Kua kite koe i tētahi panoni iti i roto i tō ure, i tētahi puku, i tētahi pupuhi rerekē rānei? Tērā pea kua pāngia koe e te taumaha, e te kore whakamarie rānei. Ehara i te mea pai kia warewarehia ēnei mea, koia rā? Nā te mea he tohu pea ēnei o tētahi mate kāore e kōrerohia nuitia ana i ētahi wā, engari he mea tino nui kia mōhio koe. Ka kōrero tātou mō tēnei āhuatanga i tēnei rā.

He aha te Mate Pukupuku o ngā Kutukutu?

He whakarāpopototanga noa iho, ko te Embryonal Carcinoma he momo mate pukupuku e tupu ana i roto i ngā testicles, he ahua kaha ake, ā, he tere te horapa. Ka kiia ko te tumor cell germ. Inaianei kei te whakaaro pea koe he aha ēnei cell germ. Ko ngā cell germ, ko ngā pūtau wawe e whakaarohia ana kia tino pakeke te parāoa. Heoi, i roto i tēnei take o te Embryonal Carcinoma, ka tīmata ēnei cell germ ki te wehewehe me te whakanui tere me te kore e taea te whakahaere. I roto i tēnei take, ka puta he pukupuku kino i roto i tō testicle.

E whakarōpūtia ana ēnei mate pukupuku embryonal e ngā tākuta hei pukupuku pūtau ira kore-seminomatous. Tērā pea kei te whakaaro koe he aha ngā non-seminomas . He māmā noa iho, kei reira tētahi atu momo mate pukupuku pūtau ira e kiia nei ko ngā seminomas. Heoi, ka tere ake te tipu o ēnei non-seminomas (he tauira ngā mate pukupuku embryonal o tēnei) ā, ka tere ake te horapa ki ētahi atu wāhanga o te tinana.

He pēhea te noa o tēnei āhuatanga?

He pēhea te noa o te mate pukupuku o ngā kōpū? Ina hoki, ki te whakaarohia ngā mate pukupuku katoa e puta ana i roto i ngā kōpū, he iti ake te noa o ēnei. Ara, ehara tēnei i te mate e pā ana ki te katoa. O ngā take o te mate pukupuku kōpū kua tautuhia, ko ngā pukupuku pūtau ira, ko ngā mate pukupuku kōpū parakore, ko ngā mate pukupuku kōpū anake, ka kitea i roto i te tau iti rawa, tata ki te rua ōrau (%2).

Heoi, he mea nui kia mōhio koe ki tēnei. Tata ki te 85 ōrau (85%) o ngā pukupuku pūtau ira whakauru e puta ana i roto i ngā testicle ka taea te whai carcinoma embryonal. Ko ngā pukupuku pūtau ira whakauru he pukupuku e puta mai ana i te huinga o ētahi momo pukupuku kore-seminoma.

He tino onge te tīmatanga o tēnei mate, e kiia nei ko te Embryonal Carcinoma, i roto i ētahi atu okana o ngā wāhine, pērā i ngā ovaries. Ko te Embryonal carcinoma, e whanake ana i roto i ngā ovaries, he momo tino onge o te ovarian germ cell tumor. Ahakoa te wāhi e tīmata ai, tera pea ka tere te tipu me te horapa o tēnei momo mate pukupuku.

He aha ngā tohu o te Embryonal Cancer?

Āe, kia tirohia tātou he aha ngā tohu e kitea ana i roto i tēnei āhua o te Embryonal Carcinoma. Mēnā kei a koe tētahi o ēnei, he pai ake te rapu tohutohu hauora tonu atu.

• Te āhua nei kei te pupuhi tetahi o ō ure.
• He puku, he puku rānei e mārō ana ki te pā atu i roto i te rae, me te mamae, me te kore mamae rānei.
• Te ahua o te taimaha me te kore whakamarie i roto i te kiriuhi.

Haunga ēnei tohu, mēnā kua horapa te mate pukupuku ki tua atu i te porotiti, arā, ki ētahi atu wāhanga o te tinana, ka puta pea ētahi atu tohu. Ko ēnei:

• Mamae o te tuara o raro.
• Mamae o te taha.
• Te uaua ki te manawa (dyspnea).
• Te maremare, i ētahi wā ka maremare toto (hemoptysis).

Ki te kite koe i tētahi mea pēnei, kaua ianei koe e whakaroa ki te toro atu ki te tākuta?

He aha te whanaketanga o te mate pukupuku o ngā kukune?

Ka puta te mate pukupuku o te kukune ina tīmata ngā pūtau ira kua whakahuatia ake nei ki te wehewehe me te whakanui tere, me te kore e taea te whakahaere. I roto i te wā, ka honoa ēnei pūtau hei hanga i tētahi pukupuku. He maha ngā wā ka tere te tipu o ēnei mate pukupuku, ka horapa ki tua atu i te kōpū.

Heoi anō, kāore anō ngā tākuta kia tino mōhio he aha i tīmata ai ēnei pūtau ira ki te whanonga rerekē i te tuatahi. Heoi anō, e whakapono ana rātou ka puta mai ēnei pūtau ira rerekē i te wā e noho tonu ana tātou i roto i te kōpū, arā, i te wā e whanake ana te kukune.

Ko wai kei te nui ake te mōrearea mō tēnei mate? (Ngā Take Mōrearea)

Āe, he aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o tēnei mate e kiia nei ko te Embryonal Carcinoma? Me titiro tātou.

• Tau: Ko te nuinga o te wā ka kitea tēnei mate i roto i ngā taiohi i waenga i te 25 me te 35 tau te pakeke .
• Iwi: Ko ngā pukupuku pūtau ira tangata o te testicular te mea tino kitea i waenga i ngā tāne mā ehara i te Hispanic i te United States me Ūropi.
• Hītori whānau: Mena kua pāngia tētahi o tō whānau tata, pērā i te matua tāne, te tungāne rānei, e tēnei momo matepukupuku pūtau ira, tera pea ka paku piki ake tō mōrearea ki te pāngia.
• Ētahi āhuatanga hauora: Hei tauira, ko te hunga whai āhuatanga pēnei i te kore e heke iho ngā huakita (cryptorchidism) me te mate Klinefelter ka nui ake te mōrearea ki tēnei.

Me pēhea te tautuhi i te mate pukupuku o ngā kukune?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate, me te mea kua pāngia tētahi o tō whānau e tēnei mate. Kātahi ka tirotirohia koe e rātou kia kite ai mēnā he puku, he pupuhi rānei kei roto i ō huakita. Ka tirohia hoki e rātou mēnā he puku waikura pupuhi kei roto i tō puku. Nā te mea ko ngā puku waikura pupuhi he tohu pea kua horapa te mate pukupuku.

Hei tāpiri, ka mahia ngā whakamātautau e whai ake nei hei tautuhi tika i tēnei mate:

• Ngā whakamātautau whakaahua: Ko te whakamātautau tuatahi he whakamahi i te ultrasound o ngā poro e rua. Mena ka kitea ngā tohu o te mate pukupuku, ka taea te mahi i te CT scan (computered tomography scan), te X-ray, te MRI rānei (magnetic resonance imaging) hei tirotiro i te horapa o te mate pukupuku i roto i te tinana.
• Ngā whakamātautau tohu pukupuku toto: Ko te tango i tētahi tauira o tō toto me te rapu i ētahi tohu pukupuku e pā ana ki te mate pukupuku testicular. Ko ētahi tauira ko te alpha-fetoprotein (AFP) me te human chorionic gonadotropin (HCG). Ka kitea pea ēnei i roto i te toto me te embryonal carcinoma, engari kāore i te kitea i ngā wā katoa.
• Te tango i te korokoro mate pukupuku katoa me te koiora i te puku o te ihu: Ko te tango pokanga i te korokoro mate pukupuku katoa, me te tirotiro i ōna pūtau i raro i te karuārai. Koinei te wā ka taea te whakaū mēnā he mate pukupuku embryonal. I te nuinga o te wā, he wahi iti noa iho o te kiko ka tangohia e te koiora. Heoi, mō te mate pukupuku korokoro, ki te tangohia tētahi wahi iti pēnei, ka tangohia te korokoro katoa nā te mea he nui ake te tūponotanga ka horapa ngā pūtau mate pukupuku.

Ngā Wāhanga o te Mate Pukupuku o te Kutukutu

Ina kitea tō mate, ka whakatauhia hoki e tō tākuta te taumata o tō mate pukupuku. Koinei te tawhiti o te horapa o te mate pukupuku me tōna kino. Ko te taumata o tō mate pukupuku te tohu pai rawa atu mō te whakaora i a koe, kāore rānei. He maha ngā wā ka taea te whakaora katoa i te mate pukupuku embryonal i ōna wāhanga tōmua. Heoi, nā te tere o te horapa, tata ki te 40 ōrau (40%) o te mate pukupuku kua horapa kē (metastasized) ki ngā wāhanga tawhiti o te tinana i te wā e tātarihia ai e ngā tākuta.

Ko ngā wāhanga matua o te Embryonal Carcinoma ko:

• Wāhanga I: Kei roto noa i tō roro te mate pukupuku.
• Wāhanga II: Kua horapa te mate pukupuku ki ngā kōpū lymph i muri i tō puku (retroperitoneum).
• Wāhanga III:Kua horapa te mate pukupuku ki tua atu i ngā kōpū lymph i roto i te retroperitoneum, ki ngā whekau tawhiti rānei o te tinana. Ko te nuinga o te wā ka horapa te mate pukupuku embryonal ki ngā pukahukahu. Heoi, ka taea hoki te horapa ki te ate, te roro, ngā wheua rānei.

He aha ngā maimoatanga mō tēnei?

Ko ngā maimoatanga matua mō te mate pukupuku kukune ko te pokanga hei tango i te mate pukupuku me te chemotherapy. Ka whakawhirinaki te maimoatanga ka whiwhi koe ki ngā āhuatanga maha, pēnei i te wāhanga o tō mate pukupuku, tō hauora whānui, me te momo maimoatanga e pai ana ki a koe.

He maha ngā tikanga maimoatanga matua:

• Te tango i te ate i te puku: I tēnei tikanga, ka tangohia katoatia tō testicle matepukupuku e tō tākuta. Ka hiritia ngā oko toto me te kiko lymph e karapoti ana hei aukati i te horapa o te matepukupuku.
• Te tapahi i ngā kōpū lymph retroperitoneal (RPLND): Mena kua horapa te mate pukupuku embryonal ki ngā kōpū lymph i te tuara o tō puku, mena rānei he tūponotanga kei horapa, ka taea hoki e tō tākuta te tango i aua kōpū lymph mā te pokanga.
• Te rongoā matū: He pai te urupare a te mate pukupuku embryonal ki te rongoā matū. Ko te tikanga, ka hoatu he rongoā ki tō tinana ka taea te patu i ngā pūtau mate pukupuku. I muri i te pokanga, ka hoatu pea he rongoā matū ki a koe hei patu i ngā pūtau mate pukupuku e toe ana. I ētahi wā, i ngā wā kua horapa haere te mate pukupuku, ka whakatau ngā tākuta ki te hoatu rongoā matū ki a koe i mua i te pokanga.

Ka pēhea te āhua o te ao i roto i tēnei āhuatanga? (Tirohanga)

Ko te wāhanga o te mate pukupuku te mea nui rawa atu e pā ana ki te pai o tō oranga (matapae / tirohanga whānui). I whakaatuhia e tētahi rangahau tata nei neke atu i te 98% (98%) o te hunga i rongoatia mō te mate pukupuku wāhanga tuatahi i ora tonu i muri i ngā tau e rima. Tata ki te 80% (80%) o te hunga whai mate pukupuku e whānau ana i te wāhanga tuatoru i ora tonu i muri i ngā tau e rima.

Kia maumahara, ahakoa he pai tō urupare ki te maimoatanga, ka aroturuki tonu ngā tākuta i a koe nā te mea ka hoki mai anō pea te mate pukupuku.

Mēnā kei te pūkahukahu te mate pukupuku, e 20% (20%) te tūponotanga ka hoki anō te mate. Heoi, mēnā kua horapa te mate pukupuku ki te kiriuhi, ki ngā kōpū lymph rānei, ka neke atu i te 50% (50%) te tūponotanga ka hoki anō te mate.

Ka taea te ārai i te mate pukupuku o ngā kukune?

ki te pono,Kāore he huarahi hei ārai i te whanaketanga o te mate pukupuku kukune. Heoi, ko te mea pai rawa atu ka taea e koe ko te toro atu ki te tākuta ina kite koe i ngā huringa o ō kōpū. Ehara i te mea he mate pukupuku ngā huringa katoa, engari he mea nui kia tino mōhio koe.

Me pēhea taku tiaki i ahau anō?

Mena he pātai, he āwangawanga rānei āu mō tēnei maimoatanga, kōrero ki tō tākuta mō ēnei mea. Hei tauira, he tokomaha te hunga e mataku ana kei tangohia he ure, e whakaaro ana ka pā ki tō rātou oranga moepuku me te āheinga ki te whānau tamariki. Engari i roto i te ao tūturu, he nui te testosterone e puta mai ana i te ure e toe ana, he mea nui mō tō tinana. Nō reira, kāore he raruraru mōu ki te moepuku, ki te whakaputa uri rānei. Tērā pea ka taea e koe te whānau tamariki.

Mena kei te āwangawanga koe mō tō āhua, ka taea hoki e koe te tiki i tētahi testicle prosthetic. Waihoki, ki te hiahia koe ki te pupuri i tō momonatanga, ka taea e koe te kōrero ki tō tākuta mō te pēke parāoa .

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tō tākuta, kaua e wareware ki te pātai i ēnei pātai:

• Kei tehea wāhanga o taku mate pukupuku?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha ngā hua ka taea e au te tumanako i muri i te maimoatanga?
• He aha ngā tūponotanga ka ora katoa tēnei mate pukupuku mā te rongoā?
• Me penapena taku parāoa i mua i te tīmatanga o te maimoatanga?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He momo matepukupuku tere te tipu o te kōpū, he kaha ake te kaha o te matepukupuku o te kōpū, engari he pai te urupare ki ngā maimoatanga pēnei i te pokanga me te rongoā matū. He tino ngāwari te rongoā mēnā ka kitea wawe. Ma tō tākuta koe e tohutohu ki te maimoatanga e tika ana māu, i runga i te taumata o tō matepukupuku.

Nō reira, ki te kite koe i tētahi mea rerekē, kāore rānei i te tino kitea i roto i ō kōpū, kaua e whakaroa, me toro atu ki te tākuta kia tirohia tonutia. Koinei te āwhina nui rawa atu ka taea e koe māu ake. Kaua e manukanuka, kei reira ngā otinga mō ngā mea katoa.

` mate pukupuku kukune, mate pukupuku tetere, pukupuku pūtau ira, mate pukupuku tetere, ngā tohu mate pukupuku, maimoatanga mate pukupuku, hauora tāne