Ina tākuta he mate pukupuku ū tōu, tō hoa aroha rānei, ko te kupu e whai ake nei ka rongo koe, 'chemotherapy,' ka tino whakamataku, ka tino pāpouri. He mea noa tēnei. Kua rongo tātou i ngā kupu pēnei i te, "Ka marere ō makawe i te chemotherapy," "He tino uaua," me ērā atu. Kaua e manukanuka. He maimoatanga tino kaha, he whai hua hoki te chemotherapy mō te patu i ngā pūtau mate pukupuku. Me kōrero tātou mō ēnei mea katoa i roto i te mārama, te ngāwari, me te pono.
He kupu ngāwari noa iho, he aha te chemotherapy?
Ko te Chemotherapy, e kīia nei ko te "chemo", he momo rongoā tino kaha e hoatu ana hei patu i ngā pūtau matepukupuku. Whakaarohia, ko ngā pūtau matepukupuku i roto i tō tātou tinana he pūtau e tere wehewehe ana, e tipu korekore ana. Ko te nuinga o ngā rongoā chemotherapy e aro ana, e whakangaro ana hoki i ēnei pūtau e tere wehewehe ana. Ehara i te mea ko ngā pūtau matepukupuku anake i roto i tō ū e āwhina ana ki te patu, engari ko ngā pūtau kua horapa ki ētahi atu wāhanga o tō tinana.
Tērā pea ka hoatu e tō tākuta mate pukupuku tēnei maimoatanga mā te whakamahi i tētahi rongoā chemotherapy kotahi, i tētahi huinga rongoā, i tētahi huinga rānei o ētahi atu maimoatanga. Kei te momo me te wāhanga o tō mate pukupuku, me tō hauora whānui tēnei katoa.
I roto i ēhea āhuatanga ka tukuna te chemotherapy?
Ka whakamahia te chemotherapy i ngā wāhanga rerekē o te maimoatanga matepukupuku ū. Mā tō rōpū hauora e whakatau te wā tika. Me titiro tātou ki ngā wāhanga matua.
| Wāhanga Maimoatanga | Whakamārama |
|---|---|
| I mua i te pokanga (Neoadjuvant Chemotherapy) | Ka tukuna te rongoā matū i mua i te pokanga hei whakaiti i te pukupuku. Mēnā he iti te pukupuku, he māmā ake mā te taote pokanga te tango i te pukupuku anake, ka waiho he kiko ū hauora. Mā tēnei ka taea e ngā tākuta te mōhio i mua i te urupare a te mate pukupuku ki tēnei maimoatanga. |
| I muri i te pokanga (Te rongoā matū tāpiri) | I muri i te pokanga, tera pea he iti rawa ngā pūtau matepukupuku, he moroiti rawa, kāore e kitea e te kanohi tahanga, e kitea rānei i ngā whakamātautau. Ka hoatu te chemotherapy i muri i te pokanga hei whakangaro i ēnei pūtau e toe ana, hei whakaiti hoki i te tūponotanga o te hokinga mai o te matepukupuku. |
| Mō te mate pukupuku kua horapa puta noa i te tinana (Metastatic Breast Cancer) | Mena kua horapa te mate pukupuku ki tua atu i te ū ki ētahi atu wāhanga o te tinana (pērā i te ate, ngā pukahukahu, ngā wheua), ka whakamahia te chemotherapy hei maimoatanga matua. |
| Mō ētahi atu momo mate pukupuku motuhake | Tērā ētahi momo mate pukupuku, hei tauira, ko te `(Inflammatory Breast Cancer - IBC)`. I ēnei wā, kāore he pukupuku mārama ka taea te tango mā te pokanga. Nō reira, ko te chemotherapy te maimoatanga matua. Waihoki, ko ngā mate pukupuku `(Triple-Negative Breast Cancer - TNBC)` me te `(HER2+)` he nui te mōrearea o te hokinga mai, ka rongoatia hoki ki te chemotherapy me ētahi atu maimoatanga (hei tauira, `(immunotherapy)`, `(targeted therapy)`). |
He aha ēnei rongoā kemo?
He maha ngā momo rongoā chemotherapy e whakamahia ana mō te mate pukupuku o te ū. Ka whiriwhiria e tō tākuta tētahi, neke atu rānei o ēnei, i runga i tō āhua. Ko ētahi o ngā momo rongoā e whakamahia whānuitia ana ko:
- Ngā Anthracycline: Hei tauira, ko ngā rongoā pēnei i te 'doxorubicin' me te 'epirubicin'.
- Ngā Taxane: Ko ētahi tauira ko te `paclitaxel` me te `docetaxel`.
- Ētahi atu rongoā: Ko ngā rongoā pēnei i te `5-fluorouracil (5-FU)`, `cyclophosphamide`, me te `carboplatin` ka whakamahia whānuitia hoki.
Haunga tēnei, ka whakamahia hoki ētahi atu rongoā pēnei i te `capecitabine`, `gemcitabine`, `vinorelbine` mō te mate pukupuku ū kua horapa. Kāore koe e hiahia ki te ako i ēnei rongoā. Mā tō tākuta e whakamārama te rongoā tino tika mōu me ngā taipitopito mōna.
Me kōrero tātou mō ngā pānga taha e wehingia ana e te katoa.
Ae, ka pāngia ngā pūtau matepukupuku e ngā pānga taha o te chemotherapy. Nā te mea kāore ēnei rongoā e pā ki ngā pūtau matepukupuku anake, engari ki ētahi pūtau hauora hoki o te tinana e tere wehewehe ana (hei tauira, ngā pūtau makawe, ngā pūtau ara nakunaku, ngā pūtau toto). Engari ko te mea nui ko te nuinga o ngā pānga taha he rangitahi. Ka memeha haere ina mutu te maimoatanga. Heoi anō, he tino pai ngā rongoā me ngā tikanga hei whakahaere i ēnei pānga taha.
Kia maumahara, ehara i te mea ka pāngia te katoa e ngā pānga taha ōrite. He rerekē i ia tangata, i ia tangata, ā, i runga anō i te momo rongoā e hoatu ana.
| Ngā pānga taha noa | Whakaahuatanga |
|---|---|
| Ngenge | Ehara tēnei i te ngenge noa. He ngenge nui e pā ana ki a koe ahakoa te roa o te moe. Ka roa pea i te wā o te maimoatanga, ā, mō ētahi marama i muri mai. |
| Whakapairuaki me te Ruaki | He tino whai hua ngā rongoā ināianei hei whakahaere i tēnei. Ka hoatu e te tākuta ēnei rongoā i mua i te hoatutanga o te chemo. |
| Ngaronga o te Makawe | Ehara i te mea ka ngaro te makawe i ngā rongoā chemo katoa. Ka ngaro te makawe i ētahi rongoā. He wā poto noa iho tēnei. I te nuinga o te wā ka tupu anō te makawe i muri i ētahi marama i te mutunga o te maimoatanga. Ko te makawe e tupu anō ana, tera pea he rerekē te tae, te kakano rānei i tōna āhua o mua. |
| Te mate pāwera me te mate waha | Tērā pea ka rerekē te reka o te kai, ā, ka puta mai pea he mariao iti i roto i te waha. Ka taea te whakahaere i tēnei mā te kai i ngā kai ngohengohe, te inu wai, me te tiaki i te akuaku o tō waha. |
| Te ngoikore o ngā peka (Peripheral Neuropathy) | Ka pāngia pea ngā maihao me ngā matimati e ētahi rongoā. He mea nui kia whakamōhio atu koe ki tō tākuta mō tēnei. |
| Ngā pūtau toto kua heke | Ka taea e te rongoā matū te whakaiti i te nui o ngā toto toto mā (e tiaki ana i te mate), ngā toto toto whero (e kawe ana i te toto), me ngā pereti toto (e āwhina ana i te toto kia totoka). Ka taea e tēnei te whakanui ake i tō tupono ki te pangia e te mate, te ngenge, me te toto. Ka aroturukihia tēnei e ngā tākuta i ia wā. |
Me pēhea te hoatutanga o te chemotherapy?
E rua ngā huarahi matua e tukuna ai te rongoā matū.
1. Inu ā-roto (IV): Koinei te tikanga e whakamahia whānuitia ana. Pērā i te tote, ka tukuna tika te rongoā ki roto i te uaua mā te cannula. I ētahi wā, mō te maimoatanga roa, ka whakamahia he taputapu motuhake hei karo i te raruraru o te whakauru i te cannula i ia wā.
- Raina PICC: He ngongo roa, angiangi e whakanohoia ana ki roto i tētahi uaua i te ringa o runga.
- Chemo Port: He taputapu iti e whakatakotoria ana ki raro i te kiri o te uma. Mā tēnei ka taea te tuku rongoā me te kore e hiahiatia he ngira.
2. Mā te waha: Ko ētahi rongoā chemo kei roto i te ahua o ngā pire, o ngā kāpū rānei. Ka taea ēnei te tango i te kāinga.
Ko te tikanga ka tukuna te maimoatanga i roto i ngā "huringa". Hei tauira, ka taea e koe te whakahaere i ngā wā maimoatanga kotahi i te wiki, kotahi i ia rua wiki, kotahi rānei i ia toru wiki. He "wā okiokinga" kei waenganui i ngā wā. Ka hoatu tēnei wā hei hoatu i te whai wāhi ki ngā pūtau hauora o tō tinana ki te ora. Ko te roanga o te wā maimoatanga katoa mō te mate pukupuku ū i waenga i te 3 me te 6 marama.
Me pēhea te whakarite mō te maimoatanga chemo?
He uaua pea tēnei wā, nō reira he mea tika kia whakarite wawe.
- Kōrerohia ki tō tākuta me te āta whakaaro: kimihia ngā mea katoa e pā ana ki tō mahere maimoatanga, ngā pānga taha pea, me ngā mea ka taea te mahi mō ēnei. Kaua e wehi ki te pātai.
- He tangata hei āwhina: He tino āwhina mēnā he tangata hei kawe i a koe ki te rā o te maimoatanga, hei noho tahi me koe, hei taraiwa hoki i a koe ki te kāinga. He pai ake anō mēnā ka kitea e koe he tangata hei āwhina i ngā mahi o te whare mō te rā kotahi, e rua rānei i muri i te maimoatanga.
- Kākahu whakamarie: Mauria he kākahu whakamarie, he kākahu kore e tau ana ki te tinana i te rā o tō maimoatanga.
- He mea hei whakangahau i a koe: Ka roa pea te wā whakaora hinengaro mō ngā hāora maha, nō reira mauria mai he mea hei mahi māu, pērā i te pukapuka, i te pane whakarongo rānei hei whakarongo waiata.
- Inumia he nui te wai: Ka taea e te chemotherapy te whakamaroke i te tinana, no reira inuhia he nui te wai mai i te rā i mua i tō maimoatanga.
- Kai tōtika: Ahakoa te hiakai, ngana ki te kai i ngā kai tōtika e taea ana. Mā te kai i ngā kai whai pūmua (he hua manu, he mīti, he ika, he miraka, he nati) ka āwhina i te whakaiti i te ngenge.
Ngā āhuatanga e tika ana kia rapu tohutohu hauora tere
Tērā pea ka ngoikore te pūnaha ārai mate o tō tinana i te wā o te rongoā chemotherapy. Nō reira, ki te pāngia koe e tētahi o ngā tohu e whai ake nei , waea atu ki tō tākuta tonu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Te kirika neke atu i te 100.4°F (38°C).
- Ngā makariri.
- Te mamae o te uma, te uaua rānei ki te manawa.
- Te pōhēhētanga nui ohorere.
- Te mamae nui o te upoko me te kaki.
He tohu pea ēnei tohu mō tētahi mate pāwera, mō tētahi atu mate kino rānei, nō reira kaua e whakaroa.
Karere Tangohia ki te Kāinga
- He mea tino nui te rongoā matū, ā, he rongoā whakaora ora hoki mō te mate pukupuku o te ū. Kaua e mataku noa i tēnei.
- Ahakoa he noa ngā pānga taha, he wā poto noa te nuinga, ā, kei reira ngā tikanga me ngā rongoā tino whai hua hei whakahaere i aua pānga.
- Kōrero māhorahora ki tō tīma hauora. Kōrerohia ō āwangawanga, ō wehi, me ō pātai ki a rātou. Kei te rite tonu rātou ki te āwhina i a koe.
- Kāore koe e hiahia ki te haere ko koe anake i tēnei haerenga. Rapua he tautoko mai i te whānau me ngā hoa. He rite tonu te hiranga o tō hauora hinengaro ki tō hauora tinana.
- Ka taea e koe te whakangāwari ake i te wā maimoatanga mā te kai pai, te okiokinga rawaka, me te whakakori tinana māmā.
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