Mena kua tāpaetia koe, tetahi rānei e mōhio ana koe ki te mate pukupuku ū , he mea noa te mataku, te ohorere, me te kore e tino mōhio. "He aha te mea ka tupu ināianei?", "He aha te momo maimoatanga ka whiwhi ahau?", "Ka ora rānei tēnei?" he pātai katoa ēnei e puta ake ana ki te hinengaro. Tuatahi, kia mārama koe kāore koe i te mokemoke i tēnei wā. I tēnei rā ka kōrero tātou mō te 'wāhanga', he mea matua e whakatau ana i te maimoatanga o te mate pukupuku ū, me te whakamahere maimoatanga e ai ki ia wāhanga.
He aha te 'wāhanga' o te mate pukupuku?
He māmā noa iho, ko te taumata o te mate pukupuku he huarahi hei whakaahua i te horapa o te mate pukupuku i roto i tō tinana. Pērā i te tohu i tō tātou tūranga ki runga i te mapi, ka whakamahia e ngā tākuta tēnei pūnaha 'taumata' hei mārama ki te āhua tuturu o te mate pukupuku. E rua ngā āhuatanga matua e whakatauhia ai tēnei.
1. Rahi o te puku: E hia te rahi o te puku?
2. Te horapa, te horapa rānei: Kua horapa te pukupuku ki waho o te ū, ki ngā kōpū lymph i roto i ngā kēkē, ki ētahi atu okana tawhiti rānei o te tinana (pērā i te ate, ngā pukahukahu, ngā wheua)?
I runga i ēnei mōhiohio, e rima ngā wāhanga matua o te mate pukupuku ū (0 ki te IV). He mea nui te mōhio ki tēnei mōu me te tīma hauora e rongoā ana i a koe.
Ka whakatauhia te maimoatanga mā te wāhanga anake o te mate?
Kāo. Ahakoa he mea nui te āhua o te mate, ehara i te mea koia anake. Ka whakaarohia e tō tākuta ētahi atu āhuatanga hei waihanga i te mahere maimoatanga pai rawa atu māu.
- Te momo mate pukupuku o te ū kei a koe: He rerekē ngā momo mate pukupuku o te ū.
- Te maha o ngā pukupuku matepukupuku: Kotahi te pukupuku, he maha rānei?
- Te tere o te tipu o te mate pukupuku: Ka puhoi te tipu o ētahi mate pukupuku, ka tere te horapa o ētahi.
- Tō tau me tō hauora whānui: He mea nui hoki kia mōhio koe mēnā he mate hauora anō tōu, pērā i te mate huka , te mate manawa rānei.
- Kua pāngia koe e te mate pukupuku ū i mua?
- Te āhua o ngā pūtau matepukupuku: He mea tino nui anō hoki te pānga o ngā homoni wahine ki te tipu o ngā pūtau matepukupuku (te tūnga o te kaiwhakawhiwhi homoni), mehemea rānei kei roto i aua pūtau ngā āhuatanga ira motuhake pēnei i te HER2 , hei whakatau i te maimoatanga.
Kia maumahara, he rerekē te mate pukupuku o ia tangata, o ia tangata. Nō reira, kāore pea te maimoatanga kotahi i hoatu ki tō hoa e pai mōu.Kua whakaritea te mahere maimoatanga mōu ake.
He aha ngā maimoatanga mō ia wāhanga?
Āe, me titiro tātou ki ngā maimoatanga e tika ana mō ia wāhanga. He aratohu whānui noa iho tēnei hei tīmatanga māu. Kia maumahara ko tō tākuta te kaiwhakatau i tō mahere maimoatanga tika.
| Te wāhanga o te mate pukupuku | Te tikanga noa iho | Ngā maimoatanga e whakamahia pinepine ana |
|---|---|---|
| Wāhanga 0 (Te Mate Pukupuku o te Puku i te Wāhi - DCIS) | Koinei te wāhanga tino tīmatanga. Kei roto noa i ngā awa waiū o te ū ngā pūtau matepukupuku. Kāore anō kia horapa ki ngā kiko e karapoti ana. | - Pokanga: te tango i te puku anake (lumpectomy) te tango katoa rānei i te ū (mastectomy). - Whakaora Irahiko: He maha ngā wā ka hoatu i muri i te tangohanga o te pukupuku. - Whakaora homoni: Mena he momo mate pukupuku e whakawhirinaki ana ki te homoni. |
| Wāhanga Tuatahi | He iti tonu te mate pukupuku. Kei roto i te ū. Kāore anō kia horapa ki ngā kōpū waikura i te kēkē (he iti noa iho rānei te horapa). | - Pokanga: (Lumpectomy, Mastectomy rānei). Ka mahia he koiora o te kōpū lymph sentinel. - Whakaora irahiko: E hoatu ana tēnei i ngā wā katoa mēnā ka tangohia he puku. - Ngā maimoatanga tāpiri: I runga i te āhua o te mate pukupuku, ka hiahiatia pea te chemotherapy, te rongoā homoni, te rongoā arotahi rānei. |
| Wāhanga II | He nui ake te puku, ā,/rānei kua horapa pea te mate pukupuku ki ngā kōpū waikura tata i te kēkē. | - Pokanga: (Lumpectomy, Mastectomy rānei). - Te rongoā matū: Ka taea te hoatu i mua i te pokanga (hei whakaiti i te pukupuku) i muri rānei i te pokanga. - Te rongoā irahiko. - Te rongoā homoni me te rongoā arotahi: i runga i te momo mate pukupuku. |
| Wāhanga III | He mate 'ā-rohe whānui' tēnei. Kua horapa te mate pukupuku ki waho o te ū ki te pakitara o te uma, ki te kiri rānei. Kua horapa ki ētahi pūnga lymph i roto i te kēkē. Engari kāore anō kia horapa ki ngā whekau tawhiti. | - Te rongoā matū: He maha ngā wā ka tīmata te maimoatanga mā te rongoā matū. Ko te whāinga he whakaiti i te pukupuku i mua i te pokanga. - Pokanga: Ko te nuinga o te wā ko te tango i te mastectomy. - Whakaora irahiko: i muri i te pokanga. - Ngā rongoā homoni me ngā rongoā arotahi. |
| Wāhanga IV | He mate pukupuku 'metastatic' tēnei. 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). | - Whāinga matua: te whakahaere i te mate, te whakaiti i ngā tohu, me te whakapai ake i te kounga o te oranga. - Ngā Maimoatanga: He maimoatanga pūnaha ēnei e pā ana ki te tinana katoa. Ko te rongoā matū, te rongoā homoni, te rongoā arotahi, me te rongoā ārai mate ngā mea matua. - Tērā pea ka whakamahia te rongoā irahiko, te pokanga rānei i ngā wā motuhake, pērā i te whakaiti i te mamae. |
Kōrero ki tō tākuta.
Ahakoa te āhua taumaha o ēnei mōhiohio, ko te mea nui ko te hanga o ēnei maimoatanga katoa hei āwhina i a koe kia tino whai hua mai i tō maimoatanga. Mā tō rōpū hauora ēnei mea katoa e kōrero ki a koe.
Tuhia he rārangi o ō pātai me ō wehi katoa, ka mauria atu ki tō tākuta. Kaua e wehi ki te pātai i ngā pātai pēnei i te, "He aha ngā pānga taha o tēnei maimoatanga?", "Kia pēhea te roa o taku noho ki te hōhipera?", "Me whakarerekē taku kai?" He whai wāhi kaha koe ki ō ake whakataunga hauora.
He uaua pea te haerenga o te maimoatanga mate pukupuku ū. Engari kia maumahara, nā te pūtaiao hauora matatau o ēnei rā, he tino ngāwari te rongoā i te mate, inā koa mēnā ka kitea wawe. Ā, he maha ngā maimoatanga pai hei āwhina i te pupuri i te kounga pai o te oranga i ia wāhanga.
Karere Tangohia ki te Kāinga
- He tukanga tino whaiaro te maimoatanga matepukupuku o te ū, he mea motuhake ki ia tangata.
- He mea nui te taumata o te mate pukupuku hei whakatau i te maimoatanga. Engari ehara i te mea koinei anake. He maha atu anō ngā mea e pā ana ki tēnei mate, tae atu ki te momo mate pukupuku, tō āhua homoni, me tō tau.
- Ko te wawe o te kitea o te mate pukupuku, ko te maha atu o ngā kōwhiringa maimoatanga, ā, ko te nui ake o te tūponotanga kia ora katoa.
- Kaua e wehi ki te pātai ki tō tākuta, me te kōrero mō ō wehi me ō āwangawanga. He wāhanga nui koe o tō haerenga oranga.
- Ko te tautoko me te aroha o te whānau me ngā hoa ka waiho hei kaha nui mōu i tēnei haerenga. Kaua e ngana ki te whawhai ko koe anake.
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