Kei te kōrero tātou mō te mate pukupuku o te ū kua horapa haere?

E mōhio ana tātou katoa ki te wehi me te ohorere e pā mai ana i te rongonga i ngā kupu "matepukupuku ū." Engari he uaua ki te whakapuaki i te kare o te mōhio kua horapa te matepukupuku ki ētahi atu wāhanga o te tinana, arā, kua 'metastatic'. Engari he mea nui kia mahara kāore koe i te mokemoke i tēnei wā. I tēnei rā ka kōrero tātou mō tēnei mate, me te kore e taumaha tō ngākau, me te mea kei te kōrero koe ki tō hoa ake.

He aha te mate pukupuku o te ū kua horapa?

Ka karangatia hoki tēnei e ngā tākuta ko te 'Matepukupuku Uma Metastatic'. Ka karangatia hoki tēnei e ētahi ko te 'Matepukupuku Uma Matatau' te 'Matepukupuku Uma Wāhanga Tuawhā' rānei.

I ētahi atu kupu, koinei te wā ka pakaru ngā pūtau matepukupuku i tīmata i roto i te ū, ka haere mā roto i ngā oko toto, i ngā oko lymph rānei, ka hanga he pukupuku hou ki ētahi atu wāhanga o te tinana. Arā, ka mawhiti ētahi pūtau matepukupuku i tō rātou kāinga taketake, arā, te ū, ka whakatū koroni hou ki ētahi atu wāhanga o te tinana.

Ehara i te mea ka pāngia te katoa e te mate pukupuku ū e tēnei mate. E ai ki ngā raraunga, i waenga i te 20% me te 30% o ngā wāhine he mate pukupuku ū i te wā tōmua ka pāngia e te mate pukupuku pēnei. Waihoki, ahakoa te kitenga tuatahi o te mate pukupuku ū, tera pea kua horapa kē te tokomaha iti (tata ki te 6%) ki ētahi atu wāhanga o te tinana.

He aha ngā tohu o tēnei mate?

Mena kei a koe tēnei mate, he mea noa te manukanuka ahakoa he iti noa ngā huringa o tō tinana he tohu pea kei te horapa te mate pukupuku. Engari kia maumahara, ehara i te mea ko ngā huringa katoa, ko ngā mamae katoa rānei, e tohu ana kei te kino haere te mate pukupuku.

Hei tauira, he tohu noa te ngenge mō tēnei mate. Heoi anō, he pānga taha anō hoki pea nō ngā maimoatanga pēnei i te chemotherapy. Heoi anō, ki te mea kei te ngenge tonu koe, kei te ngaro te hiahia kai, kei te ngaro rānei tō taumaha me te kore e ngana, he mea nui kia kōrero koe ki tō tākuta mō tēnei mea.

Tērā pea ka puta ngā tohu motuhake i runga i te okana kua horapa te mate pukupuku. Me titiro tātou ki ērā tohu.

He aha tēnei e tupu ai? Me pēhea te horapa o te mate pukupuku?

He maha ngā wā ka puta mai tēnei āhuatanga hei hokinga mai o te mate pukupuku i muri i te rongoā i te mate pukupuku taketake. Whakaarohia te aha ka puta mēnā kāore ngā pūtau mate pukupuku katoa e whakangaromia i te wā e rongoātia ana?

I ētahi wā, he iti rawa ngā pūtau matepukupuku, kāore e kitea i roto i ngā whakamātautau. Ahakoa ka tangohia te matepukupuku mā te pokanga, kāore i te 100% te whai huatanga. Nā te mea, i mua i te pokanga, tera pea kua horapa ētahi pūtau matepukupuku iti ki ngā kiko tata, ki ngā kōpū lymph, ki te toto rānei.

Mā tēnei ara, ka tīmata anō ngā pūtau matepukupuku kua mawhiti i te rongoā, ā, ka ngoikore haere i roto i te wā, ki te kaha ake. Ka tipu, ka wehe, ka whakanui anō. Kātahi ka haere mā roto i ngā uaua toto me te pūnaha lymphatic, he rite ki ngā huarahi tere i roto i tō tātou tinana, ka noho ki ngā wāhanga tawhiti o te tinana. I ētahi wā ka moe ēnei pūtau mō ngā marama, mō ngā tau rānei, kātahi ka huri ohorere hei mahi. Koia te take ka puta ake ai tēnei āhuatanga ahakoa he maha ngā tau i muri i te rongoā.

Me pēhea te mohio ki tēnei āhuatanga?

Mena kei a koe ngā tohu o runga ake nei, ka tūtohu pea tō tākuta i ētahi whakamātautau, pēnei i:

• Ko te koiora koiora: Ko te tango i tētahi wahi iti o te kiko whakapae ka tirotirohia i raro i te karu hiko hei tirotiro mēnā he pūtau matepukupuku kei roto.
• Ngā whakamātautau toto: Mā ngā whakamātautau pēnei i te tatau toto katoa ka kitea te hauora whānui o te tinana.
• Pūnaha tirotiro pūkahukahu: Mēnā he wāhi whakapae kei roto i ngā pūkahukahu, ka whakauruhia he ngongo iti me te kāmera hei tirotiro i te roto o ngā pūkahukahu.
• Ngā whakamātautau whakaahua maha: Mā ngā whakamātautau pēnei i te matawai wheua, te hihi-X o te uma, te matawai CT, te matawai MRI, te matawai PET, me te matawai ultrasound ka āwhina i te whakatau i te horapa o te mate pukupuku.
• "Taps": He tikanga hei tango wai mai i tētahi wāhi e kitea ana ngā tohu, hei whakamātautau. Hei tauira, he tap pleural, he tap spinal rānei.

He aha ngā kōwhiringa maimoatanga?

E ai ki tā mātou i kōrero ai i mua, kāore anō kia kitea he rongoā mō tēnei mate. Nō reira, ko te whāinga matua a ngā tākuta he āwhina i a koe kia ora i tō oranga pai rawa atu, me te whakaiti i ngā pānga taha, me te whakaroa i tō oranga.

Ko te tikanga, kāore he maimoatanga kotahi mō tēnei. Mā tō tākuta e whakatau he mahere maimoatanga e tika ana māu. Ka pāngia tēnei e ngā āhuatanga e whai ake nei:

• Te momo mate pukupuku o te ū: Hei tauira, he rerekē te maimoatanga mō te mate pukupuku homoni-pai i te maimoatanga mō te mate pukupuku toru-kino.
• Te wāhi i horapa ai te mate pukupuku: Tērā pea he rerekē te maimoatanga mō te mate pukupuku kua horapa ki te ate i te maimoatanga mō te mate pukupuku kua horapa ki ngā pukahukahu.
• Ō maimoatanga o mua: Ka whakaarohia hoki e mātou te urupare a tō mate pukupuku ki ngā maimoatanga o mua, me te pānga o aua maimoatanga ki a koe.
• Ngā pūrongo whakamātautau: He mea nui anō hoki ngā mōhiohio mai i ngā whakamātautau taiwhanga mō te āhua me te whanonga o ngā pūtau matepukupuku.

Ko ngā tikanga maimoatanga matua e whakamahia ana ko:

• Te rongoā matū
• Te rongoā homoni
• Te rongoā ārai mate
• Te rongoā arotahi

Kia pēhea te roa o te maimoatanga?

I te wā e rongoāhia ana te mate pukupuku i te wā tōmua, ko te whāinga he whakaora i te mate pukupuku mā te rongoā mō tētahi wā kua whakaritea. Engari i nāianei, ko te whāinga he whakaiti i ngā pukupuku hou, te whakahaere i te horapa o te mate pukupuku, me te whakahaere i ngā tohu. Nō reira, me haere tonu pea te whiwhi maimoatanga mō ake tonu atu.

Mō te noho tahi me tēnei āhuatanga

Tērā pea ka mōhio koe ki te noho me tēnei mate i ētahi āhuatanga. Kei te whiwhi tonu koe i te maimoatanga, kei te whakahaere i ngā tohumate, me te aro atu ki ngā wero o ia rā o tētahi mate kino. Ko te rerekētanga ko te mate pukupuku kei roto i ētahi atu wāhanga o tō tinana, ā, kāore e ngāwari te memeha.

E mārama ana te uaua o te whakarongo ki tēnei pono. Tērā pea ka pōuri koe, me te mea kua ngaro tō mana whakahaere i tō oranga. Ki te pērā tō whakaaro, he mea ka taea e koe te mahi hei whakahaere i te ahotea me te āhuatanga:

• Whakaarohia te tiaki mamae: Ehara i te mea ka āwhina noa te tiaki mamae ki te whakahaere i ngā pānga taha me ngā tohu o te maimoatanga, engari ka whakarato hoki i ngā rauemi me te tautoko e hiahiatia ana e koe hei pupuri i tō hauora hinengaro.
• Kai i tētahi kai totika e pai ana ki a koe: Ka taea e te maimoatanga te whakaiti i tō hiahia kai. Mena he pātai āu mō tō kai, kōrero ki tētahi tohunga kai.
• Kia āta haere, kia kotahi te taahiraa i ia wā: Ko te noho me tēnei mate ka rite ki te oma i tētahi marathon mutunga kore. Nō reira kaua e mataku, engari kia mau ki ia rā i ia wā, kia kotahi te wero i ia wā.

Kāore e taea te ārai i tēnei āhuatanga?

Engari, kāore he huarahi hei ārai i te horapa o te mate pukupuku o te ū. Ko te mea nui kia mārama koe ehara tēnei i te mea nā tetahi mea i mahia e koe, i kore rānei i mahia e koe. Nā te mea kei te horapa haere ētahi pūtau mate pukupuku i ora i te maimoatanga puta noa i te tinana.

Ko te mea pai rawa atu māu ko te mōhio ki ngā tohu hou, me te tiaki anō hoki i tō hauora whānui. Ahakoa kāore e taea e te maimoatanga te whakaora i tēnei, mā te wawaotanga wawe ka āwhina i te whakahaere i te mate.