Ko te mate carcinoid he huihuinga o ngā tōmhanga ka puta mai pea ina tukuna e ētahi pūngāwerewere tipu-pōturi e kiia nei ko ngā pūngāwerewere carcinoid ngā homoni ki roto i tō toto. Ko ēnei pūngāwerewere te nuinga o te wā ka tīmata i roto i tō pūnaha kai, i ngā pūkahukahu rānei, ā, ka whakaputa i ngā mea e hangaia ana e tō tinana i te iti rawa o te nui.
Ahakoa ka rongo pea te ingoa he wehi, he maha ngā pūngāwerewere carcinoid e tipu haere ana, ā, ka taea te whakahaere me te rongoā tika. He tokomaha ngā tāngata e ora ana i te ora katoa, i te ora mahi hoki me tēnei mate ina tino whakamāramahia, ā, ina tiakihia e tō rōpū hauora.
He aha ngā tōmhanga o te mate carcinoid?
Ko te tōmhanga tino kitea ko te whero o te mata e puta mai ana, e haere atu ana, kaore e tūmanakohia. Ka taea e tō mata, e tō kaki, ā, i ētahi wā e tō uma te whero, ā, ka wera, ka roa mai i te torutoru meneti ki ngā haora maha.
Ko ngā tōmhanga ka pā pea ki a koe e puta mai ana i ngā homoni nui e tukuna ana e ēnei pūngāwerewere. Ko ēnei ngā tohu tino noa ka whakaatu pea tō tinana:
- Te whero o te mata, te whero rānei e wera ana ki te pa
- Te ruaki wai e puta mai ana pea i ngā wā maha i te rā
- Te whewhe, te uaua rānei ki te manawa, ina koa i ngā wā e whero ana
- Te ngāwari o te ngakau, te kore rānei o te ngakau i ngā wā e pā ana ngā tōmhanga
- Te mamae o te kopu, te pupuhi rānei
- Te ruaki e puta mai ana pea me ngā wā e whero ana
He tokomaha ngā tāngata e pā ana ki ngā tōmhanga iti ake e puta ana i te wā. Ka uru pea ēnei ki ngā huringa kiri i tō mata, i ō ringa rānei, te mamae o ngā hononga, te pupuhi rānei i ō waewae.
Ko te mea e tino motuhake ai tēnei mate ko te tino puta mai o ngā tōmhanga i ngā wā, kāore i te mau tonu. Ka pai pea koe i waenga i ngā wā e pā ana ngā tōmhanga, ā, ka uaua pea te mohio tuatahi ki tēnei mate.
He aha ngā take o te mate carcinoid?
Ka puta te mate carcinoid ina whakaputa ngā pūngāwerewere carcinoid i te nui rawa o ētahi homoni, ina koa te serotonin. Ko ēnei pūngāwerewere he momo pūngāwerewere neuroendocrine e tipu haere ana, ā, ka puta mai pea i ngā wāhanga maha o tō tinana.
Ko te mate te nuinga o te wā ka puta ina horapa ngā pūngāwerewere ki tō ate, i te wā rānei e noho ana te pūngāwerewere matua i waho o tō ara kai. Ka puta mai tēnei nā te mea ka taea e tō ate te whakakore i ngā homoni nui, engari ina ngaro ngā pūngāwerewere i tēnei pūnaha whakakore, ka nui haere ngā homoni ki roto i tō toto.
He maha ngā take e whakatau ana mehemea ka puta ngā tōmhanga o te mate carcinoid i ngā pūngāwerewere carcinoid:
- Te wāhi o te pūngāwerewere matua (he nui ake te tūponotanga o ngā pūkahukahu, i ētahi wāhi kai rānei)
- Te rahi me te maha o ngā pūngāwerewere e noho ana
- Mehemea kua horapa ngā pūngāwerewere ki tō ate
- Te nui o te homoni e whakaputa ana ngā pūngāwerewere
- Te kaha o tō tinana ki te whakahaere i ēnei homoni nui
Ko te nuinga o ngā pūngāwerewere carcinoid i roto i tō whekau iti kāore e puta te mate, ki te kore e horapa ki te ate. Heoi, ka taea e ngā pūngāwerewere i roto i ō pūkahukahu, i ō ovaries rānei te puta i ngā tōmhanga ahakoa kaore i horapa, nā te mea ka tukuna e rātou ngā homoni tika ki roto i tō rere toto whānui.
Nōhea te haere ki te taote mō te mate carcinoid?
Me whakapiri atu koe ki tō kaiwhakarongo hauora ki te pāngia koe e te whero o te mata e puta mai ana, e haere atu ana, me te ruaki, ina koa ki te tupu tonu ēnei wā i ngā wiki maha. Ahakoa he maha ngā mate ka puta mai ēnei tōmhanga, ko te whakakotahitanga he mea tika kia tirotirohia e te taote.
Rapua te tiaki hauora tere ki te puta mai ngā tōmhanga nui i te wā. Ka uru ēnei ki te uaua nui ki te manawa, te mamae o te uma, te mamae nui o te kopu, te wiri rānei e kore e pai ake ina mutu te whero.
He mea nui hoki te haere ki tō taote ki te kite koe i ētahi kai, i te ahotea, i ngā mahi rānei e whakaohooho tonu ana i ō tōmhanga. Ko te pupuri i ngā mea e whakaohooho ana i ō wā e pā ana ngā tōmhanga ka taea te āwhina i tō rōpū hauora ki te whakamārama tika, ki te whakawhanake i te mahere rongoā whai hua.
He aha ngā take tūponotanga mō te mate carcinoid?
Ko te noho me ngā pūngāwerewere carcinoid te take tūponotanga matua mō te puta mai o tēnei mate. Heoi, ehara i te katoa o ngā tāngata e whai ana i ngā pūngāwerewere carcinoid ka puta te mate.
Ka nui ake tō tūponotanga ki te whāngai i te mate carcinoid me ēnei take:
- Te pakeke neke atu i te 50, ina tino kitea ngā pūngāwerewere carcinoid
- Te noho me ngā pūngāwerewere carcinoid kua horapa ki tō ate
- Ngā pūngāwerewere matua e noho ana i ō pūkahukahu, i tō kopu, i ō ovaries rānei
- He maha ngā pūngāwerewere carcinoid e noho ana i roto i tō tinana
- Te hītori whānau o ngā pūngāwerewere neuroendocrine, i ngā mate neoplasia endocrine maha rānei
- Ētahi āhuatanga ira e whakanui ana i te tūponotanga o te pūngāwerewere
He wāhi hoki te ira tangata, me ngā wāhine e nui ake te tūponotanga ki te whāngai i ngā pūngāwerewere carcinoid. Heoi, ina tae mai ki te mate carcinoid, ko te tūponotanga e hono atu ana ki te wāhi o te pūngāwerewere me te horapa atu i ngā take taupori.
I te kōrero atu, he tokomaha ngā tāngata e whai ana i ngā take tūponotanga kāore e puta te mate carcinoid, ā, he tokomaha ngā tāngata kaore he take tūponotanga e kitea ana. Koia te take he mea nui ake te aro ki ngā tōmhanga me te whiwhi i te aromatawai hauora tika i te manukanuka ki ngā take tūponotanga anake.
He aha ngā raruraru pea o te mate carcinoid?
Ahakoa he maha ngā mate carcinoid e taea te whakahaere, ka taea e ngā take kaore i te rongoā te arahi ki ngā raruraru e pā ana ki tō ngakau me tō hauora whānui. Ko te rongo pai ko te rongoā tika e whakaiti nui ana i te tūponotanga o ēnei raruraru.
Ko te raruraru tino nui ko te mate ngakau carcinoid, e pā ana ki ngā waahanga o te ngakau. Ka taea e ngā homoni nui te whakaputa i te mātotoru me te toka o ētahi waahanga o te ngakau, ina koa i te taha matau o tō ngakau. Ka tipu haere tēnei, ā, kaore pea e puta ngā tōmhanga i te tīmatanga.
Ko ētahi atu raruraru ka puta pea i te wā:
- Te mate carcinoid, he āhuatanga onge engari he kino te pānga me te whero nui me ngā huringa toto
- Ngā korenga kai mai i te ruaki roa me te kore o te kai
- Te aukati o te whekau ki te nui haere o ngā pūngāwerewere ki te aukati i ngā ara whekau
- Te mate pellagra, he āhuatanga e puta mai ana i te kore o te niacin mai i te huringa o te mahi
- Te fibrosis, te toka rānei i ngā kiko kopu i te taha o ngā pūngāwerewere
Ko te mate carcinoid he mea tino awangawanga nā te mea ka puta pea i ngā mahi hauora, i te ahotea nui, i ētahi wā rānei kaore e tūmanakohia. I te wā o te mate, ka pāngia pea koe e te whero nui, e ngā huringa toto kino, me ngā raruraru o te ngakau.
Ko te rongo whakamārama ko te tirotiro tonu me te rongoā tika ka taea te aukati i te nuinga o ēnei raruraru. Ka titiro tō rōpū hauora ki ngā tohu tīmatanga, ka whakarite i tō mahere rongoā.
Me pēhea te whakamārama i te mate carcinoid?
Ko te whakamārama i te mate carcinoid e whakauru ana i te ine i ngā taumata homoni i roto i tō mimi me tō toto, me ngā rangahau whakaahua ki te kimi i ngā pūngāwerewere. Ka tīmata pea tō taote me te whakamātau mimi 24-hāora ki te tirotiro i ngā taumata nui o te 5-HIAA, he hua whakakore o te serotonin.
Ka taea e ngā whakamātau toto te ine i ngā taumata serotonin tika, me te tirotiro i ētahi atu homoni ka puta pea ēnei pūngāwerewere. Ka whakamātau pea tō taote mō te chromogranin A, he pūmua e tukuna ana e ngā pūngāwerewere neuroendocrine maha.
Ka āwhina ngā rangahau whakaahua ki te kimi i te pūngāwerewere matua, me te whakatau mehemea kua horapa. Ka uru pea ēnei ki:
- Ngā rangahau CT o tō uma, o tō kopu, o tō upoko ki te kimi i ngā pūngāwerewere
- Ngā rangahau Octreotide, e whakamahi ana i te tohu pāmahana e hono ana ki ngā pūngāwerewere carcinoid
- Ngā rangahau MRI mō ngā whakaahua taipitopito o ngā wāhi motuhake
- Te whakamātau echocardiogram ki te tirotiro i ō waahanga ngakau mō te kino
- Ngā mahi endoscopy ki te whakapaehia ngā pūngāwerewere ara kai
I ētahi wā ka roa te whakamārama nā te mea ka taea e ngā tōmhanga te ngāwari, te pohehe rānei mō ētahi atu mate. Ka ui pea tō taote ki a koe kia pupuri i te puka tōmhanga, kia tuhi ai i te wā e puta mai ana te whero, te ruaki rānei, me ngā mea pea i whakaohooho i te mate.
Ki te whakaatu ngā whakamātau tuatahi i te mate carcinoid, ka tūtohutia pea e tō taote te karo i ētahi kai me ngā rongoā ka taea te whakaohooho i ngā tōmhanga i te whakaoti i te mahi whakamārama.
He aha te rongoā mō te mate carcinoid?
Ko te rongoā e aro ana ki te whakahaere i ō tōmhanga me te whakahaere i ngā pūngāwerewere e noho ana. Ko te huarahi e whiriwhiri ana tō rōpū hauora e whakawhirinaki ana ki tō āhuatanga motuhake, tae atu ki te wāhi e noho ana ō pūngāwerewere me te nui o te mahi.
Ko te rongoā te nuinga o te wā ko te raina tuatahi o te rongoā mō te whakahaere i ngā tōmhanga. Ko ngā analo somatostatin pēnei i te octreotide, i te lanreotide rānei ka taea te whakaiti nui i te whero me te ruaki mā te aukati i te tukunga homoni mai i ngā pūngāwerewere.
Ka uru pea tō mahere rongoā ki ngā huarahi maha:
- Ngā whakainu marama o ngā analo somatostatin ki te whakahaere i te whakaputanga homoni
- Ngā rongoā anti-diarrheal mō te whakaora i ngā tōmhanga i waenga i ngā whakainu
- Ngā taapiri niacin ki te aukati i te pellagra
- Ngā rongoā ngakau ki te noho te mate ngakau carcinoid
- Ngā rongoā whakahaere mō ngā pūngāwerewere e tipu haere ana
- Ngā rongoā e ārahi ana ki te ate ki te horapa ngā pūngāwerewere ki reira
Ka tūtohu pea te tango i ngā pūngāwerewere mā te pokanga, ina koa ki te whai koe i te pūngāwerewere matua kotahi ka taea te tango katoa. Heoi, ehara i te mea ka taea te pokanga, ina koa ki te horapa nui ngā pūngāwerewere.
Mō ngā pūngāwerewere i roto i tō ate, ka taea e ngā mahi motuhake pēnei i te embolization ate artery te whakaiti i te rere toto pūngāwerewere me te whakaputanga homoni. Ka taea e ēnei rongoā te whakarato i te whakaora tōmhanga nui ahakoa kaore e taea te tango katoa i te pūngāwerewere.
Me pēhea te whakahaere i te mate carcinoid i te kāinga?
Ko te whakahaere i ō tōmhanga i te kāinga e whakauru ana i te kimi me te karo i ngā mea whakaohooho i te wā e tautoko ana i tō hauora whānui. He tokomaha ngā tāngata e kite ana i ētahi kai, i te ahotea, i ngā mahi rānei ka taea te whakaohooho i ngā wā e whero ana.
Ka taea e ngā huringa kai te whakarereke nui i tō āhua i te rā. Ko te karo i ngā kai e nui ana te tyramine, te histamine, i ngā kai whakaohooho rānei ka taea te whakaiti i te auau me te kino o ngā tōmhanga.
Whakaarohia te mahi i ēnei whakaritenga oranga:
- Karohia te waipiro, ngā kai pikipiki, me ngā mīti koroheke e whakaohooho ana i ngā tōmhanga
- Kai iti ake, ngā kai maha ake ki te whakaora i ngā tōmhanga o te whekau
- Kia makona te wai, ina koa i ngā wā e ruaki ana
- Whakamahia ngā tikanga whakaiti ahotea pēnei i te whakakori ngawari, i te whakaaroaro rānei
- Pupuri i te puka tōmhanga ki te kimi i ō mea whakaohooho
- Tangohia ngā rongoā tika i te mea i whakaritea, ahakoa te pai o tō āhua
I ngā wā e whero ana, kimihia he wāhi makariri, ngāwari ki te okioki kia mutu ra ano ngā tōmhanga. Ka taea e ngā kakahu huruhuru te āwhina i a koe ki te pai ake i ēnei wā.
He mea whai hua te whakaako i ngā mema whānau mō tō mate kia taea ai e rātou te tautoko i ngā wā e pā ana ngā tōmhanga. Ko te whai i te mahere mō te whakahaere i ngā wā kino, tae atu ki te wā e rapu ai i te tiaki mate, ka hoatu ki a koe me ō whānau te rangimarie o te ngākau.
Me pēhea te whakarite mō tō hui taote?
Ko te whakarite mō tō hui e āwhina ana ki te whakarite ka whiwhi koe i te nuinga mai i tō wā me tō kaiwhakarongo hauora. Ko te kawe mai i ngā korero taipitopito mō ō tōmhanga ka āwhina i tō taote ki te mohio pai ake ki tō mate.
Tīmata mā te tuhi i ō tōmhanga katoa, tae atu ki te wā e puta mai ana, me te roa o te roa. Tuhingahia ngā tauira kua kitea e koe, pēnei i ngā kai, ngā mahi, i ngā āhuatanga rānei e whakaohooho ana i ngā wā.
Kawe mai ēnei korero ki tō hui:
- He puka tōmhanga taipitopito e kapi ana i te rua wiki neke atu
- Rārangi o ngā rongoā katoa, ngā taapiri, me ngā huaora e tangohia ana e koe
- Tō hītori hauora, tae atu ki ngā whakamārama mate pūngāwerewere o mua
- Te hītori whānau o ngā pūngāwerewere, i ngā mate endocrine rānei
- Ngā pātai e hiahia ana koe ki te ui mō ngā kōwhiringa rongoā
- Ngā korero mō te pānga o ngā tōmhanga ki ō mahi o ia rā
Whakaarohia te kawe mai i te mema whānau whakawhirinaki, i te hoa rānei ki tō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, ki te whakarato i te tautoko ngākau i ngā kōrero mō ngā whakamārama me ngā kōwhiringa rongoā.
Kaua e whakaroa ki te ui pātai mō tetahi mea kaore koe e mārama. E hiahia ana tō rōpū hauora ki te āwhina i a koe ki te mohio, ki te whakawhirinaki hoki ki tō mahere tiaki.
He aha te mea nui mō te mate carcinoid?
Ko te mate carcinoid he āhuatanga e taea te whakahaere e whakautu pai ana ki te rongoā tika. Ahakoa te pānga o tēnei whakamārama, he tokomaha ngā tāngata e whai ana i te mate carcinoid e ora ana i te ora katoa, i te ora mahi hoki me te tiaki hauora tika me ngā whakaritenga oranga.
Ko te mea nui rawa ki te mahara ko te whakamārama me te rongoā wawe e whakarereke nui ana i tō kounga o te ora me tō tirohanga mo te roa. Ko te mahi tata atu ki tō rōpū hauora ki te kimi i te whakakotahitanga tika o ngā rongoā me ngā whakaritenga oranga ka taea te whakahaere pai i ō tōmhanga.
Noho hono atu ki tō rōpū hauora, kaua hoki e whakaroa ki te whakapiri atu ki te kite koe i ngā huringa i ō tōmhanga, i ngā awangawanga rānei mō tō rongoā. Me te tiaki tonu me te aro, ka taea e koe te whakahaere pai i tēnei mate i te wā e pupuri ana i tō hauora whānui me tō oranga pai.
Ngā pātai e ui pinepinetia ana mō te mate carcinoid
Ka taea te whakaora katoa i te mate carcinoid?
Ahakoa kaore he rongoā mō te mate carcinoid, ka taea te whakahaere pai me te rongoā tika. He tokomaha ngā tāngata e whiwhi ana i te whakaora tōmhanga nui me ngā rongoā pēnei i ngā analo somatostatin. I ngā take onge ka taea te tango katoa i te pūngāwerewere matua i mua i te horapa, ka taea pea te whakakore katoa i ngā tōmhanga.
He rite te mate carcinoid ki te mate pūngāwerewere?
Kāo, he hono, engari he rerekē. Ko ngā pūngāwerewere carcinoid ko ngā pūngāwerewere neuroendocrine e noho ana, ka puta pea, kaore rānei ngā tōmhanga. Ko te mate carcinoid e tohu ana ki te huihuinga o ngā tōmhanga e puta ana ina tukuna e ēnei pūngāwerewere ngā homoni nui ki roto i tō toto. Ka taea e koe te whai i ngā pūngāwerewere carcinoid kaore e puta te mate.
Kia tere te puta mai o ngā tōmhanga o te mate carcinoid?
Ko te nuinga o te wā ka tipu haere ngā tōmhanga i ngā marama, i ngā tau rānei i te tipu o ngā pūngāwerewere me te whakaputa i ngā homoni nui ake. Heoi, he tokomaha ngā tāngata e pāngia ana e te puta mai o ngā tōmhanga, ina koa ki te whai rātou i ngā mea whakaohooho pēnei i ētahi kai, i te ahotea rānei. Ko te mate te nuinga o te wā kaore e puta tae noa ki te roa o te noho o ngā pūngāwerewere.
Ka taea e te ahotea te whakaiti i ngā tōmhanga o te mate carcinoid?
Ae, ka taea e te ahotea tinana me te ngākau te whakaohooho i ngā wā e whero ana, me te whakaiti i ētahi atu tōmhanga i roto i te tokomaha o ngā tāngata e whai ana i te mate carcinoid. Ko te ako i ngā tikanga whakahaere ahotea me te karo i ngā mea ahotea kaore e tika i te wā ka taea te āwhina i te whakaiti i te auau o ngā tōmhanga. Ka taea e tō taote te whakarato i ngā aratohu mō ngā rautaki whakaiti ahotea e pai ana mō tō āhuatanga.
Me whai ranei ahau i te kai motuhake mō ake tonu atu?
Ko te nuinga o ngā tāngata e whai ana i te mate carcinoid e pai ana ki te karo i ētahi kai whakaohooho mo te roa, engari ko ngā herenga kai te nuinga o te wā e taea te whakahaere, kāore hoki e tino whakaiti i ō kōwhiringa kai. Ka taea e tō rōpū hauora, i te kaiwhakaako kai rānei te āwhina i a koe ki te whakawhanake i te mahere kai pumau e whakaiti ana i ngā tōmhanga i te wā e whakarite ana koe i te kai tika. Ko ngā herenga motuhake e rerekē ana i te tangata ki te tangata i runga i ngā mea whakaohooho motuhake.
