Kua kitea he mate pukupuku ū i roto i tō whānau, i tō hoa rānei? Ki te kore, tera pea ka mataku koe, ka hiahia rānei koe ki te mōhio ina kōrero koe mōna. He aha tonu te mate pukupuku ū ? Ko wai ka pāngia? He aha te mōrearea? Me kōrero tātou mō ēnei mea katoa i roto i te huarahi tino māmā, ā, he hoa hoki i tēnei rā. He mea tino nui te mōhio ki ēnei mea mōu me ō whanaunga.
Me pēhea te whakarōpūtanga a ngā tākuta i te mate pukupuku o te ū?
Kāore te mate pukupuku o te ū i te rite katoa. He rerekē ngā whakarōpūtanga a ngā tākuta. Ka whakarōpūhia e rātou i runga i te wāhi i tīmata ai te mate pukupuku i roto i te ū, ngā kaiwhakawhiwhi homoni kei roto i ngā pūtau mate pukupuku, me te horapa o te mate pukupuku. Mā tēnei whakarōpūtanga ka whakatau i te maimoatanga, ā, ka hoatu he whakaaro mō ngā tūponotanga o te ora.
I te kī poto, e rua ngā momo matua:
1. Kore-whakaeke (kotahi anake te wāhi): Ko te tikanga kāore te mate pukupuku i horapa ki tua atu i tōna tīmatanga. Whakaarohia he rite ki te taru. Kotahi noa te wāhi e noho ana. Ko tētahi tauira pai o tēnei ko te ' Ductal Carcinoma in Situ (DCIS).' I konei, kei roto noa i ngā awa miraka ngā pūtau mate pukupuku.
2. Whakaekenga: Koinei te wā kua horapa te mate pukupuku ki tua atu i ngā awa miraka, i ngā repe whakaputa miraka (lobules) rānei i tīmata ai, ki ētahi atu wāhanga o te ū, ki ngā kōpū lymph rānei i te kēkē. Ko te nuinga o ngā mate pukupuku ū ka taka ki tēnei wāhanga.
Hei tāpiritanga, ka whakarōpūtia hoki rātou i runga i ngā kaiwhakawhiwhi kei runga i ngā pūtau matepukupuku. Ko ēnei kaiwhakawhiwhi he matū e pā ana ki te tipu o ngā pūtau matepukupuku.
| Momo Matepukupuku | He whakamārama māmā |
|---|---|
| Kaiwhiwhi Hōmona-Pai | Ka tipu ēnei pūtau matepukupuku hei whakautu ki ngā homoni o te estrogen, o te progesterone rānei. E rua i roto i te toru o ngā matepukupuku ū he momo pēnei. |
| HER2-Pai | Ka tere te tipu o ēnei pūtau matepukupuku ina nui rawa te hanga a te tinana i te pūmua e kiia nei ko te HER2. Tata ki te 20% o ngā matepukupuku he momo pēnei. |
| Toru-Kōre | Kāore ēnei mate pukupuku e pāngia e ngā homoni, e te pūmua HER2 rānei. He momo e tere horapa ana, ā, he tino uaua ki te rongoā. Tata ki te 15% o ngā mate he momo pēnei. |
Ētahi atu momo onge
- Matepukupuku ū mumura: He momo onge tēnei e horapa tere ana. Ka whero, ka pupuhi te ū.
- Te mate Paget o te uma: He momo mate pukupuku e puta ana i te uma.
- Angiosarcoma: Ka tīmata i roto i ngā pūtau o ngā uaua toto.
- Te Matepukupuku o te Uma e Pūtake Ana: Koinei te wā e pakaru mai ai ngā pūtau matepukupuku i te ū ka haere ki ētahi atu wāhanga o te tinana (he maha ngā wā ko ngā wheua, roro, pukahukahu, ate rānei) hei hanga pukupuku hou.
He aha ngā āhuatanga mōrearea mō te mate pukupuku o te ū?
Ka taea e ētahi mea te whakanui ake i tō tupono ki te pāngia e te mate pukupuku ū. Ko ētahi o ēnei ka taea e tātou te whakahaere, ko ētahi kāore e taea e tātou.
Engari kia maumahara ki tēnei: Ahakoa kei a koe ēnei āhuatanga mōrearea, ehara i te mea ka pāngia koe e te mate pukupuku. Tērā pea ka pāngia te tangata kāore i a ia tētahi o ēnei āhuatanga mōrearea. He mea nui kia mōhio ki ēnei kia taea ai e tātou te aro ki ngā mea ka taea e tātou te whakahaere.
Anei ētahi o ngā āhuatanga mōrearea matua:
- Tau: He nui ake te mōrearea o ngā wāhine neke atu i te 50 tau te pakeke.
- Hītori whānau: He whanaunga tata tōu, pērā i te whaea, te tuahine, te tamahine rānei, he mate pukupuku ū.
- Hītori whaiaro: Mena kua pāngia koe e te mate pukupuku i te ū kotahi i mua, kei te tūpono koe ki te pāngia anō hoki e te mate pukupuku i te ū kē.
- Te paheketanga: Ko te tīmatanga o te paheketanga i mua i te 12 tau te pakeke, te tīmatanga rānei o te paheketanga i muri i te 55 tau te pakeke.
- Te whānau tamariki: Te whānautanga o tāu tamaiti tuatahi i muri i te 30 tau te pakeke, te kore tamariki, te kore rānei e whāngai u i āu tamariki.
- Te rongoā irahiko o mua: Kua whiwhi rongoā irahiko ki te uma o mua.
- Te Āhua Noho: Te momona nui, te inu waipiro, me te whakamahinga roa o ētahi rongoā homoni me ngā pire ārai whānau.
Me pēhea te kite wawe i te mate pukupuku?
MammogramHe hihi-X tēnei o ngā ū. Koinei te huarahi pai ki te kite i te mate pukupuku i mua i te putanga mai o ngā tohu. Mā te wawe o te kitenga, ka nui ake te tūponotanga ka ora katoa te mate mā te maimoatanga.
Mena he wāhi whakapae kei te mammogram, ka tūtohu pea te tākuta kia mahia he MRI, he matawai ultrasound, me te biopsy (te tango i tētahi wahi kiko iti hei tirotiro) hei whakaū mēnā he mate pukupuku, ā, ki te pērā, me pēhea te horapa.
He rerekē ngā taunakitanga a ngā whakahaere hauora o te ao mō te tau me te auau o ngā mammogram. Ko te taunakitanga whānui kia tīmata i muri i te 40 tau te pakeke . Heoi, he mea nui kia kōrero koe ki tō tākuta mō te kaupapa tirotiro e pai ana mōu.
He aha ngā tūponotanga o te maimoatanga me te whakaoranga?
He tokomaha ake te hunga e ora ana i te mate pukupuku ū i ēnei rā i tō mua, nā te kitenga wawe me te whakapai ake i ngā maimoatanga.
- Mena kāore te mate pukupuku i horapa ki waho o te ū, ko te tūponotanga o te ora mō ngā tau e 5 e eke ana ki te 99% .
- Mena kua horapa ki ngā kōpū lymph e tata ana, tata ki te 86% te tūponotanga.
- Mena kua horapa ki ngā wāhanga tawhiti o te tinana (metastatic) , ko te tūponotanga he 29% . Ahakoa i roto i tēnei āhuatanga, ka ora ētahi tāngata mō ngā tau maha.
Kia maumahara, he tatauranga noa iho ēnei i ahu mai i ngā raraunga mai i tētahi rōpū nui o te tangata. Ka whakawhirinaki ō tuponotanga takitahi ki te ora i runga i tō momo mate pukupuku, tō hauora, me tō urupare ki te maimoatanga. Nō reira kaua e mataku i ēnei tatauranga.
He aha ngā maimoatanga?
He maha ngā āhuatanga e whakawhirinaki ana ki ngā kōwhiringa maimoatanga, tae atu ki te momo matepukupuku kei a koe, te rahi o te puku, me ngā pānga o ngā homoni.
- Ngā maimoatanga tuku iho: Ko te pokanga, te radiotherapy, me te chemotherapy tonu e whakamahia whānuitia ana.
- Ngā Maimoatanga Whaiaro: Koinei ngā maimoatanga hou me te tino whai hua. Ka mahi mā te aro ki ngā pūtau matepukupuku anake.
- Te rongoā homoni: Ka hoatu ngā rongoā pēnei i te 'Tamoxifen' mō ngā mate pukupuku e whakawhirinaki ana ki ngā homoni.
- Ngā rongoā HER2: Mō ngā mate pukupuku HER2-pai, ka āraihia e ngā rongoā pēnei i a Trastuzumab (Herceptin) te pūmua HER2, ā, ka mutu te tipu o ngā pūtau mate pukupuku.
- Ārai Mate: Ka āwhina ngā rongoā pēnei i te "Pembrolizumab (Keytruda)" i tō tātou ake pūnaha ārai mate ki te whawhai ki ngā pūtau matepukupuku.
- Ngā Ārai PARP: Ka whakamahia ngā rongoā pēnei i te `Olaparib (Lynparza)` mō ngā mate pukupuku me ngā whakarerekētanga ira `BRCA`.
Ka whakahaerehia e tō tākuta he whakamātautau ira me ētahi atu whakamātautau hei whakatau i te maimoatanga tino tika me te angitu mōu.
Karere Tangohia ki te Kāinga
- Kaua e wehi i te mate pukupuku o te ū, kia mōhio koe ki tēnā. Ko te kitenga wawe te huarahi pai hei oranga mōu.
- Kia mōhio ki tō hītori whānau. Mena he āhuatanga mōrearea kei a koe, kōrero ki tō tākuta mō ēnei.
- Mā te oranga hauora (kai pai, whakakori tinana, whakahaere taumaha, whakaiti waipiro) ka taea te whakaiti i te mōrearea.
- Mena he wahine koe neke atu i te 40 tau te pakeke, me kōrero ki tō tākuta mō te mammogram.
- Ki te kite koe i ētahi panoni ki ō ū (he puku, he panoni kiri, he rere mai i te uma), rapua tonutia he tohutohu hauora.
- He tino matatau, he tino angitu hoki ngā maimoatanga mō te mate pukupuku ū i ēnei rā, nō reira he mea tino nui te rapu maimoatanga tika.
- Mena kei te pāngia koe, tetahi atu rānei e mōhio ana koe e tēnei mate, kaua e mangere ki te rapu awhina hauora me te tautoko hinengaro (whānau, hoa, ratonga tohutohu).
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