He pātai āu mō te mate pukupuku whatukuhu? Me kōrero tāua!

Kua rongo pea koe i te mate pukupuku whatukuhu. Tērā pea kei tētahi o ō hoa tēnei mate, kei te hiahia noa rānei koe ki te mōhio atu mōna. Ahakoa he kaupapa nui tēnei, me kōrero tātou mōna i roto i te huarahi māmā e mārama ai koe. Nā te mea he mea nui kia mōhio ki ngā mea pēnei.

He aha te mate pukupuku whatukuhu? He māmā noa iho...

Ki te kī ngāwari, ko te mate pukupuku whatukuhu te wā ka tīmata te tipu rerekē o ngā pūtau i roto i ō whatukuhu, i ō ngongo whatukuhu rānei, ā, kāore e taea te whakahaere. Whakaarohia he rite ngā pūtau i roto i ō tātou tinana ki ngā kaimahi iti. Ka mahi rātou i roto i te tikanga tika, i te tikanga auau. Engari i roto i te mate pukupuku, ka tīmata ētahi o ēnei pūtau ki te "pōrangi," ka wehewehe, ka tipu i tā rātou e pai ai.

He wāhanga tino nui ngā ovaries o te pūnaha whakaputa uri wahine. Koinei ngā okana e whakaputa hua ana i roto i ō tau whakaputa uri. He rite tonu te rahi ki tētahi nati wōnati iti, kei ia taha o te hope.

Ko wai ka pāngia e te mate pukupuku whatukuhu?

Ka pā tēnei ki tētahi wahine, engari he paku teitei ake te mōrearea o ētahi tāngata. Hei tauira, i te Hononga o Amerika, he paku nui ake te tūponotanga o ngā wāhine Taketake o Amerika me ngā wāhine mā ki te pāngia e tēnei mate i ngā wāhine mangu, Hispanic, Āhia rānei.

Ko tētahi atu mea whakamiharo ko te hunga nō te uri Hūrai Ashkenazi he nui ake te tūponotanga ki te pāngia e te whakarerekētanga ira e kiia nei ko te 'BRCA'. Mā tēnei whakarerekētanga ira ka nui ake te tūponotanga ki te whakawhanake i te mate pukupuku ū me te mate pukupuku whatukuhu.

I te katoa, ko te mate pukupuku whatukuhu te take o te 1% o ngā mate pukupuku hou kua kitea. Ko te mōrearea o te wahine ki te pangia e te mate pukupuku whatukuhu i roto i tōna oranga katoa he 1 i roto i te 78.

He aha ngā tohu o te mate pukupuku whatukuhu? Me pēhea tātou e mōhio ai?

Anei tētahi mea hei maumahara māu. Ka horapa pea te mate pukupuku ovarian ki tō puku, kāore he tohu e puta mai i ngā wāhanga tōmua. Koia te take he uaua ki te kite wawe. Heoi, ki te mau tonu tētahi, neke atu rānei o ngā tohu e whai ake nei, he mea nui kia toro atu ki tētahi tākuta mō ētahi tohutohu.

• Te mamae o te hope, te mamae o te puku, te māuiui rānei, te kī tonu rānei: Tērā pea he rite ki te mea kei roto i tō puku te mea e mau ana, he rite rānei ki te mea kei te pupuhi tō puku.
• Ngā panonitanga o ngā tikanga kai, te mākona ahakoa kua kai iti, me te ngaro o te hiahia kai: Ahakoa te tangata i kai pai i mua, ka mākona pea ia i muri i tētahi wā poto. Tērā pea kāore ia e hiahia ki te kai.
• Te toto, te rerenga kē rānei o te tara: Me tino āwangawanga koe mēnā ka pāngia koe e tēnei momo toto, inā koa i waho o tō huringa paheketanga o ia marama, i muri rānei i te paheketanga.
• Ngā huringa o te mahi a te puku:Hei tauira, ka puta pea ngā tohu hou pēnei i te mate pāwera, te mate korere rānei.
• Te rahi haere o te puku: Te āhua nei kei te rahi haere tō puku.
• Te mimi pinepine: Te hiahia kia mimi nui atu i te tikanga.

Ahakoa kei a koe ēnei tohu, ehara i te mea he mate pukupuku ōwai tōu. Tērā pea ka puta mai i ētahi atu raruraru hauora. Heoi, ki te mau tonu, me rapu tohutohu hauora. Ko te wawe o tō kitenga, ko te māmā ake o te rongoā.

He aha ngā take o te mate pukupuku whatukuhu? He aha ngā āhuatanga mōrearea?

Kāore anō kia mōhiotia te tino pūtake o te mate pukupuku whatukuhu. Heoi anō, he nui ake te tūponotanga o ētahi tāngata ki te pāngia e te mate. Me titiro tātou ki ēnei:

• Neke atu i te 60 tau te pakeke: Ka piki ake tēnei mōrearea i te pakeketanga.
• Momonatanga: Mena he nui rawa atu te taumaha o te tinana i te rahinga kua tūtohutia.
• Mena kua pāngia tētahi o tō whānau e te mate pukupuku whatukuhu (hītori whānau): Arā, mena kua pāngia tō whaea, tō tuahine, tō tamāhine rānei e te mate, tera pea ka tūpono koe ki te mate. Waihoki, mena he whakarerekētanga ira tōu e kiia nei ko te `BRCA1`, ko te `BRCA2` rānei, he āhuatanga rānei e kiia nei ko te Lynch syndrome, ka nui ake tō tūponotanga.
• Kāore anō kia hapu, kāore rānei i te whānau tamariki i muri mai.
• Kei a koe tētahi āhuatanga e kiia nei ko te endometriosis.

Ahakoa kei a koe tētahi, neke atu rānei o ēnei āhuatanga mōrearea, ehara i te mea ka tino pāngia koe e te mate pukupuku whatukuhu. Heoi, he mea nui kia mōhio koe ki tēnei.

Me pēhea te horapa o te mate pukupuku whatukuhu?

Ki te horapa te mate pukupuku whatukuhu, ka tīmata i roto i tō hope, ka horapa ki ngā kōpū lymph, te kōhao peritoneal, ngā whekau, te puku, te uma, te ate rānei.

Me pēhea te tautuhi i te mate pukupuku whatukuhu? He aha ngā whakamātautau e mahia ana?

Ahakoa ngā tau maha o te rangahau, kāore anō kia whakawhanakehia he whakamātautau tirotiro whai hua mō te kitenga wawe i te mate pukupuku whatukuhu. Koia te uaua ki te kite i tōna tīmatanga.

Ki te whakapae te tākuta he mate pukupuku whatukuhu tōu, ka pātai tuatahi rātou ki a koe mō ō tohu, kātahi ka tirotirohia te hope . I tēnei wā, ka rapu rātou i ngā tipu rerekē, i ngā whekau kua nui haere rānei.

Hei tāpiritanga, he maha atu anō ngā whakamātautau ka taea te whakahaere:

Ngā whakamātautau whakaahua

Mā ēnei ka taea e koe te kite i ngā mea kei roto i te tinana:

• Ultrasound Pelvic: Ka taea e tēnei te tango pikitia mārama o ngā ovaries me te rohe e karapoti ana.
• Matawai MRI (Whakaahua Āhua Aukume):Mā tēnei ka taea e koe te tiki whakaahua taipitopito ake.
• Matawai CT (Tomography Rorohiko): Ka taea hoki te whakamahi hei tirotiro i ngā whakaahua whakawhiti-wāhanga o te tinana.
• Matawai PET (Positron Emission Tomography): Mā tēnei ka āwhina ki te kimi i ngā wāhi kei reira ngā pūtau matepukupuku.

Ngā whakamātautau toto

He maha ngā wā ka mahia he whakamātautau toto e kiia nei ko te CA-125 i tēnei wā. Mēnā he teitei ake tō taumata CA-125, he tohu pea tēnei nō te mate pukupuku. Heoi, kāore tēnei i te tino mōhiotia. Ahakoa he mate pukupuku tōu, ka taea hoki te piki ake i roto i ētahi atu āhuatanga ehara i te mate pukupuku, ka honoa e ngā tākuta tēnei whakamātautau me ētahi atu whakamātautau kia tae atu ai ki tētahi whakatau.

Aromatawai pokanga

I ētahi wā ka kitea te mate pukupuku whatukuhu i te wā o te pokanga. I te nuinga o te wā, ki te kitea he tipu rerekē, ka taea te tango i te wā o taua pokanga anō.

Te tirotiro puku

I tēnei mahi, ka tapahia e te taote pokanga he wahi iti ki roto i tō puku, ka whakaurua he ngongo angiangi me te kāmera (laparoscope) mā roto. Ka taea te whakamahi i tēnei kāmera hei tirotiro mēnā kei te kitea te mate pukupuku me te whānui o tōna horapa, hei tango tauira kiko (biopsies), ā, i ētahi wā ka tangohia ngā whēkau ovarian.

He aha ngā wāhanga o te mate pukupuku ovarian?

Ko te taumata o te mate pukupuku te tawhiti o te horapa o te mate pukupuku. He mea nui te mōhio ki tēnei hei whakarite maimoatanga. E whā ngā taumata matua o te mate pukupuku whatukuhu. Ko te iti o te tau taumata, ko te iti haere o te whanaketanga o te mate pukupuku. Ko te teitei ake o te tau, ko te kino haere o te mate.

• Wāhanga I: He wāhanga iti anō hoki kei tēnei wāhanga (IA, IB, IC). Ki te kī māmā, i tēnei wāhanga, kei roto te mate pukupuku i te ovary kotahi, i te ngongo fallopian rānei (IA), kei roto rānei i ngā ovaries e rua, i ngā ngongo fallopian rānei e rua (IB). I te wāhanga IC, kei roto te mate pukupuku i ngā ovaries e rua, i ngā ngongo e rua rānei, ā, kua horapa ki waho o te ovary (tērā pea he pūtau kei roto i te wai i roto i te kōhao puku).
• Wāhanga II: He wāhanga iti anō hoki tēnei. I te IIA, kua horapa te mate pukupuku mai i ngā ovaries ki te kōpū. I te IIB, kua horapa ki ētahi atu okana i te rohe pelvic.
• Wāhanga III: E toru ngā wāhanga iti o tēnei wāhanga (IIIA, IIIB, IIIC). I te IIIA, kua horapa te mate pukupuku ki tua atu i te hope, ki roto i te puku (āta), ki ngā kōpū waikura rānei. I te IIIB, tae atu te rahi o te pukupuku ki te 2 henimita, ki tua atu i te hope, ki ngā kōpū waikura rānei. I te IIIC, kua horapa te mate pukupuku ki tua atu i te hope, ā, he nui ake te pukupuku i te 2 henimita, ki ngā kōpū waikura rānei. I tēnei wā, ka pāngia pea ngā whekau pēnei i te ate me te whēkau.
• Wāhanga IV: Koinei te wāhanga tino kino. I tēnei wā, kua horapa te mate pukupuku ki ngā whekau pērā i te ate me te whēkau. I roto i te IVA, kei roto i ngā pukahukahu, ā, i roto i te IVB, kua horapa ki ngā kōpū lymph i te rohe o te hope, o te uma rānei.

Kaua e wehi ki te whakarongo ki ēnei wāhanga. Mā tō tākuta koe e whakamārama i ngā mea katoa.Ko te mea nui ko te whakawhanake i tētahi mahere maimoatanga e tika ana mōu.

Me pēhea te rongoā i te mate pukupuku ovarian?

Ko te whāinga matua o te rongoā matepukupuku ko te tango i te maha o ngā pūtau matepukupuku e taea ana, ko te tango katoa rānei i a rātou. Ko ngā rongoā matua mō te matepukupuku whatukuhu ko:

• Pokanga: Koinei te maimoatanga matua i te nuinga o te wā. Ko te tikanga, ko te tango i ō whekau whakaputa uri (ngā ovaries, ngā ngongo fallopian, te kōpū) me ngā whekau katoa kua horapa te mate pukupuku. Ka mahi pea te taote pokanga i te laparoscopy (he pokanga iti rawa te whakaekenga mā roto i ētahi tapahi iti i roto i te puku) i te laparotomy rānei (he pokanga tuwhera mā roto i tētahi tapahi nui i roto i te puku).
• Te rongoā matū: Ka taea tēnei i mua atu, i muri rānei i te pokanga. Ko te rongoā matū he momo rongoā e aro ana, e whakangaro ana hoki i ngā pūtau matepukupuku. Ka taea te hoatu mā roto i te uaua, mā te pire rānei e tangohia ana mā te waha.
• Te rongoā arotahi: He momo rongoā anō hoki tēnei e tautuhi ana, e whakaeke ana hoki i ngā pūtau matepukupuku. Ka huri tēnei i te tipu me te wehewehe o ngā pūtau matepukupuku.
• Te rongoā homoni: Ka whakamahia e ētahi mate pukupuku whatukuhu ngā homoni hei tipu. Ka āraihia e tēnei maimoatanga aua homoni, ka whakaroa, ka whakamutu rānei i te tipu o te mate pukupuku.
• Whakaora irahiko: Kāore i te tino whakamahia te whakaora irahiko mō te mate pukupuku whatukuhu.

I muri i te maimoatanga mō te mate pukupuku whatukuhu, ka hiahia tō tākuta ki te kite i a koe i ia wā, me te aroturuki i a koe. Ka haere tonu rātou ki te mahi whakamātautau hei tirotiro mēnā kua hoki mai te mate pukupuku. Me kōrero koe ki tō tākuta mō ngā tohumate, ngā mamae rānei e pā ana ki a koe i tēnei wā. I ētahi wā, ka taea te mahi whakamātautau whakaahua, pērā i te matawai CT.

He aha ngā mea e tika ana kia tumanakohia e te tangata e pāngia ana e te mate pukupuku whatukuhu?

Ahakoa kua mutu te maimoatanga, ka kite tonu tō tākuta i a koe i ngā wā katoa. I roto i ēnei haerenga, ka kōrero rātou mō ō tohu, ō āwangawanga, me ō wehi. He mea nui kia aro nui koe ki tō tinana. Ki te rongo koe i tētahi mea rerekē, kōrero ki tō tākuta. He mea tino nui te whai i muri i te maimoatanga.

He aha te ōrau oranga mō te mate pukupuku whatukuhu?

He take tairongo tēnei. Ko te ōrau oranga mō te mate pukupuku whatukuhu i roto i ngā tau e rima he tata ki te 49%. Ko te tikanga, tata ki te 49% o te hunga kua tāpaetia he mate pukupuku whatukuhu kei te ora tonu i ngā tau e rima i muri i te tāpaetanga.

Heoi, he mea nui kia maumahara ki tēnei: ​​He toharite noa iho ēnei tatauranga. Kāore e whakaatu tika ana i te roa o tō oranga, i te angitu rānei o tō maimoatanga. He rerekē te katoa.He maha ngā āhuatanga e pā ana ki tēnei, tae atu ki te momo mate pukupuku, tōna taumata, tō hauora whānui, me tō urupare ki te maimoatanga. Kei te whanakehia tonutia ngā maimoatanga hou. Nō reira, ki te mea he pātai āu mō ēnei tatauranga, kia tuwhera, kia pono hoki ki tō tākuta.

Ka taea te ārai i te mate pukupuku ovarian?

Kāore he huarahi hei ārai katoa i te mate pukupuku whatukuhu. Heoi, mā te mōhio ki tō hītori whānau ka āwhina i a koe ki te mārama mēnā kei te piki ake tō tūponotanga ki te pangia e te mate pukupuku whatukuhu.

Mena he mate ira tōu, pērā i te whakarerekētanga ira BRCA, ka tūtohu pea tō tākuta i te pokanga whakaiti mōrearea hei tango i ō ovaries me ō ngongo fallopian i mua i te whanaketanga hei mate pukupuku. Mena kāore koe i te tino mōhio mena he whakarerekētanga ira BRCA tōu, he whakarerekētanga ira rānei, kōrero ki tō tākuta mō te whakamātautau ira .

Āhea ahau me toro atu ki te tākuta?

Ki te mau tonu ngā tohu o te mate pukupuku whatukuhu i kōrerotia i mua ake nei (hei tauira, he puku rerekē, he mamae puku, he pupuhi), me toro atu ki te tākuta. Kaua e mataku, engari he mea whakaaro nui kia tirohia koe.

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

Mena kua tāpaetia kei a koe te mate pukupuku whatukuhu, he mea noa te maha o ngā pātai kei roto i tō hinengaro. Akene he pai ki a koe te pātai atu ki tō tākuta i ngā pātai penei:

• Kei hea te pūtau matepukupuku?
• Kua horapa te mate pukupuku? Mena kua horapa, kia pēhea te tawhiti?
• He aha ngā maimoatanga e taunaki ana koe?
• Kia pēhea te roa o taku maimoatanga?
• Ka taea e au te haere ki te mahi i te wā e rongoatia ana?
• He rauemi kei reira hei tiki āwhina mō te mate pukupuku whatukuhu?

He mea noa te mataku, te pouri, me te pouri ina kitea he mate pukupuku tōu. Mena he mate pukupuku whēkau tōu, tō tetahi rānei o tō whānau, tera pea ka noho mokemoke koe. Engari kāore koe i te mokemoke. Ka taea e tō tākuta te āwhina i a koe i tēnei wā uaua. Pātai atu mō ngā rōpū tautoko me te whakauru atu ki a rātou. Mā te kōrero ki te hunga e pāngia ana e ngā āhuatanga ōrite ki a koe ka taea te āwhina i a koe ki te whakatau i ēnei kare ā-roto uaua.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea nui kia māharahara tātou ki te mate pukupuku ovarian. Heoi, he mea nui kia mōhio tātou ki tēnei, kia aro ki ngā tohu, ā, kia tere te rapu tohutohu hauora mēnā e tika ana.

Ko koe te mea tino mōhio ki tō tinana. Ki te kite koe i tētahi mea rerekē, kaua e warewaretia. Kōrero ki te tākuta. Ko te wawe o tō kitenga, ko te nui ake o te tūponotanga ka angitu te maimoatanga. Kaua e manukanuka, kāore koe i te mokemoke. Tikina te āwhina e hiahiatia ana e koe.

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