Kua kite koe i tētahi puku iti e tata ana ki tō taringa, i roto i tō kauae, i roto rānei i tō waha? Kāore pea koe i kite i tēnā nā te mea kāore e mamae. Ahakoa he puku iti, he mea nui kia mōhio koe ki tēnā. I tēnei rā, ka kōrero tātou mō tētahi mea pēnei - he āhuatanga e kiia nei ko te Pleomorphic Adenoma .
He aha te Adenoma Pleomorphic?
Ki te kī ngāwari, ehara tēnei Pleomorphic Adenoma i te matepukupuku . Arā, ehara i te pukupuku kino e horapa puta noa i te tinana. Heoi, he pukupuku ka puta i roto i ō tātou repe huware . I mōhio koe he maha ngā repe i roto i ō tātou waha e āwhina ana ki te whakaputa huware? O ēnei, ko ngā repe parotid, kei mua i ngā taringa, te mea tino noa. Hei tāpiri, ka taea hoki e rātou te puta i roto i ngā repe submandibular i raro i te kauae me ngā repe huware iti i te tuanui o te waha. Ko te mea pai rawa atu, ina tangohia tēnei pukupuku mā te pokanga, kāore e hoki mai anō.
He pēhea te noa o tēnei āhuatanga?
Tērā pea kei te whakaaro koe he pēhea te noa o tēnei. Inaa, ehara te Pleomorphic Adenoma i te mea noa . Ki te tirohia ngā tatauranga i tētahi whenua pēnei i a Amerika, e kīia ana e pā ana tēnei mate ki te toru tāngata mō ia rau mano (3 mō ia 100,000). Engari, ko te mea nui ko tēnei te momo pukupuku kore-matepukupuku (pai) tino noa e whanake ana i roto i ngā repe huware. Ahakoa ka taea e te tangata te whakawhanake i tēnei pukupuku, he maha ake te kitea i roto i ngā wāhine i waenga i te 30 me te 70 tau te pakeke .
He aha ngā tohu o te Pleomorphic Adenoma?
He pēhea te puta mai o ēnei pukupuku? He maha ngā wā ka kitea tuatahitia i ēnei wāhi:
- Kei mua i tō taringa (he adenoma pleomorphic tēnei e whanake ana i roto i te repe parotid)
- I raro i tō kauae (he adenoma pleomorphic tēnei e puta ana i roto i te repe submandibular)
- I runga i te tuanui, i te tuanui rānei o tō waha (ka puta mai ēnei i ngā repe huware iti)
Ko te mea nui, he tino puhoi te tipu o ēnei pukupuku. Nō reira, tērā pea kāore koe e kite i tētahi tohu i te tīmatanga. Ka puta mai ēnei tohu i roto i te wā:
- Ka tīmata te puta mai o tētahi puku kotahi, kāore he mamae, i raro i te kiri, i roto i tō kauae, e tata ana ki tō taringa, i roto rānei i tō waha.
- Ina pā atu koe ki tēnei hua, i ētahi wā ka ngawari, i ētahi wā ka paku mārō .
- I te nuinga o te wā, ki te pēhia e koe tēnei nati ki ō maihao , ka neke haere .
Ko te nuinga o ngā adenoma pleomorphic he rerekē te rahi mai i te 2 henimita (tata ki te rahi o te pīnati) ki te 6 henimita (tata ki te rahi o te hua manu). Heoi, ki te kore e rongoatia , ka nui ake pea te tipu o ēnei pukupuku i ētahi wā. Kua pūrongohia ngā kēhi tae atu ki te 35 henimita (tata ki te 13 inihi!). Whakaarohia te uaua o te noho me tētahi pukupuku nui.
He aha te take o te Pleomorphic Adenoma?
Kāore anō kia tino mōhiotia e ngā kairangahau hauora he aha te pūtake o te pleomorphic adenoma, engari kua tautuhia e rātou ētahi āhuatanga mōrearea:
- Te pānga ki te irahiko: E ai ki ētahi rangahau ka pāngia ētahi tāngata e ēnei pukupuku 15 ki te 20 tau i muri i te whiwhinga o te rongoā irahiko mō ngā mate pukupuku o te upoko me te kaki.
- Te pānga ki ētahi matū: E whakapaetia ana ko ētahi matū e whakamahia ana i roto i te hanga rapa, te keri asbestos, te mahi paipa rānei tētahi o ngā take.
He aha ngā raruraru ka pā mai i te Pleomorphic Adenoma?
He take tēnei e āwangawanga ana. Tata ki te 5% o ngā adenoma pleomorphic ka huri hei matepukupuku . Ka kiia tēnei ko te 'carcinoma ex pleomorphic adenoma' . Kāore anō kia mārama ngā kairangahau hauora ki te take o tēnei. Koia mātou e kī nei ahakoa he pukupuku iti, he mea nui kia kaua e warewarehia, me rapu tohutohu hauora.
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
Ina kite koe i te tākuta, ka tirotirohia e rātou tō tinana i te tuatahi. Ko te tikanga ka tirohia e rātou te wāhi o te puku me tōna āhua. Kātahi ka pātai atu rātou ki a koe mō ō tohu. Hei tāpiri, ka mahia pea e rātou ēnei whakamātautau e whai ake nei:
- Matawai CT (Tomography Rorohiko - matawai CT): Ka taea e tēnei te tango whakaahua whakawhiti-wāhanga o roto o te tinana. Mā tēnei ka āwhina ki te kite mārama i ngā mea pēnei i te rahi me te wāhi o te pukupuku.
- Matawai MRI (Whakaahua Āhua-Mateke - Matawai MRI): He whakamātautau tēnei e titiro ana ki roto i te tinana, pērā i te matawai CT. Heoi, ka taea e ia te whakaputa whakaahua mārama ake o ngā kiko ngohengohe.
- Te tango i te ngira: Ko te whakamahi i tētahi ngira tino angiangi hei tango i tētahi tauira iti o te wai, o te kiko rānei mai i te puku. Kātahi ka tirohia i raro i te karuārai hei whakatau i te āhua o te puku. Koinei te huarahi tino pea hei whakatau mēnā he matepukupuku te puku, kāore rānei.
Me pēhea te rongoā i te Pleomorphic Adenoma?
He aha tā tēnei?Ko te maimoatanga matua, ko te maimoatanga tino noa, ko te pokanga hei tango i te katoa, i tetahi wāhanga rānei o te repe e pāngia ana e te pleomorphic adenoma. Hei tauira, ka taea e te taote pokanga te mahi tango i te repe ki te tangata he pleomorphic adenoma kei roto i te repe parotid. Ko te tikanga o tēnei ko te tango i te katoa, i tetahi wāhanga rānei o te repe parotid.
He aha ngā raruraru ka pā mai i te pokanga?
Pērā i ngā pokanga katoa, tera pea ētahi raruraru ka pā mai i tēnei pokanga. Kia mōhio hoki tātou ki tēnā. Kaua e manukanuka, ehara i te mea ka pā katoa ēnei mea ki te katoa. Ka whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.
- Te uruparenga ki te rongoā whakamoe: Tērā pea ka pāngia ētahi tāngata e te mate pāwera, ētahi atu uruparenga rānei ki te rongoā whakamoe i hoatu i mua i te pokanga.
- Te toto nui: Tērā pea ka puta te toto nui i te wā o te pokanga, i muri rānei i te pokanga.
- Mate urutā: Ka taea e ngā iroriki te tomo mā te patunga pokanga ka pā he mate urutā.
- Te kino o ngā io o te kanohi, ka hua ake he pararutiki kanohi mō te wā poto, mō te wā tuturu rānei: He raruraru nui tēnei. Nā te mea kei te taha o te repe parotid te io o te kanohi, e whakahaere ana i ngā nekehanga o te kanohi. Mena ka pakaru ēnei io i te wā pokanga, ka ngoikore pea te nekehanga o te taha kotahi o te mata, ka mutu katoa rānei. I ētahi wā he wā poto tēnei, engari he onge te wā ka pumau tonu.
- Te mate Frey: He āhuatanga rerekē tēnei. Ina tupu anō ētahi o ngā io i tapahia i te wā pokanga, ka kore e hono atu ki ngā repe werawera. Ki te tupu tēnei, ka tīmata te werawera i te taha o tō mata i te wāhi i pokangahia ai koe i te wā e kai ana koe, inā koa he mea kakara.
- Te uaua ki te kōrero, ki te horomi rānei: Mena kua pakaru ngā io o te mata me te waha, tera pea ka uaua ki te kōrero, ki te horomi rānei.
- Te whara: Ka kitea pea ngā whara i te wā e pokanga ana hei tango i ngā pukupuku o te repe huware. Heoi, ka whakapau kaha ngā tākuta ki te whakaiti i ēnei whara.
He aha te tirohanga mō te Pleomorphic Adenoma?
He tino rongo pai tēnei! Neke atu i te 90% o ngā adenoma pleomorphic kua tangohia mā te pokanga kāore e hoki mai . Ko te tikanga kua ora katoa te mate mā te pokanga. Nō reira, kāore he mea hei manukanuka, tika?
Ka taea te ārai i tēnei āhuatanga?
Engari, kāore anō kia mōhiotia e ngā kairangahau hauora te tino take, nō reira kāore he huarahi tino tika hei ārai .
Me pēhea taku tiaki i ahau anō?
Ko te mea pai rawa atu ka taea e koe, ko tōKia tūpato ki ngā puku hou i roto i tō kauae, i tō taringa rānei. Ki te kore e memeha i muri i te wiki, me toro atu ki te tākuta. Tērā pea kei te whakaaro koe, 'Me toro atu ahau ki te tākuta mō tēnei puku iti?' Ko te whakautu poto, āe, me toro atu koe . Kāore koe i te mokemoke, ā, he tokomaha te hunga e haere ana ki te tākuta mō ngā puku rerekē pēnei.
Ahakoa kāore pea i te tino tūpono, ko ngā puku hou e tata ana ki tō kauae, ki tō taringa rānei, he tohu pea tēnei o te pleomorphic adenoma i roto i ō repe parotid, submandibular rānei. Kia maumahara, ehara ngā pleomorphic adenoma i te mate pukupuku, engari he onge te wā ka huri hei mate pukupuku .
Āhea koe me haere ki te Rūma Ohotata?
Mena ka pokangahia koe hei tango i te adenoma pleomorphic, pātai atu ki tō taote pokanga mō ngā raruraru ka puta i muri i te pokanga e hiahia ana kia arohia wawetia e te hauora . Hei tauira, ki te nui rawa te toto, te pupuhi nui, te uaua ki te manawa, te patunga rānei e pupuhi ana, he pai ake te haere tonu ki te hōhipera.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Ka taea e koe te pātai i ngā pātai penei:
- He nui atu i te kotahi ōku pukupuku kāore i te matepukupuku pēnei i tēnei?
- He aha ngā kōwhiringa maimoatanga kei a au?
- Ka ora katoatia tēnei pukupuku mā te rongoā?
- He aha ngā mea ka taea e au te tumanako i muri i te pokanga? He aha ngā raruraru ka puta?
- He aha ngā tūponotanga ka puta anō tēnei? Me aha hei ārai?
- Ka pā tēnei ki tōku oranga o ia rā?
Mā te pātai i ēnei pātai, ka pai ake tō māramatanga ki tō āhuatanga.
Ko te mea nui i kōrerohia e mātou - Karere Tangohia ki te Kāinga
Āe, he aha ngā karere tino nui hei maumahara māu mai i ngā mea kua kōrerohia e tātou?
He pukupuku pai te adenoma pleomorphic ka taea te whakawhanake i roto i ō tātou repe huware. He maha ngā wā ka puta mai ēnei hei puku iti i mua o te taringa, i raro i te kauae, i roto rānei i te waha. Nā te mea he puhoi rawa te tipu o ēnei pukupuku, kāore pea koe e kite i tētahi tohu mō ngā tau. He onge, ka taea e ētahi pukupuku te huri hei matepukupuku . Engari ko te mea pai rawa atu, ina tangohia ēnei pukupuku mā te pokanga, ka taea te whakaora katoa i te mate .
Nō reira, ki te kite koe i tētahi puku hou, i tētahi tipu rānei e tata ana ki tō taringa, ki tō kauae, ki roto rānei i tō waha, ahakoa kāore he mamae, ā, kāore e memeha i roto i te wiki, e rua rānei, me toro atu ki te tākuta mō ētahi tohutohu. Ko te kitenga wawe te mea pai rawa atu! Kaua e mataku, kei konei ngā tākuta hei āwhina.
`Adenoma Pleomorphic, Puku Repe Huware, Repe Parotid, Puku i raro i te Kauae, Puku Tata ki te Taringa, Puku i te Waha, Pokanga











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