Ina hiahiatia he pokanga mō te wahine nā te mate pukupuku o te ū, he nui te pānga ki a ia i te taha tinana me te taha hinengaro. Ko te hanga anō i te ū he otinga mō te manukanuka me te pōuri e pā mai ana me te whakarerekē i te āhua o tōna tinana. He whakatau whaiaro tēnei. Ka whai ētahi, ka whakatau ētahi kia kaua. He tika ngā whakatau e rua. I tēnei rā, ka kōrero tātou mō ngā mea katoa, ka whakautu i ngā pātai katoa e puta ake ana ki te hinengaro.
Ki te kī māmā noa, he aha te hanga anō i te ū?
Ko te hanga anō i ngā ū he mahi pokanga hanga anō i tētahi, i ngā ū e rua rānei i muri i te tango i te mastectomy, i te tango rānei i te lumpectomy nā te mate pukupuku ū. I ētahi wā, kāore tēnei e mahia i te pokanga kotahi, ā, e hiahiatia ana pea he maha ngā pokanga.
He maha ngā tikanga matua mō tēnei pokanga. Ko ētahi tikanga he whakamahi i ngā whakatō ū kua whakakīia ki te silicone, ki te tote rānei. I ētahi atu tikanga, ka tangohia he kiri mai i tētahi atu wāhanga o tō tinana, hei tauira, te puku o raro, ka whakamahia hei hanga i te ū.
E rua ngā āhuatanga ka taea te mahi i tēnei pokanga:
1. Te Hanga Anō Tonu: I tēnei, ka hangaia anō te ū i te wā kotahi e tangohia ai te uma, arā, i muri tonu i te otinga o te pokanga.
2. Te Whakaroa i te Hanga Anō: I tēnei, ka mahia te pokanga i tētahi atu rā, i ētahi marama, i ētahi tau rānei, i muri i te tangohanga o te ū.
Ko te mea nui, nāu ake te whakatau mō te pokanga, te kore rānei. He mea nui kia kōrero noa koe ki tō tākuta mō tēnei mea, me te whiriwhiri i tētahi mea e pai ana ki a koe.
He aha ngā tikanga matua mō te hanga anō i te ū?
E rua ngā tikanga matua. Me titiro motuhake tātou ki a rātou.
1. Te whakamahi i ō ake kiko tinana (Te Hanga Anō i te Papa)
I tēnei tikanga, ka tangohia e tō taote pokanga he kiko mai i tētahi atu wāhanga o tō tinana (kikokiko aunoa) ka whakamahia hei hanga i tētahi ū. Ka kiia tēnei kiko he "flap". Ko te tikanga ka tangohia tēnei kiko mai i te puku o raro. Engari i ētahi wā ka taea te tango mai i te huha, te tuara, te papa rānei. Ka uru pea ki roto i tēnei kiko te kiri, te ngako, ngā uaua toto, me te uaua i ētahi wā.
He maha ngā momo tikanga pokanga kei roto i tēnei tikanga. Tirohia te ripanga i raro nei hei mārama ake i ēnei.
| Ingoa o te pokanga (Momo Papa) | He aha te mea ka tupu noa |
|---|---|
| Papa DIEP | Ka tangohia te kiri, te ngako, me ngā uaua toto mai i te puku o raro. Heoi, kāore e tangohia ngā uaua o te puku i tēnei tikanga. |
| Papa TRAM | Ka tangohia te kiri, te ngako, me ngā uaua toto, tae atu ki ngā uaua o te puku, mai i te puku o raro. |
| Te papa o te Latissimus dorsi (LD) | Ka tangohia te kiko me te uaua mai i te tuara. Ka haria tēnei kiko, me tōna toto hoki, ki te uma. |
| Pakitara IGAP/SGAP | Ka tangohia te kiko mai i te papa. I ngā tikanga e rua, kāore e tangohia ngā uaua. |
| Pā PAP/TUG | Ka tangohia te kiko mai i te taha o roto me te taha o muri o te huha. I roto i te tikanga TUG flap, ka tangohia hoki te uaua, engari i roto i te tikanga PAP flap, kāore. |
2. Te hanga anō mā te whakamahi i ngā tāpiringa
I roto i tēnei tikanga, ka whakamahia e ngā taote pokanga he tāpiringa tote, he tāpiringa silicone rānei hei hanga anō i te āhua o te ū. I ētahi wā, ka honoa ēnei tāpiringa ki te kiko o tō tinana ake.
| Te tikanga mō te whakamahi i ngā tāmi | He aha te mea ka tupu noa |
|---|---|
| Te whakanoho i raro i te uaua o te uma | Ka hapainga e te tākuta te uaua o te uma, ka whakatakotoria te mea tāpiri ki raro iho. |
| Te whakanoho ki runga i te uaua o te uma | I tēnei wā, ka whakatakotoria te tākai ki runga ake i te uaua o te uma. Tērā pea ka poto ake te wā whakaora. |
| Me te Kaiwhakawhānui kiko | Ka whakatakotoria tuatahitia e te tākuta he taputapu rite ki te poihau (whakawhanui) ki raro i te kiri. Kātahi, tata ki te kotahi i te wiki, ka whakakīia te taputapu ki te wai tote hei totoro haere i te kiri. Kia totoro rawa te kiri, ka whakaurua te mea i whakatōkia. |
Ka taea te hanga anō i te uma me te areola?
Āe, ka taea. Ko ētahi pokanga tango i te uma ka waiho te uma me te kiri mangu e karapoti ana (areola). Ka kiia tēnei he "taapiri uma e tiaki ana i te uma". Heoi, ki te mea me tango, ka taea te hanga i tētahi uma hou. Ka mahia tēnei mā te whakamahi i tētahi hononga kiri mai i tētahi atu wāhanga o tō tinana.
Kātahi, hei hanga anō i te wāhi pōuri e karapoti ana (te areola), he tokomaha ka tahuri ki te tā moko 3D . He tohunga tā moko kua whiwhi whakangungu motuhake mō tēnei. Ka taea e rātou te tā moko i taua wāhi kia rite ki te mea tūturu.
Me pēhea taku whiriwhiri i te tikanga e pai ana ki ahau?
Koinei te pātai tino nui. Ka matapakihia e tō tākuta ki a koe te tikanga pai rawa atu māu. I a koe e whakatau ana, whakaarohia ēnei āhuatanga:
- Tō tau, tō hauora whānui, me tō momo noho.
- He aha te momo pokanga i mahia ki a koe (mastectomy, lumpectomy rānei) me te nui o te kiko o te ū e toe ana.
- Mēnā e hiahiatia ana ētahi atu maimoatanga matepukupuku (hei tauira, te chemotherapy, te radiation rānei).
- Ngā pokanga o mua kua mahia e koe. Hei tauira, mēnā kua pokangahia tō puku, tera pea he uaua ki te tango i te kiko mai i tō puku.
- Ō tumanako me ō hiahia. He mea tino nui anō hoki te āhua e hiahiatia ana e koe i konei.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
He aha ngā painga?
He huarahi pai tēnei pokanga hei hanga anō i te whakapono ki a ia anō kua ngaro i muri i te pokanga ū. He āwhina tēnei ki te tini o te tangata ki te wikitoria i te mamae e pā ana ki a rātou i te wā e mau ana i ngā kākahu, i te kakahu kaukau rānei.
Heoi, he tokomaha te hunga e whiriwhiri ana kia kaua e pokanga. Tērā pea ka whakamahia he poroporo i roto i tētahi pōtae motuhake. Ko ētahi e whiriwhiri ana kia takoto papatahi, kaua e mahi i tetahi mea. He rerekē ia whakatau mō ia tangata, ā, me whakaute ia whakatau.
He aha ngā mōrearea me ngā raruraru?
Pērā i ngā pokanga katoa, he tūponotanga anō kei reira. Ko ngā tūponotanga matua ko te mate pāwera me te toto. Hei tāpiritanga, tera pea ētahi atu tūponotanga pēnei i:
- Ngā totoka: He paku teitei ake tēnei mōrearea i muri i ētahi pokanga whara.
- Ngā panonitanga o te āhua, te rahi rānei o ngā ū e rua: Tērā pea he matotoru ake tētahi i tētahi, tērā pea ka rerekē te āhua.
- Te Kohatu: Ka waiho e ngā pokanga katoa he koha, engari ka memeha haere ēnei i roto i te wā.
- Te ngako momona: Ki te kore e ranea te rere o te toto ki te kiko i whakatōkia i muri i te pokanga ngako, ka mate pea te kiko.
- Ngā raruraru o te whakatō: Tērā pea ka miro te whakatō, ka ngatata, ka pakū rānei.
- Ngā raruraru i te wāhi i tangohia ai te kiko: Tērā pea ka puta te ngoikore, te mamae, te aro rānei ki ngā wāhi i tangohia ai te kiko, pērā i te puku, te huha, te tuara rānei.
Kua honoa ētahi tākai ū tawhito ki tētahi momo mate pukupuku onge (Anaplastic Large Cell Lymphoma - ALCL), engari he tino iti tēnei mōrearea me ngā tākai e whakamahia ana i ēnei rā. Mā tō tākuta koe e whakamōhio atu mō tēnei.
Me pēhea te whakaora i a koe i muri i te pokanga?
Me noho pea koe ki te hōhipera mō te wiki pea i muri i te pokanga. Me tango e koe ngā rongoā whakamamae mamae kia rite ki te whakahau a tō tākuta hei whakahaere i tō mamae. Ka tonoa koe kia mau i tētahi pōtae pokanga motuhake hei tautoko i ō ū me te whakaiti i te pupuhi i te wā e ora ana.
He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. Kei tō hauora me te momo pokanga i mahia ki a koe. Me mutu pea te hiki taumaha me te whakakori tinana mō tētahi wā. Pātai atu ki tō tākuta āhea koe ka taea ai te hoki anō ki ngā mahi o ia rā.
Āhea koe me toro atu ki te tākuta tonu?
Ina tae koe ki te kāinga i muri i te pokanga, me waea atu koe ki tō tākuta tonu mēnā ka pā mai ēnei tohu ki a koe:
- Ngā tohu o te mate pāwera, pērā i te kirika .
- Te mamae nui e kore e memeha ahakoa te tango i te rongoā.
- Te toto e puta mai ana i ngā tapahi pokanga, pērā i te toto, i te pupuhi rānei .
- He panonitanga o te tae kiri huri noa i te ū, he tapahi rānei.
Karere Tangohia ki te Kāinga
- He tikanga pokanga te hanga anō i ngā ū e āwhina ana ki te hanga anō i te whakapono ki a ia anō me te oranga hinengaro o te wahine i muri i te pokanga matepukupuku ū.
- Nāu ake te whakatau mō te pokanga, te kore rānei. Kāore he tangata e āhei ana ki te āwhina i a koe.
- E rua ngā tikanga matua: te whakamahi i ō ake kiko tinana me te whakamahi i ngā mea tāpiri.
- Me whiriwhiri e koe te tikanga e tino pai ana ki a koe mā te kōrero tuwhera ki tō tākuta mō ō hiahia, tō āhua hauora, me ō tumanakohanga.
- Pērā i ngā pokanga katoa, he tūponotanga kei roto. Kia mōhio ki ēnei i mua i te pokanga.
- He mea nui te whai i ngā tohutohu hauora i muri tonu i te pokanga kia tere ai te ora.











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