Kua rongo kē koe i tētahi pokanga whakaiti ū, arā, te tango i tētahi, i ngā ū e rua rānei i mua i te whanaketanga, hei whakaiti i tō tupono ki te pāngia e te mate pukupuku ū? Ahakoa he mea hou tēnei, he mea whakamataku hoki ki a koe, he kōwhiringa hauora tino nui tēnei hei whakaora i tō oranga mō ētahi wāhine he tino nui te tupono ki te pāngia e te mate pukupuku ū. He whakatau whaiaro tēnei. Nō reira, i tēnei rā ka kōrero tātou mō tēnei, arā, te 'Prophylactic Mastectomy', i roto i tētahi huarahi māmā e taea ai e koe te mārama.
He aha te tikanga o te Prophylactic Mastectomy?
Ahakoa te ahua uaua o te ingoa, he māmā noa iho te ariā. Ko te Prophylactic Mastectomy he tango pokanga i te ū hauora, i ngā ū e rua rānei i mua i te whanaketanga o te mate pukupuku, me te whāinga kia whakaitihia te mōrearea o te mate pukupuku ū.
He whakarāpopototanga noa iho tēnei, he "whakakorenga tango i te puku o te wahine." E kīia ana hoki e ētahi he 'whakakorenga tango i te puku o te wahine' he 'whakakorenga tango i te puku o te wahine' rānei. Ka mahia tēnei hei whakaiti i te tūponotanga o te mate pukupuku ā muri ake nei, kaua hei rongoā mēnā kei te mate kē.
Ko wai mā ngā tāngata katoa e tika ana kia whakaarohia tēnei pokanga? E hiahiatia ana tēnei e te katoa?
Kāo, kāore rawa. Kāore tēnei pokanga e pai mō te katoa. Kaua rawa te tangata he mōrearea noa iho e whakaaro ki tēnei momo pokanga. Ka tūtohu noa tō tākuta i tēnei kōwhiringa mēnā kua whakaūtia he tino teitei tō mōrearea ki te pangia e te mate pukupuku o te ū.
Āe, kia tirohia tātou he aha aua āhuatanga mōrearea nui.
- He nui te hītori whānau mō te mate pukupuku: Mena kua pāngia tētahi whanaunga tata (hei tauira, tō whaea, tō tuahine, tō tamāhine rānei) e te mate pukupuku ū, ka nui ake tō tūponotanga ki te pāngia. He pono rawa tēnei mena kua pāngia taua tangata e te mate pukupuku i mua i te 50 tau te pakeke .
- He hītori whaiaro mō te mate pukupuku: Whakaarohia kua pāngia koe e te mate pukupuku i te ū kotahi, ā, me tango te uma hei tango i taua ū hei rongoā. I taua wā, ka whakatau ētahi tāngata kia tangohia te ū hauora kē atu, hei whakaiti i te tūponotanga o te mate pukupuku i taua taha ā muri ake nei. Heoi, kāore tēnei e pā ki te āhua o te mate pukupuku o nāianei, ki ētahi atu maimoatanga rānei ka tukuna ki a ia.
- Whakamātautau Ira Pai: Ka taea e ngā huringa, ngā whakarerekētanga rānei o ētahi ira i roto i tō tātou tinana te whakanui ake i te mōrearea o te whakawhanake i te mate pukupuku. Ko te BRCA1 me te BRCA2 ētahi ira nui. Mena ka whakaūhia e te whakamātautau ira kei a koe tētahi o ēnei whakarerekētanga ira, he tino teitei tō mōrearea ki te whakawhanake i te mate pukupuku ū. I roto i tēnei āhuatanga, ka taea e koe te whakaaro ki tēnei pokanga.
- Te rongoā irahiko i mua: Mena kua rongoāhia koe ki te uma mō tētahi take, inā koa i waenga i te 10 me te 30 tau te pakeke (mō tētahi atu mate pukupuku, pērā i te lymphoma a Hodgkin), ka piki ake pea tō tupono ki te pāngia e te mate pukupuku ū ā muri ake nei.
He mea tino nui tēnei. Ehara tēnei i te mea māu anake e whakatau. Me kōrero koe ki tō tākuta, ki tō taote pokanga, me tō whānau me te tino mārama ki ngā painga me ngā huakore katoa i mua i te whakatau.
E hia te nui o te whakaiti a tēnei pokanga i te mōrearea?
Koinei te pātai tino nui. Ae, he tino teitei te haumaru o tēnei pokanga mō te hunga e tino mōrearea ana. Kua kitea e ngā rangahau:
- Ka taea e tēnei pokanga te whakaiti i te mōrearea o te mate pukupuku ū i roto i ngā wāhine he whakarerekētanga ira BRCA1, BRCA2 rānei tā rātou, mā te 95% pea, arā, kua tata kore rawa te mōrearea.
- Ka taea e ngā wāhine he hītori whānau pakari tō rātou mōrearea ki te mate pukupuku te whakaiti i tō rātou mōrearea mā te 90% .
He tino teitei tēnei ōrau, koia te take he kōwhiringa pai mō te hunga kei roto i te wāhanga mōrearea nui.
He rerekē ngā momo pokanga o tēnei?
Ae, he maha ngā huarahi hei mahi i tēnei pokanga, i runga i ngā hiahia o te tūroro, te momo tinana, me te taunakitanga a te tākuta. Kia mārama tātou i tēnei ripanga.
| Momo pokanga | Whakaahuatanga māmā |
|---|---|
| Te tango i te mastectomy i te taha rua | Ko te tikanga tēnei ko te tango katoa i ngā ū e rua. He maha ngā wā ka whiriwhiria tēnei tikanga e te hunga whai take mōrearea ira. |
| Te tango i te mastectomy i te taha ke (kei te taha ke) | Ka kiia tēnei he mastectomy, arā, ko te tango i te uma hauora o te tangata he matepukupuku tōna i te wā kotahi e tangohia ai taua uma. |
| Te tango i te kiri i roto i te mastectomy | I konei, ka tangohia te uma me te wāhi pōuri huri noa (areola), ā, ko te kiko o roto anake ka tangohia mā taua tapahi iti. Ko te nuinga o te kiri o te uma ka toe. |
| Te tango i te uma i roto i te uma | I tēnei tikanga, ko te kiko o te ū anake ka tangohia, ka waiho te uma me te rohe huri noa i te uma kia ora tonu. |
| Te tango i te mastectomy me te hanga anō | Ka mahia te pokanga whakahou ū i te wā kotahi o te tango i te uma, i muri rānei i te tango i te uma. Ka taea tēnei mā te whakamahi i ngā tāpiringa silicone, i te kiko rānei i tangohia mai i tētahi atu wāhanga o te tinana (hei tauira, te puku). |
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
Ka hoatu e tō tākuta ngā tohutohu katoa e tika ana i mua i te pokanga. I te rā o te pokanga, ka whakakakahuria koe ki te kākahu hōhipera, ā, ka honoa he aho IV ki tō ringa. Mā tēnei ka waiho koe ki raro i te mate whakamoe whānui, arā, kāore koe e rongo i tetahi mea i te wā o te pokanga, ā, ka moe katoa koe.
Kātahi ka haria ia e rātou ki te rūma pokanga, ā, ka tīmata te pokanga e te taote pokanga.
1. Tuatahi, ka tapahia he wahi e tika ana i te ū.
2. Kātahi ka wehea marietia te kiko o te ū i te kiri me ngā uaua o te uma.
3. Ka tangohia katoatia te kiko o te ū. Mena kei te whakaaro koe ki te hanga anō i te ū, ka taea te tīmata i tēnei wā.
4. I muri i te pokanga, ka whakatakotoria ētahi ngongo e kiia nei ko ngā waikeri hei tango i te wai nui (toto, wai, me ētahi atu) e kohia ana i roto i te patunga. Ka tangohia ēnei i roto i ētahi rā.
5. Hei whakamutunga, ka tuia te tapahi, ā, ka hipokina pai ki te takai.
E rua ki te toru hāora te roa o tēnei pokanga, engari ki te mahia anō te hanga anō i te ū i te wā kotahi, ka roa ake pea.
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
Me noho koe ki te hōhipera mō te kotahi rā i muri i te pokanga. Tērā pea ka rerekē tēnei wā i runga i tō āhua hauora me te mea i pokangahia koe.
I a koe e ora ana, ka tūtohu te tīma hauora i ngā mahi whakakori tinana māmā hei āwhina i te whakaiti i te kōpiko me te kikī o ō ringa me ō pakihiwi.Ka akona koe. Mā ēnei mahi whakakori tinana ka whakaiti i te hanganga o ngā kiko koha. I mua i tō wehenga atu i te hōhipera, ka whakamāramahia ki a koe ngā mea katoa, pērā i te tiaki i te patunga i te kāinga me te tango rongoā.
Wā Whakaora:
- E 3-4 wiki te roa mō te whakaora tuatahi .
- Mena kua mahia he pokanga whakahou i tō ū, e waru wiki pea te roa o te whakaora.
- Tērā pea ka roa ētahi marama i mua i te taea e koe te hoki anō ki ō mahi o ia rā, inā koa ngā mea pēnei i te hiki taumaha.
He aha ngā mōrearea me ngā raruraru o tēnei pokanga?
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.
- Te toto
- Mate pāwera
- Te ngaronga o te kare ā-roto i roto i te ū me te uma
Haunga ēnei mōrearea ā-tinana, tētahi atu mea nui hei whakaaroaro: ko te pānga ki te hinengaro .
Tērā pea ka pāngia koe e te manukanuka me te pouri mō tō tinana i muri i te pokanga. He uaua ki te aro atu ki te ngaronga o tētahi, o ō ū e rua rānei. He mea noa tēnei. Kaua e whawhai ko koe anake ki ēnei kare ā-roto. He tino āwhina te kōrero ki tētahi tohunga hinengaro, ki tētahi kaiwhakatakoto whakaaro rānei, hei āwhina i a koe ki te kōrero mō tēnei mea, me te āwhina i a koe ki te whakatau i tēnei mea.
Āhea ahau me kite i te tākuta i muri i te pokanga?
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i te pokanga, me waea atu koe ki tō tākuta tonu atu .
- Ki te pāngia koe e te kirika .
- Mena kei te toto te patunga.
- Ki te kore te mamae e memeha i muri i ētahi wiki, ki te kino haere rānei.
- Mena he whero me te pupuhi te taha o te patunga.
- Ki te mea ka rongo koe i te mahana huri noa i te wāhi i tapahia.
He tohu pea ēnei o te mate urutā, nō reira he mea nui kia tere te whakamōhio atu.
Karere Tangohia ki te Kāinga
- Ehara te mahi ārai i te tango i te ū i te mahi pokanga mā te katoa. Ka mahia anake mā te hunga he tino mōrearea ki te pāngia e te mate pukupuku o te ū.
- Ki te mahia ki te tangata tika, ka taea e tēnei pokanga te whakaiti i te mōrearea o te mate pukupuku o te ū mā te 90-95%.
- He maha ngā tikanga hei mahi i te pokanga, ā, tera anō te kōwhiringa o te hanga anō i te ū i te wā kotahi o te pokanga, i muri rānei i te pokanga.
- He roa te wā e ora ai te tinana me te hinengaro. He mea noa te pouri me te manukanuka i te huringa o tō tinana. Kaua e mangere ki te rapu awhina mai i tētahi tohunga hauora hinengaro.
- He whakatau nui rawa tēnei, he whakatau whaiaro hoki, ka pā ki tō oranga. Nō reira, kōrerohia ki tō tākuta kia mārama, kia mārama ki ngā painga me ngā huakore katoa, ā, me whakatau i te whakatau e tika ana māu.
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