Ina kitea tō mate pukupuku ū, ka whakahaerehia e tō tākuta ētahi whakamātautau hei ako atu mō ngā pūtau mate pukupuku. Ko te tikanga o tēnei, mā te tango i tētahi wāhanga o te kiko mate pukupuku mā te pokanga, mā te koiora rānei. Ko tētahi o ēnei whakamātautau he tirotiro mēnā he ' kaiwhakawhiwhi homoni ' kei roto i ngā pūtau mate pukupuku. Whakaarohia ēnei kaiwhakawhiwhi he 'raka' iti kei runga i te mata o ngā pūtau. Ina uru ngā 'kī' e kīia ana ko ngā homoni ki roto i ēnei raka, ka whiwhi ngā pūtau i tētahi karere kia tipu.
Ko te Progesterone he homoni e hangaia ana i roto i ō tātou tinana. He mea tino nui mō ngā mea pēnei i te pakeketanga, te paheketanga, me te hapūtanga o ngā wāhine. Kei ētahi pūtau matepukupuku ū he kaiwhakawhiwhi kei runga i ō rātou mata ka taea te here ki tēnei homoni. Ka kiia tēnei momo matepukupuku he progesterone-receptor positive, he PR-positive (PR+) rānei te matepukupuku ū. Ko te mea ka tupu i tēnei take ko te haere mai o te homoni progesterone ka here ki ngā pūtau matepukupuku ka āwhina i a rātou ki te tipu haere tonu. Nō reira, ko ngā maimoatanga mō tēnei ka ngana ki te aukati i tēnei tukanga homoni.
Ko tētahi atu homoni e mahi ana i te huarahi ōrite ko te estrogen. Mena he kaiwhakawhiwhi estrogen kei roto i ngā pūtau matepukupuku, ka kiia he matepukupuku estrogen-pai, he matepukupuku ER-pai rānei (ER+).
Ko wai kei te nui ake te mōrearea mō tēnei mate?
Mena he PR-pai, he ER-pai, he rua rānei ō pūtau matepukupuku, e kiia ana he matepukupuku ū he hormone-receptor pai (HR+). He waimarie, e whitu noa iho i roto i te tekau ngā matepukupuku ū kua tautuhia he momo pēnei. Ahakoa ka taea te whakawhanake i tēnei momo matepukupuku i ngā tau katoa, he nui ake te kitea i roto i ngā wāhine kua pāngia e te menopause.
I te nuinga o te wā, ko ngā āhuatanga mōrearea e pā ana ki ngā mate pukupuku ū katoa ka pā anō ki te mate pukupuku HR-positive. Me titiro tātou ki ēnei āhuatanga.
| Tauwehenga mōrearea | Hei whakarāpopototanga... |
|---|---|
| Te noho hei wahine | He nui ake te mōrearea o ngā wāhine ki tēnā i ngā tāne. |
| Te koroheketanga | Ka piki ake te mōrearea i te pakeketanga. |
| Ngā āhuatanga rerekē i roto i ngā pūtau o te ū | Mena kua tupu kē te pūtau rerekē i roto i te ū i mua (hei tauira, LCIS ). |
| Hītori whānau | Mena kua pāngia tetahi mema o te whānau e te mate pukupuku ū. |
| Te pakeketanga wawe | Ka tīmata te paheketanga i mua i te 12 tau te pakeke. |
| Te whānau tamariki i te mutunga | Te whānautanga o tāu tamaiti tuatahi i muri i te 35 tau te pakeke, te kore rānei e hapu. |
| Te paheketanga o te wā | Te paheketanga i muri i te 55 tau. |
| Te tango i te rongoā homoni | Te tango i te rongoā whakakapinga homoni i muri i te menopause. |
He aha ngā tohu?
I te nuinga o te wā, kāore he tohu o te nuinga o ngā wāhine ina kitea he mate pukupuku ū kei a rātou. Engari, ka kitea noa iho i te wā o te mammogram auau.
He rite tonu ngā tohu o te mate pukupuku ū HR-positive ki ērā o ētahi atu momo mate pukupuku ū . Anei ētahi o ngā tohu e kitea whānuitia ana.
| Tohu | Kia tupato ki tēnei. |
|---|---|
| He puku hou i roto i te ū | Nga puku hou katoa ka taea e koe te rongo, ahakoa kaore e mamae. |
| He pupuhi i roto i te uma | Te pupuhi o te uma katoa, o tetahi wāhanga rānei. |
| Mamae o te ū, o te uma rānei | He mamae rerekē, he mamae pumau. |
| Ngā huringa kiri | Kiri totohu, he āhua kiri karaka, he matotoru te kiri, he whero, he kiri maroke, he kiri unahi rānei. |
| Ngā panonitanga o te uma | Ka kōpiko te uma, ka puta rānei he wai. |
| Ngā kōpū lymph pupuhi | He puku i te kēkē, i te kaki rānei, ka taea te hopu e te ringa. |
Me pēhea te whakamahi i te rongoā homoni?
I te wā e whakawhanake ana i tāu mahere maimoatanga, ka tino whakaarohia e tō tākuta te āhua o ngā homoni o tō mate pukupuku. Ko te rongoā homoni te maimoatanga matua me te mea nui rawa atu mō te mate pukupuku PR-pai. Ko te whāinga he ārai i ngā pūtau mate pukupuku kei whakamahi i ngā homoni hei tipu.
Ki te kī māmā noa, ka tapahia e te rongoā homoni te 'kai' (ngā homoni) e hiahiatia ana e te mate pukupuku.
E rua ngā huarahi matua e taea ai tēnei:
- Te tango pokanga i ngā ovaries : Ka whakaitihia te hanga homoni o te tinana.
- Ngā pire, ngā werohanga rānei mō te whakaora homoni: Ka ārai ēnei rongoā i te tinana ki te whakaputa homoni, ka ārai rānei i ngā kaiwhakawhiwhi (raka) i ngā pūtau matepukupuku, kia kore ai e herea ki ngā homoni (kī).
Ko te momo rongoā homoni ka whakawhiwhia ki a koe ka whakawhirinaki anō ki te mea kua pāngia koe e te menopause. Ka taea te whakamahi i tēnei maimoatanga i ngā wāhanga katoa o te mate pukupuku. I runga anō i te wāhanga o te mate pukupuku, ka hoatu te rongoā homoni me ētahi atu maimoatanga, pērā i te pokanga, te chemotherapy rānei.
He aha ētahi atu maimoatanga?
Haunga te rongoā homoni, ka tukuna pea tētahi, ētahi rānei o ēnei e whai ake nei ki a koe mō te mate pukupuku ū PR-pai.
- Pokanga: Pokanga hei tango i ngā pūtau matepukupuku. Hei tauira, ko te tango i te puku anake (`Lumpectomy`) ko te tango rānei i te ū katoa (`Mastectomy`).
- Te rongoā matū: Ngā rongoā kaha e hoatu ana hei whakangaro i ngā pūtau matepukupuku.
- Te rongoā irahiko : Ka whakamahia ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku e toe ana.
- Rongoā Whaiaro: Ngā rongoā e aro ana ki ngā pūmua motuhake e āwhina ana i te tipu o ngā pūtau matepukupuku. Ka taea hoki e ēnei te whakanui ake i te whai huatanga o ngā maimoatanga homoni.
He aha te matapae?
Anei ētahi rongo pai māu. Ko ngā mate pukupuku e pāngia ana e te homoni-kaiwhakawhiwhi-pai (HR+) ka puhoi ake te tipu i ngā mate pukupuku e pāngia ana e te homoni-kaiwhakawhiwhi-kore (HR-Negative). Waihoki, he painga tō te maimoatanga nā te mea ka taea e ia te aukati i te mahi a ngā homoni me te aukati i te tipu o te mate pukupuku. Heoi, pērā i ngā mate pukupuku katoa, ko te rongoā ā muri ake nei ka whakawhirinaki ki te tere o te kitenga.
Engari he mea hei maumahara māu. Ahakoa ka taea e te rongoā homoni te whakahaere i te tipu me te horapa o te mate pukupuku, ka taea i ētahi wā te tupu i muri i ngā tau maha o te maimoatanga. Koia te take ka hoatu e ngā tākuta te rongoā homoni mō ngā wā roa, i ētahi wā mō te 5, te 10 rānei tau.
Nō reira, he mea tino nui kia kōrero mārama koe ki tō tākuta mō te tūnga o te kaiwhakawhiwhi homoni o tō matepukupuku me tōna pānga ki tō mahere maimoatanga me te huarahi whakamua.
Karere Tangohia ki te Kāinga
- Ko te mate pukupuku ū PR-Positive (PR+) ko te tikanga ka whakamahia e ngā pūtau mate pukupuku te homoni progesterone hei tipu.
- He tino noa tēnei momo mate pukupuku, inā koa i muri i te paheketanga.
- He tino whai hua te rongoā homoni, ā, he tikanga maimoatanga matua tēnei mō tēnei.
- He pai te matapae mō ēnei mate pukupuku nā te mea ka puhoi te tipu, engari me whai maimoatanga mō te wā roa me ngā tirotiro hauora auau hei ārai i te hokinga mai.
- Kaua e mangere ki te kōrero ki tō tākuta mō tō āhua, tō maimoatanga, me ō āwangawanga katoa.
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