Lobular umauma maʻi 'aʻai: He aha ka Prognosis a me ke ola holo' awelika?
Anter
He aha ka maʻi ʻaʻai umauma lobular?
ʻO ka maʻi ʻaʻai umauma Lobular, i kapa ʻia hoʻi he invasive lobular carcinoma (ILC), i loko o nā umauma umauma a i ʻole nā lobule. ʻO Lobules nā wahi o ka umauma e hoʻohua ai i ka waiū. ʻO ka ILC ka lua o nā ʻano maʻamau o ka maʻi ʻaʻai umauma.
Hoʻopili ka ILC ma kahi o 10 pākēneka o ka poʻe me ka maʻi ʻaʻai umauma invasive. ʻO ka hapanui o ka poʻe me ka maʻi ʻaʻai umauma ka maʻi i loko o kā lākou aʻa, ʻo ia nā hale e hāpai i ka waiū. Kāhea ʻia kēia ʻano maʻi ʻaʻai ʻo invasive ductal carcinoma (IDC).
ʻO ka huaʻōlelo "invasive" ka manaʻo ua pāhola ka maʻi ʻaʻai i nā wahi ʻē aʻe mai ka wahi o ke kumu. I ka hihia o ILC, ua pālahalaha ʻia ia i kahi lobule umauma.
No kekahi poʻe, ke ʻano o kēia aia nā hunaola maʻi maʻi i nā ʻāpana ʻē aʻe o kaʻiʻo umauma. No nā poʻe ʻē aʻe, ʻo ia hoʻi ka hoʻolaha ʻana o ka maʻi (metastasized) i nā ʻāpana ʻē aʻe o ke kino.
ʻOiai hiki ke ʻike ʻia ka poʻe me ka maʻi ʻaʻai umauma lobular i kēlā me kēia makahiki, ʻo ka mea maʻamau i nā wahine he 60 a ʻoi paha makahiki. Hōʻike ka noiʻi e hiki i ka hormone replacement therapy ma hope o ka menopause ke hoʻonui i ka makaʻu o kēia ʻano maʻi ʻaʻai.
He aha ka wānana?
E like me nā maʻi ʻaʻai ʻē aʻe, hoʻonohonoho ʻia ʻo ILC ma kahi pālākiō 0 a 4. Pili ka hoʻonohonoho ʻana me ka nui o nā tumors, ke komo ʻana o ka lymph node, a inā paha ua palahalaha nā tumors i nā wahi ʻē aʻe o ke kino. Hōʻike nā helu kiʻekiʻe i nā pae holomua.
ʻO ka mea i ʻike mua ʻia me ILC a hoʻomaka i ka lāʻau, ʻoi aku ka maikaʻi o kāu kuana. E like me nā ʻano maʻi ʻaʻai ʻē aʻe, e mālama maʻalahi ʻia nā pae mua o ka ILC me nā pilikia liʻiliʻi. ʻO kēia maʻamau - ʻaʻole naʻe ma nā manawa āpau - e alakaʻi i kahi hōʻā piha a me nā helu haʻahaʻa haʻahaʻa.
Eia nō naʻe, ʻo kahi hōʻailona mua he pilikia nui loa ia me ILC i hoʻohālikelike ʻia me ka IDC maʻamau ʻoi aku ka nui. ʻO ia no ka mea ʻoi aku ka paʻakikī o ka ulu ʻana a me ka hoʻolaha ʻana o nā ILC e ʻike ma nā mammogram maʻamau a me nā hoʻokolohua umauma.
ʻAʻole hana ka ILC i kahi puʻupuʻu, akā pālahalaha i nā laina faila hoʻokahi ma o ka momona o ka umauma. Hiki paha iā lākou ke loaʻa i nā kumu he nui ma mua o nā maʻi ʻaʻai ʻē aʻe a loaʻa ka manawa e metastasize i ka iwi.
Hōʻike kekahi i ka hopena lōʻihi lōʻihi no ka poʻe i ʻike ʻia me ka ILC e like paha a ʻoi paha ka maikaʻi ma mua o ka poʻe i ʻike ʻia me nā ʻano maʻi ʻē aʻe o ka maʻi ʻaʻai maʻi maʻi.
Aia kekahi mau manaʻo maikaʻi e noʻonoʻo ai. ʻO ka hapanui o kēia ʻano ʻano maʻi ʻaʻai ka receptor hormone maikaʻi, maʻa mau ka estrogen (ER) maikaʻi, ʻo ia hoʻi ke ulu nei lākou i ka pane ʻana i ka hōmona. ʻO ka lāʻau lapaʻau e ālai i nā hopena o ka estrogen hiki ke pale i ka hoʻi ʻana o ka maʻi a hoʻomaikaʻi i ka wānana.
ʻAʻole wale kāu nānā i ke kahua o ka maʻi ʻaʻai, akā i kāu mau hoʻolālā mālama lōʻihi. Hiki i nā koho a me nā hoʻāʻo ʻana ke kōkua i kāu kauka e ʻike i ka hoʻi hou ʻana o ka maʻi ʻaʻai a i ʻole nā pilikia ʻē aʻe e ala aʻe ma hope o ka mālama ʻana i ka maʻi ʻaʻai umauma.
E hoʻolālā i kahi hoʻokolohua kino a me kahi mammogram i kēlā me kēia makahiki. Pono ka mea mua i ʻeono mau mahina ma hope o ka pau ʻana o ke kaha ʻana a i ʻole ka radiation therapy.
He aha nā helu ola?
Hoʻomaulia pinepine ʻia nā helu ola no ka maʻi ʻaʻai e pili ana i ka nui o ka poʻe e noho ma kahi o ʻelima mau makahiki ma hope o kā lākou ʻike ʻia. ʻO ka awelika ke ola ʻana o ʻelima mau makahiki no ka maʻi ʻaʻai umauma he 90 pākēneka a ʻo ka helu ola 10 mau makahiki he 83 pakeneka.
He mea nui ke kahua o ka maʻi ʻaʻai i ka noʻonoʻo ʻana i nā helu ola. ʻO kahi laʻana, inā ʻo ka maʻi ʻaʻai wale i ka umauma, ʻo ka helu he ʻelima mau makahiki o ke ola ʻana he 99 pākēneka. Inā ua pālahalaha ʻia i nā lymph node, hoʻemi ka helu i 85 pakeneka.
Ma muli o ka nui o nā loli e pili ana i ke ʻano a me ka hoʻolaha ʻana o ka maʻi ʻaʻai, ʻoi aku ka maikaʻi e kamaʻilio me kāu kauka e pili ana i ka mea e kali ai i kāu kūlana.
Hoʻolālā lapaʻau
Hiki i ka ILC ke ʻoi aku ka paʻakikī e kuhikuhi ma mua o nā ʻano ʻē aʻe o ka maʻi ʻaʻai umauma no ka mea ua pālahalaha ia i kahi hanana kūʻokoʻa o ka lālā. ʻO ka nūhou maikaʻi ʻo ia kahi kanesa ulu lohi, e hāʻawi iā ʻoe i ka manawa e hana i kahi hoʻolālā lapaʻau me kāu hui maʻi maʻi.
Nui a hewahewa nā koho e hiki ke kōkua i ka hoʻonui i kou manawa o ke ola hou ʻana.
ʻOki kino
Hoʻololi ka mālama ʻana i ka hopena o kāu maʻi ʻaʻai. ʻO nā tumors liʻiliʻi i ka umauma ʻaʻole pālahalaha ʻia e hoʻoneʻe ʻia i kahi lumpectomy. ʻO kēia kaʻina hana he mana hoʻonui i lalo o kahi mastectomy piha. I kahi lumpectomy, hemo wale kahi hapa o kaʻiʻo umauma.
I loko o kahi mastectomy, hoʻoneʻe ʻia kahi umauma holoʻokoʻa me ka ʻole a i ʻole ka mākala ma lalo a me nā mea hoʻopili.
Nā hoʻoponopono ʻē aʻe
Hoʻohana ʻia ʻo Hormonal therapy, i kapa ʻia ʻo anti-estrogen therapy, a i ʻole chemotherapy e hōʻemi i nā tumors ma mua o ke kahakaha ʻana. Hiki paha iā ʻoe ke hoʻomālamalama ma hope o ka lumpectomy e hōʻoia i ka luku ʻia ʻana o nā hunaola maʻi ʻaʻai.
Kōkua kāu kauka iā ʻoe e hana i kahi hoʻolālā mālama pilikino e pili ana i kāu olakino, me ka hoʻohana ʻana i nā ʻenehana hou i loaʻa.
Noho maikaʻi
ʻO kahi hōʻailona o ka ILC hiki ke lilo i mea paʻakikī, ʻoiai ʻoi aku ka paʻakikī o ka hōʻike mua ʻana, a ʻaʻole nō hoʻi e aʻo maikaʻi ʻia e like me ka IDC. Eia nō naʻe, ola ka hapa nui o ka poʻe ma hope o kā lākou hōʻoia.
ʻO ka noiʻi ʻepekema a me ka ʻenehana i loaʻa i ʻelima mau makahiki i hala aku nei ʻaʻole paha i holomua e like me nā koho lapaʻau o kēia manawa. ʻO kahi hōʻailona o ILC i kēia lā e loaʻa paha kahi nānā maikaʻi aʻe ma mua o ʻelima a ʻoi paha mau makahiki i hala.
E ʻike i ke kākoʻo mai nā poʻe ʻē aʻe e noho nei me ka maʻi ʻaʻai umauma. Hoʻoiho i ka polokalamu manuahi a Healthline ma aneʻi.
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