I whiwhi koe i te maimoatanga irahiko mō te mate pukupuku o te upoko me te kaki? He pānga ki ō wheua? Me ako tātou mō (Osteoradionecrosis - ORN)!

Kua pāngia koe e te mamae, te pupuhi, te whara rānei i roto i tō waha, i tō kauae rānei i muri i te whiwhinga i te rongoā irahiko mō te mate pukupuku o te upoko, o te kaki rānei? Kua tae pea te wā kia ako koe mō tētahi mate e kiia nei ko te osteoradionecrosis. Kaua e manukanuka, ka kōrerohia e mātou tēnei mea me te taipitopito, me te ngāwari noa iho.

He aha te Osteoradionecrosis (ORN)?

Ki te kī ngāwari, ko te osteoradionecrosis (ORN) ko te matenga o ngā pūtau wheua nā te pānga ki te irahiko. He āhuatanga tēnei ka puta hei pānga taha o te rongoā irahiko mō te mate pukupuku, inā koa te mate pukupuku o te upoko me te kaki. Kia maumahara, ko te irahiko e whakamahia ana hei patu i ngā pūtau mate pukupuku ka taea te kino i ngā pūtau wheua hauora. Ka puta pea i ngā marama, i ngā tau rānei i muri i te whiwhinga i te rongoā irahiko.

Ko te tikanga ka pā tēnei āhuatanga ki te wheua kauae o raro (mandibular osteoradionecrosis). Heoi, ka taea te pā ki tētahi wheua kua pāngia e te irahiko, pērā i te wheua kauae o runga (maxillary osteoradionecrosis) te wāhanga o mua rānei o te tuaiwi (vertebral osteoradionecrosis). He tino onge, ka pā anō hoki tēnei āhuatanga ki te angaanga, engari ka paku kino ake.

Te rongoā irahiko me te hauora o te wheua - he aha i puta ai tēnei?

Nā, kia titiro tātou he aha tēnei e puta ai. Ka pakaru ngā uaua toto ngāwari e tuku toto ana ki ngā wheua i te hihi o te rā. Pērā i ngā wāhanga katoa o tō tātou tinana, me pai te rere o te toto ki ngā wheua kia ora tonu ai, kia tere ai hoki te ora mēnā ka pakaru.

Whakaarohia, pērā i te rākau e maroke ana i te kore wai, ki te kore te wheua e whiwhi i te toto e ranea ana, ka ngaro anō hoki tōna ora, ā, ka tīmata te mate.

He aha te mea ka tupu ina whakararuraruhia tēnei rere o te toto?

• He ngawari te pangia o ngā wheua me ngā kiko e karapoti ana e te mate.
• Kāore e taea te whakaora tika.
• Kei te tīmata te mate haere, haere, haere.

He tino ngoikore tō tātou kauae ki tēnei. Nā te mea he uaua ki te aukati i te taenga atu o te irahiko ki te kauae i te wā e rongoatia ana mō ngā mate pukupuku o te upoko me te kaki. Waihoki, ka nui ake te mōrearea o tēnei `(ORN)` nā ngā huakita e noho noa ana i roto i ō tātou waha.

Ka taea e te kino o te irahiko i roto i te mangai te whakaputa i ngā mea penei:

• Te kitea o te wheua (arā, ka kitea te wheua mā roto i ngā kapia).
• He mamae me te pupuhi i te kauae i ētahi wā.
• He patunga kāore e ora .

He pēhea te noa o tēnei āhuatanga?

E ai ki te American Head & Neck Cancer Society, ka pā pea te osteoradionecrosis ki waenga i te 4% me te 8% o te hunga whai mate pukupuku o te upoko me te kaki.

He aha ngā tohu o te osteoradionecrosis (ORN)?

Nā, kia tirohia tātou he aha ngā tohu ka pā ki a koe i tēnei āhuatanga. Mena kei a koe tētahi, neke atu rānei o ēnei, he pai ake te rapu tohutohu hauora.

• He mariao, he whewhe rānei kei waho o ngā kapia, te kaki, te kauae rānei.
• Mamae.
• Te pupuhi.
• Mate pāwera (pērā i te pūhā).
• Kāore ngā niho e piri tika ana (malocclusion).
• He kare ā-whatu, he mākūkū rānei.
• Ngā kongakonga wheua e pupū mai ana i roto i te waha.
• I ētahi wā, i raro i te kauae, ka whati te kiri, ka puta te wheua (e kiia ana hoki tēnei he "fistula").
• Te whati o te kauae.
• Te kikī o ngā uaua o te kauae e kore ai e puare tika te waha (trismus).

He aha i puta ai te osteoradionecrosis (ORN)?

Ko te take matua ko te rongoā irahiko ki te mahunga me te kaki. He tino noa tēnei āhuatanga i roto i te hunga kua whiwhi i ngā horopeta irahiko neke atu i te 60 waeine Gray (Gy). (Ko te Gy te waeine ine mō te irahiko).

Ngā Take Mōrearea o te Osteoradionecrosis `(ORN)` - Ko wai ka nui ake te tūponotanga ka pāngia e tēnei?

He nui ake te mōrearea o ētahi tāngata ki te pāngia e tēnei mate i ētahi atu. Tirohia mēnā e pā ana ēnei āhuatanga ki a koe:

• Te koretake o te akuaku o te waha (te kore e parai tika i ō niho, te kore e tiaki i tō akuaku o te waha).
• Mena kāore i whakatikahia tika ngā raruraru niho (pēnei i te poka me te mate kapia) i mua i te tīmatanga o te maimoatanga irahiko.
• Mena ka pāngia koe e te waha maroke (xerostomia) i muri i te rongoā irahiko.
• Mena ka pā mai he aituā, he whara rānei ki te kauae i muri i te maimoatanga irahiko, inā koa i roto i te tau tuatahi.
• Mena ka tangohia he niho i tētahi wāhi kua whakamātaotia i mua.

Kia maumahara, ka taea e tēnei āhua o te osteoradionecrosis te puta ahakoa he maha ngā tau i muri i te whiwhinga o te maimoatanga irahiko mō te mate pukupuku o te mahunga me te kaki.

Me pēhea te tautuhi i tēnei?

I te nuinga o te wā ka puta te Osteoradionecrosis (ORN) i muri i ētahi tau i te rongoā irahiko. Mēnā kei te whakapae tō tākuta i tēnei, ka tirotirohia e ia tō mahunga me tō kaki. Ka whakapā atu hoki ia ki te tākuta mate pukupuku irahiko nāna i hoatu te rongoā irahiko ki a koe kia kitea ai te horopeta katoa o te irahiko i whiwhi koe.

He aha ngā whakamātautau e āwhina ana ki te tautuhi mate?

Hei whakaū i te mate, ka tūtohu pea tō tākuta i ngā whakamātautau pēnei i:

• Ngā hihi-X niho.
• Ka mahia he matawai CT o te kauae (CT - scan tomography rorohiko).
• Tērā pea ka mahia he koiora hei tirotiro mēnā ka hoki mai anō te mate pukupuku.

He aha ngā maimoatanga mō tēnei?

Ko te maimoatanga mō te osteoradionecrosis (ORN) e whakawhirinaki ana ki te whānuitanga me te kaha o tō mate. Ko te mea nui ko te tīmata wawe tonu i te maimoatanga.Ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga kia ora. He maimoatanga pokanga me te kore pokanga mō tēnei.

Te whakahaere pokanga

He maha ngā pokanga e mahia ana mō tēnei mate:

• Te tango i te wheua me te kiko kua mate, kua pangia rānei e te taote pokanga , he rite tonu ki te horoi i tētahi wāhi kino.
• Pokanga hanga-anō kore utu: He pokanga uaua ake tēnei. Ko te tikanga he tango i ngā uaua toto, i te kiko, me te wheua pea mai i tētahi atu wāhanga o tō tinana (hei tauira, he waewae, he ringa rānei) ka whakatōkia ki te wāhi kauae kua pakaru.
• ALTFL (Anterolateral Thigh Fascia Lata Rescue Flap): He momo flap kore utu anō hoki tēnei. I roto i tēnei tikanga, ka tangohia he rīpene kiko honohono (fascia) mai i te tuara o te huha ka whakatōkia. He nui ngā toto o tēnei kiko, ā, ka taea e te wāhi kua pakaru te whiwhi hāora me ngā matūkai. Kua whakaatuhia e ngā rangahau tata nei he tino whai hua tēnei tikanga mō te hunga whai ORN.
• Te honohono wheua katoa: Ka whakamahia tēnei tikanga pokanga tuku iho ina he nui te wheua mate, inā koa kei te kauae o raro. I roto i tēnei tikanga, ka tangohia katoatia te wheua kua pakaru, ā, ka honoa he kiri kore kei roto he wheua ki tōna tūranga. Ahakoa he tikanga angitu tēnei, he mahi nui tēnei. Ka roa ake pea te noho hōhipera, ā, ka roa ake te wā whakaora. Nō reira, ka ngana ngā tākuta ki te tātaritanga me te rongoā i tēnei mate i te wā e taea ai.

Whakahaere kore-pokanga

Kei reira anō ngā maimoatanga kore-pokanga:

• Paturopi: Mena he mate kei roto i te wheua, i ngā kiko rānei e karapoti ana, ka tohua e tō tākuta ngā paturopi.
• PENTOCLO: He huinga rongoā tēnei: ​​pentoxifylline, tocopherol (huaora E), me te clodronate. Mā te Pentoxifylline ka nui ake te rere o te toto ki te wheua kua pakaru. Ka āwhina te Tocopherol (huaora E) ki te whakapakari i te pūnaha ārai mate me te ārai i te toto e pupuhi ana. Ka āwhina te Clodronate ki te ārai i te ngaronga atu o te wheua. I ētahi wā ka hoatu te pentoxifylline me te tocopherol me te kore clodronate (ka kiia tēnei ko te PENTO).
• Te rongoā hāora hyperbaric (Te rongoā hāora hyperbaric - HBO):Ka whakamahia tēnei maimoatanga e ētahi tākuta hei tere ake i te tukanga whakaora o te tinana. I roto i tēnei, ka whakanohoia koe ki roto i tētahi rūma motuhake, ā, ka meinga koe kia manawa i te hāora parakore. E toru ngā wā teitei ake te taumata hāora i roto i te rūma i tērā i te taiao noa. Ko te whāinga matua ko te tāpiri i te hāora ki te toto hei whakatika i ngā kiko kua pakaru. Heoi, he rerekē ngā whakaaro i waenga i te hapori hauora mō tēnei maimoatanga "Hyperbaric oxygen". Ahakoa e whakamahia ana hei maimoatanga paerewa i ētahi pokapū, kāore anō kia whai rangahau whakahaeretia hei whakaū i tōna angitu.

Ka taea te ārai i te osteoradionecrosis (ORN)?

Kāore pea tēnei āhuatanga e taea te ārai i ngā wā katoa, engari i mua i te tīmatanga o te maimoatanga irahiko ki tō mahunga, ki tō kaki rānei, ka kōrero tō tākuta ki a koe mō ngā huarahi hei whakaiti i tēnei mōrearea.

I mua i te tīmatanga o te maimoatanga irahiko, me mahi e koe ēnei e whai ake nei:

• Haere ki te tākuta niho , kia horoia tō waha kia tino horoia, ā, kia tirotirohia tō niho katoa .
• Me mahi tetahi maimoatanga niho (pēnei i te whakakī, te tango niho).
• Tīmatahia te maimoatanga me te fluoride i ia rā.

Me mahi e koe ēnei mea i te wā e rongoatia ana te irahiko, ā, i muri hoki i te maimoatanga:

• Kia mau ki te akuaku o te waha (paraia ō niho kia rua i te rā, horoia hoki ngā waenganui i ō niho).
• Whakaitihia ngā kai me ngā inu he huka .
• Haere ki te tākuta niho i ia wā mō ngā tirotiro hauora me te horoi i tō waha.
• Me rapu maimoatanga tonu mō ngā raruraru niho hou .
• Me haere tonu te maimoatanga me te fluoride i ia rā.

Kia pēhea te tere o te horapa o te osteoradionecrosis (ORN)?

I te nuinga o te wā, ka puhoi te whanaketanga o te osteoradionecrosis (ORN). Tērā pea ka roa ētahi tau ka puta ai ngā tohu.

Ka taea te whakaora i te osteoradionecrosis (ORN)?

Ahakoa kāore e taea e ngā taote pokanga te whakaora i te wheua mate, mā te maimoatanga tika ka taea te aukati i te haere whakamua o te osteoradionecrosis (ORN). E kiia ana mēnā ka tīmata wawe te maimoatanga, ka taea te whakamutu i te mate i roto i te 96% o ngā take .

Nō reira, ki te mea he osteoradionecrosis (ORN) tōu, ko te tīmatanga wawe o te maimoatanga te huarahi pai rawa atu mō te angitu. Tērā pea ka poto ake tō pokanga, ā, ka tere ake pea tō ora. Ko te tere o tō maimoatanga (ORN), ko te pai ake.

Te Matapae mō te Osteoradionecrosis (ORN)

He mate tino ngāwari te rongoā i te Osteoradionecrosis (ORN). Ko te momo maimoatanga e hiahiatia ana ka whakawhirinaki ki te wāhi o te wheua kua pakaru, te nui o te mate o te wheua, me ngā maimoatanga kua whakamātauria e koe i mua.

Ko te tikanga, ko te iti o te horahanga o te wheua kua pakaru, ko te nui ake o te tūponotanga kia ora ai me te kore he pokanga nui. Ko ētahi o ngā mate ORN kāore pea e pai ki ngā maimoatanga iti, ā, ka piki ake pea ki te mate wheua (osteomyelitis) me te whati wheua rānei. I roto i ēnei take, me mahi pea ngā taote pokanga i tētahi pokanga nui (free flap).

Āhea ahau me toro atu ki te tākuta?

Mena kua whiwhi koe i te rongoā irahiko ki tō mahunga, ki tō kaki rānei i mua, ā, ka tīmata koe ki te pāngia e ngā tohu pēnei i te mamae, te pupuhi, te marō rānei, me toro atu ki tō tākuta tonu. Ka taea e rātou te whakaū kei a koe te osteoradionecrosis (ORN) me te tīmata wawe i tētahi maimoatanga e tika ana.

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

Mena kua tāpaetia koe, tō whanaunga rānei, ki te mate osteoradionecrosis (ORN), me pātai atu koe ki a koe anō i ēnei pātai:

• Kia pēhea te horapa o tēnei mate wheua?
• He aha ngā kōwhiringa maimoatanga kei a au?
• Me pokanga ahau?
• He aha taku tirohanga (te āheinga ki te whakaora)?

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

He pānga kino te Osteoradionecrosis (ORN) o te rongoā irahiko ki te mahunga me te kaki. Ka roa pea ngā tau ka puta mai ngā tohu. Ahakoa kāore e taea te "whakaora" katoa i te ORN, ka taea te whakahaere mā te maimoatanga. Ko ngā putanga ka whakawhirinaki ki te wāhi o te wheua kua pakaru, te nui o te mate o te wheua, me te kaha.

Mena kei te mamae koe, kei te pupuhi, kei te pāngia koe e te wheua, kei te kitea rānei ētahi atu tohu o te osteoradionecrosis, me toro atu ki te tākuta tonu. Ka taea e rātou te tūtohu i te maimoatanga tika me te āwhina i a koe ki te whakahaere i tō āhua. He mea nui te pupuri i te akuaku pai o te waha me te toro atu ki tō tākuta niho i ia wā, hei ārai me te kite wawe i tēnei āhua.

` Osteoradionecrosis, ORN, ngā pānga taha o te rongoā irahiko, te mate wheua kauae, te maimoatanga mate pukupuku, te mate wheua, te hauora o te waha