He pukupuku tauhou kei roto i te repeure? Me ako tātou mō te (Intraductal Papillary Mucinous Neoplasm - IPMN) i roto i te huarahi māmā!

He aha tēnei mate he roa tōna ingoa? Tērā pea kei te whakaaro koe he aha te `Intraductal Papillary Mucinous Neoplasm`, `(IPMN)` rānei. Tērā pea he ahua whakamataku, he uaua hoki ki te mārama te ingoa, engari kia māmā noa iho. Tērā pea kua rongo koe, kua rongo rānei tētahi atu e mōhio ana koe ki tēnei mate. Nō reira, kaua e mataku, engari me rapu tonu he aha te take.

He aha rawa te tikanga o te `IPMN`?

He kupu ngāwari noa iho, ko te IPMN he puku, he whēkau rānei, e puta mai ana i roto i ngā awaawa o tō repeure. Ehara ēnei i te matepukupuku tūturu, engari e whakaaro ana ngā tākuta he "matepukupuku mua". Ko te tikanga ehara i te matepukupuku i nāianei, engari ka taea te noho hei matepukupuku ā muri ake nei.

Whakaarohia, i ētahi wā he rite ki tētahi tipu iti. Tērā pea he rākau nui, kāore rānei. Koinei te āhua o tēnei pukupuku `(IPMN)`. E whakapono ana ngā kairangahau i waenga i te 20% me te 30% o ngā tāngata e pāngia ana e te mate pukupuku repeure, e rua, e toru rānei i roto i te tekau tāngata, i tīmata te mate pukupuku hei `(IPMN)`. Ka taea e ētahi tāngata te pāngia e tēnei pukupuku mō ngā tau maha, kāore he tohu e puta. Ka rongoatia te `(IPMN)` mā te pokanga, mā te tirotiro tupato rānei mō te wā roa.

He mate pukupuku tonu te `IPMN`?

Kāo, ehara i te mea ka huri katoa ngā IPMN hei mate pukupuku . Koinei te mea tuatahi kia mārama. Heoi, ka taea e ētahi te whanake hei mate pukupuku ductal pancreatic (PDAC). Ko te PDAC te momo mate pukupuku pancreatic tino noa. He momo mate pukupuku onge te mate pukupuku pancreatic. Tata ki te 3% o ngā mate pukupuku katoa i te United States. Heoi, e 7% o ngā mate pukupuku katoa e pā ana ki te mate pukupuku pancreatic. Engari, he maha ngā wā kāore e kitea wawe, i te wā e tino whai hua ana te maimoatanga.

Ko wai te mea tino pāngia e tēnei āhuatanga?

He uaua ki ngā tākuta te kī tika i te tokomaha o ngā tāngata he pukupuku ēnei, nā te mea he maha ngā wā kāore e puta he tohu, ā, kāore e kitea. Heoi, kua whakaatuhia e ngā rangahau he mea tino kitea ēnei i roto i ngā tāne i waenga i te 50 me te 70 tau te pakeke .

He aha te mea ka pā ki te tinana me tēnei `(IPMN)`?

Kei roto i ngā IPMN he wai matotoru, rite ki te tiēre. Ka kiia e ngā tākuta he mucin. Ina tīmata ēnei pukupuku noa, ehara i te matepukupuku, ki te huri hei matepukupuku, ka tīmata rātou ki te whakaputa i te nui ake o tēnei wai e kiia nei ko te mucin. Whakaarohia he rite ki tētahi poihau iti e whakakī ana i te wai. Ina nui haere tēnei mucin, ka taea e ia te aukati i ngā awa pancreatic i roto i tō pancreas. He ngongo iti ēnei awa e āwhina ana ki te nakunaku kai. Ina aukatia, ka taea e ia te mumura o te pancreas (pancreatitis) .He tino mamae tēnei āhua. I ētahi wā, ko te mumura o te repe taiaki te tohu tuatahi o te IPMN.

He aha ngā tohu o te IPMN?

He tokomaha ngā tāngata e pāngia ana e tēnei mate kāore e māuiui, kāore hoki e pāngia e ētahi tohu motuhake. Koinei te raruraru o tēnei. I te nuinga o te wā, ka kitea noa tēnei momo pukupuku i te wā e whakamātautauhia ana mō tētahi atu mate. Heoi, ka pāngia pea ētahi tāngata e ngā tohu pēnei i:

• Mamae puku ā-wā: Tērā pea ka pāngia ētahi tāngata e te mamae puku i muri i te kai. Ka taea hoki e tēnei te kore hiahia kai.
• Te whakahekenga taumaha kāore i te whakaarohia: Ki te whakaitihia tō taumaha me te kore e ngana, he tohu anō hoki tēnā.
• Whakapairuaki me te ruaki.
• Mamae tuara.
• Tutae/tūtae hinuhinu: Mena he āhua hinuhinu te tūtae.

I ētahi wā, ka puta mai ngā tohumate e rite ana ki ētahi atu mate i roto i ēnei pukupuku. Hei tauira:

• Te kiri mākūkū: Te kōwhai o te kiri nā te aukati i ngā awaawa o te ate.
• Mate huka hou: He nui te huka toto nā te kino o te repeure.
• Pancreatitis: He mate e puta mai ana i te aukati o ngā awa pancreatic.

He aha ngā take o te IPMN?

E whakapono ana ngā kairangahau ka puta ngā IPMN ina he huringa (ngā whakarerekētanga) kei roto i ngā ira e whakahaere ana i te tipu o ō tātou pūtau, e ārai ana rānei i te hanganga o ngā pukupuku. Ko te tikanga tēnei ka ngoikore ētahi o ngā pūnaha parepare o tō tātou tinana. Mena kua pāngia tētahi o te whānau e te mate pukupuku repeure (PDAC) , ka nui ake te mōrearea o ētahi atu mema o taua whānau ki te whakawhanake i ngā IPMN.

Me pēhea te kite a ngā tākuta i tēnei?

Ko te nuinga o ngā tākuta e whakamahi ana i ngā whakamātautau '(whakaahua)' hei tātaritanga i te '(IPMN)'. O ēnei, he mea tino nui tētahi whakamātautau motuhake e kiia nei ko te 'Magnetic Resonance Cholangiopancreatography (MRCP)'. He whakamātautau tēnei e whakamahi ana i tētahi mīhini '(MRI)'. Ka taea e tēnei te tango pikitia mārama o tō ate, ō awa au, ō pūkahukahu, ō repe taiaki, me ō awa repe taiaki. Ka whakamahia e ngā tākuta tēnei whakamātautau hei tirotiro mēnā he huringa kei roto i ngā awa repe taiaki.

E toru ngā momo matua o ēnei pukupuku "(IPMN)":

• Momo awa matua (MD-IPMN): Ko ēnei ngā pukupuku e aukati ana i te awa matua o tō repeure. Ka taea e tēnei te whakanui ake, te whakawhānui rānei i te awa matua. Ko te whānui o te awa matua he tata ki te 3.5 mirimita. Mena he nui ake i te 5 mirimita, he tohu pea tēnei he nui ake te tūponotanga he mate pukupuku.
• Momo awa peka (BD-IPMN): He pukupuku ēnei e puta mai ana i roto i ngā awa iti rite ki te peka e peka atu ana i te awa matua. He pai te nuinga o ēnei pukupuku.
• Momo whakauru (MT-IPMN): Ko ēnei ngā pukupuku e puta ana i roto i ngā awa matua me ngā awa peka o te repeure.

He whakamātautau anō hei tautuhi i te `IPMN`?

Āe, kei reira ētahi atu whakamātautau. Tērā pea ka whakahaerehia e ngā tākuta he whakamātautau e kiia nei ko te Endoscopic Ultrasound (EUS). Ka taea e tēnei te tango pikitia tino mārama o te repe taiaki me te pukupuku. I roto i tēnei whakamātautau, ka tangohia pea he tauira iti o te pukupuku, e kiia nei ko te Fine-Needle Aspiration (FNA), (biopsy). Kātahi ka tirohia te tauira i raro i te karuārai hei whakatau i te momo pūtau (dysplasia) (mēnā he āhua rerekē ngā pūtau) me te whakamātautau ira hei whakatau i te tūponotanga ka huri hei matepukupuku.

He aha te 'Dysplasia'? He aha te hiranga?

Ko te tikanga o te "Dysplasia" he āhua rerekē te āhua o ō pūtau ina tirohia i raro i te karuārai.

• Ko te tikanga o te "dysplasia taumata-teitei" he rite ake ō pūtau ki ngā pūtau matepukupuku i ngā pūtau hauora. Ko te tikanga he nui ake te mōrearea.
• Ko te dysplasia iti te taumata ko te āhua o ētahi pūtau he rite ki ngā pūtau matepukupuku, engari e whakaponohia ana he iti te mōrearea ki te whanake hei matepukupuku.

Ka whakamahia e ngā tākuta ngā mōhiohio e pā ana ki te mate (dysplasia) me ngā mōhiohio ira o te pukupuku hei whakarōpū i ngā IPMN ki ngā momo matua e whā. He kaupapa hohonu tēnei, engari ka māmā noa iho:

1. Ngā IPMN momo puku: Ko te nuinga o ēnei ka puta i roto i ngā awa peka o te repeure. He iti noa te dysplasia o te nuinga o te wā. Neke atu i te 90% o te hunga whai pukupuku pēnei e ora tonu ana i roto i ngā tau 10 i muri i te tātaritanga.

2. Ngā IPMN momo-whekau: Ka kitea ēnei i roto i ngā awa matua me ngā awa peka o te repeure. Tērā pea he dysplasia teitei tō rātou, ā, ka huri hei matepukupuku repeure i te mutunga. Tata ki te 70% o te hunga whai pukupuku pēnei e ora tonu ana i roto i ngā tau e 5 i muri i te tātaritanga. Ka heke tēnei ōrau ki te 50% i roto i ngā tau 10.

3. Ngā IPMN momo Pancreatobiliary: Ka kitea hoki ēnei i roto i ngā awa matua me ngā awa peka, ā, he dysplasia teitei anō hoki tō rātou. Tae atu ki te 80% o te hunga whai pukupuku pēnei ka pāngia e te mate pukupuku pancreatic whakaeke.

4. Ngā IPMN momo oncocytic: He momo pukupuku onge ēnei. Ka whanake i roto i te awa matua o te pancreas, ā, he dysplasia teitei tō rātou. Tata ki te haurua o te hunga whai pukupuku pēnei ka pāngia e te mate pukupuku pancreatic whakaeke.

He mea nui: Kaua e mataku i ēnei whakarōpūtanga me ngā tatauranga. He mōhiohio whānui noa iho ēnei. Ko tō tākuta anake ka taea te kī atu ki a koe he aha te āhua o tō mate.

Me pēhea te rongoā i ngā IPMN?

Mena he iti te mōrearea o te IPMN, ka tūtohu ngā tākuta kia aroturukitia tonutia te pukupuku.Nā te mea ko te nuinga o ngā pukupuku pai (IPMN) kāore e huri hei matepukupuku. Heoi, ki te mea he pukupuku kei roto i te awa matua o tō repe taiaki, ko te tikanga he nui ake tō mōrearea, ka tūtohu pea tō tākuta kia pokangahia te pukupuku hei tango . Anei ētahi tauira:

• Te tango i te repe taihemahema: Ko te tango i te hiku me/ranei te tinana o te repe taihemahema. Ka mahia tēnei pokanga mēnā he pukupuku kei roto i ngā awa matua o taua wāhi.
• Te tango katoa i te pancreas: Ko te tango i te pancreas katoa, te pūkahukahu, te awaawa o te ate, ngā wāhanga o te puku me te whekau iti, me te whēkau hoki i ētahi wā. He pokanga nui tēnei.
• Te tikanga Whipple (pancreaticoduodenectomy): Tērā pea ka tūtohutia tēnei pokanga mō ngā pukupuku i roto i ngā awa matua o te pane o te pancreas (te wāhanga whānui rawa atu e hono ana te pancreas ki te whekau iti). Ko te tikanga ko te tango i te pane o te pancreas, te wāhanga tuatahi o te whekau iti (duodenum), te pūkahukahu, te wāhanga o te awa waikura, me ngā kōpū lymph e tata ana.

He aha ngā raruraru ka pā mai i tēnei pokanga?

Pērā i ngā pokanga nui katoa, tera pea ētahi raruraru. Kāore e rite te āhua o te katoa. Nō reira, he pai ake te pātai atu ki tō tākuta mō ngā raruraru motuhake ka pā ki a koe.

Kia pēhea te roa o te wā e ora ai i muri i tētahi pokanga pēnei?

He rerekē tēnei i ia tangata, i ia tangata. Heoi, me noho te nuinga o te tangata ki te hōhipera mō ētahi rā i muri i te pokanga repeure. Tērā pea ka roa ngā wiki, ngā marama rānei kia tino ora ai.

Me whai rongoā chemotherapy, rongoā radiation rānei ahau i muri i te pokanga?

Kua whakaatuhia e ētahi rangahau he pai pea te chemotherapy me te radiation therapy i muri i te pokanga. Heoi anō, me whakaaro anō hoki koe ki ngā pānga taha o ngā maimoatanga. I ētahi wā, ka nui ake pea ngā pānga taha i ngā painga o ngā maimoatanga. Pātai atu ki tō tākuta mō ētahi atu kōrero mō tēnei.

I kī mai taku tākuta kia aroturukitia te `IPMN`. He aha te tikanga o tēnā?

Ko te tikanga o tēnei, kua whakaatuhia e ō whakamātautau he pai tō IPMN, ā, kāore pea e noho hei mate pukupuku. Ka haere tonu ngā tākuta ki te aroturuki i ēnei pukupuku pai mā te whakamahi i ngā whakamātautau whakaahua (pēnei i te MRCP). Ko te tikanga o tēnei, "Me aroturuki tonu tātou i tēnei, kia kite ai mēnā he rerekētanga."

He aha taku e taea ai hei whakaiti i te tūponotanga o te whakawhanaketanga o te IPMN?

E whakapono ana ngā kairangahau ko ēnei pukupuku i puta mai i ngā huringa o ngā ira. Nō reira, kāore he mea ka taea e koe te mahi hei ārai i te whanaketanga o te IPMN. Heoi, mā ēnei e whai ake nei ka āwhina i te whakaiti i tō tuponotanga whānui ki te mate pukupuku repeure me te āwhina i a koe ki te aromatawai i tō tuponotanga ki te IPMN:

• Akohia ngā kōrero mō te hītori hauora o tō whānau.Mena kua pāngia tētahi o tō whānau e te mate pukupuku repeure (PDAC), he nui ake tō tūponotanga ki te whakawhanake i te IPMN.
• E hono ana te mate pukupuku repeure ki te kai hikareti. Ki te whakamahi koe i te tupeka (hikareti, pīti, hikā), ngana ki te mutu.
• Whakaitihia te inu waipiro, kati rawa rānei.
• Ngāna kia mau tonu te taumaha hauora.
• Ngāna kia ārai i te mate huka momo 2 mā te kai hauora me te whakakori tinana. Mena he mate huka tōu, mahi tahi me tō tākuta ki te whakahaere i ō taumata huka toto.

Kia pēhea te roa ka taea e koe te ora me te IPMN?

Pērā i ngā mate pukupuku katoa, ko te tautuhi wawe me te maimoatanga ngā mea tino nui hei whakatau i te oranga. I te nuinga, tata ki te 95% o te hunga kua tautuhia, kua rongoatia hoki i mua i te whanaketanga o te IPMN hei mate pukupuku repe taiaki e ora tonu ana i muri i te rima tau o te tautuhi. Mena he pātai āu mō tō āhua, ko tō tākuta te puna mōhiohio pai rawa atu.

He mate pāwera tōku IPMN. Me pēhea taku tiaki i ahau anō?

I te nuinga o te wā, kāore ēnei pukupuku e huri hei matepukupuku. Heoi, he mea noa te māharahara me te manukanuka nā te whakaaro, "Tērā pea." Ki te pēnei tō whakaaro, kōrero ki tō tākuta mō tēnei mea. Māna e whakamārama he aha koe i iti ai te mōrearea ki te pangia e te matepukupuku repeure. Māna anō hoki koe e tohutohu mō ngā mea ka taea e koe te mahi hei whakaiti i tō mōrearea whānui ki te pangia e te matepukupuku repeure.

Ko te Intraductal Papillary Mucinous Neoplasm (IPMN) he ingoa roa, he ingoa pōhēhē i ētahi wā mō tētahi pukupuku e puta mai ana i roto i ngā awa pancreatic, ā, ka taea te huri hei matepukupuku pancreatic. I te nuinga o te wā, kāore he tohu o tēnei pukupuku, ā, he maha ngā wā ka kitea noa iho i roto i ngā whakamātautau e mahia ana mō ētahi atu take.

Ina kī mai tō tākuta kei a koe he IPMN, tera pea ka ohorere koe. Engari kia mahara, ki te pāngia koe e tēnei mate, ehara i te mea ka tino pāngia koe e te mate pukupuku. I te nuinga o te wā, ka whakaatuhia e ngā whakamātautau anō kāore te puku i te mate pukupuku (pai). Ki te kore tō puku i te mate pukupuku, ka haere tonu te tirotiro a tō tākuta kia kite ai mēnā he nui te mōrearea, he mate pukupuku rānei. Ā, he mea nui, ahakoa ka kitea he nui te mōrearea o tō puku, tata ki te 95% o te hunga kua tātaritatia, kua rongoatia hoki he IPMN i mua i te noho hei mate pukupuku, kei te ora tonu i muri i te rima tau o te tātaritanga.

Ahakoa tō āhuatanga, kei reira ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pangia e te mate pukupuku repeure. Kōrero ki tō tākuta mō tēnei. Ka koa ia ki te āwhina i a koe.

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

Āe, ko tāku tumanako kua mārama ake koe ki tā tātou i kōrero ai, arā, ko te ``(IPMN)``. Ahakoa he kaupapa uaua tēnei, me ngana tātou ki te mārama ngāwari.

• He pukupuku te IPMN e tupu ana i roto i ngā awaawa o te repeure, ā, ka taea te huri hei matepukupuku. Ehara i te mea ka huri katoa hei matepukupuku.
• I te nuinga o te wā, kāore e whakaatuhia he tohu , ā, ka kitea noa iho i roto i tētahi atu whakamātautau.
• Ka tātaritatia te mate mā roto i ngā whakamātautau pēnei i te `(MRCP)` me te `(EUS)`.
• Tērā pea ko te tirotiro, ko te pokanga rānei te wāhi e rongoatia ai, i runga i te momo me te kaha o te pukupuku.
• Ko te mea tino nui ko te kitenga wawe me te maimoatanga .
• Kaua e mataku mēnā ka kīia atu kei a koe te IPMN. Kōrero ki tō tākuta, ā, whakatauhia te mahere maimoatanga pai rawa atu mōu.
• Whakaarohia hoki ngā huringa āhua noho (te whakamutu i te momi hikareti, te pupuri i te taumaha hauora, me ētahi atu) hei whakaiti i te mōrearea o te mate pukupuku repeure.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai atu ki tō tākuta. Kia ora tonu koe!

` Panēkere, IPMN, Matepukupuku, Matepukupuku Panēkere, Puku, Ngā Tohu, Te Maimoatanga