
ʻO ka ʻoki ʻana i ka umauma He lapaʻau maʻamau ia no ka maʻi kanesa o ka umauma, me ka manaʻo e wehe i ka ʻiʻo maʻi kanesa. ʻO ke ʻano o ka ʻoki ʻana i ʻōlelo ʻia ma muli o nā kumu he nui, e like me ke kahua o ka maʻi kanesa, kona wahi, ka nui o ka ʻōpū, a me kou olakino holoʻokoʻa. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole ʻoki maʻi maʻi umauma, ka mea e manaʻo ai ma mua, i ka wā, a ma hope o ke kaʻina hana, a me nā manaʻo koʻikoʻi no ka hoʻoholo ʻana e pili ana i kāu mālama. Hana ʻia ʻo Shandong Baofa Cancer Research Institute e hāʻawi i nā mea maʻi me ka ʻike piha a me nā koho lapaʻau holomua. ʻoki maʻi maʻi umauma, kēlā me kēia me kona pono pono'ī a me kona mau hemahema. E kūkākūkā ana kāu kauka lapaʻau i ke koho maikaʻi loa no ʻoe e pili ana i kāu mau kūlana. Hoʻopili pinepine ʻia e ka radiation therapy e pepehi i nā keʻena maʻi maʻi i koe. Hiki i kēia ala ke mālama i ka hapa nui o kou umauma. Wahi a ka American Cancer Society, kūpono ka lumpectomy no nā wahine he nui i ka wā mua ʻoki maʻi maʻi umauma. 1ʻO ka mastectomy ka wehe ʻana i ka umauma holoʻokoʻa. Nui nā ʻano mastectomies:Mastectomy maʻalahi a piha paha: Ka wehe ʻana i ka ʻiʻo o ka umauma holoʻokoʻa, ka nipple, a me ka areola.Hoʻololi ʻia ʻo Radical Mastectomy: ʻO ka wehe ʻana i ka umauma holoʻokoʻa, ka nipple, areola, a me kekahi o nā puʻu lymph ma lalo o ka lima (axillary lymph node dissection).ʻO ka mastectomy mālama ʻili: ʻO ka wehe ʻana i ka ʻiʻo o ka umauma, ka nipple, a me ka isola, akā waiho ʻia ka hapa nui o ka ʻili no ka hana hou ʻana o ka umauma.Nipple-Sparing Mastectomy: Ka wehe ʻana i ka ʻiʻo o ka umauma me ka mālama ʻana i ka nipple a me ka areola. Hoʻopau pinepine ʻia kēia ma ka hana hou ʻana o ka umauma. ʻoki maʻi maʻi umauma e nānā inā ua laha ka maʻi kanesa. ʻElua mau ala maʻamau:Sentinel Lymph Node Biopsy (SLNB): Hoʻopili ʻia ka ʻike ʻana a me ka wehe ʻana i nā node lymph mua wale nō e laha ʻia ai ka maʻi kanesa (sentinel nodes). Inā 'a'ohe ma'i 'a'ai 'ole kēia mau node, 'a'ole paha e pono ke wehe 'ia 'ana o ka ma'i 'a'ai.Axillary Lymph Node Dissection (ALND): Hoʻopili i ka wehe ʻana i nā pūna lymph he nui ma lalo o ka lima. Hana ʻia kēia inā loaʻa ka maʻi maʻi maʻi maʻi maʻi lymph nodes. ʻoki maʻi maʻi umauma, e hui ʻoe me kāu kauka lapaʻau a me nā lālā ʻē aʻe o kāu hui mālama. E kūkākūkā ʻoe i ke kaʻina hana, nā pilikia a me nā pōmaikaʻi, a me nā mea e manaʻo ai i ka wā o ka hoʻōla. Pono paha ʻoe e hana i kekahi mau hoʻokolohua, e like me nā hoʻāʻo koko, nā kiʻi kiʻi, a me kahi electrocardiogram (ECG) e nānā i kou olakino holoʻokoʻa. Pono ʻoe e kūkākūkā i nā mea allergies āu i loaʻaʻO ka ʻoki ʻana i ka umauma Hana ʻia ma lalo o ka anesthesia maʻamau, no laila e hiamoe ʻoe i ka wā o ke kaʻina hana. E ʻokoʻa ka lōʻihi o ke ʻoki ʻana ma muli o ke ʻano o ke kaʻina hana. Hiki i ka lumpectomy ke lawe i hoʻokahi hola a ʻelua paha, ʻoiai ʻoi aku ka lōʻihi o ka mastectomy. ʻO nā kauka lapaʻau ma Shandong Baofa Cancer Research Institute e hoʻohana i nā ʻenehana hou loa e hōʻemi i ka manawa hoʻōla a hoʻopaʻa i nā hopena no nā poʻe maʻi ʻoki maʻi maʻi umauma.Ho'ōla hou ma hope o ka ʻoki ʻana i ka maʻi maʻi umauma ʻoki maʻi maʻi umauma, e noho paha ʻoe i ka haukapila no kekahi mau lā. E loaʻa iā ʻoe ka lāʻau ʻeha no ka mālama ʻana i kekahi pilikia. Na kāu hui mālama e hāʻawi i nā ʻōlelo aʻo e pili ana i ka mālama ʻana i ka ʻeha, ka hoʻokele wai (inā pili), a me nā hoʻomaʻamaʻa e kōkua i ka hoʻihoʻi ʻana i ka neʻe ʻana ma kou lima a me kou poʻohiwi. Pono paha ʻoe e hana i nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy, chemotherapy, a i ʻole ka hormone therapy, ma muli o ke kahua a me nā ʻano o kou maʻi maʻi.ʻO nā lā mua: Manaʻo i ka ʻeha a me ka ʻeha, akā hiki ke mālama ʻia me ka lāʻau lapaʻau.ʻO ka pule mua: E nānā i ka hoʻomaha a me ka mālama ʻana i ka ʻeha. E hoʻomaka i nā hoʻomaʻamaʻa mālie e pale i ka ʻoʻoleʻa.He mau pule: E hoʻonui mālie i kāu pae hana. Hiki ke ʻōlelo ʻia ka hoʻomaʻamaʻa kino e hoʻomaikaʻi i ka laulā o ka neʻe.He mau mahina: E hoʻomau i ka nānā ʻana i kou olakino a hele i nā koho ʻana. ʻoki maʻi maʻi umauma lawe i kekahi mau pilikia a me nā hopena ʻaoʻao. Hiki i kēia mau mea ke komo: PainInfectionBleeding Swelling (lymphedema)Numbness or tinglingScarringFatigue E kūkākūkā kāu kauka lapaʻau i kēia mau pilikia me ʻoe ma mua o ka hana ʻana. Hoʻopili ia i ka hana ʻana i puʻu umauma hou me ka hoʻohana ʻana i nā implants a i ʻole kāu ʻiʻo ponoʻī (ka hana hou ʻana o ka flap). Hiki ke hana hou ʻia i ka manawa o ka mastectomy (hana hou koke) a i ʻole ma hope aku (hoʻopaneʻe ke kūkulu hou ʻana). Nui nā poʻe maʻi mai Shandong e koho i ke kūkulu hou ʻana no nā kumu hoʻonaninani. Hiki i kāu kauka ke hāʻawi i ka ʻike kikoʻī e pili ana i nā koho kūkulu hou ʻana i ka umauma. ʻoki maʻi maʻi umauma pili i nā kumu like ʻole:Ka pae a me ka pae o ka maʻi kanesa: Hiki ke kūpono i nā ma'i ma'i 'a'ai mua no ka lumpectomy, a'o nā ma'i ma'i 'oi a'e paha e koi aku i ka mastectomy.Ka nui a me ka wahi o ka tumora: ʻO nā maʻi maʻi nui a i ʻole nā maʻi koko e kokoke ana i ka nipple e koi i ka mastectomy.Manaʻo maʻi: ʻO ka hope loa, iā ʻoe ka hoʻoholo.Genetics: ʻO kekahi mau hoʻololi genetic, e like me BRCA1 a me BRCA2, hiki ke hoʻololi i nā ʻōlelo aʻoaʻo. ʻAʻole hiki ke hoʻoneʻe ʻia ma mua o ka ALND, ʻoi aku ka liʻiliʻi o ka lymphedema Hiki ke loaʻa nā hopena maikaʻi ʻole hoʻopunipuni ALND Wehe i nā puʻupuʻu lymph He ʻoi aku ka pololei o ke ʻano o ka maʻi kanesa. ʻoki maʻi maʻi umauma he hoʻoholo pilikino. He mea nui e kūkākūkā i kāu mau koho me kāu kauka a e noʻonoʻo i kou kūlana pilikino, e like me kou pae o ka maʻi kanesa, ke olakino holoʻokoʻa, a me nā makemake pilikino. ʻO ka nīnau ʻana i nā nīnau a me ka ʻimi ʻana i ka manaʻo ʻelua hiki ke kōkua iā ʻoe e hōʻoluʻolu i kāu hoʻoholo. Shandong Baofa Cancer Research Institute: Your Partner in Breast Cancer CareMa ka Shandong Baofa Cancer Research Institute, maopopo mākou i nā pilikia o ke alo ʻana i kahi ʻoki maʻi maʻi umauma hōʻailona. Hoʻolaʻa ʻia kā mākou hui o nā kauka lapaʻau akamai, oncologists, a me nā ʻoihana mālama olakino ʻē aʻe i ka hāʻawi ʻana i ka mālama aloha, pilikino. Hāʻawi mākou i kahi ākea o ʻoki maʻi maʻi umauma nā koho, e like me ka lumpectomy, ka mastectomy, a me ka wehe ʻana o ka lymph node. Manaʻo mākou e kōkua iā ʻoe e hoʻoholo i ka ʻike e pili ana i kāu mālama ʻana a hāʻawi iā ʻoe i ke kākoʻo āu e pono ai i kāu huakaʻi. Hāʻawi mākou i kahi ala multidisciplinary i ka mālama ʻana i ka maʻi maʻi umauma, e hōʻoia ana e loaʻa iā ʻoe ka lāʻau lapaʻau maikaʻi loa. E ʻoluʻolu e kelepona mai iā mākou e hoʻonohonoho i kahi kūkākūkā.Glossary of TermsAreola: ʻO ka ʻili puaʻa e puni ana i ka nipple.Nā Axillary Lymph Nodes: Loaʻa nā lymph nodes ma ka ʻāʻī.maikaʻi: ʻAʻole maʻi kanesa.Biopsy: Ka wehe ʻana i kahi laʻana kiko no ka nānā ʻana ma lalo o kahi microscope.Kemoterapi: Lapaʻau me nā lāʻau lapaʻau e pepehi i nā maʻi maʻi.Hoʻomaʻamaʻa Hormone: Lapaʻau no ka pale ʻana i nā hopena o nā hormones i nā maʻi kanesa.Lymphedema: ʻO ka pehu ma muli o ke kūkulu ʻia ʻana o ka wai lymph.palena: Wehe ʻia ka lihi o ka ʻiʻo i ka wā ʻoki.ʻino: Ka maʻi maʻi.ʻOncologist: He kauka lapaʻau i ka maʻi kanesa.Lapaʻau Radiation: Lapaʻau me nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi.Hōʻole: No ka ʻike wale nō kēia ʻatikala a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka no ka hoʻoholo ʻana i ke ʻano o ka lāʻau lapaʻau maikaʻi loa no kāu pono pilikino. ʻAmelika Hui Pū ʻIa. (n.d.). ʻO nā ʻoiaʻiʻo a me nā kiʻi o ka maʻi maʻi umauma . Kiʻi ʻia mai https://www.cancer.org/research/cancer-facts-statistics/breast-cancer-facts-figures.html