He aha te Carinoma Lobular i roto i te Wāhi? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ehara te carinoma lobular i roto i te wāhi (LCIS) i te mate pukupuku, ahakoa tōna ingoa. He āhuatanga tēnei e tipu ana ngā pūtau koretake i roto i ngā ngongo waiū (lobules) o tō u, engari kāore ēnei pūtau i horapa ki ngā kōpū tata atu.

Whakaarohia te LCIS hei tohu e kōrero ana ki a tātou he nui ake te tūponotanga o te kōpū o tō u ki te whanake i te mate pukupuku i muri mai. Kāore te nuinga o ngā wāhine e pā ana ki te LCIS e whanake i te mate pukupuku o te u, engari ko te mārama ki tēnei āhuatanga ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau e pā ana ki te tirotiro i tō hauora.

He aha te Carinoma Lobular i roto i te Wāhi?

He āhuatanga nui te tūponotanga o te LCIS e kohikohi ana ngā pūtau koretake i roto i ngā lobules o tō u. Ko ēnei lobules ko ngā peke iti, porowhita e whakaputa ana i te waiū i te wā e whāngai u.

Ka raru pea te kupu "carinoma" i roto i te ingoa, engari ehara te LCIS i te mate pukupuku ka horapa. Ka noho ngā pūtau koretake i roto i ngā lobules, kāore hoki e pakaru ki te horapa ki ngā kōpū o te u e karapoti ana.

E pai ake ana ngā tohunga hauora inaianei ki te karanga i te "neoplasia lobular" na te mea e whakaatu pai ana tēnei kupu he tohu o te nui ake o te tūponotanga, ehara i te mate pukupuku pono. Ko te whai LCIS te tikanga he 1-2% te tūponotanga ia tau o te whanake i te mate pukupuku o te u ka horapa, i te whakataurite ki te 0.1-0.2% ia tau o te tūponotanga o te taupori whānui.

He aha ngā tohu o te Carinoma Lobular i roto i te Wāhi?

Kāore te LCIS e tino puta i ngā tohu e taea e koe te kite, te rongo rānei. Ko te nuinga o ngā wāhine ka kite noa i te LCIS i muri i te biopsy o te u i mahia mō tētahi take ke.

Kāore koe e kite i te pūngāwerewere, te mamae o te u, te waiū e puta mai ana i te pito o te u, te huringa o te kiri rānei me te LCIS. Koinei na te mea ka noho ngā pūtau koretake i te iti rawa, ā, kei roto i ngā lobules.

Na te mea kāore te LCIS e hanga i ngā tohu e kitea ana, ka kitea noa i te wā e tirotiro ana ngā tākuta i te kōpū o te u i raro i te microscope i muri i te biopsy mō ngā calcifications, ngā huringa o te u rānei i kitea i runga i ngā mammograms.

He aha ngā take o te Carinoma Lobular i roto i te Wāhi?

Kāore i tino mōhiotia te take pono o te LCIS, engari ka puta mai te ahua kei te tipu koretake ngā pūtau i roto i ngā lobules o tō u. Ka puta mai tēnei i te taumata ira i roto i ngā pūtau takitahi.

He maha ngā take ka āwhina pea ki te whanaketanga o te LCIS:

• Ngā awe o te homoni, inā te whakamahinga o te estrogen i te roa o te wā
• Te whakawhānuitanga ira, ahakoa kāore i kitea ngā ira motuhake
• Ngā huringa pūtau e pā ana ki te pakeketanga e puta ana i te āhua
• Te hītori whakawhānau, tae atu ki te wā i tīmata ai tō menestrual me te wā o te menopause

He mea nui kia mārama kāore te LCIS i puta mai i tetahi mea i mahi koe, i kore rānei e mahi. Ka puta mai ngā huringa pūtau i te āhua, kāore hoki e pā ana ki ngā whiringa noho ora penei i te kai, te whakakori tinana, te taumata ahotea rānei.

Nōhea te haere ki te tākuta mō te Carinoma Lobular i roto i te Wāhi?

Mēnā kua whakatauhia koe ki te LCIS, me whakatū te tiaki haere tonu me te tohunga u, te oncologist rānei. Ehara tenei na te mea he mate pukupuku tōu, engari na te mea e hiahia ana koe ki te tirotiro motuhake.

Whakaritehia ngā hui whakarite i ia 6-12 marama i te timatanga, kia rite ki te tohutohu a tō tākuta. Ka āwhina ēnei haerenga ki te aroturuki i ngā huringa i roto i te kōpū o tō u, ā, kia whakarite hoki kei te whai koe i te mahere tirotiro tino tika.

Whakapa atu ki tō kaiwhakarato hauora mēnā ka kite koe i ētahi huringa hou o te u i waenganui i ngā haerenga whakarite, penei i ngā pūngāwerewere, ngā huringa o te kiri, te waiū e puta mai ana i te pito o te u rānei. Ahakoa kāore ēnei tohu e pā ana ki te LCIS, he mea nui kia arotakehia na te mea he nui ake tō tūponotanga.

He aha ngā take tūponotanga mō te Carinoma Lobular i roto i te Wāhi?

Ko te mārama ki ō take tūponotanga ka āwhina ki te whakatakoto i te LCIS ki te tirohanga, ā, ka ārahi i ō whakatau hauora. Ka taea e ēnei take te whakapiki ake i tō tūponotanga ki te whanake i te LCIS:

• Te pakeketanga, me te nuinga o ngā whakatau i puta i ngā wāhine i waenga i ngā tau 40-50
• Te whakamahinga o te rongoā whakakapi homoni, inā te estrogen me te progesterone i whakakotahihia
• Kāore i hapu, i hapu rānei i muri i te tau 30
• Te tīmatanga o te menestrual i mua i te tau 12, te menopause rānei i muri i te tau 55
• Te hītori whānau o te mate pukupuku o te u, te mate pukupuku o te ovaries rānei
• Ngā biopsies o te u i mua i te whakaatu i ngā huringa nui te tūponotanga

Ko te whai i ēnei take tūponotanga kāore e tikanga ka whanake koe i te LCIS, te mate pukupuku o te u rānei. Kāore te nuinga o ngā wāhine e whai ana i ngā take tūponotanga maha e whanake i tētahi āhuatanga, i te wā e whanake ana ētahi wāhine e whai ana i ngā take tūponotanga iti.

He aha ngā raruraru pea o te Carinoma Lobular i roto i te Wāhi?

Ko te take matua o te LCIS ko tōna hononga ki te nui ake o te tūponotanga o te mate pukupuku o te u. He 20-25% te tūponotanga o te ora o ngā wāhine e pā ana ki te LCIS ki te whanake i te mate pukupuku o te u ka horapa, i te whakataurite ki te 12-13% mō te taupori whānui.

Ka pā tēnei nui ake o te tūponotanga ki ngā u e rua, ehara i te mea ko te u anake i kitea te LCIS. Ko te mate pukupuku e whanake ana he invasive ductal carcinoma te nuinga, ehara i te invasive lobular carcinoma, ā, ka puta pea i hea i roto i tetahi u.

Ka nui pea te pānga hinengaro o te whakatauhia ki te LCIS. He maha ngā wāhine e pā ana ki te awangawanga mō tō rātou tūponotanga ki te mate pukupuku, ka pā pea tenei ki te kounga o te ora me te whakatau i ngā mahi aukati.

Ko te iti rawa, ka taea te hono atu te LCIS ki ētahi atu āhuatanga nui te tūponotanga o te u, penei i te atypical ductal hyperplasia, ka taea te whakapiki ake i te tūponotanga o te mate pukupuku. Ka arotakehia e tō pathologist tō biopsy mō ēnei kitenga atu.

Me pēhea te whakatau i te Carinoma Lobular i roto i te Wāhi?

Ka whakatauhia te LCIS mā te biopsy o te u, ka mahia te nuinga na te mea he whakaaro kino i runga i te mammogram, te MRI o te u rānei. Ka tirotirohia te tauira kōpū i raro i te microscope e te pathologist.

Ka tīmata te tukanga whakatau i te wā e whakaatu ana te whakaahua i ngā calcifications, tētahi wāhi kōroke, ngā huringa rānei e hiahia ana ki te rangahau. Ka tūtohu tō tākuta i te biopsy ngira matua ki te tiki i ngā tauira kōpū.

I te wā kua kitea te LCIS, ka tirotirohia e tō pathologist te kōpū mō ngā āhuatanga atu nui te tūponotanga, te mate pukupuku rānei e mahi tahi ana. I etahi wā, ka tūtohuhia pea te biopsy pokanga mēnā ka whakaatu te tauira tuatahi i te LCIS me ētahi atu āhuatanga e awangawanga ana.

Ka tohu tō ripoata pathology i te momo me te whānuitanga o te LCIS, ka āwhina i tō tākuta ki te whakatau i te mahere whai muri tino tika. Ka ārahi tēnei mōhiohio i ngā whakatau e pā ana ki te auau tirotiro me ngā mahi aukati pea.

He aha te maimoatanga mō te Carinoma Lobular i roto i te Wāhi?

Kāore te LCIS ake e hiahia ana ki te maimoatanga na te mea ehara i te mate pukupuku. Engari, ka arotahi tō tiaki ki te aroturuki me te whakaiti pea i tō tūponotanga ki te mate pukupuku i muri mai.

Ka tūtohu tō tākuta i te tirotiro kē, ka uru pea ki ngā whakamātautau u i ia 6-12 marama me ngā mammograms ia tau. Ka taea e ētahi wāhine te whai hua mai i te whakamātautau MRI u ia tau hei tāpiri ki te mammography.

Ka tukuna pea ngā rongoā whakaiti-tūponotanga e kiia nei ko ngā kaiwhakahaere o te kaiwhiwhi estrogen (SERMs). Ka taea e ēnei rongoā, penei i te tamoxifen, te raloxifene rānei, te whakaiti i te tūponotanga o te mate pukupuku o te u e 50% te wā, engari ka puta mai ō rātou ake tūponotanga me ngā painga hei kōrero ki tō tākuta.

Mō ngā wāhine e nui rawa te tūponotanga, ka whakaarohia pea te mastectomy aukati, ahakoa he whakatau nui tēnei e hiahia ana ki te tohutohu atawhai. Ko te nuinga o ngā wāhine e pā ana ki te LCIS e whiriwhiri ana i te tirotiro kē, ehara i te aukati pokanga.

Me pēhea te whakahaere i te Carinoma Lobular i roto i te Wāhi i te kāinga?

Arotakehia te pupuri i te hauora o te u i roto i te whānui mā te mohio tonu ki a koe me ngā whiringa noho ora hauora. Ahakoa kāore e taea e koe te whakarereke i tō whakatau LCIS, ka taea e koe te whakapai ake i tō hauora whānui.

Noho mohio ki te ahua me te āhua o ō u, te ripoata i ētahi huringa ki tō kaiwhakarato hauora i te wa poto. Ehara tēnei i te mahi i ngā whakamātautau whaiaro, engari he mea nui kia mōhio koe ki tō tinana.

Whakaarohia ngā whakarereketanga noho ora ka tautoko pea i te hauora o te u, penei i te pupuri i te taumaha hauora, te whakaiti i te inu waipiro, te noho mahi tinana, te kai kai rite i te hua me ngā huawhenua.

Whakahaerehia te ahotea me te awangawanga mō tō whakatau mā ngā rōpū tautoko, te tohutohu, ngā tikanga whakamahinga rānei. He maha ngā pokapū mate pukupuku e whakarato ana i te tautoko motuhake mō ngā wāhine e whai ana i ngā āhuatanga nui te tūponotanga o te u.

Me pēhea te whakarite mō tō hui tākuta?

Kawe mai he rārangi katoa o ō rongoā, tae atu ki ngā tāpiri-ā-te-kaute me ngā homoni. Me mōhio tō tākuta ki te rongoā whakakapi homoni, ngā pire whakahaere whānau rānei e inu ana koe.

Whakaritehia he hītori whānau taipitopito o te mate pukupuku o te u, te mate pukupuku o te ovaries, ētahi atu mate pukupuku rānei i ngā taha e rua o tō whānau. Tāpirihia ngā tau i te whakatau me ngā momo mate pukupuku, na te mea ka pā tēnei mōhiohio ki tō arotake tūponotanga.

Tuhia ngā pātai e pā ana ki tō whakatau, te tiaki whai muri, me ngā whiringa whakaiti-tūponotanga. Whakaarohia te uiui e pā ana ki ngā kaupapa tirotiro, ngā whiringa rongoā, ngā tohutoro tohutohu ira, me ngā whakarereketanga noho ora.

Kawe mai tō ripoata pathology me ētahi atu hua whakaahua u i mua. Ka āwhina ēnei tuhinga i tō tākuta ki te whakarato i ngā tohutohu whaiaro ake mō tō tiaki.

He aha te tango matua e pā ana ki te Carinoma Lobular i roto i te Wāhi?

He tohu nui te tūponotanga te LCIS, ehara i te mate pukupuku, e whakaatu ana e hiahia ana koe ki te tirotiro hauora u tata atu. Kāore te nuinga o ngā wāhine e pā ana ki te LCIS e whanake i te mate pukupuku o te u, engari he mea nui te tirotiro tika.

Mahi tahi me tō rōpū hauora ki te whakawhanake i te mahere aroturuki me te whakaiti-tūponotanga whaiaro. Ka āwhina tēnei kaupapa hoa ki a koe ki te whakatau i ngā whakatau e pā ana ki tō tiaki i te wā e whakahaere ana i te awangawanga e pā ana ki tō whakatau.

Mahara ko te whai LCIS te tikanga kei te tūnga koe inaianei ki te hopu i ētahi atu huringa o te u i te wa wawe, i te wā e tino whai hua ana te maimoatanga. He taputapu kaha ōu āhuatanga me te tirotiro hauora ki te pupuri i tō hauora.

Ngā pātai e uiuihia pinepine ana e pā ana ki te Carinoma Lobular i roto i te Wāhi

He rite te LCIS ki te carinoma lobular ka horapa?

Kāo, he rerekē rawa ngā āhuatanga o te LCIS me te carinoma lobular ka horapa. Ko te LCIS he pūtau koretake kei roto i ngā lobules o te u, i te wā ko te carinoma lobular ka horapa he mate pukupuku pono kua horapa atu i ngā lobules ki ngā kōpū e karapoti ana. Ko te whai LCIS kāore e tikanga kei a koe, ka whanake rānei koe i te mate pukupuku ka horapa.

Me kōrero atu rānei ahau ki oku whānau e pā ana ki taku whakatau LCIS?

Whakaarohia te whakapā atu i tō whakatau ki ngā whānau wahine tata, na te mea ka pā pea tenei ki ō rātou whakatau hauora u. Ahakoa kāore te LCIS ake i tukuhia tika, he mea nui te hītori whānau o ngā āhuatanga o te u mō ō rātou kaiwhakarato hauora ki te mōhio. Ka taea pea te whai hua o ō whānau mai i te tirotiro mate pukupuku o te u i mua atu, i te auau ake rānei.

Ka taea tonu e ahau te tango i te rongoā whakakapi homoni mēnā he LCIS tōku?

Me kōrero atawhai tēnei whakatau me tō tākuta e pā ana ki ō tūponotanga me ō painga takitahi. Ka taea e te rongoā whakakapi homoni te whakapiki ake i te tūponotanga o te mate pukupuku o te u, ka āwangawanga pea tēnei, ina koa na tō whakatau LCIS. Ka āwhina tō tākuta i a koe ki te pauna i ngā painga o te rongoā homoni ki tō nui ake o te tūponotanga ki te mate pukupuku o te u.

Ka pā rānei te whai LCIS ki taku kaha ki te whāngai u i muri mai?

Kāore te LCIS ake e pā ki tō kaha ki te whāngai u, na te mea kāore te nuinga e hiahia ana ki te maimoatanga pokanga ka pakaru pea i te kōpū o te u. Engari, mēnā kei te inu koe i ngā rongoā whakaiti-tūponotanga penei i te tamoxifen, me kōrero koe ki tō tākuta e pā ana ki te whakatōpū whānau, na te mea kāore ēnei rongoā e ora i te wā hapu, te whāngai u rānei.

Me pehea te auau o aku hui whakarite me te whakamātautau?

I te timatanga, ka whai pea koe i ngā whakamātautau u i ia 6-12 marama me ngā mammograms ia tau. Ka whai pea ētahi wāhine i te whakamātautau MRI u ia tau. Ka taea pea te whakarereke i tō kaupapa whai muri i te roa o te wā e pā ana ki ō take tūponotanga takitahi, te pakeketanga, me ētahi atu huringa i roto i te kōpū o tō u. Ka hanga e tō rōpū hauora tētahi mahere tirotiro whaiaro mōu.