Me kōrero tātou mō te mate pukupuku e kiia nei ko te Yolk Sac Tumor (endodermal sinus tumor).

Ina rongo tātou i te kupu mate pukupuku, ka mataku tātou katoa, kāore? Engari kei reira anō ngā momo mate pukupuku kāore anō kia rangona e tātou, ā, he tino onge. Ko te Pūmua Puku o te Waikawa tētahi o aua momo. Tērā pea he ingoa hou tēnei ki a koe. I tēnei rā, ka kōrero tātou mō tēnei mate pukupuku, ka taea te whanake i roto i ngā tamariki nohinohi me ngā taiohi, i roto i tētahi huarahi tino māmā ka taea e koe te mārama. He mea tino nui kia mōhio koe ki tēnei.

He aha rawa te Pūmua o te Pūtau ira?

Ki te whakarapopoto, he momo mate pukupuku te Pūkahu Pūtau Huamata. E kiia ana hoki ko te Pūkahu Sinus Endodermal. Ka puta mai i tētahi momo pūtau motuhake i roto i tō tātou tinana. Arā, mai i ngā pūtau ka huri hei parāoa i roto i te tāne, me ngā pūtau ka huri hei hua manu i roto i te wahine. I roto i te rongoā, ka kiia ēnei pūtau he pūtau ira. Nō reira, kei roto tēnei i te kāwai o te Pūkahu Pūtau Ira.

Ko te nuinga o te wā ka puta ēnei pukupuku i roto i ngā ovaries i roto i ngā wāhine, i ngā rauropi rānei i roto i ngā tāne. Heoi, he tino onge, ka puta i waho o ēnei okana whakaputa uri, hei tauira i roto i te uma, te puku, te roro rānei.

Ko te mea nui o tēnei, ko te tere o te tipu o tēnei mate pukupuku, ā, ka horapa wawe hoki . Nō reira, ki te kore e rongoatia, ka mate pea. Engari ko te rongo pai , ki te kitea wawe te mate, ka taea te whakaora katoa mā te rongoā . Nō reira, he mea tino nui kia mōhio wawe ki ngā tohu.

He aha ngā momo matua o tēnei mate pukupuku?

E ai ki tā tātou i kōrero ai i mua ake nei, ka taea te wehewehe i tēnei mate pukupuku ki ētahi momo matua i runga i te wāhi e whanake ai.

• Ngā pukupuku o te pēke o te huakita: He momo mate pukupuku o te huakita tēnei. He mea noa tēnei i roto i ngā tama kei raro iho i te 3 tau te pakeke , me ngā tāne taitamariki kei roto i ō rātou tau 20 me te 30. I te nuinga o te wā, ka taea te kite wawe i ēnei, i mua i te horapa ki ētahi atu wāhanga o te tinana. Mā tēnei ka nui ake te tūponotanga ka ora.
• Ngā pukupuku o te putea ovarian: He momo mate pukupuku ovarian tēnei. He momo iti ake te kaha, arā, ka tere te horapa. He mea noa i roto i ngā kōtiro taitamariki 20 tau te pakeke, iti iho rānei . E ai ki ngā pūrongo, ko te hautoru o te hunga kua kitea he mate pēnei i ngā kōtiro taitamariki kāore anō kia tīmata te paheketanga.
• Ngā mate pukupuku e puta mai ana i waho o ngā whekau whakaputa uri (ngā pukupuku pūtau ira extragonadal):I ētahi wā, ka puta ēnei mate pukupuku pūtau ira ki ētahi atu wāhanga o te tinana, i waho atu i ngā ovaries, i ngā rauropi rānei. Hei tauira, ka puta pea i roto i te roro, i waenganui o te uma, i muri o te puku, i te wheua hiku rānei .

He aha pea ngā tohu o tēnei?

Ko ngā tohu o te Pūkahukahu Puku ira-pūkahukahu ka whakawhirinaki ki te wāhi o te tinana e noho ana te pūkahukahu. Hei tauira, ka kitea pea e te whaea he puku iti i roto i te hua manu o te pēpi i a ia e kaukau ana. Ka pāngia rānei te kōtiro e te paheketanga koretake me te mamae o te puku. He mea nui kia mōhio ki ēnei tohu.

Tirohia te ripanga i raro nei mō ngā tohumate noa i runga i te wāhi o te mate pukupuku.

He aha i puta ai tēnei momo mate pukupuku?

He raruraru tēnei e pā ana ki te tini o te tangata. Engari ki te pono, kāore anō kia kitea e ngā kairangahau hauora te tino pūtake o te Pūkahukahu Pūkahukahu. Pērā i ētahi atu mate pukupuku, ka puta tēnei i ngā huringa (ngā whakarerekētanga) o ngā ira, te DNA rānei, i roto i ngā pūtau. Mā ēnei huringa ka tere te wehewehe o ngā pūtau, ā, kāore e taea te whakahaere. I roto i te wā, ka taea e ēnei pūtau te tipu tahi hei hanga i tētahi puranga. Ki te kore e rongoatia, ka horapa ēnei pūtau mate pukupuku ki ētahi atu wāhanga o te tinana.

Heoi anō, kei te haere tonu ngā rangahau mō te take i tīmata ai ēnei huringa ira.

Me pēhea te tautuhi i tēnei mate?

Mena kei a koe, kei tāu tamaiti rānei tētahi o ngā tohu kua whakarārangihia i runga ake nei, me toro atu koe ki te tākuta tonu. Ka tirotirohia e te tākuta te tinana i te tuatahi, ā, ka rapua ngā puku, ngā pupuhi rerekē rānei i roto i te puku, i ngā rauropi rānei. Kātahi ka pātai atu rātou ki a koe mō ō tohu.

He maha ngā whakamātautau ka taea te mahi hei whakaū i te mate:

• Ngā whakamātautau toto: Ka tangohia he tauira o tō toto, ā, ka tirohia he pūmua motuhake. Ko te ingoa o tēnei pūmua ko te Alpha-fetoprotein (AFP) . He tino teitei tēnei taumata AFP i roto i te toto mō te hunga katoa e pangia ana e te mate pukupuku o te Yolk Sac. He tohu tino nui tēnei mō te tautuhi i tēnei mate pukupuku.
• Ngā whakamātautau whakaahua: Ko ngā matawai CT (matawai Tomography Rorohiko) me ngā matawai MRI (Whakaahua Resonance Āhua) ngā whakamātautau e whakamahia whānuitia ana. Ka taea e ēnei te kite mārama i ngā pukupuku i roto i te tinana.
• Te tango pokanga: Koinei anake te huarahi hei tino mōhio ki te mate. Ka whakahaerehia e te tākuta te pokanga hei tango i te pukupuku katoa (i ētahi wā ko te okana katoa kei reira te pukupuku). Kātahi ka tukuna te pukupuku ki te taiwhanga hei whakamātautau mō ngā pūtau matepukupuku.

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

Kia kitea te mate, ka whakatauhia e ngā tākuta te horapa o te mate pukupuku, te 'wāhanga' rānei o te mate pukupuku. Ka whakatauhia tēnei wāhanga e ngā āhuatanga pēnei i te rahi o te puku me te horapa o te mate pukupuku. Mena he iti te wāhanga (hei tauira, Wāhanga 1), ko te tikanga kei roto tonu te mate pukupuku i ōna wāhanga tōmua. Mena he teitei te wāhanga (hei tauira, Wāhanga 3, 4), ko te tikanga kua horapa te mate pukupuku. He mea nui te mōhio ki tēnei wāhanga hei whiriwhiri i te maimoatanga pai rawa atu.

Mō ngā pukupuku o te tetere

• Wāhanga 1: Kei roto anake i te rauropi te mate pukupuku.
• Wāhanga 2: Kua horapa te mate pukupuku mai i te rauropi ki ngā kōpū lymph.
• Wāhanga 3: Kua horapa ngā pūtau matepukupuku ki ētahi atu whekau.

Mō ngā pukupuku ovarian

• Wāhanga 1: Ka pāngia te mate pukupuku e te kotahi, e rua rānei o ngā ovaries.
• Wāhanga 2: Kua horapa ngā pūtau matepukupuku ki ētahi atu wāhi o roto i te hope, engari kāore anō kia tae ki ngā ngongo fallopian.
• Wāhanga 3: Kua horapa te mate pukupuku ki ngā kōpū lymph me te kiriuhi e kapi ana i te taha o roto o te puku (peritoneum).
• Wāhanga 4: Kua horapa te mate pukupuku ki waho o te arai o te puku ki ētahi atu kiko me ngā whekau.

He aha ngā maimoatanga mō tēnei?

Ko te whāinga matua o te maimoatanga he tango katoa i te pukupuku matepukupuku. E rua ngā tikanga maimoatanga matua e whakamahia ana mō tēnei.

1. Pokanga: Ko te tango i te katoa o te testicle (e kiia ana he orchiectomy ) te ovary rānei (e kiia ana he oophorectomy ) e pāngia ana e te mate pukupuku. Mena kua horapa te mate pukupuku ki ngā vesicles seminal, me tango pea.

2. Te rongoā matū: I muri i te pokanga, ka hoatu tēnei maimoatanga hei patu i ngā pūtau matepukupuku e toe ana i roto i te tinana kāore e kitea e te kanohi tahanga. I ētahi wā, ki te nui rawa te pukupuku, ka hoatu pea te rongoā matū hei whakaiti i te pukupuku i mua i te pokanga.

Tikanga maimoatanga BEP

Ko te maimoatanga matua mō te mate pukupuku ko te BEP . I runga i te taumata o te mate pukupuku me te urupare a tō tinana ki te maimoatanga, me tango pea koe i ētahi wā o te BEP. Ko te BEP he huinga o ngā rongoā e toru:

• Leomisina B
• E toposide
• Cisplatin ( P latinol®)

Ina honoa ēnei rongoā e toru, ka tino whai hua tā rāua mahi ki te whakangaro i ngā pūtau pukupuku o te putea toua.

Kei te pēhea te āhua i muri i te maimoatanga? (Te matapae)

He mea tēnei e tika ana kia mōhio te tini tāngata. He pono, ki te kore e rongoatia, ka mate te puku o te pūkahukahu. Koia mātou i kī ai mai i te tīmatanga he mea tino nui te tautuhi i te mate me te tīmata wawe i te maimoatanga . Pērā i ngā mate pukupuku katoa, ko te wawe o te tīmatanga o te maimoatanga, ka nui ake te tūponotanga o te ora.

Ka whakawhirinaki tō matapae ki ētahi āhuatanga. Me kōrero koe ki tō tākuta mō ngā mea pēnei i te wāhanga o te mate pukupuku, te urupare a tō tinana ki te maimoatanga, me tō taumata AFP i mua i te tīmatanga o te chemotherapy (ko te iti iho o tēnei, ko te pai ake o te putanga).