He aha ō whakaaro mēnā ka kite koe i tētahi ponana iti, i tētahi kiri e tihore ana rānei i tō uma? I te nuinga o te wā, ka whakaaro koe he mate kiri noa iho, he rite pea ki te ekisema. He pono, ka pērā pea i te nuinga o ngā wā. Heoi, he tino onge, ko tētahi tohu iti pēnei te tohu tuatahi o te mate pukupuku ū. Ko tētahi tēnā o ngā momo mate pukupuku onge, engari he mea nui, ka kōrerohia e tātou i tēnei rā.
He aha te mate a Paget o te ū?
He momo mate pukupuku tino onge te mate Paget o te ū e puta ana i te kiri o tō uma, ā, i ētahi wā i roto i te kiri mangu e karapoti ana i te uma (areola). I ētahi wā ka taea te whakawhāiti ki te uma. Ka kiia tēnei ko te mate pukupuku ū wāhanga 0, ko te ductal carcinoma in situ rānei. Engari i ētahi wā, i te taha o tēnei huringa kiri, ka taea hoki te mate pukupuku ū urutomo kua horapa ki ngā awa miraka i roto i te ū.
Nā te mea he rite ngā tohu ki te ekisema, he tokomaha te hunga e whakaaro ana he mate kiri noa iho. Ko ngā tohu ko te mākūkū, te kiri maroke, te whero, me te rere mai i te uma i ētahi wā. Kia maumahara, ehara i te katoa o te hunga e pāngia ana e ēnei tohu he mate a Paget. Heoi, ki te pāngia koe e tēnei mate, koinei pea te tohu tuatahi o te mate pukupuku e tipu ana i roto i te ū.
Ko wai te mea tino tūpono ka pāngia e tēnei mate?
Ko te mate a Paget o te ū te mea tino noa i roto i ngā wāhine. Heoi, kua pūrongohia anō hoki i roto i ngā tāne. Ko te tau toharite o te tātaritanga he 57 tau te roa. Heoi, ka pā pea ki te hunga he iti ake te tamariki me te pakeke ake i tērā. He tino onge, ā, he iti iho i te 4% o ngā mate pukupuku ū katoa kua pūrongohia. Nō reira, ahakoa he tino onge te mate, he mea nui kia mōhio ki tēnei.
Kia pēhea te tere o te horapa o tēnei mate? Kia pēhea te kaha o tōna horapa?
Kei te āhua nei mēnā kei roto i tō ū tētahi atu mate pukupuku, ā, mēnā kei roto, kei te wāhanga kei reira.
- Mena kei roto tonu te mate pukupuku i ngā awaawa miraka: Mena kei roto tonu tō mate pukupuku i ngā awaawa miraka, ā, kāore anō kia horapa ki te kiko o te ū e karapoti ana, ka kiia e mātou ko te "ductal carcinoma in situ" (DCIS) . E kiia ana tēnei ko te mate pukupuku wāhanga 0. Ka rongoatia tēnei momo mate pukupuku mā te tango i ngā pūtau mate pukupuku me te uma mā te pokanga, ā, muri iho ka rongoatia ki te irahiko. Mena ka kitea te mate i tēnei wāhanga, he tino teitei te tūponotanga ka ora katoa.
- Mena kua horapa te mate pukupuku ki waho o ngā awaawa miraka: Ina tīmata te mate pukupuku i roto i ngā awaawa miraka ki te horapa ki roto i te kiko o te ū e karapoti ana, ka kiia ko te "invasive ductal carcinoma." Ka whanake tēnei mate pukupuku i roto i ētahi wāhanga. I ngā wāhanga tōmua, ka taea te rongoā mā te tango i te kiko o te ū e pāngia ana me ngā kōpū lymph axillary. Heoi, ina tīmata te horapa o te mate pukupuku ki waho o te ū, arā, i ngā wāhanga o muri mai, ka kaha ake te mate, ā, ka uaua ki te rongoā.
He aha ngā tohu o te mate a Paget?
Ko te tikanga ka puta ēnei tohu ki tō uma, ki te kiri mangu rānei e karapoti ana (areola). I te nuinga o te wā, ka kitea noa iho ēnei tohu i te ū kotahi, engari he tino onge, ka puta pea i ngā ū e rua. Ahakoa te āhua nei ka puta mai, ka ngaro atu ēnei tohu i te tīmatanga, ka kino haere i te roanga o te wā.
| Tohu | Whakaahuatanga |
|---|---|
| Te mākūkū me te mumura | Tērā pea ka mākūkū te uma, ā, i muri mai ka huri hei mumura. |
| Te whakamaroke me te tihore i te kiri | Tērā pea ka kite koe i te kiri o te uma, o te uma rānei e maroke ana, e tihore ana. |
| Ponana kiri | Ka whero pea te kiri, ka pupuhi, ka kiripaka, ka mamae, ka toto rānei. |
| Mumura me te mamae | Tērā pea ka pupuhi, ka mamae te kiri. |
| He āhuatanga pērā i te ekisema | He rite ki te ekisema e tangi ana, e puta mai ana ngā kiriuhi me te wai e turuturu ana. |
| Puta mai i te uma | Tērā pea ka puta mai he wai toto, he wai rānei e rite ana ki te pupuhi i te uma. |
| Ngā panonitanga o te uma | Tērā pea ka papatahi te uma, ka huripokitia rānei (uma huripokitia). |
| He puku i roto i te uma | Tērā pea ka rongo koe i tētahi puku, i tētahi pukupuku rānei i raro i te kiri. |
He aha te tino take mō tēnei?
He mea ngaro tonu ki ngā kaipūtaiao te pūtake tuturu o te mate pukupuku. Engari kei te haere tonu ngā rangahau hou hei hura i ngā meka hou. Ko tā tātou e mōhio ana, ka puta te mate pukupuku ina rerekē ētahi o ngā pūtau o roto i tō tātou tinana, ka wehea, ka tipu haere, kāore e taea te whakahaere. I tēnei wā, e whakaponohia ana ka tīmata pea ēnei huringa pūtau i ngā huringa o roto i tō tātou waehere ira, arā, te DNA . Engari kāore anō kia kitea he whakautu mārama he aha i puta ai ēnei huringa.
Kua kitea e ngā kaipūtaiao he "āhuatanga mōrearea" kei reira e whakanui ana i te mōrearea o te mate pukupuku. Hei tauira, ko te pānga ki ētahi paitini taiao, te momi hikareti, me te inu waipiro nui ka whakanui ake i te mōrearea o te mate pukupuku. Engari he mea miharo, 85% o ngā mate pukupuku ū ka puta i roto i ngā tāngata kāore he āhuatanga mōrearea nui.
Me pēhea te tautuhi i tēnei mate? (Tautuhinga)
Ina haere koe ki te tākuta me ēnei tohu, tera pea ka whakaaro ia i te tuatahi he ekisema noa iho. Nō reira ka rongoā ia. Engari ki te kore aua maimoatanga e āwhina, ki te whakapaetia rānei he mate a Paget, me mahi ia i ētahi whakamātautau hei tautuhi tika i te mate.
Ko te taahiraa tuatahi, ko te taahiraa nui rawa atu, ko te tango i tētahi wahi iti o te kiko mai i te kiri o te uma, ka tirotirohia i raro i te karuārai (biopsy). Ko te tikanga e whakamahia whānuitia ana mō tēnei ko te "biopsy punch". Ko te tikanga tēnei ka tangohia he wahi iti o te kiri porowhita, ka tirotirohia ki tētahi taputapu iti, he rite ki te punch pepa. Koinei te huarahi māmā ki te tautuhi i ngā pūtau matepukupuku e pā ana ki te mate a Paget.
Kia whakaūtia te mate a Paget, ko te mahi e whai ake nei ko te kimi mēnā he mate pukupuku anō kei roto i te ū, ā, mēnā kei roto, me pēhea te horapa. Mā tō tākuta tēnei e mahi.Tērā pea ka tukuna koe mō ngā whakamātautau whakaahua, pērā i te mammogram, te ultrasound rānei o te ū. Mēnā ka kitea he wāhi whakapae mō te mate pukupuku i roto i ēnei whakamātautau, ka tūtohutia pea he "koiora ngira" , arā, ka tangohia he wahi iti o te kiko ki te ngira, ka tirotirohia.
He aha ngā maimoatanga?
Kei roto i te maimoatanga ko te pokanga, me ētahi atu maimoatanga matepukupuku (ngā whakaora tāpiri).
1. Pokanga matepukupuku ū
Me tango pokanga tetahi mate pukupuku i roto i tō ū, engari ko te nui o te kiko ka tangohia ka whakawhirinaki ki tō āhua.
- Pokanga tiaki ū: Mena ko te mate a Paget anake o te uma kei a koe, kāore he pukupuku kē atu, ka ngana tō taote pokanga ki te tango i te kiko e pāngia ana anake. Ko te tikanga o tēnei ko te tango i tō uma, te kiri e karapoti ana i a ia (areola), me te iti o te kiko hauora e karapoti ana i a ia.
- Tātarihia te uma: Mena kua horapa te mate pukupuku ki tētahi wāhi nui, ka tūtohu pea tō taote pokanga kia tangohia te uma katoa (tātarihia te uma). I muri i te pokanga, ka taea e koe te mahi pokanga hanga anō i te uma mena e hiahia ana koe.
2. Whakaora āpiti
I muri i te pokanga, ka tukuna he maimoatanga tāpiri hei ārai i te hokinga mai o te mate pukupuku. Ka kiia tēnei he rongoā āwhina.
- Whakaora irahiko: Te whakamahinga o ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku e toe ana.
- Te rongoā matū: Te whakamahi i ngā rongoā hei patu i ngā pūtau matepukupuku, hei aukati rānei i tō rātou tipu.
- Te rongoā homoni: He wāhi nui tā ngā homoni ki te tipu o ētahi mate pukupuku ū. Mō ēnei mate pukupuku, ka hoatu he rongoā hei aukati i te mahi a ngā homoni.
- Ārai Mate: He maimoatanga e whakaoho ana i te pūnaha ārai mate o tō tinana kia whawhai ki ngā pūtau matepukupuku.
Ka taea te whakaora katoa i tēnei?
Āe, tino tika. Ko te kaha o te rongoā mō te mate pukupuku ū ka whakawhirinaki ki te wāhanga o te mate i te wā e kitea ai.
Mena ko te mate Paget o te uma anake tōu, ko te DCIS rānei (wāhanga 0) kāore anō kia horapa ki tua atu i ngā awa waiū, he tino teitei te tūponotanga ka ora koe. He maha ngā tāngata kua tātaitia, kua rongoatia hoki i te wā wawe i roto i ēnei āhuatanga ka ora katoa. I te tīmatanga o te horapa o te mate pukupuku o te ū, ka uaua haere te patu. Nō reira, he mea nui kia mōhio ki ngā tohu me te toro atu ki te tākuta i te wā e taea ai.
Kia pēhea te wā me toro atu ahau ki te tākuta?
Ki te kite koe i tētahi panonitanga ki te kiri, ki raro rānei i te kiri o ō ū, me whakamōhio atu ki tō tākuta. I te nuinga o te wā, ehara pea i te mate pukupuku, engari he pai ake te tirotiro i a koe anō.
Ina koa, ki te mea kei a koe ngā tohu o te ekisema i runga, i te taha rānei o ō uma, ā, kāore e memeha ahakoa kua rongoatia, kia kite anō koe i te tākuta mō ētahi atu whakamātautau. Kaua e warewarehia tetahi mea iti noa iho.
Me pēhea taku tiaki i ahau anō mēnā kei a au tēnei mate?
Ko te huarahi pai ki te tiaki i a koe anō ko te tīmata wawe i te maimoatanga. Engari me nui hoki te tautoko hinengaro e hiahiatia ana e koe.
- Me whai hoa tautoko koe: kōrero ki a koe, whakapuaki i ō kare ā-roto, haere ki te tākuta me te āwhina i ngā mahi o te whare me te hoa e whakawhirinaki ana koe (tāne, mema o te whānau, hoa).
- Tuhia ō pātai: I mua i tō haerenga ki te tākuta, tuhia ngā pātai katoa e hiahia ana koe ki te mōhio ki tētahi pepa.
- Tuhia ngā tuhipoka: Tuhia ngā kōrero a te tākuta. Ki te tono koe i tō hoa mahi kia pērā anō, ka taea e koe te aro katoa ki te tākuta . Ka taea e kōrua te arotake i ngā kōrero i muri mai.
Karere Tangohia ki te Kāinga
- Ko te mākūkū, te whero, te kiri e tihore ana rānei i runga, i te taha rānei o tō uma, e rite ana ki te ekisema, ā, kāore e ora, he tohu pea tēnei o te mate a Paget o te ū.
- He momo tino onge tēnei o te mate pukupuku ū, ā, tērā pea ka pā ki te uma anake, ka hono atu rānei ki te mate pukupuku i roto i te ū.
- Kaua rawa e warewarehia ngā huringa kiri o ō uma, ina koa mēnā kāore e pai ake ahakoa te maimoatanga. Tirohia tonutia tō tākuta.
- Ka whakaūtia te mate mā te tirotiro i tētahi wāhanga iti o te kiri (biopsy).
- Mena ka kitea tēnei mate i tōna tīmatanga, he tino teitei te tūponotanga ka ora katoa mā te pokanga me ētahi atu maimoatanga.
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