He uaua ki te whakapuaki i ngā pātai, ngā wehi, me ngā manukanuka e puta ake ana ki te hinengaro ina kitea he mate pukupuku te tangata. Mena kua pāngia koe, kua pāngia rānei e tētahi e mōhio ana koe, kua rongo pea koe i te kupu "Wāhanga" i a koe e kōrero ana ki tō tākuta. Ina rongo koe i ngā kupu pēnei i te "Ko te Wāhanga II tēnei," "He ahua nui te mate nā te mea ko te Wāhanga IV," ka uaua pea te mārama ki te tikanga o ēnei tau me ngā reta. Engari kaua e mataku. Ko te kaupapa o tēnei he whakamārama i tēnei i roto i te huarahi e taea ai e koe te mārama, i roto i te huarahi tino māmā.
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He aha tonu te wāhanga o te mate pukupuku?
Ki te kī māmā noa, ko te taumata o te mate pukupuku he huarahi hei ine i te horapa o te mate pukupuku i roto i tō tinana me tōna kaha. Pērā i tā tātou whakamahi i tētahi mapi hei kimi i te huarahi i a tātou e haere ana, ka āwhina tēnei mapi e kiia nei ko te 'Taumata' i ngā tākuta ki te whakamahere i te maimoatanga pai rawa atu mō tō mate pukupuku.
Ka whakamahia e ngā tākuta pukupuku tēnei tikanga hei tātaritanga mate, hei whakarite maimoatanga, me te ine i te whai huatanga o aua maimoatanga.
Kaua e tukua ēnei tau me ngā reta kia mataku koe. He tikanga pūtaiao noa iho tēnei hei āwhina i ngā tākuta ki te hoatu i te maimoatanga pai rawa atu ki a koe. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe.
He aha te hiranga o tēnei wāhanga ki ngā tākuta?
He rite te rongoā i te mate pukupuku ki tētahi hākinakina tīma. Ehara i te mea he tākuta kotahi anake, engari he tokomaha ngā tāngata e pai ana ki ngā taote pokanga, ngā tākuta mate pukupuku, me ngā kaiwhakaora irahiko e mahi tahi ana. Nō reira, me whai reo kotahi te katoa kia mārama ai te āhua o te mate pukupuku i te ara kotahi. Ko taua reo kotahi ko te Pūnaha Whakatauranga .
He maha ngā take matua e hiranga ai tēnei:
- Kōwhiria te maimoatanga pai rawa atu: Ko te taumata o te mate pukupuku e whakatau ana mēnā ka whakamahia te pokanga, te chemotherapy, te radiation, te whakakotahitanga rānei o ēnei. Kāore te maimoatanga e hoatu ana ki te mate pukupuku Wahanga Tuatahi i rite ki te maimoatanga e hoatu ana ki te mate pukupuku Wahanga Tuawhā.
- Whakaarohia te āhua o te heke mai: I runga i te wāhanga o te mate pukupuku, me te momo mate pukupuku anō hoki, ka taea e ngā tākuta te whakaaro whānui mō te tūponotanga o te ora o te tūroro me te roa o te wā e hiahiatia ana te maimoatanga.
- Te whai wāhitanga mō te tīma hauora: Ina kōrero tētahi tākuta ki tētahi atu tākuta mō tētahi tūroro, ā, ka mea "Te matepukupuku ū Wāhanga IIIB," ka taea e te tākuta whakarongo te mārama ake i te āhua o te tūroro.
- Āwhina mō ngā rangahau hou:He tino āwhina tēnei tikanga mā ngā kaipūtaiao e rangahau ana i te mate pukupuku huri noa i te ao, e whakatairite ana i ngā hua maimoatanga o ngā tūroro me te momo kotahi me te wā kotahi, me te kimi i ngā rongoā hou e whai hua ake ana.
Me pēhea te whakatau i te taumata o tēnei mate pukupuku?
Ina whakatauhia e ngā tākuta te taumata o te mate pukupuku, ka arotahi rātou ki ngā āhuatanga matua e toru:
1. Te rahi me te tipu o te puku: E hia te rahi o te puku? E hia te hohonu o tōna horapa ki roto i ngā kiko e karapoti ana?
2. Te wāhi i puta ai te pukupuku: Kei te wāhi i tīmata ai te mate pukupuku?
3. Te horapa: Kua horapa te mate pukupuku ki tua atu i tōna tīmatanga, ki ngā kōpū lymph tata, ki ētahi atu okana tawhiti rānei o te tinana?
Ka kōrero tātou mō ngā whakamātautau e whakamahia ana hei kite i ēnei mea ā muri ake nei. Nā, me titiro tātou ki ngā huarahi matua e whakarōpūtia ai ēnei take.
Ngā wāhanga matepukupuku i roto i ngā tau (Ngā Wāhanga 0-IV)
Ko te nuinga o ngā pukupuku totoka ka whakarōpūtia mā te whakamahi i ngā tau mai i te kore ki te whā. Me titiro ngāwari tātou ki ia mea.
| Atamira | Te tikanga noa iho |
|---|---|
| Wāhanga 0 | Ka taea hoki tēnei te kī he āhua 'mua-matepukupuku'. Anei ētahi pūtau rerekē. Engari kāore anō aua pūtau kia horapa ki tua atu i te wāhi i tīmata ai. He rite ki tētahi kākano kāore anō kia pihi ake, engari ka pihi ake pea. Ki te kitea i tēnei wā , he maha ngā wā ka taea te whakaora katoa. |
| Wāhanga I (Wāhanga 1) | Kua horapa te mate pukupuku, engari he iti noa te puku. Ā, kei te wāhi i tīmata ai, kua horapa noa iho. Kāore i horapa ki ngā kōpū waikura tata, ki ētahi atu wāhanga rānei o te tinana. |
| Wāhanga II (Wāhanga 2) | He nui ake te pukupuku i tō mua.. Tērā pea kua horapa ngā kutu tata ki tētahi, ki ētahi rānei, kua ngaro atu rānei. Engari kāore anō kia horapa ki ngā wāhanga tawhiti o te tinana. |
| Wāhanga III (Wāhanga 3) | Kua nui haere te pukupuku, ā, kua uru ki ngā kiko e karapoti ana. Tērā pea kua horapa atu ki ētahi pūngāwerewere tata . Engari kāore anō kia horapa atu ki ngā whekau tawhiti (pērā i te ate, i ngā pukahukahu rānei). |
| Wāhanga IV (Wāhanga 4) | Koinei te wāhanga tino kino . Kua horapa te mate pukupuku (metastasized) ki ētahi atu wāhanga o te tinana i tawhiti atu i te wāhi i tīmata ai. Hei tauira, ka horapa te mate pukupuku o te ū ki te ate, ki ngā pukahukahu, ki te roro rānei. Ka kiia hoki tēnei he mate pukupuku metastatic . |
He aha te tikanga o ēnei reta A, B, me C?
I ētahi wā ka rongo pea koe i tō tākuta e kī ana "Wāhanga IIA (2A)" "Wāhanga IIIB (3B) rānei." Koinei te wāhi e tāpirihia ai he reta ki te tau hei whakarato i ētahi atu taipitopito mō te wāhanga o te mate pukupuku.
I raro i te tau kotahi, ko te reta A e tohu ana i tētahi whakaekenga whānui ake, iti ake te kaha. I te neke whakamua o ngā reta (B, C), ka piki ake te kaha me te tere.
Hei tauira:
- He kino ake te Wāhanga IIB i te Wāhanga IIA.
- Engari he kino ake te Wāhanga IIIA i te Wāhanga IIB (nā te mea ko te tau III).
He aha te pūnaha TNM?
Ko tētahi atu tikanga pūtaiao tēnei e whakamahia whānuitia ana puta noa i te ao hei whakarōpū i ngā mate pukupuku. E ine ana i ngā mea matua e toru i kōrerohia e tātou i mua ake nei.
| Reta | Ingoa katoa | He aha te inenga o tēnei? |
|---|---|---|
| T | Pukupuku | Te rahi o te pukupuku matepukupuku taketakeĀ, ka ine i te tawhiti kua horapa ki roto i ngā kiko e karapoti ana (hei tauira, T1, T2, T3, T4 - ka nui ake te tau, ka hohonu ake/ka nui ake te pukupuku). |
| N | Pūnga | Ka inehia mēnā kua horapa te mate pukupuku ki ngā kōpū lymph tata, ā, mēnā koinā, ki te whānuitanga (hei tauira, N0 - kāore i horapa, N1, N2 - whānuitanga horapa). |
| M | Metastasis (horapa tawhiti) | Ka inehia mēnā kua horapa te mate pukupuku ki ngā whekau tawhiti o te tinana (hei tauira, M0 - kāore he horapa tawhiti, M1 - horapa tawhiti). |
Mā tō tākuta e tāpiri ngā uara T, N, me M hei whakatau i tō taumata whānui (hei tauira, Te Wāhanga IIB). Heoi, ko te pūnaha TNM te mea e whakamahia ana mō ngā pukupuku totoka, pērā i te mate pukupuku o te ū, te pūkahukahu, me te koroni. Ka whakamahia ētahi atu pūnaha whakarōpūtanga mō ngā mate pukupuku toto, pērā i te leukemia.
He aha ngā whakamātautau e mahia ana hei whakatau i te mōrearea o te mate pukupuku?
He maha ngā whakamātautau ka whakamahia e ngā tākuta hei whakatau i te taumata tuturu o tō matepukupuku. Ko ētahi o ēnei ko:
- Matawai CT (Matawai Tomography Rorohiko): Ka tangohia ngā whakaahua toru-ahu (3D) o roto o te tinana, ā, ka kitea mārama te wāhi kei reira te mate pukupuku, tōna rahi, me te mea kua horapa ki ngā whekau e karapoti ana.
- Matawai PET (Matawai Tomography Tukunga Positron): Ko te nuinga o tēnei mahi he tirotiro i ngā pūtau matepukupuku kua horapa ki ngā wāhanga tawhiti o te tinana. Nā te mea he tino kaha ngā pūtau matepukupuku, ka taea te kite ngāwari i ēnei pūtau i tēnei matawai.
- Endoscopy: He tikanga e whakauruhia ai he ngongo angiangi, ngāwari me te kāmera e piri ana ki roto i te kōhao tinana (hei tauira, te puku, te koroni) hei tirotiro i roto mō te mate pukupuku.
- Biopsy: Koinei te whakamātautau tino nui. Ka tangohia he wāhanga iti rawa o te puku, o te kiko rānei e whakapaetia ana mā te pokanga, ā, ka tirohia i raro i te karuārai. Mā tēnei whakamātautau ka kitea mēnā he mate pukupuku, ā, mēnā he mate pukupuku, he aha te momo mate pukupuku.
- Ngā whakamātautau toto: Ka taea e ētahi momo matepukupuku te whakanui ake i ngā taumata o ngā pūmua motuhake (ngā tohu pukupuku) i roto i te toto. Mā te ine i ēnei ka taea te whakaatu i te rahi o te pukupuku, te mahi rānei o te matepukupuku.
Ka taea te huri i te taumata o taku mate pukupuku i muri mai?
He pātai nui tēnei mā te tini o te tangata. He tokomaha e whakaaro ana ka rerekē te wāhanga i te horapa o te mate pukupuku. Engari ko te pono, kāore e rerekē te tau wāhanga ka hoatu ki a koe ina kitea tuatahitia koe.
Kia mārama tātou mā te whakamahi i tētahi tauira.
Whakaarohia kua kitea tuatahitia te mate pukupuku ū o tētahi i te Wāhanga Tuarua . Kua whiwhi ia i ngā maimoatanga katoa e tika ana. Engari i muri i ētahi tau, kua horapa te mate pukupuku ki tōna ate.
Kātahi ka kore ngā tākuta e kī ko te "matepukupuku Wāhanga Tuawhā".
Ko te ingoa o tēnei ko " Te Wāhanga II o te matepukupuku ū kua horapa ki te ate (metastatic) ." Ka pūrongohia tonutia tō wāhanga tuatahi pērā. Kātahi ka whakaahuahia motuhaketia ngā huringa.
Waihoki, ki te kore e kitea he tohu o te mate pukupuku i muri i te maimoatanga, ka kiia taua āhuatanga ko te Complete Remission , ko te NED rānei (kāore he tohu o te mate) .
Ehara i te mea ngāwari te noho tahi me te mate pukupuku. Tērā pea ka taumaha te whakarongo ki ēnei tau, reta, me ngā kupu. Engari kia mahara, ko ēnei katoa i mahia hei hoatu i te maimoatanga pai rawa atu ki a koe. Kōrerohia marietia ki tō tākuta mō ō pātai, ō wehi rānei. Mā tēnā koe e whai kaha ai ki te haere tonu i tēnei haerenga.
Karere Tangohia ki te Kāinga
- Ko te whakatau i te horapa o te mate pukupuku he mahere e ine ana i te horapa o te mate pukupuku i roto i tō tinana, ā, e āwhina ana hoki i ngā tākuta ki te whakamahere i te maimoatanga.
- Ko te nuinga o tēnei ka whakatauhia e te rahi o te mate pukupuku, tōna wāhi, me te horapa atu rānei ki ētahi atu wāhanga o te tinana.
- Ko ngā wāhanga 0 ki te IV (Wāhanga 0-IV) e tohu ana i te kaha o te mate pukupuku, ko te Wāhanga IV te mea tino kino.
- He tikanga e whakaaetia ana e te ao te pūnaha TNM e ine ana i te rahi o te pukupuku (T), te whai wāhi o ngā kōpū lymph (N), me te horapa tawhiti (M).
- Ahakoa te horapa o te mate pukupuku i muri mai, ahakoa ka taea rānei te rongoā, kāore te tau o te wāhanga tuatahi ka hoatu ki a koe e rerekē.
- Kōrerohia mā te mahorahora ki tō tākuta mō ngā pātai, ngā wehi, ngā ruarua rānei kei a koe mō te mōrearea o tō mate pukupuku, mō te maimoatanga rānei.
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