka lapaʻau inā manaʻo ʻoe aia paha kekahi kumu e hoʻololi ai i ka papa o kāu lapaʻau
• ma hope o ka pau ʻana o ka lāʻau, inā ʻaʻole ʻoe i noi no ka manaʻo ʻelua ma mua o ka hoʻomaka ʻana o ka lāʻau

ʻO ka lawe lawe ʻana

Inā hāpai kāu mammogram a i ʻole hoʻokolohua hoʻokolohua i nā hopohopo, e nānā pono i nā hōʻike diagnostic ʻē aʻe. Hiki ke mālama ʻia i ka maʻi ʻaʻai umauma, akā hiki ke hoʻoweliweli i ke ola inā ʻaʻole ʻike ʻia i ke kakahiaka.

E kamaʻilio me kāu kauka no ka ʻike e pili ana i ka loiloi makahiki, keu hoʻi inā he pilikino a ʻohana paha kāu o ka maʻi ʻaʻai umauma.