Kua hoki mai anō te mate pukupuku o te ū? (Te hokinga mai o te mate pukupuku o te ū) Me kōrero tātou mō tēnei!

Ina whakaaro koe kua rongoatia koe mō te mate pukupuku ū, ā, kei te pai ake tō āhua, kei te mataku tonu koe kei hoki mai anō te mate? Inaa, i ētahi wā ka taea. I tēnei rā kei te kōrero tātou mō te hokinga mai o te mate pukupuku ū. Kaua e wehi ki te whakarongo ki tēnei, he mea nui hoki kia mōhio koe ki tēnei.

He aha te hokinga mai o te mate pukupuku o te ū?

Ki te kī ngāwari, ina oti te maimoatanga mō te mate pukupuku o te ū, ka hoki mai anō te mate pukupuku ki tō tinana, koia tēnei e kīia nei ko te ' recurrence of ū' . Ka puta pea tēnei i roto i ētahi marama o te maimoatanga, ka puta rānei i ngā tau i muri mai. Ka taea e ā mātou tākuta te rongoā i tēnei mate pukupuku e hoki mai ana, engari i ētahi wā ka hoki mai anō.

He aha ngā huarahi e hoki mai ai tēnei mate pukupuku?

Ka whakatauhia te momo mate pukupuku e te wāhi i ahu mai ai. E toru ngā momo matua:

• Te Hokinga Mai o te Ā-Rohe: Ko te tikanga kua hoki mai te mate pukupuku ki te ū kotahi (ki te wāhi rānei o te ū) i kitea tuatahitia ai. Hei tauira, mēnā he mate pukupuku tōu i tō ū matau, ā, i tangohia, ka rite ki ngā pūtau mate pukupuku e tipu ana i roto i taua ū matau.

• Te Hokinga Mai o te Rohe: Koinei te wā ka hoki mai te mate pukupuku ki te taha o te pukupuku taketake, pērā i ngā kōpū lymph o te tuaka , i ngā kōpū lymph rānei i te taha o te kaki.

• Te Hokinga Mai o te Mate Tawhiti: Koinei te momo tino kino. Koinei te wā kua horapa ngā pūtau mate pukupuku o te ū ki tawhiti atu i te wāhi i ahu mai ai te pukupuku taketake, ki ō pukahukahu, ki ngā wheua, ki te roro, ki ētahi atu wāhanga rānei o tō tinana. Ka kiia hoki tēnei ko te (Mate Pukupuku o te Ū Metastatic) . He maha ngā wā ka kiia ko te (Wahanga 4 o te Mate Pukupuku o te Ū) .

Tērā tētahi atu mea me mōhio koe. Whakaarohia he mate pukupuku tō tētahi o ō ū, ā, kua rongoatia, kua ora hoki. Kātahi, ki te puta he mate pukupuku hou ki tō ū kē atu, arā, te ū i tērā taha kāore i pāngia e te mate pukupuku i mua, kāore e kiia he 'hokinga mai anō'. Ka kiia e ngā tākuta he 'mate pukupuku tuarua'.

He aha ngā momo mate pukupuku o te ū e tino tūpono ana kia hoki mai anō?

E ai ki te American Cancer Society, ko te mate pukupuku ū mumura (IBC) me te mate pukupuku ū triple-negative (TNBC) he nui ake te tūponotanga ka hoki mai i ētahi atu momo mate pukupuku ū. He kaha ake te kaha o ēnei momo, koia te take he tino noa.

He pēhea te auau o te hokinga mai o te mate pukupuku o te ū?

Ina hoki, ehara tēnei i te mea e pā ana ki te katoa, arā, ehara i te mea tino noa. Heoi, ko te ōrau tika o ngā wā ka pā mai tēnei ka whakawhirinaki ki ngā āhuatanga maha, pērā i te wāhanga o tō matepukupuku tuatahi me te maimoatanga i whiwhi koe.

Kia pēhea te roa ka hoki mai te mate pukupuku?

I te nuinga o te wā, ki te hoki mai te mate pukupuku ki te wāhi kotahi i muri i te tango i te uma , arā, he pokanga e tango ana i tētahi wāhanga anake o te ū, tera pea ka puta i roto i ngā tau tuatahi e rima. Heoi, ki te whiwhi koe i te rongoā irahiko i muri i te tango i te uma , ka taea te whakaiti i tēnei mōrearea. Ina whakakotahihia ēnei maimoatanga e rua, ka whakaitihia te tūponotanga o te hokinga mai o te mate pukupuku i roto i ngā tau 10 ki waenga i te 3% me te 15%. I ētahi wā, i runga i ngā mea pēnei i tō whakamātautau ira, ka tūtohu pea tō tākuta i ētahi atu maimoatanga hei whakaiti ake i tēnei mōrearea.

He rerekē te tere o te hokinga mai o te mate pukupuku mō te hunga kua oti te tango i te uma , arā, ko te tango i te ū katoa:

• Mena kāore he pūtau matepukupuku i roto i ngā kōpū waikura o te tuaka i te wā i mahia ai tō pokanga tuatahi, ko te tūponotanga ka hoki mai anō te matepukupuku i roto i ngā tau e rima e tata ana ki te 6%.
• Heoi, ki te mea he pūtau matepukupuku kei roto i ngā kōpū lymph i te kēkē, ko te tūponotanga o te hokinga mai he tata ki te 25%. Heoi, ki te whai rongoā irahiko koe i muri i te tango i te mastectomy , ka taea te whakaiti i tēnei tūponotanga ki te 6%.

He aha ngā tohu o te hokinga mai o te mate pukupuku?

He rerekē ngā tohu i runga i te wāhi e hoki mai ai te mate pukupuku. Hei tauira, kāore ngā tohu e ōrite ana ina hoki mai te mate pukupuku ki te wāhi kotahi i puta mai ai (te hokinga mai ā-rohe), engari ina horapa ki ngā kōpū lymph tata (te hokinga mai ā-rohe).

Tērā pea ka puta mai ngā tohu pēnei i te hokinga mai o te mate i te rohe:

• Te rongo i tētahi puku hou, i tētahi pukupuku rānei i roto i te ū, i raro rānei i te kiri o te ū.
• Ngā huringa o te uma: Tērā pea te āhua o te uma e hurihia ana, tērā pea he rerenga mai i te uma.
• (Lumpectomy) Ka pupuhi te kiri huri noa i te wāhi i pokangahia, ā, te āhua nei kua kumea ki roto.
• Te matotoru o te kiri i runga ake, i te taha rānei o te koha pokanga.
• He mārō ake te ahua o te kiko o te ū i tō te tikanga.

Tērā pea ka puta mai ngā tohu e whai ake nei i te hokinga mai o te mate i roto i te rohe:

• Te mamae tonu o te uma .
• Te uaua ki te horomi .
• Te mamae, te pupuhi, te ngoikore rānei i te ringa kotahi, i te pakihiwi rānei.
• Ngā kōpuku waikura pupuhi i roto i te kēkē, i te kaki rānei.

I roto i te hokinga mai o te mate pukupuku i tawhiti (Tawhiti / Metastatic / Wāhanga 4 Recurrence), ka pā ēnei tohu ki tētahi okana. Arā, ki ngā wāhi pēnei i te wheua, te pukahukahu, te roro, te ate. Ka rerekē ngā tohu i runga i te wāhi i horapa ai te mate pukupuku. Kei roto i ēnei ko:

• Te mamae i te wāhi kua horapa te mate pukupuku, inā koa ki ngā wheua .
• He maremare maroke pumau.
• Ngā āhuatanga pēnei i te whanoke, te ngaronga o te taurite, me ngā haurangi.
• Te ngenge nui rawa atu (Te Ngenge Nui) .
• Te ngaronga o te hiahia kai, te whakapairuaki, te ngaronga taumaha.
• Te mamae nui o te upoko .
• Te māuiui, te ngoikore rānei i ētahi wāhanga o te tinana.

He aha i hoki mai ai tēnei mate pukupuku o te ū?

Ko te take matua ka hoki mai te mate pukupuku o te ū , ko ētahi o ngā pūtau mate pukupuku i roto i tō ū kāore i tino whakangaromia e ngā maimoatanga i whiwhi koe. He tino whai hua ngā maimoatanga mate pukupuku o te ū, engari i mōhio koe he tino mātanga ēnei pūtau mate pukupuku?

• I ētahi wā, ka taea e ngā maimoatanga te whakaiti i ngā pukupuku, te whakangāwari hoki i ngā pūtau matepukupuku kia kore ai e kitea e ngā whakamātautau. Engari kei reira tonu aua pūtau. I roto i te wā, ka taea e aua pūtau te kaha ake anō, ka tīmata anō te tipu, ka hanga pukupuku hou.
• Kāore i te angitu katoa te pokanga hei tango i te pukupuku matepukupuku. I mua i te pokanga, tera pea kua horapa ngā pūtau matepukupuku ki ngā kōpū waikura, ki ngā kiko, ki te toto rānei e tata ana.

Ko wai kei te nui ake te mōrearea o te hokinga mai o tēnei mate pukupuku?

Ka taea e te hunga kua pāngia e te mate pukupuku ū te hoki mai anō. Heoi, ko te tūponotanga o te hokinga mai o te mate pukupuku ka whakawhirinaki ki ētahi āhuatanga:

• Tau: Ko ngā wāhine e pāngia ana e te mate pukupuku ū i mua i te 35 tau te pakeke, he nui ake te tūponotanga ka hoki mai anō te mate pukupuku.
• Wāhanga Mate Pukupuku: Ina kitea tuatahitia koe he mate pukupuku ū, ka whakamahia e ngā tākuta te wāhanga o te mate pukupuku hei whakamahere maimoatanga me te matapae i te heke mai. He hononga kei waenganui i te wāhanga i kitea tuatahitia ai te mate pukupuku me te mōrearea o te hokinga mai o te mate pukupuku. Hei tauira, ko te tangata he mate pukupuku Wāhanga III te tūponotanga ka hoki mai anō te mate pukupuku i te tangata he mate pukupuku Wāhanga I , Wāhanga II rānei.
• Momo Matepukupuku: Ko ngā matepukupuku e kaha ake ana te horapa, pērā i te Matepukupuku U Mumura , te Matepukupuku U Toru-Negative rānei, he uaua ake te rongoā. Nō reira, he nui ake te tūponotanga ka hoki mai anō, ka horapa hoki aua matepukupuku.

He aha ngā raruraru ka pā mai mēnā ka hoki mai te mate pukupuku?

He uaua pea te rongoā i te mate pukupuku o te ū ina hoki mai anō, ina horapa rānei:

• Ko ngā maimoatanga i whai hua i mua, tērā pea kāore e tino whai hua i tēnei wā. Tērā pea ka whakamātau tō tākuta i ētahi atu maimoatanga. Tērā pea ka tūtohu rātou kia whai wāhi koe ki ngā whakamātautau haumanu , arā, ngā rangahau mō ngā maimoatanga hou.
• (Te Matepukupuku o te Uma e horapa ana), ko te tikanga kei roto i te tinana te mate pukupuku i ngā wāhi maha, ā, he tino uaua ki te rongoā. (Engari kia mahara, ahakoa te horapa o te mate pukupuku o te ū, ka kiia tonu he mate pukupuku o te ū. Nā te mea he rerekē ngā pūtau o te ū i ngā pūtau pūkahukahu, ngā pūtau wheua, ngā pūtau rānei i ētahi atu wāhi ka horapa te mate pukupuku.)

Me pēhea te kite a ngā tākuta kua hoki mai te mate pukupuku?

Ko ētahi o ngā whakamātautau i whakamahia hei kite i te mate pukupuku o te ū i te tuatahi, kei te mahia inaianei:

• Whakamātautau mammogram
• Whakamātautau ultrasound
• Ngā matawai pēnei i te (MRI) , te (CT Scan) te (PET Scan - Positron Emission Tomography Scan) rānei
• Ngā whakamātautau toto hei rapu i ngā tohu pukupuku
• Ko te tikanga o te koiora he tango i tētahi wahi iti o te kiko ka tirotirohia.

He aha ngā maimoatanga mō te mate pukupuku ū e hokihoki mai ana?

He rerekē ngā kōwhiringa maimoatanga i runga i te wāhi i hoki mai ai te mate pukupuku me ngā maimoatanga o mua kua tukuna. Hei tauira:

• Mena kua oti kē te tango i te puku o te ū mō te mate pukupuku ā-rohe, ā-rohe rānei, i tēnei wā, ka tūtohu pea tō tākuta kia tangohia te puku o te ū hei tango i tētahi, i ngā ū e rua rānei, me ngā kōpū lymph e tata ana.
• Mena kua tangohia te puku o tō hope i mua, tera pea ka taea e koe te tango anō i te puku o tō hope me te whakamahi anō i te rongoā irahiko. Me kōrero koe ki tō tākuta mō tēnei.
• Ki te hoki mai anō te mate pukupuku i roto i tētahi ū i hangaia anō, me tango pea e te taote pokanga te mea i whakatōkia ki te ū, te kiri rānei o te uma.
• Mena kua oti kē te tango i te puku o tō puku i mua, i tēnei wā ka uru pea ki te maimoatanga te pokanga hei tango i te pukupuku hou, ā, ka whai ake ko te rongoā irahiko .

Hei tāpiri atu ki tēnei, kei reira ētahi atu tikanga maimoatanga:

• Te Whakaora Hormone
• (Te rongoā matepukupuku) (Ka kiia e mātou he rongoā matepukupuku)
• Te rongoā ārai mate
• Te Whakaora Whaiaro

He aha te rongoā mō te mate pukupuku kua horapa?

Ko te maimoatanga matua mō te mate pukupuku ū kua horapa ko te rongoā pūnaha, e pā ana ki te tinana katoa. Kei roto i tēnei ko te chemotherapy , te rongoā homoni , te rongoā ārai mate , me te rongoā arotahi .

Ki te hoki mai anō te mate pukupuku, ka kino atu rānei i tōna āhua o mua?

He uaua te rongoā i te mate pukupuku o te ū e hoki mai ana. Engari ehara i te mea he kino ake i te mate pukupuku taketake. Mena he mate pukupuku ū tōu e hoki mai ana, tera pea ka tukuna he maimoatanga rerekē ki a koe i mua, he maimoatanga kaha ake rānei pērā i te pokanga, he rongoā ārai mate pukupuku kaha ake rānei. He nui te mea e whakawhirinaki ana ki tō āhuatanga. Nō reira, ko te tangata pai hei pātai atu ki a koe he aha tāu e tumanako ai ko tō tākuta.

Ka taea te whakaora katoa i te mate pukupuku e hokihoki mai ana?

Kei tō āhua te mea nui. Pātai atu ki tō tākuta mēnā ko te whāinga o te maimoatanga i tēnei wā ko te whakaora katoa i te mate pukupuku, ko te whakahaere rānei i tōna tipu me tōna horapa. Pērā ai, ka mārama ake tō whakaaro.

He aha te tūponotanga ka ora anō mēnā ka hoki mai te mate pukupuku?

He kaupapa tairongo tēnei. I te nuinga o te wā, ko te ōrau oranga mō ngā tau e rima i muri i te tautuhi i te mate pukupuku koia tēnei:

• Tata ki te 99% o ngā mate pukupuku ū he mate pukupuku ā-rohe.
• Tata ki te 86% te mate pukupuku ū ā-rohe.
• Tata ki te 27% o ngā kēhi kua horapa ki tawhiti, arā , kua horapa te mate pukupuku o te ū ki tawhiti .

Engari he mea tino nui tēnei : ​​He whakatau tata noa iho ēnei tatauranga ora mō te mate pukupuku i runga i ngā wheako o tētahi rōpū nui o te hunga whai mate ōrite. Waihoki, i runga ēnei whakatau tata i ngā mōhiohio i wātea pea i ngā tau kua pahure. Whakaarohia te rerekētanga i waenga i tētahi whakaahua whaiaro i tangohia e koe i ngā tau e rima kua pahure me tētahi i tangohia e koe inanahi. Pērā i tō āhua, ka rerekē ēnei tatauranga ora i roto i te wā, i te putanga mai o ngā maimoatanga hou me te ahu whakamua o te pūtaiao hauora.

Koinei pea ngā pātai i pātaihia e koe i tō wā tuatahi i mōhio ai he mate pukupuku ū tōu. Ko tō tākuta te puna mōhiohio pai rawa atu mōu i taua wā, ā, kei te pērā tonu ia. Nō reira kaua e mataku i ēnei tatauranga. He pai ake te kōrero ki tō tākuta kia whiwhi ai koe i ngā mōhiohio tino tika mō tō āhua.

Ka taea te ārai i te hokinga mai o te mate pukupuku o te ū?

Kua whakaatuhia e ngā rangahau ka taea e ētahi maimoatanga te whakaiti i te mōrearea o te hokinga mai o ētahi momo mate pukupuku ū. Hei tauira, ka taea e te rongoā homoni , pērā i te tamoxifen , te aromatase inhibitors rānei, te whakaiti i te mōrearea o te hokinga mai o te mate pukupuku ū i roto i te hunga he mate pukupuku ū e aro ana ki te estrogen i te wā tōmua (ER-positive, ER+ rānei) . Ka taea hoki e te rongoā chemotherapy i muri i te pokanga (e kiia nei ko te rongoā adjuvant ) te whakaiti i te mōrearea.

Engari, i te nuinga o te wā, kāore anō kia tino mārama ngā tohunga he aha i hoki mai ai te mate pukupuku ū i roto i ētahi tāngata, engari kāore i roto i ētahi atu.Ki te pāngia anō koe e te mate pukupuku ū, kaua e whakaaro nāu i mahi, nāu rānei i kore ai e mahi. Ehara i te mea nāu te he.

Ahakoa kāore e taea te ārai i te hokinga mai o te mate pukupuku o te ū, he mea nui kia tirotirohia e koe ō ū me te tirotiro i muri mai i ngā wā katoa e ai ki tā tō tākuta i tūtohu ai. Mā tēnei ka āwhina i tō tākuta ki te kite i te mate pukupuku o te ū kua horapa i te wā tōmua, i te wā e māmā ake ai te rongoā.

Me pēhea taku tiaki i ahau anō? (hinengaro me te tinana)

Mena kua pāngia anō koe e te mate pukupuku ū, tera pea kei te noho koe me te maha o ngā kare ā-roto rerekē. He mea noa iho tēnā.

• Tērā pea ka riri koe mō te hiahia anō ki te aro atu ki tēnei maimoatanga matepukupuku.
• He mea whakarihariha pea te hoki anō ki tēnei mate, ā, ka rite koe ki te mea kua ngaro tō mana whakahaere i tō hauora.
• Tērā pea ka puta ake te manukanuka me te wehi mō te heke mai.
• Nā te mea kāore he taurangi e kore te mate pukupuku e hoki mai anō, ka tino whakarihariha pea.

He mea noa, he mea tūturu te rongo i ēnei kare ā-roto. Engari, ki te mea kei roto koe i tētahi huringa o ngā kare ā-roto kino, kōrero ki tō tākuta. Ka taea e ia te āwhina i a koe ki te whakaaroaro i ō mataku. Tērā pea ka tukuna koe e ia ki tētahi tohunga hauora hinengaro hei āwhina i a koe ki te mārama me te whakahaere i ō kare ā-roto.

Anei ētahi atu mea ka taea e koe te mahi hei whakaiti i te ahotea o te noho me te mate pukupuku ū e hokihoki mai ana:

• Me kai tonu i tētahi kai hauora: Kia arotahi ki te whakakī i tō pereti ki ngā momo huawhenua, hua rākau, pūmua kikokore, me ngā witi katoa. Mā te kai pai koe e āwhina ki te pupuri i tō kaha i te wā e rongoatia ana.
• Whakakorikori tinana: Mā te whakakorikori tinana auau ka whakaiti i te ahotea, ā, ka āwhina hoki i a koe ki te aro atu ki ētahi o ngā wero hinengaro e pā ana ki te hokinga mai o te mate pukupuku o te ū.
• Whakaarohia te tiaki mamae: Ka āwhina ngā kaiwhakarato tiaki mamae i a koe ki te whakahaere i ngā tohu me ngā pānga taha o te maimoatanga.
• Whai Wāhi ki ngā Kaupapa Ora mō te Mate Pukupuku: He ora tonu koe mai i te rā i kitea ai koe he mate pukupuku ū. Pātai atu ki tō tākuta mō ngā kaupapa me ngā ratonga i hangaia mō te hunga e pāngia ana e te mate pukupuku ū e hokihoki mai ana.

Āhea ahau me toro atu ki taku tākuta?

Ki te kite koe i ētahi huringa ki ō ū, ki te pāngia rānei koe e ngā tohu pēnei i te maremare, te ānini, te pupuhi rānei o ngā kōpū waikura e mau tonu ana, ā, e kore e memeha, me toro atu koe ki tō tākuta.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena ka whakaūtia e ngā whakamātautau kua hoki mai tō mate pukupuku ū, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• He aha te momo hokinga mai o te mate pukupuku o te ū kei a au?
• Mena kua horapa, kei hea i horapa ai?
• He aha te wāhanga o tēnei mate pukupuku?
• He aha ngā maimoatanga?
• He aha ngā mōrearea me ngā pānga taha o te maimoatanga?
• He aha ngā tohu o ngā raruraru me tirotiro e au?

Ka taea e au te tino mohio kāore te mate pukupuku e hoki mai anō?

Engari, kāore he tangata hei whakamana i a koe. Ahakoa kāore he tohu o te mate pukupuku o te ū i roto i ngā whakamātautau, tera pea kei reira tonu ētahi pūtau mate pukupuku iti, kāore e kitea, kua mawhiti i te maimoatanga mō te mate pukupuku kua hoki mai. Waihoki, ka taea e ngā pūtau mate pukupuku te haere mai i tō ū ki ētahi atu wāhanga o tō tinana. Ki te pērā, ka taea e rātou te tipu ki reira ka hanga pukupuku.

He mea uaua te mōhio kua hoki mai tō mate pukupuku ū. He mea mārama te pouri, te riri, me te mataku. Heoi, tērā pea i tino harikoa koe i te wā i whiwhi maimoatanga ai koe, ā, kua ngaro te mate pukupuku. Ināianei, kua hoki mai. Ka rite ki te moemoeā kino anō. Engari mā te mōhio ki tēnei ka taea e koe te whakamarie i te hinengaro: Mā te maimoatanga mō te mate pukupuku ū kua hoki mai ka taea te whakakore i te mate pukupuku kua hoki mai. Tērā pea ka taea e koe te whai wāhi atu ki ngā whakamātautau haumanu e arotake ana i ngā maimoatanga hou. Mena kua hoki mai tō mate pukupuku ū, ka tūtohu tō tākuta i ngā kōwhiringa maimoatanga pai rawa atu māu, tae atu ki ngā whakamātautau haumanu .

Hei whakamutunga, ko ngā mea tino nui me maumahara koe

He mea whakamataku te hokinga mai o te mate pukupuku o te ū . Engari he mea nui kia mōhio koe ki tēnei mea, kia aro ki ngā tohu, ā, kia kōrero noa ki tō tākuta.

• Kaua e manukanuka: kāore e hoki mai ngā mate pukupuku katoa, ā, ahakoa ka hoki mai, he maimoatanga kei reira.
• Whakarongo ki tō tinana: Kōrero ki tō tākuta mēnā ka kite koe i ētahi puku hou, mamae, huringa rānei.
• Kaua e mahue ngā whakamātautau tika: Me whai i ngā whakamātautau whai muri i runga i ngā tohutohu a tō tākuta.
• Kāore koe i te mokemoke: mā tō whānau, ō hoa, me te tīma hauora koe e tautoko. He mea tino nui anō hoki te tautoko hinengaro.
• Ngāna kia noho pai: Ka angitu pea te maimoatanga, ā, kei te puta tonu mai ngā maimoatanga hou.

Kia maumahara, ko tō tākuta te tangata pai rawa atu hei tuku tohutohu i a koe, nō reira kaua e mangere ki te pātai atu ki a ia mēnā he pātai, he āwangawanga rānei āu.

` Te Mate Pukupuku o te Uma, Te Hokinga Mai o te Mate Pukupuku, Te Hokinga Mai o te Mate Pukupuku o te Uma, Ngā Tohumate o te Mate Pukupuku, Te Maimoatanga o te Mate Pukupuku, Te Mate Pukupuku o te Uma e Pūmau ana, Te Hauora o ngā Wahine