I muri i te otinga o te maimoatanga mō te mate pukupuku, he tokomaha te hunga e mataku ana ki te whakaaro 'Ka hoki mai anō?' He mea tino noa tēnei. Mena kua pāngia koe e te mate pukupuku koroni, ā, ka hoki mai anō i muri i te maimoatanga, ka kīia e tō tākuta he 'mate pukupuku koroni e hoki mai anō '. He pono he taumahatanga nui tēnei ki te whakarongo. Engari kaua e manukanuka. Me kōrero mārama, me te ngāwari hoki mō ngā mea katoa.
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He maha ngā huarahi e taea ai e te mate pukupuku te hoki mai anō.
Mō te hokinga mai o te mate pukupuku, he maha ngā huarahi e puta ai. Tērā pea ka whakamahia ēnei kupu e tō tākuta ina whakamārama ana i tēnei, nō reira he mea nui kia mārama koe ki ēnei.
I te whakarapopototanga, e hangai ana tēnei whakarōpūtanga i runga i te wāhi e hoki mai ai te mate pukupuku.
| Momo Whakahokinga | Te tikanga noa iho |
|---|---|
| Te Pūtanga ā-Rohe | Ko te tikanga o tēnei ka hoki mai te mate pukupuku ki te wāhi kotahi i mua i puta ai te mate pukupuku, arā, i te koroni, i te tō rānei. |
| Te Pūtanga ā-Rohe | Ko te mea e tupu ana i konei, ka hoki mai te mate pukupuku ki roto i ngā pona lymph e tata ana ki te wāhi i puta ai te mate pukupuku i mua. |
| Te Hokinga Mai o Tawhiti | Koinei te ingoa e hoatu ana mō te hokinga mai o te mate pukupuku ki tētahi wāhanga tawhiti o te tinana, hei tauira, i te ate, i ngā pukahukahu, i te roro rānei. Tērā pea ka tapaina tēnei e te tākuta he "Metastatic". |
I ētahi wā, he uaua ki te kī mēnā he matepukupuku hou tēnei, he matepukupuku kua horapa rānei. Ka whakatauhia tēnei i roto i te wā. I te nuinga o te wā, ka kōrero tātou mō te matepukupuku hou i muri i te iti rawa i te tau o te maimoatanga. Heoi, ki te hoki mai te matepukupuku i muri i te wā poto, pērā i ētahi marama, ko te tikanga he maha ngā wā kāore i tino whakakorea e te maimoatanga taketake ngā pūtau matepukupuku.
He aha ngā tohu o tēnei?
He maha ngā wā, ka rite ngā tohu o te matepukupuku koroni ki ngā tohu i pā ki a koe i te wā i pangia ai koe e te matepukupuku. Tērā pea ka maumahara koe ki te mamae i pā ki a koe i taua wā.
Koinei ngā tohu ka kitea whānuitia:
- Mamae puku, mamae rānei (mamae puku)
- Te korere, te mate pāwera rānei
- Te ngaronga taumaha me te kore he take
- Te ngenge nui atu i te tikanga (Te ngenge)
- Te ngaronga o te hiahia kai
I runga anō i te wāhi i horapa ai te mate pukupuku, ka puta pea ētahi atu tohu, pēnei i:
- Mamae o te hope, o te pelvis rānei
- He uaua ki te manawa
Engari he mea nui kia maumahara anō hoki ki tēnei. I ētahi wā, ka hoki mai anō te mate pukupuku me te kore he tohu . Koia te mea nui kia haere tonu koe ki ngā wāhi hauora (ngā haerenga whai muri) i runga anō i te wātaka kua whakaritea e tō tākuta i muri i te maimoatanga mate pukupuku.
Me pēhea koe e tino mōhio ai kua hoki mai te mate?
Mā te tautuhi wawe i tēnei mate ka nui ake te tūponotanga o te whakaora . I te nuinga o te wā, ka kitea tēnei e tō tākuta i ngā wā tirotiro whai muri i tō maimoatanga. I te nuinga o te wā ka mahia ēnei whakamātautau i ia 3-6 marama.
I ēnei wāhi rongoā, ka taea e te tākuta te mahi i ngā mahi penei:
- Whakamātautau Tinana: Ka tukuna atu he whakamātautau tinana katoa ki a koe.
- Te pātai mō ngā tohumate: Kōrero ki tō tākuta mō ngā mamae hou katoa e pā ana ki a koe. Kaua e huna, ahakoa he iti noa iho.
- Whakamātautau Toto: Ka tirohia motuhaketia te taumata o te pūmua e kiia nei ko te CEA (Carcinoembryonic Antigen) . Ahakoa ehara i te mea i ngā wā katoa, i roto i ētahi tāngata, ka piki ake tēnei taumata CEA ina hoki mai te mate pukupuku.
- Endoscopy: He tikanga e tukuna ai he ngongo iti, ngāwari me te kāmera e piri ana ki roto i te whekau nui hei tirotiro i roto.
- Koronikoro: He rite tēnei whakamātautau ki te endoscopy, engari he pai ake mō te rapu i ngā pukupuku hou, kaua mō te matepukupuku kua hoki mai anō.
- Whakamātautau koiora:Mena he whakapae kei te mate pukupuku, koinei te huarahi pai hei whakaū. I konei, ka tangohia he wahi kiko iti rawa mai i te pukupuku e whakapaetia ana, ā, ka tirotirohia i raro i te karu hiko hei whakaū mena kei reira ngā pūtau mate pukupuku.
- Ngā Whakamātautau Whakaahua (pēnei i te CT, MRI): Ka tūtohu pea tō tākuta i ngā whakamātautau pēnei i te matawai CT (Tomography Rorohiko) hei tirotiro mēnā kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana, me te whānuitanga hoki.
He aha ngā maimoatanga e wātea ana?
I mua i te tūtohu i tētahi mahere maimoatanga māu, ka whai whakaaro tō tākuta ki ētahi āhuatanga.
- Kia pēhea te roa mai i te putanga tuatahi mai o te mate pukupuku?
- Kei hea te wāhi i hoki mai ai te mate pukupuku? (Ā-rohe, Ā-rohe, Ā-tawhiti rānei?)
- Kua horapa te mate pukupuku?
- Kei te pēhea tō hauora whānui?
Mā ēnei katoa e whakatau te tikanga maimoatanga e tino tika ana māu.
Kia maumahara, tera pea kua 'ātete' ngā pūtau matepukupuku ki ngā rongoā chemotherapy i whakamahia i mua. Nō reira, ka whiriwhiri pea te tākuta i tētahi momo rongoā chemotherapy rerekē i tēnei wā.
Waimarie, he maha ngā kōwhiringa maimoatanga e wātea ana i ēnei rā.
- Pokanga: Mena ka taea, ko te maimoatanga matua ko te tango i te pukupuku e hoki mai ana.
- Te rongoā matū: Ka taea te hoatu i ngā huinga o ngā rongoā rerekē. I ētahi wā ka whakarerekētia te kaha, ā, i ētahi wā ka mutu te whakamahi i ngā rongoā mō tētahi wā, kātahi ka tīmata anō.
- Irahiko: Mena kāore koe i whiwhi maimoatanga irahiko i mua, ka tukuna pea he maimoatanga irahiko me te pokanga me te chemotherapy i tēnei wā.
- Whakaora Whaiaro: He momo rongoā hou ēnei. Ka aro tika ki ngā pūtau matepukupuku, ā, ka aukati i tō rātou tipu. He rerekē ō rātou pānga taha i te rongoā matepukupuku noa. Heoi, kāore ēnei rongoā e mahi mō ngā momo matepukupuku katoa.
Karere Tangohia ki te Kāinga
- I muri i te maimoatanga matepukupuku , kia tino haere koe ki ngā haerenga tirotiro whai muri i te maimoatanga e ai ki te tohutohu a tō tākuta. Koinei te huarahi pai ki te kite wawe i te hokinga mai o te mate.
- Kaua e warewarehia ngā huringa hou, ngā tohu rānei o tō tinana (mamae puku, te whakaheke taumaha, te ngenge nui) ā, me kōrero tonu atu ki tō tākuta.
- Ahakoa te hokinga mai o te mate pukupuku, ehara i te mea kua mutu katoa ngā mea. I ēnei rā, he maha ngā maimoatanga matatau me te angitu.Āe. He mea tino nui anō hoki te whakaaro pai.
- He mea noa te mataku, te manukanuka, me te pouri i tēnei wā. Kōrerohia mā te ngākau nui ki tō whānau, ki tētahi hoa pono, ki tō tākuta rānei. Ko te whiwhi tautoko kare ā-roto tētahi wāhanga anō hoki o te maimoatanga.
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