
Ka maʻi maʻi umauma he ma'i ma'i i loko o ka umauma ulu mai ka mana. Aia nā ʻano like ʻole ka maʻi ʻaʻai umauma. ʻO ke ʻano o ka maʻi ʻaʻai umauma hilinaʻi i nā pūnaewele i loko o ka umauma lilo i ma'i ma'i. Hiki ke loaʻa i nā kāne a me nā wahine, akā ʻoi aku ka maʻamau o nā wahine. ʻO ka ʻike mua ʻana ma o ka nānā ʻana a me nā hoʻokolohua ponoʻī, me ka holomua o ka mālama ʻana, ua hoʻomaikaʻi nui ʻia ka nui o ke ola. ʻO ka hoʻomaopopo ʻana i nā pilikia, nā hōʻailona, a me nā koho i loaʻa he mea koʻikoʻi no ka proactive umauma olakino.Hoomaopopo Ka maʻi maʻi umaumaHe aha ka Ka maʻi maʻi umauma?Ka maʻi maʻi umauma puka mai ma ka umauma ʻiʻo, ka mea maʻamau i loko o nā awāwa (nā paipu e lawe ai i ka waiū i ka nipple) a i ʻole nā lobules (nā ʻōpū hana waiu). Hiki i nā pūnana maʻi 'aʻai ke komo i nā ʻiʻo a puni a palahalaha (metastasize) i nā wahi ʻē aʻe o ke kino. Ka maʻi maʻi umaumaNā ʻano like ʻole o ka maʻi ʻaʻai umauma loaʻa, kēlā me kēia me kona ʻano ponoʻī a me nā ala lapaʻau. Aia kekahi mau ʻano maʻamau: ʻO ka maʻi maʻi maʻi maʻi ductal invasive (IDC): ʻO ke ʻano maʻamau, e hoʻomaka ana i loko o nā auwai waiu a pālahalaha ma waho o lākou. ʻO ka maʻi maʻi maʻi Lobular Invasive (ILC): Hoʻomaka i loko o nā lobules hana waiū a laha i nā ʻiʻo a puni. ʻO ka maʻi maʻi maʻi maʻi maʻi ma Situ (DCIS): Loaʻa nā pūnaewele maʻamau i loko o ke keʻena o ka ʻauwau waiū, akā ʻaʻole i laha ma waho. Hoʻomāmā Ka maʻi maʻi umauma (IBC): He ʻano kakaʻikahi a hoʻopaʻapaʻa kahi e hoʻopaʻa ai nā maʻi kanesa i nā moku lymph i ka ʻili o ka umauma. Pākolu-Negative Ka maʻi maʻi umauma (TNBC): ʻAʻole loaʻa nā pūnaeka maʻi ʻaʻohe estrogen receptors, progesterone receptors, a i ʻole HER2 protein. Ka maʻi maʻi umauma RiskWhile ke kumu pololei o ka maʻi ʻaʻai umauma ʻaʻole i hoʻomaopopo piha ʻia, hoʻonui kekahi mau mea i ka hoʻomohala ʻana i ka maʻi. Aia kēia mau mea: makahiki: Piʻi ka pilikia me ka makahiki. Moʻolelo ʻohana: Loaʻa ka pili pili (makuahine, kaikuahine, kaikamahine) i loaʻa i ka maʻi ka maʻi ʻaʻai umauma. Genetics: ʻO nā hoʻololi gene i hoʻoili ʻia, e like me BRCA1 a me BRCA2. Moʻolelo pilikino: Loaʻa ka maʻi ma mua o ka maʻi ʻaʻai umauma a i ʻole kekahi maʻi maʻi ʻole umauma kūlana. ʻObesity: ʻO ke kaumaha a me ka momona, ʻoi aku ka nui ma hope o ka menopause. Lapaʻau Hoʻololi Hormone (HRT): Hoʻohana lōʻihi i ka HRT. Hōʻike ʻana i ka Radiation: ʻO ka lāʻau lapaʻau mua i ka ʻāpana o ka umauma. ʻAi ʻona: ʻO ka inu ʻana i ka waiʻona me ka nui ka maʻi ʻaʻai umauma holoʻokoʻa, hiki i kekahi mau koho ola a me nā hana pale ke hoʻohaʻahaʻa i ka pilikia: E mālama i ke kaumaha olakino: Loaʻa a mālama i ke kaumaha kino olakino ma o ka ʻai a me ka hoʻoikaika kino. Hoʻoikaika mau: E komo i ka hana kino mau. E kaupalena i ka inu ʻana i ka waiʻona: E hoemi a hoopau paha i ka inu waiona. ʻAi maikaʻi: E ʻai i ka meaʻai momona i nā huaʻai, nā mea kanu, a me nā kīʻaha piha. Ka umaumahānai: Inā hiki, umaumae hānai i kāu mau keiki. Nānā: E hahai i nā kuhikuhi no ka nānā ʻana, me ka mammograms a me ke kauka umauma nā hoʻokolohua. Hoʻopaʻa ʻana: No nā wāhine i koʻikoʻi loa, e kūkākūkā i nā koho hana pale e like me ka mastectomy a i ʻole ka oophorectomy me kāu kauka. ka maʻi ʻaʻai umauma he mea koʻikoʻi no ka ʻike mua ʻana. ʻO nā hōʻailona maʻamau: He puʻupuʻu hou a mānoanoa paha i ka umauma a i ʻole he wahi underarm. Hoʻololi i ka nui, ʻano, a i ʻole ke ʻano o ka umauma. Hoʻokuʻu ʻia ka nipple (ma waho aʻe umauma waiu). Ka hoʻihoʻi ʻana i ka nipple (huli i loko). Hoʻololi ka ʻili ma ka umauma, e like me ka dimpling, puckering, a ʻulaʻula paha. ʻeha ma ka umauma a i ʻole nipple.Diagnostic Tests and Procedures Inā ʻike ʻoe i kekahi hōʻailona kānalua, pono e nīnau i ke kauka no ka loiloi piha. Hiki i nā hoʻokolohua diagnostics ke komo: Kauka Ka umauma hōʻike: He hookolokolo kino o ka nā umauma e kekahi limahana mālama ola. Mammogram: He X-ray o ka umauma. Ultrasound: Hoʻohana i nā nalu kani e hana i nā kiʻi o ka umauma kikokiko. MRI: Hāʻawi ke kiʻi hoʻonaʻauao magnetic i nā kiʻi kikoʻī o ka umauma. Biopsy: Lawe ʻia kahi laʻana o ka ʻiʻo a nānā ʻia ma lalo o kahi microscope e hoʻoholo ai inā aia nā maʻi kanesa. Loaʻa nā ʻano biopsy ʻokoʻa (e laʻa, biopsy needle, biopsy surgical).Ka maʻi maʻi umauma ʻO ka hoʻomaʻamaʻa pinepine ʻana he multimodal, e pili ana i ka hui pū ʻana o nā lāʻau lapaʻau i kūpono i ke ʻano kikoʻī a me ka pae o ka maʻi kanesa. Shandong Baofa Cancer Research Institute (https://baofahospital.com) ua kūpaʻa i ka holomua ʻana i ka noiʻi ʻana a me ka mālama ʻana ka maʻi ʻaʻai umauma komo: Lumpectomy: ʻO ka wehe ʻana i ka ʻōpū a me kahi liʻiliʻi o nā ʻiʻo a puni. Mastectomy: Ka wehe 'ana i ka mea a pau umauma. Aia nā ʻano like ʻole, me ka mastectomy maʻalahi, ka mastectomy radical i hoʻololi ʻia, a me ka mastectomy mālama ʻili. Sentinel Lymph Node Biopsy: ʻO ka wehe ʻana i nā puʻupuʻu lymph mua kahi e hoʻolaha nui ʻia ai nā maʻi kanesa. ʻO ka wehe ʻana i ka ʻōpū o ke Axillary Lymph: Ka wehe 'ana i ka nui o ka lymph nodes ma ka underarm. Hiki ke hoʻohana ʻia ma hope o ka ʻoki ʻana no ka luku ʻana i nā keneta maʻi ʻaʻai i koe. Hiki ke lawelawe ʻia i loko o ke koko (ma o ka vein) a i ʻole ma ka waha (ma ke ʻano he pill). ʻO ke ʻano o ka chemotherapy e pili ana i ke ʻano a me ka pae o ka maʻi ʻaʻai umauma.Hormone TherapyHormone therapy ālai i nā hopena o nā hormones (estrogen and progesterone) ma nā pūnaeau maʻi maʻi. He mea maikaʻi ia no ka hormone receptor-positive nā maʻi maʻi umauma.Targeted Therapy ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻopaʻa i nā protein a i ʻole nā ala e pono ai nā cell cancer e ulu a ola. No ka laʻana, HER2-maikaʻi nā maʻi maʻi umauma hiki ke mālama ʻia me nā lāʻau lapaʻau e kuhikuhi ana i ka protein HER2. ʻO ka ImmunotherapyImmunotherapy ke kōkua i ke kino o ke kino e hakakā i ka maʻi kanesa. He koho lapaʻau hou ia e hōʻike ana i ka ʻōlelo hoʻohiki i kekahi mau ʻano o ka maʻi ʻaʻai umauma, ʻoi aku ka triple-negative ka maʻi ʻaʻai umauma.Sstage of Ka maʻi maʻi umaumaKa maʻi maʻi umauma Hoʻonohonoho ʻia ma muli o ka nui o ka maʻi ʻaʻai, inā paha ua laha i nā ʻōpū lymph, a inā ua metastasized i nā wahi ʻē aʻe o ke kino. Kōkua ke kau ʻana i nā kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa a wānana i ka prognosis. Aia nā pae mai ka 0 a i ka IV, me nā pae kiʻekiʻe e hōʻike ana i ka maʻi maʻi ʻoi aku ka holomua. ka maʻi ʻaʻai umauma Ua hoʻomaikaʻi maikaʻi ʻia i nā makahiki i hala aku nei ma muli o ka holomua o ka nānā ʻana a me ka mālama ʻana. ʻO ka helu ola ʻelima makahiki no ka ʻāina ka maʻi ʻaʻai umauma (ka maʻi kanesa ʻaʻole i laha ma waho o ka umauma) aia ma kahi o 99%. Eia nō naʻe, ʻokoʻa ka nui o ke ola ma muli o ka pae o ka maʻi maʻi maʻi i ka maʻi maʻi, ke ʻano o ka maʻi kanesa, a me nā mea pilikino. Hōʻike ka papa ma lalo nei i nā helu ola ola 5 makahiki ma muli o ke kahua, e like me ka ʻike mai ka waihona SEER o ka National Cancer Institute: Stage 5-Year Relative Survival Rate Localized (Cancer is confined to the umauma) 99% Regional (Ua laha ka ma'i ma'i i na wahi lymph kokoke) 86% mamao (ua laha ka ma'i ma'i i na kino mamao) 29% Source: National Cancer Institute SEER Program (https://seer.cancer.gov/) Noho me Ka maʻi maʻi umaumaA ka maʻi ʻaʻai umauma hiki ke paʻakikī ka ʻike. He mea koʻikoʻi ka ʻimi ʻana i ke kākoʻo mai ka ʻohana, nā hoaaloha, nā hui kākoʻo, a me nā limahana mālama ola. Loaʻa nā kumuwaiwai e kōkua i nā maʻi e hoʻokele i nā pilikia kino, naʻau, a me ke kālā ka maʻi ʻaʻai umauma.Ke hoʻomau nei ka ʻimi noiʻi a me nā alakaʻi o ka wā e hiki mai ana ka maʻi ʻaʻai umauma a hoʻomohala i nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi. ʻO nā wahi o ka noiʻi e hoʻomau ʻia ana: Ke kūkulu ʻana i nā lāʻau lapaʻau hou a me nā immunotherapies. Hoʻomaikaʻi i nā ʻano hana ʻike mua. Ka ʻike ʻana i nā kumu pilikia hou a me nā hoʻolālā pale. Hoʻoponopono pilikino ma muli o nā ʻano pilikino.Ka maʻi maʻi umauma he maʻi paʻakikī, akā me ka hoʻonui ʻana i ka ʻike, ka ʻike mua ʻana, a me ka holomua o ka mālama ʻana, hoʻomau ka manaʻo o nā maʻi. ʻO ka hoʻomaʻamaʻa maʻamau, ke ʻano ola olakino, a me ka kamaʻilio ʻana me nā mea mālama olakino he mea nui ia umauma olakino.