I ētahi wā ka puta he puku iti, he puku mārō hoki puta noa i tō tinana, tika? I te nuinga o te wā, kāore tātou e aro nui ki aua puku. Ka whakaaro tātou, "He pūkahukahu noa iho pea tēnei" he "He pukupuku momona pea." Engari i ētahi wā he pai ki te āwangawanga mō ngā mea pēnei. I tēnei rā, ka kōrero tātou mō tētahi momo pukupuku tino onge, engari he mea nui kia mōhiotia. Ka karangatia ēnei ko ngā Pukupuku muka takitahi (SFT) .
He aha rawa te Puku muka takitahi (SFT)?
He kupu whakarāpopoto, he momo pukupuku te SFT e puta mai ana i roto i ngā kiko ngohengohe o te tinana. Ahakoa ka taea te puta i ngā wāhi katoa o te tinana, ko te nuinga o te wā ka kitea i roto i te hipoki tiaki e karapoti ana i ō tātou pukahukahu.
E rua ngā momo o ēnei nati SFT.
1. He puhoi te tipu o ētahi, ā, kāore e horapa ki ētahi atu wāhi (kāore i te mate pukupuku - he pai) .
2. Ko tētahi atu momo he mate pukupuku/kino, e tere ana te tipu, ā, ka horapa ki ētahi atu wāhanga o te tinana .
Ko te mea nui, ko te nuinga o ēnei pukupuku SFT ehara i te matepukupuku . Heoi, e kī ana ngā tākuta he pai ake te tango i ēnei pukupuku, mā te pokanga, mā ētahi atu tikanga maimoatanga rānei.
He aha te ingoa o tēnei i ngā rā o mua?
I ngā wā o mua, i whakaaro ngā tākuta ko ēnei pukupuku ka puta noa i te kōhao o te uma. Koia i huaina ai rātou ko ngā "pūpū kikokore o te pleura." I konei, ko te `(pleura)` e pā ana ki te kiriuhi angiangi e whakarārangi ana i te taha o roto o te pakitara o tō tātou uma, e tiaki ana hoki i ō tātou pukahukahu. Ka whakaputa hoki tēnei kiriuhi i te hinu whakahinuhinu e hiahiatia ana e ō tātou pukahukahu kia ngāwari ai te neke i te wā e manawa ana tātou.
Engari e mōhio ana tātou ināianei ka taea e ēnei pukupuku te whanake i ngā wāhi katoa o te tinana, ehara i te mea ko te uma anake, pērā i te ate, te roro, me te kaki. Nō reira, kāore taua ingoa tawhito e whakamahia whānuitia ana i ēnei rā.
He rerekē te SFT me te Pleural Mesothelioma?
Āe, he rerekē rawa ēnei āhuatanga e rua.
- Pleural Mesothelioma: He mate pukupuku tēnei e puta ana i roto i te arai o ngā pukahukahu (pleura). Ko te tino take o tēnei ko te manawa o te asbestos .
- Puku muka takitahi (SFT): Kāore he pānga o ēnei SFT ki te asbestos. He iti ake hoki te tūponotanga ka noho hei mate pukupuku. Waihoki, he rerekē ki te mesothelioma, ka taea e ngā SFT te whanake i ngā wāhi katoa o te tinana. Kāore anō kia mōhiotia te tino take o ngā SFT .
Ko wai kei te nui ake te mōrearea ki te whakawhanake i ēnei pukupuku?
Ka taea e te SFT te whanake i ngā tau katoa, engari ko te nuinga o te wā ka pā ki te hunga i waenga i te 50 me te 60 tau te pakeke.I roto i te hunga kaumātua, he tino onge tēnei mate i roto i ngā tamariki nohinohi. Inaa, he iti iho i te 2% o ngā pukupuku kiko ngohengohe kua pūrongohia he SFT.
He aha ngā take o te SFT?
Kāore anō kia mōhiotia te tino take o tēnei, engari e whakapono ana ngā kairangahau e honoa ana ngā ira e rua o tātou , arā, a NAB2 me STAT6 . Ko te tirohanga o nāianei, ka piki ake pea te mōrearea o te whakawhanake i te SFT nā tēnei ira kua whakarerekētia.
He aha ngā tohu ka puta mai i te SFT?
He puhoi rawa te tipu o ēnei pukupuku SFT. Nō reira , tata ki te haurua o te hunga whai SFT kāore he tohu . Ka tīmata noa te puta o ngā tohu i muri i te tipu nui o te pukupuku kia taea ai te pana ki ngā whekau, wheua, me ētahi atu kiko e tata ana.
Ka rerekē ngā tohu i runga i te wāhi kei reira te pukupuku. Kia kite tātou me pēhea te mahi a tēnā.
| Te wāhi o te puku me ngā tohu pea | |
|---|---|
| I roto i te kōhao o te uma (ngā pukahukahu, te pleura) |
|
| I te rohe o te kōpuku kanohi |
|
| Mō ngā poka o te ihu me te sinus |
|
| E pā ana ki te roro |
|
| E pā ana ki te taurakira |
|
| E pā ana ki te ate |
|
| E pā ana ki te tairoi |
|
Me pēhea te kite a te tākuta he SFT tēnei?
Ka rerekē ngā whakamātautau i runga i ō tohu me te wāhi e whakapaetia ana kei reira te pukupuku. Ko ngā whakamātautau matua ko:
- Whakamātautau kanohi: Mena he raruraru tirohanga tōu, ka taea e ngā whakamātautau motuhake pēnei i te Optical Coherence Tomography (OCT) te āwhina i te whakatau i te pūtake o ō raruraru kanohi.
- Ngā Matawai Whakaahua: Tērā pea ka mahia he matawai X-ray, he matawai CT, he matawai MRI, he matawai Ultrasound , he matawai PET rānei hei tiro tika i te wāhi kei reira te puku me tōna rahi.
- Ko te koiora-ira: Koinei te whakamātautau tino nui, tino whakaoti hoki . Ka tangohia he wahi kiko iti rawa mai i te puku, ka tirohia i raro i te karu hiko. Ka taea e tēnei te whakaū 100% mēnā he matepukupuku te puku, kāore rānei.
Te whakarōpūtanga o te Whakahaere Hauora o te Ao (WHO)
Kua whakarōpūtia e te Whakahaere Hauora o te Ao (WHO) ngā pukupuku SFT ki ngā taumata i runga i te kaha o te mate. Ko tēnei taumata e pā ana ki te tere o te tipu o te pukupuku, i runga i te āhua o ngā pūtau i raro i te karuārai. He rerekē tēnei i ngā taumata matepukupuku.
- Wāhanga I (Wāhanga Iti): Koinei ngā momo tino kore e kaha te whakaeke. He rite te nuinga o ngā pūtau ki ngā pūtau noa. He tino puhoi te tipu. Kāore pea he tohu e puta.
- Taumata II (Taumata-waenga): He āhua rerekē ake te āhua o ngā pūtau o tēnei taumata i ērā o te Taumata I. Nō reira, he teitei ake te tere tipu. He teitei ake hoki te tūponotanga ka pāngia e te mate pukupuku.
- Taumata III (Taumata-tiketike): Kei roto i ēnei ngā pūtau tino rerekē. He pukuriri ēnei pukupuku, he tere te tipu, ā, he nui ake te tūponotanga ka hoki mai anō i muri i te maimoatanga, ka noho hei matepukupuku, ka horapa ki ētahi atu wāhanga o te tinana.
He aha ngā maimoatanga mō te SFT?
Ko te pokanga te rongoā matua me te rongoā pai rawa atu mō te pukupuku SFT. Ka ngana te tākuta ki te tango i te pukupuku katoa mā te pokanga.
I ētahi wā, kāore pea e taea te pokanga i runga i te wāhi o te pukupuku. I ēnei wā, ka hoatu te rongoā irahiko hei whakaiti i te pukupuku, hei whakangaro hoki. I ētahi wā, ka hoatu hoki te rongoā irahiko i mua i te pokanga hei kuru i te pukupuku, hei whakangāwari ake i te tango.
He aha ngā raruraru ka pā mai i te SFT?
Ko te mataku nui mō te tangata whai SFT ko te mea ka noho hei mate pukupuku, ka horapa rānei ki ētahi atu wāhi (mate pukupuku metastatic). Ka taea te whakaiti i tēnei mōrearea mā te pokanga hei tango i te pukupuku.
Heoi, ahakoa i muri i te maimoatanga, i ētahi wā ka taea e te pukupuku SFT te 'hoki mai anō '. He nui ake te tūponotanga o tēnei momo pukupuku ki te noho hei matepukupuku.
Tērā pea ka puta ētahi atu raruraru i runga i te wāhi o te pukupuku.
- Te pararutiki o ngā wāhanga tinana
- Te rerenga wai i roto i te puku (te kohikohinga wai i waenganui i ngā kiriuhi o te pukahukahu)
- Te kino ki ngā io e kawe ana i ngā karere mai i ngā kanohi ki te roro (Optic atrophy)
Te tirohanga whānui, ā, āhea te wā tika ki te toro atu ki te tākuta?
He tokomaha ngā tāngata ka ora katoa i muri i te pokanga hei tango i te pukupuku. Heoi, e ai ki tā mātou i kōrero ai i mua ake nei, he tino onge te hokinga mai o te pukupuku ka noho hei matepukupuku. Nō reira, ka whakahaerehia e tō tākuta he matawai auau hei tirotiro mēnā ka hoki mai anō.
Mena ka pāngia koe e tētahi o ēnei tohu, me toro atu koe ki te tākuta:
- Mamae o te uma
- Te uaua ki te manawa
- Te ngenge nui rawa atu, kāore he take
- Ngā raruraru tirohanga
Ina kite koe i tō tākuta, kaua e wareware ki te pātai i ēnei pātai:
- Kei hea te pukupuku?
- Ka taea te tango i tēnei mā te pokanga?
- He aha ngā tohu e whakaatu ana ka hoki mai anō te pukupuku?
- Kia pēhea te auau o taku tirotiro?
- He aha atu ngā raruraru me āwangawanga ahau?
He mea noa te mataku ina kitea he pukupuku tōu. Engari kia maumahara, ahakoa he mate onge te SFT, ka taea te whakaora katoa mā te maimoatanga tika. Ko te mea nui ko te rapu tohutohu hauora i te wā e taea ai, ahakoa ngā tohu.
Karere Tangohia ki te Kāinga
- Ko ngā Puku muka takitahi (SFT) he momo pukupuku onge e puta ana i roto i ngā kiko ngohengohe o te tinana.
- Ko te nuinga o ēnei ehara i te matepukupuku (pai), engari ko ētahi ka huri hei matepukupuku (kino).
- I te nuinga o te wā, kāore he tohu i ngā wāhanga tōmua. Ko ngā tohu e puta mai ana ka whakawhirinaki ki te wāhi o te pukupuku.
- Ko te maimoatanga matua ko te tango katoa i te pukupuku mā te pokanga.
- Ahakoa kua rongoatia, he iti noa te mōrearea o te hokinga mai o te pukupuku, he mea nui kia tirohia koe i ia wā e ai ki ngā tohutohu a tō tākuta.
- Ki te mea he puku rerekē tōu, he mamae, he tohumate rānei kei roto i tō tinana, kaua e warewaretia, engari me toro atu ki te tākuta tonu.
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