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.
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.
Matepukupuku o te Ū, Te Tangohanga Ārai i te Puku, Te Tangohanga Puku, BRCA, Mōrearea Matepukupuku, Te Tangohanga Puku, Hauora o ngā Wāhine
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