Ngā mea e hiahia ana koe ki te mōhio mō te mate pukupuku o te kōpū

He aha ō whakaaro mēnā ka kite koe i te toto iti i muri i te mutunga o tō paheketanga, arā, i muri i te paheketanga? E whakaaro ana ētahi tāngata, "Kāore au i te mōhio mēnā i tīmata anō." Engari ko tēnei momo toto rerekē, inā koa i muri i te paheketanga, kaua rawa e warewarehia. Nā te mea, he tohu nui pea tēnei mō te mate pukupuku o te kōpū. Nō reira, i tēnei rā, me kōrero tātou mō te mate pukupuku o te kōpū, ōna tohu, ko wai kei te mōrearea nui ake, me ngā maimoatanga e wātea ana mōna. Kaua e mataku, ko te mea nui ko te mōhio ki tēnei.

He aha te matepukupuku o te kōpū?

He ingoa noa te mate pukupuku kōpū mō te mate pukupuku e puta ana i roto i te kōpū. Engari e rua ngā momo matua. Whakaarohia tō kōpū he whare iti.

1. Matepukupuku Endometrial: Koinei te momo tino noa. Ko te endometrium te ingoa o te arai o te kōpū, he rite ki te pepapātū . Ka marere tēnei arai i te wā o te paheketanga. Koinei te endometrium. Koinei te momo matepukupuku e puta ana ina wehea kinotia ngā pūtau o te endometrium, ā, ka huri hei matepukupuku. Ko tēnei momo te take o te 95% o ngā matepukupuku kōpū. Koia mātou e kī ana i tēnei ko te "matepukupuku kōpū" i roto i te kōrero.

2. Te Sarcoma o te Kōpū: He tino onge tēnei. He mate pukupuku e puta ana i roto i te paparanga uaua (myometrium) o te kōpū, arā, te arai o te kōpū. He tino onge tēnei mate.

He okana tino nui te kōpū i roto i te pūnaha whakaputa uri wahine. Ina hapu te pēpi, ka tipu te pēpi i roto i te kōpū. Ko te wāhanga o runga o te kōpū e kiia ana ko te tinana, ko te tinana rānei. Kei raro ko te cervix. He momo mate pukupuku rerekē te mate pukupuku kōpū i te mate pukupuku kōpū. Ka kōrerohia tēnei e tātou i muri mai.

He aha ngā tohu o tēnei mate pukupuku? Me pēhea taku mōhio ki tēnei?

He rite tonu ngā tohu o te mate pukupuku kōpū ki ērā o ētahi atu mate o te pūnaha whakaputa uri. Nō reira, ki te kite koe i tētahi mea rerekē, he mea nui kia kōrero tonu koe ki tō tākuta . Ko te tautuhi tika te huarahi anake hei whiwhi i te maimoatanga tika.

Ka mārama koe ki ēnei tohu mai i te ripanga i raro nei.

He aha te take e puta ai tēnei mate pukupuku? He aha ngā āhuatanga mōrearea?

Kāore anō kia kitea te tino pūtake o te mate pukupuku kōpū. Ko te mea e tupu ana, nā tetahi take, ka huri ngā pūtau i roto i te kōpū (whakarerekētanga) ka tīmata te tipu me te kore e taea te whakahaere. Ka kiia e tātou he puranga pūtau e hanga ana i tēnei ara he pukupuku.

Heoi anō, he maha ngā āhuatanga e whakanui ake ana i te mōrearea o te whakawhanaketanga o tēnei mate pukupuku. Ko te nuinga o ēnei e pā ana ki te taurite o ngā homoni e rua i roto i tō tātou tinana, arā, te estrogen me te progesterone.

Ngā mea e whakanui ana i te mōrearea

• Tau: Ka piki ake te mōrearea o te mate pukupuku kōpū i te kaumātuatanga. Ko te nuinga o ngā keehi ka kitea i muri i te 50 tau te pakeke.
• Momonatanga: He take nui tēnei mō te mōrearea. Ka hurihia e te kiko ngako o te tinana ētahi homoni hei estrogen. I te pikinga ake o te ngako, ka piki ake ngā taumata estrogen, ka piki ake te mōrearea o te mate pukupuku.
• Mate huka: He hononga kei waenganui i te mate huka me te momona. Kua whakaatuhia hoki e ētahi rangahau he hononga tika i waenganui i te mate huka me te mate pukupuku o te kōpū.
• Te mate ovary polycystic (PCOS):Tērā pea ka piki ake te mōrearea nā te kore taurite o ngā homoni i roto i ngā wāhine whai PCOS.
• Hītori o te paheketanga me te momonatanga:
• Te pakeketanga wawe: Mena ka tīmata tō paheketanga i mua i te 12 tau te pakeke, ka piki ake tō mōrearea nā te mea ka roa te wā e pāngia ana te kōpū e te homoni estrogen.
• Te paheketanga tōmuri: Waihoki, ki te puta te paheketanga i muri i te 50 tau te pakeke, ka roa ake te wā e pāngia ana e te estrogen.
• Kāore anō kia hapu: He nui ake te mōrearea o ngā wāhine kāore anō kia whānau tamariki i ērā kua whānau tamariki.
• Hītori whānau mō te mate pukupuku: Ka riro i ētahi tāngata te mōrearea ira mō te mate pukupuku. Ko te hunga whai mate ira e kiia nei ko te Lynch Syndrome he nui ake te mōrearea ki te whakawhanake i te mate pukupuku kōpū me ētahi atu momo mate pukupuku (ina koa ko te mate pukupuku koroni).
• Ko ētahi tikanga maimoatanga:
• Te rongoā homoni Ētrogen (ERT): Mā te tango i te Ētrogen anake, kāore he homoni progesterone, ka nui ake te mōrearea mō ngā tohumate o te paheketanga.
• Te Whakamahinga o te Tamoxifen: Ka taea e tēnei rongoā, e whakamahia ana hei rongoā mō te mate pukupuku o te ū, te mahi rite ki te estrogen i roto i te kōpū, ā, ka piki ake te mōrearea o te mate pukupuku.
• Te rongoā irahiko ki te rohe hope: Mena kua whiwhi koe i te rongoā irahiko ki te rohe hope mō tētahi atu mate pukupuku, tera pea kua pakaru ngā pūtau, ā, tera pea ka pāngia koe e tētahi atu mate pukupuku.

Me pēhea te tautuhi a te tākuta i tēnei mate?

Mena he rerekē ō tohu, ka pātai tuatahi tō tākuta ki a koe mō ō tohu me tō hītori whānau mō ngā mate. Kātahi ka whakahaerehia he whakamātautau tinana me te whakamātautau hope.

Kātahi ka taea te whakahaere i tētahi, i ētahi atu rānei o ngā whakamātautau e whai ake nei hei whakaū i te mate:

• Te Ultrasound Transvaginal: Ko te whakaurunga o tētahi taputapu matawai motuhake ki roto i te tenetene hei tango whakaahua mārama o te kōpū me te endometrium. Ka āwhina tēnei ki te whakatau mēnā he matotoru rawa te endometrium.
• Biopsy Endometrial: Koinei te whakamātautau matua hei whakaū i te mate. Ka tukuna he ngongo angiangi, ngāwari mā roto i te cervix ki roto i te kōpū, ā, ka tangohia he wahi kiko iti mai i te endometrium. Tērā pea ka whakaaro koe mēnā ka mamae tēnei. Ahakoa he ahua kore whakamarie, he tere te mahi. Kātahi ka tukuna te kiko ki te taiwhanga hei whakamātautau mō ngā pūtau matepukupuku.
• Hysteroscopy: Ka tukuna he ngongo angiangi me te kāmera me te mārama (hysteroscope) mā roto i te tenetene ki roto i te kōpū hei tirotiro i roto. Tērā pea ka tangohia he koiora i tēnei wā.
• D&C (Whakawhanui me te Whakatō):He mahi uaua ake tēnei i te koiora. Ka mahia i roto i te rūma pokanga i raro i te mate whakamoe. Ka whakawhanuitia te kaki o te kōpū, ā, ka waruhia te kiko mai i te pakitara o roto o te kōpū, ka tukuna kia tirotirohia.

Mena ka whakaūtia he mate pukupuku, he aha te mea ka tupu i muri mai?

Mena ka whakaūtia te mate pukupuku, ka tirohia e ngā tākuta te momo me te taumata o te mate pukupuku. He mea tino nui tēnei mō te whakamahere maimoatanga.

• Momo:
• Momo 1: Kāore ēnei i te tino kaha te horapa. Ka pōturi te horapa.
• Momo 2: He kaha ake te horapa o ēnei. Ka tere te horapa, ā, me kaha ake te maimoatanga.

• Wāhanga: Ka whakarōpūtia te mate pukupuku mai i te wāhanga I ki te IV i runga i te whānuitanga o tōna horapa.

He aha ngā maimoatanga mō te mate pukupuku o te kōpū?

Ko te maimoatanga ka whakawhiwhia ki a koe ka whakawhirinaki ki te momo mate pukupuku, tōna taumata, me tō hauora whānui.

• Pokanga: Koinei te maimoatanga matua. He maha ngā wā he tango i te kōpū me te cervix. He maha ngā wā ka haere tahi me te salpingo-oophorectomy (SOO) me te tango i ngā kōpū lymph hei tirotiro mēnā kua horapa te mate pukupuku.
• Whakaora Irahiko: Te whakamahinga o ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku. Ka whakamahia tēnei hei whakangaro i ngā pūtau e toe ana i muri i te pokanga, i ngā wā rānei kāore e taea te pokanga.
• Te rongoā matū: Te hoatu i ngā rongoā kaha ki te tinana hei patu i ngā pūtau matepukupuku. Ka taea ēnei te hoatu mā te werohanga, mā te pire rānei.
• Whakaora Homoni: Te hoatu rongoā hei aukati i ngā homoni e hiahiatia ana mō te tipu o ngā pūtau matepukupuku.
• Whakaora Whaiaro: Te hoatu rongoā e aro ana ki ngā ngoikoretanga motuhake o ngā pūtau matepukupuku, me te aukati i tō rātou tipu.
• Ārai Mate: Te whakaoho i te pūnaha ārai mate o te tinana kia whawhai ki ngā pūtau matepukupuku.

Ka taea te whakaora rawa i tēnei mate?

Āe. Koinei te rongo pai rawa atu. Ka taea te kite wawe i te mate pukupuku o te kōpū, inā koa te mate pukupuku endometrial. Nā te mea ko te tohu e kitea ana ko te toto rerekē.

Engari ki te kore te mate e kitea, ā, ka horapa ki ētahi atu wāhanga o te tinana (metastasis), ka heke te auau whakaora. Koia mātou e kī nei, mā te kitenga wawe ka ora ngā tāngata .

He aha taku e taea ai te ārai i te mate pukupuku?

I te nuinga o te wā, kāore e taea te ārai katoa i te mate pukupuku kōpū. Engari he mea anō hei whakaiti i tō tūponotanga:

• Kia mau ki te taumaha hauora: Nā te mea he take nui te momona, whakahaerehia tō taumaha mā te whakakori tinana tika me te kai taurite.
• Te whakahaere i te mate huka: Ki te mea he mate huka tōu, me whakahaere pai.
• Kia tūpato ki te whakamahinga o ngā homoni: Mena kei te tango koe i te rongoā homoni, kōrero ki tō tākuta mō tēnei mea, ā, whakaarohia hoki ngā maimoatanga kei roto ko te estrogen me te progesterone.

Mena he nui te mōrearea o te mate pukupuku (hei tauira, te Lynch syndrome), he mea nui kia kōrero koe ki tō tākuta mō tēnei mea, kia whai hoki i ngā whakamātautau e tika ana .