He puku kei roto i te waha? He mate pukupuku repe huware pea tēnei? Kia mōhio tātou ki ngā taipitopito!

Kua rongo koe i tētahi puku i roto i tō waha, i tō paparinga, i tō kaki rānei? He mea noa te mataku ina tupu tēnā, tika? Engari ehara i te mea he mate pukupuku kino ngā puku katoa. Heoi, i ētahi wā ka puta ēnei i tētahi raruraru o ō tātou repe huware, arā, ko ngā repe e whakaputa ana i te huware. I tēnei rā, me kōrero taipitopito tātou mō tēnei mate pukupuku repe huware, he rite tonu ki te kōrero ki tētahi hoa.

He aha te mate pukupuku o te repe huware?

He whakarāpopototanga noa iho, ko te mate pukupuku o te repe huware he mate pukupuku e puta ana i roto i ō tātou repe huware, arā, ngā repe e whakaputa ana i te huware. Kei roto i ō tātou waha me ō tātou korokoro ēnei repe huware. Ka whakaputahia e rātou te huware. Ko tēnei huware te mea e āwhina ana i a tātou ki te tīmata ki te nakunaku i te kai e kainga ana e tātou.

Ināianei, e rua ngā momo pukupuku e puta mai ana i roto i ēnei repe huware.

• Ngā pukupuku pai: Ehara ēnei i te matepukupuku, engari i ētahi wā ka pā mai he raruraru.
• Ngā pukupuku kino: Koinei ngā mea e kīia nei e tātou he mate pukupuku.

Ka taea e ēnei momo pukupuku e rua te whakawhanake i roto i tētahi o ā tātou repe huware.

He pēhea te noa o tēnei mate pukupuku?

Ina hoki, he tino onge te mate pukupuku o te repe huware. Tata ki te 1% o ngā mate pukupuku katoa o te upoko me te kaki e pā ana ki tēnei mate. Ko ngā momo e rua e tino kitea ana ko te Mucoepidermoid Carcinoma me te Adenoid Cystic Carcinoma. Ina huihuia, tata ki te haurua o ngā mate pukupuku katoa o te repe huware e pā ana ki ēnei momo e rua.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te mate pukupuku o te repe huware?

Ka pā tēnei ki te katoa. Heoi, kua kitea he nui ake te tūponotanga o ngā tāne ki te whakawhanake i ēnei pukupuku matepukupuku. Hei tāpiri, tera pea ka nui ake tō tūponotanga ki tēnei mate nā ēnei take e whai ake nei:

• Mena kua neke atu i te 55 tau tō pakeke.
• Ki te mea he kaipaipa koe, he inu waipiro rānei i ngā wā katoa, he mea ēnei ka pā mai ai ngā mate maha.
• Mena kua whiwhi koe i te rongoā irahiko ki te mahunga, ki te kaki rānei i mua.
• Ko ētahi mahi motuhake , pērā i ngā kaimahi paipa, ngā kamupene hanga rapa, ngā maina asbestos, te hanga taonga hiako rānei, e kiia ana he paku nui ake te mōrearea.

Kua whakaatuhia e ētahi rangahau he maha ake ngā momo mate pukupuku o te repe huware i roto i te hunga whai mate huaketo, pērā i te huaketo Epstein-Barr me te Human Papillomavirus (HPV). Heoi , ehara i te mea ko ēnei huaketo te take o te mate pukupuku . Kei te rangahauhia tonutia tēnei hononga.

He aha te take o te mate pukupuku o te repe huware?

Ki te pono, kāore anō kia mōhiotia te tino pūtake o te nuinga o ngā mate pukupuku o te repe huware.Ka taea e ēnei pukupuku te puta i roto i tētahi o ngā repe huware i roto i tō tātou waha. Heoi, ko te nuinga o te wā ka puta i roto i ngā repe huware matua e toru. Ko ēnei:

• Ngā repe parotid: Kei roto i ō tātou paparinga ēnei.
• Ngā repe submandibular: Kei raro i te wheua kauae o raro ēnei.
• Ngā repe o raro i te arero: Kei raro i te arero ēnei, i te papa o te waha.

I te nuinga o te wā, ka tīmata ngā pukupuku matepukupuku me ngā pukupuku kore-matepukupuku i roto i ngā repe parotid.

Ka taea hoki e ēnei mate pukupuku te whanake i roto i ngā repe huware iti, arā, he repe ririki kei roto i tō tātou waha, i te arero, i roto i ō tātou ngutu, i roto i ō tātou paparinga, i roto i ō tātou sinuses, i roto i tō tātou ihu, tae noa ki roto i tō tātou larynx. He tino onge ngā pukupuku i roto i ēnei repe ririki, engari ki te whanake, ko te nuinga o aua pukupuku he mate pukupuku.

He mea nui, ki te kore ēnei mate pukupuku e rongoatia, ka pakaru, ka horapa (metastasize) ki ētahi atu wāhanga o te tinana, mā roto i te toto, i te pūnaha lymphatic rānei. Kia pakaru, ka uaua ake te rongoā. Ka horapa noa te mate pukupuku o te repe huware ki ngā pukahukahu, ki ngā wheua, me te ate.

He aha ngā tohu o te mate pukupuku o te repe huware?

He mea whakamiharo, ko ētahi tāngata e pāngia ana e te mate pukupuku o te repe huware kāore e pāngia e tetahi tohu . Heoi, ko te tohu matua e kitea pinepine ana ko te whanaketanga o tētahi puku kore mamae i roto i te repe huware.

Heoi, ki te mea he pukupuku kino tōu, tera pea ka pāngia koe e ētahi atu tohu, pēnei i:

• Te māuiui, te ngoikore rānei o te mata, te kaki, te kauae, te waha rānei.
• Te mamae tonu i te mata, i te kaki, i te kauae, i te waha rānei.
• He uaua ki te whakatuwhera katoa i te mangai, kāore rānei e taea te neke tika i ngā uaua o te kanohi.
• Te uaua ki te horomi.
• Te toto e puta mai ana i te waha.

Mena kei a koe tētahi mea pēnei, me tino kite koe i tētahi tākuta.

Me pēhea te tautuhi i te mate pukupuku o te repe huware?

Ina haere koe ki te tākuta, ka tirohia tuatahitia koe e ia. Ka pātai ia mō tō hītori hauora, mēnā kua pāngia tētahi o tō whānau e te mate pukupuku, me ētahi atu mea. Kātahi ka pākia e ia ngā repe huware, ka tirohia mēnā he puku. Ka whakamātautauhia hoki e ia te mahi a ngā io i tō mata. Ka pātai atu hoki ia ki a koe mō ō tohumate.

Whai muri i tēnā, ka tonoa pea koe kia mahi i ētahi atu whakamātautau hei whakaū mēnā kei reira he pukupuku, ā, mēnā he matepukupuku. Ko ēnei:

• Matawai CT: Ka whakamahia e tēnei he hihi-X hei tango pikitia o ngā pukupuku i roto i ngā repe huware. He rite ki te pikitia 3D o roto o te tinana. Ka taea hoki te whakaatu i te rahi o te pukupuku me te mea kua horapa ki ētahi atu wāhanga o te tinana, pērā i ngā pukahukahu, i ngā wheua rānei.
• MRI (Whakaahua Āhua Aukume): Ka whakamahia he aukume me ngā ngaru reo irirangi hei hanga pikitia mārama o roto o te tinana. Pērā i te matawai CT, ka taea hoki e tēnei te whakaatu i te rahi o te pukupuku. He tino pai te MRI hei tirotiro mēnā kua horapa te mate pukupuku ki ngā kiko ngohengohe pēnei i ngā uaua, ngā uaua toto, me ngā io.
• `Matawai PET` (Positron Emission Tomography): Ko te werohanga i tētahi iti o ngā rauemi irahiko ki roto i te tinana hei tirotiro mēnā kua horapa te mate pukupuku ki ngā kōpū lymph, ki ētahi atu wāhanga rānei o te tinana. I ētahi wā ka taea te mahi i tētahi `matawai PET` me tētahi `matawai CT` i te wā kotahi (`PET-CT`).
• Kohikohi pūtau: Ko te tango i tētahi wahi iti o te kiko me tētahi tauira wai mai i te pukupuku i roto i te repe huware. Kātahi ka tirohia e te tākuta mate te tauira i roto i te taiwhanga kia kitea ai mēnā he pūtau matepukupuku kei roto. Ka taea te tango i tēnei tauira mā te tango ngira pai, mā te tango ngira matua rānei.

Kia maumahara, ko te huarahi anake ki te whakatau tika mēnā he mate pukupuku te pukupuku o te repe huware, ko te tango i te koiora.

Me pēhea te whakatau i te taumata o tēnei mate pukupuku?

Kia kitea tō mate pukupuku, ka whakatauhia e tō tākuta tōna taumata, arā, te 'taumata'. Ka taea e tēnei te whakarato i te maha o ngā mōhiohio mō te mate pukupuku. Ka taea hoki e ia te āwhina ki te whakatau i te momo maimoatanga e hiahiatia ana.

Ko te wāhanga o ngā pukupuku e whanake ana i roto i ō tātou repe huware nui (`Parotid`, `Submandibular`, `Sublingual`) ka whakatauhia mā te whakamahi i tētahi tikanga e kiia nei ko te `pūnaha TLM`:

• T (Puku): Te rahi me te wāhi o te puku.
• L (Ngā Pona Lymph): Mēnā kua horapa te mate pukupuku ki ngā pona lymph.
• M (Metastasis): Mena kua horapa te mate pukupuku ki ētahi atu whekau (metastasized).

Heoi, he rerekē te huarahi e whakatauhia ai te wāhanga o ngā mate pukupuku e whanake ana i roto i ngā repe huware iti.

He mea nui kia mārama koe ki te wāhanga o tō matepukupuku. Ka taea e ia te āwhina i a koe ki te mārama ki ngā maimoatanga e wātea ana māu, me te āhua o ngā hua ka puta. Nō reira, me pātai atu ki tō tākuta mō tēnei.

He aha ngā maimoatanga mō te mate pukupuku o te repe huware?

I te nuinga o te wā, ko te pokanga te rongoā pai rawa atu mō ngā pukupuku ka taea te tango haumaru. Heoi, ki te tere rawa te tipu o te pukupuku, ki te horapa rānei ki ētahi atu wāhanga o te tinana, ka tūtohu pea tō tākuta i ētahi atu maimoatanga.

Ko ngā tikanga maimoatanga e whai ake nei:

• Pokanga:Koinei te maimoatanga matua mō ngā pukupuku repe huware matepukupuku. Haunga te tango i te pukupuku, ki te whakapaetia kua horapa te matepukupuku ki ngā kōpū lymph, ka taea hoki te tango i aua kōpū lymph (lymphadenectomy). Whai muri i te pokanga, ka taea te hoatu i te rongoā irahiko hei whakangaro i ngā pūtau matepukupuku e toe ana, hei aukati hoki i te hokinga mai o te matepukupuku.
• Whakaora irahiko: Ko te whakamahi i tētahi mīhini hei tuku i te irahiko ki ngā pūtau matepukupuku, hei whakangaro hoki i a rātou. Ko te whakaora irahiko hihi-photon me te whakaora irahiko hihi neutron he momo whakaora irahiko e rua e whakamahia ana mō te matepukupuku repe huware. I ētahi wā, ka hoatu pea te whakaora irahiko hei wāhanga o te tiaki mamae hei whakaiti i ngā tohu me te whakapai ake i te kounga o te oranga.
• Te rongoā matū: Ka whakamahia he rongoā hei patu i ngā pūtau matepukupuku. Mena kua horapa tō matepukupuku ki tua atu i ngā repe huware ki ētahi atu kiko i tua atu i te mahunga me te kaki, ka taea te hoatu i te rongoā matū.

I ētahi wā, ka tūtohu pea tō tākuta kia whai wāhi koe ki tētahi whakamātautau haumanu . He rangahau ēnei hei tirotiro i te haumaru me te whai huatanga o ngā maimoatanga hou. Kei roto i ngā maimoatanga hou:

• Te rongoā ārai mate: Ko te hoatu rongoā hei āwhina i te pūnaha ārai mate o tō tinana ki te kite me te whawhai ki ngā pūtau matepukupuku. Kei te rangahau ngā kairangahau i te mahi a tētahi momo rongoā ārai mate motuhake e kiia nei ko ngā aukati tirotiro i roto i te whawhai ki te matepukupuku matatau.
• Whakaora Whaiaro: Ka whakamahia ngā rongoā hei aro ki ngā hapa i roto i te waehere ira o te pūtau matepukupuku, hei whakamate i te matepukupuku, hei aukati rānei i tōna tipu. Kei te whakahaerehia hoki he rangahau hei tirotiro i te whai huatanga o ēnei whakaora whaiaro ki te hunga whai matepukupuku adenoid cystic kua whanake haere.
• Ngā Rongoā Whakaoho Irahiko: He momo rongoā ēnei e whakanui ake ai i te aro o ngā pūtau matepukupuku ki te irahiko. Kei te haere tonu ngā rangahau kia kitea ai me pēhea te whakakotahi i ēnei me te rongoā irahiko hei āwhina i te rongoā i te matepukupuku o te repe huware.

I runga i te momo mate pukupuku kei a koe, ka tukuna pea he maimoatanga kotahi, neke atu rānei, hei whakakore i te mate pukupuku me te ārai i tōna hokinga mai.

He aha ngā raruraru pea ka pā mai i ngā pukupuku repe huware kore-matepukupuku (pai)?

Ahakoa ehara i te matepukupuku ngā pukupuku o te repe huware, ka taea e rātou te huri hei mate kino i roto i te wā. Ko ngā tohu o te matepukupuku o te repe huware ko te whakanui ohorere, tere o te pukupuku kua noho kē i roto, i te taha rānei o te waha, te ngoikore, te ngoikore, me te mamae o te kanohi. Tērā pea ka uaua ki a koe te kōrero, te horomi tika rānei i ēnei tohu.

Ka taea te ārai i te mate pukupuku o te repe huware?

Ina hoki, kāore he huarahi hei ārai katoa i te mate pukupuku o te repe huware.Heoi, mā te karo i ngā āhuatanga mōrearea pēnei i te momi hikareti me te inu nui i te waipiro ka taea te whakaiti i te mōrearea whānui ki te whakawhanake i te mate pukupuku.

Ka taea te rongoā i te mate pukupuku o te repe huware?

I te nuinga o te wā, ki te kitea te mate pukupuku, ā, ka rongoatia wawe , ka taea te whakaora katoa. Ko tō tupono ki te ora ka whakawhirinaki ki ngā āhuatanga pēnei i:

• Te rahi o te pukupuku.
• Mehemea kua horapa te mate pukupuku.
• Kua hoki mai anō rānei te mate pukupuku.
• Ko tēhea repe huware kei roto ngā pūtau matepukupuku?
• Te āhua rerekē o ngā pūtau matepukupuku i raro i te karu hiko.
• Tō hauora whānui.

He aha te ōrau oranga mō te mate pukupuku o te repe huware?

Ko ngā reiti oranga mō te mate pukupuku he raraunga rangahau e whakaatu ana i te tokomaha o ngā tāngata kua kitea he mate pukupuku motuhake ka ora mō tētahi wā motuhake, e rima tau te nuinga. Mō te mate pukupuku repe huware, ka rerekē tēnei reiti i runga i te momo mate pukupuku. Hei tauira, ko te reiti oranga mō ngā tau e rima mō tētahi momo e kiia nei ko te "mucoepidermoid carcinoma" kei waenganui i te 75% me te 90%. He mea nui anō hoki te wāhi o te puku. Mena kei te repe huware anake, ko te reiti oranga he tata ki te 94%. Mena kua horapa te mate pukupuku, ka heke taua reiti.

He mea nui kia maumahara kāore ēnei raraunga e whai whakaaro ana ki ngā mea motuhake ki a koe – pērā i tō āhua hauora me te āhua o tō urupare ki te maimoatanga.

Nō reira, he mea pai kia pātai atu ki tō tākuta he aha ngā hua ka puta mai i tō whakamātautau e pā ana ki tō āhua.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ētahi tohu o te pukupuku o te repe huware, ina koa ka roa atu i te rua wiki , me toro atu koe ki te tākuta.

Ki te kite koe i tētahi puku i roto i tō waha, i tō korokoro rānei, kāore e memeha i roto i ētahi wiki, me toro atu ki te tākuta. Ehara i te mea he mate pukupuku ngā puku katoa. Tērā pea he pukupuku, he pukupuku rānei nō te repe huware ehara i te mate pukupuku. Ko te tākuta anake ka taea te kī tino tika. Ahakoa he mate pukupuku tō puku, ko te tere o te kitenga me te tīmatanga o te maimoatanga, ka nui ake te tūponotanga ka pai te putanga.

Karere Whakamutunga mō te Tango ki te Kāinga

Nō reira, ko tāku tumanako kua mārama pai koe ki te mate pukupuku o te repe huware i kōrerohia e tātou i tēnei rā. Kia maumahara, ki te mea he puku rerekē, he mamae, he ngoikore rānei tō waha, tō korokoro rānei, kaua e warewaretia. Tirohia he tākuta tonu, kia tirohia koe. Ehara i te mea he mate pukupuku ngā puku katoa, engari ko te kitenga wawe te huarahi pai ki te whiwhi hua pai. Kaua e mataku, ko te mea nui ko te whai i ngā tohutohu hauora tika. Ki te mea he pātai āu, kōrero noa ki tō tākuta.

Matepukupuku o te repe huware, Matepukupuku o te repe huware, Matepukupuku o te waha, Matepukupuku o te waha, Matepukupuku o te kaki, Ngā tohu o te matepukupuku, Te maimoatanga o te matepukupuku