He puku kei tō kaki? Me ako tātou mō tētahi momo matepukupuku tairoi kino? (Anaplastic Thyroid Cancer - ATC)

Kua pāngia koe e te puku i mua o tō kaki? Kua pāngia rānei koe e tētahi e mōhio ana koe? I ētahi wā ka warewarehia ēnei mea. Heoi, i tēnei rā ka kōrero tātou mō tētahi momo matepukupuku tairoi kino ake, engari he tino onge. Ko tōna ingoa ko te `(Anaplastic Thyroid Cancer)` ko te `(ATC)` rānei. Tērā pea he ahua uaua tēnei, engari kia māmā noa iho, āe?

He aha te Matepukupuku Tairoi Anaplastic (ATC)?

Ki te kī ngāwari, ko te `(Anaplastic Thyroid Cancer)`, `(ATC)` rānei , he momo matepukupuku tino tere te horapa, he kaha hoki e puta ana i roto i tō tātou repe tairoi. I mōhio koe, ko te repe `(thyroid)` he repe iti āhua pūrerehua kei mua o tō kaki, i raro noa i te kiri. He wāhanga tino nui o te `(endocrine system)` o tō tātou tinana, arā, te pūnaha e whakaputa ana i ngā homoni. Ko ngā homoni e whakaputaina ana e tēnei `(thyroid)` ka āwhina ki te whakahaere i ngā mahi nui o te tinana.

Ko tēnei `(ATC)` e kiia ana hoki ko `(matepukupuku tairoi kāore i te rerekē)`. Ko te take o tēnei, kāore ēnei pūtau matepukupuku e rite ki te āhua me te whanonga ki ngā pūtau tairoi hauora noa. He tino rerekē rātou, ā, kua uaua ki te kite. Nā te kaha me te tere o tēnei matepukupuku, ko te Komiti Hononga o Amerika mō te Matepukupuku (AJCC) e whakatau ana mō te matepukupuku e whakaaro tonu ana ki tēnei `(ATC)` he matepukupuku `(Wāhanga IV)`. Ko te tikanga ka taea te tino whanake ina kitea.

Ko wai te mea tino tūpono ka pāngia e tēnei mate pukupuku "(ATC)"?

Ko te mate pukupuku tairoi anaplastic te mea e kitea pinepinetia ana i roto i te hunga neke atu i te 60 tau te pakeke. Kua kitea hoki he nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate pukupuku i ngā tāne.

E hia te auau o tēnei āhuatanga?

He momo mate pukupuku tino onge te mate pukupuku tairoi anaplastic. E 2% pea o ngā mate pukupuku tairoi katoa e pā ana ki tēnei mate. Whakaarohia, ahakoa i roto i tētahi whenua pēnei i a Amerika, kotahi, e rua rānei ngā tāngata i roto i te miriona e kitea ana tēnei mate i ia tau. Nō reira, ehara tēnei i te mate e pāngia ana e te tini tāngata.

Kia pēhea te tere o te tipu o te `(ATC)`?

Koinei te raruraru nui rawa atu o tēnei mate pukupuku. He momo mate pukupuku tino tere te tipu, he pukuriri hoki te Mate Pukupuku Tairoiro Anaplastic. I ētahi wā ka tere te tipu i roto i ētahi wiki ka horapa ki ētahi atu wāhanga o te tinana.

Whakaarohia, mō te 50% o te hunga whai "(ATC)" nei, i te wā e kitea ai te mate, kua horapa te mate pukupuku ki ngā wāhanga tawhiti o te tinana, ā, kua "metastasis" . I te nuinga o te wā, ka horapa te mate pukupuku ki ngā whekau pēnei i te "(pūkahukahu)", "(wheua)", me te "(roro".

He aha ngā tohu o te `(Anaplastic Thyroid Cancer)`?

He maha ngā wā, ka puta tuatahi mai te āhuatanga "Pūkahukahu Tairo Anaplastic".He pukupuku, he puku rānei e puta mai ana i te taha mua o te kaki, e tata ana ki te repe tairoiti.

Ka tere te tipu o ēnei pukupuku "(ATC)", ā, ka kitea ngāwaritia e te tūroro, e tōna whānau, e ōna hoa hoki. Ina pā atu koe ki ēnei pukupuku, tera pea ka paku mārō, ka mamae hoki koe.

I te tipu haere o tēnei pukupuku, ka tīmata te pēhi i ētahi atu wāhanga o te kaki (pērā i te puku, te korokoro). Tērā pea ka puta ēnei tohu:

• Te uaua ki te horomi (dysphagia)
• Te uaua ki te manawa (dyspnea)
• Te pāorooro, te panoni rānei o te reo
• Te maremare tonu
• Te pararutiki o te taura reo

Ko te hunga kua horapa (metastasized) te mate pukupuku ki ētahi atu wāhanga o te tinana, tera pea ka pāngia e ētahi atu tohu me ēnei tohu. Hei tauira:

• Mamae wheua
• Te pupuhi o ngā hononga (ngā puku)
• ngoikore o te tinana
• Ngā raruraru o te pūnaha io (hei tauira, te ānini, te haurangi)

He aha ngā take o te matepukupuku tairoi anaplastic?

Ki te pono, kāore anō kia tino mōhiotia e ngā kaipūtaiao te pūtake o te Matepukupuku Tairo Anaplastic (ATC). Heoi, i ētahi wā, ka pāngia te hunga whai matepukupuku tairoi e ētahi atu momo matepukupuku tairoi (pēnei i te matepukupuku tairoi papillary, follicular rānei) e te ATC i roto i te wā.

Waihoki, mō te 80% o ngā tūroro e pāngia ana e te "ATC", ka puta tēnei mate pukupuku me te "goiter" roa (te repe tairoiti kua whakanuia) . Tērā pea he momo mate pukupuku tairoiti anō kāore anō kia tautuhia i mua.

Me pēhea te tātaritanga o tēnei mate '(Anaplastic Thyroid Cancer)'?

I te nuinga o te wā ka whakahaerehia e ngā tākuta he tango ngira pai (FNA) he kopa ngira rānei hei tātaritanga i te mate pukupuku tairoi anaplastic (ATC). Ko te tikanga o tēnei ko te tango i tētahi tauira kiko iti rawa, e kiia nei ko te kopa, mai i te puku i tō kaki mā te whakamahi i tētahi ngira angiangi rawa . Kātahi ka tirohia e te tohunga mate te tauira kiko i raro i te karuārai hei tirotiro mēnā kei roto ngā pūtau mate pukupuku, ā, mēnā kei roto, he aha te momo mate pukupuku tairoi.

I ētahi wā, ka tūtohu pea te tākuta i tētahi "koiora matua", ka mahia mā te whakamahi i tētahi ngira nui ake.

Kia whakaūtia te ATC, ka whakahaua e tō tīma hauora ētahi atu whakamātautau hei aromatawai i tō hauora whānui, hei whakatau hoki mēnā kua horapa te mate pukupuku. Kei roto pea i ēnei ko ngā whakamātautau toto me ngā whakamātautau whakaahua, pēnei i:

• ``Matawai CT (tomography rorohiko)''
• ``Matawai whakaahua aukume (MRI)''
• "Matawai i te tomografi tukunga positron F-fluorodeoxyglucose (FDG-PET)"

Nā te kaha o te mate pukupuku nei, ka kiia ngā tāngata katoa e pāngia ana e te Mate Pukupuku Tairo Anaplastic he tūroro Wāhanga IV . Heoi, e toru ngā momo momo:

• Wāhanga IVA : (ATC) ka kitea anake i roto i te repe tairoi. Tata ki te 10% o ngā tūroro kua tātaritatia ka taka ki tēnei wāhanga.
• Wāhanga IVB : (ATC) Pērā i te repe tairoi, kua horapa te mate pukupuku ki te kaki (he maha ngā wā ki ngā kōpū lymph) engari kāore anō kia horapa ki ngā wāhi tawhiti o te tinana. Tata ki te 40% o ngā tūroro kei roto i tēnei wāhanga.
• Wāhanga IVC : (ATC) Haunga te repe tairoi, kua horapa te mate pukupuku ki ētahi atu wāhi tawhiti o te tinana (hei tauira, ngā wheua, ngā pukahukahu, te roro). Tata ki te 50% o ngā tūroro kei a rātou tēnei wāhanga.

Me pēhea te rongoā i te matepukupuku tairoi anaplastic?

Ki te pono, he tino uaua te rongoā i te `(Anaplastic Thyroid Cancer - ATC)`. Ko te take he tino kaha, ā, ka tere te horapa, i roto i te kaki me ngā wāhanga tawhiti o te tinana (pērā i ngā pukahukahu, ngā wheua, me te roro).

Nō reira, he mea tino nui kia tīmata wawe tonu te maimoatanga, me te rapu maimoatanga mai i ngā tākuta whai wheako ki te rongoā i te `(ATC)`.

I te rongoā i te ATC, ka mahi tahi tētahi tīma tākuta maha-mātauranga. Ko ngā tohunga e whai ake nei kei roto i tēnei tīma:

• Ngā tohunga endocrine
• Ngā tākuta mate pukupuku hauora
• Ngā tohunga mate pukupuku irahiko
• Ngā taote pokanga

Ko te maimoatanga mō te `(ATC)` he whakakotahitanga o ēnei mea:

• Pokanga
• Te rongoā irahiko
• Te rongoā matū
• Manaaki mamae (manaaki hei whakaiti i ngā tohumate)

Te pokanga mō te `(ATC)`

Mena kei a koe te `(ATC)`, tera pea ka tūtohu tō tīma hauora kia pokangahia hei tango i te pukupuku. Heoi, ki te mea he raruraru hauora anō ōu, ka mōrearea pea te pokanga.

Ko te tikanga pokanga e whakamahia whānuitia ana hei rongoā i te ATC ko te tango i te puranga . Kei roto i tēnei ko te tango i te nuinga o te pukupuku matepukupuku e taea ana, inā koa i te wā e ngana ana ki te tiaki i tō larynx (te wāhanga o tō pouaka reo) me te tango i ngā wāhanga katoa e tūpono ana ki tō ara manawa.

Engari, heoi anō, i te nuinga o te wā, kāore pea e taea te pokanga nā te nui rawa o te pukupuku, tōna wāhi, me te horapa o tōna puku.

Engari he mea nui anō hoki kia mōhio ki tēnei: ​​Tērā anō ngā pūrongo mō ngā tūroro i ora mō ētahi tau i muri i te whiwhinga i te huinga kaha o te irahiko me te rongoā matū (ATC) ahakoa kāore i taea te pokanga.

Te rongoā irahiko mō te `(ATC)`

Ko te rongoā irahiko he maimoatanga e whakamahi ana i ngā hihi pūngao kaha (irahiko) hei patu i ngā pūtau matepukupuku, hei aukati rānei i tō rātou tipu.

Mena kei a koe te ATC, tera pea ka tūtohu tō tīma hauora i tētahi momo rongoā irahiko motuhake e kiia nei ko te Whakaora Irahiko Hiko o Waho (EBRT). Ko tēnei he arotahi tika ki ngā hihi-X ki ngā wāhi e hiahia ana kia rongoatia (he maha ngā wā ko te pukupuku tonu, ko te mate pukupuku rānei kua horapa ki ngā wheua, ki ētahi atu okana rānei).

Te rongoā matū mō te `(ATC)`

Ko te chemotherapy he momo maimoatanga mate pukupuku e whakangaro ana i ngā pūtau mate pukupuku, e ārai ana hoki i a rātou kei whakatupu.

Mena kei a koe te ATC, ka tūtohu pea tō tīma hauora i te chemotherapy hei maimoatanga tāpiri i muri i te pokanga, i te radiotherapy rānei hei patu i ngā pūtau matepukupuku e toe ana. Ka taea e te chemotherapy, inā koa mō te ATC, te whakarei ake i te whai huatanga o te radiotherapy. Ko te tikanga ka taea e ia te whakanui ake i te tairongo o te matepukupuku ki te radiotherapy, te whakanui ake rānei i te whai huatanga o te radiotherapy.

Kei te wātea inaianei ngā rongoā chemotherapy hou kua whakaatu i ngā hua pai ki te rongoā i ētahi atu mate pukupuku kaha mō te mate pukupuku tairoi kaha. Ahakoa kāore e taea e ēnei rongoā te whakaora katoa i ngā mate pukupuku kaha kua horapa puta noa i te tinana, ka taea e rātou te whakaroa, te whakahaere rānei i te tipu o te mate pukupuku ki tētahi taumata.

Ko ētahi o ngā rongoā chemotherapy e whakamahia ana mō te mate pukupuku tairoi ko:

• Ngā Taxane (hei tauira, paclitaxel, docetaxel rānei)
• Ngā rongoā anthracycline (hei tauira, doxorubicin)
• Ngā rongoā rite ki te konupūmā (hei tauira, cisplatin, carboplatin rānei)

Te Manaaki Whakaora mō (ATC)

Ko te tiaki mamae he momo tiaki hauora e whakaiti ana i te mamae, ngā tohu, me te ahotea e hua mai ana i te mate kino.

Mena kei a koe te `(ATC)`, ka tūtohu pea tō tīma hauora i ēnei maimoatanga tiaki mamae hei āwhina i te whakahaere i ngā tohu `(ATC)` me ngā pānga taha o te maimoatanga.

Ko te tiaki mamae mō (ATC) ka uru pea ki:

• Tracheostomy (te whakaurunga o te ngongo mā roto i te korokoro hei āwhina i te manawa)
• Te whakaurunga o tētahi ngongo ki roto i te puku hei whāngai (ngā ngongo gastrostomy, te ngongo-G rānei)
• Te hoatu i ngā rongoā whakamamae

Ka whakaratohia e ngā tākuta te tiaki mamae i te wā kotahi e rongoā ana i te mate pukupuku. Ehara i te mea kāore te tiaki mamae e tohu ka kore e angitu te maimoatanga mate pukupuku.

Ka taea te whakaora katoa i te matepukupuku tairoi anaplastic?

Engari, pērā i ētahi atu momo matepukupuku tairoi, kāore e taea te whakaora katoa i te matepukupuku tairoi anaplastic mā te pokanga. Ahakoa te tango i te tairoi, e tango ana i te repe tairoi katoa, kāore e roa ake te ora o ngā tūroro e pangia ana e te ATC.

Ka taea te ārai i te matepukupuku tairoi anaplastic?

Heoi, i te nuinga o te wā, kāore he huarahi hei ārai i te Matepukupuku Tairoi Anaplastic (ATC).

Heoi, ki te mea kua tāpaetia he mate puku tōu, he pona tairoi rānei kāore i te mate pukupuku (pai), he mea nui kia tirohia tō hauora tairoi e te tākuta i ia wā. I ētahi wā, ka puta te ATC mai i ētahi atu momo mate pukupuku tairoi, mai i te puku rānei.

Mena kei a au te `(Anaplastic Thyroid Cancer)`, he aha taku e tumanako ai?

He rerekē ia tangata, ia mate pukupuku tairoi anaplastic (ATC). He rerekē anō hoki ngā urupare ki te maimoatanga. Nā te āhua o te ATC, he uaua ki te matapae tika i te heke mai .

Heoi, kei te kitea e ngā kaipūtaiao he maimoatanga hou i ia rā hei rongoā i te mate pukupuku tairoi kua pāngia e te mate pukupuku tairoi, tae atu ki te (ATC). Ahakoa he uaua te rongoā, he mea nui kia kaua e mutu te tumanako ina kitea tuatahitia te mate .

He mea nui kia mahi tahi me tētahi tīma tākuta e mōhio ana ki te matepukupuku tairoi Anaplastic. Mēnā kāore e taea e koe te haere ki tētahi hōhipera nui kei a rātou ngā tākuta e mōhio ana ki te ATC, tonoa ō tākuta o te rohe kia mahi tahi me ngā tohunga i aua pokapū e mōhio ana ki te whakawhanake i tō mahere maimoatanga.

He mea nui anō hoki kia mārama koe ki ngā mōrearea me ngā painga o ngā momo maimoatanga rerekē. Me kōrero koe mōu ake, me te rapu tautoko mai i te whānau me ngā hoa.

He aha te ōrau oranga mō te `(Te Matepukupuku Tairoiti Anaplastic)`?

Ko te roanga oranga mō te Matepukupuku Tairo Anaplastic (ATC) he rima ki te ono marama i muri i te tātaritanga. I raro iho i te 20% o te hunga whai ATC ka ora i te tau kotahi i muri i te tātaritanga .

Ahakoa he ahua whakamataku ēnei tatauranga, he mea nui kia mahara kei reira ētahi tāngata kua ora mō ngā tau maha i muri i te maimoatanga mō te `(Anaplastic Thyroid Cancer)`.

He aha te āhua o te mate pukupuku tairoi anaplastic?

Nā te kaha o te mate pukupuku tairoi anaplastic, me te kore hoki o ngā huarahi maimoatanga whai hua, he kino te tūponotanga ka puta te mate.

Ko te nuinga o te hunga whai ATC ka mate i roto i te tau kotahi, nā te aukati i te ara manawa e te pukupuku, nā ngā raruraru rānei i puta mai i te horapa o te mate pukupuku ki ngā pukahukahu (ngā metastases o te pūkahukahu).

Heoi, ko ngā tūroro e pāngia ana e ēnei āhuatanga he "(ATC)" ka pai ake te tirohanga whānui:

• Kei raro iho i te 60 tau te pakeke.
• Kei te taha kotahi anake o te repe tairoi te puku (pukupuku kotahi-taha).
• He iti iho i te 5 henimita (5 henimita) te rahi o te puku matepukupuku.
• Kāore te mate pukupuku i horapa ki ngā kōpū waikura, ki ngā wāhi tawhiti rānei.

Me pēhea taku tiaki i ahau anō mēnā kei a au te mate pukupuku tairoi anaplastic?

Mena he mate pukupuku tairoi anaplastic tōu, ko te huarahi pai ki te tiaki i a koe anō ko te mārama ki tō āhua. Pātai atu ki tō tākuta he aha ngā mea ka taea e koe te tumanako i runga i tō āhua motuhake.

Ehara ēnei i te kōrero ngāwari māu, mā tō tākuta rānei, engari he mea tino nui. Ka taea e tō tākuta te āwhina i a koe ki te mārama ki ngā mea e pā ana ki tō tinana me ngā mea ka pā mai ā muri ake nei. Ka taea hoki e rātou te āwhina i a koe ki te whakaaro mō ō kōwhiringa me te tuku whakaaro mō ngā rauemi hei āwhina.

Mena kei a au te mate pukupuku tairoi Anaplastic, me whakaaro ahau ki te tiaki hōhipera?

Ko te manaaki hōhipera he manaaki e āwhina ana i te hunga whai mate kino, e whakawhāiti ana i te ora kia ora i ō rātou rā whakamutunga me te whakamarie, te mana, te whakahaere, me te kounga o te ora.

Ina pāngia te tangata e te mate kino, ka aro nui te wā me te kaha ki te tiaki hauora. Ina whakaaro ana ki te tiaki hōhipera, ka neke atu taua arotahi mai i te mate, engari ki te huarahi e hiahia ana rātou ki te whakapau i ō rātou wā. He tokomaha ka whakatau ki te rapu tiaki hōhipera i muri i te kōrero ki tā rātou tākuta, ki te whānau, me ētahi atu e arohaina ana. Mena kei te whakaaro koe ki te tiaki hōhipera, pātai atu ki tō tākuta mō te āwhina ki te kimi mōhiohio me ngā rauemi.

Ahakoa te momo mate pukupuku, he ohorere pea. Nā te āhua kino o te mate pukupuku tairoi anaplastic, he tino whakamataku. Ahakoa he uaua te rongoā i te mate pukupuku tairoi anaplastic (ATC), he mea nui kia kaua e mutu te tumanako ina kitea tuatahitia koe. Mēnā kei te raru koe i te whakaaro ki tētahi mate ka mate pea, kōrero ki tō rōpū hauora. Ka taea e rātou te āwhina i a koe ki te kimi rauemi hei āwhina i a koe ki te whakatere i tō ara.

Ngā mea tino nui hei maumahara mai i ngā mea kua kōrerotia e tātou (Karere hei tango ki te kāinga)

Āe, kua mōhio kē koe ki te `(Anaplastic Thyroid Cancer - ATC)` i kōrerohia e tātou. Ahakoa he kaupapa nui tēnei, he mea nui kia mōhio koe.

Ko te mea nui, mēnā kei a koe ngā tohu pēnei i te pupuhi hou e tere tipu ana i roto i tō kaki, te uaua ki te horomi, te uaua ki te manawa, te rerekētanga rānei o tō reo, me toro atu koe ki te tākuta.

• He momo mate pukupuku tairoi onge te ATC, engari he tino kaha, he tere te horapa .
• Ko te tikanga ka pāngia ngā wāhine neke atu i te 60 tau te pakeke .
• Ka tere te puta mai o ngā tohu. Ko ngā mea matua ko te pupuhi i te kaki, te mamae, te uaua ki te horomi, me te uaua ki te manawa .
• He uaua te maimoatanga, engari ka whakahaerehia te maimoatanga mā te whakakotahi i ngā tikanga maimoatanga rerekē (pokanga, irahiko, chemotherapy, tiaki mamae).
• He mea tino nui kia tere te tautuhi i te mate, kia rapu maimoatanga mai i tētahi tīma hauora mātau .
• I roto i tēnei āhuatanga uaua , he mea tino nui te kaha hinengaro me te tautoko a te whānau me ngā hoa .

Ko te tumanako ka whai hua ēnei kōrero ki a koe. Mēnā he pātai anō āu mō tēnei, tēnā whakapā atu ki te tākuta. Kia ora tonu koe!

` Matepukupuku tairoi anaplastic, matepukupuku tairoi, puku kaki, tohumate matepukupuku, maimoatanga matepukupuku, ATC, repe tairoi