Kua rongo kē koe i te ingoa Choriocarcinoma? He kupu hou pea tēnei māu. He mate pukupuku tino onge tēnei, ā, he ahua kino. Kaua e manukanuka, me kōrero taipitopito tātou mōna. He maha ngā wā ka honoa tēnei mate ki te hāputanga. Nō reira, he mea nui kia mōhio koe ki tēnei.
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He aha te Choriocarcinoma?
He māmā noa iho, he momo matepukupuku te choriocarcinoma e puta ana i roto i tō kōpū, i ō ōwai rānei, ā, ka tere te horapa. E rua ngā momo matua o tēnei.
Ko te momo choriocarcinoma tino noa e puta ana i te wā e hapu ana ko te Gestational Choriocarcinoma . Nō roto tēnei i tētahi rōpū e kiia nei ko te Gestational Trophoblastic Disease (GTD). He mate pukupuku te GTD e puta ana i roto i ngā pūtau e ahu mai ana i te whenua i te wā e hapu ana. E mōhio ana koe, ko te whenua te wāhanga tino nui o te tinana e whakarato ana i te hāora me te kai ki te pēpi mā te pito o te kōpū.
Ko te choriocarcinoma te mea e kitea nuitia ana i roto i ngā wāhine kua hapu i te pēpi . Ko te haputanga pēpi he āhuatanga e puta ai he mole hydatidiform i roto i te kōpū, kaua i te tamaiti nā te hapa o te whakatōtōtanga o te hua manu me te parāoa. Ka puta anō hoki i muri i te haputanga ectopic , te materoto, te whānautanga noa rānei.
Ko te mea tino mōrearea mō tēnei mate pukupuku ko tōna tere horapa ki ētahi atu wāhanga o te tinana. Hei tauira:
- Ngā pūkahukahu
- Paparanga uaua o te kōpū
- Ngā pūnga lymph
- Ate, whatukuhu rānei
- Roro
- Ngā uaua toto
Engari ko te rongo pai , i te nuinga o te wā, ka taea te whakaora katoa i tēnei mate choriocarcinoma mā te chemotherapy .
He aha ngā momo choriocarcinoma?
E ai ki tā mātou i kōrero ai i mua ake nei, e rua ngā momo choriocarcinoma:
1. Te mate pukupuku hapūtanga: Koinei te momo tino noa. Ka puta pea i te wā e hapū ana, i muri tata rānei i te hapūtanga.
2. Choriocarcinoma Kore-Haputanga: Ka pā tēnei ki ngā tāne me ngā wāhine. He momo pukupuku pūtau ira. I roto i ngā wāhine, ka puta pea i roto i ngā ovaries, i te arai uterine rānei, engari kāore e pā ana ki te whenua whānau. I roto i ngā tāne, ka puta pea i roto i ngā testicles.
He pēhea te noa o tēnei mate?
E 5% pea o ngā take GTD e pā ana ki te Choriocarcinoma Hapūtanga (GCT). Ahakoa i roto i tētahi whenua pērā i te Hononga o Amerika, e 0.1% pea o ngā hapūtanga katoa ka pāngia e te GTD. Nō reira, whakaarohia tēnei: he onge ake te GCT. E 7 i roto i te 100,000 ngā hapūtanga ka pāngia e te GCT i te Hononga o Amerika. Ko te tikanga he tino onge hoki tēnei mate i Sri Lanka.
He aha ngā tohu o te Choriocarcinoma?
Tērā pea ka pāngia te tangata e te choriocarcinoma, inā koa ko te tangata kua hapu tata nei, e ngā tohu pēnei i:
- Te toto tara koretake
- Mamae o te hope
Mena ka horapa te mate pukupuku ki ētahi atu wāhanga o te tinana, ka puta pea ētahi atu tohu, pēnei i:
- Mena ka horapa ki ngā pukahukahu: te mare, te uaua ki te manawa.
- Mena ka horapa ki te tara: he toto nui, he rerenga rerekē, me ngā puku o te tara.
- Mena ka horapa ki te roro: Ngā mate haurangi, ngā mamae o te upoko.
- Ki te horapa ki ngā whatukuhu, ki te ate rānei: mamae te puku.
He aha ngā take mō tēnei?
Ka puta te choriocarcinoma ina huri ngā pūtau e hanga ana i te whenua whānau (e kiia nei ko ngā trophoblast) hei mate pukupuku. Ka taea te whanake i te tīmatanga o te hapūtanga, i muri mai rānei. Tata ki te 50% o te hunga e pāngia ana e te choriocarcinoma kua pāngia e te hapūtanga molar i mua. Ko te hapūtanga molar ko te whanaketanga o tētahi pēke wai-kī i roto i te kōpū, kaua ki te tamaiti.
I roto i te choriocarcinoma kore-hāputanga, ka tīmata ngā pūtau i roto i ngā ovaries, ngā testicles, te kōpū rānei ki te whakaputa i tētahi homoni e kiia nei ko te human chorionic gonadotropin (hCG) . Ina tirohia i raro i te karuārai, he rite te āhua o ēnei pūtau ki ngā pūtau trophoblast.
Kia pēhea te tere o te tipu o te choriocarcinoma hāputanga?
Kāore he wā motuhake mō tēnei whanaketanga. Ka puta pea i muri i te haputanga, i ngā marama rānei. Heoi, e kiia ana he momo mate pukupuku tino tere te horapa, he kaha hoki.
He aha ngā āhuatanga mōrearea mō tēnei mate?
Ka taea e te hunga kua hapu (ahakoa nā te materoto, te haputanga koretake, te whakamutu i te haputanga, te whānautanga noa rānei) te pāngia e te choriocarcinoma. Heoi, he nui ake te mōrearea mēnā kua hapu koe i te mate molar.
Ko ētahi atu āhuatanga mōrearea ko:
- Kei raro iho i te 20 tau te pakeke, neke atu rānei i te 40 tau te pakeke i te wā e hapu ana.
He aha ngā raruraru o tēnei āhuatanga?
Ka mate pea te choriocarcinoma mēnā kāore e rongoatia, nā te mea ka tere rawa te horapa o tēnei momo matepukupuku.Engari mā te rongoā, ka taea e te tini o te tangata te murunga, te whakaora katoa rānei. Pērā i ētahi atu mate pukupuku, ka tutuki ngā hua pai rawa atu ina kitea me te rongoā wawe.
Me pēhea te tautuhi i te choriocarcinoma?
Ka whakamahia e te tākuta ēnei whakamātautau hei tātaritanga i te choriocarcinoma:
- Ka whakahaerehia he whakamātautau hope , he whakamātautau tinana rānei hei tirotiro mō ngā puku.
- Ka mahia he whakamātautau toto hei tirotiro i te taumata o te hCG (human chorionic gonadotropin). He tino teitei ngā taumata o te hCG o te hunga whai choriocarcinoma.
- Ngā whakamātautau toto hei tirotiro i te mahi a te ate me te whatukuhu.
- Te Tatau Toto Katoa (CBC).
- Te tirotiro i te pelvis mā te whakamahi i te ultrasound.
- Matawai CT (Tomography Rorohiko - matawai CT).
- Matawai MRI (Whakaahua Āhua Aukume - MRI).
- X-ray o te uma.
Ka āwhina hoki ēnei whakamātautau i te tākuta ki te kimi mēnā kua horapa te mate pukupuku.
Me pēhea te rongoā i te choriocarcinoma?
Ka rongoatia e ngā tākuta te choriocarcinoma i runga i tōna taumata. Ko te taumata o te mate pukupuku te huarahi e whakarōpū ai te tākuta i te mate pukupuku, i runga i ngā āhuatanga pēnei i te rahi o te puku me te mea kua horapa ki waho o te kōpū. Ka whakaarohia hoki tō hauora whānui me ō manakohanga whaiaro i te wā e whakawhanake ana i tētahi mahere maimoatanga.
Ko te rongoā matua mō te choriocarcinoma ko te chemotherapy. Ko te chemotherapy he momo rongoā e patu ana i ngā pūtau matepukupuku.
Tērā pea ka hiahiatia he tango i te uma o te wahine, he rongoā irahiko, he huinga rānei o ēnei maimoatanga mō ētahi tāngata.
I muri i te maimoatanga, ka haere tonu tō tākuta ki te tirotiro i a koe mō ngā hokinga mai o te mate (ngā whakamātautau whai muri).
Ka taea te rongoā i te matepukupuku choriocarcinoma?
Ae, ka taea te whakaora i te choriocarcinoma. I te nuinga o te wā ka taea te whakaora mā te chemotherapy. Ki te kitea wawe, i mua i te horapa ki ētahi atu wāhanga o te tinana, ka nui ake te tūponotanga ka ora.
Ka uaua ake te whakaora i roto i ēnei āhuatanga:
- Mena kua whai rongoā chemotherapy koe i mua, ā, kāore i angitu.
- Mena ka puta tēnei mate i muri i te hāputanga, i te whānautanga rānei o te wahine.
- Mena he nui ake te taumata hCG i te 40,000 mIU/ml (milli-international units per milliliter) i mua i te tīmatanga o te maimoatanga. (Ko te hCG he homoni e hangaia ana e te whenua i te wā e hapu ana).
- Mena kua pāngia koe e ngā tohu mō ngā marama e whā neke atu i mua i te tīmatanga o te maimoatanga, mena rānei kei te hapu koe.
Ka taea te ārai i te choriocarcinoma?
Kāore, kāore e taea te ārai i te choriocarcinoma. Heoi , ki te mea kua hapu koe i te wā e hapu ana, he mea nui kia kōrero koe ki tō tākuta mō te mōrearea o te choriocarcinoma.
Kia pēhea te roa ka taea e koe te ora me te Choriocarcinoma?
He pai te tirohanga mō te choriocarcinoma i ngā wāhanga tōmua. Ko te ōrau oranga mō te hunga he choriocarcinoma hapūtanga iti te mōrearea he tata ki te 100%. Ko te ōrau oranga mō te hunga he choriocarcinoma hapūtanga nui te mōrearea he 94%.
He kino ake te āhua o te choriocarcinoma kore-hāputanga (te momo kāore i te hono ki tētahi haputanga rerekē/kiko placenta o mua). Kāore hoki i te tino aro ki te chemotherapy, arā, kāore pea te chemotherapy e tino whai hua ki te patu i ngā pūtau matepukupuku.
Ka taea te whakaora i te Choriocarcinoma Wāhanga 4?
Ko te tikanga o te choriocarcinoma wāhanga 4 kua horapa te mate pukupuku ki ētahi atu wāhanga o tō tinana, pērā i tō roro, i tō ate rānei. Ka kōrero ō tākuta ki a koe mō tēnei. Heoi anō , tera pea ka memeha haere te mate.
Ka taea e au te whānau anō mēnā he choriocarcinoma tōku?
Tērā pea. He tokomaha kua taea te whānau tamariki anō i muri i te maimoatanga mō te choriocarcinoma. Kei tō tātaritanga te tikanga. Ki te hiahia koe ki te whānau tamariki, kōrero ki tō tākuta mō tēnei. Kātahi ka taea e rātou te hoatu ki a koe te maimoatanga pai rawa atu.
Āhea ahau me toro atu ki te tākuta?
Mena he toto rerekē tō te tara, he mamae rānei tō puku o raro, inā koa kua hapu koe i te tākuta i mua, kia kite koe i te tākuta.
He mate pukupuku onge engari he kino te choriocarcinoma. He mea noa te māharahara ina whiwhi koe i tētahi tātaritanga pēnei. Heoi, he tino pai te matapae mō te choriocarcinoma. Kōrero ki tō tākuta mō ō āwangawanga, pātai rānei. Kei reira rātou hei whakautu i ō pātai, hei whakarato hoki i te maimoatanga pai rawa atu.
Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)
- He mate pukupuku onge te choriocarcinoma, he tere te horapa, ā, ka taea te hono atu ki te hāputanga.
- He nui ake te mōrearea o te hunga kua pāngia e te hapūtanga molar .
- Kia tūpato ki ngā tohu pēnei i te toto rerekē o te tara me te mamae o raro o te puku.
- Ko tēnei āhuatangaKa taea te rongoā i te nuinga o te wā mā te rongoā chemotherapy.
- He mea tino nui te kitenga wawe me te maimoatanga.
- Ki te mea he ruarua, he tohu rānei āu, rapua tonutia he tohutohu hauora. Kaua e manukanuka, kua rite ngā tākuta ki te āwhina i a koe.
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