He paku whakamataku te kupu "matepukupuku", tika? Engari i mōhio koe ka tata ora katoa ētahi momo matepukupuku, inā koa te matepukupuku koroni, ka kōrerohia e tātou, mēnā ka kitea wawe ? He maha ngā tāngata e whakama ana, e mataku ana rānei ki te kōrero mō ngā huringa o ā rātou tikanga wharepaku, mō te toto rānei i roto i ā rātou tūtae. Engari mā te waiho i taua whakama me te wehi ki te taha, me te kōrero ki te tākuta, koinei pea te take e ora ai koe. Nō reira, me kōrero tātou mō tēnei mea i te rangimārie, i te rangimārie hoki i tēnei rā.
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He aha te mate pukupuku koroni?
Ki te kī ngāwari, kei roto i tō tātou puku he pūnaha roa, he rite ki te ngongo, e keri ana i te kai e kainga ana e tātou, ā, e pana ana i te tinana hei para. Ka puta tēnei mate pukupuku i te wāhanga tuarua o tēnei, arā, ko te whekau nui (e kiia ana ko te 'koroni') me te rectum ('rectum'). I ētahi wā ka puta he tipu iti, he kikokiko ki te pakitara o roto o tēnei ngongo. E kiia ana ēnei polyps e te rongoā he "Polyps".
Whakaarohia, kotahi i roto i te whā o ngā pakeke neke atu i te 50 tau te pakeke, tera pea he kotahi te polyp. Kaua e manukanuka, ehara i te mea he mate pukupuku ēnei polyp katoa. Ko te nuinga he kore kino. Heoi, ko ētahi o ēnei momo, inā koa ko te momo e kiia nei ko ngā polyp adenomatous, ka huri hei mate pukupuku i roto i te wā.
Ko te nui ake o te polyp, ko te nui ake o te tūponotanga kia noho hei mate pukupuku. Hei tauira, ko te polyp iti iho i te 1 henimita te roa, he 1% te tūponotanga kia noho hei mate pukupuku, ko te polyp nui atu i te 2 henimita te roa, he 40% te tūponotanga kia noho hei mate pukupuku.
Anei te mea nui: Ki te kitea wawetia tēnei mate pukupuku, ā, ka rongoatia, i te wā e mau tonu ana te pukupuku ki te pakitara o te puku , e 90% te tūponotanga ka ora katoa. Arā, e iwa i roto i te tekau tāngata ka ora!
Engari ki te whakaroa te maimoatanga, ka taea e ēnei pūtau matepukupuku te pakaru i roto i te pakitara o te puku ka horapa puta noa i te tinana ki ngā kōpū lymph tata, ki ētahi atu kiko, ki ngā whekau pērā i te ate, ki te toto rānei. Kia horapa rā anō, ka tino uaua te maimoatanga. I runga i te whānuitanga o te mate, ka taea te heke te tūponotanga o te ora mai i te 11% ki te 72%.
He aha ngā āhuatanga mōrearea e pā ana ki te whanaketanga o tēnei mate pukupuku?
Ahakoa kāore e taea te kī pono koinei anake te take o tēnei mate pukupuku, kua tautuhia e ngā tākuta ētahi āhuatanga mōrearea e whakanui ake ana i te mōrearea o te whakawhanake i tēnei mate. Me titiro tātou ki ēhea mea.
| Tauwehenga Mōrearea | He whakamārama māmā |
|---|---|
| Tau | Ka tino piki ake te mōrearea i muri i te 50 tau. Ka piki ake anō te mōrearea i a koe e pakeke haere ana. |
| Hītori Whānau | Mena kua pāngia tētahi o ō whanaunga tata (whaea, pāpā, tuākana, teina, tamaiti) e tēnei mate pukupuku, he nui ake tō tūponotanga ki te pāngia. Mena he tokomaha ō whanaunga kua pāngia, he nui ake te tūponotanga. |
| Ētahi atu Mate | Mena kua pāngia koe, tētahi rānei o tō whānau e ngā polyp o te koroni, e te mate pukupuku rānei i mua, ki te mea rānei kei a koe te mate mumura o te puku (ulcerative colitis) te mate a Crohn rānei, ka nui ake tō tūponotanga ki te pāngia e te mate. |
| Ngā āhuatanga ira e tukuna iho ana i tētahi whakatipuranga ki tētahi whakatipuranga (Heredity) | He mate ira tō ētahi tāngata. Ko te hunga whai mate pēnei i te Familial Adenomatous Polyposis (FAP) ka nui haere ngā polyp i te wā taitamariki tonu. He nui ake te tūponotanga o ēnei tāngata ki te pāngia e te mate pukupuku. |
| Kai | Kei te haere tonu ngā rangahau mō tēnei. Heoi, ko te hunga e kai nui ana i ngā huawhenua me ngā hua he iti ake te mōrearea. E whakaatu ana ētahi rangahau he nui ake te mōrearea o te hunga e kai nui ana i te ngako kararehe me te pūmua, inā koa te mīti whero (pīhi, poaka). He whakapono anō hoki ka puta ngā matū whakaputa mate pukupuku, inā koa ka tunua ki ngā pāmahana teitei (hei tauira, tunua ki te parai). |
| Āhua noho | Mā te momi hikareti me te inu i te neke atu i te 4 inu waipiro ia wiki ka nui ake te mōrearea. |
| Ngā Pokanga me te Irahiko o Mua | Mena kua pāngia koe e tēnei mate pukupuku i mua (ina koa i mua i te 60 tau te pakeke), tera pea ka hoki mai anō. Waihoki, mena kua whiwhi koe i te maimoatanga irahiko ki te puku, ka piki ake pea te mōrearea o te mate pukupuku i taua wāhi. |
Whakarērea tō whakama ki te taha, ka tūtaki ki te tākuta.
Ko te karere tino nui māku māu e pānui ana i tēnei tuhinga ko tēnei: Ki te kite koe i tētahi panoni ohorere o ō tikanga puku (hei tauira, te nekeneke pinepine o te puku, te mate puku, te panoni rānei i te auau o te nekeneke), te toto i roto i tō tūtae, te mamae, te koretake o te puku, te ngaronga taumaha rānei kāore he whakamārama, kaua e warewaretia.
Kaua e whakaaro, "Āe, me pēhea e taea ai e koe te kōrero i tēnei ki tētahi tākuta?" Ko tō tākuta he tangata e kōrero ana ki ngā tūroro mō ēnei mea i ia rā, ā, e rongoā ana hoki i aua mea. He wāhanga tēnei o tana mahi. He nui ake te uara o tō oranga i tō whakama.
Ki te haere wawe koe ki te whakaatu i tēnei ki te tākuta, tera pea mā te whakamātautau māmā (pēnei i te endoscopy) ka kitea he mea pēnei i te polyp ka tangohia, ka ārai i te raruraru nui. Nō reira kaua e wehi, kaua hoki e whakama ki te toro atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- He maha ngā wā ka tīmata te mate pukupuku repeure ki ngā tupu iti, kikokiko e kiia nei ko ngā polyp.
- Mā te kitenga wawe me te tango atu i ēnei polyp ka ārai i te whanaketanga o te mate pukupuku.
- Ka tino piki ake te mōrearea o te whakawhanake i tēnei mate pukupuku i muri i te 50 tau.
- Ko tō kai, tō momo noho (momi hikareti/waipiro), me tō hītori hauora whānau ngā tino take mōrearea.
- Ki te pāngia koe e ētahi tohu rerekē, pērā i te whakarerekētanga o ngā tikanga wharepaku, te toto rānei i roto i tō tūtae, kaua e whakamā, me toro atu ki tō tākuta tonu. Kia maumahara, mā te kitenga wawe ka taea te whakaora i ngā oranga!
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