He aha ka Hyperplasia ʻAno ʻole? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka hyperplasia ʻano ʻole kahi kūlana umauma maikaʻi ʻole (ʻaʻole kanesa) kahi e ulu ai nā sela ma ke ʻano kūpono ʻole akā ʻaʻole ia he kanesa. E noʻonoʻo iā ia he mau sela e nānā iki ana ma lalo o ka microscope akā ʻaʻole i hele i ka laina i ka ʻāina kanesa.

Hoʻopili kēia kūlana i kahi 5-10% o nā wāhine i loaʻa iā lākou nā biopsies umauma. ʻOiai e lohe paha ka inoa i ka hopohopo, he mea nui ia e ʻike ai ʻaʻole ia he kanesa ka hyperplasia ʻano ʻole iho, ʻoiai ke hoʻonui nei i kou pilikia o ka loaʻa ʻana o ka kanesa umauma i ka wā e hiki mai ana.

He aha ka Hyperplasia ʻAno ʻole?

Hana ʻia ka hyperplasia ʻano ʻole i ka wā e hoʻonui nui ai nā sela umauma ma mua o ka maʻamau a nānā iki ʻia ma lalo o ka microscope. ʻAʻole i lilo kēia mau sela i kanesa, akā hōʻike lākou i kekahi mau hiʻohiʻona e hopohopo ai i nā kauka.

Aia nā ʻano nui ʻelua āu e ʻike ai. Hoʻopili ka atypical ductal hyperplasia (ADH) i nā ala waiū, ʻoiai ka atypical lobular hyperplasia (ALH) e hoʻopili ana i nā wahi hana waiū i kapa ʻia ʻo lobules. Loaʻa i nā ʻano ʻelua nā manaʻo like no kou olakino.

Hoʻokano nā kauka i kēia kūlana ma ke ʻano he lesion kiʻekiʻe-pilikia. ʻO ia hoʻi, ke hoʻonui nei i kou manawa e loaʻa ai ka kanesa umauma ma hope, akā ʻaʻole ia he kanesa iho. E noʻonoʻo iā ia he kukui ʻōlelo ʻalani ma mua o ka hōʻailona uila ʻulaʻula.

He aha nā Hōʻailona o ka Hyperplasia ʻAno ʻole?

ʻAʻole ʻike ka hapa nui o nā wāhine me ka hyperplasia ʻano ʻole i kekahi mau hōʻailona. ʻIke pinepine ʻia kēia kūlana i nā mammograms maʻamau a i ʻole i ka wā e noiʻi ai nā kauka i nā pilikia umauma ʻē aʻe.

I ka wā e loaʻa ai nā hōʻailona, ​​maʻamau lākou a hiki ke komo pū me:

• Kahi ʻāpana liʻiliʻi a i ʻole kahi mānoanoa i loko o ka umauma
• ʻEha a i ʻole ka ʻoluʻolu o ka umauma
• Nā loli i ka ʻano o ka umauma
• Hoʻokuʻu mai ka nipple (ʻaʻole pinepine)

Hiki i kēia mau hōʻailona ke hōʻike pū i nā kūlana umauma maikaʻi ʻole ʻē aʻe. Inā ʻike ʻoe i kekahi mau loli i kou mau umauma, he mea kūpono mau ia e kūkākūkā me kāu mea mālama ola, ʻoiai inā he mea liʻiliʻi lākou.

He aha nā ʻAno o ka Hyperplasia ʻAno ʻole?

Loaʻa i ka hyperplasia ʻano ʻole i ʻelua mau ʻano ʻokoʻa, ʻo kēlā me kēia e hoʻopili ana i nā ʻāpana like ʻole o kou pūnaewele umauma. Ke hoʻomaopopo nei i kēia mau ʻano e kōkua iā ʻoe a me kāu kauka e hoʻolālā i ke ala kūpono loa no ka nānā ʻana a me ka mālama ʻana.

Hoʻomohala ʻia ka atypical ductal hyperplasia (ADH) i nā ala waiū, nā paipu e lawe i ka waiū mai nā lobules i ka nipple. Hana kēia ʻano i kahi 60-70% o nā hihia hyperplasia ʻano ʻole a hoʻonui iki i kou pilikia kanesa umauma.

Hoʻopili ka atypical lobular hyperplasia (ALH) i nā lobules, ʻo ia nā gland hana waiū i kou umauma. ʻOiai ʻaʻole pinepine ma mua o ADH, hoʻonui pū kēia ʻano i ka pilikia kanesa a pili paha i ka manawa kiʻekiʻe iki e loaʻa ai ka kanesa umauma lobular.

Pono nā ʻano ʻelua i nā hoʻolālā nānā a me ka hoʻokele like. E wehewehe kāu kauka i ke ʻano āu i loaʻa ai a me ka mea āna i manaʻo ai no kou kūlana kikoʻī.

He aha nā Kumu o ka Hyperplasia ʻAno ʻole?

ʻAʻole maopopo loa ke kumu pololei o ka hyperplasia ʻano ʻole, akā manaʻo nā mea noiʻi ua hopena ia mai ka hui ʻana o nā mana hormonal a me nā kumu genetic. ʻO nā loli hormonal kūlohelohe o kou kino, ʻo ka estrogen ka mea nui, e pāʻani ana i kahi kuleana nui.

Hiki i kekahi mau kumu ke kōkua i ka hoʻomohala ʻana i kēia kūlana:

• Ka hoʻolaha lōʻihi i ka estrogen i loko o kou ola
• Ka mōʻaukala ʻohana o ka kanesa umauma a i ʻole ovarian
• Nā biopsies umauma maikaʻi ʻole ma mua
• Pūnaewele umauma mānoanoa
• Makahiki, me ka hoʻonui ʻana o ka pilikia ma hope o 40
• Menopause lohi a i ʻole menstruation mua
• ʻAʻohe keiki a i ʻole loaʻa kāu keiki mua ma hope o 30

He mea nui ia e hoʻomanaʻo ai ʻaʻole ʻo ka loaʻa ʻana o kēia mau kumu pilikia e manaʻo ai e loaʻa nō ʻoe i ka hyperplasia ʻano ʻole. ʻAʻole loaʻa i ka nui o nā wāhine me nā kumu pilikia he nui ke kūlana, ʻoiai ke loaʻa nei i nā poʻe ʻē aʻe me nā kumu pilikia liʻiliʻi.

I ka wā e ʻIke ai i ke Kauka no ka Hyperplasia ʻAno ʻole?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i kekahi mau ʻāpana hou a i ʻole nā ​​loli, nā bumps, a i ʻole nā ​​wahi mānoanoa i kou pūnaewele umauma. ʻOiai ʻaʻole koʻikoʻi ka hapa nui o nā loli umauma, ʻoi aku ka maikaʻi o ka loiloi ʻia ʻana.

E hoʻonohonoho i kahi manawa inā ʻike ʻoe i ka ʻeha umauma mau, ka hoʻokuʻu mai ka nipple, a i ʻole kekahi mau loli i ka helehelena a i ʻole ka ʻano o kou umauma. Hiki i kāu kauka ke hoʻoholo inā pono kēia mau loli i ka noiʻi hou aku ma o ka imaging a i ʻole biopsy.

Inā ua ʻike mua ʻia ʻoe me ka hyperplasia ʻano ʻole, e mālama i nā manawa hui maʻamau e like me ka ʻōlelo a kāu hui mālama ola. Kōkua kēia nānā mau e hopu i nā loli koke a hōʻoia iā ʻoe e loaʻa iā ʻoe ka mālama kūpono.

He aha nā Kumu Pilikia no ka Hyperplasia ʻAno ʻole?

Ke hoʻomaopopo nei i kāu mau kumu pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo ʻike e pili ana i nā hoʻolālā pale a me ka pale ʻana. Aia kekahi mau kumu āu e hiki ʻole ke hoʻololi, ʻoiai hiki iā ʻoe ke hoʻopilikia i nā mea ʻē aʻe.

ʻO nā kumu pilikia hiki ʻole ke hoʻololi ʻia:

• Makahiki ma mua o 40
• Ka mōʻaukala ʻohana o ka kanesa umauma a i ʻole ovarian
• Ka mōʻaukala pilikino o ka maʻi umauma maikaʻi ʻole
• Pūnaewele umauma mānoanoa
• Nā hoʻololi genetic e like me BRCA1 a i ʻole BRCA2
• Menstruation mua (ma mua o 12)
• Menopause lohi (ma hope o 55)

ʻO nā kumu hiki ke hoʻololi ʻia:

• Ka hoʻohana ʻana i ka hormone replacement therapy
• Ka inu ʻawaʻawa
• Ke kaupaona ʻana
• Nā pae hana kino

ʻAʻole hōʻoia ka loaʻa ʻana o nā kumu pilikia he nui e loaʻa iā ʻoe ka hyperplasia ʻano ʻole, e like me ka loaʻa ʻana o nā kumu pilikia liʻiliʻi ʻaʻole e pale aku iā ʻoe. Kōkua wale kēia mau kumu i nā kauka e loiloi i kāu ʻano pilikia holoʻokoʻa.

He aha nā Pilikia Hiki o ka Hyperplasia ʻAno ʻole?

ʻO ka hopohopo nui me ka hyperplasia ʻano ʻole ʻo ia kona pilina me ka hoʻonui ʻana o ka pilikia kanesa umauma. Loaʻa i nā wāhine me kēia kūlana kahi 4-5 mau manawa kiʻekiʻe o ka loaʻa ʻana o ka kanesa umauma i hoʻohālikelike ʻia me nā wāhine me ia ʻole.

Hoʻololi kēia hoʻonui ʻana i nā helu kikoʻī āu e pono ai e hoʻomaopopo. Inā ʻo kāu pilikia ola o ka kanesa umauma ma mua he 12%, hiki i ka loaʻa ʻana o ka hyperplasia ʻano ʻole ke hoʻonui iā ia i kahi 20-25%. ʻOiai ke kani nui nei kēia, e hoʻomanaʻo he nui nā wāhine me ka hyperplasia ʻano ʻole ʻaʻole loaʻa i ka kanesa.

Hiki ke paʻakikī ke hopena psychological. Manaʻo nui nā wāhine i ka hopohopo e pili ana i ko lākou pilikia kanesa kiʻekiʻe, ka mea hiki ke hoʻopilikia i ka maikaʻi o ke ola. He mea maʻamau loa ia e hopohopo a kaumaha paha ma hope o ka loaʻa ʻana o kēia ʻike.

I nā hihia kakaikahi, hiki ke loaʻa ka hyperplasia ʻano ʻole me nā lesions kiʻekiʻe-pilikia ʻē aʻe a i ʻole nā ​​kanesa mua i ka biopsy like. E nānā pono kāu pathologist i nā pūnaewele āpau e hōʻoia ʻaʻole i hala kekahi mea.

Pehea e hiki ai ke pale ʻia ka Hyperplasia ʻAno ʻole?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka hyperplasia ʻano ʻole, hiki i kekahi mau koho ola ke kōkua i ka hoʻemi ʻana i kou pilikia kanesa umauma holoʻokoʻa. Ke nānā nei kēia mau hoʻolālā i ka mālama ʻana i ka olakino holoʻokoʻa maikaʻi a me ka hoʻemi ʻana i nā kumu pilikia i ʻike ʻia.

E noʻonoʻo i kēia mau ala i hōʻoia ʻia e ka ʻike:

• E mālama i ka kaupaona olakino ma o ka ʻai kaulike a me ka hoʻoikaika kino
• E kaupalena i ka inu ʻawaʻawa i kahi inu hoʻokahi i ka lā
• E noho ikaika kino me ka liʻiliʻi o 150 mau minuke o ka hoʻoikaika kino waena i kēlā me kēia wiki
• E hānai umauma inā hiki, ʻoiai hiki ke hoʻemi i ka pilikia kanesa umauma
• E kūkākūkā i nā pilikia a me nā pono o ka hormone replacement therapy me kāu kauka
• E noʻonoʻo i ka counseling genetic inā loaʻa iā ʻoe ka mōʻaukala ʻohana ikaika

ʻAʻole hiki i nā mammograms a me nā self-exams umauma maʻamau ke pale aku i ka hyperplasia ʻano ʻole, akā kōkua lākou e ʻike i nā loli koke. Ke alakaʻi nei ka ʻike koke i nā hopena maikaʻi inā loaʻa kekahi mau loli hopohopo.

Pehea ka ʻIke ʻia o ka Hyperplasia ʻAno ʻole?

ʻIke pinepine ʻia ka hyperplasia ʻano ʻole i ka wā o ka biopsy umauma i hana ʻia no nā kumu ʻē aʻe, e like me ka mammogram ʻano ʻole a i ʻole ka ʻike kino. Pono ka ʻike i ka nānā ʻana i nā pūnaewele umauma ma lalo o ka microscope e kahi pathologist.

ʻO ka hana ʻike maʻamau e hahai ana i kēia mau ʻanuʻu:

1. Hōʻike mua ka imaging (mammogram, ultrasound, a i ʻole MRI) i kahi wahi hopohopo
2. Paipai kāu kauka i ka core needle biopsy e lawe i nā laʻana o ka pūnaewele
3. E nānā kahi pathologist i nā laʻana pūnaewele ma lalo o ka microscope
4. Hoʻomaopopo ka pathologist i nā loli cellular hiʻohiʻona o ka hyperplasia ʻano ʻole
5. E kūkākūkā kāu kauka i nā hopena a me nā ʻanuʻu aʻe me ʻoe

I kekahi manawa, hiki i kāu kauka ke paipai i ka excision surgical ma hope o ka ʻike biopsy mua. Kōkua kēia e hōʻoia ʻaʻole i hūnā ʻia nā lesions kiʻekiʻe-grade a i ʻole nā ​​kanesa mua kokoke i nā wahi i lawe ʻole ʻia e ka needle biopsy.

He aha ka Lapaʻau no ka Hyperplasia ʻAno ʻole?

Ke nānā nei ka lapaʻau no ka hyperplasia ʻano ʻole i ka nānā ʻana a me ka hoʻemi ʻana i ka pilikia ma mua o ka hoʻoponopono koke. ʻOiai ʻaʻole kēia kūlana he kanesa, ʻaʻole pono ka lapaʻau ikaika, akā he mea nui ka nānā pono.

Hiki i kāu hoʻolālā lapaʻau ke komo pū me:

• Nānā hoʻonui ʻia me nā mammograms pinepine a me nā hoʻokolokolo klinika
• Hiki ke nānā ʻana i ka MRI inā loaʻa iā ʻoe nā kumu pilikia kiʻekiʻe ʻē aʻe
• Kūkākūkā e pili ana i nā lāʻau lapaʻau pale e like me tamoxifen a i ʻole raloxifene
• Counseling genetic inā hōʻike ka mōʻaukala ʻohana i ka pilikia hoʻoilina
• Counseling ola e pili ana i ka ʻai, ka hoʻoikaika kino, a me ka hoʻohana ʻawaʻawa

Hiki i kekahi mau wāhine me ka pilikia kiʻekiʻe loa ke noʻonoʻo i ka ʻoki kino pale, ʻoiai ua mālama ʻia kēia no nā poʻe me nā mōʻaukala ʻohana ikaika a i ʻole nā ​​hoʻololi genetic. E kōkua kāu oncologist iā ʻoe e kaupaona i nā pono a me nā pilikia o nā koho āpau.

ʻO ka pahuhopu ke hopu i nā loli e hiki mai ana i ka wā hiki loa ʻoiai ke kōkua iā ʻoe e mālama i kou maikaʻi o ke ola a me kou maluhia o ka manaʻo.

Pehea e lawe ai i ka mālama home i ka wā o ka Hyperplasia ʻAno ʻole?

ʻO ka hoʻokele ʻana i ka hyperplasia ʻano ʻole ma ka home e komo pū ana i ka mālama ʻana i nā maʻamau olakino a me ka noʻonoʻo ʻana i nā loli umauma. E nānā i nā koho ola e kākoʻo i ka olakino umauma holoʻokoʻa a me ka maikaʻi.

E noʻonoʻo i kēia mau hoʻolālā mālama home:

• E hana i nā self-exams umauma mahina e lilo i mea maʻamau i nā loli maʻamau
• E mālama i kahi moʻolelo o nā loli umauma a i ʻole nā ​​hōʻailona
• E mālama i ka ʻai olakino piha i nā hua, nā mea kanu, a me nā huaola holoʻokoʻa
• E hoʻoikaika kino mau e kākoʻo i ka hana pale a mālama i ka kaupaona olakino
• E kaupalena i ka inu ʻawaʻawa a pale i ka puhipaka
• E hoʻokele i ke kaumaha ma o nā ʻano hoʻomaha, ka noʻonoʻo, a i ʻole ka counseling

E hoʻomanaʻo e loli kūlohelohe ka pūnaewele umauma i loko o kāu pōʻai menstrual, no laila e ho'āʻo e nānā i kou mau umauma i ka manawa like i kēlā me kēia mahina. Inā ʻoe ma hope o menopause, e koho i kahi lā kūpaʻa e like me ka mua o kēlā me kēia mahina.

E noho pili me nā hui kākoʻo a i ʻole nā ​​lawelawe counseling inā lilo ka hopohopo e pili ana i kāu ʻike i ka mea nui. Loaʻa i nā wāhine he nui ka mea kōkua e kamaʻilio me nā poʻe ʻē aʻe i loaʻa nā ʻike like.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

Ke hoʻomākaukau nei no kāu manawa e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a manaʻo hilinaʻi e pili ana i kāu hoʻolālā mālama. E lawe mai i nā moʻolelo lapaʻau pili, me nā mammograms a me nā hōʻike biopsy ma mua.

Ma mua o kāu kipa, e hōʻiliʻili i kēia ʻike nui:

• Papa piha o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Ka mōʻaukala ʻohana o ka kanesa umauma, ovarian, a me nā mea ʻē aʻe
• Ka mōʻaukala lapaʻau pilikino, me nā biopsies umauma ma mua
• Papa inoa o nā nīnau a me nā hopohopo āu e makemake ai e kūkākūkā
• ʻIke ʻinikua a me nā pepa kuhikuhi inā pono

E kākau i kāu mau nīnau ma mua i ʻole ʻoe e poina iā lākou i ka wā o ka manawa. ʻO nā nīnau maʻamau ke nīnau ʻana e pili ana i kāu pilikia kanesa kikoʻī, nā ʻōlelo aʻo nānā, a inā kūpono ka hoʻokolohua genetic.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi no ke kākoʻo a e kōkua i ka hoʻomanaʻo ʻana i nā ʻike nui i kūkākūkā ʻia i ka wā o ka kipa.

He aha ka lawe nui e pili ana i ka Hyperplasia ʻAno ʻole?

ʻO ka hyperplasia ʻano ʻole kahi kūlana hiki ke hoʻokele ʻia e pono ai ka nānā akā ʻaʻole pono e hoʻomalu i kou ola. ʻOiai ke hoʻonui nei i ka pilikia kanesa umauma, ʻaʻole loaʻa ka hapa nui o nā wāhine me kēia ʻike i ka kanesa.

E nānā i nā mea āu e hiki ke hoʻomalu: ka mālama ʻana i ka nānā mau, ka noho ʻana i kahi ola olakino, a me ka noʻonoʻo ʻana i kāu mau koho. E hana pili me kāu hui mālama ola e hoʻomohala i kahi hoʻolālā nānā e kūpono i kou kūlana pilikino.

E hoʻomanaʻo e hoʻomau ana nā holomua lapaʻau i ka hoʻomaikaʻi ʻana i ko mākou hiki ke ʻike a pale aku i ka kanesa umauma. Ke kau ʻana i kāu ala proactive i ka nānā ʻana a me ka mālama ʻana iā ʻoe i ka kūlana maikaʻi loa no ka mālama ʻana i ka olakino umauma lōʻihi.

Nā Nīnau Pinepine e pili ana i ka Hyperplasia ʻAno ʻole

Q1: E lilo maopopo anei ka hyperplasia ʻano ʻole i kanesa?

ʻAʻole, ʻaʻole e lilo maopopo ka hyperplasia ʻano ʻole i kanesa. ʻOiai ke hoʻonui nei i kou pilikia o ka loaʻa ʻana o ka kanesa umauma, ʻaʻole loaʻa ka hapa nui o nā wāhine me kēia kūlana i ka kanesa. ʻO ka hoʻonui ʻana o ka pilikia e pono ai ʻoe i ka nānā kokoke, akā ʻaʻole ia he hōʻoia e loaʻa ana ka kanesa.

Q2: Pehea pinepine wau e loaʻa ai nā mammograms ma hope o ka ʻike hyperplasia ʻano ʻole?

Paipai ka hapa nui o nā kauka i nā mammograms makahiki, a hiki i kekahi ke paipai e hoʻomaka iā lākou ma mua a hoʻohui i ka nānā ʻana i ka breast MRI. Ke hilinaʻi nei kāu papa hana nānā kikoʻī i kāu mau kumu pilikia holoʻokoʻa, ka mōʻaukala ʻohana, a me nā manaʻo olakino pilikino ʻē aʻe. E hana kāu oncologist i kahi hoʻolālā nānā pilikino no ʻoe.

Q3: Pono anei wau e noʻonoʻo e lawe i nā lāʻau lapaʻau pale e like me tamoxifen?

Hiki i nā lāʻau lapaʻau pale ke hoʻemi i ka pilikia kanesa umauma ma kahi o 50% i nā wāhine kiʻekiʻe-pilikia, akā loaʻa pū iā lākou nā hopena ʻaoʻao. E kōkua kāu kauka iā ʻoe e kaupaona i nā pono a me nā pilikia ma muli o kou makahiki, ka olakino holoʻokoʻa, a me nā kumu pilikia pilikino. He mea pilikino loa kēia hoʻoholo a pono e hana ʻia ma hope o ka kūkākūkā kikoʻī me kāu hui mālama ola.

Q4: Hiki iaʻu ke hānai umauma inā loaʻa iaʻu ka hyperplasia ʻano ʻole?

ʻAe, ʻaʻole pale aku ka loaʻa ʻana o ka hyperplasia ʻano ʻole iā ʻoe mai ka hānai umauma. ʻO ka ʻoiaʻiʻo, hiki i ka hānai umauma ke hāʻawi i kekahi mau pono pale e kūʻē i ka kanesa umauma. E kūkākūkā i nā hopohopo me kāu kauka, akā ʻaʻole pono kēia ʻike ke hoʻopilikia i kou hiki ke hānai i kāu pēpē.

Q5: ʻO ka loaʻa ʻana o ka hyperplasia ʻano ʻole e manaʻo paha iaʻu i ka hoʻokolohua genetic?

ʻAʻole paipai ʻia ka hoʻokolohua genetic no kēlā me kēia me ka hyperplasia ʻano ʻole. Eia naʻe, inā loaʻa iā ʻoe ka mōʻaukala ʻohana ikaika o ka kanesa umauma a i ʻole ovarian, hiki i kāu kauka ke paipai i ka counseling genetic e hoʻoholo inā kūpono ka hoʻokolohua. Hiki i ka hui ʻana o ka hyperplasia ʻano ʻole a me nā hoʻololi genetic ke hoʻonui nui i ka pilikia kanesa, e hoʻolilo ana i ka nānā ʻana i ka hoʻonui ʻana a i ʻole nā ​​mea pale i mea nui.