Ina kitea e koe kei te pāngia koe, kei tētahi rānei e mōhio ana koe e te mate pukupuku, he mea noa te mataku me te manukanuka ina rongo koe i ngā kupu 'chemo'. Ka puta tonu mai i te kupu 'chemo' ngā whakaahua o te tangata e ngaro ana ōna makawe, e ngaro ana tōna taumaha, e mamae ana hoki. Heoi, ki te mārama tātou he aha te chemotherapy, he aha ngā rongoā e whakamahia ana mōna, me te pānga ki te tinana, ka taea te whakaiti i tēnei mataku. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea i roto i te huarahi hoa.
He aha te tikanga o te chemotherapy i roto i ngā kupu māmā?
I te whakarapopototanga, he maimoatanga te chemotherapy e whakamahi ana i ngā rongoā tino kaha hei rongoā i te mate pukupuku. Koinei te mea e kīia nei e mātou ko te 'chemo'. Ko tētahi o ngā maimoatanga tino whai hua mō te mate pukupuku.
Hei mārama ki te mahi a tēnei, me mōhio tātou ki ngā pūtau o roto i tō tātou tinana. He piriona ngā pūtau e hangaia ana i roto i ō tātou tinana. Ka wehea ngā pūtau hauora ina hiahiatia, ka hanga pūtau hou, ā, ka mate ina kore e hiahiatia. Ka kiia tēnei ko te huringa pūtau. Engari kāore ngā pūtau matepukupuku e pērā. Ka wehea, ka whakanuia teretia, kāore he mana whakahaere, ka hanga he pukupuku.
Ko tā te rongoā matū he whakangaro i ēnei pūtau matepukupuku e tere wehewehe ana, ā, ka aukati i a rātou kei pakaru haere tonu. Arā, ka whakahaere i te tipu o te matepukupuku.
He mea whakamahi noa te chemotherapy mō te mate pukupuku?
Ae, i te nuinga o te wā. Ko te nuinga o te wā, ko te rongoā matū hei rongoā i te mate pukupuku. Ka tūtohu ngā tākuta mate pukupuku i te rongoā matū me ētahi atu maimoatanga pēnei i te pokanga me te rongoā irahiko.
Engari i ētahi wā ka whakamahia anō te chemotherapy mō ētahi atu āhuatanga ehara i te matepukupuku.
- Ngā Mate Pūnaha Ārai Mate: I roto i ēnei mate, ka whakaekea e ngā pūtau pūnaha ārai mate o tō tātou tinana ō tātou ake kiko hauora. Ka taea e te chemotherapy te whakahaere i ēnei pūtau ārai mate e tere wehewehe ana, me te whakaiti i te kino e pā ana ki te tinana.
- Ngā Mate Toto: I roto i ētahi mate toto, ka puta mai ngā pūtau toto rerekē i roto i te hinu wheua. I roto i ēnei āhuatanga, ka tukuna te chemotherapy hei whakangaro i ēnei pūtau rerekē i roto i te hinu wheua, hei hanga huarahi mō ngā pūtau hauora hou i mua i te whakawhitinga pūtau take.
Ngā momo rongoā chemotherapy me te āhua o tā rātou mahi
Ehara i te momo kotahi ngā rongoā chemotherapy. E wehewehea ana ēnei ki ētahi wāhanga matua e ai ki ō rātou hanganga matū me te āhua o tā rātou patu i ngā pūtau matepukupuku. Mā tō tākuta e whakatau ko tēhea rongoā, ko tēhea huinga rongoā rānei te mea pai mōu, e ai ki te momo matepukupuku kei a koe, te tawhiti kua horapa (te wāhanga), me tō hauora whānui.
I ētahi wā, kaua ko te kotahi anake te rongoā, ka hoatu ngātahitia ētahi rongoā. Ka kiia tēnei ko te chemotherapy whakakotahi. Mā te hoatu ngātahi i ngā rongoā rerekē ka piki ake te angitu o te maimoatanga nā te mea he rerekē ngā huarahi e whakaeke ai ia rongoā i ngā pūtau matepukupuku.
Me titiro tātou ki ētahi o ngā momo matua o ngā rongoā chemotherapy.
| Kāwai rongoā | Te āhua o tana mahi | Ngā tauira noa |
|---|---|---|
| Ngā Kaihoko Whakahāngai | Ka whakakino i te DNA o ngā pūtau matepukupuku, ā, ka aukati i tō rātou wehenga. Koinei ngā momo rongoā matū tuatahi i kitea. | Carboplatin, Cisplatin, Cyclophosphamide |
| Ngā Antimetabolites | Ka ārai i ngā pūtau matepukupuku ki te hanga i ngā rauemi ira (DNA) e hiahiatia ana hei hanga pūtau hou. He rite ki te aukati i ngā rauemi hanga e hiahiatia ana hei hanga whare hou. | 5-fluorouracil, Methotrexate, Gemcitabine |
| Ngā Ārai Topoisomerase | Ka ārai i tētahi whākōkī (topoisomerase) e āwhina ana i te pūtau matepukupuku ki te tārua i tōna DNA. Ka aukati tēnei i te wehenga o te pūtau. | Etoposide, Irinotecan, Topotecan |
| Ngā Ārai Mitotic | He matū ēnei i ahu mai i ngā tipu, ā, ka whakararuraru i te tukanga wehenga pūtau matepukupuku (mitosis). | Paclitaxel, Docetaxel, Vincristine |
| Ngā Paturopi Ārai Puku | Ka aukati i te tāruaruatanga o te DNA o ngā pūtau matepukupuku, ka kino pea te DNA. | Doxorubicin, Bleomycin, Mitomycin-C |
He rongoā chemotherapy anō hoki ngā corticosteroids?
Kāo. Ehara ngā 'Corticosteroids' i ngā rongoā chemotherapy. Heoi, he maha ngā tāngata e whiwhi ana i te chemotherapy ka hoatu ki a rātou hei whakahaere i ngā pānga taha pēnei i te ruaki me te whakapairuaki. Waihoki, ko ētahi 'Corticosteroids' he kaha ki te patu i ngā pūtau matepukupuku. Ko 'Dexamethasone' me 'Prednisolone' he tauira o tēnei.
Ngā pānga taha e wehingia ana e te katoa
Ko te āwangawanga nui o te katoa ina kōrerohia te rongoā matepukupuku ko ngā pānga taha. He pono he pānga taha anō hoki tō te rongoā matepukupuku. Ko te take o tēnei, kāore e taea e ngā rongoā matepukupuku te wehewehe i waenga i ngā pūtau matepukupuku me ngā pūtau hauora. Ka whakaekea e ēnei rongoā tētahi pūtau tere te wehewehe. Haunga ngā pūtau matepukupuku, kei roto anō hoki i tō tātou tinana ngā pūtau hauora e tere te wehewehe.
Hei tauira:
- Ngā pūtau i roto i ngā pakiaka makawe (koia te take e tupu ai te makawe)
- Ngā pūtau e whakarārangi ana i te roto o te waha me te korokoro (koia te take e puta ai ngā mate waha)
- Ngā pūtau o te pūnaha nakunaku (koinei te take o te whakapairuaki, te ruaki, me te mamae o te puku)
- Ngā pūtau e hanga ana i ngā pūtau toto i roto i te hinu wheua (koia te take e puta ai te anemia me te heke o te ātete ki te mate)
Ko ngā pānga taha tino noa ka puta mai i tēnei ko:
- Ngenge rawa
- Whakapairuaki me te ruaki
- Te korere, te kōroke rānei
- Te ngaro o te makawe
- Ngā mate waha
- Hiahia kai
- Ka puta te anemia i te iti o ngā pūtau toto, ā, ka nui ake te mōrearea o ngā mate pāwera (neutropenia).
Ko te mea nui , ehara i te mea ka pāngia te katoa e ēnei pānga taha katoa. Waihoki, ka hoatu e tō tākuta ētahi atu rongoā ki a koe hei whakahaere i te nuinga o ēnei pānga taha me te whakaiti i ō rātou pānga. Nō reira, kaua e mutu te maimoatanga nā ngā pānga taha. Kōrerohia marietia ki tō tākuta mō ngā mamae katoa e pā ana ki a koe.
Āhea ahau me kite i te tākuta?
He mea tino nui kia kōrero ki tō tākuta mēnā ka pāngia koe e ētahi pānga taha i te wā o te rongoā chemotherapy. Kaua e whakahawea mēnā ka pāngia koe e tētahi o ēnei e whai ake nei:
- Te kirika nui (i te nuinga o te wā kei runga ake i te 38°C / 100.4°F)
- Te ruaki, te korere rānei e kore e taea te aukati
- Te uaua ki te manawa , te mamae rānei o te uma
- Te toto tonu mai i ngā wāhi katoa o te tinana
- Te kore e taea te kai, te inu rānei nā te whara nui o te waha
Mēnā he pēnei te āhua, waea atu tonu ki te wāhanga mate pukupuku o te hōhipera e rongoatia ana koe, haere rānei ki te wāhanga ohorere (ETU) o te hōhipera tata. Ehara ēnei i te mea hei tatari māu. Me whakarerekē pea e tō tākuta te horopeta o te rongoā, me whakarerekē te kaupapa maimoatanga, me hoatu rānei ētahi atu rongoā ki a koe mō ngā pānga taha.
Karere Tangohia ki te Kāinga
- He tino kaha, he tino whai hua hoki te rongoā chemotherapy e whakangaro ana i ngā pūtau matepukupuku. Kaua e mataku rawa ki tēnei.
- He maha ngā momo rongoā chemotherapy. Mā tō tākuta e whiriwhiri te maimoatanga pai rawa atu mō tō mate pukupuku me tō āhua hauora.
- Tērā pea ka puta ngā pānga taha, engari ko te nuinga ka taea te whakahaere. Kōrero ki tō tākuta mō ngā mamae katoa e pā ana ki a koe.
- I te wā e rongoatia ana, he mea nui kia tangohia e koe te rongoā i te wā tika, me te haere ki te tākuta.
- Kāore koe i te mokemoke. Kei reira tō whānau, ō hoa, me te tīma hauora hei āwhina i a koe. Kaua e mangere ki te tono āwhina i a rātou.
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