He tokomaha o tātou e mataku ana ina rongo tātou i te kupu ' Pūpūngao o te Uma', tika? Engari i mōhio koe ehara tēnei i te momo mate kotahi anake, he maha ngā momo? He mea nui te mōhio ki te momo matepukupuku kei a koe hei whakatau i te maimoatanga ka whiwhi koe. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā, he ngāwari noa iho, he hoa hoki. He kaha nui te mōhio ki ēnei mea mōu.
Te whakarōpūtanga o te mate pukupuku e ai ki te wāhi i tīmata ai
Ko tētahi huarahi e whakaahua ai ngā tākuta i te mate pukupuku ū ko te wāhi i tīmata ai i roto i te tinana, me te mea kua horapa.
He whakarāpopototanga noa iho, ko te nuinga o ngā mate pukupuku o te ū he momo e kiia nei ko te carcinoma. Ko te tikanga ka tīmata i roto i ngā kiko e whakarārangi ana i te roto o te ū me ētahi atu okana. Ko te nuinga o ēnei ka taka ki roto i te momo e kiia nei ko te adenocarcinoma. Ko ēnei he mate pukupuku e tīmata ana i roto i ngā awa kawe waiū, i ngā repe whakaputa waiū rānei (lobules) o te ū.
Matepukupuku o te awaawa
Koinei te momo mate pukupuku ū e tino kitea ana. E rua hoki ngā wāhanga matua.
1. Te Mate Pukupuku Ā-pūtau In Situ (DCIS): Koinei te wāhanga tōmua o te mate pukupuku ū. Ko te tikanga o te kupu 'In Situ' ko "te wāhi kei reira." Ko te tikanga kei roto tonu ngā pūtau mate pukupuku i ngā awa miraka. Kāore anō kia horapa ki waho. Tata ki te 1 i roto i te 5 ngā mate pukupuku ū kua kitea houtia i tēnei momo. Ko te mea pai rawa atu, tata kore e taea te rongoā i tēnei momo.
2. Te Matepukupuku Āpitihanga (IDC): Koinei te momo matepukupuku ū tino noa . Tata ki te 80% o ngā matepukupuku ū katoa e kitea ana. Ko te tikanga o te 'whakatairanga' he "kaha." Ko te tikanga kua horapa ngā pūtau matepukupuku ki waho o ngā awa waiū, ā, ki roto i ngā kiko e karapoti ana. He maha ngā momo momo o tēnei momo IDC. Ahakoa he uaua, me titiro ngāwari tātou ki a rātou.
| Momo IDC | He whakamārama māmā |
|---|---|
| Matepukupuku o te Waenga | I tapaina ai tēnei ingoa nā te mea he rite tōna āhua ki ngā kiko ngohengohe o te roro. He tino onge (iti iho i te 5%). |
| Matepukupuku Mucinous | He nui te matū rite ki te hūpē (mucin) e karapoti ana i ngā pūtau matepukupuku. He onge hoki tēnei (iti iho i te 2%). |
| Matepukupuku ngongo | He rite ngā hanganga ngongo ki roto i ngā pūtau matepukupuku. He maha ngā wā ka tipu pūhui ēnei, ā, ka pai te urupare ki te maimoatanga. |
| Matepukupuku Papillary | He rite ki ngā maihao ngā wāhi e ara ake ana (ngā papule) o ngā pūtau matepukupuku. He mea noa ēnei i roto i ngā wāhine kaumātua. |
| Matepukupuku Kiripiri | Ka kitea he tauira puke i waenganui i ngā pūtau o tēnei mate pukupuku onge. |
Matepukupuku Lobular
I tēnei momo, ka tipu ngā pūtau rerekē i roto i te arai o ngā repe whakaputa waiū (lobules) o te ū.
- Te Matepukupuku Lobular Invasive (ILC): Koinei te tuarua o ngā momo matepukupuku ū e tino kitea ana. Ka tīmata tēnei momo matepukupuku i roto i te ū, ka horapa ki ngā kiko e karapoti ana. Kātahi ka horapa ki ētahi atu wāhanga o te tinana, pērā i ngā kōpū lymph.
- Lobular Carcinoma in Situ (LCIS): Kaua e mataku ki tēnei ingoa. Kāore ngā tākuta e whakaaro ana he mate pukupuku te LCIS nā te mea kāore e horapa ki waho o te ū. Heoi, ki te whai LCIS koe, he nui ake te tūponotanga ka pāngia koe e te mate pukupuku ū ā muri ake nei.
Ētahi atu momo onge o te mate pukupuku ū
Ehara ēnei i te mea tino noa, engari he mea tika kia mōhiotia.
- Matepukupuku ū mumura: He momo tino onge tēnei (iti iho i te 5%), ā, he kino hoki. He rerekē ōna tohu i ētahi atu. Ka āraia e ngā pūtau matepukupuku ngā oko toto lymphatic i roto i te ū. Ka pupuhi te ū, ka whero, ka matotoru te kiri . I ētahi wā ka rite te kiri o te ū ki te kiri karaka . Ka tere te horapa o tēnei momo.
- Puku Phyllodes: He pukupuku onge ēnei e puta mai ana i roto i te kiko honohono o te ū. Kotahi anake i roto i te whā ka huri hei matepukupuku. Ko ētahi atu he pukupuku pai.
- Angiosarcoma: Ka puta tēnei mate pukupuku i roto i te arai o ngā oko toto me ngā oko lymph. He mea tino noa i roto i te hunga neke atu i te 70 tau te pakeke.
- Te Mate a Paget : He tino onge hoki tēnei. He mate pukupuku e puta ana i roto i te uma me te rohe huri noa (areola). Ka taea e te kiri o te uma te unahi, te whero, me te mākūkū . He maha ngā tāngata e pāngia ana e te mate a Paget he momo mate pukupuku e kiia nei ko te DCIS, ko te IDC rānei.
- Matepukupuku o te Uma e horapa ana: Ko te tikanga o te 'metastatic' kua horapa te matepukupuku ki waho o te uma ki ētahi atu wāhanga o te tinana. Ka kiia hoki tēnei e ngā tākuta he "whatumanawa" he "wāhanga 4" rānei. Ko te nuinga o te wā ka horapa ki te ate, ki te roro, ki ngā wheua, ki ngā pukahukahu rānei.
Ko te mea nui, ahakoa te momo mate pukupuku, he nui ake te tūponotanga o te ora mēnā ka kitea wawetia, ka tika hoki te maimoatanga.
Te whakarōpūtanga o te mate pukupuku mā te ira me ngā homoni
I muri i te tātaritanga o tō mate pukupuku ū, ka whakahaerehia e tō tākuta ētahi whakamātautau motuhake ki ngā pūtau matepukupuku hei tirotiro mēnā kei te pāngia te tipu o te matepukupuku e ngā homoni estrogen, progesterone rānei, mehemea rānei he ira motuhake.
Mai i ēnei whakamātautau ka tīpakohia e te tākuta te maimoatanga tino tika, tino arotahi hoki māu.
- HER2-pai: Tata ki te 1 i roto i te 5 o ngā matepukupuku ū kei roto he pūmua e kiia nei ko te `HER2` (Human Epidermal Growth Factor Receptor 2). Ka āwhina tēnei pūmua i ngā pūtau matepukupuku ki te tipu. Ka kaha ake te kaha o ngā matepukupuku HER2-pai. Engari he maimoatanga kua arotahihia e arotahi ana ki tēnei pūmua, kia māmā ake ai te rongoā.
- Kaiwhakawhiwhi Hōmona-pai, kino rānei: He wāhi motuhake (ngā kaiwhakawhiwhi) kei runga i te mata o ētahi pūtau matepukupuku ka taea e ngā hōmona te piri atu. Whakaarohia te pūtau hei tatau, ā, he rite ēnei kaiwhakawhiwhi ki ngā kōhao kī kei roto.
- ER-pai: He kaiwhakawhiwhi kei roto i ngā pūtau matepukupuku ka taea te here ki te homoni estrogen.
- PR-pai: He kaiwhakawhiwhi kei ngā pūtau matepukupuku ka taea te here ki te homoni progesterone.
- Ko te tikanga o te homoni-pai ko tētahi, ko ngā mea e rua rānei kei roto. Nā te mea ka āwhina ngā homoni i ēnei momo mate pukupuku ki te tipu, ka taea te rongoā angitu mā te whakamahi i ngā rongoā aukati homoni (te whakaora homoni).
- Ko te tikanga o te korenga o te kaiwhakawhiwhi homoni e pā ana ki te korenga o ēnei kaiwhakawhiwhi e rua.
- Toru-kino: Tata ki te 15% o ngā mate ka pā ki tēnei momo. E ai ki te ingoa, he pūtau matepukupuku kei a rātou ngā kaiwhakawhiwhi estrogen (ETR)., kua ngaro katoa ngā kaiwhakawhiwhi progesterone (PR) me te HER2. Nō reira, kāore e taea te rongoā mā te rongoā homoni, mā te rongoā arotahi HER2 rānei. Tērā pea ka uaua ake te rongoā i tēnei, engari kei reira ētahi atu maimoatanga e wātea ana, pērā i te chemotherapy.
Kia mōhio koe ki te momo mate pukupuku kei a koe, kōrero mārire ki tō tākuta mō tōna pānga ki tō tupono ki te ora me ngā kōwhiringa maimoatanga pai rawa atu. Kaua e wehi ki te pātai i ngā pātai katoa.
Karere Tangohia ki te Kāinga
- Ehara te mate pukupuku o te ū i te mate kotahi, he maha ngā momo.
- Ko te momo mate pukupuku kei a koe, ka whakawhirinaki ki te wāhi i tīmata ai i roto i te ū (ngā awa/ngā repe waiū), mēnā kua horapa, me te mea kei te pāngia e ētahi homoni (ER, PR) me ngā pūmua (HER2).
- Ko ētahi momo, pērā i te DCIS, he tino teitei te auau whakaora, ko ngā momo ia pērā i te Matepukupuku Uma Mumura ka kaha ake te kaha.
- He mea nui te mōhio ki te āhua o ngā homoni me ngā ira (ngā kaiwhakawhiwhi) o tō matepukupuku kia taea ai e koe te whakarato i te maimoatanga tino whai hua, tino whai kiko hoki.
- Kaua e mangere ki te kōrero ki tō tākuta mō ō pātai e pā ana ki tō mate pukupuku, te momo mate pukupuku, me te mahere maimoatanga. Ko te mōhio ki a koe te haurua o te pakanga kua toa.
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