He mate pukupuku tōu i roto i tō kauae? (Mate Pukupuku Kauae) Kaua e mataku, me kōrero tāua mō tēnei!

Kua whakaaro koe mēnā ka pāngia koe e te mate pukupuku kauae? Tērā pea kua kite koe i tētahi pupuhi iti, i tētahi mate rānei e kore e ora i roto i tō waha, i tō kauae rānei, ā, kua mataku koe. He mate onge te mate pukupuku kauae, engari he mea nui kia mōhio koe ki tēnei. Nā te mea, ki te kitea wawetia, he nui te tūponotanga ka taea te rongoā angitu i tēnei mate. Nō reira, me kōrero tātou mō te mate pukupuku kauae i tēnei rā, me pēhea?

He aha te matepukupuku kauae?

He kupu ngāwari noa iho, he momo mate pukupuku tino onge te mate pukupuku kauae e puta ana i roto i te waha. Mēnā ka kitea e ngā tākuta te mate pukupuku i roto i tō kauae, ka tīmata i tētahi atu wāhi o tō waha. Hei tauira, ka tīmata pea i tētahi atu wāhi o tō arero, o tō repe huware, o tō waha rānei, kātahi ka horapa ki tō kauae.

Heoi, he tino onge te tīmatanga o ngā pukupuku kino i roto i tō kauae. Ka tīmata rānei i roto i ngā kiko e hanga ana i ngā niho (`(kiko odontogenic)`). Kāore ēnei pukupuku kino i rite ki ngā pukupuku pai noa e kitea ana e koe. Ka horapa atu ki waho o tō waha ki ētahi atu wāhanga o tō tinana.

Koia te mea nui kia tere tonu te toro atu ki te tākuta mēnā kei te whakaaro koe kei a koe ngā tohu o te mate pukupuku kauae. Ka taea te whakaora katoa i ētahi momo mate pukupuku mēnā ka kitea wawe, ā, ka tangohia mā te pokanga.

He momo mate pukupuku kauae anō kei reira?

Ae, he rerekē ngā momo mate pukupuku waha. Ka kiia ēnei ko ngā carcinoma, ko ngā sarcomas, me ngā carcinosarcomas. Ko ēnei ingoa e pā ana ki te momo kiko e tīmata ai ngā pūtau mate pukupuku. Ko te nuinga o ngā mate pukupuku waha, tae atu ki ērā e pā ana ki te kauae, he momo e kiia nei ko ngā squamous cell carcinomas (SCC). Ka tīmata ēnei SCC i roto i ngā kiko e kapi ana i te mata o te tinana, tae atu ki te waha. Ko ēnei te 90% o ngā mate pukupuku waha.

Anei ētahi o ngā momo mate pukupuku kauae e tino kitea ana:

• Te Matepukupuku Ameloblastic: Ka puta mai tēnei i te kiko e hanga ana i te enamel o ō niho. Ko te nuinga o te wā ka puta ki te kauae o raro, e tata ana ki ngā niho o muri. Ka puta takitahi pea, he onge rānei, ka taea te whanake hei ameloblastoma pai ka huri hei matepukupuku.
• Te Mate Pukupuku Odontogenic Pūtau Mārama: Ka puta tēnei i te kauae o raro. I ahu mai tōna ingoa i te āhua o ōna pūtau i raro i te karuārai.
• Matepukupuku Pūtau Wairua: He momo matepukupuku tino onge tēnei. E 50 noa iho ngā kēhi kua pūrongohia i roto i ngā rangahau hauora. Ka puta takitahi pea, ka puta rānei mai i tētahi whē i roto i te kauae e whakapūmau ana, ka huri hei matepukupuku.
• Osteosarcoma: Ka puta mai tēnei i ngā wheua tonu. Ko te tikanga ka puta te Osteosarcoma i roto i ngā wheua roa pērā i te wheua hope. Kāore i te maha ngā wā ka tīmata i te wheua kauae.
• Te Matepukupuku Intraosseous Tuatahi: I te nuinga o te wā ka puta tēnei i te tuara o te kauae o raro. Ka puta takitahi, ka puta rānei hei hua o tētahi tipu kāore i te matepukupuku ka huri hei matepukupuku. Ahakoa ka puta i roto i te kauae, he rite tonu ngā momo pūtau ki te matepukupuku.
• Te Mate Pukupuku Odontogenic Sclerosing: He tino onge hoki tēnei. Tekau mā rima noa iho ngā kēhi kua pūrongohia i roto i ngā rangahau hauora.

Tērā pea kei te whakaaro koe he uaua rawa ēnei ingoa. He pono tēnā, he ingoa motuhake ēnei e whakamahia ana e ngā tākuta. Ko te mea nui māu ko te toro atu ki te tākuta mēnā ka kite koe i tētahi mea rerekē.

He pēhea te noa o te mate pukupuku kauae?

Ina hoki, he tino onge te mate pukupuku kauae. E 4.5% noa iho o ngā mate pukupuku pūtau squamous (SCC) katoa o te ao ka puta i te mahunga me te kaki. Ahakoa tērā, he onge tonu te tīmatanga i te kauae. I te nuinga o te wā, ko te puku e kitea ana e koe i tō kauae, i te taha rānei o ō niho, he nui ake te tūponotanga he pai.

Heoi anō, he mea pai kia tirohia e tō tākuta tētahi puku hou. Pērā ai, ka taea e koe te whiwhi i te tātaritanga tika.

He aha ngā tohu o te matepukupuku kauae?

I ngā wāhanga tōmua, kāore e maha ngā tohu. Engari i te tipu haere o te pukupuku, ka kite pea koe i ngā huringa. Ko te nuinga o ngā pukupuku ka puta i te kauae o raro (Kauwae), engari ka taea hoki te puta i te kauae o runga (Kauwae runga).

Ko ngā tohu o te mate pukupuku kauae ko:

• He puku, he pupuhi rānei i te kauae (tērā pea ka mamae, kāore rānei).
• He mate waha, e mamae ana, kāore e ora, e ngawari ana te toto.
• He whero, he mā rānei ngā ira i roto i te waha e kore e memeha.
• Te uaua ki te horomi (Dysphagia).
• Te uaua ki te whakatuwhera i tō waha.
• Ngā panonitanga o te āhua o tō kanohi.
• Te āhua nei kei te neke haere ō niho, kei te marere rānei ō niho.
• He panonitanga o te hononga o ngā niho (ngau).
• Te kirika.

Whakaarohia, i a koe e parai ana i ō niho, ka puta whakarere mai he puku iti ki tō kauae. I te tuatahi, kāore pea koe e aro ki tēnā. Engari, ki te mea kei reira tonu i muri i ētahi rā, ki te mea rānei kei te nui haere, me toro atu koe ki te tākuta.

He aha i puta ai te mate pukupuku kauae?

Ko te tipu me te wehewehe o ngā pūtau o tō tātou tinana e whakahaeretia ana e ngā tohutohu i roto i te 'DNA'. Ina puta ngā huringa o tēnei 'DNA' ('Ngā Huringa Ira'), ka puta pea ngā raruraru ki te mahi a ngā pūtau. Ka taea e ngā raruraru ki te waehere i roto i tēnei 'DNA' te meinga ngā pūtau kia mahi hē, kia puta ai hoki he pukupuku. Kei te rangahau tonu ngā kaipūtaiao i ngā huringa 'DNA' e puta ai ngā momo pukupuku rerekē e pā ana ki ēnei mate pukupuku kauae.

I ētahi wā, ka huri te pūkahukahu kore-matepukupuku (pai) i runga i te kauae hei pūkahukahu matepukupuku (kino), ka puta ai te matepukupuku kauae. Engari i te nuinga o te wā, ka noho tonu ngā pūkahukahu kore-matepukupuku i runga i te kauae, ā, kāore e huri hei matepukupuku.

Ka taea e tō tākuta te aroturuki i a koe mō ngā tipu ehara i te matepukupuku ka waiho hei take mōrearea mō te matepukupuku kauae.

Ko wai kei te nui ake te mōrearea ki te pāngia e te mate pukupuku kauae?

Ka piki ake pea tō tupono ki te whakawhanake i te mate pukupuku kauae i ēnei āhuatanga:

• Tau: Ko te mate pukupuku kauae te mea nui ka puta i roto i te hunga neke atu i te 55 tau te pakeke.
• Ira Tangata: He nui ake te mōrearea o ngā tāne.
• Te whakamahi tupeka: Ko te whakamahi tupeka te tino take mōrearea mō te mate pukupuku waha . Neke atu i te 60 ngā matū e puta ai te mate pukupuku (ngā matū pukupuku) kei roto i te tupeka. Mā te manawa i te auahi tuarua ka nui ake te mōrearea.
• Te inu waipiro: Ko te inu nui i te waipiro tetahi o ngā take nui mō te mate pukupuku o te upoko me te kaki. Mā te whakakotahitanga o te inu tupeka me te inu nui i te waipiro ka piki ake te mōrearea o te mate pukupuku waha mā te 30 ngā wā. Nō reira, ki te mea he kaipaipa koe, he mea nui kia mutu, kia whakawhāitihia hoki te inu waipiro.
• Mate HPV: Ka piki ake tō mōrearea i ngā momo mate pukupuku o te human papillomavirus (HPV), inā koa ko te HPV-16. Kei te piki haere ngā mate pukupuku waha e pā ana ki te HPV.
• Te ngaungau i te nati pī: Kei roto i ngā nati pī ngā matū whakaputa mate pukupuku. He tikanga tuku iho te ngaungau i te nati pī i ētahi wāhi o Āhia. Heoi, ka piki ake te mōrearea o te mate pukupuku waha.
• He hītori whānau tōu mō te mate pukupuku waha: Mena kua pāngia tētahi o tō whānau tata (hei tauira, he matua, he tamaiti, he tuākana/teina) e te mate pukupuku waha, tera pea ka nui ake tō tūponotanga.

Me pēhea te tākuta e tautuhi ai i te mate pukupuku kauae?

Ka tirohia tō tinana e tō tākuta i te tuatahi kia tirohia mēnā he puku hou, he pupuhi rānei. Ka arotakehia e rātou tō hītori hauora, ā, ka pātai atu mō ō tohumate. Tērā pea ka whakahaerehia e rātou he whakamātautau toto hei tirotiro mēnā he matū kei roto i ō toto e hono ana ki te mate pukupuku ('tohu pukupuku').

Ka whakamahia ngā whakamātautau whakaahua hei tirotiro i ngā pukupuku i roto i te tinana. Kei roto i ēnei ko:

• Ngā hihi-X
• `Whakaahua Āhua Aukume (MRI)`
• `Matawai Tomography Rorohiko (Matawai CT)`

Hei tāpiritanga, me whai koiora pea koe. Ko te tikanga o tēnei ko te tango i tētahi wahi kiko iti mai i te puku ka tukuna ki tētahi taiwhanga hei tirotiro mēnā he pūtau matepukupuku kei roto. Ka taea hoki e te koiora te whakaatu i te tere o te horapa o te matepukupuku kauae.

He aha ngā maimoatanga mō te matepukupuku kauae?

Ko te nuinga o te hunga e pāngia ana e te mate pukupuku kauae me pokanga hei tango i te puku. I ētahi wā, ka hiahiatia hoki he pokanga hei tango i te kauae, i te kiko rānei e karapoti ana i te kauae. Ko ngā momo pokanga e whakamahia ana hei rongoā i te mate pukupuku kauae ko:

• Mandibulectomy: Te tango i tētahi wāhanga o te kauae o raro. Mēnā ka tangohia tētahi wāhanga iti, ka kiia he mandibulectomy wāhanga. Mēnā ka tangohia tētahi wāhanga nui, ka kiia he mandibulectomy wāhanga.
• Te tango i te kauae o runga i te kauae o runga, i tetahi wāhanga rānei.

Ka ngana tō tākuta ki te tango i te nui o te kiko e taea ana hei tango katoa i te mate pukupuku, me te waiho i ētahi kiko hauora. Engari i ētahi wā, ka taea e te pokanga te whakarerekē i tō āhua. Engari he maimoatanga anō hei āwhina i tēnā. Ka tūtohu pea tō tākuta i te pokanga hanga anō hei hanga anō i tō kauae, i ngā tāpiringa niho rānei hei whakakapi i ngā niho i tangohia i te wā pokanga.

I runga anō i te momo matepukupuku kauae, me whai maimoatanga matepukupuku anō pea koe. Kei roto i ēnei ko:

• Whakaora Irahiko: Ko te whakamahi i tētahi mīhini hei tuku i ngā hihi irahiko kaha-nui hei whakaiti i ngā pukupuku. Tērā pea ka hoatu te rongoā irahiko hei maimoatanga matua mēnā kāore koe i te tino hauora hei pokanga. Tērā pea ka hoatu te rongoā irahiko hei patu i ngā pūtau matepukupuku e toe ana i muri i te pokanga.
• Te rongoā matū: Ko te whakamahi i ngā rongoā hei patu i ngā pūtau matepukupuku. Ehara te rongoā matū i te rongoā noa mō te matepukupuku kauae, engari ka taea te hoatu tahi me te rongoā irahiko i muri i te pokanga.
• Manaaki Whakaora: Ka āwhina tēnei i te whakahaere i ngā tohu me ngā pānga taha o te maimoatanga matepukupuku. Ka taea e te manaaki whakaora te āwhina i te hunga whai tirohanga pai, tae atu ki te hunga e whiwhi ana i te manaaki hōhipera. Ki te whakaaro koe ka whai hua pea koe i te manaaki whakaora, pātai atu ki tō tākuta.

He aha ngā mea ka tupu mēnā he mate pukupuku kauae tōu?

I tēnei wā, ko te ōrau oranga mō ngā mate pukupuku waha katoa i roto i ngā tau e rima, tae atu ki te mate pukupuku kauae, e tata ana ki te 68%. Engari ko tō matapae ka whakawhirinaki ki te momo mate pukupuku kauae. Ko ētahi momo pukupuku mate pukupuku e tīmata ana i te kauae, pērā i te osteosarcoma me te carcinoma intraosseous tuatahi, he tere te tipu. Engari ko ētahi atu momo ka puhoi ake te tipu. Mena ka kitea wawe te mate, ā, ka rongoatia, ka taea te whakaora i mua i te horapa.

He maha ngā pukupuku kauae matepukupuku ka 'hoki mai anō' i muri i te maimoatanga. Ka mahi tahi tō tākuta me koe ki te whakarite i ngā wā tirotiro hei āwhina i a koe kia 'ora'. Mā te rongoā i tētahi pukupuku i te tohu tuatahi o te hokinga mai ka āwhina i te pupuri i te matepukupuku kauae kia kore e pāngia.

Āhea ahau me toro atu ki te tākuta?

Mena he puku hou āu, he mate e kore e ora, he wāhi taratara rānei kei roto i tō waha e kore e ora i roto i ngā wiki e rua,Me toro atu ki te tākuta tonu. He tohu pea ngā puku hou mō tētahi mate kore-matepukupuku (pai), engari me toro atu koe ki te tākuta kia tino mōhio ai koe.

Mā te toro atu ki te tākuta niho auau ka nui ake te tūponotanga ka kitea wawetia he pukupuku, i mua i te putanga mai o ngā tohu. He maha ngā wā, ka kitea ngā pukupuku i runga i ngā hihi-X niho auau. Ki te kitea i mua i te horapa, i te puta rānei o ngā raruraru, he nui ake te tūponotanga ka whiwhi koe i te maimoatanga ka taea te aukati i te horapa o te mate pukupuku, te aukati rānei i tōna horapa.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ka taea e koe te pātai atu ki te tākuta i ngā pātai penei:

• He aha te momo mate pukupuku kauae kei a au?
• He aha ngā whakamātautau me mahi e au hei tirotiro mēnā kua horapa?
• He aha te momo maimoatanga e hiahiatia ana e au?
• He aha te tūponotanga ka hoki mai anō te pukupuku i muri i te pokanga?
• Me pēhea taku tiaki i a au anō i a au e ora ana i muri i te pokanga?

Ki te kite koe i tētahi puku hou i tō kauae, ki te kite rānei koe i ētahi atu tohu o te matepukupuku kauae, me toro atu ki te tākuta tonu. Ko te nuinga o te hunga he pukupuku waha – he kino, he pai hoki – me pokanga hei tango i aua pukupuku. Mō te matepukupuku kauae, me hiahia pea koe ki ētahi atu maimoatanga, pērā i te rongoā irahiko, hei aukati i te hokinga mai o te pukupuku. Ma tō tākuta e whakamārama ko tēhea maimoatanga te mea pai mōu, i runga i te momo pukupuku kei a koe.

Ngā mea tino nui hei maumahara māu (Karere hei tango ki te kāinga)

Nō reira, ko tāku tumanako kua mārama ake koe i ngā kōrero kua kōrerotia e tātou mō te Matepukupuku Kauae. Ko te mea nui hei maumahara māu ko:

• Te Mōhiotanga: He mea nui kia mōhio koe ki tētahi mate. Ahakoa he onge te mate pukupuku kauae, mā te mōhio ki tēnei mate ka āwhina i a koe ki te kite wawe i ngā tohu mōrearea.
• Āraia ngā āhuatanga mōrearea: Āraia te kai tupeka me te inu nui i te waipiro , koinei ngā tino take o te mate pukupuku waha.
• Kaua e warewarehia ngā tohu: Ki te kite koe i tētahi mea rerekē i roto i tō waha, i tō kauae rānei – he puku, he mate e kore e ora, he ira – ā, kua neke atu i te rua wiki te roa, me toro atu ki te tākuta.
• Me tirotiro niho i ia wā: Ka taea e te taote niho te tautuhi i ngā raruraru i te wā tōmua.
• Kaua e wehi, rapua he tohutohu: Ki te mea he ruarua āu, kōrero ki te tākuta, ka rapu tohutohu. Ko te kitenga wawe te kī ki te maimoatanga angitu.

Kia ora koutou katoa!

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