He aha e nīnau aku ai i kāu kauka e pili ana i ka maʻi ʻaʻai umauma
Anter
- I kēia manawa ua hōʻoia ʻia wau me ka maʻi ʻaʻai umauma, aia kekahi mau hōʻike kiʻi ʻē aʻe e pono ai iaʻu?
- He aha ke ʻano o ka maʻi ʻaʻai umauma i loaʻa iaʻu, ma hea ia e noho ai, a he aha ke ʻano o kēia no koʻu kuanaʻike?
- Pehea ka lōʻihi o ka palahalaha ʻana o kuʻu tumo?
- He aha ka papa ʻōiwi?
- ʻO kaʻu receptor hōmona cancer-positive a i ʻole receptor hormone-maikaʻi ʻole?
- Loaʻa i nā pūnaewele maʻi ʻaʻai i nā mea loaʻa ʻē aʻe i luna e hiki ke hoʻopili i kaʻu lāʻau.
- He aha nā hōʻailona o ka maʻi ʻaʻai umauma e ʻike ai paha wau?
- He aha kaʻu mau koho lapaʻau no ka maʻi ʻaʻai umauma?
- He aha nā ʻano o nā koho ʻoki e loaʻa iaʻu?
- He aha ke ʻano o ka lāʻau lapaʻau i loaʻa iaʻu?
- He aha nā ʻano chemotherapy i nā koho naʻu?
- He aha nā ʻano o ka hormone therapy i mau koho naʻu?
- He aha nā ʻano o ka monoclonal antibody therapy i mau koho naʻu?
- He aha nā ʻano o ka radiation therapy i mau koho naʻu?
- Pono wau e haʻalele i ka manawa mai ka hana no kekahi o nā therapies. Ahea wau e hiki ai ke hoʻi hou i ka hana?
- He aha koʻu kuanaʻike ma hope o ka lapaʻau ʻana?
- Aia kekahi mau hoʻokolohua hoʻokolohua no nā hana lapaʻau e hiki ai iaʻu ke komo pū?
- No ke aha wau i loaʻa ai i ka maʻi ʻaʻai umauma?
- He aha nā mea e hiki iaʻu ke hana ma ka home e hoʻomaikaʻi ai i koʻu kuanaʻike ma hope o ka mālama ʻana a hoʻomaikaʻi i koʻu ʻano o ke ola?
- He aha nā kumuwaiwai i loaʻa iaʻu?
ʻAʻole maopopo i hea e hoʻomaka ai ke nīnau i kāu kauka e pili ana i kāu maʻi maʻi maʻi umauma? ʻO kēia mau nīnau 20 kahi wahi maikaʻi e hoʻomaka ai:
I kēia manawa ua hōʻoia ʻia wau me ka maʻi ʻaʻai umauma, aia kekahi mau hōʻike kiʻi ʻē aʻe e pono ai iaʻu?
E noi i kāu oncologist inā ʻoe e pono i nā hoʻokolohua kiʻi ʻē aʻe e hoʻoholo inā ʻaʻole i pāhola ka tumo i nā lymph node a i ʻole nā ʻāpana o kou kino.
He aha ke ʻano o ka maʻi ʻaʻai umauma i loaʻa iaʻu, ma hea ia e noho ai, a he aha ke ʻano o kēia no koʻu kuanaʻike?
E nīnau i kāu oncologist, e pili ana i kāu biopsy, he aha ka subtype o ka maʻi ʻaʻai umauma i loaʻa iā ʻoe, kahi i loaʻa ai i ka umauma, a he aha ke ʻano o kāu hoʻolālā lapaʻau a me kāu kuanaʻike ma hope o ka mālama ʻana.
Pehea ka lōʻihi o ka palahalaha ʻana o kuʻu tumo?
Ka hoʻomaopopo ʻana i ke ʻano o ka maʻi ʻaʻai nui āu i nui ai. E noi i kāu kauka e wehewehe i ke kahua iā ʻoe a ʻike ma kahi ʻē aʻe ma kahi o ka umauma i loaʻa ai nā tumors.
Wahi a ka, hoʻokumu ʻia ke kahua o kou umauma maʻi ʻaʻai i ka nui o ka tumo, inā paha ua pālahalaha ka maʻi ʻaʻai i nā lymph node, a inā ua pāhola ka maʻi ʻaʻai i nā wahi ʻē aʻe i ke kino.
He aha ka papa ʻōiwi?
Nā ʻano kikoʻī o nā hunaola maʻi ʻaʻaiuma i ka hopena o kou tumo. Hoʻopili kēia i ka nui o nā hunaola tumo e kope nei, a pehea e ʻike ʻole ʻia ai nā hunaola tumora ke nānā ʻia ma lalo o kahi microscope.
ʻO ke kiʻekiʻe o ka papa, ʻo ka liʻiliʻi o nā hunaola maʻi ʻaʻai e like me nā hunaola umauma maʻamau. Hiki i ka mākau o kou tumo ke hoʻohuli i kāu nānā a me kāu papa hana.
ʻO kaʻu receptor hōmona cancer-positive a i ʻole receptor hormone-maikaʻi ʻole?
E nīnau i kāu kauka inā loaʻa i kāu maʻi ʻaʻai. ʻO kēia mau mole i ka ʻili o ke kiko e paʻa ai i nā homone i ke kino e hiki ai ke hoʻoulu i ka tumo e ulu.
E nīnau kikoʻī i kou maʻi ʻaukā ʻo estrogen receptor-positive a receptor-Negative, a progesterone receptor-positive or receptor-Negative. E hoʻoholo ka pane inā hiki iā ʻoe ke hoʻohana i nā lāʻau e kāohi i ka hopena o nā hormones e mālama ai i kou maʻi maʻi ʻōpū.
Inā ʻaʻole i hoʻokomo kāu biopsy i ka hoʻāʻo ʻana no nā mea loaʻa homone, e noi i kāu kauka e hana i kēia mau hoʻokolohua ma ka hōʻike biopsy.
Loaʻa i nā pūnaewele maʻi ʻaʻai i nā mea loaʻa ʻē aʻe i luna e hiki ke hoʻopili i kaʻu lāʻau.
Loaʻa i kekahi o nā hunaola maʻi ʻaʻai i nā ʻāpana a i ʻole nā mole i ka ʻili i hiki ke hoʻopaʻa i nā protein ʻē aʻe i ke kino. Hiki i kēia mau mea ke hoʻonāukiuki i ka tumo e ulu.
Eia kekahi laʻana, ke koi nei ka American Cancer Society (ACS) i nā mea maʻi āpau me ka maʻi ʻaʻai umauma maʻi e hoʻāʻo e ʻike inā loaʻa i kā lākou mau hunaola tumero nā pae kiʻekiʻe o ka HER2 protein receptor. He mea nui kēia no ka mea aia nā koho lapaʻau hou aʻe no nā maʻi maʻi umauma HER2-maikaʻi.
E noi i kāu oncologist inā he HER2-maikaʻi kou maʻi ʻaʻai. A inā ʻaʻole ʻoe i hoʻāʻo ʻia no nā HER2 protein reseptor, e nīnau i kāu oncologist e kauoha i ka hōʻike.
He aha nā hōʻailona o ka maʻi ʻaʻai umauma e ʻike ai paha wau?
E ʻike i nā ʻōuli o ka maʻi ʻaʻai umauma āu e ʻike ai i ka wā e hiki mai ana, a he aha nā hōʻailona āu e launa aku ai i kāu kauka.
He aha kaʻu mau koho lapaʻau no ka maʻi ʻaʻai umauma?
E pili ana kāu mālama ʻana i kēia mau mea:
- ʻano maʻi ʻaʻai
- papa o ka maʻi ʻaʻai
- hormone a me ka kūlana receptor HER2
- pae o ka maʻi ʻaʻai
- kou moʻolelo olakino a me kou mau makahiki
He aha nā ʻano o nā koho ʻoki e loaʻa iaʻu?
Hiki paha iā ʻoe ke moho no ka wehe ʻana i ka tumor (lumpectomy), ka wehe ʻana o ka umauma (mastectomy), a me ka wehe ʻana i nā lymph nodes i hoʻopili ʻia. E wehewehe i kāu kauka i nā pilikia a me nā pono o kēlā me kēia koho.
Inā paipai kāu kauka i kahi mastectomy, e nīnau iā lākou inā he koho kāu e hana hou ai i ka umauma.
He aha ke ʻano o ka lāʻau lapaʻau i loaʻa iaʻu?
E noi i kāu oncologist inā loaʻa iā ʻoe kekahi o nā ʻano o kēia ʻano.
- chemotherapy
- pāhawewe
- lāʻau hoʻoikaika kino
- monoclonal antibody therapy
He aha nā ʻano chemotherapy i nā koho naʻu?
Inā paipai kāu kauka iā chemotherapy, e nīnau iā lākou i ka regimens chemo hoʻohui e noʻonoʻo ʻia. E ʻike he aha nā pilikia a me nā pōmaikaʻi o ka chemotherapy.
He mea nui nō hoʻi e nīnau he aha nā hopena ʻē aʻe o ka regimens chemo hoʻohui. ʻO kahi laʻana, inā he hopohopo nou ka nalo ʻana i kou lauoho no ka manawa pōkole, e nīnau i kāu oncologist inā paha nā lāʻau i ʻōlelo ʻia e lilo ka lauoho i ka lauoho a i ʻole alopecia.
He aha nā ʻano o ka hormone therapy i mau koho naʻu?
Inā paipai kāu oncologist i ka hoʻomaʻamaʻa hormonone, e nīnau i kahi o kēia mau ʻano lāʻau e noʻonoʻo nei. E ʻike he aha nā pilikia a me nā pōmaikaʻi o ka hormone therapy a me nā hopena ʻē aʻe e hiki ai.
He aha nā ʻano o ka monoclonal antibody therapy i mau koho naʻu?
Palaka nā pale pale monoclonal i ka hoʻopili ʻana o nā mea i nā mea loaʻa ma luna o ka ʻeho. Inā paipai kāu oncologist i ka therapy me nā monoclonal antibodies, e nīnau i kāu kauka he aha nā ʻano lāʻau e noʻonoʻo nei.
E ʻike he aha nā pilikia a me nā pōmaikaʻi a me nā hopena ʻē aʻe o nā monoclonal antibodies.
He aha nā ʻano o ka radiation therapy i mau koho naʻu?
E ʻike he aha nā pilikia a me nā pōmaikaʻi o ka radiation no kou maʻi ʻaʻai, a he aha nā hopena ʻē aʻe e hiki ai.
Pono wau e haʻalele i ka manawa mai ka hana no kekahi o nā therapies. Ahea wau e hiki ai ke hoʻi hou i ka hana?
E noi i kāu oncologist inā e koi nā hopena ʻaoʻao o kāu lāʻau iā ʻoe e hoʻomaha manawa mai ka hana i ka wā a ma hope paha o ka mālama ʻana. A e hoʻomaopopo mua i kāu luna hana i ka mea a kāu hui olakino e paipai ai.
He aha koʻu kuanaʻike ma hope o ka lapaʻau ʻana?
Pili kāu nānā ma hope o ka mālama ʻana i kēia mau mea:
- kou mōʻaukala olakino
- kou mau makahiki
- ʻano tumo
- papa tumo
- kahi o ka tumo
- pae o ka maʻi ʻaʻai
ʻO ka manawa ma mua o kāu pae o ka maʻi ʻaʻai o ka umauma i ka manawa o ke kuhi a me ka mālama ʻana, ʻoi aku ka nui o ka likelika e kūleʻa ka lāʻau.
Aia kekahi mau hoʻokolohua hoʻokolohua no nā hana lapaʻau e hiki ai iaʻu ke komo pū?
Inā loaʻa iā ʻoe kahi pae holomua o ka maʻi ʻaʻai umauma, makemake paha ʻoe e noʻonoʻo e pili ana i nā hoʻokolohua hoʻokolohua. Hiki paha i kāu oncologists ke kuhikuhi iā ʻoe i ke ala kūpono, a i ʻole hiki iā ʻoe ke nānā iā http://www.clinicaltrials.gov/ no ka ʻike hou aku.
No ke aha wau i loaʻa ai i ka maʻi ʻaʻai umauma?
ʻAʻole hiki ke pane i kēia nīnau, akā ʻaʻole ʻeha ke nīnau. Aia paha he mau kumu pilikia e like me ka mōʻaukala ʻohana a i ʻole nā hana nohona e like me ka puhipaka ʻana. Hiki i ka momona ke hoʻonui i ka makaʻu o ka loaʻa ʻana i ka maʻi ʻaʻai umauma.
He aha nā mea e hiki iaʻu ke hana ma ka home e hoʻomaikaʻi ai i koʻu kuanaʻike ma hope o ka mālama ʻana a hoʻomaikaʻi i koʻu ʻano o ke ola?
E noi i kāu oncologist inā aia nā loli nohona hiki iā ʻoe ke hana. Hoʻohui ʻia nā loli i ʻōlelo ʻia:
- ke hoʻololi nei i kāu papaʻai
- hoʻohaʻahaʻa kaumaha
- hoʻoikaika kino
- hooki ana i ka puhi baka
- e hoʻēmi nei i ka inu ʻalekohola
E kōkua kēia mau mea i ka wikiwiki i kou ola hou ʻana mai ka lāʻau lapaʻau a hoʻonui i kou manawa o kahi hopena maikaʻi aʻe.
He aha nā kumuwaiwai i loaʻa iaʻu?
He mea nui ka loaʻa ʻana o ke kōkua a me ke kākoʻo i kēia manawa. E noʻonoʻo e pili ana i ka hele ʻana i nā pūʻulu kākoʻo kūloko no nā mea e like me nā pilikia kālā a me ka loaʻa ʻana o ke kākoʻo kūpono e like me ka loaʻa ʻana o ka halihali inā pono. Hiki iā ʻoe ke loaʻa i ke kākoʻo naʻau mai nā pūʻulu aʻoaʻo e like me ka American Cancer Society.
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