Me ako tātou mō te mate pukupuku oro-pharyngeal. He mea nui kia mōhio koe ki ēnei mea!

Tērā pea ka pāngia koe e te mamae o te korokoro, te rerekētanga o tō reo, te uaua rānei ki te horomi, tika? He maha ngā wā ka warewarehia e tātou ēnei tohu iti. E whakaaro ana tātou he makariri noa iho, he mamae rānei o te korokoro. Heoi, i ētahi wā, ko ēnei tohu noa iho ka puta mai i tētahi mea nui ake. I tēnei rā ka kōrero tātou mō tētahi kaupapa e hiahia ana kia whakaaroarohia. Ko te "Oropharynegal Cancer," he mate pukupuku e puta ana i waenganui o te korokoro, i muri o tō tātou waha, te wāhi e tīmata ai te korokoro. Kaua e wehi, ko te mea nui ko te mōhio ki tēnei.

He aha tēnei mate pukupuku kei waenganui o te korokoro (Te Mate Pukupuku Oropharyngeal)?

Ki te kī māmā noa, ko te 'Oropharyngeal Cancer' he mate pukupuku e puta mai ana i te wā e tipu rerekē ana ngā pūtau i waenganui o tō korokoro, e kiia nei ko te 'Oropharynx' , ka huri hei mate pukupuku. Kei roto i te 'Oropharynx' te tuara o tō waha, te turanga o tō arero, ngā tonsils, me te waha ngohengohe i te tihi o tō korokoro. Ka whakaputahia e tēnei wāhi te huware, ka pupuri i tō waha me tō korokoro kia makuku, ā, ka āwhina i a koe ki te nakunaku i te kai e kainga ana e koe. He maha ngā huarahi a ngā tākuta ki te rongoā i tēnei mate pukupuku. Heoi, i ētahi wā ka 'hoki mai' i muri i te maimoatanga. Ahakoa kāore e taea te ārai katoa i tēnei mate pukupuku, ka taea e koe te whakaiti i tō tupono ki te pangia e ia mā te tiaki i ētahi mea. Hei tauira, he mea tino nui te tiaki i a koe mai i te huaketo 'Human Papillomavirus (HPV)' , te kore e momi hikareti, me te whakahaere i te inu waipiro.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, he momo mate pukupuku onge te 'Oropharyngeal Cancer'. Hei tauira, e ai ki te American Cancer Society, tata ki te 53,000 ngā tāngata i te United States e kitea ana tēnei mate pukupuku i ia tau. Heoi, ki te tangohia te mate pukupuku o te ū, neke atu i te 290,000 ngā tāngata e pāngia ana i ia tau. Nō reira, ki te whakaritea ki tēnā, he iti noa iho tēnei. Ka kitea anō hoki tēnei mate i Sri Lanka, engari kāore i te tino noa ki te whakataurite ki ētahi atu momo mate pukupuku.

He rerekē ngā momo 'Matepukupuku Oro-pharyngeal'?

Ae, he maha ngā momo o tēnei.

• Ko te mate pukupuku o ngā tōngāmimi te momo mate pukupuku e tino kitea ana.
• Hei tāpiritanga, ka puta pea ēnei mate pukupuku i roto i ngā kapia, te papa o te waha, me ētahi atu wāhanga o te oropharynx.

He aha ngā tohu o te 'Mate Pukupuku Ophoryngeal'?

He mea tino nui tēnei, nā te mea he rite tonu ngā tohu o tēnei mate pukupuku ki ngā tohu o ētahi atu mate iti. Nō reira, he mea tino nui kia mōhio koe ki tēnei.

• Korokoro mamae tonu (' Pharyngitis ') : He korokoro mamae kāore e pai ake.
• Te uaua, te mamae rānei i te horomitanga (`Te koretake o te kai : He āhua kāore e taea te horomi kai.
• He uaua ki te whakatuwhera katoa i te waha ('Trismus') he uaua rānei ki te neke i te arero.
• Te whakahekenga taumaha kāore i te whakamāramahia : Ki te ngaro tō taumaha me te kore e ngana.
• Ngā panonitanga o te reo : He pāorooro, he panoni rānei o te reo, kāore e pai ake.
• Mamae taringa : He mamae taringa pumau, kore e mutu (ina koa ki te taha kotahi).
• He puku kei muri o te korokoro, kei roto rānei i te waha : He puku ka taea e koe te rongo, te kite rānei.
• He puku i te kaki : He pupuhi, he puku rānei i te kaki.
• Te maremare toto .
• He ira mā i te arero, i roto rānei i te waha : Ki te kore te ira e memeha i muri i tētahi wā.

He mea nui: Ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu, kaua e manukanuka, he mate pukupuku tonu. Heoi, ki te roa atu i te rua wiki te roa o ēnei tohu, me toro atu koe ki te tākuta mō ētahi tohutohu.

He aha ngā take o te 'Mate Pukupuku Ophoryngeal'?

He maha ngā take matua mō te whanaketanga o tēnei mate pukupuku.

• Te mate pāwera o te Human Papillomavirus ( HPV ) : Koinei te tino take kua kitea. Ka pāngia e te huaketo HPV ngā ira e whakahaere ana i te tipu o ngā pūtau i roto i tō tātou waha me tō tātou korokoro. Ka taea e tēnei te meinga kia tere te tipu o ngā pūtau, ā, ka huri hei matepukupuku, hei pukupuku rānei.
• Te whakamahi tupeka : Mā te momi hikareti, hikā, me te ngaungau tupeka ka kino ngā pūtau o tō korokoro. Nā tēnei kino ka nui ake te wehewehe o ngā pūtau i te mea noa. Ka nui ake te tūponotanga o ngā hapa DNA, ka arahi pea ki te whanaketanga o ngā pūtau matepukupuku.
• Waipiro : Ka taea e te inu waipiro te kino i ngā pūtau i roto i tō korokoro, ā, ka pā ki tō kaha ki te whakatika i te DNA. Ka nui ake te mōrearea ina inu waipiro koe i te wā e momi hikareti ana.

He aha ngā āhuatanga mōrearea e pā ana ki te whanaketanga o te 'Mate Pukupuku Oropharyngeal'?

He maha ngā āhuatanga e whakanui ake ana i te mōrearea o te whakawhanaketanga o tēnei mate pukupuku:

• Te mate HPV , inā koa te momo HPV 16.
• He hītori tō te whakamahi hikareti me ētahi atu hua tupeka.
• Te inu nui rawa o te waipiro.
• Mena kua pāngia koe e te mate pukupuku o te upoko, o te kaki rānei i mua.
• Mena kua whiwhi koe i te rongoā irahiko ki te mahunga, ki te kaki rānei.

Me pēhea te tautuhi a ngā tākuta i te mate pukupuku waha?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu, tō hītori hauora (pēnei i te mea kua pāngia koe e te mate pukupuku i mua, mēnā kua whai rongoā irahiko koe), me tō āhua noho (pēnei i te mea kei te momi hikareti koe, kei te inu waipiro rānei). Kātahi, ka āta tirotirohia e rātou tō waha, tō korokoro, me tō kaki. Ka rapua hoki e rātou ngā puku i roto i tō kaki. I ētahi wā, ka whakamahia pea e rātou he whakaata, he rama, he ngongo angiangi rānei me te kāmera (he 'tirohanga muka') hei tirotiro i te roto o tō waha me tō korokoro.

He aha ngā momo whakamātautau e mahia ana mō tēnei?

Ka taea e ngā tākuta te whakahaere i ētahi whakamātautau hei whakaū i te mate:

• Ko te Biopsy Endoscopic : Ko te whakauru i tētahi ngongo angiangi, ngāwari (endoscope) mā roto i te waha, mā te whakamahi i tētahi kāmera iti i te pito hei tango i tētahi wahi kiko iti mai i te wāhi whakapae. Kātahi ka tirohia te kiko i raro i te karuārai i roto i te taiwhanga hei tirotiro mēnā he pūtau matepukupuku, he mate HPV rānei.
• `Matawai Tomography Rorohiko (CT)` : Ka taea e tēnei matawai `CT` te ine i te rahi o te matepukupuku, me te kite mēnā kua horapa ki ētahi atu wāhi. I ētahi wā ka taea tēnei te mahi tahi me te `Matawai Tomography Tukunga Positron (PET)`.
• Matawai Whakaahua Āhua Aukume (MRI) : Ka taea e tēnei matawai MRI te whakaputa whakaahua taipitopito o ngā kiko ngohengohe o te tinana, inā koa ko ngā tonsil me te turanga o te arero. Ka taea hoki e tēnei te āwhina ki te whakatau i te rahi o te pukupuku.

He wāhanga anō kei te mate pukupuku waha?

Āe, tino tika. Ka whakamahere ngā tākuta i te maimoatanga, ā, ka hoatu he whakaaro mō te matapae i runga i te taumata o te mate pukupuku (Te Wāhanga Mate Pukupuku). E whā ngā taumata matua o te Mate Pukupuku Oropharyngeal (Wāhanga I ki te IV). Ka rerekē pea ēnei taumata i runga i te mate HPV kei a koe, kāore rānei. Hei tāpiri, ko te rahi o te pukupuku, ahakoa kua horapa ki ngā kōpū lymph tata, ki ngā wāhanga tawhiti rānei o te tinana, he mea nui anō hoki ki te whakatau i te taumata.

Me pēhea te rongoā i te 'Mate Pukupuku Oro-pharyngeal'?

Ko te nuinga o ngā tākuta e whakamahi ana i ngā tikanga pēnei i te pokanga, te rongoā irahiko, te rongoā matū, te rongoā rongoā arotahi, te rongoā ārai mate rānei hei rongoā i tēnei mate pukupuku. Ko tā rātou whāinga matua he tango i ngā pūtau mate pukupuku i roto i tētahi huarahi e pā ai ki tō kaha ki te kōrero me te horomi kia iti rawa te kaha.

Pokanga

Mena he iti te mate pukupuku, ā, kāore anō kia horapa ki ētahi atu wāhi, ka taea te tango mā te pokanga.

• `Pokanga Robotic Whakawhiti-waha (TORS)`He tikanga pokanga hou tēnei, he iti noa te whakaekenga, e mahia ana mā te waha. Ka taea e ia te tango i ngā mate pukupuku i roto i te korokoro, i ngā wāhi uaua ki te tae atu. Nā te mea he hangarau karetao tōna, kāore he take ki te tapahi nui i te kaki, ki te tango rānei i te uvula. Kāore hoki e hiahiatia he `tracheostomy` (te whakaurunga o te ngongo manawa).
• Ngā Painga o `TORS`:
• He poto noa te noho hōhipera i muri i te pokanga.
• Ka taea e koe te ora wawe.
• He iti ake te kino ki ngā kiko me ngā uaua e karapoti ana e āwhina ana ki te horomi.
• He iti ake ngā raruraru roa mō te kōrero me te horomi.
• Ngā pānga taha/ngā raruraru o te `TORS`:
• Te toto rerekē ('Hemorrhage').
• Te urunga o te kai, te wai rānei ki roto i ngā pukahukahu ('Te mimiti').
• Te kore e taea te tuku i te hāora ki ngā pukahukahu (Te Whakararu Manawa).
• Te uaua ki te horomi (Dysphagia).
• Te uaua ki te ngaungau i te kai.
• Te ngaronga o te reo tuturu, te uaua rānei ki te kōrero.
• Me mahi he tracheostomy nā te uaua ki te manawa.
• Ngā panonitanga o te āhua o te kanohi.

Tērā pea ka hiahiatia ētahi atu maimoatanga i muri i te pokanga TORS, pērā i te pokanga hanga anō, te whakaora kōrero, te whakaora kai rānei, hei whakahaere i ngā pānga taha.

Te rongoā matū

Tērā pea ka hoatu e tō tākuta te chemotherapy anake, te rongoā irahiko rānei. Mēnā kāore e taea te pokanga, hei tauira, mēnā he nui rawa te mate pukupuku kāore e taea te tango mā te pokanga, ka taea te hoatu ngātahi i ēnei maimoatanga e rua. Waihoki:

• Mena kua horapa te mate pukupuku mai i te oropharynx ki ētahi atu wāhanga o te tinana.
• Kuruhia te puku i mua i te pokanga.
• Ka whakamahia hoki tēnei maimoatanga hei whakangaro i ngā pūtau matepukupuku e toe ana i muri i te pokanga.
• Ngā pānga taha o te chemotherapy me te radiation therapy: Ina hoatu ngātahitia ēnei maimoatanga e rua, ka pāngia pea tō kaha ki te kōrero. Nā te mea ka taea e te radiation therapy ki te korokoro te kino i ngā kiko hauora, ka uaua ai te kōrero me te horomi. Tērā pea me whai maimoatanga motuhake tēnei.

Te Whakaora Whaiaro

He pūmua motuhake ēnei i hangaia i roto i te taiwhanga (ngā paturopi monoclonal). Ka mahi ēnei maimoatanga mā te aukati i tētahi pūmua e āwhina ana i ngā pūtau matepukupuku kia wehewehe, kia tipu, kia horapa hoki.

• Ngā pānga taha: Ka rerekē ēnei i runga i te momo rongoā. Hei tauira, ko ngā pānga taha noa o te rongoā 'Cetuximab' ko:
• Ngā tohu o te mate pāwera pērā i te kirika me te makariri.
• Te riri o te kiri, te mākūkū.
• Pōuriuri.
• Waha maroke.
• Te koretake o te kai.
• Ngā huringa kiri me ngā whao.

Te rongoā ārai mate

He rongoā tuatahi tēnei mēnā ka hoki mai te mate pukupuku, kua horapa rānei. Mā te ārai mate ka āwhina i tō ake pūnaha ārai mate ki te kimi me te whakangaro i ngā pūtau mate pukupuku. Ko Pembrolizumab (Keytruda®) me Nivolumab (Opdivo®) ētahi o aua rongoā.

• Ngā pānga taha:I te nuinga o te wā, he iti noa iho ngā pānga taha.
• Te ngenge.
• Mākūkū te kiri.
• Te korere.
• Whakapairuaki me te ruaki.

Ka taea te ārai i te mate pukupuku waha?

Ahakoa kāore e taea te ārai katoa, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i tō mōrearea:

• Āraia te pangia e te Human Papillomavirus (HPV). Mā te moe tahi me ētahi hoa, me te moe ā-waha rānei ka nui ake te tūponotanga ki te pangia e te HPV. Pātai atu ki tō tākuta mō te kano ārai mate HPV.
• Kaua e tīmata ki te momi hikareti. Ki te momi hikareti koe, kati. Mā te momi tonu ka nui ake te tūponotanga o te mate pukupuku tuarua o te waha, te korokoro, te arai, ngā pukahukahu rānei. Pātai atu ki tō tākuta kia āwhina koe ki te whakamutu.
• Kaua e inu waipiro i ngā wā katoa, i te nui rawa rānei. Ka whakanui ake te waipiro i ngā pānga mate pukupuku o te tupeka. Nō reira, he mea tino nui kia kaua e whakamahia ngātahi ngā mea e rua.
• Kai i tētahi kai hauora, taurite hoki. Whakakorikori tinana i ia wā, i ia wā.
• Tirohia tō tākuta me tō tākuta niho i runga i te wātaka auau. Ka taea e rātou te tirotiro i tō waha me tō korokoro, ā, ka kitea wawetia ngā huringa.

Ka aha mēnā kei ahau tēnei āhuatanga?

Mena he mate pukupuku waha tōu, me whai whakamātautau auau koe hei tirotiro mēnā ka hoki mai anō, mēnā rānei he mate pukupuku hou. Mena ka inu waipiro koe, ka momi hikareti rānei, kōrero ki tō tākuta mō te whakamutu. Mā te momi hikareti me te inu waipiro ka nui ake te tūponotanga o te hokinga mai o te mate pukupuku, te whanaketanga rānei o tētahi mate pukupuku hou.

Ka taea te rongoā i te mate pukupuku waha?

Ka taea e ngā tākuta te rongoā i tēnei mate pukupuku. Heoi, ka taea tonu te hoki mai ahakoa kua angitu te maimoatanga. E ai ki te American Cancer Society, tata ki te 70% o te hunga e pangia ana e te mate pukupuku oro-pharyngeal e ora tonu ana i muri i te rima tau i muri i te tātaritanga. Kua tautuhia e ngā tākuta ētahi āhuatanga e pā ana ki te haere o te mate:

• Pērā i te nuinga o ngā mate pukupuku, he pai ake ngā putanga mēnā ka kitea te mate pukupuku, ka rongoatia hoki i mua i te horapa.
• He pai ake ngā putanga o te hunga e pāngia ana e te mate pukupuku HPV i te hunga kāore i te pangia e te huaketo.
• He pai ake ngā hua ka puta i te hunga kāore e whakamahi tupeka i te hunga e whakamahi ana.

Me pēhea taku tiaki i ahau anō?

Ko te huarahi pai rawa atu hei tiaki i a koe anō ko:

• Āta karohia te tupeka. Ki te kai paipa koe, ngana ki te whakamutu.
• Āta karohia te waipiro.
• Mena kei a koe te HPV, kōrero ki tō tākuta mō te whiwhi kano ārai mate hei tiaki i a koe mai i ngā mate hou.
• Inoi āwhina. Tērā pea ka uaua te kōrero, te kai rānei i muri i tō maimoatanga. Heoi anō, he rongoā me ngā kaupapa motuhake hei āwhina i te whakahaere i ēnei pānga taha.
• Tirohia te tākuta i ngā wā katoa.Aroturukihia tō hauora whānui, me te aro turuki mēnā kua hoki mai anō te mate pukupuku.

Āhea ahau me toro atu ki te tākuta? Āhea ahau me haere ki te rūma whawhati tata?

He mea tino nui kia kite i tō tākuta i ia wā i muri i te maimoatanga. Me tirotiro tonu pea koe mō te toenga o tō oranga. I te nuinga o te wā, ka tonoa koe kia tirotirohia i ia 6-12 wiki mō te tau tuatahi i muri i te maimoatanga, i ia 3 marama mō te tau tuarua, i ia 3-4 marama mō te tau tuatoru, ā, i ia 6 marama i muri i tērā. Mēnā kua pokangahia koe hei tango i ngā pukupuku matepukupuku, me haere tonu koe ki te rūma whawhati tata mēnā ka kitea he tohu mate . Kei roto i ēnei tohu:

• Te kirika.
• Mena he whero te wāhi i pokangahia, ā, he mamae hoki.
• Mena he wai rite ki te pulu e puta mai ana i te wāhi i pokanga ai.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai i ēnei pātai ina toro atu koe ki te tākuta:

• Kei hea tonu taku mate pukupuku?
• Kua horapa taku mate pukupuku? Kei tēhea wāhanga? He aha te tikanga o tēnā?
• He aha atu ngā whakamātautau me mahi e au?
• Ko wai ngā tākuta i roto i taku tīma maimoatanga?
• He hononga tōku mate pukupuku ki te Human Papillomavirus (HPV)?
• He aha ngā huringa me mahi e au i roto i tōku āhua noho?
• He aha taku mahere maimoatanga? He aha aku kōwhiringa katoa?
• He aha ngā tūponotanga ka ora taku mate?
• He aha ngā pānga taha o te maimoatanga?
• Ka aha mēnā ka hoki mai te mate pukupuku? He aha aku kōwhiringa?

He rite tonu te "Mate Pukupuku Oro-pharyngeal" ki te "Mate Pukupuku Waha"?

Kāo. Ahakoa he momo mate pukupuku o te upoko me te kaki ēnei, he rerekē.

• Ko te mate pukupuku waha he mate pukupuku e puta ana i roto i tō waha, i te kōhao waha rānei. Ka puta pea i te taha mua o tō arero, i roto i ō paparinga, i te taha mua o tō tuanui o tō waha, me te taha raro o tō waha.
• Ko te Matepukupuku Oro-pharyngeal he matepukupuku e puta ana i roto i tō oro-pharynx, tae atu ki ngā tonsils, te tuara o te arero, te waha ngawari, ngā taha me te tuara o te korokoro. Ka hangaia ēnei mai i ngā pūtau squamous e whakarārangi ana i te mata o te waha me te korokoro.

He momo mate pukupuku o te upoko me te kaki te mate pukupuku o te waha. Ahakoa ka taea e ngā tākuta te rongoā, ka hoki mai anō i muri i te maimoatanga. I te nuinga o te wā, ka puta tēnei mate pukupuku i te pānga ki te Human Papillomavirus (HPV). Ko te hunga e kai tupeka ana, e inu waipiro ana hoki, he nui ake te tūponotanga ki te pāngia e tēnei mate pukupuku.

Karere Tangohia ki te Kāinga

Āe, me whakamahara atu mātou ki a koe ētahi o ngā kōrero nui kua kōrerohia e tātou.

• Ko te mate pukupuku waha he mate pukupuku e puta ana i waenganui o te korokoro. Ko te mate HPV, te momi hikareti, me te inu waipiro ngā tino take mōrearea.
• Te mamae tonu o te korokoro, te uaua ki te horomi, te rerekētanga o te reo, ngā pupuhi i te kakiKia tūpato ki ngā tohu pēnei i: Mena ka roa ake ēnei tohu i te rua wiki, rapua he tohutohu hauora.
• He maha ngā kōwhiringa maimoatanga. He mea tino nui te kitenga wawe.
• Ka taea te whakaiti i te mōrearea mā ngā mahi pēnei i te kano ārai mate HPV, te karo i te momi hikareti, me te inu nui i te waipiro.
• Ki te mea he āhua pēnei tōu, he ruarua rānei ōu, kaua e wehi ki te toro atu ki tētahi tākuta, ki te kōrero ki a rātou. Mā rātou koe e āwhina.

Kia maumahara, ko te mōhio te parepare pai rawa atu. He mea tika kia tiakina tō hauora.