He aha te Carinoma Kore Kupu Matua? Tohutohu, Take, me te Maimoatanga

Ko te carinoma kore kupu matua (CUP) tētahi mate pukupuku kua horapa ki ētahi atu wāhanga o tō tinana, engari kāore e taea e ngā tākuta te kimi i te wāhi i tīmata ai. Whakaarohia te kimi i ngā kōwae mīhini i horapa noa atu, kāore e mōhiotia te whakaahua taketake.

Koinei te 3-5% o ngā whakatau mate pukupuku katoa. Ahakoa ka rongo te ingoa he wehi, he tokomaha ngā tāngata e ora ana ki te CUP e whakautu pai ana ki te maimoatanga. Kei a tō rōpū hauora ngā huarahi motuhake hei āwhina i a koe, ahakoa kāore i te mārama te puna taketake.

He aha te carinoma kore kupu matua?

Ka puta te carinoma kore kupu matua ina kitea ngā pūtau mate pukupuku i roto i tetahi wāhanga, atu rānei o tō tinana, engari kāore e taea e ngā tākuta te kimi i te mate pukupuku taketake i tīmata ai te mate pukupuku. Kua horapa kē te mate pukupuku, ko te tikanga kua haere mai i tōna tīmatanga ki ētahi atu wāhi.

Kei roto i tō tinana ngā piriona o ngā pūtau, ā, i etahi wā, ka tīmata te mate pukupuku iti rawa atu, kāore rānei e kitea. Āe, pea he iti rawa te mate pukupuku taketake ki te whakaatu i runga i ngā tirotiro, kāore rānei i te kitea i muri i te horapa o te mate pukupuku.

Ahakoa kāore e mōhiotia te tīmatanga tika, ka taea e ngā tākuta te whakatau i te momo kiko i puta mai ai ngā pūtau mate pukupuku. Ka āwhina tēnei mōhiohio i te mahere maimoatanga, ā, ka hoatu ki tō rōpū hauora ngā tohu nui mō te āwhina pai i a koe.

He aha ngā tohu o te carinoma kore kupu matua?

Ko ngā tohu ka kitea e koe e whakawhirinaki ana ki te wāhi i horapa ai te mate pukupuku ki tō tinana. Mai i te mea ka puta te CUP i roto i ngā kōpū rerekē, ka rereke haere ngā tohu mai i te tangata ki te tangata.

Ko ēnei ngā tohu tino noa ka kitea e ngā tāngata:

• Te ngenge tonu e kore e pai ake me te okioki
• Te ngaro o te taumaha kaore i te whakamārama i roto i ngā wiki, marama rānei
• Ngā pupū, ngā whekau lymph rānei kua pupū ka taea te kite i raro i tō kiri
• Te mamae tonu i ō wheua, tua, kopu rānei
• Te poto o te manawa, te mare tonu rānei
• Ngā huringa i ngā tikanga o te pūkahukahu, te whekau rānei
• Te ruaki, te ngaro o te hiahia kai rānei e roa atu i ngā rā torutoru

Ka kitea hoki e ētahi tāngata ngā tohu motuhake e pā ana ki te wāhi i noho ai te mate pukupuku. Hei tauira, ki te pā te mate pukupuku ki tō ate, pea ka kite koe i te kowhai o tō kiri, o ō kanohi rānei.

Kia mahara ko ēnei tohu ka maha ngā take rerekē, ko te nuinga kāore he mate pukupuku. Heoi, ki te kitea e koe ētahi o ēnei tohu, kāore rānei e mutu i roto i ngā wiki torutoru, he mea tika kia kōrero ki tō tākuta.

He aha ngā momo carinoma kore kupu matua?

Ka whakarōpūhia te CUP e ngā tākuta i runga i te ahua o ngā pūtau mate pukupuku i raro i te microscope me te wāhi i kitea ai i roto i tō tinana. Ko te mōhiotanga ki te momo ka āwhina i tō rōpū hauora ki te whiriwhiri i te huarahi maimoatanga tino whai hua.

Ko ēnei ngā momo matua:

• Adenocarcinoma: Ko te momo tino noa, ko ēnei pūtau te nuinga mai i ngā kōpū penei i te pūkahukahu, te u, te prostate, te pūnaha kai rānei
• Squamous cell carcinoma: Te nuinga mai i te ulu, te kaki, te pūkahukahu, ngā kōpū rānei i rōnaia ki ngā pūtau papatahi
• Carinoma kore pai te wehewehe: Ngā pūtau mate pukupuku kāore i te rite ki tetahi momo kōpū motuhake
• Neuroendocrine carcinoma: Mai i ngā pūtau e hanga ana i ngā homoni, te nuinga i kitea i roto i te pūnaha kai, te pūkahukahu rānei

Ka whakaaro hoki tō tākuta ki te wāhi i horapa ai te mate pukupuku. Ko ngā wāhi noa ko ngā whekau lymph, te ate, te pūkahukahu, ngā wheua, te rōna o tō kopu rānei. Ka āwhina tēnei mōhiohio ki te hanga i tō mahere maimoatanga whaiaro.

Ka rereke te whakautu o ia momo ki te maimoatanga, koia te take he mea nui te kimi i ngā āhuatanga motuhake o ō pūtau mate pukupuku mō tō tiaki.

He aha ngā take o te carinoma kore kupu matua?

Kāore i te tino mōhiotia te take tika o te CUP, engari ka whanakehia i te ara ano o ētahi atu mate pukupuku – mā ngā huringa i roto i te DNA o ō pūtau e āhei ai te tipu me te horapa kore mana. Ko te mea ngaro ko te take i huna ai, kāore rānei e kitea te mate pukupuku taketake.

He maha ngā take ka āhei te whakauru ki tēnei:

• Pea he iti rawa te mate pukupuku taketake kia kore ai e taea te kite e te hangarau whakaahua o nāianei
• Pea kua whakangarohia e tō pūnaha mate te mate pukupuku taketake i muri i te horapa o ngā pūtau mate pukupuku
• Pea kei te wāhi uaua te kimi i roto i tō tinana te mate pukupuku taketake
• Ko ētahi mate pukupuku te nuinga ka horapa wawe i mua i te tipu nui i tō wāhi tīmatanga

Pēnei i ētahi atu mate pukupuku, ka nui ake te tupono o te CUP i te pakeke, ahakoa ka puta i tetahi tau.

He mea nui te mōhio kāore koe i mahi i tetahi mea hei whakauru ki tēnei. Ko te whanaketanga o te mate pukupuku he mahi uaua i waenga i te ira, te taiao, me ētahi wā he huringa pūtau noa e puta ana i te wā.

Nōhea koe me haere ki te tākuta mō te carinoma kore kupu matua e whakapaetia ana?

Me whakapiri atu koe ki tō tākuta ki te kitea e koe ngā tohu tonu e awangawanga ana koe, ina koa ki te roa atu i ngā wiki e rua kāore he take mārama.

Rapua te tiaki hauora wawe ki te kitea e koe:

• Te ngaro o te taumaha kaore i te whakamārama o te 10 pauna neke atu rānei
• Ngā pupū, te pupū rānei e tipu tonu ana
• Te mamae nui, te roa e āwangawanga ana i ngā mahi o ia rā
• Te uaua ki te manawa, te horomia rānei
• Te toto i roto i tō mare, te paru, te mimi rānei
• Te ngenge nui e kore e pai ake me te okioki

Kaua e tatari ki te puta mai ngā tohu maha, ki te rongo rānei koe he "kore" te hauora. Ko te kite wawe me te maimoatanga ka mahi tonu mōu, ahakoa te momo mate pukupuku.

Ka taea e tō tākuta matua te arotake i ō tohu, ka tuku atu koe ki ngā tohunga ki te hiahiatia. Kia mahara, ko te nuinga o ngā tohu he whakamārama kāore he mate pukupuku, engari he pai tonu te tirotiro me te rapu i te rangimarie o te ngākau.

He aha ngā take morearea mō te carinoma kore kupu matua?

He maha ngā take ka nui ake te tupono o te whanaketanga o te CUP, ahakoa te mea he take morearea kāore e tikanga ka whiwhi koe i te mate pukupuku. Ko te mōhiotanga ki ēnei ka āhei ai koe te whakatau whakamārama mō tō hauora.

Ko ēnei ngā take morearea tino nui:

• Te tau: Ko te nuinga o ngā tāngata i whakatauhia te CUP he 60 neke atu, ahakoa ka puta i tetahi tau
• Te whakamahinga tapeka: Ko te whakamahinga tapeka, te whakamahinga rānei i ētahi atu hua tapeka ka nui ake te morearea
• Te inu waipiro nui: Ko te inu nui i ngā tau maha ka nui ake tō morearea
• Ētahi mate huaketo: Pea ka āhei te HPV, te hepatitis B me te C, te huaketo Epstein-Barr rānei
• Ngā whakaū mahi: Te hononga roa ki ētahi matū, te asbestos rānei
• Te hītori whānau: Ko te whai whānau e mate pukupuku ana pea ka nui ake tō morearea

Ko ētahi take morearea iti ake ko te whakaū rā nui, ētahi āhuatanga ira, te ngoikore o te pūnaha mate rānei na ngā rongoā, ētahi atu āhuatanga hauora rānei.

He mea tika te mōhio ko te tokomaha o ngā tāngata e whai take morearea ana kāore e whiwhi mate pukupuku, ā, ko ētahi atu kāore he take morearea e kitea ana ka whiwhi.

He aha ngā raruraru pea o te carinoma kore kupu matua?

Ka āhei te CUP ki te arahi ki ngā raruraru rerekē e whakawhirinaki ana ki te wāhi i horapa ai te mate pukupuku me te whakautu o tō tinana ki te maimoatanga. Ko te mōhiotanga ki ēnei āhei ka āhei ai koe me tō rōpū hauora te mataara mō ngā tohu wawe me te whakatika i ngā take wawe.

Ko ēnei ngā raruraru tino noa:

• Te kore mahi o ngā kōpū: Ko te mate pukupuku i roto i ngā kōpū nui penei i te ate, te pūkahukahu, ngā whatukuhu rānei ka pā ki tō rātou mahi noa
• Ngā raruraru wheua: Ko te mate pukupuku i roto i ngā wheua ka āhei te whakauru ki te mamae, ngā whati, ngā taumata kākā nui rānei i roto i tō toto
• Te kohinga wai: Ka āhei te mate pukupuku te whakauru ki te kohinga wai i roto i ō pūkahukahu, i tō kopu, i te taha o tō ngākau rānei
• Ngā aukati o te pūkahukahu, te mimi rānei: Ka āhei ngā pupū te whakauru ki te mahi noa o te pūkahukahu, te mimi rānei
• Ngā toto kōtiti: Ka nui ake te morearea o te mate pukupuku ki te whanake i ngā kōtiti i roto i ō waewae, i ō pūkahukahu rānei

Pea ka whai ngā raruraru e pā ana ki te maimoatanga, penei i te ngenge, te ruaki, te nui ake o te morearea o te mate, ētahi atu pānga o te chemotherapy, te radiation rānei. Ka tirotiro tata atu tō rōpū hauora i a koe, ā, he huarahi hei whakahaere i ēnei take.

Ahakoa ka tino nui ngā raruraru, he maha ngā mea ka taea te whakaora, te aukati rānei mā te tiaki hauora tika. Ka mahi tahi tō rōpū hauora ki a koe hei whakaiti i ngā morearea me te pupuri i tō kounga ora i te wa o te maimoatanga.

Me pēhea te whakatau i te carinoma kore kupu matua?

Ko te whakatau i te CUP he mahi rapu nui nā tō rōpū hauora. Ka whakamahi ratou i ngā whakamātautau maha me ngā tirotiro hei kimi i ngā pūtau mate pukupuku me te whakatau i ō rātou āhuatanga, ahakoa kei te huna tonu te puna taketake.

Ko tō haerenga whakatau te nuinga e whai ake nei:

• Te tirotiro tinana: Ka tirotiro tō tākuta mō ngā pupū, ngā whekau lymph kua pupū, ētahi atu tohu rānei
• Ngā whakamātautau toto: Ka titiro ēnei mō ngā tohu mate pukupuku, ka aromatawai i tō hauora whānui
• Ngā tirotiro whakaahua: Ka āwhina ngā CT, MRI, PET scans ki te kimi i te mate pukupuku me te aromatawai i tōna horapa
• Biopsy: Ka tirotirohia te tauira kiko iti i raro i te microscope
• Ngā whakamātautau motuhake: Ka hoatu e te whakamātautau ira o ngā pūtau mate pukupuku ngā tohu maimoatanga

He mea nui te biopsy, nā te mea ka kōrero atu ki tō tākuta te momo pūtau mate pukupuku kei a koe. Ka taea e ngā hangarau taiwhanga matatau te kōrero i te wāhi i puta mai ai te mate pukupuku, ahakoa kāore e taea e te whakaahua te kimi i te mate pukupuku taketake.

Pea ka roa tēnei mahi i ngā wiki maha, ka āhei te āwangawanga. Kia mahara ko te whakamātautau tino pai ka āhei ai tō rōpū hauora te hanga i te mahere maimoatanga tino whai hua mō tō āhuatanga motuhake.

He aha te maimoatanga mō te carinoma kore kupu matua?

Ko te maimoatanga mō te CUP e arotahi ana ki te whakahaere i te mate pukupuku puta noa i tō tinana mā ngā rongoā e mahi ana ki te momo pūtau mate pukupuku kei a koe. Ka hanga e tō rōpū hauora he mahere whaiaro i runga i ngā āhuatanga o tō mate pukupuku me tō hauora whānui.

Pea ka whai koe i ēnei whiringa maimoatanga:

• Chemotherapy: Ngā rongoā e whai ana i ngā pūtau mate pukupuku puta noa i tō tinana
• Targeted therapy: Ngā rongoā i hangaia hei whakaeke i ngā āhuatanga motuhake o ō pūtau mate pukupuku
• Immunotherapy: Ngā maimoatanga e āwhina ana i tō pūnaha mate te whawhai i te mate pukupuku
• Radiation therapy: Ngā hihi kaha teitei e arotahi ana ki ngā wāhi motuhake kei reira te mate pukupuku
• Te pokanga: Te tango i ngā pupū e taea te whakauru atu, te whakaora rānei i ngā tohu

He tokomaha ngā tāngata e whiwhi ana i ngā maimoatanga whakakotahi, penei i te chemotherapy i muri i te radiation, maha atu rānei ngā rongoā e mahi tahi ana. Ka whakamārama tō oncologist he aha ngā maimoatanga motuhake i tūtohutia mō tō āhuatanga.

Ka taea te whakarerekē i ngā mahere maimoatanga i runga i tō whakautu me ētahi pānga ka kitea e koe. Ka tirotiro tata atu tō rōpū hauora i tō ahunga whakamua, ka whakarerekē i tō tiaki kia rite ki te hiahia hei hoatu i te hua pai rawa atu ki a koe.

Me pēhea te whakahaere i ō tohu i te kāinga i te wa o te maimoatanga?

Ko te whakahaere i ō tohu me ō pānga i te kāinga he mahi nui ki tō tiaki whānui. Ka āhei ngā rautaki ngāwari te āwhina i a koe kia pai ake te noho me te pupuri i tō kaha i te wa o te maimoatanga.

Ko ēnei ngā huarahi whai hua hei tautoko i tō oranga pai:

• Te kai: Kai i ngā kai iti, maha, ā, arotahi ki ngā kai e pai ana ki a koe
• Te inu wai: Inu nui te wai ki te kore e whakahau atu tō tākuta
• Te okioki: Whakatūpatohia te mahi me te moe, te okioki rānei
• Te whakakori ngāwari: Te hikoi māori, te whakatete rānei kia rite ki tō kaha
• Te whai i ngā tohu: Tuhia ngā kōrero mō te mamae, te ruaki, ētahi atu āwangawanga rānei

Mō ngā tohu motuhake, ka taea e tō rōpū hauora te tuku i ngā tohutohu motuhake. Ngā rongoā anti-nausea, ngā rautaki whakahaere mamae, ētahi atu maimoatanga tautoko rānei ka taea te whakapai ake i tō taumata pai.

Kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora ki te kino ake ngā tohu, ki te whanake rānei ngā raruraru hou. He wheako kei a rātou te āwhina i ngā tāngata ki te whakahaere i ēnei wero, e hiahia ana hoki ki te tautoko i a koe i te wa o te maimoatanga.

Me pēhea te whakarite mō ō hui tākuta?

Ko te whakarite mō ō hui ka āhei ai koe te whakamahi pai i tō wā me tō rōpū hauora. Ko te whakahaere pai ka āhei ai koe te tiki i ngā whakautu ki ō pūrongo, ka whakarite hoki kāore e warewarehia ngā mōhiohio nui.

I mua i ia haerenga, whakaarohia te mahi i ēnei:

• Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te aha e pai ake ai, te kino ake rānei
• Rārangihia ngā rongoā, ngā taapiri, ngā hua whakaora katoa e inu ana koe
• Whakaritehia ngā pūrongo mō tō whakatau, ngā whiringa maimoatanga, me te aha e tatari ana
• Kawea mai tētahi hoa whakawhirinaki, whānau rānei hei tautoko me te āwhina ki te mahara ki ngā mōhiohio
• Kohikohia ngā rēkōta hauora o mua, ngā hua whakamātautau, ngā rangahau whakaahua rānei

Kaua e manukanuka ki te maha rawa o ngā pūrongo. Kei te tumanako, kei te mihi hoki tō rōpū hauora ki tō hiahia mō tō āhuatanga me tō maimoatanga. Ko te mōhiotanga ki tō tiaki ka āhei ai koe te manaaki me te whakawhirinaki ki ō whakatau.

Whakaarohia te uiui mō ngā wa maimoatanga, ngā pānga pea, ngā whakarerekē noho, ngā rauemi rānei mō te tautoko atu. Kei te hiahia tō rōpū hauora ki te mahi tahi me koe i roto i tō tiaki.

He aha te mea nui mō te carinoma kore kupu matua?

Ko te mea nui rawa atu ki te mōhio mō te CUP ko te kore mōhio ki te puna tika o tō mate pukupuku kāore e aukati i te maimoatanga whai hua. He wheako nui kei a tō rōpū hauora te maimoatanga i tēnei āhuatanga me ngā huarahi motuhake maha e wātea ana.

Ka whakawhiwhia e te rongoā hou ngā whiringa maimoatanga maha ka taea te whakahaere i te CUP me te āwhina i te pupuri i tō kounga ora. He tokomaha ngā tāngata e whai kōrero nei e ora ana i ngā oranga tino nui, whai kiko i te whakahaere i tō rātou āhuatanga.

Kia mahara kāore koe i te kotahi i roto i tēnei haerenga. Kei reira tō rōpū hauora, whānau, hoa, ngā rōpū tautoko rānei hei āwhina i a koe ki te whakahaere i tēnei wero. Arotahi ki te tango i ngā mea kotahi te rā, me te whakanui i ngā wikitoria iti i te huarahi.

Ngā pūrongo e uiuihia pinepine ana mō te carinoma kore kupu matua

U1: He mutunga tonu te carinoma kore kupu matua?

Kāore, ehara te CUP i te mutunga tonu. Ahakoa he mate pukupuku whānui, he tokomaha ngā tāngata e ora ana mō ngā tau mā te maimoatanga tika. Ko ētahi momo CUP e whakautu pai ana ki te rongoā, ā, kei te haere tonu ngā maimoatanga hou ki te whakapai ake i ngā hua. Ko tō whakatau e whakawhirinaki ana ki ngā take maha tae atu ki te momo mate pukupuku, tō hauora whānui, me te pai o tō whakautu ki te maimoatanga.

U2: Ka kitea rānei e ngā tākuta te wāhi i tīmata ai toku mate pukupuku?

I etahi wā ka kitea te wāhi taketake i te wa o te maimoatanga, te whai i muri rānei, engari i ngā take maha, ka noho kore kupu puta noa i te kaupapa tiaki katoa. Kāore tēnei e pā kino ki tō whai hua maimoatanga. Ko tō rōpū hauora e arotahi ana ki te maimoatanga i ngā pūtau mate pukupuku ka taea te kitea, kāore i te whakapau wā ki te rapu i te wāhi taketake.

U3: Ka taea te aukati i te carinoma kore kupu matua?

Mai i te mea kāore i te tino mōhiotia ngā take tika, kāore he huarahi kī hei aukati i te CUP. Heoi, ka taea e koe te whakaiti i tō morearea mate pukupuku whānui mā te karo i te tapeka, te whakaiti i te inu waipiro, te pupuri i te taumaha hauora, te noho mahi tinana, te whai rānei i ngā aratohu tirotiro i tūtohutia mō ētahi atu mate pukupuku.

U4: E hā te roa o te maimoatanga mō te CUP?

Ka rereke te roa o te maimoatanga e whakawhirinaki ana ki tō āhuatanga motuhake me te pai o tō whakautu ki te rongoā. Ko ētahi tāngata e whiwhi ana i te maimoatanga mō ngā marama torutoru, ā, ko ētahi atu pea ka hiahia ki te maimoatanga tonu mō ngā tau. Ka kōrero atu tō oncologist i te wa e tatari ana mō tō mahere maimoatanga motuhake, ka whakarerekē hoki i runga i tō ahunga whakamua.

U5: Me whiwhi rānei ahau i tētahi atu whakaaro mō taku whakatau CUP?

Ko te whiwhi i tētahi atu whakaaro he mea tika tonu, he mea tūtohutia hoki mō ngā whakatau uaua penei i te CUP. He maha ngā kaupapa inihua e kapi ana i ngā whakaaro tuarua, ā, me tautoko tēnei whakatau e tō rōpū hauora o nāianei. Pea ka hoatu e te tirohanga hou ētahi atu whiringa maimoatanga, ka whakau rānei kei te whiwhi koe i te tiaki pai rawa atu.