He puku pēnei kei ō ū? Me kōrero tātou mō (Intraductal Papilloma)!

Kua kite koe i tētahi mea rerekē, pērā i tētahi puku iti i roto i tō ū, i kite rānei koe i tētahi mea pērā i te wai e puta mai ana i tō uma, ā, ka āwangawanga koe? Ina tupu tēnā, ka whakaaro tātou ki ngā momo mea katoa, kāore? Engari ehara i te mea he mate pukupuku kino ngā puku katoa, ngā panonitanga rānei. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e puta ana i roto i ngā ū, engari ehara i te mate pukupuku, engari he mea tika kia aro atu ki tēnā. He āhuatanga tēnā e kiia nei ko te `(Intraductal Papilloma)`. Tērā pea he ahua rerekē te ingoa ina rongo koe, engari me whakamārama noa iho.

He aha tēnei (Intraductal Papilloma)? Ki te kī māmā noa iho...

He whakarāpopototanga noa iho, ko te Intraductal Papilloma he tipu kino e puta mai ana i roto i ngā awa waiū o ō ū. Whakaarohia, he pūnaha ngongo iti kei roto i ō tātou ū e whakaputa ana i te waiū, e kawe ana ki te uma, tika? Ko ēnei ngongo, arā, ko ngā awa waiū, te wāhi e puta ai ēnei tipu. Ko te tikanga o te kupu "Papilloma" he tipu rite ki te pōro. He momo pūtau ēnei e kiia nei ko "ngā pūtau Epithelial." Ko ēnei "ngā pūtau Epithelial" he momo pūtau e kapi ana i ngā mata o roto, o waho hoki o ō tātou tinana. Ko te tikanga o te "Intraductal" ko "i roto i te awa waiū" (intra - roto, ductal - e pā ana ki te awa waiū). Nō reira, i te whakakotahitanga o ēnei mea katoa, ko te Intraductal Papilloma he tipu kino e puta mai ana i roto i ngā awa waiū, pērā i te pōro.

Ko te mea nui, ehara tēnei puku e kiia nei ko te "Intraductal Papilloma" i te mate pukupuku (pai). Heoi, ka tirohia tēnei puku e tō tākuta kia mōhio ai kāore he pūtau rerekē kei roto ka huri hei mate pukupuku. Nō reira, he mea nui kia mōhio koe ki tēnei.

He momo anō tēnei (Papilloma Intraductal)?

Ae, e rua ngā momo matua:

1. Papilloma takitahi:

• Koinei te momo tino noa. E ai ki te ingoa, ka puta hei puranga kotahi.
• Ka puta pinepine tēnei i roto i ngā awa waiū nui e tata ana ki tō uma.
• Ina nui haere te puku, ka taea e koe te rongo i muri, i te taha rānei o te uma, pērā i te puku iti.
• Ko te rongo pai, kāore tēnei momo papilloma e whakanui ake i tō tupono ki te whakawhanake i te mate pukupuku ū i roto i tō oranga.

2. Ngā papillomas maha, te Papillomatosis rānei:

• I tēnei momo, neke atu i te kotahi te puku e tupu ana.
• Ka hangaia ēnei i roto i ngā awaawa waiū iti kei tawhiti atu i te uma.
• Tērā pea ka piki ake te tūponotanga o te hunga whai mate pukupuku ū i roto i ō rātou oranga. Kaua e manukanuka, mā tō tākuta koe e whakamārama atu mō te tikanga o tēnei "paku".
• Tata ki te 10% noa iho o ngā papilloma kua kitea he momo tēnei, e kiia nei ko te "Papillomatosis." Arā, he mea onge noa iho.

He pēhea te noa o te Intraductal Papilloma?

E 10% pea o ngā whara pai o te ū e kitea ana i roto i ngā papilloma intraductal. Ko te nuinga o ēnei he papilloma takitahi. Nō reira, ehara tēnei i te mate onge.

He aha ngā tohu o tēnei mate? Me pēhea tātou e mōhio ai?

Ehara i te mea ka puta ngā tohumate i ngā papilloma katoa. I ētahi wā, ka kitea e te tākuta he puku rerekē ina whai whakamātautau koe, pērā i te mammogram, mō tētahi atu take. Tērā pea kāore koe e mōhio i taua wā.

Heoi anō, ka taea e ētahi papillomas te whakaputa i ngā huringa ki ngā ū. Kia tūpato ki ngā tohu pēnei i ēnei:

• He rerenga mārama, he rerenga toto rānei mai i te uma: Kotahi noa te ū e pāngia ana e tēnei. Ki te kite koe i tēnei e tupu ohorere ana, kaua e mataku, engari me toro atu ki te tākuta.
• He puku iti e kitea ana i muri i te uma: Tērā pea ka mamae, kāore rānei, tēnei puku.
• Te mamae, te kore whakamarie rānei i tētahi wāhi o te ū: Ki te mea kei te mau tonu te kore whakamarie i taua wāhi anō, kia mōhio hoki koe ki tēnā.

Ki te pā mai ēnei tohu ki a koe, me rapu tohutohu hauora. Koinei te mea pai rawa atu. He mea nui ake te toro atu ki te tākuta me te tiki tohutohu tika i te rapu noa i ngā kōrero i runga i te ipurangi.

He aha ngā take o te Intraductal Papilloma?

Ko te Intraductal Papilloma te take o te tipu nui rawa o ngā pūtau epithelial i roto i ngā awa miraka, i kōrerohia e tātou i mua ake nei. He rite ki te tipu e tere rawa ana te tipu. Heoi, kāore anō kia tino mōhio ngā tohunga he aha i tere ai te tipu o ēnei pūtau. Kei te haere tonu ngā rangahau.

Ko ētahi tāngata, ina rongo rātou i te kupu "papilloma", e whakaaro ana he pānga ki te huaketo `(Human Papillomavirus - HPV)`. Engari kāore he hononga pērā. He pono ko ētahi momo morearea nui o te huaketo HPV ka whakanui ake i te mōrearea o te whakawhanake i ngā momo mate pukupuku. Heoi, kāore te mate HPV e puta ai te `(Intraductal Papilloma)`, kāore hoki e whakanui ake i te mōrearea. He pai ake kia kaua e whakapoauau i ngā mea e rua, tika?

He aha ngā āhuatanga mōrearea e pā ana ki tēnei?

Kei te haere tonu ngā rangahau hei whakatau ko ēhea ngā āhuatanga mōrearea e whai wāhi ana ki te whanaketanga o te `(Intraductal Papilloma).` Ko te mea e mōhiotia ana i tēnei wā ko ngā mea e whai ake nei ka piki ake pea tō tupono ki te whakawhanake i tēnei mate:

• Tau: Mena kei waenganui i te 35 me te 55 tau te pakeke, he nui ake te tūponotanga ka pāngia koe e te Intraductal Papilloma. Ko te nuinga o te hunga kua tohua kua tata te menopause. Heoi, ko te hunga he maha ngā papillomas he taitamariki ake i te hunga he kotahi te papilloma.
• Te pānga ki te homoni estrogen:Tērā pea ka piki ake tō mōrearea mēnā kua pāngia koe e te homoni `(Oestrogen)` i roto i tō oranga. Hei tauira, ko te pakeketanga wawe, te mutu o te paheketanga, me te kore tamariki ka piki ake te roa o te wā e pāngia ai tō tinana e te `(Oestrogen)`. Waihoki, ko te whakamahi i ngā pire ārai whānau kei roto ko te `(Oestrogen)` tētahi o ngā take.
• Hītori whānau: Mena kua pāngia tētahi o tō whānau e te mate pukupuku ū, he nui ake tō tūponotanga ki te pāngia e te mate pukupuku ū. Tērā pea ka piki ake tō tūponotanga ki te pāngia e ngā āhuatanga ū kāore i te mate pukupuku pērā i te intraductal papilloma.

Ka whakanui ake rānei te Intraductal Papilloma i te mōrearea o te mate pukupuku?

Koinei te raruraru nui rawa atu mō te tini o te tangata. E ai ki te kōrero i mua ake nei, ehara te Intraductal Papilloma i te mate pukupuku. Heoi, kei te āwangawanga ngā tākuta mō ēnei puku nā te mea e kiia ana he "mate tūponotanga nui." Ko te tikanga o tēnei, i ētahi wā ka kitea e ngā tākuta ngā pūtau ka huri hei mate pukupuku (kino) i roto, i te taha rānei o te papilloma.

Engari he tino onge tēnei. Tērā pea ka kitea ēnei e ngā tākuta i ētahi wā:

• Ngā pūtau koretake, te Atypical Ductal Hyperplasia (ADH) rānei: Koinei te wā ka tere te wehewehe o ngā pūtau i roto i ō awa waiū, ā, ka tipu rerekē. Ka taea e ēnei pūtau te huri hei pūtau matepukupuku i muri mai. Heoi, he iti noa te ōrau, tata ki te 3%, o ngā Intraductal Papillomas ka whanake hei ADH.
• Te Mate Pukupuku Ā-Wai (DCIS): He mate pukupuku kore-whakaeke, he mate pukupuku mua-whakaeke rānei te DCIS. Ko te tikanga, kāore e horapa ki tua atu i ngā awa waiū pērā i ētahi atu mate pukupuku. He iti ake te ōrau o te DCIS, tata ki te 2.5%, o ngā papillomas intraductal.

Ko te hunga he maha ngā papilloma he nui ake te tūponotanga kia pāngia e ēnei pūtau rerekē i te hunga he takitahi ā rātou papilloma. Ka piki ake anō hoki te tūponotanga o te mate pukupuku ū i te roanga o te wā nā te maha o ngā papilloma. Kei te rangahau tonu ngā kairangahau i ngā take mō tēnei.

Engari ko te mea nui kia maumahara ko te ADH me te DCIS ka taea te rongoā katoa. Nō reira, ki te kitea wawetia, kāore he mea e manukanuka ai.

Me pēhea te tautuhi i te Intraductal Papilloma?

Ko te huarahi anake hei mōhio māu mēnā he Intraductal Papilloma tōu ko te tango i te kopa o te ū . I roto i te kopa, ka tangohia e tō tākuta te katoa, te wāhanga rānei o te puku ka tukuna ki te taiwhanga. I reira, ka tirotirohia e te tākuta mate pukupuku kia kitea ai mēnā he pūtau rerekē kei roto.

Ka taea e ngā rangahau whakaahua tuku iho pērā i te mammogram, te ultrasound, te magnetic resonance imaging (MRI) rānei te whakaatu i ngā tipu rerekē. Heoi, kāore e taea te kī pono he papilloma te puku me te kore he biopsy.

Hei tauira, ka puta pea te Intraductal Papilloma hei puranga, hei pona, hei whakapūpū rānei i runga i te mammogram. Ka kitea ēnei āhuatanga i roto i ngā momo puku ū maha, he pukupuku, he kore pukupuku hoki.

Nō reira, kia tika ai te tautuhi i te Intraductal Papilloma, me tirotiro tika te tākuta i te kiko.

Me pēhea te rongoā i ēnei momo puku i roto i ngā ū?

Ko te maimoatanga mō te `(Intraductal Papilloma)` e whakawhirinaki ana ki ētahi āhuatanga, pērā i te maha o ngā puku kei a koe, mēnā he pūtau rerekē kei roto, ō tohu, te rahi o te puku, me tō tūponotanga ki te pāngia e te mate pukupuku o te ū.

• Papiloma takitahi: Mena he pūtau rerekē ēnei, he tohu rānei kei te puta, me tango pea. Ka pā anō hoki te rahi o te puku me tō tuponotanga ki te mate pukupuku o te ū ki te hiahiatanga o te pokanga. I ētahi wā, ka whakatau ngā tākuta ki te aroturuki i ngā papiloma takitahi mā te whakamahi i ngā hihi-X.
• Ngā papilloma maha: Me tango ēnei nā te mea ahakoa ehara i te matepukupuku, he nui te tūponotanga ka puta he huringa o mua i te matepukupuku.

Me tango katoa ngā papilloma intraductal?

I ētahi wā, ka tūtohu pea tō tākuta kia aroturukitia ngā papilloma iti, kāore he tohu, takitahi. Heoi anō, me tango te nuinga o ngā papilloma intraductal.

He maha ngā huarahi hei tango i ngā papillomas:

• Te tango i te puku mā te whakamahi i te ngira iti e hono ana ki tētahi taputapu momi .
• Ko te tango i te ū mā te tango i te kopa (e mōhiotia ana ko te Lumpectomy): I tēnei pokanga, ka tangohia te puku me tētahi wāhi iti o te kiko hauora e karapoti ana (he tawhā) kia kore ai he pūtau rerekē e toe ana.
• Tātarihia te uma: Mena he maha ō papillomas, ā, he nui te tūponotanga ki te pāngia e te mate pukupuku o te ū, me tango pea te uma katoa (tātarihia te uma). Heoi, he tino onge tēnei, ā, i ngā wā motuhake anake ka mahia.

I runga i tō pūrongo koiora, ka whakamāramahia e tō tākuta ki a koe ko ēhea ngā kōwhiringa maimoatanga e tino tika ana māu.

He pēhea te kino o te Intraductal Papilloma?

Anō nei, ehara te Intraductal Papilloma i te mate pukupuku. Heoi, i ētahi wā onge, tera pea kei roto i ēnei puku ngā pūtau rerekē e hiahia ana kia rongoatia. Mena he maha ō papilloma, tera pea ka paku piki ake tō mōrearea ki te mate pukupuku i roto i tō oranga. Ko te tikanga me aro turuki pinepine atu koe mō te mate pukupuku.

Ko te rongo pai, ka taea te ārai i te hanganga o ēnei pūtau rerekē, arā, ngā pūtau i mua i te matepukupuku, mā ngā maimoatanga e tango atu ai. Ahakoa he pūtau rerekē ōu, ka taea e te pokanga te ārai i a rātou kei matepukupuku. Nō reira kaua e manukanuka.

Ka taea te aukati i te hanganga o ngā papillomas?

Engari, kāore he huarahi hei aukati i te whanaketanga o te `(Intraductal Papilloma).` Heoi, mā te tirotiro i te mate pukupuku o te ū i ia wā, ka taea e tō tākuta te aroturuki i te hauora o tō ū. He mea tino āwhina hoki te toro atu ki te tākuta mō ngā tohutohu ina kite koe i ngā huringa o ō ū.

Mā te tautuhi wawe i ngā huringa me te whiwhi maimoatanga tika, ka taea te ārai i ngā āhuatanga ū ehara i te matepukupuku kei huri hei matepukupuku.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua tohua koe he Intraductal Papilloma, me pātai atu ki tō tākuta i ēnei pātai:

• E hia ngā puku kei ahau?
• He aha ngā tikanga whakaahua me mahi e au kia kitea ai ngā papillomas katoa?
• He aha te tikanga o ngā hua o taku pūrongo `(Biopsy)`?
• He nui ake te mōrearea o te mate pukupuku o te ū ki ahau?
• Me mahi pokanga, me rongoā rānei ahau hei tango i tēnei papilloma?
• Kia pēhea te auau o ngā tirotiro matepukupuku ū e hiahiatia ana i muri i te maimoatanga?

Haunga ēnei pātai, kōrerotia marietia ki tō tākuta mō ngā mea katoa e whakaarohia ana e koe, ngā wehi, ngā ruarua rānei kei a koe. Ko reira anake ka taea ai e koe te mārama.

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

Kāore he tipu matepukupuku ngā papilloma intraductal. Heoi, ki te mea kotahi, neke atu rānei ō papilloma, me rongoā, me aroturukitia tonutia rānei. Ko te nuinga o ngā papilloma intraductal kāore e matepukupuku, engari he onge te tipu hei pūtau rerekē. Ko ngā hua o tō koiora, te maha o ngā papilloma kei a koe, me tō mōrearea mō te matepukupuku ū i roto i tō oranga katoa ka whakatau i ō whiringa maimoatanga.

Nō reira, ki te kite koe i ētahi panonitanga ki ō ū, kaua e warewarehia. Tirohia he tākuta tonu. Ko te kitenga wawe te huarahi pai ki te ora ake. Mā tō tākuta koe e hoatu ki te tohutohu me te maimoatanga pai rawa atu. Kaua e manukanuka, ehara i te mea ko koe anake!

` Papilloma Intraductal, Ngā Pukupuku o te Uma, Te Tukunga Mai o te U, Te Hauora o te Uma, Ngā Pukupuku Kore-matepukupuku, Te Hauora o ngā Wahine, Te Biopsy