Ina rongo tātou i te kupu "pukupuku roro" me te "pukupuku roro," ka ohorere te katoa. He tino tika tēnā. Engari kaua e mataku, he mea nui ake kia mōhio tika tātou ki ēnei mea. Nā te mea koira anake ka taea ai e tātou te whakatau pai i ēnei āhuatanga. I tēnei rā ka kōrero tātou mō te Astrocytoma, tētahi o ngā momo matepukupuku roro tino noa. Kia titiro tātou he aha te mea nei, he aha ngā tohu, me ngā maimoatanga mōna.
He aha rawa te Astrocytoma?
Ki te kī ngāwari, he pukupuku te astrocytoma, he matepukupuku rānei, ka taea te whanake i roto i tō tātou roro me te taurakira. Ka tapaina tēnei ingoa nā te mea ka whanake ēnei pukupuku mai i ngā pūtau e kiia nei ko ngā astrocytes i roto i tō tātou roro. He rite te āhua o ēnei pūtau ki ngā whetū. Koia te take i ahu mai ai te wāhanga "astro" o te ingoa i tēnei.
Ko te Astrocytoma te momo glioma tino noa, he rōpū nui o ngā pukupuku roro. Inaa, e 50% o ngā pukupuku roro tuatahi katoa e kitea ana i roto i tēnei mate. He nui ake te kitea i roto i ngā tāne i ngā wāhine, inā koa i muri i te 45 tau te pakeke. Heoi anō, ka taea hoki e ētahi momo te whanake i roto i ngā tamariki nohinohi.
He aha ngā tohu o tēnei mate?
I te tipu haere o te pukupuku i roto i te roro, ka pēhia ngā wāhanga rerekē o te roro. Ko te wā tēnā ka tīmata te puta o ngā tohu. Ka whakawhirinaki ēnei tohu ki te wāhi kei reira te pukupuku i roto i te roro me tōna rahi.
Ko te mea nui ko te toro atu ki te tākuta tonu mēnā kei te pā tonu tētahi, ētahi rānei o ēnei tohu ki a koe, me te kore e whakaaro he mea noa iho.
Anei ētahi o ngā tohu tōmua e tino kitea ana:
| Tohu | He whakamārama māmā |
|---|---|
| Ānini | Kāore tēnei i rite ki te ānini noa. Tērā pea he ānini roa, he ānini kino, ā, i ētahi wā ka kino ake ina ara ake koe i te ata, ā, kāore e memeha ahakoa te rongoā. |
| Ngā raruraru tirohanga | Tērā pea ka pōuri te tirohanga, ka kite rānei koe i ngā mea me te mea e rua, e toru rānei. |
| Ngā mate hopuhopu | Ko te pāngia e te haurangi mō te wā tuatahi i roto i te ao he tohu matua pea o tēnei mate. |
| Te ngaronga o te mahara me ngā huringa whanonga | Tērā pea ka puta ngā mea pēnei i te wareware i ngā mea e maumahara tonu ana koe, te riri, me ngā huringa o te tuakiri. |
| Whakapairuaki me te ruaki | He tohu anō hoki te whakapairuaki me te ruaki tonu, kahore he take motuhake. |
Ngā momo me ngā momo o te Astrocytoma
Pērā i ētahi atu mate pukupuku, ka whakarōpūtia ngā astrocytomas ki ngā wāhanga (ngā taumata) i runga i te āhua o ō rātou pūtau me te tere o tō rātou tipu. Ka inehia tēnei i runga i te tauine mai i te I ki te IV (tahi ki te whā).
- Wāhanga I: Koinei ngā momo kāore i te tino kino, ka tupu ake i a rātou anō.
- Tau II: Kei te whanake tonu tēnei wāhanga, engari ka taea e ia te ahu whakamua ki tētahi taumata teitei ake i te wā.
- Wāhanga III (Wāhanga III): He mate pukupuku kaha ēnei e tere tipu ana, e horapa ana hoki ki ngā kiko e karapoti ana.
- Wāhanga IV (Wāhanga IV): Koinei te momo tino kino, tino tere hoki.
He tino kounga te nuinga o ngā astrocytomas i roto i ngā pakeke, arā, he tere, he rerekē hoki te tipu o ngā pūtau.
Kia mārama ake tātou ki ēnei momo matua mai i te ripanga i raro nei.
| Momo | Tau | He whakamārama poto |
|---|---|---|
| Astrocytoma Anaplastic | Taumata III | He onge ēnei, ā, ka tere te horapa. Pērā i ngā ringa o te wheke, ka toro atu ki roto i te roro, ā, he uaua ki te tango katoa mā te pokanga. |
| Glioblastoma | Tau IV | Ka kiia hoki ēnei ko ngā astrocytomas taumata IV. Neke atu i te 50% o ngā astrocytomas e pā ana ki tēnei momo. He tere rawa te horapa, ā, he uaua ki te rongoā. |
| Astrocytoma horapa | Tau II | Ahakoa ka horapa ki ngā kiko e karapoti ana, ka tino pōturi te tipu. Heoi, i roto i te wā, ka kaha ake te kino, ka eke ki te taumata III, IV rānei. |
| Astrocytoma Pilocytic | Taumata Tuatahi | Kāore i te tino kino ēnei nā te mea he Wāhanga Tuatahi. Ka kitea nuitia ēnei i roto i ngā tamariki me ngā taiohi. |
He aha ngā maimoatanga mō tēnei?
Ko te mahere maimoatanga e whakawhirinaki ana ki te momo astrocytoma kei a koe, tōna wāhanga, tōna taunga i roto i te roro, te tere o tōna tipu, me ō tohumate. Ka whakatauhia tēnei i muri i te kōrerorero āta i waenganui i a koe me tō tākuta .
He maha ngā tikanga maimoatanga matua:
Pokanga
He maha ngā wā, ko te mahi tuatahi ko te pokanga hei tango i te katoa, i te nuinga rānei o te pukupuku e taea ana. Ka taea te whakaora katoa i te pukupuku Wāhanga I mā te pokanga anake. Heoi, mō ngā pukupuku kua tino whanake, me whai atu maimoatanga i muri i te pokanga.
Te Whakaora Irahiko
Ka whakamahia tēnei maimoatanga hei whakangaro i ngā pūtau matepukupuku e toe ana i muri i te pokanga. Ka whakamahia e tēnei maimoatanga ngā hihi pūngao nui.
Te rongoā matū
Ko te tikanga o tēnei ko te hoatu ki te tinana ngā rongoā hei patu i ngā pūtau matepukupuku. Ka taea ēnei te tango hei pire, hei werohanga rānei. Ko te nuinga o te wā ka whakamahia tēnei maimoatanga mō ngā wāhanga kua piki ake o te matepukupuku, pērā i te glioblastoma. I ētahi wā, i te wā pokanga, ka taea te whakatakoto i ngā wafer kua rumakina ki te rongoā ki te wāhi o te puku.
Te Whakaora Whaiaro
He maimoatanga hou tēnei. Kāore i rite ki te chemotherapy, e aro ana tēnei ki ngā pūmua motuhake e āwhina ana i ngā pūtau matepukupuku kia tipu, kia kore ai e mahi.
Te Whakaora Papa-Hiko
He hangarau hou anō hoki tēnei. Ko te mahi i roto i tēnei he whakapiri i ngā irahiko ki te angaanga, ka tukuna he āpure hiko mā roto hei aukati i te wehenga o ngā pūtau matepukupuku. Ko te painga o tēnei, kāore ngā pūtau hauora e whara. Ko te taputapu e whakamahia ana mō tēnei ko Optune.
Karere Tangohia ki te Kāinga
- He momo mate pukupuku roro noa te Astrocytoma. Kaua e mataku, engari me mōhio koe ki ngā āhuatanga o te mate.
- Kaua rawa e warewarehia ngā tohu pēnei i te ānini roa, te panoni o te tirohanga, te mate haurangi rānei mō te wā tuatahi. Tirohia tonutia tō tākuta.
- He rerekē ngā momo me ngā wāhanga (ngā taumata) o tēnei mate, ā, ka whakatauhia ngā tikanga maimoatanga i runga i tēnā.
- Haunga ngā maimoatanga tuku iho pēnei i te pokanga, te rongoā irahiko, me te rongoā matū, kei reira anō ngā maimoatanga hou pēnei i ngā rongoā arotahi.
- Mā kōrua ko tō tākuta e whakatau tahi te mahere maimoatanga pai rawa atu māu, nō reira kia tuwhera, kia pono hoki ki tō tākuta mō ngā mea katoa.
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