Me tango katoa te uma i te mate pukupuku o te ū? Me ako tātou mō te pokanga Lumpectomy!

E mōhio ana tātou katoa ki te wehi me te ohorere e puta ake ana ki te hinengaro ina rongo tātou i ngā kupu "matepukupuku ū." Ko te pātai nui e puta ake ana ki te hinengaro ko, "Me tango katoa taku ū?" He maha ngā tāngata e tino wehi ana i tēnei. Heoi, ehara i te mea ko ngā matepukupuku ū katoa e hiahiatia ana he tango i te uma. I tēnei rā, e kōrero ana tātou mō tētahi pokanga motuhake ka taea te āwhina i a koe i roto i tēnei āhuatanga, arā, te tiaki i te ū me te tango noa i te matepukupuku. Koia te pokanga 'Lumpectomy'.

He aha te tikanga o te Lumpectomy?

He pokanga te tango i te puku matepukupuku me te iti noa o ngā kiko hauora e karapoti ana i a ia, kia waiho tonu ai tō ū kia ora. Ka kiia hoki tēnei he tango i te puku hapa. Ko te whāinga he tango i te matepukupuku katoa me te pupuri tonu i te āhua me te mahi o tō ū i ngā wā katoa e taea ana. Koia te take i kiia ai hoki ko te "pokanga tiaki-ū".

He maha ngā wā ka tukuna te rongoā irahiko i muri i te tango i te puku hei whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku.

I ētahi wā ka mahia tēnei pokanga hei tirotiro mēnā he pukupuku te puku i roto i te ū, engari i te nuinga o te wā ka mahia hei rongoā mō te mate pukupuku.

He rerekē ngā momo pokanga o tēnei?

Ae, he maha ngā tikanga rerekē ka whakatauhia e te tākuta i runga i tō āhuatanga. Kia kite tātou he aha ēnei.

Ko wai te tangata e tika ana mō te pokanga lumpectomy?

Mā tō tākuta e whakatau mēnā he tika tēnei pokanga māu. I te nuinga o te wā, ka tūtohutia pea tēnei pokanga ki a koe i roto i ēnei āhuatanga e whai ake nei:

• Mena kei te kotahi noa te wāhi o tō ū e pāngia ai te mate pukupuku.
• Mena kāore te matepukupuku i te rahi rawa ki te whakaritea ki te rahi o tō ū.
• Mena ki te whakaaro o te tākuta he nui te kiko e toe ana i muri i te tango i te pukupuku hei hanga anō i te ū.
• Mena kei te pai tō hauora, me whakaoti te rongoā irahiko e hiahiatia ana i muri i te pokanga.

Ko wai ka pai ake mēnā kāore e mahia tēnei pokanga?

I ētahi wā, he pai ake te tango i te uma katoa i te tango i te ū i te mastectomy.

Kāore pea tō tākuta e taunaki i tēnei pokanga mēnā kei a koe ēnei take e whai ake nei:

• Mena he maha ngā pukupuku matepukupuku kei roto i te ū kotahi .
• Mena he tino nui te pukupuku ki te whakaritea ki te rahi o te ū.
• Mena kua horapa te mate pukupuku ki te kiri o te ū, ki te pakitara rānei o te uma .
• Mena he momo mate pukupuku tōu e tere horapa ana (pēnei i te mate pukupuku ū mumura).
• Mena he nui te mōrearea o te hokinga mai o te mate pukupuku nā te hītori whānau o te mate pukupuku, nā ngā āhuatanga ira rānei (pēnei i ngā whakarerekētanga ira 'BRCA').
• Mena kua tangohia tō puku me te rongoā irahiko i mua, ā, kua hoki mai anō te mate pukupuku .

Kāore hoki tēnei pokanga e tika ana mēnā he tūponotanga kei te pā mai i te rongoā irahiko. Hei tauira:

• Mena kua whiwhi koe i te maimoatanga irahiko ki taua ū anō i mua.
• Mena kei te tūpono koe ki ngā raruraru mai i te rongoā irahiko nā ngā mate kiri pēnei i te 'Scleroderma' me te 'Sjögren's syndrome' rānei.
• Kei te hapu koe.(Engari i ētahi wā ka taea te mahi pokanga i ngā marama whakamutunga e toru o te hapūtanga, ā, ka taea te hoatu maimoatanga irahiko i muri i te whānautanga o te pēpi).

He aha ngā mea ka tupu i te wā o te pokanga?

Kia tirohia takitahitia ngā mahi ka tū i te rā o te pokanga.

1. Te tohu i te wāhi o te pukupuku: Tuatahi, ka whakamahia e te tohunga hihi-X te ultrasound, te mammogram rānei hei kimi i te wāhi tika o te pukupuku i roto i te ū. Kātahi ka whakauruhia he waea iti, he maramara rānei ki roto i te wāhi hei whakangāwari ake i te toro atu a te taote pokanga.

2. Whakamoemiti: Ka hoatu he rongoā ki a koe kia kore ai koe e mamae. I te nuinga o te wā, ka hoatu he whakamoemiti whānui ki a koe, ka moe rawa koe. I ētahi wā, ka hoatu he rongoā ki a koe hei whakangāwari i te wāhi e pokangahia ana, kia paku hiamoe ai koe.

3. Te tango i te pukupuku: Ka whakamahia e te taote pokanga te tohu i hangaia i mua hei tango i te pukupuku matepukupuku me te paparanga angiangi o te kiko hauora e karapoti ana.

4. Te Tohu: Ka whakatakotoria ētahi topenga whakarewa iti (topenga tohu) ki te wāhi i noho ai te pukupuku. He mea nui tēnei kia mōhio ai te tohunga matepukupuku irahiko ki te wāhi tika hei arotahi atu ki te irahiko ina hoatu he rongoā irahiko ā muri ake nei.

5. Tuitui: Hei whakamutunga, ka tuia anō te kiri. I te nuinga o te wā, ka whakamahia ngā tuitui rewa mō tēnei. Nō reira, kāore he take e hoki mai ai ki te tapahi anō.

Te hiranga o te tango i ngā uaua waewae (Sentinel Node Biopsy)

I te wā e tangohia ai te puku, ka tangohia tētahi, neke atu rānei o ngā kōpū lymph i roto i tō kēkē e tata ana ki tō matepukupuku, ka tukuna ki te taiwhanga hei whakamātautau. Ka kiia tēnei he Sentinel Node Biopsy (SNB). Ko ēnei kōpū te tuatahi ka whakamatautauria mēnā kua horapa ngā pūtau matepukupuku. Mēnā ka kitea ngā pūtau matepukupuku i roto i ēnei kōpū, ko te tikanga kua horapa te matepukupuku ki tua atu i te puku. Tērā pea me whai maimoatanga tāpiri koe.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka whakatauhia tō maimoatanga ā muri ake nei i runga i te pūrongo pathology o te pukupuku i tangohia me te kiko e karapoti ana.

• Hua pai rawa atu: Kāore he pūtau matepukupuku i roto i te puku, ā, kāore hoki he pūtau matepukupuku i roto i te kiko hauora i tangohia i te taha o te puku (tawhiti kino).
• Hua "Tawhiti Pai": Mena he pūtau matepukupuku kei roto i te kiko hauora i tangohia, tera pea ka hiahiatia he pokanga anō hei tango i ngā pūtau matepukupuku katoa e toe ana.
• Ngā pūtau matepukupuku i roto i ngā rauropi: Mena ka kitea ngā pūtau matepukupuku i roto i ngā rauropi, me whai maimoatanga, me whai whakamātautau rānei koe.
• Ngā āhuatanga motuhake o ngā pūtau matepukupuku: Ka āwhinahia ētahi pūtau matepukupuku ki te tipu e ngā homoni (pērā i te estrogen). Mēnā koinei te āhua, me tīmata pea koe i te rongoā homoni .

Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

Ngā painga me ngā mōrearea pea o te pokanga

Ngā painga matua

Ko te painga nui o tēnei ko te tiaki i tō ū i a koe e tango ana i te matepukupuku. Ka taea e ia te tiaki i tōna āhua, tōna āhua, me ngā mea katoa i waenganui.

I mua, ko te tango i te uma o te ū (lumpectomy) i ngā wāhanga tōmua anake o te mate pukupuku. Heoi, kua whakaatuhia e ngā rangahau hou , i te nuinga o ngā wā, kāore he rerekētanga nui i waenga i te tango i te uma o te ū me te rongoā irahiko, me te tango i te uma o te ū (mastectomy), e tango ana i te ū katoa . Nō reira, e taunakihia ana inaianei hei maimoatanga tuatahi mō ngā momo mate pukupuku maha.

Ngā tūponotanga pea (Ngā raruraru)

Pērā i ngā pokanga katoa, tera pea he iti noa ngā mōrearea o tēnei pokanga.

• Te mate i te wāhi i tuitui ai.
• Te kohi wai i te wāhi i pokanga ai (Seroma).
• Te kohi toto `(Hematoma)`.
• Te whara i puta mai i te maimoatanga irahiko.
• Te pupuhi i te ringa, i te kēkē rānei (Lymphedema).
• Te mamae i te wāhi pokanga (ka heke i roto i ētahi wiki).

Ina hiahia koe ki te waea atu ki te tākuta i te wā tere

Ki te kite koe i ētahi tohu o te mate i a koe e ora ana, tera pea he mate kino. Nō reira, kia tūpato ki ēnei tohu. Ki te pāngia koe e tētahi o ēnei , me kōrero tonu atu ki tō tākuta .

• Te whero me te pupuhi o te ū i tāraihia.
• Te mahana o te kiri ina pā atu.
• Ka turuturu mai he wai matotoru, rite ki te miraka (pus) mai i te patunga.
• Te kirika, te makariri, te werawera .
• Te nui haere o te wai e kohia ana i te taha, i roto rānei i te ū.
• Kei te piki haere te mamae i muri i te pokanga.