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

Ko te mate pukupuku pūtau Hurthle tētahi momo mate pukupuku tairoirī onge ka puta mai i ngā pūtau motuhake i roto i tō tairoirī e kiia nei ko ngā pūtau Hurthle. He nui ake ēnei pūtau i ngā pūtau tairoirī noa, ā, he maha atu ngā mitochondria, arā, ngā whare hiko iti e hoatu ana te kaha ki ngā pūtau.

Ko tēnei mate pukupuku e 3-5% o ngā mate pukupuku tairoirī katoa, na, ahakoa he onge, ka āwhina te mārama ki a koe ki te kite i ngā tohu pea i te tīmatanga. Ko te rongo pai, he maha ngā take e tipu haere ana i te ngāwari, ā, ka whakautu pai ki te rongoā ina kitea i te wā.

He aha ngā tohu o te mate pukupuku pūtau Hurthle?

Ko ngā wāhanga tīmatanga o te mate pukupuku pūtau Hurthle e kore nei e tino kitea ngā tohu, koia te take i nui ai ngā tirotiro auau. Ki te puta mai ngā tohu, ka honotia rātou ki ngā huringa i roto i tō rohe kaki, i te mahi rānei o tō tairoirī.

Ko ēnei ngā tohu tino noa hei titiro:

• He pupū, he whākōkī rānei i roto i tō kaki ka taea te kite
• Te uaua ki te horomia, he mea rānei e mau ana i roto i tō korokoro
• Te reo kōre, te huringa reo rānei e kore e ngaro
• Te mamae i tō kaki, i tō korokoro rānei
• Ngā pūwai lymph pupū i tō kaki
• Te mare i te kore e hono atu ki te mate huka

Ko ētahi atu tangata ka pāngia e ngā tohu onge ake, pēnei i te ngaro taimaha whakamārama kore, te ngenge, te māhana rānei.

Kia mahara, ka taea hoki e ēnei tohu te puta mai i te maha atu o ngā āhuatanga kore kino. Ki te whai koe i tētahi tohu, i te maha rānei o ēnei tohu, ehara tena i te tikanga kei a koe te mate pukupuku, engari he mea tika kia kōrero ki tō tākuta.

He aha ngā take o te mate pukupuku pūtau Hurthle?

E kore e tino mōhiotia te take pono o te mate pukupuku pūtau Hurthle, engari e whakapono ana ngā kairangahau ka puta mai ina huri ngā pūtau Hurthle noa i roto i tō tairoirī. Ka puta ēnei huringa i te tipu me te tini o ngā pūtau kaore e taea te whakahaere.

He maha ngā take pea e āwhina ana ki ēnei huringa pūtau:

• Te whakamahinga o te radiation i mua, ina koa ki te rohe o te ulu me te kaki
• Ngā huringa ira tuku iho e rere ana i roto i ngā whānau
• Te whai i ētahi atu āhuatanga tairoirī pēnei i te goiter, i ngā pūtau tairoirī rānei
• Te kore o te iodine, te nui rānei i roto i tō kai
• Ngā huringa pūtau e pā ana ki te tau

I roto i ngā take onge, ka taea e te mate pukupuku pūtau Hurthle te whakauru ki ngā mate ira tuku iho. Ka whakauruhia ēnei āhuatanga pēnei i te mate Cowden, te mate Carney rānei, e whakapiki ana i te tūpono o te whanake i ngā momo mate pukupuku.

Ko te nuinga o ngā tāngata e whānau ana i tēnei mate pukupuku kaore he take tūpono e mohiotia ana, na, he mea nui kia kaua e whakahe ki a koe ki te whiwhi koe i tēnei whakatau.

He aha ngā take tūpono mō te mate pukupuku pūtau Hurthle?

Ka taea e ētahi take te whakapiki i ō tūpono ki te whanake i te mate pukupuku pūtau Hurthle, ahakoa te whai i ngā take tūpono kaore e whakamana ka whiwhi koe i te mate. Ka āwhina te mārama ki a koe me tō tākuta ki te whakatau i ngā whakatau whakamārama mō te tirotiro me te aukati.

Ko ēnei ngā take tūpono matua:

• Ko te wahine (e 3-4 wā te tūpono o ngā wāhine ki te whanake)
• Te tau i waenga i te 40-60 tau, ahakoa ka taea te puta i tetahi tau
• Te hītori o te whakamahinga radiation, ina koa i te tamarikitanga
• Te hītori whānau o te mate pukupuku tairoirī, i ētahi atu mate ira tuku iho rānei
• Te whai i ngā āhuatanga tairoirī pai pēnei i te multinodular goiter
• Te noho i ngā wāhi e kore ai te iodine

Ko ētahi atu take tūpono onge ake ko te whai i te hītori o te mate pukupuku u, te whakamahinga o te pungarehu pū, i ētahi atu mahi whakamahinga kemikara rānei. Heoi, ko te nuinga o ngā tāngata e whai ana i ēnei take tūpono kaore e whānau i te mate pukupuku tairoirī.

Ki te whai koe i ngā take tūpono maha, ka tūtohutia pea e tō tākuta ngā tirotiro tairoirī auau, engari ehara tena i te tikanga me manukanuka koe.

Nōhea te haere ki te tākuta mō te mate pukupuku pūtau Hurthle?

Me whakapiri atu koe ki tō tākuta ki te kite koe i ngā huringa mau tonu i roto i tō rohe kaki, i tō reo rānei e roa atu i te rua wiki. Ka whakapiki ake te kite wawe i te whai hua o te rongoā, ā, ka hoatu ki a koe te hua pai rawa.

Ina koa, whakapiri atu ki tō kaiwhakarato hauora ki te pāngia koe e:

• He pupū hou i tō kaki e kore e ngaro
• Ngā huringa reo, te reo kōre rānei e roa atu i te rua wiki
• Te uaua ki te horomia e kino haere ana i te wā
• Te mamae kaki whakamārama kore
• Ngā pūwai lymph pupū e kore e pai ake

Ki te whai koe i te hītori whānau o te mate pukupuku tairoirī, i te whakamahinga rānei o te radiation, whakahuahia tēnei ki tō tākuta ahakoa kaore koe e whai tohu. Ka tūtohutia pea e rātou ngā tirotiro auau hei whakamaramatanga.

Kaua e tatari ki te manukanuka koe ki ngā huringa i roto i tō tinana. Ka taea e tō tākuta te mahi i ngā whakamātautau ngāwari hei whakatau mena he hiahia ki te aromatawai atu, ā, ko te nuinga o ngā pupū tairoirī ka puta mai he pai.

Me pēhea te whakatau i te mate pukupuku pūtau Hurthle?

Ko te whakatau i te mate pukupuku pūtau Hurthle e whakauru ana i ngā mahi maha, te tīmatanga me te whakamātautau tinana, te neke atu rānei ki ngā whakamātautau motuhake. Ka mahi tahi tō tākuta i te huarahi pūnaha hei whiwhi i te whakaahua marama o te mea e puta ana.

Ko te tukanga whakatau e whakauru ana i te nuinga:

1. Te whakamātautau tinana o tō kaki me tō korokoro
2. Ngā whakamātautau toto hei tirotiro i ō taumata homoni tairoirī
3. Te ultrasound o tō tairoirī
4. Te biopsy aspiration ngira pai hei tirotiro i ngā pūtau
5. Ngā whakamātautau whakaahua atu pēnei i te CT, i te MRI rānei ki te hiahiatia

Ko te biopsy aspiration ngira pai te whakamātautau tino nui mō te whakatau. I roto i tēnei mahi, ka whakamahi tō tākuta i te ngira angiangi hei tango i te tauira iti o ngā pūtau mai i te rohe e whakapaetia ana.

I etahi wa, ka whakaatu pea te biopsy tīmatanga i ngā pūtau "whakapae" kaua ki te hoatu i te whakatau mate pukupuku. I ēnei take, ka tūtohutia pea e tō tākuta te tango pokanga o te pūtau tairoirī mō te tirotiro taipitopito atu.

Ko te tukanga whakatau katoa e toru wiki pea te roa, ā, ka aratohu tō rōpū hauora ki a koe i ia waahanga i te wā e whakamōhiotia ana koe ki ngā hua.

He aha te rongoā mō te mate pukupuku pūtau Hurthle?

Ko te rongoā mō te mate pukupuku pūtau Hurthle e whakauru ana i te pokanga hei huarahi matua, ka whai ake pea ngā rongoā atu hei whakarite i te hua pai. Ka whakaritea tō mahere rongoā ki tō āhuatanga motuhake, tae atu ki te rahi me te wā o te mate pukupuku.

Ko ēnei ngā kōwhiringa rongoā matua:

• Thyroidectomy (te tango pokanga o tetahi wāhanga, i te katoa rānei o te tairoirī)
• Te rongoā iodine radiation hei whakangaro i ngā pūtau tairoirī e toe ana
• Te rongoā whakakapi homoni tairoirī
• Te rongoā radiation o waho i etahi wā
• Te rongoā rongoā āta whai pānga mō ngā take whanake

Ko te nuinga o ngā tāngata e whai ana i te mate pukupuku pūtau Hurthle ka hiahia ki te thyroidectomy katoa, arā, te tango i te tairoirī katoa. Koinei te take i te mea he nui ake te hora o ngā mate pukupuku pūtau Hurthle i roto i te tairoirī i te atu mate pukupuku tairoirī.

I muri i te pokanga, me tango e koe te rongoā whakakapi homoni tairoirī mō te toenga o tō oranga. Ka whakakapi tēnei rongoā i ngā homoni e whakaputa ana tō tairoirī i te tikanga, ā, ka āwhina i te aukati i te hokinga mai o te mate pukupuku.

Ka tūtohutia pea e tō oncologist te rongoā iodine radiation, ahakoa kaore ngā mate pukupuku pūtau Hurthle i te whakautu pai ki tēnei rongoā i te atu mate pukupuku tairoirī.

He aha ngā raruraru pea o te mate pukupuku pūtau Hurthle?

Ahakoa he maha ngā tāngata e whai ana i te mate pukupuku pūtau Hurthle e tino pai ana ki te rongoā, he mea nui te mārama ki ngā raruraru pea kia taea ai te mahi tahi me tō rōpū hauora hei aroturuki me te whakahaere i a rātou.

Ko ēnei ngā raruraru e pā ana ki te rongoā:

• Te reo kōre wā poto, te roa rānei mai i te kino o te nerve i te wā o te pokanga
• Ngā taumata kōhatu iti ki te pāngia ngā pūtau parathyroid
• Te uaua ki te whakahaere i ngā taumata homoni tairoirī
• Te ngenge i te wā e whakarite ana ki te rongoā whakakapi homoni
• Te hanganga kiko pōka i te wāhi pokanga

Ko ngā raruraru e pā ana ki te mate pukupuku he onge ake, engari ka whakauruhia te hora ki ngā pūwai lymph tata, i roto rānei i ngā take onge, ki ngā whekau tawhiti pēnei i ngā pūkahukahu, i ngā wheua rānei. He nui ake te tūpono o tēnei ki te whakatauhia te mate pukupuku i te wā whanake.

Ko ētahi tāngata ka pāngia e ngā pānga hinengaro pēnei i te manukanuka mō te hokinga mai, te uaua rānei ki te whakarite ki te oranga i muri i te rongoā mate pukupuku. He mea noa ēnei ngākau, ā, kei te wātea te tautoko.

Ka aroturuki tata tō rōpū hauora ki a koe mō ngā raruraru, ā, ka hoatu he rongoā tere ki te puta mai.

Me pēhea te aukati i te mate pukupuku pūtau Hurthle?

Heoi, kaore he huarahi whakamana hei aukati i te mate pukupuku pūtau Hurthle, no te mea kaore e tino mōhiotia ngā take katoa e puta ai. Heoi, ka taea e koe te tango i ngā mahi hei whakaiti i tō tūpono, hei hopu rānei i ngā raruraru i te tīmatanga.

Ko ēnei ngā mahi aukati ka taea e koe te whakaaro:

• Te karo i te whakamahinga radiation koretake, ina koa ki tō ulu me tō kaki
• Te pupuri i te kai rite me te kai tika o te iodine
• Te whiwhi i ngā tirotiro auau ki te whai koe i ngā take tūpono
• Te ako ki te mahi i ngā whakamātautau kaki
• Kaua e whakakī, no te mea ka whakapiki pea i te tūpono o te mate pukupuku tairoirī

Ki te whai koe i te hītori whānau o te mate pukupuku tairoirī, i ngā mate ira tuku iho rānei e whakapiki ana i tō tūpono, ka āwhina pea te tohutohu ira. Ka taea e te kaiwhakaako ira te āwhina ki a koe ki te mārama ki tō tūpono motuhake, ki te kōrero rānei mō ngā rautaki tirotiro tika.

Mō ngā tāngata e whai ana i te tūpono ira tino teitei, ka tūtohutia pea e ētahi tākuta te tango tairoirī aukati, engari he whakatau uaua tēnei e hiahia ana ki te whakaaro nui ki ngā painga me ngā tūpono.

Ko te mea tino nui ka taea e koe ko te noho mataara ki ngā huringa i roto i tō tinana, me te pupuri i te kōrero auau me tō kaiwhakarato hauora.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te rongoā?

Ko te whakahaere i ngā tohu me ngā pānga i te kāinga ka taea te āwhina i a koe ki te pai ake te noho i te wā o te rongoā me te ora. Ka taea e ngā rautaki ngāwari te whakapiki i te rerekētanga i tō mātauranga o ia rā me tō oranga katoa.

Mō te tiaki muri-pokanga, ka taea e koe:

• Te pupuri i tō incision kia ma, kia maroke hoki penei i te tohutohu
• Te whakamahi i ngā putea huka hei whakaiti i te pupū me te kore ngāwari
• Te moe me tō ulu teitei hei whakaiti i te pupū
• Te tango i ngā rongoā mamae kua tohua penei i te tohutohu
• Te mahi i ngā mahi kaki ngāwari penei i te tūtohutanga a tō tākuta

Ki te pāngia koe e te ngenge mai i ngā whakaritenga taumata homoni, ngana ki te pupuri i te wā moe auau, me te whakauru ki te mahi tinana māmā penei i te whakamanawanui. He maha ngā tāngata e kite ana ka pai ake ō rātou taumata kaha ina rite te rongoā whakakapi homoni.

Mō ngā huringa reo, te reo kōre rānei, okioki i tō reo ki te taea, kia pai te inu wai. Ka āwhina pea te rongoā reo ki te mau tonu ngā raruraru reo i muri i te pokanga.

Whakapiri atu tonu ki tō rōpū hauora ki te pāngia koe e te mamae nui, ngā tohu o te mate, te uaua ki te manawa, i ētahi atu tohu rānei e manukanuka ana koe.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tākuta ka taea te āwhina i a koe ki te whiwhi i te hua pai rawa atu i tō haerenga, me te whakarite kua whakautuhia ngā āwangawanga katoa. Ko te tango i etahi meneti hei whakarite i ō whakaaro me ngā korero i mua ka whakapiki ake i te hua o te hui.

I mua i tō hui, kohikohia ēnei korero:

• Rārangi o ngā rongoā me ngā tāpiri katoa o nāianei
• Te hītori whānau o te tairoirī, i ētahi atu mate pukupuku rānei
• Te wā i kite tuatahi ai koe i ngā tohu
• Tetahi whakamahinga radiation i mua, i ngā raruraru tairoirī rānei
• Ngā korero inihua me ngā hua whakamātautau o mua

Tuhia ō patai i mua kia kaua e wareware ki te ui i a rātou i te wā o te hui. Ko ngā patai noa ko te ui mō ngā kōwhiringa rongoā, ngā pānga, te whakatau, me te aha e tatari ana i te wā o te ora.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei ki a koe, ina koa mō ngā hui ka kōrerohia ai ngā mahere rongoā, i te whiwhi rānei i ngā hua whakamātautau. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, me te hoatu tautoko ngākau.

Kaua e whakaroa ki te ui ki tō tākuta ki te whakamārama i tetahi mea kaore koe e mārama. Ko tā rātou mahi te āwhina i a koe ki te noho whakamārama, me te noho mārama ki tō mahere tiaki.

He aha te mea nui mō te mate pukupuku pūtau Hurthle?

Ko te mate pukupuku pūtau Hurthle he momo mate pukupuku tairoirī onge, engari ka taea te rongoā, e tino pai ana te whakatau i te wā e kitea wawe ana. Ahakoa te whiwhi i tetahi whakatau mate pukupuku ka taea te nui te pānga, ko te mārama kei te wātea ngā rongoā whai hua ka hoatu te tumanako me te aronga.

Ko ngā mea tino nui hei mahara ko ngā tohu pēnei i ngā pupū kaki, i ngā huringa reo rānei e hiahia ana ki te tiaki hauora tere, ā, ko ngā reiti angitu rongoā mō ngā mate pukupuku tairoirī, tae atu ki te mate pukupuku pūtau Hurthle, he tino pai.

Ko te mahi tata me tō rōpū hauora, te noho whakamārama mō tō āhuatanga, me te pupuri i te kōrero whakatuwhera mō ō awangawanga ka āwhina i a koe ki te haere i tēnei haerenga me te whakawhirinaki. Kia mahara kaore koe i te kotahi i roto i tēnei tukanga.

He maha ngā tāngata e whai ana i te mate pukupuku pūtau Hurthle e ora ana i te oranga tino, hauora i muri i te rongoā. Aro atu ki te tango i ngā mea kotahi i te wā, me te whakanui i ngā wikitoria iti i te huarahi.

Ngā patai e ui pinepinetia ana mō te mate pukupuku pūtau Hurthle

He nui ake te kaha o te mate pukupuku pūtau Hurthle i ētahi atu mate pukupuku tairoirī?

Ka taea e te mate pukupuku pūtau Hurthle te kaha ake i ētahi atu mate pukupuku tairoirī, engari he rerekē tēnei mai i te tangata ki te tangata. Kaore e tino whakautu ki te rongoā iodine radiation, engari he tino whai hua te pokanga. Ka aromatawai tō tākuta i tō keehi motuhake hei whakatau i te huarahi rongoā pai mōu.

Ka taea e au te ora i te oranga noa i muri i te rongoā mate pukupuku pūtau Hurthle?

Ae, ko te nuinga o ngā tāngata ka hoki ki ō rātou mahi noa i muri i te rongoā mō te mate pukupuku pūtau Hurthle. Me tango e koe te rongoā whakakapi homoni tairoirī i ia rā, me te whai i ngā hui whai muri auau, engari ehara ēnei i te mea ka whakaiti nui i tō oranga. He maha ngā tāngata e pūrongo ana e pai ake te noho, i te pai ake rānei i mua i to rātou whakatau i te wā kua oti te rongoā.

Me pehea te auau o ngā hui whai muri i muri i te rongoā?

He rerekē ngā kaupapa whai muri, engari i te nuinga ka kite koe i tō tākuta i ia 3-6 marama mō ngā tau torutoru tuatahi, ka tau kotahi ki te pai ngā mea katoa. Ko ēnei hui e whakauru ana i ngā whakamātautau toto hei tirotiro i ō taumata homoni tairoirī me ngā tohu mate pukupuku, me ngā rangahau whakaahua waatea. Ka whakaritea e tō tākuta tēnei kaupapa e ai ki tō āhuatanga motuhake.

Ka nui haere tōku taimaha i muri i te pokanga tango tairoirī?

Ko ētahi tāngata ka pāngia e ngā huringa taimaha i muri i te pokanga tairoirī, engari ehara tēnei i te mea e kore e taea te karo. He nui ake te tūpono o te nui o te taimaha ki te kore e rite te rongoā whakakapi homoni. Ko te mahi tahi me tō tākuta ki te kimi i te horoinga rongoā tika, me te pupuri i ngā tikanga kai hauora me ngā mahi whakakori tinana ka taea te āwhina i a koe ki te pupuri i te taimaha pumau.

Ka taea te hokinga mai o te mate pukupuku pūtau Hurthle i muri i te rongoā?

Ahakoa he tūpono te hokinga mai, ehara i te mea noa ina kitea wawe te mate pukupuku, ā, i te wā tika te rongoā. Ko te tūpono o te hokinga mai e whakawhirinaki ana ki ngā take pēnei i te wā o tō mate pukupuku i te whakatau, me te pehea te tino tango i te wā o te pokanga. Ko te tiaki whai muri auau i te hoahoa hei hopu i tetahi hokinga mai i te tīmatanga, i te wā e tino taea ai te rongoā.