He mea noa te mataku nui ina kī mai tō tākuta kua horapa te mate pukupuku ki roto i tō puku, arā, ki roto i tō puku. Haunga te rongoā mate pukupuku noa, i tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga whai hua ake e hāngai ana ki ēnei take. Ko te HIPEC te ingoa. Kia kite tātou he aha te āhua.
He aha te HIPEC?
Ko te tikanga whānui o HIPEC ko te Hyperthermic Intraperitoneal Chemotherapy . Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te mahi. He maimoatanga mate pukupuku e rua ngā wāhanga.
Whakaarohia kei roto i tō puku (kōhao puku) he pukupuku matepukupuku. Kei roto i tēnei kōhao ngā whekau nui pērā i te ate me te puku.
1. Te taahiraa tuatahi: Ka whakahaerehia e ngā tākuta te pokanga tuatahi, ā, ka tangohia te nuinga o ngā pukupuku matepukupuku e kitea ana i roto i te puku.
2. Te taahiraa tuarua: Kātahi, hei whakangaro i ngā pūtau matepukupuku e toe ana kāore e kitea e te kanohi, ka werohia tika ki roto i te puku (intraperitoneal) he otinga chemotherapy tino wera (Hyperthermic) hei horoi pai, hei whakatuwhera hoki i te kōhao.
Ki te kī ngāwari, ko tēnei maimoatanga ko te tango i ngā pukupuku matepukupuku me te horoi i te roto o te puku ki ngā rongoā chemotherapy wera hei whakangaro i ngā pūtau matepukupuku e toe ana.
He aha ngā momo matepukupuku e tukuna ana tēnei maimoatanga?
Ko te maimoatanga HIPEC te tikanga e whakamahia ana mō ngā mate pukupuku kua horapa (metastasized) mai i ētahi atu wāhanga o te tinana ki te puku, arā, te kōhao puku. I ētahi wā ka whakamahia hoki mō ngā mate pukupuku e tīmata ana i roto i te puku tonu.
| Momo mate pukupuku | Whakaahuatanga |
|---|---|
| Ngā Matepukupuku Metastatic | |
| Te mate pukupuku o te repe adrenal | Matepukupuku Āpitihanga |
| Matepukupuku koroni | Matepukupuku o te repeure |
| Matepukupuku ovarian | Matepukupuku o te ovarian |
| Matepukupuku puku | Matepukupuku puku |
| Matepukupuku ate | Matepukupuku ate |
| Matepukupuku repe adrenal | Matepukupuku Rererangi |
| Ngā Matepukupuku Peritoneal Tuatahi | |
| Te mate pukupuku puku tuatahi | Matepukupuku Peritoneal Tuatahi |
| Te mesothelioma peritoneal | Mesothelioma Peritoneal |
| Pseudomyxoma peritonei | Pseudomyxoma Peritonei |
Ko te mea nui , kāore pea te maimoatanga HIPEC e whakaora katoa i te mate pukupuku. Heoi, mā tēnei maimoatanga ka roa ake te ora o ngā tūroro, ā, ka pai ake te kounga o te oranga . Mā tō tākuta koe e whakamārama ki a rātou ngā painga me ngā ngoikoretanga o tēnei maimoatanga.
Me pēhea te whakarite i mua i tēnei pokanga?
He pokanga me te maimoatanga tino nui tēnei. Nō reira, he mea nui kia noho hauora tinana me hinengaro koe i mua i te mahi. Mā tō tākuta koe e kōrero ki ngā mea katoa e hiahia ana koe kia mōhio ai hei whakarite i a koe. Kei roto pea i ēnei:
- Ki te kai paipa koe, kati rawatia.
- Te karo i te waipiro.
- Whakakahangia ō pūkahukahu mā te mahi i ngā mahi whakakorikori manawa (mā te whakamahi i tētahi taputapu pēnei i te ine manawa whakatenatena).
- He huarahi pai te whakauru atu ki tētahi rōpū tautoko me ētahi atu e whawhai ana ki te mate pukupuku pērā i a koe, te tūtaki rānei ki tētahi kaiwhakatakoto whakaaro hei whakapakari i tō hauora hinengaro.
He aha ngā mea ka tupu i te wā e rongoatia ana?
E ai ki tā tātou i kōrero ai i mua ake nei, e rua ngā wāhanga o tēnei tukanga.
Wāhanga Tuatahi: Pokanga Whakaiti-pūngao (CRS)
Koinei te taahiraa tuatahi, te taahiraa nui rawa atu hoki. Ka tapahia e ngā taote pokanga, ka tangohia atu ngā tipu mate pukupuku katoa e kitea ana me ngā kiko mate i roto i tō puku. Ka noho koe i raro i te mate whakamoe whānui puta noa i tēnei tikanga katoa. Nō reira, kāore koe e mamae. Ka moe hōhonu koe.
Wāhanga Tuarua: Maimoatanga HIPEC
Ka mahia tēnei wāhanga i muri tonu i te tangohanga o te pukupuku matepukupuku, i a koe e rongoātia ana.
1. Te whakauru i tētahi ngongo: Ka tapahia e te tākuta tētahi wahi iti ki te kiri o tō puku, ā, ka whakaurua he ngongo (catheter) mā roto i taua ngongo ki roto i tō puku. Ka honoa tēnei ngongo ki tētahi mīhini e whakamahana ana i ngā rongoā chemotherapy.
2. Te whakahaere i te rongoā werawera: Ka whakamahanahia e tēnei mīhini te rongoā werawera ki te 41 nekehanga Celsius (108 nekehanga Fahrenheit). Kātahi ka pupuhihia te wai wera mā te ngongo ki roto i tō puku.
3. Te tohatoha i te rongoā: Muri iho, ka tahuri mārire te tākuta i tō tinana mai i tētahi taha ki tētahi taha kia tino tae atu te rongoā ki ngā kokonga katoa o tō puku. Pērā i tā tātou rūrū i tētahi peihana, ka horoia pai te roto o tō puku ki te rongoā.
4. Te tango i te rongoā: I muri i te 30 ki te 90 meneti, ka tangohia anō ngā rongoā chemo i tukuna ki roto i te puku. Kātahi ka horoia anō te puku ki te wai tote.
5. Te tuitui i ngā tapahi: Hei whakamutunga, ka tuituia ngā tapahi katoa i mahia i te wā o te pokanga kia katia.
Ko te tukanga katoa, tae atu ki te pokanga me te HIPEC, ka roa pea mai i te 5 ki te 10 hāora , i runga i te horapa o te mate pukupuku i roto i te puku.
He aha ngā painga me ngā mōrearea o te maimoatanga HIPEC?
Pērā i ngā maimoatanga katoa, he painga, he mōrearea hoki tō HIPEC.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Te rongoā chemotherapy kukū-teitei: Nā te mea ka tukuna tika ngā rongoā chemotherapy ki te wāhi o ngā pūtau matepukupuku, ka taea te hoatu i ngā horopeta kaha ake i te rongoā chemotherapy noa. Mā te whakamahana i ngā rongoā ka nui ake te kaha ki te patu i te matepukupuku. | Ngā mōrearea noa o te pokanga: He mea noa anō hoki ngā mōrearea o tētahi pokanga nui, pērā i te toto nui me te mate pukupuku. |
| Te whakaiti i ngā pānga taha: Nā te mea ka hoatu noa te rongoā ki roto i te puku, he iti iho te wāhanga ka mimiti ki roto i te toto, ka haere puta noa i te tinana. Ka taea e tēnei te whakaiti i ngā pānga taha o te chemotherapy auau, pērā i te ngaronga o te makawe me te ruaki nui. | Ngā tūponotanga motuhake: Tērā pea he tūponotanga motuhake kei runga i te momo rongoā matū e tukuna ana me te momo matepukupuku kei a koe. Mā tō tākuta ēnei e whakamārama motuhake ki a koe. |
| Ka oti te maimoatanga i te kotahi te wā: Kāore he take ki te haere i roto i ngā wāhanga maha pērā i te chemotherapy noa. Ka oti tēnei maimoatanga i te kotahi te wā me te pokanga. | Te wā whakaora: I te mea he pokanga nui tēnei, ka roa pea ngā wiki, ngā marama rānei hei whakaora. |
He aha te mea ka tupu i muri i te maimoatanga?
Tērā pea ka rerekē ngā mea i runga i tō āhua i muri i te pokanga.
- Noho ki te Wāhanga Tiaki Kaha (ICU): Tērā pea ka noho koe ki te ICU mō ētahi rā i muri i te pokanga, ā, ka tirotirohia koe ki reira. Tērā pea ka honoa koe ki tētahi mīhini manawa hei āwhina i a koe ki te manawa.
- Te whāngai mā te ngongo: Kia hoki rā anō te mahi a tō puku ki te āhua noa, ka hoatu pea he kai wai māu mā te ngongo whāngai e whakaurua ana mā tō ihu.
- Ngā pānga taha: Tērā pea ka puta ēnei i te wā whakaora:
- Te whakakī i te puku
- Te korere, te mate pāwera rānei
- Ngenge rawa
- Whakapairuaki me te ruaki
- Te mamae i te taha o ngā rori kua tapahia
- Te pupuhi (nā te wai tote i whakamahia hei horoi i te roto o te puku)
Kia pēhea te roa o te wā e ora ai?
E 4 ki te 12 wiki pea te roa hei whakaora katoa i tēnei maimoatanga. Kei roto i tēnei ko te noho ki te hōhipera mō ētahi rā ki te rua wiki. Ma tō tākuta koe e tohutohu mō te tiaki i a koe anō i muri i tō hokinga ki te kāinga.
Ahea te wā me waea atu ahau ki te tākuta?
Ki te puta mai tētahi o ēnei tohu i muri i te hokinga ki te kāinga, me waea atu tonu koe ki tō tākuta.
Rapua tonutia te awhina hauora mēnā he nui ake tō kirika i te 38.3 nekehanga Celsius (101°F), he whakapairuaki, he ruaki tonu tō kiri, he pupuhi rawa tō patunga, he wera, he pupuhi hoki te wai, kei te kino haere rānei tō mamae. Tērā pea he tohu ēnei nō te mate pāwera.
Ngā momo rongoā e whakamahia ana mō te HIPEC
He maha ngā momo rongoā chemotherapy e whakamahia whānuitia ana mō tēnei maimoatanga. Mā te tākuta e whakamārama ko ēhea ngā rongoā e hoatu ana ki a koe, me te take hoki.
- Carboplatin
- Cisplatin
- Doxorubicin
- Mitomisin
- Oxaliplatin
Ka tūtohu noa ngā tākuta i te maimoatanga HIPEC mēnā he nui ake ngā painga i ngā mōrearea. Mēnā ka tūtohutia tēnei maimoatanga ki a koe, me pātai atu ki tō tākuta he aha te take, me ngā hua ka puta mai i runga i tō āhua.
Karere Tangohia ki te Kāinga
- He maimoatanga motuhake te HIPEC mō te mate pukupuku kua horapa ki te puku. Ko te tikanga he tango pokanga i ngā pūtau mate pukupuku me te werohanga i ngā rongoā chemotherapy wera ki roto i te puku.
- Ahakoa ehara tēnei i te rongoā tino tika mō te mate pukupuku, ka taea e ia te whakaroa i te oranga me te whakaiti i ngā tohu.
- I te mea he pokanga nui tēnei, he mea tino nui kia pai te whakarite tinana me te hinengaro.
- E hia wiki, e hia marama rānei te roa hei whakaora, ā, ka puta pea ngā pānga taha i taua wā.
- He mea nui kia tuwhera, kia hōhonu hoki te kōrero ki tō tākuta mō te tika o tēnei maimoatanga māu, me ōna painga me ōna huakore.
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