Ki te whakaatu tō mammogram i ngā "pūtau rerekē," he mea noa te mataku me te manukanuka. "He mate pukupuku tēnei? Ka aha ahau ki tōku ao?" Tērā pea kei te whakaaro koe. Engari kaua e mataku. Kāore pea i te tino kino pērā i tō whakaaro. I te nuinga o te wā, koinei te wāhanga tino tīmatanga o te mate pukupuku ū, e mōhiotia ana ko te "Wāhanga 0." Koinei tā tātou e kōrero nei i tēnei rā. Me titiro poto tātou ki te aha tonu, mēnā he mea hei āwangawanga, me ngā maimoatanga e wātea ana.
He aha tēnei 'Wāhanga 0'?
I te whakarapopototanga, ko te tikanga o te wāhanga 0 kei te noho tonu ngā pūtau matepukupuku, ngā pūtau rerekē rānei, ki te wāhi i tīmata ai rātou, arā, ki roto i ngā awa miraka, i ngā pūwero rānei o te ū. Kāore anō ēnei pūtau kia horapa (kia whakaekea) ki roto i ngā kiko hauora e karapoti ana. Ka karangahia tēnei āhuatanga e ngā tākuta ko "in situ". Ko tōna tikanga ko "te wāhi i mua."
Whakaarohia ngā awaawa waiū i roto i te ū he pūnaha paipa i roto i te whare. Kei roto noa i aua paipa ēnei pūtau rerekē. Kāore anō kia pakaru i roto i ngā pakitara o ngā paipa, kia horapa atu ki ētahi atu wāhanga o te whare. Koinei te mea e tupu ana i konei. He mea tino nui tēnei, nā te mea ki te kitea i tēnei wā, ka taea te rongoā, ā, tata kore e ora .
E rua ngā momo matua o te 'wāhanga 0'. Me titiro motuhake tātou ki a rātou.
| Motuhaketanga | DCIS (Te Mate Pukupuku Āpiti In Situ) | LCIS (Lobular Carcinoma in Situ) |
|---|---|---|
| Te tikanga | Ngā pūtau rerekē i roto i ngā awa waiū o te ū. | Ngā pūtau rerekē i roto i ngā repe whakaputa waiū (lobules) o te ū. |
| Te kaha | E kiia ana tēnei he mate 'i mua i te matepukupuku'. Ki te kore e rongoatia, ka taea e ia te whanake hei matepukupuku urutā ā muri ake nei. | Ehara tēnei i te mate pukupuku. Heoi, e kiia ana he 'tohu mōrearea ' e whakapiki ake ana i te mōrearea o te mate pukupuku i ngā ū e rua ā muri ake nei. |
| Te tautuhi | He maha ngā wā ka kitea mā te mammogram. | He maha ngā wā, kāore e taea te rongo i tētahi puku. Ka kitea noa iho i te wā o te tango i te ū i roto i tētahi atu take. |
| Me aha? | Me tīmata tonu te maimoatanga. | Me āta tirotiro me te kōrero pinepine ki te tākuta. Tērā pea me whai maimoatanga hei whakaiti i te mōrearea. |
He aha ngā maimoatanga mō te DCIS?
Nā te mea ka taea e te DCIS te huri hei mate pukupuku ka horapa ā muri ake nei, he mea nui kia rongoatia i te wā tonu ka kitea. Waimarie, he tino whai hua ngā maimoatanga.
1. Pokanga
Koinei te maimoatanga matua. E rua ngā momo pokanga.
- Lumpectomy: Ko te tango noa i te puku, i te wāhi rānei kei reira ngā pūtau rerekē, me ētahi kiko hauora e karapoti ana. Kāore e tangohia te ū katoa.
- Te tango i te uma: I ētahi wā, mēnā he nui te DCIS, kua horapa rānei puta noa i te ū, ka tūtohu pea ngā tākuta kia tangohia te ū katoa. Ka whakatauhia tēnei i muri i te kōrerorero hōhonu ki tō tākuta.
Ka whakatau hoki ētahi wāhine kia pokangahia te hanga anō i ō rātou ū i muri i te tango i te ū. He whakatau whaiaro tēnei.
2. Te Whakaora Irahiko
I te nuinga o te wā ka tukuna te rongoā irahiko i muri i te tango i te puku. Ka whakamahia e tēnei he hihi kaha-nui hei whakangaro i ngā pūtau rerekē moroiti e toe ana i muri i te pokanga. He rite ki te horoi pai i te wāhi i muri i te pokanga, ka whakaiti i te tūponotanga o te hokinga mai o te raruraru.
3. Te Whakaora Hormone
Mena he pai te kitenga o te homoni i roto i tō DCIS, ka tūtohu pea tō tākuta i te rongoā homoni i muri i te pokanga. Ka whakaitihia e ēnei rongoā te tūponotanga o te whanaketanga o te mate pukupuku hou i ngā ū e rua ā muri ake nei.
He aha tāu e mahi ai mā te tangata whai LCIS?
E ai ki tā mātou i kōrero ai i mua ake nei, ehara te LCIS i te mate pukupuku, engari he tohu whakatūpato mō te heke mai . Nō reira, he rerekē te huarahi hei rongoā. Ko te mea nui i konei ko te kaua e mataku, engari me mahi i runga i te huarahi kua whakaritea.
- Te aro turuki tata: Koinei te mea tino nui. He mea nui kia tirohia ngā ū i ia wā, kia tirohia ngā mammogram, me ētahi atu matawai e tika ana e ai ki te taunakitanga a tō tākuta.
- Te rongoā homoni: Ka taea hoki te hoatu rongoā homoni ki ngā wāhine whai LCIS (hei tauira, Tamoxifen) hei whakaiti i te tūponotanga o te whakawhanake i te mate pukupuku ā muri ake nei.
- Pokanga Ārai: Ehara tēnei i te mea ka taea e te katoa te mahi. Heoi, ko ngā wāhine he tino mōrearea ki te mate pukupuku ū ka whakatau i tēnei i ētahi wā. Ko wai kei roto i tēnei rōpū mōrearea nui?
- Mena kua pāngia tētahi mema o te whānau tata (whaea, tuahine) e te mate pukupuku ū.
- Mena kua tāpaetia koe kei te pāngia koe e ngā whakarerekētanga ira e whakanui ana i tō mōrearea ki te mate pukupuku o te ū, pērā i te BRCA1, te BRCA2 rānei .
I roto i ēnei āhuatanga, ka whakatau ētahi wāhine ki te tango i te tākihi rua hei karo i ngā mōrearea ā muri ake nei. He whakatau whaiaro, he whakatau nui hoki tēnei, ā, me mahi i muri i te kōrero hōhonu ki te tākuta.
Me pēhea te whiriwhiri i te mea e pai ana ki a koe?
I muri i te pānui i ēnei mea katoa, tera pea koe e whakaaro ana, "He aha te mea pai mōku?" Kei a koe te whakautu, kei tō tākuta.
Kia maumahara, ehara te 'Wāhanga 0' i te whiu mate. He mate tēnei ka taea te rongoā, ka kitea wawe.
Mā tō tākuta e tūtohu te mahere maimoatanga pai rawa atu māu, me te whakaaro ki te āhua o tō mate (DCIS, LCIS rānei), tōna rahi, tō tau, tō hītori whānau, me ō hiahia whaiaro. Kia mahara ki te kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei . Ko te kōrero tuwhera ki a ia te whakatau pai rawa atu ka taea e koe te mahi.
Karere Tangohia ki te Kāinga
- Ko te mate pukupuku ū 'Wāhanga 0' ko te tikanga kei te piri ngā pūtau rerekē ki te wāhi i tīmata ai (i roto i ngā awaawa, i ngā repe rānei). Kāore anō kia horapa ki ngā kiko e karapoti ana.
- He mate te DCIS e hiahia ana kia rongoatia tonutia nā te mea ka horapa haere pea te mate pukupuku ki te kore e rongoatia.
- Ehara te LCIS i te mate pukupuku, engari he tohu whakatūpato mō te mōrearea o te mate pukupuku a meake nei, ā, me aro turuki tata te hauora.
- He tino angitu ngā tikanga pēnei i te pokanga, te rongoā irahiko, me te rongoā homoni, ā, he teitei te auau whakaora.
- He mea nui kia kōrerohia ō whiringa katoa, ō rātou painga me ō rātou huakore, me tō tākuta, ā, kia whakatau ai koe i te mea pai mōu. He mea nui kia mōhio koe, kia kaua e mataku.











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