Ina kī mai tō tākuta kei a koe te mate pukupuku ū 'Wāhanga 0', tera pea ka mataku koe, ka hiahia hoki ki te mōhio. He mate pukupuku tūturu tēnei? He tohu rānei mō te mate pukupuku? He aha te mea ka tupu i muri mai? He mano ngā pātai pēnei kei roto i tō hinengaro. Kaua e manukanuka, he mea noa iho. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha rawa te mate pukupuku ū o te Wāhanga 0?
He pono, kei reira ētahi whakaaro o ngā tākuta mō tēnei. Ki ētahi tohunga koinei te wāhanga tuatahi o te mate pukupuku ū. Ki ētahi he wāhanga i mua i te mate pukupuku.
He whakarāpopototanga noa iho, ko te mate pukupuku te wehenga kore whakahaere o ngā pūtau rerekē. Ka taea e ēnei pūtau te whakaeke i ngā kiko hauora e karapoti ana. Heoi, i roto i te mate pukupuku ū Wāhanga 0, kāore ēnei pūtau rerekē e horapa ('kore-whakaeke'). Ko te tikanga o tēnei ka noho tonu ngā pūtau ki te wāhi i tīmata ai, ā, kāore anō kia horapa ki ngā kiko e karapoti ana. Heoi, tera pea ka pērā anō ā muri ake nei. He wāhanga iti ake tēnei i te mate pukupuku Wāhanga Tuatahi.
E rua ngā momo matua o te mate pukupuku ū wāhanga 0.
1. Te mate a Paget kāore e taea te wero: He tino onge tēnei mate. He mate pukupuku e puta ana i te uma.
2. Te Mate Pukupuku o te Uma i te Wāhanga 0 (DCIS): Koinei te mea e kōrerohia ana e tātou ina kōrero tātou mō te mate pukupuku o te uma i te Wāhanga 0. I tēnei wā, ka tipu noa ngā pūtau rerekē i roto i ngā awa waiū o tō ū. He mea nui, kāore anō kia horapa ēnei pūtau ki waho o ngā awa, koinei te wāhi e noho ana te nuinga o te kiko ngako o te ū.
Kāore anō kia mōhiotia te tino pūtake o te DCIS. He tokomaha te hunga kāore e pāngia e ngā tohu. Heoi, i ētahi wā ka kitea he puku iti, ka puta rānei he toto mai i te uma .
Tērā pea ka whanake ēnei pūtau rerekē hei mate pukupuku whakaeke, kāore rānei. Kāore e taea e tetahi te matapae i te wā tika ka puta ai tēnei. Koinei te wero nui rawa atu i tēnei āhuatanga.
Me rongoā tēnei? Me pēhea taku whakatau?
Kia kitea tō mate DCIS, ka whakawhiwhia he māka ki te pūrongo pathology ka riro i a koe.
- Reanga karihi 3: Koinei te momo me te pūmanawa nui rawa atu mō te horapa.
- Reanga karihi 1: He iti rawa te tūponotanga o te horapa.
Ka whakamātauria hoki koe kia kitea ai mēnā he kaiwhakawhiwhi estrogen kei roto i ō pūtau matepukupuku. Tērā pea ka tapaina tēnei e tō tākuta he "ER-positive" he "ER+" rānei. Mēnā koinā, ko te tikanga ka pōturi ake te tipu o tō matepukupuku.
I tēnei wā, ka tūtohu pea tō tākuta kia whakamātauria he whakamātautau ira, hei kimi mēnā he huringa kei roto i ō ira e whakanui ana i tō tūponotanga ki te mate pukupuku o te ū .
Ko tāu mahi e whai ake nei ka whakawhirinaki ki ēnei āhuatanga katoa, tae atu ki ō hiahia whaiaro .
E whakapono ana te nuinga o ngā tākuta he pai ake te whiwhi maimoatanga nā te mea ahakoa kāore te mate pukupuku Wahanga 0 e horapa, tera pea ka rerekē ā muri ake nei. Nō reira, e tika ana hoki te kīwaha, "He pai ake te noho haumaru i te pouri" i konei.
E toru ngā kōwhiringa maimoatanga matua. Me titiro tātou ki ēnei i roto i tētahi ripanga.
| Kōwhiringa Maimoatanga | He whakarāpopototanga noa iho... (He Whakamāramatanga Māmā) |
|---|---|
| Te tango i te tākihi | Ko te tikanga o tēnei ko te tango pokanga i te wāhi kei reira ngā pūtau rerekē me tētahi wahi iti o te kiko hauora e karapoti ana. |
| Te tango i te kiri i roto i te puku me te rongoā irahiko | I muri i te pokanga i runga ake nei, ka hoatu te rongoā irahiko hei whakangaro i ngā pūtau rerekē e toe ana. |
| Te tango i te mastectomy | Ka tangohia te ū katoa i tēnei pokanga. Tērā pea ka tūtohutia mēnā kua horapa te DCIS puta noa i te ū, nā ētahi atu take rānei. |
Me tatari tātou mō tētahi wā roa ake, kāore he maimoatanga? (Te Tatari Mataara)
He kaupapa tautohenga tēnei. E whakapono ana ētahi tohunga he kōwhiringa pai te rautaki e kiia nei ko te "tatari mataara," arā, kaua e rongoā tonutia engari me aroturuki tonu i te āhua mā te whakamātautau auau. Tata ki te kotahi hautoru o ngā wāhine whai DCIS ka pāngia e te mate pukupuku ka horapa ā muri ake nei.
Nō reira, ka kī pea tō tākuta kia kaua e rongoatia tonutia, engari me aroturuki tonu i te mate mā te tirotiro i ia wā.
He painga, he ngoikoretanga hoki tēnei. Whakaarohia...
Ki te pokanga koe (mā te rongoā irahiko pea) i te wā tōmua, tera pea ka taea e koe te karo i te horapa o te mate pukupuku kāore e tupu. I tētahi atu taha, tera pea kua pangia koe e te mamae mō tētahi mea kāore e waiho hei raruraru.
Engari ki te whakatau koe ki te tatari me te kore e pokanga, ā, heoi anō, ka whanake tō āhua hei mate pukupuku kua horapa, tera pea ka nui ake te kino (ā, ka uaua ake te rongoā) ina kitea.
He whakatau whaiaro tēnei. Me whakatau ngātahi kōrua ko tō tākuta i tēnei whakatau, whai muri i te kōrero tahi. Kōrerohia ō āwangawanga me ō wehi katoa ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te mate pukupuku ū wāhanga 0, arā, ko te DCIS, he mate kāore e taea te whakaeke . Kei roto noa i ngā awa miraka ngā pūtau rerekē.
- Tērā pea ka huri tēnei āhuatanga hei matepukupuku ā muri ake nei, kāore rānei. Kāore e taea te kī i mua.
- Ko te whiwhi maimoatanga, me te kore rānei, me te momo maimoatanga hei whakamahi, ka whakawhirinaki ki ētahi āhuatanga (te taumata o te mate pukupuku, te tūnga o te ER) me ō hiahia whaiaro.
- Ko ngā kōwhiringa matua ko te pokanga (`Lumpectomy`, `Mastectomy` rānei), te rongoā irahiko, te kore rānei e rongoatia me te mātakitaki tupato (`tatari mataara`).
- Ehara tēnei i te whakatau māu anake. Kōrerohia mā te tuwhera me te hōhonu ki tō tākuta kia taea ai e koe te whakatau i te mea pai mōu.
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