Ina whakaaro tātou ki te 'matepukupuku ū', he maha ngā wā ka whakaaro tātou ki tētahi puku i roto i te ū, tika? Engari i mōhio koe kāore ngā matepukupuku ū katoa e puta mai ana hei puku? I tēnei rā, ka kōrero tātou mō tētahi momo matepukupuku he rerekē te whanonga, ka horapa puku ki roto i te tinana. Ko te ingoa o tēnei ko te Invasive Lobular Carcinoma, ko te (ILC) rānei.
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He aha te Invasive Lobular Carcinoma (ILC)?
Āe, me kī pēnei. He repe kei roto i ō ū e whakaputa ana i te waiū. Ka kiia ēnei e ngā tākuta he "lobules". Ka tīmata tēnei momo mate pukupuku i roto i ēnei repe whakaputa waiū.
He rerekē tēnei i ētahi atu momo matepukupuku ū, engari kāore ēnei pūtau matepukupuku ILC e huihui hei hanga i tētahi pukupuku, engari ka horapa puta noa i te kiko ū i roto i ngā rarangi pūtau takitahi . Whakaarohia he rite ki tētahi rārangi pōpokorua. Koinei te take ka horapa pēnei ai tētahi pukupuku.
E 10% ki te 15% o ngā mate pukupuku o te ū te take o te ILC. He maha ngā wā ka whakaohokia tēnei momo mate pukupuku e te homoni wahine, te estrogen. He mate pukupuku puhoi hoki te tipu . Ka noho pea mō ngā tau i mua i te puta o ngā tohu, i mua rānei i te kitenga mā te mammogram. Pērā i ētahi atu mate pukupuku, ka taea e te ILC te horapa mā roto i ngā kiko o te ū, ki ētahi atu wāhanga rānei o te tinana.
Ki te kore he pukupuku, me pēhea e mōhio ai koe ki ngā tohu o tēnei?
Koinei te mea tino nui. Nā te mea kāore te matepukupuku ILC e hanga he puku, me tino tupato koe ki ētahi atu huringa ngawari o te ū. Tērā pea kāore koe e kite i tētahi huringa i ngā wāhanga tōmua. Engari i te whanaketanga o te matepukupuku, ka puta pea ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Te matotoru, te rerekētanga rānei o te kiri o te ū | Tērā pea ka matotoru ake te kiri i tētahi wāhi o te ū i te mea noa. Tērā pea ka puta he rua, he rite ki te kiri o te kiri karaka. |
| Te pupuhi, te kī tonu rānei o te ū | Ahakoa kua ngaro te puku, tera pea tetahi taha, tetahi wāhanga rānei o te ū ka pupuhi, ka kī rānei i te tikanga. Tērā pea ka rerekē te āhua, te rahi rānei o te ū. |
| Uma kua hurihia | Ko te uma e takoto ana i waho i te nuinga o te wā, me te mea kei te totohu ki roto. |
| He puku i roto i te kēkē | Ahakoa kāore he puku i roto i tō ū, ka taea tonu e koe te rongo i tētahi puku i roto i tō kēkē. |
| Te mamae o te ū, te mahana rānei | Tērā pea ka pāngia koe e te mamae o te ū, e te mahana rānei ina pā atu, kāore he take motuhake. |
| Puta mai i te uma | Tetahi momo rerenga mai i te uma (ina koa he toto te tae), ki te kore koe e whāngai u. |
Ko te mea nui, kāore he tangata e mōhio pai ake ana ki ō ū i a koe, nō reira, ki te kite koe i tētahi panoni iti noa iho, kaua e warewaretia.
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Check Availability →He aha ngā āhuatanga mōrearea e pā ana ki te whanaketanga o tēnei mate pukupuku?
Pērā i ngā mate pukupuku katoa, he uaua ki te kī tika he aha te take o tēnei mate. He whakarerekētanga ira tēnei e meinga ai ngā pūtau hauora kia mate pukupuku. Engari kua kitea e ngā kairangahau ētahi āhuatanga e whakanui ake ana i te tūponotanga o te whakawhanake i te ILC.
- Neke atu i te 55 tau te pakeke.
- Te whānautanga o tāu tamaiti tuatahi i muri i te 30 tau te pakeke, te kore rānei e whānau tamariki.
- I pāngia ahau e te mate pukupuku o te ū i mua.
- He mate pukupuku ū, he mate pukupuku whatukuhu rānei tō tētahi o te whānau (ina koa ko te whaea, te tuahine, te tamāhine).
- Te mate e kiia nei ko te Lobular Carcinoma In Situ (LCIS): Ehara tēnei i te mate pukupuku, engari he huringa pūtau e whakanui ana i te mōrearea o te whakawhanake i te mate pukupuku ā muri ake nei.
- Ka tukuna iho ētahi whakarerekētanga ira.
- Te pakeketanga i mua i te 12 tau.
- Ka puta te menopause i muri i te 55 tau te pakeke.
- Te tango i ētahi rongoā homoni mō ngā tohu e puta ana i muri i te menopause.
He aha ngā raruraru motuhake o te ILC?
E rua ngā āhuatanga rerekē o te mate pukupuku ILC e hiahia ana kia aro nui atu.
1. Te horapa ki ngā wāhi rerekē o te tinana: Ko ētahi atu momo mate pukupuku ū ka horapa ki te roro, ki ngā wheua, ki te ate, me ngā pukahukahu. Ka taea hoki e te mate pukupuku ILC te horapa ki aua wāhi. Engari hei tāpiritanga, ka taea hoki e ia te horapa ki ngā wāhi rerekē kāore e horapa te mate pukupuku.
- Pūnaha nakunaku (ngā whekau, puku)
- Pūnaha whakaputa uri wahine (ngā ovaries, te kōpū)
- Te arai o roto o te kōhao puku (peritoneum)
- Ngā hipoki e karapoti ana i te roro me te taurakira (Leptomeninges)
- Te kiko huri noa i te kanohi
2. Te hokinga mai i muri i tētahi wā maimoatanga: Koinei te mea tino morearea mō tēnei mate pukupuku. Ahakoa i muri i te maimoatanga me te whakaaro kua ora, ka taea e te mate pukupuku te hoki mai ki tētahi wāhanga tawhiti o te tinana ahakoa i muri i te 10 ki te 15 tau . Ka kiia tēnei ko te '(Metastatic Invasive Lobular Carcinoma)'.
Me pēhea te kitenga a ngā tākuta i tēnei?
Ina kite koe i te tākuta mō te puku o te ū, ka pātai tuatahi ia ki a koe mō ō tohu, ā, ka tirotirohia tō ū me tō kēkē. Nā te mea ehara te ILC i te puku, kāore pea e kitea mā te whakamātautau noa. Nō reira, ka tukuna pea koe mō ngā whakamātautau pēnei.
- Mammogram: He hihi-X o te ū. Heoi, nā te horapa o te mate pukupuku ILC, kāore e kitea mārama i ētahi wā i runga i te mammogram.
- Te Whakamātautau Umu: Mā tēnei ka taea te tirotiro tata atu i tētahi wāhanga motuhake o te ū.
- Matawai MRI o te ū: Ka taea e tēnei te whakaputa i ngā whakaahua tino mārama, taipitopito hoki o te kiko o te ū. He mea tino nui te MRI mō te kimi i ngā mate pukupuku uaua ki te kitea pērā i te ILC.
Mena ka puta he ruarua i roto i ēnei whakamātautau, ko te mahi e whai ake nei ko te koiora . Ko te tikanga ka tangohia he wahi kiko iti rawa mai i te ū i raro i te rongoā whakamoe, ā, ka tirohia i raro i te karuārai. Ko tēnei koiora anake ka taea te whakaū 100% mēnā kei reira ngā pūtau matepukupuku, kāore rānei.
Ngā wāhanga o te mate pukupuku
Kia whakaūtia te koiora he mate pukupuku, ka whakatauhia te whānuitanga o te mate pukupuku, ā, ka whakatauhia tōna taumata. Ka whakaritea te maimoatanga i runga i tēnei taumata.
| Atamira | Whakaahuatanga |
|---|---|
| Wāhanga Tuatahi | He iti iho i te 2 henimita te rahi o te mate pukupuku. Tērā pea kua horapa ki ngā kōpū waikura tata, kua ngaro rānei. |
| Wāhanga II | Kei waenganui i te 2-5 henimita te rahi o te mate pukupuku, ā, kua horapa ki ngā kōpū waikura tata. He nui ake rānei i te 5 henimita engari kāore anō kia horapa ki ngā kōpū waikura. |
| Wāhanga III | Kua horapa te mate pukupuku ki ētahi kōpū waikura i roto i te ū me ngā kōpū waikura e tata ana. |
| Wāhanga IV | Kua horapa te mate pukupuku ki ngā whekau tawhiti o te tinana, pērā i ngā pukahukahu, te ate, ngā wheua rānei. (Metastatic) |
He aha ngā maimoatanga mō te ILC?
Ka whakaarohia e tō tākuta ngā āhuatanga maha, tae atu ki te wāhanga o tō mate pukupuku, mēnā he tairongo ki ngā homoni (ER+), me tō hauora whānui, kia whakawhanakehia ai he mahere maimoatanga e pai ana mōu. Tērā pea ka uru atu ki tēnei te kotahi, te whakakotahitanga rānei o ngā maimoatanga.
- Pokanga: Te tango i te wāhanga o te ū, i te ū katoa rānei kei roto ngā pūtau matepukupuku.
- Te rongoā matū: Te hoatu i ngā rongoā kaha hei patu i ngā pūtau matepukupuku. Ka taea te hoatu i mua atu, i muri rānei i te pokanga.
- Whakaora Irahiko: Ko te whakamahinga o ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku e toe ana i muri i te pokanga.
- Whakaora Homoni: Mena he tairongo te mate pukupuku ki te estrogen (ER+), ka hoatu he rongoā hei aukati i te mahi a aua homoni.
- Whakaora Whaiaro: Ngā rongoā e aro ana ki ngā huringa ira motuhake e pā ana ki te tipu o ngā pūtau matepukupuku.
Ka rerekē te roa o te wā whakaora i muri i te maimoatanga i ia tangata, i ia tangata, ā, kei runga anō hoki i te maimoatanga ka whiwhi koe. Kōrerohia tēnei ki tō tākuta me te kore e manukanuka.
He aha ngā tūponotanga o te noho tahi me tēnei mate?
Ka mataku tātou katoa ina rongo tātou i te kupu mate pukupuku. Engari he mea nui kia mōhio ki ēnei mea. Ko ēnei "reiti ora" ko te ōrau o te hunga e ora ana i roto i te 5, 10 rānei tau i muri i te tātaritanga he mate pukupuku tō rātou.
E whakaatu ana ngā rangahau e 94% o ngā wāhine kua tāpaetia he mate pukupuku ILC kei te ora tonu i muri i te 5 tau. I muri i te 10 tau, ka piki ake tēnei ōrau ki te 86% . Ki te whakaritea ki ētahi atu momo mate pukupuku ū, he iti ake te reiti oranga 10-tau. Kei te haere tonu ngā rangahau a ngā tākuta ki te kimi i ngā take me te whakapai ake i ngā maimoatanga.
Kia maumahara, he tatauranga noa iho ēnei. Ehara i te matapae mō tō āhuatanga whaiaro. Ko tō tākuta anake ka taea te hoatu i te whakamārama pai rawa atu mō tō āhuatanga.
Karere Tangohia ki te Kāinga
- Ko te Invasive Lobular Carcinoma (ILC) he momo mate pukupuku ū kāore e puta tonu mai he puku.
- Kia tūpato ki ngā huringa ngawari o te kiri o te ū, pērā i te matotoru, te pupuhi, te panoni o te āhua, me te kōpiko o te uma.
- He mea tino nui kia mōhio koe ki te āhua noa o ō ū. Me tirotiro koe i ō ū i ia marama.
- Ki te kite koe i tētahi panoni iti, rerekē rānei, kaua e warewaretia me te whakaaro, "Kāore he aha." Me toro atu ki te tākuta tonu.
- Pērā i ngā mate pukupuku katoa, ko te wawe o te kitenga, ko te nui ake o te tūponotanga ka angitu te maimoatanga.
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