He rerekētanga pēnei kei roto i ō uma? Me ako tātou mō te Mate a Paget o te Uma!

Kua kite koe i tētahi panoni iti, i tētahi mākūkū, i tētahi mea rānei e rite ana ki te ponana i tō uma? He mate kiri noa pea tēnei, engari ki te mea he iti noa iho ōu ruarua, he mea nui kia aro atu koe ki tēnā. Nā te mea, he onge noa iho, ka taea e ēnei tohu te tohu tuatahi o te mate pukupuku ū. Koinei tētahi o ngā mate onge, engari he tino nui, ka kōrerohia e tātou i tēnei rā.

He aha te mate a Paget o te ū?

He kupu ngāwari noa iho, he momo mate pukupuku tino onge te Mate a Paget o te Uma e puta ana i roto i te kiri o tō uma . I ētahi wā ka pā ki te kiri pouri huri noa i te uma, e kiia nei ko te areola .

Whakaarohia, i ētahi wā ka pā tēnei ki te uma, hei wāhanga tōmua o te mate pukupuku ū (wāhanga 0 o te mate pukupuku ū) , e kiia nei ko te 'ductal carcinoma in situ' (DCIS) . Tērā rānei, ka haere tahi mai me tētahi 'mate pukupuku ū invasive' kino ake e horapa ana ki ngā awa miraka i roto i te ū kotahi. E kiia ana hoki tēnei ko te mate Paget o te uma .

Nā te mea he rite te kiri o te uma ki te 'ekisema' , nō reira he tokomaha e whakaaro ana i te tīmatanga he ponana noa iho. Ko ngā tohu ka uru atu ki te mākūkū, te kiri e tihore ana, te whero, te āhua mamae i ētahi wā, me te rere mai i te uma . Engari kia maumahara, ehara i te katoa e pāngia ana e ēnei tohu he mate a Paget. Heoi, ki te pāngia koe e tēnei mate, koinei pea ngā tohu tuatahi o te mate pukupuku o te ū .

Mā wai tēnei e whakawhanake?

Ko te mate a Paget o te ū te nuinga o te wā ka pā ki ngā wāhine . Heoi, he tino onge te pūrongo mō ngā tāne e pāngia ana e tēnei mate. Ko te tau toharite mō te tātaritanga he tata ki te 57 tau . Heoi, kua kitea tēnei mate i roto i te hunga he taitamariki ake, he pakeke ake hoki. Ko te mate a Paget he iti iho i te 4% o ngā mate pukupuku ū katoa. Nō reira, e ai ki tāu e whakaaro nei, he āhua onge tēnei mate.

Kia pēhea te tere/te kaha o te horapa o tēnei mate?

Ko te mea nui, kei te āhua o te mate pukupuku ductal kei raro iho, ā, mēnā kei te pērā, kei tehea te wāhanga kei roto. Hei tauira, mēnā kei roto noa i ō awa waiū te mate pukupuku, ā, kāore anō kia horapa ki te kiko o te ū e karapoti ana, ka kiia e mātou he ductal carcinoma in situ (DCIS) . E kiia ana tēnei he wāhanga 0. Ko te tikanga, ka rongoatia tēnei momo mate pukupuku mā te pokanga hei tango i te(ngā) puku me te uma , ā, muri iho ka whai i te rongoā irahiko .

Heoi, ki te horapa tēnei 'ductal carcinoma' ki tua atu i ngā awa waiū, ka kiia tēnei ko te 'infiltrating ductal carcinoma'.He 'invasive ductal carcinoma' rānei. Ka kino haere tēnei mate pukupuku i ngā wāhanga . I ngā wāhanga tōmua, ka taea te rongoā mā te tango i te kiko o te ū e pāngia ana me ngā 'axillary lymph nodes' i roto i te kēkē. Heoi, ina horapa tēnei 'invasive ū cancerous' ki tua atu i te ū, arā, i ngā wāhanga o muri mai , ka kaha ake te kaha , ka uaua hoki te rongoā.

He aha ngā tohu?

Ko te tikanga ka puta ēnei tohu i tō uma, i te kiri mangu rānei e karapoti ana (areola) . I te nuinga o te wā, kotahi anake te ū e pāngia ana, engari he tino onge, ka pāngia ngā ū e rua. I te tīmatanga, tera pea ka puta mai, ka ngaro atu ēnei tohu, engari ka kino haere i roto i te wā. Ko ētahi o ngā tohu ko:

• Te mākūkū o te uma , ka arahi pea tēnei ki te mumura i muri mai.
• Kiri maroke, te tihorenga o te kiri (i runga, i te taha rānei o te uma).
• Tērā pea ka puta he ponana kiri . Tērā pea he whero, he puea ake, he kiripaka, he mamae, he toto rānei .
• Te mumura me te mamae .
• Pērā i te mākū o te ekisema, ka puta he kirinuku, ā, ka turuturu mai he wai .
• He toto, he wai rānei e rite ana ki te pūkahukahu e puta mai ana i te uma .
• Uma papatahi, uma hurihuri rānei .
• He puku o te ū e kitea ana i raro i te kiri.

He mea nui: Kaua e mataku mēnā kei a koe tētahi, e rua rānei o ēnei tohu. Heoi, ki te mau tonu, ki te kino rānei, me rapu tohutohu hauora koe.

He aha ngā take? He aha i pēnei ai?

Ina hoki, kāore anō kia tino mōhiotia e ngā kaipūtaiao he aha te take o te mate pukupuku . Engari kei te haere tonu ngā rangahau hou hei rapu i tēnei. Ko tā tātou e mōhio ana ko ētahi o ngā pūtau o roto i ō tātou tinana ka pāngia e ngā huringa rerekē , ka arahi ki te wehenga me te tāruarua kāore i te whakahaeretia . E kī ana ngā rangahau o nāianei ka tīmata pea ēnei huringa pūtau i roto i tō tātou DNA (waehere ira) . Engari kāore tātou i te tino mōhio he aha i puta ai ēnei huringa, āhea rānei.

Kua kitea e ngā kaipūtaiao he maha ngā "tūponotanga mōrearea" e whai wāhi ana ki te whanaketanga o te mate pukupuku. E whakapono ana rātou he wāhi nui pea ēnei tūponotanga ki te whanaketanga o te mate. Hei tauira, ki te pāngia koe e ngā paitini taiao , ki te momi hikareti, ki te inu waipiro rānei koe i ngā wā katoa, ka nui ake te tūponotanga ka pāngia koe e te mate. Heoi, he mea miharo, 85% o ngā mate pukupuku ū ka puta i roto i ngā tāngata kāore he tūponotanga mōrearea e mōhiotia ana .

Me pēhea te tautuhi tika i tēnei mate?

Ina kite koe i tētahi tākuta, ka ngana pea ia ki te rongoā i tō mate mā te maimoatanga kotahi ki te ekisema . Mēnā kāore e mahi, ki te whakapae rānei ia he mate Paget o te ū, me tango pea e ia tētahi tauira o te kiko ū ka tirotirohia i raro i te karuārai. Mā tēnei ka māmā te tautuhi i ngā pūtau paget . Tērā pea ka mahia e ia he tirotiro pūwero . Ko te tikanga o tēnei ko te tango i tētahi wahi kiko iti, porowhita mā te whakamahi i tētahi taputapu tapahi porowhita (pērā i te pūwero poka).

I muri i te tātaritanga o te mate Paget o te ū, ka hiahia tō tākuta ki te kimi mēnā he ductal carcinoma in situ tōu, ā, mēnā he pērā, me pēhea te horapa . Hei mahi i tēnei, ka tirohia tuatahitia e ia te kiko o tō ū mā te whakamahi i ngā whakamātautau whakaahua . Hei tauira , ka taea te mahi i te mammogram, i te ultrasound rānei o te ū . Mēnā ka kitea he wāhi whakapae, ka tūtohu pea ia kia whakamahia he ngira koiora hei tango tauira o te kiko o te ū.

Me pēhea te rongoā?

Kei roto i ngā maimoatanga ko te pokanga , ā, i ētahi wā ko ngā maimoatanga matepukupuku tāpiri .

Pokanga

Me tango pokanga tetahi mate pukupuku i roto i tō ū. Heoi, ko te nui o te kiko ka tangohia, kei runga i tō āhua. Mena ko te Mate a Paget o te Ū anake tō mate, ā, kāore he puku kē atu, tera pea he iti noa te pokanga tiaki ū e hiahiatia ana. Ko te tikanga o tēnei ka ngana tō taote pokanga ki te tango i te kiko e pāngia ana anake. Ka tangohia e ia tō uma, te kiri mangu e karapoti ana (areola), me te iti o te kiko noa e karapoti ana .

I runga i te horapa o te mate pukupuku, ka tūtohu pea tō taote pokanga i tētahi mastectomy (he pokanga hei tango i te ū katoa) . Ki te hiahia koe, ka taea hoki e koe te mahi pokanga hanga anō i te ū i muri mai.

Te Whakaora Āwhina

I muri i te pokanga, tera pea ka tukuna atu he maimoatanga tāpiri hei ārai i te hokinga mai o te mate pukupuku. Tērā pea kei roto i ēnei 'maimoatanga tāpiri' :

• Te rongoā irahiko: Ka whakamahia ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku.
• Te rongoā matū: Ka whakamahia ngā rongoā hei patu i ngā pūtau matepukupuku, hei aukati rānei i tō rātou tipu.
• 'Whakaora homoni':Ka āwhina ngā homoni i ētahi mate pukupuku ū ki te tipu. Ka āraihia e tēnei maimoatanga aua homoni.
• Ārai Mate: Ka āwhina i tō ake pūnaha ārai mate ki te whawhai ki te mate pukupuku.

Ka taea te whakaora rawa i tēnei mate?

Ko te tūponotanga o te ora mai i te mate pukupuku o te ū e whakawhirinaki ana ki te wāhanga o te mate pukupuku ina kitea . Mena kei a koe te mate a Paget o te uma, kei roto noa i te ū, te mate pukupuku ductal in situ rānei (wāhanga 0) , kāore i horapa ki tua atu i ngā awa miraka, he tino pai tō matapae . Ko te nuinga o te hunga kua kitea wawetia, ā, kua rongoatia i roto i ēnei āhuatanga ka ora katoa . Heoi, ina horapa te mate pukupuku o te ū, ka uaua haere te patu.

Koia te mea nui kia aro tonu ki ngā panonitanga iti rawa, me te rapu tohutohu hauora.

Āhea ahau me toro atu ki te tākuta?

Ki te kite koe i ētahi panonitanga ki ō ū, ahakoa he panonitanga ki te kiri, he panonitanga rānei i raro i te kiri, me toro atu ki te tākuta. I te nuinga o te wā, ehara pea i te mate pukupuku, engari he pai ake te tirotiro i a koe anō. Ki te mea he tohu pēnei i te ekisema kei runga, kei te taha rānei o te uma, o te areola rānei, ā, kua ngana koe ki te rongoā i a koe anō, ā, kāore i āwhina , me whakarite he wā ki te toro atu ki te tākuta mō ētahi atu whakamātautau.

Me pēhea te tiaki i a koe anō mēnā kei a koe tēnei mate?

Ko te mea pai rawa atu māu ake ko te tīmata wawe i te maimoatanga . Engari, me tautoko anō hoki koe. I te iti rawa , kimihia tētahi e whakawhirinaki ana koe hei kōrero atu, hei haere ki ō wā whakarite, hei āwhina rānei ki ngā mahi o te whare.

Kawea mai he rārangi pātai hei pātai atu ki te tākuta, ā, kia rite ki te tuhi i ngā kōrero, ki te tono rānei ki tētahi kia tuhi māu. Ka taea e kōrua te arotake i muri mai.

He mea nui anō hoki kia kaha te hinengaro i ēnei wā. Me mahi ngā mea e whakamarie ai koe, kōrero ki te whānau me ngā hoa, me te rapu tohutohu mēnā e tika ana.

He hononga kei waenganui i te mate a Paget o te ū me ētahi atu mate 'Paget'?

He pātai tēnei e pātaihia ana e te tini tāngata. He maha ngā kitenga hauora a Tā James Paget, he taote pokanga Ingarihi i te mutunga o te rautau 19. He maha ngā mate kua tapaina ki a ia, engari kāore i te hono katoa tetahi ki tetahi .

Hei tauira, ko te 'mate a Paget o te wheua' he mate wheua ehara i te mate pukupuku. Kāore he hononga ki te mate a Paget o te ū.

Engari,Tērā tētahi atu mate pukupuku onge e kiia nei ko te 'mate a Paget extramammary' (EMPD), he rite tonu te āhua.

Ko te mate a Paget o te ū e tohuhia ana e te noho mai o ngā pūtau matepukupuku motuhake i roto i te kiri o te uma ka taea te kite i raro i te karuārai. Ka kiia rātou he pūtau Paget nā te mea i whakaahua tuatahitia rātou e Paget. Kei roto hoki i te mate a Paget i waho o te uma (EMPD) ēnei pūtau Paget. He rite tonu te ponana, engari ehara i te uma, engari kei ngā ira tangata . Ahakoa he rite ēnei mate e rua, he mate motuhake . Kāore rāua e puta tahi.

Karere Tangohia ki te Kāinga

Āe, anei ētahi o ngā mea tino nui kua kōrerohia e tātou i tēnei rā hei āwhina i a koe ki te maumahara:

• Ko te Mate a Paget o te Uma he mate pukupuku wāhanga tōmua o ngā awa waiū i roto i te uma . I ētahi wā, ka haere tahi me te mate pukupuku ū kua horapa haere.
• Tērā pea ka kite koe i ngā panonitanga o tō uma, pērā i te puku kirikiri, te kiri e tihore ana, te wai e turuturu ana, te mate pāwera rānei e kore e ora .
• Ko te wawe o tō kitenga me tō rongoā i tēnei, ko te pai ake o te hua o tō whakaoranga.
• Ka ora katoa te nuinga o te tangata, engari me pokanga pea hei tango atu .
• Ki te kite koe i ētahi huringa rerekē i roto i ō ū, inā koa ō uma, he pai ake te rapu tohutohu hauora me te kore e moumou taima .

Ko te tumanako kua whakamōhiotia koe e ēnei kōrero. Kia ora tonu!

` Te mate pukupuku o te ū, te mate a Paget, ngā tohu o te uma, te hauora o te ū, te hauora o ngā wāhine, te kimi mate pukupuku, te maimoatanga mate pukupuku