Kua kite koe i te whero, te mākūkū, te kiri rānei o ō uma i ēnei rā? Tērā pea ka whakaaro koe he mate kiri noa iho, pērā i te ekisema. Tērā pea ka memeha haere ahakoa kāore he rongoā. Engari kaua e wareware noa iho, he mate onge tēnei e kīia nei ko te mate pukupuku o te ū, me aro nui koe ki tēnei.
He aha te mate a Paget o te ū?
He momo mate pukupuku tino onge te Mate a Paget o te Uma e puta ana i te kiri e karapoti ana i tō uma. E 1% ki te 4% o ngā mate pukupuku uma katoa e pā ana ki tēnei mate. Koinei te wā e tipu ai ngā pūtau mate pukupuku ki te mata o te kiri o te uma.
He mea nui, he maha ngā tāngata e pāngia ana e te mate a Paget (neke atu i te 90%) he momo matepukupuku anō hoki kua tīmata i roto i te ū kotahi. Tērā pea he ductal carcinoma in situ (DCIS) , he matepukupuku ū invasive rānei. Ko te tikanga o tēnei, ko tēnei tohu e kitea ana i runga i te kiri he tohu pea nō tētahi raruraru nui ake i roto.
Ko wai te hunga tino mōrearea ki te pangia e tēnei mate?
Ahakoa ka taea e te tangata te pāngia e te mate pukupuku ū, ka taea e ētahi āhuatanga te whakanui ake i te mōrearea. Me titiro tātou ki ēnei āhuatanga.
- Tau: Ka piki haere te mōrearea i te kaumātuatanga, inā koa i muri i te 50 tau. Ko te tau toharite mō te tātaritanga he 57 tau te pakeke.
- Ira Tangata: He nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne.
- Hītori whānau: Mena kua pāngia tō whaea, tō tuahine, tō tamāhine rānei e te mate pukupuku ū, he nui ake anō hoki tō mōrearea.
- Ngā Huringa Ira: Tērā pea ka riro i ētahi tāngata ngā whakarerekētanga ira pēnei i te `(BRCA1)` me te `(BRCA2)` ka piki ake te mōrearea o te mate pukupuku o te ū.
- Taumaha nui rawa: Ko te taumaha rawa, inā koa i muri i te paheketanga, he take mōrearea anō hoki.
- Te inu waipiro: Ka nui ake te mōrearea o te mate pukupuku o te ū ki te inu nui rawa te waipiro.
- Ngā Ū Kikī: Ki te mea he nui ō kiko repe i roto i ō ū (ka taea tēnei te kite mā te mammogram), ka nui ake hoki tō mōrearea.
- Whakaora homoni: Mā te tango i te rongoā homoni kei roto te estrogen mō te wā roa i muri i te paheketanga ka nui ake te mōrearea.
- Whakaora irahiko: Mena i whiwhi koe i te rongoā irahiko ki te uma mō tētahi take i te wā o tō tamarikitanga, i te taiohitanga rānei, he nui ake tō tūponotanga ki te pāngia e te mate pukupuku ū i muri mai.
He aha ngā tohu o te mate a Paget? Me pēhea te mōhio ki tēnei mate?
He tino ngawari ngā tohu o tēnei mate i te tīmatanga. Koia te take e kore ai e arohia e te tini tāngata. Engari he mea tino nui kia mōhio ki ēnei tohu.
Whakaarohia, he whero paku te kiri o tō uma, he rite ki te ponana iti. Ka memeha haere i muri i ētahi rā. E whakaaro ana koe kua ngaro. Engari i muri i ētahi rā, ka puta anō. Mena he raruraru kiri pēnei tōu e puta mai ana, e memeha haere ana, me toro atu koe ki te tākuta.
Me titiro tātou ki tēnei ripanga hei tautuhi mārama i ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Ngā tohu o te wā tōmua | Te whero, te kiri mākūkū, te maroke, me te mākūkū ngawari o te kiri o te uma. Tērā pea he rite ki te ekisema. |
| Ngā āhuatanga o muri mai |
|
I te nuinga o te wā, ka tīmata tēnei mate i te uma, ka horapa ki te kiri mangu (areola) e karapoti ana.
E te tākuta, me pēhea e tautuhia ai tēnei?
Ina haere koe ki te tākuta me ēnei tohu, ka tirotirohia koe e ia i te tuatahi. Kātahi ka tūtohu ia i ētahi whakamātautau hei tautuhi i te mate.
Ko te whakamātautau tino nui, tino hira hoki ko te koiora . Ko te tango i tētahi wahi iti o te kiko mai i te kiri o te uma, ka tirotirohia i raro i te karu hiko kia kitea ai mēnā kei roto ngā 'pūtau Paget'. He maha ngā huarahi e taea ai tēnei koiora:
- Kohikohi mata: Ka waruhia he tauira iti o ngā pūtau mai i te mata o te kiri.
- Kohikohi heu: Ka tangohia te paparanga o runga o te kiri me te taputapu koi.
- Te koiora poka:Ka tangohia he wahi kiri porohita iti mā te whakamahi i tētahi taputapu porohita.
- Ko te koiora wedge: He tikanga pokanga iti hei tango i tētahi wahi kiko.
Nā te mea he maha ngā wā ka haere tahi te mate a Paget me ētahi atu mate pukupuku i roto i te ū, ka whakahau tō tākuta i ētahi atu whakamātautau hei tirotiro i aua mea. Kei roto pea i ēnei:
- Mammogram: He whakamātautau hihi-X o te ū.
- Te Whakamātautau Ultrasound o te Uma: He whakamātautau e whakamahi ana i ngā ngaru oro hei hanga pikitia o roto o te uma.
- Matawai MRI o te ū: He whakamātautau e whakarato ana i te pikitia tino mārama, taipitopito hoki o te ū.
He aha ngā maimoatanga mō tēnei?
Ka whakatauhia te tikanga maimoatanga e te taumata o tō mate. Arā, ka whiriwhiria e te tākuta te maimoatanga pai rawa atu i runga i ngā āhuatanga pēnei i te mate a Paget anake kei a koe, kei roto rānei i te ū tētahi atu mate pukupuku, me te mea kua horapa.
| Tikanga maimoatanga | He whakamārama māmā |
|---|---|
| Te tango i te mastectomy | Te tango pokanga i te ū katoa. Ka whakamahia tēnei tikanga mēnā kua horapa te matepukupuku. |
| Te tango i te tākihi | Ko te tango i te wāhanga anake o te ū kei roto te matepukupuku (te uma, te kiri e karapoti ana, me te puku matepukupuku) me te waiho tonu i te ū kia ora tonu. |
| Te Whakaora Irahiko | Te whakamahi i te irahiko kaha-nui hei whakangaro i ngā pūtau matepukupuku e toe ana i muri i te pokanga. |
| Te rongoā matū | Te hoatu rongoā (pire, werohanga uaua rānei) hei patu i ngā pūtau matepukupuku. |
| Te Whakaora Hormonal | Ka āwhina ngā homoni i ētahi momo mate pukupuku ki te tipu. Mō ēnei momo mate pukupuku, ka hoatu he rongoā hei aukati i te mahi a aua homoni. |
Me pēhea e taea ai e koe te tiaki i a koe anō mai i ēnei momo mate pukupuku?
Ahakoa kāore he huarahi hei ārai i te mate pukupuku 100%, ka taea e tātou te whakaiti i tō tātou mōrearea mā te whakarerekē i tō tātou momo noho.
- Kia mau tonu te taumaha hauora.
- Whakakorikori tinana i ia wā, i ia wā.
- Whakawhāitihia te inu waipiro.
- Kua whakaatuhia e ētahi rangahau ka whakaitihia hoki e te whāngai ū ngā tamariki i te mōrearea o te mate pukupuku o te ū.
Mena kei a koe tētahi, neke atu rānei, ngā āhuatanga mōrearea mō te mate pukupuku o te ū, he mea tino nui kia kōrero koe ki tō tākuta mō tēnei mea, kia whiwhi tohutohu ai hoki mō ngā mea pēnei i ngā whakamātautau auau.
Karere Tangohia ki te Kāinga
- Kaua rawa e warewarehia he ponana kāore e ora, he whero, he kiri e tihore ana, he mamae rānei i runga, i te taha rānei o te uma.
- Ahakoa te āhua he rite ki te ekisema noa, ki te memeha haere i muri i ētahi rā, kātahi ka puta anō, me rapu tohutohu hauora.
- He tohu te mate a Paget o te ū i tētahi atu mate pukupuku i roto i te ū, nō reira he mea whakaora pea te tirotiro hōhonu .
- Pērā i ngā mate pukupuku katoa, ko te kitenga wawe te huarahi pai ki te whakatutuki i ngā hua angitu, nō reira kia tūpato tonu ki ngā huringa o tō tinana.
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