Ina kitea koe, tō hoa aroha rānei, he uaua ki te whakapuaki i ō kare ā-roto. Engari he mea noa anō hoki te mataku me te pōhēhē ina rongo koe i ngā kupu hou me ngā ingoa hou mai i ngā tākuta. Tērā pea i kī atu tō tākuta ki a koe, "Me tuku koe ki tētahi 'Takuta Pokanga Matepukupuku'." Tērā pea i puta he maha o ngā pātai i te rongonga i taua ingoa. "Ko wai tērā?" "He aha tāna mahi?" "Me pokanga ahau?" Kaua e manukanuka. Me kōrero tātou mō ēnei mea katoa i roto i tētahi huarahi māmā, taahiraa i te taahiraa.
Ko wai te taote pokanga mate pukupuku?
He kupu ngāwari noa iho, he taote pokanga mate pukupuku he taote kua whiwhi whakangungu motuhake ki te mahi pokanga i ngā tūroro mate pukupuku. Ko te pokanga te tikanga matua me te tikanga e whakamahia whānuitia ana mō te rongoā i te mate pukupuku. Nō reira, ko te mahi matua a tēnei taote tohunga ko te tango i ngā pūtau mate pukupuku, i ngā pukupuku rānei i te tinana mā te pokanga.
Engari kāore ia e mahi takitahi. He mahi tahi te maimoatanga mate pukupuku. Ka mahi tahi tēnei tākuta me ētahi atu tākuta, pērā i te tohunga mate pukupuku hauora, te tohunga maimoatanga mate pukupuku (pērā i te chemotherapy) , me te tohunga mate pukupuku iraruke , kia puta ai te mahere maimoatanga pai rawa atu māu.
He aha rawa te mahi a tēnei tākuta tohunga?
Kāore te mahi a te Tākuta Pokanga Matepukupuku e herea noa ki te mahi pokanga. Kei a koe ia mai i te tīmatanga o tō haerenga ki te mate pukupuku. Me titiro tātou ki ngā mahi matua e mahia ana e ia.
| Te mahi e mahia ana | He whakamārama ngāwari noa iho |
|---|---|
| Ngā whakamātautau koiora | Hei whakatau mēnā he mate pukupuku tētahi puku rerekē i roto i te tinana, ka tangohia he wahi kiko iti rawa mai i te puku ka tukuna ki te taiwhanga hei whakamātautau. Ka kiia tēnei tukanga he koiora. He maha ngā wā ka mahia tēnei e te Tākuta Pokanga. |
| He whakamārama mō ngā pūrongo whakamātautau | Kia tae mai ngā pūrongo mai i te koiora me ētahi atu whakamātautau, ka whakamāramahia e rātou ngā mea kei roto i te whakamātautau i roto i te huarahi māmā e taea ai e koe te mārama. |
| Te whakatau i te wāhanga o te mate pukupuku | Ko te taumata o te mate pukupuku ka whakatauhia e te horapa o te mate pukupuku me te rahi o te pukupuku. He mea tino nui tēnei hei whakatau i te maimoatanga ka whai ake. |
| Te whakarite i tētahi mahere maimoatanga | Mā rātou e mahi tahi me ētahi atu tohunga te waihanga i te mahere maimoatanga pai rawa atu mō tō āhua, tae atu ki te wā e tika ai te pokanga me te hiahia kia whai atu i ētahi atu maimoatanga i mua atu, i muri mai rānei. |
| Te kōrero mō ngā kōwhiringa pokanga | Mā mātou e whakamārama ki a koe ngā momo pokanga ka taea e koe te mahi, me ngā painga me ngā ngoikoretanga o ia momo pokanga. |
| Te tohutohu mō te whakarite mō te pokanga | Ka tukuna atu ngā tohutohu ki a koe mō ngā mea katoa me mahi e koe i mua i te pokanga, pērā i ngā kai me ngā inu me mutu te kai, te tango rongoā rānei. |
| Te aro turuki i te whakaoranga i muri i te pokanga | I muri i te pokanga, ka tirotirohia koe i te roanga o tō whakaoranga, ā, ka rongoatia hoki mō ngā raruraru ka puta mai. |
| Pokanga Tiaki Mamae | I ētahi wā, kāore e taea te whakaora katoa i te mate pukupuku. I roto i ēnei āhuatanga, ka mahia hoki te pokanga hei whakaiti i ngā tohu pēnei i te mamae me te kore whakamarie i puta mai i te mate pukupuku. |
He aha koe me toro atu ai ki tētahi Tākuta Matepukupuku?
Tērā pea he maha ngā take e hiahia ai koe ki te kite i tētahi tohunga pēnei.
- Mena kei te whakapaehia he mate pukupuku: Mena ka whakaatuhia e te matawai, te mammogram, tetahi atu whakamātautau rānei i mahia e koe tetahi mea pea he mate pukupuku, ka tukuna koe ki tetahi Taote Pokanga Oncology mo te koiora hei whakaū.
- Mena he nui tō tūponotanga ki te pāngia e te mate pukupuku: He tino nui te tūponotanga o ētahi tāngata ki te pāngia e ētahi momo mate pukupuku (hei tauira, te mate pukupuku o te ū) nā ngā āhuatanga ira. I roto i ēnei āhuatanga, ka tūtohutia pea kia pokangahia hei whakaiti i taua tūponotanga i mua i te whanaketanga o te mate pukupuku. Hei tauira, ko te wahine he tino nui te tūponotanga ki te pāngia e te mate pukupuku o te ū, ka taea te tango i te ū i mua i te whanaketanga o ngā pūtau mate pukupuku.
- Hei tango i tētahi pukupuku matepukupuku: Kia whakaūtia kei roto i tō tinana tētahi pukupuku matepukupuku, me tango mā te pokanga. Ahakoa kua horapa te pukupuku ki ētahi atu wāhanga o te tinana (matepukupuku metastatic), i ētahi wā ka tangohia aua pukupuku mā te pokanga.
- Hei whakaora i ngā tohumate: Me mahi pea koe i te pokanga (Pokanga Tiaki Palliative) hei whakaora i ngā tohumate kino i puta mai i te mate pukupuku, pērā i te mamae nui, te aukati rānei o te puku.
Ko te mea nui, ko te tukunga atu ki tētahi Tākuta Pokanga Matepukupuku, ehara i te mea me pokanga koe. Ko tōna tikanga, ka whiwhi koe i tētahi whakaaro tohunga mō tō āhua, ā, ka whakatau i te huarahi maimoatanga pai rawa atu.
He aha ngā momo pokanga e mahia ana e ēnei tākuta?
E rua ngā momo matua o ngā pokanga matepukupuku.
1. Pokanga Whakaiti i te Urunga: He pokanga tēnei e mahia ana me te kore e tapahia he wahi nui, mā te hanga i ētahi kōhao iti noa iho ki te tinana, ka whakauruhia he kāmera me ngā taputapu pokanga tino ngawari. Ko te pokanga laparoscopic tētahi o ēnei. Kāore tēnei tikanga e waiho he koha nui, he iti ake te mamae, he poto ake te noho hōhipera, ā, he tere ake te ora.
2. Pokanga Tuwhera: Koinei te tikanga tuku iho. I roto i tēnei, ka tapahia he tapahi nui kotahi kia tae tika atu ki te puku. Tērā pea ka hiahiatia tēnei tikanga mēnā he nui te puku, kua horapa rānei ki ngā kiko e karapoti ana.
He tino whai hua te pokanga mō ngā pukupuku totoka. Ko te pokanga te maimoatanga matua, inā koa i ngā wāhanga tōmua o ngā mate pēnei i te mate pukupuku o te ū, te mate pukupuku o te koroni, te mate pukupuku o te pūkahukahu ehara i te pūtau iti, me te mate pukupuku o te repeure, ina kāore anō te mate pukupuku kia horapa ki ngā kōpū lymph tata.
He aha ngā mea ka tumanakohia e koe ina tūtaki koe ki tētahi tākuta matepukupuku mō te wā tuatahi?
He mea tino nui te wā tuatahi. I konei, ka ngana te tākuta ki te mārama katoa ki tō āhua hauora. Ā, ka whai wāhi hoki koe ki te pātai me te whakautu i ō pātai.
Ko te tikanga, ko ngā mea e whai ake nei ka puta i tēnei hui:
- Ka arotakehia e rātou ō pūrongo whakamātautau katoa , ā, ka whakamāramahia e rātou tōna tikanga ki a koe.
- E whakamārama ana i te wāhanga o tō matepukupuku .
- Mā rātou koe e kī atu he aha ngā kōwhiringa maimoatanga e wātea ana ki a koe, ahakoa he pokanga noa iho, he hiahia rānei ki ētahi atu maimoatanga.
- Mena kei te whakahaerehia te pokanga, ka whakamāramahia ngā painga, ngā ngoikoretanga, me ngā mōrearea pea .
- Mā rātou koe e kōrero, ā, mā rātou anō e whakatau ngā mahi hei whai ake.
Kia maumahara, kaua e mangere ki te kōrero ki tēnei tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Kei konei ia hei āwhina i a koe. Pātai atu ki a koe, "Ka taea e au te mahi noa i muri i tēnei pokanga?" "He pēhea te angitu o tēnei?"
Ka pātai atu anō te tākuta ki a koe, "Kei te pēhea koe?" E mōhio ana ia he wheako whakarerekētanga ora te mate pukupuku, ā, he whakamataku pea te pokanga. Nō reira, ka āwangawanga anō hoki ia mō tō āhua hinengaro.
He aha ngā pātai nui hei pātai atu ki tō tākuta?
He mea pai kia tuhia ētahi o āu pātai i mua i tō haerenga ki te hui. Pērā ai, kāore he mea e warewarehia e koe. Anei ētahi tauira:
- He aha atu ngā maimoatanga e hiahiatia ana e au hei tāpiri atu ki tēnei pokanga? (hei tauira, te chemo, te radiation therapy)
- He aha te whāinga matua o tēnei pokanga? (Te whakaora i te mate pukupuku, te whakaiti rānei i ngā tohumate?)
- He aha te ōrau angitu o tēnei pokanga?
- Me mahi ahau i ngā pokanga neke atu i te kotahi?
- He maimoatanga kē atu anō kei reira ka taea te mahi me te kore pokanga?
- Kia pēhea te roa o taku noho ki te hōhipera i muri i te pokanga?
- Kia pēhea te roa ka hoki ahau ki te ao noa?
He aha te rerekētanga i waenga i te Tākuta Matepukupuku Hauora me te Tākuta Matepukupuku Pokanga?
He maha ngā wā ka pōhēhētia ēnei ingoa e rua. Mā tēnei ripanga koe e āwhina ki te mārama ki te rerekētanga matua i waenganui i ngā ingoa e rua.
| Tākuta tohunga | Tikanga maimoatanga matua |
|---|---|
| Tākuta Pokanga Matepukupuku (Taonga taote mate pukupuku) | Ko te tango ā-tinana i ngā pukupuku me ngā pūtau matepukupuku i te tinana mā te pokanga . |
| Tākuta Matepukupuku Hauora (Taonga Matepukupuku) | Ngā tikanga kore-pokanga, arā, te whakamahi i ngā rongoā hei rongoā i te mate pukupuku. Tauira: Chemotherapy, Hormonal Therapies, me Immunotherapy. |
He maha ngā wā, me toro atu koe ki ēnei tohunga e rua, nā te mea he maha ngā mate pukupuku e hiahia ana ki te pokanga me te maimoatanga rongoā.
He haerenga uaua te whawhai ki te mate pukupuku. Engari kāore koe i te mokemoke. He rōpū tākuta pūkenga, pono hoki kei reira hei āwhina i a koe, hei hoatu hoki i te maimoatanga pai rawa atu ki a koe. He mema tino nui te Tākuta Matepukupuku Pokanga o taua rōpū. Inaianei kua mārama pai koe ki a ia me āna mahi. Nō reira, anga atu ki tēnei haerenga me te kore wehi, me te maia hoki. Kōrerohia ngā mea katoa ki tō tākuta me te tuwhera.
Karere Tangohia ki te Kāinga
- He taote pokanga mate pukupuku te taote pokanga kua whiwhi whakangungu motuhake ki te mahi pokanga mō te mate pukupuku.
- Kāore tana mahi e herea noa ki te mahi pokanga. Ka āwhina ia i a koe mai i te tango i te koiora tae noa ki te wā whakaora i muri i te pokanga.
- He mahi tahi te maimoatanga mate pukupuku. Ka mahi tahi te Tākuta Pokanga, te Tākuta Hauora, me te Tākuta Irahiko ki te whakatau i te maimoatanga pai rawa atu māu.
- Ina tūtaki koe ki tō tākuta, kaua e mangere ki te kōrero māhorahora mō ō pātai, ō wehi rānei.
- He tino whai hua te pokanga mō te mate pukupuku. Engari kaua e mataku, he mea nui kia mōhio pai koe ki tēnei mate.
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