Kua kite koe i tētahi puku iti, i tētahi puku rānei i tētahi wāhi o tō tinana? Kāore pea e mamae, kei te mamae tonu rānei koe i tō ringa, i tō waewae, i ō hononga rānei. He maha ngā wā ka wareware noa tātou i ēnei mea. Ka whakatenatena tātou i a tātou anō, "He puku momona noa iho pea," "Kua pakaru pea ahau i tētahi wāhi." Heoi, i ētahi wā, ahakoa he tohu iti pēnei i tēnei, he tohu pea nō tētahi mate e kiia nei ko te 'Sarcoma' ( Sarcoma ), he mate pukupuku onge engari he mea nui me mōhio koe. Kaua e mataku—kia kōrero tahi tātou mō tēnei mea, he māmā noa iho, mai i te tīmatanga, i konei i Nirogi Lanka.
He kupu ngāwari noa iho, he aha te Sarcoma?
He pukupuku kino te sarcoma e tupu ana i roto i ngā wheua , i ngā kiko ngohengohe rānei o tō tinana. Tērā pea kei te whakaaro koe he aha ngā kiko ngohengohe. Koinei ngā kiko e tautoko ana, e hono ana hoki i ngā hanganga rerekē o tō tinana.
Hei tauira:
- Ngā uaua
- Ngako
- Ngā uaua
- Kirita
- Ngā hononga
- Ngā uaua toto
- Ngā io
Koinei ngā mea e kīia nei e tātou ko ngā kiko ngohengohe o tō tinana, ā, ka taea e te sarcoma te whakawhanake i tētahi o ēnei wāhi.
He momo mate pukupuku onge ngā sarcoma. Tata ki te 1% noa iho o ngā mate pukupuku pakeke katoa. Heoi, tata ki te 15% o ngā mate pukupuku kua kitea i roto i ngā tamariki. Nō reira, he mea tino nui te mōhio ki tēnei mate.
Kei hea te nuinga o te wā ka puta mai ngā sarcomas?
Ahakoa ka pā tēnei mate pukupuku ki ngā wāhi katoa mai i tō mahunga ki ō waewae, he wāhi noa iho kei reira e kitea ai. Whakaarohia tēnei: i roto i ia 100 sarcomas e kitea ana:
- E 40% ka puta i te tinana o raro, pērā i ō waewae, pona waewae, me ō waewae .
- 15% ka puta i ngā pito o runga, pērā i ō pakihiwi, ringa, pūngāwerewere me ngā maihao .
- 30% ka puta i roto i tō tinana, uma, puku, hope rānei .
- Ko te toenga 15% ka kitea i te rohe o te mahunga me te kaki .
He aha ngā momo matua o ngā sarcomas?
I roto i te kāwai whānui o te sarcoma, neke atu i te 70 ngā momo rerekē. Heoi, ka taea e tātou te whakarōpū i a rātou ki ngā kāwai matua e rua: ko ngā sarcoma wheua me ngā sarcoma kiko ngohengohe.
| Momo Sarcoma | Whakaahuatanga Māmā |
|---|---|
| Ngā Sarcoma Wheua | I ahu mai ēnei i te kiko wheua. Ka kiia ēnei ko ngā 'sarcoma wheua tuatahi'. He nui ake te kitea i roto i ngā tamariki me ngā taiohi kei raro iho i te 35 tau te pakeke. Ko ētahi tauira ko:
|
| Ngā Sarcoma o te Kiko Ngāwari | Ka ahu mai ēnei i ngā kiko ngohengohe pērā i te uaua, i te ngako rānei. He nui ake te kitea o ēnei i roto i ngā pakeke i ngā sarcoma wheua, ahakoa ka taea hoki e ētahi momo (pērā i te rhabdomyosarcoma) te puta i roto i ngā tamariki. Ko ētahi tauira ko:
|
He Tuhipoka Hira: I ētahi wā, ka horapa te mate pukupuku e tīmata ana i tētahi atu wāhanga o te tinana (hei tauira, ngā pukahukahu, te ū, te tairoi) ki ngā wheua. Ka kiia tēnei ko te 'mate pukupuku wheua metastatic.' Ehara tēnei i te momo sarcoma. He mate pukupuku anō kua horapa ki ngā wheua.
He aha i puta ai ngā sarcoma? He aha ngā āhuatanga mōrearea?
Pērā i ngā momo mate pukupuku maha atu, kāore anō kia tino mārama te take tika e huri ohorere ai te pūtau hauora hei mate pukupuku. He kupu ngāwari, ko te whakarerekētanga o te DNA o ngā pūtau e hanga ana i ō wheua, i ō kiko ngohengohe rānei ka meinga kia tipu, kia wehea hoki, kāore e taea te whakahaere. Ko te puranga pūtau ka puta ko te mea e kitea ana e tātou he pukupuku. Ki te kore e rongoatia, ka taea e ēnei pūtau mate pukupuku te haere mā roto i te toto, i te pūnaha lymphatic rānei, ka horapa ki ētahi atu okana o te tinana. E mōhiotia ana tēnei tukanga ko te metastasis.
Heoi, kua tautuhia he maha ngā āhuatanga mōrearea e whakanui ake ai i te tūponotanga o te whakawhanaketanga o te sarcoma.
| Tauwehenga Mōrearea | Whakaahuatanga |
|---|---|
| Ngā matū | Te pānga roa ki te arsenic, ētahi matū e whakamahia ana i roto i te hanga kirihou (vinyl chloride), ngā patu taru, me ngā mea tiaki rakau. |
| Irahiko | Te rongoā irahiko horopeta nui o mua i whakamahia hei rongoā i ētahi atu momo mate pukupuku. |
| Te mate pukupuku o te lymph | Te pupuhi roa o ngā ringa, o ngā waewae rānei, nā te nui haere o te wai lymph. |
| Ngā Āhuatanga Ira | Ka taea e ētahi āhuatanga ira tuku iho (hei tauira, te Neurofibromatosis momo 1, te mate Li-Fraumeni) te whakanui ake i tō mōrearea. |
He aha ngā tohu o te sarcoma?
Koinei te wāhi e pōhēhē ai te tini o te tangata. Nā te mea he rerekē ngā tohu o te sarcoma i runga i te wāhi i puta ai te pukupuku. I ētahi wā, kāore pea he tohu i ngā wāhanga tōmua.
Anei ētahi o ngā tohu tino kitea pea e koe:
- He puku hou: Ka mamae pea tēnei puku, ka kore rānei e mamae. Tērā pea ka rite ki tētahi puku kei raro i tō kiri.
- Mamae: He mamae tonu i te ringa, i te waewae, i te puku, i te hope rānei. Mō ētahi, ka kino pea tēnei mamae i te pō.
- Te uaua ki te neke: Ki te tupu te puku, ka pēhi i te hononga, i te uaua rānei, tera pea ka uaua ki te piko, ki te whakatika rānei i ō peka.
- Te whakahekenga taumaha kāore i te mārama.
- Mamae tuara.
He mea noa ēnei tohu i roto i ngā āhuatanga hauora maha atu anō hoki. Nō reira, kaua e wehi he sarcoma tonu tēnei nā te mea kei a koe tētahi o ēnei tohu. Heoi, ki te kite koe i tētahi mea pēnei, he mea nui kia kaua e warewarehia, me toro atu ki tō tākuta mō tētahi tirotiro.
Me pēhea te tākuta e tautuhi ai i te sarcoma?
Ina toro atu koe ki tō tākuta, ka pātai tuatahi rātou mō ō tohumate, ā, ka tirotirohia hoki e rātou tōna rahi me tōna āhua. Muri iho, ka tukuna pea koe kia whakaū i ētahi whakamātautau hei whakaū i te mate.
- X-ray: He whakamātautau tuatahi hei tirotiro i ngā āhuatanga rerekē o ngā wheua me ngā kiko ngohengohe.
- Matawai CT (Matawai Tomography Rorohiko): Ka whakamahia he rorohiko hei whakakotahi i ngā whakaahua hihi-X hei hanga tirohanga whakawhiti-wāhanga o tō tinana, kia mārama ake ai te pikitia o te pukupuku.
- Matawai MRI (Whakaahua Āhua Aukume): Ka whakamahi i ngā papa aukume me ngā ngaru reo irirangi hei hanga whakaahua mārama, taipitopito hoki o roto o tō tinana, he mea tino nui tēnei mō te tirotiro i ngā pukupuku kiko ngohengohe.
- Ko te koiora: Koinei te whakamātautau tino nui, tino whakatau hoki. Ka kohia he tauira kiko iti mai i te puku mā te pokanga iti, mā te ngira motuhake rānei, ā, ka tirohia i raro i te karu hiko i roto i te taiwhanga. Koinei te huarahi e whakaū 100% ai te momo mate pukupuku—te momo sarcoma rānei.
Tērā pea ka tūtohutia kia whakamahia ētahi atu whakamātautau, pērā i ngā matawai PET me ngā matawai wheua.
He aha ngā rongoā mō te sarcoma?
He mahi tahi te rongoā i te sarcoma. Ka mahi tahi tētahi rōpū tohunga, tae atu ki ngā taote pokanga, ngā tohunga pukupuku, me ngā kaiwhakaora irahiko, ki te whakatau i te mahere rongoā pai rawa atu māu.
Ko te tikanga maimoatanga ka whakatauhia i runga i:
- Te momo sarcoma.
- Te rahi me te wāhi o te pukupuku.
- Tō āhua hauora whānui.
- Mena kua horapa te mate pukupuku ki ētahi atu wāhanga o tō tinana.
He maha ngā tikanga maimoatanga matua.
Pokanga
Mō te nuinga o ngā sarcomas, ko te pokanga te maimoatanga matua. Ko te whāinga he tango i te pukupuku katoa me tētahi taha iti o te kiko hauora e karapoti ana i a ia kia kore ai he pūtau matepukupuku moroiti e toe ana. I ētahi wā, ka mahia ngā pokanga whakaora peka hei whakaora i tētahi peka. I ngā wā tino onge ka kore e taea te whakaora i te peka, me tapahi pea.
Te Whakaora Irahiko
Ka whakamahia e tēnei ngā hihi-X kaha-teitei hei whakangaro i ngā pūtau matepukupuku. Tērā pea ka tukuna te irahiko i mua i te pokanga hei whakaiti i te pukupuku, i muri rānei i te pokanga hei patu i ngā pūtau matepukupuku e toe ana.
Te rongoā matū
Ko te tikanga o tēnei ko te whakamahi i ngā rongoā motuhake hei patu, hei aukati rānei i te tipu o ngā pūtau matepukupuku e tere wehewehe ana. Ka taea te hoatu i ēnei rongoā mā roto i te uaua, mā roto rānei i te pire.
Ētahi atu Maimoatanga
Hei tāpiritanga, kei te wātea inaianei ngā maimoatanga hou pērā i te Targeted Therapy , e whakaeke ana i ngā ngoikoretanga motuhake o ngā pūtau matepukupuku, me te Immunotherapy , e whakapakari ana i te pūnaha ārai mate o tō tinana hei whawhai ki te matepukupuku.
Āhea koe me toro atu ki te tākuta?
He mate ngāwari ake te rongoā i te wā e kitea wawetia ana te sarcoma. Nō reira, kaua e whakaroa—me toro atu ki tō tākuta tonu mēnā ka kite koe i ēnei mea e whai ake nei.
Ki te mea he puku hou kei tō tinana, ahakoa he mamae, he kore rānei, ina koa he nui ake i te pōro korowha (tata ki te 5 cm) kei te tipu tonu rānei, me toro atu koe ki te tākuta.
Kaua hoki e warewarehia te mamae mau tonu, kāore he whakamārama i roto i te ringa, te waewae, te wheua rānei, ina koa mēnā kāore i whara.
Ehara te sarcoma i te mate pukupuku kotahi anake, engari he rōpū mate pukupuku. Nō reira, he rerekē ngā mahere maimoatanga me te matapae i runga i te tangata takitahi, te momo, me te wāhanga o te mate pukupuku. Mena he pātai āu, he pātai rānei a tētahi e mōhio ana koe mō tēnei, ko te huarahi pai ko te kōrero ki tētahi tohunga.
Karere Tangohia ki te Kāinga
- He momo mate pukupuku onge te sarcoma e puta ake ana i roto i ngā wheua me ngā kiko ngohengohe.
- He mea tino nui kia whakaaturia ki te tākuta tētahi puku hou, e tipu ana, e nui ana rānei (neke atu i te 5cm). Kaua e warewaretia, ahakoa kāore i te mamae.
- Ko te whakamātautau tino nui mō te tautuhi whakamutunga ko te koiora.
- He mea motuhake ngā maimoatanga (pokanga, irahiko, chemotherapy) mō ia tūroro me te āhua o tō rātou mate pukupuku.
- He mea nui te kitenga wawe me te maimoatanga tere kia pai ai ngā hua.
Sarcoma, mate pukupuku, puku tinana, mate pukupuku wheua, mate pukupuku kiko ngohengohe, tohumate mate pukupuku, Nirogi Lanka
