Whakaarohia, kua pāngia tetahi e te tino mate mō ētahi rā, kua pōuriuri tōna mahara, ka mamae ōna hononga i ētahi wā, ā, ka tīmata te mākūkū o tōna kiri. Nō reira, ina haere koe ki te tākuta mō tētahi mea pēnei, ā, ka mahia e rātou ngā whakamātautau maha, ka kitea e rātou ko te pūtake o tēnei katoa he mate pukupuku e huna ana i roto i te tinana. He mea whakamiharo? Kei te wāhi kotahi te mate pukupuku, engari nā ōna pānga, ka puta ngā tohu kāore e tino hono ana ki ngā wāhanga rerekē o te tinana. Koinei te mea e kiia nei e mātou ko te Paraneoplastic Syndrome i roto i te rongoā.
He aha te Paraneoplastic Syndrome?
Tērā pea he ahua uaua tēnei ki te mārama, engari kia māmā noa iho. Ina puta he pukupuku kino i roto i tō tinana, ka pā tika atu. Hei tauira, ki te mea he mate pukupuku pūkahukahu tōu, tera pea ka maremare koe. Ki te mea he mate pukupuku koroni tōu, tera pea he toto kei roto i tō tūtae. Koinei ngā tohu tika o te mate pukupuku.
Engari he rerekē te Paraneoplastic Syndrome . Ko te mea e tupu ana i konei ko te whakaputa a tō tinana i tētahi kohinga o ngā tohu kē atu hei urupare ki te mate pukupuku. Arā, ehara i te mea nā te mate pukupuku tonu i mahi, engari nā te mea kei roto i te tinana te mate pukupuku, ka pōrearea ētahi atu pūnaha o te tinana hei 'tauhohe' ki a ia.
E rua ngā huarahi matua ka taea ai tēnei:
1. Urupare Ārai Mate Pūnaha: Whakaarohia te pūnaha ārai mate o tō tātou tinana hei ope taua e tiaki ana i tētahi whenua. Ko ngā pūtau mate pukupuku he hoariri kua uru mai ki te whenua. Nō reira, ka tīmata tā tātou ope taua (pūnaha ārai mate) ki te whawhai ki tēnei hoariri (mate pukupuku). Mō tēnā, ka hangaia e rātou he patu motuhake, arā , he paturopi . Engari i ētahi wā, i roto i tēnei pakanga, ka hē tā tātou ope taua. Ka tīmata rātou ki te whakaeke i ngā pūtau hoariri, engari i ngā pūtau pai, hauora hoki i roto i tō tātou tinana, me te whakaaro he hoariri rātou. Hei tauira, ka taea e rātou te whakaeke i ngā pūtau i roto i te pūnaha io, ngā pūtau kiri, ngā pūtau rānei i roto i ngā hononga. Koinei te wā ka puta mai ai ngā tohu e pā ana ki aua whekau.
2. Te whakaputanga o ngā homoni e ngā pūtau matepukupuku: Ka taea e ētahi momo matepukupuku te whakaputa i ngā matū nui rawa, pērā i ngā homoni, kāore e hangaia ana e te tinana i te nuinga o te wā, he iti noa iho rānei te hanga. Ka kohia ēnei homoni rerekē i roto i te toto, ka haere puta noa i te tinana, ka whakararuraru i te mahi a ngā momo okana. Hei tauira, ka taea e ēnei homoni te whakanui ake i te toto toto, te whakanui ake rānei i ngā taumata konupūmā i roto i te toto.
Ko te mea nui, i ētahi wā, i mua i te tautuhi i te mate pukupuku, ka puta tuatahi mai ngā tohu e pā ana ki tēnei Paraneoplastic Syndrome. Nō reira, he mea tino nui kia mōhio ki ēnei tohu.
Ko ēhea ngā wāhanga o te tinana e pāngia ana e tēnei mate?
Ka pāngia pea te nuinga o ngā pūnaha o te tinana e ngā mate paraneoplastic. Heoi, ko te nuinga o te wā ka kitea i roto i ēnei pūnaha. Me titiro tātou ki ēnei āhuatanga me ngā āhuatanga ka pā ki ēnei āhuatanga.
| Kua pāngia te pūnaha tinana | Ngā āhuatanga hauora pea (tauira) |
|---|---|
| Pūnaha io (roro, tuaiwi, io) | Ngā āhuatanga pēnei i te Cerebellar degeneration, te Encephalitis, te Lambert-Eaton myasthenic syndrome, te Myasthenia gravis, te peripheral neuropathy, me te Stiff person syndrome. |
| Pūnaha endocrine (ngā homoni) | Ngā āhuatanga pēnei i te mate Cushing, te Hypercalcemia (te nui haere o te konupūmā i roto i te toto), me te mate Carcinoid. |
| Ngā kiko honohono (wheua, hononga, uaua) | Te kiriuhi wheua, te mate hononga paraneoplastic (te mumura o ngā hononga), te mate wheua hypertrophic osteoarthropathy. |
| Toto | Te mate kore toto o te mate mau tonu, te erythrocytosis paraneoplastic, te thrombocytosis paraneoplastic. |
| Kiri | Te acanthosis nigricans (te matotoru me te matotoru o te kiri i ngā wāhi pēnei i ngā kēkē me te kaki), Dermatomyositis, Sweet syndrome, Paraneoplastic pemphigus. |
He aha ngā tohu noa, me ngā tohu motuhake?
He maha ngā tohu noa e kitea tuatahitia ana i roto i te mate paraneoplastic. Ka kitea anō hoki ēnei i roto i tētahi atu mate, nō reira ehara i te mea pai kia mataku noa i te kitenga atu i ēnei.
Ngā tohu noa:
- Te kirika kāore he take
- Hiahia kai
- Te werawera nui i te pō
- Te whakaheke taumaha rerekē me te kore he uaua
Haunga ēnei tohu noa, e ai ki tā tātou i kōrero ai i mua ake nei, ka puta ake ētahi tohu motuhake i runga i te pūnaha tinana e pāngia ana.
| Pūnaha e pāngia ana | Ngā tohu motuhake ka kitea pea |
|---|---|
| Pūnaha io | Te uaua ki te hikoi, te ngaro o te taurite, te whanoke, te tirohanga takirua, te ngaro o te mahara, te mate wareware, te ngoikore o te uaua, te uaua ki te kōrero. |
| Pūnaha endocrine | Te toto toto tiketike, te pikinga o te taumaha kāore i te mārama, te huka toto tiketike, te ngenge nui. |
| kiko hono | Mamae hononga, pupuhi hononga, mamae uaua me te ngoikore. |
| Toto | He hekenga, he pikinga rānei nō roto i tētahi momo pūtau toto (hei tauira, te anemia, te pikinga ake rānei o te hiahia ki te toto kia totoka). |
| Kiri | Ngā puku kiri kāore i te matepukupuku, te whero o te kiri, te mākūkū rawa, me ngā panonitanga o te tae kiri. |
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?
E ai ki ngā tatauranga, e 8 i roto i te 100 o ngā tūroro matepukupuku (8%) ka pāngia e tēnei mate. Heoi, he nui ake te tūponotanga ka pāngia te hunga e pangia ana e te matepukupuku.
Ko ngā momo mate pukupuku e tino hono ana ki tēnei mate ko:
- Te mate pukupuku pūkahukahu (e kitea nuitia ana me tēnei momo)
- Matepukupuku ū
- Ngā mate pukupuku e pā ana ki te toto (pērā i te lymphoma, te leukemia)
- Matepukupuku ovarian
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te kite i tētahi tākuta me ēnei tohu, ko te mea tuatahi ka mahia e ia ko te tango i tētahi hītori hōhonu me te tirotiro tinana. Kātahi ka whakahaua e ia ētahi whakamātautau hei whakatau mēnā he mate pukupuku, he mate hauora rānei te take o ngā tohu.
- Ngā whakamātautau toto: Ka taea e ngā whakamātautau toto o ia rā te tirotiro i ētahi atu take o ō tohumate (hei tauira, ngā mate pāwera, ngā kore taurite o ngā homoni). Waihoki, ka taea e ētahi whakamātautau toto motuhake te rapu i ngā paturopi, i ngā tohu pukupuku rānei e pā ana ki te mate paraneoplastic.
- Whakaahua: Ka whakamahia ngā whakamātautau pēnei i te matawai CT , te matawai MRI , te ultrasound rānei hei rapu mēnā he pukupuku matepukupuku kei roto i te tinana.
- Whakamātautau io: Mena e whakapaetia ana he hononga ō tohu ki te pūnaha io, ka mahi tō tākuta i ngā mahi maha hei whakamātautau i tō kaha, tō mahara, tō taurite, me tō taunga.
- Te pokanga tuaiwi/te pokanga lumbar: Ko te tikanga o tēnei he tango i tētahi wai cerebrospinal, arā, te wai e karapoti ana i tō taurakira, ā, ka whakamātautauhia kia kitea ai mēnā he paturopi rerekē kei roto i tēnei wai e whakaeke ana i ngā pūtau hauora.
Me pēhea te rongoā?
Ko te mea tino nui, tino taketake hoki mō te rongoā i te mate paraneoplastic ko te rongoā i te mate pukupuku i puta ai te mate. Kia oti te whakahaere, te whakaora rānei i te mate pukupuku, ka memeha haere ngā tohu e pā ana ki te mate paraneoplastic.
I taua wā anō, i te wā e rongoatia ana te mate pukupuku, ka tukuna hoki ngā maimoatanga hei whakahaere i ngā tohu kua puta. Ko te whāinga matua o ēnei maimoatanga he whakamarie i te pūnaha ārai mate, e whakaeke hē ana i ngā pūtau hauora.
- Corticosteroids: Ngā rongoā pēnei i te Prednisolone. Ka mahi ēnei mā te whakaiti i te mumura me te pupuhi i roto i te tinana.
- Ngā rongoā ārai mate:Ka whakaitihia e ēnei rongoā te mahi a te pūnaha ārai mate, ā, ka aukati i tana whakaeke i ngā pūtau hauora.
- Immunoglobulin intravenous (IVIG): Ko te hoatutanga o tētahi matū kei roto ngā paturopi i tangohia mai i ngā tāngata hauora mā te uaua. Ka āwhina ēnei paturopi ki te whakangaro i ngā paturopi kino e kino ana ki te tinana.
- Plasmapheresis: He rite tēnei tukanga ki te purenga toto. Ka tangohia ō toto, ka wehea te wāhanga wai (plasma), ka tātarihia ngā paturopi kino, ā, ka tukuna anō te plasma kua purea ki roto i tō tinana.
- Whakaora tinana, mahi me te kōrero: Mena kua pāngia te pūnaha io, ā, he uaua ki te hikoi, ki te kōrero, ki te mahi rānei i ngā mahi o ia rā, ka taea e ēnei maimoatanga te āwhina i te hanga anō i aua pūkenga.
Āhea koe me toro atu ki te tākuta?
Mena kei a koe ētahi tohu rerekē pērā i ngā mea kua whakahuatia i roto i tēnei tuhinga, ina koa he kino rawa, he roa rānei i te rua wiki, me toro atu koe ki te tākuta.
Kia maumahara, ehara i te mea ko te hunga katoa e pāngia ana e ēnei tohu he mate pukupuku. He maha o ēnei tohu ka puta mai i ētahi atu āhuatanga kāore i te tino kino pērā i te mate pukupuku. Nō reira kaua e whakaaro ko te mea kino rawa atu, kaua hoki e mataku. Heoi, he mea nui kia kitea te take o te mate. Nō reira kia tino rapu tohutohu hauora.
Mena kua rongoatia koe mō te mate pukupuku i mua, hei tauira, i roto i ngā tau e rima kua pahure ake nei, ā, kei te pāngia koe e ēnei tohu, he mea nui kia whakamātauria anō koe. Mā tēnei ka āwhina ki te whakatau mena kua hoki mai te mate pukupuku.
Ina noho koe me te mate pukupuku, he mea noa te pōuri ina pā mai he huinga o ngā tohu pēnei. Engari he mea nui kia mārama ko te maimoatanga pai mō tēnei mate paraneoplastic he rite tonu ki te maimoatanga mō te mate pukupuku. Mā te whai i tō mahere maimoatanga mate pukupuku ka āwhina nui i a koe ki te whakahaere i ēnei tohu. He maha ngā maimoatanga ka taea te whakaora i a koe. Kōrerohia mā te tuwhera ki tō tākuta mō ēnei tohu.
Karere Tangohia ki te Kāinga
- Ehara te mate paraneoplastic i te pānga tika o te mate pukupuku, engari he pānga ā-kore i puta mai i te pūnaha ārai mate o te tinana, i ngā homoni rānei hei urupare ki te mate pukupuku.
- I ētahi wā, ka puta tuatahi mai ngā tohu e pā ana ki tēnei mate, i mua i te tautuhia o te mate pukupuku.
- Ko te huarahi matua ki te rongoā i tēnei mate ko te rongoā i te mate pukupuku taketake.
- Mena ka puta mai ngā tohu rerekē (hei tauira, te hekenga taumaha, te ngoikore o te uaua, te panoni kiri) kāore he take, ā, ka roa atu i te rua wiki, me toro atu ki te tākuta i runga i te wā tonu.
- I te mea ka taea e ēnei tohu te puta mai i te maha atu o ngā mate hauora, he mea nui kia kaua e mataku, me rapu whakamātautau hauora tika .
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