He aha te Hyperplasia Atypical? Tohutohu, Take, me te Maimoatanga

Ko te hyperplasia atypical he āhuatanga u no te u e kore e mate pukupuku (e kore e mate pukupuku), kei reira nga pūtau e tipu ana i te āhua ke, engari ehara i te mate pukupuku. Whakaarohia he pūtau e ahua ke ana i raro i te microscope, engari kaore ano kia tae ki te mate pukupuku.

Ko tenei āhuatanga e pā ana ki te 5-10% o ngā wāhine e whai ana i ngā biopsies u. Ahakoa ko te ingoa pea ka rongohia he wehi, he mea nui kia mōhio ko te hyperplasia atypical ano kaore i te mate pukupuku, ahakoa ka piki ake te tūponotanga o te whanake i te mate pukupuku u i te wa kei mua.

He aha te Hyperplasia Atypical?

Ka puta te hyperplasia atypical ina nui atu te maha o ngā pūtau u i te noa, ā, he ahua ke te ahua i raro i te microscope. Kaore ēnei pūtau kua riro hei mate pukupuku, engari kei a rātou etahi āhuatanga e awangawanga ana ngā tākuta.

E rua ngā momo matua me mōhio koe. Ko te atypical ductal hyperplasia (ADH) e pā ana ki ngā ngongo miraka, ā, ko te atypical lobular hyperplasia (ALH) e pā ana ki ngā wāhi whakaputa miraka e kiia nei ko ngā lobules. E rua ngā momo e mau ana i ngā kōwhiringa rite mō tō hauora.

Ka tohutohu ngā tākuta i tenei āhuatanga hei lesion teitei-tūponotanga. Ko te tikanga tenei ka piki ake ō tūponotanga ki te whanake i te mate pukupuku u i muri mai, engari ehara i te mate pukupuku. Whakaarohia he rama matomato-kowhai, ehara i te tohu whāinga whero.

He aha ngā Tohutohu o te Hyperplasia Atypical?

Ko te nuinga o ngā wāhine e whai ana i te hyperplasia atypical kaore e pā ana ki tetahi tohu. Ko te tikanga ka kitea tenei āhuatanga i ngā mammograms noa, i te wā rānei e tirotiro ana ngā tākuta i ētahi atu awangawanga u.

Ina puta mai ngā tohu, he iti noa iho, ā, ka uru atu ki:

• He pūngāwerewere iti, he wāhi mātotoru rānei i te u
• Te mamae, te ngoikore rānei o te u
• Ngā huringa i te āhua o te u
• Te tukunga mai o te nipple (kāore i te noa)

Ka taea hoki e ēnei tohu te tohu i te maha atu o ngā āhuatanga u pai. Ki te kite koe i tetahi huringa i ō u, he mea pai tonu te kōrero ki tō kaiwhakarato hauora, ahakoa he iti rawa.

He aha ngā Momo o te Hyperplasia Atypical?

E rua ngā momo o te hyperplasia atypical, e pā ana ia ki ngā wāhanga rerekē o ngā kiko o tō u. Ko te mārama ki ēnei momo ka āwhina i a koe me tō tākuta ki te whakarite i te huarahi pai mō te tirotiro me te tiaki.

Ka whanake te atypical ductal hyperplasia (ADH) i roto i ngā ngongo miraka, ngā pūkaha e kawe ana i te miraka mai i ngā lobules ki te nipple. Ko tenei momo e 60-70% o ngā keehi hyperplasia atypical, ā, ka piki ake te tūponotanga o te mate pukupuku u.

Ko te atypical lobular hyperplasia (ALH) e pā ana ki ngā lobules, arā, ngā whekau whakaputa miraka i roto i tō u. Ahakoa kāore i te noa i te ADH, ko tenei momo ka piki ake te tūponotanga o te mate pukupuku, ā, pea ka hono atu ki te tūponotanga teitei ake o te whanake i te mate pukupuku u lobular.

E rua ngā momo e hiahia ana ki ngā rautaki tirotiro me te whakahaere rite. Ka whakamārama tō tākuta ko wai te momo kei a koe me te tikanga mō tō āhuatanga motuhake.

He aha ngā Take o te Hyperplasia Atypical?

Kaore i te tino mōhiotia te take tika o te hyperplasia atypical, engari e whakapono ana ngā kairangahau he hua mai i te whakakotahitanga o ngā āhuatanga o te homoni me ngā take ira. Ko ngā rereketanga homoni noa o tō tinana, inā te estrogen, pea he tino wāhi.

He maha ngā take pea ka awhina ki te whanake i tenei āhuatanga:

• Te roa o te whakamahinga o te estrogen i roto i tō oranga
• Te hītori whānau o te mate pukupuku u, mate pukupuku ovarian rānei
• Ngā biopsies u pai i mua
• Te kiko u matotoru
• Te tau, me te piki o te tūponotanga i muri i te 40
• Te menopause wā roa, te menstruation wā poto rānei
• Kaore i te whānau tamariki, te whānau i tō tamaiti tuatahi i muri i te 30 rānei

He mea nui kia mahara ko te whai i ēnei take tūponotanga kaore e tikanga ka whanake koe i te hyperplasia atypical. He tokomaha ngā wāhine e whai ana i ngā take tūponotanga maha kaore e whanake i te āhuatanga, ā, ko ētahi atu e whai ana i ngā take tūponotanga torutoru ka whanake.

Nōhea te Kite atu ki te Tākuta mō te Hyperplasia Atypical?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i tetahi pūngāwerewere hou, he huringa rānei o ngā pūngāwerewere, ngā pūngāwerewere rānei i roto i ngā kiko o tō u. Ahakoa ko te nuinga o ngā huringa u kaore i te kino, he pai tonu te tirotiro i a rātou.

Whakarite he whakatau ki te pāngia koe e te mamae u tonu, te tukunga mai o te nipple, tetahi huringa rānei i te ahua o tō u, te āhua rānei o te kiko. Ka taea e tō tākuta te whakatau mēnā e hiahia ana ēnei huringa ki te tirotiro atu mā te whakaahua, te biopsy rānei.

Ki te kua tohutohuhia koe ki te hyperplasia atypical, kia mau tonu ki ngā whakatau whai muri e tūtohutia ana e tō rōpū hauora. Ko tenei tirotiro tonu ka āwhina ki te hopu i ngā huringa i te wā wawe, ā, ka whakarite kia whiwhi koe i te tiaki tika.

He aha ngā Take Tūponotanga mō te Hyperplasia Atypical?

Ko te mārama ki ō take tūponotanga ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau whakamārama mō ngā rautaki tirotiro me te aukati. He maha ngā take kaore e taea e koe te whakarereke, ā, ko ētahi atu pea ka taea e koe te whakahaere.

Ko ngā take tūponotanga kaore e taea te whakarereke:

• Te tau i runga ake i te 40
• Te hītori whānau o te mate pukupuku u, mate pukupuku ovarian rānei
• Te hītori whaiaro o te mate u pai
• Te kiko u matotoru
• Ngā whakarerekētanga ira penei i te BRCA1, BRCA2 rānei
• Te menstruation wā poto (i mua i te 12 tau)
• Te menopause wā roa (i muri i te 55 tau)

Ko ngā take pea ka taea te whakarereke:

• Te whakamahinga o te rongoā whakakapi homoni
• Te inu waipiro
• Te whakahaere taumaha
• Ngā taumata mahi tinana

Ko te whai i ngā take tūponotanga maha kaore e whakamana ka whanake koe i te hyperplasia atypical, pēnei i te whai i ngā take tūponotanga torutoru kaore e whakamana kaore koe e mate. Ko ēnei take ka āwhina noa i ngā tākuta ki te aromatawai i tō pūkete tūponotanga whānui.

He aha ngā Raru Pea o te Hyperplasia Atypical?

Ko te mataku matua ki te hyperplasia atypical ko tōna hononga ki te piki o te tūponotanga o te mate pukupuku u. Ko ngā wāhine e whai ana i tenei āhuatanga he 4-5 wā te tūponotanga o te whanake i te mate pukupuku u i te whakatau ki ngā wāhine kaore.

Ko tenei piki o te tūponotanga e whakamaori ana ki ngā nama motuhake me mārama koe. Ki te mea ko tō tūponotanga ora o te mate pukupuku u i mua i te 12%, ko te whai i te hyperplasia atypical pea ka piki ki te 20-25%. Ahakoa ka rongohia tenei he nui, kia mahara ko te nuinga o ngā wāhine e whai ana i te hyperplasia atypical kaore e whanake i te mate pukupuku.

Ka taea hoki te wero te pānga hinengaro. He tokomaha ngā wāhine e manukanuka ana mō te piki o tō rātou tūponotanga mate pukupuku, ka pā pea ki te kounga o te ora. He mea noa te manukanuka, te ahotea rānei i muri i te whiwhi i tēnei tohutohu.

I etahi wā, pea ka kitea te hyperplasia atypical me ētahi atu lesions teitei-tūponotanga, mate pukupuku wā wawe rānei i te wā o te biopsy kotahi. Ka tirotirohia e tō pathologist ngā kiko katoa kia kore ai e ngaro tetahi mea.

Me pēhea te aukati i te Hyperplasia Atypical?

Ahakoa kaore e taea e koe te aukati katoa i te hyperplasia atypical, ko ētahi whiringa oranga pea ka āwhina ki te whakaiti i tō tūponotanga mate pukupuku u whānui. Ko ēnei rautaki e aro ana ki te pupuri i te hauora whānui pai, ki te whakaiti i ngā take tūponotanga e mōhiotia ana.

Whakaarohia ēnei huarahi e tautokona ana e te mātātahi:

• Pupuri i te taumaha hauora mā te kai rite me te whakakori tinana
• Whakaitihia te inu waipiro ki te kore atu i tetahi inu ia rā
• Kia mau tonu te mahi tinana me te iti rawa o te 150 meneti o te whakakori tinana ngawari ia wiki
• Whakangā tamariki ki te taea, na te mea pea ka whakaiti i te tūponotanga o te mate pukupuku u
• Kōrerohia ngā tūponotanga me ngā painga o te rongoā whakakapi homoni ki tō tākuta
• Whakaarohia te tohutohu ira ki te whai koe i te hītori whānau kaha

Ko ngā tirotiro whaiaro o te u me ngā mammograms kaore e taea te aukati i te hyperplasia atypical, engari ka āwhina ki te kite i ngā huringa i te wā wawe. Ko te kite wawe ka ārahi ki ngā hua pai ake ki te whanake i tetahi huringa awangawanga.

Me pēhea te tohutohu i te Hyperplasia Atypical?

Ko te tikanga ka kitea te hyperplasia atypical i te wā o te biopsy u e mahia ana mō ētahi atu take, pēnei i te mammogram, te tirotiro tinana rānei e kore e noa. Ko te tohutohu e hiahia ana ki te tirotiro i ngā kiko u i raro i te microscope e te pathologist.

Ko te tukanga tohutohu e whai ana i ēnei kaupae:

1. Ko te whakaahua tuatahi (mammogram, ultrasound, MRI rānei) e whakaatu ana i te wāhi awangawanga
2. Ka tūtohu tō tākuta i te biopsy ngongo u matua ki te tango tauira o te kiko
3. Ka tirotiro te pathologist i ngā tauira kiko i raro i te microscope
4. Ka tohutohu te pathologist i ngā huringa pūtau tohu o te hyperplasia atypical
5. Ka kōrero tō tākuta i ngā hua me ngā kaupae e whai ake nei ki a koe

I etahi wā, pea ka tūtohu tō tākuta i te whakakorenga pokanga i muri i te tohutohu biopsy tuatahi. Ka āwhina tenei ki te whakarite kaore he lesions teitei-tohu, mate pukupuku wā wawe rānei e huna ana i te taha tata i ngā wāhi kaore i tangohia e te biopsy ngongo.

He aha te Maimoatanga mō te Hyperplasia Atypical?

Ko te maimoatanga mō te hyperplasia atypical e aro ana ki te tirotiro me te whakaiti i te tūponotanga, ehara i te whakauru wawe. Mai i te mea ehara tenei āhuatanga i te mate pukupuku, kaore e hiahiatia te maimoatanga kaha, engari he mea nui te tirotiro ata.

Pea ka uru atu tō mahere maimoatanga ki:

• Te tirotiro whakapai ake me ngā mammograms me ngā whakamātautau hauora e nui ake ana
• Te tirotiro MRI pea ki te whai koe i ētahi atu take tūponotanga teitei
• Te kōrero mō ngā rongoā aukati penei i te tamoxifen, raloxifene rānei
• Te tohutohu ira ki te whakaatu te hītori whānau i te tūponotanga whakatūpato
• Te tohutohu oranga mō te kai, te whakakori tinana, te inu waipiro rānei

Ko ētahi wāhine e whai ana i te tūponotanga teitei rawa pea ka whakaaro ki te pokanga aukati, ahakoa ko te tikanga tenei ka waiho mō te hunga e whai ana i ngā hītori whānau kaha, whakarerekētanga ira rānei. Ka āwhina tō oncologist ki a koe ki te taumaha i ngā painga me ngā tūponotanga o ngā whiringa katoa.

Ko te whāinga ko te hopu i ngā huringa kei mua i te wā wawe i te wā e āwhina ana koe ki te pupuri i tō kounga o te ora me tō rangimarie o te ngākau.

Me pēhea te tiaki whare i te wā o te Hyperplasia Atypical?

Ko te whakahaere i te hyperplasia atypical i te kāinga e whakauru ana ki te pupuri i ngā tikanga hauora, ki te mau tonu ki ngā huringa u. Aro ki ngā whiringa oranga e tautoko ana i te hauora u whānui me te oranga pai.

Whakaarohia ēnei rautaki tiaki whare:

• Whakahaerehia ngā tirotiro whaiaro o te u ia marama kia mohio ai koe ki ngā huringa noa
• Kia mau tonu he rēkōta o ngā huringa u, tohu rānei
• Pupuri i te kai hauora e whai hua ana i ngā hua, ngā huawhenua, ngā witi katoa rānei
• Whakakori tinana kia tautoko ai i te mahi ārai mate me te pupuri i te taumaha hauora
• Whakaitihia te inu waipiro, kaua hoki e pā te paowa
• Whakahaerehia te ahotea mā ngā tikanga whakamahinga, te whakaaroaro, te tohutohu rānei

Kia mahara ka huri noa ngā kiko u i roto i tō huringa marama, na reira ngana ki te tirotiro i ō u i te wā kotahi ia marama. Ki te mea kua mutu tō menopause, tīpakohia he rā mau penei i te tuatahi o ia marama.

Kia mau tonu ki ngā rōpū tautoko, rānei ki ngā ratonga tohutohu ki te kaha te manukanuka mō tō tohutohu. He tokomaha ngā wāhine e kite ana he āwhina te kōrero ki ētahi atu e whai ana i ngā wheako rite.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite mō tō whakatau ka āwhina ki te whakarite ka whiwhi koe i ngā korero tino tika, ka maia hoki koe mō tō mahere tiaki. Kawe mai ngā rēkōta hauora e tika ana, tae atu ki ngā mammograms i mua, ngā rīpoata biopsy rānei.

I mua i tō haerenga, kohikohia ēnei korero nui:

• Rārangi katoa o ngā rongoā me ngā tāpiringa o nāianei
• Te hītori whānau o te mate pukupuku u, ovarian, mate pukupuku atu rānei
• Te hītori hauora whaiaro, tae atu ki ngā biopsies u i mua
• Rārangi o ngā pūrongo me ngā awangawanga e hiahia ana koe ki te kōrero
• Ngā korero inihua me ngā pepa tohutoro ki te hiahiatia

Tuhia ō pūrongo i mua kia kaua e wareware i te wā o te whakatau. Ko ngā pūrongo noa e whakauru ana ki te uiui mō tō tūponotanga mate pukupuku motuhake, ngā tūtohu tirotiro, me te tika o te whakamātautau ira.

Whakaarohia te kawe mai i te hoa, te whānau rānei e whakawhirinaki ana ki te tautoko, ki te āwhina hoki ki te mahara ki ngā korero nui i kōrerotia i te wā o te haerenga.

He aha te tango matua mō te Hyperplasia Atypical?

Ko te hyperplasia atypical he āhuatanga e taea te whakahaere e hiahia ana ki te aro, engari kaua e manaaki i tō oranga. Ahakoa ka piki ake te tūponotanga o te mate pukupuku u, ko te nuinga o ngā wāhine e whai ana i tēnei tohutohu kaore e whanake i te mate pukupuku.

Aro ki te mea ka taea e koe te whakahaere: te pupuri i te tiaki whai muri tonu, te noho i te oranga hauora, te noho matau hoki mō ō whiringa. Mahi tata atu ki tō rōpū hauora ki te whakawhanake i te mahere tirotiro e tika ana mō tō āhuatanga motuhake.

Kia mahara kei te haere tonu ngā whakapainga hauora ki te whakapai ake i tō tātou kaha ki te kite me te aukati i te mate pukupuku u. Ko tō huarahi whakamua ki te tirotiro me te tiaki ka whakanoho koe ki te tūnga pai rawa mō te pupuri i te hauora u roa.

Ngā Pūrongo E Uihia Ana Mō te Hyperplasia Atypical

Q1: Ka huri tino te hyperplasia atypical hei mate pukupuku?

Kāo, e kore te hyperplasia atypical e huri tino hei mate pukupuku. Ahakoa ka piki ake tō tūponotanga ki te whanake i te mate pukupuku u, ko te nuinga o ngā wāhine e whai ana i tēnei āhuatanga kaore e whanake i te mate pukupuku. Ko te piki o te tūponotanga e tikanga ana e hiahia ana koe ki te tirotiro tata atu, engari ehara i te whakamana ka puta te mate pukupuku.

Q2: Nōhea te maha o ngā mammograms me whai ahau i muri i te tohutohu hyperplasia atypical?

Ko te nuinga o ngā tākuta e tūtohu ana i ngā mammograms ia tau, ā, ko ētahi pea ka tūtohu ki te tīmata i mua atu, ki te tāpiri rānei i te tirotiro MRI u. Ko tō mahere tirotiro motuhake e whakawhirinaki ana ki ō take tūponotanga whānui, te hītori whānau, ētahi atu whakaaro hauora whaiaro rānei. Ka hanga e tō oncologist he mahere tirotiro motuhake mōu.

Q3: Me whakaaro pea ahau ki te tango i ngā rongoā aukati penei i te tamoxifen?

Ka taea e ngā rongoā aukati te whakaiti i te tūponotanga o te mate pukupuku u e te 50% i roto i ngā wāhine teitei-tūponotanga, engari kei a rātou hoki ngā pānga taha pea. Ka āwhina tō tākuta ki a koe ki te taumaha i ngā painga me ngā tūponotanga i runga i tō tau, te hauora whānui, ngā take tūponotanga whaiaro rānei. He tino whaiaro tēnei whakatau, me mahia i muri i te kōrero tino pai ki tō rōpū hauora.

Q4: Ka taea tonu e ahau te whakangā tamariki ki te whai ahau i te hyperplasia atypical?

Ae, ko te whai i te hyperplasia atypical kaore e aukati i a koe i te whakangā tamariki. Ko te tikanga, ko te whakangā tamariki pea ka homai ētahi painga tiaki ki te mate pukupuku u. Kōrerohia ngā awangawanga ki tō tākuta, engari kaua tenei tohutohu e whakaroa i tō kaha ki te whakangā i tō pēpi.

Q5: Ko te whai i te hyperplasia atypical te tikanga e hiahia ana ahau ki te whakamātautau ira?

Kaore te whakamātautau ira e tūtohutia ana mō te katoa e whai ana i te hyperplasia atypical. Heoi, ki te whai koe i te hītori whānau kaha o te mate pukupuku u, mate pukupuku ovarian rānei, pea ka tūtohu tō tākuta i te tohutohu ira ki te whakatau mēnā he tika te whakamātautau. Ko te whakakotahitanga o te hyperplasia atypical me ngā whakarerekētanga ira ka taea te piki ake o te tūponotanga o te mate pukupuku, ka ātaahua ake te tirotiro, ngā mahi aukati rānei.