Pehea e palahalaha ai ka maʻi ʻaʻai umauma

Anter

• He aha ka maʻi ʻaʻai umauma?
• He aha nā pae o ka maʻi ʻaʻai umauma?
• Kahua 0
• Kahua 1
• Kahua 2
• Kahua 3
• Kahua 4
• Pehea e laha ai?
• Ma hea e laha pinepine ai ka maʻi 'aʻai o ka umauma?
• Pehea e ʻike ʻia ai ka metastasis?
• Pehea e mālama ʻia ai ka metastasis?
• Ke kamaʻilio nei me kāu kauka

Inā ʻo ʻoe, kahi hoa, a lālā paha o ka ʻohana i ʻike ʻia me ka maʻi ʻaʻai o ka umauma, ʻo ka hoʻokele ʻana i nā ʻike āpau i hiki ke lilo i mea nui loa.

Eia kahi hiʻohiʻona maʻalahi o ka maʻi ʻaʻai umauma a me kāna mau pae, a ukali ʻia e kahi breakdown o ka palahalaha ʻana o ka maʻi ʻaʻai umauma, pehea e ʻike ʻia ai, a pehea e mālama ai nā kauka iā ia.

He aha ka maʻi ʻaʻai umauma?

Hana ka maʻi ʻaʻai i ka wā e hana ai nā hunaola maʻi ʻaʻai i kaʻiʻo umauma. ʻO ia kekahi o nā ʻano maʻamau o ka ʻike maʻi ʻaʻai no nā wahine ma ʻAmelika Hui Pū ʻIa, ʻelua wale nō i ka maʻi ʻaʻai ʻili. Hiki i kēia maʻi ke hoʻopili i nā kāne.

Ua kōkua ka ʻike mua ʻana me ke kuhi ʻana i ka maʻi ʻaʻai a me ka hoʻomaikaʻi ʻana i nā helu ola.

Pākuʻi ʻia paha nā ʻōuli:

• he puʻupuʻu i kou umauma
• kahe koko mai kou nipples
• nā hoʻololi i ka nui, ke ʻano, a i ʻole ke ʻano o kou umauma
• nā loli i ke kala a i ʻole ka ʻili o kou ʻili

ʻO ka mālama ʻana me ka hoʻāʻo ʻana iā ʻoe iho me ka mammogram hiki ke kōkua iā ʻoe e ʻike i nā loli ke hiki mai lākou. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e haʻi koke i kāu kauka.

He aha nā pae o ka maʻi ʻaʻai umauma?

Kuhi kāu kauka i ke kahua o ka maʻi ʻaʻai ma ka hoʻoholo ʻana:

• inā invasive a noninvasive paha ka maʻi ʻaʻai
• ka nui o ka tumo
• ka helu o nā lymph node i hoʻopili ʻia
• ke kū ʻana o ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino

E hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kāu nānā a me nā koho kūpono kūpono ke hoʻoholo ʻia ke kahua ma o nā hoʻokolohua like ʻole.

ʻO nā pae ʻelima o ka maʻi ʻaʻai umauma ʻo:

Kahua 0

I ke kahua 0, manaʻo ʻia ka maʻi ʻaʻa ʻole noninvasive. Aia ʻelua ʻano o ka pae 0 ka maʻi ʻaʻai umauma:

• I loko o carcinoma ductal ma situ (DCIS), ʻike ʻia ka maʻi ʻaʻai i loko o ka uhi o nā kahe waiū akā ʻaʻole i pālahalaha ʻia i nāʻiʻo umauma ʻē aʻe.
• ʻOiai maʻi maʻi lobular in situ (LCIS) Hoʻokaʻawale ʻia hoʻi ma ke ʻano he kanulau umauma 0, ʻaʻole ia i manaʻo ʻia he maʻi ʻaʻai. Akā, wehewehe ia i nā hunaola ʻokoʻa i hana ʻia i loko o nā lobule o ka umauma.

ʻO ka maʻi maʻi umauma pae hiki ke mālama ʻia.

Kahua 1

I kēia manawa, manaʻo ʻia ka maʻi ʻaʻai he invasive akā kūloko. Māhele ʻia ka pae 1 i nā ʻano 1A a me 1B:

• I loko o pae 1A, ʻoi aku ka liʻiliʻi o ka maʻi ʻaʻai ma mua o 2 centimita (cm). ʻAʻole ia i pālahalaha i nā lymph node a puni.
• I loko o pae 1B, ʻaʻole paha i loaʻa i kāu kauka kahi tumo i loko o kou umauma, akā he mau pūʻulu liʻiliʻi paha ko ka lymph nodes o nā hunaola maʻi ʻaʻai. Ana kēia mau hui ʻana ma waena o 0.2 a me 2 milimita (mm).

E like me ka pae 0, hiki ke mālama nui ʻia i ka maʻi ʻaʻai umauma 1.

Kahua 2

Hoʻokomo ka maʻi ʻaʻai i ka pae 2. Ua māhele ʻia kēia pae i 2A a me 2B:

• I loko o pae 2A, ʻaʻohe ou tumo, akā ua pālahalaha ka maʻi ʻaʻai i kou mau pūnana lymph. ʻOkoʻa, ʻo ka tumo ma lalo o 2 cm ka nui a pili i nā lymph node.A i ʻole hiki ke ana o ka tumo ma waena o 2 a me 5 cm akā ʻaʻole pili i kāu mau lymph node.
• I loko o pae 2B, ʻoi aku ka nui o ka tumo. ʻIke ʻia ʻoe me 2B inā aia kou tumo ma waena o 2 a 5 cm a ua pālahalaha ʻia i ʻehā a ʻoi aku paha o nā lymph node. Inā ʻole, ʻoi aku ka nui o ka tumo ma mua o 5 cm me ka ʻole o ka pānana lymph.

E koi paha ʻoe i ka lāʻau ʻoi aku ka ikaika ma mua o nā pae mua. Eia nō naʻe, maikaʻi ka nānā i ka pae 2.

Kahua 3

Manaʻo ʻia kou maʻi ʻaʻā invasive a holomua inā hiki i ka pae 3. ʻAʻole i pālahalaha ʻia i kāu mau lālā ʻē aʻe. Hoʻokaʻawale ʻia kēia pae i nā pūʻulu 3A, 3B, a me 3C:

• I loko o pae 3A, ʻoi aku ka liʻiliʻi o kou tumer ma mua o 2 cm, akā aia ma waena o ʻehā a me ʻeiwa i loaʻa i nā lymph node. ʻOi aku ka nui o ka Tumor ma kēia pae ma mua o 5 cm a hoʻopili i nā hōʻiliʻili liʻiliʻi o nā pūnaewele i kāu mau lymph node. Ua pāhola paha ka maʻi ʻaʻai i nā lymph node i kou underarm a me ka umauma.
• I loko o pae 3B, hiki ke nui ka tumo. I kēia manawa, ua pālahalaha ʻia i kou umauma a i ʻole ʻili a hoʻopili a ʻeiwa mau pona lymph.
• I loko o pae 3C, ua pālahalaha ʻia ka maʻi ʻaʻai ma kahi o 10 mau pūnana lymph inā ʻaʻohe puʻuwai. ʻO nā lymph nodes e pili ana ma kou collarbone, underarm, a i ʻole ka umauma.

Nā koho lapaʻau ma ka pae 3 e komo pū me:

• mastectomy
• pāhawewe
• lāʻau hoʻoikaika kino
• chemotherapy

Hāʻawi ʻia kēia mau lāʻau i nā pae mua. Hōʻike paha kāu kauka i kahi hui o nā mālama no ka hopena maikaʻi.

Kahua 4

I ka pae 4, ua metastasized ka maʻi 'aʻai umauma. I nā huaʻōlelo ʻē aʻe, ua pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino. Hiki i kēia ke komo i hoʻokahi a i ʻole o kēia mau mea:

• lolo
• iwi
• māmā
• ake

E hoʻāʻo paha kāu kauka i nā ʻano lapaʻau like ʻole, akā ua manaʻo ʻia ka maʻi ʻaʻai i kēia manawa.

Pehea e laha ai?

Nui a hewahewa nā ala e hiki ai ke hoʻolaha i ka maʻi ʻaʻai i loko o ke kino.

• Kūpono ka hoʻouka kaua ke hoʻolaha ʻia ka tumo i kahi hui kokoke i ke kino. Hoʻokomo ke aʻa aʻa a hoʻomaka e ulu i kēia wahi hou.
• Hoʻonui ʻia ka Lymphangitic ke hele ka maʻi ʻaʻai ma o ka ʻōnaehana lymphatic. Hoʻopili pinepine ka maʻi ʻaʻai i nā lymph node kokoke, no laila hiki i ke kanesa ke komo i loko o ka ʻōnaehana lymph a paʻa i nā ʻāpana like ʻole o ke kino.
• ʻO ka neʻe ʻana o Hematogenous e neʻe i ke ala like me ka hoʻolaha ʻana o ka lymphangitic akā ma o nā kīʻaha koko. Hele nā ​​hunaola maʻi ʻaʻai i loko o ke kino a loaʻa ke aʻa i nā wahi mamao a me nā meaola.

Ma hea e laha pinepine ai ka maʻi 'aʻai o ka umauma?

Ke hoʻomaka ka maʻi ʻaʻai i loko o ka umauma o ka umauma, hoʻolaha pinepine ia i nā lymph nodes ma mua o ka hoʻopili ʻana i nā ʻāpana ʻē aʻe o ke kino. Hoʻolahalaha nui ka maʻi ʻaʻai umauma i ka:

• iwi
• lolo
• ake
• māmā

Pehea e ʻike ʻia ai ka metastasis?

Hiki i nā ʻano hoʻāʻo ke ʻike i ka laha ʻana o ka maʻi ʻaʻai. ʻAʻole hana ʻia kēia mau hoʻāʻo inā ʻaʻole manaʻo kāu kauka ua pālahalaha ka maʻi ʻaʻai.

Ma mua o ke kauoha ʻana iā lākou, e loiloi kāu kauka i ka nui o kou tumo, hohola ka lymph node, a me nā ʻōuli kikoʻī āu e loaʻa nei.

ʻO nā hoʻokolohua maʻamau e pili pū me:

• kahi pahu kukui X
• he scan iwi
• he scan CT
• he scanner MRI
• he ultrasound
• kahi scan tomography emission tomitron (PET)

ʻO ke ʻano o ka hōʻoia āu e loaʻa ai e hilinaʻi ʻia i kāu mōʻaukala a me nā hōʻailona. ʻO kahi laʻana, inā kānalua ʻoe a ʻo kāu kauka paha ua pāhola ka maʻi ʻaʻai i kou ʻōpū, loaʻa paha iā ʻoe kahi ultrasound.

Hiki i nā scans CT a me MRI ke kōkua i kāu kauka e ʻike i nā ʻāpana like ʻole o ke kino i ka manawa hoʻokahi. Hiki ke kōkua i kahi scan PET inā manaʻo kāu kauka ua pālahalaha ka maʻi ʻaʻai akā ʻaʻole maopopo ʻole ma hea.

ʻO kēia mau hoʻokolohua āpau he noninvasive, a ʻaʻole pono lākou e koi i kahi noho haukapila. Hāʻawi ʻia ʻoe i nā ʻōlelo aʻoaʻo kūikawā ma mua o kāu hoʻāʻo.

Inā loaʻa iā ʻoe kahi CT scan, ʻo kahi laʻana, pono paha ʻoe e inu i kahi ʻokoʻa ʻokoʻa waha e kōkua i ka hōʻike ʻana i nā hiʻohiʻona ʻokoʻa i loko o kou kino.

Inā he mau nīnau a hopohopo paha kāu, mai hoʻokaʻulua e kāhea i ke keʻena e hana nei i ka hoʻāʻo no ka wehewehe ʻana.

Pehea e mālama ʻia ai ka metastasis?

ʻAʻole hiki ke hoʻōla ʻia ke kanulau umauma pae 4. Ma kahi o ka ʻike ʻia ʻana, pili ka hoʻolāʻau e pili ana i ka hoʻolōʻihi a hoʻomaikaʻi ʻana i kou ola.

ʻO nā ʻano nui o ka mālama ʻana no ka maʻi ʻaʻai umauma pae 4:

• chemotherapy
• lāʻau pāhawewe
• ʻoki kino
• lāʻau hoʻoikaika kino
• hoʻomālama mākaukau
• hoʻokolohua hoʻokolohua
• mālama ʻeha

He aha nā lāʻau lapaʻau a me nā hōʻailona āu e hoʻāʻo ai e pili i ka hoʻolaha ʻana o kāu maʻi ʻaʻai, kāu mōʻaukala, a me kāu koho ponoʻī. ʻAʻole kūpono nā mālama āpau no nā mea āpau.

Ke kamaʻilio nei me kāu kauka

Pehea ka laha ʻana o ka maʻi ʻaʻai o ka umauma ma muli o nā kumu a me nā hanana i kū ʻole i kou kino a me kou maʻi ʻaʻai. I ka manawa e palahalaha ai ka maʻi ʻaʻai i nā meaola ʻē aʻe, ʻaʻohe lāʻau.

Nānā ʻole, hiki i ka mālama ʻana i ka pae 4 ke kōkua i ka hoʻomaikaʻi ʻana i kou ola o ke ola a hoʻolōʻihi hoʻi i kou ola.

ʻO kāu kauka kāu kumu waiwai ʻoi loa no ka ʻike ʻana i ke kahua o ka maʻi ʻaʻai āu e komo nei a e ʻōlelo nei i nā koho lapaʻau maikaʻi loa i loaʻa iā ʻoe.

Inā ʻike ʻoe i kahi puʻupuʻu a i ʻole nā ​​hoʻololi ʻē aʻe i kou umauma, e hoʻopili aku i kāu kauka e hana i kahi manawa.

Inā ua hōʻoia ʻia ʻoe me ka maʻi ʻaʻai o ka umauma, e haʻi i kāu kauka inā ʻike ʻoe i ka ʻeha, ka pehu ʻana, a i ʻole nā ​​ʻōuli hoprisome ʻē aʻe.