E mōhio ana tātou katoa ki te wehi me te ohorere e puta mai ana i te rongonga mai i te tākuta kua pāngia tō whanaunga e te mate pukupuku kua horapa puta noa i te kōhao puku, arā, i roto i te puku. Heoi, nā te whanaketanga o te pūtaiao hauora, kei reira ngā maimoatanga ka taea te homai i te tumanako ahakoa i roto i ēnei āhuatanga uaua. I tēnei rā, ka kōrero tātou mō tētahi maimoatanga motuhake, matatau. Ko te HIPEC te ingoa o tēnei.
He aha te HIPEC?
Ko te kupu HIPEC e tohu ana i te Hyperthermic Intraperitoneal Chemotherapy . Ahakoa he ahua uaua te ahua o te ingoa, he tino māmā noa iho ngā mea ka puta i roto i tēnei. Me wehewehe ēnei kupu, kia mārama ai.
- Hyperthermic - ko tōna tikanga "kua wera" .
- Intraperitoneal - ko tōna tikanga "i roto i te kōhao puku." Ki te kī māmā noa, ko te kōhao peritoneal te wāhi takoto kau i roto i te puku kei reira ngā whekau pēnei i te ate, te puku, me ngā whekau.
- Te rongoā matū - e pā ana ki ngā rongoā e hoatu ana hei whakangaro i ngā pūtau matepukupuku, e mōhiotia ana e tātou katoa, "chemo".
He tikanga maimoatanga te HIPEC e werohia tika ana ngā rongoā chemo wera ki roto i te puku o te tūroro i muri i te pokanga, ā, ka horoia rawatia te roto, ka whakangaro i ngā pūtau matepukupuku. Pērā i te horoinga o te totohu ki te hopi, ka whakamahia e tēnei tikanga te chemo wera hei whakangaro i ngā pūtau matepukupuku iti rawa e toe ana i roto i te puku.
He aha ngā momo mate pukupuku e tika ana mō tēnei maimoatanga?
Ko te maimoatanga HIPEC te tikanga e whakamahia ana mō ngā mate pukupuku kua horapa (metastasized) ki te puku mai i ētahi atu wāhanga o te tinana. Ka whakamahia hoki mō ētahi mate pukupuku e tīmata ana i roto i te puku tonu.
| Ngā momo mate pukupuku e whakaarohia ana mō te maimoatanga HIPEC | |
|---|---|
| Te mate pukupuku kua horapa ki te kōhao puku mai i ētahi atu whekau: | |
| Matepukupuku adrenal | Matepukupuku āpitihanga |
| Matepukupuku repeure | Matepukupuku ate |
| Matepukupuku ovarian | Matepukupuku puku |
| Ngā mate pukupuku e puta ana i roto i te kōhao puku: | |
| Te mate pukupuku peritoneal tuatahi | Te mesothelioma peritoneal |
| Pseudomyxoma peritonei | |
He mea nui: Kāore te maimoatanga HIPEC e whakaora katoa i te mate pukupuku. Heoi, ka taea e ia te āwhina i ngā tūroro kia roa ake te ora, kia whakaiti i ngā tohu, kia pai ake ai te oranga . Ma tō tākuta koe e whakamārama taipitopito mēnā he tika tēnei maimoatanga māu, me ngā painga me ngā huakore.
Me pēhea tāu whakarite mō tēnei pokanga nui?
He maimoatanga tino uaua, tino kaha hoki tēnei. Nō reira, he mea nui kia rite koe i a koe anō i te mea pai rawa atu, i te taha tinana me te taha hinengaro, i mua i te puta. Mā tō rōpū hauora koe e āwhina ki tēnei. Tērā pea he mea nui ēnei mea hei whakarite māu:
- Ki te kai paipa koe, kati rawatia .
- Te whakamutu i te whakamahi waipiro.
- Ngā mahi manawa mā te whakamahi i tētahi taputapu motuhake (incentive spirometer) hei whakapakari i ngā pukahukahu.
- Hono atu ki tētahi rōpū tautoko mō ngā tūroro matepukupuku, rapua rānei te āwhina a tētahi tohunga hinengaro.
Kei te pēhea te tukanga maimoatanga katoa?
Ko te HIPEC te wāhanga tuarua o tētahi tikanga e rua ngā wāhanga. E 5 ki te 10 hāora te roa o te tikanga katoa.
Hipanga tuatahi: Pokanga Cytoreductive (CRS)
Ko te mahi tuatahi ko te pokanga. Ka whakamoea koe, arā, kua moe rawa koe. Ka whakatuwherahia e ngā taote pokanga tō kōhao puku, ka tangohia ngā pukupuku mate pukupuku katoa e kitea ana me ngā kiko mate .
Hipanga Tuarua: Maimoatanga HIPEC
Ka whakamahia te maimoatanga HIPEC hei whakangaro i ngā pūtau matepukupuku iti rawa e kore e kitea e te kanohi tahanga i muri i te tangohanga o ngā pukupuku matepukupuku mā te pokanga.
1. Te whakaurunga o ngā katitere: Ka whakauruhia e ngā taote pokanga ētahi ngongo (katete) ki roto i tō puku. Ka honoa ēnei ngongo ki tētahi mīhini e whakamahana ana i ngā rongoā chemotherapy.
2. Te hoatu i te rongoā chemo wera: Ka whakamahanahia e te mīhini ngā rongoā chemo ki te 41-42 nekehanga Celsius (108°F) ka panaia ki roto i te puku mā te ngongo.
3. Tukunga rongoā matū: Kātahi ka hurihia mārire e te tīma hauora tō tinana mai i tētahi taha ki tētahi taha, kia mōhio ai koe ka tae te wai rongoā matū wera ki ngā kokonga katoa o tō puku. Ka roa pea tēnei mai i te 30 meneti ki te 2 hāora.
4. Te tango i te rongoā matū: I muri i te wā kua whakaritea, ka tangohia katoatia te wai matū e pupuhihia ana ki roto i te puku. Kātahi ka horoia anō te wāhi ki te tote hei horoi.
5. Te tuitui i ngā patunga: Hei whakamutunga, ka tuituia ngā tapahi katoa mō te pokanga kia katia.
He aha ngā painga motuhake o te maimoatanga HIPEC?
Ina tukuna te rongoā chemotherapy pūnaha mā roto i te uaua, ka haere puta noa i te tinana me te toto. Heoi, nā te ārai kiriuhi e kiia nei ko te peritoneum e karapoti ana i te kōhao puku, he uaua ki ngā rongoā chemotherapy te tomo tika ki te kōhao puku.
Engari i roto i te maimoatanga HIPEC, nā te mea ka tukuna tika te chemo ki roto i te kōhao puku, ka taea e ia te karo i taua arai ka haere ki te wāhi kei reira ngā pūtau matepukupuku ka whakangaro i a rātou.
Ētahi atu painga:
- He maimoatanga chemotherapy tino kaha: Nā te wera o ngā rongoā, he nui ake te pānga ki ngā pūtau matepukupuku. Waihoki, nā te mea ka pā tika ki ngā pūtau matepukupuku, he nui ake te whai huatanga o te patu i ngā pūtau matepukupuku.
- He iti ake ngā huringa maimoatanga: Kāore he take ki te tuku i ngā huringa maha o te chemotherapy pērā i te chemotherapy noa. Ka taea te whakaoti i tēnei maimoatanga i roto i te pokanga kotahi.
- Te whakaiti i ngā pānga taha: Nā te mea ko ngā rongoā chemotherapy te nuinga o te wā ka uru ki te puku, ka taea te whakaiti i ngā pānga taha e pā ana ki te tinana katoa (te ngaronga o te makawe, te ruaki nui) e puta mai ana i ngā maimoatanga chemotherapy auau.
He aha ngā mea ka tupu i muri i te maimoatanga? Kia pēhea te roa o te wā e ora ai?
I runga i tō āhua i muri i te maimoatanga HIPEC, me noho pea koe ki te wāhanga tiaki nui (ICU) mō ētahi rā. Tērā pea ka honoa koe ki tētahi mīhini "manawa manawa" hei āwhina i a koe ki te manawa.
Nā te mea he kaha ngā rongoā chemotherapy e whakamahia ana i tēnei maimoatanga, ka tukuna pea he kai māu mā te ngongo whāngai kia hoki rā anō te mahi a tō puku ki te āhua noa.
Tērā pea ka puta ngā pānga taha e whai ake nei i te wā e ora ana:
- Te whakakī i te puku
- Te korere, te mate pāwera rānei
- Ngenge
- Whakapairuaki me te ruaki
- Te mamae i te wāhi i pokangahia
- Te pupuhi o te tinana (nā te tote e whakamahia ana i te maimoatanga)
E 4 ki te 12 wiki pea te roa hei whakaora katoa. Kei roto i tēnei ko te noho ki te hōhipera mō te kotahi ki te rua wiki.
Ina hiahia koe ki te kōrero wawe 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 .
- Mena he teitei ake te kirika i te 38.3°C (101°F)
- Whakapairuaki me te ruaki e kore e mutu
- Te pupuhi nui, te whero, te pupuhi rānei i te taha o te patunga pokanga
- Mena kei te kino haere te mamae
He tohu pea ēnei nō te mate urutā, nō te patunga rānei kāore e ora tika ana, nō reira he mea nui kia rapua wawetia te rongoā.
Karere Tangohia ki te Kāinga
- He maimoatanga motuhake, matatau hoki te HIPEC mō te mate pukupuku kua horapa ki te kōhao puku.
- I konei, ka tangohia tuatahitia ngā pūtau matepukupuku e kitea ana mā te pokanga, kātahi ka whakamahia ngā rongoā chemotherapy wera hei whakangaro i ngā pūtau matepukupuku e kore e kitea.
- Ahakoa ehara tēnei i te maimoatanga e whakaora katoa ana i te mate pukupuku, he tino āwhina ki te whakaroa i te oranga o te tūroro me te whakaiti i ngā tohu.
- He pokanga tino uaua tēnei, ā, e hia wiki te roa o te whakaoranga.
- Mena ka tūtohutia tēnei maimoatanga ki a koe, ki tētahi atu rānei e tata ana ki a koe, he mea tino nui kia kōrero whānuitia, kia hōhonu hoki ki tō tākuta mō ōna painga, mō ōna mōrearea, me ōna putanga.
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