Ka taea e koe te uru mai i tēnei momo mate pukupuku ki roto i tō puku? Me kōrero tātou mō te Mate Pukupuku Peritoneal Tuatahi

Kua rongo kē koe i tēnei ingoa 'matepukupuku peritoneal tuatahi'? Kāore pea. Nā te mea he momo matepukupuku onge noa iho. Engari he mea tino nui kia mōhio koe ki tēnei, inā koa mō ngā wāhine. I tēnei rā, ka kōrerohia e tātou he mea ngāwari, i roto i te huarahi e mārama ai koe.

He aha te Matepukupuku Peritoneal Tuatahi?

Ki te kī māmā noa, ko te mate pukupuku peritoneal tuatahi he mate pukupuku e tīmata ana i te arai o tō puku, te kiriuhi angiangi e whakarārangi ana i te roto o tō puku. Ko te peritoneum te ingoa o tēnei kiriuhi. Whakaarohia he rite ki te arai o te poihau.

Ka hipokina hoki e tēnei peritoneum ētahi okana nui i roto i tō puku. Hei tauira:

• tōngāmimi
• Ngā whekau
• Te tūnga
• Kōpū (wahine)

I mōhio koe he momo pūtau motuhake tēnei peritoneum e kiia nei ko ngā pūtau epithelial . Ka tiakina e ēnei pūtau ngā mata o te tinana. Waihoki, ka tukuna e tēnei peritoneum he wai motuhake. Mā tēnei wai ka taea e ngā whekau o roto o te puku te nekeneke noa me te kore e tukinga tetahi ki tetahi.

Nō reira, ka puta te mate pukupuku peritoneal tuatahi ina tīmata ngā pūtau i roto i te peritoneum ki te tipu rerekē, me te kore e taea te whakahaere.

Nā, me titiro tātou ki ngā momo mate pukupuku peritoneal. Ka wehea e ngā tākuta kia rua ngā momo, i runga i te wāhi ka tīmata ai te mate pukupuku:

1. Matepukupuku peritoneal tuatahi: I roto i tēnei momo matepukupuku, ka tīmata te matepukupuku i roto i ngā pūtau e hanga ana i te peritoneum. Ko tēnei momo te mea nui e kōrerohia ana i tēnei rā.

2. Matepukupuku peritoneal tuarua: Koinei te wā ka tīmata te matepukupuku i tētahi atu wāhi o te tinana (hei tauira, ngā ovaries, te puku, ngā whekau) ka horapa ki te peritoneum. Ko te tikanga tēnei kāore i tīmata i roto i te peritoneum.

He pēhea te noa o tēnei matepukupuku peritoneal tuatahi?

Ina hoki, he momo mate pukupuku tino onge te mate pukupuku peritoneal tuatahi. Whakaarohia, e 7 i roto i te miriona tāngata ka kitea te mate i ia tau. Heoi, kāore ēnei tatauranga e whakaatu i te katoa o te āhua. E ai ki ētahi kairangahau, tata ki te 15% o ngā wāhine kua kitea he mate pukupuku ovarian kua whanake, tera pea he mate pukupuku peritoneal kei a rātou. Nā te mea he tino ōrite ngā tohu o ngā mea e rua.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

He nui ake te tūponotanga o ngā wāhine ki te pāngia e te mate pukupuku peritoneal tuatahi i ngā tāne. He rite tonu ngā āhuatanga mōrearea mō tēnei ki ērā mō te mate pukupuku ovarian. Me titiro tātou ki ēnei āhuatanga:

• Tau: Ko te nuinga o te wā ka kitea tēnei mate i roto i te hunga 60 tau te pakeke, neke atu rānei.
• Te mate endometriosis:Mena kei a koe te endometriosis (he āhuatanga e tipu ai ngā pūtau e rite ana ki ērā e kitea ana i roto i te arai o te kōpū i waho o te kōpū), tera pea ka piki ake tō mōrearea.
• Ngā awe ira (whakapapa): Mena kua pāngia tētahi mema o te whānau tata (whaea, tuahine, tamāhine) e te mate pukupuku peritoneal, te mate pukupuku ngongo fallopian, te mate pukupuku ovarian rānei, he nui ake tō tūponotanga. He nui ake hoki te tūponotanga o ngā wāhine whai whakarerekētanga ira BRCA1, BRCA2 rānei . He nui ake hoki te tūponotanga o te hunga whai ira mō te Lynch syndrome (he āhuatanga whakapapa e whakanui ake ana i te tūponotanga o ētahi momo mate pukupuku).
• Teitei: Ko te hunga he roa ake i te toharite te āhua nei he nui ake te tūponotanga ki te pāngia e tēnei mate pukupuku.
• Whakaora homoni: Ko ngā wāhine e tango ana i te rongoā homoni i muri i te paheketanga ka nui ake te mōrearea.
• Momona: He nui ake te mōrearea o te hunga he nui te ngako o te tinana.
• Hītori whānautanga: Tērā pea ka paku piki ake tēnei mōrearea i roto i te hunga kua uaua ki te whānau tamariki (kore tamariki) me/ranei kāore anō kia whānau tamariki.

He aha te rerekētanga i waenga i te mate pukupuku peritoneal me te mate pukupuku ovarian?

Koinei te wāhi e pōhēhē ai te tini o te tangata. He rerekē te wāhi ka tīmata ai te mate pukupuku peritoneal i te mate pukupuku ovarian. I te nuinga o te wā ka tīmata te mate pukupuku ovarian i roto i ngā ovaries, i roto rānei i ngā pūtau i ngā pito o ngā ngongo fallopian. Heoi, ko te mate pukupuku peritoneal, e ai ki taku kōrero i mua ake nei, ka tīmata i roto i ngā pūtau o te peritoneum, te kiriuhi e whakarārangi ana i te taha o roto o te puku, e kapi ana i ngā whekau o roto i te puku.

Ka ngāwari te whakapoauau i ēnei mate pukupuku e rua. Nā te mea he rite tonu te momo pūtau (ngā pūtau epithelial) o te peritoneum me te arai o ngā ovaries. Waihoki, nā te mea ka horapa ngā mate pukupuku e rua i te arai o te puku, he uaua ki te tohu i te wāhi i tīmata ai te mate pukupuku.

Ko te tikanga, ko te hunga kua tāpaetia he mate pukupuku peritoneal he pakeke ake i te hunga kua tāpaetia he mate pukupuku ovarian. E kīia ana hoki ko te matapae mō te mate pukupuku peritoneal he kino ake i te mate pukupuku ovarian.

He aha i puta ai tēnei mate pukupuku peritoneal tuatahi?

Ina hoki, kāore anō kia tino mōhiotia e ngā kairangahau te take e pāngia ai ētahi tāngata e te mate pukupuku peritoneal tuatahi. Heoi, e ai ki te kōrero i mua ake nei, kua kitea ko te hunga i whānau mai me ētahi whakarerekētanga ira he nui ake te mōrearea ki te pāngia e te mate.

He aha ngā tohu o tēnei?

Pērā i te mate pukupuku whatukuhu, he onge te whakaatu a tēnei mate i ngā tohu i ōna wāhanga tōmua . Ahakoa he tohu kei roto, he maha ngā wā kāore i te mārama, ā, ka rite pea ki ngā mate noa. Ko te nuinga o te tangata ka kite i ngā tohu ina kua horapa haere te mate pukupuku, arā, kua horapa.

Heoi, ki te puta mai ngā tohu i te tīmatanga o te mate, ka penei pea:

• Te mamae i roto i te puku me/ranei te puku o raro.
• Te toto, te rerenga rānei o te tara rerekē.
• Te kī tonu, te taumaha o te puku, o raro rānei o te puku.
• Ngā panonitanga o te puku (te kōroke me/te nui haere rānei o te hau), te toto rānei i te pūkahukahu.
• Te hiahia kia mimi pinepine.
• Ngā raruraru nakunaku, te ngaronga o te hiahia kai, te mākū rānei i muri i te kai iti noa iho.
• Te pikinga, te hekenga rānei o te taumaha kāore i te āta whakaarohia.

I te whanaketanga o te mate pukupuku peritoneal, ka puta pea ētahi atu tohu. Ko ētahi o ēnei:

• Te ngenge.
• He wai e pupū ake ana i roto i te puku (e kiia ana tēnei ko te 'ascites ').
• Whakapairuaki, ruaki rānei.
• Te uaua ki te manawa (dyspnea).
• Te pupuhi o ngā waewae.

He aha ngā pānga taha (ngā raruraru) ka pā mai i tēnei?

Ko te hunga e pangia ana e te mate pukupuku peritoneal kua whanake haere pea ka pāngia e ngā raruraru pēnei i:

• Te mamae nui o te puku.
• Te kore e taea te kai, te inu rānei.
• Te whakapairuaki nui, te ruaki rānei.
• Te aukati i te whekau iti, te aukati i te whekau nui, te aukati rānei i te ara mimi.

Me pēhea te tautuhi tika i tēnei mate?

Ina kite koe i te tākuta, ka pātai tuatahi rātou ki a koe mō ō tohumate, ā, ka tirotirohia e rātou tō tinana. Mena he tohu ō tohumate i te mate pukupuku o te puku, ka tonoa pea e rātou he whakamātautau pēnei i:

• Ngā whakamātautau toto: Ka rapua e ēnei whakamātautau toto tētahi matū e kiia nei ko CA-125, e hangaia ana e ētahi pūtau matepukupuku. Tērā pea he nui ake ngā taumata o tēnei matū i te hunga whai matepukupuku peritoneal. Tērā pea ka rapua e rātou tētahi pikinga o tētahi pūmua e kiia nei ko HE4 (ka taea hoki te hanga e ngā pūtau matepukupuku peritoneal).
• Ngā whakamātautau whakaahua: Ka taea e ngā whakamātautau pēnei i te ultrasound, te MRI, te CT scan rānei te rapu i ngā tipu matepukupuku. Heoi, he uaua pea te kite i ēnei whakamātautau i ētahi wā i roto i ngā take o te matepukupuku peritoneal.
• Laparoscopy: Hei whakaū i te mate, ka mahi pea te tākuta i te laparoscopy. Ko te tikanga o tēnei ko te hanga i ētahi tapahi iti ki te puku, me te whakauru i tētahi taputapu kei roto i te kāmera. I roto i tēnei tikanga, ka tangohia he tauira iti o te kiko rerekē (e kiia nei ko te biopsy) , kātahi ka tirohia i raro i te karuārai e te tohunga mate pukupuku (he tākuta e tohunga ana ki te tirotiro i te kiko) hei whakatau mēnā kei reira te mate pukupuku.
• Paracentesis: Mena kei te kī tonu tō puku i te wai (e kiia ana ko te ascites), ka tangohia pea e tō tākuta he tauira o te wai ka whakamatautauria. He maha ngā wā ka mahia tēnei i te wā o te laparoscopy.
• Whakamātautau pelvis:Ka tirotirohia tō tenetene, tō kaki, tō kōpū, ōpū, ōwai, me tō pūkahukahu mō ngā puku, ngā wāhi rerekē rānei.

Me ako anō hoki tātou mō ngā whakamātautau motuhake

Mena kei a koe tētahi o ēnei āhuatanga, ka tukuna pea koe e tō tākuta ki tētahi kaitohutohu ira hei kōrero mō ētahi o ngā āhuatanga ira e pā ana ki te pikinga o te mōrearea ki te whakawhanake i te mate pukupuku peritoneal:

• Mena kua pāngia tētahi mema o te whānau tata (whaea, tuahine, tamāhine) e te mate pukupuku peritoneal, te mate pukupuku o te ngongo fallopian, te mate pukupuku ovarian rānei.
• Mena he whakarerekētanga ira 'BRCA1', 'BRCA2' rānei tō tetahi o te whānau.
• Mena kei te pāngia tetahi o te whānau e te Lynch Syndrome.

He aha te wāhanga o tēnei mate pukupuku?

Nā te mea kāore ngā tohu e puta pinepine ana i ngā wāhanga tōmua o te matepukupuku peritoneal tuatahi, i te nuinga o te wā kei te wāhanga 3, 4 rānei te matepukupuku ka kitea.

• Wāhanga 3: Kua horapa te mate pukupuku ki waho o te kōhao hope, ki ngā kōpū waikura rānei i te tuarongo o te puku.
• Wāhanga 4: Kua horapa te mate pukupuku ki ngā whekau i waho o te puku (hei tauira, ngā pukahukahu, te ate, te whēkau) ki te kiriuhi rānei e hipoki ana i ngā pukahukahu me te uma.

Me pēhea te rongoā me te whakahaere i tēnei?

Ko te maimoatanga o te mate pukupuku peritoneal tuatahi e whakawhirinaki ana ki etahi mea:

• Te rahi me te wāhi o te pukupuku matepukupuku.
• Te wāhanga o te mate pukupuku.
• Tō tau me tō hauora whānui.

I te nuinga o te wā, ka whakahaerehia e ngā tākuta te pokanga hei maimoatanga tuatahi. Tērā pea ka whai koe i tētahi tikanga e kiia nei ko te pokanga cytoreductive . Ko te whāinga o tēnei he tango i te maha o ngā pūtau matepukupuku e taea ana. Kua whakaatuhia e ngā rangahau he pai ake ngā hua ina whakahaerehia tēnei pokanga e te tākuta matepukupuku wahine (he tākuta e tohunga ana ki te rongoā i ngā mate me ngā matepukupuku o te pūnaha whakaputa uri wahine).

Ka tangohia pea e te taote pokanga:

• Te tango i ngā ngongo me ngā ovaries (e kiia ana tēnei ko te 'oophorectomy ').
• Te kōpū (e kiia ana tēnei ko te 'hysterectomy ').
• Ko te kiko ngako e karapoti ana i ō whekau, e kiia nei ko te omentum (e kiia ana tēnei ko te 'omentectomy ').
• Ētahi atu kiko rerekē.

Hei aukati i te horapa o ngā pūtau matepukupuku ki ētahi atu wāhanga o te tinana, ka uru pea ki roto i tō mahere maimoatanga:

• Te rongoā matū: Ko te rongoā matū tuku iho mō te matepukupuku peritoneal ka tukuna mā te uaua, mā te tika rānei ki roto i te kōhao puku (intraperitoneal). I ētahi wā, ka whakamahia e ngā tākuta ngā rongoā rongoā matū wera (e kiia ana tēnei ko te rongoā matū hyperthermic intraperitoneal (HIPEC)).) ka whakamahia. Ka tukuna tonutia tēnei maimoatanga `HIPEC` i muri i te pokanga cytoreductive, i a koe e noho ana i raro i te mate whakamoe i roto i te rūma pokanga, ā, ka werohia ki roto i te kōhao puku. Ka nui ake te whai hua o tēnei tikanga `HIPEC` mō te tuku chemotherapy mō ētahi mate pukupuku.
• Whakaora arotahi: Ka taea e te tākuta te whakamahi i ngā rongoā motuhake e arotahi ana ki ngā pūtau matepukupuku anake, me te kore e kino ki ngā pūtau noa.
• Te rongoā homoni: I ngā wā kua tino pāngia, ka whakakotahi ngā tākuta i te rongoā homoni me te rongoā chemotherapy. Ka mahi tēnei maimoatanga mā te aukati i ngā homoni tūturu o tō tinana kia kore e tae atu ki ngā pūtau matepukupuku, kia kore ai e tipu.
• Whakaora irahiko: Kāore i te maha te whakamahinga o te rongoā irahiko hei rongoā tuatahi mō te matepukupuku peritoneal. Mena kua hoki mai te matepukupuku i muri i te rongoā tuatahi, ā, he iti noa te wāhi e noho ana, ka taea te hoatu rongoā irahiko.

Me pēhea taku whakaiti i te mōrearea o te whakawhanake i tēnei?

Mena kua mahia e koe ēnei mea, tera pea ka paku whakaitihia tō tupono ki te pāngia e te mate pukupuku peritoneal tuatahi:

• Mena kua whāngaihia ngā tamariki ki te ū.
• Mena kua whānau āu tamariki.
• Mena kua tangohia e koe ngā pire ārai whānau.
• Mena kua tangohia ō ngongo fallopian me/ranei ō ovaries mā te pokanga.
• Mena kua herea ngā ngongo fallopian (te herenga o ngā ngongo).

Ko ētahi tāngata he hītori whānau nō te mate pukupuku ovarian, he hunga rānei he whakarerekētanga ira BRCA kei te nui ake te mōrearea ki te whakawhanake i te mate pukupuku peritoneal, ka whiriwhiri kia tangohia ā rātou ovaries me ngā ngongo fallopian. He mea nui kia maumahara ahakoa ka whakaitihia e tēnei pokanga te mōrearea ki te whakawhanake i te mate pukupuku peritoneal, kāore e whakakorea katoatia .

He aha te heke mai mō te tangata e pāngia ana e tēnei mate? (Te matapae)

Nā te mea ka kitea te mate pukupuku peritoneal i te wā o muri mai o te mate, he kino te āhua o te mate. Ka taea e te mate pukupuku te hoki anō i muri i te maimoatanga. Heoi, mā te kitenga wawe ka āwhina i te whakapai ake i ngā putanga.

Tata ki te haurua o te hunga e pāngia ana e te mate pukupuku peritoneal, te ngongo fallopian, te mate pukupuku ovarian rānei e ora ana i te rima tau, neke atu rānei i muri i te tātaritanga. Ahakoa he nui ake te tūponotanga ka roa ake te ora o te hunga rangatahi, tera pea he kino ake te matapae mō te hunga kaumātua.

Tērā pea ka piki ake ngā reiti oranga i roto i ēnei āhuatanga:

• Mena kāore te mate pukupuku i horapa ki ō pona lymph.
• Mena kua whiwhi koe i te maimoatanga 'HIPEC'.
• Mena kua tangohia e te taote pokanga te nuinga o te mate pukupuku e taea ana.

He maha ngā whakamātautau haumanu kei te haere tonu hei kimi huarahi hou hei rongoā i te mate pukupuku peritoneal. Kei roto i ēnei maimoatanga hou ko ngā rongoā kua arotahihia me te immunotherapy.Ko te rongoā ārai mate ko te whakaoho i tō ake pūnaha ārai mate kia kite me te whakaeke i ngā pūtau matepukupuku i roto i tō tinana.

Me pēhea taku tiaki i ahau anō?

Hei āwhina i te whakahaere i ngā tohu o te mate pukupuku peritoneal kua horapa haere, ka tūtohu pea tō tākuta kia toro atu koe ki tētahi kaiwhakarato rongoā whakaora mamae (he mara rongoā e arotahi ana ki te whakaora me te aro ki ngā tohu o tētahi mate hauora nui). Kei roto pea i tō manaakitanga:

• Te whakaiti i te whakapairuaki me te ruaki.
• He kōrerorero kai hei tiki tohutohu mō te hiahia kai me te kai e tika ana.
• Te whakahaere mamae.
• Paracentesis hei tango i te wai mai i tō puku (ascites).

Me pēhea taku tū atu ki tētahi āhuatanga pēnei i te pai?

Mā te whakauru atu ki tētahi rōpū tautoko me ētahi atu e pāngia ana e te maimoatanga kotahi, ka āwhina i a koe kia kaua e noho mokemoke. Ka taea hoki e ngā rōpū tautoko te āwhina i tō whānau kia mārama ki ō wheako.

Ko te karere tino nui hei kawe ki te kāinga

Ko te mate pukupuku peritoneal tuatahi he momo mate pukupuku onge e puta ana i roto i te arai o te puku. Ka puta pinepine ngā tohu i muri i te tipu o te mate pukupuku, nō reira ka kitea i te wā o muri mai. Heoi, mā ngā maimoatanga matatau pēnei i te HIPEC, te rongoā arotahi, me te pokanga ka taea te whakapai ake i ngā putanga. Kei te haere tonu ngā whakamātautau haumanu hei kimi i ētahi atu kōwhiringa maimoatanga ka taea te whakanui ake i te maha o ngā oranga.

Ko te mea nui, ki te mau tonu ngā tohu kua whakahuatia ake nei (ina koa ngā huringa rerekē o te puku, te mamae, te taumaha), me rapu tohutohu hauora koe. Ko te wawe o te kitenga, ko te nui ake o te tūponotanga ka angitu te maimoatanga.

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