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.
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) |
Me pēhea koe e mōhio ai ki tēnei?
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.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero