He aha ka nānā ʻana i ka maʻi ʻaʻai māmā? Ke kumu, ke kaʻina hana & nā hopena

ʻO ka nānā ʻana i ka maʻi ʻaʻai māmā he hoʻokolohua lapaʻau i hoʻolālā ʻia e ʻimi i ka maʻi ʻaʻai māmā i ka poʻe i loaʻa ʻole nā ​​hōʻailona. E noʻonoʻo iā ia he nānā olakino hana e hiki ke hopu i nā pilikia i ka wā mua, i ka wā e pono ai ka lapaʻau.

ʻO ke ʻano nānā maʻamau e hoʻohana i kahi ʻano kūikawā o ka CT scan i kapa ʻia ʻo low-dose computed tomography (LDCT). Lawe kēia scan i nā kiʻi kikoʻī o kou mau māmā me ka hoʻohana ʻana i ka liʻiliʻi o ka radiation ma mua o ka CT scan maʻamau. Ua hoʻolālā ʻia e ʻike i nā nodules liʻiliʻi a i ʻole nā ​​ulu e liʻiliʻi loa e ʻike ʻia.

No ke aha e hana ʻia ai ka nānā ʻana i ka maʻi ʻaʻai māmā?

Hoʻokahi wale nō kumu nui o ka nānā ʻana i ka maʻi ʻaʻai māmā: e ʻimi i ka maʻi ʻaʻai māmā ma mua o kou maʻi a ʻike paha i nā hōʻailona. Hiki i ka ʻike mua ke hana i kahi ʻokoʻa nui i nā koho lapaʻau a me nā hopena.

ʻAʻole hōʻike ka hapa nui o nā maʻi ʻaʻai māmā i nā hōʻailona i ko lākou wā mua. I ka manawa e ʻike ai ʻoe i ka ʻūlū mau, ka ʻeha o ka umauma, a i ʻole ka pōkole o ka hanu, ua ulu a laha paha ka maʻi ʻaʻai. Kōkua ka nānā ʻana i kēia āpau ma ka hopu ʻana i nā maʻi ʻaʻai i ka wā e liʻiliʻi ana a hiki ke mālama ʻia.

Manaʻo ʻia kēia nānā ʻana no ka poʻe i loaʻa ka pilikia nui o ka hoʻomohala ʻana i ka maʻi ʻaʻai māmā. E noʻonoʻo kāu kauka i nā mea e like me kou makahiki, ka mōʻaukala puhi paka, a me ke olakino holoʻokoʻa e hoʻoholo ai inā kūpono ka nānā ʻana iā ʻoe.

He aha ke kaʻina hana no ka nānā ʻana i ka maʻi ʻaʻai māmā?

He maʻalahi ke kaʻina hana nānā ʻana i ka maʻi ʻaʻai māmā a maʻamau ka 10-15 mau minuke. E moe ʻoe ma luna o kahi papa e paheʻe ana i loko o kahi scanner CT, e like me ka mīkini nui e like me ka donut.

I ka wā o ka scan, pono ʻoe e paʻa i kou hanu no nā manawa pōkole i ka wā e lawe ai ka mīkini i nā kiʻi. E alakaʻi ke kanaka loea iā ʻoe ma kēia kaʻina hana, e hōʻike ana iā ʻoe i ka manawa e hanu ai a i ka manawa e paʻa ai. ʻO ka manawa scanning maoli ma lalo o 30 kekona.

Hoʻohana ka scan CT haʻahaʻa i ka liʻiliʻi o ka radiation ma mua o ka scan CT maʻamau. ʻOiai e hōʻike ʻia ana ʻoe i kekahi radiation, ua like ka nui me ka mea āu e loaʻa ai mai ke kaiapuni i nā mahina he nui.

Pehea e hoʻomākaukau ai no kāu screening maʻi maʻi māmā?

He maʻalahi ka hoʻomākaukau ʻana no ka screening maʻi maʻi māmā a ʻaʻole pono e hoʻololi i ke ʻano o ke ola. Hiki iā ʻoe ke ʻai maʻamau a lawe i kāu mau lāʻau maʻamau ke ʻole e haʻi pololei kāu kauka iā ʻoe.

Makemake ʻoe e ʻaʻahu i nā lole ʻoluʻolu, ʻaʻole paʻa me ka ʻole o nā pihi metala, nā zippers, a i ʻole nā ​​bras underwire. Hiki i kēia mau mea metala ke hoʻopilikia i ka maikaʻi o ka scan. Nui nā keʻena e hāʻawi i nā ʻaʻahu haukapila inā pono.

Ma mua o kāu manawa, e hōʻiliʻili i nā hopena kiʻi umauma i loaʻa iā ʻoe. Kōkua kēia mau mea i nā radiologists e hoʻohālikelike i kāu scan i kēia manawa me nā mea kahiko, hiki ke hāʻawi i ka ʻike waiwai no ka wehewehe ʻana i kāu mau hopena.

Pehea e heluhelu ai i kāu mau hopena screening maʻi maʻi māmā?

E hāʻule maʻamau kāu mau hopena screening maʻi maʻi māmā i kekahi o nā ʻano. ʻO ka hopena maikaʻi ʻole ʻaʻole ia he wahi kānalua i loaʻa, ʻo ia ka hopena i loaʻa i ka hapa nui o nā kānaka.

ʻAʻole pono ka hopena maikaʻi e manaʻo he maʻi ʻoe. ʻO ia hoʻi, ua loaʻa i ka radiologist kekahi mea e pono ai ka noiʻi hou ʻana, e like me ka nodule liʻiliʻi a i ʻole kahi kiko. Nui nā mea i loaʻa i kēia mau mea he maʻi maʻi (ʻaʻole maʻi) e like me nā maʻi kahiko a i ʻole nā ​​ʻiʻo ʻeha.

Inā loaʻa kekahi mea kānalua, e kūkākūkā kāu kauka i nā hana aʻe me ʻoe. Hiki i kēia ke komo i nā kiʻi hou aʻe i loko o kekahi mau mahina e ʻike inā he loli kekahi mea, a i kekahi manawa he biopsy e loaʻa ai ka pane maopopo. Aia ka hahai ʻana i ka mea a ka scan e hōʻike ai a me kou kūlana pilikino.

He aha nā mea pilikia no ka maʻi maʻi māmā?

Hiki i ka ʻike ʻana i nā mea pilikia o ka maʻi ʻaʻai māmā ke kōkua iā ʻoe a me kāu kauka e hoʻoholo inā kūpono ka nānā ʻana iā ʻoe. ʻAʻole e hōʻoia kēia mau mea e loaʻa iā ʻoe ka maʻi ʻaʻai māmā, akā e hoʻonui lākou i kou manawa.

Nui nā mea e hiki ke hoʻopilikia i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai māmā, a ʻo ka ʻike ʻana iā lākou e kōkua i ka hoʻoholo ʻana i ka nānā ʻana:

• Mōʻaukala puhi: ʻO kēia ka mea nui loa e pilikia ai. Hoʻonui nui ka puhi ʻana i kēia manawa a me ka puhi ʻana i ka wā i hala i ka pilikia, me nā moʻolelo puhi kaumaha a lōʻihi e lawe ana i ka pilikia kiʻekiʻe.
• Makahiki: ʻOi aku ka maʻamau o ka maʻi ʻaʻai māmā i kou wā ʻelemakule, me ka hapa nui o nā hihia e kū ana i ka poʻe ma luna o 65.
• Hōʻike ʻana i ka uahi lua: ʻO ka hōʻike mau ʻana i ka uahi paka o nā poʻe ʻē aʻe i nā makahiki he nui e hiki ke hoʻonui i kou pilikia.
• Hōʻike ʻana i ka radon: Hiki i kēia kinoea radioactive kūlohelohe ke hōʻiliʻili i nā home a me nā wahi hana, ʻoi aku hoʻi i nā hale lalo.
• Nā hōʻike hana: Hiki i kekahi mau mea kemika ma ka wahi hana e like me ka asbestos, ka pau ʻana o ka diesel, a i ʻole kekahi mau metala ke hoʻonui i ka pilikia.
• Mōʻaukala ʻohana: ʻO ka loaʻa ʻana o nā ʻohana pili me ka maʻi ʻaʻai māmā e hoʻonui iki i kou pilikia.
• ʻO ka lāʻau lapaʻau radiation mua: Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation i ka umauma no nā maʻi ʻaʻai ʻē aʻe, ʻoi aku paha kou pilikia.

Hana pinepine kēia mau mea pilikia i ka hui pū ʻana, no laila ʻo ka loaʻa ʻana o nā mea he nui e hiki ke hoʻohui i kou pilikia holoʻokoʻa. E noʻonoʻo kāu kauka i kāu kiʻi piha i ka wā e paipai ana i ka nānā ʻana.

He aha nā pilikia hiki ke loaʻa i ka nānā ʻana i ka maʻi ʻaʻai māmā?

ʻOiai palekana ka nānā ʻana i ka maʻi ʻaʻai māmā, he mea nui e hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke hana i kahi hoʻoholo i ʻike ʻia. ʻAʻole loaʻa ka hapa nui o nā kānaka i nā pilikia mai ke kaʻina hana nānā.

ʻO nā hopohopo maʻamau e kū mai ana mai nā hopena maikaʻi ʻole ma mua o ka scan ponoʻī. Ke ʻike ka nānā ʻana i kekahi mea kānalua i hōʻike ʻia he maikaʻi, hiki iā ia ke hoʻoulu i ka hopohopo a alakaʻi i nā hoʻokolohua hou ʻaʻole paha ʻoe i pono.

Eia nā pilikia nui e makaʻala ai:

• Hōʻike ʻia i ka radiation: ʻOiai e hoʻohana ana nā scans CT haʻahaʻa i ka radiation liʻiliʻi, hoʻohui nā scans pinepine i nā makahiki he nui. He liʻiliʻi ka pilikia akā pono e noʻonoʻo.
• Nā hopena maikaʻi ʻole: ʻO ka loaʻa ʻana o nā wahi kānalua ʻaʻole he maʻi maʻi hiki ke alakaʻi i ka hopohopo a me nā kaʻina hana hou e like me nā biopsies.
• Overdiagnosis: I kekahi manawa, ʻike ka nānā ʻana i nā maʻi maʻi e ulu ana i ka lohi i ʻaʻole i hoʻokumu i nā pilikia i kou ola.
• Hopohopo a me ke kaumaha: ʻO ke kali ʻana i nā hopena a i ʻole ka hana ʻana me nā hoʻokolohua e hiki ke paʻakikī i ka naʻau.
• Nā pilikia procedural: Inā pono kahi biopsy, aia nā pilikia liʻiliʻi o ke kahe ʻana, ka maʻi, a i ʻole ka māmā i hāʻule.

ʻOiai kēia mau pilikia hiki ke loaʻa, hōʻike nā haʻawina no nā poʻe pilikia nui, ʻoi aku ka maikaʻi o ka nānā ʻana ma mua o nā pilikia. E kōkua kāu hui mālama ola iā ʻoe e kaupaona i kēia mau mea e pili ana i kāu kūlana pilikino.

I ka manawa hea wau e ʻike ai i ke kauka e pili ana i ka nānā ʻana i ka maʻi maʻi maʻi māmā?

Pono ʻoe e kūkākūkā i ka nānā ʻana i ka maʻi maʻi māmā me kāu kauka inā ʻoe e hālāwai me kekahi mau pae pilikia nui. He mea nui ka kamaʻilio inā aia ʻoe ma waena o 50-80 mau makahiki me ka mōʻaukala puhi paka nui.

Ma keʻano laulā, ua ʻōlelo ʻia ka nānā ʻana inā he mea puhi paka ʻoe i kēia manawa a i ʻole i haʻalele i loko o nā makahiki 15 i hala a he 20 pack-year smoking history. ʻO ka pack-year ke puhi ʻana i hoʻokahi pūʻolo i kēlā me kēia lā no hoʻokahi makahiki, no laila hiki i ka 20 pack-years ke hoʻokahi pūʻolo i kēlā me kēia lā no 20 mau makahiki, a i ʻole ʻelua pūʻolo i kēlā me kēia lā no 10 mau makahiki.

Pono nō hoʻi ʻoe e kamaʻilio me kāu kauka inā he mau mea pilikia ʻē aʻe kāu e like me ka hōʻike ʻana i ka hana nui, ka moʻolelo o ka maʻi maʻi maʻi maʻi maʻi, a i ʻole ka radiation umauma ma mua. ʻOiai inā ʻaʻole ʻoe e kū i nā pae hoʻohālike screening maʻamau, hiki i kāu kauka ke kōkua i ka loiloi i kāu pilikia pilikino.

Mai kali inā ʻoe e ʻike nei i nā hōʻailona e like me ka ʻū mau, ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka ʻū ʻana i ke koko. Pono kēia mau mea i ka nānā ʻana i ka lāʻau lapaʻau koke ʻoiai ʻaʻole kūpono i ka screening.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka screening maʻi maʻi maʻi maʻi

Q1: He maikaʻi anei ka hoʻāʻo screening maʻi maʻi maʻi maʻi no ka ʻike ʻana i nā ʻano maʻi maʻi maʻi maʻi āpau?

He maikaʻi loa ka screening maʻi maʻi maʻi ma ka ʻike ʻana i ka hapa nui o nā ʻano maʻi maʻi maʻi, akā ʻaʻole ia he mea kūpono. He maikaʻi loa nā scans CT haʻahaʻa i ka ʻike ʻana i nā maʻi maʻi maʻi maʻi ʻole, kahi e hana ai ma kahi o 85% o nā maʻi maʻi maʻi āpau.

ʻO ka screening ka mea maikaʻi loa no nā ʻōpū paʻa e hōʻike ana ma ke ʻano he nodules a i ʻole nā ​​puʻupuʻu ma ke kiʻi. ʻO kekahi mau maʻi maʻi maʻi maʻi e laha wikiwiki ana a i ʻole e ʻike ʻia ma ke ʻano he mumū ma mua o nā puʻupuʻu ʻokoʻa e paʻakikī paha ke hopu ʻia me ka screening wale nō.

Q2: Hoʻopilikia anei ka hoʻōki ʻana i ka puhi ʻana i nā ʻōlelo screening maʻi maʻi maʻi?

ʻAe, i ka wā e haʻalele ai ʻoe i ka puhi ʻana e pili ana i nā ʻōlelo screening, akā ʻaʻole koke. Paipai nā alakaʻi screening i kēia manawa e hoʻomau i ka screening makahiki no 15 mau makahiki ma hope o kou haʻalele ʻana i ka puhi ʻana, me ka manaʻo e kū ana ʻoe i nā pae hoʻohālike ʻē aʻe.

Inā ua haʻalele ʻoe i ka puhi ʻana ma mua o 15 mau makahiki i hala, ʻaʻole ʻoe e manaʻo ʻia he pilikia nui no ka screening maʻamau. Eia naʻe, hiki i kāu kauka ke paipai i ka screening e pili ana i nā mea pilikia ʻē aʻe a i ʻole kāu moʻolelo olakino pilikino.

Q3: Pehea ka pinepine e hana hou ʻia ai ka screening maʻi maʻi maʻi?

Inā kū ʻoe i nā pae hoʻohālike no ka screening maʻi maʻi maʻi, hana ʻia ia i hoʻokahi manawa i ka makahiki. Hāʻawi ka screening makahiki i nā kauka e hahai i nā loli i kou mau māmā i ka manawa a hopu i nā pilikia hiki ke hiki i ka wā.

Hoʻohālikelike ka papa manawa makahiki i nā pōmaikaʻi o ka nānā mau ʻana me ka pahuhopu o ka hōʻemi ʻana i ka ʻike ʻana i ka radiation. Inā hōʻike kāu scan mua i kekahi mea e pono ai ka nānā ʻana, hiki i kāu kauka ke ʻōlelo aku i nā scan follow-up pinepine a hiki i ka wā e māʻona ai lākou ʻaʻole ia he mea e hopohopo ai.

Q4: Hiki i ka nānā ʻana i ka maʻi ʻaʻai māmā ke pale i ka maʻi ʻaʻai māmā?

ʻAʻole pale ka nānā ʻana i ka maʻi ʻaʻai māmā i ka ulu ʻana o ka maʻi ʻaʻai māmā, akā hiki ke hoʻomaikaʻi nui i nā hopena ma ka loaʻa ʻana o ka maʻi ʻaʻai i ka wā mua i ka wā e hiki ai ke mālama ʻia. E noʻonoʻo iā ia he ʻōnaehana hōʻailona mua ma mua o ke ʻano o ka pale ʻana.

ʻO ke ala maikaʻi loa e pale maoli ai i ka maʻi ʻaʻai māmā, ʻo ia ka pale ʻana i ka puhi ʻana i ka paka a i ʻole ka haʻalele ʻana inā e puhi ana ʻoe i kēia manawa. He mea waiwai ka nānā ʻana no ka poʻe i ka pilikia nui ma muli o ka puhi ʻana i ka paka i hala a i ʻole i kēia manawa.

Q5: Aia kekahi mau palena makahiki no ka nānā ʻana i ka maʻi ʻaʻai māmā?

Manaʻo nā alakaʻi i kēia manawa i ka nānā ʻana i ka maʻi ʻaʻai māmā no ka poʻe ma waena o nā makahiki 50 a me 80 e kū ana i nā pae hoʻohālike pilikia ʻē aʻe. Hōʻike ka laulā makahiki i ka wā e kiʻekiʻe ai ka pilikia o ka maʻi ʻaʻai māmā e pono ai ka nānā ʻana i ka wā e olakino ana ʻoe e pōmaikaʻi mai ka mālama ʻana.

Hiki i ka poʻe ma luna o 80 ke lilo i mau moho no ka nānā ʻana i kekahi mau hihia, ʻoiai inā maikaʻi ko lākou olakino a hiki ke ʻae i ka mālama ʻana inā loaʻa ka maʻi ʻaʻai. E noʻonoʻo kāu kauka i kou kūlana olakino holoʻokoʻa a me ka manaʻolana o ke ola i ka wā e hana ai i nā ʻōlelo.