He puku kei tō tinana? He puku Desmoid? Kaua e manukanuka, kia mōhio tātou ki tēnei (Ngā puku Desmoid)

Kua mataku koe i te kitenga i tētahi puku hou i tō tinana, i te ringa, i te waewae, i te puku rānei? He mea noa te mataku ina kite koe i tētahi puku pēnei. Engari ehara i te mea he morearea ngā puku katoa. Heoi, i ētahi wā he iti noa te tūponotanga he momo puku onge e kiia nei ko te 'Desmoid Tumor' e kōrerohia ana e tātou i tēnei rā. Nō reira, i tēnei rā ka kōrerohia e tātou ngā mea katoa i roto i te huarahi tino māmā, i roto i te huarahi e mārama ai koe.

He aha te Puku Desmoid?

He whakarāpopototanga noa iho, he pukupuku anō hoki tēnei, he puku rānei, e puta mai ana i ngā kiko o tō tātou tinana. Engari ehara tēnei i te rite ki ngā pukupuku momona (Lipoma) e kitea ana i raro i te kiri. Ka puta ēnei pukupuku i roto i ngā kiko muka o tō tātou tinana. Hei whakamārama, ka puta mai i roto i ngā kiko kaha pērā i ngā uaua e hono ana i ō tātou uaua ki ō tātou wheua me ngā hononga e hono ana i ō tātou wheua tetahi ki tetahi. Ko te ingoa "Desmoid" i ahu mai i te kupu Kariki ko tōna tikanga "he rite ki te whitiki."

Ko te pātai nui rawa atu pea e pātai ana koe ki a koe anō ināianei, "He mate pukupuku tēnei?" He maha ngā wā ka kiia ngā pukupuku desmoid he mate pai nā te mea kāore e horapa (metastasize) mai i tētahi wāhanga o te tinana ki tētahi atu pērā i ngā mate pukupuku noa.

Engari i konei me mārama tātou ki tētahi mea tino nui. Ahakoa kāore ēnei pukupuku e horapa, i ētahi wā ka tere te tipu (kaha) . Ina tupu tēnā, ka taea e te pukupuku te tipu ki roto i ngā kiko hauora, ngā io, me ngā oko toto e karapoti ana i te pukupuku, ā, ka kino hoki. Nā tēnei āhuatanga, i ētahi wā ka rite ā rātou whanonga ki te mate pukupuku. Koia te take me āwangawanga tātou mō tēnei.

He tino onge ēnei. E 2 ki te 4 noa iho ngā take ka puta i ia miriona puta noa i te ao. Ka taea e ēnei te puta i ngā tau katoa, i roto i te tangata katoa, engari ko te nuinga o te wā ka pā ki ngā wāhine kei roto i ō rātou tau 30.

He aha ngā take e puta ai ēnei?

Ahakoa he uaua ki te kī tika he aha, kua kitea he nui ake te mōrearea o te whakawhanake i ēnei i ētahi wā.

• Ngā āhuatanga tuku iho: Ko te hunga e pāngia ana e te Familial Adenomatous Polyposis (FAP), he āhuatanga tuku iho e puta ai te mate pukupuku koroni, ka nui ake te tūponotanga ka pāngia e ngā pukupuku desmoid.
• Hapūtanga: E whakaponohia ana ko te homoni 'estrogen', e piki haere ana i roto i te tinana i te wā e hapū ana, kei roto anō hoki i tēnei.
• Ngā whara kino ki te tinana: I ētahi wā ka puta he puku pēnei i muri i te pokanga, i tētahi wā rānei i muri mai i te wāhi i whara kino ai.

He aha ngā tohu o te Puku Desmoid?

Ko ngā tohu o tēnei ka whakawhirinaki ki te wāhi o te tinana e noho ana te puku. I ētahi wā ka kitea pea, kāore he tohu. Me titiro tātou ki ngā rerekētanga o ngā tohu matua.

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Me pēhea koe e mōhio ai mēnā he Puku Desmoid tēnei?

Mena he puku tōu, ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakatau ko tēhea te momo.

1. Matawai Ultrasound: Ka whakamahia ngā ngaru oro auau teitei hei tirotiro i roto i te puku. Ka āwhina tēnei ki te whakatau mēnā he totoka, he wai rānei te puku.

2. Ētahi atu matawai whakaahua: Ka āwhina ēnei ki te kite mēnā kei te pāngia te pukupuku e ngā kiko e karapoti ana, me te mea ka taea te tango haumaru mā te pokanga.

• Matawai MRI (Whakaahua Āhua Aukume): Ka whakamahia he papa aukume kaha hei tango whakaahua tino mārama, tino taipitopito.
• Matawai CT (Tomography Rorohiko): Ka tangohia ngātahitia he raupapa hihi-X hei hanga i tētahi pikitia katoa o te puku.

3. Kohikohi pūtau: Koinei te whakamātautau tino nui, tino whakatau hoki . Ka tangohia he wāhanga iti o te puku, te puku katoa rānei, ka tirohia i raro i te karuārai. Koinei anake te whakamātautau ka taea te kī 100% mēnā he pukupuku desmoid, he mea kē atu rānei.

Me pēhea te rongoā?

Ki te whakaūtia e te koiora he pukupuku desmoid, mā tō tākuta e whiriwhiri te maimoatanga tino tika māu. Ka whakatauhia te maimoatanga e ngā āhuatanga maha, tae atu ki te rahi o te pukupuku, tōna wāhi, te tere o tōna tipu, me ō tohumate.

• Taria, mātakitaki: Kaua e miharo, kāore ētahi puku e nui haere me te kore he maimoatanga. Tērā pea ka mimiti haere ētahi i roto i te wā. Nō reira, ki te mea he iti te puku, kei waho o te puku, ā, kāore he tohu, ka whakatau pea tō tākuta ki te tirotiro mō tētahi wā.
• Pokanga: Ka mahia te pokanga i ngā wā katoa e taea ai hei tango katoa i te pukupuku. Heoi, he uaua pea te tango i ngā pukupuku kei roto i te puku. Waihoki, ahakoa i muri i te pokanga, he 25% - 50% te tūponotanga ka tupu anō te pukupuku ki te wāhi kotahi.
• Whakaora irahiko: Ka whakamahia tēnei maimoatanga anake, me te pokanga, me te rongoā rānei. He whai hua mō te tini o te tangata. Heoi, ki te mea kei roto i te puku te pukupuku, kāore pea e taea tēnei nā te mea ka taea e te irahiko te kino i ngā whekau nui e tata ana.
• Rongoā: Kāore anō kia kitea he rongoā motuhake mō ēnei pukupuku. Heoi anō, he maha ngā momo rongoā e whakamahia ana, tae atu ki ngā rongoā ārai-matepukupuku, hei whakaiti i ngā pukupuku, hei aukati rānei i tō rātou tipu.
• Ētahi atu maimoatanga hou:
• Te tango i te aho irirangi: Ka whakauruhia he taputapu rite ki te ngira ki roto i te pukupuku, ā, ka whakamahia ngā ngaru irirangi hei whakaputa wera, hei whakangaro i te pukupuku.
• Cryoablation: Ka whakamahia he taputapu tātari hei whakatio me te whakangaro i te kiko pukupuku.

Ko te mea nui, mā tō rōpū hauora e whakatau ko tēhea o ēnei maimoatanga te mea pai mōu. Nō reira, kaua e mangere ki te kōrero ki a rātou mō ō pātai, ō āwangawanga rānei.