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?
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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.
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Check Availability →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!
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