Hoʻomaʻamaʻa Ductal Carcinoma

Anter

• ʻO ka mālama ʻana i ka carcinoma ductal invasive
• Nā mālama kūloko
• Nā ʻōnaehana ʻōnaehana
• ʻO Chemotherapy no ka maʻi kanalā ductal invasive
• Nā therapies pahuhopu
• ʻO ka lawe lawe ʻana

He aha ka carcinoma maʻi kūpuna invasive?

Ma kahi o 268,600 mau wahine ma ʻAmelika Hui Pū ʻIa e ʻike ʻia me ka maʻi ʻaʻai o ka umauma ma 2019. ʻO ke ʻano maʻamau o ka maʻi ʻaʻai umauma i kapa ʻia he invasive ductal carcinoma (IDC). ʻO ia ke kuleana ma kahi o 80 pākēneka o nā diagnose maʻi ʻaʻai umauma.

ʻO Carcinoma e pili ana i kahi ʻano maʻi ʻaʻai e hoʻomaka i loko o nā ʻili o ka ʻili a i ʻole nā ​​ʻūpā e uhi ana i kāu mau kūloko. ʻO Adenocarcinomas kahi ʻano kikoʻī o nā carcinomas i hoʻomaka ʻia i loko o ke kino glandular o ke kino.

Hoʻokomo ʻia ka inoa ʻo ka maʻi maʻi ductal ductal carcinoma, i kapa ʻia ʻo ia no ka mea hoʻomaka ia i nā kaʻi lawe waiū o ka umauma, a pāhola i (a i ʻole komo) i nā nāʻaʻa o ka umauma. ʻO nā ʻano maʻamau ʻelua o ka maʻi ʻaʻai umauma invasive ka:

• Kanu maʻi ʻino. Helu no 80 pākēneka o nā diagnose maʻi ʻaʻai umauma. Hoʻomaka kēia ʻano a pālahalaha aku mai nā kahe waiū.
• ʻO ka maʻi maʻi lobular invasive. Helu 10 pākēneka o nā diagnose maʻi ʻaʻai umauma. Hoʻomaka kēia ʻano i nā lobule hana waiū.

ʻOiai hiki i ka IDC ke hoʻopili i nā wahine i kēlā me kēia makahiki, ʻike pinepine ʻia i nā wahine 55 a 64 mau makahiki. Hiki i kēia kanesa umauma ke hoʻopili i nā kāne.

ʻO ka mālama ʻana i ka carcinoma ductal invasive

Inā ʻoe a i ʻole kekahi mea āu i ʻike ai ua ʻike ʻia me ka IDC, e hilinaʻi me ka nui o nā ʻano lapaʻau like ʻole i loaʻa.

Hāʻule nā ​​lapaʻau ʻana no IDC i ʻelua ʻano nui:

• Hoʻolālā nā mālama kūloko no ka IDC i ka maʻi maʻi o ka umauma a me nā wahi e pili ana, e like me ka umauma a me nā lymph node.
• Hoʻopili ʻia nā ʻōnaehana ʻōnaehana no ka IDC ma loko o ke kino, e kuhikuhi ana i nā pūnaewele i huakaʻi a pāhola paha mai ka tumo kumu. Kūpono nā mālama ʻōnaehana i ka hōʻemi ʻana i ka likelike o ka hoʻi ʻana o ka maʻi ʻaʻai ke mālama ʻia ia.

Nā mālama kūloko

Aia he ʻano nui ʻelua o nā lapaʻau kūloko no ka IDC: ke kaha ʻana a me ka radiation radiation.

Hoʻohana ʻia ka hana ʻoki e wehe i ka tumer cancerous a hoʻoholo inā ua pālahalaha ka maʻi ʻaʻai i nā lymph node. ʻO ke keʻoki kino ka pane mua a ke kauka ke hana pū me IDC.

Ma kahi o ʻelua mau pule e ola ai mai kahi lumpectomy a ʻehā mau pule a ʻoi paha e hoʻi hou mai kahi mastectomy. Lōʻihi paha nā manawa hoʻōla inā hemo nā lymph nodes, inā hana hou ʻia, a inā he pilikia paha.

I kekahi manawa koi ʻia ka hoʻōla kino e kōkua me ke ola hou mai kēia mau kaʻina hana.

Kuhikuhi ka radiation radiation i nā kaola pāhawewe ikaika ma ka umauma, ka umauma, ka ʻūlima, a i ʻole ka iwi iwi e pepehi ai i nā hunaola i loko a kokoke paha i kahi o ka tumo. Hoʻolālā ka radiation radiation ma kahi o 10 mau minuke e lawelawe i kēlā me kēia lā ma mua o ka holo ʻana o ʻelima a ʻewalu pule.

Hiki i kekahi poʻe i mālama ʻia me ka radiation ke ʻike i ka pehu a i ʻole ka ʻili. ʻO kekahi mau hōʻailona, ​​e like me ka luhi, e lawe a i 6 a 12 mau wiki a ʻoi aku paha ka lōʻihi e iho.

Loaʻa i nā ʻano ʻoki lāʻau like ʻole a me nā radiation radiation no ka mālama ʻana i kēia IDC.

• lumpectomy, a i ʻole ka hemo ʻana o ka tumo
• mastectomy, a i ʻole ka hemo ʻana o ka umauma
• hoʻokaʻawale lymph node dissection a hemo
• pāhawewe kukuna kūwaho, kahi e hoʻopili ai nā kaola kukuna i ka umauma
• ʻo ka radiation radiation umauma i loko, kahi e hoʻokau ʻia ai nā mea lekiō ma kahi o kahi lumpectomy
• ka pāhawewe hapa o ka umauma i waho, kahi e hoʻopili pono ai nā kaola radiation i ka pūnaewele maʻi ʻaʻai kumu

Nā ʻōnaehana ʻōnaehana

Koi ʻia paha nā ʻōnaehana ʻōnaehana e pili ana i nā ʻano o ka maʻi ʻaʻai, me nā kūlana i hoʻolaha ʻia ma ʻō aku o ka umauma a i ʻole he makaʻu nui paha i ka hoʻolaha ʻana i nā ʻāpana ʻē aʻe o ke kino.

Hiki ke hāʻawi ʻia i nā ʻōnaehana ʻōnaehana e like me ka chemotherapy e hōʻemi i nā tumo (s) ma mua o ke ʻoki ʻana, a i ʻole hāʻawi ʻia ma hope o ke kaha ʻana, kaukaʻi ʻia i ke kūlana.

Nā ʻōnaehana ʻōnaehana no IDC me:

• chemotherapy
• hoʻōla hormonal
• nā therapies i hoʻolālā ʻia

ʻO Chemotherapy no ka maʻi kanalā ductal invasive

Loaʻa nā Chemotherapy i nā lāʻau anticancer i lawe ʻia i ka pill pill a i ʻole injected i loko o ke kahe o ke koko. E ʻeono paha mahina a ʻoi paha ka lōʻihi ma hope o ka emi ʻana o ka mālama ʻana mai nā hopena ʻino he nui, e like me ka hōʻino ʻia o nā aʻa, ka ʻeha pū, a me ka luhi.

Nui nā lāʻau chemotherapy like ʻole e mālama iā ICD e like me paclitaxel (Taxol) a me doxorubicin (Adriamycin). E kamaʻilio me kāu kauka no ka mea kūpono iā ʻoe.

ʻO ka Hormonal therapy no ka carcinoma ductal invasive

Hoʻohana ʻia ka Hormonal therapy e mālama i nā hunaola maʻi ʻaʻai me nā receptor no estrogen a progesterone, a i ʻole ʻelua paha. Hiki i ke kū ʻana o kēia mau hormoni ke paipai i nā hunaola maʻi ʻaʻaiuma e hoʻonui.

Lawe a pale ʻia ʻo Hormonal therapy i kēia mau hormoni e pale ai i ka ulu ʻana o ka maʻi ʻaʻai. Hiki i nā Hormonal therapy ke loaʻa i nā hopena ʻē aʻe i komo pū me nā uila wela a me ka luhi, a pehea ka lōʻihi o ka hopena ʻana o nā hopena ʻaoʻao ma hope o ka pau ʻana o ka lāʻau ʻana e loli ma muli o ka lāʻau.

Lawe pinepine ʻia kekahi mau lāʻau lapaʻau hormonal no ʻelima a ʻoi paha mau makahiki. Hiki i nā hopena ʻaoʻao ke lawe ma nā wahi āpau mai kahi mau mahina a hoʻokahi makahiki a ʻoi paha e mae ai ke kū ʻana o ka lapaʻau.

Nā ʻano o ka hoʻomaʻemaʻe hormonal me:

• nā modulator pane estrogen-receptor koho, ka mea e ālai i ka hopena o ka estrogen i ka umauma
• nā mea kāohi aromatase, kahi e hoʻēmi ai i ka estrogen no nā wahine postmenopausal
• estrogen-receptor iho-hoʻokonokono, ka mea e hoʻēmi ai i loaʻa nā estrogen receptor
• nā lāʻau hoʻohiʻai ovarian, ka mea e kū iki i nā ovaries mai ka hana estrogen

Nā therapies pahuhopu

Hoʻohana ʻia nā mea i hoʻomākaukau ʻia e luku ai i nā hunaola maʻi ʻaʻai ma ka hoʻopilikia ʻana i nā protein i loko o ka huna e pili ana i ka ulu ʻana. ʻO kekahi mau polokina i kuhi ʻia ʻo:

• HER2
• VEGF

ʻO ka lawe lawe ʻana

ʻO ka maʻi kanesa maʻi Invasive ka ʻano maʻamau o ka maʻi ʻaʻai umauma. Ke hiki mai i ka lapaʻau, aia kekahi mau lapaʻau kūloko e kuhikuhi ana i nā ʻāpana kikoʻī o ke kino a me nā ʻōnaehana ʻōnaehana e hoʻopili i ke kino holoʻokoʻa a i ʻole nā ​​ʻōnaehana nui.

Ma mua o hoʻokahi ʻano o ka mālama e pono ai e mālama pono i ka maʻi ʻaʻai o ka umauma. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka lapaʻau kūpono iā ʻoe a he aha ka mea maikaʻi loa no kāu pae o ka maʻi ʻaʻai umauma.