I ētahi wā ka rongo pea koe i te mataku i roto i tō ngākau, "Āe, i pāngia hoki tōku whaea e te mate pukupuku ū, kāre au i te tino mōhio mēnā ka pāngia anō hoki ahau...". Kei roto anō hoki i a koe tēnei momo mataku me te ruarua i roto i tō ngākau? Inaa, he nui ake te tūponotanga o ētahi tāngata ki te pāngia e te mate pukupuku ū i ētahi atu, arā, he nui ake te mōrearea o rātou. Nō reira, mō te hunga he nui te mōrearea, kei te kōrero tātou i tēnei rā mō tētahi tikanga hauora motuhake ka taea te whakaiti i taua mōrearea i te mea ka taea.
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He aha te tikanga o te Prophylactic Mastectomy?
Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te mahi. Ko te tango pokanga ārai mate pukupuku (Prophylactic Mastectomy) he tango pokanga i tētahi, i ngā ū e rua rānei i mua i te whanaketanga, me te whāinga kia whakaitihia te tūponotanga o te mate pukupuku ū. Ka kiia hoki tēnei ko te "Preventative Mastectomy" ko te "Risk-reducing Mastectomy" rānei.
Ko te mea nui, ehara tēnei i te pokanga mō te katoa. E taunakitia ana kia whakamahia anake mō te hunga kua whakatauhia e ngā tākuta he tino nui te mōrearea ki te pangia e te mate pukupuku o te ū.
Ko wai me whakaaro ki tēnei pokanga?
Ki te whakaaro koe he nui te tūponotanga o te mate pukupuku o te ū ki a koe, ka taea e koe te kōrero ki tō tākuta mō tēnei mea, ā, ka whakatau koe. Ko te tikanga, ka whakaarohia tēnei pokanga mō te hunga whai i ēnei āhuatanga tūponotanga:
- Hītori whānau mō te mate pukupuku: Ka nui ake tō tūponotanga mēnā kua pāngia tētahi o tō whānau e te mate pukupuku ū, inā koa he whanaunga tata pērā i te whaea, te tuahine, te tamāhine rānei. Ā, ka nui ake tō tūponotanga mēnā kua pāngia taua tangata e te mate pukupuku i mua i te 50 tau te pakeke.
- Ngā hua o te whakamātautau ira: Ka taea e ngā whakamātautau ira te kite i ētahi whakarerekētanga ira e whakanui ana i te mōrearea o te mate pukupuku o te ū. Ina koa, ki te whakaūtia ngā whakarerekētanga ira i roto i ngā ira BRCA1 me BRCA2 , he tino teitei te mōrearea o te mate pukupuku.
- Te mate pukupuku o roto i a koe anō: Mena kei te mate pukupuku koe i te ū kotahi, ka whiriwhiri ētahi tāngata kia tangohia te ū hauora o tētahi atu ū i tēnei ara. Heoi, kāore tēnei e whakarerekē i te maimoatanga, i te putanga rānei o te mate pukupuku o nāianei.
- Te whiwhi i te rongoā irahiko: Mena kua whiwhi koe i te rongoā irahiko ki te uma mō tētahi atu take i a koe e tamariki ana, i waenganui i te 10 me te 30 tau te pakeke, he take anō tēnei e piki ake ai te mōrearea o te mate pukupuku o te ū.
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Check Availability →He pēhea te angitu o tēnei pokanga?
Ko te painga nui o tēnei pokanga ko tōna kaha ki te whakaiti i te mōrearea o te mate pukupuku o te ū.
- E 95% te mōrearea o te tangata he whakarerekētanga ira pērā i te BRCA1, te BRCA2 rānei, ki te pāngia e te mate pukupuku i muri i tēnei pokanga.Ka heke iho mā te tata ki te .
- Ka taea e te tangata he nui te mōrearea nā te hītori whānau te whakaiti i tōna mōrearea mā te 90% .
Ehara tēnei i te kī ka whakakorea rawatia te mōrearea, engari ka taea te whakaiti ki tētahi taumata tino iti.
He rerekē ngā momo pokanga o tēnei?
Ae, he maha ngā huarahi e whakahaerehia ai tēnei pokanga, i runga i ngā hiahia o te tūroro me ngā taunakitanga hauora. Kia tirohia tātou he aha ngā momo matua.
| Momo Pokanga | He aha te mea e tupu noa ana? |
|---|---|
| Te tango i te mastectomy i te taha rua | Te tango katoa i ngā ū e rua. |
| Te tango i te mastectomy i te taha ke | Ina tangohia te ū matepukupuku, ka tangohia anō hoki te ū hauora. |
| Te tango i te kiri mā te Mastectomy | Te tango i te uma me te wāhi pōuri huri noa (areola), ka waiho te kiri kia ora, ā, ka tangohia te kiko i roto. |
| Te tango i te uma i roto i te nipple | Ko te kiri me te uma anake e tangohia ana, kia kore ai e pakaru. |
| Te tango i te mastectomy me te hanga anō | Te hanga anō i te ū mā te whakamahi i tētahi mea tāpiri, i tētahi kiko rānei i tangohia mai i tētahi atu wāhanga o te tinana, me te tango anō hoki i te ū. |
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
I mua i te pokanga
Mā tō tākuta me tō tīma hauora koe e hoatu ngā tohutohu katoa e hiahiatia ana e koe i mua i te pokanga. I te rā o te pokanga, ka hoatu he kākahu hōhipera ki a koe. Kātahi ka honoa he aho IV ki tō ringa, ā, ka hoatu he rongoā whakamoe ki a koe. Ko te tikanga ka moe rawa koe. Nō reira, kāore koe e rongo i te mamae, i tetahi mea rānei i te wā o te pokanga .
I te wā o te pokanga
Ka whai te taote pokanga i ēnei mahi:
- Ka tapahia te kiri (ka tapahia) ki tētahi wāhi e tika ana o te ū.
- Ka wehea marietia te kiko o te ū i te kiri me ngā uaua o te uma.
- Ka tangohia katoatia te kiko o te ū kua wehea.
- Ki te mea kua whakatau koe ki te hanga anō i te ū, ka tīmata taua mahi ināianei.
- Ka whakatakotoria tētahi, ētahi rānei ngongo iti (waikeri) ki te taha o te patunga hei tango i te wai nui me te toto e kohia ana i te wā e ora ana te patunga.
- Hei whakamutunga, ka tuia te tapahi kia honoa anō, kātahi ka hipokina ki te takai.
E rua ki te toru hāora te roa o tēnei pokanga, engari ka roa ake pea mēnā kei te mahia anō te hanga hou i te ū i te wā kotahi.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te rā kotahi, e rua rānei. Ka whakawhirinaki tēnei wā ki tō hauora me te mea i pokangahia koe mō te hanganga anō. I mua i tō wehenga atu i te hōhipera, ka hoatu e te tīma hauora he tohutohu ki a koe mō te tiaki i tō patunga i te kāinga me te tiaki i ō ngongo waikeri.
Ka akona hoki koe ki ngā mahi whakakori tinana motuhake hei whakaiti i te pakari o ō ringaringa me ō pakihiwi i muri i te pokanga. He mea tino nui kia tika te mahi i ēnei.
He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. E 3-4 wiki te roa ka pai ake tō āhua. Mena i pokangahia koe mō te whakaora anō, e 8 wiki, neke atu rānei, ka roa pea. Tērā pea ka roa pea ētahi marama i mua i te taea e koe te hoki anō ki ō mahi o ia rā.
Kāore ianei he mōrearea kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.
- Te toto
- Mate pāwera
- Te ngaronga, te hekenga rānei o te kare ā-kiri o te ū
Haunga ēnei mōrearea ā-tinana, me aro atu hoki tātou ki ngā pānga hinengaro . I muri i te pokanga, tera pea ka manukanuka koe, ka pouri, ka ngaro hoki tō āhua mō tō tinana. He mea noa tēnei.
Ki te mea kei te pōuri koe, kei te manukanuka hoki, kaua e whakama. Kaua e whawhai ko koe anake ki aua kare ā-roto. He puna nui te kaha o te kōrero ki tētahi tohunga hinengaro, ki tētahi kaiwhakatakoto whakaaro hauora hinengaro rānei.
He aha ngā tohu e hiahia ana koe kia toro atu ki te tākuta tonu?
Ki te pā mai tētahi o ēnei tohu ki a koe i muri i te hokinga mai i te pokanga, me waea atu tonu koe ki tō tākuta .
- Te toto nui mai i te patunga
- Kirika
- Te mamae e mau tonu ana, e piki haere ana rānei mō ētahi wiki
- Te whero, te pupuhi rānei huri noa i te patunga e kore e memeha
- Te mahana ina pāngia te patunga
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.
- Ka taea e tēnei pokanga te whakaiti i te mōrearea o te mate pukupuku (mā te 90-95%), engari kāore e whakakorea katoatia te mōrearea.
- Ki te whakaaro koe kei roto koe i te mōrearea, kōrero noa ki tō tākuta mō ngā mea pēnei i te hītori whānau me te whakamātautau ira (BRCA1/2).
- He whakatau nui tēnei. Ka roa te wā e ora ai, i te taha tinana me te taha hinengaro. Kaua e mangere ki te rapu tautoko hauora hinengaro mēnā e tika ana.
- I mua i te whakatau i tētahi mea, he mea nui kia kōrerohia paitia e koe ngā painga me ngā huakore o te pokanga, me ō whiringa kē atu, me tō tākuta.
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