I ētahi wā ka paku pāorooro tō tātou reo, ka taumaha rānei, tika? He rite ki te makariri noa, ā, ka pai ake i roto i ngā rā e rua, e toru rānei. Engari kāore anō kia memeha tēnei panonitanga o tō reo ahakoa i muri i ngā wiki e rua, e toru rānei? Mena he mamae tō korokoro, ā, he uaua ki te horomi, ehara i te mea pai kia wareware noa. I tēnei rā kei te kōrero tātou mō tētahi mea ka tīmata mai i ēnei tohu, ā, me tūpato koe - arā, ko te matepukupuku o te korokoro, arā, i roto i ngā kupu hauora, he āhuatanga e kiia nei ko te Matepukupuku o te Roro .
He aha te mate pukupuku o te korokoro?
He okana iti engari he tino nui te arai i roto i tō tātou korokoro. Kei mua o tō tātou kaki, i runga ake i te arai manawa. Koinei te wāhanga o te arai manawa e tiaki ana i a tātou mai i te horomitanga o te kai, te kōrero, me te arai manawa. Kei roto hoki i tēnei ko ngā taura reo e hanga ana i tō tātou reo.
He aha rā te mate pukupuku? Ko te wā tēnei e wehewehe ana, e whakanui ana hoki ngā pūtau o te tinana, ā, ka puta he pukupuku. Ina puta tēnei i roto i te arai, ka kiia ko te mate pukupuku arai. Ka haere mārire ēnei pūtau kino ki te whakaeke i ngā kiko hauora e karapoti ana, ka kino hoki.
E toru ngā wāhanga matua o te korokoro. Ka tīmata te mate pukupuku i tētahi o ēnei wāhanga:
- Supraglottis: Te wāhanga o runga o te larynx. Tata ki te 35% o ngā matepukupuku ka tīmata i konei.
- Ngā korōtiti: Te wāhanga waenga. Kei konei ō tātou taura reo. Ko te nuinga, tata ki te 60%, o ngā matepukupuku ka tīmata i konei.
- Kōpiko iti: Te wāhanga o raro rawa o te arai. Tata ki te 5% o ngā matepukupuku ka tīmata i konei.
He aha ngā tohu o te mate pukupuku o te korokoro? Kia tūpato ki ēnei!
Ka ngāwari te pohehe i ngā tohu tōmua o tēnei mate pukupuku hei mate korokoro noa, hei makariri rānei, nō reira he mea nui kia mōhio koe ki tēnei.
Ko te mea nui, ki te mea he pāorooro tō reo, he rerekē rānei tō reo mō ngā wiki e rua neke atu , me toro atu koe ki te tākuta, kaua e whakaaro he mea noa.
Me mārama te wehewehe i ēnei tohu mai i te ripanga i raro nei.
| Momo tohu | Whakaahuatanga |
|---|---|
| Ngā tohu ka puta tuatahi pea | |
| Te huringa o te reo | Te pāorooro o te reo, te taumaha o te tinana, me te uaua ki te kōrero, ina koa ka roa atu i te rua wiki . |
| Te korokoro mamae tonu, te maremare rānei | He korokoro mamae tonu, he maremare rānei, kāore e pai ki ngā rongoā noa. |
| Te uaua ki te horomi (Dysphagia) | Te mamae, te kōkō rānei i te horomitanga o te kai, o te inu rānei. |
| He puku i te kaki, i te korokoro rānei | Te rongo i tētahi puku, i tētahi pupuhi rānei i te kaki ka taea te hopu e te ringa. |
| Mamae taringa | He mamae e horapa ana i te korokoro ki te taringa. |
| Ngā tohu kino e hiahia ana kia aro wawe tonu ki te hauora | |
| Te uaua ki te manawa (Dyspnea) | Te uaua ki te manawa, te āhua nei kei te hemo koe i te manawa. |
| He tangi whiowhio i te wā e manawa ana (Stridor) | Te rongonga i tētahi oro teitei i te wā e manawa ana. |
| Te ahua o te mea e mau ana i roto i te korokoro (te ahua o te Globus) | Te rongo tonu i te mea e mau ana i roto i te korokoro. |
| Te mare toto (Hemoptysis) | He huware toto me te maremare. |
Mena kei a koe tētahi o ēnei tohu kino, me toro atu ki te tākuta tonu tonu. Mena e tika ana, ka taea hoki e koe te haere ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
He aha i puta ai tēnei mate pukupuku? Ko wai kei te mōrearea nui ake?
E rua ngā tino take e whai wāhi ana ki te whanaketanga o tēnei mate pukupuku. Ko te momi hikareti me te inu waipiro nui . He nui ake te mōrearea o te tangata e mahi tahi ana i ēnei mea e rua i te tangata e mahi tahi ana i tētahi anake. Nō reira, he tino nui te tūponotanga o te tangata e whai ana i ēnei āhuatanga e rua ki te pāngia e te mate pukupuku o te korokoro.
Hei tāpiritanga, he maha atu anō ngā āhuatanga mōrearea:
- Mate HPV: Ka taea hoki e ētahi momo HPV (Human Papillomavirus), he mate tuku iho i te taatai, te whakaputa mate pukupuku korokoro.
- Tau: He nui ake te mōrearea o te hunga neke atu i te 55 tau te pakeke.
- Ira Tangata: E rima ngā wā ka nui ake te tūponotanga o te tāne ki te pāngia e tēnei mate pukupuku i ngā wāhine. Tērā pea nā te nui ake o te kai hikareti me te inu waipiro i waenga i ngā tāne.
- Hītori matepukupuku o mua: Ko te tangata kua pāngia e te matepukupuku o te upoko, o te kaki rānei, e 25% te tūponotanga ka pāngia anō e te matepukupuku i tēnei wāhi.
- Te Mahi: Ko te hunga e pāngia ana e ngā matū pēnei i te hauota whanariki, te puehu rakau, te nikara, me te asbestos i te wāhi mahi ka nui ake te mōrearea.
Me pēhea te tātaritanga tika a te tākuta i te mate pukupuku?
Ina kite koe i tētahi tākuta me ngā tohu i whakahuatia ake nei e koe, ka pātai tuatahi ia i tētahi pātai taipitopito mō ō tohu, ā, ka tirotirohia tō korokoro me tō kaki. Kātahi ka tonoa pea e ia ētahi whakamātautau hei whakaū i te mate.
- Ngā Matawai Whakaahua: Pērā i te tango pikitia mārama o roto o ō tātou tinana, ka taea e te matawai CT, te matawai MRI rānei te whakaatu i te rahi me te wāhi tika o te matepukupuku. Ka taea hoki te mahi i te hihi-X o te uma hei tirotiro mēnā kua horapa te matepukupuku ki ngā pukahukahu.
- Laryngoscopy: I roto i tēnei tikanga, ka whakauruhia e te tākuta he ngongo angiangi, ngāwari (endoscope) me te kāmera e piri ana ki roto i tō ihu, i tō waha rānei, ā, ka āta tirotirohia tō larynx me te rohe e karapoti ana.
- Matawai PET: He momo matawai motuhake tēnei. Ka mahia tēnei matawai mā te werohanga i tētahi matū irahiko haumaru ki roto i tētahi uaua ka 'whakamārama' i ngā wāhi o te tinana kei reira ngā pūtau matepukupuku.
- Biopsy: Koinei te whakamātautau tino nui me te tino whakatau mō te tautuhi mate.I te wā o te laryngoscopy, ka tangohia he wahi kiko iti rawa mai i te wāhi whakapae, ka tirohia i raro i te karuārai. Ka taea e tēnei te whakaatu me te 100% tika mēnā he matepukupuku, ā, mēnā koinā, he aha te momo matepukupuku.
He aha ngā maimoatanga?
Kia whakaūtia te mate, ka whakatauhia e tō tākuta te mahere maimoatanga pai rawa atu māu i runga i te wāhanga, te rahi, te horapa o te mate pukupuku, me tō hauora whānui. Tērā pea ka uru atu ki tēnei te kotahi, te whakakotahitanga rānei o ngā maimoatanga.
| Tikanga maimoatanga | He whakamārama ngāwari noa iho |
|---|---|
| Te Whakaora Irahiko | Ka arohia ngā hihi irahiko kaha-tiketike (pērā i ngā hihi-X) ki te pukupuku, ā, ka whakangaro i ngā pūtau matepukupuku. |
| Te rongoā matū | Te hoatu i ngā rongoā kaha hei patu i ngā pūtau matepukupuku, hei aukati rānei i tō rātou tipu mā te uaua (mā te tote) me te pire rānei. |
| Pokanga | Te tango i te pukupuku matepukupuku me ngā kiko e karapoti ana. I ngā wāhanga tōmua, ka taea te tiaki i te arai. I ngā wā tino kino, me tango pea te arai katoa (Total Laryngectomy). |
| Te Whakaora Whaiaro | Ko ngā rongoā e aro ana, e whakaeke ana hoki i ngā pūmua motuhake e tika ana mō te tipu o ngā pūtau matepukupuku, me te whakaiti i te kino ki ngā pūtau hauora. |
| Te rongoā ārai mate | E whakaoho ana i te pūnaha ārai mate o tō tātou tinana, kia mōhio ai, kia whawhai ai hoki ki ngā pūtau matepukupuku. |
Ka taea e au te kōrero i muri i te pokanga?
He raruraru tēnei e pā ana ki te tini tāngata. Kei te momo pokanga te tikanga.
- Mō te mate pukupuku o te wāhanga tōmua: Whai muri i te pokanga hei tango i te pukupuku anake, i tētahi wāhanga iti rānei o te arai (hei tauira, te tango i te taura, te tango i te arai hapa), tera pea ka taea e koe te kōrero. Tērā pea ka paku rerekē tō reo, engari ka taea tēnei te whakaora mā te āwhina a te kaiwhakaora kōrero.
- Mō te mate pukupuku kino: I ētahi wā, me tango katoa te arai (Total Laryngectomy). Mā tēnei ka kore e taea te kōrero pērā i mua. Kaua e manukanuka. He huarahi hou kei te wātea inaianei hei ako i te kōrero (hei tauira, ngā takirere motuhake, ngā taputapu hiko).
Kei te pēhea te oranga i muri i te maimoatanga?
Kia oti pai te maimoatanga, ka haere tonu tāu tākuta ki te tirotiro i a koe (tirotiro anō) kia mōhio ai kei te ora pai koe. I tēnei wā,
- Te hoatu rongoā hei whakahaere i te mamae.
- Te whakarato otinga mō ngā uauatanga o te horomi.
- Te tuku tohutohu mō tētahi kai tōtika e tika ana māu.
- Mēnā e tika ana, ka tukuna atu ki te rata whakaora kōrero, ki te rata whakaora tinana rānei.
Ko te mea nui ko te mutu rawa o te momi hikareti me te inu waipiro i muri i te maimoatanga. Ko te hunga e momi hikareti tonu ana he tino nui te tūponotanga ki te pāngia anō e te mate pukupuku. Ina mutu ēnei whanonga, ka tino whakaitihia taua tūponotanga.
He ara anō hei ora i tēnei mate pukupuku?
Ahakoa kāore e taea te ārai i ngā mate pukupuku katoa, ka taea e tātou te whakahaere i ngā tino take mōrearea mō te mate pukupuku o te korokoro.
- Kati rawa te kai hikareti me ngā hua tupeka. Koinei te taahiraa pai rawa atu, te taahiraa nui rawa atu hoki ka taea e koe te mahi.
- Whakaitihia te inu waipiro. Ki te taea, kati rawa.
- Kai i tētahi kai hauora, taurite hoki. Mā te kai e nui ana ngā huawhenua me ngā hua ka āwhina i te whakaiti i te mōrearea o te mate pukupuku.
Karere Tangohia ki te Kāinga
- Ki te mea he pāorooro tō reo, he rerekē rānei tō reo mō ngā wiki e rua neke atu , kaua e warewaretia. Me toro atu ki te tākuta tonu.
- Ko ngā tino take o te mate pukupuku o te korokoro ko te kai hikareti me te inu nui i te waipiro . Ko te ārai pai ko te karo i ēnei tikanga.
- Ki te kitea wawetia, he tino nui te tūponotanga ka ora katoa te mate pukupuku o te korokoro. Ka taea hoki e koe te pupuri i tō kaha ki te kōrero.
- Mena he āwangawanga āu mō tētahi tohu, kaua e mangere ki te kōrero ki tō tākuta. Ko te tere o te tautuhi i te mate, ko te tūponotanga ka angitu te maimoatanga.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero