Ina rongo tātou i te kupu "matepukupuku," he tokomaha o tātou e mataku ana. I roto i aua mataku, ina rongo tātou i te kupu matepukupuku ū, ka tino āwangawanga ā tātou wāhine. Engari ehara te wehi i te otinga pai. Engari, ko te mārama me te mōhio ki tēnei te huarahi pai ki te tiaki i a tātou anō. Nō reira, i tēnei rā, me kōrero tātou mō te matepukupuku ū i roto i te huarahi tino māmā, ngāwari hoki.
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He rite tonu te mate pukupuku ū mō te katoa? He rerekē rānei ngā momo?
Kāo. He pono, ehara i te mea ka pāngia te katoa e te mate pukupuku ū i te ara kotahi. He rerekē ngā momo, ngā momo rānei, o te mate pukupuku ū. Ka whakarōpūhia ēnei momo e ngā tākuta i runga i te mea kei a rātou ētahi pūmua (ngā kaiwhakawhiwhi) e āwhina ana i te tipu o ngā pūtau mate pukupuku. He māmā noa iho, he rite ētahi pūtau mate pukupuku ki ngā tamariki hiakai. Me hiahia rātou ki ngā mea pēnei i ngā homoni i roto i ō tātou tinana hei "kai" hei tipu.
E rua ngā momo matua o ngā kaiwhakawhiwhi:
1. Ngā kaiwhakawhiwhi homoni (HR): Ko ēnei ngā homoni wahine, arā, te estrogen me te progesterone . Mena kei ngā pūtau matepukupuku ēnei kaiwhakawhiwhi, ka āwhina ēnei homoni i te tipu o te matepukupuku.
2. Kaiwhakawhiwhi HER2: Ko tētahi atu pūmua tēnei e kiia nei ko te (Human Epidermal Growth Factor Receptor 2). Mena ka nui rawa atu tēnei i runga i ngā pūtau matepukupuku, ka tere te tipu o te matepukupuku.
Ka wehea ngā mate pukupuku ki ētahi momo, i runga i te mea kei a rātou ēnei kaiwhakawhiwhi. Me titiro tātou ki ngā momo matua.
| momo mate pukupuku | He whakamārama māmā |
|---|---|
| HR+/HER2- (Luminal A) | Koinei te momo tino noa. He kaiwhakawhiwhi homoni (HR) ōna, engari kāore he kaiwhakawhiwhi HER2. He pai te urupare ki te rongoā homoni, nō reira he teitei te auau whakaora. |
| HR+/HER2+ (Luminal B) | Kei roto i tēnei momo ngā kaiwhakawhiwhi homoni me ngā kaiwhakawhiwhi HER2. Ka tere ake te tipu o tēnei momo. |
| HR-/HER2+ | Kāore ōna kaiwhakawhiwhi homoni, engari kei a ia te kaiwhakawhiwhi HER2. He tino whai hua te rongoā e aro ana ki te HER2 mō tēnei. |
| Toru-Kōre (TNBC) | Koinei te momo tino pukuriri. Nā te mea kāore i a ia ngā kaiwhakawhiwhi e toru mō te estrogen, te progesterone, me te HER2, kāore e taea te rongoā mā te rongoā homoni, te rongoā arotahi rānei ki te HER2. Ko te chemotherapy te maimoatanga matua. Ko tēnei momo ka kitea pinepine i roto i ngā wāhine taitamariki. |
He aha te pānga o ngā ira ki te mate pukupuku?
Ko te whakaaro o ētahi, "Kāore he tangata o tōku whakatupuranga i pāngia e tēnei mate, nō reira kāore he huarahi e taea ai e au te whakawhanake." Engari ehara i te mea tino pono tēnā. Heoi anō, he awe ira anō hoki kei reira mai i tētahi whakatipuranga ki tētahi whakatipuranga.
He ira motuhake kei roto i tō tātou tinana e whakahaere ana i te wehenga o ngā pūtau. Mēnā he whakarerekētanga ira kei roto i ēnei ira, ka taea e ngā pūtau te tīmata te wehenga kore e taea te whakahaere, ā, ka puta he mate pukupuku. Ko ngā ira tino rongonui e pā ana ki te mate pukupuku ū ko te BRCA1 me te BRCA2 . He nui ake te mōrearea o te wahine he whakarerekētanga ira kei roto i ēnei ira ki te pāngia e te mate pukupuku ū (me te mate pukupuku whēkau) i ētahi atu.
Ko te mea nui, ka taea e tetahi wahine te pāngia e te mate pukupuku ū, ahakoa he whakarerekētanga BRCA tōna, kāore rānei. Mena kua pāngia tetahi o tō whānau e te mate pukupuku ū i te wā taitamariki, he mea whakaaro nui kia kōrero koe ki tō tākuta mō te whakamātautau ira.
Hei tāpiritanga, kei te whakahaerehia ngā rangahau mō ētahi atu ira, pērā i te TP53 me te PALB2. I te whanaketanga o te pūtaiao, ka kitea e tātou ngā maimoatanga pai rawa atu mō ēnei.
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Check Availability →Ka pāngia rānei te mōrearea e tō tātou āhua noho?
Āe, tino tika. Ehara i te mea ko ngā ira anake, engari ko tō tātou āhua noho anō hoki he pānga nui ki te mōrearea o te mate pukupuku ū. Kua whakaatuhia e ētahi rangahau ka piki ake te mōrearea o te mate pukupuku ina whai tātou i te āhua noho o ngā whenua whakawhanake. He maha ngā take mō tēnei.
- Momonatanga: Ina piki ake te ngako o te tinana, inā koa i muri i te paheketanga, ka piki ake ngā taumata o te estrogen. He take mōrearea tēnei mō ngā mate pukupuku HR+.
- Kai hauora kore: Ka piki ake te mōrearea i te kai i ngā kai tukatuka, mīti whero, huka, me te ngako. He kai e nui ana i ngā huawhenua, ngā hua, ngā pīni, me ngā witi katoaĀwhina ki te whakaiti i te mōrearea o te mate pukupuku .
- Te kore whakakori tinana: Ko te hunga e noho puku ana, he nui ake te mōrearea i te hunga e ora puku ana.
- Te kore e whāngai ū: He mārama ngā taunakitanga e whakaiti ana te whāngai ū i te mōrearea o te whaea ki te mate pukupuku o te ū.
- Te inu waipiro: Ko te inu waipiro tētahi atu take nui e piki ake ai te mōrearea o te mate pukupuku o te ū .
He aha te take e ora ai te tangata i te kitenga wawe?
Ko te karere tino nui o tēnei tuhinga koia pea tēnei: Ahakoa te kino o te mate pukupuku ū, ka tata ora katoa mēnā ka kitea wawe . Mēnā ka whakaroahia, ka kino haere te āhua.
Whakaarohia, mēnā ka kitea te mate pukupuku i te wā tōmua, i te wā e noho ana ki te ū anake (wāhanga ā-rohe), ko te reiti oranga mō ngā tau e 5 neke atu i te 95% . Ko te tikanga, 95 i roto i te 100 tāngata ka ora pai.
Heoi, mēnā kua horapa te mate pukupuku ki ngā kōpū lymph tata (wāhanga rohe), tata ki te 85% tēnei ōrau. Engari, mēnā ka kitea te mate pukupuku i muri i tōna horapa ki ngā whekau tawhiti pērā i te ate, ngā pukahukahu, me te roro (wāhanga tawhiti), ka heke tēnei ōrau ki te 30%.
E mārama ana koe ki te rerekētanga? Mā te kitenga wawe ka rerekē te oranga me te mate.
Nā te aha tātou ka whakaroa ai? I ētahi wā, nā te wehi, nā te whakama, nā te whakaaro, "He puku iti noa iho, ka ora ake i a ia anō," nā te kore mōhio rānei, ka whakaroa tātou ki te toro atu ki te tākuta. Koinei te hapa nui rawa atu ka mahia e tātou.
Me aha koe?
- Whakamātautau Ū-ā-koe: Tirohia ō ū i te iti rawa kotahi i te marama. Kia tūpato tonu mēnā ka kite koe i tētahi puku, i tētahi huringa kiri, i tētahi huringa āhua, i tētahi rerenga wai rānei mai i te uma.
- Tirohia tō tākuta: Mena kua neke atu i te 40 ōu tau, ā, kāore he tohu, kōrero ki tō tākuta, ā, me tiki he mammogram mēnā e tika ana. Ka taea e te mammogram te kite i ngā puku iti kāore e taea te rongo.
- Kaua e mataku: Kaua e mataku, kaua hoki e huna mēnā ka kite koe i tētahi huringa. Ehara i te mea he mate pukupuku ngā puku katoa o te ū. Engari me whakatau e te tākuta mēnā he mate pukupuku, kāore rānei. Nō reira, mēnā he ruarua noa iho āu, me toro atu ki tō tākuta tonu.
He tino matatau ngā kōwhiringa maimoatanga ināianei. He maha ngā kōwhiringa, pērā i te pokanga, te chemotherapy, te radiotherapy, te therapy homoni, me te therapy arotahi. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu. Ko te mea nui kia kaua e whakaroa i te maimoatanga.
Karere Tangohia ki te Kāinga
- Ehara te mate pukupuku o te ū i te mea hei wehi, hei huna atu rānei, engari he mea hei tūpato, hei aro atu hoki.
- He rerekē ngā momo mate pukupuku, nō reira ka rerekē pea te maimoatanga i ia tangata, i ia tangata.
- Ahakoa he awe ira, ka taea e tō tātou momo noho (kai, whakakori tinana) te whakaiti i te mōrearea.
- Ko te kitenga wawe te mea nui ki te whakaora i ngā oranga. Mēnā ka kitea wawe, he tino teitei te tūponotanga ka ora anō.
- Ki te kite koe i ētahi panonitanga ki ō ū (he puku, he panonitanga ki te kiri), kaua e mataku, kaua hoki e whakaroa, me toro atu ki tō tākuta tonu.
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