Ngā mea e hiahia ana koe kia mōhio mō te Mucosal Melanoma!

Kua rongo katoa tātou i te mate pukupuku kiri, tika? Engari i mōhio koe ka puta pea ēnei mate pukupuku i roto i ō tātou tinana, i ngā wāhi kāore e kitea mai i waho? Ko tētahi momo mate pukupuku onge engari he morearea ko te Mucosal Melanoma. Ki te mea he ahua kino tēnei, kaua e manukanuka. Me kōrero tātou mō tēnei i roto i tētahi huarahi māmā e mārama ai koe.

He aha tēnei mea e kiia nei ko te Mucosal Melanoma?

He whakarāpopototanga noa iho, he momo mate pukupuku onge te Mucosal Melanoma e kiia nei ko te Melanoma . Ka tīmata i roto i ngā kiriuhi mucous o tō tātou tinana. Inaianei kei te whakaaro pea koe he aha te kiriuhi mucous. He kiriuhi angiangi, makuku e kapi ana i ngā whekau o roto i tō tātou tinana, pērā i te roto o te ihu, o roto o te waha, te nono, me te tenetene. Whakaarohia he rite ki te kiri angiangi, makuku o roto o tō tātou waha. Koinei te wāhi e kitea ai ēnei kiriuhi mucous.

Nō reira, ka pāngia koe e tēnei mate e kiia nei ko te mucosal melanoma i ngā wāhi katoa kei reira ngā kiriuhi mucous. Engari he mea tino noa i roto i:

• I ngā wāhi o te māhunga me te kaki: inā koa te ihu, ngā ngutu, me roto o te waha.
• Te rohe anorectal: Ko te tikanga ko te rohe e karapoti ana i tō nono me te ara e puta mai ai tō tūtae.
• Rohe ure: Ko ngā wāhanga o waho o te ure wahine me ngā wāhi e karapoti ana .

Ko te tikanga ka pā tēnei mate ki te hunga neke atu i te 70 tau te pakeke. Engari, kua horapa kē te mate pukupuku ki ētahi atu wāhanga o te tinana i te wā e kitea ai tōna mate. Ka taea e ngā tākuta te rongoā i tēnei momo melanoma mucosal mā te pokanga. Heoi, i te nuinga o te wā, ka rongoāhia e tētahi rōpū tākuta maha-mātauranga e mahi tahi ana ki te whakamahi i ngā momo maimoatanga.

He āhuatanga noa tēnei?

Kāore, kāore rawa. He tino onge . Whakaarohia, e ai ki te whakatau tata a te American Cancer Society ka tata ki te 99,000 ngā kēhi hou o te melanoma i te tau 2022. Engari ko tēnei momo melanoma, e kiia nei ko te mucosal melanoma, he tata ki te 1% noa iho o ngā kēhi melanoma katoa. Tata ki te 990 tāngata. Nō reira, ka kite koe i te onge o tēnei.

He aha ngā tohu o te Mucosal Melanoma?

Koinei te wāhi e pōhēhē ai. Nā te mea ka ngāwari te ngaro i ngā tohu o te mucosal melanoma. Nā te mea ka puta tēnei mate pukupuku i ngā wāhi huna i roto i ō tātou tinana e kore e taea te tirotiro i ngā wā katoa. Whakaarohia i roto i tō tātou ihu, i te kiri rānei e karapoti ana i tō tātou nono. Kāore tātou e kite tonu i ngā huringa i aua wāhi.

Heoi anō, he rite tonu ēnei tohu ki ērā o ētahi atu mate kāore i te tino kino. He tokomaha te hunga kāore e whakaaro ana he tohu ēnei huringa mō tētahi raruraru nui ake. Ka rerekē anō hoki ngā tohu i runga i te wāhi e tīmata ai te mate pukupuku.

E pā ana ki te upoko me te kaki

I waenganui i te 31% me te 51% o ngā mate pukupuku kiriuhi katoa ka puta i te mahunga me te kaki. E toru ngā momo matua, me ō rātou tohu e pā ana:

Te melanoma o te kiriuhi waha

Ka pāngia te roto o tō waha e tēnei mate pukupuku, arā, ō ngutu. Tērā pea ko ēnei tohu:

• He puku kei te arero kāore e ora, e nui haere ana, e rahi haere ana.
• He mate pāwera i roto i te waha e kore e ora.
• Mamae te waha.
• Te toto e puta mai ana i te waha.
• Kāore ngā niho rūpahu e tau tika ana. (Mēnā he kai niho rūpahu koe)

Te melanoma mucosal sinonasal

He mate pukupuku tēnei e puta ake ana i roto i ngā ara ihu me ngā sinuses. Ko ētahi o ngā tohu ko:

• Te toto tonu mai i te pongaponga kotahi (toto ihu - `epistaxis`) .
• He kare ā-roto kei te mau tetahi mea i roto i te ihu (kua āraia te ihu) .
• Te mimi pinepine.
• Te mamae o te mata.

Te mate pukupuku o te korokoro/ngā niho

Koinei te momo melanoma mucosal kāore i te tino kitea. Ka pā ki tō korokoro. Ko ētahi o ngā tohu ko:

• Te pāorooro o te reo.
• Te uaua ki te horomi kai (dysphagia) .
• Korokoro mamae, mate pāwera rānei (pharyngitis) .
• Ka puta he puku, he pukupuku rānei ki waho o te kaki.

I roto, i te taha hoki o te nono

Ka puta te mate pukupuku kiriuhi kore-pūkahukahu i roto i tō pūkahukahu me/ranei i roto i tō nono. Ka pāngia e te 17% me te 24% o ngā tūroro katoa. Ko ētahi o ngā tohu ko:

• Te mamae i roto i te pūkahukahu, i te nono rānei.
• He puku, he pukupuku rānei i roto i te pūkahukahu, i te nono rānei.
• Te toto e puta mai ana i te nono, i te pūkahukahu rānei.
• Te mate kōroke.
• Te mākūkū huri noa i te nono (pruritus ani) .

I roto i te tara me te rohe tara o waho

Ka puta te mate pukupuku kiriuhi vulvovaginal i roto i ngā pakitara o te tara me te vulva i roto i ngā wāhine. E pāngia ana e te 18% o ngā tūroro katoa. Ko ētahi o ngā tohu ko:

• Te toto o te tara i te wā paheketanga, i muri rānei i te menopause (arā, i muri i te mutunga rawa o te paheketanga).
• Mamae te tara.
• Tērā pea he rerenga rerekē o te tara, tae atu ki te rerenga toto .
• He puku, he tupu rānei i roto i te tara, i te rohe o waho rānei o te tara.
• Te mākūkū i roto i te tara, i te taha waho rānei o te tara, kāore e pai ake ahakoa te maimoatanga.

He mea tino nui: He maha ngā wā ka puta mai ēnei tohu i ētahi atu mate hauora noa. Heoi, ki te pāngia koe e tētahi o ēnei tohu, inā koa ka mau tonu, tēnā toro atu ki te tākuta . He āwhina nui te kitenga wawe i te mate mō te angitu o te maimoatanga.

He aha i puta ai tēnei mate kiriuhi mucosal? He aha ngā take?

Ko te whakautu poto, kāore anō kia mōhiotia e ngā kairangahau hauora te tino take o te melanoma mucosal. Pērā i ngā melanoma katoa, ka tīmata tēnei momo mate pukupuku i roto i ngā pūtau e kiia nei ko ngā melanocytes . Ko ngā melanocytes ngā pūtau e whakaputa ana i te tae melanin, e whakatau ana i te tae o ō tātou kanohi, makawe, me te kiri. Mā tēnei melanin e tiaki ō tātou kiri me ō tātou kanohi mai i te kino o te rā.

Engari he mea whakamiharo, kei te rangahau tonu ngā kairangahau he aha i noho ai ēnei pūtau melanocyte, e tiaki ana i te hihi o te rā, i roto i ngā kiriuhi mucous e onge ana te whiwhi i te hihi o te rā.

Heoi, kua kitea e ngā kairangahau e rua ngā whakarerekētanga ira ka whai wāhi pea ki te whanaketanga o ētahi o ēnei mate pukupuku mucosal. Ka kiia ēnei ko ngā whakarerekētanga somatic , arā, ehara i te mea i whānau mai tātou, engari he huringa e puta ana i roto i ō tātou pūtau i roto i ō tātou oranga. Ka kitea ngā whakarerekētanga ira i roto i te ira KIT me te ira BRAF i roto i te ōrau iti o ngā tūroro mate pukupuku mucosal:

• Ira KIT: Ko te ira KIT te kaiwhakahaere i te tere o te tipu o ētahi pūtau, tae atu ki ngā melanocytes. Pērā i te ira BRAF, ka hangaia e te ira KIT he pūmua hei āwhina i te tipu o ngā pūtau. Ina whakarerekētia te ira KIT, ka he te aronga o te pūmua KIT ki ētahi atu pūmua, ka tere ake te wehewehe me te whakanui o ngā pūtau i te mea noa. E whakaatu ana ngā rangahau ka kitea ngā whakarerekētanga KIT i roto i te 7% ki te 17% o ngā take katoa o te mucosal melanoma. Ka kitea hoki i roto i te 30% o ngā take o te mucosal melanoma o te tenetene me te vulva.

• Ira BRAF: Ko te ira BRAF te kaiwhakahaere o ngā pūmua e whakahaere ana i te tipu o ngā melanocytes. Ka whiwhi ēnei pūmua i ngā tohutohu mai i te ira BRAF mō te tere o te wehenga me te whakanui o ngā pūtau. Ina whakarerekētia te ira BRAF, ka whakarerekētia aua tohutohu, ka nui haere ngā pūtau, ā, ka mutu ka noho hei matepukupuku. Heoi, he iti noa te ōrau o ngā take ka kitea ngā whakarerekētanga BRAF, i waenga i te 3% me te 15% o ngā take katoa o te melanoma mucosal.

Ko te pānga o te rā tētahi o ngā take o te mate kiri melanoma. He rite anō hoki te mate kiri melanoma o te mucosal?

Kāore, kāore. Ka puta te mate kiriuhi mucosal i ngā wāhi kāore e pāngia e te rā, pērā i roto i te ihu, i roto i te waha, i roto rānei i te nono. Nō reira, ehara te rā i te tino take.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

Ka whakamahia e ngā tākuta ngā whakamātautau maha hei tautuhi i tēnei mate, tae atu ki:

• Tērā pea ka whakaurua ngā whakamātautau whakaahua maha, pērā i ngā matawai CT (matawai Tomography Rorohiko) me ngā matawai MRI (matawai Whakaahua Resonance Magnetic) . Ka taea e ēnei te tirotiro i ngā pukupuku i roto i te tinana, tōna rahi, me te mea kua horapa.
• Ka mahia ngā koiora . Ko te tikanga o tēnei ka tangohia he tauira iti o ngā pūtau, o ngā kiko rānei mai i tētahi wāhi whakapae, ā, ka tirohia i raro i te karuārai e ngā tohunga mate pukupuku. Mā tēnei ka whakatau tika mēnā he mate pukupuku, he aha hoki te momo.
• Ka taea hoki te whakahaere i ngā whakamātautau ira hei tirotiro i ngā whakarerekētanga ira.

He aha te āhua o te mate pukupuku o te Mucosal Melanoma?

Ka whakamahia e ngā tākuta ngā pūnaha whakatau i te mate pukupuku hei whakamahere i te maimoatanga me te whakatau i te matapae, te putanga rānei e tumanakohia ana. I te nuinga o te wā, ko te melanoma mucosal wāhanga tōmua he āhuatanga kāore anō te mate pukupuku kia horapa ki tua atu i tōna tīmatanga.

Heoi, he ahua uaua tēnei. Nā te mea he pūnaha whakatauranga motuhake tō ia momo melanoma mucosal (hei tauira, te waha, te ihu, te pūkahukahu), ā, he rerekē ngā taipitopito. He ahua uaua ki te mārama ki te whakatauranga o te mate pukupuku. Mena kāore koe i te tino mōhio ki ngā kōrero a tō tākuta, ki te mea rānei he āwangawanga, he pātai rānei āu, me pātai atu ki tō tākuta mō ētahi atu kōrero .

Me pēhea te rongoā mō tēnei?

Nā te mea he mate uaua te mucosal melanoma, he maha ngā wā ka whakahaerehia te maimoatanga e tētahi tīma maha-mātauranga o ngā tākuta mai i ngā momo tohungatanga rerekē . Tērā pea kei roto i tēnei tīma ngā tohunga pokanga mate pukupuku, ngā tohunga mate pukupuku irahiko, me ngā tohunga mate pukupuku hauora. Ko ngā kōwhiringa maimoatanga ko:

• Te tango pokanga i ngā pukupuku matepukupuku me ngā kiko e karapoti ana. Ko te momo pokanga e whakawhirinaki ana ki te wāhi o te pukupuku. He tino uaua te tango i ētahi pukupuku mā te pokanga.
• Ka hoatu te rongoā irahiko hei rongoā tāpiri i muri i te pokanga hei whakangaro i ngā pūtau matepukupuku e toe ana.

Kei te whakahaerehia e ngā kairangahau hauora ngā whakamātautau haumanu mō te rongoā ārai mate mō te mate pukupuku me te rongoā arotahi mō te mate pukupuku . Ko ngā whakamātautau haumanu he rangahau e aromatawai ana mēnā he haumaru, he whai hua hoki ngā maimoatanga hou. Mena he mate pukupuku mucosal koe, tera pea ka āhei koe ki tētahi o ēnei whakamātautau haumanu.He mea tika kia pātai atu ki tō tākuta.

He aha tāu e tumanako ai ina noho tahi koe me tēnei mate?

He mate morearea pea te mucosal melanoma. Ka whakamahia e ngā tākuta te pokanga me ētahi atu maimoatanga hei tango i ngā tipu matepukupuku me te patu i ngā pūtau matepukupuku. Heoi, he nui ake te tūponotanga ka hoki mai anō ngā mucosal melanomas. Mena he mucosal melanoma tōu, me hiahia pea koe ki ētahi atu pokanga, ki ētahi atu maimoatanga rānei.

He aha te matapae mō te mate?

Mō te tūponotanga o te ora, he rerekē i ia tangata, i ia tangata. Heoi, i te nuinga o te wā, e whakaatu ana ngā rangahau ko te reiti ora mō te mate pukupuku mucosal i roto i ngā tau e rima he tata ki te 25% . Ahakoa te iti o tēnei, he toharite noa iho.

Ka rerekē anō hoki ēnei reiti oranga i runga i te momo melanoma mucosal:

• Te upoko me te kaki: I te nuinga o te wā, e whakaatu ana ngā rangahau he iti iho i te 30% o te tangata e ora ana i te rima tau i muri i te tātaritanga. (Ko ngā reiti oranga kei waenga i te 14% ki te 48%).
• Te tara me te ure: Tata ki te 36% o te hunga whai mate nei e ora tonu ana i muri i te rima tau i te tātaritanga.
• Te mate pukupuku o te remu me te ihu: Tata ki te 20% o te hunga whai mate pēnei e ora tonu ana i muri i te rima tau o te tautuhi.

Kaua e mataku i ēnei tatauranga. He whakatau tata noa iho ēnei i runga i ngā wheako o tētahi rōpū tāngata he mate motuhake tō rātou. Ko te mea pono mō rātou, kāore pea e pono mōu. Mena he pātai āu mō ēnei reiti oranga, pātai atu ki tō tākuta kia whakamārama mai he aha tāu e tumanako ai i runga i tō mate.

Me pēhea taku tiaki i tōku hauora?

He mate morearea te mucosal melanoma, ā, ka taea tonu te hoki mai ahakoa kua rongoatia. Mena kei te hoki mai anō te mate, me whakaaro pea koe ki te tiaki mamae hei āwhina i te whakahaere i ngā tohu me ngā pānga taha o te maimoatanga. Ko te tiaki mamae he tiaki e whai ana ki te whakapai ake i te kounga o te oranga o te tūroro me te whakaiti i te mamae, kaua ki te whakaora i te mate.

Āhea ahau me toro atu ki te tākuta?

Ahakoa he maha ngā momo melanoma mucosal, ka taea e ngā momo katoa te hoki mai i muri i te maimoatanga. I runga i tō āhua, ka whakaritea e tō tākuta he tirotiro auau hei aroturuki i tō hauora whānui me te tirotiro mēnā ka hoki mai anō. He mea tino nui kia tae atu ki ēnei wā whakarite me te kore e ngaro tetahi wā.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• He aha te momo melanoma mucosal kei a au?
• He aha te wāhanga o tōku mate?
• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha te pānga o te maimoatanga ki ahau? (Ngā mea pēnei i ngā pānga taha)
• He aha te matapae mō taku mate?

Karere Tangohia ki te Kāinga

Āe, mai i ngā mea kua kōrerohia e tātou, ko te tumanako kei a koe ētahi whakaaro mō te Mucosal Melanoma. Kia maumahara:

• He momo mate pukupuku onge tēnei e whanake ana i roto i ngā kiriuhi mucous i roto i ō tātou tinana.
• Kāore e kitea ngā tohu, ā, ka rite pea ki ētahi atu mate noa. Nō reira, rapua he tohutohu hauora mēnā he tohu rerekē, he tohu pumau kei roto i te waha, i te ihu, i te pūkahukahu, i te tara rānei.
• He maha ngā wā kua horapa kē i mua i te kitea.
• Me whai āwhina tētahi tīma hauora motuhake hei rongoā.
• He mea nui te aroturukitanga hauora mō te wā roa, nā te mea ka taea e te mate te hoki mai anō .

Ko te tumanako ka whai hua ēnei kōrero ki a koe. Mā te mōhio ki tēnei momo mate ka āwhina i a koe ki te mahi wawe mēnā e tika ana. Kia tiakina tō hauora i ngā wā katoa!

` Melanoma Huka, Matepukupuku, Melanoma, Matepukupuku Huka, Ngā Tohumate Matepukupuku, Te Maimoatanga Matepukupuku, Ngā Matepukupuku Onge