Kua horapa te mate pukupuku, ā, kua puta ngā pukupuku ki ētahi atu wāhanga o te tinana? Me kōrero tātou mō tēnei mate, arā, te Carcinomatosis.

Tērā pea kei te whakaaro koe, "Āe, he mate pukupuku tōku, ā, kua horapa ki ētahi atu wāhanga o tōku tinana." Tērā pea kua kōrerotia tēnei āhuatanga e tō tākuta ki a koe. He kōrero tino nui tēnei, engari kia mārama tātou. Nā te mea, he mana te mātauranga.

He aha te carcinomatosis?

Whakaarohia kei te pāngia koe e te mate pukupuku i tētahi wāhanga o tō tinana. I ētahi wā, ka pakaru mai ēnei pūtau mate pukupuku i reira, ka haere ki tētahi atu wāhanga o tō tinana, ka tīmata he pukupuku hou i reira, pērā i te puranga tipu iti e horapa ana i te wā kotahi. Koinei te mea e kiia nei e tātou ko te carcinomatosis , i ētahi wā ko te carcinosis .

Koinei pea te tohu tuatahi o te mate pukupuku i ētahi wā. Arā, ka kitea tuatahitia hei mate pukupuku kua horapa pēnei. Engari, i te nuinga o te wā, ka puta tēnei āhuatanga i muri i tō noho tahi me te mate pukupuku mō tētahi wā.

He momo mate pukupuku horapa tēnei. Ki te whakarāpopototanga, ko te tikanga kua horapa te mate pukupuku. Ko te carcinomatosis he tohu kua horapa te mate pukupuku ki te wāhanga tino matatau . He uaua ki te whakaora katoa. Engari, kaua e wehi. Ka tūtohu ō tākuta i ngā maimoatanga whakaora tohu hei whakahaere i ō tohu, hei āwhina hoki i a koe kia noho harikoa me ō whanaunga mō te roa rawa atu.

He aha ngā momo matua o te carcinomatosis?

E toru ngā momo matua o tēnei mate carcinomatosis e kitea ana e tātou. He rerekē anō hoki ngā momo mate pukupuku e puta ai ia momo.

1. Te mate pukupuku Leptomeningeal: Koinei te wā e horapa ai te mate pukupuku ki ngā kiriuhi e karapoti ana i tō roro me tō taurakira . He mea hono noa ki te mate pukupuku o te ū, te mate pukupuku o te pūkahukahu, me te melanoma, he momo mate pukupuku kiri.

2. Te mate pukupuku lymphangitic pūkahukahu: Koinei te wā ka horapa te mate pukupuku i tīmata i roto i tō ū, tō pukahukahu, tō puku, tō whatukuhu, tō ate, tō koroni rānei ki te pūnaha lymphatic i roto i ō pukahukahu .

3. Te mate pukupuku peritoneal: Koinei te wā e horapa ai te mate pukupuku ki te arai o tō puku, e kiia nei ko te peritoneum . He maha ngā wā ka puta mai tēnei mate i te mate pukupuku ovarian, te mate pukupuku puku, te mate pukupuku koroni, te mate pukupuku rectum rānei.

He aha ngā tohu? He rite tonu mō te katoa?

Kāo, kāore ngā tohu o te carcinomatosis e ōrite mō te katoa. Ka rerekē i runga i te wāhi i horapa ai te mate pukupuku . Whakaarohia, kāore ngā tohu e puta mai ina horapa ki te roro, engari ina horapa ki ngā pukahukahu.

Anei ētahi tohu pea e pā ana ki te wāhi kei reira te pukupuku matepukupuku:

• Roro:
• Ānini
• Ngā raruraru me te mahara
• Ngā ingoa o ngā pūkahukahu (Lungs):
• He uaua ki te manawa
• Mamae o te uma
• Maremare
• Te maremare toto
• Ngā ingoa o te puku (Puku):
• Korere
• Whakapairuaki me te ruaki
• Mamae puku
• Te whakahekenga taumaha kāore i te whakaarohia

Kaua e whakaaro kei a koe tēnei mate nā te mea kotahi, e rua rānei ō tohumate. Heoi, ki te mea he mate pukupuku tōu, he mea nui kia kōrero tonu atu koe ki te tākuta mēnā ka puta mai ētahi tohumate hou pēnei i a koe.

He aha tēnei ka puta ai? He aha ngā pūtake o te carcinomatosis?

Ki te kī ngāwari, ka puta te carcinomatosis ina horapa te pukupuku kino i tīmata i tētahi wāhanga o tō tinana ki tētahi atu wāhanga o tō tinana. He maha ngā wā, ka puta mai he pukupuku hou i ngā wāhi maha. Inaa, kāore e taea e ngā tohunga hauora te kī tika he aha te horapa o te mate pukupuku pēnei . Engari ina horapa pēnei, ka puta he wero hou ki te noho me te mate pukupuku.

Me pēhea te tautuhi tika i tēnei? He aha ngā momo whakamātautau e mahia ana?

Mena he carcinomatosis tōu, tera pea kei te whawhai kē koe ki te mate pukupuku. Nō reira, ka pātai ngā tākuta i ētahi wā, "He pai te hua o te whakamātautau hei whakaū i tēnei mate, ahakoa te mamae ka pā ki a koe i a koe e mahi ana?"

Heoi, he maha ngā whakamātautau hei āwhina i te tautuhi i tēnei mate:

• Pūkahukahu: I roto i tēnei tikanga, ka whakamahia e te tākuta he ngongo me te kāmera iti hei tirotiro i roto i ō pukahukahu. Tērā pea ka tangohia e rātou he tauira kiko (biopsy) hei tirotiro mō ngā pūtau matepukupuku.
• X-ray o te uma: Ka taea e tēnei te whakaatu i ngā tohu o te pupuhi o ngā pukahukahu.
• Ko te matawai rorohiko (CT) o tō uma: He maha ngā wā ka whakamahia tēnei hei whakaatu i ngā pukupuku i roto i te puku. Ka taea hoki te whakaatu i ngā tohu o ngā pukupuku i roto i ngā pukahukahu.
• Te irahiko me te irahiko o te ngākau: Ka tirohia e ēnei whakamātautau te mahi a tō ngākau. Ka taea hoki e rātou te tirotiro mēnā kua pakaru tō ngākau i ngā raruraru o te pūkahukahu.
• Matawai V/Q o ngā pukahukahu: Ka tirohia tēnei mō ngā toto totoka i roto i ngā pukahukahu.
• Matawai MRI (Whakaahua aukume (MRI): Ka taea e tēnei te tango pikitia tino mārama o ngā pukupuku i roto i tō roro, i tō puku rānei.
• Matawai i te tomografi tukunga Positron (PET):I tēnei mahi, ka werohia e ngā tākuta tētahi matū irahiko ki roto i tō tinana, ka rapu i ngā tohu kua horapa te mate pukupuku ki ngā pukahukahu, ki te puku rānei.
• Tātaritanga tuaiwi: Ka tangohia pea e tō tākuta he tauira o tō wai cerebrospinal – te wai e karapoti ana i tō roro me tō taurakira – hei tirotiro mō ngā pūtau matepukupuku.
• Te tirotiro i tō puku, i tō hope rānei: Ka taea e tēnei te tirotiro mēnā he wai e pupū ake ana i roto i tō puku (he āhuatanga e kiia nei ko te ascites ). He maha ngā tāngata e pāngia ana e te peritoneal carcinomatosis e tēnei āhuatanga.

Nā, he aha ngā maimoatanga mō tēnei?

He maha ngā wā, ko te carcinomatosis he tohu kua horapa te mate pukupuku ki tua atu i te wāhi kāore e taea te whakaora. Ka whakaarohia tēnei e tō tākuta ina tohua he maimoatanga. I ētahi wā, ka tūtohu pea tō tākuta i te tiaki mamae, e whakaora ana i ngā tohu . Mēnā rānei, ka kōrero pea rātou ki a koe mō te tiaki hōhipera, e whakarato ana i te whakamarie i te mutunga o tō oranga.

Anei ētahi maimoatanga hei āwhina i te whakamamae i ngā tohu o te carcinomatosis me te āwhina i a koe kia roa ake te ora:

• Pokanga: Tērā pea ka tangohia e tō taote pokanga ngā pukupuku i roto i te arai o tō puku (peritoneum) (pokanga cytoreductive) ngā pukupuku rānei i roto i ō pukahukahu. Mena he wai kei roto i tō roro, tērā pea ka whakauruhia he mea pēnei i te shunt hei tango i te wai me te whakaiti i te pēhanga.
• Whakaora irahiko: Ka whakamahia e tēnei maimoatanga ngā hihi kaha-nui hei patu i ngā pūtau matepukupuku. Tērā pea ka hoatu e tō tākuta he rongoā irahiko ki ngā pukupuku e puta ai ngā tohu i roto i ngā pukahukahu, i te roro rānei.
• Te rongoā matū: Ka patua e te rongoā matū ngā pūtau matepukupuku puta noa i te tinana. Ka whakamahia e ngā tākuta ētahi momo rongoā matū motuhake mō te matepukupuku puku (he tikanga motuhake e kiia nei ko te "HIPEC") me te matepukupuku roro (he tikanga motuhake e kiia nei ko te "intrathecal chemo").
• Te rongoā arotahi me te rongoā ārai mate: Mena ka pai te urupare a te mate pukupuku tuatahi ki ēnei maimoatanga, ā, kua horapa ki te roro, ki te taurakira rānei, ka tūtohu pea tō tākuta i ēnei maimoatanga.

He ara hei ārai i tēnei?

Kāore rawa he huarahi hei ārai i te mate pukupuku. Engari ka taea e koe te mahi i ngā mahi hei āwhina i te tautuhi wawe kia taea ai e tō tākuta te rongoā. Mena kua pāngia koe e te mate pukupuku kua horapa, kōrero ki tō tākuta mō ngā tohu o te mate pukupuku kia mōhio ai koe ki ngā mea hei tirotiro māu.

Nā, he aha te mahi e whai ake nei? Tērā pea ka taea te tumanako?

Engari, kāore anō kia kitea he rongoā mō te carcinomatosis. Heoi, he maha ngā āhuatanga e whakawhirinaki ana ki tō matapae.Hei tauira, ko ngā āhuatanga pēnei i te wāhi i tīmata tuatahi ai te mate pukupuku (te momo pukupuku tuatahi) me tō tau ka pā ki tō āhua o te mate. Tērā pea he maimoatanga hei āwhina i a koe kia roa ake te ora me te kounga pai ake o te oranga .

He mea tino nui: He mea pai kia kōrero noa koe ki tō tākuta mō tō āhua ā muri ake nei kia mōhio ai koe ki ō whiringa pai rawa atu.

Kei te pēhea koe e tiaki ana i a koe anō? He aha ngā mea ka taea e koe te mahi i tēnei wā?

I a koe e noho tahi ana me te carcinomatosis, tera ētahi mea ka taea e koe te mahi hei pupuri i te kounga o tō oranga:

• Pātai atu mō ngā kōwhiringa maimoatanga: Ahakoa ka whakatau kōrua ko tō tākuta kia kaua e whai i te maimoatanga kaha, tera pea he maimoatanga hei āwhina i te whakamamae i ō tohu me te whakahaere i te mate pukupuku.
• Kōrerotia ki tō tākuta ngā huringa o ō tohumate: Ki te rerekē, ki te kino haere rānei ō tohumate, ka kōrerotia e tō tākuta ngā huarahi hei āwhina i a koe ki te whakahaere i aua tohumate.
• Kōrero atu ki ō whanaunga i ngā mea e hiahiatia ana e koe: He maha ngā wā, e hiahia ana te whānau me ngā hoa ki te āwhina, engari kāore rātou e mōhio ki ngā mea e hiahiatia ana e koe. Tērā pea kei te hiahia koe kia mahia e tetahi ō mahi kāinga, kia taka kai māu, kia noho tahi rānei me koe.
• Tonoa he āwhina mō te whakamahere mō te heke mai: Pātai atu ki tō tākuta mō ngā kaupapa hei āwhina i a koe i ngā taahiraa whakamutunga o tō haerenga ki te mate pukupuku.

Ngā mea hei maumahara mā tātou i ēnei mea katoa

Mō te tini o te tangata, ko te carcinomatosis pea te wāhanga whakamutunga o tā rātou haerenga me te mate pukupuku. Engari kei te mau tonu te tumanako kia ora pai me te mate pukupuku mō te roa e taea ana e koe. He maimoatanga hei āwhina i te whakamamae i ō tohu, ā, i ētahi wā, ka hoatu he wā roa ake ki a koe. Mena he carcinomatosis tōu, ka taea e tō tākuta te kōrero ki a koe mō ngā kōwhiringa hei āwhina i a koe ki te whakamahi pai i tō hauora me tō wā. Kaua rawa e mamae ko koe anake, me tono āwhina tonu . Kei a koe tō tīma hauora me ō whanaunga.

` carcinomatosis, matepukupuku, horapa o te matepukupuku, matepukupuku kua horapa, ngā tohu, maimoatanga, tiaki mamae, tiaki mamae