Ina rongo tātou i te kupu "matepukupuku," ka mataku tātou katoa, tika? He mea noa tēnā. Engari nā te whanaketanga o te pūtaiao hauora, kua tino angitu, kua matatau hoki ngā maimoatanga mō te matepukupuku. I tēnei rā, ka kōrero tātou mō tētahi maimoatanga motuhake e aro nui ana ki ngā pukupuku ate, ā, he iti ake ngā pānga taha i te chemotherapy noa. Ko te TACE te ingoa o tēnei. Me titiro tātou ki ngā taipitopito.
He aha te tikanga o te TACE?
Ko te ingoa katoa o TACE ko Transarterial Chemoembolization . Ahakoa he ahua uaua te ahua o te ingoa, he tino māmā noa iho te mahi i roto i tēnei tikanga. He māmā noa iho, he maimoatanga tēnei e aukati ana i ngā oko toto e tuku ana i te toto ki te pukupuku matepukupuku, ka tapahia ai te rere o te toto.
Whakaarohia he taru kāore e hiahiatia ana i roto i te māra. He aha te mea ka tupu mēnā ka tapahia e tātou te wai e rere ana ki taua tipu? Ki te kore he wai, ka mate te tipu i roto i ētahi rā. Koinei te mea ka tupu me tēnei maimoatanga TACE. He puku kāore e hiahiatia ana, he puku tere te tipu o te pukupuku matepukupuku. Me nui te toto hei tipu. I roto i tēnei maimoatanga, ka kitea e ngā tākuta te uaua toto e tuku toto ana ki te puku tonu, ka werohia he matū motuhake ki roto, ka ārai. I roto i tēnei, e rua ngā mea matua ka honoa hei tuku ki roto i te uaua:
- Ngā rongoā chemotherapy: He rongoā ēnei hei patu i ngā pūtau matepukupuku.
- Ngā kaiāwhina embolic: He rite ēnei ki ngā matūriki kirihou ririki. Ka āwhina i te pupuri i ngā rongoā chemo ki roto i te pukupuku. Mā tēnei ka taea e ngā rongoā te aro tika ki te mate pukupuku, kaua e haere ki ētahi atu wāhanga o te tinana.
He aha te rerekētanga o tēnei i te rongoā matū auau (Te rongoā matū pūnaha)?
Ina rongo koe i te rongoā chemotherapy, tera pea ka rongo koe i te momo maimoatanga e uru ana ki te werohanga rongoā ki roto i te tinana. Ka kiia tēnā e mātou ko te 'Reo Chemotherapy Pūnaha'. He maimoatanga rerekē te TACE, he maimoatanga whai kiko. Kia tirohia tātou he aha ngā rerekētanga matua i waenga i ngā mea e rua.
| Motuhaketanga | Te maimoatanga TACE | Te rongoā mate pukupuku auau |
|---|---|---|
| Me pēhea te hoatu rongoā | Ka tukuna tika te rongoā ki te puku matepukupuku. | Ka haere te rongoā puta noa i te tinana mā roto i te toto. |
| Te horopeta o te rongoā | Ka taea te hoatu he rongoā tino kukū ki te mate pukupuku tonu. | He iti noa te horopeta e whakamahia ana nā te mea ka pā ki te tinana katoa. |
| Ngā pānga taha | Nā te mea kāore te rongoā e haere puta noa i te tinana, he iti ake ngā pānga taha kino pērā i te ngaronga o te makawe me te ruaki nui. | Nā te mea ka pā ki te tinana katoa, he nui te tūponotanga o ngā pānga taha. |
Mā wai te maimoatanga TACE e tika ana?
Ka whakamahia tēnei maimoatanga mō ngā pakeke me ngā tamariki. Ko te nuinga o te wā ka whakamahia mō te mate pukupuku ate ('Hepatocellular carcinoma') . Ina koa, ko te TACE te maimoatanga tuatahi mō ngā tūroro he nui rawa ngā pukupuku kāore e taea te tango mā te pokanga.
Ehara i te mea koinā anake, ka whakamahia hoki tēnei maimoatanga mō ngā mate pukupuku kua horapa (metastasized) ki te ate mai i ētahi atu wāhi. Hei tauira:
- Matepukupuku ū
- Matepukupuku koroni
- 'Ngā pukupuku carcinoid'
- 'Ngā pukupuku neuroendocrine'
- Te mate pukupuku o te kanohi (melanoma kanohi)
- `Sarcoma`
Engari kia maumahara, ko te whakatau whakamutunga mō te pai o tēnei maimoatanga māu ka mahia e te tākuta e tirotiro ana i tō āhua.
Ka pā kino te TACE ki te mahi a te ate?
He raruraru tēnei e pā ana ki te tini tāngata. He mea tika kia whakaarohia mēnā ka kino te ate i te tapahi i te rere o te toto ki te ate. Engari kāore he mea hei manukanuka. Ko te take he rua ngā uaua toto matua e tuku toto ana ki tō tātou ate.
1. Te uaua ate: He iti noa te wāhanga o te toto katoa o te ate e tukuna ana e tēnei uaua. He mea whakamiharo, ko ngā pukupuku matepukupuku i roto i te ate e whiwhi ana i te nuinga o te toto mai i tēnei uaua.
2. Uaua tomokanga: Ko tēnei uaua matua e tuku ana i te nuinga o te toto e hiahiatia ana e te ate.
I roto i te TACE, ka āraia e ngā tākuta taua uaua iti anake, arā, te uaua ate . Ahakoa kua motuhia te rere o te toto ki te mate pukupuku, ka whiwhi tonu ngā pūtau ate hauora i te toto katoa e hiahiatia ana e rātou mai i te uaua matua, arā, te uaua portal . Nō reira, kāore te mahi noa o te ate e tino pāngia.
Te āhua o te maimoatanga
Mā te Kaiwhakaora Irirangi Wawao tēnei maimoatanga e whakahaere. Arā, he tohunga e whakamahi ana i ngā hangarau whakaahua pēnei i ngā hihi-X me te whakamahi i ngā ngongo iti (ngā catheter) hei rongoā i roto i te tinana, me te kore e tapahia nui te tinana.
Anei te tukanga taahiraa-i-te-taahiraa mō te mahi a te maimoatanga:
1. Te Whakarite: Ka hoatu he rongoā whakamoe whānui ki ngā tamariki. Ka hoatu he rongoā whakamoe ki ngā pakeke hei āwhina i a rātou kia moe māmā, kia whakamarie hoki.
2. Te whakauru i te catheter: Ka tapahia e te tākuta he tapahi iti rawa ki te kiri e tata ana ki tō hope, ki tō ringaringa rānei, ka whakauru i tētahi ngongo angiangi (catheter) mā roto ki roto i tētahi uaua toto.
3. Te kimi i te ara: Kātahi, mā te whakamahi i tētahi tikanga hihi-X ora motuhake (fluoroscopy), ka arahina marietia te ngongo ki te uaua e tuku toto ana ki te pukupuku matepukupuku i roto i te ate.
4. Werohanga tae: Hei kite mārama i te puku me ngā uaua e karapoti ana, ka werohia he tae motuhake ('tae rerekē') mā roto i te ngongo.
5. Te tuku i te maimoatanga: Kātahi ka werohia te ranunga o ngā rongoā chemo me te 'embolic agent' i kōrerotia e tātou i mua ake nei mā te ngongo tika ki roto i te uaua e arahi atu ana ki te pukupuku matepukupuku.
6. Te Whakaoti: Kia oti te maimoatanga, ka tangohia e te tākuta te ngongo ka pania he pāreti iti ki runga i te tapahi. Kāore e hiahiatia he tuitui mō tēnei.
He aha ngā mea hei tumanakohia i muri i te maimoatanga?
I muri i te maimoatanga TACE, he maha ngā tāngata ka pāngia e te mamae, te whakapairuaki, te ruaki, me te kirika pakupaku . Ka kiia tēnei āhuatanga ko te 'postembolization syndrome'. He mea noa tēnei, kāore he mea hei manukanuka. Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei kia memeha rā anō ēnei tohu.
He mea nui kia okioki mō ētahi wiki i muri i tō hokinga ki te kāinga.
- Whakamahia te rongoā mō te mamae me te whakapairuaki kia rite ki te whakahau a tō tākuta.
- 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.
Ngā āhuatanga me whakamōhio tonu atu koe ki tō tākuta
Ki te pāngia koe e ngā tohu e whai ake nei, me whakamōhio wawe atu ki te tākuta, ki te hōhipera rānei nāna koe i rongoā.
- Ki te kore e taea e koe te whakahaere i te ruaki me te whakapairuaki ahakoa te tango rongoā.
- Ki te mea ka pōhēhē koe, ka ngaro rānei tō mana whakahaere .
- Mena kei a koe ngā tohu pēnei i te kirika pumau, te makariri, me te werawera .
- Mena he kōwhai te kiri, te kanohi rānei (te jaundice), he tohu tēnei nō te ngoikore o te ate.
Karere Tangohia ki te Kāinga
- He maimoatanga arotahi, kore-pokanga, iti noa te whakaekenga a te TACE mō te mate pukupuku ate.
- Ka aukati tēnei i te rere o te toto ki te mate pukupuku, ā, ka whakangaro i ngā pūtau mate pukupuku.
- He iti ake ngā pānga kino ki te tinana katoa ki te whakaritea ki te chemotherapy noa.
- He tere te ora i muri i te maimoatanga, ā, he tokomaha ka taea te hoki wawe ki te oranga noa.
- Kōrero ki tō tākuta matepukupuku mō te tika o tēnei maimoatanga māu, ā, me whakatau tika koe.
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