Mena kua pāngia tētahi o tō whānau—tō whaea, tuahine, whaea kēkē rānei—e te mate pukupuku o te ū , tera pea kei a koe te mataku e mau tonu ana: "Ka pāngia anō hoki ahau?" He āwangawanga noa iho tēnei. Mō ngā wāhine he nui te mōrearea ki te whakawhanake i te mate pukupuku o te ū , ka whiriwhiri ētahi ki te pokanga hei tango i ngā ū e rua i mua i te whanaketanga o te mate pukupuku. Koinei te mea e kiia nei e mātou he 'Ārai' he ' mastectomy ' rānei. Nā te mea he whakatau nui tēnei, me kōrero mārama, me te tika hoki ngā kōrero.
He aha te Mastectomy Ārai?
He māmā noa iho, ka tangohia e tēnei tikanga te kiko o te ū kei reira pea ngā pūtau matepukupuku ka whanake, hei whakakore, hei whakaiti rānei i te mōrearea o te matepukupuku ū ā muri ake nei. Kāore tēnei e mahia i muri i te tātaritanga; engari he mahi ārai, he mahi ārai mō te hunga e tino mōrearea ana. I roto i te rongoā, e mōhiotia ana tēnei ko te 'Bilateral Prophylactic Mastectomy'.
Ko te whāinga matua o tēnei pokanga he tango i te nui o ngā kiko mōrearea o te ū hei tiaki i tō hauora ā muri ake nei.
Mā wai tēnei pokanga?
He pātai tino nui tēnei. Kāore tēnei pokanga i te tūtohutia mō te katoa. E kī ana ngā whakahaere pēnei i te National Cancer Institute kia whakaarohia tēnei pokanga mō ngā wāhine he tino nui te mōrearea ki te pangia e te mate pukupuku.
Kia maumahara, ehara tēnei i te mea nā te wehi anake i te mate pukupuku (Cancer Phobia). Me mārama ngā tohu hauora haumanu.
Mena kei a koe tētahi, neke atu rānei o ngā āhuatanga mōrearea kei roto i te ripanga i raro nei, me kōrero koe ki tō tākuta mō tēnei kōwhiringa.
| Tauwehenga Mōrearea | Whakamārama Māmā |
|---|---|
| Ngā Huringa Ira BRCA1, BRCA2 rānei | He ira ēnei e tino whakanui ana i te mōrearea o te mate pukupuku o te ū. Ka taea te tautuhi mā te whakamātautau ira. |
| Hītori Whānau Kaha | Mena he maha ngā whanaunga tata (whaea, tuahine, tamahine) kua pāngia e te mate pukupuku ū, inā koa i te wā taitamariki. |
| Te mate pukupuku i roto i te waahi (LCIS) | Ahakoa ehara i te mate pukupuku tonu, he āhuatanga tēnei ka whakapiki ake i te mōrearea ā muri ake nei, inā koa ka honoa ki te hītori whānau. |
| Te irahiko o te uma i mua i te 30 tau | Mena i whiwhi koe i te rongoā irahiko ki tō uma i a koe e tamariki ana mō tētahi atu mate (hei tauira, te Hodgkin's Lymphoma), ka nui ake te mōrearea a meake nei. |
| He mate pukupuku kei roto i te ū kotahi, ā, he nui te mōrearea mō tētahi atu | Mena kua ora kē koe i te mate pukupuku i te ū kotahi, ā, he nui ngā tohu mōrearea mō te ū kē. |
I mua i te whakatau, he mea nui te whai i te tohutohu ira me te tohutohu hinengaro , nā te mea he whakatau whakarerekētanga ora tēnei e pā ana ki tō tinana me tō hinengaro.
Ka whakakorea rawatia te mōrearea o te mate pukupuku?
Koinei te pātai a te nuinga. He pono, he uaua te whakamana 100%. Heoi, ka taea te whakaiti i te mōrearea mā te ōrau tino teitei, ko te nuinga o te wā ko te 90% – 95% . Mō te hunga he whakarerekētanga ira BRCA, he mea nui te tiakitanga.
He aha e kore ai e taea te 100%?
Whakaarohia pēnei: ehara tō tātou kiko ū i te puku kotahi noa iho. Ka toro atu i te wheua kaki ki raro ki ngā rara o raro, mai i waenganui o te uma ki te kēkē. Ka taea e ngā pūwero whakaputa waiū me ngā awa waiū te noho puta noa i tēnei wāhi, ahakoa kei raro noa i te kiri.
Ahakoa mō te taote pokanga tino pūkenga, e kore e taea te tango i ngā pūtau katoa o te kiko marara. Heoi, nā te mea he iti noa te kiko e toe ana, he iti rawa te mōrearea whānui.
I muri i te pokanga: He kōwhiringa hou kei reira?
Āe. Waimarie, kei reira ngā tikanga matatau e wātea ana i ēnei rā. He nui ake te angitu o ngā hua i tō mua.
Te tango i te kiri i roto i te mastectomy
He huarahi tēnei e whakamahia whānuitia ana i ēnei rā. Ka āta tangohia e ngā taote pokanga te kiko o te repe kei roto te mōrearea mate pukupuku, engari ka waiho tonu te kiri o te ū kia mau tonu. Mā tēnei ka tangohia te nuinga o ngā kiko e mōrearea ana.
Ko te tikanga, ka tangohia te uma me te kiri pouri e karapoti ana (areola) nā te mea he nui ngā awaawa kei reira. Heoi, nā te mea e tiakina ana te kiri o te uma, ka māmā ake te hanga anō i te uma.
Te Whakahou Tonu i ngā Uma
He maha ngā wā, ka taea te tīmata i te hanga anō i ngā ū i te wā o te pokanga kotahi me te tango i te ū. Tērā pea ko te whakamahi i ō ake kiko tinana, i ngā tāpiringa motuhake rānei.
Ina whakakotahihia ēnei huarahi, ka puta he hua tino angitu. He maha ngā wāhine e whai ana i tēnei tikanga e pai ana te whakaaro mō tā rātou whakatau, ā, e tino harikoa ana ki tō rātou āhua i muri i te pokanga.
Ngā Whakaaro Matua
- Ehara i te mea mā te katoa te tango i te mastectomy ārai; e taunakitia ana mō ngā wāhine he nui noa te mōrearea ki te mate pukupuku ū.
- Ahakoa e kore e taea te whakakore i te mōrearea mā te 100%, ka taea e ia te whakaiti i te tūponotanga o te mate pukupuku mā te neke atu i te 90% .
- I mua i te whakatau i tētahi whakatau nui pēnei, he mea nui kia whai wāhi ki te tohutohu ira me te tohutohu hinengaro .
- He tino pai ngā hua whakapaipai o ngā pokanga hou e whakaora ana i te kiri me ngā tikanga hanga hou tonu .
- Ko te mea nui, kōrerotia whānuitia ō āwangawanga me ō pātai katoa ki tō tākuta. Mā rātou e whakamārama tō āhua mōrearea me te huarahi pai mōu.
Matepukupuku o te Ū, Te Tangohanga Ārai i te Mastectomy, Te Tangohanga Mastectomy, BRCA, Mōrearea Matepukupuku, Tangohanga o te Ū, Hauora o ngā Wahine
