ʻO kāna hakakā kā mākou misionari

ʻO ka lāʻau lapaʻau neoadjuvant systemic - ʻo ia hoʻi ka chemotherapy, ka lāʻau lapaʻau i kuhikuhi ʻia, a i ʻole ka lāʻau hormonal i hāʻawi ʻia ma mua o ke ʻoki ʻana - hoʻohana pinepine ʻia e hoʻēmi i nā puʻupuʻu i loko o ke kanesa o ka umauma. No nā wahine he nui, hoʻololi kēia lāʻau i ka mea e pono ai ka mastectomy i kahi manawa kūpono no ka mālama ʻana i ka umauma.

Ma ke Kikowaena Kanesa Wahine ʻo Apollo Athenaa, hana ʻia ke ʻoki mālama umauma ma hope o ka lāʻau neoadjuvant me ka pololei. ʻAʻole wale kā mākou ʻano hana e hoʻopau i nā maʻi i koe akā mālama pū i ke ʻano a me ke ʻano o ka umauma i nā wahi āpau e hiki ai ke palekana. Alakaʻi ʻia kēlā me kēia hoʻolālā e ke kiʻi mua o ka mālama ʻana, ka biology tumor, a me ka loiloi pane akahele.

Pehea e hana ʻia ai ke kaʻina hana

• Hana ʻia ke kaʻina hana ma lalo o ka anesthesia laulā.
• Pono pinepine ka hoʻonohonoho ʻana ma mua o ke ʻoki ʻana me ka hoʻohana ʻana i nā ʻāpana i kau ʻia i ka wā o ka biopsy (e hōʻailona i kahi o ka puʻupuʻu mua) a i ʻole ke alakaʻi uea inā ʻaʻole hiki ke palpable ʻia ka puʻupuʻu ma hope o ka mālama ʻana.
• Hana ʻia kahi ʻoki liʻiliʻi ma luna a kokoke paha i ka moena o ka ʻōpū, a i ʻole ma kahi mamao aku no nā hopena hoʻonani maikaʻi.
• E wehe ke kauka ʻoki i ka moena o ka puʻupuʻu (me kahi o ke kinipōpō) a me kahi lihi o nā ʻiʻo a puni e hōʻoia i ka wehe piha ʻana.
• Hiki ke hana ʻia ka biopsy lymph node Sentinel a i ʻole ka axillary dissection, ma muli o ka pane nodal a me ke kahua ma mua o ka mālama ʻana.
• Hiki ke hoʻohana ʻia nā ʻano hana pani oncoplastic e hoʻoponopono hou a mālama i ka symmetry.
• ʻO ka maʻamau, ʻo ke kaʻina hana he 1.5 a 2.5 mau hola.

loaa

• Noho halemai: Hoʻokuʻu ʻia ka hapa nui o nā maʻi i loko o 24-48 mau hola. Ke alakaʻi nei nā hopena pathology hope loa i nā ʻanuʻu aʻe i ka hoʻolālā lapaʻau. 
• Hoʻoponopono ʻeha: He palupalu ka ʻeha ma hope o ke ʻoki ʻana a mālama ʻia me nā lāʻau lapaʻau waha.
• Physiotherapy: Hoʻomaka mua ʻia ka neʻe ʻana o ka lima a me nā hoʻomaʻamaʻa laulā o ka neʻe ʻana.
• Ke hoʻomaka hou nei i ka hana maʻamau: Manaʻo ʻia e hoʻi hou i ka hana maʻamau i loko o 2-3 mau pule, me ka ho'ōla piha ʻana i loko o 4-6 mau pule.

Nā Kiʻi Kiʻi

• Hiki ke mālama ʻia ka umauma, ʻoiai i nā hihia e pono ai ka mastectomy i ka wā mua.
• Palekana no ka oncology, me nā hopena e like me ka mastectomy i nā poʻe maʻi i koho ʻia.
• Hoʻomaikaʻi ʻia nā hopena hoʻonaninani, ʻoi aku hoʻi i ka wā i hui pū ʻia me nā ʻano hana oncoplastic.
• Hoʻēmi i ka maʻi ʻoki kino, mālama i ke ʻano o ka umauma a me ka manaʻo i kahi hiki.
• ʻAe i ka hoʻohaʻahaʻa ʻana o ke axillary, e hōʻemi pinepine ana i ka pono no ka wehe piha ʻana i nā lymph node.

Ka Hoʻomau o ka Mālama

Ma Apollo Athenaa, ʻo ke ʻoki ʻana i ka umauma ma hope o ka lāʻau neoadjuvant he ʻāpana ia o kahi ala mālama multidisciplinary i nānā pono ʻia. Hoʻolaha kā mākou kākoʻo ma:

• ʻO ka hoʻolālā ma mua o ke ʻoki ʻana, me ka loiloi papa tumor a me ke kiʻi ʻana e hōʻoia i ka pane lapaʻau
• ʻO ka localization pololei a me ka palapala ʻāina intraoperative e hōʻoia i ka wehe ʻana i nā maʻi i koe
• ʻO ka lāʻau lapaʻau adjuvant i alakaʻi ʻia e ka pathology, me ka radiotherapy a me ka systemic therapy
• Ka hahai ʻana ma hope o ke ʻoki ʻana, me ka mālama ʻana i nā ʻōpala, ka physiotherapy, a me ke kākoʻo naʻau
• Ka nānā ʻana i ka wā lōʻihi, me nā hoʻokolohua lapaʻau a me ke kiʻi ʻana i ka umauma i nā manawa maʻamau

Hōʻoia kēia ʻano hana ʻaʻole e loaʻa i nā wahine ʻaʻole wale ka wehe ʻana i ka puʻupuʻu, akā, ʻo ka lāʻau lapaʻau i hoʻopilikino pono ʻia e kākoʻo ana i ka ho'ōla ʻana ma nā ʻano āpau.