He aha ke kahua 0 ka maʻi ʻaʻai umauma?

Anter

• Hōʻike Overview
• ʻO ke kanulau maʻi umauma vs. lobular carcinoma ma situ
• ʻOihana 0 vs. pae 1 ka maʻi ʻaʻai umauma
• Pehea ka maʻamau?
• Aia kekahi mau ʻōuli?
• Hoʻonui ka makaʻu paha kekahi poʻe?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai umauma pae?
• Pehea ka mālama ʻia ʻana o ka maʻi ʻaʻai umauma pae?
• E pono anei iaʻu i ka chemo?
• Nā hopohopo olakino noʻonoʻo
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO ka maʻi ʻaʻai umauma 0, a i ʻole carcomaoma ductal ma situ (DCIS), ke loaʻa nā keena ʻē aʻe i ka uhi o nā kahe waiū. Akā ʻaʻole kēlā mau hunaola i hohola ma ʻō aku o ka paia o ke kahena e hiki a puni i nā kiko, ke kahe o ke koko, a i ʻole nā ​​lymph node.

ʻAʻole noninvasive ʻo DCIS a kapa ʻia i kekahi manawa he "precancer." Eia nō naʻe, hiki i ka DCIS ke lilo i mea hoʻouka.

ʻO ke kanulau maʻi umauma vs. lobular carcinoma ma situ

ʻO ka maʻi ʻaʻai umauma pae i hoʻohana ʻia e hoʻopili i ka carcinoma lobular ma situ (LCIS). ʻOiai loaʻa ka huaʻōlelo carcinoma i ka inoa, ʻaʻole mahele ʻia ʻo LCIS e like me ka maʻi ʻaʻai. Pili ka LCIS i nā hunaola kūpono ʻole i loko o nā lobule, akā ʻaʻole lākou e pālahalaha ma ʻō aku o nā lobula.

Kāhea ʻia ʻo LCIS i kekahi manawa he "neoplasia lobular." ʻAʻole pono ia i ka lāʻau. Eia nō naʻe, hiki i ka LCIS ke hoʻonui i kou makaʻu i ka hoʻomōhala ʻana i ka maʻi ʻaʻai invasive i ka wā e hiki mai ana, no laila he mea nui ka ukali.

ʻOihana 0 vs. pae 1 ka maʻi ʻaʻai umauma

I ke kanulau umauma pae 1, hoʻouka ka maʻi ʻaʻai, ʻoiai he mea liʻiliʻi ia a paʻa ʻia i nā kiko o ka umauma (pae 1A), a i ʻole he wahi liʻiliʻi o nā hunaola maʻi ʻino i loaʻa i nā lymph node kokoke loa (pae 1B).

Ke nānā nei mākou i ka maʻi ʻaʻai umauma pae 0, ke kamaʻilio nei mākou e pili ana iā DCIS, ʻaʻole ka pae 1 i ka maʻi ʻaʻai umauma a LCIS paha.

Pehea ka maʻamau?

I ka makahiki 2019, aia ma kahi o 271,270 mau hihia hou o ka maʻi ʻaʻai umauma ma United States.

Hōʻike ʻo DCIS e pili ana i nā diagnose hou āpau.

Aia kekahi mau ʻōuli?

ʻAʻohe o nā ʻōuli o ke kanesa umauma pae 0, ʻoiai he kumu ia i kekahi manawa i ka puʻupuʻu o ka umauma a i ʻole ke kahe koko mai ka nipple.

Hoʻonui ka makaʻu paha kekahi poʻe?

ʻAʻole maopopo ke kumu kūpono o ka maʻi ʻaʻai umauma pae 0, akā aia kekahi mau mea i hiki ke hoʻonui i kou makaʻu, e like me:

• hoʻonui makahiki
• moʻolelo pilikino o hyperplasia atypical a i ʻole nā ​​maʻi maʻi umauma ʻē aʻe
• ka moʻolelo o ka ʻohana o ka umauma maʻi ʻaʻai a i ʻole nā ​​hoʻololi genetic i hiki ke hoʻonui i ka makaʻu o ka umauma maʻi ʻaʻai, e like me BRCA1 a i ʻole BRCA2
• ka hānau ʻana o kāu keiki mua ma hope o ka makahiki 30 a i ʻole hāpai
• i kou manawa mua ma mua o ka makahiki 12 a i ʻole e hoʻomaka ana i ka menopause ma hope o ka makahiki 55

Aia kekahi mau pilikia pilikia o ke ola, hiki ke hoʻololi ʻia e hōʻemi i kou makaʻu, e like me:

• hooikaika kino
• ke kaumaha nui ma hope o ka menopause
• ke lawe nei i ka lāʻau hoʻōla a i ʻole kekahi mau mea pale hormonal oral contraceptives
• inu rama
• puhipaka

Pehea e ʻike ʻia ai ka maʻi ʻaʻai umauma pae?

E ʻike i kāu kauka inā loaʻa kahi puʻupuʻu a i ʻole nā ​​hoʻololi ʻē aʻe i kou umauma. Kūkākūkā i kāu moʻolelo ʻohana o ka maʻi ʻaʻai a nīnau i ka manawa hea ʻoe e nānā ʻia.

ʻIke pinepine ʻia ka maʻi ʻaʻai umauma ma ka nānā ʻana o ka mammogram. Ma hope o kahi mamamogram kānalua, hiki i kāu kauka ke kauoha i kahi mammogram diagnostic a i ʻole nā ​​hōʻike kiʻi ʻē aʻe, e like me kahi ultrasound.

Inā loaʻa kekahi nīnau e pili ana i ka wahi kānalua, pono ʻoe i kahi biopsy. No kēia, e hoʻohana ke kauka i kahi nila no ka hemo ʻana i kahi laʻana kiko. E nānā kahi pathologist i ke kiko ma lalo o ka microscope a hāʻawi i kahi hōʻike i kāu kauka.

E ʻōlelo ka hōʻike pathology aia paha he mau hunaola ʻino i laila a, inā pēlā, pehea ka ikaika o lākou.

Pehea ka mālama ʻia ʻana o ka maʻi ʻaʻai umauma pae?

ʻO ka Mastectomy, a i ʻole ka hemo ʻana o kou umauma, he lāʻau lapaʻau ia no ka pae 0 ka maʻi ʻaʻai umauma, akā ʻaʻole pono mau i kēia lā.

ʻO kekahi o nā kumu e noʻonoʻo ai i ka mastectomy:

• Loaʻa iā ʻoe DCIS ma mua o hoʻokahi hapa o ka umauma
• nui ka wahi e pili ana i ka nui o kou umauma
• ʻaʻole hiki iā ʻoe ke loaʻa i ka radiation radiation
• makemake ʻoe i ka mastectomy ma mua o ka lumpectomy me ka radiation radiation

ʻOiai hemo ka mastectomy i ka umauma holoʻokoʻa, hoʻopau ka lumpectomy i kahi wale nō o DCIS a me kahi palena liʻiliʻi a puni ia. Kapa ʻia ʻo Lumpectomy kahi ʻoki mālama mālama umauma a i ʻole ke kala ākea kūloko. Mālama kēia i ka hapa nui o ka umauma a ʻaʻole ʻoe e pono i kahi ʻoki hou.

Hoʻohana ka radiation radiation i nā kaola ikaika-nui e luku ai i nā hunaola ʻino i waiho ʻia paha ma hope o ke kaha ʻana. Hiki i ka radiation radiation no ka pae 0 ka maʻi ʻaʻai umauma ke ukali i kahi lumpectomy a i ʻole mastectomy. Hāʻawi ʻia nā mālama ʻana he ʻelima mau lā i ka pule no kekahi mau pule.

Inā loaʻa ka DCIS i ka receptor-positive (HR +), hiki ke hoʻohana ʻia i ka hoʻōla hormonone e hoʻohaʻahaʻa i nā manawa o ka hoʻomake ʻana i ka maʻi ʻaʻai umauma maʻi ma hope.

ʻOkoʻa kēlā me kēia hihia, no laila e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pilikia o kēlā me kēia ʻano lapaʻau.

E pono anei iaʻu i ka chemo?

Hoʻohana ʻia ʻo Chemotherapy e hoʻoliʻiliʻi i nā tumors a luku i nā hunaola maʻi ʻaʻai i loko o ke kino. ʻOiai noninvasive ka maʻi ʻaʻai umauma 0, ʻaʻole pono kēia lapaʻau ʻōnaehana.

Nā hopohopo olakino noʻonoʻo

Ke aʻo ʻoe aia ʻoe i ka maʻi ʻaʻai umauma 0, loaʻa iā ʻoe kekahi mau hoʻoholo nui e hoʻoholo ai. He mea nui e kamaʻilio me kāu kauka e pili ana i kāu hōʻoia ma ka hohonu. E noi i ka wehewehe inā ʻaʻole ʻoe e maopopo pono i ka hōʻailona a i kāu koho lapaʻau. Hiki iā ʻoe ke hoʻolōʻihi i ka manawa e loaʻa ai ka manaʻo ʻelua.

Nui nā mea e noʻonoʻo ai. Inā hopohopo ʻoe, pilikia ʻoe, a i ʻole he pilikia e kāpae me ka ʻike a me ka lāʻau, e kamaʻilio me kāu kauka. Hiki iā lākou ke kuhikuhi iā ʻoe i nā lawelawe kākoʻo i kou wahi.

Eia kekahi mau mea ʻē aʻe e noʻonoʻo ai:

• E kiʻi aku i nā hoaaloha a me ʻohana no ke kākoʻo.
• E kamaʻilio me kahi mea hoʻoponopono a mea ʻona ola olakino ʻē aʻe.
• E hui pū me kahi hui kākoʻo pūnaewele a i ʻole kanaka. Hāʻawi ka ʻAmelika Hui Pū ʻIa ʻAmelika Hui Pū ʻIa i nā ʻikepili e pili ana i nā kumuwaiwai, ma ka pūnaewele a ma kāu wahi paha. Hiki iā ʻoe ke kamaʻilio pū me kahi lunamakaʻāinana a i ʻole, inā ʻoe ma ʻAmelika Hui Pū ʻIa, e kāhea i ka kōkua kōkua ma 1-800-227-2345.

ʻO nā papahana e hōʻoluʻolu ai i ke koʻikoʻi a me ka hopohopo pū kekahi:

• hoʻoikaika kino
• yoga a noʻonoʻo paha
• hoʻoikaika hanu hohonu
• lomilomi (e nīnau mua i kāu kauka)
• lawa ka hiamoe i kēlā me kēia pō
• ka mālama ʻana i ka papaʻai kaulike

He aha ke kuanaʻike?

Hiki ke lohi i ka ulu ʻana o ka maʻi ʻaʻai ʻū a ʻaʻole holomua i ka maʻi ʻaʻai. Hiki ke mālama maikaʻi ʻia.

ʻO nā wahine i loaʻa iā DCIS ma kahi o 10 mau manawa e hoʻomohala i ka maʻi ʻaʻai maʻi maʻi invasive ma mua o nā wahine i loaʻa ʻole iā DCIS.

I ka 2015, ua nānā ʻia ma mua o 100,000 mau wahine i ʻike ʻia me ka maʻi ʻaʻai umauma pae. Ua hoʻohālikelike nā kānaka noiʻi i ka helu make 10 makahiki o ka maʻi ʻaʻai umauma kikoʻī ma 1.1 pakeneka a me ka helu 20-makahiki ma 3.3 pakeneka.

No nā wahine i loaʻa iā DCIS, ua hoʻonui ʻia ka makaʻu o ka make ʻana i ka maʻi ʻaʻai umauma e 1.8 mau manawa ma mua o nā wahine i ka heluna lehulehu. Ua ʻoi aku ka kiʻekiʻe o ka make no nā wahine i ʻike ʻia ma mua o ka 35 mau makahiki ma mua o nā wahine ʻelemakule, a me nā ʻAmelika ʻAmelika ma luna o ka poʻe Caucasians.

No kēia mau kumu, hiki i kāu kauka ke koi aku i ka loiloi pinepine ʻana ma mua inā ʻaʻole ʻoe i loaʻa ʻo DCIS.