E mārama ana mātou ki te wehi, te ohorere, me ngā pātai maha e ara ake ana ina kitea he mate pukupuku ū tōu. Engari ko te mea nui i tēnei wā ko te mōhio tika. Nā te mea, ehara i te mea he rite katoa ngā mate pukupuku ū. He maimoatanga kei reira e aro ana ki ētahi momo mate pukupuku. Āe, ko tētahi maimoatanga kua whakamahia angitu mō te tini o te tangata ko te rongoā homoni . Me kōrero noa iho tātou i tēnei rā.
He aha te rongoā homoni? He pai mō te katoa?
Ki te kī ngāwari, ko ētahi homoni i roto i ō tātou tinana ka āwhina i ētahi pūtau matepukupuku ū kia tipu. Ina koa, ko ngā homoni e rua e kiia nei ko te estrogen me te progesterone.
Whakaarohia ngā pūtau matepukupuku he whare ririki. He 'tatau' motuhake (ngā kaiwhakawhiwhi) kei ētahi pūtau matepukupuku e āhei ai ēnei homoni ki te tomo. Ka kiia e mātou ngā matepukupuku he pai te kaiwhakawhiwhi homoni kei a rātou ēnei tatau. E ngā tākuta, kua kite pea koe i tēnei i roto i tō pūrongo he pai te ER (ngā tatau estrogen) he pai te PR rānei (ngā tatau progesterone).
Ka whai hua te rongoā homoni mō ngā mate pukupuku kei a rātou ēnei kuaha homoni. Ka kati ēnei maimoatanga i aua kuaha, ka whakaiti rānei i te hanga o aua homoni i roto i te tinana. Ka tangohia e tēnei ngā "kai" e hiahiatia ana e ngā pūtau mate pukupuku, ka mutu ai te tipu, ka mate rānei.
Ko te mea nui, ki te kore ēnei pūtau matepukupuku e whai i ēnei kaiwhakawhiwhi homoni, arā, ki te kore he kaiwhakawhiwhi homoni , e kore ēnei maimoatanga homoni e mahi. Ka tūtohu ngā tākuta i ētahi atu maimoatanga mō ēnei tāngata.
He aha ngā momo matua o te rongoā homoni?
He maha ngā momo rongoā homoni matua e whakamahia ana mō te mate pukupuku o te ū. Ka whiriwhiria e tō tākuta te rongoā tino tika māu i runga i ngā āhuatanga maha, tae atu ki tō tau, te momo mate pukupuku, me te mea kua pāngia koe e te menopause. Me titiro tātou ki ngā momo matua e rua.
| Momo maimoatanga | Ki a wai te nuinga o te wā e hoatu ana? | Ngā pānga taha hei mōhio |
|---|---|---|
| Tamoxifen | Mō ngā wāhine o ngā tau katoa (i mua me muri i te paheketanga). He rongoā kua whakamahia angitu mō ngā tekau tau. | He paku piki ake te mōrearea o te mate pukupuku kōpū, te toto totoka i roto i ngā waewae me ngā pukahukahu, te whiu, te katarata, me te werawera. |
| Ngā Ārai Aromatase (AI) Hei tauira: Anastrozole, Letrozole | Ko te nuinga mō ngā wāhine i muri i te menopause. | Te ngoikore o ngā wheua (Osteoporosis) me te mōrearea o ngā whatiwhatinga, te mamae o ngā hononga me ngā uaua, ngā raruraru mahara, me te paku piki ake o te mōrearea o te mate manawa. |
He kōrero anō mō Tamoxifen
He pire tēnei e tangohia ana i ia rā. Kua whakaatuhia e ngā rangahau mā te tango i tēnei pire mō ētahi tau, tata ki te 5 tau te roa, ka tino whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku me te tūponotanga o te whakawhanake i ngā mate pukupuku hou.
Heoi anō, me mōhio anō hoki koe ki ngā pānga taha i kōrerohia e tātou i roto i taua ripanga. Ina koa ko te mōrearea o te mate pukupuku kōpū. Koia te take he mea nui kia tirotirohia te hope i a koe e tango ana i tēnei rongoā. Waihoki, ki te pāngia koe e te toto tara rerekē, me kōrero tonu atu koe ki tō tākuta.
He kōrero anō mō ngā Ārai Aromatase (AI)
Ko te mahi a tēnei momo rongoā mā te aukati i te hanga o te homoni estrogen i roto i ngā wāhine i muri i te menopause. Ka tangohia e tēnei te homoni e hiahiatia ana e ngā pūtau matepukupuku hei tipu.
Ko te mōrearea matua o tēnei rongoā ko te osteoporosis , arā, ko te mōrearea o te ngoikore o ngā wheua, me te whati ngāwari. Nā reira, ka whakamātautau pea tō tākuta i te kiato o te wheua i mua i tō tīmatanga ki te tango i tēnei rongoā, me te wā e tango ana koe. Tērā pea ka tūtohu ia kia tangohia e koe ngā tāpiringa konupūmā me te huaora D.
Ētahi atu maimoatanga me ngā maimoatanga matatau
Haunga ngā momo rongoā matua kua whakahuatia i runga ake nei, kei reira anō ētahi atu momo rongoā e whakamahia ana, inā koa kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana (kua horapa whānui, kua horapa rānei).
Hei tauira, kei reira ngā rongoā pēnei i te `Fulvestrant (Faslodex)` me te `Toremifene (Fareston)`. Hei tāpiri, he maha ngā rongoā matatau e kiia nei ko te `Targeted Therapy` i ēnei rā. Ko `Palbociclib (Ibrance)`, `Abemaciclib (Verzenio)`, `Alpelisib (Piqray)` he tauira o aua rongoā. Ka mahi ēnei mā te arotahi ki ngā pūmua motuhake e āwhina ana i te tipu o ngā pūtau matepukupuku. He maha ngā wā ka hoatu ēnei ki ngā tūroro me te rongoā homoni kua whakahuatia ake nei.
Ka whakatauhia ēnei whakataunga maimoatanga katoa i runga i tō āhua, te momo matepukupuku, tō tau, me tō hauora whānui. Nō reira kaua e wehi ki te kōrero ki tō tākuta mō ō pātai katoa.
He maimoatanga motuhake mō te hunga kāore anō kia pāngia e te menopause (Ovarian Ablation)
Mena kāore anō koe kia pāngia e te menopause, arā, kei te pāngia koe e te paheketanga auau , ko te homoni matua o tō tinana e whakaputahia ana e ō ovaries. Nō reira, mō te tangata he mate pukupuku ER-pai, ka whakatau pea tō tākuta ki te aukati i te whakaputanga o ēnei ovaries i te estrogen. Ka kiia tēnei ko te ovarian ablation/suppression .
He maha ngā huarahi hei mahi i tēnei:
- Te tango pokanga i ngā ovaries : He tikanga pumau tēnei.
- Te rongoā irahiko ki ngā ovaries: Ka taea hoki e tēnei te aukati i te mahi a ngā ovaries mō ake tonu atu.
- Rongoā hei aukati i te mahi a ngā ovaries mō te wā poto: Ka whakamahia ngā rongoā e kiia nei ko ngā `(LHRH) agonists` (he maha ngā werohanga) mō tēnei. Mēnā ka tangohia e koe ēnei rongoā, e kore ō ovaries e whakaputa i ngā homoni.
Kua whakaatuhia e ngā rangahau, i tua atu i te pehi i ēnei ovaries, ka taea e te rongoā homoni pēnei i te tamoxifen te whakatutuki i ngā hua tino pai.
Karere Tangohia ki te Kāinga
- Ehara te rongoā homoni i te rongoā mō ngā mate pukupuku ū katoa. Ka hoatu noa ki ngā mate pukupuku e whai ana i te homoni-pai (ER/PR-pai) .
- Ko te maimoatanga e tino tika ana māu (hei tauira, Tamoxifen, Aromatase Inhibitor rānei) ka whakatauhia e tō tākuta, i runga i tō tau me tō āhua hauora.
- Ka pāngia pea koe e ngā pānga taha o ēnei rongoā katoa. Kaua e wehi i a rātou, kia mōhio noa koe ki ēnei. Ki te pāngia koe e ētahi tohu rerekē, kōrero tonu atu ki tō tākuta.
- He mea tino nui kia whakahaerehia ngā whakamātautau i whakaritea e te tākuta i te wā tika i te wā e maimoatanga ana.
- Kia tūwhera te kōrero mō ō wehi, ō ruarua, me ō pātai ki tō tīma hauora. He kaha nui tēnei mō tō haerenga whakaora.
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