Ke hoʻoikaika nei i ka maʻi ʻaʻai

Anter

• Nānā no

Mai ka hoʻāʻo genetic i ka mammography kikoʻī, nā lāʻau chemotherapy hou a me nā mea hou aʻe, nā holomua i ka maʻi ʻaʻai umauma a me ka mālama ʻana i nā manawa āpau. Akā pehea kēia mea i hoʻomaikaʻi ai i ka hōʻailona, ​​ka lapaʻau ʻana, a, ʻo ka mea nui loa, nā helu ola i waena o nā wahine me ka maʻi ʻaʻai umauma i nā makahiki 30 i hala iho nei. ʻO ka pane pōkole: he nui.

"ʻO nā loli nui ʻelua i alakaʻi i nā hoʻomaikaʻi nui i nā helu hōʻola o ka umauma umauma ʻo ia ka wanaʻao ma muli o ke kānana ʻoi aku ka maikaʻi a me ka hoʻolaha ākea e like me nā mea i hoʻomākaukau ʻia, hana pilikino ʻia," wahi a Elisa Port, MD, Luna Nui o ka ʻoki kino. Luna Hoʻokele o ka Dubin Breast Center ma ka Halemai ʻo Mount Sinai ma New York City. ʻOiai kahi lōʻihi loa e hele ai i ke kaua kūʻē i kēia maʻi weliweli, eia ka nānā i ka ʻokoʻa 30 mau makahiki i hana ʻia.

Nā Helu Mammography Makahiki

1985: 25 pakeneka

I kēia lā: 75 a 79 pakeneka

He aha ka mea i loli: I kahi huaʻōlelo? Nā mea āpau. "ʻO ka hoʻonui ʻia ʻana o ka ʻinikua no nā mammograms, ka ʻike e pili ana i nā pōmaikaʻi o nā mammograms, a me nā ʻike mai 30 a 40 mau makahiki o ka noiʻi ʻana e hōʻoia ana i ka ʻike e mālama nā mammograms i nā ola āpau. . ʻO nā hoʻomaikaʻi ʻana i ka ʻenehana e like me ka hōʻemi ʻana o ka pāhawewe i ka wā o nā mammograms ua kōkua pū kekahi iā lākou e hoʻohana ākea a ʻae ʻia, hoʻohui ʻo ia.

ʻElua mau makahiki ke ola ʻana

1980s: 75 pakeneka

I kēia lā: 90.6 pakeneka

He aha ka mea i loli: Ma mua o ka loaʻa ʻana o nā mammogram i nā makahiki 1980, ua ʻike nui nā wahine i ka maʻi ʻaʻai o ka umauma ma o ka loaʻa ʻana o nā lumps ma o lākou iho. "E noʻonoʻo i ka nui o nā maʻi ʻōpū o ka umauma i ka manawa i loaʻa ai iā lākou ka maʻi," wahi a Port. "I kēlā manawa, ua pālahalaha pinepine lākou i nā lymph node i ʻike ʻia nā wahine ma nā wā hope aku ma mua o ko lākou mau lā i kēia manawa no ka haʻahaʻa o ke ola." Ke kuhi ʻia i kahi wā mua, he 93 a 100 paha pākēneka ke ola ʻana o ʻelima mau makahiki.

Nā Palapala Kuhi

1980s: 102 no 100,000 mau wahine

I kēia lā: 130 no 100,000 mau wahine

He aha ka mea i loli: "Ke ʻākoakoa nei mākou i nā maʻi 'umauma hou aʻe i kēia lā ma mua o kā mākou i hana ai i 30 mau makahiki i hala aku nei ma muli o ka hoʻonui ʻia o nā kānana," wahi a Port. Ke piʻi nei hoʻi ka hanana maoli o ka maʻi ʻaʻai umauma."ʻAʻole ia ma muli o kekahi kumu, akā ʻo ka hoʻonui ʻana o ka momona i ka U.S. a he mea nui paha ia," wahi a Port. "ʻIke mākou i ka momona a me ka nohona noho e hoʻonui i ka makaʻu o ka maʻi ʻaʻai umauma ma nā wahine ma mua a ma hope o ka menopausal."

Lapaʻau

1980s: 13 pākēneka o nā wahine me ka maʻi ʻaʻai mua o ka umauma i lumpectomy

I kēia lā: Ma kahi o 70 pākēneka o nā wahine me ka maʻi ʻaʻai mua o ka umauma e hoʻomalu i ka ʻoki ʻana i ka umauma (lumpectomy plus radiation)

He aha ka mea i loli: "ʻO ka mamamography a me ke kuhi o ka wā ma mua, ua hoʻomākaukau nā kanesa liʻiliʻi i ke ala no ka mālama ʻana i ka ʻoki ʻana ma mua o ka hemo ʻana i ka umauma holoʻokoʻa," wahi a Port. Ma mua, hana pinepine ʻia ka mastectomy ma muli o ka nui o nā tumors i ka manawa i loaʻa ai iā lākou. Ke hoʻomau nei ka ulu ʻana o ka protocol lapaʻau. Ma mua, ua lawe nā wahine he nui me ka estrogen receptor-positive cancer cancer i ka lāʻau tamoxifen no ʻelima mau makahiki ma hope o kā lākou ʻike e hoʻoliʻiliʻi i ka hopena o ka hoʻi hou ʻana a hoʻomaikaʻi i nā helu ola. ʻO kahi noiʻi i paʻi ʻia i ka makahiki i hala aku nei ma The Lancet i ʻike ai i ka lawe ʻana i ka lāʻau no 10 mau makahiki e hāʻawi ana i ka pono hou aʻe. Ma waena o ka poʻe i lawe iā ia no ʻelima mau makahiki, ʻo 25 ka nui o ka pilikia o ka hoʻi hou ʻana i hoʻohālikelike ʻia me 21 pakeneka i waena o ka poʻe i lawe iā ia no 10 mau makahiki. A ua hoʻemi ʻia ka makaʻu o ka make mai ka maʻi ʻaʻai umauma mai 15 pākēneka ma hope o ʻelima mau makahiki i ka 12 pākēneka ma hope o 10 mau makahiki o ka lawe ʻana i ka lāʻau. "ʻO ia nā mea a mākou i aʻo ai i ka makahiki i hala e pili ana i kahi lāʻau i hala ma mua o 30 mau makahiki," wahi a Port. "ʻAʻole mākou i hoʻomaikaʻi i ka lāʻau, akā ua hōʻoia mākou i ke ala e hoʻohana ai ia no kahi hui kikoʻī o nā mea maʻi."

Nānā no