Ina kī atu tō tākuta kei a koe te mate pukupuku ū kore-whakaeke, te Ductal Carcinoma in Situ (DCIS) rānei, tera pea ka nui te mataku me te ohorere. He mea noa te pātai pēnei i te, 'Me aha ahau ināianei? He aha te momo maimoatanga e hiahiatia ana e au?' Kaua e mataku. Ahakoa e kiia ana he mate pukupuku, kei roto tonu i ngā wāhanga tino tīmatanga, arā, kāore anō kia horapa. Me kōrero tātou mō tēnei mea, kia māmā noa, kia mārama hoki.
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He aha tonu te DCIS?
Ki te whakarāpopototanga, ko te DCIS he āhuatanga e tipu ai ngā pūtau matepukupuku i roto i ngā awa waiū o te ū anake . Whakaarohia ēnei awa waiū he rite ki ngā paipa ririki. I roto i te DCIS, kei roto noa i ēnei paipa ngā pūtau matepukupuku. Kāore i horapa ki waho o ngā paipa, arā, kāore i horapa ki ētahi atu kiko ngohengohe o te ū. Koinei te mea e kiia ana e ngā tākuta he "in situ" (ko te tikanga 'in place').
E mōhiotia ana hoki tēnei ko te mate pukupuku ū 'Wāhanga 0' . Ko te mea nui, ko te mea pai rawa atu hoki mō tēnei, mēnā ka kitea i mua i te horapa, ka taea te whakaora katoa mā te maimoatanga tika. Ko te whāinga matua o te maimoatanga ko te tango katoa i ēnei pūtau mate pukupuku i mua i te pakaru mai i ngā awa miraka ka horapa ki ētahi atu kiko o te ū.
Me pokanga ahau?
Ae pea. Ko te maimoatanga matua me te maimoatanga tino noa mō te DCIS ko te pokanga. Engari kaua e wehi ki te kī "pokanga." E rua ngā momo pokanga matua. Mā tō tākuta koe e whakamārama ko tēhea te tikanga pai rawa atu mō tō āhua.
| Momo pokanga | Hei whakarāpopototanga... | Āhea te nuinga o te wā e whakamahia ai? |
|---|---|---|
| Te tango i te tākihi (Pokanga tiaki ū) | Kāore e tangohia te ū katoa i tēnei mahi. Ko te wāhanga anake kei reira te matepukupuku me te iti o te kiko hauora e karapoti ana ka tangohia. Ka waihotia tō ū kia ora tonu. | Koinei te kōwhiringa tuatahi mō te nuinga o ngā take DCIS, inā koa mēnā kei roto i te wāhi iti kotahi te mate pukupuku. |
| Te tango i te mastectomy | I roto i tēnei, ka tangohia te uma katoa mā te pokanga. | Tērā pea he maha ngā take e taunaki ai tō tākuta i tēnei pokanga. Hei tauira: - Mena kua horapa te mate pukupuku ki tētahi wāhi nui o te ū. - Mena kei roto te mate pukupuku i ētahi wāhi o te ū. - I runga i te wāhi o te matepukupuku, tera pea he uaua ki te pupuri i te āhua o te ū i muri i te tango i te ū. - Mena he nui ake tō tūponotanga ki te pāngia e te mate pukupuku ū ā muri ake nei nā te hītori whānau, ngā hua o ngā whakamātautau ira, te taitamarikitanga rānei. |
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Check Availability →He aha ngā mea ka tupu i muri i te pokanga?
Kāore tō maimoatanga e mutu i muri i te pokanga. He maha tonu ngā mahi ka taea e koe te mahi hei ārai i te hokinga mai o te mate pukupuku.
Te Whakaora Irahiko
Mena kua tangohia tō puku , ka tūtohutia te rongoā irahiko i muri i te pokanga. Ko te whāinga he whakangaro i ngā pūtau matepukupuku iti, kāore e kitea, e toe ana i te wāhi i muri i te pokanga. Mā tēnei ka tino whakaiti i te tūponotanga o te hokinga mai o te matepukupuku.
- Ko te tikanga tino noa: Ko te whakamahi i te irahiko ki waho o te ū mai i tētahi mīhini mō te 5 ngā rā i te wiki, mō ētahi wiki.
- Ngā Tikanga Rerekē: I ētahi wā, ka tukuna te irahiko ki te wāhanga anake o te ū i puta ai te mate pukupuku, kaua ki te ū katoa. Tērā anō tētahi tikanga e whakaurua ai he kākano irahiko iti ki roto i te ū hei rongoā. Heoi anō, kei te rangahauhia tonutia ēnei tikanga e rua, e tuku ana i te irahiko ki te ū katoa, kia kitea ai mēnā he rite te whai huatanga.
Ko te mea nui, mēnā kua tangohia tō puku , kāore e hiahiatia te rongoā irahiko.
Te Whakaora Hormonal
Tērā pea ka tūtohutia kia tangohia e ētahi wāhine he rongoā homoni, pērā i te tamoxifen , hei tāpiri atu ki te rongoā irahiko. Ka āwhina hoki tēnei ki te whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku.
Engari ka hoatu noa tēnei rongoā mēnā he 'hormone-receptor-positive' tō matepukupuku. He aha te tikanga o tēnā? Ko tōna tikanga, ko te homoni estrogen, e hangaia ana i roto i tō tinana, ka āwhina i te tipu o ngā pūtau matepukupuku. Ka whakamātautauhia koe e tō tākuta kia kite mēnā he momo matepukupuku tēnei. Mā tēnā e whakatau mēnā me hiahia koe ki tēnei maimoatanga, kāore rānei.
Me whai rongoā chemotherapy ahau?
Kāore pea. He wehi nui tēnei mō te tini o te tangata. Ko te chemotherapy he maimoatanga e whakamahi ana i ngā rongoā kaha hei whakangaro i ngā pūtau tere wehewehe (pērā i ngā pūtau matepukupuku) puta noa i te tinana. Heoi, nā te mea he mate te DCIS e noho ana ki ngā awa miraka, ā, kāore anō kia horapa ki ētahi atu wāhanga o te tinana, kāore i te tūtohutia te chemotherapy mō tōna maimoatanga.
Me pokanga anō ahau?
I ētahi wā ka tupu tēnei. Ina koa mēnā kua tangohia te kiko i roto i tō puku , ā, ki te whakaaro te tākuta kāore i te nui ngā kiko 'ma' (hauora) kua tangohia i te taha o ngā pūtau matepukupuku, me mahi anō pea he pokanga tuarua. Ka kiia tēnei ko ngā 'tawhiti mārama'. Ka mahia tēnei hei tango katoa i ngā pūtau matepukupuku e toe ana, hei tiaki hoki i a koe.
Me whakaaro koe ki te hanga anō i te ū?
I muri i te tango i te puku, i te tango rānei i te uma, ka whiriwhiri ētahi wāhine ki te mahi pokanga whakahou ū. He whakatau whaiaro tēnei. Kāore e hiahiatia ana e te hauora. Ā, kāore e hiahiatia kia mahia tonutia i muri i te pokanga tuatahi. Ki te hiahia koe, tēnā kōrero ki tō tākuta mō ō whiringa, me pēhea te mahi, me te mea he tika mōu.
Karere Tangohia ki te Kāinga
- He momo mate pukupuku ū tino wawe te DCIS, kāore e taea te whakaeke, nō reira kaua e mataku.
- He tino angitu ngā maimoatanga mō tēnei. He tino teitei te tūponotanga ka ora katoa.
- Ko te pokanga te maimoatanga matua. Tērā pea he tango i te puku anake (lumpectomy) he tango rānei i te uma katoa (mastectomy).
- I muri i te pokanga, me whakamahi pea te rongoā irahiko, te rongoā homoni rānei hei ārai i te hokinga mai o te mate pukupuku.
- Kāore e hiahiatia te rongoā matū mō te DCIS i te nuinga o te wā.
- He tika tōu ki te kōrero mārama ki tō tākuta mō ō āwangawanga me ō wehi katoa.
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