Ina kitea koe, tetahi rānei e mōhio ana koe he mate pukupuku ū , ka taea e tēnei te huri i tō ao, ka nui hoki te raruraru. He maha pea ngā pātai kei roto i tō hinengaro i tēnei wā. "He aha te mea ka tupu ināianei?", "Me aha ahau mō tēnei?" Tērā pea kei te whakaaro koe. Ko tētahi o ngā kupu ka rangona e koe i tēnei haerenga ko te "wāhanga" o te mate pukupuku. Hei whakamārama, koinei te mea matua e whakatau ana i tō mahere maimoatanga. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te wāhanga o tēnei mate pukupuku?
He māmā noa iho, ko te whakatau i te āhua o te mate pukupuku he huarahi mā ngā tākuta ki te whakaahua i te āhua o te mate pukupuku. He rite ki te tohu i tētahi wāhi ki runga i tētahi mapi. He iti noa iho ngā mea e whakamāramahia ana e ia:
- Rahi o te Puku: Kia pehea te rahi o te puku matepukupuku?
- Te Pānga o ngā Pūnaha Lymph: Kua horapa ngā pūtau matepukupuku ki ngā pūnaha lymph i roto i ngā kēkē, i te taha rānei o te ū?
- Te horapa tawhiti (Metastasis): Kua horapa te mate pukupuku ki tua atu i te ū ki ētahi atu okana tawhiti o te tinana (pērā i te ate, ngā pukahukahu, ngā wheua)?
I runga i ēnei mōhiohio, ka whakarōpūtia te mate pukupuku ki ngā wāhanga matua, mai i te 0 ki te IV (kore ki te whā). Kāore tēnei e hoatu ki a koe, ki tō tākuta rānei te pikitia katoa. Ka whakaarohia e tō tākuta ētahi atu āhuatanga i te wā e whiriwhiri ana i te maimoatanga pai rawa atu.
Ētahi atu āhuatanga e pā ana ki ngā whakataunga maimoatanga
- Momo mate pukupuku: He rerekē ngā momo mate pukupuku ū. He rerekē te maimoatanga i runga i te momo.
- Te maha o ngā puku: He nui atu i te kotahi ō puku matepukupuku kei roto i tō ū?
- Te tere o te tipu: Kia pēhea te tere o te tipu o te mate pukupuku?
- Tō tau me tō hauora : He mea tino nui tō hauora whānui hei whakatau i te maimoatanga.
- Ngā Kaiwhakawhiwhi Homoni: Ka āwhina ngā homoni wahine (estrogen, progesterone) i te tipu o ngā pūtau matepukupuku? Mena koinā, ka taea te whakamahi i ngā maimoatanga motuhake.
- Tūnga HER2: He nui rawa te pūmua e kiia nei ko te ``(HER2)`` kei te mata o te pūtau matepukupuku? Mena koinā, ka taea e ia te whakateretere i te tipu, ā, he maimoatanga kua whakaritea mōna.
Nā, kia titiro tātou ki ngā maimoatanga e wātea ana mō ia wāhanga.
Ngā wāhanga rerekē me ngā kōwhiringa maimoatanga
Kei te ripanga i raro nei he whakaaro whānui mō te tikanga o tēnei. Heoi, he aratohu whānui noa iho tēnei. Kei a koe te tikanga ki te whakatau ko tēhea maimoatanga te mea pai mōu.Me kōrero koe ki te tākuta , ā, me whakatau.
| Wāhanga Matepukupuku | Te tikanga (i ngā kupu māmā noa iho) | Ngā tikanga maimoatanga whānui |
|---|---|---|
| Wāhanga 0 | He mate pukupuku kore-whakaeke. Kei roto noa i ngā awaawa miraka ngā pūtau mate pukupuku. Kāore anō kia horapa ki ngā kiko e karapoti ana. Ka kiia hoki tēnei ko te DCIS (Ductal Carcinoma In Situ) . |
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| Wāhanga Tuatahi | He kaha te mate pukupuku, engari he iti te pukupuku (iti iho i te 2 henimita). Kāore anō kia horapa ki ngā kōpū waikura tata, kāore rānei i horapa nui. |
|
| Wāhanga II | He tino nui te pukupuku (2-5 henimita) ā/rānei kua horapa ki ētahi pona lymph e tata ana. |
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| Wāhanga III | He mate pukupuku "ā-rohe" tēnei. He nui te pukupuku, kua horapa ki te pakitara o te uma, ki te kiri rānei, ki te tini o ngā pona lymph rānei. Engari kāore anō kia horapa ki ngā whekau tawhiti o te tinana. |
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| Wāhanga IV | Kua horapa te mate pukupuku ki tua atu i te ū me ngā kōpū lymph tata ki ngā whekau tawhiti o te tinana (pērā i ngā wheua, ngā pukahukahu, te ate, te roro). Ka kiia hoki tēnei ko te mate pukupuku ū metastatic . |
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Ko te mea nui hei mārama
Whakaarohia kei te pāngia tō hoa e te mate pukupuku Wāhanga I, ā, kei a koe te mate pukupuku Wāhanga III. Ehara i te mea he kino rawa tō āhua. Nā te mea ka rerekē te urupare ki te maimoatanga i runga i ngā mea pēnei i te momo mate pukupuku, tō āhua homoni, me ērā atu mea.
Tērā pea ka pai ake te urupare a ētahi mate pukupuku o te Wāhanga III ki te maimoatanga i ētahi mate pukupuku o te Wāhanga II, nō reira kaua e mataku, kaua hoki e mataku mā te titiro noa ki te tau o te wāhanga.
Kōrero ki tō tākuta.
Ko tō tākuta tō hoa pai rawa atu i tēnei haerenga. Kōrero ki a ia mō ngā pātai, ngā āwangawanga rānei kei a koe. Anei ētahi pātai ka taea e koe te pātai:
- He aha te wāhanga o taku matepukupuku?
- He aha te tikanga o tēnā?
- He aha te tūnga o te kaiwhakawhiwhi homoni me te `(HER2)` o taku mate pukupuku?
- He aha ngā kōwhiringa maimoatanga e pai ana mōku?
- He aha ngā pānga taha o aua maimoatanga?
- Ka pēhea rā tōku ao i muri i ēnei maimoatanga?
Kaua e wehi ki te pātai i ēnei pātai. Mā te nui ake o tō mōhiotanga mō tō āhua, ka kaha ake tō hinengaro ki te aro atu ki te maimoatanga.
Karere Tangohia ki te Kāinga
- He mea nui te "wāhanga" o te mate pukupuku ū hei ine i te rahi me te horapa o te mate pukupuku.
- Ka whakarōpūtia ngā wāhanga mai i te 0 ki te IV. I ngā wāhanga tōmua (0, I, II), ko te whāinga kia ora rawa te mate pukupuku. I ngā wāhanga o muri mai (ina koa ko te IV), ko te whāinga kia whakahaere i te mate pukupuku me te pupuri i te kounga pai o te oranga.
- Kāore te maimoatanga e whakatauhia ana e te wāhanga anake. He maha ngā mea e pā ana ki te mate pukupuku, tae atu ki te momo mate pukupuku, te āhua o ngā homoni, tō tau, me tō hauora.
- Kaua e manukanuka mā te titiro noa ki te tau o te wāhanga. He rerekē ia mate pukupuku. He rerekē te urupare a te katoa ki te maimoatanga.
- Ko tō kaha nui ko te mōhio. Kōrerohia mā te mahorahora ki tō tākuta mō tō āhua me tō maimoatanga. Pātai atu ō pātai katoa.
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