He mea noa te mataku me te manukanuka ina kī atu tō tākuta kia tangohia he kōpiro ū. Tērā pea ka whakaaro koe, "Āe, he mate pukupuku tōku?" Engari ko te mea nui kia maumahara, ahakoa kei te tonoa koe kia tangohia he kōpiro, ehara i te mea he mate pukupuku tōu. Inaa, 80 o roto i te 100 o ngā wāhine kua tangohia tēnei momo kōpiro kāore he mate pukupuku. Nō reira, me kōrero taipitopito tātou mō tēnei mea, me te kore wehi.
He aha te tikanga o te koiora?
He whakarāpopototanga noa iho, ko te koiora o te ū he tikanga e tangohia ai he wahi kiko iti rawa mai i tētahi wāhi i roto i tō ū, ka tirohia i raro i te karuārai. Whakaarohia he puku kei roto i tō ū. Ko te koiora anake te huarahi hei mōhio māu mēnā he mate pukupuku, kāore rānei. Ahakoa ka taea e ētahi atu momo matawai (Mammogram, Ultrasound) te hoatu i ētahi whakaaro ki a koe, ko te koiora anake ka taea te kī atu ki a koe.
He aha koe i hiahia ai ki te koiora?
I te nuinga o te wā ka tūtohu te tākuta kia whai koiora koe mō tētahi, mō ētahi atu rānei o ngā take e whai ake nei:
- Te rongo i tētahi puku, i tētahi matotoru rānei i roto i te ū: Ki te kite koe i tētahi puku, puku, i tētahi matotoru rerekē rānei i roto i te ū, i te wā e tirotirohia ana koe e tō tākuta, i te wā rānei e tirotirohia ana e tō tākuta.
- He mammogram rerekē: Mena kei te whakaatuhia e tō pūrongo mammogram tētahi wāhi whakapae.
- Ngā hua o te matawai ultrasound: Mena ka kitea he wāhi whakapae pea he matepukupuku i roto i te matawai ultrasound o te ū.
- Ngā panonitanga o te kiri e karapoti ana i tō uma , i tō areola rānei: Ngā panonitanga rerekē o tō uma, o te kiri mangu rānei e karapoti ana (areola), hei tauira, te kiripaka, te ruaki, te rere rerekē rānei.
Ko te mea nui, ahakoa he tohu pēnei tōu, ehara i te mea he mate pukupuku. Heoi, he mea nui te mōhio he aha te mate hei oranga ngākau, ā, me rapu wawe koe i te maimoatanga mēnā e tika ana.
He aha ngā momo koiora o te ū e wātea ana?
He maha ngā tikanga hei whakahaere i te koiora o te ū. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai māu, i runga i te āhua o te rerekētanga o tō ū. Me titiro tātou ki ngā momo matua.
| Momo Koiora | He whakaahuatanga poto |
|---|---|
| Ko te koiora mō te mimiti ngira pai (FNA) | Ko te tikanga o tēnei ko te whakamahi i tētahi ngira angiangi rawa hei tango i tētahi wai, i ētahi pūtau rānei mai i tētahi wāhi whakapae. Ko te tikanga, ka mahia tēnei e te tohunga hihi-X. |
| Te koiora o te uma ngira matua | He ngira nui ake te rahi e whakamahia ana i tēnei i te FNA, nō reira ka taea te tiki i tētahi wahi kiko nui ake hei tirotiro. He mahi anō hoki tēnei mā te tohunga hihi-X. |
| Te tango i te ū mā te tango i te ū (Lumpectomy) | He mahi iti noa tēnei. Ko te tango i te pukupuku katoa, i te kiko rerekē rānei e whakaarohia ana he matepukupuku. I ētahi wā ka tangohia hoki ētahi o ngā kiko noa e karapoti ana kia kore ai he pūtau matepukupuku e toe. |
| Te koiora ū tapahi | He pokanga anō hoki tēnei. Heoi, hei utu mō te tango i te pukupuku katoa, ka tapahia he wahi iti noa iho i te wāhi whakapae ka tukuna kia whakamatautauria. |
Me pēhea te whakarite i mua i te mahi koiora?
I mua i te tango i te kopa, me kōrero koe ki tō tākuta, ki te taote pokanga, ki te tohunga hihi rānei mō ēnei mea.
- Mena kei te hapu koe, kei te hapu pea rānei.
- Mena kei te tango koe i te rongoā anticoagulant (whakaiti toto), ka tohutohu pea tō tākuta kia mutu te tango, kia whakatikahia rānei te horopeta i ētahi rā i mua i te koiora.
- Mena kei te tango koe i te aspirin me ētahi atu tāpiringa otaota.
- Mō ētahi atu mate kei a koe me ngā pokanga tata nei i mahia ki a koe.
- Ngā mate pāwera kei a koeHe mea tino nui te kōrero mō ngā mate pāwera ki te rongoā whakamoe.
Hei tāpiritanga, ka tohutohu tō tīma hauora i a koe mō ngā mea pēnei i te whakamahi, te kore rānei i te deodorant i te rā o te koiora me te hiahia rānei koe ki tētahi hei kawe i a koe ki te kāinga i muri i te koiora.
He aha ngā mea ka tupu i mua i te mahi i te koiora?
I ētahi wā, i mua i te tango i tētahi wahi kiko mō te koiora, ka whakamahia ētahi atu tikanga hei tohu i te wāhi tika o te kiko hei tango.
Te kimi i te wāhi tika mā te matawai (Ngā tikanga e arahina ana e te whakaahua)
I te wā o te tango i te ngira, ka taea te whakamahi i te matawai hei kite i te wāhi tika hei whakauru i te ngira. Ka kiia tēnei he 'tikanga ārahi-whakaahua'. Ko ngā tikanga e whakamahia ana mō tēnei ko:
- Te koiora ū stereotactic
- Ko te koiora e arahina ana e te ultrasound
- Ko te koiora e arahina ana e te whakaahua aukume (MRI)
Te taunga waea, te taunga kore-waea rānei
Mena kei te whakahaerehia he koiora pokanga, ka taea te whakamahi i tētahi tikanga e kīia nei ko te 'wire localization' hei āwhina i te taote pokanga ki te kimi i te wāhi tika hei tango. Kei roto i tēnei ko:
1. Tuatahi, ka werohia e te tohunga whakamoe he ngira iti ki te rohe o tō ū hei whakangā.
2. Kātahi, i raro i te arataki o te matawai (hei tauira, te ultrasound, te MRI), ka whakaurua e te taote pokanga he ngira angiangi, tuwhera ki te wāhi e mahia ai te koiora.
3. Kia tae te ngira ki te wāhi tika, ka whakaurua he waea angiangi, he mea parakore mā waenganui o te ngira. He matau iti kei te pito o tēnei waea, kia kore ai e nekeneke haere.
4. Kātahi ka tangohia te ngira. Ko te waea anake e toe ana i roto i te ū. Ka kitea te wāhanga e pupū ake ana o te waea.
5. Kia oti te pokanga, ka tangohia katoatia tēnei waea.
Waihoki, kei te whakamahia inaianei ētahi atu tikanga hou pērā i ngā taputapu aukume iti me ngā taputapu irahiko hei tohu i ngā wāhi.
He aha ngā mea ka tupu i te wā o te koiora?
Tērā pea ka rerekē te wheako i runga i te momo koiora kei a koe.
- Mēnā he koiora ngongo ngira pai (FNA): Ka whakangāwari te tākuta i te wāhi (whakamoemiti ā-rohe) ka whakauru i te ngira hei tiki i tētahi tauira iti o ngā pūtau me te wai.
- He Kohikohinga o te Uma o te Ngira Matua: Ka whakangāwari te tohunga hihi-X i te wāhi, ka tapahia pea he kiri kia iti rawa , ka whakauru i te ngira, ka tangohia he tauira kiko. Kātahi ka whakatakotoria he tohu iti (he 'tohu koiora') hei tohu i te wāhi i puta ai te tauira. Mā tēnei ka taea e te taote pokanga te kimi i te wāhi tika o te tauira mēnā ka hiahiatia he tauira anō i muri mai, mēnā rānei ka hiahiatia he pokanga.
- Mena ko te pokanga (pēnei i te lumpectomy) he:Ka tukuna koe e te tākuta whakamoe ki raro i te whakamoe whānui. Kātahi ka tapahia e te taote pokanga tō ū, ka tangohia te wāhi kiko e pāngia ana. Kātahi ka katihia te tapahi ki ngā tuitui me te takai parakore.
Kia pēhea te roa o tēnei, ā, kia pēhea te roa o te wā e ora ai?
| Momo koiora | Te wā i pau | Te wā whakaora |
|---|---|---|
| Te Whakapūtanga o te Ngira Pai (FNA) | Tata ki te 10 - 15 meneti | Heoi anō, he nui te okiokinga i taua rā. Ka taea e koe te mahi i ngā mahi o ia rā i te rā e whai ake nei. |
| Te Kohikohi Ngira Matua | Tata ki te 20 - 60 meneti | He mea pai kia kaua e hiki i ngā mea taumaha, i ngā mea uaua rānei, mō ngā rā e rua pea te roa. |
| Kohikohi Pokanga (Lumpectomy/Incision) | Tata ki te 60 meneti | Tērā pea ka mamae te kiri mō ētahi rā. Tērā pea ka roa te wā, mai i ētahi rā ki te wiki, kia hoki ai ki ngā mahi o ia rā. Kei te rahi o te tapahi me te nui o te kiko i tangohia tēnei. |
He tūponotanga me ngā raruraru kei roto i tēnei?
Pērā i ngā tikanga hauora katoa, kei reira ētahi mōrearea. Kaua e manukanuka, he tino onge ngā raruraru nui.
- Ngā mea noa ka tupu pea:
- Marumarutanga
- Te toto
- Pupuhi
- Te mamae, te uaua rānei ki te whakaora
- Mate pāwera patunga pokanga
- Ngā raruraru tino onge:
- Te kohi toto i roto i te ū (hematoma o te ū)
- Te pakaru o te pukahukahu (pneumothorax)
He aha te kōrero a te pūrongo koiora?
Ka tirohia tō tauira kiko e te tohunga mate. I runga i ngā hua, ka taea te whakatau mēnā he pai, he matepukupuku, he matepukupuku rānei.
A, mehemea kua whakaūtia he mate pukupuku?
Mena he mate pukupuku te hua, kaua e mataku. Mā tō tākuta koe e whakarato ki ngā tautoko me ngā aratohu katoa e hiahiatia ana e koe. Tērā pea kei roto i te pūrongo ēnei e whai ake nei:
- Momo pukupuku: Ahakoa he 'whakaeke' (ka horapa ki roto i ngā kiko e karapoti ana) he 'kore-whakaeke' rānei (ka noho ki te wāhi kotahi, ā, kāore e horapa).
- Te tere o te wehenga o ngā pūtau matepukupuku , me te āhua ōrite/rerekē hoki o aua pūtau ki ngā pūtau noa.
- Tūnga kaiwhakawhiwhi homoni: Ka āwhina ngā homoni i ētahi mate pukupuku ki te tipu. Mā tēnei ka mōhio koe mēnā kei te whakawhirinaki tō mate pukupuku ki ngā homoni, pērā i te estrogen receptor-positive (ER+).
- Tūnga HER2: Ko te `HER2` he pūmua e āwhina ana i ngā pūtau matepukupuku kia tipu me te horapa. Mā tēnei ka taea e koe te mōhio mēnā he `HER2-pai` tō matepukupuku.
Kaua e mataku i ēnei kupu. Ko te take o ēnei katoa he āwhina i te tākuta ki te whiriwhiri i te huarahi maimoatanga pai rawa atu māu. Māna e whakamārama ngā mea katoa ki a koe.
Kia pēhea te roa ka puta mai ngā hua? Āhea ahau me kōrero ki te tākuta?
E rua wiki pea te roa o te wā hei whiwhi i ngā hua o te koiora. E mōhio ana mātou he wā taumaha tēnei. He mea noa tēnā. Mā te pupuri i ō mahi o ia rā, te mahi i ngā mea e pai ana ki a koe, me te kōrero mō ō kare ā-roto ki tētahi e whakawhirinaki ana koe ka āwhina i a koe i tēnei wā.
Mena ka pāngia koe e tētahi o ēnei tohu, waea atu ki tō tākuta tonu:
- Te kirika (neke atu i te 38.4 Celsius / 101 Fahrenheit).
- Te whero, te pōuri ke rānei o te kiri huri noa i te wāhi i kohia ai te koiora.
- Ka pā te mamae nui ina pā ki taua wāhi.
- He kowhatu whānui koretake .
He aha atu ngā āhuatanga e rite ana ki te mate pukupuku, engari ehara i te mate pukupuku?
Ae, ehara i te mea he mate pukupuku ngā puku, ngā panoni rānei katoa o te ū. He maha ngā āhuatanga kāore i te mate pukupuku (pai) ka whakaatu i ngā tohu o te mate pukupuku.
- Fibroadenoma: He momo puku noa ēnei, ehara i te matepukupuku.
- Te whakapūkara o te ū: Ngā putunga konupūmā i roto i te kiko o te ū.
- Ngā pūkahukahu:He pēke wai, he rite ki ngā whēwhē. Ka mamae pea ēnei i ētahi wā.
- Fibrosis: Ka matotoru, ka mārō te kiko o te ū nā ngā huringa homoni.
Nō reira, ina tono te tākuta kia mahia he koiora, ko tā te mea anake he whakaū ko tēhea o ēnei mate kei a koe.
Karere Tangohia ki te Kāinga
- Ahakoa ka tonoa koe kia tangohia he kopa o tō ū, ehara i te mea he mate pukupuku. E 80% o ngā kopa ka hoki mai he hua kino.
- Ko te huarahi anake ki te mōhio me te 100% tino pono mēnā he mate pukupuku te huringa o te ū, ko te whai i tētahi koiora.
- He mea noa te mataku me te manukanuka mō tēnei. Kōrerohia mā te mahorahora ki tō tākuta mō ō āwangawanga me ō mataku.
- I mua i te tango i te kopa, me whakamōhio tika koe ki tō tākuta mō tō āhua hauora me ngā rongoā e tangohia ana e koe.
- Whaia ngā tohutohu a tō tākuta i muri i te tangohanga o te kopa. Mēnā ka kite koe i ētahi tohu o te mate, whakamōhio atu ki tō tākuta tonu.
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