Mai ke kumukūʻai a mālama mālama: 10 mau mea e ʻike ai i ka hoʻomaka ʻana o Metastatic umauma maʻi ʻaʻai

Anter

• 1. ʻAʻole mālama ka lapaʻau i ka maʻi ʻaʻai umauma metastatic
• 2. He mea nui kou kūlana maʻi ʻaʻai
• 3. E hoʻolōʻihi ʻoe i ka manawa i nā hale olakino
• 4. pipiʻi ka mālama ʻana i ka maʻi ʻaʻai
• 5. E kakali i nā hopena ʻaoʻao
• 6. Pono ʻoe i kōkua
• 7. ʻOkoʻa ʻoe mai nā mea ʻē aʻe me ka maʻi ʻaʻai umauma
• 8. He mea nui kou maikaʻi o ke ola
• 9. ʻO ka hoʻokolokolo hoʻokolohua he koho mau
• 10. ʻAʻole ʻoe hoʻokahi

Ke ʻike ʻia nei me ka maʻi ʻaʻai umauma metastatic kahi ʻike nui loa. ʻO ka maʻi ʻaʻai a me kāna mau hoʻoponopono ʻana e lawe paha i ka nui o kou ola i kēlā me kēia lā. E neʻe kāu kikoʻī mai ka ʻohana a hana i nā kipa ʻana a ke kauka, nā hoʻokolohua koko, a me nā scans.

Kamaʻāina paha kēia ao lapaʻau hou iā ʻoe. Nui paha kāu mau nīnau e pili ana i ka maʻi ʻaʻai umauma metastatic, e like me:

• ʻO ka lāʻau hea kūpono iaʻu?
• Pehea e hana maikaʻi ai e kūʻē i kuʻu maʻi ʻaʻai?
• He aha kaʻu e hana ai inā ʻaʻole holo pono?
• Ehia nā kumukūʻai e mālama ai iaʻu? Pehea wau e uku ai?
• ʻO wai ka mea e mālama iaʻu ke hele nei wau i loko o ka maʻi ʻaʻai?

Eia kekahi ʻike nui e kōkua iā ʻoe e hoʻomākaukau no ka mea e hiki mai ana.

1. ʻAʻole mālama ka lapaʻau i ka maʻi ʻaʻai umauma metastatic

ʻO ka ʻike ʻana ʻaʻole hiki iā ʻoe ke hoʻōla ʻia kekahi o nā ʻāpana paʻakikī loa o ka noho ʻana me ka maʻi ʻaʻai umauma metastatic. Ke kau ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o kou kino, ʻaʻole hiki ke curable.

Akā ʻaʻole hiki ke hoʻōla ʻaʻole hiki ke mālama ʻia. Hiki i ka Chemotherapy, radiation, a me ka hormone a me nā therapies i hoʻomākaukau ʻia ke hōʻemi i kou tumo a hoʻolohi i kou maʻi. Hiki i kēia ke hoʻolōʻihi i kou ola a kōkua iā ʻoe e hōʻoluʻolu i ke kaʻina.

2. He mea nui kou kūlana maʻi ʻaʻai

ʻAʻole hoʻokahi ka nui o ka mālama ʻana i ka maʻi ʻaʻai umauma. Ke kuhi ʻia ʻoe, e holo ana kāu kauka i nā hoʻokolohua no kekahi mau homone receptor, nā genes, a me nā mea ulu. Kōkua kēia mau hoʻāʻo e kuhikuhi i ka lapaʻau kūpono loa no kāu ʻano maʻi ʻaʻai.

Kapa ʻia kekahi ʻano o ka maʻi ʻaʻai o ka umauma me he receptor-positive. Kōkua nā hormoni estrogen a me progesterone i ka ulu ʻana o nā hunaola maʻi ʻaʻai. Loaʻa iā lākou kēia hopena ma nā hunaola maʻi ʻaʻai me kahi receptor hormone ma ko lākou ʻili. ʻO ka receptor e like me ka laka, a ʻo ka hōmona me he kī lā i komo i loko o kēlā laka. ʻO nā maʻi maʻi umauma Hormone receptor-positive tubers e pane maikaʻi i nā lāʻau hormonone e like me tamoxifen a i ʻole nā ​​mea kāohi aromatase, ka mea e hoʻōki i ka estrogen mai ke kōkua ʻana i nā hunaola maʻi ʻaʻai.

Kekahi umauma maʻi 'aʻai keena loaʻa kanaka epidermal ulu ololi nā mīkiniʻimi (HERs) ma luna o lākouʻili. ʻO HER nā protein i hōʻailona i nā hunaola maʻi ʻāpana e māhele. E ulu ana nā aʻa maʻi ʻaʻai ʻo HER2-maikaʻi a hoʻokaʻawale ʻoi aku ka ikaika ma mua o ka maʻamau. Mālama ʻia lākou me nā lāʻau i manaʻo ʻia e like me trastuzumab (Herceptin) a i ʻole pertuzumab (Perjeta) e ālai ana i kēia mau hōʻailona ulu ulu.

3. E hoʻolōʻihi ʻoe i ka manawa i nā hale olakino

ʻO nā mālama ʻana no ka maʻi ʻaʻai umauma metastatic koi i nā kipa he nui me nā kauka a me nā limahana olakino ʻē aʻe ma nā haukapila a me nā keʻena lapaʻau. Hiki paha iā ʻoe ke makani i ka hoʻolilo ʻana i ka hapa nui o kou manawa i ke keʻena o ke kauka.

ʻO Chemotherapy, no ka laʻana, he hana lōʻihi. Hiki iā ia ke hoʻolōʻihi i mau hola. Ma waena o nā ʻano hoʻomalu, pono ʻoe e hoʻi i kāu kauka no nā hoʻokolohua e hōʻoia i ka holo ʻana o kāu therapy o kēia manawa.

4. pipiʻi ka mālama ʻana i ka maʻi ʻaʻai

ʻOiai inā he ʻinikua kāu ma o kāu haku a Medicare paha, ʻaʻole paha ia e uhi i kāu koina lapaʻau. ʻO ka hapa nui o nā hoʻolālā ʻinikua pilikino he pāpale - kahi palena i ka nui āu e uku ai ma waho o ka ʻeke ma mua o ka kiki ʻana o ka hoʻolālā. Hiki iā ʻoe ke hoʻolilo he mau kaukani kālā ma mua o ka hiki ʻana i kāu pāpale. I ka wā o kāu mālama ʻana, ʻaʻole hiki iā ʻoe ke hana a huki i ka uku like me ʻoe i hana ai ma mua, i hiki ke paʻakikī i nā mea.

Ma mua o kou hoʻomaka ʻana i ka lāʻau, e ʻike i nā kumukūʻai i manaʻo ʻia mai kāu kime lapaʻau. A laila, e kāhea i kāu ʻoihana inikua olakino e nīnau i ka nui o kā lākou e uhi ai. Inā hopohopo ʻoe ʻaʻole hiki iā ʻoe ke uku i kāu mau kauka lapaʻau, e noi i kahi limahana kaiaulu a i ʻole mea kākoʻo maʻi ma kou haukapila no ka ʻōlelo aʻo e pili ana i ke kōkua kālā.

5. E kakali i nā hopena ʻaoʻao

He maikaʻi loa ka mālama ʻana i ka maʻi ʻaʻai umauma i kēia lā, akā hiki mai lākou i ke kumu kūʻai o nā hopena ʻoluʻolu a ʻoluʻolu ʻole paha.

Hiki i nā hoʻoponopono Hormone ke ʻike iā ʻoe i nā ʻōuli he nui o ka menopause, e like me nā kukuna wela a me nā iwi lahilahi (osteoporosis). Hiki i ka Chemotherapy ke hāʻule i kou lauoho, a hoʻonāukiuki i ka nausea, ka luaʻi, a me ka palahī.

He mau lapaʻau kāu kauka e kōkua iā ʻoe e hoʻokele i kēia a me nā hopena ʻaoʻao ʻē aʻe.

6. Pono ʻoe i kōkua

ʻO ka mālama ʻana no ka maʻi ʻaʻai umauma hiki ke luhi. Hoʻohui, chemotherapy a me nā maʻi ʻaʻai ʻē aʻe hiki ke alakaʻi i ka luhi. Ke manaʻo nei ʻaʻole hiki iā ʻoe ke hoʻokō i nā mea āpau i hiki iā ʻoe ke hana ma mua o kāu kuhi.

Hiki i ke kākoʻo mai kāu poʻe aloha ke hoʻololi nui. E kiʻi aku i kou ʻohana a me nā hoaaloha no ke kōkua me nā hana e like me ka kuke ʻana, ka hoʻomaʻemaʻe ʻana, a me nā hale kūʻai. E hoʻohana i kēlā manawa e hoʻomaha a loaʻa hou kou ikaika. E noʻonoʻo paha ʻoe i ka hoʻolimalima ʻana i ke kōkua inā pono.

7. ʻOkoʻa ʻoe mai nā mea ʻē aʻe me ka maʻi ʻaʻai umauma

ʻO kēlā me kēia kanaka i ʻike ʻia me ka mālama ʻia ʻana no ka maʻi ʻaʻai umauma metastatic he ʻokoʻa. ʻOiai inā he ʻano like kou o ka maʻi ʻaʻai umauma e like me ka mea ʻē aʻe āu e ʻike ai, ʻaʻole paha e hoʻomaʻamaʻa kāu kanesa - a pane paha i ka lāʻau lapaʻau - e like me kā lākou.

E hoʻāʻo e kia i kāu kūlana ponoʻī. ʻOiai maikaʻi e kiʻi i ke kākoʻo mai nā poʻe ʻē aʻe, mai hoʻohālikelike iā ʻoe iho i nā poʻe ʻē aʻe me ka maʻi ʻaʻai umauma.

8. He mea nui kou maikaʻi o ke ola

E ʻōlelo ana kāu kauka i nā koho lapaʻau, akā ʻo ka mea i koho ʻia nā mea e hoʻāʻo ana nāu. Koho i nā hōʻailona e hoʻolōʻihi i kou ola no ka lōʻihi e hiki ai, akā e loaʻa hoʻi nā hopena ʻaoʻao paʻa loa.

Lawe pono i ka mālama palliative, kahi e hoʻopili ai i nā ʻenehana hōʻeha ʻeha a me nā ʻōlelo aʻoaʻo ʻē aʻe e kōkua iā ʻoe e hōʻoluʻolu maikaʻi i kāu wā e mālama ai. Hāʻawi ka nui o nā haukapila i ka mālama palliative ma ke ʻano he ʻāpana o kā lākou papahana maʻi ʻaʻai.

9. ʻO ka hoʻokolokolo hoʻokolohua he koho mau

Inā ua hoʻāʻo kāu kauka i nā lapaʻau āpau no ka maʻi ʻaʻai umauma metastatic a ʻaʻole lākou i hana a i ʻole ua oki paha ka hana ʻana, mai hāʻawi pio. Hoʻolālā mau nā hana hou i ka hoʻomohala.

E noi i kāu kauka inā hiki iā ʻoe ke kākau inoa i kahi hoʻokolohua hoʻokolohua. Hiki paha i kahi lāʻau hoʻowalewale hoʻokolohua ke hoʻolohi - a i ʻole hoʻōla - kahi maʻi ʻaʻai i manaʻo ʻia ʻaʻole hiki ke mālama ʻia.

10. ʻAʻole ʻoe hoʻokahi

I ka makahiki 2017, ua manaʻo ʻia e noho me ka maʻi ʻaʻai umauma metastatic i ʻAmelika Hui Pū ʻIa. Ua ʻāpana ʻē ʻoe o kahi kaiāulu i piha me nā poʻe ʻike maoli i kāu mea e hele nei.

Hoʻohui pū me lākou ma o kā mākou polokalamu manuahi, Breast Cancer Healthline, i loaʻa no iPhone a me Android. Hiki iā ʻoe ke kaʻana like i nā ʻike, nīnau i nā nīnau, a hui pū i kahi kaiāulu me nā kaukani wahine ʻē aʻe e noho nei me ka maʻi ʻaʻai umauma.

A i ʻole, ʻimi i ke kākoʻo ma o nā pūʻulu kākoʻo pūnaewele a me nā poʻe. E ʻike i nā hui i kou wahi ma o nā hui e like me ka American Cancer Society, a i ʻole ma o kāu haukapila maʻi ʻaʻai. Hiki iā ʻoe ke ʻimi i nā ʻōlelo aʻoaʻo pilikino mai nā mea hoʻoponopono a i ʻole nā ​​mea lawelawe olakino ʻē aʻe ke kaumaha ʻoe.