He aha te mate pukupuku rōpū? Ngā tohu, ngā take, me te rongoā

Ko te mate pukupuku rōpū tētahi momo mate pukupuku e tīmata ana i te puku nui, e kiia ana hoki ko te rōpū. E tīmata ana ia hei ngā kōpū iti, ngā kōpū kore kino e kiia nei ko ngā polyp, ka taea te huri hei mate pukupuku i te wā.

E pā ana tēnei āhuatanga ki te wāhanga whakamutunga o tō huarahi kai, te wāhi e tukatuka ai tō tinana te paru i mua i te whakakorenga. Ahakoa ka raru pea te whakatau, he tino whakaora te mate pukupuku rōpū ina mau wawe, a he tokomaha ngā tāngata e ora tonu ana i muri i te rongoā.

He aha te mate pukupuku rōpū?

Ka whanake te mate pukupuku rōpū ina tipu haere koretake ngā pūtau i te rōpū, ka hanga ai ngā mate pukupuku. E rima waewae te roa o tō rōpū, ā, e āwhina ana i te tukatuka i ngā wāhanga whakamutunga o te kai mā te tango i te wai me te hanga i te paru.

Ko te nuinga o ngā mate pukupuku rōpū e tīmata ana hei ngā polyp adenomatous, he iti ngā tipu i te taha o roto o te rōpū. Ko te nuinga o ēnei polyp kāhore he kino, engari ka taea e ētahi te huri haere ki te mate pukupuku i roto i ngā tau maha. He mea pai tēnei whakawhānuitanga ata no te mea e homai ana e ia ngā wāhi ki ngā tākuta ki te kimi me te tango i ngā polyp i mua i te raru.

Ko ngā kupu “mate pukupuku rōpū” me “mate pukupuku colorectal” e whakamahia pinepine ana. Ko te mate pukupuku colorectal e whakauru ana i te mate pukupuku rōpū me te mate pukupuku tūtae, no te mea he rite ngā āhuatanga me ngā rongoā.

He aha ngā tohu o te mate pukupuku rōpū?

Ko te nuinga o te mate pukupuku rōpū i te tīmatanga kāhore he tohu e kitea ana, koia te take i nui ai te tirotiro whānui. Ina puta mai ngā tohu, ka rereke pea i runga i te rahi me te wāhi o te mate pukupuku.

Ko ēnei ngā tohu tino noa ka pā pea ki a koe:

• Ngā huringa i ngā tikanga o te whakapakaru e roa atu ana i ngā rā torutoru, tae atu ki te ruaki, te kōpū.
• Te toto i roto i tō paru, ka puta pea he whero marama, he pouri rawa.
• Te mamae o te kopu e mau tonu ana, tae atu ki te mamae, te hau, te mamae.
• Te ahua kāhore i tino whakapau i tō kōpū.
• Te ngaro o te taumaha kāhore he whakamātautau ki te ngaro i te taumaha.
• Te ngoikore, te ngenge kāhore e pai ake ki te okioki.
• Ngā paru angiangi atu i te noa.

Ko ētahi atu tohu kaore e tino kitea ko te ruaki, te ruaki, te ahua o te makona ahakoa he iti ngā kai. Ka pā pea ki ētahi te mate toto ngenge no te toto iti, roa, kāhore e kitea.

Kia mahara ko ēnei tohu ka nui atu ngā take atu i te mate pukupuku. Ka taea e ngā āhuatanga penei i te mate puku ngenge, ngā hemorrhoids, te mate rānei te whakaeke i ngā raruraru rite.

He aha ngā momo o te mate pukupuku rōpū?

Ko te nuinga o ngā mate pukupuku rōpū ko ngā adenocarcinomas, e whanake ana i ngā pūtau e hanga ana i te mucus i te taha o te rōpū. Ko tēnei momo e whakaatu ana i te 95% o ngā mate pukupuku rōpū katoa, ā, koia te tikanga o ngā tākuta ina kōrero ana rātou mō te rongoā mate pukupuku rōpū.

Ko ētahi atu momo kaore e tino kitea ko:

• Ngā mate pukupuku neuroendocrine, e whanake ana i ngā pūtau e whakaputa ana i te homoni.
• Ngā lymphomas, e tīmata ana i ngā pūtau pūnaha mate i roto i te rōpū.
• Ngā sarcomas, e tīmata ana i ngā oko toto, i ngā uaua rānei o te pakitara rōpū.
• Ngā mate pukupuku stromal gastrointestinal, e tīmata ana i ngā pūtau motuhake e kiia nei ko ngā pūtau interstitial o Cajal.

Ko ēnei momo kaore e tino kitea e hiahia ana ki ngā huarahi rongoā rerekē atu i ngā adenocarcinomas noa. Ka whakatau tō rōpū hauora te momo tika mā te whakamātautau biopsy, e āwhina ana i tō mahere rongoā motuhake.

He aha ngā take o te mate pukupuku rōpū?

Ka whanake te mate pukupuku rōpū ina puta mai ngā huringa DNA, ka tipu haere koretake ai ngā pūtau rōpū. Ahakoa kāhore tatou e tino mōhio ki te take o ēnei huringa, kua kitea e ngā kairangahau ngā take maha ka piki ai tō tūponotanga.

Ko ngā take me ngā take tūponotanga tino nui ko:

• Te tau - ko te nuinga o ngā keehi e puta ana ki ngā tāngata neke atu i te 50, ahakoa ka taea e ngā tāngata kōuri te whanake.
• Te hītori whānau o te mate pukupuku rōpū, polyp rānei.
• Ngā mate pārongo whakaū i te ira penei i te mate Lynch, te familial adenomatous polyposis rānei.
• Ngā mate puku mumura penei i te mate Crohn, te mate ulcerative colitis rānei.
• Te kai nui i te mīti whero me ngā kai tukatuka, iti te muka.
• Te kore o te mahi tinana whānui.
• Te momona, te taumaha nui rawa atu i te taha waenganui.
• Te whakakī te tapeka.
• Te inu waipiro nui.
• Te mate huka momo 2.

Ko te whai i tetahi take tūponotanga, te maha rānei o ngā take tūponotanga, kāhore e tikanga ka whanake koe i te mate pukupuku rōpū. He tokomaha ngā tāngata e whai ana i ngā take tūponotanga kāhore e whiwhi i te mate, ā, ko ētahi atu kāhore he take tūponotanga e mohiotia ana e whiwhi ana.

Nōhea te haere ki te tākuta mō ngā tohu mate pukupuku rōpū?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e ngā tohu kai e mau tonu ana neke atu i te rua wiki. Kaua e tatari kia kaha ngā tohu, no te mea ka pai ake te whakaora i te kitenga wawe.

Whakahaere he whakatau wawe ki te kite koe i:

• Te toto i roto i tō paru, te toto rānei i te tūtae.
• Ngā huringa nui i ngā tikanga o te whakapakaru.
• Te mamae o te kopu, te mamae rānei e mau tonu ana.
• Te ngaro o te taumaha kāhore he take.
• Te ngenge, te ngoikore rānei e mau tonu ana.

Rapua te awhina hauora wawe ki te pāngia koe e te mamae o te kopu, te ruaki e mau tonu ana, ngā tohu rānei o te aukati o te kopu penei i te kore e taea te tukuna te hau, te whakapakaru rānei. Ka taea e ēnei te tohu i tetahi āhuatanga hauora e hiahia ana ki te rongoā wawe.

He aha ngā take tūponotanga mō te mate pukupuku rōpū?

Ko te mārama ki ō take tūponotanga ka āwhina i a koe ki te whakatau i ngā whakatau mō te tirotiro me ngā whiringa oranga. Ko ētahi take kaore e taea e koe te whakahaere, ko ētahi atu ka taea e koe te whakahaere mā ō tikanga o ia rā.

Ko ngā take tūponotanga kaore e taea te whakahaere ko:

• Te tau - ka piki te tūponotanga i muri i te 50.
• Te hītori whānau o te mate pukupuku rōpū, polyp rānei.
• Te hītori whaiaro o ngā polyp, mate puku mumura rānei.
• Ngā mate pārongo whakaū i te ira.
• Te iwi - he nui ake te nui o ngā tāngata Pākehā.
• Te ira tangata - he nui ake te tūponotanga o ngā tāne i ngā wāhine.

Ko ngā take tūponotanga e pā ana ki te oranga ka taea te whakahaere:

• Te kai nui i te mīti whero me ngā mīti tukatuka.
• Te iti o te muka.
• Te noho noa.
• Te momona.
• Te whakakī tapeka.
• Te inu waipiro nui.

Ko te whai i ngā take tūponotanga maha kāhore e tikanga he mea kaua te mate pukupuku. He tokomaha ngā tāngata e whakaiti ana i ō rātou tūponotanga mā ngā whiringa oranga hauora me te tirotiro whānui. Ka taea e tō tākuta te awhina i te aromatawai i tō taumata tūponotanga takitahi me te tūtohutia ngā rautaki aukati e tika ana.

He aha ngā raruraru pea o te mate pukupuku rōpū?

Ko te nuinga o ngā tāngata e whai ana i te mate pukupuku rōpū i te tīmatanga e pāngia ana e ngā raruraru iti, ina koa me te rongoā wawe. Heoi, he mea pai te mārama ki ngā raruraru pea kia mōhio koe ki te mea me titiro, me kōrero rānei ki tō rōpū hauora.

Ko ngā raruraru noa pea ko:

• Te aukati o te whakapakaru ina aukati ngā mate pukupuku i te rōpū.
• Te pakaru, te haehae rānei i te pakitara rōpū.
• Te toto ka arahi ki te mate toto.
• Te horapa ki ngā pūtau lymph tata, ki ētahi atu okana rānei.
• Ngā pānga o te rongoā mai i te pokanga, te chemotherapy, te radiation rānei.

Ko ngā raruraru kaore e tino kitea engari he kino ko ngā mate kino, ngā toto toto, ngā raruraru kai nui rānei. Ka hiahia pea etahi ki tetahi kolostomi wā poto, ko te wā roa rānei, te wāhi e puta mai ai te paru mā te puka i te kopu.

Me pēhea te aukati i te mate pukupuku rōpū?

Ahakoa kaore e taea e koe te aukati i ngā keehi katoa o te mate pukupuku rōpū, ka taea e koe te whakaiti nui i tō tūponotanga mā te tirotiro whānui me ngā whiringa oranga hauora. Ko te arotahi o te aukati ki te kimi me te tango i ngā polyp i mua atu i te raru.

Ko ngā rautaki aukati tino whai hua ko:

• Te tirotiro whānui e tīmata ana i te tau 50, i mua atu rānei ki te whai koe i ngā take tūponotanga.
• Te kai i te kai e whai hua ana i ngā hua, ngā huawhenua, ngā witi katoa.
• Te whakaiti i te mīti whero me te karo i ngā mīti tukatuka.
• Te pupuri i te taumaha hauora.
• Te mahi tinana whānui - whakataurite ki te 30 meneti i te nuinga o ngā rā.
• Te kore e whakakī tapeka, te mutu rānei ki te whakakī tapeka inaianei.
• Te whakaiti i te inu waipiro.
• Te whakahaere i te mate huka ki te whai koe.

Ko ētahi rangahau e kī ana pea ka whakaiti te aspirin o ia rā i te tūponotanga o te mate pukupuku rōpū, engari me mahi tēnei i raro i te tirotiro hauora no te mea he tūponotanga o te toto.

Me pēhea te whakatau i te mate pukupuku rōpū?

Ko te whakatau i te mate pukupuku rōpū e tīmata ana i ngā whakamātautau tirotiro i ngā tāngata kāhore he tohu, i ngā whakamātautau whakatau rānei ina puta mai ngā tohu. Ko te paerewa koura mō te whakatau ko te colonoscopy, e taea ai e ngā tākuta te kite i te rōpū katoa me te tango i ngā kōpū whakapae.

Ko ngā huarahi whakatau noa ko:

• Colonoscopy - he pūpoi ngawari me te kamera e tirotiro ana i te rōpū katoa.
• CT colonography (virtual colonoscopy) - e whakamahi ana i ngā CT scan ki te hanga i ngā whakaahua rōpū.
• Flexible sigmoidoscopy - e tirotiro ana i te toru wāhanga o raro o te rōpū.
• Ngā whakamātautau paru e tirotiro ana i te toto, i ngā huringa DNA rānei.
• Biopsy - te tango i ngā tauira kōpū mō te tātaritanga taiwhanga.

Ki te kitea te mate pukupuku, ka whakatauhia e ngā whakamātautau atu te wā me te horapa. Ka taea e ēnei te whakauru i ngā CT scan o te uma me te kopu, ngā MRI scan, ngā PET scan, ngā whakamātautau toto rānei e ine ana i ngā tohu mate pukupuku penei i te CEA (carcinoembryonic antigen).

He aha te rongoā mō te mate pukupuku rōpū?

Ko te rongoā mate pukupuku rōpū e whakawhirinaki ana ki te wā, te wāhi, me tō hauora whānui. Ko te rongoā pai kua pai haere te rongoā i ngā tekau tau tata nei, ā, he tokomaha ngā tāngata e ora tonu ana, ina koa ina mau wawe te mate pukupuku.

Ko ngā whiringa rongoā matua ko:

• Te pokanga ki te tango i te mate pukupuku me ngā kōpū e karapoti ana.
• Te chemotherapy mā te whakamahi i ngā rongoā ki te whakangaro i ngā pūtau mate pukupuku.
• Te radiation therapy mā te whakamahi i ngā hihi kaha.
• Ngā rongoā whakawhāiti e whakaeke ana i ngā āhuatanga motuhake o ngā pūtau mate pukupuku.
• Te immunotherapy e āwhina ana i tō pūnaha mate ki te whawhai i te mate pukupuku.

Mō te mate pukupuku i te tīmatanga, ko te pokanga anake pea te whakaora. Ko ngā keehi tino whanake e whai hua ana i ngā rongoā whakakotahi. Ka hanga e tō rōpū onkologi tētahi mahere rongoā motuhake e whakawhirinaki ana ki tō āhuatanga motuhake.

Me pēhea te tango i te rongoā kāinga i te wā o te mate pukupuku rōpū?

Ko te whakahaere i te rongoā mate pukupuku rōpū i te kāinga e whakauru ana i te tautoko i te whakaora o tō tinana me te pupuri i te kounga oranga pai rawa atu. Ka homai e tō rōpū hauora ngā aratohu motuhake, engari ka taea e ngā rautaki whānui te awhina i a koe ki te pai ake te ngāwari me te kaha.

He mea nui te tautoko kai i te wā o te rongoā:

• Kai iti, maha ngā kai ki te raru ngā kai nui.
• Arotake ki ngā kai ngāwari ki te kai penei i te raihi, te panana, te totoa i te wā o te rongoā.
• Noho makuku ki te wai, ngā tii otaota, ngā wai mā.
• Tangohia ngā taapiringa kai i tohua ki te tūtohutia.
• Karohia ngā kai e whakaeke ana i tō pūnaha kai.

Te whakahaere i ngā pānga o te rongoā i te kāinga:

• Okioki ki te ngenge koe - e hiahia ana tō tinana ki te kaha ki te whakaora.
• Tangohia ngā rongoā anti-nausea i tohua.
• Whakamahia ngā hua tiaki kiri ngawari ki te whiwhi radiation.
• Whakamahia ngā tikanga whakaiti ahotea penei i te manawa hohonu, te whakaaroaro rānei.
• Noho hono atu ki te whānau me ngā hoa mō te tautoko ngākau.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite mō ngā whakatau hauora e āwhina ana i a koe ki te whiwhi i te mea pai rawa atu i tō wā me ngā kaiwhakarato hauora. Ko te whakahaere pai ka whakaiti i te manukanuka me te awhina i a koe ki te mahara ki ngā pātai me ngā mōhiohio nui.

I mua i tō whakatau, kohikohia:

• Rārangi o ngā tohu o nāianei me te wā me te kaha.
• Ngā rongoā katoa, ngā taapiringa, ngā huaora e tangohia ana e koe.
• Te hītori hauora whānau, ina koa ngā mate pukupuku.
• Ngā hua whakamātautau o mua, ngā rēkōta hauora rānei.
• Ngā mōhiohio inihua me te tohu ingoa.

Ngā pātai pea e hiahia ana koe ki te ui:

• He aha te wā o taku mate pukupuku, he aha te tikanga o tera?
• He aha ngā whiringa rongoā mōku?
• He aha ngā pānga ka tūmanako ahau?
• Me pēhea te pānga o te rongoā ki ōku mahi o ia rā?
• He aha taku whakatau?
• Me tirotirohia rānei taku whānau?

He aha te mea nui mō te mate pukupuku rōpū?

Ko te mea nui rawa atu hei mahara mō te mate pukupuku rōpū ko te tino whakaora, ina koa ina mau wawe mā te tirotiro whānui. He tokomaha ngā tāngata e wikitoria ana i tēnei whakatau me te ora tonu i ngā oranga hauora.

Ko te aukati mā te tirotiro tonu te parenga pai rawa atu mōu. Ko te tīmatanga o ngā colonoscopies whānui i te tau 50, i mua atu rānei ki te whai koe i ngā take tūponotanga, ka taea te hopu i ngā raruraru i mua i te kino.

Ngā Pātai E Ui Pinepinetia Ana Mō Te Mate Pukupuku Rōpū

P1: Ka taea e ngā tāngata kōuri te whiwhi mate pukupuku rōpū?

Ae, ahakoa kaore e tino kitea, ka taea e te mate pukupuku rōpū te puta ki ngā tāngata i raro i te 50. Kua piki haere te nui i ngā tāngata kōuri i ngā tau tata nei, ahakoa kāhore ngā tākuta i tino mōhio ki te take.

P2: He mate mate tonu te mate pukupuku rōpū?

Kāo, ehara te mate pukupuku rōpū i te mate mate tonu. Ina mau wawe, ka neke atu i te 90% te reiti ora rima tau. Ahakoa ngā keehi tino whanake e whai hua ana ki te rongoā. He tokomaha ngā tāngata e ora ana mō ngā tau maha, ngā tekau tau rānei i muri i te whakatau, ā, ko ētahi kua ora katoa.

P3: Nōhea te tirotiro mō te mate pukupuku rōpū?

Ko te nuinga o ngā tāngata me tīmata te tirotiro i te tau 50, me haere tonu i ngā tau 10 me te colonoscopy, i te maha atu rānei me ētahi atu whakamātautau. Ki te whai koe i te hītori whānau, i ētahi atu take tūponotanga rānei, ka tūtohu pea tō tākuta ki te tīmata i mua atu, ki te tirotiro whānui atu rānei.

P4: Ka hiahia ahau ki te putea kolostomi ki te whai ahau i te mate pukupuku rōpū?

Ko te nuinga o ngā tāngata e whai ana i te mate pukupuku rōpū kāhore e hiahia ki tetahi kolostomi pumau. Ina hiahiatia te pokanga, ka taea e ngā tākuta te hono anō i ngā wāhanga hauora o te rōpū. Ko ngā kolostomi wā poto e hiahiatia ana i etahi wā i te wā e whakaora ana, engari he mea noa te hunga pumau.

P5: Ka taea e ngā huringa kai te aukati i te mate pukupuku rōpū?

Ahakoa ka taea e ngā huringa kai te whakaiti i te tūponotanga, kāhore e taea e rātou te whakamana i te aukati. Ko te kai i te nui o ngā hua, ngā huawhenua, ngā witi katoa me te whakaiti i te mīti whero me ngā mīti tukatuka pea ka āwhina i te whakaiti i tō tūponotanga. Heoi, ko te tirotiro whānui tonu te huarahi tino whai hua ki te aukati i ngā mate mate pukupuku rōpū.