Kua kōrerotia mai e tō tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga mō te mate pukupuku? Ina kīia mai tēnā, tera pea ka kōrerotia mai anō hoki e rātou te 'maimoatanga i mua i te pokanga'. E kiia ana tēnei i roto i te rongoā ko te Neoadjuvant Therapy . Ina rongo rātou i tēnei ingoa, he maha ngā tāngata ka mataku, ka whakaaro, "Ka pokanga ahau, nō reira me whiwhi ahau i te maimoatanga i mua i tēnā?" Engari he mea tēnei ka taea te āwhina nui i a koe, ka kawea mai hoki te tumanako ki a koe. Me kōrero noa tātou mō tēnei, me te tango i ō mataku me ō ruarua katoa mō tēnei mea.
He aha te rongoā neoadjuvant?
Ki te kī ngāwari, ko te Neoadjuvant Therapy he tikanga maimoatanga e āhei ai te pūmua kia whakaiti, arā, kia iti haere, i mua i te pokanga hei tango. Whakaarohia, he mea uaua ki te tango, pērā i te kōhatu nui. He ngāwari te kuru, te kuru, me te tango, tika? Pērā anō hoki. Ki te nui te pūmua, tera pea he uaua ki te taote pokanga te tango katoa. Engari ina whakaitihia te pūmua me ēnei maimoatanga, ka māmā ake, ka angitu ake te pokanga.
I ētahi wā, ka tino angitu ēnei maimoatanga, ā, ka ngaro katoa te pukupuku, ā, kāore e hiahiatia he pokanga. Tērā pea ka karangahia tēnei e tō tākuta ko te "whakaora perioperative" ko te "whakaora induction" rānei. He rite tonu ēnei katoa.
He aha ēnei maimoatanga?
He rerekē ngā tikanga o tēnei tikanga maimoatanga 'neoadjuvant'. Mā tō tākuta e whakatau ko tēhea te mea pai mōu i runga i te momo me te āhua o tō matepukupuku. Me titiro tātou ki ngā tikanga matua.
| Momo Whakaora | He aha tāna mahi? |
|---|---|
| Te rongoā matū | Ka mahi tēnei mā te whakangaro i ngā pūtau matepukupuku mā te aukati i a rātou kia kaua e wehewehe, e tipu, me te whakatupu i te puku. |
| Te Whakaora Hormone | Ko ētahi momo mate pukupuku (hei tauira, te ū, te repeure) ka whakaohokia e ngā homoni. Ka aukatihia e tēnei maimoatanga te tukunga mai o aua homoni. Ka aukatihia te tipu o te pukupuku. |
| Te rongoā ārai mate | Ka whakaoho tēnei i te pūnaha ārai mate o tō tātou tinana, ka āhei ai ia ki te whawhai ki ngā pūtau matepukupuku. |
| Te Whakaora Irahiko | Ka mahia tēnei mā te whakamahi i te irahiko, pērā i ngā hihi-X kaha, hei whakangaro i ngā pūtau matepukupuku. |
I ētahi wā ka whakakotahi pea tō tīma i ēnei maimoatanga e rua. Hei tauira, ka tukuna ngātahitia te chemotherapy me te radiation therapy (neoadjuvant chemoradiation). Ka roa pea tēnei maimoatanga mai i ētahi wiki ki ētahi marama, tae atu ki te tau. Ko te tikanga ka mahia te pokanga i roto i te marama kotahi i muri i te otinga o te maimoatanga.
He aha ngā momo matepukupuku e whakamahia ana tēnei maimoatanga?
E whakamahia ana tēnei maimoatanga e ngā tākuta matepukupuku mō ngā momo matepukupuku neke atu i te tekau mā rua, tae atu ki:
- Matepukupuku o te ū: Mō ētahi momo matepukupuku o te ū, ka hoatu te chemotherapy, te homoni, te immunotherapy rānei i mua i te pokanga.
- Matepukupuku Kōrini: Mena kua horapa te matepukupuku ki te ate, ka taea te hoatu i te chemotherapy i mua i te pokanga.
- Matepukupuku Pūkahukahu: He mea noa te whakamahi i te rongoā matū mō ētahi momo matepukupuku pūkahukahu kua horapa.
- Matepukupuku Repeure: Ka whakakahangia tēnei matepukupuku e te homoni tāne testosterone. Ka whakahaerea mā te rongoā homoni.
- Matepukupuku Reme: He mea noa hoki ka hoatu tahitia ēnei me te rongoā irahiko me te rongoā matū.
He aha ngā painga o tēnei tikanga maimoatanga?
He maha ngā painga o tēnei. Mā te mōhio ki ēnei ka āwhina i a koe ki te wikitoria i tō mataku ki tēnei maimoatanga.
- Ngā pukupuku iti: E ai ki tā tātou i kōrero ai i mua ake nei, ka iti haere ngā pukupuku nui , ā, ka māmā ake te pokanga. Hei tauira, mēnā he iti ake te pukupuku i roto i te mate pukupuku o te ū, ka taea te mahi pokanga iti ake e kiia nei ko te lumpectomy, e tango ana i te pukupuku anake.
- Te ngaromanga katoa o ētahi pukupuku: I ētahi wā, ka memeha katoa pea ngā pukupuku iti, ā, kāore pea e hiahiatia he pokanga.
- Te wā whakaora kua whakaitihia:Ina iti te pokanga, ka iti ake ngā motu i roto i tō tinana. Nō reira ka taea e koe te ora wawe me te hoki ki tō oranga noa.
- Ka taea te ine i te angitu o te maimoatanga: I te wā e rongoatia ana i mua i te pokanga, ka taea e ngā tākuta te kite i te urupare a te mate pukupuku ki te maimoatanga me te tere o te mimiti o te pukupuku. Mā tēnei ka taea e rātou te whakatau pai ake mō te maimoatanga ā muri ake nei.
- Te patu i ngā pūtau matepukupuku huna: I ētahi wā, ko ngā pūtau matepukupuku iti e wehe atu ana i te puku matua, kāore e kitea e te kanohi tahanga, ā, kāore e taea te kite mā te matawai, ā, ka taea te haere ki ētahi atu wāhanga o te tinana (micrometastases). Ka patua hoki ēnei pūtau huna e ngā maimoatanga pēnei i te chemotherapy, e pā ana ki te tinana katoa.
- Te whakaiti i te mōrearea o te hokinga mai o te mate pukupuku: Kua kitea e ētahi rangahau ka whakaitihia e te maimoatanga neoadjuvant te mōrearea o te hokinga mai o te mate pukupuku i muri i te whakaoranga.
Kāore he pānga taha?
Pērā i ngā maimoatanga mate pukupuku katoa, ka puta pea ngā pānga taha. Engari ko te nui o ēnei pānga ka whakawhirinaki ki te momo maimoatanga e whiwhi ana koe. Ko ētahi o ngā mea tino noa ko:
- Hiahia kai
- Korere
- Ngenge
- Te ngaronga o te reka o te arero (ageusia)
- Whakapairuaki me te ruaki
Kaua e wehi i ēnei pānga taha. Ko te mea nui ko te kōrero māhorahora mō ēnei mea katoa ki tō tākuta. Māna koe e hoatu ki ngā rongoā me ngā tohutohu e tika ana hei whakaiti i ēnei pānga taha. Waihoki, kei reira ngā maimoatanga motuhake (tiaki mamae) hei āwhina i a koe ki te whakahaere i ngā raruraru me te noho whakamarie i a koe i te wā e maimoatanga ana.
He aha te rerekētanga i waenga i te Neoadjuvant me te Adjuvant Therapy?
Kua rongo pea koe i te 'Whakaora Āwhina'. He maimoatanga e rua e hoatu ana hei tautoko i te pokanga mate pukupuku. Ko te rerekētanga kei te wā o te maimoatanga.
| Āhuatanga | Te Whakaora Neoadjuvant | Te Whakaora Āwhina |
|---|---|---|
| Te wā | I mua i te pokanga | Mō te pokangaĀ muri ake nei |
| Whāinga Matua | Te whakaiti i te mate pukupuku, me te ngāwari ake te mahi pokanga. | Te whakangaro i ngā pūtau matepukupuku e toe ana i muri i te pokanga. |
Ki te whakaarohia tēnei he rite ki te marathon, ko te 'whakaora Neoadjuvant' he rite ki te 'whakamahana' i mua i te reihi. Ka whakarite pai i a koe mō te reihi. Ko te 'whakaora adjuvant' he rite ki te 'whakamatao' i muri i te reihi, ka whakakorea ngā raruraru e toe ana, ā, ka tino ora koe.
Karere Tangohia ki te Kāinga
- Ko te rongoā neoadjuvant he maimoatanga e hoatu ana i mua i te pokanga mate pukupuku. Kaua e mataku ina rongo koe i tēnei.
- Ka mahia tēnei hei whakaiti i te puku, kia māmā ake ai, kia angitu ake ai hoki te pokanga .
- Tērā pea ka taea te pokanga iti i tēnei maimoatanga kaua ki te pokanga nui, ka taea rānei te whakaora me te kore pokanga.
- Tērā pea ka puta ngā pānga taha, engari mā tō tākuta koe e āwhina ki te whakahaere i aua pānga. Kōrero ki a ia mō ngā mamae katoa.
- Tirohia tēnei maimoatanga hei taahiraa tino nui, hei taahiraa whai tumanako hoki i roto i tāu pakanga ki te mate pukupuku.
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