ʻO ka maʻi maʻi maʻi he ʻano pilikia olakino e pili ana i nā wahine he nui o ka honua. ʻO kēia pilikia maʻamau ke kuleana no ka hōʻino ʻana i nā pūpū umauma i loko o ko mākou kino. Inā makemake ka poʻe e hōʻemi i kēia pilikia, pono lākou e hoʻopili i nā kauka, nā kauā, a i ʻole nā kahu hānai. Hōʻike ka hui mālama ola i ka mālama ʻana i ka maʻi maʻi umauma ma ke kikowaena noiʻi olakino.
'O ka ma'i 'a'ai 'o ia ka ma'i i loa'a i loko o ke kino o ka umauma. ʻO ia ka lua o ka maʻi maʻi maʻi maʻamau, ka mea i hoʻopilikia nui i nā wahine. Hiki mai kēia pilikia i ka ulu ʻana o ka umauma me ka hiki ʻole ke hoʻopaʻa ʻia a hoʻokumu ʻia i kahi ʻōpū. Loaʻa ia ma ka umauma hoʻokahi a i ʻole nā umauma ʻelua.
Nā ʻano o ka maʻi maʻi maʻi umauma
He mau ʻano ʻano like ʻole kēia ʻōpū, ʻo ia hoʻi:
- Invasive Ductal Carcinoma: ʻO ia ka lua o ka maʻi maʻi maʻi maʻamau, e kū mai ana i loko o ka waiu waiu a pili i nā ʻāpana kino ʻē aʻe. ʻO kēia ʻano pilikia ka hapa nui o 70% a 80% o nā maʻi.
- ʻO ka maʻi maʻi lobular invasive: Loaʻa kēia ʻano maʻi kanesa ma nā lobules. Laha ia i nā ʻiʻo umauma a puni e like me ILC a pili i ka 5% a i ka 10% o nā maʻi ma ko mākou honua.
- Ka maʻi maʻi ʻaʻai: He maʻi olakino kakaʻikahi a paʻakikī kahi e pale ai nā keʻena maʻi maʻi i nā kīʻaha lymph i loko o ka ʻili, e alakaʻi ana i ka pehu a me ka ʻulaʻula o ka umauma.
- ʻO ka maʻi o Paget o ka umauma: Loaʻa kēia pilikia ma ka ʻili o ka nipple a me ka wahi o nā cell ʻeleʻele. Hoʻokumu ia i nā ʻāpana ʻokoʻa like ʻole, ʻike ʻia ʻo Paget cell. ʻO kēia pilikia maʻamau e pili ana i ka 1% a 4% o nā maʻi.
- Nā ʻōpū o Phyllodes: ʻO nā maʻi maʻi Phyllodes he mau maʻi maʻi maʻi umauma i loaʻa nui i loko o nā ʻiʻo pili. ʻO kēia pilikia ka mea maʻamau i nā wahine ma mua o 40 mau makahiki.
- ʻO ka maʻi maʻi metastatic: He pilikia maʻamau ia ma waho o nā umauma, e like me ke ake, ka lolo, ka māmā, a me nā iwi. ʻO kēia keʻano o ka maʻi kanesa ʻike ʻia hoʻi ʻo 4-stage breast cancer.
- Ka maʻi maʻi ʻino ʻekolu: He pilikia koʻikoʻi a paʻakikī ka loaʻa ʻole o nā mea loaʻa no ka HER2, estrogen, a me ka progesterone. ʻOi aku ka paʻakikī o kēia pilikia no nā kauka ma muli o ka nele o nā lāʻau lapaʻau. ʻO ka hapa nui e pili ana i ka 10% a 15% o nā maʻi.
- HER2-Poitive Cancer: Loaʻa ia ma muli o ka nui o ka protein HER2. Hoʻoponopono nui ʻia kēia pilikia me ke kōkua o nā lāʻau lapaʻau.
Nā hōʻailona o ka maʻi maʻi umauma
ʻO nā hōʻailona maʻamau o kēia pilikia olakino penei:
- ʻeha o ka umauma: Ua kapa ʻia kēia pilikia ʻo ka mastalgia, i loaʻa ma muli o ka ʻeha a i ʻole ka hōʻoluʻolu o ka umauma.
- Kalohi: ʻO ka maʻi kanesa o ka umauma ke kumu i ka luhi i loko o ko mākou kino, kahi e alakaʻi ai i nā loli hormonal a me ka mumū.
- Puʻu i loko o ka umauma a i ʻole ka ʻūhā: ʻO ia ka hōʻailona maʻamau o ka maʻi kanesa o ka umauma, kahi e ʻoi aku ka paʻakikī a me ka ʻeha ʻole o kou puʻupuʻu.
- Nā hoʻololi i ka ʻāpana nipple: Lilo ka ʻili i loko o ka nipple i ʻulaʻula, scaly, a mānoanoa paha, kahi e alakaʻi ai i ka maʻi maʻi umauma i kēlā me kēia kanaka.
- ʻO ka pehu ʻana o nā ʻōpū Lymph: Hiki i kēia pilikia ke kumu i ka pehu ʻana o nā pūnana lymph ma lalo o ka lima a i ʻole a puni ka ʻāʻī.
Pehea e mālama ai i ka maʻi maʻi umauma?
Hiki ke pale ʻia ka maʻi kanesa o ka umauma ma kēia mau ʻano:
- E mālama i ke kaumaha kino: ʻO nā maʻi me ka momona ka pilikia o kēia maʻi kanesa. ʻO ka ʻai kaulike a me ka hoʻoikaika kino maʻamau e kōkua i ka hōʻemi ʻana i kēia pilikia a mālama i ke kaumaha olakino no ke kanaka.
- Mai Loʻi: Hoʻonui ka paka i ka maʻi kanesa o ka umauma i nā maʻi. No laila, pono ka mea maʻi e haʻalele i ka puhi paka e hōʻemi i ko lākou pilikia a hoʻomaikaʻi i kona olakino holoʻokoʻa.
- E hooikaika kino: ʻO ka hele wāwae, ka ʻauʻau, a me ke kaʻa kaʻa kekahi mau hana maʻamau e kōkua i ka hoʻohaʻahaʻa ʻana i ka maʻi kanesa. Pono ke kanaka e hooikaika kino no 1 pule no kona kino kino.
- E ʻai i ka meaʻai kaulike: ʻO nā protein lean, nā huaʻai, nā huaʻai, a me nā kīʻaha holoʻokoʻa he pono no kou olakino. ʻO nā meaʻai kō, ka ʻiʻo ʻulaʻula, a me nā meaʻai liʻiliʻi i hana ʻia e alakaʻi i ka piʻi ʻana o ka maʻi kanesa.
- Hōʻalo i ka inu ʻana i ka waiʻona: Hoʻonui ka inu ʻawaʻawa i ka pilikia o ka maʻi kanesa i loko o nā kānaka. No laila, hiki i ke kanaka ke inu i hoʻokahi inu waiʻona a emi iho paha i ka lā hoʻokahi.
Nā koho lapaʻau no ka maʻi maʻi umauma
ʻO nā koho lapaʻau maʻamau o ka maʻi maʻi umauma e pili ana penei:
ʻIke a me ke kau ʻana
ʻO ka hōʻailona ka hana mua i ka mālama ʻana i kēia pilikia olakino. Hoʻopili kēia i ka biopsy, mammogram, a i ʻole ultrasound e hōʻoia i ka maʻi kanesa o ko mākou kino kanaka. Ma hope o ka hōʻoia ʻana, ʻo ka hana aʻe ke hoʻonohonoho ʻana, kahi e hoʻoholo ai i nā ʻāpana kino i hoʻopilikia ʻia ma muli o kēia pilikia. Ua lilo kēia i mea kōkua no nā kauka i ka mālama ʻana i ka maʻi maʻi maʻi.
Ho'āla
He lapaʻau maʻamau ia, e pili ana i nā kaʻina hana. ʻO ka Lumpectomy ka mea e hoʻoneʻe nui ai i ke koko a me kahi ʻāpana liʻiliʻi o ka ʻiʻo a puni. ʻLaʻahi pili i ka wehe ʻana i ka umauma holoʻokoʻa. Hiki iā ʻoe ke koho i ke ʻano o ke ʻoki ʻana ma muli o kou pono no ka mālama ʻana i ka maʻi kanesa.
Ke Kūwela Ola
ʻO kēia hoʻomaʻamaʻa pepehi i na ma'i ma'i ma'i me ke kōkua o ka radiation. Hoʻohana nui nā kauka i kēia lāʻau lapaʻau ma hope o ka ʻoki ʻana a i ʻole e loaʻa ana kekahi kanaka i ka maʻi kanesa umauma lua.
ʻO Terapy Pahuhopu
ʻO ka lāʻau lapaʻau i hoʻopaʻa ʻia he lāʻau lapaʻau e kuhikuhi ana i nā hiʻohiʻona kikoʻī o nā maʻi maʻi maʻi. No ka laʻana, ʻo Herceptin kahi lāʻau lapaʻau i hoʻohana nui ʻia e mālama i ka maʻi kanesa i loaʻa ma muli o ka protein HER2. Hiki ke hoʻohui ʻia kēia koho lapaʻau me nā lāʻau lapaʻau ʻē aʻe, e hāʻawi ana i nā hopena maikaʻi aʻe i ke olakino o ka mea maʻi.
Chemotherapy
Chemotherapy hoʻohana nui ʻia i ka wā e kakaʻikahi ai ka maʻi kanesa o ka umauma i nā maʻi. Pepehi ia i nā maʻi kanesa me ke kōkua o nā lāʻau lapaʻau. Hoʻohana nā kauka i kēia koho no ka mālama ʻana ma mua a ma hope paha o ka ʻoki ʻana.
immunotherapy
ʻO ka Immunotherapy kahi koho lapaʻau ʻoi aku ka maikaʻi, e kōkua ana i ka ʻōnaehana pale e hakakā i nā maʻi maʻi maʻi. He mea nui ia i ka mālama ʻana i nā maʻi maʻi maʻi umauma like ʻole.
Nā Nānā Maʻamau
Hoʻohana nā kauka i nā mammograms a me nā hoʻokolohua umauma e ʻike ai i ka maʻi maʻi maʻi i ka wā e maʻalahi ai kēia pilikia i nā maʻi. Pono lākou e hahai i ka ʻōlelo kuhikuhi a ke kauka ma muli o ko lākou mau makahiki a me nā kumu pilikia.
