Kua hoki mai anō te mate pukupuku ki a koe? (Te hokinga mai o te mate pukupuku) Kaua e mataku, me kōrero tāua mō tēnei!

I muri i te pakanga ki te mate pukupuku, te whai maimoatanga, me te ahua pai ake, ka tino taumaha te rongonga ka hoki mai anō te mate pukupuku , tika? He tino uaua. Engari kia mahara ehara i te mea ko koe anake i tēnei wā. Me kōrero tātou mō te hokinga mai o te mate pukupuku, tōna tikanga, te take e puta ai, me ngā mea ka taea e koe te mahi mōna i roto i te huarahi māmā, mārama hoki.

He aha te tikanga o te hokinga mai o te mate pukupuku?

Ki te kī ngāwari, ko te mate pukupuku e hoki mai ana i muri i te maimoatanga. Ka pā pea tēnei ki ngā marama, ki ngā tau rānei i muri i te otinga o te maimoatanga. I ētahi wā kua tata ngaro katoa te mate pukupuku, kāore he tohu i puta, ā, kāore e taea te kite i ngā whakamātautau. Ka kiia tēnei ko te "whakakorenga". Heoi, ahakoa i roto i tēnei "whakakorenga", ka taea e te mate pukupuku te hoki mai. Mena ka tupu tēnā, ka tūtohu ō tākuta i ētahi atu maimoatanga. I runga i tō āhua, tera pea ka taea e koe te ora pai mō ngā tau maha ahakoa ka hoki mai te mate pukupuku.

He aha ngā momo rerekē o te hokinga mai o te mate pukupuku?

Ka whakarōpūhia e ngā tākuta te mate pukupuku i runga i te wāhi e hoki mai ai. E toru ngā momo matua:

Te Pūtanga ā-Rohe

Ko te tikanga o tēnei , ka puta anō te momo matepukupuku kotahi i te wāhi i puta tuatahi mai ai te matepukupuku. Whakaarohia kei a koe te matepukupuku repeure, ā, ka tangohia mā te pokanga (Prostatectomy). Kātahi ka puta anō te matepukupuku i te wāhi i puta ai te repeure . Ka kiia tēnei ko te "Recurrence Local".

Te Pūtanga ā-Rohe

Koinei te wā e horapa ai te mate pukupuku ki ngā kōpū lymph tata, ki ngā kiko huri noa rānei. Ko ētahi momo mate pukupuku, pērā i te Triple Negative Breast Cancer, ka horapa nui ake i tēnei ara.

Te Hokinga Mai o Tawhiti

I roto i tēnei, ka horapa ngā pūtau mai i te matepukupuku taketake ki ngā whekau, ki ngā kiko rānei i tawhiti o te tinana, ka hangaia he matepukupuku hou. Hei tauira, ka horapa pea te matepukupuku pūkahukahu ki te pūnaha io matua, ki te roro rānei, ka hoki anō ki reira.

He aha ngā momo mate pukupuku ka tino tūpono ka hoki mai anō?

Ina hoki, ka taea e tetahi momo mate pukupuku te hoki mai. Heoi, kua kitea e ngā rangahau he nui ake te mōrearea o ētahi momo mate pukupuku. Ko ētahi o ēnei ko:

• Matepukupuku o te ovarian
• Ko te Melanoma Metastatic, he mate pukupuku kiri kua horapa ki ētahi atu wāhanga o te tinana i te wā i kitea ai
• He momo lymphoma e kiia nei ko te Peripheral T-cell Lymphoma (PTCL).

Heoi, ko te mea nui i konei, he whakatau tata noa iho ēnei ōrau. Ka rerekē pea tēnei i runga i ngā mea maha, pērā i te momo mate pukupuku i pā ki a koe, te maimoatanga tuatahi i whiwhi koe, me ētahi atu. Nō reira, ki te hoki mai tō mate pukupuku, ko te huarahi pai ki te mōhio ko te kōrero ki tō tākuta.

He aha ngā tohu o te hokinga mai o te mate pukupuku?

He rite tonu ngā tohu o te hokinga mai o te mate pukupuku ki ērā o ētahi atu mate. Nō reira, i a koe e tiaki ana i tō hauora, he mea nui kia pātai atu ki tō tākuta mō ngā tohu noa e pā ana ki te momo mate pukupuku i pā ki a koe. Kātahi ka kī atu ia ki a koe he aha ngā tohu me rapu koe me ngā whakamātautau me mahi koe hei tirotiro mēnā kua hoki mai te mate pukupuku. Tirohia tō tākuta mēnā ka pāngia koe e tētahi o ēnei e whai ake nei:

• Mena ka puta anō ngā tohu i kitea i te wā i puta tuatahi ai te mate pukupuku. Hei tauira, ka hoki mai pea tētahi puku, tētahi mea rite rānei ki te wāhi i tīmata ai te mate pukupuku.
• He mamae tonu.
• He maremare tonu.
• Mena kei te ngaro tō taumaha, kāore he take.
• Mena kei te toto rerekē tōu, kei te māuiui rānei tō tinana.
• Te kirika pumau.
• Mena he maha ngā wā ka pāngia koe e te mamae o te upoko .
• Te uaua ki te manawa (Dyspnea).
• Mena he toto kei roto i te tūtae , i te mimi rānei .
• Whakapairuaki me te ruaki.
• Te uaua ki te horomi kai (Dysphagia).

He aha i hoki mai ai te mate pukupuku?

He rite te mate pukupuku ki tētahi ūnga e neke ana. Nō reira, he tino uaua ki tētahi maimoatanga te hopu me te whakangaro i ngā pūtau mate pukupuku katoa. Hei tauira, i te wā e pokangahia ana hei tango i tētahi pukupuku, tera pea he iti rawa ētahi pūtau kāore e taea te hopu. Kei te huri haere tonu ngā pūtau mate pukupuku, kei te huri haere tonu. I ētahi wā, kāore ngā maimoatanga mate pukupuku e pā ki ngā pūtau mate pukupuku katoa i te ara kotahi. Ko ngā pūtau e ātete ana ki aua maimoatanga, tera pea ka tipu tonu ahakoa te maimoatanga. Ka kitea ēnei i muri mai i te wā o ngā whakamātautau "Aroturuki".

Me pēhea te mōhio ki te mate pukupuku e hoki mai ana?

He maha ngā whakamātautau e whakamahia ana e ngā tākuta hei tātaritanga i te mate pukupuku i te tuatahi, ka whakamahia anō hoki hei tātaritanga i te mate pukupuku kua hoki mai anō. Ko ētahi o ēnei ko:

Ngā Whakamātautau Toto

Ko ngā whakamātautau toto hei tirotiro i te hokinga mai o te mate pukupuku ka uru atu ki:

• Te Tatau Toto Katoa:Mā tēnei ka tirohia te maha o ngā pūtau toto me ngā pereti toto i roto i tō tauira toto. Mā tēnei ka taea e ngā tākuta te aromatawai i tō hauora whānui me te tirotiro mō ngā tohu o te hokinga mai o te mate pukupuku.
• Immunophenotyping: Mā tēnei ka tautuhia ngā momo pūtau motuhake. Mena kua hoki mai anō tētahi mate pukupuku toto pērā i te leukemia, ka taea e tō tākuta te whakamahi i tēnei whakamātautau hei rapu atu i ētahi atu kōrero mō tō āhua.
• Kohikohi Wai: Ka whakamātautauhia tō toto mō ngā pūtau matepukupuku, ngā maramara DNA rānei mai i ngā pūtau matepukupuku.
• Ngā Whakamātautau Tohu Puku: Ko ngā tohu puku he matū e tukuna ana e ngā pūtau matepukupuku, e ētahi atu pūtau rānei hei whakautu ki te matepukupuku. Ka whakamahia e ngā tākuta ēnei whakamātautau hei rapu i ngā tohu e whakaatu ana kei te hoki mai te matepukupuku.

Ngā Whakamātautau Whakaahua

Ki te hoki mai tō matepukupuku, ka whakamahia e ngā tākuta ngā whakamātautau whakaahua hei ako atu mō ngā pukupuku hou kua puta mai i te matepukupuku taketake. Kei roto i ēnei ko:

• Matawai CT (Tomography Rorohiko - Matawai CT): Ka whakamahia tēnei hei tirotiro mēnā kua hoki mai te mate pukupuku, hei kimi rānei i te rahi me te wāhi o te puku.
• Matawai MRI (Whakaahua Āhua-Mateke - MRI): Ka taea e te MRI te tango pikitia taipitopito o ngā wāhi motuhake o roto i tō tinana. Ka āwhina tēnei ki te kimi mēnā kua hoki mai te mate pukupuku.
• Matawai PET: Ka tirohia e te matawai PET ngā wāhi o tō tinana e whakamahi ana i te nuinga o te huka. He momo huka te huka. He nui ake te huka e whakamahia ana e ngā pūtau matepukupuku i ngā pūtau noa.

Te tātaritanga mimi

Mā te tātaritanga mimi ka ine i te nui o ngā pūtau toto, te huka, me te pūmua i roto i tō mimi . Ka taea e ngā tākuta te whakamahi i tēnei hei tirotiro mō te mate pukupuku tōngāmimi, te mate pukupuku tākihi rānei.

Ngā koiora

Hei tātaritanga i te mate pukupuku, ahakoa kua hoki mai anō, ka mahia e ngā tākuta he koiora. I roto i te koiora, ka tangohia e ngā tākuta he tauira o te kiko, ā, ka tirohia e te tākuta mate pukupuku i raro i te karuārai hei tirotiro mēnā he tohu o te mate pukupuku. He maha ngā momo koiora:

• Kohikohi Ārahi-Ataata: Ka whakamahia e ngā tākuta he matawai CT, he ultrasound rānei hei tirotiro i te puku, kātahi ka tangohia he tauira iti o te puku ki te ngira.
• Ko te Biopsy Endoscopic, Laparoscopic rānei:Ka whakamahia e ngā tākuta he endoscope, he laparoscope rānei hei tirotiro i roto i tō tinana. He ngongo angiangi, ngāwari te endoscope, he kāmera kei te pito, me te taputapu hei tango i te tauira. Kāore te endoscope e whakaurua mā te tapahi. He taputapu rerekē te laparoscope. Ka whakaurua mā te tapahi iti i te puku. Mā tēnei taputapu ka taea te tango i te kiko me te kore e hanga he tapahi nui.
• Biopsy Tapahi, Tapahi rānei: I roto i ēnei biopsy tuwhera, ka tapahia e te taote pokanga tō tinana ka tangohia te pukupuku katoa (Excisional Biopsy) tetahi wāhanga rānei o te pukupuku (Incisional Biopsy) hei tirotiro, hei rongoā rānei.
• Kohikohi ira o te hinu wheua: Hei tirotiro mēnā kua hoki mai te mate pukupuku, ka tangohia e ngā tākuta he tauira toto me te wheua mai i roto i te hinu wheua.

He aha ngā maimoatanga mō te mate pukupuku e hokihoki mai ana?

Ka rerekē te maimoatanga mō te mate pukupuku kua hoki mai i runga i tō āhuatanga. Tērā pea ka:

• Te whakahoki i te maimoatanga rārangi tuatahi i hoatu tuatahitia.
• He pokanga hei tango i ngā pukupuku matepukupuku hou.
• Te whakamahi i ngā momo rongoā chemotherapy rerekē, i ngā huinga rānei o ngā rongoā.
• Te whakamātau i tētahi atu tikanga maimoatanga, pērā i ngā maimoatanga kua arotahihia, te immunotherapy rānei.

Mena kua hoki mai tō mate pukupuku, ka kōrero tō tākuta ki a koe mō ō whiringa me ngā mea ka taea e koe te tumanako mai i te maimoatanga. I te nuinga o te wā, ko ngā maimoatanga mō te mate pukupuku kua hoki mai he mea hanga hei whakahaere i te mate pukupuku, hei aukati i tōna kino haere, hei aukati rānei i tōna horapa. Kāore i hangaia hei whakaora katoa i te mate pukupuku. Ko ētahi o ngā āhuatanga ka pā ki ngā whakatau maimoatanga ko:

• Te momo mate pukupuku kei a koe.
• Kua tae te wā ki te hoki mai. He uaua pea te rongoā i ngā mate pukupuku e hoki wawe mai ana i muri i te maimoatanga.
• Te wāhi kua hoki mai te mate pukupuku. I te nuinga o te wā, he māmā ake te rongoā i te mate pukupuku e hoki mai ana ki te wāhi taketake, ki te wāhi tata rānei, i te mate pukupuku e hoki mai ana i roto i ngā whekau, i ngā kiko rānei i tawhiti atu i te wāhi taketake.
• Tō hauora whānui. Tērā pea ka pāngia koe e ngā maimoatanga rerekē, kaha ake rānei mō te mate pukupuku kua hoki mai anō. Ka pāngia tō hauora whānui e te pai o tō mahi i te wā e rongoatia ana.

Ahakoa te maimoatanga e whiriwhiria e koe, whakaarohia te tiaki mamae hei āwhina i te whakahaere i ngā tohumate o te mate pukupuku me ngā pānga taha o te maimoatanga. Ko te tiaki mamae he mea e hoatu ana ki a koe he tautoko tāpiri me te whakahaere i ngā tohumate i a koe e rongoatia ana ki te mate pukupuku.

He aha te āhua o te heke mai mēnā ka hoki mai te mate pukupuku? (Te matapae)

Ko te heke mai o tō mate, te matapae rānei, e whakawhirinaki ana ki tō āhua. He maha ngā āhuatanga e pā ana ki ngā whiringa maimoatanga, pērā i te momo mate pukupuku kei a koe, te āhua o tō urupare ki te maimoatanga, te āhua o tō whakahaere i ngā pānga taha, me tō hauora whānui, ka pā hoki ki tō matapae. Ko ngā mōhiohio pai rawa atu mō tēnei kei tō tākuta.

Ina hoki mai te mate pukupuku, me pēhea koe e ora ai me taua mate?

Ka rite pea te hokinga mai o te mate pukupuku ki tētahi wheako "déjà vu" . Kua whawhai koe ki te mate pukupuku i mua, ā, kua hoki mai anō inaianei. Engari i tēnei wā, tera pea ka pōuri koe, ka pōuri hoki i te whakaaro me aro anō koe ki te mate pukupuku. He pono ō kare ā-roto, ā, he mea nui. Mena he tangata koe kua pāngia e te hokinga mai o te mate pukupuku, ā, kei te noho tahi koe me taua mate, ko te mea tuatahi me mahi e koe ko te hoatu i te wā me te wāhi ki a koe anō kia mārama ai koe ki tō āhuatanga. Kātahi, tīmata ki te whakaaro mō ngā mahi ka taea e koe te mahi kia ora pai ai koe, ahakoa kua hoki mai te mate pukupuku. Anei ētahi whakaaro:

• Pātai atu ki tō tākuta mō ngā kaupapa oranga mō te mate pukupuku. Mā ēnei kaupapa koe e āwhina ki te mārama me te whakahaere i ngā wero o te noho tahi me te mate pukupuku.
• Kai i tētahi kai totika, taurite hoki. Me tono atu ki tō tākuta kia kōrero ki tētahi tohunga kai, hei āwhina i a koe ki te whakatakoto i tētahi mahere kai e tika ana mōu.
• Whakakorikori tinana. Ka āwhina te whakakorikori tinana ki te whakaiti i te ahotea me te whakanui ake i te kaha me te manawanui. Heoi, me whakapā atu ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakorikori tinana.
• Whakatūria, kia mau tonu rānei ngā tikanga noho pai. Ki te whakamahi koe i ngā hua tupeka, ki te inu waipiro rānei, ngana ki te mutu.
• Kia nui te moe. Ka pāngia tō tinana e te mate pukupuku me ngā maimoatanga mate pukupuku. Nō reira, kia nui te moe. Kōrero ki tō tākuta mēnā he uaua ki a koe te moe.
• Whakaarohia te Whakamahere Tiaki Matatau. Kei roto i tēnei ko ngā Aratohu Matatau. I roto i te whakamahere tiaki matatau, ka whakaaroaro koe mō tō hauora i mua, ā, ka whakatau i te mea me mahi mēnā kāore e taea e koe te kōrero mōu ake. Ko ngā aratohu tiaki matatau he tuhinga ture e whakarato ana i ngā tohutohu tuhituhi mō ō hiahia mō te mutunga o tō oranga, me te hunga ka taea te whakatau i ngā whakatau hauora māu.

He aha te rerekētanga i waenga i te mate pukupuku e hoki mai ana me te mate pukupuku tuarua?

Mena kua pāngia koe e te mate pukupuku, ka pāngia pea koe e te mate pukupuku tuarua. He mate pukupuku hou rawa atu tēnei, he rerekē. I tētahi atu taha, ko te mate pukupuku e hoki mai ana ko te wā e hoki mai ai te momo mate pukupuku kotahi.

Ka taea e te mate pukupuku kua hoki mai anō te whakaora katoa?

Āe, ka taea. I ētahi wā, ka pāngia ngā tūroro e ngā huringa e kiia nei ko te "whakakorenga" (te korenga o ngā tohu) me te "hokinga mai anō" (te putanga mai anō o te mate pukupuku). Ina hoki mai te mate pukupuku, ka whakamātau pea ngā tākuta i ngā maimoatanga ōrite, rerekē rānei, me te whāinga kia "whakakorenga" te mate pukupuku.

Kua hoki mai taku mate pukupuku. Me pēhea taku whakatau mēnā me nui ake taku maimoatanga?

Ehara i te whakatau ngāwari. Kia kitea e koe kua hoki mai tō mate pukupuku, me whai wā koe ki te mārama ki ō whiringa maimoatanga me te whakaaro ki ngā mea e hiahiatia ana e koe mōu ake, mō tō whānau, me ētahi atu e aroha ana ki a koe. Anei ētahi mahi hei āwhina i a koe ki te whakatau i tēnei:

• Whakapaua te wā ki te mārama ki ō whiringa maimoatanga me ō rātou pānga taha. Mā tō tākuta mate pukupuku me tō tīma hauora koe e hoatu ki a koe te nui o ngā mōhiotanga e hiahiatia ana hei whakatau whai whakaaro.
• Kōrero ki tō whānau me ētahi atu o ō whanaunga, me te whakamōhio atu ki a rātou mō tō āhua. Ahakoa he aha te whakatau ka mahia e koe, he mea nui kia mārama tō whānau me ētahi atu ki tāu whakatau, kia mōhio hoki ki tāu e tumanako ana mai i tō manaakitanga.
• Whakaarohia te tiki whakaaro tuarua mai i tētahi atu tākuta matepukupuku. He rerekē ngā whiringa maimoatanga ka tukuna atu e ētahi atu hōhipera.
• Pātai atu ki tō tākuta mō te whai wāhi atu ki tētahi whakamātautau haumanu. He kaupapa rangahau ngā whakamātautau haumanu i hangaia hei whakatau mēnā he haumaru, he whai hua hoki tētahi maimoatanga hou.

Ki te whakatau ahau kia kaua e whiwhi i ētahi atu maimoatanga matepukupuku, he aha te mea ka tupu i muri mai?

He maha ngā take e whakatau ai te tangata ki te whakamutu i te maimoatanga mate pukupuku. Rapua he tohutohu mai i tō tākuta, i tō whānau, me ētahi atu e arohaina ana e koe, engari kia mōhio koe i tētahi wā, ko te whakatau whakamutunga kia haere tonu, kia whakamutu rānei i te maimoatanga nāu.

Ki te mutu taku maimoatanga, he kōwhiringa anō te tiaki hōhipera?

Tērā pea, engari kei tō hauora whānui me te āhua o tō mate. I te nuinga o te wā, ka tūtohu ngā tākuta i te tiaki hōhipera mēnā e whakapono ana rātou kāore e taea te whakaora i tō mate mā te maimoatanga, ā, he iti iho i te ono marama te toenga o tō oranga. Anei ngā mea ka taea e koe te tumanako mēnā ka tūtohu tō tākuta i te tiaki hōhipera:

• Manaakitanga Whakamutunga-Ora Katoa: Ka pāngia te hunga katoa e pāngia ana e te mate pukupuku, tae atu ki tō whānau me te hunga e manaaki ana i a koe. Ka āwhina te Manaakitanga Hōhipera i a koe me tō whānau. Ahakoa ka tiaki ngā tākuta i ō hiahia tinana, ka tautokohia koe e ētahi atu tohunga hinengaro, kare ā-roto, wairua me te hinengaro.
• Manaaki Whakamarie: Ka whiwhi koe i ngā rongoā me ētahi atu maimoatanga hei whakahaere i te mamae me ngā pānga taha o te mate.
• Tautoko Kaitiaki: Tērā pea ka hiahia āwhina ō kaitiaki matua ki tō manaakitanga. Tērā pea ka hiahia āwhina rātou ki te whakahaere i ō rātou ake hauora tinana me te hauora hinengaro. Ka hono a Hospice i a rātou ki ngā rauemi e hiahiatia ana e tō whānau.
• Ngā taputapu me ngā taonga hauora: Ahakoa e whiwhi ana ētahi tāngata i te tiaki hōhipera i te kāinga, me hiahia pea rātou ki ngā moenga motuhake me ētahi atu taputapu. Ka taea hoki e te hōhipera te whakarato tiaki i roto i tētahi whare tiaki wā poto, i roto rānei i tētahi whare tiaki hōhipera noho.

Hei whakamutunga, ngā mea hei maumahara

Ina angitu tō maimoatanga mō te mate pukupuku, tera pea e mōhio ana koe ka hoki mai anō te mate pukupuku. Heoi, ina kitea e koe kei te pāngia anō koe e te mate pukupuku, tera pea ka ohorere koe, ka pouri. Tērā pea ka pōuri koe, ka mataku hoki. Engari ki te mate pukupuku, kei reira tonu te tumanako, ā, kāore he rerekētanga o te mate pukupuku e hoki mai ana. Kei reira te tumanako mō ngā maimoatanga hou, te whai wāhi rānei ki te whai wāhi ki tētahi whakamātautau haumanu. Hei tāpiri, ahakoa kāore e taea e te maimoatanga te whakahaere i te mate pukupuku kua hoki mai, ahakoa te roa o tō oranga, kei reira te tumanako ki te ora i te oranga e hiahia ana koe. Ki te hoki mai tō mate pukupuku, ka tautokohia e tō tākuta mate pukupuku me tō rōpū hauora ō whakatau, ā, ka āwhina i a koe i ngā mea katoa e taea ana e rātou. Kaua e wehi, kia kaha tonu.

` Te hokinga mai o te mate pukupuku, ngā tohu o te mate pukupuku, te maimoatanga o te mate pukupuku, te tautuhi i te mate pukupuku, te noho tahi me te mate pukupuku, te tiaki i te mate pukupuku