He uaua ki te whakapuaki i te wehi me te ohorere e pā ana ki a koe ina kitea he mate pukupuku koe, he mate rānei tō hoa aroha. Engari nā ngā whanaketanga o te rongoā i ēnei rā, he maha ngā maimoatanga whai hua e aro ana ki ngā pūtau mate pukupuku anake, ā, e whakaiti ana i te kino ki te tinana. Ko tētahi o aua maimoatanga, inā koa mō te mate pukupuku ate, ko te TACE. Me kōrero tātou mō tēnei i tēnei rā.
He aha te maimoatanga TACE?
Ko te ingoa katoa o TACE ko Transarterial Chemoembolization . Ahakoa he ahua uaua te ingoa, he tino māmā noa iho te mea ka tupu i roto i tēnei. Whakaarohia he mate pukupuku hei wāhi e huna ai ngā tāngata kino. Me kai me te wai (arā, te toto) hei oranga mō rātou. I roto i tēnei maimoatanga, ka kitea e koe te uaua toto matua e tuku toto ana ki te mate pukupuku, ā, ka werohia ētahi rongoā ārai mate pukupuku ( chemo ) tika ki roto i te mate pukupuku mā roto i taua uaua. Kātahi ka āraia te uaua toto ki tētahi matūriki iti.
Ki te kī ngāwari, e rua ngā mahi ka mahia i te wā kotahi:
1. Ka tukuna tika atu te rongoā e patu ana i ngā pūtau matepukupuku ki te puku .
2. Ina mutu te toto i te puku, ka ngaro te hāora me ngā matūkai e hiahiatia ana, ā, ka ngoikore te puku, ka tīmata te mate, me te mea "kua mau i roto i te koma".
He rerekē tēnei i te rongoā chemotherapy noa?
Āe, he tino rerekē tēnei i te rongoā mate pukupuku e mōhiotia whānuitia ana e tātou. Kia tirohia tātou he aha ngā rerekētanga matua.
| Āhuatanga | Te maimoatanga TACE | Te rongoā matū pūnaha |
|---|---|---|
| Tikanga whakahaere | Ka tukuna tika te rongoā ki te puku matepukupuku. | Ka haere te rongoā i roto i te toto puta noa i te tinana. |
| Te horopeta o te rongoā | Ka tukuna he rongoā tino kukū nui ki te pukupuku anake. | Ka hoatu he horopeta e rite ana ki te horopeta e taea ana e te tinana te manawanui. |
| Ngā pānga taha | Nā te mea kāore te rongoā e haere puta noa i te tinana, he iti ake te kitea o ngā pānga taha kino pēnei i te ngaro o te makawe me te ruaki nui. | Nā te mea ka pā ki te tinana katoa, he mea noa ngā pānga taha pēnei i te ngaro o te makawe, te ruaki, me te ngaronga o te māramatanga. |
Mā wai tēnei maimoatanga TACE e tika?
Ko te nuinga o tēnei maimoatanga e whakamahia ana mō te hunga e pāngia ana e te mate pukupuku ate (hepatocellular carcinoma) , inā koa ko te hunga he nui rawa ngā pukupuku kāore e taea te tango mā te pokanga.
Waihoki, ka whakamahia tēnei maimoatanga mō ētahi momo matepukupuku kua horapa ki te ate (kua horapa ki roto i te ate) mai i ētahi atu wāhi.
- Matepukupuku ū
- Matepukupuku koroni
- Ngā pukupuku neuroendocrine (ngā mate pukupuku e pā ana ki te pūnaha io)
- Sarcoma (` Sarcoma` )
- Melanoma kanohi
Ka kino tēnei ki te ate?
He wehi whaitake tēnei mō te tini o te tangata. Engari he mea miharo, e rua ngā huarahi matua e rere ai te toto ki tō tātou ate.
1. Te uaua ate: He iti noa te toto e tukuna ana e tēnei uaua ki te ate. Heoi, ko ngā pukupuku matepukupuku i roto i te ate ka whiwhi i te nuinga o te toto mai i tēnei uaua.
2. Uaua tomokanga: Koinei te wāhi e whiwhi ai te ate i te nuinga o te toto.
I roto i te maimoatanga TACE, ko te uaua ate anake e tuku toto ana ki te mate pukupuku ka aukatia. Nā te mea kei te whiwhi tonu ngā wāhanga hauora o te ate i te toto mai i te uaua portal, kāore he kino nui ki te mahi a te ate.
Ki te kī māmā noa, ko te "paipa kai" a te mate pukupuku anake ka āraia. Ka whiwhi tonu ngā wāhanga pai o te ate i ngā matūkai e hiahiatia ana e rātou.
He tāngata kei reira kāore e tika kia whiwhi maimoatanga TACE?
Āe, kāore tēnei maimoatanga e pai mō te katoa. Ka tirohia koe e tō tākuta, ā, ka whakatau mēnā he pai tēnei mōu. Kāore i te pai mō te hunga whai mate e whai ake nei:
- Mena kua āraia ngā awaawa o te ate
- Mena he mate toto toto tōu
- Mena he mate tākihi tōu
- Mena kua horapa te mate pukupuku ki ngā whekau maha o te tinana
- Mena kei a koe ētahi atu mate ate kino (hepatic encephalopathy, portal vein thrombosis)
- Mena he mate pāwera nui tōu ki ngā tae motuhake i whakamahia mō te maimoatanga
Āe, kia titiro tātou me pēhea te mahi a tēnei maimoatanga TACE.
Mā te Kaiwhakaora Irirangi Wawao tēnei maimoatanga e whakahaere. Arā, he tākuta e whakamahi ana i ngā mīhini motuhake rite ki te hihi-X hei tirotiro i te tinana, hei whakauru i ngā ngongo iti (ngā catheter) ki roto.
He aha tāu e mahi ai i mua i te maimoatanga?
Ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakamahere i tō maimoatanga.
- He matawai CT, he matawai MRI rānei
- Ngā whakamātautau toto hei tirotiro i te mahi a te whatukuhu me te toto totoka
I mua i te maimoatanga, ka hoatu pea ki a koe ngā paturopi hei ārai i te mate, ngā rongoā hei whakaiti i te whakapairuaki, me ngā rongoā hei tiaki i ō whatukuhu mai i ngā matū e tukuna ana ina mate ngā pūtau matepukupuku.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ehara tēnei i te mahi nui. Anei ngā mea ka tupu:
1. Ka hoatu he rongoā whakamoe whānui ki ngā tamariki nohinohi . Ko te tikanga tēnei kua moe katoa rātou. Ka hoatu noa he rongoā whakamoe ki ngā pakeke, ā, ka paku hiamoe rātou .
2. Ka tapahia e te tākuta tētahi uaua toto e tata ana ki tō hope, ki tō ringaringa rānei.
3. Ka whakaurua he ngongo angiangi e kiia nei ko te catheter mā roto i taua tapahi.
4. Kātahi, i a koe e tirotiro ana i tētahi mīhini motuhake rite ki te hihi-X ('fluoroscopy'), ka āta nekehia te ngongo ki te uaua e tuku toto ana ki te pukupuku ate.
5. Muri iho, ka tukuna he tae motuhake mā roto i te ngongo. Kātahi ka kitea mārama te mate pukupuku me ngā oko toto e karapoti ana.
6. Kia kitea te wāhi tika, ka werohia e te tākuta he ranunga o ngā rongoā chemotherapy me ngā matūriki iti (ngā embolic agents) e aukati ana i te oko toto ki roto i te uaua.
7. Kia oti te mahi, ka tangohia te catheter, ā, ka tāpirihia he takai ki te motu iti. Nā te mea kāore he motu nui, kāore he take mō ngā tuitui.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō te TACE.
| Ngā Painga | Ngā Tūponotanga me ngā Pānga Taha |
|---|---|
| Te auau angitu teitei: Ka taea te aukati, te whakahaere rānei i te tipu o te mate pukupuku i roto i te 70% o ngā tūroro. | Mate urutā: Pērā i ngā maimoatanga katoa, he iti noa te mōrearea o te mate urutā. |
| Ka tiaki i te mahi a te ate: Kāore i te tino pakaru ngā wāhanga hauora o te ate. | Te kino o te whatukuhu: He paku teitei ake te mōrearea, inā koa mō te hunga mate huka. |
| Te whakaoranga tere: Ka taea e koe te ora me te hoki ki te oranga noa i te wā tere atu i te maimoatanga matepukupuku noa. | Te kino o te ate: He tino onge te pakaru o te ate mēnā ka tukuna te rongoā ki te wāhi hē. |
| He iti ake ngā pānga taha: He iti ake ngā pānga taha nā te mea he iti ake te pānga ki te tinana katoa. | Te Mate i Muri i te Whakatōtō: Te kirika, te whakapairuaki, me te mamae i muri i te maimoatanga. (He mea noa tēnei). |
He aha ngā mea ka tupu i muri i te maimoatanga? Kia pēhea te roa o te wā e ora ai?
I muri i te maimoatanga, he tokomaha te hunga e pāngia ana e te kirika, te whakapairuaki, te ruaki, me te mamae. Ka kiia tēnei ko te postembolization syndrome . He mea noa tēnei. Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei kia memeha rā anō ēnei tohu.
Me okioki koe mō tētahi wā poto i muri i tō hokinga ki te kāinga.
- Tangohia te rongoā a tō tākuta mō te mamae me te whakapairuaki.
- Tērā pea ka pāngia koe e te kirika iti mō te wiki pea.
- Tērā pea ka ngenge koe, ka ngaro hoki tō hiahia kai mō ētahi wiki.
Ka memeha haere ēnei āhuatanga katoa. Ka ora katoa te nuinga o te tangata i roto i ētahi wiki, ā, ka ora pai hoki. Heoi anō, me haere tonu te whakamātautau kia kitea ai mēnā ka puta he pukupuku hou.
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga i muri i te maimoatanga, waea atu ki tō tākuta tonu atu , haere rānei ki te hōhipera i whiwhi ai koe i te maimoatanga.
- Ki te kore e taea e koe te whakahaere i te ruaki me te whakapairuaki ahakoa te tango rongoā.
- Mena he uaua ki a koe te arotahi, te pōhēhē rānei, te uaua rānei ki te hikoi.
- Ki te mea he kirika tōu, kāore e memeha, ā, he makariri, he werawera hoki tō tinana.
- Ki te kōwhai ngā kanohi, te kiri rānei (jaundice) - he tohu pea tēnei kua pakaru te ate.
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga tino whai hua te TACE e aro tika ana ki te mate pukupuku ate, e tuku rongoā ana ki reira, ka tapahia te rere o te toto.
- He iti ake te kino o tēnei ki te tinana, ā, he iti ake hoki ngā pānga taha i tērā i te chemotherapy noa.
- Kāore he tapahi nui e mahia ana mō te maimoatanga, mā te whakamahi i tētahi ngongo iti e whakaurua ana ki roto i te tinana. Nō reira, he poto te wā whakaora.
- He mea noa te pāngia e ngā tohu pēnei i te kirika me te whakapairuaki i muri i te maimoatanga, engari he mea tino nui kia tūpato ki ngā tohu kino.
- Ko tō tākuta te tangata pai rawa atu hei whakatau mēnā he tika tēnei maimoatanga māu, nō reira me kōrero noa ki a ia mō tēnei mea.
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