He aha te mate pukupuku roro? Tohutohu, Take, me te Maimoatanga

Ko te mate pukupuku roro he tipu koretake o ngā pūtau i roto i tō roro, i te kiko e karapotia ana rānei. Ka taea e ēnei tipu te pai (kāore i te mate pukupuku) te kino rānei (mate pukupuku), ā, ahakoa ka raru pea te kupu ‘mate pukupuku’, he maha ngā mate pukupuku roro e taea te whakaora me ngā hua pai.

Ko tō roro te manaaki i ngā mea katoa e mahi ana tō tinana, no reira, ki te tipu te mate pukupuku, ka pā pea ki ngā mahi maha, kei te tūnga o te tipu. Whakaarohia tō roro he puku raraunga rorohiko – he wāhi rerekē e mahi ana i ngā mahi rerekē, no reira ko ngā tohu e whakawhirinaki ana ki te ‘kōpaki’ e pā ana.

He aha ngā tohu o te mate pukupuku roro?

Ka tipu ngā tohu o te mate pukupuku roro ina tukuna e te nui o te tipu te pehanga ki te kiko roro e karapotia ana, ki te whakakore rānei i te mahi roro noa. Ko ngā tohu e kitea ana e koe e whakawhirinaki ana ki te tūnga o te mate pukupuku me te tere o te tipu.

Ko ēnei ngā tohu tino noa e kitea ana e te iwi:

• Ngā mamae o te upoko: He maha ngā wā ka kino ake i te ata, i te takoto rānei, he rerekē i ō mamae upoko noa
• Ngā hopu: Ko ngā hopu hou i roto i ngā pakeke, ina koa ko te hunga neke atu i te 20 tau, me whakawātea tonu
• Ngā huringa tirohanga: Te tirohanga māreikura, te tirohanga rua, te ngaro rānei o te tirohanga taha
• Ngā raruraru kōrero: Te raruraru ki te kimi kupu, te kōrero whakapohehe, te raruraru rānei ki te mārama ki ētahi atu
• Ngā raruraru toenga: Te māuiui, te kore tū, te raruraru rānei o te hononga
• Te ngoikore, te mōmō rānei: Te pā kino ki tetahi taha o te tinana
• Ngā raruraru mahara me te aro: Te raruraru ki te whakaaro, te whakapohehe, te huringa rānei o te ahua
• Te ruaki me te ruaki: Ina koa ka whakakotahitia ki ngā mamae o te upoko

Ka kitea hoki e ētahi iwi ngā tohu iti ake penei i ngā huringa whakarongo, te raruraru ki te horomia, te ngoikore rānei o te mata. Ka taea e ēnei tohu te tipu haere i roto i ngā wiki ki ngā marama, i te puta mai rānei i te wa poto.

He aha ngā momo mate pukupuku roro?

Ka tū ngā mate pukupuku roro ki ngā kāwai e rua: ngā mate pukupuku matua e tīmata ana i te roro me ngā mate pukupuku tuarua e horapa ana mai i ētahi atu wāhi o te tinana. Ko te mārama ki te momo e āwhina ana ki te whakatau i te huarahi maimoatanga pai.

Ngā mate pukupuku roro matua e puta mai ana i te kiko roro anō. Ko ngā momo tino noa ko ēnei:

• Gliomas: E puta mai ana i ngā pūtau glial e tautoko ana i ngā neurons roro, tae atu ki ngā astrocytomas me ngā oligodendrogliomas
• Meningiomas: E tipu ana i ngā kiri e hipoki ana i te roro, he maha ngā wā he pai, he puhoi te tipu
• Adenomas pituitary: E hanga ana i te pūtake pituitary, he maha ngā wā e pā ana ki te whakaputa hormone
• Ngā neuromas acoustic: E tipu ana i ngā uaua e manaaki ana i te whakarongo me te toenga
• Medulloepitheliomas: Ngā mate pukupuku onge e kitea ana i ngā tamariki

Ngā mate pukupuku roro tuarua he maha ngā wā ka noa atu i ngā mate pukupuku matua. Ka puta ēnei ina horapa te mate pukupuku mai i tētahi atu wāhi o tō tinana ki te roro, he maha ngā wā mai i ngā mate pukupuku manawa, u, whatukuhu, i te kiri rānei.

Ko ētahi momo onge ko ngā craniopharyngiomas (i te taha o te pūtake pituitary), ngā mate pukupuku plexus choroid (i roto i ngā ventricles roro), me ngā mate pukupuku neuroectodermal matua. Ka whakatau tō rōpū hauora te momo tika mā te whakaahua me te biopsy i ētahi wā.

He aha ngā take o te mate pukupuku roro?

Ko te take tika o te nuinga o ngā mate pukupuku roro kāore ano kia mohiotia, engari kua kitea e ngā kairangahau ētahi take e piki ai te tūpono. Ko te nuinga o ngā mate pukupuku roro e puta mai ana i ngā huringa ira tōtika i roto i ngā pūtau, kāore i ngā āhuatanga i whakawhiwhia.

Ko ēnei ngā take tūpono me ngā take ka kitea:

• Te whakamahinga radiation: Te maimoatanga radiation o mua ki te upoko, te whakamahinga rānei i te radiation atomic
• Ngā āhuatanga ira: Ngā āhuatanga ira onge penei i te neurofibromatosis, te mate Li-Fraumeni, te mate rānei a von Hippel-Lindau
• Te tau: Ka piki te tūpono me te pakeke, ahakoa he maha ngā momo e tino noa ana i ngā tamariki
• Te ngoikore o te pūnaha mate: He nui ake te tūpono o te hunga he ngoikore o te pūnaha mate
• Te hītori whānau: Ko te whai whānau e pā ana ki te mate pukupuku roro e piki haere ai te tūpono

Ko ētahi take onge ko te whakamahinga i ētahi matū penei i te vinyl chloride, te formaldehyde rānei i roto i ngā mahi. He rerekē ki ngā āwangawanga noa, kāore i whakamāramahia e ngā waea pūkoro me ngā mara electromagnetic te mate pukupuku roro i roto i ngā rangahau o nāianei.

He mea nui kia mahara ko te whai take tūpono kāore e tikanga ka tipu te mate pukupuku roro i a koe. He maha ngā tangata e whai take tūpono ana kāore e tipu te mate pukupuku, ā, ko ētahi atu kāore he take tūpono e mohiotia ana ka tipu.

Nōhea te haere ki te taote mō ngā tohu mate pukupuku roro?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka kitea e koe ngā tohu neurological e mau tonu ana, e kino haere ana rānei, ina koa mēnā he hou, he rerekē rānei i tetahi mea kua pāngia e koe i mua.

Rapua te awhina hauora tonu mēnā ka pāngia koe e:

• Te mamae upoko ohorere, nui, he rerekē i tetahi mea kua pāngia e koe i mua
• Ngā hopu hou, ina koa i roto i ngā pakeke
• Te ngoikore ohorere, te mōmō rānei i tetahi taha o tō tinana
• Te ngaro ohorere o te tirohanga, te huringa tirohanga nui rānei
• Te raruraru ki te kōrero, te mārama rānei ki te kōrero
• Ngā raruraru toenga nui, te ngaro rānei o te hononga

Whakaritea he hui noa mō ngā tohu penei i ngā mamae upoko e kino haere ana, ngā huringa mahara iti, ngā raruraru hononga iti rānei. Ahakoa he maha ngā take o ēnei tohu i tua atu i te mate pukupuku roro, he pai tonu te whakamātautau.

Whakaarohia ō ngākau – mēnā he rerekē te ahua o tō whakaaro, o tō nekehanga, o ō āhua rānei, he mea tika te kōrero ki tō taote. Ka taea e rātou te awhina ki te whakatau mēnā he hiahia ki te whakamātautau atu.

He aha ngā take tūpono mō te mate pukupuku roro?

Ko te mārama ki ngā take tūpono ka āwhina i a koe ki te mahi i ngā whakatau whakamārama mō tō hauora, ahakoa he mea nui kia mahara ko te nuinga o te iwi e whai take tūpono ana kāore e tipu te mate pukupuku roro. Ko ēnei take anake te piki haere o te tūpono tata.

Ko ngā take tūpono matua ko ēnei:

• Te tau: Ko te nuinga o ngā mate pukupuku roro e puta ana i ngā tangata neke atu i te 65 tau, ahakoa he maha ngā momo e pā ana ki ngā tamariki.
• Te ira tangata: Ko ngā tāne te maha o ngā mate pukupuku roro atu i ngā wāhine, i tua atu i ngā meningiomas.
• Te iwi me te momo: Ko ngā Pākehā te maha o ngā momo mate pukupuku roro penei i ngā gliomas.
• Te maimoatanga mate pukupuku o mua: Ko te maimoatanga radiation ki te upoko e piki ai te tūpono i muri i ngā tau.
• Ngā āhuatanga ira: Ngā āhuatanga penei i te neurofibromatosis momo 1 me te 2, te mate tuberous sclerosis, te mate rānei a Lynch.
• Ngā mate pūnaha mate: HIV/AIDS, ngā rongoā whakakore pūnaha mate rānei i muri i te whakawhiti whekau.

Ko ētahi take tūpono onge ko te whakamahinga i ētahi matū umanga, ngā whara upoko o mua me ngā whati i te anga, te whiwhi rānei i ngā maimoatanga hormone mai i ngā tinana tangata (kāore i whakamahia).

Kāore i hono atu ngā take taiao penei i te noho tata ki ngā raina mana, te whakamahinga o ngā waea pūkoro, ngā kai rānei ki te tipu o te mate pukupuku roro i roto i ngā rangahau o nāianei. Ko te nuinga o ngā mate pukupuku roro e puta mai ana i te koretake, kāore he take e kitea ana.

He aha ngā raruraru pea o te mate pukupuku roro?

Ko ngā raruraru o te mate pukupuku roro e whakawhirinaki ana ki te rahi o te mate pukupuku, te tūnga, me te tere o te tipu. Ahakoa ka raru pea tēnei mōhiohio, ko te mārama ki ngā raruraru pea e āwhina ana i a koe ki te mahi tahi me tō rōpū hauora ki te aukati, ki te whakahaere rānei i a rātou.

Ko ngā raruraru noa ko ēnei:

• Te piki o te pehanga intracranial: Ka taea te whakaeke i ngā mamae upoko nui, te ruaki, me ngā raruraru tirohanga
• Ngā hopu: Ka taea te tipu ahakoa he pai ngā mate pukupuku, engari he maha ngā wā ka taea te whakahaere mā te rongoā
• Ngā huringa mohio: Ngā raruraru mahara, te raruraru ki te aro, te huringa rānei o te ahua
• Te ngaro o te mahi motuka: Te ngoikore, te pararaihi, te raruraru rānei o te hononga
• Ngā huringa pūāhua: Ngā raruraru tirohanga, whakarongo, āhua rānei
• Ngā raruraru kōrero me te reo: Ngā raruraru ki te kōrero, te mārama, te pānui, te tuhituhi rānei

Ko ngā raruraru nui, engari onge, ka taea te whakauru i te hydrocephalus (te kohikohi wai i roto i te roro), te herniation roro mai i te pupuhi nui, te kore toenga hormone rānei mēnā ka pā te mate pukupuku ki te pūtake pituitary.

Ko te rongo pai ko te maha o ngā raruraru ka taea te whakahaere, te aukati rānei mā te maimoatanga tika. Ka tirotiro tata atu tō rōpū hauora i a koe, ka whakarite i ngā maimoatanga ki te whakaiti i ēnei tūpono i te wā e whakaora ana i te mate pukupuku.

Me pēhea te whakatau i te mate pukupuku roro?

Ko te whakatau i te mate pukupuku roro e whakauru ana i ngā mahi maha, e tīmata ana i tō hītori hauora me ngā tohu. Ka mahi tō taote i te whakamātautau neurological tino pai ki te aromatawai i tō mahi roro, hononga, me ngā reflexes.

Ko te tukanga whakatau e whakauru ana i te nuinga:

1. Te whakamātautau neurological: Ngā whakamātautau o tō tirohanga, whakarongo, toenga, hononga, me ngā reflexes
2. Te karapa MRI: Ko te whakamātautau whakaahua tino taipitopito mō ngā mate pukupuku roro, he maha ngā wā e mahi ana me te tae whakapae
3. Te karapa CT: Ka taea te whakamahi i te tīmatanga, i te kore e taea te MRI rānei
4. Biopsy: Te tango i te tauira kiko iti ki te whakatau i te momo mate pukupuku tika
5. Ngā whakamātautau atu: Ka taea te whakauru i ngā karapa PET, angiography, te lumbar puncture rānei i roto i ētahi take motuhake

I ētahi wā, ka tono pea tō taote i ngā raupapa MRI motuhake penei i te whakaahua tensor diffusion, te spectroscopy resonance magnetic rānei ki te mārama pai ake ki ngā āhuatanga o te mate pukupuku. Ka taea e ngā whakamātautau toto te tirotiro i ngā tohu mate pukupuku, ngā huringa ira rānei.

Ka taea te mahi i te biopsy mā te pokanga, i te whakamahi rānei i te ngira e ārahitia ana e te whakaahua. He mea nui tēnei mahi, no te mea ko te maimoatanga e whakawhirinaki ana ki te mohio ki te momo me te tohu tika o te mate pukupuku kei a koe.

He aha te maimoatanga mō te mate pukupuku roro?

Ko te maimoatanga mate pukupuku roro he mea motuhake ki te momo mate pukupuku, te rahi, te tūnga, me tō hauora whānui. Ko te whāinga ko te tango, te whakahaere rānei i te mate pukupuku i te wā e tiaki ana i te mahi roro.

Ko ngā whiringa maimoatanga ko ēnei:

• Te pokanga: He maha ngā wā ko te maimoatanga tuatahi ki te tango i te mate pukupuku.
• Te maimoatanga radiation: Ngā kaupapa kaha ki te whakangaro i ngā pūtau mate pukupuku e toe ana.
• Te chemotherapy: Ngā rongoā ki te whakamate i ngā pūtau mate pukupuku, e hoatu ana mā te waha, mā te intravenous rānei.
• Te maimoatanga whāinga: Ngā rongoā e whakaeke ana i ngā āhuatanga motuhake o ngā pūtau mate pukupuku.
• Te immunotherapy: Ngā maimoatanga e āwhina ana i tō pūnaha mate ki te whawhai ki te mate pukupuku.
• Ngā rongoā steroid: Ki te whakaiti i te pupuhi o te roro me ngā tohu e hono atu ana.

Ko ngā hangarau matatau penei i te radiosurgery stereotactic ka taea te taumata tika i ngā mate pukupuku me ngā kaupapa radiation arotahi. Ka taea e ētahi manuhiri te whiwhi maimoatanga penei i ngā mara whakaora mate pukupuku (te maimoatanga mara hiko) te whakauru rānei ki ngā whakamātautau hauora e whakamātautau ana i ngā huarahi hou.

Ka taea e tō mahere maimoatanga te whakakotahi i ngā huarahi maha. Hei tauira, ka taea e koe te whiwhi pokanga i muri i te radiation me te chemotherapy. Ka whakamārama tō rōpū hauora i ia mahi, ka āwhina i a koe ki te mārama ki te aha e tatari ana.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te maimoatanga mate pukupuku roro?

Ko te whakahaere i te oranga o ia rā i te wā o te maimoatanga mate pukupuku roro e hiahia ana ki te manawanui ki a koe me ngā rautaki mahi. Ko ngā whakatikatika iti ki tō mahi o ia rā ka taea te whakapai ake i tō mātauranga me te kounga o tō oranga.

Ko ēnei ngā huarahi whai hua mō ngā tohu noa:

• Mō ngā mamae upoko: Kia mau te mahinga moe, kia inu wai, whakamahia ngā rongoā kua tohua.
• Mō te ngenge: Whakaritea ngā mahi nui mō te wā e kaha ana koe, i te tīmatanga o te rā.
• Mō ngā raruraru mahara: Whakamahia ngā karani, ngā kaiwhakarite rongoā, ngā whakamahara waea atamai rānei.
• Mō ngā raruraru toenga: Tangohia ngā mea e tūpono ana ki te tū, whakamahia ngā pou, whakaarohia te awhina haere mēnā e hiahiatia ana.
• Mō te ruaki: Kai iti, maha ngā kai, kaua e kai i ngā kakara kaha.
• Mō te whakahaere hopu: Tangohia ngā rongoā penei i te tohu, kaua e whakamahi i ngā mea e arai ana.

Ko te whakakori ngawari penei i te hikoi ka taea te awhina i te kaha me te ngākau, engari tirohia tō taote i mua. Ka kitea e ētahi te whakaaroaro, te yoga ngawari, ngā whakakorikori manawa rānei e whai hua ana ki te whakahaere i te ahotea me te manukanuka.

Kia mau ki te puka tohu ki te whai i ngā tauira me te whakawhiti ki tō rōpū hauora. Ka āwhina tēnei mōhiohio i a rātou ki te whakarite i tō mahere maimoatanga me te whakahaere i ngā pānga.

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 mea pai mai i tō wā me te rōpū hauora. Kawea mai tetahi ki a koe mēnā e taea ana, no te mea ka taea e rātou te awhina ki te mahara ki ngā mōhiohio me te whakarato tautoko ngākau.

I mua i tō hui:

1. Tuhia ō tohu: Whakauruhia te wā i tīmata ai rātou, te maha o ngā wā e puta mai ana, me te aha e pai ake ai, e kino ake rānei.
2. Rārangihia ngā rongoā katoa: Whakauruhia ngā rongoā rā, ngā rongoā kore-rā, me ngā taapiri.
3. Kohikohia ngā rēkōta hauora: Ngā rangahau whakaahua o mua, ngā hua taiwhanga, me ngā ripoata tohunga.
4. Whakaritea ngā pūrongo: Tuhia ngā mea katoa e hiahia ana koe ki te ui.
5. Kawea mai ngā mōhiohio inihua: Kāri me ētahi pepa tohutoro.

Ko ngā pūrongo pai hei ui ko ēnei: He aha te momo mate pukupuku kei ahau? He aha ōku whiringa maimoatanga? He aha ngā tūpono me ngā hua pai o ia whiringa? Me pēhea te pā o te maimoatanga ki tōku oranga o ia rā? He aha ngā rauemi tautoko e wātea ana?

Kaua e whakaroa ki te tono whakamārama mēnā kāore tetahi mea i te mārama. Tonohia ngā mōhiohio tuhituhi, ngā paetukutuku whakawhirinaki rānei ka taea te ako atu. Kia mahara, kāore he pūrongo iti rawa ina tae mai ki te mārama ki tō hauora.

He aha te mea nui mō te mate pukupuku roro?

Ko ngā mate pukupuku roro he āhuatanga nui e hiahia ana ki te tiaki hauora tere, engari ko ngā whakapainga i te maimoatanga kua whakapai ake te hua mō te maha o te iwi. Ko te mea nui ko te kite wawe me te mahi tata atu ki te rōpū hauora whai wheako.

Kia mahara kāore ngā mate pukupuku roro katoa he mate pukupuku, ā, ahakoa ngā mate pukupuku kino ka taea te whakaora, te whakahaere rānei mō ngā tau maha. Ko ngā reiti ora e rereke ana i runga i te momo mate pukupuku, te tūnga, me ngā take takitahi, no reira he mea nui te kōrero mō tō āhuatanga motuhake ki tō rōpū hauora.

Arotakehia te mea ka taea e koe te whakahaere: te whai i tō mahere maimoatanga, te tiaki i tō hauora whānui, te hanga rānei i te whatunga tautoko kaha. He maha ngā tangata e whai mate pukupuku roro ana e ora tonu ana i ngā oranga whai hua i te wā me muri i te maimoatanga.

Kia mau ki tō rōpū hauora, kaua e whakaroa ki te whakapiri atu ina he āwangawanga kei a koe. Kei reira rātou ki te tautoko i a koe i ia waahanga o tō haerenga.

Ngā pūrongo e ui pinepinetia ana mō te mate pukupuku roro

P1: Ka taea te aukati i te mate pukupuku roro?

Ko te nuinga o ngā mate pukupuku roro kāore e taea te aukati, no te mea e puta mai ana i ngā huringa ira tōtika i roto i ngā pūtau. Engari, ka taea e koe te whakaiti i ētahi take tūpono mā te karo i te whakamahinga radiation koretake me te pupuri i te oranga hauora. Mēnā he āhuatanga ira kei a koe e piki ai te tūpono o te mate pukupuku roro, he mea nui te tirotiro tonu ki tō taote.

P2: He mate mate katoa ngā mate pukupuku roro?

Kāo, ehara ngā mate pukupuku roro katoa i te mate. Ko ngā mate pukupuku pai penei i ngā meningiomas he maha ngā wā he hua pai me te maimoatanga. Ahakoa ētahi mate pukupuku kino ka taea te whakaora, te whakahaere rānei mō ngā tau maha. Ko ngā reiti ora e rereke ana i runga i te momo mate pukupuku, te tūnga, me ngā take takitahi, no reira he mea nui te kōrero mō tō āhuatanga motuhake ki tō rōpū hauora.

P3: Kei te whakaeke ngā waea pūkoro i te mate pukupuku roro?

Kāore i whakapumautia e ngā rangahau o nāianei te hononga i waenga i te whakamahinga waea pūkoro me te mate pukupuku roro. Kāore i whakaatuhia e ngā rangahau nui e whai i ngā kaiwhakamahi waea pūkoro i ngā tau maha te piki o ngā reiti mate pukupuku roro. Engari, kei te haere tonu te rangahau i te wā e whanake ana te hangarau. Mēnā kei te awangawanga koe, ka taea e koe te whakamahi i ngā taputapu kore-waea, ngā waea korero rānei.

P4: Ka taea te kite wawe i te mate pukupuku roro?

Kāore ngā mate pukupuku roro e whai whakamātautau tirotiro noa penei i ētahi atu mate pukupuku, engari ko te aro ki ngā tohu neurological e mau tonu ana ka ārahi ki te kite wawe. Ko ngā tohu penei i ngā mamae upoko hou, ngā huringa tirohanga, ngā hopu rānei me whakamātautau hauora. Ko te kite wawe he maha ngā wā e ārahi ana ki ngā hua maimoatanga pai ake.

P5: Ka hiahia ahau ki te pokanga roro?

Kāore te katoa e whai mate pukupuku roro e hiahia ana ki te pokanga. Ko te maimoatanga e whakawhirinaki ana ki ngā take penei i te momo mate pukupuku, te rahi, te tūnga, me tō hauora whānui. Ko ētahi mate pukupuku iti, puhoi te tipu, ka hiahia noa ki te tirotiro. Ka taea te maimoatanga i ētahi atu mā te radiation, te rongoā rānei. Ka tūtohu tō rōpū pokanga neuro te huarahi pai mō tō āhuatanga motuhake.