Kua mataku koe i te wā e huri whakarere ana te tae o tō mimi, e māwhero ana, e toto ana rānei? Kei te hiahia rānei koe kia mimi pinepine atu? He mea noa ki te tangata te mataku ina kite i tētahi tohu pēnei. Engari ki te mārama tika tātou ki ēnei mea katoa, ka taea e tātou te whakatau angitu i tēnei āhuatanga. I tēnei rā ka kōrero tātou mō tētahi kaupapa e kore e pai ki te kōrerohia e te tini tāngata, engari me mōhio tātou katoa, arā, ko te mate pukupuku pūkahukahu.
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He aha tonu te mate pukupuku pūkahukahu?
Ki te kī māmā noa, ko te mate pukupuku pūkahukahu te wā ka tīmata te tipu rerekē o ngā pūtau i roto i tō tātou pūkahukahu, ā, kāore e taea te whakahaere. I mōhio koe he okana iti te pūkahukahu, he rite ki te pēke. Ko te mimi e hangaia ana e ō tātou whatukuhu ka rongoatia mō te wā poto ki roto i tēnei pūkahukahu i mua i tōna wehenga atu i te tinana.
Nō reira, ka rerekē haere ngā pūtau i roto i te pakitara o roto o tēnei pūkahukahu, ā, ka wehea noatia, ka hanga he pukupuku. Koinei te mea e kīia nei e tātou ko te matepukupuku pūkahukahu. I roto i te wā, ka horapa ēnei pūtau matepukupuku ki ngā kōpū lymph tata me ētahi atu okana. I ētahi wā kino, ka tūpono te horapa ki ngā okana tawhiti pērā i ngā wheua, ngā pukahukahu, te ate rānei.
He aha ngā momo matua o te mate pukupuku pūkahukahu?
He maha ngā momo matua o te matepukupuku tōngāmimi. Mā tō tākuta e whakatau te maimoatanga e pā ana ki te momo matepukupuku kei a koe.
| Momo mate pukupuku | He whakamārama māmā |
|---|---|
| Matepukupuku Pūtau Whakawhiti | Koinei te momo tino noa. Ka puta mai i ngā pūtau e kiia nei ko ngā pūtau urothelial e whakarārangi ana i te taha o roto o te pūkahukahu. Nā te mea kei roto anō hoki ēnei pūtau i ētahi atu wāhanga o te pūnaha mimi, ka tirotirohia e te tākuta te pūnaha mimi katoa. |
| Matepukupuku Pūtau Squamous | He ahua onge tēnei. I te nuinga o te wā, ka puta tēnei momo i ngā mate pūkahukahu roa, i te pēhanga rānei mai i te whakamahinga tonu o te catheter. |
| Adenocarcinoma | He momo tino onge anō hoki tēnei. Ka tīmata tēnei mate pukupuku i roto i ngā pūtau repe o te pūkahukahu. |
| Matepukupuku Pūtau Iti | He momo mate pukupuku tino tere te tipu, he onge hoki, e tīmata ana i roto i ngā pūtau io, ā, i te nuinga o te wā ka rongoatia mā te chemotherapy. |
| Sarcoma | He momo mate pukupuku tino onge tēnei e tīmata ana i roto i ngā pūtau uaua o te pūkahukahu. |
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Check Availability →He aha ngā āhuatanga mōrearea mō te whakawhanaketanga o te mate pukupuku pūkahukahu?
Ahakoa he uaua ki te tohu i tētahi tino pūtake o te mate pukupuku, kua tautuhia e ngā tākuta ētahi āhuatanga e whakanui ake ana i te mōrearea o te whakawhanaketanga o tēnei mate.
Ko te mea nui ko te momi hikareti. Kua whakaatuhia e ngā rangahau ko te momi hikareti te take o te 50% o ngā mate pukupuku tōngāmimi. I ia wā ka momi hikareti koe, he maha ngā matū kino ka uru ki roto i tō tinana.
Ko ētahi atu āhuatanga mōrearea ko:
- Tau me te ira tangata: Ko ngā tāne neke atu i te 55 tau te pakeke he nui ake te mōrearea ki te pāngia e tēnei mate.
- Hītori whānau: Mena kua pāngia tētahi e tata ana ki a koe, pēnei i ō mātua, i ō tuākana, i ō teina rānei, e te mate pukupuku tōngāmimi, e te mate pukupuku rānei o te pūnaha mimi, he nui ake anō hoki tō tūponotanga ki te pāngia e te mate.
- Te pānga ki ngā matū kino: Ko te hunga i roto i ētahi mahi, pērā i te umanga peita, te umanga tā, ngā kaiwhakapaipai, me ngā taraiwa taraka, me pāngia e ngā matū kino mō te wā roa. He mōrearea anō hoki tēnei.
- Ngā mate pukupuku mimi maha: Mā te roa o te wā e pangia ana e ngā mate pukupuku mimi, e ētahi atu mate mumura rānei, ka nui ake te mōrearea.
- Ētahi rongoā mate huka: He taunakitanga kei te piki ake te mōrearea o ētahi rongoā mate huka mō te wā roa, pērā i te Pioglitazone.
- Maimoatanga mate pukupuku o mua: Mena kua whiwhi koe i te rongoā irahiko ki te rohe hope, i ngā rongoā chemotherapy rānei pēnei i te cyclophosphamide, tera pea ka piki ake tō mōrearea.
He aha ngā tohu? Me pēhea te mōhio wawe atu?
Ka rerekē pea ngā tohu o te mate pukupuku tōngāmimi i runga i te wāhanga o te mate. Ko te mea nui ko te toro atu ki te tākuta ina kite koe i ēnei tohu.
| Ngā tohu o te mate pukupuku pūkahukahu | |
|---|---|
| Ngā tohu o te wā tōmua (Wāhanga I) | |
| Te āhuatanga matua | Toto i roto i te mimi (hematuria). Tērā pea he māwhero, he karaka, he whero pouri rānei te mimi. Kāore pea tēnei e kitea i ngā wā katoa. |
| Ētahi atu āhuatanga |
|
| Ngā tohu e puta ana ina haere whakamua te mate (Ngā Wāhanga Matatau) | |
| |
Tērā pea ka warewarehia e ngā wāhine te toto i roto i te mimi, me te whakaaro he huringa paheketanga noa iho, he raruraru wahine rānei. Nō reira , he mea nui kia kōrero ki te tākuta mō ngā toto rerekē.
Me pēhea te tautuhi i te mate pukupuku?
Mena kei a koe ngā tohu, ka whakaritea e tō tākuta ētahi whakamātautau hei whakaū mēnā he matepukupuku tōu.
- Te tātari mimi: Tirohia mēnā he toto kei roto i te mimi, he mate pāwera rānei.
- Cytology: Ka tirohia he tauira mimi i raro i te karuārai hei tirotiro mō ngā pūtau matepukupuku.
- Cystoscopy: Koinei te whakamātautau tino nui, tino tika hoki. I roto i tēnei, ka whakauruhia he ngongo angiangi me te kāmera e piri ana mā te urethra, ka tika ki roto i te pūkahukahu. Mena he pukupuku, ka kitea mārama.
- Biopsy: I te wā o te cystoscopy, ka tangohia he wahi iti o te kiko whakapae hei whakaū mēnā he matepukupuku.
Mena kua whakaūtia te mate pukupuku, me whakamahi pea i ngā whakamātautau pēnei i te matawai CT , te matawai MRI , te hihi-X rānei o te uma hei whakatau i te tawhiti o te horapa (te whakatau i te horapa).
He aha ngā maimoatanga?
Kaua e manukanuka, he mate tino ngāwari te rongoā i te mate pukupuku tōngāmimi, ina koa mēnā ka kitea wawe. Ko te maimoatanga e whakawhirinaki ana ki te momo mate pukupuku, tōna taumata, me tō hauora whānui.
Pokanga
Koinei te maimoatanga e whakamahia whānuitia ana.
- TURBT (Transurethral Resection of Bladder Tumor): He rite ki te cystoscopy, ka whakauruhia he taputapu mā roto i te urethra hei tapahi i te pukupuku matepukupuku anake mai i te pakitara o te pūkahukahu. Ka mahia tēnei mō te matepukupuku wāhanga tōmua.
- Te tango i te pūkahukahu ā-wāhanga: Mena ka herea te mate pukupuku ki tētahi wāhanga o te pūkahukahu, ko taua wāhanga anake o te pūkahukahu ka tangohia.
- Te tango i te pūmua nui: Mena kua horapa te mate pukupuku ki te paparanga uaua o te pūmua mimi, me tango pea te pūmua mimi katoa. I tēnei wā, ka hangaia he pokanga mimi kia rere ai te mimi i te tinana.
Ētahi atu maimoatanga
- Te rongoā matepukupuku: Te hoatu rongoā hei patu i ngā pūtau matepukupuku. I ētahi wā, i muri i te TURBT, ka hoatu tika ngā rongoā ki roto i te pūkahukahu mā te ngongo (te rongoā matepukupuku intravesical) hei patu i ngā pūtau matepukupuku e toe ana.
- Whakaora Irahiko: Te whakangaro i ngā pūtau matepukupuku mā te whakamahi i ngā hihi pūngao nui.
- Ārai Mate: Ka whakaoho i te pūnaha ārai mate o te tinana kia whawhai ki ngā pūtau matepukupuku.
- Whakaora Whaiaro: Te whakamahi i ngā rongoā e whakaeke ana i ngā whainga motuhake e tika ana mō te tipu o ngā pūtau matepukupuku.
Karere Tangohia ki te Kāinga
- Ko te kai paipa te tino take mō te mate pukupuku tōngāmimi.Mena he kaipaipa koe, ngana ki te whakamutu i tēnei rā.
- Ko te toto i roto i te mimi te tohu tino kitea, te tohu tino wawe hoki o tēnei mate. Mēnā ka kite koe i tētahi mea pēnei, kaua e whakaroa , me toro atu ki tō tākuta tonu.
- Ki te kitea wawetia tēnei mate, ka taea te rongoā angitu. Ko te reiti oranga mō ngā tau e 5 e eke ana ki te 77%.
- Inumia he nui te wai, ā, kai i ngā kai e nui ana ngā hua me ngā huawhenua. Ka taea e ēnei te whakaiti i te mōrearea.
- Mēnā ka pā mai he raruraru hauora, he mea whakaaro nui kia rapu tohutohu hauora, kaua e mataku, kaua hoki e ruarua.
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