Kua rongo kē koe i te ingoa 'matepukupuku awaawa'? Ahakoa he ahua rerekē te ingoa, he matepukupuku tēnei e puta ana i tētahi wāhanga nui o tō tātou tinana e āwhina ana i te tukanga nakunaku. He mea noa te mataku ina rongo koe i tētahi kupu pēnei. Kaua e manukanuka, ka kōrerohia e tātou tēnei mate, arā, te cholangiocarcinoma, i roto i tētahi huarahi māmā, mārama, me te mārama.
He aha te mate pukupuku o te awaawa au?
Hei mārama ki tēnei, me titiro tuatahi tātou ki ēnei awa au. Whakaarohia he ngongo angiangi e kawe ana i te wai e kiia nei ko te 'au' mai i tō tātou ate ki te pūkahukahu me te whekau iti. Ka āwhina tēnei au i te nakunaku i ngā ngako i roto i te kai e kainga ana e tātou.
Nō reira, ko te mate pukupuku o te awa au ka tīmata te tipu haere o ngā pūtau rerekē i roto i ēnei awa au.
Mō ētahi tāngata, ka taea e te rongoā te whakaora katoa i tēnei mate pukupuku. Mō ētahi atu, kāore pea e taea te whakakore katoa. I roto i ēnei āhuatanga, me haere tonu pea koe ki te whiwhi maimoatanga pēnei i te chemotherapy me te radiation hei whakahaere i te mate pukupuku. Mā te mōhio pai ki tēnei mea, me te kōrero ki tō tākuta, ki tō rōpū hauora, me ō whanaunga, ka nui te kaha ki te aro atu ki tēnei wero.
He aha ngā momo matua o te mate pukupuku o te awaawa au?
Ka whakarōpūhia tēnei mate pukupuku e ngā tākuta i runga i te wāhi i tīmata ai. Kia mārama ai tēnei, tirohia te ripanga i raro nei.
| Momo mate pukupuku | He whakamārama māmā |
|---|---|
| Momo waho o te ate | Koinei te momo tino noa. He māmā ake hoki te rongoā. E rua ngā wāhanga: - Matepukupuku perihilar: He momo matepukupuku ka puta i te wāhi e hono ai ngā awaawa au o te ate matau me te maui. - Matepukupuku tawhiti: Ko te momo ka puta i te wāhi e haere ai te awaawa ate noa mā te repeure. |
| Momo ā-roto-ā-whatu | He momo kuri tino onge. E 5% ki te 10% anake o te taupori e kitea ana tēnei momo kuri. |
He aha ngā take me ngā āhuatanga mōrearea e pā ana ki te whanaketanga o tēnei mate pukupuku?
Kāore anō kia kitea te tino pūtake o tēnei mate pukupuku. Heoi, kua kitea e ngā rangahau ka taea e ētahi mea te whakanui ake i te mōrearea o te whanaketanga. Ina koa, ko te mumura roa te mea nui hei take mōrearea.
Anei ētahi o ngā āhuatanga mōrearea:
- Te Kolangitis Sclerosing Tuatahi: He mumura roa tēnei o ngā awaawa au. Ka puta he kiriuhi o ngā awaawa au. He maha ngā tāngata e pāngia ana e tēnei mate e te Ulcerative Colitis, he mumura o te whekau nui.
- Ngā kōhatu o te awa au: He rite ēnei ki ngā kōhatu o te au, engari he iti ake te rahi.
- Ngā pūwero choledochal: Ka whānau mai ētahi tāngata me tēnei mate. He pūwero rite ki te pēke ēnei, kī tonu i te aukume e puta mai ana i ngā awa aukume. Ki te kore e rongoatia, ka huri pea ēnei hei mate pukupuku.
- Mate rewharewha ate: He onge tēnei i Sri Lanka, engari he mea noa i ngā whenua Āhia. Ka puta mai i te kai i ngā ika mata, i ngā ika kāore i tunua rawatia kua pangia e ngā kutukutu pirinoa.
- Ātete Waipiro: Ka taea e te nui o te inu waipiro me ngā mate pēnei i te hepatitis te kino i te ate me te whakaputa i te kiko whara. Ka piki ake hoki te mōrearea o te mate pukupuku o te awaawa au.
Ko te mea nui, ehara i te mea ka pāngia te hunga katoa e whai ana i ēnei āhuatanga mōrearea e te mate pukupuku. Waihoki, ka taea hoki e te tangata kāore i te whai i ēnei āhuatanga mōrearea te pāngia e tēnei mate pukupuku.
Ētahi atu āhuatanga mōrearea
- Momonatanga
- Mate huka
- He mate ate huaketo
- Te inu nui rawa
- Te mate mumura o te puku (pērā i te mate a Crohn me te mate ulcerative colitis)
He aha ngā tohu o te mate pukupuku o te awaawa au?
Kāore pea ngā tohu o tēnei mate pukupuku e kitea i ngā wāhanga tōmua, engari i te haere whakamua o te mate, ka puta pea ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Te kōwhai o te kiri me ngā kanohi (Jaundice) | Koinei te tohu tino kitea. Ka puta ina aukatia ngā awaawa au, ā, ka nui haere te au i roto i te tinana. |
| Te mamae o te puku, te whekau rānei | Tērā pea ka mamae te taha matau o runga o te puku. |
| Kiri mākūkū | Ko tētahi atu tohu e puta mai ana me te kirika kōwhai. |
| Ngā tūtae mārama me te mimi pouri | Ka mārama te tae o te tūtae nā te mea kāore te au e mimitihia ana ki roto i ngā whekau. Ka pōuri hoki te tae o te mimi nā te mea kei te tukuna te au mai i te tinana. |
| Ētahi atu āhuatanga | Te kirika, te whakapairuaki me te ruaki, te kore hiahia kai, te hekenga o te taumaha, me te ngenge nui. |
He mea nui: Ka taea hoki ēnei tohu te puta mai i ētahi atu mate hauora. Nō reira, ki te pāngia koe e tētahi o ēnei tohu, me toro atu ki tō tākuta mō ētahi tohutohu.
Me pēhea te tautuhi i te mate?
Ka tirohia e tō tākuta tō hauora i te tuatahi, ā, ka pātai atu mō tō hītori hauora, tō hītori whānau mō te mate pukupuku, me tō momo noho (pēnei i te inu waipiro me te momi hikareti). Kātahi ka mahia ētahi whakamātautau hei whakaū i te mate:
- Ngā whakamātautau toto: Ka āwhina ēnei ki te tirotiro i te mahi a te ate me te tirotiro mō ngā tohu pukupuku.
- Ngā whakamātautau whakaahua: Mā te ultrasound o te puku, te CT scan, te MRI scan rānei ka āwhina i te whakatau i te aroaro o te pukupuku, tōna rahi, me tōna tauwāhi.
- Endoscopy: Ko te tirotiro i roto i te tinana mā te whakamahi i tētahi ngongo angiangi me tētahi kāmera e piri ana. He maha ngā whakamātautau motuhake ka taea te mahi mā te whakamahi i tēnei tikanga.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Ka whakamahia he endoscope hei wero i tētahi tae motuhake ki roto i ngā awaawa o te ate, ā, ka tangohia he hihi-X hei tirotiro mō ngā pukupuku.
- Te tirotiro i te korokoro:Mā tēnei tikanga ka taea te tiro tika ki roto i ngā awaawa o te ate.
- Ko te koiora: Koinei te whakamātautau whakamutunga e whakaū ana i te mate. Ka tangohia he wahi iti o te kiko mai i te awaawa au, ka tirotirohia i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei roto.
He aha ngā maimoatanga?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te momo mate pukupuku, te tawhiti o tōna horapa, me tō hauora whānui. Tērā pea ka hiahiatia he maimoatanga kotahi, neke atu rānei.
- Pokanga: Mena ka kitea te mate pukupuku i ngā wāhanga tōmua, ka taea e te pokanga te tango i te wāhanga mate pukupuku. I ētahi wā, me tango pea tetahi wāhanga o te awaawa au, tetahi wāhanga o te ate, te pūkahukahu, ngā kōpū lymph tata rānei.
- Te rongoā irahiko: Ko te whakamahi i ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku. Ka whakamahia hei whakaiti i te pukupuku i mua i te pokanga, hei whakangaro rānei i ngā pūtau e toe ana i muri i te pokanga.
- Te rongoā matū: Ko te tikanga o tēnei ko te hoatu rongoā hei patu i ngā pūtau matepukupuku. Ka taea te hoatu ēnei hei pire, hei werohanga rānei mā roto i te uaua (ki roto i te uaua).
- Te rerenga wai o te ate: Mena ka āraia te awaawa o te ate, ka taea te whakauru i tētahi ngongo iti e kiia nei ko te stent hei tuku i te rere o te ate. Ka taea e tēnei te whakaiti i ngā tohu pēnei i te jaundice.
- Te whakawhitinga ate: He maimoatanga tino onge tēnei. I ētahi wā, ka taea e ia te whakaora i te mate pukupuku.
Ngā huringa āhua noho me te oranga hinengaro
Ahakoa kei te rongoatia koe e te mate pukupuku, he mea tino nui kia ngana koe ki te noho hauora i ngā wā katoa e taea ana.
- Āta karohia te waipiro me te kai hikareti: Mā te whakarērea o ēnei whanonga e rua ka tino āwhina i tō tukanga whakaora.
- Whakakorikori Tinana: He mea noa te ngenge i te mate pukupuku. Heoi, kōrero ki tō tākuta mō te tīmata i tētahi kaupapa whakakorikori tinana māmā e tika ana māu. Ahakoa he mea ngāwari pēnei i te hikoi, he nui noa iho.
- Tautoko hinengaro: He mea noa te mataku me te manukanuka mō te heke mai ina kitea he mate pukupuku tōu. Mā te kōrero mō tēnei ki tētahi e whakawhirinaki ana koe (mema o te whānau, hoa, kaitohutohu) ka āwhina i a koe kia māia ake.
Karere Tangohia ki te Kāinga
- He mate pukupuku te cholangiocarcinoma e puta ana i roto i ō tātou awa au.
- Kia mataara ki ngā tohu pēnei i te kōwhai o te kiri me ngā kanohi, te mamae o te puku, te mimi pouri, me ngā tūtae mārama.
- Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e mataku, me toro atu ki tō tākuta tonu, kaua hoki e ngana ki te tātaritanga i a koe anō i runga ipurangi.
- He rerekē ngā kōwhiringa maimoatanga i ia tūroro, i ia tūroro. Mā tō tākuta e whakamārama te maimoatanga pai rawa atu māu.
- Kāore koe i te mokemoke i tēnei haerenga. Rapua te tautoko a tō tīma hauora, tō whānau, me ō hoa.
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