Ka hoʻomaopopo ʻana i ka maʻi ʻaʻai Metastatic umauma i nā puʻu

Anter

• Pehea e pālahalaha ai ka maʻi ʻaʻai o ka umauma i nā akemāmā
• Nā hōʻailona a me nā ʻōuli o ka metastasis māmā
• Ke hōʻoia nei i ka maʻi ʻaʻai umauma metastatic
• Ke mālama nei i ka maʻi ʻaʻai umauma metastatic
• ʻO Chemotherapy
• Nā hoʻoponopono Hormonal
• ʻO nā mea i hoʻolālā ʻia no ka maʻi ʻaʻai umauma HER2-maikaʻi
• Pāhawewe
• Nā hōʻailona hōʻoluʻolu
• Outlook
• Nā ala e hōʻemi ai i ka makaʻu

Hōʻike Overview

ʻO ka maʻi ʻaʻai umauma Metastatic e pili ana i ka maʻi ʻaʻai umauma i pāhola ʻia ma ʻō aku o ka wahi a kūloko paha o kahi kumu i kahi pūnaewele mamao. Kapa ʻia ia he kanesa umauma pae 4.

ʻOiai hiki ke pālahalaha i kēlā me kēia wahi, pālahalaha ka maʻi ʻaʻai umauma i nā iwi ma kahi o 70 pākēneka o ka poʻe me ka maʻi ʻaʻai umauma metastatic, kuhi ka Metastatic Breast Cancer Network.

ʻO nā pūnaewele maʻamau nā mumū, ke ake, a me ka lolo. Ma kahi o kahi e palahalaha aku ai, manaʻo ʻia ia he kanesa umauma a mālama ʻia e like me kēlā. Ma kahi o 6 a 10 mau pākēneka o nā maʻi ʻaʻai umauma maʻAmelika Hui Pū ʻIa i ʻike ʻia ma ka pae 4.

I kekahi mau hihia, ʻaʻole e hoʻopau ka lapaʻau mua ʻana i ka maʻi ʻaʻai umauma ma mua i nā hunaola maʻi ʻaʻai. Hiki ke waiho ʻia nā hunaola maʻi ʻaʻai microscopic, e ʻae ana i ka maʻi ʻaʻai.

ʻO ka hapa nui o ka manawa, kū ka metastasis ma hope o ka pau ʻana o ka lapaʻau mua. Kapa ʻia kēia he recurrence. Hiki ke hana hou i loko o kekahi mau mahina o ka hoʻopau ʻana i ka lāʻau a i ʻole mau makahiki i hala.

ʻAʻohe lāʻau lapaʻau no ka maʻi ʻaʻai umauma metastatic i kēia manawa, akā hiki ke mālama ʻia. E ola kekahi mau wahine no nā makahiki he nui ma hope o ka hōʻoia ʻana o ka maʻi ʻaʻai umauma pae 4.

Pehea e pālahalaha ai ka maʻi ʻaʻai o ka umauma i nā akemāmā

Hoʻomaka ka maʻi ʻaʻai umauma i ka poli. E like me ka hoʻokaʻawale a hoʻonui ʻana o nā hunaola kūlohelohe, hana lākou i kahi tumelo. Ke ulu nei ka tumo, hiki i nā hunaola maʻi ʻaʻai ke uhaʻi mai ka tumo mua a hele i nā ʻokena mamao a i ʻole komo mai i nā mea kokoke.

Hiki i nā hunaola maʻi ʻaʻai ke komo i ke kahe o ke koko a i ʻole neʻe i nā lymph node kokoke ma lalo o ka lima a i ʻole ke kokoke i ka iwi iwi. I hoʻokahi manawa i ke koko a i ʻole nā ​​ʻōnaehana lymph, hiki i nā hunaola maʻi ʻaʻai ke hele ma waena o kou kino a pae i nā lālā mamao a i ʻole nāʻiʻo.

Ke hiki i nā hunaola maʻi ʻaʻai i nā māmā, hiki iā lākou ke hoʻomaka e hana i hoʻokahi a ʻoi aʻe o nā tumors hou. Hiki ke pālahalaha ʻia ka maʻi ʻaʻai umauma i nā wahi he nui i ka manawa like.

Nā hōʻailona a me nā ʻōuli o ka metastasis māmā

ʻO nā hōʻailona a me nā ʻōuli o ka maʻi ʻaʻai i loko o nā akemāmā e hoʻopili pū paha:

• ʻū mau
• ʻeha ka umauma
• pokole o ka hanu
• mau maʻi maʻi umauma
• nalo ʻai ʻole
• Kaumaha emi
• e kahe ana ke koko
• ʻeha ka umauma
• kaumaha i ka umauma
• ka wai ma waena o ka paia o ka umauma a me ka māmā (pleural effusion)

ʻAʻole paha ʻoe i ʻike ʻia nā ʻōuli ma ka mua. Inā paha ʻoe e hana, makemake paha ʻoe e hoʻokuʻu iā lākou ma ke ʻano he hōʻailona o ke anuanu a me ka maʻi flu. Inā ua mālama ʻia ʻoe no ka maʻi ʻaʻai umauma i ka wā ma mua, mai nānā ʻole i kēia mau ʻōuli.

Ke hōʻoia nei i ka maʻi ʻaʻai umauma metastatic

E hoʻomaka paha ka hōʻailona me kahi hoʻokolohua kino, hana koko, a me kahi hihi X pahu. Pono paha nā hoʻokolohua kiʻi ʻē aʻe e hāʻawi i kahi ʻike kikoʻī. Pili pū paha kēia mau hoʻāʻo.

• CT scan
• Scanner PET
• MRI

Pono paha kahi biopsy e kōkua e hoʻoholo inā ua metastasize ka maʻi ʻaʻai o ka umauma i kou mau māmā.

Ke mālama nei i ka maʻi ʻaʻai umauma metastatic

Ke mālama ʻana i ka maʻi ʻaʻai umauma metastatic, ʻo ka pahuhopu ke kōkua i ka hōʻemi a hoʻopau ʻana paha i nā hōʻailona a hoʻolōʻihi i kou ola me ka ʻole o ka mōhai o kou ola.

Pili ka mālama ʻana i ka maʻi ʻaʻai umauma i nā kumu he nui, e like me ke ʻano o ka maʻi ʻaʻai umauma, nā hana ma mua, a me kou olakino holoʻokoʻa. ʻO kekahi kumu nui kahi i laha ai ka maʻi ʻaʻai a inā ua pāhola ka maʻi ʻaʻai i nā wahi he nui.

ʻO Chemotherapy

Hiki ke hana maikaʻi ʻo Chemotherapy i ka luku ʻana i nā hunaola maʻi ʻaʻai ma nā wahi āpau o ke kino. Hiki i kēia lapaʻau ke kōkua i ka hōʻemi ʻana i nā tumors a kū i nā tumors hou mai ka hana ʻana.

ʻO Chemotherapy ka mea maʻamau wale nō ke koho lāʻau lapaʻau no ka maʻi ʻekolu o ka umauma metastatic umauma maʻi (receptor-maikaʻi ʻole a me HER2-maikaʻi ʻole). Hoʻohana pū ʻia ʻo Chemotherapy me ka hoʻopili ʻia me nā HER2 i hoʻolālā ʻia no ka maʻi maʻi umauma HER2-maikaʻi.

Inā loaʻa mua iā ʻoe ka chemotherapy, ua kūʻē paha kou maʻi ʻaʻai i kēlā mau lāʻau. ʻOi aku ka maikaʻi o ka hoʻāʻo ʻana i nā lāʻau chemotherapy ʻē aʻe.

Nā hoʻoponopono Hormonal

ʻO ka poʻe me ka maʻi ʻaʻai umauma maikaʻi-hormone e pōmaikaʻi ia mai nā lāʻau e ālai ana i ka estrogen a me ka progesterone mai ka paipai ʻana i ka ulu ʻana o ka maʻi ʻaʻai, e like me tamoxifen a i ʻole kahi lāʻau mai ka papa i kapa ʻia nā mea kāohi aromatase.

ʻO nā lāʻau ʻē aʻe, e like me palbociclib a me fulvestrant, hiki ke hoʻohana ʻia no nā mea me ka maʻi estrogen-positive, HER2-maikaʻi ʻole.

ʻO nā mea i hoʻolālā ʻia no ka maʻi ʻaʻai umauma HER2-maikaʻi

Hiki ke mālama ʻia ʻo HER2-maikaʻi umauma maʻi ʻaʻai me nā mea i manaʻo ʻia e like me:

• kealopiko
• pertuzumab
• ado-trastuzumab emtansine
• lapatinib

Pāhawewe

Hiki i ka radiation radiation ke kōkua i ka luku ʻana i nā hunaola maʻi ʻaʻai i kahi wahi. Hiki paha iā ia ke hōʻemi i nā ʻōuli o ka maʻi ʻaʻai o ka umauma i nā akemāmā.

Nā hōʻailona hōʻoluʻolu

Makemake paha ʻoe i ka lāʻau e hoʻomāmā ai i nā ʻōuli i hoʻokumu ʻia e nā tumors i ka hāhā. Hiki paha iā ʻoe ke hana i kēia e:

• ke kahe nei i ka wai e hōʻiliʻili ana a puni ka akuma
• ʻōnaehana oxygen
• kahi stent e wehe i kāu ala kaʻa
• lāʻau lapaʻau ʻeha

Loaʻa nā lāʻau lapaʻau ʻē aʻe e ke kauka e kōkua ai i ka hoʻomaʻemaʻe i kāu ala ea a hoʻēmi i ka huehue. Hiki i nā poʻe ʻē aʻe ke kōkua me ka luhi, ka nele o ka makemake, a me ka ʻeha.

Loaʻa i kēlā me kēia o nā mālama ʻana nā hopena ʻē aʻe e like me ke kanaka. Aia iā ʻoe a me kāu kauka ke kaupaona i nā pōmaikaʻi a me nā hōʻino a hoʻoholo i nā ʻano lāʻau e hoʻonui ai i kou ola.

Inā hoʻomaka nā hopena ʻino e hōʻino i kou ola o ke ola, hiki iā ʻoe ke hoʻololi i kāu hoʻolālā lapaʻau a i ʻole koho e hōʻoki i kahi lapaʻau.

Ke aʻo nei nā kānaka noiʻi i nā ʻano hana like ʻole e like me:

• poly (ADP-ribose) polymerase (PARP) mea kāohi
• phosphoinositide-3 (PI-3) nā mea kūpina kinase
• bevacizumab (Avastin)
• immunotherapy
• ke kaʻapuni ʻana i nā hunaola tumo a me ka hoʻolaha ʻana i ka DNA tumo

Ke hoʻomau nei nā hoʻokolohua hoʻokolohua no ka mālama ʻana i ka maʻi ʻaʻai umauma metastatic. Inā makemake ʻoe e komo i kahi hoʻokolohua hoʻokolohua, e nīnau i kāu kauka no ka ʻike hou aku.

Outlook

He mea nui e hoʻomanaʻo ʻaʻohe hoʻokahi-nui-fits-all lapaʻau no ka maʻi ʻaʻai metastatic. Ma ka hana pū ʻana me kāu hui olakino, hiki iā ʻoe ke koho i nā ʻano lāʻau i kikoʻī ʻia i kāu mau pono.

Nui ka poʻe me ka maʻi ʻaʻai metastatic e hōʻoluʻolu i nā hui kākoʻo kahi e hiki ai iā lākou ke kamaʻilio me nā poʻe ʻē aʻe i loaʻa pū kekahi me ka maʻi ʻaʻai metastatic.

Aia pū kekahi nā hui aupuni a kūloko hoʻi i hiki ke kōkua iā ʻoe me kāu mau pono o kēlā me kēia lā, e like me nā hana o ka hale, e hoʻokele iā ʻoe i ka lāʻau lapaʻau, a i ʻole ke kōkua ʻana me nā lilo.

No ka ʻike hou aku e pili ana i nā kumuwaiwai, e kāhea aku i ka American Cancer Society 24/7 National Cancer Information Center ma 800-227-2345.

Nā ala e hōʻemi ai i ka makaʻu

ʻAʻole hiki ke kāohi ʻia kekahi mau mea kūpilikiʻi, e like me ka hoʻololi ʻana o ka moʻokūʻauhau, ke kāne a me ka makahiki. Akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou makaʻu no ka ulu ʻana i ka maʻi ʻaʻai umauma.

Pākuʻi ʻia kēia mau mea:

• hana i ka hoʻoikaika kino maʻamau
• inu waiona i ke kaulike
• he papaʻai olakino
• e hōʻalo nei i ka lilo ʻana i kaupaona a i ʻole ka momona
• puhipaka ʻole

Inā ua mālama mua ʻia ʻoe no ka maʻi ʻaʻai umauma, hiki i kēlā mau koho nohona ke kōkua i ka hōʻemi ʻana i ka hopena o ka hoʻi hou ʻana.

ʻOkoʻa nā ʻōlelo aʻoaʻo no ka kānana ʻana o ka maʻi ʻaʻai umauma ma muli o kou mau makahiki a me nā kumu pilikia. E nīnau i kāu kauka i ka nānā ʻana i ka maʻi ʻaʻai umauma kūpono iā ʻoe.

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.