Ina kī mai te tākuta he mate pukupuku koroni tōu, tō tētahi rānei e mōhio ana koe, ko te kupu e whai ake nei ka rongo koe ko '
chemotherapy '. He tokomaha te hunga e mataku ana, e taumaha ana hoki ina rongo i tēnei ingoa. Engari he aha te mea tūturu? He aha te mea ka pā ki tēnei ingoa? He mea pono rānei hei wehi? Me waiho ngā pātai katoa mō tēnei mea ki te taha, ka kōrerohia mā te ngāwari me te pono.
He aha rawa te rongoā mate pukupuku?
He kupu ngāwari,
he rongoā kaha te chemotherapy e hoatu ana hei patu i ngā pūtau matepukupuku . He rite ki te whakapuaki pakanga ki tētahi hoariri i roto i tō tātou tinana. He rerekē ngā huarahi hei hoatu i tēnei rongoā ki te tinana. I ētahi wā ka hoatu mā roto i te uaua hei wai tote, ā, i ētahi wā ka hoatu hei pire. Mā tō tākuta e whakatau ko tēhea rongoā te mea tika māu, te horopeta, me te wātaka. Ka whakamahia e ngā tākuta tēnei maimoatanga chemotherapy mō ngā kaupapa rerekē. Me titiro tātou ki ēnei.
Te rongoā matū Neoadjuvant (te rongoā matū e hoatu ana i mua i te pokanga)
Whakaarohia he pukupuku matepukupuku tōu, ā, he paku nui. Kātahi ka uaua pea te tango katoa mā te pokanga. I ēnei wā, i mua i te pokanga, ka hoatu tēnei rongoā
chemotherapy hei whakaiti i te pukupuku, arā, hei whakaiti i tōna rahi . Ina iti te pukupuku, ka taea e te taote pokanga te tango katoa me te ngāwari, me te iti ake o ngā raruraru. I ētahi wā ka hoatuhia tēnei chemotherapy me te rongoā
irahiko , nā te mea ka angitu ake te rongoā irahiko.
Te rongoā chemotherapy tāpiri (te rongoā chemotherapy e hoatu ana i muri i te pokanga)
I muri i te pokanga hei tango i te pukupuku matepukupuku, i ētahi wā ka toe pea tētahi, e rua rānei ngā pūtau matepukupuku iti rawa i roto i te tinana kāore e kitea e ō tātou kanohi. Ka tukuna te chemotherapy i muri i te pokanga
hei whakangaro katoa i aua pūtau e toe ana . He rite tēnei ki te horoi pai i te whare, kātahi ka murua kia tangohia te puehu whakamutunga. He tino āwhina tēnei ki te ārai i te hokinga mai
o te matepukupuku .
Te rongoā rongoā mamae (te rongoā rongoā hei whakahaere i ngā tohumate)
I ētahi wā kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana (hei tauira, te ate). I ēnei wā, kāore pea e taea e te pokanga anake te whakaora katoa i te mate pukupuku. I taua wā, ka hoatu te chemotherapy
hei whakaiti i te mate pukupuku, hei whakaiti i ngā tohu (pēnei i te mamae), hei whakaroa i te oranga o te tūroro, hei whakangawari ake hoki i te oranga o ia rā .
Kia mōhio ai koe ko tēhea te tikanga maimoatanga e tika ana māu, he mea pai kia kōrero noa koe ki tō tākuta.
Ngā rongoā matua e whakamahia ana mō te mate pukupuku koroni
He maha ngā momo rongoā e whakamahia ana hei rongoā i te mate pukupuku koroni. Me titiro tātou ki ētahi o aua momo rongoā me te āhua o te hoatutanga.
| Ingoa Rongoā | Me pēhea te tuku me ngā mōhiohio whānui |
|---|
| 5-fluorouracil (5-FU) | He rongoā matua kua whakamahia mō ngā tau maha. Ka hoatu mā roto i te uaua, ā, ka tino whai hua ina hoatu tahitia me te huaora e kiia nei ko te leucovorin . |
| Capecitabine (Xeloda) | Ka tangohia hei pire. Ka hurihia tēnei rongoā hei 5-FU i roto i te tinana. Ka hoatu i mua, i muri rānei i te pokanga mō te mate pukupuku o te rectum. |
| Irinotecan (Camptosar) me te Oxaliplatin (Eloxatin) | I te nuinga o te wā ka hoatu ngātahitia ēnei me te 5-FU, te Xeloda rānei i muri i te pokanga, i ngā wā rānei kua horapa te mate pukupuku. |
| Trifluridine me te tipiracil (Lonsurf) | He huinga o ngā rongoā e rua e wātea ana i te āhua pire. |
Ko te tikanga ka tukuna tēnei maimoatanga
i roto i ngā huringa . Arā, ka hoatu te rongoā mō ētahi rā, mō te wiki kotahi, mō ngā wiki e rua rānei, ā, whai muri iho ka tukuna he okiokinga mō te wiki kotahi, mō ngā wiki e rua rānei. Ka haere tonu te maimoatanga pēnei mō te ono marama pea.
Ngā maimoatanga e pā ana ki te tinana, ā, ka hoatu noa ki tētahi wāhi motuhake.
Ina tangohia ngā rongoā chemo hei pire, ina hoatu rānei ki roto i te uaua, ka uru ki roto i te toto ka haere puta noa i te tinana ki te patu i ngā pūtau matepukupuku. Ka kiia tēnei ko
te chemotherapy pūnaha . Engari i ētahi wā, ka taea te arotahi ki tētahi okana motuhake kua horapa te matepukupuku. Hei tauira, mēnā kua horapa te matepukupuku ki te ate,
ka puta te chemoembolization o te uaua ate.Ko tēnei ko te aukati wā poto, wā roa rānei i te uaua matua e tuku toto ana ki te ate (uaua ate), me te werohanga i te rongoā chemotherapy i waenganui i te mea kua aukatia me te ate. Mā tēnei ka taea e te rongoā te haere tika ki te ate, ka whakaiti i te mōrearea o te haere ki ētahi atu wāhanga o te tinana.
Ngā maimoatanga motuhake e kiia nei ko te Whakaora Whaiaro
He rongoā hou ake ēnei, he rerekē ake i te rongoā chemo noa.
Ka aro atu ēnei rongoā ki ngā ira motuhake, ki ngā pūmua rānei i roto i ngā pūtau matepukupuku, ā, ka whakaekea . Arā, he rite ki te kimi i te wāhi ngoikore o te hoariri, ka whakaekea. Ko te tikanga o tēnei, he iti ake te pakaru o ngā pūtau hauora. I ētahi wā ka hoatu tahitia me te chemotherapy. I ētahi wā anō, ka whakamahia ina kore e whai hua te chemotherapy noa. Hei tauira, ko Bevacizumab (Avastin), Cetuximab (Erbitux), me Panitumumab (Vectibix).
He aha ngā pānga taha o te chemo?
Ka patua e te chemotherapy ngā pūtau matepukupuku e tere wehewehe ana. Engari ka pā anō hoki ki
ngā pūtau hauora e tere wehewehe ana i roto i ō tātou tinana. Hei tauira, ko ngā pūtau i roto i ō tātou waha, ko ngā pūtau e tupu ana ngā pūtake makawe, me ngā pūtau i roto i tō tātou hinu wheua. Ka puta ngā pānga taha nā te mea kua pakaru aua pūtau hauora.
| Wāhanga tinana e pāngia ana | Ngā pānga taha pea |
|---|
| Ngā pūtau o te ara kai (waha, whekau) | Whakapairuaki me te ruaki, te kore hiahia kai, te mate waha (mucositis), te korere |
| Ngā pūkahukahu | Te ngaro o te makawe |
| Kiri | He ponana, he whero, he mamae hoki i ngā ringa me ngā waewae (Hand-foot syndrome) |
| Huero wheua | |
Kāore ēnei pānga taha e puta i te katoa i te huarahi kotahi. He rerekē i ia rongoā ki ia rongoā, i ia tūroro ki ia tūroro. Hei tauira, ka taea e te rongoā `Oxaliplatin` te whakararu i ngā io o ētahi tāngata.
Ko te mea nui ko te whakamōhio tonu atu ki tō tākuta mēnā ka pāngia koe e tētahi o ēnei pānga taha. I te nuinga o te wā, he rongoā me ētahi atu huarahi hei whakahaere me te whakaiti i ēnei. Nō reira kaua e mataku. Kōrero ki tō tākuta mō ngā mea katoa.
Karere Tangohia ki te Kāinga
- He maimoatanga te chemotherapy e patu ana i ngā pūtau matepukupuku . Ka whakamahia i mua atu, i muri i te pokanga, hei whakahaere rānei i ngā tohumate, i runga i tō āhua.
- Mā tō tākuta e whakatau te momo rongoā, te āhua o te hoatutanga, me te roa o te wā. Kāore e ōrite mō te katoa.
- Tērā pea ka puta ngā pānga taha , engari ko te nuinga ka taea te whakahaere. Kaua e wehi ki te kōrero ki tō tākuta mō ngā huringa ka kitea e koe.
- Kōrerohia ō pātai, ō āwangawanga rānei mō tēnei tukanga maimoatanga ki tō tākuta. Kāore koe i te haere ko koe anake i tēnei haerenga.
Matepukupuku koroni, matepukupuku koroni, rongoā matepukupuku, maimoatanga matepukupuku, ngā pānga taha o te rongoā matepukupuku, 5-FU
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero