Kei te kī tonu tō puku i ētahi wā, kei te mamae rānei tō puku o raro? Tērā pea he mea noa iho, he raruraru nakunaku rānei. Engari kaua rawa ēnei tohu iti e warewaretia, inā koa ko ngā wāhine. I tēnei rā ka kōrero tātou mō tētahi momo mate pukupuku kāore anō kia rongohia e te tini tāngata, engari he mea tino nui mō te hauora o ngā wāhine. Ko te mate pukupuku o te ngongo whēkau.
He aha te mate pukupuku o te ngongo fallopian?
Āe, me tīmata tātou i te tīmatanga. Ko ngā ngongo whēkau he ngongo angiangi e rua e kawe ana i ngā hua manu mai i ō tātou ovaries ki te kōpū. He māmā noa iho, koinei te wāhanga tino nui o te tukanga e tūtaki ai te hua manu ki te parāoa hei hanga pēpi. Nō reira, ka tīmata tēnei mate pukupuku i roto i ngā pūtau o roto i ēnei ngongo whēkau.
I te nuinga o te wā, ka tīmata tēnei mate pukupuku i roto i te kiko e whakarārangi ana i ngā ngongo fallopian. I roto i ngā kupu hauora, ka kiia tēnei he kiko epithelial. He mea whakamiharo, ko te āhua o te whanonga o tēnei mate pukupuku, te āhua o tōna horapa, me te āhua o tā tātou rongoā he tino rite ki te mate pukupuku ovarian. Koia te take ka rongoāhia, ka whakahaerehia hoki e ngā tākuta ngā mate pukupuku e rua i te huarahi kotahi.
Ko te wero nui rawa atu o tēnei mate pukupuku ko te kore e whakaatu i ngā tohu i ngā wāhanga tōmua, ā, ka tere te horapa . Engari ko te rongo pai, ki te kitea tika i ngā wāhanga tōmua, ā, ka taea te tango katoa i ngā pūtau mate pukupuku mā te pokanga, he mate ka taea te whakaora . Engari i te wā e kitea ai, kua horapa kē te mate pukupuku, ā, he uaua ake te rongoā.
He pēhea te noa o tēnei mate pukupuku?
Mō te wā roa, i whakaaro ngā tākuta he momo mate pukupuku wahine onge te mate pukupuku o ngā ngongo fallopian. Tata ki te 1% noa iho o ngā mate pukupuku wahine katoa ka tīmata i roto i ngā pūtau o ngā ngongo fallopian.
Engari kua kitea e ngā rangahau hou ko te nuinga o ngā momo mate pukupuku e kiia nei e tātou ko te mate pukupuku ovarian, e kiia nei ko te mate pukupuku ovarian epithelial, ka tīmata i roto i ngā ngongo fallopian. Ina koa, ka tīmata i roto i ngā fimbriae, arā, ngā pito o te wāhi e uru ai te hua manu ki roto i te ngongo fallopian mai i te ovary. Kātahi ka horapa ki te mata o te ovary me ētahi atu wāhanga o te pelvis me te puku.
He aha ngā tohu e tika ana kia tirohia e tātou?
Ko te raru nui o tēnei mate pukupuku ko te uaua ki te kite i ngā tohu i ngā wāhanga tōmua, ā, ka warewarehia e tātou, me te whakaaro he mea noa. Tērā pea kāore koe e kite i ngā huringa nui kia horapa rā anō te mate pukupuku puta noa i te puku. Engari he mea tino nui kia mōhio tātou ki ēnei tohu.
Kia maumahara, ehara i te katoa he mate pukupuku kei a rātou. Engari ki te mau tonu, me toro atu ki tō tākuta mō ētahi tohutohu.
Kia tirohia tātou he aha ēnei tohu i te ripanga i raro nei.
| Tohu | He whakamārama māmā |
|---|---|
| Te mamae o te hope, te rongo rānei i te puku | Te mamae tonu, te pupuhi rānei i te rohe hope. |
| Te mamae o te puku, te pupuhi, te kī tonu rānei | Te pupuhi, he kare ā-roto e kī ana, kāore he take. He maha ngā wāhine e whakaaro ana he mea noa tēnei. |
| Te ngaronga o te hiahia kai, te tere rānei o te kī | Te ngaro o te hiahia ki te kai, te mākona ahakoa i muri i te kai iti, me te whakapairuaki. |
| Te huringa o ngā tikanga wharepaku | Ngā āhuatanga pēnei i te mate pāwera, te mate korere rānei. |
| Te hiahia tonu ki te mimi | Te hiahia kia mimi i ngā wā maha atu i te wā noa. |
| Te paheketanga rerekē, te toto rānei i muri i te menopause | Te koretake o te paheketanga, te toto hoki e puta mai ana i roto i te wahine kua mutu te paheketanga (te wā menopause). He tohu tēnei e hiahia ana kia aro nui atu. |
| Te rerenga tara rerekē | He rerenga wai, he rerenga toto rānei mai i te tara. |
Mena he hītori mate pukupuku tō tētahi o tō whānau, he āhuatanga mōrearea rānei kei a koe, he pai ake te toro atu ki te tākuta ahakoa ka kite koe i tētahi panoni iti pēnei.
He aha ngā take me ngā āhuatanga mōrearea mō tēnei mate pukupuku?
Kāore anō kia kitea e ngā kairangahau te tino pūtake o tēnei mate pukupuku. Engari e mōhio ana tātou e 90% o tēnei mate pukupuku ka puta mai i ngā pūtau repe e whakarārangi ana i te okana, arā, ngā "pūtau epithelial" i kōrerohia e tātou i mua ake nei. Koinei tonu ngā momo pūtau e hanga ana i te mate pukupuku ovarian. Nā konei, ka kiia pinepinetia ngā mate pukupuku o te ngongo fallopian me te ovarian he "pūtau serous teitei." Ko te tikanga he mate pukupuku tino tere te tipu .
Ngā āhuatanga e whakanui ake ai i te mōrearea
He maha ngā āhuatanga ka whakanui ake i tō tupono ki te pāngia e tēnei mate pukupuku. Tirohia mēnā kei a koe tētahi o ēnei.
- Tau: Neke atu i te haurua o te hunga e pāngia ana e te mate pukupuku ngongo fallopian, te mate pukupuku whatukuhu rānei, neke atu i te 63 tau te pakeke. Ko te tikanga tēnei ka piki ake te mōrearea i te pakeketanga.
- Hītori whānau: Mena kua pāngia tētahi o ō whanaunga tata (whaea, tuahine, tamāhine) e te mate pukupuku ū, te mate pukupuku whēkau, te mate pukupuku ngongo fallopian rānei, ka nui ake tō tūponotanga.
- Ngā whakarerekētanga ira: Ka nui ake te mōrearea o tēnei mate pukupuku nā ngā panonitanga (ngā whakarerekētanga ira) o te ira e pā ana ki te mate pukupuku o te ū (BRCA).
- Ētahi atu āhuatanga hauora: Ka taea hoki e ngā āhuatanga tuku iho pērā i te mate Lynch me te mate Peutz-Jeghers, me te āhuatanga e kiia nei ko te endometriosis, te whakanui ake i te mōrearea.
- Hītori hapūtanga: He paku teitei ake te mōrearea mō te hunga kāore anō kia hapū, me te hunga i whānau tā rātou tamaiti tuatahi i muri i te 35 tau te pakeke.
- Hītori huringa paheketanga: Ko te paheketanga tuatahi i mua i te 12 tau te pakeke, me te paheketanga i muri i te 51 tau te pakeke he take mōrearea anō hoki.
- Momona: Ka taea e te taupū papatipu tinana (BMI) neke atu i te 30, ina koa mēnā he momona koe i te wā taitamariki, te whakanui ake i tō mōrearea.
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
E ai ki tā mātou i kōrero ai i mua ake nei, kāore he tohu i ngā wāhanga tōmua, nō reira ka kitea te mate ina kua horapa noa. Tērā pea kua kitea he puku i te wā e tirotirohia ana tō hope e tō tākuta.
Kia puta te whakapae, ka whakaritea e te tākuta ētahi whakamātautau hei tirotiro anō i te mate.
1. Ngā whakamātautau toto:Mā te whakamātautau toto CA-125 ka ine i te taumata o te pūmua e kiia nei ko te cancer antigen 125 i roto i te toto. Tērā pea ka teitei ake tēnei taumata i roto i te tangata he mate pukupuku ngongo fallopian. Heoi, he mea nui kia mahara ka taea hoki te piki ake o tēnei taumata mō ētahi atu take ehara i te mate pukupuku.
2. Ngā whakamātautau whakaahua: Mā ngā matawai pēnei i te `(Transvaginal ultrasound)`, `(CT scan)`, `(MRI)`, `(PET scan)` rānei ka taea te whakaputa whakaahua mārama o ngā ngongo fallopian me ngā ovaries. Ka āwhina tēnei ki te kite mēnā he cysts, he puku rānei.
Heoi, kāore e taea e ēnei whakamātautau anake te whakaū 100% he mate pukupuku. Hei tautuhi i te mate me te tino mārama, me tango he tauira kiko ka tirohia i raro i te karu hiko. Ko ngā tikanga e whakamahia ana mō tēnei ko:
- Pokanga tūhura: He tikanga pokanga e titiro tika ana ki ngā whekau kia kitea ai mēnā he kiko whakapae kei roto. Ko te tikanga tēnei ko te tango tauira o ngā ngongo fallopian, ngā ovaries, me ngā kōpū lymph tata, ka tukuna ki te taiwhanga hei whakamātautau. Ka taea te mahi i tēnei pokanga tuwhera (laparotomy) mā roto rānei i ngā tapahi iti mā te whakamahi i te kāmera (laparoscopy).
- Biopsy: Ka tangohia he wahi iti o te kiko mai i tētahi pukupuku whakapae mā te whakamahi i te ngira, kātahi ka tirohia.
Me pēhea te whakatau i te taumata o te mate pukupuku?
Kia whakaūtia te mate pukupuku, ko te mea nui e whai ake nei ko te whakatau i tōna "wāhanga". He māmā noa iho, ko te kimi i te tawhiti kua horapa te mate pukupuku (kua horapa). He mea nui tēnei mō te whakamahere maimoatanga me te whai whakaaro mō te ahunga whakamua o te mate.
| Wāhanga matepukupuku | Te tikanga |
|---|---|
| Wāhanga 1 | Ka pāngia te mate pukupuku e te kotahi, e rua rānei o ngā ngongo fallopian. |
| Wāhanga 2 | Kua horapa te mate pukupuku ki ētahi atu kiko e tata ana ki te hope, tae atu ki ngā ngongo fallopian. |
| Wāhanga 3 | Kua horapa te mate pukupuku ki waho o te hope, ki ngā kōpū lymph, ki ētahi atu okana tata rānei. |
| Wāhanga 4 | Kua horapa te mate pukupuku ki ngā whekau tawhiti, pērā i te ate, ngā pukahukahu, te roro rānei. |
He aha ngā maimoatanga?
Ka whakawhirinaki te maimoatanga ka whiwhi koe ki ngā āhuatanga maha, tae atu ki te taumata o te mate pukupuku me tō hauora whānui. Mā tō tākuta e whakawhanake he mahere maimoatanga e pai ana mōu.
- Pokanga: Ko te pokanga te maimoatanga tuatahi i te nuinga o te wā. Ko te tango i te kōpū (hysterectomy), ngā ngongo fallopian e rua (salpingectomy), me ngā ovaries e rua (oophorectomy). I runga i te horapa o te mate pukupuku, me tango pea ētahi atu kiko tata. Mō ētahi wāhine taitamariki e whānau ana, ki te kitea wawe te mate pukupuku, ko te pukupuku mate pukupuku anake ka tangohia, ka ora ai ngā whekau whakaputa uri.
- Te rongoā matū: He rongoā kaha ēnei e hoatu ana hei patu i ngā pūtau matepukupuku. Ka hoatu tēnei maimoatanga hei whakaiti i te puku i mua i te pokanga, hei patu rānei i ngā pūtau matepukupuku e toe ana i muri i te pokanga.
- Te rongoā arotahi: He tikanga rongoā hou tēnei. Ka whakamahia ngā rongoā e arotahi ana ki ngā ngota motuhake e tika ana mō te tipu o ngā pūtau matepukupuku, me te kore e whara i ngā pūtau hauora pērā i te chemotherapy noa. Ka tino angitu tēnei tikanga rongoā, inā koa mō te hunga he whakarerekētanga ira `(BRCA)`.
- Ārai Mate: Kei roto i tēnei ko te whakaoho i te pūnaha ārai mate o te tinana, kia kaha ai ki te whawhai ki ngā pūtau matepukupuku.
- Manaaki mamae: He whakaaro hē noa tēnei. Ehara i te mea ko te hunga kāore e taea te whakaora i te mate anake te hunga e mate ana. Ko te whakahaere i ngā pānga taha o te maimoatanga mate pukupuku, pērā i te mamae me te whakapairuaki, me te āwhina ki te pupuri i te kounga pai o te oranga. Ka taea te whakarato i tēnei manaaki i ngā wā katoa o te mate pukupuku.
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, tata ki te 80% o ngā tūroro ka "whakamaarama", he āhua kāore he tohu o te mate pukupuku. Heoi, kei reira te mōrearea o te "hoki mai anō" o te mate pukupuku.
- Ko te auau hokinga mai o ngā mate pukupuku e kitea ana i te wā tōmua e tata ana ki te 25%.
- Ka taea e ngā mate pukupuku kua horapa haere, kua roa nei te horapa anō i roto i te 80% o ngā keehi.
Nō reira, ahakoa i muri i te maimoatanga, he mea nui tonu kia toro atu ki te tākuta i te wā kua whakaritea, kia whai whakamātautau hoki.He mea tino nui tēnei, inā koa i roto i ngā tau tuatahi e rima.
Ngā Reiti Ora
Kaua e mataku i ēnei tatauranga. He toharite noa iho ēnei i runga i ngā raraunga mai i ngā mano tini o ngā tūroro. Tērā pea he rerekē rawa tō āhua, he pai rawa atu. He mea noa iho ēnei hei mārama ki te kaha o te mate.
- Mena kei roto noa i ngā ngongo fallopian te mate pukupuku (ā-rohe): Ko te reiti oranga mō ngā tau e 5 he 94%.
- Mena kua horapa ki ngā whekau tata (Rohe): Ko te reiti oranga mō ngā tau 5 he 53%.
- Mena kua horapa ki ngā whekau tawhiti (Tawhiti): Ko te reiti oranga mō ngā tau 5 he 44%.
He huarahi hei tiaki i a koe mai i tēnei mate pukupuku?
Ahakoa e kore e taea te ārai katoa, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea.
Mena kua pāngia tētahi o tō whānau e te mate pukupuku o te ū, te mate pukupuku o te whēkau, te mate pukupuku o te ngongo fallopian rānei, me kōrero pea koe ki tō tākuta mō te whakamātautau ira mō te ira BRCA. Mena kua kitea kei a koe te whakarerekētanga ira, me kōrero pea koe ki tō tākuta mō te āheinga o te tango pokanga i ngā whēkau me ngā ngongo fallopian hei ārai i muri i te whānautanga o āu tamariki. Ka taea e tēnei te whakaiti i tō tupono ki te mate pukupuku mā te 96%.
Hei tāpiri, ka taea e ēnei mea te āwhina ki te whakaiti i te mōrearea:
- Te kai i ngā kai hauora pai, me te noho kaha tonu.
- Te pupuri i te taumaha hauora e tika ana mōu.
- Kati, whakaiti rānei i te kai hikareti me te waipiro.
- Ki te taea, whāngaihia āu tamariki ki te ū.
- Te whakamahi i ngā rongoā ārai whānau homoni, pērā i ngā pire ārai whānau (engari ki te mea he whakarerekētanga ira BRCA tōu, kōrero ki tō tākuta mēnā he tika tēnei māu).
Karere Tangohia ki te Kāinga
- He mate horapa tere te mate pukupuku o te ngongo whēkau, kāore e whakaatu i ngā tohu i ngā wāhanga tōmua. Nō reira, me tūpato tonu tātou ki ō tātou tinana.
- Ki te mea kei te pā tonu ngā tohu noa ki a koe, pērā i te mamae o raro o te puku, te pupuhi, me te kore hiahia kai, kaua e warewaretia.
- Kia mōhio ki te hītori mate pukupuku o tō whānau. Mā tēnei ka āwhina i a koe ki te mārama ki tō mōrearea.
- Mā te kitenga wawe ka taea te whakaora katoa i tēnei mate pukupuku. Nō reira, ki te mea he ruarua āu, me toro atu ki te tākuta i runga i te wā tonu.
- Kaua e wehi i tēnei mate. Mā te mōhiotanga tika me te maimoatanga hauora tika, ka taea e koe te aro atu ki tēnei wero.
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