He uaua ki te whakapuaki i ō kare ā-roto ina kī mai tō tākuta he mate pukupuku ū tōu. Engari ka nui ake te uaua ina whakamahia e tō tākuta ngā kupu pēnei i te "Wāhanga 2" me te "Wāhanga 3." He aha te tikanga o ēnei wāhanga me ngā tohu? Mā te mōhio ki ēnei ka āwhina i a koe kia kaha te hinengaro, kia tika ai hoki ō whakatau mō tō maimoatanga. Nō reira, me kōrero tātou mō tēnei mea me te kore wehi, kia māmā noa, kia mārama hoki.
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He aha te rerekētanga i waenga i te Wāhanga me te Taumata?
Ahakoa he rite te tangi o ēnei kupu e rua ina rangona, e rua ngā tikanga o rāua.
- Wāhanga Matepukupuku: Ki te kī māmā noa, ko te 'wāhanga' o te matepukupuku e pā ana ki te tawhiti o te horapa o te matepukupuku ki roto i te tinana . Pērā i ngā pakiaka o te rākau, ka tirohia te tawhiti o te horapa o te matepukupuku mai i te ū, me te mea kua horapa ki ngā kōpū lymph tata, ki ētahi atu okana rānei.
- Te Reanga Matepukupuku: Ko te 'reanga' o te matepukupuku e pā ana ki te kaha o te pukuriri o ngā pūtau matepukupuku . Arā, te rerekētanga o tō rātou āhua mai i ngā pūtau hauora i raro i te karuārai, me te tere o te wehewehe me te horapa.
He mea tino nui ēnei āhuatanga e rua mā te tākuta ki te whiriwhiri i te maimoatanga pai rawa atu māu.
Tāutuhia ngā wāhanga o te mate pukupuku o te ū
Ko ngā wāhanga o te mate pukupuku o te ū ka tauhia mai i te 0 ki te 4. Ko te iti iho o te tau, ko te iti iho o te horapa o te mate pukupuku.
- Wāhanga 0: Koinei te wāhanga tōmua. Kei roto noa i ngā awaawa miraka ngā pūtau matepukupuku. Kāore anō kia horapa ki waho. Ka kiia hoki tēnei ko te (Ductal Carcinoma In Situ - DCIS). He mate tino taea te rongoā.
- Wāhanga Tuatahi: Koinei te wāhi kua horapa te mate pukupuku ki ngā kiko hauora o te ū. Engari he iti tonu te pukupuku (tērā pea he rite te rahi ki te pīnati) ā, ko te mate pukupuku anake ka pā ki te ū me ētahi kōpū lymph tata. He tino taea hoki te rongoā i ngā mate pukupuku i tēnei wā.
- Wāhanga II: He nui ake te pukupuku (he rite pea ki te rahi o te rēmana), kua horapa rānei ki ngā kōpū lymph i te kēkē, engari kei te rohe ū tonu te mate pukupuku.
- Wāhanga III: Koinei te mea e kiia nei e tātou ko te mate pukupuku "ā-rohe". I konei, kua horapa te mate pukupuku ki te pakitara o te uma, ki te kiri rānei, ā, kua horapa pea ki ētahi pona lymph. Engari ko te mea nui ko te mea kāore anō kia horapa ki ngā whekau tawhiti pērā i te ate, i ngā pukahukahu rānei. Mā te maimoatanga tika, he tokomaha ngā tāngata kua kaha ki te whakahaere i te mate pukupuku i tēnei wā, ā, kua ora.
- Wāhanga IV:Koinei te wāhanga tino matatau. Kua horapa te mate pukupuku ki tua atu i te ū ki ngā whekau tawhiti, pērā i ngā wheua, ngā pukahukahu, te ate, te roro rānei . Ka kiia hoki tēnei ko te mate pukupuku 'metastatic'. Ahakoa he uaua ki te whakaora katoa i tēnei wāhanga, ka taea e ngā maimoatanga matatau o ēnei rā te whakahaere i te tipu o te mate pukupuku, te whakaiti i ngā tohu, me te tuku i te tini o te tangata kia ora pai mō ngā marama, i ētahi wā mō ngā tau .
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Check Availability →Te taumata o te mate pukupuku me ētahi atu whakamātautau nui
Ka whakatauhia te taumata mā te tirotiro i ngā pūtau matepukupuku i whiwhihia mā te pokanga, mā te tango rānei i te koiora i raro i te karuārai.
| Tau | Te tikanga |
|---|---|
| Tau 1 | He tino rite ngā pūtau matepukupuku ki ngā pūtau hauora. He puhoi te tipu, he puhoi hoki te horapa. |
| Tau 2 | He rerekē te tere o te tipu o ngā pūtau matepukupuku i ngā pūtau hauora. |
| Tau 3 | He tino rerekē ngā pūtau matepukupuku i ngā pūtau hauora. Ka tere te tipu me te horapa. |
Ngā Kaiwhakawhiwhi Homoni me te Tūnga HER2
Ko tētahi atu whakamātautau tēnei he mea tino nui hei whakatau i te maimoatanga.
- Tūnga ER/PR: Ko ētahi pūtau matepukupuku ū e hiahia ana ki ngā homoni wahine 'Estrogen (ETU) ' me te 'Progesterone (PR)' hei āwhina i a rātou ki te tipu. Ka whakamatautauria ō pūtau matepukupuku kia kitea ai mēnā he kaiwhakawhiwhi kei a rātou e aro ana ki ēnei homoni. Ki te pērā, ka 'ER-pai', ka 'PR-pai' rānei. He tino whai hua te rongoā homoni mō ēnei tāngata.
- Tūnga HER2: Ko te HER2 he pūmua e whakateretere ana i te tipu o ngā pūtau matepukupuku. Mēnā he nui rawa te pūmua HER2 e whakaputaina ana e tō matepukupuku, he HER2-pai. He maimoatanga motuhake kua arotahihia mō tēnei.
- Toru-Kino: Mena he kino te mate pukupuku mō ēnei e toru: ER, PR, me HER2, ka kiia e mātou ko te "Mate Pukupuku o te Uma Toru-Kino." He rerekē ngā tikanga maimoatanga mō tēnei.
Mā te kohikohi i ēnei mōhiotanga katoa, ka waihangahia e te tākuta he mahere maimoatanga e tika ana māu, ā, ka puta ngā hua pai rawa atu.
He aha tēnei pūnaha TNM?
Ko tētahi atu tikanga taipitopito e whakamahia ana e ngā tākuta hei whakatau tika i te taumata o te mate pukupuku ko te "Pūnaha Whakatakotoranga TNM." Ko te tikanga o ngā reta i roto i tēnei pūnaha koia tēnei.
| Reta | Te tikanga | He whakamārama māmā |
|---|---|---|
| T (Pukupuku) | Ko te hua matua | E hia te rahi o te pukupuku? Mā te reta T, ka kitea te rahi o te pukupuku (T1, T2...) ka horapa ki te kiri, ki te uma rānei. Ka nui ake te rahi o te pukupuku, ka horapa rānei ki te kiri. |
| N (Ngā Pūnga) | Ngā pūnga lymph | Kua horapa ki ngā kōpū waikura tata? Ko te whānuitanga o te horapa ka tohua e te reta N me te tau (N0, N1...). Ko te tikanga o te N0 kāore anō kia horapa. |
| M (Te Matenga o te Wā) | Te horapa mamao | Ko te reta M e tohu ana mēnā kua horapa te mate pukupuku ki ngā whekau tawhiti (pērā i ngā wheua, i ngā pukahukahu rānei) (metastasis). Ko te tikanga o te M0 kāore anō kia horapa tawhiti. Ko te tikanga o te M1 kua horapa. |
Kaua e wehi i ngā reiti oranga.
Ina tirohia e koe i te ipurangi, ka kite koe i ngā tatauranga pēnei i te "5-year survival rate". He mea noa te mataku ina kite koe i ēnei tau. Engari kia mahara, he toharite noa iho ēnei i runga i ngā mano tini raraunga a ngā tūroro.
Kāore e taea e tetahi te kī tika he aha te mea ka pā ki a koe. Ka rerekē pea ō hua i runga i ngā āhuatanga maha, tae atu ki tō tau, tō hauora whānui, me te āhua o tō urupare ki te maimoatanga. Ko tētahi atu mea, ko ēnei tatauranga i ahu mai i ngā raraunga o mua. Kei te huri haere tonu ēnei tau hei pai ake i te wa e wātea mai ana ngā maimoatanga hou.
Nō reira kaua e tino harikoa mō ēnei tau. Ko tō tākuta te tangata pai rawa atu e mōhio ana ki te pānga o ēnei mea ki tō āhuatanga. Kōrerohia tēnei ki a ia me te kore e whakaroa.
Karere Tangohia ki te Kāinga
- Mā te taumata o te mate pukupuku e whakaatu mai te tawhiti kua horapa. Mā te taumata anō hoki e whakaatu mai te kaha o ngā pūtau mate pukupuku ki te horapa.
- Mā te mōhio ki te wāhanga, te nui, me ētahi atu mōhiohio (ER, PR, HER2) o tō matepukupuku ka āwhina i a koe ki te whiriwhiri i te maimoatanga tino tika me te whai hua mōu.
- Ahakoa kei ngā wāhanga matatau pērā i te wāhanga III, he nui te tūponotanga ka ora koe mā te maimoatanga tika. Ahakoa kei te wāhanga IV, ka taea e ngā maimoatanga hou te āwhina i a koe kia ora pai mō ngā tau maha me te whakahaere tonu i te mate.
- He uara toharite noa iho ngā tatauranga (Survival Rates) e kitea ana e koe i runga i te ipurangi. Tērā pea kāore e pā ki tō āhuatanga whaiaro. Nō reira kaua e wehi i a rātou.
- Kōrerohia mārire ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. He mema nui koe nō tō rōpū hauora. Mā te kōrero mō tēnei ki tō whānau me ō hoa ka āwhina i a koe kia māia ake.
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