9 Nā ʻano o ka maʻi maʻi umauma e pono e ʻike nā kānaka a pau

Anter

• He aha ka maʻi maʻi umauma?
• Pehea ʻoe e hoʻoholo ai i ke ʻano o ka maʻi ʻaʻai umauma o kekahi?
• Nā ʻano ʻokoʻa o ka maʻi ʻaʻai umauma
• Nānā no

Loaʻa ʻike ʻoe i kekahi me ka maʻi ʻaʻai umauma: ʻo 1 mau paha ma 8 mau wahine ʻAmelika e ulu i ka maʻi ʻaʻai umauma i kona wā e ola ana. ʻOiai, aia kahi manawa kūpono ʻaʻole ʻoe e ʻike nui e pili ana i nā ʻano like ʻole o ka maʻi ʻaʻai umauma i hiki i kekahi ke loaʻa. ʻAe, nui nā ʻano like ʻole o kēia maʻi a ʻike iā lākou e hoʻopakele paha i kou ola (a i ʻole kekahi).

He aha ka maʻi maʻi umauma?

"ʻO ka maʻi kanesa o ka umauma kahi huaʻōlelo bakeke nui e hoʻopuni ana i nā maʻi maʻi āpau i loko o ka umauma, akā he nui nā ʻano o ka maʻi maʻi umauma a me nā ʻano he nui e hoʻokaʻawale iā lākou," wahi a Janie Grumley, MD, he oncologist oncologist a me ka luna o ka Margie Petersen. ʻO ka umauma ma Providence Saint John's Center Santa Monica, CA.

Pehea ʻoe e hoʻoholo ai i ke ʻano o ka maʻi ʻaʻai umauma o kekahi?

ʻO nā mea wehewehe koʻikoʻi inā he invasive a ʻaʻole paha ka maʻi kanesa o ka umauma (in-situ ʻo ia ke ʻano o ka maʻi kanesa i loko o nā ʻauamo o ka umauma a hiki ʻole ke palahalaha; hiki i ka invasive ke hele ma waho o ka umauma; a i ʻole metastatic, ʻo ia hoʻi, ua hele ka maʻi kanesa i kekahi nā pūnaewele i ke kino); ke kumu o ka ma'i 'a'ai a me ke 'ano o ke kino e pili ana (ductal, lobular, carcinoma, or metaplastic); a he aha ke ʻano o nā mea loaʻa nā hormonal i loaʻa (estrogen; progesterone; receptor 2 a i ʻole HER-2; a i ʻole ʻekolu mau hopena maikaʻi ʻole, ʻaʻohe o nā mea i hōʻike ʻia ma luna). ʻO nā mea loaʻa nā mea e hōʻailona ai i nā hunaola o ka umauma (maʻi ʻaʻai a me nā mea olakino ʻē aʻe) e ulu. Hoʻopili kēia mau mea āpau i ke ʻano o ka lapaʻau e maikaʻi loa. ʻO ka maʻamau, ʻo ke ʻano o ka maʻi ʻaʻai umauma e hoʻopili i kēia ʻike āpau i ka inoa. (E pili ana: Pono e ʻike ʻia e pili ana i ka maʻi maʻi umauma)

ʻIke mākou - he mea nui ia e hoʻomanaʻo ai. A ma muli o ka nui o nā loli, aia a nui nā ʻano like ʻole o ka maʻi ʻaʻai umauma-ke hoʻomaka ʻoe e komo i nā subtypes, ulu ka papa inoa ma mua o ke kakini. ʻO kekahi ʻano o ka maʻi ʻaʻai o ka umauma, ʻoi aku ka maʻamau ma mua o nā mea ʻē aʻe, a i ʻole he mea nui loa no ka hoʻoholo ʻana i kāu makaʻu maʻi ʻaʻai āpau. eia ka papa helu ʻeiwa āu e ʻike pono ai.

Nā ʻano ʻokoʻa o ka maʻi ʻaʻai umauma

1. Invasive Ductal Carcinoma

Ke manaʻo ka hapanui o ka poʻe i ka maʻi ʻaʻai o ka umauma, he hihia paha ia no ka maʻi kanesa ʻino. 'O kēia ke 'ano ma'amau o ka ma'i 'a'ai umauma, ma kahi o 70 a 80 pakeneka o nā ma'i ma'i a pau, a 'ike 'ia ma o ka mammogram screenings. Hoʻomaopopo ʻia kēia ʻano maʻi ʻaʻai e ka maʻi ʻaʻai maʻi maʻi maʻamau e hoʻomaka i nā kahe waiū akā pāhola ʻia i nā ʻāpana ʻē aʻe o kaʻiʻo umauma, i kekahi manawa nā ʻāpana ʻē aʻe o ke kino. "E like me ka hapa nui o nā maʻi maʻi umauma, ʻaʻohe mau hōʻailona a hiki i nā pae hope," wahi a Sharon Lum, M.D., ka luna o ka Loma Linda University Breast Health Center ma Kaleponi. "Akā naʻe, hiki i kekahi me kēia ʻano maʻi maʻi maʻi umauma ke ʻike i ka mānoanoa o ka umauma, ka ʻili o ka ʻili, ka pehu ʻana o ka umauma, ka ʻula a i ʻole ka ʻulaʻula, a i ʻole ke kahe ʻana o ka nipple."

2. Ka maʻi ʻaʻai Metastatic

Kāhea ʻia ʻo ka maʻi ʻaʻai umauma pae 4 ', ʻo kēia ʻano maʻi ʻaʻai ka wā i metastasized ai nā hunaola maʻi maʻi (i pālahalaha ʻia) i nā ʻāpana ʻē aʻe o ke kino — ʻo ka maʻa mau ka ate, ka lolo, nā iwi, a me nā akemāmā. Hōʻoki lākou mai ka tumo kumu a hele ma waena o ke kahe o ke koko a i ʻole ka lymphatic system. I ka wā mua o ka maʻi, ʻaʻole ʻike ʻia nā hōʻailona o ka maʻi kanesa o ka umauma, akā i ka wā ma hope, ʻike paha ʻoe i ka dimpling o ka umauma (e like me ka ʻili o ka ʻalani), nā loli o nā nipples, a i ʻole ka ʻeha ma nā wahi āpau o ke kino. , wahi a Kauka Lum. ʻO ka maʻi ʻaʻai 4 kahi maopopo leʻa weliweli, akā nui nā ʻōlelo hoʻohiki hou i hāʻawi ʻia i nā wahine me ka maʻi ʻaʻai umauma metastatic i kahi manawa no ke ola ʻoi aku ka lōʻihi, hoʻohui ʻo ia.

3. Ductal Carcinoma In Situ

ʻO Ductal carcinoma in situ (DCIS) kahi ʻano o ka maʻi ʻaʻai ʻole maʻi kūpikipiki kahi i loaʻa ai nā hunaola ʻino i ka uhi o ka waiū waiū umauma. ʻAʻole kahakaha pinepine ʻia e nā hōʻailona, ​​akā i kekahi manawa ʻike paha ka poʻe i kahi puʻupuʻu a i ʻole ka heʻe koko koko. ʻO kēia ʻano maʻi ʻaʻai ka maʻi ʻaʻai mua loa a hiki loa ke mālama ʻia, ʻoi aku ka maikaʻi — akā ʻo ia nō hoʻi ka mea e hoʻonui ai i kāu pilikia no ka hana hoʻomāinoino ʻana (heluhelu: radiotherapy hiki ʻole, hoʻowalewale hormonal, a i ʻole ke ʻoki ʻana no nā hunaola ʻaʻole e laha a kumu paha no ka hopohopo hou. ). ʻOiai, ua ʻōlelo ʻo Kauka Lum, ke nānā nei nā haʻawina hou i ka nānā ʻana no DCIS (a i ʻole ka nānā wale ʻana) e pale aku i kēia.

4. Lobular Carcinoma Invasive

ʻO ka lua o ka ʻano maʻamau o ka maʻi ʻaʻai umauma ka maʻi maʻi lobular invasive (ICL), a he 10 mau pākēneka ka nui o nā diagnoses cancer umauma maʻi āpau, e like me ka American Cancer Society. ʻO ka huaʻōlelo carcinoma ʻo ia hoʻi ka hoʻomaka ʻana o ka maʻi ʻaʻai i loko o kahi kiko kikoʻī a laila uhi ʻia i kahi ʻōloko kūloko — i kēia hihia kaʻiʻo umauma. ʻO ka ICL e pili ana i ka maʻi kanesa i laha ma nā lobules hana waiū i ka umauma a ua hoʻomaka e komo i ka ʻiʻo.I ka hala ʻana o ka manawa, hiki i ka ICL ke pālahalaha i nā lymph node a me nā ʻāpana ʻē aʻe o ke kino. "He mea paʻakikī kēia ʻano o ka maʻi kanesa o ka umauma," wahi a Kauka Lum. "ʻOiai inā he mea maʻamau kāu kiʻi, inā he puʻupuʻu kou i loko o kou umauma, e nānā iā ia." (Related: Loaʻa i kēia 24 makahiki i kahi puʻupuʻu maʻi maʻi umauma i ka wā e hoʻomākaukau ai no kahi pō i waho)

5. Ka ma'i 'a'a o ka umauma

ʻO ka huhū a me ka ulu wikiwiki ʻana, manaʻo ʻia kēia ʻano maʻi ʻaʻai umauma pae 3 a komo i nā hunaola e hoʻopili i ka ʻili a me nā kīʻaha lymph o ka umauma. ʻO ka manawa pinepine ʻaʻohe puʻupuʻu a puʻupuʻu paha, akā i ka manawa i ālai ʻia nā kīʻaha lymph, nā ʻōuli e like me ka ʻili, nā huehue, nā nahu e like me nā ʻeneto, a me nā ʻulaʻula, a me nā umauma pehu. Ma muli o ka hoʻohālike ʻana i kahi maʻi ʻili, hiki ke kuhi hewa ʻia kēia ʻano o ka maʻi maʻi umauma he maʻi, wahi a Dr. Lum, no laila e ʻike pono ʻoe i nā maʻi ʻili ʻē aʻe i nānā ʻia e kāu derm a laila kāu kauka inā ʻaʻole maikaʻi me kekahi. nā ʻano hana i ʻōlelo ʻia e derm. (E pili ana: Ka loulou ma waena o ka hiamoe a me ka maʻi maʻi umauma)

6. Ka maʻi maʻi ʻaʻahu ʻino ʻekolu

He ʻano koʻikoʻi kēia, kūpikipiki, a paʻakikī hoʻi i ka mālama ʻana i ka maʻi ʻaʻai umauma. E like me ka manaʻo o ka inoa, ʻaʻole hōʻoia nā pūnana maʻi kanesa o kekahi me nā maʻi maʻi ʻekolu o ka umauma maʻi maikaʻi ʻole no nā mea loaʻa ʻekolu, ʻo ia hoʻi nā mālama maʻamau e like me ka hormone therapy a me nā lāʻau lapaʻau e kuhikuhi ana i ka estrogen, progesterone, a me HER-2. Hoʻomaʻamaʻa pinepine ʻia ka maʻi kanesa o ka umauma triple-negative me ka hui pū ʻana o ka ʻoki, radiation therapy, a me ka chemotherapy (ʻaʻole maikaʻi mau a hele mai me nā hopena ʻaoʻao he nui), wahi a ka American Cancer Society. ʻOi aku ka hopena o kēia ʻano o ka maʻi kanesa i ka poʻe ʻōpio, ʻAmelika-ʻAmelika, Hispanics, a me ka poʻe me ka BRCA1 mutation, e like me ka noiʻi maʻamau.

7. Lobular Carcinoma In Situ (LCIS)

ʻAʻole e huikau iā ʻoe, akā ʻaʻole i manaʻo ʻia ʻo LCIS he ʻano maʻi maʻi umauma, wahi a Kauka Lum. Akā, ʻo kēia kahi o ka ulu o ka cell maʻamau i loko o nā lobule (nā glands e hana ana i ka waiū i nā kī o ka umauma). ʻAʻole kumu kēia ʻano i nā ʻōuli a ʻaʻole ʻike pinepine ʻia ma ka mammogram, akā ʻike pinepine ʻia i nā wahine ma waena o 40 a 50 mau makahiki ma ke ʻano he biopsy i hana ʻia ma ka umauma no kekahi kumu ʻē aʻe. ʻOiai ʻaʻole ia he maʻi maʻi maʻi, no ka mea, hoʻonui ʻo LCIS i kou pilikia o ka hoʻomohala ʻana i ka maʻi maʻi umauma invasive ma hope o ke ola, no laila he mea nui e makaʻala i ka wā e noʻonoʻo pono ai e pili ana i kou pilikia holoʻokoʻa. (Related: ʻO ka ʻepekema hou loa e pili ana i kou pilikia ma ka maʻi maʻi umauma, wehewehe ʻia e nā kauka)

8. Kane ma'i ma'i umauma

ʻAe, hiki i nā kāne ke loaʻa i ka maʻi maʻi umauma. Ua hōʻike maoli ka makuakāne o Beyoncé e pili ana ʻo ia i ka maʻi a makemake e hoʻonui i ka ʻike no nā kāne a me nā wahine e lilo i-ka-ʻike. ʻOiai ʻo 1 wale nō ka pākēneka o nā maʻi āpau āpau e loaʻa i nā kāne a ʻoi aku ka liʻiliʻi o ka nui o kaʻiʻo o ka umauma, nā pae estrogen kiʻekiʻe (a i ʻole kūlohelohe ʻia a i ʻole mai nā lāʻau / hormonal), kahi hoʻololi kūpuna, a i ʻole kekahi mau ʻano e like me Klinefelter syndrome (a maʻi genetic kahi i hānau ʻia ai ke kāne me kahi chromosome X ʻē aʻe) e hoʻonui i ka pilikia o ke kāne e ulu i ka maʻi kanesa i loko o kona ʻiʻo umauma. Eia kekahi, hiki iā lākou ke hoʻomohala i nā ʻano like o ka maʻi maʻi umauma e like me nā wahine (ʻo ia hoʻi, nā mea ʻē aʻe ma kēia papa inoa). Eia nō naʻe, no nā kāne, ʻo ka maʻi maʻi i loko o kēia ʻiʻo he hōʻailona pinepine ia he hoʻololi genetic ko lākou e maʻalahi ai i ka hoʻomohala ʻana.pau loa ʻano maʻi kanesa, wahi a Kauka Grumley. ʻO ia ke kumu he mea nui ia o kēlā me kēia kāne i ʻike ʻia me ka maʻi ʻaʻai umauma e loaʻa i ka hoʻokolohua kūlohelohe e maopopo ai i ko lākou maʻi āpau o ka maʻi ʻaʻai.

9. Ka maʻi o Paget o ka Nipple

He kakaikahi loa ka ma'i o Paget a i ka wa e ohi ai na ma'i ma'i ma'i a puni ka nipple. Hoʻopili mua lākou i nā ʻauwaʻa o ka nipple, a laila palahalaha i ka ʻili a me ka areola. ʻO ia ke kumu i hōʻailona pinepine ʻia ai kēia ʻano o ka maʻi maʻi maʻi umauma e nā ʻuʻu ʻulaʻula, ʻulaʻula, ʻona, a me ka hoʻonāukiuki ʻana a ua kuhi pinepine ʻia ʻo ia he ʻūhū, wahi a Kauka Lum. ʻOiai ʻo ka maʻi ʻo Paget o ka nipple ka liʻiliʻi ma lalo o 5 pakeneka o nā maʻi maʻi maʻi umauma āpau ma US, ʻoi aku ma mua o 97 pakeneka o nā poʻe me kēia maʻi i loaʻa kekahi ʻano maʻi maʻi umauma ʻē aʻe (ʻo DCIS a invasive paha), no laila maikaʻi ke lilo ʻike i nā ʻōuli o ke ʻano, hōʻike ka American Cancer Society.

Nānā no