Kei te mamae tonu tō korokoro, kei te rerekē tō reo, kei te ahua rānei kei te mau tetahi mea i roto i tō korokoro? He maha tonu tā tātou whakahē i ēnei mea he mea noa iho. Engari i ētahi wā he tohu pea ēnei mō tētahi mate kino atu i tā tātou e whakaaro nei. I tēnei rā kei te kōrero tātou mō te Matepukupuku Hypopharyngeal , he momo matepukupuku korokoro onge engari e tere horapa ana. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i te huarahi māmā me te mārama.
He aha te Matepukupuku Hypopharyngeal?
He mate pukupuku tēnei e tupu ana i te wāhanga o raro o tō tātou korokoro (pharynx), i muri tonu i te wāhanga e kiia nei ko te larynx e whakaputa ana i tō tātou reo. Ko te mea ka tupu i tēnei take, ka rerekē ngā pūtau o taua wāhi, ka wehea, ka hanga he pukupuku. Ko tētahi o ngā mea tino morearea mō tēnei momo mate pukupuku ko tōna tere horapa (metastasize) ki ētahi atu wāhanga o te tinana . Waihoki, nā te mea kāore e whakaatu i ngā tohu nui i ngā wāhanga tōmua, he maha ngā tāngata ka tomuri pea ki te kite.
Engari ehara tēnei i te mate pukupuku tino noa. Hei tauira, ki te whakaritea ki te mate pukupuku pūkahukahu, he iti ake te maha o ngā pūrongo mō tēnei mate. Heoi, ahakoa he onge, he mea nui kia mōhio ki tēnei.
He aha ngā tohu o tēnei mate pukupuku?
E ai ki tā mātou i kōrero ai i mua ake nei, kāore pea he tohu nui e kitea i ngā wāhanga tōmua. Heoi, i te whanaketanga haere o te mate, ka puta pea ēnei tohu e whai ake nei. Mena kei a koe tētahi, neke atu rānei o ēnei tohu mō ngā wiki e rua neke atu, me toro atu koe ki tō tākuta .
| Tohu | Ētahi atu kōrero mō tēnei |
|---|---|
| Te korokoro mamae, te ahua rānei kei te mau tetahi mea i roto i tō korokoro | He rerekē tēnei mamae i te makariri noa, he mamae pumau. |
| Te pāorooro | Ka kitea te panoni o tō reo, kāore he take. |
| Te uaua ki te horomi i te kai | Te mamae, te kikī rānei o te tinana i te wā e horomia ai te kai, te inu rānei. |
| Mamae taringa | Tērā pea ka puta tēnei mamae i ngā io e rere ana i te korokoro ki te taringa. |
| Ngā kōpuku lymph pupuhi i roto i te kaki | He puku kore mamae pea i te kaki. |
| Te uaua ki te manawa, te haruru rānei (stridor) | Te rongonga i te tangi whiowhio i te wā e manawa ana. |
| Te maremare toto | He tohu kino tēnei, me rapu tohutohu hauora tonu. |
| Te ngaronga taumaha me te kore he take e mōhiotia ana | Ki te tino ngaro tō taumaha me te kore e ngana. |
Ko te mea nui, ehara i te mea he mate pukupuku te hunga katoa e pāngia ana e ēnei tohu. Engari, ki te mau tonu, he mea whakaaro nui kia tirohia rātou.
He aha te take e puta ai tēnei mate pukupuku? He aha ngā āhuatanga mōrearea?
Kāore anō kia mōhiotia te tino pūtake o tēnei mate pukupuku. Heoi, kua tautuhia ētahi āhuatanga matua e tino whakanui ana i te tūponotanga o te whanaketanga o tēnei mate.
- Te kai hikareti: Koinei te take matua me te take nui rawa atu mō te mate pukupuku korokoro. Ehara i te mea ko ngā hikareti, ngā hikā, me ngā pīti anake, engari ko ngā mea katoa pērā i te ngaungau tupeka me te whakamahi i te hinu kakara.
- Te inu nui rawa o te waipiro: He nui ake tēnei mōrearea mō te hunga e inu waipiro ana i ia rā, i roto i te nui. Ka nui ake te mōrearea mēnā ka inu waipiro koe me te momi hikareti.
- Mate HPV: Ko te HPV te whakarāpopototanga o te Human Papillomavirus. He mate tuku iho i te taatai (STI). Ka taea e tēnei huaketo te uru ki te korokoro mā te taatai ā-waha ki te tangata kua pangia, ā, ka puta he pūtau matepukupuku.
Me pēhea te tautuhi i te mate?
Ina kite koe i tētahi tākuta me ngā tohu i whakahuatia ake nei e koe, ka pātai atu ia ki a koe mō ō tohu me te roa o te wā e pāngia ana. Tērā pea ka pātai atu anō hoki rātou mō tō kai paipa me tō inu waipiro. Kātahi ka tirohia tō kaki mō ngā puku.
Whai muri i tēnā, ka tukuna pea koe ki tētahi tohunga taringa, ihu, me te korokoro (ENT), ka taea e ia te whakahaere i ētahi whakamātautau hei whakaū i te mate.
1. Endoscopy: Ko te whakaurunga o tētahi ngongo angiangi me tētahi kāmera e piri ana ki raro i tō korokoro hei tirotiro i te wāhanga o raro o tō korokoro me tō arai. Mā tēnei ka taea e tō tākuta te tirotiro mō ngā mate pukupuku katoa.
2. Kohikohi pūtau: Mena kei te whakapaehia he mate pukupuku, ka tangohia he wahi iti o te kiko mai i te wāhi ka tirotirohia i raro i te karu hiko. Ka taea tēnei mā te whakamahi i ngā tikanga pēnei i te "Fine-Needle Aspiration (FNA)". Koinei anake te huarahi hei tino mōhio mēnā kei reira ngā pūtau mate pukupuku, kāore rānei.
3. Ngā whakamātautau whakaahua: Mena ka whakaūtia e te koiora he mate pukupuku kei reira, ka mahia ngā whakamātautau whakaahua hei tirotiro i te horapa o te mate pukupuku, me te mea kua horapa ki ētahi atu okana. Tērā pea ka whakamahia he matawai CT, he matawai MRI, he matawai PET rānei mō tēnei.
Te Whakatakotoranga Mate Pukupuku
I muri i te mahi i ēnei whakamātautau katoa, ka whakatauhia e te tākuta mate pukupuku te wāhanga me te nui o tō mate pukupuku.
- Wāhanga: Mā tēnei ka mōhio koe ki te rahi o te mate pukupuku me te tawhiti kua horapa. Ka whakarōpūtia mai i te Wāhanga I (wāhanga tōmua) ki te Wāhanga IV (wāhanga tino matatau).
- Taumata: E pā ana tēnei ki te tere o te tipu me te horapa o ngā pūtau matepukupuku.
He aha ngā kōwhiringa maimoatanga?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te taumata o tō matepukupuku, te tawhiti o tōna horapa, me tō hauora whānui. Ko ngā maimoatanga matua ko te pokanga, te rongoā irahiko, me te rongoā matū.
Pokanga
Ko te tikanga o tēnei ko te tango i te pukupuku matepukupuku me ngā kiko e karapoti ana mā te pokanga.
- Te tango i te korokoro i te waha: Te tango i tetahi wāhanga, i te katoa rānei o te korokoro.
- Te tango i te arai (laryngectomy): Te tango i te arai (pouaka reo). Mēnā ka oti tēnei, me whai huarahi kē atu koe ki te kōrero me te manawa. Me hanga he kōhao tuturu (stoma) ki tō kaki hei manawa.
- Te tapahi i te kaki: Te tango i ngā kōpuku lymph i te kaki mēnā kua horapa te mate pukupuku.
- Pokanga karetao whakawhiti-waha (TORS): Te whakamahi i te hangarau karetao hei tango i ngā pukupuku i ngā wāhi uaua ki te tae atu mā te waha.
- Pokanga whakahou: Pokanga hei whakaora i te mahi a te tinana (hei āwhina i te horomitanga kai, hei kōrero) i muri i te tangohanga o ētahi wāhanga o te korokoro.
Ka pā nui te pokanga korokoro ki tō kaha ki te kōrero, ki te kai, me te manawa. Nō reira, me kōrero koe ki tō tākuta i mua i te pokanga kia mārama ai koe ki ngā mea katoa.
He aha te mea ka tupu i muri i te maimoatanga?
Ka taea e tēnei mate pukupuku te 'hoki mai anō' i muri i te maimoatanga. Tērā anō te tūponotanga o te whakawhanaketanga o tētahi mate pukupuku hou i tētahi atu wāhi o te tinana. Nō reira, he mea tino nui kia noho tonu i raro i te tirotiro a te tākuta ahakoa kua oti te maimoatanga.
Ka tono atu tō tīma hauora kia haere mai koe mō ngā wā tirotiro whai muri i runga i tētahi wātaka kua whakaritea.
- Ia rua marama mō te tau tuatahi.
- Kotahi i ia whā marama i te tau tuarua.
- Kotahi i ia ono marama i te tau tuatoru.
- Kātahi ka kotahi i te tau mō ngā tau e rima.
I ētahi wā, e tika ana ēnei whakamātautau mō te roanga o te oranga.
He huarahi hei tiaki i a koe i tēnei mate?
Āe, tino tika. He maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pāngia e tēnei mate pukupuku.
- Āta karohia te momi hikareti. Āta karohia hoki te hongi i te auahi tuarua ina momi hikareti ana tetahi atu.
- Kati te inu waipiro , whakawhāitihia rawatia rānei.
- Tiakina koe i te huaketo HPV. Ka taea e koe te tiki i te kano ārai mate HPV mō tēnei. Ā, me whai i ngā tikanga moe haumaru.
Karere Tangohia ki te Kāinga
- Kaua e warewarehia ngā tohu pēnei i te mamae tonu o te korokoro, te reo pāorooro, te uaua rānei ki te horomi. Mēnā ka roa ake ēnei tohu i te rua wiki, me toro atu ki te tākuta.
- Ko te momi hikareti me te inu nui i te waipiro ngā tino take mō te mate pukupuku korokoro. Mā te whakarērea o ēnei tikanga ka ora ai koe.
- Ki te kitea wawe tēnei mate pukupuku, ka nui ake te tūponotanga ka angitu te maimoatanga me te whakaora.
- Mena he pātai, he wehi, he ruarua rānei āu mō tēnei mate, kōrerotia whānuitia ki tō tākuta. Māna koe e whakarato ki ngā mōhiotanga me ngā tautoko katoa e hiahiatia ana e koe.











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