
Ka maʻi ʻaʻai umauma metastatic, ʻike ʻia hoʻi ʻo ka maʻi maʻi umauma pae IV, ʻo ia ka maʻi kanesa o ka umauma i laha ma waho o ka umauma a me nā ʻōpū lymph kokoke i nā wahi ʻē aʻe o ke kino. ʻOiai ʻaʻole hiki ke mālama ʻia, hiki ke mālama ʻia. Hiki i nā lāʻau lapaʻau ke hoʻomalu i ke kanesa, mālama i nā hōʻailona, a hoʻomaikaʻi i ka maikaʻi o ke ola. ʻO ka manaʻo nui i ka hoʻolohi ʻana i ka ulu ʻana a me ka laha ʻana o ka maʻi kanesa, hoʻomaha i nā hōʻailona, a me ke kōkua ʻana i ka poʻe maʻi e noho lōʻihi a me ka ʻoluʻolu e like me ka hiki. He aha ka Metastatic Breast Cancer?Ka maʻi ʻaʻai umauma metastatic hiki i ka wā e haʻalele ai nā pūnaʻi maʻi ʻaʻai umauma mai ka ʻōpū mua o ka umauma a hele ma ke kahe koko a i ʻole ka lymphatic system i nā wahi ʻē aʻe o ke kino. Hiki i kēia mau keena ke hana i nā ʻōpū hou i loko o nā ʻano ʻē aʻe, e like me ka iwi, ka māmā, ke ake, a i ʻole ka lolo. Hoʻokaʻawale: Wehe ka ma'i 'a'ai mai ke koko mua. Hoʻouka kaua: Hoʻokomo ʻia nā maʻi maʻi i nā ʻiʻo a puni. Komo i loko o ka Circulation: Komo nā maʻi maʻi i ke koko a i ʻole ka ʻōnaehana lymphatic. Ola ma ke kaapuni: Ke ola nei nā maʻi maʻi i ka huakaʻi ma ke kahe koko a i ʻole ka ʻōnaehana lymphatic. ʻO ka hopu ʻana a me ka hoʻonui ʻana: Kū ka maʻi maʻi ʻaʻai i loko o nā kīʻaha koko liʻiliʻi a i ʻole nā ʻōpū lymph i loko o nā kino mamao a puka i waho o ka moku. Koi ʻana: Hoʻomaka ka ulu ʻana o nā maʻi maʻi maʻi ma kahi hou, e hana ana i kahi tumo hou. Hiki i ke kino o ke kino ke hoopau pinepine i keia mau keena ma mua o ko lakou manawa e ulu ai.Na hoailona o ka Metastatic Breast CancerThe symptoms of ka maʻi ʻaʻai umauma metastatic ʻokoʻa ma muli o kahi i laha ai ke kanesa. Aia kekahi mau hōʻailona maʻamau: Iwi metastases: ʻEha iwi, haʻihaʻi, constipation, piʻi ka nui o ka calcium. Nā metastases o ka māmā: Pōkole hanu, ʻū, ʻeha umauma. Nā metastases o ka ate: ʻO ka ʻeha o ka ʻōpū, ka jaundice, ka pehu o ka ʻōpū, ka luhi, ka pau ʻana o ka ʻai. Nā metastases o ka lolo: ʻO ke poʻo, ka hopu ʻana, nā pilikia o ka ʻike, nāwaliwali, nā loli o ke ʻano a i ʻole ka ʻano. ka maʻi ʻaʻai umauma metastatic ʻaʻole paha e ʻike i nā hōʻailona, ʻoi aku hoʻi i ka wā mua o ka metastasis. He mea koʻikoʻi ka nānā mau ʻana a me ke kiʻi ʻana no ka ʻike mua ʻana i nā metastasesKa maʻi ʻaʻai umauma metastatic ʻike maʻamau ʻia ma o ka hui pū ʻana o nā hoʻokolohua kiʻi a me nā biopsies.Nā Hoʻāʻo Kiʻi ʻO nā hoʻāʻo kiʻi maʻamau i hoʻohana ʻia no ka ʻike ʻana i nā metastases: ʻImi iwi: ʻIke i nā mea ʻino o ka iwi. CT scan: Hāʻawi i nā kiʻi kikoʻī o nā ʻōpū o loko. MRI: Hāʻawi i nā kiʻi kikoʻī o nā ʻiʻo palupalu. PET scan: ʻIke i nā wahi o ka hoʻonui ʻana i ka hana metabolic, hiki ke hōʻike i ke kanesa. X-ray: ʻIke i nā mea ʻino i loko o nā iwi a me nā māmā. ʻO ka biopsy kahi biopsy e lawe i kahi laʻana o ka ʻiʻo mai ka wahi i manaʻo ʻia he metastatic a nānā ʻia ma lalo o kahi microscope. ʻO kēia wale nō ke ala e hōʻoiaʻiʻo ai ua laha ka maʻi kanesa a e hoʻoholo i nā ʻano o nā cell metastatic, hiki ke hoʻololi i nā hoʻoholo lapaʻau. Hōʻoia ka biopsy i ke kanesa ka maʻi ʻaʻai umauma metastatic. Hoʻohana pinepine ʻia ka immunohistochemistry e ʻike ai inā hōʻike ka maʻi kanesa i nā mea hoʻopaʻa hormone (ER/PR) a i ʻole HER2. Nā Koho Lapaʻau no ka Metastatic Breast CancerWhile ka maʻi ʻaʻai umauma metastatic ʻAʻole hiki ke hoʻōla ʻia, hiki ke mālama ʻia. ʻO nā pahuhopu o ka lapaʻau ʻana ʻo ia ke kāohi i ka ulu ʻana o ke kanesa, mālama i nā hōʻailona, a hoʻomaikaʻi i ka maikaʻi o ke ola. Hiki i nā koho lapaʻau ke komo: Hoʻomaʻamaʻa Hormone: Hoʻohana ʻia no ka maʻi maʻi maʻi umauma hormone receptor-positive. ʻO nā laʻana e like me tamoxifen, nā mea hoʻopaneʻe aromatase (e like me anastrozole, letrozole, a me exemestane), a me ka hoʻopau ʻana i ka ovarian. ʻO ka lāʻau lapaʻau i koho ʻia: Kuhi i nā protein a i ʻole nā ala i pili i ka ulu ʻana o ka maʻi kanesa. Aia kekahi laʻana i nā lāʻau lapaʻau i hoʻopaʻa ʻia ma HER2 (e like me trastuzumab, pertuzumab, a me T-DM1) a me CDK4/6 inhibitors (e like me palbociclib, ribociclib, a me abemaciclib). Kemoterapi: Hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Immunotherapy: Kōkua i ka pale ʻana o ke kino i ka maʻi kanesa. Lapaʻau Radiation: Hoʻohana i nā kukuna ikaika nui e pepehi i nā maʻi kanesa a i ʻole e hoʻomaha i nā hōʻailona e like me ka ʻeha. ʻO ka ʻoki ʻana: Hiki ke hoʻohana ʻia no ka wehe ʻana i nā metastases a i ʻole e hōʻoluʻolu i nā hōʻailona. ʻO ke koho ʻana o ka lāʻau e pili ana i nā kumu he nui, me ke ʻano o ka maʻi kanesa o ka umauma, kahi a me ka nui o nā metastases, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou makemake. Hoʻololi pinepine ʻia nā hoʻolālā lapaʻau i ka wā e pane ai ka maʻi kanesa. Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia i ka holomua ʻana i nā koho lapaʻau maʻi maʻi a me ka hoʻomaikaʻi ʻana i nā hopena maʻi ma o ka noiʻi hou a me ka mālama aloha.Living with Metastatic Breast CancerLiving with ka maʻi ʻaʻai umauma metastatic hiki ke paʻakikī, ma ke kino a me ka naʻau. He mea nui ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika, me ka ʻohana, nā hoaaloha, a me nā limahana mālama ola. Eia kekahi mau mea nui e noʻonoʻo ai: Ka mālama ʻana i nā hōʻailona He mea koʻikoʻi ka mālama ʻana i nā hōʻailona no ka mālama ʻana i ka maikaʻi o ke ola. Loaʻa paha kēia i ka lāʻau ʻeha, nā lāʻau anti-nausea, a me nā lāʻau kākoʻo ʻē aʻe. ka maʻi ʻaʻai umauma metastatic hiki ke kaumaha. Hiki i nā hui kākoʻo, ka ʻōlelo aʻo, a me ka lāʻau lapaʻau ke kōkua i ka poʻe maʻi e hoʻokō i nā manaʻo o ka hopohopo, ke kaumaha, a me ka hopohopo. Hiki ke hāʻawi ʻia i kēlā me kēia manawa o ka maʻi a hoʻohui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe.Prognosis for Metastatic Breast CancerThe prognosis for ka maʻi ʻaʻai umauma metastatic ʻokoʻa ma muli o kekahi mau kumu, ʻo ia hoʻi ke ʻano o ka maʻi kanesa o ka umauma, kahi a me ka nui o nā metastases, a me ka pane o ka mea maʻi i ka mālama ʻana. ʻOiai ka maʻi ʻaʻai umauma metastatic ʻAʻole hiki ke hoʻōla ʻia, nui ka poʻe e ola ana i kekahi mau makahiki me ka maʻi. ʻO ka holomua o ka mālama ʻana ua hoʻomaikaʻi maikaʻi i ka nui o ke ola a me ka maikaʻi o ke ola no nā maʻi me ka maʻi ʻaʻai umauma metastatic. Wahi a ka American Cancer Society, he 29% ka nui o ke ola o 5 mau makahiki no nā wahine me ka maʻi maʻi umauma metastatic. ʻO ia ke ʻano he 29 o 100 mau wahine me ka maʻi maʻi maʻi metastatic e ola mau ana i 5 mau makahiki ma hope o ka ʻike ʻia ʻana. 5-makahiki pili ola ola no ka ma'i ma'i umauma pae pae 5-makahiki pili ola ola ka helu wahi 99% āpana 86% mamao (metastatic) 29% kumu: ʻAmelika Hui Pū ʻIaNoiʻi a me nā holomua i ka maʻi maʻi maʻi maʻi metastatic ʻo ka hoʻomau ʻana ka noiʻi e kālele ana i ka hoʻomohala ʻana i nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi no ka maʻi ʻaʻai umauma metastatic. Aia nā wahi o ka noiʻi: Nā lāʻau lapaʻau hou i manaʻo ʻia: ʻO ka huli ʻana i nā molekole kikoʻī e pili ana i ka ulu ʻana a me ka laha ʻana o ka maʻi kanesa. Immunotherapy: Ka hoʻohana ʻana i ka mana o ka ʻōnaehana pale e hakakā ai i ka maʻi kanesa. ʻO ka lāʻau lapaʻau pilikino: Hoʻoponopono i ka mālama ʻana i nā ʻano o kēlā me kēia maʻi maʻi maʻi. ʻIke mua: Ke hoʻomohala nei i nā ala hou no ka ʻike mua ʻana i nā metastases, ke hiki ke maʻalahi. ka maʻi ʻaʻai umauma metastatic.