Ina kī mai te tākuta kei a koe te 'Wāhanga 0 o te Mate Pukupuku o te Uma', tera pea he maha ngā pātai me ngā wehi e puta ake ana ki tō hinengaro, tika? He mea noa kia puta ake ngā mea pēnei i te "He tohu tēnei kei a au te mate pukupuku?" me te "He morearea tēnei?" ki tō hinengaro. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe, me te mea kei te kōrero koe ki tētahi hoa.
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He aha rawa tēnei 'wāhanga 0'?
He kaupapa uaua tēnei. Ki tā ētahi tākuta koinei te wāhanga tino tōmua o te mate pukupuku ū. Ki tā ētahi he 'precancer' ka taea te whanake hei mate pukupuku.
He māmā noa iho, ko te mate pukupuku he āhuatanga e wehewehea ana ngā pūtau o te tinana me te kore e taea te whakahaere. Ka taea hoki e ēnei pūtau te whakaeke i ngā kiko hauora e karapoti ana. Heoi, i te Wāhanga 0 o te Mate Pukupuku o te Uma , kei roto tonu ēnei pūtau rerekē i ngā awa miraka o te ū. Kāore anō kia horapa (whakaekea) ki roto i ngā kiko e karapoti ana. Ko te tikanga he wāhanga iti ake tēnei i te Wāhanga 1, ā, he wāhanga tino wawe.
E rua ngā momo matua o tēnei āhuatanga:
1. Te Mate Pukupuku Ā-Waenga In Situ (DCIS): Ina kōrero tātou mō te Mate Pukupuku Uma Wāhanga 0, he maha ngā wā ka kōrerohia tēnei āhuatanga. I konei, kei roto noa i ngā awaawa miraka ngā pūtau rerekē. Kāore anō kia horapa ki te kiko ngako e hanga ana i te nuinga o te ū. Kāore anō kia mōhiotia te take tuturu o tēnei. Ko te nuinga o te tangata kāore e pāngia e tetahi tohu. Heoi, i ētahi wā ka taea e ēnei pūtau rerekē te whanake hei mate pukupuku ka horapa ā muri ake nei. Engari kāore he huarahi hei kī pono mēnā ka tupu tēnā, kāore rānei.
2. Te mate a Paget o te uma kāore e taea te whakaeke: He momo mate pukupuku ū tino onge tēnei.
He tohu kei te kitea mō tēnei mate?
I te nuinga o te wā, kāore he tohu e puta mai i te matepukupuku ū o te Wāhanga 0. Engari i ētahi wā, tera pea ētahi tohu. Me titiro tātou ki ēnei tohu.
| Tūnga | Ngā tohu pea |
|---|---|
| Te mate a Paget o te uma |
|
| DCIS (Te Mate Pukupuku Āpiti In Situ) |
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Nā te mea kāore he tohu i te nuinga o te wā, ko te huarahi pai ki te kite i te mate pukupuku o te ū Wahanga 0 ko te tirotiro auau . Ko ngā mammogram te huarahi tino noa ki te kite i tēnei mate. Inaa, neke atu i te 90% o ngā take DCIS ka kitea mā roto i ngā whakamātautau tirotiro. Koia te take e kī ana ngā tākuta kia tirotirohia ngā wāhine i te wā taitamariki.
Ko wai kei te nui ake te mōrearea mō tēnei mate?
He tino ōrite ngā āhuatanga mōrearea mō te matepukupuku ū o te Wāhanga 0 ki ngā āhuatanga mōrearea mō te matepukupuku ū noa. Me titiro tātou ki ēnei āhuatanga. Mēnā kei a koe tētahi, neke atu rānei o ēnei āhuatanga, ehara i te mea ka tino pāngia koe e te mate, engari he āhua teitei ake tō mōrearea.
| Tauwehenga mōrearea | Whakaahuatanga |
|---|---|
| Tau | Ka piki ake te mōrearea i te pakeketanga. |
| Hītori whānau | He whanaunga tata tōu (whaea, tuahine) he mate pukupuku ū tōu. |
| Kore tamariki | He nui ake te mōrearea o ngā wāhine kāore anō kia whānau tamariki. |
| Tamaiti tuatahi | Te whānautanga o tāu tamaiti tuatahi i muri i te 30 tau. |
| Hītori whaiaro | Kua pāngia koe e ngā mate ū kāore i te mate pukupuku i mua (hei tauira, te Atypical Hyperplasia). |
| Te paheketanga | Ka tīmata te paheketanga i mua i te 12 tau te pakeke, ka puta rānei te paheketanga i muri i te 55 tau te pakeke. |
| Ngā rerekētanga ira | E mōhiotia ana ka piki ake te mōrearea o te mate pukupuku i te whai i ngā whakarerekētanga ira. |
He aha ngā maimoatanga?
Kia kitea tō mate DCIS, ka whakaurua he 'taumata' ki roto i tō pūrongo whakamātautau. Ko te taumata karihi 3 te momo e tino horapa ana, ā, ko te taumata 1 te momo e iti rawa te horapa. Ka whakamatautauria hoki ō pūtau matepukupuku kia kitea ai mēnā he kaiwhakawhiwhi estrogen kei roto. Mēnā he ER-pai (ER+) rātou, ko te tikanga ka puhoi ake te tipu o te matepukupuku.
Haunga ēnei mea katoa, ka tūtohu pea tō tākuta kia whakamātauria koe ki te whakamātautau ira.
Ko tāu mahi e whai ake nei ka whakawhirinaki ki ēnei āhuatanga katoa, tae atu ki ō hiahia whaiaro. E whakapono ana te nuinga o ngā tohunga he pai ake te whiwhi maimoatanga. Ahakoa kāore te mate pukupuku Wāhanga 0 e horapa, ka taea te huri i te heke mai, e whakapono ana rātou he pai ake te noho haumaru i te pouri.
Ko ngā maimoatanga noa mō te DCIS ko:
- Pokanga: Mō ngā pukupuku DCIS iti, ka taea te mahi i te lumpectomy, e tango ana i ngā pūtau rerekē me te iti o te kiko o te ū e karapoti ana. Ko ētahi tāngata e whiriwhiri ana kia mastectomy, e tango ana i te ū katoa. Kātahi ka taea te mahi pokanga whakahou ū mēnā e tika ana.
- Whakaora Irahiko: I te nuinga o te wā ka mahia tēnei i muri i te tango i te puku. Ka āwhina te rongoā irahiko ki te whakangaro i ngā pūtau rerekē kāore i tangohia i te wā o te pokanga, ā, ka whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku.
- Whakaora Homoni: Ka taea e tēnei maimoatanga i muri i te pokanga te āwhina i te aukati i te whanaketanga o te mate pukupuku hou i roto i ngā ū e rua.
Ko te mea nui, ka whakamahia te chemotherapy hei rongoā i te DCIS.Kāore tēnei e hiahiatia ana. Ko te take o tēnei he tino iti te mōrearea o te horapa o ēnei pūtau ki ngā wāhanga tawhiti o te tinana.
He pai ake te mātakitaki me te tatari me te kore he maimoatanga?
He take tino tairongo, he take nui hoki tēnei. Tata ki te hautoru o te hunga whai DCIS ka tūpono ki te whakawhanake i te mate pukupuku urutā ā muri ake nei. Nō reira, ka tūtohu pea ētahi tākuta i te huarahi 'mātakitaki me te tatari', me te whakamātautau auau, kaua ki te rongoā tonu.
He tautohenga tēnei. Whakaarohia, mehemea i pokangahia koe (me te rongoā irahiko pea) i te wā kotahi, ka tiakina pea koe mai i te mate pukupuku e kore e horapa. I tētahi atu taha, tera pea kei te rongoatia koe kāore i te tino hiahiatia.
Engari ki te whakatau koe ki te kore e mahi pokanga me te rongoā irahiko i te tīmatanga, ā, me tirotiro noa i ngā wā katoa, he iti noa te tūponotanga ka piki ake te mate pukupuku (ka uaua ake te rongoā) i te wā e kitea ai e ngā tākuta. He whakatau whaiaro tēnei māu me kōrero marie atu ki tō tākuta.
He aha te tere o te whakaoranga mō tēnei āhuatanga?
Anei te rongo pai. Mena kei a koe te mate pukupuku ū o te Wāhanga 0, he nui ake te tūponotanga o tō ora me te oranga whānui i ērā kei te mate pukupuku o te Wāhanga III, IV rānei. Nā te mea kāore anō kia horapa te mate ki ētahi atu wāhanga o te tinana.
Ko te ōrau oranga whanaunga mō te hunga mate pukupuku ū 'ā-rohe' i roto i te 5 tau (arā, ngā take kei roto tonu ngā pūtau rerekē i te ū, pērā i te Wāhanga 0) he 99% . He māmā noa iho, ko te tikanga o tēnei ko te tangata kua tāpaetia he mate pukupuku Wāhanga 0 he 99% te tūponotanga ka ora ia mō ngā tau 5 e whai ake nei, pērā i te tangata kāore he mate pukupuku.
Tata ki te 1 i roto i te 5 o ngā mate pukupuku ū hou kua kitea he DCIS. Engari tata ki te katoa e pāngia ana e te mate ka taea te whakaora katoa. He tino onge te hokinga mai o te DCIS i muri i te maimoatanga.
Karere Tangohia ki te Kāinga
- Wāhanga 0 He wāhanga tino tōmua te mate pukupuku o te ū. I konei, kāore anō kia horapa ngā pūtau rerekē ki waho o ngā awa miraka.
- I te nuinga o te wā, kāore he tohu o tēnei mate. Ka kitea mā roto i ngā whakamātautau pēnei i te mammogram.
- He maha ngā kōwhiringa maimoatanga. Me whiriwhiri e koe te mea e pai ana ki a koe i muri i te kōrero ki tō tākuta.
- Kāore e hiahiatia te rongoā matū mō tēnei mate.
- Kaua e manukanuka. He tino teitei te ōrau ora mō te hunga e pangia ana e te mate pukupuku ū Wahanga 0.Ma te maimoatanga tika, ka taea te whakaora katoa.
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