Nā ʻano / umauma / ibc-ʻohe-pepa

Ka maʻi ʻaʻai maʻi ʻaʻai

He aha ka maʻi ʻaʻai umauma inflammatory?

ʻO ka maʻi maʻi umauma ʻōiwi kahi maʻi laha ʻole a koʻikoʻi loa kahi e ālai ai nā hunaola maʻi ʻula i nā kīʻaha lymph i ka ʻili o ka umauma. Kapa ʻia kēia ʻano maʻi ʻaʻai ʻo "umauma" no ka mea ke nānā pinepine ka umauma i ka pehu a me ka ʻulaʻula, a i ʻole ka hoʻā ʻia.

He kakaikahi ka maʻi ʻaʻai umauma nānawī, e helu ana 1 a 5 pakeneka o nā maʻi ʻōpū umauma i ʻike ʻia ma United States. ʻO ka hapa nui o nā kanulau umauma huhū he carcinomas ductal invasive, ʻo ia hoʻi ua hoʻomohala ʻia mai nā hunaola e kū laina ana i nā aʻa waiū o ka umauma a laila hohola ma ʻō aku o nā aʻa.

Holomua ka maʻi 'aʻai o ka umauma inflammatory i nā manawa he nui i nā hebedoma he mau mahina paha. I ke kuhi ʻana, ʻo ka maʻi ʻaʻai umauma kulu paha ka maʻi III a i ʻole IV, ke kaukaʻi ʻia inā ua hoʻolaha ʻia nā hunaola maʻi ʻaʻai i nā lymph node kokoke a i ʻole nā ​​mea ʻē aʻe pū kekahi.

ʻO nā hiʻohiʻona hou aʻe o ka maʻi ʻaʻai umauma nāna e hoʻopili i kēia mau mea:

• Ke hoʻohālikelike ʻia me nā ʻano ʻē aʻe o ka maʻi ʻaʻai umauma, ʻike ʻia ka maʻi ʻaʻai umauma i nā makahiki ʻōpio.

• ʻOi aku ka maʻamau o ka maʻi kanulau maʻi ʻōpala a ʻike ʻia i nā makahiki ʻōpio o nā wahine ʻApelika ʻAmelika ma mua o nā wahine keʻokeʻo.

• Hoʻomaʻamaʻa pinepine nā ʻōpū umauma i nā ʻōpelu i ke kino, ʻo ia hoʻi ʻaʻole hiki ke mālama ʻia me nā therapies hormone, e like me tamoxifen, keakea i ka ulu ʻana o nā hunaola maʻi ʻaʻai i hoʻowalewale ʻia e estrogen.

• ʻOi aku ka maʻi maʻamau o ka umauma ʻōiwi i nā wahine obese ma mua o nā wahine kaupaona maʻamau.

E like me nā ʻano ʻē aʻe o ka maʻi ʻaʻai umauma, hiki i nā kāne ke hōʻeha ʻia i ka maʻi ʻaʻai umauma i ka wā maʻamau ma mua o ka wahine.

He aha nā hōʻailona o ka maʻi ʻaʻai umauma inflammatory?

ʻO nā ʻōuli o ka maʻi ʻaʻai umauma nāna e hoʻopili me ka pehu (edema) a me ka ʻulaʻula (erythema) e pili ana i ka hapakolu a ʻoi o ka umauma. ʻIke ʻia ka ʻili o ka umauma i ʻulaʻula, ʻulaʻula ʻulaʻula, a poni ʻia paha. Hoʻohui ʻia, loaʻa paha i nā ʻili a ʻili paha nā ʻili, e like me ka ʻili o kahi ʻalani (i kapa ʻia ʻo peau dʻorange). Hoʻokumu ʻia kēia mau ʻōuli e ke kūkulu ʻia ʻana o ka wai (lymph) i ka ʻili o ka umauma. Hana ʻia kēia wai kahe no ka mea ua ālai nā hunaola maʻi ʻoki i nā kīʻaha lymph i ka ʻili, e pale ana i ke kahe maʻamau o ka lymph ma o kaʻiʻo. I kekahi manawa loaʻa i ka umauma i kahi tumo paʻa i hiki ke ʻike ʻia i ka wā o ka hoʻokolohua kino, akā ʻo ka pinepine ʻaʻole hiki ke ʻike ʻia kahi tumo.

ʻO nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai umauma inflammatory me ka piʻi wikiwiki o ka nui o ka umauma; nā manaʻo kaumaha, wela, a palupalu paha i ka umauma; a i ʻole kahi nipple i huli ʻia (huli i loko). Hiki pū kekahi nā pulu lymph pehu ma lalo o ka lima, kokoke i ka iwi iwi, a i ʻole ʻelua paha.

He mea nui e hoʻomaopopo he mau hōʻailona paha kēia o nā maʻi ʻē aʻe a i ʻole nā ​​kūlana, e like me ka maʻi, ʻeha, a i ʻole kekahi ʻano o ka maʻi ʻaʻai umauma i holomua ma kahi kūloko. No kēia kumu, ʻo nā wahine me ka maʻi ʻaʻai umauma inflammatory pinepine ka lohi o ka hōʻoia ʻana i ko lākou maʻi.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai o ka maʻi hānai?

Hiki i ka maʻi 'āpau' ole ke paʻakikī ke kuhikuhi. ʻO ka pinepine, ʻaʻohe puʻupuʻu e hiki ke ʻike ʻia i ka wā o kahi hoʻokolohua kino a i ʻole ʻike ʻia i kahi mammogram kānana. Hoʻohui ʻia, ʻo ka hapa nui o nā wahine i ʻike ʻia me ka maʻi ʻaʻai umauma ʻāwīwī me ka ʻaʻa o ka umauma, a ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka maʻi ʻaʻai i kahi mammogram kānana. Eia kekahi, no ka mea ikaika loa ka maʻi ʻaʻai umauma, hiki ke ala aʻe ma waena o nā mammograms i hoʻonohonoho ʻia a holomua me ka wikiwiki. Kuhihewa paha nā ʻōuli o ka maʻi ʻaʻai umauma kuni no kēlā mau mea o mastitis, kahi maʻi o ka umauma, a i ʻole kekahi ʻano o ka maʻi ʻaʻai umauma kūloko.

I mea e pale aku ai i ka lohi o ka hōʻoia ʻana a me ke koho ʻana i kahi papa ʻoi loa o ka lapaʻau, ua hoʻolaha ʻia kahi ʻāpana o ka poʻe loea i nā alakaʻi e pili ana i ka hiki ʻana i nā kauka ke kuhikuhi pono a hoʻonohonoho pono i ka maʻi ʻaʻai umauma. Ua hōʻuluʻulu ʻia kā lākou mau manaʻo ma lalo.

ʻO nā pae hoʻohālikelike no kahi ʻike o ke kanulau maʻi ʻōpala e like me kēia:

• ʻO ka hoʻomaka wikiwiki ʻana o ka erythema (ʻulaʻula), edema (ʻōhū), a me kahi hiʻohiʻona peau dʻorange (ʻili a pitted paha i ka ʻili) a me / a i ʻole mehana mehana ʻole o ka umauma, me ka ʻole o kahi puʻupuʻu e hiki ke ʻike ʻia.

• ʻO nā ʻōuli i ʻōlelo ʻia ma luna aʻe nei ma kahi o 6 mau mahina.

• Uhi ka erythema ma ka liʻiliʻi o ka hapakolu o ka umauma.

• ʻO nā laʻana biopsy mua mai ka umauma ʻeha e hōʻike i ka carcinoma invasive.

ʻO ka ninaninau hou ʻana i nā ʻiʻo mai ka umauma i hoʻopilikia ʻia e pono e hoʻopili me ka hoʻāʻo ʻana e ʻike inā loaʻa i nā hunaola maʻi ʻalā (estrogen a me progesterone receptor) a i ʻole inā ʻoi aku ka nui ma mua o ka nui o ka HER2 a me / a i ʻole ka protein HER2 (HER2-positive cancer cancer ).

ʻO nā hoʻokolohua kiʻi ʻana a me ka hoʻonoho ʻana i nā mea penei:

• ʻO kahi mammogram diagnostic a me kahi ultrasound o ka umauma a me nā wahi lymph node (kahi kokoke)

• ʻO kahi scan PET a i ʻole kahi CT scan a me kahi scan iwi e ʻike inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino

ʻO ke kuhi kūpono a me ke kau ʻana o ka maʻi ʻaʻai umauma inflammatory e kōkua i nā kauka e hoʻomohala i kahi hoʻolālā lapaʻau maikaʻi loa a kuhi i ka hopena o ka maʻi. ʻO nā mea maʻi i ʻike ʻia me ka maʻi ʻaʻai umauma inflammatory e makemake paha e nīnau i ke kauka i loea i kēia maʻi.

Pehea e mālama ai i ka maʻi ʻaʻai umauma inflammatory?

Mālama mua ʻia ka maʻi ʻaʻai umauma me ka chemotherapy ʻōnaehana e kōkua i ka hōʻemi ʻana i ka tumo, a laila me ke kahakaha ʻana e wehe ai i ka tumo, a ukali ʻia e ka radiation radiation. Kapa ʻia kēia hoʻokokoke ʻana i ka lāʻau lapaʻau he ala multimodal. Ua ʻike nā noiʻi i nā wahine me ka maʻi ʻaʻai umauma kuni e mālama ʻia me kahi ala multimodal e loaʻa nā pane maikaʻi loa i ka lāʻau a me ke ola lōʻihi. Hiki i nā hana i hoʻohana ʻia i ke ala multimodal ke hoʻopili i kēlā mau mea i hōʻike ʻia ma lalo nei.

• ʻO ka chemotherapy Neoadjuvant: Hāʻawi ʻia kēia ʻano chemotherapy ma mua o ke kaha ʻana a me ka maʻa mau pū nā antracycline a me nā lāʻau ʻauhau. Paipai nā kauka ma ka liʻiliʻi he ʻeono mau hanana o ka neoadjuvant chemotherapy e hāʻawi ʻia ma mua o 4 a 6 mau mahina ma mua o ka hemo ʻana o ka tumo, ke ʻole e hoʻomau ka maʻi i kēia manawa a hoʻoholo nā kauka ʻaʻole pono e hoʻolohi.

• Hoʻolālā pahuhopu: hana pinepine nā maʻi maʻi umauma ʻoi aku ka nui ma mua o nā nui maʻamau o ka protein HER2, ʻo ia hoʻi e hoʻohana ʻia nā lāʻau e like me trastuzumab (Herceptin) e kuhikuhi i kēia protein e mālama iā lākou. Hiki ke hāʻawi ʻia i ka lāʻau anti-HER2 ma ke ʻano he ʻāpana o ka neoadjuvant therapy a ma hope o ke kaha ʻana (adjuvant therapy).

• Hormone therapy: Inā ʻo nā hunaola o ka maʻi ʻaʻa umauma wahine i loko o ka maʻi kanesa o ka umauma i loaʻa i nā mea loaʻa i ka homone, nā kaola hōmona kahi koho lapaʻau ʻē aʻe. ʻO nā lāʻau e like me tamoxifen, ka mea e pale aku ai i ka estrogen mai ka hoʻopaʻa ʻana i kāna mea loaʻa, a me nā mea hoʻohālua aromatase e like me ka letrozole, ka mea e ālai i ka hiki i ke kino ke hana i ka estrogen, hiki iā ia ke hoʻopau i nā ulu kanesa e pili ana i ka ulu ʻana o ka estrogen a make.

• ʻOki kino: ʻO ka ʻoki maʻamau no ka maʻi ʻaʻai umauma kuni kahi mastectomy radical radical i hoʻololi ʻia. Hoʻopili kēia ʻoki ʻana i ka hoʻoneʻe ʻana i ka umauma āpau i hoʻopili ʻia a me ka hapa nui o nā lymph node ma lalo o ka lima pili. ʻO ka pinepine, hoʻoneʻe ʻia ka pale ma luna o nā mākia o ka umauma, akā mālama ʻia nā mākala o ka umauma. I kekahi manawa naʻe, e hoʻoneʻe ʻia ka mākala o ka umauma liʻiliʻi (pectoralis minor).

• ʻO ka radiation radiation: ʻO ka radiation radiation post-mastectomy i ka paia o ka umauma ma lalo o ka umauma i hemo ʻia kahi mahele maʻamau o ka multimodal therapy no ka maʻi ʻaʻai umauma inflammatory. Inā loaʻa i kahi wahine ka trastuzumab ma mua o ke kaha ʻana, hoʻomau ʻo ia i ka loaʻa ʻana iā ia i ka wā o ka radiation therapy postoperative. Hiki ke hoʻokō ʻia ke kūkulu hou ʻana o ka umauma i nā wahine me ka maʻi ʻaʻai umauma kuni, akā, ma muli o ke koʻikoʻi o ka radiation therapy i ka mālama ʻana i kēia maʻi, ʻōlelo pinepine ka poʻe loea i ka hana hou lohi.

• Hoʻoponopono Adjuvant: Hāʻawi ʻia ka ʻōnaehana ʻōnaehana Adjuvant ma hope o ke kaha ʻana e hōʻemi i ka manawa o ka hoʻi hou ʻana o ka maʻi ʻaʻai. Hiki i kēia kālapaʻau ke komo pū me ka chemotherapy hou, ka hoʻōla ʻana i ka hormone, ka lāʻau hoʻomāka ʻia (e like me trastuzumab), a i ʻole kekahi hui pū ʻana o kēia mau ʻano hana.

He aha ka wānana o nā mea maʻi me ka maʻi ʻaʻai umauma kuni?

ʻO ka wānana, a i ʻole ka hopena paha, no ka mea maʻi i ʻike ʻia me ka maʻi ʻaʻai e ʻike pinepine ʻia e like me ka manawa e mālama maikaʻi ʻia ai ka maʻi ʻaʻai a e ola loa ka mea maʻi. Hiki i nā kumu he nui ke hoʻohuli i ka wānana ʻana o ka mea maʻi ʻaʻai, me ke ʻano a me ka wahi o ka maʻi ʻaʻai, ke kahua o ka maʻi, ka makahiki o ka mea maʻi a me ke olakino laulā, a me ka nui e pane ai ka maʻi o ka mea maʻi i ka lāʻau.

Ma muli o ka ulu pinepine ʻana o ka maʻi ʻaʻai umauma hoʻomāhuahua a hoʻolaha ikaika i nā ʻāpana ʻē aʻe o ke kino, ʻaʻole ola nā wahine i ʻike ʻia me kēia maʻi, ʻoiai ka wahine e ʻike ʻia me nā ʻano ʻē aʻe o ka maʻi ʻaʻai umauma.

He mea nui e noʻonoʻo, eia nō naʻe, hoʻokumu ʻia nā helu helu ola i nā nui o nā mea maʻi a ʻoi aku ka maikaʻi a maikaʻi ʻole paha o ka wānana ʻana o kēlā wahine kēia wahine, kaukaʻi ʻia i kāna ʻano tumo a me ka mōʻaukala olakino. Paipai ʻia nā wahine i loaʻa i ka maʻi ʻaʻa umauma e kamaʻilio me kā lākou kauka e pili ana i kā lākou wānana, i hāʻawi ʻia i ko lākou kūlana kikoʻī.

Ke hoʻomau nei ka noiʻi ʻana, keu hoʻi i ka pae mole molekiola, e hoʻonui ai i ko mākou ʻike i ka hoʻomaka a me ka holomua ʻana o ka maʻi ʻaʻai umauma. Pono i kēia ʻike e hoʻomohala i nā hana hou a me nā wānana hou aʻe no nā wahine i ʻike ʻia me kēia maʻi. No laila he mea nui, ʻo nā wahine i ʻike ʻia me ka maʻi ʻaʻai umauma maʻi e kamaʻilio me kā lākou kauka e pili ana i ke koho o ke komo ʻana i ka hoʻokolokolo hoʻokolohua.

He aha nā hoʻokolohua hoʻokolohua i loaʻa no nā wahine me ka maʻi hānai umauma kuni?

Kākoʻo ʻo NCI i nā hoʻokolohua hoʻokolohua o nā hana hou no nā ʻano like ʻole o ka maʻi ʻaʻai, a me nā hoʻāʻo e hoʻāʻo i nā ala ʻoi aku ka maikaʻi e hoʻohana ai i nā ʻano lāʻau e kū nei. ʻO ke komo ʻana i nā hoʻokolohua hoʻokolohua kahi koho no nā mea maʻi he nui me ka maʻi ʻaʻai umauma inflammatory, a ua paipai ʻia nā mea maʻi āpau me kēia maʻi e noʻonoʻo i ka mālama ʻana i kahi hoʻokolohua hoʻokolohua.

Hiki ke kiʻi ʻia nā wehewehe ʻana o nā hoʻokolohua hoʻokolohua mau no kēlā me kēia kanaka me ka maʻi ʻaʻai umauma ʻāʻī e ka ʻimi ʻana i ka papa inoa o nā hoʻokolohua maʻi maʻi maʻi o NCI. ʻO kā NCI papa inoa o nā hoʻokolohua hoʻokolohua maʻi maʻi i loko o nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e NCI e hana ʻia ma ʻō a ʻoi ʻo ʻAmelike Hui Pū ʻIa a me Kanada, me ka NIH Clinical Center ma Bethesda, MD No ka ʻike e pili ana i ka huli ʻana i ka papa inoa, e ʻike i ke kōkua ʻana i ka loaʻa ʻana o nā hoʻokolohua hoʻokolohua kākoʻo ʻia e NCI.

ʻO ka poʻe makemake e komo i ka hoʻokolokolo hoʻokolohua pono e kamaʻilio me kā lākou kauka. Loaʻa nā ʻikepili e pili ana i nā hoʻokolohua hoʻokolohua mai ka NCI's Cancer Information Service ma 1-800–4 – CANCER (1-800-422-6237) a ma ka puke NCI e lawe nei i nā ʻimi noiʻi ʻimi noiʻi maʻi maʻi. Loaʻa nā ʻike hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua ma ka pūnaewele.

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