He pukupuku kei roto i te waha? E mōhio ana koe ki tēnei mate pukupuku onge (Adenoid Cystic Carcinoma)?

Whakaarohia kua kitea e koe tētahi puku iti i roto i tō waha, i raro pea i tō arero, i roto rānei i tō paparinga. Kāore e mamae rawa, nō reira, kāore pea koe e aro nui ki tēnā. Ahakoa he mea iti pēnei, he mea nui kia mōhio koe. I tēnei rā ka kōrero tātou mō tētahi momo mate pukupuku ka tīmata me ēnei tohu, he mea onge engari me mōhio tātou. Ko te Adenoid Cystic Carcinoma tēnā, ko te ACC rānei.

He aha rawa te adenoid cystic carcinoma (ACC)?

He kupu ngāwari noa iho, he momo mate pukupuku tino onge te ACC. Ko te nuinga o te wā ka tīmata i roto i ngā repe huware i roto i tō tātou waha. I mōhio koe e toru ngā momo matua o ngā repe huware i roto i tō tātou waha?

1. Ngā repe parotid: Kei te taha o ngā taringa ēnei, i ia taha o ngā paparinga.

2. Ngā repe o raro i te kauae o raro: Kei raro i tō tātou kauae o raro ēnei.

3. Ngā repe o raro i te arero: Kei raro i te arero ēnei.

Ko te nuinga o te wā ka tīmata te mate pukupuku ACC i roto i ēnei repe, engari i ētahi wā ka puta pea i ētahi atu wāhanga o te waha, te korokoro, ngā repe werawera, tae atu ki ngā repe roimata.

He aha ngā tohu o tēnei?

Ko te tohu matua me te tohu wawe o te matepukupuku ACC he puku kore mamae e puta ana i roto i te waha, i raro i te arero, i roto rānei i te paparinga. Ka nui haere, ka nui haere ēnei puku. Haunga tēnei tohu matua, tera pea ka kitea ētahi atu tohu.

Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e warewarehia. Tirohia tō tākuta whānau tonu. Māna e whakatau te tino take.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina kite koe i te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu. Arā, nōnahea koe i kite ai i te puku, mēnā kei te tipu haere, mēnā kei te mamae, mēnā kei te māuiui koe, me ētahi atu. Kātahi ka āta tirotirohia e ia tō waha, tō mata, me tō kaki. Ka tirohia hoki e ia mēnā he pupuhi ngā kōpū waikura i roto i tō kaki.

Hei tāpiritanga, ka taea te tono i ētahi whakamātautau hei whakaū i te mate.

• Ngā Whakamātautau Whakaahua: Ka āwhina ēnei matawai ki te whakatau i te rahi tuturu o te puku, tōna tauwāhi, me te horapa rānei o te mate pukupuku.
• MRI (Whakaahua Āhua Aukume): Ka whakamahi i te papa aukume hei tiki whakaahua taipitopito.
• Matawai CT (Tomography Rorohiko): Ka kohia he raupapa hihi-X hei hanga whakaahua taipitopito.
• Matawai PET (Positron Emission Tomography): Ka āwhina ki te tautuhi i ngā wāhi o ngā pūtau matepukupuku mā te whakamahi i ngā whakaahua tae.
• Biopsy: Koinei te whakamātautau e mahia ana hei whakaū 100% mēnā he matepukupuku, kāore rānei. I konei, ka tangohia he tauira kiko iti rawa mai i te puku ka tirohia i raro i te karuārai. Ka tirohia tēnei e te tohunga mate.

He aha i puta ai tēnei momo mate pukupuku?

Kāore anō kia mōhiotia e ngā tākuta te tino take o te ACC, engari e whakapono ana rātou ko tēnei mate pukupuku i puta mai i ētahi huringa (ngā whakarerekētanga ira) i roto i ō tātou ira.

He aha ngā maimoatanga?

Ko te maimoatanga matua mō te ACC ko te tango pokanga i te pukupuku me ngā kiko e karapoti ana.

1. Pokanga

Ko te momo pokanga e mahia ana, kei te wāhi o te pukupuku. Ka tangohia te repe huware e pāngia ana me te pukupuku, i te katoa, i te wāhanga rānei. Nā te mea ka horapa te mate pukupuku ACC i roto i ngā io, ka āta tirotirohia e ngā tākuta ngā io e karapoti ana i te wā pokanga. I ētahi wā ka pakaru pea ngā io e whakahaere ana i ngā nekehanga o te kanohi. Heoi, ki te puta tēnei, ka taea te whakamahi i ngā tikanga pokanga matatau pēnei i te whakaora i te kanohi hei whakahoki i aua io ki te mahi noa.

2. Te Whakaora Irahiko

I muri i te pokanga, ka tukuna te rongoā irahiko hei patu i ngā pūtau matepukupuku e toe ana. I ētahi wā, ka whakamahia tēnei maimoatanga ina kore e taea te pokanga. Heoi, ka pā mai pea ngā pānga taha pēnei i te waha maroke, te uaua ki te horomi, me te pakaru o ngā niho i tēnei maimoatanga. Nō reira, he mea nui kia mahi tahi koe me tō tākuta me tō tākuta niho i te wā e rongoatia ana.

3. Ētahi atu maimoatanga

I ētahi wā kua piki ake te taumata o te mate, ka whakaarohia pea e ngā tākuta ngā mea pēnei i te chemotherapy, te rongoā arotahi rānei. He maimoatanga kei roto tonu i te wāhanga rangahau ēnei.

He aha te mea ka tupu i muri i te maimoatanga?

He mate pukupuku te ACC e pāngia ana e te hokinga mai anō. Nō reira, he mea tika kia haere ki ngā tirotiro me ngā matawai i muri i te maimoatanga. E ai ki te tākuta, mā te whakahaere i ēnei whakamātautau i te wā tika, ki te hoki mai anō te mate pukupuku, ka taea te kite me te rongoā i te wā tōmua.

He mea nui kia mārama koe ahakoa he tatauranga mō ngā reiti ora, he whakatau tata noa iho ēnei. He rerekē ia tūroro, me ā rātou urupare ki te maimoatanga. Nō reira, ko ngā mōhiohio pai rawa atu mō tō āhuatanga ka taea te tiki mai i te tākuta e rongoā ana i a koe.