He mamae tō korokoro, kāore e memeha i roto i ētahi rā? E kite ana rānei koe he nui ake te āhua o tētahi tonsil i tētahi atu ina titiro koe ki te whakaata? He maha ngā wā ka whakahē tātou i ēnei mea hei makariri noa, hei mumura rānei o te tonsil. Engari i ētahi wā, he tohu tōmua ēnei mō tētahi mea kino ake, arā, ko te mate pukupuku tonsil. Kaua e manukanuka, kāore koe e mataku ina rongo koe i tēnei ingoa. Ko te mea nui ko te mōhio tika ki tēnei. I tēnei rā, ka kōrerohia e tātou tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha te mate pukupuku o te tonsil?
Ko te mate pukupuku o te tonsil he mate pukupuku e puta ana i roto i ngā repe e rua kei muri o tō korokoro e kiia nei ko ngā tonsil. Kei roto i te pakitara o muri o tō korokoro ēnei tonsil, i te wāhanga rānei o tō korokoro e kiia nei ko te "pharynx." Inaa, ko te mate pukupuku o te tonsil tētahi o ngā momo mate pukupuku e puta noa ana i roto i te korokoro, arā, ko te "mate pukupuku oropharyngeal".
Ko te mea pai rawa atu , tata kore e taea te rongoā i tēnei mate pukupuku mēnā ka kitea wawe, i mua i te horapa ki ētahi atu wāhanga o te tinana. Koia te mea nui kia mōhio ki ngā tohu.
Engari ehara tēnei i te mate pukupuku tino noa. Arā, ehara i te mate e pāngia ana e te katoa. Engari he mea pai kia tino tupato te hunga whai take mōrearea ki tēnei.
Me āwangawanga koe mō ēnei tohu.
Ko te tohu matua, me te tohu tino kitea o te mate pukupuku o te tonsil, ko te mamae o te korokoro e kore e memeha mō ngā rā, mō ngā wiki rānei. Hei tāpiri, ko tētahi o ngā tohu matua ko te pupuhi o te tonsil kotahi anake, ā, ka nui ake i tētahi atu. Kia tirohia tata atu ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Te korokoro mamae tonu | Ki te mamae tō korokoro mō ngā wiki maha, kaua e pai ake i roto i ngā rā e rua, e toru rānei pērā i te maremare noa. |
| Te whakanui ake i te tonsil kotahi | Ki te mea, ina titiro koe ki te whakaata, ka kitea he nui ake, he pupuhi hoki tetahi tonsil i tetahi atu, |
| Manawa kino (Halitosis) | Ki te mea he haunga kino tōu manawa, kāore e memeha ahakoa i muri i te parai i ō niho me te horoi i tō waha. |
| Toto i roto i te huware | Ki te kite koe i te iti o te toto i te wā e maremare ana, e tuwha ana rānei. |
| Te uaua ki te horomi me te kōrero | Mena kei te rongo koe kei te mau tetahi mea i roto i tō korokoro i a koe e horomia ana te kai, ki te mea rānei kua rerekē tō reo. |
| Mamae taringa | Ina koa mēnā ka mamae tonu tetahi taringa i tetahi taha (nā te mea e hono ana ngā io o te korokoro ki te taringa). |
| Te lymphadenopathy o te kaki | Ki te rongo koe i tētahi puku iti i te taha o tō kaki, i raro i tō kauae, ka kiia tēnei he 'puku katoa'. |
He mea nui: Ki te pāngia koe e ēnei tohu, ehara i te mea he mate pukupuku tō te tonsil. He mate tonsillitis noa iho pea. Engari, ki te roa atu i te torutoru ngā rā ka roa te mau o ēnei tohu, me toro atu ki tō tākuta.
He aha te take e puta ai tēnei momo mate pukupuku? He aha ngā āhuatanga mōrearea?
Kāore anō kia tino mārama ngā kaipūtaiao he aha ngā pūtau hauora e huri ai hei pūtau matepukupuku. Heoi, kua tautuhia e rātou ētahi āhuatanga mōrearea matua e whai wāhi ana ki tēnei.
1. Human Papillomavirus (HPV): Koinei te take mōrearea nui rawa atu kua tautuhia. He huaketo tuku iho te HPV. Kua whakaatuhia e ngā rangahau he kaha te awe o ētahi momo huaketo, inā koa ko te HPV-16, ki te whanaketanga o te mate pukupuku tonsil.
2. Te whakamahi tupeka: Ehara i te mea ko ngā hikareti, ngā hikā, me ngā beedis anake, engari ko ngā hikareti hiko (vaping) anō hoki he mōrearea. Ka taea e ngā matū i roto i te tupeka te kino i ngā pūtau o te korokoro, ā, ka puta te mate pukupuku.
3.Te nui rawa o te inu waipiro: Ko te tangata e inu waipiro ana i a ia e momi hikareti ana, he nui ake te tūponotanga ki te pāngia e tēnei mate pukupuku. Ina honoa ēnei mea e rua, ka nui ake te tūponotanga ki te pāngia e te mate pukupuku.
4. Pūnaha ārai mate ngoikore: Ko te hunga whai HIV, ko te hunga rānei e tango ana i ngā rongoā ārai mate nā te whakawhitinga okana, he nui ake te mōrearea ki te pāngia e tēnei momo mate pukupuku.
Me pēhea te tātaritanga a te tākuta i tēnei? (Tauātanga)
Ina haere koe ki te tākuta me ngā tohu i whakahuatia ake nei e koe, ko te mea tuatahi ka mahia e ia ko te tirotiro i tō korokoro. Ka tirohia e rātou ngā huringa o ō tonsils, ō mariao, me ērā atu mea. Tērā pea ka mahia e rātou he ahurea korokoro hei tirotiro mō te mate.
Mena he iti noa te whakapae mō te mate pukupuku o te tonsil, ka tukuna koe e ia ki tētahi tohunga taringa, ihu me te korokoro (Taonga Tākuta ENT - Otolaryngologist). I reira, me mahi ia i ētahi atu whakamātautau.
Te koiora
Koinei anake te huarahi hei tino mōhio ai mēnā he matepukupuku, kāore rānei. Ko te tikanga o tēnei ko te tango i tētahi wahi kiko iti rawa mai i te tonsil whakapae, ka tirotirohia i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei roto. He maha ngā huarahi e taea ai tēnei.
- Biopsy Tapahi: Ka mahia he tapahi iti hei tiki i tētahi wahi kiko.
- Te Momihanga o te Ngira Pai (FNA): Mena he puku kei te kaki, ka werohia he ngira pai, ka tangohia he tauira iti o ngā pūtau hei tirotiro.
Ngā Whakamātautau Whakaahua
Ki te whakaūtia e te koiora he mate pukupuku, ko te mahi e whai ake nei ko te tirotiro i te tawhiti kua horapa, me te mea kua horapa ki ētahi atu wāhi. Ka whakamahia ngā whakamātautau pēnei mō tēnā.
- Ngā matawai CT (ngā matawai Tomography Rorohiko)
- Ngā matawai MRI (ngā matawai Whakaahua Aukume)
- Ngā matawai PET (ngā matawai Tomography Tukunga Positron)
Mā ngā hua o ēnei whakamātautau ka whakatauhia te taumata o te mate pukupuku. Ka whakaritea te maimoatanga i runga i taua taumata. Ki te kī māmā, ko te taumata tōmua ko te mate pukupuku e pā ana ki ngā tonsils. Ko te taumata o muri ko te horapa ki ngā kōpū lymph, ki ētahi atu okana rānei, ā, ka kiia ko te metastasize.
He aha ngā maimoatanga?
He maha ngā maimoatanga mō te mate pukupuku tonsil. Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki te rahi o te pukupuku, tōna wāhi, mēnā kua horapa, me tō hauora whānui. Ko ngā maimoatanga matua ko te pokanga, te rongoā irahiko, me te chemotherapy.
1. Pokanga
Mena he iti te mate pukupuku, ā, kei roto tonu i ōna wāhanga tōmua, ka taea te tango katoa mā te pokanga.
- Pokanga Robotic Whakawhiti-waha (TORS):Koinei te tikanga hou rawa atu, ā, ko te tikanga tino matatau rawa atu. Mā te whakamahi i te hangarau karetao, ka tangohia marietia te pukupuku matepukupuku mai i roto i te waha ki muri o te korokoro. Nā te mea kāore he tapahi nui, ka tere te whakaora.
- Lymphadenectomy (Wetewete Kaki): Mena kua horapa te mate pukupuku ki ngā kōpū lymph i te kaki, ka tapahia tētahi wāhanga o te kaki, ā, ka tangohia aua kōpū lymph.
2. Te Whakaora Irahiko
Ko te tikanga o tēnei ko te whakamahi i ngā hihi kaha-nui (pērā i ngā hihi-X) hei whakangaro i ngā pūtau matepukupuku. I ētahi wā ka hoatuhia tēnei maimoatanga hei whakakapi i te pokanga, hei patu rānei i ngā pūtau matepukupuku e toe ana i muri i te pokanga.
3. Te rongoā matū
Ko te tikanga o tēnei ko te hoatu i ngā rongoā kaha ki te tinana hei patu i ngā pūtau matepukupuku. I te nuinga o te wā ka hoatu tēnei mēnā kua horapa nui te matepukupuku, hei whakarei ake rānei i ngā pānga o te rongoā irahiko.
Mā tō rōpū tākuta e whakatau ko tēhea te maimoatanga e pai ana māu, nō reira kaua e mangere ki te kōrero ki a rātou mō ō pātai, ō āwangawanga rānei.
He pānga taha kei te rongoā?
Ae, pērā i ngā maimoatanga mate pukupuku katoa, tera pea ētahi pānga taha, engari he maha ngā huarahi hei whakahaere i aua pānga.
- I muri i te pokanga: Tērā pea ka puta te toto, te mate pāwera, te uaua ki te horomi (dysphagia), me ngā panoni o te reo.
- I muri i te irahiko me te chemotherapy , he mea noa te ngenge, te whakapairuaki, te ruaki, te ngaro o te makawe, te mate waha, me te kore hiahia kai.
He wā poto noa iho te nuinga o ēnei pānga taha. Ka memeha haere ina mutu te maimoatanga. He mea nui kia kai pai, kia whai hoki i ngā tohutohu a te tākuta i tēnei wā.
He ara hei ārai i tēnei mate pukupuku?
Ahakoa e kore e taea te ārai katoa, he maha ngā mea ka taea e koe te mahi hei whakaiti i te mōrearea.
- Kaua e kai paipa rawa: Kati te whakamahi i tētahi momo tupeka.
- Whakaitihia te inu waipiro: He pai ake te whakaiti i te nui e taea ana.
- Tiakina koe mai i te HPV: Mā te werohanga HPV ka taea e koe te tiaki i a koe mai i ngā momo huaketo, pērā i te HPV-16, koinei te tino pūtake o tēnei mate pukupuku. He mea nui anō hoki te moe haumaru.
- Kia tiakina tō hauora waha: Me tirotiro tō waha e te tākuta niho i ia wā. Mā tēnei ka āwhina i te kite i ngā huringa i te wā tōmua.
Karere Tangohia ki te Kāinga
- Mena kei a koe ngā tohu pēnei i te mamae o te korokoro e roa ana i ngā rā torutoru, te pupuhi o ngā tonsils, te uaua rānei ki te horomi, kaua e warewarehia. Tirohia tō tākuta tonu.
- Ko te huaketo HPV te tino take o te mate pukupuku o te tonsil. He nui anō hoki ngā mōrearea o te kai hikareti me te inu waipiro.
- Mena ka kitea tēnei mate pukupuku i tōna wā tōmua, he tino teitei te auau whakaora. Nō reira, he mea tino nui te tautuhi wawe i te mate.
- He matatau ngā kōwhiringa maimoatanga. Mā te pokanga, te rongoā irahiko, me te rongoā matū ka angitu ai ngā hua.
- Ki te kitea he mate pukupuku tōu, kaua e ngakaukore. Kōrerohia mā te marea ki tō whānau, ki ō hoa, me te tīma hauora. He kaha nui te whiwhi tautoko tika i roto i te tukanga whakaora.
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