E mōhio ana koe ki tēnei mate pukupuku onge e puta ana i roto i te arai o te puku (peritoneal mesothelioma)?

Kei te pāngia koe e te mamae, te pupuhi rānei i roto i tō puku i ētahi wā? Kei te ngaro te hiahia kai, kei te heke te taumaha? Ahakoa kāore tātou e aro ki ēnei tohu i ētahi wā, he tohu pea ēnei mō tētahi mate kino kei raro. I tēnei rā ka kōrero tātou mō tētahi momo mate pukupuku he onge noa iho, engari he tika kia aro nui ki a ia. Koia te mate pukupuku e kiia nei ko te 'Peritoneal Mesothelioma'.

He aha tēnei Peritoneal Mesothelioma?

Ki te kī māmā noa, ko te 'Peritoneal Mesothelioma' he mate pukupuku e tupu ana i roto i tō tātou puku, arā, i roto i te kiriuhi angiangi e kapi ana i te kōhao puku, e kīia ana i te taha hauora, ko te 'peritoneum'. Whakaarohia, he rite tēnei 'peritoneum' ki tētahi hipoki tiaki angiangi e karapoti ana i ngā whekau nui i roto i tō tātou puku, pērā i te ate, ngā whekau, me te puku.

He rite tonu tēnei mate pukupuku ki ētahi atu momo mesothelioma, ā, he maha ngā wā ka honoa ki te pānga o mua ki tētahi matū e kiia nei ko te asbestos. Kua rongo pea koe he rauemi te asbestos e whakamahia ana hei hanga i ētahi rauemi hanga. He tino morearea tēnei nā te mea ka pā mai he raruraru nui ki ngā muka o roto mēnā ka hongihia, ka kainga rānei.

He mate pukupuku tino kaha, he tere hoki te horapa o te peritoneal mesothelioma. I te nuinga o te wā, ahakoa kua kitea, kua horapa kē te mate pukupuku puta noa i te arai o te puku. Nō reira, he uaua ki te kite wawe.

He aha te rerekētanga i waenga i te Peritoneal Mesothelioma me te Pleural Mesothelioma?

Ka puta te 'Peritoneal Mesothelioma' me te 'Pleural Mesothelioma' i roto i ngā kiriuhi e whakarārangi ana i ngā kōhao nui me ngā whekau o roto o te tinana.

• Ka whanake te peritoneal mesothelioma i roto i te kiriuhi e whakarārangi ana i te kōhao puku, e karapoti ana hoki i ngā whekau puku, arā, te peritoneum i kōrerotia i mua ake nei.
• Ka puta te mesothelioma pleural i roto i te kiriuhi e whakarārangi ana i te kōhao o te uma, inā koa ko ngā pukahukahu. Ka kiia ko te pleura.

He momo pūtau motuhake e kiia nei ko ngā 'pūtau mesothelial' te mea hanga o ēnei kiriuhi e rua. Koia te take i huaina ai tēnei mate pukupuku ko te 'mesothelioma'.

He kino te nuinga o ngā momo mesothelioma e rua, arā, he matepukupuku . Ka tere te tipu o ēnei pūtau mesothelial kino, ā, kāore e taea te whakahaere, ka kino te kiko hauora e karapoti ana. Ko te mesothelioma pleural he momo matepukupuku noa ake i te mesothelioma peritoneal.

Ko wai te hunga tino tūpono ka pāngia e tēnei mate? He pēhea te noa o tōna pānga?

Ka taea e te tangata katoa te pāngia e te 'Peritoneal Mesothelioma'. Heoi, he tino onge tēnei mate i waenga i ngā tamariki nohinohi. I te nuinga o te wā, ka kitea tēnei mate i roto i te hunga kei roto i ō rātou tau 50.

Ahakoa ko te 'Peritoneal Mesothelioma' te tuarua o ngā momo 'Mesothelioma' e tino kitea ana (ko te tuatahi ko te 'Pleural Mesothelioma'), he mate pukupuku tino onge hoki. Ka puta te 'Peritoneal Mesothelioma' i waenga i te 10% me te 20% o ngā tūroro 'Mesothelioma' katoa. Whakaarohia, i roto i tētahi whenua pēnei i a Amerika, i waenga i te 400 me te 1000 ngā kēhi hou o ēnei tūroro e pūrongohia ana i ia tau. Nō reira, ahakoa kei Sri Lanka anō ēnei tūroro, he tino iti te maha.

He aha ngā tohu o te Peritoneal Mesothelioma? Me pēhea te kite i a rātou?

He mea tino nui tēnei, nā te mea i te nuinga o te wā, kāore he tohu o te Peritoneal Mesothelioma i ngā wāhanga tōmua. Ka tīmata noa te puta o ngā tohu i muri i te horapa o te mate pukupuku ki ngā whekau o te puku.

Ko te tohu tino kitea ko te wai e pupū ake ana i roto i te puku. Ka kiia hoki tēnei ko te 'ascites'. Ina pupū ake te wai, ka tīmata te puku ki te whakanui me te pupuhi. Ko te tuarua o ngā tohu tino kitea ko te mamae o te puku.

Ko ētahi atu tohu pea ko:

• Te ascites : Te ahua nei kua kī te puku, kua taimaha hoki.
• Te pupuhi o te puku, te pupuhi rānei : Ka piri pea ngā kākahu.
• Mamae puku : He mamae tēnei ka horapa puta noa i te puku, he mamae rānei ka pā ki te wāhi kotahi.
• Tērā pea ka rongo koe i tētahi puku mamae i te puku o raro .
• Te kōroke, te aukati rānei i te puku : E ahua pupuhi ana tō puku, ā, he uaua ki te tuku tūtae.
• Whakapairuaki me te ruaki .
• Te kirika kāore i te mārama me te werawera i te pō .
• Te whakahekenga taumaha e kore e taea te whakaaro .
• Kāore he reka o te kai .

He mea nui: Ki te mau tonu tētahi, ētahi rānei o ēnei tohu, he mea nui kia toro atu koe ki tētahi tākuta mō ētahi tohutohu. Kaua e manukanuka, ehara i te mea ko te mate pukupuku te take o ēnei tohu katoa. Tērā pea ka puta mai i ētahi atu mate noa. Heoi, he mea pai tonu kia tirohia koe.

He aha ngā take me ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te Peritoneal Mesothelioma?

Ko te tino take mō te whanaketanga o te mesothelioma ko te pānga ki te asbestos. He rauemi muka te asbestos e whakamahia ana i roto i te hanganga, te putorino, te mahi hiko, te tuanui, ētahi ahumahi hanga, me te ahumahi motuka. He maha ngā tāngata e pāngia ana e te mesothelioma, ā, he mahi ā rātou e whakaatu ana i a rātou ki te asbestos.

Heoi, ahakoa he hītori o te pānga o te asbestos ki te nuinga o te hunga e pāngia ana e te pleural mesothelioma (te momo e pā ana ki ngā pukahukahu), kāore i te tino mārama te hononga i waenga i te peritoneal mesothelioma (te momo e pā ana ki te arai o te puku) me te asbestos. Ko ētahi o te hunga e pāngia ana e te peritoneal mesothelioma, kāore pea i te hītori o te pānga o te asbestos ki ngā mahi. Kei te rangahauhia tonutia tēnei.

Anei ētahi atu āhuatanga mōrearea mō te whakawhanaketanga o te 'Peritoneal Mesothelioma':

• Te pānga ki te asbestos : Ina uru mai ngā muka asbestos ki roto i tō tātou taiao, ka rere ki te rangi. Ina uru mai, ka taea e rātou te uru ki roto i tō tātou tinana mā roto i ō tātou waha me ō tātou ihu, ka haere ki te arai o te puku (peritoneum), ka noho ki reira. Kia noho mai, ka kino ngā pūtau mesothelial, ka wehewehea ō rātou wāhi. Koinei te take e puta ai ngā pukupuku matepukupuku. Whakaarohia, ka puta te mesothelioma i muri i ngā tau maha i te pānga ki te asbestos, i ētahi wā ka tae ki te 40 tau te roa.
• Te Whakamāramatanga ki te Silica me te Erionite : He kohuke noa ēnei e kitea ana i roto i te oneone. Kua kitea hoki he hononga te pānga ki ēnei ki te Pleural me te Peritoneal Mesothelioma.
• Ngā whakarerekētanga ira : Kua whakaatuhia e ētahi rangahau mēnā ka pāngia koe e te asbestos, ā, ka pāngia koe e ētahi whakarerekētanga ira, ka piki ake pea tō tupono ki te whakawhanake i te peritoneal mesothelioma. Ko tētahi o ngā whakarerekētanga ira tino noa ko te whakarerekētanga o te ira e kiia nei ko te BAP1. Ko tēnei ira, e kiia nei ko te BAP1, te kawenga mō te aukati i te tipu o te mate pukupuku.
• Te pānga ki te irahiko : E whakaarohia ana hoki ko te whiwhi i te rongoā irahiko mō te mate pukupuku o te puku i mua ka piki ake te tūponotanga o te whakawhanake i te peritoneal mesothelioma. Heoi, me nui ake ngā rangahau hei mārama ki te whanaungatanga i waenga i te irahiko me te tūponotanga o te mesothelioma.

Me pēhea koe e mōhio ai mēnā kei a koe te Peritoneal Mesothelioma?

He uaua pea te tātaritanga i te Peritoneal Mesothelioma, e ai ki tā mātou i kōrero ai i mua ake nei, nā te mea he maha ngā wā kāore e whakaatu i ngā tohu i ngā wāhanga tōmua. Ina puta mai ngā tohu, ka rite pea ki ētahi atu mate noa o te ara kai, ki ētahi atu momo mate pukupuku rānei. Nō reira, he maha ngā wā ka whakakorehia ēnei āhuatanga noa i te wā e tātaritanga ana.

Hei tautuhi i te mate, ka taea te whakahaere i ngā whakamātautau e whai ake nei:

• Matawai CT : Ka tono pea tō tākuta i tētahi matawai CT hei whakakore i ētahi atu āhuatanga e puta ai ngā tohu rite ki te peritoneal mesothelioma, pērā i te mate pukupuku ovarian, te adenocarcinoma rānei. Tērā pea ko te werohanga i tētahi tae haumaru (whakawhitinga) ki roto i ō toto kia kitea ake ai ngā mea pērā i ngā puku i roto i tō puku i te matawai.
• Matawai MRI (Whakaahua Āhua Aukume (MRI)) : Ka taea e te MRI te whakarato i te taumata taipitopito rite tonu ki te matawai CT. Ka taea te mahi MRI mēnā kāore e taea te whakamahi i te matawai CT me te whakahāngai ira.
• Ngā whakamātautau totoTērā pea ka whakamātauhia e tō tākuta ētahi tohu i roto i ō toto, pērā i ngā pūmua motuhake, he tohu pea ēnei o tētahi pukupuku matepukupuku.
• Tātaritanga wai peritoneal : I roto i tēnei tikanga, ka werohia e tō tākuta he ngira ki roto i tō puku, ka tangohia he tauira o te wai hei tirotiro i ngā tohu o te mesothelioma. Heoi, kotahi te herenga o tēnei whakamātautau. Ka whakaratohia he mōhiohio anake mō te wai i roto i tō puku, ehara i te kiko i roto i tō puku. Ko te wāhanga o te mate pukupuku e whakawhirinaki ana ki te nui o te horapa o te mate pukupuku ki te kiko.
• Ko te koiora ngira matua e arahina ana e te CT, te koiora laparoscopic rānei : Ko te huarahi anake hei whakaū i te tautuhi mate o te peritoneal mesothelioma ko te whai koiora. I roto i tēnei, ka whakamahia e tō tākuta he whakaahua (pēnei i te matawai) hei kimi i te wāhi tika o tō puku. Kātahi, mā te whakamahi i ngā taputapu pokanga, ka tangohia he tauira kiko ka tukuna ki te taiwhanga hei whakamātautau.

He aha ngā wāhanga o te Peritoneal Mesothelioma?

Ko ngā wāhanga o te mate pukupuku e tohu ana i te tawhiti o te whanaketanga me te horapa o te mate. Ko te pūnaha wāhanga e whakamahia whānuitia ana mō te peritoneal mesothelioma ko te PCI (Peritoneal Cancer Index).

I roto i te tikanga `PCI`, ka wehea tō puku kia 13 ngā wāhanga, ā, ka hoatu he kaute mai i te 0 ki te 3 ki ia wāhanga.

• Ko te tikanga o te 0 kāore he matepukupuku i taua wāhi.
• Ko te tikanga o te 3 kua kapi katoa taua wāhanga i te mate pukupuku.

Kātahi ka tāpirihia e te tākuta ngā kaute mō ia o ēnei wāhanga, ka whakatau i te taumata o te mate pukupuku. Ko te taumata 1 te taumata kāore i tino matatau. Ko te taumata 4 te taumata tino matatau.

• Wāhanga 1: Kaute PCI mai i te 1 ki te 10.
• Wāhanga 2: Kaute PCI mai i te 11 ki te 20.
• Wāhanga 3: Kaute PCI mai i te 21 ki te 30.
• Wāhanga 4: Kaute PCI 31 ki te 39.

He aha ngā maimoatanga mō te Peritoneal Mesothelioma?

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te taumata o tō mate pukupuku, tō hauora whānui, me ētahi atu āhuatanga.

Te pokanga Cytoreduction me te maimoatanga HIPEC (Cytoreduction me HIPEC)

Ko te maimoatanga e whakamahia whānuitia ana mō te peritoneal mesothelioma he huinga o te pokanga cytoreduction me te chemotherapy hyperthermic intraperitoneal (HIPEC) .

• Cytoreduction : He pokanga tēnei e tango ana i ngā pūtau matepukupuku i roto i tō puku. Ka tangohia e ngā tākuta ngā puku e kitea ana. Tērā pea ka tangohia e rātou ngā wāhanga o te peritoneum me ngā whekau puku kua horapa te matepukupuku.
• Te rongoā matū wera nui i roto i te kopu (`HIPEC`)He momo chemotherapy motuhake tēnei e hoatu ana i muri i te pokanga cytoreduction. Ka whakamahanahia ngā rongoā chemotherapy ki tētahi pāmahana haumaru, ā, ka hoatu tika ki roto i te kōhao puku. Mā tēnei wera ka kaha ake ngā rongoā i te chemotherapy noa. Ka patua e te HIPEC ngā pūtau matepukupuku iti i mahue pea, kāore i tangohia i te wā o te pokanga. He iti ake hoki ngā pānga taha o te HIPEC i te chemotherapy noa.

He nui, he uaua hoki ngā mahi pokanga Cytoreduction me te HIPEC, ā, ka roa ake pea i te 10 hāora. Heoi anō, kua whakaatuhia e ngā rangahau ka āwhina tēnei tikanga maimoatanga i te hunga whai Peritoneal Mesothelioma kia roa ake te ora.

Te rongoā matū

Mena kāore e taea e koe te mahi pokanga cytoreduction me te HIPEC, ka tukuna pea he chemotherapy pūnaha ki a koe. Ka haere ngā rongoā chemotherapy pūnaha mā roto i ō toto ka patu i ngā pūtau matepukupuku puta noa i tō tinana. Ka taea te hoatu ngātahi i ngā momo rongoā chemotherapy rerekē.

Te rongoā ārai mate

Ko ngā rongoā ārai mate e kiia nei ko ngā "aukati tirotiro ārai mate" ka āwhina i tō ake pūnaha ārai mate ki te kimi me te whakangaro i ngā pūtau matepukupuku. He mea noa te whakamahi i ēnei rongoā hei rongoā i te "mesothelioma pleural." Tērā pea ka tohua e tō tākuta hei rongoā i te "mesothelioma peritoneal."

Te rongoā arotahi

Tērā pea he huringa ira kei roto i ngā pūtau matepukupuku o ētahi tāngata whai peritoneal mesothelioma. Ka taea tēnei te rongoā mā ngā rongoā kua whakaritea. Ka mahi ngā rongoā kua whakaritea mā te arotahi tika ki ngā huringa ira e meinga ai ngā pūtau hauora kia huri hei pūtau matepukupuku. Tērā pea ka wātea ēnei maimoatanga mā tō tākuta matepukupuku e rongoā ana, mā roto rānei i ngā rangahau e kiia nei ko ngā whakamātautau haumanu e whakamātautau ana i te haumaru me te whai huatanga o ngā maimoatanga hou. He mea nui kia mahia he whakamātautau ira (whakamātautau ira) ki te kiko matepukupuku i tangohia mai i tō koiora hei tirotiro mēnā kei roto i tō matepukupuku ēnei huringa ira ka taea te arotahi.

Te tiaki mamae

Hei āwhina i a koe ki te whakahaere i ngā tohu o te mate pukupuku me ngā pānga taha o te maimoatanga, ka tūtohu pea tō tākuta i te tiaki mamae. Mena kāore koe i te tino hauora mō te pokanga, mena kua tae tō mate pukupuku ki te wāhanga kua piki haere, ko te tiaki mamae pea te kōwhiringa pai rawa atu māu. Ka uru pea ki te tiaki mamae ngā tikanga pēnei i te paracentesis, e tango ana i te wai mai i te puku. Ka taea e tēnei te āwhina ki te whakaiti i te mamae me te kore whakamarie i puta mai i te kohikohinga wai.

Me pēhea te whakaiti i te mōrearea o te whanaketanga o tēnei mate?

Ko te huarahi anake hei whakaiti i te mōrearea o te whakawhanake i te Peritoneal Mesothelioma ko teTe karo i te pānga ki te asbestos. I ngā tau 1970, i whakatinanahia e ngā tari pēnei i te Environmental Protection Agency (EPA) i te United States ngā ture mō te whakamahinga o te asbestos. Heoi, ko ngā whare i hangaia i mua i te mana o aua ture, tera pea kei roto tonu te asbestos. Mena ka whakakorikoria ngā muka asbestos, ka rere ki te hau, ka tino kino.

Hei whakaiti i tō mōrearea, karohia te mahi i ngā whakatikatika, i ngā whakarerekētanga rānei e tūpono ai koe ki te mate asbestos. Engari, utua he tohunga, pērā i te tohunga tango asbestos, hei whakahaere i aua mahi.

He aha te momo tumanako ka taea e koe i a koe e noho tahi ana me te Peritoneal Mesothelioma?

Ehara te peritoneal mesothelioma i te mate e kore e taea te rongoā katoa. Heoi, ka taea e te maimoatanga te whakaroa i tō oranga, tae atu ki te whakaroa i ngā wā e hoki mai ai te mate. Mā te mahi tahi me tētahi rōpū oncologists e tohunga ana ki te rongoā i te mesothelioma ka taea te whakapai ake i ngā putanga o tō maimoatanga. Ka taea hoki e te mahi tahi me ngā tohunga tiaki mamae te whakapai ake i tō kounga o te oranga i a koe e ora ana me tēnei mate pukupuku.

He aha ngā āhuatanga e pā ana ki tō matapae?

Ko te matapae mō tō mate ka whakawhirinaki ki ētahi āhuatanga:

• Momo pūtau : E toru ngā momo pūtau ka taea te whanake hei pukupuku. Ko te momo tino noa, e kiia nei ko ngā pūtau epithelioid, he pai ake te āhua o te mate i ngā momo pūtau e rua, arā, ngā pūtau sarcomatoid me ngā pūtau biphasic.
• Te wāhanga o tō mesothelioma : Mena ka tautuhia te mate, ka rongoatia hoki i te wā tōmua, tera pea ka pai ake ngā putanga.
• Tō ira tangata : Mō te Peritoneal Mesothelioma, kua whakaatuhia he pai ake te matapae o ngā wāhine i ngā tāne.
• Te tango katoa i ngā puku : Mena ka taea e tō tākuta te tango katoa i ngā puku, tera pea ka pai ake tō matapae.
• Thrombocytosis : Mena he thrombocytosis tōu, tera pea kāore tō matapae. Ko te thrombocytosis he āhuatanga e nui rawa ai ngā pereti toto i roto i ō toto. Ko ngā pereti toto he pūtau e āwhina ana i te toto kia totoka.

Kia pēhea te roa ka taea e koe te ora me te Peritoneal Mesothelioma?

Ko te hunga kua tāpaetia he Peritoneal Mesothelioma ka taea te ora mō te 6 ki te 12 marama me te kore maimoatanga. Heoi, mā te maimoatanga, he pai ake te tere ora. Ko ngā tūroro Peritoneal Mesothelioma e whai pokanga cytoreductive me te HIPEC ka ora mō te rua ki te ono tau i muri i te tāpaetanga. Ko ētahi tāngata he roa ake te ora.

Heoi, he maha ngā āhuatanga e whakawhirinaki ana ki tō matapae. Ko tō tākuta te tangata pai rawa atu ki te mārama ki ngā āhuatanga ka pā ki tō matapae, i runga i ngā kōwhiringa maimoatanga e wātea ana ki a koe.

He aha ngā pātai nui hei pātai atu ki tō tākuta?

Mena kua tohua koe kei te mate koe i te Peritoneal Mesothelioma, kōrero ki tō tākuta mō ēnei mea:

• "Ko wai ngā tākuta tohunga hei rongoā i ahau?"
• "He pai ake māku te tiki āwhina mai i tētahi tīma tiaki mamae?"
• "He aha te momo mesothelioma kei a au?"
• "Kua horapa te mate pukupuku ki te pēhea te tawhiti? (Arā, he aha te wāhanga o te mate?)"
• "He aha ngā kōwhiringa maimoatanga kei a au?"
• "He 'whakamātautau haumanu' (he rangahau e whakamātautau ana i ngā maimoatanga hou) ka taea e au te whai wāhi atu?"
• "He aha ngā hua ka taea e au te tumanako mai i ngā maimoatanga e wātea ana?"
• "He aha ngā pānga taha o te maimoatanga? Me pēhea te whakahaere i ēnei?"

Hei whakamutunga, ngā mea hei maumahara...

He mate pukupuku onge engari he kino te Peritoneal Mesothelioma. Ko te pānga ki te asbestos tetahi o ngā tino take. Mena kei a koe tētahi o ngā tohu kua kōrerohia e tātou, he mea nui kia rapu awhina hauora tonu.

He mea noa te mataku me te manukanuka ina rongo koe mō tētahi mate pēnei. Engari kia maumahara, kāore koe i te mokemoke. Kei a koe ngā tākuta, te whānau, me ngā hoa hei āwhina i a koe. Ko te mea nui ko te tiki i ngā mōhiohio tika, te kōrero tuwhera ki ō tākuta, me te tiki i te maimoatanga pai rawa atu māu. Ka taea e te maimoatanga te āwhina i te whakaroa i tō oranga me te whakapai ake i te kounga o tō oranga.

` Mesothelioma Peritoneal, mate pukupuku, mate pukupuku puku, asbestos, peritoneum, mesothelioma, HIPEC, tohu, maimoatanga