Kei te āwangawanga koe mō te mate pukupuku arero? Me kōrero tāua!

I ētahi wā, he āhua whakamataku te kite i tētahi patunga iti, i tētahi ira rānei i runga i tō arero, kāore? He uaua rānei ki a koe te horomi kai? Tērā pea kei te whakaaro koe mēnā he tohu ēnei o te mate pukupuku arero. Nō reira, i tēnei rā, me kōrero tātou mō te mate pukupuku arero, ngā take, ōna tohu, te maimoatanga, me pēhea te tiaki i a koe anō mai i tēnei.

He aha te matepukupuku o te arero?

Ki te kī ngāwari, ko te mate pukupuku arero te wā ka tīmata te tipu tere o ngā pūtau o tō arero, ā, ka kore e taea te whakahaere. Ka tīmata tō tātou arero i te taha o te wheua iti e tūtaki ai tō kauae ki tō kaki (e kiia ana hoki tēnei ko te wheua hyoid, arā, te wheua i raro i tō kauae, te wāhi e tīmata ai tō kaki) ā, ka toro atu ki te raro o tō waha.

Titiro mai, e rua ngā ingoa e karangatia ana tēnei mate pukupuku , i runga i te wāhi e whanake ai.

• Ki te pāngia koe e te mate pukupuku i te taha mua o tō arero, e kitea ana i reira, ka kiia e ngā tākuta he mate pukupuku waha , he mate pukupuku arero waha rānei.
• Heoi, ki te puta te mate pukupuku ki roto o te arero, e tata ana ki te korokoro , ki te wāhi kāore e kitea, ka kiia ko te mate pukupuku oropharyngeal , ko te mate pukupuku turanga arero rānei. He hohonu ake tēnei, nō reira, kāore pea e ngāwari te kite.

He aha ngā momo mate pukupuku e puta ana i te arero?

Ahakoa he maha ngā momo mate pukupuku ka puta i te arero, ko te momo tino noa ko te mate pukupuku pūtau-pūtau (SCC). Ko ngā pūtau-pūtau he momo pūtau papatahi kei roto i te paparanga o waho o tō tātou kiri. Whakaarohia he rite ki te pāreti i runga i te pakitara. Ko te SCC te tikanga ka puta i ngā wāhi o te tinana e pāngia ana e te rā. Heoi, ka taea hoki te puta i ngā wāhi pērā i ngā kiriuhi mucous i roto i te waha, arā, te kiri ngawari, makuku i roto i te waha.

He pēhea te noa o tēnei mate pukupuku arero?

Ina hoki, he tino onge te mate pukupuku arero. I raro iho i te 1% o ngā mate pukupuku hou kua kitea i roto i tētahi whenua pērā i te Hononga o Amerika. Heoi, e kiia ana he momo mate pukupuku noa i waenga i ngā mate pukupuku o te upoko me te kaki .

Ko tētahi atu mea , e rua ngā wā ka nui ake te tūponotanga o te tāne ki te pāngia e tēnei momo mate pukupuku arero i ngā wāhine . He nui ake hoki te pānga ki te hunga neke atu i te 40 tau te pakeke . Nō reira, he mea pai kia āta tupato ake koe i a koe e pakeke haere ana.

He aha ngā tohu o te mate pukupuku o te arero?

Tuatahi, kāore ngā tohu o te mate pukupuku arero e kitea whānuitia ana. Ahakoa e kitea ana te mate pukupuku, me tōna āhua, kei te wāhi kei reira te pukupuku me te horapa o te mate. I ētahi wā, kāore pea he tohu e kitea.

Heoi anō, he torutoru ngā tohu o waho e kitea whānuitia ana:

• Ngā ira whero (e kiia ana tēnei e ngā tākuta he "erythroplakia"), he ira mā rānei ("leukoplakia"") rānei i runga i tō arero. Tērā pea kāore ēnei e memeha noa iho.
• He puku, he pukupuku rānei kei te taha o te arero e tere ana te toto .
• He whero, he hina rānei te kiri i te arero, kāore e ora . Ki te kore tēnei kiri e ora i muri i ngā wiki e rua, e toru rānei, me tūpato koe.

Hei tāpiritanga ki tēnei, tera pea ka puta mai ētahi atu tohu, nō reira kia tūpato ki ēnei anō hoki:

• Te mātotoru o te kiri i roto i te waha.
• He korokoro mamae kāore e memeha (pharyngitis mau tonu). Me te mea kei te mamae tonu tō korokoro .
• Mamae kaki .
• Te mamae o te taringa (tērā pea ka pā tēnei mēnā kua horapa te mate pukupuku o te arero ki te korokoro).
• He kare ā-roto kei te mau tetahi mea i roto i te korokoro.
• Te ngenge o te arero, o ētahi atu wāhanga rānei o te waha.
• He kare ā-wera i te arero.
• Te uaua, te mamae rānei i te wā e ngaungau ana, e horomia ana rānei te kai.
• Te pāorooro o te reo , te rerekētanga rānei o te reo.
• Te pupuhi o te kauae.
• Ngā niho wetekina.
• Ngā panoni ohorere ki ngā niho rūpahu e whakamahia ana e koe (me te mea kāore e tau tika ana).

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, me toro atu ki te tākuta.

He aha ngā pūtake o te mate pukupuku arero?

Kei te rapu tonu ngā tohunga i te take o tēnei. Engari ko tā rātou e mōhio ana ko te mate pukupuku arero ka puta ina tīmata te tipu haere o ngā pūtau rerekē. Kei te rangahauhia tonutia ngā take e pāngia ai ētahi tāngata, ā, kāore ētahi e pāngia, me te take e tipu haere ai ēnei pūtau. He maha ngā kairangahau e whakapono ana ko ēnei mate pukupuku nā ngā huringa o ngā ira (ngā whakarerekētanga DNA) e pā ana ki te arero . He rite ēnei ira ki ngā pukapuka tohutohu mō ō tātou pūtau, ā, ka puta ngā raruraru ina hē aua tohutohu.

He aha ngā āhuatanga mōrearea mō te mate pukupuku arero?

Kua tautuhia e ngā tohunga ētahi āhuatanga e whakanui ake ana i te mōrearea o te mate pukupuku arero. Ka kiia ēnei he āhuatanga mōrearea. Ko ngā āhuatanga mōrearea tino nui, tino kaha hoki e rua ko te momi hikareti nui me te inu waipiro nui (te mate whakamahi waipiro). Mena kei a koe ēnei e rua, ka nui ake tō mōrearea. Whakaarohia, ka kino ngā matū kino o roto i ngā hikareti i ngā pūtau o tō arero, ā, ka taea e te waipiro te whakanui ake i taua kino. He rite ki te ringihanga waikawa ki runga i te patunga.

Ko ētahi atu āhuatanga mōrearea ko:

• Te mate HPV (Human Papillomavirus): He tino take tēnei o te mate pukupuku o te arero. He onge, ka taea hoki e ia te mate pukupuku o te arero. He huaketo tino noa te HPV, ā, he maha ngā wā kāore he tohu e puta.
• Te ngaungau tupeka: He mōrearea nui anō hoki te ngaungau tupeka me te nati pī. He mahi noa tēnei i tō tātou whenua, nō reira me tino tupato ki tēnei.
• Ngaungau nati pī: Ahakoa te ngaungau noa i te nati pī ka nui ake te mōrearea o te mate pukupuku arero.
• Hītori whānau mō ngā mate pukupuku waha, oro-pharyngeal rānei: He pānga anō tō te hītori whānau.
• Kua pāngia koe e te mate pukupuku i mua (ina koa ko te mate pukupuku pūtau-pūtau).

Me pēhea te tātaritanga a ngā tākuta i te mate pukupuku arero? (Tauātanga)

Ko ngā tākuta niho te hunga tuatahi ki te whakapae he mate pukupuku arero koe . Tērā pea i ngā wā tirotiro niho o ia rā, i ngā tirotiro mate pukupuku waha, i te wā rānei e tirotirohia ana koe e tō tākuta whānau (Primary Care Physician - PCP) mō tētahi atu mate.

Mō ētahi atu mōhiohio, ka taea e tō tākuta te mahi i ēnei e whai ake nei:

• Ka whitia he rama motuhake (rama hihiko) ki roto i tō waha hei rapu i ngā kiko rerekē.
• Ka whakamahia he ngongo angiangi, ngāwari (endoscope) me te kāmera me te mārama e piri ana ki roto hei tirotiro i roto i te waha me te korokoro. Mā tēnei ka taea te tiro pai ki roto.
• Ka tirohia ngā pona lymph i te kaki mō te pupuhi. Ka kiia hoki ēnei he 'pupuhi'. Ka pupuhi pea ēnei ina he mate pukupuku.

Ki te kite te tākuta i ngā tohu o te mate pukupuku arero, tera pea ka tonoa he koiora . Ko te tikanga o tēnei ko te tango i tētahi tauira iti o te kiko e pāngia ana, ka tukuna ki tētahi taiwhanga. I reira, ka tirohia e te tohunga mate te kiko i raro i te karuārai hei tirotiro mēnā kei roto ngā pūtau mate pukupuku. He rite ki tētahi kaitirotiro e rapu taunakitanga ana!

Hei tāpiritanga, ka tono pea tō tākuta i ngā whakamātautau whakaahua pēnei i ēnei hei tirotiro i te whānui o te horapa o te mate pukupuku me tōna rahi:

• Matawai CT (CT - matawai tomography rorohiko)
• Ngā matawai MRI (whakaahua aukume)
• Matawai PET (matawai tomografi tukunga positron)

He aha ngā maimoatanga mō te mate pukupuku arero? (Te maimoatanga)

Ko te maimoatanga mō te mate pukupuku arero e whakawhirinaki ana ki ētahi āhuatanga. Ka whakaarohia te rahi o te puku, tōna wāhi, me te horapa o ngā pūtau mate pukupuku. He maha ngā kōwhiringa maimoatanga matua:

• Te pokanga matepukupuku arero:Ko te tikanga, ko te tango i tētahi wāhanga, i te katoa rānei o te arero (he "glossectomy"). I ētahi wā, ka mahia hoki he "tapahi kaki" hei whakaiti i te horapa o te mate pukupuku ki ētahi atu wāhanga o te tinana ("metastasis". Whakaarohia he rite ki te tapahi i tētahi manga mai i tētahi rākau pirau kia kore ai e horapa ki ētahi atu wāhanga o te tinana.
• Whakaora irahiko: I ētahi wā ka whakamahia e ngā tākuta te rongoā irahiko hei whakaiti i te pukupuku i mua i te pokanga. Engari i te nuinga o te wā, ka hoatu i muri i te pokanga hei patu i ngā pūtau matepukupuku e toe ana. I ētahi wā ka whakamahia hoki hei rongoā kotahi mēnā kua horapa kē te matepukupuku ki ētahi atu wāhanga o te tinana.
• Ngā rongoā rongoā: Kei roto i ēnei ko te chemotherapy , te immunotherapy , me te therapy arotahi . Ka mahi katoa ēnei ki te whawhai me te whakangaro i ngā pūtau matepukupuku.

He aha te tūponotanga ka ora koe mēnā ka pāngia koe e te mate pukupuku arero? (Outlook)

He nui ake te tūponotanga ka ora te mate pukupuku o te arero mēnā ka kitea, ka rongoatia wawetia . Koia te mea nui kia kōrero tonu atu ki te tākuta mēnā ka kite koe i tētahi puku hou, ira, i tētahi mamae rānei i tō arero e kore e ora. Ka roa ake tō tatari, ka uaua ake te rongoā.

I muri i te pokanga mō te mate pukupuku arero, ka taea e te whakaora kōrero me te pokanga hanga anō te āwhina i a koe ki te whakahoki mai i tō kaha ki te kōrero me te horomi. Nō reira kaua e manukanuka, kei reira ngā tohunga hei āwhina. Tērā pea ka roa te wā, engari mā te mahi, ka taea e koe te hoki ki te āhua noa.

He aha te ōrau ora mō te mate pukupuku arero?

Ko te ora o te tangata e pangia ana e te mate pukupuku arero, e whakawhirinaki ana ki te horapa o te mate pukupuku ki ētahi atu wāhi o te arero.

Mā ēnei 'rēti ora' ka whakatauritea te hunga whai momo mate pukupuku me tōna mōrearea ki te hunga o te taupori whānui. Hei tauira, mēnā ko te rēti ora mō ngā tau e rima mō tētahi momo mate pukupuku he 93%, ko te tikanga he 93 i roto i te 100 ngā tāngata whai momo me taua wāhanga o te mate pukupuku kei te ora tonu i roto i ngā tau e rima i muri i te tātaritanga.

Engari kia maumahara, he whakatau tata noa iho ēnei ōrau oranga. Kāore e whakaatu tika ana i te roa o tō oranga, i te maimoatanga rānei e pai ana mōu. He rerekē te tinana me te tukanga mate o ia tangata. Kōrero ki tō tākuta mō ētahi atu kōrero.

Me pēhea te ārai i te mate pukupuku arero? (Ārai)

Kāore e taea te ārai katoa i te mate pukupuku arero. Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i tō tuponotanga :

• Āta karohia te tupeka me te waipiro:Ko te huarahi pai hei ārai i te mate pukupuku arero ko te karo i te tupeka (hikareti, pīti, hikā, tupeka ngaungau) me te waipiro. Koinei ngā tino take mōrearea e rua. Ahakoa ngā tau e mutu ai te whakamahi, ka taea te whakaiti i te mōrearea o te whakawhanake i ngā momo mate pukupuku waha me te korokoro katoa.
• Tikina te kano ārai mate HPV: Ko te HPV tētahi o ngā tino take o te mate pukupuku korokoro. He mea noa, ā, he onge te puta o ngā tohu. Ka taea e te kano ārai mate HPV te tiaki i te mate pukupuku arero, tae atu ki ngā mate pukupuku o te kaki, te ure, te tara, me te nono. Pātai atu ki tō tākuta mō tēnei.
• Kai nui i ngā hua rākau, huawhenua, me ngā witi katoa: Ngāna kia whiwhi i ōu matūkai mai i ngā kai hou, kāore i tukatukahia. Whakaitihia te kai i te mīti whero, i ngā inu huka, me ngā kai tino tukatukahia. Pātai atu ki tō tākuta mō tētahi mahere kai e tika ana māu.
• Tirohia tō tākuta niho i ia wā: I ēnei wā tirotiro, ka taea e tō tākuta niho te tirotiro i ngā mate pukupuku waha. Hei tāpiri, he pai te hauora o te waha mō te hauora me te oranga o tō tinana katoa.

Āhea koe me toro atu ki te tākuta?

Ki te kite koe i tētahi puku hou, he mirumiru, he ira, he mamae, he panoni tae rānei i tō arero, ina koa mēnā kua neke atu i te rua wiki te roa , me toro atu ki te tākuta. Kaua e wareware noa. Kāore pea i te tino kino, engari he pai ake kia tirohia.

Hei tāpiritanga, me toro atu ki tō tākuta niho i ia wā, i ia wā, mō ngā horoinga me ngā tirotiro niho. Mō te nuinga o te tangata, ko te tikanga ia ono marama. Heoi, mā tō tākuta niho koe e kī atu ki te auau o tō haerenga mai i runga i ō hiahia. Mena he mea whakapae, tera pea ka kitea e rātou i te wā o te tirotiro niho o ia wā.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua tāpaetia koe he mate pukupuku arero, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• E mōhio ana koe he aha te take e puta ai tēnei pukupuku?
• Kua horapa te mate pukupuku? Mena kua horapa, kia pēhea te tawhiti?
• He aha aku mahi e whai ake nei? Me aha ahau?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Kia pēhea te roa o te maimoatanga?
• Me whakamahere ahau ki te tango wā hararei mai i te mahi, i te kura rānei?
• Āhea ahau ka mōhio ai mēnā ka angitu te maimoatanga?
• He aha ngā pānga taha o te maimoatanga? Me aha te mahi mō ēnei?

Kaua e mangere ki te pātai ki te tākuta, ki te mea kei roto i tō hinengaro ēnei pātai, ahakoa he iti noa te ruarua. Kei reira rātou hei āwhina i a koe.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea noa te mataku, te pouri, me te pouri nui pea ina rongo koe kua pāngia koe, tētahi rānei e arohaina ana e koe, e te mate pukupuku arero. Engari kaua e mataku, kaua e mataku.Kei reira tō tākuta hei āwhina i a koe. Ka taea e rātou te kōrero ki a koe mō ngā kōwhiringa maimoatanga me te kimi rauemi hei tautoko i a koe i ia taahiraa o te ara.

He mea nui te kitenga wawe me te maimoatanga. Nō reira, ki te kite koe i tētahi ira hou, i tētahi puku, i tētahi atu mea rānei e whakapaetia ana i tō arero – kōrero ki tō tākuta. Kia tere, whakaorangia he ora! Kāore koe i te mokemoke, kei konei mātou katoa hei āwhina i a koe i tēnei haerenga.

Matepukupuku arero, Matepukupuku arero, Matepukupuku waha, Ngā tohumatepukupuku, Ngā take o te matepukupuku, Te maimoatanga o te matepukupuku, HPV