Ki te mea ka whiwhi koe i te mammogram, ā, ka kī atu tō tākuta, "Kei a koe te mate pukupuku ū Wāhanga 0, e kiia nei ko te DCIS," he mea noa te rongo i te mataku me te ohorere ohorere. Ka mataku tātou katoa ina rongo tātou i te kupu "mate pukupuku." Engari ki te mārama koe ki te tikanga o te DCIS, ka mōhio koe kāore e tika ana tēnei wehi. Me kōrero taipitopito tātou mō tēnei mea, he tino māmā noa iho.
He aha te DCIS (Ductal Carcinoma in Situ)?
Ahakoa te āhua uaua o tēnei ingoa, he tino māmā noa iho te tikanga. Me wehewehe kupu ia kupu:
- Ngā putorino: E pā ana tēnei ki ngā putorino waiū i roto i ō ū. Ko ngā putorino he hanganga iti rite ki te ngongo e kawe ana i te waiū mai i ngā repe whakaputa waiū i roto i te ū ki te uma ina whāngai ū koe.
- Carcinoma: Koinei te ingoa hauora mō te mate pukupuku. Ko tōna tikanga he tipu pūtau rerekē.
- In Situ: Koinei te kupu tino nui i konei. Ko te kupu "In Situ" he kupu Latina mō te "in place." Ko te tikanga o tēnei ko ēnei pūtau matepukupuku rerekē kua puta noa i roto i te awaawa waiū. Kāore i pakaru i roto i te pakitara o te awaawa, ā, kāore i horapa ki te kiko o te ū e karapoti ana.
Whakaarohia he paipa wai. He paparanga waikura kei roto i te paipa. Engari kāore anō te waikura kia uru ki roto i te pakitara o te paipa, ā, kāore anō kia puta mai. He rite tonu te DCIS. Kei roto i te awaawa waiū (paipa wai) ngā pūtau matepukupuku (pērā i te waikura), engari kāore anō kia horapa ki waho.
Koia te take e kīia ai e ngā tākuta te DCIS he mate pukupuku ū "kore-whakaeke" he "mua-whakaeke" rānei. Kāore e horapa (metastasize) ki ētahi atu wāhanga o te tinana.
Engari ko te mea nui, ki te kore e rongoatia te DCIS, ka taea e ia te whanake hei mate pukupuku ductal invasive, ka pakaru i roto i te pakitara o te awa miraka ka horapa ki ngā kiko e karapoti ana. Koia te mea nui kia kitea wawetia, kia rongoatia hoki.
He pēhea te noa o te ingoa o tēnei āhuatanga ko te DCIS?
He momo matepukupuku ū tino noa te DCIS. E 20% ki te 25% o ngā matepukupuku ū hou kua kitea ko te DCIS. He mea tino noa tēnei i roto i ngā wāhine. He iti ake te tūponotanga ka pāngia ngā tāne e te DCIS.
Nō nā tata nei, kua nui ake ngā pūrongo mō ngā kēhi DCIS. Engari e ai ki ngā tohunga, ehara i te mea kua nui haere te whakamahinga o te DCIS te take, engari nā te mea ka taea e ngā whakamātautau pēnei i te mammogram te kite i te mate i te wā wawe rawa atu.
He aha ngā tohu o te DCIS?
Ko te nuinga o te wā i roto i te DCISKāore he tohu . Ko te tikanga, kāore pea koe e rongo i tētahi rerekētanga. Koinei te hiranga o ngā mammogram. Ka āwhina ēnei ki te kite i ēnei āhuatanga i mua i te puta mai o ngā tohu.
Heoi, he tino onge, ka pāngia ētahi tāngata e ēnei tohu:
- Te rongo i te puku i roto i te ū
- He ponana kiri
- He rerenga mai i te uma (he rite ki te toto)
Ngā take me ngā āhuatanga mōrearea mō te DCIS
Ka puta te DCIS ina huri ngā pūtau hauora i roto i ngā awa waiū (ngā whakarerekētanga ira) ka tīmata te tipu haere i waho o te mana whakahaere. Engari kāore anō kia mōhiotia e ngā tohunga he aha i pēnei ai te huri o ēnei pūtau, he aha rānei i muri mai ka whanake ai ētahi kēhi DCIS hei matepukupuku kaha.
Heoi, kua tautuhia he maha ngā āhuatanga e whakanui ana i te tūponotanga, i te mōrearea rānei, o te whakawhanake i te DCIS.
| Tauwehenga Mōrearea | Whakaahuatanga |
|---|---|
| Hītori whānau | He mate pukupuku ū kei roto i ngā whanaunga toto (whaea, tuahine, tamāhine). |
| Hītori whaiaro | Kua pāngia koe e te mate pukupuku ū i mua, kua tipu rānei ngā pūtau rerekē (atypical hyperplasia). |
| Tau me te ira tangata | He wahine, ā, neke atu i te 30 tau te pakeke. |
| Ngā pānga homoni | Te pakeketanga i mua i te 12 tau te pakeke, te paheketanga i muri i te 55 tau te pakeke. |
| Te haputanga | Kāore rawa koe e hapu, kāore koe e whānau i tāu tamaiti tuatahi i muri i te 30 tau te pakeke, kāore rānei koe e whāngai u i āu tamariki. |
| Ngā āhuatanga ira | Kei a koe ngā whakarerekētanga ira ( BRCA 1 me BRCA 2 ) e whakanui ana i te mōrearea o te mate pukupuku o te ū. |
| Ētahi atu āhuatanga | He kiko matotoru tō te ū, ā, kua whiwhi koe i te rongoā irahiko ki te uma. |
Ko te mea nui kia mārama ki konei, ko te whai i tētahi, i ētahi rānei o ēnei āhuatanga mōrearea, ehara i te mea ka tino pāngia koe e te DCIS. Hei tauira, ko te hunga kāore he hītori whānau mō te mate pukupuku ū, ka pāngia tonu rātou e te DCIS. Ko te tikanga he paku teitei ake te tūponotanga.
Me pēhea te tātaritanga o te DCIS?
Neke atu i te 90% o ngā mate DCIS ka kitea i runga i te mammogram . Ka whakaatuhia e ngā mammogram ngā tautau o ngā putunga konupūmā iti (microcalcifications) i roto i te ū. Koinei ngā tohu matua o te DCIS.
Mena ka kitea he mea whakapae i te mammogram, tera pea ka tūtohu te tākuta kia tangohia he koiora . Ko te koiora he tango i tētahi tauira iti rawa o te kiko whakapae, ka tirotirohia i raro i te karuārai hei tirotiro mena kei roto he pūtau matepukupuku.
Ngā Taumata me ngā Wāhanga o te DCIS
Kia kitea te DCIS, ka whakatauhia e ngā tākuta tōna taumata me tōna wāhanga.
- Wāhanga: Ko te DCIS he Wāhanga 0 tonu te mate pukupuku ū. He rongo pai rawa tēnei nā te mea kāore anō kia horapa te mate pukupuku.
- Taumata: E pā ana tēnei ki te āhua ōrite, te rerekē rānei o ngā pūtau matepukupuku mai i ngā pūtau hauora, me te tere o tō rātou tipu. E toru ngā taumata matua.
- Wāhanga Iti: He rite te nuinga o ngā pūtau matepukupuku ki ngā pūtau hauora, ā, he puhoi te tipu.
- Taumata Waenga: He rerekē paku ngā pūtau matepukupuku i ngā pūtau hauora.
- Teitei o te Kounga: He rerekē rawa ngā pūtau matepukupuku i ngā pūtau hauora, ā, he tere tonu te tipu o ō rātou pūtau.
He aha ngā maimoatanga mō te DCIS?
Ahakoa ehara te DCIS i te mate pukupuku kaha, he mea nui kia rongoatia kia kore ai e tupu hei mate pukupuku kaha i muri mai. Mā tō tākuta e whakatau te kōwhiringa maimoatanga pai rawa atu māu i runga i ngā āhuatanga pēnei i tō tau, te taumata o te DCIS, me ō manakohanga whaiaro.
E rua ngā tikanga maimoatanga matua:
| Tikanga Maimoatanga | Hei whakarāpopototanga... |
|---|---|
| 1. Te tango i te ū / te pokanga tiaki ū + te rongoā irahiko | Ko te tikanga o tēnei ko te tango pokanga i te wāhi anake o te kiko e pāngia ana e te DCIS, me te iti o te kiko hauora e karapoti ana. Mā tēnei ka waiho te nuinga o tō ū kia ora. I muri i te pokanga, ka tukuna te rongoā irahiko hei patu i ngā pūtau matepukupuku e toe ana. |
| 2. Te tango i te mastectomy | I roto i tēnei, ka tangohia te ū katoa e pāngia ana e te DCIS mā te pokanga. E taunakihia ana tēnei tikanga mēnā kua horapa te DCIS ki tētahi wāhi nui o te ū, ki ētahi awaawa miraka rānei, mēnā rānei kāore e taea te tango i te lumpectomy. Kāore e hiahiatia te rongoā irahiko i muri i te mastectomy. |
Mena ka tāmihia tō uma, ka taea e koe te kōrero ki tō tākuta mō te pokanga hanga anō i te ū.
Te maimoatanga i muri i te pokanga
I muri i te pokanga, ka tūtohu pea tō tākuta i te rongoā homoni hei ārai i te hokinga mai o te DCIS. Kei roto i tēnei ko te whakamahi i ngā rongoā pēnei i te Tamoxifen , i ngā Aromatase Inhibitors rānei. E rima tau te roa o tēnei maimoatanga.
Ka taea te whakaora katoa i te DCIS?
Āe, tino tika! He mate tino taea te rongoā i te DCIS, ā, ka taea hoki te tino whakaora . He tino teitei te auau whakaora mō te hunga e whiwhi maimoatanga ana, tata ki te 100%.
He tino iti te mōrearea o te hokinga mai o te DCIS i muri i te maimoatanga. Ahakoa ka hoki mai anō, kāore i te nuinga o te wā e mōrearea ana ki te ora.
Me aha koe?
Ahakoa kāore he huarahi motuhake hei ārai i te DCIS, mā te kitenga wawe ka taea te whakaora katoa.
- Me tirotiro mammogram auau: Ko te tikanga kia tirohia mammogram koe i te tau kotahi i muri i te 40 tau. Heoi, kōrero ki tō tākuta mō te auau o te mahi i tēnei, i runga i ngā āhuatanga mōrearea e pā ana ki a koe.
- Whāia ngā tohutohu a tō tākuta: Whai muri i te maimoatanga, me haere ki ngā tirotiro hauora e ai ki ngā tohutohu a tō tākuta. I te nuinga o te wā, me tirotiro hauora ia 6-12 marama mō ngā tau tuatahi e rima, ā, i ia tau i muri mai.
- Pātai atu ki tō tākuta: Ina kitea e koe he DCIS tōu, kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei. Pātai atu ki a koe, "He aha te maimoatanga pai mōku?", "Kia pēhea te roa o te maimoatanga?", "Ka taea e au te mahi tonu i tēnei wā?"
He mea noa te mataku me te manukanuka ina kitea he mate pukupuku tōu. Engari kia maumahara ko te DCIS he momo mate pukupuku ū wawe, kāore e kino, ā, he tino ngāwari te rongoā. Mā te maimoatanga tika me te aroturukitanga, ka taea e koe te ora i te oranga hauora katoa.
Karere Tangohia ki te Kāinga
- Ko te DCIS te wāhanga tōmua (Wāhanga 0) o te matepukupuku ū. I konei, kei roto noa i ngā awaawa miraka ngā pūtau matepukupuku, ā, kāore anō kia horapa ki ngā kiko e karapoti ana.
- He mate pukupuku kore-whakaeke tēnei, nō reira kāore e horapa ki ētahi atu wāhanga o te tinana.
- Kāore he tohu o te DCIS i te nuinga o te wā. He maha ngā wā ka kitea mā te mammogram.
- Ka tata ora katoa te DCIS mā te rongoā, nō reira kāore he take e mataku ai.
- Ki te kore e rongoatia, tera pea ka huri hei mate pukupuku kaha, no reira he mea tino nui kia rapu maimoatanga i runga i ngā tohutohu a te taote .
- Ko ngā tirotiro hauora me ngā mammogram auau te huarahi pai ki te kite wawe i te mate.
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