Me ako tātou mō te Pokanga Debulking/Cytoreduction, e tango ana i ngā pukupuku matepukupuku.

He mea noa ki te tangata te mataku nui me te ohorere ina rongo rātou kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana. Heoi, i roto i te pūtaiao hauora matatau o ēnei rā, kei reira ngā maimoatanga kaha hei āwhina i te whakaroa i te ora me te whakahaere i ngā tohu ahakoa i roto i ēnei take. I tēnei rā, ka kōrero tātou mō tētahi o aua momo pokanga motuhake. Ka kiia tēnei ko te pokanga tango i te pukupuku.

He aha te tikanga o te pokanga tango-pūwero?

Whakaarohia he nui ngā taru i roto i te māra. Me aha tātou? Ka hutia e tātou te maha o aua taru, tika? Kātahi ka whai wāhi ngā rākau me ngā waina pai ki te tupu tika anō. He rite tonu te pokanga tango i ngā otaota, te pokanga '(Cytoreduction)' rānei.

He whakarāpopototanga noa iho tēnei, arā , ko te tango i te nuinga o te mate pukupuku i te wā kua horapa puta noa i te tinana mā te pokanga. I ētahi wā, kāore pea e taea te tango katoa i te mate pukupuku. Engari mā te tango i te nui o te mate pukupuku ka māmā ake te whakahaere i ngā pūtau mate pukupuku e toe ana mā ētahi atu maimoatanga, pērā i te chemotherapy.

He maha ngā whāinga matua o tēnei:

• Āwhina ki te whakaroa i te roa o te oranga.
• Te whakaroa i te horapa o te mate pukupuku.
• Te whakamamae i ngā tohu pēnei i te mamae me te pēhanga ki ngā whekau e karapoti ana i te tinana e hua mai ana i ngā pukupuku matepukupuku.
• I ētahi wā, ka taea e tēnei pokanga te āwhina i te whakaora katoa i ngā mate pēnei i te mate pukupuku whatukuhu.

He aha ngā momo āhuatanga e mahia ai tēnei pokanga?

Ko te pokanga tango i te puranga te mea e whakamahia whānuitia ana mō te mate pukupuku kua horapa ki te kōhao puku (i roto i te puku) me te hope. Ka whakaarohia pea tēnei pokanga e ngā tākuta i roto i ēnei āhuatanga:

He aha ngā mea ka tupu i mua i te pokanga?

I te mea he pokanga nui tēnei, me whai whakarite pai i mua i te wā.

Kōrero ki te tākuta

Mā tō tākuta pokanga mate pukupuku e whakamārama mārama ngā mea katoa ki a koe.

• Maimoatanga i mua i te pokanga: I ētahi wā ka hoatu pea te rongoā neoadjuvant, pērā i te chemotherapy, i mua i te pokanga hei whakaiti i te mate pukupuku.
• Momo pokanga: Mā te tākuta e whakatau mēnā ka mahia tēnei hei "pokanga laparoscopic", arā, ka whakauruhia he kāmera mā roto i ētahi tapahi iti, hei "laparotomy" rānei, arā, ka whakatuwheratia te puku.
• Ngā whekau e tangohia ana: Mēnā he mate pukupuku whēkau, ka tangohia ngā whēkau, ngā ngongo fallopian, te kōpū, me te cervix. I runga anō i te horapa o te mate pukupuku, me tango pea tētahi wāhanga o te whekau iti, o te koroni rānei.
• Te roa o te pokanga: He pokanga nui tēnei e maha ngā hāora te roa, engari ka rerekē pea te roa i runga i tō āhua.

Ngā whakamātautau e hiahiatia ana

He maha ngā whakamātautau ka mahia hei tirotiro mēnā he pai tō tinana mō te pokanga.

• Ngā whakamātautau toto: Ngā taumata huka toto, te tatau toto katoa (CBC), ngā whakamātautau mahi whatukuhu me te ate.
• Ngā whakamātautau whakaahua: Tērā pea ka mahia ngā mahi pēnei i ngā hihi-X o te uma, ngā karapa CT, ngā karapa MRI, me ngā karapa PET.

Te hui ki te tohunga whakamoe

Ka pātai atu te tohunga whakamoe ki a koe i mua i te whakamoe. Hei tauira, ka pātai atu rātou mō ō wheako o mua ki te whakamoe, ngā rongoā e tangohia ana e koe, ngā huaora e tangohia ana e koe, ētahi atu mate hauora kei a koe, me te āhua o ō niho.

Me pēhea te whakarite mō te pokanga?

• Kaua e kai hikareti:Ki te mea kei te whakamahi koe i tētahi momo nikotīni, tae atu ki ngā hikareti me ngā hikareti hiko, kati tonu. Ka taea e te nikotīni te whakararuraru i te rere o te toto, ā, ka whakaroa i te whakaora o te patunga i muri i te pokanga.
• Nohopuku: Ka tohutohuhia koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te pokanga. Me ata whai i ēnei tohutohu.
• Whakamaherehia tō noho hōhipera: Me noho koe ki te hōhipera mō ētahi rā (3-7 te nuinga o te wā) i muri i tēnei pokanga. He mea āwhina te whakarite i ō mahi whare me ō mahi i mua i taua wā.
• He tangata hei āwhina i a koe i muri i tō taenga ki te kāinga: He mea pai ki te whai tangata hei āwhina i a koe i ngā rā tuatahi i muri i tō taenga ki te kāinga.

He aha ngā mea ka tupu i te wā o te pokanga?

I muri i te hoatutanga o te rongoā whakamoe ki a koe, ka moe rawa koe. Kāore koe e rongo i te mamae. Ka tapahia e te taote tetahi, neke atu rānei, tō puku, ā, ka tangohia marietia te pukupuku matepukupuku me tetahi kiko kua horapa. I ētahi wā, ka mahia pea he maimoatanga motuhake e kiia nei ko te "Hyperthermic Intraperitoneal Chemotherapy (HIPEC)", arā, ko te werohanga o ngā rongoā chemotherapy wera ki roto i te kōhao puku i te wā o te pokanga. Hei whakamutunga, ka tuia ngā tapahi, ā, ka whakatakotoria he ngongo "waikeri" hei tango i te wai kua kohia i roto i tō tinana.

He aha ngā mea ka tupu i muri i te pokanga?

Ka tirotirohia koe e ngā kaimahi hauora i roto i te rūma whakaora tae noa ki te oho ake i te rongoā whakamoe. I roto i ngā rā torutoru e noho ana koe i te hōhipera, ka hoatu e rātou he rongoā mamae ki a koe, ka horoia tō patunga, me ētahi atu. Ka hoatu e rātou he wai iti hei inu māu i te tuatahi, kātahi ka whakamōhio atu rātou i a koe ki ngā kai wai.

He aha ngā pānga taha me ngā raruraru pea?

Pērā i ngā pokanga nui katoa, ka pā mai pea ngā pānga taha me ngā raruraru ki tēnei pokanga.

• Ngā pānga taha noa: te toto mai i te patunga, te ngenge rawa, te kore hiahia kai, te mamae, me te uaua ki te tutae.
• Ngā raruraru pea: ngā toto totoka, te mate o te patunga, te lymphedema, me te ileus rangitahi.

Kāore he take e wehi ai, nā te mea kei te aro tonu ngā kaimahi hauora ki ēnei momo mea.

Kia pēhea te roa o te wā e ora ai?

Tērā pea ka roa pea ētahi marama kia tino ora ai. He mea noa te ngenge nui atu i te tikanga i muri i te pokanga.He nui te pūngao e whakamahia ana e tō tinana hei whakaora. Nō reira, kia nui te okiokinga. Kaua e hiki i te taumaha neke atu i te 4-5 kirokaramu i muri i te pokanga. Mā tō tākuta koe e kī atu kia pēhea te roa me noho puku koe.

Āhea koe me rapu tohutohu hauora tonu?

Ki te pā mai ēnei tohu ki a koe i muri i tō hokinga ki te kāinga, me mahi tonu koe i tētahi mahi .