He aha ka DCIS? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka DCIS, a i ʻole ka ductal carcinoma in situ, he ʻano maʻi ʻaʻai umauma ʻaʻole i pālahalaha, kahi i loaʻa ai nā cell maʻi i loko o nā ʻalā waiū akā ʻaʻole i pālahalaha i nā pūnaewele umauma kokoke. E noʻonoʻo iā ia he mau cell maʻi ʻaʻai i 'paa' ʻia i loko o nā ʻalā, e like me ka wai i loko o ka paipa ʻaʻole i kahe mai.

ʻOiai hiki i ka huaʻōlelo

ʻO ke kumu nui e like paha me ka hōʻino ʻia o ka DNA i loko o nā sela o ka ʻōpū waiū. Hiki i kēia hōʻino ke hana ma mua o ka manawa ma muli o ka lilo ʻana o ke kino, nā mana hormonal, a i ʻole nā kumu kūlohelohe. Hoʻoponopono pinepine kou kino i kēia ʻano hōʻino, akā i kekahi manawa ʻaʻole kūpono ka hana hoʻoponopono.

He nui nā mea e hoʻonui ai i ka hiki ke loaʻa i ka DCIS:

• Makahiki - nui nā hihia i loaʻa i nā wāhine ma luna o 50
• Mōʻaukala ʻohana o ka maʻi ʻaʻai o ka umauma a i ʻole nā hua manu
• Nā biopsies umauma ma mua e hōʻike ana i nā sela ʻano ʻē
• Ka lāʻau hoʻololi hormonal lōʻihi
• Menstruation mua a i ʻole menopause hope
• ʻAʻohe keiki a i ʻole loaʻa kāu keiki mua ma hope o 30 mau makahiki
• Nā mutations genetic kūikawā, ʻo BRCA1 a me BRCA2

ʻAʻole manaʻo ia inā loaʻa iā ʻoe kēia mau pilikia, e loaʻa nō ʻoe i ka DCIS. Nui nā kānaka me nā pilikia he nui ʻaʻole loaʻa i ke kūlana, ʻoiai kekahi poʻe ʻaʻohe pilikia i ʻike ʻia.

He aha nā ʻano o ka DCIS?

Hoʻokaʻawale ʻia ka DCIS i nā ʻano like ʻole ma muli o ke ʻano o nā sela ʻano ʻē ma lalo o ka microscope a me ka wikiwiki o ka ulu ʻana. Ke hoʻomaopopo ʻoe i kāu ʻano kūikawā, e kōkua i kāu kauka e hoʻolālā i ke ala mālama maikaʻi loa.

ʻO ka ʻōnaehana hoʻokaʻawale nui e nānā i ka papa o nā sela:

• DCIS haʻahaʻa-papa - nā sela e like me nā sela umauma maʻamau a ulu mālie
• DCIS waena-papa - nā sela he mea maʻamau me ka nui o ka ulu ʻana
• DCIS kiʻekiʻe-papa - nā sela e ʻokoʻa loa mai nā sela maʻamau a ulu wikiwiki

E nānā pū kāu pathologist i nā mea hoʻokipa hormone (estrogen a me progesterone) a me ka protein i kapa ʻia ʻo HER2. E kōkua kēia mau kikoʻī i ka hoʻoholo ʻana inā he pono kekahi mau lāʻau, e like me ka hormone therapy, no ʻoe.

He ala ʻē aʻe e wehewehe ai nā kauka i ka DCIS, ʻo ia ma o ke ʻano o kona ulu ʻana i loko o nā ducts. Hoʻomāhuahua kekahi mau ʻano ma ke ʻano paʻa, ʻoiai ʻo nā mea ʻē aʻe he ʻano palahalaha a cribriform (e like me ka tī keʻokeʻo) hoʻi. Kūkulu kēia ʻike i ka wānana ʻana pehea e hana ai ke kūlana.

I ka wā e ʻike ai i ke kauka no ka DCIS?

Pono ʻoe e hoʻokaʻaʻike i kāu mea lawelawe ola inā ʻike ʻoe i kekahi mau loli maʻamau ʻole i kou mau umauma, ʻoiai inā he mea liʻiliʻi wale nō ia. ʻOi aku ka maikaʻi o ka ʻike mua ʻana a me ka loiloi ma mua o ka kali ʻana a me ka hopohopo.

Hoʻonohonoho i kahi hālāwai i loko o kekahi mau lā inā ʻike ʻoe i:

• Kekahi puʻupuʻu hou a i ʻole ka mānoanoa i kou umauma a i lalo paha o kou lima
• Ka wai mai ka nipple i ʻike ʻia me ka ʻole o ke kāomi ʻana
• Loli i ka nui a i ʻole ke ʻano o ka umauma
• Loli o ka ʻili e like me ka dimpling, puckering, a i ʻole ka ʻulaʻula
• Loli o ka nipple, me ka hoʻohuli ʻana a i ʻole ka ʻano maʻamau ʻole

Inā ʻoe ma luna o 40 a i ʻole he mōʻaukala ʻohana o ka maʻi kanesa umauma, mai haʻalele i kāu mammogram maʻamau. Loaʻa ka nui o nā hihia o ka DCIS i ka wā o ka nānā maʻamau ma mua o ka ʻike ʻia o nā hōʻailona.

E hoʻomanaʻo ʻaʻole ka hapa nui o nā loli o ka umauma he kanesa, akā pono mau ka loiloi ʻana e ka poʻe loea no ka maluhia o ka manaʻo a me ka mālama kūpono.

He aha nā kumu pilikia no ka DCIS?

Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka DCIS, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o nā kumu pilikia e loaʻa iā ʻoe ke kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe e hana i nā hoʻoholo naʻauao e pili ana i ka nānā ʻana a me nā koho ola.

ʻO nā kumu pilikia nui loa:

• Makahiki - piʻi nui ka pilikia ma hope o ka menopause, ʻo ka hapanui o nā hihia i loaʻa i nā wāhine ma luna o 50
• Mōʻaukala ʻohana - ʻo ka loaʻa ʻana o nā hoahānau pili kokoke me ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian e pāpālua i kou pilikia
• Nā pilikia umauma ma mua - mōʻaukala o ka atypical hyperplasia a i ʻole lobular carcinoma in situ
• Nā hoʻololi gene - BRCA1, BRCA2, a me nā hoʻololi gene hoʻoilina ʻē aʻe
• ʻO ka ʻiʻo umauma paʻa - hana paʻakikī i ka ʻike ʻana a hoʻonui iki i ka pilikia
• Hoʻolaha hormone - nā manawa lōʻihi o ka hoʻolaha estrogen ma o nā manawa mua, menopause hope, a i ʻole ka lāʻau hormone

ʻO kekahi mau kumu pilikia liʻiliʻi i ʻike ʻia e nā mea noiʻi, ʻo ia ka hānai ʻole ʻana, ka momona ma hope o ka menopause, a me ka hana kino palena ʻia. Eia naʻe, he hopena liʻiliʻi loa kēia mau mea i kou pilikia holoʻokoʻa.

He mea kūpono ke hoʻomaopopo aku, aia ma kahi o 75% o nā wāhine i ʻike ʻia me DCIS ʻaʻohe kumu pilikia i ʻike ʻia ma waho aʻe o ka makahiki a me ka wahine ʻana. ʻO ia ke kumu e pono ai ka nānā maʻamau no ka ʻike mua.

He aha nā pilikia hiki ke loaʻa i ka DCIS?

ʻO ka manaʻo nui me ka DCIS, ʻo ia ka hiki ke ulu i ka maʻi ʻaʻai umauma komo inā waiho ʻole ʻia. Eia naʻe, ʻaʻole hiki ʻole kēia holomua, a ʻaʻole nui nā hihia o DCIS e lilo i mea komo.

Hōʻike nā haʻawina, me ka ʻole o ka lāʻau lapaʻau, ma kahi o 30-50% o nā hihia DCIS e lilo paha i maʻi ʻaʻai komo ma hope o nā makahiki he nui. Aia ka hiki ke hilinaʻi i nā mea e like me ka papa o kāu DCIS a me kāu mau ʻano pilikino.

ʻO nā pilikia hiki ke loaʻa, ʻo ia:

• Ka holomua ʻana i ka maʻi ʻaʻai komo - ʻo ia ka manaʻo nui e hoʻoholo ai i nā koho lapaʻau
• Hoʻi hou - hiki i ka DCIS ke hoʻi mai ma ka wahi hoʻokahi a i ʻole e ulu ma nā ʻāpana ʻē aʻe o ka umauma
• Nā hopena pili i ka lapaʻau - nā hopena ʻaoʻao o ka ʻoki kino, ka radiation, a i ʻole nā lāʻau lapaʻau
• Ka hopena noʻonoʻo - ka hopohopo e pili ana i ka maʻi ʻaʻai a me nā hoʻoholo lapaʻau

ʻO ka ʻoiaʻiʻo maikaʻi, me ka lapaʻau kūpono, ʻo ka hapa nui o nā kānaka me ka DCIS e ola mau i nā ola maʻamau a olakino. ʻAneane 100% ka nui o ka ola ʻana ma hope o ʻelima makahiki no ka DCIS ke lapaʻau ʻia me ke kūpono.

E hana pū kāu hui olakino me ʻoe e kaulike i nā pono o ka lapaʻau me nā pilikia a me nā hopena ʻaoʻao, e noʻonoʻo ana i kou kūlana a me kou makemake.

Pehea ka ʻike ʻia ʻana o ka DCIS?

Hoʻomaopopo pinepine ʻia ka DCIS ma o ka hui ʻana o nā hoʻokolohua kiʻi a me ka laʻana o nā pūnaewele. Hoʻomaka pinepine ke kaʻina hana ke ʻike ʻia kekahi mea maʻamau ʻole ma ka mammogram i ka wā o ka nānā maʻamau.

E hoʻomaka paha kāu kauka me nā haʻawina kiʻi e kiʻi i kahi kiʻi ʻoi aku ka maopopo o ka mea e hana nei i kou pūnaewele umauma. Hiki i kēia ke komo i ka mammogram diagnostic me nā hiʻohiʻona kikoʻī hou aku, ka ultrasound umauma, a i ʻole i kekahi manawa ka MRI umauma no ka loiloi piha.

Pono ka ʻike maopopo i ka biopsy pūnaewele, kahi e wehe ʻia ai kahi laʻana liʻiliʻi o ka pūnaewele umauma a nānā ʻia ma lalo o ka microscope. Hana pinepine ʻia kēia kaʻina hana me ka biopsy nila, ʻoi aku ka liʻiliʻi o ka biopsy ʻoki kino a hiki ke hana ʻia ma kahi wahi maʻi ʻole.

I ka wā o ka biopsy, e hoʻohana kāu kauka i ke alakaʻi kiʻi e hōʻoia i ka laʻana ʻana o ka wahi kūpono. E loaʻa iā ʻoe ka anesthesia kūloko e hoʻemi i ka ʻeha, a lawe pinepine ʻia ke kaʻina hana ma kahi o 30 mau minuke.

Hāʻawi ʻia ka hāpana pūnaewele i kahi pathologist nāna e hoʻoholo inā aia nā cell kūpono ʻole a inā pēlā, ke ʻano o ka DCIS āu. Kōkua kēia ʻike i kāu hui olakino e hoʻomohala i ka papahana mālama kūpono loa no kou kūlana kūikawā.

He aha ka mālama no ka DCIS?

ʻO ka pahuhopu o ka mālama ʻana i ka DCIS, ʻo ia ka wehe ʻana i nā cell kūpono ʻole a hoʻemi i ka pilikia o ka holomua ʻana o ke kūlana i ka maʻi kanesa komo. E hilinaʻi kāu papahana mālama ma nā mea he nui, me ka nui a me ke ʻano o kāu DCIS, kou makahiki, a me kou makemake ponoʻī.

ʻO ka ʻoki kino ka koho mālama mua pinepine, a ʻelua mau ala nui:

• Lumpectomy - wehe i ka DCIS a me kahi lihi liʻiliʻi o nā pūnaewele maʻamau a puni ia, e mālama ana i ka hapa nui o kou umauma
• Mastectomy - wehe i ka umauma holoʻokoʻa, ʻōlelo pinepine ʻia no nā wahi nui a i ʻole nā ​​wahi he nui o ka DCIS

Ma hope o ka lumpectomy, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy i nā pūnaewele umauma i koe. Kōkua kēia mālama e hoʻemi i ka pilikia o ka hoʻi ʻana mai o ka DCIS i loko o ka umauma hoʻokahi a hāʻawi pinepine ʻia i ʻelima mau lā o ka pule no kekahi mau pule.

No ka DCIS hormone receptor-positive, hiki i kāu kauka ke manaʻo i ka hormone therapy me nā lāʻau lapaʻau e like me tamoxifen. Hiki i kēia mālama ke kōkua e hoʻemi i ka pilikia o ka hoʻomohala ʻana i nā maʻi kanesa umauma hou i loko o kekahi umauma.

Hiki i kekahi poʻe me ka DCIS haʻahaʻa loa ke lilo i mau moho no ka nānā ʻana i ka hana ma mua o ka mālama koke ʻana. Hoʻopili kēia ala i ka nānā pono me nā kiʻi maʻamau a me nā hoʻokolokolo lapaʻau, e mālama wale ana inā loli nā mea.

Pehea e mālama ai i ka DCIS ma ka home?

ʻOiai he mea nui ka mālama lapaʻau no ka DCIS, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kākoʻo i kou olakino holoʻokoʻa a me kou ola maikaʻi i ka wā a ma hope o ka mālama ʻana.

E hoʻomaʻamaʻa i ka mālama ʻana i ke ola olakino e kākoʻo i nā kaʻina hoʻōla kūlohelohe o kou kino. Hoʻopili kēia i ka ʻai ʻana i ka ʻai kaulike piha i nā hua, nā huaʻai, a me nā huaola holoʻokoʻa, ʻoiai e kaupalena ana i nā meaʻai i hana ʻia a me ka inu nui ʻana o ka waiʻona.

Hiki i ka hana kino maʻamau ke kōkua i ka hoʻoikaika ʻana i kou ʻōnaehana pale a me ka hoʻomaikaʻi ʻana i kou olakino maikaʻi. E hoʻomaka me nā hana mālie e like me ka hele wāwae a i ʻole ka ʻauʻau, a hoʻonui mālie i ka ikaika ke ʻoluʻolu ʻoe a ʻae kāu kauka.

He mea nui hoʻi ka mālama ʻana i ke kaumaha no kou ola hou a me kou olakino mau. E noʻonoʻo i nā ʻano hana e like me ka noʻonoʻo, nā hana hanu hohonu, a i ʻole ka yoga. He nui ka poʻe i ʻike he kōkua nui ka hui ʻana i nā hui kākoʻo a i ʻole ke kamaʻilio ʻana me nā poʻe ʻē aʻe i loaʻa i nā ʻike like.

E mālama pono i nā loli i kou mau umauma a hele i nā hālāwai hope loa me kāu hui olakino. Mai kānalua e kelepona i kāu kauka inā ʻike ʻoe i kekahi mea maʻamau ʻole a i ʻole he manaʻo hopohopo ʻoe e pili ana i kou ola hou.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu manawa me kāu mea hoʻolako mālama ola a loaʻa nā pane piha i kāu mau nīnau a pau.

E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa. E hoʻomaopopo i nā kumu e like paha e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi o nā hōʻailona, ʻoiai inā ʻano pili ʻole lākou i kāu mau manaʻo e pili ana i ka umauma.

E hōʻuluʻulu i ka papa inoa piha o kāu mau lāʻau lapaʻau, me nā lāʻau lapaʻau kuhikuhi, nā lāʻau lapaʻau kūʻai ʻole ʻia, nā wikamina, a me nā mea hoʻohui. Eia kekahi, e hōʻiliʻili i ka ʻike e pili ana i ka mōʻaukala olakino o kou ʻohana, ʻoiai kekahi mōʻaukala o ka umauma, nā hua manu, a i ʻole nā ​​kānā ʻē aʻe.

E hoʻomākaukau i ka papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. ʻO kekahi mau nīnau nui paha e komo pū ana:

• He aha ke ʻano a me ka papa o kaʻu DCIS?
• He aha nā koho lapaʻau naʻu, a he aha kāu e ʻōlelo ai?
• He aha nā hopena ʻaoʻao o kēlā me kēia lapaʻau?
• Pehea ka hopena o ka lapaʻau i kaʻu mau hana i kēlā me kēia lā?
• He aha nā mālama hahai e pono ai iaʻu?
• Aia kekahi mau hoʻololi i ke ola e pono ai iaʻu e noʻonoʻo ai?

E noʻonoʻo e lawe mai i kahi hoaaloha a ʻohana paha i hilinaʻi ʻia i kāu kūkā. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā e manaʻo ʻia he kamaʻilio nui loa.

He aha ka mea nui e pili ana i ka DCIS?

He kūlana maʻalahi loa ke lapaʻau ʻia ka DCIS me kahi hōʻailona maikaʻi loa ke ʻike koke ʻia a mālama pono ʻia. ʻOiai ʻo ka loaʻa ʻana o kahi hōʻailona kanesa hiki ke manaʻo nui, e hoʻomanaʻo ʻia ʻo ka DCIS he kanesa Stage 0 no ka mea ʻaʻole i pālahalaha aku ma mua o nā ʻōpū waiū.

ʻO ka mea nui loa e hoʻomaopopo ai ʻo ia he manawa kāu e hana ai i nā hoʻoholo naʻauao e pili ana i kāu lapaʻau. Hoʻomāhuahua mālie ka DCIS, no laila ʻaʻole pono ʻoe e wikiwiki i nā hoʻoholo lapaʻau. E hoʻolimalima i ka manawa e hoʻomaopopo ai i kāu mau koho, e kiʻi i kahi manaʻo ʻē aʻe inā makemake ʻia, a koho i ke ala e kūpono ai iā ʻoe.

Me ka mālama kūpono, ʻo ka hapa nui o nā kānaka me ka DCIS e ola i nā ola piha a olakino me ka ʻole o ke kūlana e holomua i ka kanesa hoʻopilikia. Hiki i ka mālama hahai maʻamau a me ka mālama ʻana i ke ola olakino ke kākoʻo hou aku i kou olakino lōʻihi.

E hoʻomanaʻo ʻia kāu hui olakino ma laila e kākoʻo iā ʻoe ma kēlā me kēia ʻanuʻu o kēia huakaʻi. Mai kānalua e nīnau i nā nīnau, e hōʻike i kou mau hopohopo, a i ʻole e ʻimi i ke kākoʻo hou aku i ka wā e pono ai.

Nā nīnau pinepine e pili ana i ka DCIS

He kanesa maoli anei ka DCIS?

ʻO ka DCIS, ma ke ʻano loea, ua hoʻokau ʻia ma ke Kahua 0 o ka maʻi ʻaʻai umauma, akā makemake nui nā kauka he nui e kapa ia he "maʻi ʻaʻai mua" no ka mea ʻaʻole i pālahalaha nā cell kūpono ʻole ma mua o nā ala waiū. ʻOiai he hiki ke lilo i maʻi ʻaʻai komo inā waiho ʻole ʻia, ʻaʻole ia he mea weliweli i ke ola i kēia manawa a loaʻa iā ia kahi prognosis maikaʻi loa me ka mālama.

E pono anei iaʻu ka chemotherapy no ka DCIS?

ʻAʻole pinepine ʻia ka chemotherapy no ka DCIS no ka mea ʻaʻole i pālahalaha nā cell kūpono ʻole ma mua o nā ala. ʻO ka mālama maʻamau, ʻo ia ka ʻoki kino a me ka radiation therapy a i ʻole ka hormone therapy paha. E hilinaʻi kāu papahana mālama kūikawā i nā ʻano o kāu DCIS a me kāu mau kūlana pilikino.

Hiki i ka DCIS ke hoʻi mai ma hope o ka mālama ʻana?

Aia kahi manawa liʻiliʻi e hiki ai i ka DCIS ke hoʻi hou mai, ʻo ia hoʻi ma ke ʻano he DCIS hou a i ʻole ma ke ʻano he maʻi ʻaʻai umauma komo. ʻO ka pilikia, maʻamau, he haʻahaʻa, ʻoi aku hoʻi me ka mālama piha me ka ʻoki kino a me ka radiation ke kuhikuhi ʻia. Ke kōkua nei ka mālama hoʻomau me nā mammograms a me nā hoʻokolokolo lapaʻau e ʻike i nā loli koke.

Pehea ka lōʻihi o ka mālama ʻana i ka DCIS?

Hoʻololi ka manawa e pili ana i kāu papahana mālama. ʻO ka ʻoki kino, maʻamau, pono i kekahi mau pule no ka hoʻōla, ʻoiai ka radiation therapy, inā kuhikuhi ʻia, maʻamau e pili ana i nā mālama i kēlā me kēia lā no 3-6 mau pule. ʻO ka hormone therapy, ke kuhikuhi ʻia, maʻamau e lawe ʻia no 5 mau makahiki. E hāʻawi kāu kauka i kahi manawa kūikawā e pili ana i kāu papahana mālama.

Pono anei iaʻu ke hoʻokolokolo kino no ka DCIS?

Hiki ke kuhikuhi ʻia ka hoʻokolokolo kino inā loaʻa iā ʻoe kahi mōʻaukala ʻohana ikaika o ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian, ua ʻike ʻia ʻoe i kahi ʻōpio, a i ʻole loaʻa iā ʻoe nā mea pilikia ʻē aʻe e kuhikuhi ana i nā maʻi ʻaʻai hoʻoilina. Hiki i kāu kauka a i ʻole kahi kākāʻōlelo kino ke kōkua iā ʻoe e hoʻoholo inā e pōmaikaʻi ka hoʻokolokolo i kou kūlana.