Ki te kī mai te tākuta he "matepukupuku repeure" tōu, tō tētahi rānei e mōhio ana koe, he mea noa te mataku me te ohorere nui ina rongo koe i aua kupu. Ina rongo tātou i te kupu "matepukupuku", ka whakaaro tātou ki ngā mea pēnei i te pokanga, te rongoā matepukupuku, me te rongoā irahiko. Engari i mōhio koe kāore e hiahiatia ana he maimoatanga nui pēnei i te wā tonu mō ngā matepukupuku repeure katoa? I tēnei rā, ka kōrero tātou mō tētahi tikanga motuhake e whakamahia ana i roto i ēnei momo take.
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He aha te Aroturukitanga Kaha?
Ko te tikanga o "Aroturuki Kaha" ko te "mātakitaki kaha." Arā, me te kore e tīmata tonu i te pokanga, i te rongoā irahiko rānei mō te matepukupuku repeure, engari me aroturuki tonu i te whanonga o te matepukupuku i raro i te tirotiro tata a te tākuta.
Ko te whāinga matua o tēnei he whakaroa i te tīmatanga o te maimoatanga kia tino hiahiatia rā anō. Ka whakamahia tēnei tikanga mō ngā mate pukupuku iti-morearea , arā, ngā mate pukupuku puhoi-tipu, he tīmatanga. I whakaatuhia e tētahi rangahau tata nei e 6 i roto i te 10 ngā tāne he iti-morearea te mate pukupuku repeure kei raro i tēnei tikanga Aroturuki Hohe. Ko te tikanga he tikanga whānui tēnei e whakamahia ana, e whakaaetia ana hoki.
Mā wai tēnei tikanga Aroturuki Kaha e tika?
Ehara tēnei i te huarahi kotahi e pai ana mō te katoa. Kia taea ai e tō tākuta te taunaki i tēnei huarahi ki a koe, me whai i tō matepukupuku ēnei āhuatanga:
- Kāore te mate pukupuku i horapa ki waho o te repe prostate.
- Kāore pea te mate pukupuku e kaha te whakaeke , i runga i te rahi o te puku, tōna tere tipu, me tō kaute Gleason (he tikanga motuhake e whakamahia ana hei ine i te kaha o te whakaeke o ngā pūtau mate pukupuku i muri i te koiora).
Ina kitea e koe he mate pukupuku tōu, he mea noa te whakaaro, 'Āe, me tere te rongoā i tēnei, kia mutu ai.' Kaua e wehi ki te kōrero tuwhera mō tēnei ki tō tākuta.
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I raro i tēnei pūnaha, kāore koe e noho noa i te kāinga. Ka tirotirohia koe e tō tākuta mate pukupuku i ia wā. Pērā i te mahi tiaki i tētahi motuka, ka tirotirohia e rātou te āhua o tō tinana i ia wā.
| Whakamātautau | Kia pēhea te auau? (Auautanga) |
|---|---|
| Whakamātautau Rekereke Mamati (DRE) | Kotahi, e rua rānei ngā wā i te tau |
| Whakamātautau toto PSA (Whakamātautau PSA) | Kotahi, e rua rānei ngā wā i te tau |
| Te Ultrasound me te Biopsy o te Prostate | Ia 1-5 tau (e ai ki te whakatau a te tākuta) |
| Ko te koiora i arahina e te MRI | I ētahi wā, ka tūtohu pea te tākuta. |
Mā ēnei whakamātautau ka āwhina tō tākuta ki te aroturuki i tō matepukupuku kia kite ai mēnā kei te nui haere, kei te horapa rānei. Mēnā ka puta he tohu hou ki a koe, mēnā rānei e whakaatu ana ō whakamātautau kei te tipu haere tō matepukupuku, ka kōrero tō tākuta ki a koe, ka mutu te Active Surveillance, ā, ka tukuna koe ki te maimoatanga hauora e tika ana.
He aha ngā painga me ngā mōrearea o tēnei tikanga?
Ko te painga matua
Ko te painga nui o tēnei ko te kore e pāngia e ngā pānga taha o te maimoatanga. Ka taea e te pokanga me te rongoā irahiko mō te matepukupuku repeure te whakararu i te mimi me te koretake o te moepuku. Ka taea e te Active Surveillance te tiaki i tō kounga o te oranga mā te whakaroa i ēnei maimoatanga kia tino hiahiatia rā anō.
Mōrearea
Ko te mōrearea matua, ki te tīmata te tipu o te mate pukupuku, tera pea ka roa te tīmatanga o te maimoatanga. I ētahi wā ka tipu te mate pukupuku, ka horapa ki ētahi atu wāhanga o te tinana (metastasize). Heoi, ki te whakamātauhia koe i te wā tika, ka taea te whakaiti i tēnei mōrearea. Koia te take i huaina ai tēnei ko te "survey active".
He aha te rerekētanga i waenga i te Tirotiro Kaha me te Tatari Mataara?
He āhua ōrite ēnei kupu e rua, ā, ka pōhēhē pea ētahi. Ahakoa he momo "mātakitaki" ēnei kupu e rua, he rerekētanga nui kei waenganui i a rāua.
| Āhuatanga | Te Tirotiro Kaha | Te Tatari Mataara |
|---|---|---|
| Whāinga matua | Te aroturuki i te whanonga o te mate pukupuku hei tīmata i te maimoatanga i te wā tika, me te whāinga kia ora ai te mate pukupuku. | Ehara i te rongoā te mate pukupuku, engari ko te whakahaere i ngā tohu e puta ana. Ka tukuna noa te maimoatanga mēnā ka puta ngā tohu. |
| Ngā whakamātautau i mahia | Ka whakahaerehia ngā whakamātautau pēnei i te PSA, te DRE, me te Biopsy i runga anō i tētahi kaupapa kua whakaritea. | Kāore he whakamātautau pūnaha e mahia ana. Ka whakamātauria ngā tūroro mēnā ka puta he tohumate ki a rātou. |
| Mā wai e tika ai? | Mō te hunga hauora, roa ake te ora, ā, he iti ake te mōrearea ki te mate pukupuku. | Mō te hunga kua kaumātuatia, kua pāngia e ētahi atu mate kino, ā, he poto noa te roa o te oranga. |
Āhea ahau me kite i te tākuta?
Mena kei raro koe i te Active Surveillance, ki te puta mai he tohu hou ki a koe (hei tauira, he uaua ki te mimi, he mamae wheua) ki te kino haere rānei ō tohu o nāianei, whakamōhio atu ki tō tākuta tonu. Me whakarite hoki kia tae atu koe ki ō wā whakarite ki te whare hauora.
Karere Tangohia ki te Kāinga
- Ko te Aroturuki Kaha he tikanga whakahaere e whakamahia ana mō te mate pukupuku repeure he iti te mōrearea, he puhoi te tipu .
- Ko te whāinga matua i konei ko te karo i ngā pānga taha o te maimoatanga me te pupuri i te kounga o te oranga,Te whakaroa i te maimoatanga kia tae rā anō ki te wā e hiahiatia ana.
- Ehara tēnei i te tukanga tatari-ā-tiro noa iho, engari he tukanga e whakahaerehia ai ngā whakamātautau pēnei i te PSA, te DRE, me te koiora i raro i te tirotiro tata a te tākuta .
- Ki te puta mai ngā tohu o te whanaketanga o te mate pukupuku, ka tīmata tonu te tākuta i te maimoatanga.
- He whakatau tēnei mā kōrua ko tō tākuta e whakatau ngātahi. Kōrerohia ō āwangawanga me ō wehi katoa ki tō tākuta, ā, me whakatau i tēnei whakatau me te mārama katoa.
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