Kotahi te pātai e puta ake ana i roto i te hinengaro o te tangata e rongoatia ana mō te mate pukupuku o te ū, 'Kua ngaro katoa tēnei mate ināianei?' He tino tika taua wehi. Engari ko te rongo pai, i te nuinga o te wā, kāore te mate pukupuku o te ū e hoki mai. Heoi, i ētahi wā ka taea.
Ki te hoki mai anō, ka kiia e mātou he ' hokinga mai anō' . He maha ngā huarahi e taea ai tēnei. Ko tētahi ko te hoki mai anō i roto i te ū kotahi i kitea ai te mate pukupuku taketake, i tētahi wāhi tata rānei. I ētahi wā ka horapa ki ngā kōpū lymph tata. I ētahi wā anō, ka horapa ki ngā wāhanga tawhiti o te tinana, pērā i ngā wheua, i ngā pukahukahu rānei.
He aha te mea e arotahi ana te tākuta?
Mai i te wā tuatahi ka kitea tō mate pukupuku ū, ka tirotirohia e ō tākuta ngā āhuatanga e whakanui ake ai i te tūponotanga o te hokinga mai. Mā ēnei mōhiohio ka āwhina i a rātou ki te whakatau ko tēhea te maimoatanga pai rawa atu māu.
"Kāore e taea e mātou te kī me te tino mōhio ka hoki mai anō te mate pukupuku. Engari ka taea e mātou te matapae i tēnei wā me te tūponotanga nui atu i mua," te kī a tētahi tohunga.
Kua nui ngā whanaketanga i roto i tēnei mara i ngā tau 10 kua pahure ake nei, inā koa i ngā mate pukupuku e whai ana i te estrogen -receptor positive.
I te kīanga māmā noa iho, ko te nui o te pukupuku, ko te horapa atu ki ētahi atu kiko, ko te nui ake o te tūponotanga o te hokinga mai. He mea tino nui hoki te koiora o te mate pukupuku. Arā, ko ngā kaiwhakawhiwhi motuhake kei runga i ngā pūtau mate pukupuku. Hei tauira, ko te momo mate pukupuku ū e kiia nei ko te "triple-negative" (arā, he mate pukupuku kāore i te whai kaiwhakawhiwhi e toru mō te estrogen, te progesterone, me te HER2) he paku nui ake te tūponotanga o te hokinga mai.
| Ngā mea hei whakaaroaro māu i te aromatawai i te mōrearea | He aha te hiranga o tēnā? |
|---|---|
| Tō tau me te mea kua pāngia koe e te menopause | Ka pā te tau me ngā taumata homoni ki te mōrearea. |
| Rahi o te puku | Ko ngā pukupuku nui ake e hono ana ki te mōrearea nui ake o te hokinga mai. |
| Kua horapa rānei ki ngā kōpū lymph | Ko te kitea o ngā pūtau matepukupuku i roto i te tūtae e tohu ana i te horapa pea o te matepukupuku. |
| Te tūnga o te kaiwhiwhi o te mate pukupuku | Ka rerekē te maimoatanga me te mōrearea i runga i te mea he ER-pai, he PR-pai, he HER2-pai, he triple-negative rānei te mate pukupuku. |
Ngā whakamātautau motuhake e tirotiro hohonu ana i te mōrearea
I ētahi wā, mēnā he nui rawa te mate pukupuku, kua horapa rānei ki ngā kōpū lymph, he uaua ki te kī he aha te mōrearea. Ka kiia tēnei e ngā tākuta he 'rohe hina'.
Mō ēnei āhuatanga, he whakamātautau motuhake hei whakarato i ētahi atu kōrero . Heoi, kāore e tika ana ēnei whakamātautau katoa mō ngā momo mate pukupuku katoa.
- Momo Onco DX: Koinei te whakamātautau e whakamahia whānuitia ana. Ka tirohia ngā ira e 21 i roto i tētahi tauira iti o tō matepukupuku. I runga i te pai o te mahi a aua ira, ka whiwhi koe i te 'kaute hokinga mai' i waenga i te 0 me te 100. Ka taea e tēnei kaute te āwhina i tō tākuta ki te mārama ki te tūponotanga o te hokinga mai o tō matepukupuku a muri ake nei, me te mea ka whai hua koe i te chemotherapy. Heoi, ka taea anake te mahi i tēnei whakamātautau mō ngā matepukupuku he pai te estrogen-receptor, ā, kāore anō kia horapa ki ngā pona lymph.
- Ētahi atu whakamātautau: Kei reira anō ngā whakamātautau e kiia nei ko `(MammaPrint)`, `(Breast Cancer Index)`, `(Pam50)`, me `(EndoPredict)`. Ka āwhina ētahi o ēnei ki te matapae i te mōrearea o te hokinga mai o te mate pukupuku i muri i ngā tau e rima.
Ngā whakamātautau toto ā muri ake nei
Kei te ngana tētahi rōpū kairangahau ki te whakawhanake i tētahi whakamātautau toto hei kite mēnā ka hoki mai anō te mate pukupuku.
He mea tino nui tēnei momo whakamātautau i muri i te otinga o ngā maimoatanga katoa, ina kore he kiko matepukupuku e toe ana hei tirotiro.
"Mēnā ka taea e tātou te mōhio ko wai ka pāngia anō e te mate pukupuku, ka taea e tātou te whakatau mēnā me whai maimoatanga tāpiri rātou. Kātahi ka taea e tātou te tīmata ki te rangahau i ngā maimoatanga hou e tere ake ai te mahi mā rātou," te kī a tētahi o ngā kaipūtaiao e whai wāhi ana ki te rangahau. "Ko tā mātou whāinga matua he ārai i te mate pukupuku ū kua horapa, he uaua ki te whakahaere, ā, e 90% o ngā mate pukupuku ū te take."
Heoi, e kiia ana ka roa pea ētahi tau hei whakawhanake i tētahi whakamātautau toto ka taea te whakamahi e ngā tākuta .
He aha tāu e taea ai?
Kia kitea rā anō e ngā kaipūtaiao ngā whakamātautau hou pēnei, tera pea ētahi mea ka taea e koe te mahi. Ka taea e ō tikanga o ia rā te āwhina i te whakaiti i tēnei mōrearea. Hei tauira, he mea nui kia whakakorikori tinana i ia wā, kia mau tonu hoki te taumaha hauora .
Ko tētahi atu mea hei maumahara, he rerekē te mōrearea o te hokinga mai me te maha o ngā oranga . He mea tino nui tēnei. Whakaarohia tētahi tangata kua pāngia e te mate pukupuku ū, ā, ka whiwhi maimoatanga, kātahi ka hoki mai anō te mate pukupuku i muri i ngā tau e rua. Engari, ki te kitea wawe, ka taea e taua tangata te ora pai mō ngā tekau tau.
Nō reira, kaua e mahue i a koe ō wā tirotiro anō. Mena he pātai, he āwangawanga rānei āu, me pātai atu ki tō tākuta.
"He mea nui kia kōrero koe ki tō tākuta, kia mārama hoki koe ki tō mōrearea whaiaro me tōna tikanga. Mā tēnei koe e āwhina ki te whakatau tika mō tō maimoatanga. He wheako whakamataku, he wheako pōhēhē hoki te whawhai ki te mate pukupuku. Nō reira, me noho humarie koe ki te kōrero ki tō tākuta mō ō wehi."
Karere Tangohia ki te Kāinga
- I te nuinga o te wā, kāore te mate pukupuku o te ū e hoki mai anō i muri i te maimoatanga, nō reira kaua e mataku noa.
- Ko te mōrearea o te hokinga mai o te mate pukupuku ka whakawhirinaki ki ngā āhuatanga pēnei i te rahi o te puku, te horapa ki ngā kiko tata, me te momo koiora o te mate pukupuku.
- Hei mōhio ki tō mōrearea tuturu me te whiriwhiri i te maimoatanga pai rawa atu, ka taea e ngā tākuta te whakamahi i ngā whakamātautau motuhake pēnei i te Oncotype DX.
- Ka taea hoki e koe te āwhina ki te whakaiti i tēnei mōrearea mā te whakakori tinana i ngā wā katoa, me te pupuri i te taumaha tinana hauora.
- Ko te mea nui ko te kōrero tuwhera ki tō tākuta. Whakarongo ki ō wehi me ō pātai katoa. He mea tino nui hoki tēnei mō tō hauora hinengaro.
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