Karsinoma O Te Puranga Koroidi

Te mate pukupuku o te whatu choroid

Ko te mate pukupuku o te whatu choroid he momo mate pukupuku roro onge, e puta ana i ngā tamariki.

Ka tīmata te mate pukupuku o te whatu choroid hei tipu o ngā pūtau i te wāhanga o te roro e kiia nei ko te whatu choroid. Ko ngā pūtau i te whatu choroid te hunga e whakaputa ana i te wai e karapoti ana, e tiaki ana i te roro me te tuaiwi o te tuara. Ko te wai nei te wai o te roro, e mohiotia ana hoki ko te CSF. I te tipu o te mate pukupuku, ka taea e ia te whakaputa i te nui o te CSF ki te roro. Ka taea e tēnei te arahi ki ngā tohu pērā i te riri, te ruaki, me te mamae o te upoko.

Ko te rongoā me te tūponotanga o te ora ka whakawhirinaki ki ngā mea maha. Kei roto i ēnei te rāhi o te mate pukupuku, te wāhi, te horapa atu rānei, me te tau me te hauora whānui o tō tamaiti.

Ko te mate pukupuku o te whatu choroid te nuinga o ngā tamariki kei raro iho i te 2 tau te pakeke. Ko ngā whakamātautau me ngā tukanga e whakamahia ana hei whakatau i te mate pukupuku o te whatu choroid kei roto:

• Te whakamātautau neurological. I tēnei whakamātautau, ka whakamātauhia te tirohanga, te rongohanga, te toenga, te hononga, me ngā whakautu o tō tamaiti. Ka taea e tēnei te whakaatu i te wāhanga o te roro pea ka pā te mate pukupuku.
• Ngā whakamātautau whakaahua roro. Ko ngā whakamātautau hei hanga i ngā whakaahua o te roro o tō tamaiti pea kei roto i te MRI me te CT. Ka āwhina hoki te MRI i te rōpū hauora o tō tamaiti ki te whakarite i te pokanga.
• Ngā whakamātautau ira. Kei hono etahi mate pukupuku o te whatu choroid ki ētahi huringa ira e tukuna ana i roto i ngā whānau. Kei te wātea ngā whakamātautau hei tautuhi i ētahi ira. Pātai atu ki te kaiwhakarato hauora o tō tamaiti mō te whakamātautau ira me te tohutohu.

Ko te rongoā i ngā tamariki te nuinga o te rerekē mai i te rongoā i ngā pakeke. Ki te whiwhi tō tamaiti i te tautuhi o te mate pukupuku o te whatu choroid, pānui atu ki tō kaiwhakarato hauora kia tukuna koe ki te tohunga e tiaki ana i ngā tamariki e mate pukupuku roro ana. He uaua te whakahaere o tēnei mate pukupuku. Rapua he pokapū hauora he wheako tōna ki tēnei mate pukupuku, ā, ka taea te tuku i ngā kōwhiringa rongoā hou mō tō tamaiti.

Ko te rongoā o te mate pukupuku o te whatu choroid te nuinga o te pokanga, ka whai muri i te chemotherapy, te rongoā radiation, te rua rānei.

• Te pokanga. Ko te whāinga o te pokanga ko te tango i te mate pukupuku katoa, ki te taea. Engari, nā te mea kei tata ngā hanganga ngawari me ngā hanganga nui, kaore e taea e ngā tākuta te tiki i ngā pūtau mate pukupuku katoa. Ko ētahi atu rongoā te nuinga o te hiahiatia i muri i te pokanga.

  Ka taea e te pokanga te awhina i te whakaora i ngā tohu o te nui o te wai i te roro, e kiia ana hoki ko te hydrocephalus. I etahi wā, ka whakanohoia he waipiro wā poto i te wā o te pokanga hei tango i te wai nui atu.

• Chemotherapy. Ka whakamahi te chemotherapy i ngā rongoā hei whakamate i ngā pūtau mate pukupuku. Ka taea te whakamahi i te taapiri ki te pokanga me te rongoā radiation hei awhina i te whakahaere i te mate pukupuku. I etahi wā, ka mahia te chemotherapy i te wā kotahi me te rongoā radiation.

• Te rongoā radiation. Ka whakamahi te rongoā radiation i ngā kaupapa kaha hei whakamate i ngā pūtau mate pukupuku. Ka taea te puta mai o te kaha i ngā X-rays, ngā protons me ētahi atu puna. Ka āwhina ngā hangarau hou ki te whakaora i te mate pukupuku i te wā e tiaki ana i ngā kiko hauora. Ka taea te whakamahi i te radiation i muri i te pokanga, ahakoa i tangohia te mate pukupuku katoa. Ka taea hoki te whakamahi i te radiation i muri mai ki te tipu anō te mate pukupuku.

• Ngā whakamātautau hauora. Ko ngā whakamātautau hauora ngā ako mō ngā rongoā hou. Ka whakarato ēnei ako i te wā hei tamata i ngā rongoā hou. Pea kaore i te mohiotia te tūponotanga o ngā pānga. Kei ia whakamātautau ngā whakaritenga kaha e whai tikanga ana te tangata kia tutuki ai kia uru atu ki te whakamātautau. Pātai atu ki tō kaiwhakarato hauora mēnā ka taea e koe te uru atu ki te whakamātautau hauora.

Te pokanga. Ko te whāinga o te pokanga ko te tango i te mate pukupuku katoa, ki te taea. Engari, nā te mea kei tata ngā hanganga ngawari me ngā hanganga nui, kaore e taea e ngā tākuta te tiki i ngā pūtau mate pukupuku katoa. Ko ētahi atu rongoā te nuinga o te hiahiatia i muri i te pokanga.

Ka taea e te pokanga te awhina i te whakaora i ngā tohu o te nui o te wai i te roro, e kiia ana hoki ko te hydrocephalus. I etahi wā, ka whakanohoia he waipiro wā poto i te wā o te pokanga hei tango i te wai nui atu.

Ko ngā tohu me ngā pūāhua o te mate pūngāwerewere roro e whakaheke ana ki te rahi me te wāhi o te mate pūngāwerewere roro. Ka taea hoki e ngā tohu te whakawhirinaki ki te tere o te tipu o te mate pūngāwerewere roro, e kiia ana hoki ko te tohu o te mate pūngāwerewere. Ko ngā tohu me ngā pūāhua whānui e puta mai ana i ngā mate pūngāwerewere roro, ko ēnei pea: Te mamae o te mahunga, te pehanga rānei i te mahunga e kino ake ana i te ata. Ngā mamae o te mahunga e puta ake ana i te nuinga o ngā wā, ā, ka kitea he kino ake. Ngā mamae o te mahunga e whakaahuatia ana i etahi wā hei mamae o te ngākau, te migraines rānei. Te ruaki, te whakaōho rānei. Ngā raruraru o te kanohi, pēnei i te tirohanga māreikura, te kite rua rānei, te ngaro o te tirohanga i ngā taha o tō tirohanga. Te ngaro o te āhua, te nekehanga rānei i te ringa, te waewae rānei. Te raruraru ki te taurite. Ngā raruraru kōrero. Te ngenge rawa. Te whakapohehe i ngā mea o ia rā. Ngā raruraru mahara. Te raruraru ki te whai i ngā whakahau ngāwari. Ngā huringa o te ahua, o te whāinga rānei. Ngā hopu, ina koa ki te kore he hītori o ngā hopu. Ngā raruraru whakarongo. Te wiri, te āhua rānei e hurihuri ana te ao, e kiia ana hoki ko te vertigo. Te hiakai rawa me te piki o te taumaha. Ko ngā mate pūngāwerewere roro kaore i te pūngāwerewere e whakaputa ana i ngā tohu e tipu haere ana i te ngāwari. Ko ngā mate pūngāwerewere roro kaore i te pūngāwerewere e kiia ana hoki ko ngā mate pūngāwerewere roro pai. Ka puta pea ngā tohu ngawari kaore koe e kite i te tīmatanga. Ka kino pea ngā tohu i roto i ngā marama, i ngā tau rānei. Ko ngā mate pūngāwerewere roro pūngāwerewere e whakaputa ana i ngā tohu e kino haere ana i te tere. Ko ngā mate pūngāwerewere roro pūngāwerewere e kiia ana hoki ko ngā mate pūngāwerewere roro, ngā mate pūngāwerewere roro kino rānei. Ka puta mai ngā tohu ka puta mai i te tere. Ka kino haere i roto i ngā rā, i ngā wiki rānei. Ko te mamae o te mahunga te tohu tino noa o ngā mate pūngāwerewere roro. Ko te mamae o te mahunga e puta ana ki te tata ki te hawhe o te hunga e pangia ana e ngā mate pūngāwerewere roro. Ka puta pea te mamae o te mahunga ki te pehi te mate pūngāwerewere roro e tipu ana i ngā pūtau hauora e karapotia ana e ia. Rānei ka taea e te mate pūngāwerewere roro te whakaputa i te pupuhi i te roro e whakapiki ana i te pehanga i te mahunga, ā, ka ārahi ki te mamae o te mahunga. Ko te mamae o te mahunga e puta mai ana i ngā mate pūngāwerewere roro e kino ake ana i te nuinga o ngā wā i te whakamātautanga i te ata. Engari ka taea te puta i tetahi wā. Ko ētahi tāngata e mamae ana te mahunga e whakaoho ana i a rātou i te moe. Ko ngā mamae o te mahunga e puta mai ana i te mate pūngāwerewere roro e whakaputa ana i te mamae e kino ake ana i te kōhinga, te ngāka rānei. Ko te nuinga o te hunga e pangia ana e ngā mate pūngāwerewere roro e kōrero ana ko te mamae o te mahunga e rite ana ki te mamae o te ngākau. Ko ētahi e kī ana ko te mamae o te mahunga e rite ana ki te migraine. Ko ngā mate pūngāwerewere roro i muri o te mahunga ka puta pea he mamae o te mahunga me te mamae o te kaki. Ki te puta te mate pūngāwerewere roro i mua o te mahunga, ka rite pea te mamae o te mahunga ki te mamae o te kanohi, te mamae rānei o te sinuses. Ko te wahi matua o te roro e kiia ana ko te cerebrum. Ko ngā mate pūngāwerewere roro i ngā wāhanga rerekē o te cerebrum ka puta pea ngā tohu rerekē. Ngā mate pūngāwerewere roro i mua o te roro. Ko ngā lobes frontal kei mua o te roro. Ka whakahaeretia e rātou te whakaaro me te nekehanga. Ko ngā mate pūngāwerewere roro frontal lobe ka puta pea ngā raruraru taurite me te raruraru ki te haere. Ka puta pea ngā huringa o te ahua, pēnei i te wareware me te kore o te hiahia ki ngā mahi noa. I etahi wā ka kitea e ngā whānau ko te tangata e pangia ana e te mate pūngāwerewere roro e rerekē ana. Ngā mate pūngāwerewere roro i waenganui o te roro. Ko ngā lobes parietal kei te taha waenganui o runga o te roro. Ka āwhina rātou ki te tukatuka i ngā korero mō te pa, te reka, te kakara, te tirohanga me te whakarongo. Ko ngā mate pūngāwerewere roro parietal lobe ka puta pea ngā raruraru e pā ana ki ngā pūāhua. Ko ngā tauira ko ngā raruraru tirohanga me ngā raruraru whakarongo. Ngā mate pūngāwerewere roro i muri o te roro. Ko ngā lobes occipital kei muri o te roro. Ka whakahaeretia e rātou te tirohanga. Ko ngā mate pūngāwerewere roro occipital lobe ka puta pea te ngaro o te tirohanga. Ngā mate pūngāwerewere roro i raro o te roro. Ko ngā lobes temporal kei ngā taha o te roro. Ka tukatukahia e rātou ngā mahara me ngā pūāhua. Ko ngā mate pūngāwerewere roro temporal lobe ka puta pea ngā raruraru mahara. Ka puta pea te kite, te reka, te kakara rānei i tetahi mea kaore i reira. I etahi wā, ko te reka, te kakara rānei e kore e pai, e rerekē rānei. Whakahaere rāhui ki tō kaiwhakarato hauora ki te whai koe i ngā tohu me ngā pūāhua mau tonu e manukanuka ana koe.

Whakatau rā hui me tō kaiwhakarato hauora mena kei a koe ngā tohu me ngā tohu tohe e awangawanga ana koe.

Ko ngā pūngāwerewere o te roro e tīmata ana hei tipu o ngā pūtau i te roro ka kiia he pūngāwerewere matua o te roro. Āe rawa pea ka tīmata i roto i te roro, i te kōpū rānei e tata ana. Ko te kōpū tata pea ka uru atu ngā kiri e hipoki ana i te roro, e kiia nei ko ngā meninges. Ka puta hoki ngā pūngāwerewere o te roro ki ngā ngongo, ki te pūtake pituitary, ki te pūtake pineal hoki. Ka puta ngā pūngāwerewere o te roro ina whiwhi ngā pūtau i roto, i te taha rānei o te roro i ngā huringa i roto i tō rātou DNA. Ko te DNA o te pūtau te pupuri i ngā tohutohu e kī ana ki te pūtau he aha tāna mahi. Ko ngā huringa e kī ana ki ngā pūtau kia tipu tere, kia ora tonu hoki ina mate ngā pūtau hauora hei wāhanga o tō rātou huringa ora noa. Ka hanga tēnei i te tini o ngā pūtau atu i te roro. Ka taea e ngā pūtau te hanga i te tipu e kiia nei he pūngāwerewere. Kāo te mārama he aha ngā take o ngā huringa DNA e ārahi ana ki ngā pūngāwerewere o te roro. Mō te tini o te hunga he pūngāwerewere o te roro, kāo te mōhiotia te take. I etahi wā ka tukuna e ngā mātua ngā huringa DNA ki ō rātou tamariki. Ka taea e ngā huringa te whakapiki ake i te tūponotanga o te whiwhi pūngāwerewere o te roro. He onge enei pūngāwerewere o te roro i tukuna mai i ngā mātua. Mēnā he hītori whānau o ngā pūngāwerewere o te roro tōu, kōrerohia ki tō kaiwhakarato hauora. Āe pea ka whakaaro koe ki te tūtaki ki tētahi kaiwhakarato hauora kua whakangungua ki ngā tikanga ira ki te mārama mēnā kei te whakapiki ake tō hītori whānau i tō tūponotanga ki te whiwhi pūngāwerewere o te roro. Ina puta ngā pūngāwerewere o te roro ki ngā tamariki, he tino pūngāwerewere matua pea rātou. I ngā pakeke, he tino mate pūngāwerewere pea ngā pūngāwerewere o te roro i tīmata i tetahi atu wāhi, ka horapa ki te roro. Ka puta ngā pūngāwerewere tuarua o te roro ina tīmata te mate pūngāwerewere i tetahi atu wāhi, ka horapa ki te roro. Ina horapa te mate pūngāwerewere, ka kiia he mate pūngāwerewere morearea. Ka taea e tetahi mate pūngāwerewere te horapa ki te roro, engari ko ngā momo noa ko: Te mate pūngāwerewere o te u. Te mate pūngāwerewere o te kōroke. Te mate pūngāwerewere o te whatukuhu. Te mate pūngāwerewere o te pūkahukahu. Te melanoma. Kāo te mārama he aha ngā take e horapa ai etahi mate pūngāwerewere ki te roro, ā, he tino horapa atu ki ētahi atu wāhi. Ko ngā pūngāwerewere tuarua o te roro te nuinga o te wā ka puta ki te hunga he hītori mate pūngāwerewere. He onge, he pūngāwerewere roro pea te tohu tuatahi o te mate pūngāwerewere i tīmata i tetahi atu wāhi o te tinana. I ngā pakeke, he tino noa ake ngā pūngāwerewere tuarua o te roro i ngā pūngāwerewere matua o te roro.

I te nuinga o te hunga e whai mate pūngāwerewere roro matua ana, kāo te take e mārama ana. Engari kua kitea e ngā tākuta etahi take pea ka piki ake te tūpono. Ko ngā take tūpono e whai ake nei: Tau. Ka taea e ngā mate pūngāwerewere roro te puta i tetahi tau, engari ka tino puta i ngā pakeke. Ko ētahi mate pūngāwerewere roro e pā ana ki ngā pakeke. Ko ētahi mate pūngāwerewere roro ka tino puta i ngā tamariki. Iwi. Ka taea e te tangata te whiwhi mate pūngāwerewere roro. Engari ko ētahi momo mate pūngāwerewere roro he tino noa i ngā tāngata o ētahi iwi. Hei tauira, he tino noa ngā gliomas i ngā Pākehā. He tino noa ngā meningiomas i ngā tāngata Pango. Te whakamahinga ki te radiation. Ko te hunga kua whakamahinga ki te momo radiation kaha he nui ake te tūpono o te mate pūngāwerewere roro. Ko tēnei radiation kaha e kiia nei ko te radiation ionizing. He kaha te radiation kia puta ai ngā huringa DNA i roto i ngā pūtau o te tinana. Ka taea e ngā huringa DNA te arahi ki ngā mate pūngāwerewere me ngā mate pukupuku. Ko ngā tauira o te radiation ionizing e whai ake nei ko te rongoā radiation e whakamahia ana hei whakaora i te mate pukupuku me te whakamahinga radiation i puta mai i ngā pūkaha ngākau. Kaore te radiation iti mai i ngā mea o ia rā e hono atu ki ngā mate pūngāwerewere roro. Ko ngā taumata iti o te radiation e whai ake nei ko te kaha e puta mai ana i ngā waea pūkoro me ngā ngaru reo. Kāore he mārama e whakaatu ana te whakamahinga o ngā waea pūkoro e puta ai ngā mate pūngāwerewere roro. Engari kei te puta tonu ngā rangahau kia tino mōhio. Ngā mate pūngāwerewere e piki ake ai te tūpono o te mate pūngāwerewere roro. Ko ētahi huringa DNA e piki ake ai te tūpono o te mate pūngāwerewere roro e rere ana i roto i ngā whānau. Ko ngā tauira e whai ake nei ko ngā huringa DNA e puta ai te neurofibromatosis 1 me te 2, te tuberous sclerosis, te mate Lynch, te mate Li-Fraumeni, te mate Von Hippel-Lindau, te familial adenomatous polyposis, te mate Cowden, me te mate Gorlin.

Kaore he uauatanga

Kāore he huarahi hei ārai i ngā mate pukupuku roro. Ki te pāngia koe e te mate pukupuku roro, kāore koe i mahi i tetahi mea hei whakaeke i taua mate. Ko ngā tāngata kei te nui ake te tūponotanga o te mate pukupuku roro pea ka whakaaro ki ngā whakamātautau whakamātautau. Kāore te whakamātautau hei ārai i te mate pukupuku roro. Engari pea ka āwhina te whakamātautau ki te kimi i te mate pukupuku roro ina iti tonu, ā, ka nui ake te angitu o te maimoatanga. Ki te whai koe i te hītori whānau o te mate pukupuku roro, i ngā mate pūngao e whakapiki ake ana i te tūponotanga o te mate pukupuku roro, kōrerotia ki tō kaiwhakarato hauora. Pea ka whakaaro koe ki te tūtaki ki tetahi kaitohutohu irahiko, ki ētahi atu kaiwhakarato hauora kua whakangungua ki ngā kaupapa irahiko. Ka taea e tēnei tangata te āwhina i a koe ki te mārama ki tō tūponotanga me ngā huarahi hei whakahaere i taua tūponotanga. Hei tauira, pea ka whakaaro koe ki ngā whakamātautau whakamātautau mo te mate pukupuku roro. Pea ka uru atu ki te whakamātautau te whakamātautau whakaahua, te whakamātautau neurological hei whakamātautau i tō tirohanga, tō rongohanga, tō toenga, tō hononga me ō whakautu.

Ko te tātaritanga MRI whakapakari-whakapae o te upoko o te tangata e whakaatu ana i te meningioma. Kua tupu nui te meningioma nei kia pehia ki raro ki roto i te kiko o te roro.

Whakaahua mate pukupuku roro

Ki te whakaaro to kaiwhakarato hauora kei te mate koe i te mate pukupuku roro, ka hiahia koe ki te maha o nga whakamatautau me nga tukanga hei whakapumau. Ka uru pea enei ki:

• Te whakamatautau neurological. Ka whakamatautauhia e te whakamatautau neurological nga waahanga rereke o to roro kia kitea me pehea te mahi. Ka uru pea tenei whakamatautau ki te tirotiro i to tirohanga, te whakarongo, te toenga, te hononga, te kaha me nga whakaata. Ki te raru koe i tetahi waahanga, he tohu tenei mo to kaiwhakarato hauora. Kaore te whakamatautau neurological e kitea he mate pukupuku roro. Engari ka awhina i to kaiwhakarato ki te mohio ki te waahanga o to roro pea kei te raru.

• Te tātaritanga CT o te upoko. Ka whakamahi te tātaritanga computed tomography, e kiia ana hoki ko te tātaritanga CT, i nga X-rays hei hanga pikitia. Kei te waatea whānui, a ka hoki mai nga hua i te tere. Na, ko te CT pea te whakamatautau whakaahua tuatahi ka mahia mena he mamae o te upoko koe, he tohu ranei e maha nga take pea. Ka taea e te tātaritanga CT te kitea nga raruraru i roto i to roro me tetahi atu. Ka hoatu e nga hua ki to kaiwhakarato hauora nga tohu hei whakatau i te whakamatautau hei mahi i muri mai. Ki te whakaaro to kaiwhakarato kei te whakaatu to tātaritanga CT i te mate pukupuku roro, pea ka hiahia koe ki te MRI roro.

• Te tātaritanga PET o te roro. Ka taea e te tātaritanga positron emission tomography, e kiia ana hoki ko te tātaritanga PET, te kite i etahi mate pukupuku roro. Ka whakamahi te tātaritanga PET i te tohu whakahihiko ka werohia ki roto i te uaua. Ka haere te tohu puta noa i te toto ka piri ki nga pūtau mate pukupuku roro. Ka whakaatu te tohu i nga pūtau mate pukupuku i runga i nga pikitia i tangohia e te mīhini PET. Ko nga pūtau e wehewehe ana, e whakaputa ana i te tere ka tango i te nuinga o te tohu.

  Ka tino awhina pea te tātaritanga PET mo te kite i nga mate pukupuku roro e tupu ana i te tere. Ko etahi tauira ko nga glioblastomas me etahi oligodendrogliomas. Ko nga mate pukupuku roro e tupu ana i te ngawari pea kaore e kitea i runga i te tātaritanga PET. Ko nga mate pukupuku roro kaore i te mate pukupuku ka tupu noa i te ngawari, na reira ka iti ake te whakamahi o nga tātaritanga PET mo nga mate pukupuku roro pai. Kaore te katoa o te hunga e mate ana i te mate pukupuku roro e hiahia ana ki te tātaritanga PET. Patai atu ki to kaiwhakarato hauora mena ka hiahia koe ki te tātaritanga PET.

• Ko te kohikohi i te tauira o te kiko. Ko te biopsy roro he tukanga hei tango i te tauira o te kiko mate pukupuku roro hei whakamatautau i roto i te taiwhanga. I te nuinga o te wa ka whiwhi te taote i te tauira i te wa o te pokanga hei tango i te mate pukupuku roro.

  Ki te kore e taea te pokanga, ka tangohia pea he tauira ma te ngira. Ko te tango i te tauira o te kiko mate pukupuku roro ma te ngira ka mahia ma te tukanga e kiia nei ko te biopsy ngira stereotactic.

  I tenei tukanga, ka keria he rua iti ki te angaanga. Ka werohia he ngira angiangi puta noa i te rua. Ka whakamahia te ngira hei tango i te tauira kiko. Ka whakamahia nga whakamatautau whakaahua penei i te CT me te MRI hei whakamahere i te huarahi o te ngira. Kaore koe e rongo i tetahi mea i te wa o te biopsy na te mea ka whakamahia te rongoa hei whakahaumaru i te rohe. I te nuinga o te wa ka whiwhi koe i te rongoa e whakanoho ana i a koe ki tetahi ahuatanga moe-rite kia kaua e mohio.

  Pea ka whiwhi koe i te biopsy ngira kaua ko te pokanga mena kei te manukanuka to ropu hauora kei te kino pea te mahi ki tetahi waahanga nui o to roro. Pea ka hiahiatia he ngira hei tango i te kiko mai i te mate pukupuku roro mena kei te waahi uaua te mate pukupuku ki te tae atu ma te pokanga.

  Kei te biopsy roro te morearea o nga raruraru. Ko nga morearea ko te toto i roto i te roro me te kino o te kiko o te roro.

• Te whakamatautau i te tauira kiko i roto i te taiwhanga. Ka tukuna te tauira biopsy ki te taiwhanga hei whakamatautau. Ka taea e nga whakamatautau te kite mena he pūtau mate pukupuku, he pūtau kaore ranei i te mate pukupuku. Ko te ahua o nga pūtau i raro i te microscope ka korero ki to ropu hauora te tere o te tipu o nga pūtau. E kiia ana tenei ko te tohu o te mate pukupuku roro. Ka taea e etahi atu whakamatautau te kimi i nga huringa DNA kei roto i nga pūtau. Ka awhina tenei i to ropu hauora ki te hanga i to mahere maimoatanga.

MRI roro. Ka whakamahi te whakaahua whakaata maikuku, e kiia ana hoki ko te MRI, i nga maikuku kaha hei hanga pikitia o roto o te tinana. I te nuinga o te wa ka whakamahia te MRI hei kite i nga mate pukupuku roro na te mea ka whakaatu i te roro kia marama atu i era atu whakamatautau whakaahua.

I te nuinga o te wa ka werohia he tae ki roto i te uaua i te ringa i mua i te MRI. Ka hanga e te tae nga pikitia marama ake. Ka ngawari ake te kite i nga mate pukupuku iti. Ka taea te awhina i to ropu hauora ki te kite i te rereketanga i waenga i te mate pukupuku roro me te kiko roro hauora.

I etahi wa ka hiahia koe ki tetahi momo MRI motuhake hei hanga pikitia taipitopito ake. Ko tetahi tauira ko te MRI mahi. Ka whakaatu tenei MRI motuhake i nga waahanga o te roro e whakahaere ana i te korero, te neke me etahi atu mahi nui. Ka awhina tenei i to kaiwhakarato hauora ki te whakamahere i te pokanga me etahi atu maimoatanga.

Ko tetahi atu whakamatautau MRI motuhake ko te spectroscopy whakaata maikuku. Ka whakamahi tenei whakamatautau i te MRI hei ine i nga taumata o etahi matū i roto i nga pūtau mate pukupuku. Ko te nui rawa atu, te iti rawa ranei o nga matū pea ka korero ki to ropu hauora mo te momo mate pukupuku roro kei a koe.

Ko te perfusion whakaata maikuku tetahi atu momo MRI motuhake. Ka whakamahi tenei whakamatautau i te MRI hei ine i te nui o te toto i roto i nga waahanga rereke o te mate pukupuku roro. Ko nga waahanga o te mate pukupuku e nui ana te toto pea ko nga waahanga tino mahi o te mate pukupuku. Ka whakamahi to ropu hauora i tenei korero hei whakamahere i to maimoatanga.

Te tātaritanga PET o te roro. Ka taea e te tātaritanga positron emission tomography, e kiia ana hoki ko te tātaritanga PET, te kite i etahi mate pukupuku roro. Ka whakamahi te tātaritanga PET i te tohu whakahihiko ka werohia ki roto i te uaua. Ka haere te tohu puta noa i te toto ka piri ki nga pūtau mate pukupuku roro. Ka whakaatu te tohu i nga pūtau mate pukupuku i runga i nga pikitia i tangohia e te mīhini PET. Ko nga pūtau e wehewehe ana, e whakaputa ana i te tere ka tango i te nuinga o te tohu.

A ka tino awhina pea te tātaritanga PET mo te kite i nga mate pukupuku roro e tupu ana i te tere. Ko etahi tauira ko nga glioblastomas me etahi oligodendrogliomas. Ko nga mate pukupuku roro e tupu ana i te ngawari pea kaore e kitea i runga i te tātaritanga PET. Ko nga mate pukupuku roro kaore i te mate pukupuku ka tupu noa i te ngawari, na reira ka iti ake te whakamahi o nga tātaritanga PET mo nga mate pukupuku roro pai. Kaore te katoa o te hunga e mate ana i te mate pukupuku roro e hiahia ana ki te tātaritanga PET. Patai atu ki to kaiwhakarato hauora mena ka hiahia koe ki te tātaritanga PET.

Ko te kohikohi i te tauira o te kiko. Ko te biopsy roro he tukanga hei tango i te tauira o te kiko mate pukupuku roro hei whakamatautau i roto i te taiwhanga. I te nuinga o te wa ka whiwhi te taote i te tauira i te wa o te pokanga hei tango i te mate pukupuku roro.

Ki te kore e taea te pokanga, ka tangohia pea he tauira ma te ngira. Ko te tango i te tauira o te kiko mate pukupuku roro ma te ngira ka mahia ma te tukanga e kiia nei ko te biopsy ngira stereotactic.

I tenei tukanga, ka keria he rua iti ki te angaanga. Ka werohia he ngira angiangi puta noa i te rua. Ka whakamahia te ngira hei tango i te tauira kiko. Ka whakamahia nga whakamatautau whakaahua penei i te CT me te MRI hei whakamahere i te huarahi o te ngira. Kaore koe e rongo i tetahi mea i te wa o te biopsy na te mea ka whakamahia te rongoa hei whakahaumaru i te rohe. I te nuinga o te wa ka whiwhi koe i te rongoa e whakanoho ana i a koe ki tetahi ahuatanga moe-rite kia kaua e mohio.

Pea ka whiwhi koe i te biopsy ngira kaua ko te pokanga mena kei te manukanuka to ropu hauora kei te kino pea te mahi ki tetahi waahanga nui o to roro. Pea ka hiahiatia he ngira hei tango i te kiko mai i te mate pukupuku roro mena kei te waahi uaua te mate pukupuku ki te tae atu ma te pokanga.

Kei te biopsy roro te morearea o nga raruraru. Ko nga morearea ko te toto i roto i te roro me te kino o te kiko o te roro.

Ka tohaina te tohu o te mate pukupuku roro ina whakamatautauria nga pūtau mate pukupuku i roto i te taiwhanga. Ka korero te tohu ki to ropu hauora te tere o te tipu me te whakaputa o nga pūtau. Ko te tohu e ahu mai ana i te ahua o nga pūtau i raro i te microscope. Ko nga tohu mai i te 1 ki te 4.

Ko te mate pukupuku roro tohu 1 e tupu ana i te ngawari. Kaore nga pūtau e tino rereke i nga pūtau hauora e tata ana. I te piki haere o te tohu, ka puta nga huringa ki nga pūtau kia timata ai te rereketanga. Ko te mate pukupuku roro tohu 4 e tupu ana i te tere. Kaore nga pūtau e rite ki nga pūtau hauora e tata ana.

Kaore he wahanga mo nga mate pukupuku roro. Kei etahi atu momo mate pukupuku nga wahanga. Mo enei atu momo mate pukupuku, ka whakaatu te wahanga i te whānuitanga o te mate pukupuku me te horapa atu ranei. Kaore pea nga mate pukupuku roro me nga mate pukupuku roro e horapa, na reira kaore he wahanga.

Ka whakamahi to ropu hauora i nga korero katoa mai i o whakamatautau whakamatautau hei mohio ki to whakatau. Ko te whakatau ko te tino pea ka taea te whakaora i te mate pukupuku roro. Ko nga mea ka awe i te whakatau mo te hunga e mate ana i te mate pukupuku roro ko:

• Te momo mate pukupuku roro.
• Te tere o te tipu o te mate pukupuku roro.
• Kei hea te mate pukupuku roro i roto i te roro.
• Ko wai nga huringa DNA kei roto i nga pūtau mate pukupuku roro.
• Mena ka taea te tango katoa i te mate pukupuku roro ma te pokanga.
• To hauora whānui me to oranga pai.

Ki te hiahia koe ki te mohio atu mo to whakatau, korero atu ki to ropu hauora.

Ko te rongoā mō te mate pūngao o te roro e whakamahere ana i te mea he mate pūngao roro te mate pūngao, he kore ranei e mate pūngao, e kiia ana hoki ko te mate pūngao pai o te roro. Ko ngā whiringa rongoā e whakamahere ana hoki i te momo, te rāhi, te tohu me te wāhi o te mate pūngao o te roro. Ko ngā whiringa pea ko te pokanga, te rongoā radiation, te radiosurgery, te chemotherapy me te rongoā whāinga. I te whakaaro ki ō whiringa rongoā, ka whakaaro hoki tō rōpū hauora ki tō hauora whānui me ō hiahia. Ka taea pea te kore e hiahiatia te rongoā i te wa poto. Ka taea pea te kore e hiahiatia e koe te rongoā i te wa poto ki te iti te mate pūngao o tō roro, ehara hoki i te mate pūngao, ā, kāore hoki e pāngia e ngā tohu. Ka taea pea te kore e tipu ngā mate pūngao iti, pai rānei o te roro, ka taea rānei te tipu haere māmā kia kore ai e pāngia e ngā raruraru. Ka taea pea e koe te whakamahi i ngā tātaritanga MRI o te roro i te torutoru o ngā wā i te tau hei tirotiro i te tipu o te mate pūngao o te roro. Ki te tipu haere te mate pūngao o te roro atu i te mea i whakaarohia, ki te whāiti rānei koe i ngā tohu, ka hiahiatia pea e koe te rongoā. I roto i te pokanga endoscopic transnasal transsphenoidal, ka whakanohoia he taputapu pokanga mā te ihu me te taha o te septum ihu hei uru atu ki te mate pūngao pituitary. Ko te whāinga o te pokanga mō te mate pūngao o te roro ko te tango i ngā pūtau mate pūngao katoa. Kāore e taea te tango i te mate pūngao katoa. Ki te taea, ka mahi te taote ki te tango i te nui o te mate pūngao o te roro e taea ai te mahi haumaru. Ka taea te whakamahi i te pokanga tango mate pūngao roro hei rongoā i ngā mate pūngao roro me ngā mate pūngao pai o te roro. He iti ngā mate pūngao o te roro, he ngāwari ki te wehe atu i te kiko roro e karapoti ana. Ka tino pea ka tangohia katoatia te mate pūngao. Kāore e taea te wehe atu i ngā mate pūngao o te roro atu i te kiko e karapoti ana. I etahi wā, kei te taha o tetahi wāhanga nui o te roro te mate pūngao o te roro. Ka raru pea te pokanga i tēnei wāhi. Ka tango pea te taote i te nui o te mate pūngao e haumaru ana. Ko te tango i tetahi wāhanga o te mate pūngao o te roro i etahi wā e kiia ana ko te resection subtotal. Ka taea te awhina i te tango i tetahi wāhanga o tō mate pūngao o te roro ki te whakaiti i ō tohu. He maha ngā huarahi hei mahi i te pokanga tango mate pūngao roro. Ko tehea whiringa te pai mōu e whakamahere ana i tō āhuatanga. Ko ētahi tauira o ngā momo pokanga mate pūngao roro ko:

• Te tango i tetahi wāhanga o te anga o te anga hei haere ki te mate pūngao o te roro. Ko te pokanga roro e pā ana ki te tango i tetahi wāhanga o te anga o te anga e kiia ana ko te craniotomy. Ko te huarahi tenei i te nuinga o ngā mahi tango mate pūngao roro. Ka whakamahia te Craniotomy hei rongoā i ngā mate pūngao roro me ngā mate pūngao pai o te roro. Ka tapahia e te taote tō kiri. Ka nekehia te kiri me ngā uaua atu i te ara. Katahi ka whakamahi te taote i te mīti hei tapahi i tetahi wāhanga o te iwi anga. Ka tangohia te wheua hei uru atu ki te roro. Ki te hohonu te mate pūngao i roto i te roro, ka taea te whakamahi i te taputapu hei pupuri māori i te kiko roro hauora atu i te ara. Ka tapahia te mate pūngao roro ki ngā taputapu motuhake. I etahi wā ka whakamahia ngā lasers hei whakangaro i te mate pūngao. I te wa o te pokanga, ka whiwhi koe i te rongoā hei whakangā i te rohe kia kore ai koe e rongo i tetahi mea. Ka hoatu ano ki a koe te rongoā e whakanoho ana i a koe ki tetahi āhua moe i te wa o te pokanga. I etahi wā ka oho koe i te wa o te pokanga roro. E kiia ana tenei ko te pokanga roro oho. I te wa e oho ana koe, ka ui pea te taote i ngā pātai ka aroturuki i te mahi i roto i tō roro i a koe e whakautu ana. Ka āwhina tenei ki te whakaiti i te tūponotanga o te whara i ngā wāhanga nui o te roro. I te mutunga o te pokanga tango mate pūngao, ka waiho te wāhanga o te iwi anga ki tō wahi.
• Te whakamahi i te pūtau roa, angiangi hei haere ki te mate pūngao o te roro. Ko te pokanga roro endoscopic e pā ana ki te whakanoho i te pūtau roa, angiangi ki te roro. Ko te pūtau e kiia ana ko te endoscope. Kei te pūtau he raupapa o ngā karāhe rānei he kamera iti e tuku pikitia ana ki te taote. Ka whakanohoia ngā taputapu motuhake mā te pūtau hei tango i te mate pūngao. Ko te pokanga roro endoscopic te nuinga o te wā e whakamahia ana hei rongoā i ngā mate pūngao pituitary. Ko ēnei mate pūngao e tipu ana i muri i te kohanga ihu. Ka whakanohoia te pūtau roa, angiangi mā te ihu me ngā sinuses ki te roro. I etahi wā ka whakamahia te pokanga roro endoscopic hei tango i ngā mate pūngao roro i ētahi atu wāhanga o te roro. Ka taea e te taote te whakamahi i te mīti hei hanga i te rua i te anga o te anga. Ka whakanohohia te pūtau roa, angiangi ki te kiko roro. Ka haere tonu te pūtau kia tae ra ano ki te mate pūngao o te roro. Te tango i tetahi wāhanga o te anga o te anga hei haere ki te mate pūngao o te roro. Ko te pokanga roro e pā ana ki te tango i tetahi wāhanga o te anga o te anga e kiia ana ko te craniotomy. Ko te huarahi tenei i te nuinga o ngā mahi tango mate pūngao roro. Ka whakamahia te Craniotomy hei rongoā i ngā mate pūngao roro me ngā mate pūngao pai o te roro. Ka tapahia e te taote tō kiri. Ka nekehia te kiri me ngā uaua atu i te ara. Katahi ka whakamahi te taote i te mīti hei tapahi i tetahi wāhanga o te iwi anga. Ka tangohia te wheua hei uru atu ki te roro. Ki te hohonu te mate pūngao i roto i te roro, ka taea te whakamahi i te taputapu hei pupuri māori i te kiko roro hauora atu i te ara. Ka tapahia te mate pūngao roro ki ngā taputapu motuhake. I etahi wā ka whakamahia ngā lasers hei whakangaro i te mate pūngao. I te wa o te pokanga, ka whiwhi koe i te rongoā hei whakangā i te rohe kia kore ai koe e rongo i tetahi mea. Ka hoatu ano ki a koe te rongoā e whakanoho ana i a koe ki tetahi āhua moe i te wa o te pokanga. I etahi wā ka oho koe i te wa o te pokanga roro. E kiia ana tenei ko te pokanga roro oho. I te wa e oho ana koe, ka ui pea te taote i ngā pātai ka aroturuki i te mahi i roto i tō roro i a koe e whakautu ana. Ka āwhina tenei ki te whakaiti i te tūponotanga o te whara i ngā wāhanga nui o te roro. I te mutunga o te pokanga tango mate pūngao, ka waiho te wāhanga o te iwi anga ki tō wahi. Te whakamahi i te pūtau roa, angiangi hei haere ki te mate pūngao o te roro. Ko te pokanga roro endoscopic e pā ana ki te whakanoho i te pūtau roa, angiangi ki te roro. Ko te pūtau e kiia ana ko te endoscope. Kei te pūtau he raupapa o ngā karāhe rānei he kamera iti e tuku pikitia ana ki te taote. Ka whakanohoia ngā taputapu motuhake mā te pūtau hei tango i te mate pūngao. Ko te pokanga roro endoscopic te nuinga o te wā e whakamahia ana hei rongoā i ngā mate pūngao pituitary. Ko ēnei mate pūngao e tipu ana i muri i te kohanga ihu. Ka whakanohoia te pūtau roa, angiangi mā te ihu me ngā sinuses ki te roro. I etahi wā ka whakamahia te pokanga roro endoscopic hei tango i ngā mate pūngao roro i ētahi atu wāhanga o te roro. Ka taea e te taote te whakamahi i te mīti hei hanga i te rua i te anga o te anga. Ka whakanohohia te pūtau roa, angiangi ki te kiko roro. Ka haere tonu te pūtau kia tae ra ano ki te mate pūngao o te roro. Ko te pokanga hei tango i te mate pūngao o te roro he tūponotanga o ngā pānga taha me ngā raruraru. Ka uru atu ēnei ki te mate, te toto, ngā toto toto me te whara ki te kiko roro. Ka taea pea te whakawhirinaki atu ki ētahi atu tūponotanga ki te wāhanga o te roro kei reira te mate pūngao. Hei tauira, ko te pokanga i te mate pūngao e tata ana ki ngā ngongo e hono ana ki ngā kanohi pea he tūponotanga o te ngaro o te tirohanga. Ko te pokanga hei tango i te mate pūngao i te ngongo e whakahaere ana i te rongonga ka taea te ngaro o te rongonga. Ko te rongoā radiation mō ngā mate pūngao roro e whakamahi ana i ngā kaupapa kaha o te kaha hei whakamate i ngā pūtau mate pūngao. Ka taea te haere mai te kaha i ngā X-rays, ngā protons me ētahi atu puna. Ko te rongoā radiation mō ngā mate pūngao roro e haere mai ana i te mīhini i waho o te tinana. E kiia ana tenei ko te radiation o waho. He iti rawa, ka taea te whakanoho i te radiation ki roto i te tinana. E kiia ana tenei ko te brachytherapy. Ka taea te whakamahi i te rongoā radiation hei rongoā i ngā mate pūngao roro me ngā mate pūngao pai o te roro. Ko te rongoā radiation o waho e mahia ana i ngā rongoā iti o ia rā. Ko te mahere rongoā noa pea ka uru ki te whai rongoā radiation e rima rā i te wiki mō te 2 ki te 6 wiki. Ka taea e te radiation o waho te aro ki te rohe o tō roro kei reira te mate pūngao, ka taea rānei te tono ki tō roro katoa. Ko te nuinga o te hunga he mate pūngao roro ka whai radiation e āta whai ana ki te rohe e karapoti ana i te mate pūngao. Ki te maha ngā mate pūngao, pea ka hiahiatia e te roro katoa te rongoā radiation. I te wa e rongoātia ana te roro katoa, e kiia ana ko te radiation o te roro katoa. Ko te radiation o te roro katoa te nuinga o te wā e whakamahia ana hei rongoā i te mate pūngao e horapa ana ki te roro mai i tetahi atu wāhanga o te tinana ka hanga i ngā mate pūngao maha i te roro. I mua, ko te rongoā radiation e whakamahi ana i ngā X-rays, engari ko tetahi momo hou o tēnei rongoā e whakamahi ana i te kaha mai i ngā protons. Ka taea te āta whai i ngā kaupapa proton ki te whara noa i ngā pūtau mate pūngao. Ka iti pea te tūponotanga o te whara i te kiko hauora e tata ana. Ka taea te awhina i te rongoā proton hei rongoā i ngā mate pūngao roro i ngā tamariki. Ka taea hoki te awhina i te rongoā i ngā mate pūngao e tata ana ki ngā wāhanga nui o te roro. Kāore te rongoā proton i te wātea nui penei i te rongoā radiation X-ray noa. Ko ngā pānga taha o te rongoā radiation mō ngā mate pūngao roro e whakamahere ana i te momo me te horo o te radiation e whiwhi ana koe. Ko ngā pānga taha noa e puta ana i te wa o te rongoā, i muri tonu rānei ko te ngenge, ngā mamae o te mahunga, te ngaro o te mahara, te whakaheke o te kiri o te mahunga me te ngaro o te makawe. I etahi wā ka puta ngā pānga taha o te rongoā radiation i muri i ngā tau maha. Ko ēnei pānga taha o muri pea ka uru ki ngā raruraru mahara me te whakaaro. Ko te hangarau stereotactic radiosurgery e whakamahi ana i ngā raina gamma iti maha hei tuku i te horo tika o te radiation ki te whāinga. Ko te stereotactic radiosurgery mō ngā mate pūngao roro he momo rongoā radiation kaha. Ka āta whakatakoto i ngā kaupapa radiation mai i ngā kokonga maha ki te mate pūngao roro. Kāore i te kaha rawa te kaupapa ia kaupapa. Engari ko te pito kei reira ngā kaupapa e tūtaki ana ka whiwhi i te horo nui rawa o te radiation e whakamate ana i ngā pūtau mate pūngao. Ka taea te whakamahi i te Radiosurgery hei rongoā i ngā mate pūngao roro me ngā mate pūngao pai o te roro. He momo hangarau rerekē e whakamahia ana i te radiosurgery hei tuku radiation hei rongoā i ngā mate pūngao roro. Ko ētahi tauira ko:
• Te radiosurgery tereina tereina. Ko ngā mīhini tereina tereina e kiia ana hoki ko ngā mīhini LINAC. Ko ngā mīhini LINAC e mohiotia ana mā ō rātou ingoa waitohu, penei i te CyberKnife, TrueBeam me ētahi atu. Ko te mīhini LINAC e āta whakatakoto ana i ngā kaupapa kaha i te wa kotahi mai i ngā kokonga rerekē maha. Ko ngā kaupapa i hangaia mai i ngā X-rays.
• Te radiosurgery Gamma Knife. Ko te mīhini Gamma Knife e āta whakatakoto ana i ngā kaupapa radiation iti maha i te wa kotahi. Ko ngā kaupapa i hangaia mai i ngā raina gamma.
• Te radiosurgery proton. Ko te radiosurgery proton e whakamahi ana i ngā kaupapa i hangaia mai i ngā protons. Ko te momo hou tenei o te radiosurgery. Kei te noho noa haere, engari kāore i te wātea i ngā hōhipera katoa. Ko te Radiosurgery te nuinga o te wā e mahia ana i tetahi rongoā, i te torutoru rānei o ngā rongoā. Ka taea e koe te haere ki te kāinga i muri i te rongoā, kāore hoki e hiahiatia kia noho koe i te hōhipera. Ko ngā pānga taha o te radiosurgery ko te ngenge rawa me ngā huringa kiri i tō mahunga. Ka maroke pea te kiri o tō mahunga, ka ngau, ka pāngia. Ka taea pea e koe te pupuhi i te kiri, te ngaro rānei o te makawe. I etahi wā, ko te ngaro o te makawe he mau tonu. Ko te Chemotherapy mō ngā mate pūngao roro e whakamahi ana i ngā rongoā kaha hei whakamate i ngā pūtau mate pūngao. Ka taea te tango i ngā rongoā chemotherapy i te ahua o te papa rānei ka werohia ki te uaua. I etahi wā ka whakanohoia te rongoā chemotherapy ki te kiko roro i te wa o te pokanga. Ka taea te whakamahi i te Chemotherapy hei rongoā i ngā mate pūngao roro me ngā mate pūngao pai o te roro. I etahi wā ka mahia i te wa kotahi me te rongoā radiation. Ko ngā pānga taha o te Chemotherapy e whakamahere ana i te momo me te horo o ngā rongoā e whiwhi ana koe. Ka taea e te Chemotherapy te pāngia e te ruaki, te ruaki me te ngaro o te makawe. Ko te rongoā whāinga mō ngā mate pūngao roro e whakamahi ana i ngā rongoā e whakaeke ana i ngā matū motuhake kei roto i ngā pūtau mate pūngao. Mā te aukati i ēnei matū, ka taea e ngā rongoā whāinga te whakamate i ngā pūtau mate pūngao. He rongoā rongoā whāinga e wātea ana mō ētahi momo mate pūngao roro me ngā mate pūngao pai o te roro. Ka taea pea te whakamātautau i ō pūtau mate pūngao roro hei tirotiro mena ka āwhina pea te rongoā whāinga ki a koe. I muri i te rongoā, pea ka hiahiatia e koe te awhina hei whakahoki i te mahi i te wāhanga o tō roro i te mate pūngao. Ka hiahiatia pea e koe te awhina ki te neke, te kōrero, te kite me te whakaaro. I runga i ō hiahia motuhake, ka taea pea e tō kaiwhakarato hauora te kōrero:
• Te rongoā tinana hei awhina i a koe ki te whakahoki i ngā pūkenga motuka ngaro, te kaha rānei o te uaua.
• Te rongoā mahi hei awhina i a koe ki te hoki ki ō mahi o ia rā, tae atu ki te mahi.
• Te rongoā kōrero hei awhina ki te uaua te kōrero.
• Te ako mō ngā tamariki kura hei awhina i a rātou ki te whakatau i ngā huringa i roto i ō rātou mahara me te whakaaro. Rehita kore utu ka whiwhi i ngā mea hou mo te rongoā mate pūngao roro, te whakamātautau me te pokanga. Te hono wehe i te īmēra. He iti te rangahau i mahia mo ngā rongoā mate pūngao roro tāpiri me ngā rongoā rerekē. Kāore he rongoā rerekē i whakamāramahia hei whakaora i ngā mate pūngao roro. Heoi, ka taea e ngā rongoā tāpiri te awhina i a koe ki te whakatau i te ahotea o te whakamātautau mate pūngao roro. Ko ētahi rongoā tāpiri ka taea te awhina i a koe ki te whakatau ko:
• Te rongoā toi.
• Te whakakori tinana.
• Te whakaaroaro.
• Te rongoā waiata.
• Ngā whakakorikori whakahāwea. Kōrero ki tō rōpū hauora mō ō whiringa. Ka kī ētahi i te whakamātautau mate pūngao roro he nui te pānga, he wehi. Ka taea pea te whakaaro he iti tō mana whakahaere i tō hauora. Ka āwhina pea te mahi i ngā mahi hei mārama ki tō āhuatanga me te kōrero mō ō ngā kare. Whakaarohia te tamata ki te:
• Ako i te nui mō ngā mate pūngao roro hei whakatau i ngā whakatau mō tō tiaki. Ui ki tō kaiwhakarato hauora mō tō momo mate pūngao roro motuhake. Ui mō ō whiringa rongoā, me te mea e pai ana koe, tō whakatau. I a koe e ako ana i te nui ake mō ngā mate pūngao roro, ka pai pea koe ki te mahi i ngā whakatau rongoā. Rapua ngā korero mai i ngā puna pono, penei i te American Cancer Society me te National Cancer Institute.
• Pupuri i ngā hoa me te whānau tata. Ko te pupuri i ō hononga tata kaha ka āwhina i a koe ki te whakatau i tō mate pūngao roro. Ka taea e ngā hoa me te whānau te tuku i te tautoko mahi e hiahia ana koe, penei i te awhina ki te tiaki i tō kāinga ki te noho koe i te hōhipera. Ka taea hoki e rātou te mahi hei tautoko ngākau i te wa e pāngia ana koe e te mate pūngao.
• Rapua tetahi hei kōrero atu. Rapua tetahi kaiwhakarongo pai e hiahia ana ki te whakarongo ki a koe e kōrero ana mō ō tumanakohanga me ō wehi. Ka taea pea tēnei he hoa, he mema whānau, he mema whakaminenga rānei. Ui ki tō rōpū hauora kia kōrerohia he kaiāwhina rānei he kaimahi pāpori hauora ka taea e koe te kōrero atu. Ui ki tō rōpū hauora mō ngā rōpū tautoko mate pūngao roro kei tō rohe. Ka taea te awhina ki te ako me pēhea te whakatau a ētahi atu kei tō āhuatanga ki ngā raruraru hauora uaua. Rapua tetahi hei kōrero atu. Rapua tetahi kaiwhakarongo pai e hiahia ana ki te whakarongo ki a koe e kōrero ana mō ō tumanakohanga me ō wehi. Ka taea pea tēnei he hoa, he mema whānau, he mema whakaminenga rānei. Ui ki tō rōpū hauora kia kōrerohia he kaiāwhina rānei he kaimahi pāpori hauora ka taea e koe te kōrero atu. Ui ki tō rōpū hauora mō ngā rōpū tautoko mate pūngao roro kei tō rohe. Ka taea te awhina ki te ako me pēhea te whakatau a ētahi atu kei tō āhuatanga ki ngā raruraru hauora uaua.

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