Kua kite koe i ētahi wā he rerekē te āhua o te kiri o ō ū, he rite ki te kiri karaka he iti ngā kōhao, he taratara te āhua? I roto i te rongoā, ka kiia tēnei ko 'Peau D'Orange' (peau-d'orange). I te reo Wīwī, ko te tikanga o tēnei ko "kiri karaka". Ko te mea nui ehara tēnei i te mate. Heoi, he tohu pea tēnei nō tētahi atu mate kei roto i te tinana. Nō reira, he mea nui kia mōhio koe ki tēnei, kaua hoki e wehi.
He aha te tino take o tēnei kiri karaka (Peau D'Orange)?
Ki te kī māmā noa, ko te tino take o tēnei ko te pupuhi i puta mai i te wai e kohia ana i raro i te kiri. Ka karangatia hoki tēnei e ngā tākuta ko te '(Edema)'. Whakaarohia, ina kohia te wai i raro i te kiri, ka tīmata te paparanga o runga o te kiri (e kiia ana ko te 'epidermis') ki te totoro hei hanga wāhi. Engari ko ngā pūwero o roto i tō tātou kiri e tuku ana i te werawera kia puta, ka puritia ki te wāhi e te kiri, pērā i ngā pātene i runga i te urunga. Koinā te wā e āhua ana te mata o te kiri he rite ki ngā rua iti, ki ngā puku rānei.
Ka pāngia pea tēnei āhuatanga e te mamae, te taumaha, me te pupuhi o te ū. I ētahi wā, ka ahua taratara, ka matotoru hoki, pērā i te hiako, ina pāngia.
He mate pukupuku tonu tēnei? Me āwangawanga ahau?
Kāo. Koinei te mea tuatahi hei mārama. He maha ngā take e pupuhi ai, e whero ai, e mārō ai, e mamae ai rānei ngā kiko o te ū. Hei tauira, ka pā mai pea i te wā e hapu ana, e whāngai ana i te ū, i te wā e pāngia ana e te paheketanga , nā ngā raruraru kiri noa rānei. Heoi, ko te āhua motuhake e kiia nei ko te 'Peau D'Orange', arā, ko te āhua pōkarekare o te kiri karaka, ka puta mai i te wā e kohia ana te wai (edema) i raro.
Heoi, ko te take tino nui me tino āwangawanga tātou ko te mate e kiia nei ko te Inflammatory Breast Cancer (IBC) .
He momo mate pukupuku tino onge tēnei engari he tere te horapa, nō reira he mea nui kia mōhio koe ki tēnei.
Kia tūpato mō te matepukupuku o te ū mumura (IBC)
Ahakoa he iti noa te ōrau o tēnei momo mate pukupuku (iti iho i te 5%) o ngā mate pukupuku ū katoa e kitea ana i Sri Lanka, me tere tonu te rongoā mō tōna āhua.
I te IBC, ka āraia e ngā pūtau matepukupuku ngā oko toto lymph i roto i te kiri o te ū. Ka ārai tēnei i te rere tika o te wai lymph mai i ngā pona lymph i raro i te kēkē, i runga ake rānei i te wheua kara, ka noho ki roto i te ū. Ko tēnei wai e pupū ake ana te āhua o te 'peau d'orange'.
Kia tūpato ki ēnei tohu, e puta wawe ana i te ū kotahi anake.
| Ētahi atu tohu o te IBC |
|---|
| * Mamae, ngoikore, me te mākūkū. |
| * Te whakanui i ngā ū, te taumaha rānei o te tinana. |
| * Te māhana o te ū. |
| * Te pupuhi mārama. |
| * Te whero i runga ake i te kotahi hautoru o te ū. |
| * Te papatahi, te huripokitia rānei o ngā uma. |
Ko ngā kōwhiringa maimoatanga mō te IBC ka whakatauhia e te tākuta i runga i te āhua o te tūroro. Kei roto pea i ēnei:
- Te rongoā matū
- Pokanga – He maha ngā wā me tango te ū katoa.
- Te rongoā irahiko
- Te rongoā arotahi
- Te rongoā homoni
He aha atu ngā take i tua atu i te mate pukupuku?
E ai ki tā tātou i kōrero ai, ko te tino take o te putanga mai o te `Peau D'Orange` ko te kohikohinga o te wai i raro i te kiri (`Edema`). He maha ngā take ka puta ai tēnei āhuatanga `Edema`, ehara i te mate pukupuku anake.
Hei tauira, he mate e kiia nei ko te Lymphedema . Koinei te wā kāore e rere tika te wai lymph, ā, ka kohia ki te wāhi kotahi. Ka puta anō hoki tēnei mate i muri i te maimoatanga mate pukupuku o te ū (pokanga, rongoā irahiko). Ka puta anō hoki mō ētahi atu take.
| Ko ētahi atu āhuatanga kāore i te matepukupuku ka puta ai te Peau D'Orange |
|---|
| * Te aukati, te mate rānei o ngā awa waiū (`Mastitis`) |
| * Ngā mate hononga o te kiko (pērā i te `Scleroderma`, `Sarcoidosis`) |
| * Ētahi atu mate ū (`Pangohanga`) |
| * Te ngoikore o te ngākau |
| * Te mate tairoi |
| * Ngā tauhohenga ki ētahi rongoā whakamamae mamae, ki ngā rongoā toto toto tiketike rānei |
| * Tauhohenga mate pāwera |
| * Ngā toto totoka |
| * Te haputanga |
| * Ētahi atu pukupuku kore-matepukupuku ('Puku') haunga te IBC |
Mena ka puta te pupuhi nā tētahi take pēnei, haunga te pupuhi, ka pāngia pea koe e ngā tohu pēnei i te ngoikore, te piri o te kiri, me te matotoru o te kiri . Mēnā he pēnei te āhua, ka ngana tuatahi tō tākuta ki te rongoā i te take matua.
Hei tāpiritanga, ka tohua pea ngā whakarerekētanga kai , te whakakori tinana , te whakaiti taumaha , ā, ki te tika , ngā rongoā diuretic, ngā pire wai rānei .
Me aha koe mēnā ka kite koe i tētahi tohu pēnei?
Koinei te wāhanga tino nui. Ki te kite koe i ngā rua, i te pupuhi, i te whero, i te mamae, i ētahi atu huringa rerekē rānei i roto i te kiri o tō ū, kaua e mataku. Engari kaua e warewaretia.
Ko te mea tuatahi me mahi e koe, ko te toro atu ki tō tākuta i te wā e taea ai, kia tirohia ai koe e tō hauora.
Engari i te rapu mōhiohio i te ipurangi me te mataku, ko te otinga pai ko te toro atu ki tētahi tākuta whai tohu. Ka tirotirohia koe e tō tākuta, ā, ki te tika, ka tukuna koe ki ngā whakamātautau pēnei i te matawai ultrasound, te mammogram, te biopsy rānei kia kitea ai te pūtake. Kia maumahara, mā te kitenga wawe ka piki ake te tūponotanga o te maimoatanga angitu mō tētahi mate.
Karere Tangohia ki te Kāinga
- Ehara te 'Peau d'Orange' (kiri karaka) i te mate, engari he tohu nō tētahi mate kei raro.
- Ahakoa ko te 'Inflammatory Breast Cancer (IBC)' te tino take kino o tēnei, tera pea he maha atu ngā take ehara i te matepukupuku, tae atu ki ngā mate pāwera, te haputanga, me ētahi atu.
- Ki te kite koe i ētahi huringa ki te kiri o tō ū, pērā i te pupuhi, te whero, te mamae rānei , kaua e whakaroa, me rapu tonu i te tohutohu hauora.
- Engari i te mataku me te rapu kōrero i runga i te ipurangi, he pai ake te toro atu ki te tākuta me te rapu i te tino take.
- Mā te kitenga wawe ka nui ake te tūponotanga ka angitu te rongoā i tētahi āhuatanga.
Pīni D'Orange Sinhala, Kiri Kiri Karaka, Ngā Tohumate Mate Pukupuku o te Uma, Mate Pukupuku o te Uma Mumura Sinhala, Pupuhi o te Uma, Hauora o ngā Wahine, Edema Sinhala
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