E nīnau i ka mea loea: 8 Nīnau e pili ana i ka momona a me ka maʻi hānai Metastatic

Anter

• 1. Pehea e pili ai ka MBC i koʻu momona?
• 2. He aha ka hopena o ka mālama ʻana o MBC i koʻu hiki ʻana ke hāpai?
• 3. He aha nā hana mālama mālama i loaʻa no nā wahine me MBC?
• 4. Hiki iaʻu ke hoʻomaha mai ka lāʻau lapaʻau a lilo i hāpai?
• 5. He aha kaʻu mau manawa kūpono i ka loaʻa ʻana o nā keiki i ka wā e hiki mai ana?
• 6. He aha nā kauka e pono ai wau e ʻike e kūkākūkā i kaʻu mau koho momona?
• 7. Loaʻa ka manawa kūpono i ka loaʻa ʻana o kaʻu mau keiki inā ʻaʻole wau i hana i kekahi ʻano hana e mālama ai i ka momona ma mua o ka lapaʻau ʻana.
• 8. Inā komo wau i ka menopause ma mua mai kaʻu hoʻomaʻamaʻa ʻana, manaʻo anei ʻaʻole hiki iaʻu ke hānau keiki?

1. Pehea e pili ai ka MBC i koʻu momona?

Hiki i ke kanulau umauma metastatic (MBC) ke kumu i ka wahine e lilo i kona hiki ke hānau keiki me kāna mau hua ponoʻī. Hiki i kēia hōʻailona ke hoʻolohi i ka manawa o ka manawa a ka wahine ke hāpai.

ʻO kekahi kumu ma hope o ka hoʻomaka ʻana i ka lāʻau, noi pinepine nā kauka i nā wahine e kali i mau makahiki ma mua o ka hāpai ʻana ma muli o ka pilikia o ka hoʻi hou. ʻO ke kumu ʻē aʻe hiki i ka mālama ʻana no MBC ke kumu i ka menopause mua. ʻO kēia mau pilikia ʻelua e alakaʻi i ka hōʻemi o nā helu momona o nā wahine i loaʻa iā MBC.

Hānau ʻia nā wahine me nā hua āpau a mākou e loaʻa ai, akā ke hala ka manawa, pau mākou i nā hua hiki. Minamina, ʻo ka makahiki ka ʻenemi o ka momona.

ʻO kahi laʻana, inā ʻike ʻia ʻoe me MBC i ka makahiki 38, a haʻi aku ʻaʻole hiki iā ʻoe ke hāpai a hiki i ka makahiki 40, ke hoʻomaka a ulu nei paha ʻoe i kou ʻohana i ka makahiki ke emi loa ka maikaʻi o kāu hua manu a me nā manawa kūpono no ka hapai kūlohelohe. . Ma luna o kēlā, hiki i ka lawelawe MBC ke hoʻopili i kāu helu hua manu.

2. He aha ka hopena o ka mālama ʻana o MBC i koʻu hiki ʻana ke hāpai?

Hiki i nā mālama ʻana no MBC ke alakaʻi i ka menopause mua.Kaukaʻi ʻia i kou mau makahiki i ka hōʻoia ʻana, hiki i kēia ke hōʻemi i ka likelike o kahi hāpai i ka wā e hiki mai ana. ʻO kēia ke kumu o ka mea nui i nā wahine me MBC e noʻonoʻo i ka mālama ʻana i ka momona ma mua o ka hoʻomaka ʻana i ka lāʻau.

Hiki i nā lāʻau Chemotherapy ke kumu i kekahi mea i kapa ʻia ʻo gonadotoxicity. Mālama wale, hiki iā lākou ke hoʻonā i nā hua i loko o ka ovary o ka wahine e hoʻopau wikiwiki ʻia ma mua o ka maʻamau. Ke hiki kēia, loaʻa i nā hua i koe ka manawa haʻahaʻa o ka huli ʻana i kahi hāpai hāpai olakino.

3. He aha nā hana mālama mālama i loaʻa no nā wahine me MBC?

ʻO nā hana mālama mālama no nā wahine me ka MBC e hoʻopili ana i ka manu ʻana o ka hua manu a me ka paʻa ʻana i ka embryo. He mea nui e kamaʻilio i kahi loea hānau e pili ana i kēia mau hana ma mua o ka hoʻomaka ʻana i ka chemotherapy a i ʻole ke ʻoki ʻana i ka hānau hānau.

ʻO ke kāohi ʻana ʻo Ovarian me kahi lāʻau i kapa ʻia he GnRH agonist hiki ke mālama pū i ka hana ovarian. Ua lohe a heluhelu paha ʻoe e pili ana i nā mālama e like me ka hoʻihoʻi ʻana a me ka mālama ʻana i nā hua makua ʻole a me ka cryopreservation o nā kiko ovarian. Eia naʻe, ʻaʻole hiki ke loaʻa a hilinaʻi paha kēia mau lapaʻau no nā wahine me MBC.

4. Hiki iaʻu ke hoʻomaha mai ka lāʻau lapaʻau a lilo i hāpai?

He nīnau kēia e pili ana i nā mālama āu e pono ai a me kāu hihia kikoʻī o MBC. He mea nui e kamaʻilio pono i kēia me kāu kauka e kaupaona i kāu mau koho ma mua o ka hoʻoholo ʻana.

Ke hoʻāʻo nei nā mea noiʻi e pane i kēia nīnau ma o ka hoʻokolokolo POSITIVE. I loko o kēia noi ʻana, ʻimi ʻimi nei nā mea noiʻi i 500 mau wahine premenopausal me ka maʻi maʻi umauma ER-maikaʻi ma mua. Ma hope o ka hoʻomaha maʻi 3-mahina, e hoʻōki nā wahine i ka mālama ʻana a hiki i 2 mau makahiki e hāpai. Ma hope o kēlā manawa, hiki iā lākou ke hoʻomaka hou i ka endocrine therapy.

I ka hopena o 2018, ma luna o 300 mau wahine i kākau inoa i loko o ke aʻo a kokoke he 60 mau pēpē i hānau ʻia. E ukali nā mea noiʻi me nā wahine no 10 mau makahiki e nānā pehea kā lākou hana. E ʻae kēia i nā mea noiʻi e hoʻoholo inā hiki i kahi haki i ka lāʻau lapaʻau ke alakaʻi i kahi kiʻekiʻe o ka hoʻi hou.

5. He aha kaʻu mau manawa kūpono i ka loaʻa ʻana o nā keiki i ka wā e hiki mai ana?

ʻO ka manawa kūpono o ka wahine no ka hāpai hāpai maikaʻi e pili ana i nā kumu ʻelua, e like me:

• makahiki
• anti-Mullerian hormone (AMH) pae
• helu follicle
• nā pae hormonone hoʻonāukiuki follicle (FSH)
• pae estradiol
• genetics
• nā kūlohelohe

Ke kiʻi ʻana i kahi loiloi ma mua o ka hiki ʻana i ka hoʻomaʻemaʻe MBC ke kūpono. E haʻi ana kēia loiloi iā ʻoe i ka nui o nā hua āu i hiki ai ke hoʻopaʻa, inā e noʻonoʻo ai i nā embryos i hoʻopaʻa ʻia, a i ʻole inā e hana ʻelua ʻoe. Paipai pū wau i ka nānā ʻana i nā pae momona ma hope o ka mālama ʻana.

6. He aha nā kauka e pono ai wau e ʻike e kūkākūkā i kaʻu mau koho momona?

I mea e hoʻonui ai nā mea maʻi MBC i ko lākou manawa o ka hāpai ʻana i ka wā e hiki mai ana, he mea nui e ʻimi i nā ʻōlelo aʻoaʻo mua a me ka hāʻawi ʻana i kahi loea hānau.

ʻ telllelo pū wau i kaʻu poʻe maʻi me ka maʻi ʻaʻai e ʻike i kahi loio loio ʻohana e hana i kahi hilinaʻi no kāu mau hua a i ʻole nā ​​embryos inā kū kekahi mea iā ʻoe. Hiki paha iā ʻoe ke pōmaikaʻi mai ke kamaʻilio ʻana me kahi mea hoʻoponopono e kūkākūkā i kou olakino manaʻo i loko o kēia kaʻina hana.

7. Loaʻa ka manawa kūpono i ka loaʻa ʻana o kaʻu mau keiki inā ʻaʻole wau i hana i kekahi ʻano hana e mālama ai i ka momona ma mua o ka lapaʻau ʻana.

ʻO nā wahine i mālama ʻole i kā lākou momona ma mua o ka hiki ʻana i ka maʻi ʻaʻai ke hāpai. Pili ka makaʻu o ka hānau ʻole me kāu mau makahiki i ka manawa o kāu kuhi a me ke ʻano o ka lāʻau i loaʻa iā ʻoe.

ʻO kahi laʻana, ʻo ka wahine i ʻike ʻia i ka makahiki 27 he ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o nā hua i waiho ʻia ma hope o ka lapaʻau e hoʻohālikelike ʻia me ka wahine i hōʻike ʻia i ka makahiki 37.

8. Inā komo wau i ka menopause ma mua mai kaʻu hoʻomaʻamaʻa ʻana, manaʻo anei ʻaʻole hiki iaʻu ke hānau keiki?

Hiki ke hāpai i ka menopausal. ʻOiai paha e like paha ʻaʻole hele pū kēlā mau ʻōlelo ʻelua, hiki maoli nō. Akā ʻo ka manawa kūpono no kahi hāpai hāpai i hāpai kūlohelohe ʻia me ke kōkua ʻole o kahi loea hānau ma hope o ka menopause premature mai ka hoʻomaʻamaʻa haʻahaʻa.

Hiki i ka therapy Hormone ke hoʻomākaukau i kahi kōpū e ʻae i kahi embryo, no laila hiki i ka wahine ke hāpai i ke olakino olakino ma hope o kona hala ʻana i ka menopause. Hiki i kahi wahine ke hoʻohana i kahi hua manu āna i hoʻopaʻa ai ma mua o ka mālama ʻana, kahi embryo, a i ʻole nā ​​hua manu i hāʻawi ʻia e hāpai ai. Pili kāu manawa hāpai i ke olakino o ka hua manu a i ʻole embryo i ka manawa i hana ʻia ai.

Ua ʻike ʻo Kauka Aimee Eyvazzadeh o ka moku ʻo San Francisco Bay i mau kaukani maʻi e pili ana i ka infertility. ʻO ka lapaʻau Preventative, proactive, a pilikino pilikino ʻaʻole ia wale ka mea āna e haʻi aku ai ma ke ʻano he ʻāpana o kāna pule hebedoma Egg Whisperer Show, akā ʻo ia nō ka mea e hoʻomaʻamaʻa ai me nā mākua manaʻolana e hui pū ʻo ia me kēlā me kēia makahiki. Ma ke ʻāpana o kahi nuʻukia e hoʻomaopopo i ka poʻe i ka momona o ka momona, ʻoi aku ka maikaʻi o kāna mālama ma ʻō aku o kāna keʻena ma Kaleponi i nā poʻe o ka honua holoʻokoʻa. Hoʻomaʻamaʻa ʻo ia i nā koho e mālama ai i ka momona ma o nā ʻĀina manuʻai manu ʻoa a me kāna hōʻike ola ʻana i kēlā me kēia pule ʻo Egg Whisperer Show, a kōkua i nā wahine e hoʻomaopopo i kā lākou pae momona ma o nā paneli ʻo Egg Whisperer Fertility. Ua aʻo pū ʻo Kauka Aimee iā ia i ka inoa inoa "TUSHY Method" e hoʻonāukiuki i nā mea maʻi e hoʻomaopopo i ke kiʻi piha o ko lākou olakino momona ma mua o ka hoʻomaka ʻana i ka lāʻau.