He mea noa te mataku me te ohorere ina pāngia koe, tētahi atu rānei e mōhio ana koe e te mate pukupuku koroni, kātahi ka mōhio kua horapa ki te ate. Ka karangahia tēnei e ngā tākuta he mate pukupuku horapa wāhanga, he mate pukupuku wāhanga tuawhā rānei. I ētahi wā, kua horapa te mate pukupuku ki te ate i te wā i kitea tuatahitia ai. Tērā pea ka hoki mai anō te mate pukupuku ka horapa ki te ate i muri i te maimoatanga. He mea noa te mataku ina rongo koe i tēnei, engari kaua e manukanuka. Mā ngā maimoatanga matatau o ēnei rā, ka taea e koe te whakahaere i ō tohu, te whakapai ake i tō kounga o te oranga, me te āwhina i a koe kia roa ake te ora. I tēnei rā, ka kōrerohia tēnei e tātou me ētahi atu taipitopito.
He aha ngā tohu o tēnei mate?
Ka rerekē pea ngā tohu i runga i te rahi o te mate pukupuku me te wāhi i horapa ai i roto i te tinana. He mea whakamiharo, kāore ētahi tāngata e pāngia e tetahi tohu ahakoa kua horapa te mate pukupuku koroni ki te ate. Heoi, tera ētahi tohu noa ka kitea.
Ko te mea nui, ka kitea anō hoki ēnei tohu i roto i ētahi atu mate hauora. Nō reira kaua e wehi kei pāngia koe e tētahi, e ētahi rānei o ēnei. Ko te mea pai ko te toro atu ki tō tākuta me te tiki tohutohu.
Kei te ripanga i raro nei ētahi o ngā tohu tino kitea.
| Tohu | Whakaahuatanga |
|---|---|
| Te toto i roto i te tūtae | He toto pouri, he toto whero rānei e konatunatua ana ki te tūtae. |
| Te mamae i te taha matau o te puku | Nā te mea kei te taha matau o runga o te puku te ate, tera pea ka pāngia koe e te mamae rerekē, te kore whakamarie rānei i taua wāhi. |
| Pupuhi | Ka pūwero whakamua te puku nā te pupuhi o te ate, nā te wai rānei i roto i te puku. |
| Te ngenge tonu me te ngoikore | Te tino ngenge, te ngenge, me te mate, kāore he take. |
| Te whakahekenga taumaha ohorere | Te tere o te whakaheke taumaha me te kore he uaua. |
Me pēhea te tautuhi tika i te mate?
Hei whakatau mēnā kua horapa tō matepukupuku koroni ki tō ate, ka whakahaerehia e tō tākuta ētahi whakamātautau. Tuatahi, ka pātai atu rātou ki a koe. Kātahi ka tonoa ētahi whakamātautau toto hei tirotiro i te mahi a tō ate, me ētahi matawai hei kite i te wāhi tika o te matepukupuku me tōna rahi.
| Whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Matawai CT (Tomography Rorohiko) | He momo hihi-X kaha tēnei. Ka taea e ia te tango pikitia mārama, taipitopito hoki o roto o te tinana. |
| Matawai MRI (Whakaahua Āhua Aukume) | Ka whakamahia e ia ngā aukume kaha me ngā ngaru reo irirangi hei whakaputa whakaahua tino mārama o ngā whekau me ngā kiko o te tinana. |
| Matawai PET (Positron Emission Tomography) | Ka werohia he matū irahiko ki roto i te tinana hei tautuhi i ngā wāhi kei reira ngā pūtau mate, pērā i ngā pūtau matepukupuku. |
| Te koiora ate (te tirotiro i tētahi wāhanga iti o te ate) | Ka tangohia e te tākuta tētahi wahi kiko iti rawa mai i te ate, ka tirohia i raro i te karuārai hei tirotiro mēnā kei roto he pūtau matepukupuku. |
He aha ngā kōwhiringa maimoatanga?
Ko te mea nui kia mārama koe i konei, ahakoa kua horapa te mate pukupuku ki te ate, he mate pukupuku koroni tonu aua pūtau mate pukupuku , ehara i te mate pukupuku ate. Nō reira, ka rite tonu te maimoatanga ki a koe mō te mate pukupuku koroni. Me whiwhi pea koe i tētahi, i ētahi atu maimoatanga rānei i te wā kotahi.
Pokanga
I ngā wā katoa e taea ai, ko te maimoatanga matua ko te tango i te matepukupuku mā te pokanga. Ka ngana te taote pokanga ki te tango i te nui o te matepukupuku mai i te ate me te koroni. Mena kotahi anake te matepukupuku i roto i te ate, he tino teitei te tūponotanga ka ora i muri i te pokanga.
Te rongoā matū
Koinei te mea e mōhiotia ana e tātou katoa ko te 'chemo'. Ka taea te hoatu te chemo i mua i te pokanga hei whakaiti i ngā pūtau matepukupuku kia māmā ake ai te tango. Ka taea hoki te hoatu te chemo i muri i te pokanga hei patu i ngā pūtau matepukupuku e toe ana.
Te Whakaora Irahiko
Ko te rongoā irahiko he whakamahinga o ngā hihi-X kaha-teitei hei whakangaro i ngā pūtau matepukupuku. Ka whakamahia mēnā kāore e taea e te pokanga te tango i te pukupuku, te whakaiti rānei i ngā tohu.
- Te whakapūngao irahiko: I roto i tēnei mahi, ka tukuna ngā matūriki iti o te irahiko mā roto i te toto ki roto i ngā uaua e tuku toto ana ki te mate pukupuku ate. Ka haere ēnei ki reira ka tuku i te irahiko ki te wāhi anake kei reira te mate pukupuku.
- Te rongoā parei: I roto i tēnei mahi, ka tukuna tika ngā rauemi irahiko iti ki roto i te puku mā te whakamahi i tētahi ngongo, ka waiho ki reira mō ētahi meneti.
Ngā Whakaora Whaiaro
He rongoā hou, matatau ēnei. Kāore i rite ki te chemo noa, ka aro tika ēnei rongoā ki ngā ngota motuhake e āwhina ana i ngā pūtau matepukupuku kia tipu me te horapa. Ka iti ake te kino o tēnei ki ngā pūtau hauora. Ko Cetuximab (Erbitux) me Bevacizumab (Avastin) ētahi o aua rongoā.
Te rongoā ārai mate
He maimoatanga tino matatau anō hoki tēnei. Ki te whakarāpopototanga, ka āwhina ēnei rongoā i te pūnaha ārai mate o tō tinana ki te kite me te whakaeke i ngā pūtau matepukupuku. Ko Nivolumab (Opdivo) me Pembrolizumab (Keytruda) ētahi tauira o ēnei rongoā.
Me pēhea koe e tiaki ai i a koe anō?
He pakanga nui te noho tahi me te mate pukupuku, ā-tinana, ā-hinengaro hoki. He mea nui kia tiakina koe i a koe anō i tēnei wā.
- Okiokinga me te moe: Kia nui te okiokinga hei whawhai i te ngenge.
- Kai Totika: I te wā e rongoatia ana, ka uaua pea ki te tinana te mimiti i ngā matūkai. Nō reira, me tono atu ki tō tākuta kia kite i tētahi tohunga kai. Ka taea e rātou te āwhina i a koe ki te waihanga i tētahi mahere kai hei whakarato i ngā kaora me ngā matūkai e hiahiatia ana e koe.
- Hauora hinengaro:He mea tino nui tēnei. Kōrero ki tētahi hoa pono, ki tētahi mema whānau rānei, mō ō kare ā-roto, ō mataku, me ō āwangawanga. Kāore pea rātou e mōhio me pēhea te āwhina i a koe. Nō reira, kōrerotia ki a rātou ngā mea e hiahiatia ana e koe. Pātai atu ki a rātou, "Kei te pōuri ahau i tēnei rā. E pai ana koe ki te whakarongo mai ki ahau?" Pātai atu ki tō tākuta mō ngā kaitohutohu me ngā kaimahi hapori ka taea te āwhina i a koe.
Karere Tangohia ki te Kāinga
- He mea noa te mataku ina rongo koe kua horapa tō matepukupuku koroni ki tō ate. Heoi, kei te wātea tonu te tumanako i roto i ngā maimoatanga o ēnei rā.
- Ka rite te rongoā mō tēnei mate ki te mate pukupuku koroni, kāore i te rite ki te mate pukupuku ate.
- Ko te whāinga matua o te maimoatanga he whakahaere i te mate pukupuku, he whakaiti i ngā tohu, me te āwhina i a koe kia roa ake te ora me te kounga pai o te oranga .
- Kōrerohia mā te mahorahora ki tō tākuta mō ngā mea katoa. Pātai atu mō ō pātai me ō wehi.
- I te wā e rongoatia ana, he mea nui kia tiakina koe, ā-tinana, ā-hinengaro hoki. Kia arotahi ki te kai totika, te okiokinga, me te oranga hinengaro.
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