He mate pukupuku onge o te kōpū (Uterine Sarcoma): Me kōrero māmā noa iho

He wā anō ka pāngia koe e te toto tara rerekē, kāore i te wā o tō paheketanga? He maha rānei ngā wā ka pāngia koe e te mamae o te puku, e te mamae rānei o raro o te puku? He ngāwari noa te whakakore i ēnei hei mea noa. Heoi, i ētahi wā he tohu ēnei o te 'Uterine Sarcoma', he momo mate pukupuku onge engari he kino e puta ana i roto i te kōpū. Kaua e mataku ina rongo koe i tēnei ingoa. Ko te mea nui ko te mōhio. Me kōrero mārama, me te ngāwari hoki mō tēnei.

He aha te Uterine Sarcoma?

Ko te Uterine Sarcoma he momo mate pukupuku e puta ana i roto i te kōpū. Heoi, he rerekē tēnei i te momo mate pukupuku kōpū e rangona pinepinetia ana e tātou. I te nuinga o te wā, ko te nuinga o ngā mate pukupuku kōpū ka puta i roto i te arai o roto o te kōpū (endometrium). Ka kiia ēnei he Carcinomas .

Engari ko te Sarcoma he momo mate pukupuku e tupu ana i roto i te paparanga uaua o te kōpū (myometrium) i roto rānei i te kiko honohono i roto i te pakitara kōpū. Whakaarohia he rite ki te mea he rerekē ngā wāhanga o tō tātou tinana. Ko te Sarcoma he momo mate pukupuku e tīmata ana i roto i ngā kiko honohono pērā i te uaua, te wheua, me te ngako.

He tino onge tēnei momo sarcoma uterine. E 2% ki te 5% noa iho o ngā matepukupuku uterine katoa. Ahakoa he onge, ka taea e ētahi o ēnei te tipu me te horapa tere, nō reira he mea nui kia mōhio ki a rātou.

He aha ngā momo matua o te sarcoma uterine?

He maha ngā momo matua o tēnei mate pukupuku. He rerekē te whanonga o ia momo, arā, te tere o tōna tipu me tōna horapa. Me titiro tātou ki ngā momo matua.

Me pēhea te tautuhi i ngā wāhanga o te mate pukupuku?

Pērā i ngā mate pukupuku katoa, ka whakatauhia te taumata o te mate e te horapa o te mate pukupuku i roto i te tinana. He mea tino nui tēnei mō te whakamahere maimoatanga. Hei whakarāpopototanga, anei ngā taumata matua e whā:

Ahakoa he māmā noa iho tēnei, he uaua pea te tautuhi i ngā taumata o te mate pukupuku. Mā tō tākuta koe e whakamārama ki tētahi taumata iti, pērā i te taumata IB , IIIA rānei. Nō reira, he mea nui kia whakarongo pai koe, kia mārama hoki ki tēnei.

He aha ngā tohu o tēnei mate?

He rite tonu ngā tohu o tēnei mate ki ētahi atu mate wahine, nō reira he mea nui kia mōhio koe ki ēnei.

• Te toto tara rerekē: Te toto e puta ana i muri i te paheketanga, te toto e puta ana i waenga i ngā paheketanga, te toto nui atu rānei i te toto paheketanga noa.
• He rerenga kē o te tara: He rerenga he kakara kino, he mea whakaranu rānei ki te toto.
• Te mamae i te puku o raro, i te rohe hope rānei .
• Te ahua o te kī , te taimaha rānei i roto i te puku.
• Te hopu i tētahi mea pērā i te pukupuku i te rohe hope .
• Te hiahia pinepine ki te mimi .
• Te kōroke .

I ētahi wā, kāore pea te mate e whakaatu i ngā tohu tae noa ki te wā e paku horapa haere ana. Koinei te wāhanga tino whakamataku.

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

I te whakarapopototanga, ka puta tēnei mate pukupuku i ētahi huringa (ngā whakarerekētanga ira) i roto i te DNA o ngā pūtau i roto i te uaua, i te kiko honohono rānei o te kōpū. Mā ēnei huringa ka tipu haere ngā pūtau me te kore e taea te whakahaere.

Kāore anō kia tino mōhiotia e ngā kaipūtaiao he aha te take o ēnei huringa DNA, engari kua tautuhia e rātou ētahi āhuatanga e whakanui ake ai i te mōrearea o te whakawhanaketanga o te mate.

Ngā āhuatanga e whakanui ake ai i te mōrearea

• Ira: Mā te whai ira e puta ai te retinoblastoma , he mate pukupuku o te kanohi, ka nui ake te tūponotanga ki te whakawhanake i tēnei momo sarcoma. E pā ana hoki ki tētahi āhuatanga tuku iho onge e kiia nei ko te Hereditary Leiomyomatosis me te Renal Cell Cancer (HLRCC) .
• I te mea kua whiwhi koe i te rongoā irahiko o te hope:Mena kua whiwhi koe i te rongoā irahiko ki te rohe hope hei rongoā mō tētahi atu mate pukupuku, he tino onge te puta o te sarcoma. Heoi, ka puta tēnei i waenga i te 5 me te 25 tau i muri i te rongoā.
• Tamoxifen: Mā te whakamahinga roa o te rongoā Tamoxifen mō te mate pukupuku o te ū ka paku piki ake pea tēnei mōrearea.

Kua kitea e ngā rangahau e rua ngā wā ka nui ake te tūponotanga o ngā wāhine mangu ki te pāngia e tēnei mate pukupuku i ngā wāhine mā, engari kāore anō kia kitea te tino pūtake.

Me pēhea te tātaritanga tika a te tākuta i tēnei mate?

Ina haere koe ki te kite i tētahi tākuta me ngā tohu kua whakahuatia ake nei, ka pātai tuatahi ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tirotirohia e rātou te tinana me te hope.

Hei tāpiri, he maha ngā whakamātautau ka taea te mahi hei whakaū i te mate:

• Te Ultrasound Transvaginal: I roto i tēnei mahi, ka whakauruhia he taputapu matawai iti motuhake (transducer) mā roto i te tenetene hei tirotiro i te kōpū me ngā ovaries.
• MRI Pelvic: He whakamātautau tēnei e whakamahi ana i tētahi aukume kaha me ngā ngaru reo irirangi hei whakaputa whakaahua tino mārama, taipitopito hoki o te rohe pelvis.
• Biopsy Endometrial: I roto i tēnei, ka tangohia he wahi iti o te kiko mai i te arai o te kōpū, ā, ka tirotirohia.

Ka tirohia e te tohunga mate pukupuku , he tohunga ki te tirotiro kiko, te tauira kiko i tangohia i raro i te karuārai hei whakaū 100% mēnā he mate pukupuku, ā, he aha te momo.

Kia whakaūtia te mate pukupuku, me whai whakamātautau anō pea, pērā i te whakatau i te horapa, kia kitea ai te horapa o tōna mate. Tērā pea ka tukuna koe ki tētahi tākuta matepukupuku wahine.

He aha ngā kōwhiringa maimoatanga?

Ko te pokanga te rongoā matua me te rongoā paerewa mō tēnei mate. Ahakoa te momo me te wāhanga o te mate pukupuku, ko te whakaaro tuatahi ko te tango i te mate pukupuku mā te pokanga.

Haunga te pokanga...

I muri i te pokanga, i ētahi wā rānei hei tāpiri atu ki te pokanga, ka tūtohutia pea ētahi atu maimoatanga.

• Te rongoā matū: Te hoatu rongoā hei patu i ngā pūtau matepukupuku.
• Te rongoā homoni: Nā te mea he tairongo ētahi momo sarcoma ki ngā homoni, ka hoatu ngā rongoā hei whakahaere i tō rātou tipu.
• Whakaora irahiko: Te whakamahinga o ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku.
• Whakaora arotahi: Te hoatu rongoā e arotahi ana ki ngā ngoikoretanga motuhake o ngā pūtau matepukupuku.

Tērā pea ka pā mai ētahi pānga taha ki ēnei maimoatanga katoa. Kaua e manukanuka. Mā tō rōpū hauora e whakamārama te mahere maimoatanga pai rawa atu māu, me ngā painga me ngā huakore katoa.

Ka taea te whakaora rawa i tēnei mate?

Āe, ka taea te rongoā i tēnei mate. Ina koa mēnā he iti te mate pukupuku, ā, kāore anō kia horapa ki waho o te kōpū (mēnā ka kitea i te wā tōmua), he tino teitei te tūponotanga ka ora.

Ko te matapae o te mate ka whakawhirinaki ki etahi mea:

• Te momo matepukupuku (hei tauira, LMS, ESS rānei).
• Te taumata o te mate pukupuku - E pā ana tēnei ki te kino o te āhua o ngā pūtau mate pukupuku i raro i te karuārai.
• Te horapa o te mate pukupuku ki roto i te tinana (Wāhanga).
• Tō hauora whānui.

Ko te wehi e pā ana ki a koe ina mōhio koe he mate pukupuku tōu...

He mea noa te mataku, te ohorere, me te taumaha ina rongo koe i tētahi mate pukupuku onge pēnei. Ka taumaha rawa atu ina puta whakarere mai he maha ngā kupu hou me ngā mōhiohio ki roto i tō hinengaro.

Engari kia maumahara, ehara ngā tatauranga i te mea nāu. Kei a koe tō tīma hauora i ia taahiraa o te ara. Kōrero ki a rātou mō ngā pātai, ngā āwangawanga rānei kei a koe. Ka mahi tahi rātou me koe ki te whakawhanake i tētahi mahere maimoatanga e pai ana mōu. Kōrero ki tō whānau me ō hoa mō tēnei. He puna nui tō rātou tautoko hei whakapakari i a koe i tēnei wā.