He paku whakamataku te kupu "matepukupuku", tika? Engari nā te whanaketanga o te pūtaiao hauora, kua puta ake he maha ngā huarahi hou me te angitu hei whawhai i te matepukupuku. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga angitu e kōrerohia ana, inā koa mō te matepukupuku ū. Ko te Whakaora Whaiaro tēnei. Me titiro tātou ki te aha, me pēhea te mahi, me ngā mea me mōhio koe mōna.
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He aha te Whakaora Whaiaro?
Whakaarohia, ko te chemotherapy, e mōhiotia whānuitia ana e tātou, ka whakangaro i ngā pūtau tere wehewehe. Ka taea e tēnei te kino ehara i te mea ko ngā pūtau matepukupuku anake engari ko ngā pūtau hauora hoki o tō tātou tinana. Koia te take he maha ngā wā ka puta ngā pānga taha pēnei i te ngaronga o te makawe me te whakapairuaki.
Engari he rerekē rawa tēnei tikanga maimoatanga e kiia nei ko te Whakaora Whaiaro. Hei whakamārama, he maimoatanga tino 'atamai' tēnei. Ka aro atu, ka whakaeke noa i ngā pūtau matepukupuku . Ka whakamahia e tēnei tikanga maimoatanga te pūnaha ārai mate o tō tātou tinana hei whakangaro i ngā pūtau matepukupuku, hei aukati rānei i ngā tohu e hiahia ana ngā pūtau matepukupuku kia tipu. He iti ake te kino o tēnei ki ngā pūtau hauora. Ko te painga o tēnei he iti ake ngā pānga taha i te nuinga o te wā i te chemotherapy.
E rua ngā huarahi matua e mahi ai tēnei maimoatanga :
1. Te Whakamahinga o ngā Paturopi: Ka hangaia ēnei paturopi e ngā pūtau motuhake o te pūnaha ārai mate o tō tātou tinana. Ka hangaia ēnei paturopi mā te hangarau horihori i roto i te taiwhanga, ā, ka hoatu ki te tinana hei rongoā. Ka piri ēnei ki ngā pūtau matepukupuku, ka aukati i a rātou kei tipu, kei whakangaro rānei.
2. Ngā rongoā ngota iti: He rongoā ēnei ka taea te tango hei pire. Ka mahi mā te aukati i ngā ara tohu i roto i ngā pūtau matepukupuku e āwhina ana i a rātou ki te wehewehe me te tipu.
Mā tō tākuta e whakatau ko tēhea momo rongoā e tika ana māu, i runga i te momo mate pukupuku o te ū kei a koe.
Te Matepukupuku Uma HER2-Positive me Tōna Maimoatanga
Tata ki te 20% o te hunga mate pukupuku ū, arā, tata ki te kotahi i roto i te tokorima, he hapa kei roto i te ira e kiia nei ko te HER2. Nā tēnei hapa ka nui rawa ngā tārua o te ira. Mena he nui rawa te pūmua HER2 i runga i ngā pūtau mate pukupuku, ka kiia taua mate pukupuku ko te "mate pukupuku ū HER2-pai".
Mena he 'HER2-positive' tō mate pukupuku, he maimoatanga motuhake, he tino whai hua hoki kei reira.
- Trastuzumab :Koinei te rongoā matua mō te mate pukupuku HER2-positive. Kei te wātea tēnei rongoā i raro i ngā ingoa waitohu maha pērā i te Herceptin, Kanjinti, Ogivri. He werohanga tēnei e tukuna ana ki roto i te uaua. E whakaponohia ana ka taea e ia te whakahaere i te mate pukupuku i roto i ngā huarahi matua e toru:
- Ka piri ngā pūtau matepukupuku ki te mata, ā, ka aukati i tō rātou tipu.
- Ka āwhina i te whakangaro i ngā pūtau matepukupuku mā te tuku tohu ki tō tātou ake pūnaha ārai mate.
- Ina hoatu tahitia me te chemotherapy, ka piki ake te angitu o aua maimoatanga.
- Pertuzumab: Ko tēnei rongoā, kei raro i te ingoa waitohu 'Perjeta', he paturopi anō e hoatu ana ki te mate pukupuku 'HER2-positive'. He maha ngā wā ka hoatu ngātahitia me te 'Trastuzumab' me te rongoā chemotherapy 'docetaxel'. Heoi, kāore i te pai mō ngā wāhine hapu, nā te mea ka pā kino pea ki te pēpi kāore anō kia whānau.
- Ētahi atu rongoā: Ko te Ado-trastuzumab emtansine (Kadcyla), Margetuximab (Margenza), me te Fam-trastuzumab deruxtecan-nxki (Enhertu) he rongoā hou anō hoki e hoatu ana mō tēnei momo matepukupuku, inā koa i ngā wā kua horapa te matepukupuku (kua whānui) kua kore rānei e angitu ētahi atu maimoatanga.
- Pire: Ko Lapatinib (Tykerb) me Neratinib (Nerlynx) he rongoā arotahi mō ngā mate pukupuku HER2-pai ka taea te tango hei pire. He maha hoki ngā wā ka hoatu ēnei i muri i ētahi atu maimoatanga.
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Check Availability →Te Maimoatanga mō te Mate Pukupuku o te Uma HER2-Negative
Mena kāore he hapa ira 'HER2' i roto i ō pūtau matepukupuku, arā, kāore i te nui rawa te pūmua 'HER2', ka kiia taua matepukupuku ko te "matepukupuku ū HER2-negative." Kātahi ka tukuna he momo maimoatanga rerekē ki a koe.
He rongoā whakaora motuhake anō hoki kei reira mō tēnei momo mate pukupuku.
- Ko ngā rongoā pēnei i a Everolimus (Afinitor), Palbociclib (Ibrance), me Ribociclib (Kisqali) ka hoatu tahitia me te rongoā homoni. He maimoatanga ēnei e hoatu ana ki ngā wāhine, inā koa i muri i te paheketanga, kua horapa te mate pukupuku.
- Ngā Ārai PARP: Mena he HER2-kino tō mate pukupuku, ā, he whakarerekētanga ira BRCA tōu, ka tukuna pea he momo rongoā motuhake ki a koe e kiia nei ko ngā ārai PARP, pērā i a Olaparib (Lynparza) me Talazoparib (Talzenna). He rongoā arotahi hoki ēnei e arotahi ana ki ngā pūtau mate pukupuku.
Ko te mea nui, ko te taumata ira me te taumata pūtau o tō matepukupuku te mea e whakatau ana i ēnei maimoatanga katoa. Nō reira, he mea nui kia matapakihia tēnei me tō tākuta, kia whiriwhiria ai te maimoatanga e pai ana mōu.
He aha ngā pānga taha e kitea whānuitia ana?
E ai ki te kōrero i mua ake nei, ahakoa he iti ake ngā pānga taha i te chemotherapy, ka taea tonu e te rongoā arotahi te whakaputa i ētahi pānga taha. He rerekē ēnei i ia rongoā, i ia rongoā. Mena ka pāngia koe e ētahi pānga taha , kōrero tonu atu ki tō tākuta . I te nuinga o te wā, ka taea te whakahaere.
| Ngā Pānga Taha Noa |
|---|
| ngā urupare mate pāwera - te mākūkū o te kiri, te mākūkū. |
| Whakapairuaki me te korere. |
| Te kirika me te makariri. |
| Te mamae o te tinana, te ngenge, me te ngoikore. |
| Te uaua o te manawa me te pupuhi. |
| Pōuriuri . |
Me pēhea te mōhio ki tētahi āhuatanga ohorere?
Ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei, he āhuatanga ohorere pea tēnei. Kaua rawa e warewaretia. Waea atu ki tō tākuta tonu. Ki te kore e taea e koe te toro atu ki a ia, haere ki te Tari Ohorere (ETU) o te hōhipera tata.
| Kia tino aro ki ēnei tohu! | |
|---|---|
| Kirika: He kirika neke atu i te 38 Celsius. Mēnā ka pāngia koe e te kirika i muri i te makariri, me kōrero tonu atu ki tō tākuta . | Ngā raruraru o te waha: Ngā mate hou i roto i te waha, ngā ira mā, te arero pupuhi, te toto rānei o ngā kapia. |
| Korokoro mamae: He kare maroke, he mamae, he rakuraku, he "pupuhi" rānei i roto i te korokoro. | Maremare: Maremare hou, maremare tonu rānei. |
| Ngā raruraru mimi: Te mimi pinepine, te mate mimi, te toto rānei i roto i te mimi. | Ngā raruraru puku: Te mamae nui o te uma, te whakapairuaki, te ruaki, te mate kōroke, te mate korere rānei e roa ana mō ngā rā e 2-3. |
| Uaua ki te manawa: Te poto o te manawa ahakoa he iti noa te kaha o te manawa. | Te toto rerekē: Te toto i roto i te tūtae. |
| Pupuhi: Pupuhi i ngā waewae, i te pona rānei. | Ngenge nui: Te tino ngenge, kāore e taea e koe te mahi i tetahi mea. |
Karere Tangohia ki te Kāinga
- Ko te Whakaora Whāinga he tikanga maimoatanga hou e aro ana, e whakaeke ana hoki i ngā pūtau matepukupuku o te ū, he rerekē i te chemotherapy noa.
- Ko te momo maimoatanga ka whiwhi koe ka whakawhirinaki ki te momo matepukupuku kei a koe (hei tauira, ahakoa he HER2-pai, he HER2-kino rānei). Ka whakahaerehia he whakamātautau motuhake hei whakatau i tēnei.
- Tērā pea ka pāngia koe e ngā pānga taha o ēnei maimoatanga, nō reira kia tuwhera ki tō tākuta mō ngā huringa, ngā mamae rānei ka pā ki a koe.
- Kia tūpato tonu ki ngā tohu ohorere pēnei i te kirika nui, te uaua ki te manawa, me te pupuhi rerekē. Ki te kite koe i tētahi o ēnei, rapua tonutia he tohutohu hauora.
- He haerenga te maimoatanga mate pukupuku. Ko tō tākuta me te tīma hauora ō hoa pai rawa atu i tēnei haerenga. Nō reira, whakawhirinaki ki a rātou, me te mahi tahi me rātou.
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