Ina pāngia koe e te mate pukupuku, kua tukinotia koe e te maimoatanga uaua, ā, inaianei kei te whakaaro koe kua mutu ngā mea katoa, kei te pai ngā mea katoa... kāore pea he mea e mamae ake ana i te kitenga kua hoki mai anō taua mate pukupuku. He wero tino uaua tēnei e pā ana ki te tini o te tangata. Nō reira, he aha te tikanga o te hokinga mai o te mate pukupuku, te 'hokinga mai anō' rānei? He aha te take e tupu ai? He aha ngā mea me mōhio tātou i roto i tēnei āhuatanga? Kia mārama noa tātou ki ēnei mea katoa, me te mea kei te kōrero tātou ki tētahi hoa tata.
He aha te tikanga o te hokinga mai o te mate pukupuku?
Ko te hokinga mai o te mate pukupuku ko te hokinga mai o te mate pukupuku i pā ki a koe i mua i muri i te maimoatanga. Ka puta pea tēnei i roto i ētahi marama, i ētahi tau rānei i muri i te maimoatanga.
I ētahi wā, ka kī atu pea tō tākuta kei te 'whakamaarama' koe. Ko te tikanga tēnei kāore he tohu o te mate pukupuku, ā, kāore hoki he pūtau mate pukupuku e kitea i roto i ngā whakamātautau. Heoi, ahakoa kua whakamaarama, ka taea tonu e te mate pukupuku te hoki mai.
Engari kia maumahara, ko te hokinga mai o te mate pukupuku ehara i te mea kua mutu katoa. Nā ngā maimoatanga matatau o ēnei rā, he tokomaha ngā tāngata kua taea te whakahaere i tō rātou hokinga mai me te ora pai mō ngā tau.
He aha ngā huarahi ka hoki mai ai te mate pukupuku?
Ka whakarōpūhia e ngā tākuta ngā huarahi e hoki mai ai te mate pukupuku, i runga i te wāhi i puta mai ai. E toru ngā huarahi matua e puta ai.
| Momo whakahou mata | He whakamārama māmā |
|---|---|
| Te Pūtanga ā-Rohe | Ko te tikanga o tēnei ka hoki mai te mate pukupuku ki te wāhi kotahi i mua, ki te wāhi tata rānei . Hei tauira, i muri i te pokanga hei tango i te mate pukupuku repeure, ka taea e ngā pūtau mate pukupuku te tipu anō i te wāhi kotahi i tangohia ai. |
| Te Pūtanga ā-Rohe | Koinei te wā ka hoki mai te mate pukupuku ki ngā pona lymph, ki ngā kiko rānei e tata ana ki tōna wāhi i mua. Ko ētahi momo mate pukupuku, hei tauira, ko ētahi momo mate pukupuku ū (mate pukupuku ū triple negative), ka nui ake te tūponotanga ka hoki mai i tēnei ara. |
| Te Hokinga Mai o Tawhiti | Koinei te wā e horapa ai te mate pukupuku ki tētahi atu okana, ki tētahi atu kiko rānei i tawhiti atu i te wāhi i kitea tuatahitia ai. Hei tauira, ko te tangata he mate pukupuku pūkahukahu, tera pea ka horapa taua mate pukupuku ki te roro, ā, ka hoki anō. |
He aha ngā momo mate pukupuku ka tino tūpono ka hoki mai anō?
Ina hoki, ka taea e tetahi momo mate pukupuku te hoki mai anō. Nō reira, kāore e taea te kī pono ko te mate pukupuku pūkahukahu anake ka hoki mai anō. Heoi, kua kitea e ngā rangahau he nui ake te tūponotanga o te hoki mai anō o ētahi momo mate pukupuku. Ko ētahi o ēnei ko:
- Matepukupuku ovarian
- Te mate pukupuku kiri kua horapa ki ētahi atu wāhanga o te tinana i te wā i kitea ai te mate (Metastatic melanoma)
- Ko te lymphoma pūtau-T ā-rohe (PTCL), he momo mate pukupuku e kiia nei ko te lymphoma kore-Hodgkin
Heoi, he mea nui kia maumahara he whakatau tata noa iho ēnei ōrau , ahakoa te momo mate pukupuku i pā ki a koe. Ka rerekē tēnei mōrearea i runga i ngā mea maha, pērā i te momo mate pukupuku i pā ki a koe, te wāhanga i kitea tuatahitia ai, me te maimoatanga tuatahi i whiwhi koe. Nō reira, ko tō tākuta anake ka taea te hoatu ki a koe ngā mōhiohio pai rawa atu mō tēnei.
He aha ngā tohu o te hokinga mai o te mate pukupuku?
I ētahi wā, ka rite ngā tohu o te hokinga mai o te mate pukupuku ki ērā o ētahi atu mate noa. Koia te mea nui kia aro atu koe ki tō tinana i muri i te maimoatanga. Kōrero ki tō tākuta mō ngā tohu ka pā ki a koe mēnā ka hoki mai tō momo mate pukupuku. Mēnā kei a koe tētahi o ngā tohu i raro nei, kōrero tonu atu ki tō tākuta.
| Ngā tohu hei tūpato |
|---|
| - Ka puta anō ngā tohu i kitea i te wā i puta tuatahi ai te mate pukupuku (hei tauira, ka puta he puku hou, he pukupuku rānei i te wāhi i puta ai te mate pukupuku) |
| - He mamae pumau, kāore e memeha. |
| - He maremare pumau, kāore e pai ake. |
| - Te whakaiti i te taumaha , kāore he take. |
| - He nui ake ngā marō i te tikanga, he toto rerekē rānei. |
| - Te kirika kāore e heke. |
| - Ngā mamae o te upoko i ngā wā maha. |
| - Te uaua ki te manawa (Dyspnea). |
| - Te toto i roto i te tūtae, i te mimi rānei . |
| - Whakapairuaki me te ruaki . |
| - Te uaua ki te horomi (Dysphagia). |
He aha i hoki mai ai te mate pukupuku?
He ahua uaua tēnei ki te mārama. Whakaarohia ngā pūtau matepukupuku he hoariri e huna ana. Ko ngā maimoatanga e tukuna ana e tātou (pēnei i te pokanga, te chemotherapy, te radiation) ka whakangaro i ngā pūtau matepukupuku katoa e kitea ana e tātou.
Heoi, i ētahi wā, ka toe tonu ētahi pūtau matepukupuku iti rawa, kāore e kitea i roto i te tinana. Hei tauira, ina tangohia he pukupuku matepukupuku i te wā pokanga, tera pea ka toe ētahi pūtau i te taha e kore e kitea e te kanohi tahanga, ā, he uaua ki te kite, ahakoa i raro i te karu hiko.
Ko ēnei pūtau e toe ana, e noho moe ana mō tētahi wā, ka tīmata anō te tipu i muri i ngā marama, i ngā tau rānei. Ko te wā tēnā e kīia ai kua hoki mai anō te mate pukupuku.
Me pēhea te kite i tētahi mate pukupuku kua hoki mai anō?
Hei kimi mēnā kua hoki mai anō te mate pukupuku, ka whakamahia e ngā tākuta ngā momo whakamātautau i whakamahia i te tuatahi hei tautuhi i te mate pukupuku.
Ngā Whakamātautau Toto
- Tatau Toto Katoa (CBC): Ka ine tēnei i te maha o ngā toto whero, ngā toto mā, me ngā pereti toto i roto i tō toto. Mā tēnei ka taea e koe te whakaaro mō tō hauora whānui, me te mea kua hoki mai anō te mate pukupuku.
- Ngā Whakamātautau Tohu Puku: Ka rapua e ēnei whakamātautau ētahi matū (tohu pukupuku) i roto i te toto e hangaia ana e ngā pūtau matepukupuku, e ētahi atu pūtau rānei i roto i te tinana hei whakautu ki te matepukupuku. Mēnā ka piki ake ēnei taumata, he tohu pea kua hoki mai te matepukupuku.
- Biopsy Wai: He tikanga hou tēnei. He whakamātautau e rapu ana i ngā kongakonga pūtau matepukupuku, i te DNA matepukupuku rānei kua kohia i roto i ō toto.
Ngā Whakamātautau Whakaahua
- Matawai Tomography Rorohiko (CT): Ka tangohia he pikitia taipitopito o roto o te tinana hei rapu mena kei reira ētahi pukupuku matepukupuku hou, te rahi, me te wāhi kei reira.
- Whakaahua Āhua Aukume (MRI): Ka taea hoki e tēnei te whakaputa pikitia tino mārama o roto o te tinana. He tino whai hua tēnei mō te kimi i ngā pukupuku i ngā wāhi pēnei i te roro me te taurakira.
- Matawai Tomography Tukunga Positron (PET): Ko te werohanga i tētahi momo huka motuhake ki roto i te tinana. Ka tere ake te mimiti o tēnei huka e ngā pūtau matepukupuku i ngā pūtau noa, nō reira ka taea e te matawai te tautuhi ngāwari i ngā wāhi o te matepukupuku.
Ngā koiora
Ko te whakamātautau tino nui hei tino mōhio kua hoki mai anō te mate pukupuku ko te koiora. Ko te tango i tētahi wahi kiko iti mai i te wāhi whakapae ka tirotirohia i raro i te karuārai hei tirotiro mēnā he pūtau mate pukupuku kei roto.
He aha ngā maimoatanga mō te mate pukupuku e hokihoki mai ana?
He rerekē te maimoatanga mō te mate pukupuku kua hoki mai anō, i runga i tō āhuatanga. Tērā pea ka whakatau tō tākuta ki te mahi i ngā mea pēnei i:
- Te whakahoki anō i te maimoatanga kotahi (hei tauira, te chemotherapy) ki tō te maimoatanga tuatahi.
- Te tango pokanga i ngā pukupuku matepukupuku hou kua puta.
- Te whakamahi i ngā momo rongoā chemotherapy rerekē, i ngā huinga rongoā rānei.
- Te whakamātau i tētahi momo maimoatanga rerekē, pērā i ngā maimoatanga kua arotahihia, te immunotherapy rānei.
I te wā e whakatau ana mātou i te maimoatanga, ka whai whakaaro mātou ki ngā āhuatanga e whai ake nei:
- Te momo mate pukupuku kei a koe: Kāore e rite ana ngā mate pukupuku katoa.
- Te hokinga mai o te mate pukupuku: Mena ka hoki mai te mate pukupuku i muri tata i te maimoatanga, tera pea ka uaua ake te rongoā.
- Te wāhi i hoki mai ai te mate pukupuku: Tērā pea he māmā ake te rongoā i te mate pukupuku kua hoki mai ki te wāhi kotahi i tōna tīmatanga i te rongoā i te mate pukupuku kua horapa ki tētahi okana tawhiti.
- Tō āhua hauora whānui:Me kaha tō tinana ki te tū atu ki ngā pānga taha o ngā maimoatanga hou.
I tua atu i ēnei maimoatanga, he mea nui kia whakaarohia te tiaki mamae . Kāore tēnei e whakaora i te mate pukupuku, engari ka āwhina i a koe kia noho humarie mā te whakahaere i ngā tohu pēnei i te mamae, te whakapairuaki, me te ngenge i puta mai i te mate pukupuku me ngā pānga taha o te maimoatanga.
Te noho me te hokinga mai o te mate pukupuku
He rite ki tētahi maharatanga tawhito e hoki mai ana ki te whaiwhai i a koe. Whai muri i te whawhai ki te mate pukupuku i tētahi wā, me te whakaaro kua toa koe, me tīmata anō koe i taua pakanga. He mea noa te pōuri, te mataku, me te kore tumanako i tēnei wā. He pono aua kare ā-roto, ā, he mea nui.
Kia mōhio tonu koe kua hoki mai tō mate pukupuku, hoatu he wā ki a koe anō ki te whakaaroaro me te mārama ki te āhuatanga. Kātahi ka tīmata te whakaaro ki ngā mea ka taea e koe te mahi hei oranga mōna me te pai rawa atu.
- Kai i tētahi kai totika, taurite hoki. He pai ake te rapu awhina i tētahi tohunga kai hei waihanga i tētahi mahere kai e tika ana māu.
- Whakakorikori tinana. Ahakoa te hikoi noa, ka taea te whakaiti i te ahotea me te whakanui ake i te kaha tinana. Heoi, me toro atu ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakorikori tinana.
- Ki te mea he kaipaipa koe, he inu waipiro rānei, ngana kia mutu te mahi i aua mea.
- Moe pai. He mea nui te okiokinga mō te tinana.
Me pēhea taku whakatau mēnā e hiahia ana ahau ki te whiwhi maimoatanga anō, kāore rānei?
Ehara tēnei i te whakatau ngāwari. Anei ētahi mahi hei āwhina i a koe i tēnei wā:
1. Kia mārama ki ngā kōwhiringa maimoatanga me ōna pānga taha: Kōrero ki tō tākuta mate pukupuku me te tīma hauora. Pātai atu ki a koe ngā pātai e hiahia ana koe ki te mōhio.
2. Kōrero ki tō whānau me ō hoa aroha mō tēnei mea: Mā tā rātou tautoko koe e whakakaha i roto i ngā whakataunga katoa ka mahia e koe.
3. Whakaarohia te tiki whakaaro tuarua mai i tētahi atu tohunga: Tērā pea he rerekē ngā kōwhiringa maimoatanga e tika ana māu i tētahi atu hōhipera.
4. Pātai atu ki tō tākuta mēnā ka taea e koe te whai wāhi atu ki ngā whakamātautau haumanu: He rangahau ēnei e tirotiro ana i te haumaru me te whai huatanga o ngā maimoatanga hou.
Hei whakamutunga, nāu te whakatau ki te rapu maimoatanga, ki te kore rānei. Me whai whakaaro tō tākuta, tō whānau, me te katoa ki ō whakaaro, engari nāu te whakatau whakamutunga. Me whakaute te katoa i taua whakatau.
Karere Tangohia ki te Kāinga
- Ko te hokinga mai o te mate pukupuku ko te hokinga mai o taua mate pukupuku anō i muri i te maimoatanga.
- Tērā pea kei te wāhi kotahi i mua i te mate pukupuku tēnei (ā-rohe), kei te taha tata (ā-rohe), kei tawhiti rānei (i tawhiti) o te tinana.
- Kia tūpato ki ngā tohu pēnei i te whakahekenga taumaha kāore i te whakamāramatia, te mamae tonu, te maremare rānei, me ngā puku hou. Mēnā he āwangawanga āu, toro atu ki tō tākuta tonu.
- He huarahi maimoatanga kei reira mō te mate pukupuku kua hoki mai anō. Kaua e mutu te tumanako.
- Nāu te whakatau ki te rapu maimoatanga, kāore rānei. Tikina ngā mōhiohio katoa e hiahiatia ana e koe, kōrero ki ō hoa, ā, whakatauhia te whakatau e tika ana māu.
- Kaua e haere ko koe anake i tēnei haerenga. Rapua he tautoko mai i tō tīma hauora, i tō whānau, me ō hoa.
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