Whakaarohia kua haere koe ki te tirotiro i tētahi atu mate puku. Ka mea ohorere mai te tākuta i titiro ki tāu pūrongo, "He mea kei roto i tō ate e rite ana ki tētahi pukupuku iti." I taua wā tonu, ka ngoikore tō tinana, kāore? Ina rongo tātou i te kupu 'pukupuku ate', ka puta te wehi o te 'matepukupuku' ki te nuinga o ō tātou hinengaro. Engari he matepukupuku tūturu ngā pukupuku katoa e tupu ana i roto i te ate? Kāore rānei tēnei i te mea hei wehi? I tēnei rā, ka kōrerohia e tātou tēnei mea kia mārama ai ngā pātai katoa kei roto i tō hinengaro.
Hei whakarāpopototanga, he aha ēnei whara o te ate?
Ko te pukupuku ate, e kiia nei e ngā tākuta, he "Whānga Ate", he tipu rerekē o ngā pūtau i roto i tō ate. He rite ki te tohu whānau, ki te puku iti rānei i runga i tō tātou kiri. Ka kiia hoki ēnei he "pūmua" he "pūtau" rānei.
Ko te mea nui, ehara i te mea he rite katoa ēnei nati. E rua ngā momo matua:
1. Ngā pukupuku pai: Koinei ngā mea tino noa. Ehara i te matepukupuku. Ko te tikanga kāore e horapa ki ētahi atu wāhanga o te tinana. I te nuinga o te wā, kāore e pā kino. Ko te nuinga o te tangata e noho tahi ana me ēnei pukupuku puta noa i ō rātou oranga, kāore he raruraru.
2. Ngā pukupuku kino: Koinei ngā momo e tika ana kia wehi tātou. Ka kiia ēnei he mate pukupuku ate. Ka taea e rātou te tipu haere me te kore e taea te whakahaere, ka horapa ki ētahi atu wāhanga o te tinana. He mate kino tēnei e hiahia ana kia tirohia e te rata.
He maha ngā wā ka kitea he pukupuku pēnei i te tangata i te wā o te matawai mō tētahi atu take. Nō reira, kāore he take e mataku ai i taua wā tonu. Ko te mea nui ko te kimi tuatahi i te momo.
Ngā pukupuku pai kāore he mea e wehi ai
E ai ki tā mātou i kōrero ai, he pukupuku kore-matepukupuku ēnei, he pukupuku kore-kino rānei, e kitea pinepinetia ana. He maha ngā take e puta ai ēnei. Me titiro tātou ki ngā momo matua.
| Momo whara | He whakamārama māmā |
|---|---|
| Te Hyperplasia o te Nodular Focal | He pukupuku tēnei e puta mai ana i te wā e piri tahi ai ngā pūtau ate. E whakaarohia ana i te nuinga o te wā ka puta mai i te huringa o te uaua toto e tuku toto ana ki te ate. Kāore tēnei i te kino. |
| Hemangioma | He rite tēnei ki te puranga o ngā uaua toto e raranga ana tetahi ki tetahi. Tērā pea he mea kei roto i te whānautanga. Kāore hoki ēnei i te kino. Engari i ētahi wā ka nui haere. |
| Ngā Adenoma o te Ate | He pukupuku kore-matepukupuku anō hoki ēnei. I te nuinga o te wā ka puta tata ki te mata o te ate. He mea noa iho ēnei i roto i ngā wāhine e whakamahi ana i ngā rongoā homoni, pērā i ngā pire ārai whānau. |
| Ngā Pūwero Ate | He rite ēnei ki ngā mirumiru kī tonu i te wai. Ko ēnei pēke kī tonu i te wai e hanga ana i roto i te ate, kāore e puta he raruraru. |
Ko te mea nui, e 99% o ngā pukupuku "pai" i runga ake nei kāore e whakaatu i tētahi tohu. Nō reira kaua e mataku ahakoa kua kitea e koe tētahi kei a koe.
Ngā momo pukupuku kino hei tirotiro māu
Nā, me kōrero tātou mō ngā pukupuku matepukupuku e wehingia ana e tātou katoa. E rua ngā huarahi matua e puta ai ēnei.
1. Matepukupuku Ate Tuatahi: Ki te kī māmā, ka tīmata tēnei matepukupuku i roto i te ate tonu. Ka rerekē haere ngā pūtau ate noa, ā, ka tīmata te wehewehe me te kore e taea te whakahaere. Ko ngā momo e rua e tino kitea ana o tēnei momo matepukupuku ko te "Hepatocellular carcinoma" me te "Cholangiocarcinoma" (te matepukupuku o ngā awaawa o te kōpū).
2. Matepukupuku Ate Metastatic: Koinei te wā e horapa ai te matepukupuku kua tīmata ki tētahi atu wāhi o te tinana, pērā i te koroni, ngā pukahukahu, ngā ū rānei, ki te ate mā roto i te toto, ka puta he pukupuku ate. He mate kino anō hoki tēnei.
He aha pea ngā tohu o tēnei?
He rerekē rawa ngā tohu i runga i te mea he pukupuku kore-matepukupuku, he pukupuku rānei te pukupuku.
Ngā āhuatanga o ngā pukupuku kore-matepukupuku (pai)
Kāore ēnei e puta he tohumate i te nuinga o te wā.Engari he tino onge, ki te tipu te pukupuku pēnei i te mea kua whakahuatia i runga ake nei ki te 30 henimita (tata ki te putu), ka taea e ia te pēhi i ngā whekau tata pēnei i te puku me te pūkahukahu. Ki te tupu tēnā,
- Te mamae, te koretake rānei o te puku
- He ahua o te kī
Tērā pea ka pāngia koe e ēnei momo āhuatanga. Engari he mea tino onge tēnei.
Ngā tohu o ngā pukupuku kino
He mārama ake, he mārama ake hoki ngā tohu o ngā pukupuku matepukupuku. Mēnā kei a koe tētahi, neke atu rānei o ēnei, me toro atu koe ki te tākuta tonu.
- He ahua puku i raro i te rara matau, he rite ki te puku.
- Te mamae i te taha matau o te puku, i raro rānei i te pakihiwi matau.
- Te kōwhai o ngā mā o ngā kanohi me te kiri (Jaundice).
- Te ngaronga taumaha mō te kore take.
- Kāore he reka o te kai.
- Te ngenge me te ngoikore tonu.
- Te pupuhi o te puku.
He aha i puta ai ēnei pukupuku ate?
Kāore anō kia mōhiotia te tino pūtake o ngā pukupuku ehara i te matepukupuku, engari e whakapono ana ngā tohunga tera pea ētahi āhuatanga e whai wāhi ana ki tēnei.
- Ngā pire ārai whānau, te rongoā homoni rānei: Ka pā pea te homoni estrogen i roto i ēnei.
- Te Pūngāwerewere Ate: He whara o te ate nā te mate ate mō te wā roa.
- Te Momi hikareti: Ka pēhia te ate e te momi hikareti.
Ka puta ngā pukupuku matepukupuku ina pakaru te DNA o ngā pūtau ate, ā, ka tīmata te tipu rerekē me te kore e taea te whakahaere. He maha ngā āhuatanga matua e whakanui ana i tēnei mōrearea.
- Ātete Waipiro: He āhua e mimiti katoa ai te ate, e kī ana i ngā koha nā ngā āhuatanga pēnei i te nui rawa o te inu waipiro me te ate momona.
- Ngā Mate Pukupuku Hepatitis B me te C Mau tonu: Ko ēnei mate huaketo e rua ngā tino take o te mate pukupuku ate.
He pēhea rawa te kitenga a te tākuta i tēnei?
Ki te whakapae koe he pukupuku ate tōu, ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakaū i te momo pukupuku.
Kāore e taea te kī tonu i te 100% he mate pukupuku, kāore rānei mā te titiro ki tētahi pūrongo. Me mahi e koe ngā whakamātautau taahiraa-i-te-taahiraa.
1. Te pātai atu ki a koe mō ētahi atu kōrero: Tuatahi, ka pātai atu te tākuta ki a koe mō ō tohumate, tō hītori whānau, ngā rongoā e tangohia ana e koe, me te mea kei te inu waipiro koe.
2. Whakamātautau tinana: Ka pāngia te puku hei tirotiro mēnā he pupuhi te ate me tētahi puku.
3. Ngā Whakamātautau Whakaahua: Mā ēnei whakamātautau ka kitea mārama te āhua o roto o te ate.
- Matawai Ultrasound
- Matawai CT
- Matawai MRI
4. Ngā Whakamātautau Toto: Ka mahia ēnei whakamātautau hei tirotiro i te mahi a te ate, me te tirotiro hoki mō ngā mea e kiia nei ko ngā "Tohu Puku" e piki ake ana i roto i te toto i roto i ētahi momo mate pukupuku.
5. Kohikohi Ate: Koinei te whakaū whakamutunga me te tino whakatau. I konei, ka tangohia he wahi kiko iti rawa mai i te pukupuku ate mā te whakamahi i te ngira angiangi, ā, ka tirohia i raro i te karu hiko hei tirotiro mēnā kei roto he pūtau matepukupuku, he pūtau noa rānei.
He aha ngā maimoatanga?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te mea he pukupuku kore-matepukupuku, he pukupuku matepukupuku rānei tōu.
- Mō ngā pukupuku kore-matepukupuku (pai):
I te nuinga o te wā , kāore he maimoatanga e hiahiatia ana. Tērā pea ka tirotirohia e tō tākuta i ētahi wā kia kite ai mēnā kei te nui haere. Engari mēnā he tino nui te pukupuku, ā, ka puta mai ngā tohu pēnei i te mamae o te puku, ka taea te mahi pokanga hei tango i te pukupuku .
- Mō ngā pukupuku kino:
He maha ngā kōwhiringa maimoatanga mō tēnei. Mā te tākuta e whakatau te maimoatanga pai rawa atu i runga i te rahi o te pukupuku, tōna horapa, me te hauora whānui o te tūroro.
- Hepatectomy: Te tango pokanga i te wāhanga o te ate kei roto te pukupuku.
- Whakaora Whakamutu: Ka whakangaro i ngā pūtau matepukupuku mā te tuku wera nui, te makariri nui, ngā matū rānei ki roto i te pukupuku.
- Te rongoā matū: Te hoatu i ngā rongoā kaha hei whakangaro i ngā pūtau matepukupuku.
- Te Whakatō Ate: Te tango katoa i te ate mate me te whakatō i tētahi ate hauora.
Ka taea e te ate te whakaora i ēnei pukupuku i a ia anō?
Ko te ate tētahi o ngā okana tino whakamiharo o te tinana. He tino kaha tōna ki te whakaora anō i a ia anō mā te hanga pūtau hou. Hei tauira, ahakoa ka tangohia te haurua o te ate mā te pokanga, ka taea e te wāhanga e toe ana te tipu anō kia rite ki te rahi o te ate katoa.
Waihoki, kei te ate te kaha ki te whakatika i ngā kino i puta mai i ētahi mate ate. Nō reira, tera pea ka ora anō ngā kino i puta mai i ētahi pukupuku ehara i te matepukupuku.
Engari kia maumahara ki tēnei: Kāore e taea e te ate te whakaora i tētahi pukupuku kino i a ia anō. Me tino whiwhi maimoatanga hauora tika.
He ara hei ārai i ēnei kei puta?
Kāore he huarahi tino tika hei ārai i ngā pukupuku kore-matepukupuku. Heoi, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te tūponotanga o te whakawhanaketanga o ngā pukupuku matepukupuku, koinei te raru nui rawa atu. Ki te kī noa, ko te tikanga kia ora tonu te ate.
- Āta karohia te waipiro me te kai hikareti: Ko ēnei ētahi o ngā hoariri matua e rua e whakararuraru ana i te ate, e kino ana hoki.
- Tiakina koe i te huaketo hepatitis: Me werohanga mō te hepatitis B. Āta karohia te moe tāne me te kore tiaki me te tiritiri ngira.
- Kai i tētahi kai taurite: Kai atu i ngā huawhenua, ngā hua rākau, me ngā pūmua kikokore (ika, heihei). Whakaitihia ngā kai he nui te ngako me te huka.
- Kia mau ki te taumaha hauora: Mā te whakahaere i te taumaha tinana ka ārai i te kino o te ate i puta mai i te kohikohinga ngako (Ate Ngako).
He mea noa te mataku ina kitea he pukupuku ate tōu. Engari ko te mea nui kia kaua e mataku, engari kia tika ngā whakamātautau me te kimi i te momo pukupuku. Kōrerohia ki tō tākuta mō ō mataku me ō pātai katoa. Ko te whiwhi i ngā mōhiohio tika te huarahi pai ki te whakakore i te mataku koretake.
Karere Tangohia ki te Kāinga
- Ehara i te mea he matepukupuku ngā pukupuku katoa e kitea ana i roto i te ate. Ko te nuinga he matepukupuku kino, kāore e matepukupuku (pai).
- I te nuinga o te wā, ka kitea noatia ēnei pukupuku. Kāore e puta he tohu.
- Mena he mamae tō puku mō ngā rā maha, inā koa kei te taha matau, me toro atu koe ki te tākuta.
- Ko te huarahi pai hei tiaki i a koe mai i ngā pukupuku matepukupuku ko te tiaki i tō ate mā te karo i te waipiro me te momi hikareti, me te whai i tētahi momo noho hauora.
- Mena he pātai āu mō ngā hua o tō whakamātautau, mō tō maimoatanga rānei, kōrero noa atu ki tō tākuta. Kaua e mataku.
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