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.
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.
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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