E mōhio ana koe ki te mate pukupuku e kiia nei ko te Mesothelioma? Me kōrero tāua!

I ētahi wā ka rongo tātou mō ngā momo mate pukupuku onge engari he kino. Ko te Mesothelioma tētahi o aua momo. Kua roa pea koe e uaua ana ki te manawa, e mamae ana rānei tō uma, he mea pai kia whakaarohia ēnei mea. Kia kite tātou he aha tēnei?

He aha te Mesothelioma?

He māmā noa iho, he momo matepukupuku te mesothelioma. Engari he momo motuhake tēnei. He kiriuhi tiaki kei te taha o ētahi o ngā whekau nui o tō tātou tinana, he rite ki te uhi angiangi. Ko te mesothelium tēnei. Ka tīmata tēnei matepukupuku i roto i ngā pūtau o te mesothelium.

Whakaarohia, kei roto i ō tātou pūkahukahu he kiriuhi e kiia nei ko te pleura , ā, kei roto hoki i ō tātou whekau puku he kiriuhi e kiia nei ko te peritoneum . Koinei ngā wāhi e tino kitea ai. He onge noa iho, ka kitea pea i roto i te pericardium , te kiriuhi rite ki te pēke e karapoti ana i te ngākau, i roto rānei i te tunica vaginalis, te kiriuhi e karapoti ana i ngā testicles i roto i ngā tāne.

Ko tētahi atu āhuatanga motuhake o tēnei, ka taea e ngā matepukupuku maha te whanake. I ētahi wā ka honoa ēnei pukupuku, ka horapa hoki pērā i te whāriki huri noa i te okana. Ina tupu tēnā, ka uaua ake te rongoā.

He momo mesothelioma kei reira?

Ae, he maha ngā momo matua i runga i te wāhi e tupu ana.

• Pleural mesothelioma: Koinei te momo tino noa . Ka puta i roto i te arai e karapoti ana i ō tātou pukahukahu, e kiia nei ko te pleura.
• Peritoneal mesothelioma: Koinei te tuarua o ngā momo tino kitea. Ka puta i roto i te peritoneum, te arai e karapoti ana i ngā whekau i roto i te puku me te kōhao pelvis.
• Te mesothelioma pericardial: He momo mate pukupuku tino onge tēnei. Ka puta i roto i te pericardium, te kiriuhi rite ki te pēke e karapoti ana i tō tātou ngākau.
• Te Mesothelioma o te tunica vaginalis testis (e kiia ana ko te paratesticular mesothelioma): He tino onge hoki tēnei. Ka puta i roto i te arai e karapoti ana i ngā testicles i roto i ngā tāne.

I ētahi wā ka rongo koe mō ngā "pūpū muka takitahi", e kiia ana hoki ko te "mesothelioma pai". Engari kāore i te hono atu ki te mesothelioma "kino".

Hei tāpiritanga, ka rongo pea koe i te mesothelioma e whakaahuatia ana he epithelioid , he sarcomatoid rānei, he huinga rānei o ngā mea e rua , he biphasic rānei, i runga i te āhua me ētahi atu āhuatanga o ngā pūtau matepukupuku. Ka rerekē pea ngā kōwhiringa maimoatanga me te matapae i runga i te momo mesothelioma kei a koe.

He aha ngā tohu o tēnei?

He rerekē ngā tohu o te mesothelioma i runga i tōna wāhi i roto i te tinana. Ko ngā tohu noa ko:

• Kirika
• Te werawera i te pō
• Ngenge tonu
• Te whakahekenga taumaha koretake
• Mamae o te uma, o te puku rānei
• Ngā uauatanga manawa, pērā i te poto o te manawa (dyspnea) , te maremare, me te uaua ki te horomi (dysphagia)
• Ngā tohu o te pūnaha nakunaku, hei tauira te korere, te kore hiahia kai, te whakapairuaki, me te ruaki
• Ngā tohu e pā ana ki te pūnaha manawa, pērā i te toto toto iti me ngā tauira tere o te ngakau
• Te pupuhi, te pupuhi, te mamae rānei i roto i ngā poro, i te rohe o te uma rānei

Ehara i te tohu o te mesothelioma te pāngia e tētahi, e rua rānei o ēnei tohu. Heoi, ki te mau tonu ēnei tohu, he mea nui kia rapu tohutohu hauora.

He aha tēnei e tupu nei? He aha ngā take?

Ko te tino take o tēnei ko te pānga ki te asbestos . He kohuke tūturu te asbestos. I ngā wā o mua, i whakamahia i roto i ngā ahumahi maha, pērā i ngā rauemi hanga whare, te hanga kaipuke, me te ahumahi motuka. I mōhio koe kei roto i te asbestos ngā muka e rite ana ki ngā ngira? Ka taea e ēnei te kino i ō tātou kiko mēnā ka hongihia, ka horomia rānei e tātou.

Engari ko te mea motuhake i konei, kāore tēnei mate pukupuku e puta tonu mai i muri i te pānga ki te asbestos. Tērā pea ka roa te wā ka puta te mate pukupuku.

Engari kāore tēnei e pā ki te katoa. Ehara i te mea ko te katoa e pāngia ana e te asbestos ka pāngia e te mesothelioma. Ā, ehara i te mea ko te katoa e pāngia ana e te mesothelioma kua pāngia e te asbestos. Ko te tikanga ka whai wāhi atu ētahi atu āhuatanga.

He aha ngā āhuatanga mōrearea?

He tino tūponotanga nui te mahi i tētahi mahi i pāngia ai koe e te asbestos. Hei tauira:

• Ngā tāngata e mahi ana i te hanganga whare me te whakahoro
• Ngā tāngata e whai wāhi ana ki te umanga hanga kaipuke
• Ngā tāngata e mahi ana i te umanga keri
• Ngā tāngata i mahi i roto i te ope taua (tērā pea he asbestos kei roto i ētahi taputapu tawhito)
• Ngā tāngata e mahi ana i te umanga mira
• I ngā wāhi e whakatikahia ana ngā waka (ina koa ngā mea pēnei i ngā arai parai o ngā waka tawhito)

Tērā atu anō ngā āhuatanga mōrearea:

• Te pānga ki te irahiko: Mena kua whiwhi koe i ngā maimoatanga irahiko mō te mate pukupuku (ina koa ki te uma), ki te mahi rānei koe e whakaatu ana i a koe ki te irahiko.
• Te pānga ki te Erionite: He kohuke rite tonu te Erionite ki te asbestos. I whakamahia i mua hei hanga rori.
• Ira: Ka piki ake pea te mōrearea o te whakawhanake i ētahi momo mate pukupuku nā te whakarerekētanga ira BAP1 , tae atu ki te mesothelioma.
• Ira tangata: He nui ake te tūponotanga o te tāne ki te pāngia e te mesothelioma i ngā wāhine.

Ngā raruraru o te Mesothelioma

Ka horapa te Mesothelioma (metastasize) ki ētahi atu wāhanga o te tinana. Ka taea hoki e ia te hanga wai huri noa i ngā pukahukahu (pleural effusion) , huri noa i te ngākau (pericardial effusion) , i roto rānei i te puku (ascites) . Ka taea e ēnei te whakararuraru i te tūroro.

Me pēhea te kite a ngā tākuta i tēnei?

I runga i ō tohu me tō hītori hauora, ka whakahaerehia pea e tō tākuta ngā whakamātautau e whai ake nei hei whakatau mēnā he mesothelioma tōu:

• Ngā whakamātautau toto
• Ngā whakamātautau mahi a te pūkahukahu
• Ngā whakamātautau whakaahua, pērā i ngā hihi-X o te uma me ngā karapa CT
• Ngā matawai PET (positron emission tomography - matawai) hei tirotiro i ngā pūtau matepukupuku i ētahi atu wāhi o te tinana
• Te tango i te wai mai i te kōhao pleural, i te kōhao puku rānei (thoracentesis, paracentesis rānei) me te tirotiro mō ngā pūtau matepukupuku (cytology)
• Ko te koiora kiri - Ko te tango i tētahi wahi iti o te kiko ka tirotirohia i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei roto.

He aha ngā maimoatanga?

He uaua te whakaora katoa i te mesothelioma mā te kotahi maimoatanga anake. Tērā pea ka rerekē ngā whiringa maimoatanga i runga i te momo mesothelioma kei a koe. Ko ngā whiringa maimoatanga pea ko:

• Pokanga: Kei roto pea i tēnei ko ngā pokanga pēnei i te pneumonectomy extrapleural (EPP) (te tango i te pukahukahu, te pleura, me te matepukupuku), te pleurectomy me te decortication ( te tango i te pleura me te matepukupuku), te cytoreduction (te pokanga hei whakaiti i te rahi o ngā pūtau matepukupuku), te pericardiectomy rānei (te tango i te pēke huri noa i te ngākau).
• Ārai Mate: Ka whakangungu ēnei maimoatanga i tō ake pūnaha ārai mate ki te kite me te whakangaro i ngā pūtau matepukupuku.
• Te rongoā matū: Ka hoatu e ngā tākuta ngā rongoā matū mā roto i te uaua (IV). Ka haere ēnei rongoā mā roto i te toto ka patu i ngā pūtau matepukupuku. Ko ētahi maimoatanga matū, pērā i te rongoā matū hyperthermic intraperitoneal (HIPEC) , ka hoatu tika atu ki te puku.
• Ngā rongoā kua arotahihia:Mena he rerekētanga ira kei roto i ō pūtau matepukupuku, tera pea he maimoatanga kua arotahihia hei rongoā i aua huringa.
• Whakaora irahiko: Ka whakamahia e te rongoā irahiko ngā hihi-X kaha-teitei hei whakangaro i ngā pūtau matepukupuku.
• Ngā whakamātautau haumanu: Ka tūtohu pea tō tākuta i ngā whakamātautau haumanu o ngā rongoā e whakamātautau tonuhia ana e ngā kairangahau mō te whai huatanga.
• Manaaki mamae: Ka tūtohu pea tō tākuta i te tiaki mamae hei āwhina i a koe ki te whakahaere i ngā tohu o te mate pukupuku me ngā pānga taha o te maimoatanga. Kei roto pea i tēnei ko ngā mea pēnei i te whakahaere mamae me ngā tikanga hei tango i te wai e hangai ana ki ngā whekau.

Ko te mea nui ko te kōrero ki tō tākuta kia whiriwhiria e ia te tikanga maimoatanga e pai ana ki a koe.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu pēnei i te poto o te manawa, te maremare tonu, te rerekētanga rānei o ō tikanga puku, me toro atu ki te tākuta. Ahakoa he āhua whakamataku te tirotiro i ō tohu, he pai ake te whiwhi maimoatanga i te wā wawe i te wā e tomuri ana. Kaua e manukanuka, mā te kōrero ki te tākuta ka nui te rangimarie o te hinengaro.

Ka taea te karo katoa i tēnei? Ka taea rānei te rongoā?

Kāore e taea te ārai katoa i te mate pukupuku. Heoi, ka taea te whakaiti i te mōrearea o te whanaketanga o te mesothelioma mā te karo i te asbestos. Mena me mahi koe me te asbestos, i roto rānei i te taiao kei roto, me mahi koe i ngā mahi tūpato hei whakahaere me te whakakore tika i taua mate.

Mena i mahi koe i mua i pāngia ai koe e te asbestos, kōrero ki tō tākuta mō ētahi taunakitanga hei aroturuki i tō hauora, hei whakamātautau rānei.

Ka rerekē te auau oranga mō te mesothelioma i runga i te momo kei a koe. Hei tauira, ko te auau oranga whanaunga e rima tau mō te momo tino noa, te pleural mesothelioma, kei waenga i te 7% me te 24%. I te nuinga o te wā, he nui ake te auau oranga o te peritoneal mesothelioma i ētahi atu momo.

Engari kia maumahara, ko ēnei tatauranga e ahu mai ana i te hunga i tātaritatia i te iti rawa i te rima tau ki muri. Tērā pea ehara i te whakaaturanga katoa o ngā mea ka taea e koe te tumanako atu me ngā maimoatanga hou, me ētahi atu āhuatanga rānei i roto i tō āhuatanga motuhake. He pai ake te pātai atu ki tō tākuta mō tō āhuatanga motuhake.

He mate te Mesothelioma mō te katoa?

Kāo, ehara te mesothelioma i te mate mō te katoa. Engari he mate pukupuku kino, he tere te horapa. Waihoki, he onge te kitea i ōna wāhanga tōmua, i te wā e tino taea ai te rongoā.

He mea maori te nui o te manukanuka me te koretake ina whiwhi koe i te tātaritanga o te mesothelioma. He mea maori te hiahia ki te mōhio ki ngā mea kei mua i a koe me te ara ka tangohia e koe. Mā te kimi i ngā rōpū tautoko me ētahi atu rauemi hei āwhina i a koe ki te mārama ki ō kōwhiringa ka āwhina i a koe. Kōrero pono ki tō tākuta mō tō āhuatanga motuhake, ō āwangawanga, me ngā mea hei tumanako atu.

Hei whakamutunga, ngā mea hei maumahara

Āe, ko tāku tumanako kua mārama ake koe ki te mesothelioma mai i ngā mea kua kōrerotia e tātou.

• Kia maumahara, he mate pukupuku onge tēnei. Heoi, he mea nui kia rapu tohutohu hauora mēnā kei a koe ētahi tohu (ina koa mēnā kua pāngia koe e te asbestos).
• Ko te asbestos te tino take mōrearea, nō reira he mea nui kia whai i ngā tikanga haumaru mēnā kei te mahi koe i ngā wāhi kei reira te asbestos.
• Ki te pāngia koe e ngā tohu, kaua e mataku, me toro atu ki te tākuta tonu. Mā te tātaritanga me te maimoatanga wawe ka pai ake ngā hua.
• He maha ngā kōwhiringa maimoatanga. Mā tō tīma hauora koe e āwhina ki te whakatau ko tēhea maimoatanga te mea pai mōu.
• Kāore koe i te mokemoke. He mea tino nui te tautoko a te whānau, ngā hoa, me ngā tākuta i tēnei wā uaua. Ki te tika, uru atu ki ngā rōpū tautoko.

Ko te tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Mesothelioma, Mesothelioma, Matepukupuku, Asbestos, Pūkahukahu, Puku, Ngā Tohu, Te Maimoatanga