Mena kua pāngia tētahi o tō whānau, tō whaea pea, tō tuahine, tō whaea kēkē rānei, e te mate pukupuku ū , kei roto i tō hinengaro te mataku, "Ka pāngia anō hoki ahau?" Kāore ianei tēnei i te mataku o te tini tāngata? Ko ētahi wāhine he tino mōrearea ki te pāngia e te mate pukupuku ū , ka tangohia ō rātou ū e rua i mua i te whanaketanga o te mate pukupuku . Koinei te mea e kiia nei e mātou ko te tango i te uma o te uma . Nā te mea he whakatau nui tēnei, kia mārama, kia tika hoki te kōrero mō tēnei.
Know your body mass index (BMI) and weight classification
He aha te Mastectomy Ārai?
He whakarāpopototanga noa iho, koinei te tango pokanga i te kiko o te ū kei roto pea ngā pūtau matepukupuku hei whakakore, hei whakaiti rānei i te tūponotanga o te whanaketanga o te matepukupuku ū ā muri ake nei. Kāore tēnei e mahia i muri i te whanaketanga o te matepukupuku, engari hei mahi ārai i mua i te putanga mai, nā te nui o te tūponotanga o te whanaketanga o te matepukupuku. I roto i ngā kupu hauora, e kiia ana hoki tēnei ko te 'Bilateral Prophylactic Mastectomy'.
Ko te whāinga matua o tēnei pokanga he tango i te nui o ngā kiko o te ū e taea ai te huri hei matepukupuku, me te tiaki hoki i ngā mōrearea a muri ake nei.
Mā wai tēnei pokanga e tino tika?
He pātai tino nui tēnei. Kāore tēnei pokanga i te tūtohutia mō te katoa. Ahakoa ngā whakahaere pēnei i te National Cancer Institute e tūtohu ana kia whakaarohia anake e ngā wāhine he tino nui te mōrearea o te mate pukupuku .
Kia maumahara, ehara tēnei i te mea e mahia ana e koe nā te mea kei te wehi koe kei pāngia koe e te mate pukupuku o te ū (te wehi ki te mate pukupuku). Me mārama ngā take hauora mō tēnei.
Ka taea e te tangata kei a ia tētahi, neke atu rānei o ngā āhuatanga mōrearea o te ripanga i raro nei te kōrero ki tā rātou tākuta mō tēnei.
| Tauwehenga Mōrearea | He whakamārama māmā |
|---|---|
| Ngā whakarerekētanga 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 i ēnei mā te whakamātautau ira. |
| He hītori whānau tino kaha | Mena he maha ngā whanaunga tata (whaea, tuahine, tamahine) kua pāngia e te mate pukupuku ū, inā koa mēnā kua pāngia rātou e te mate i te wā taitamariki. |
| Tūnga o te Carcinoma Lobular in Situ (LCIS) | Ahakoa ehara tēnei i te mate pukupuku, he āhuatanga tēnei e whakapiki ake ai i te mōrearea o te mate pukupuku ā muri ake nei. Ka nui ake te mōrearea mēnā he hītori whānau tēnei. |
| I te mea kua whiwhi koe i te maimoatanga irahiko ki te uma i mua i te 30 tau te pakeke | Mena i whiwhi koe i te maimoatanga irahiko ki te uma i a koe e tamariki ana mō tētahi atu mate (hei tauira, te Hodgkin's Lymphoma), ka nui ake tō tūponotanga ki te pāngia e te mate pukupuku ū a muri ake nei. |
| He mate pukupuku kei te ū kotahi, ā, he nui te tūponotanga ka pāngia tetahi atu ū | Ina kua ora kē te mate pukupuku i te ū kotahi, ā, he nui te tūponotanga ka pāngia tetahi atu ū e te mate pukupuku nā te ira tuku iho, nā ētahi atu take rānei. |
I mua i te whakatau pēnei, he mea nui kia rapua he tohutohu ira me te tohutohu hinengaro , he whakatau nui tēnei e pā ana ki te tinana me te hinengaro.
Ka tino whakakorea rawatia e tēnei te mōrearea o te mate pukupuku?
Koinei te pātai a te tini tāngata. He pono, he uaua ki te tuku taurangi 100%. Heoi, ka taea te whakaiti i te mōrearea mā te ōrau tino teitei, pērā i te 90% - 95% . He pono rawa tēnei mō te hunga he whakarerekētanga ira BRCA.
He aha rā te kore ai e 100%?
Whakaarohia… Kāore ō tātou kiko ū i te wāhi kotahi pērā i tā tātou e whakaaro nei. Ka horapa mai i te wheua kaki ki ngā rara o raro, mai i waenganui o te uma ki te kēkē. Ko ngā repe whakaputa waiū (ngā lobules miraka) me ngā awa waiū, ka taea te huri hei mate pukupuku, ka horapa puta noa i tēnei kiko ū, tae noa ki raro i te kiri.
Ahakoa te pūkenga o te taote pokanga, ahakoa te āta o te mahi pokanga, kāore e taea te tango i ngā pūtau katoa o te kiko kua horapa pēnei. Nō reira, he iti noa iho te kiko e toe ana. Koia te take kāore i te whakakorea katoatia te mōrearea. Engari ka tino whakaitihia te mōrearea nā te mea he iti noa iho te nui e toe ana.
I muri i te pokanga… he kōwhiringa hou anō kei reira?
Āe. Waimarie, he maha atu ngā tikanga matatau mō tēnei pokanga i ēnei rā. He rerekē ki ngā wā o mua, kua tino angitu ngā hua ināianei.
Te tango i te kiri i roto i te mastectomy
Koinei te tikanga e whakamahia whānuitia ana i ēnei rā. I roto i tēnei tikanga, ka tangohia marietia e ngā tākuta te kiko repe i raro i te ū e tūpono ana ki te whakawhanake i te mate pukupuku, me te kore e kino te kiri. Ka tangohia e tēnei he nui rawa te kiko ka taea te huri hei mate pukupuku.
I te nuinga o te wā, ka tangohia te uma me te kiri mangu e karapoti ana (areola). Nā te mea kua honoa ngā awa waiū katoa ki te uma, ā, he nui ngā kiko repe i taua wāhi. Heoi, nā te mea kua mahue te kiri o te ū, he māmā ake te hanga anō i te ū (hanga anō i te ū).
Te Whakahou Tonu i ngā Uma
I te nuinga o te wā, ka taea te hanga anō i ngā ū i te wā kotahi e tangohia ai te ū, mā te whakamahi i ngā kiko mai i tētahi atu wāhi o tō tinana, i ngā tāpiringa motuhake rānei.
Ina whakakotahihia ēnei tikanga e rua, arā, ina tiakina te kiri, ka tangohia ngā ū, kātahi ka hangaia anō i te wā kotahi, ka tino angitu ngā hua. He maha ngā wāhine e mahi ana i tēnei pokanga e tino harikoa ana ki tā rātou whakatau me te āhua o muri i te pokanga.
Karere Tangohia ki te Kāinga
- Ehara i te mea ka taea e te katoa te mahi i te mastectomy ārai. E taunakihia ana mō ngā wāhine he tino mōrearea ki te mate pukupuku ū anake.
- Ahakoa kāore e taea e tēnei pokanga te whakakore katoa (100%) i te mōrearea o te mate pukupuku, ka taea e ia te whakaiti i tōna mōrearea mā te neke atu i te 90% .
- I mua i te whakatau i tētahi whakatau nui pēnei, he mea nui kia rapua he tohutohu ira me te tohutohu hinengaro .
- Mā ngā pokanga whakaora kiri o ēnei rā, me ngā tikanga hanga hou tonu , ka taea te whakahoki mai i te āhua tino pai.
- Ko te mea nui ko te kōrero tuwhera i ō pātai me ō mataku mō tēnei mea ki tō tākuta. Māna e whakamārama ō mōrearea takitahi me ngā kōwhiringa pai rawa atu māu.
No comments yet. Be the first to share your question or experience below.