Ina kitea koe, tetahi rānei e mōhio ana koe kei te mate pukupuku ū, he mea noa te mataku me te manukanuka ina kī mai te tākuta, "Me whiwhi ahau i te chemotherapy." Ina rongo tātou i te kupu "chemo," he maha ngā wā ka whakaarohia e tātou he wheako uaua, mamae hoki. Engari ki te mōhio pai tātou ki tēnei maimoatanga, ka taea te whakaiti i taua mataku. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o te chemotherapy mō te mate pukupuku ū, te take e mahia ai, me pēhea hoki te whakahaere i tēnei.
He aha te rongoā mate pukupuku?
He māmā noa iho, he momo rongoā kaha te chemotherapy e hoatu ana hei patu i ngā pūtau matepukupuku. Ka patu ēnei rongoā i ngā pūtau matepukupuku i roto i tō ū, i ngā pūtau matepukupuku rānei kua horapa mai i tō ū ki ētahi atu wāhanga o tō tinana. I te nuinga o te wā ka hoatu e ngā tākuta matepukupuku tēnei maimoatanga i mua atu, i muri rānei i te pokanga matepukupuku o te ū.
I ētahi wā kotahi anake te momo rongoā chemotherapy e whakamahia ana, i ētahi wā ka hoatu ngātahitia ētahi rongoā. Tērā pea ka hoatu tahitia te chemotherapy me ētahi atu maimoatanga.
Ka pā mai ngā pānga taha i tēnei maimoatanga. Kaua e manukanuka ki ēnei. Mā tō tākuta koe e hoatu ki te rongoā me ngā tohutohu e tika ana hei whakahaere i aua pānga taha. Tērā pea ka roa pea ētahi pānga taha i muri i te mutunga o te maimoatanga, ā, mā tō tākuta anō hoki koe e whakamōhio atu.
I roto i ēhea ngā wā ka whakamahia te chemotherapy mō te mate pukupuku o te ū?
He rerekē ngā āhuatanga me ngā kaupapa e whakamahia ana te rongoā matū. Me titiro tātou ki ēnei.
| Te whai wāhitanga ki te whakarato maimoatanga | Ko te whāinga matua o te maimoatanga |
|---|---|
| I mua i te pokanga (Neoadjuvant Chemotherapy) | Mā te whakaiti i te pukupuku ka māmā ake te tango a te taote pokanga. Mā te whakaiti i te tango i ngā kiko hauora o te ū. He āwhina anō hoki ki te mōhio i mua i te whai huatanga o ngā rongoā e hoatu ana ki te mate pukupuku. |
| I muri i te pokanga (Te rongoā matū tāpiri) | Te whakangaro i ngā pūtau matepukupuku moroiti rawa e toe ana i roto i te tinana i muri i te pokanga, ka whakaiti i te mōrearea o te hokinga mai o te matepukupuku. |
| Mō te mate pukupuku kua horapa ki ētahi atu wāhanga o te tinana (Metastatic Breast Cancer) | Mena kua horapa te mate pukupuku ki tua atu i te ū ki ētahi atu okana o te tinana, ka whakamahia pea te chemotherapy hei maimoatanga matua hei whakahaere. |
| Mō ngā momo mate pukupuku motuhake |
|
He aha ngā rongoā chemotherapy e whakamahia whānuitia ana?
He maha ngā momo rongoā chemotherapy e whakamahia ana mō te mate pukupuku o te ū. Mā tō tākuta e whiriwhiri te rongoā, te huinga rongoā rānei e tika ana, i runga i te momo me te wāhanga o tō mate pukupuku, me tō āhua hauora.
Ko ētahi o ngā momo rongoā e whakamahia whānuitia ana ko:
- Ngā rongoā anthracycline: Hei tauira, ko ngā rongoā pēnei i te `doxorubicin (Adriamycin®)` me te `epirubicin (Ellence®)`.
- Taxanes: Ngā rongoā pēnei i te `paclitaxel (Taxol®)` me te `docetaxel (Taxotere®)`.
- Ngā rongoā kē atu: Ngā rongoā pēnei i te `5-fluorouracil (5-FU®)`, `capecitabine (Xeloda®)`, `cyclophosphamide (Cytoxan®)` me te `carboplatin (Paraplatin®)`.
Hei tāpiritanga, ka whakamahia hoki ētahi atu rongoā pēnei i te gemcitabine (Gemzar®) me te vinorelbine (Navelbine®) mō te mate pukupuku o te ū kua horapa.
Ko te mea nui ko te rongoā e hoatu ana ki a koe mā tō tākuta mate pukupuku e whakatau. Nō reira kaua e whakatau wawe mō tō rongoā i runga i tāu i pānui ai i te ipurangi, i ngā kōrero rānei a ētahi atu. Pātai atu ki tō tākuta ō pātai katoa.
He aha ngā pānga taha o te rongoā chemotherapy?
Ka rerekē ngā pānga taha o te chemotherapy i runga i te momo rongoā e hoatu ana ki a koe, te horopeta, me te roa o te maimoatanga. Ka ngaro te nuinga o ngā pānga taha i muri i te mutunga o te maimoatanga, engari ko ētahi ka roa pea mō ngā wiki, mō ngā marama rānei.
Ngā pānga taha tino noa
- Kohu roro chemo: He uaua ki te maumahara me te ahua kāore e taea te arotahi. Ka roa pea tēnei mō te 6 ki te 12 marama i muri i te mutunga o te maimoatanga.
- Ngenge: Tērā pea ka tino ngenge koe i te roanga o te wā maimoatanga, me te 3-6 marama i muri mai.
- Whakapairuaki me te ruaki: Ka tīmata pea tēnei i te wā o te maimoatanga, ā, ka roa pea mō te 2-3 wiki i muri i te mutunga. Engari ināianei kei reira ngā rongoā tino pai hei whakahaere i tēnei.
Ētahi atu pānga taha
- Ngā raruraru o te pūnaha nakunaku: Tērā pea ka puta te mate kōroke me te mate korere.
- Ngā Huringa Makawe: Tērā pea ka ngaro te makawe i te wā e rongoatia ana. He maha ngā tāngata e pāngia ana e tēnei, engari kia maumahara he rangitahi noa iho tēnei. Ka tupu anō te makawe i muri i te otinga o te maimoatanga. Tērā pea he rerekē te tae, te kakano rānei i tō mua.
- Hiahia kai: Tērā pea ka heke tō hiahia kai i te wā e rongoatia ana. Ka hoki anō tēnei ki te āhua noa ina oti te rongoa.
- Ngā panonitanga o te kiri me ngā maikuku: Ka maroke pea te kiri, ka mākūkū hoki. Ka pakarukaru pea ngā maikuku, ā, ka ngawari te whati.
- Te neuropathy ā-pūnaha: Ka pā te ngoikore me te mamae o ngā ringa me ngā waewae i tēnei. He maha ngā wā ka memeha haere tēnei i muri i te otinga o te maimoatanga.
Me pēhea te hoatutanga o te chemotherapy?
He maha ngā huarahi matua e tukuna ai te rongoā matū.
1. Waha: Ngā rongoā e horomia ana i te ahua o ngā papa, o ngā kāpū rānei.
2. Ā-roto (IV): Te hoatu tika i te rongoā ki roto i te uaua mā te ngongo tote.
Hei karo i te werohanga auau o ngā uaua, ka whakamahia e ngā tākuta ētahi taputapu motuhake i ētahi wā.
- Raina Waenga: He ngongo kirihou roa, angiangi e whakanohoia ana ki roto i tētahi uaua nui i te kaki, i te uma, i te ringa rānei.
- Raina PICC: He ngongo ka whakaurua mā roto i tētahi uaua i te ringa ka arahi atu ki tētahi uaua nui e tata ana ki te ngākau.
- Chemo Port: He taputapu iti kua whakatōkia ki raro i te kiri o te uma mā te pokanga. Ka taea te whakamahi hei tuku rongoā mā te wero i te ngira ki roto.
Kia pēhea te roa o te maimoatanga?
Ka rerekē tēnei i runga i tō mahere maimoatanga. I te nuinga o te wā, e toru ki te ono marama te roa o te chemotherapy mō te mate pukupuku ū. I ētahi wā ka roa pea tae atu ki te tau.
Ka tukuna te maimoatanga i roto i ngā "huringa" .
- I te nuinga o te wā me whiwhi koe i ētahi maimoatanga.
- Ka taea e te wā kotahi te rongoa kia rua, kia toru rānei ngā rā.
- Ka taea ēnei wā maimoatanga te mahi kotahi i te wiki, kotahi i ia rua wiki, kotahi rānei i ia toru ki te whā wiki.
- I muri i ia wā whakangungu, ka hoatu he wā ki tō tinana hei okioki me te whakaora. Ka kiia tēnei he "wā okiokinga".
Me pēhea te whakarite i mua i te maimoatanga?
I mua i te tīmatanga o te maimoatanga, ka whakatauhia e tō tākuta te horopeta o te rongoā e hiahiatia ana e koe, me te whai whakaaro ki ngā āhuatanga pēnei i te momo me te wāhanga o tō mate pukupuku, ngā hua o ō whakamātautau, me tō taupū papatipu tinana (BMI).
Koinei te wā pai rawa atu ki te pātai atu ki tō tākuta i ō pātai katoa. Pātai atu ki a rātou mō te maimoatanga, ngā pānga taha, me ā rātou mahi māu.
He maha ngā mea ka taea e koe te mahi hei whakarite mō ō rā maimoatanga:
- Tonoa tētahi hei āwhina i a koe ki ngā mahi o te whare mō te rā kotahi, e rua rānei i muri i tō maimoatanga.
- Whakaritea tētahi hei hoa haere māu ki te haere me te hoki mai i te maimoatanga.
- Kōwhiria he kākahu whakamarie, he kākahu taratara hoki hei kakahu i te wā e maimoatanga ana.
- Mauria mai tētahi mea hei whakararuraru i a koe, pērā i te pukapuka, i te pane whakarongo rānei hei whakarongo waiata.
- Inumia he wai tāpiri i te rā i mua i te maimoatanga, nā te mea ka maroke te tinana i te rongoā chemotherapy.
Āhea te wā e tika ai kia kite tonu i tō tākuta
Ka kite koe i tō tākuta i ngā wā katoa e rongoatia ana koe. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
| Ngā tohu e hiahia ana kia aro wawe | |
|---|---|
| Kirika | Neke atu i te 38 Celsius te pāmahana o te tinana. |
| Te mamae o te uma, te uaua rānei ki te manawa | Te mamae ohorere o te uma, te poto rānei o te manawa. |
| Te mātao me te wiri | Te wiri me te mātao, kāore he take e kitea ana. |
| Te ngaronga ohorere o te māramatanga | Te pōhēhē ohorere, te pōrangi rānei. |
| Te ānini nui | He ānini nui me te kaki pakari. |
Karere Tangohia ki te Kāinga
- He tino whai hua te rongoā matū, ā, he whānuitia te whakamahinga mō te mate pukupuku o te ū. Kaua e mataku noa iho.
- Ka whakamahia tēnei maimoatanga i roto i ngā āhuatanga rerekē, pērā i mua, i muri i te pokanga, mō te mate pukupuku rānei kua horapa puta noa i te tinana.
- He mea noa te pā mai o ngā pānga taha, engari mā tō tīma hauora koe e āwhina ki te whakahaere me te whakahaere i aua pānga.
- He mea tino nui kia mau tonu te kai pai , kia kaha ki te whakakori tinana māmā i ngā wā katoa e taea ana, me te pupuri i te hauora hinengaro pai puta noa i te wā maimoatanga.
- Kōrerotia mā te mahorahora ki tō tākuta mō ngā pātai, ngā wehi, ngā āwangawanga rānei kei a koe. Ko te whiwhi i ngā mōhiohio tika te huarahi pai ki te wikitoria i ō wehi.
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