Ina kī mai te tākuta he mate pukupuku tōu, tō tētahi rānei e mōhio ana koe, ko te mea e whai ake nei ka puta ake ki te hinengaro ko te pokanga pea hei tango i te pukupuku. He mea noa tēnā. Engari i mōhio koe i ētahi wā, i mua i tēnei pokanga, he maimoatanga motuhake ka taea te hoatu hei whakaiti i te pukupuku, hei whakahaere, hei whakangāwari ake, hei angitu ake hoki i te pokanga? Koinei te mea e kiia nei e mātou ko te Neoadjuvant Therapy i roto i te rongoā. I tēnei rā, ka kōrerohia tēnei mea, he tino māmā noa iho, i roto i te huarahi e mārama ai koe.
He aha te tikanga o te Neoadjuvant Therapy?
Whakaarohia kei te oma koe i tētahi marathon nui. He aha te māmā ake mēnā ka whakamahana koe i a koe anō, ā, ka mahi i ētahi mahi whakakori tinana iti (whakamahana) i mua i te tīmatanga o te oma, kaua e oma tonu? Koinei te āhua o tēnei.
Ko te rongoā Neoadjuvant he momo maimoatanga e hoatu ana hei whakaiti i te pukupuku i mua i te pokanga hei tango. Ka taea hoki e tō tākuta mate pukupuku te kī ko te "rongoā perioperative" ko te "rongoā induction" rānei. Ko te whāinga matua o tēnei maimoatanga ko te whakaiti i te pukupuku nui kia ngāwari ai te tango mā te pokanga. He mea whakamiharo, i ētahi wā ka taea e tēnei maimoatanga te whakakore katoa i te pukupuku, ā, kāore e hiahiatia he pokanga.
He aha ngā momo maimoatanga o tēnei?
He maha ngā momo maimoatanga matua e whakamahia ana hei rongoā neoadjuvant. Mā tō tākuta e whakatau te maimoatanga tino tika māu i runga i ngā āhuatanga pēnei i te momo me te wāhanga o tō matepukupuku.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Te rongoā matū | Ka mahia tēnei hei whakangaro i ngā pūtau matepukupuku i mua i te wehenga me te tipu o te pukupuku. |
| Te Whakaora Hormone | Ko ētahi momo mate pukupuku (hei tauira, te mate pukupuku o te ū, te mate pukupuku o te repeure) ka whakaohokia e ngā homoni. Ko te mahi a tēnei maimoatanga mā te aukati i te tukunga mai o aua homoni me te aukati i te tipu o te mate pukupuku. |
| Te rongoā ārai mate | Ka whakaoho tēnei i te pūnaha ārai mate o tō tātou tinana, ā, ka āwhina i a ia ki te whawhai ki ngā pūtau matepukupuku. |
| Te Whakaora Irahiko | Ka whakamahia e tēnei ngā hihi-X, pērā i ngā hihi-X kaha-tiketike, hei whakangaro i ngā pūtau matepukupuku. |
I ētahi wā, ka tukuna pea e tō tīma hauora he maha atu i te kotahi o ēnei maimoatanga ki a koe. Hei tauira, ko te tuku tahi i te chemotherapy me te radiation therapy ka kiia ko te "neoadjuvant chemoradiation".
Ka roa pea tēnei wā maimoatanga mō ētahi wiki, mō ētahi marama, tae atu ki te tau. I te nuinga o te wā, ka mahia te pokanga i roto i te marama kotahi i muri i te otinga o tēnei maimoatanga.
He aha ngā momo matepukupuku e whakamahia ana tēnei maimoatanga?
Kei te whakamahia angitu tēnei tikanga maimoatanga mō ngā momo matepukupuku neke atu i te tekau. Ko ētahi ēnei o ngā matepukupuku tino noa.
Matepukupuku o te ū
He mea tino nui tēnei tikanga mō te mate pukupuku o te ū, inā koa:
- Mena he paku nui te pukupuku.
- I roto i ngā momo horapa tere pērā i te 'matepukupuku ū mumura'.
- Mō ētahi momo mate pukupuku ū motuhake, pērā i te `HER2-positive` me te `triple-negative`.
Mā tēnei maimoatanga ka taea te tango i te ū katoa mā te pokanga iti (lumpectomy), kaua ki te pokanga nui (mastectomy).
Matepukupuku Kōnuri
Mena kua horapa te mate pukupuku koroni (kua horapa ki ētahi atu wāhi, pērā i te ate, ka taea te hoatu i te chemotherapy i mua i te pokanga.
Matepukupuku Pūkahukahu
Ko te chemotherapy, ko te chemoradiation rānei, te mea e whakamahia whānuitia ana mō te mate pukupuku pūkahukahu ehara i te pūtau iti kua whanake haere.
Matepukupuku Prostate
Ko ētahi momo o tēnei mate pukupuku i roto i ngā tāne ka peia e te homoni testosterone. Nō reira, ka whakaitihia e te rongoā homoni te mahi a taua homoni, ā, ka whakahaere i te pukupuku.
Matepukupuku Remu
He mea noa te hoatu ngātahi i te rongoā irahiko me te rongoā matū mō te mate pukupuku rectum kua horapa. I ētahi wā, ka hoatu tuatahitia te rongoā matū, ā, muri iho ka hoatu te rongoā matū, i roto i te tikanga e kiia nei ko te "rongoā neoadjuvant katoa".
He aha ngā painga o te Whakaora Neoadjuvant?
He maha ngā painga ka riro i te tūroro i tēnei tikanga maimoatanga.
Ki te kī ngāwari, ka mahia tēnei hei whakaiti i te kaha o te hoariri (te matepukupuku) i mua i te pakanga nui e kiia nei ko te pokanga.
| Painga | Whakamārama |
|---|---|
| Ka whakaitihia ngā pukupuku matepukupuku | Ka taea e te taote pokanga te whakaiti i te rahi o ngā pukupuku nunui, ā, ka ngāwari ake te tango atu, ka whakaiti i te tūponotanga o te whara ki te tinana i te wā e pokanga ana. |
| Te whakangawari ake i te pokanga | Nā te iti o te puku, he iti ake te tapahi i te wā o te pokanga. Nō reira, he poto ake te wā whakaora, ā, he iti ake te mamae. |
| Te ine i te angitu o te maimoatanga | Ka taea e ngā tākuta te kite i te urupare a te mate pukupuku ki te maimoatanga i mua i te pokanga, ā, ka taea e tēnei te āwhina i a rātou ki te whakatau i ngā whakatau pai mō te maimoatanga i muri i te pokanga. |
| Te ārai i te horapa o te mate pukupuku | I ētahi wā, ka pakaru mai ngā pūtau i te pukupuku matepukupuku, ka haereere puta noa i te tinana i roto i ngā āhua iti, kāore e kitea, e kiia nei ko ngā "micrometastases." Ka taea hoki e ēnei maimoatanga te whakangaro i ngā pūtau e huna ana i roto i te tinana. |
| Te whakaiti i te mōrearea o te hokinga mai o te mate pukupuku | Kua kitea e ngā rangahau ka whakaitihia e tēnei maimoatanga te mōrearea o te hokinga mai o ētahi momo mate pukupuku. |
Kia tūpato hoki tātou ki ngā pānga taha.
Pērā i ngā maimoatanga mate pukupuku katoa, ka pā mai pea ngā pānga taha i ēnei maimoatanga. Engari ko te āhua o ēnei pānga ka whakawhirinaki ki te momo maimoatanga e whiwhi ana koe. Ko ētahi o ngā pānga taha e tino kitea ana ko:
- Ngenge
- Whakapairuaki me te ruaki
- Hiahia kai
- Korere
- Te ngaronga o te reka i roto i te mangai
Kaua e manukanuka. Mā tō tākuta koe e ako mō ngā pānga taha pea me ngā rongoā ka taea e koe te tango hei whakahaere i aua tohu i mua i te tīmatanga o te maimoatanga. Mā tō tīma hauora koe e āwhina ki te whakahaere i ēnei tohu mā te tiaki mamae.
Āhea koe me toro atu ki te tākuta?
I a koe e whiwhi ana i tēnei maimoatanga, ka tirotirohia koe e tō rōpū hauora. Heoi, ki te pā mai he raruraru ki a koe, kaua e whakaroa ki te ripoata.
Mena ka puta tetahi o ēnei e whai ake nei, waea atu ki tō tākuta tonu:
- Mena he kino rawa atu ngā pānga taha i tō whakaaro: Hei tauira, ki te kore e taea e koe te whakahaere i te whakapairuaki ahakoa kua tangohia te rongoā, ā, ka noho pōuri koe i te rā katoa.
- Ki te kite koe i ngā huringa hou i roto i tō tinana: Ki te puta mai ētahi tohu hou e tohu ana kei te kino haere te mate pukupuku.
He aha te rerekētanga i waenga i te Neoadjuvant me te Adjuvant Therapy?
He āhua pōhēhē pea ēnei kupu e rua, engari he tino māmā noa te rerekētanga.
- Whakaora Neoadjuvant: Ka tukuna te maimoatanga i mua i te pokanga (pēnei i te whakamahana i mua i te marathon).
- Whakaora Āwhina: Ka tukuna he maimoatanga i muri i te pokanga. Ka mahia tēnei hei patu i ngā pūtau matepukupuku e toe ana i roto i te tinana i muri i te pokanga, hei ārai hoki i te hokinga mai o te matepukupuku. (Pēnei i te whakamatao i muri i te marathon).
Ehara te rongoā neoadjuvant i te whiringa maimoatanga mō ngā tūroro matepukupuku katoa. Heoi, i runga i tō āhuatanga, he whiringa pai pea tēnei māu. Nō reira, kōrerotia tēnei ki tō tākuta. Pātaihia ō pātai katoa, kia mārama ai koe ki tō haerenga maimoatanga.
Karere Tangohia ki te Kāinga
- Ko te rongoā Neoadjuvant he maimoatanga e hoatu ana i mua i te pokanga hei whakaiti, hei whakangaro rānei i tētahi pukupuku matepukupuku.
- Mā tēnei ka māmā ake te pokanga, ka haumaru ake, ka angitu ake hoki. I ētahi wā, kāore pea e hiahiatia te pokanga.
- Ka whakamahia ngā momo maimoatanga rerekē pēnei i te chemotherapy, te radiation therapy, me te hormone therapy.
- Mā tēnei maimoatanga ka taea e ngā tākuta te tautuhi i te maimoatanga tino whai hua mō tētahi mate pukupuku.
- Mā tō tīma hauora koe e āwhina ki te whakahaere i ngā pānga taha i te wā e rongoatia ana, nō reira kaua e wehi ki te kōrero ki a rātou mō ō āwangawanga.
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