He aha te mate pukupuku u i te ngakau? Tohutohu, Take, me te Maimoatanga

Ko te mate pukupuku u i te ngakau he momo mate pukupuku u onge, engari he kaha, e puta ai te whero me te pupuhi o te u. Kāore i rite ki ngā mate pukupuku u noa e hanga ana he pūngāwerewere, ka horapa tēnei momo puta noa i ngā oko lymphatic i roto i tō kiri u, e hanga ana te mumura ka taea te whakaaro he mate.

Ko tēnei āhuatanga e whakaatu ana i te 1-5% o ngā mate pukupuku u katoa, engari he mea nui kia mārama koe, no te mea ka tere te haere, ā, me whakawātea tonu te tiaki hauora. Ko te rongo pai, mā te maimoatanga tere, ka taea e te tini te whakahaere pai i tēnei āhuatanga.

He aha ngā tohu o te mate pukupuku u i te ngakau?

He rerekē ngā tohu o te mate pukupuku u i te ngakau i te mea e tumanako ana te nuinga o te iwi mō te mate pukupuku u. Kāore he pūngāwerewere motuhake, ka kite koe i ngā huringa e pā ana ki te u katoa, ā, ka puta tere, i roto i ngā wiki.

Ko ēnei ngā tohu matua hei tiaki:

• Te kiri u e whero ana, pīnk, rānei puru, e hipoki ana i te toru tekau o te u, no te iti rawa
• Te pupuhi e hanga ana i tetahi u nui atu i tetahi
• Te kiri e mahana ana ki te pa
• Te kiri u he mātotoru, he pōkai te ahua, he rite ki te kiri rēmana
• Te mamae o te u, te ngawari, te mamae rānei
• Te papā o te u e tahuri ana ki roto, kāore rānei e pōkai
• Ngā whekau lymphatic pupuhi i raro i tō ringa, i runga i tō whekau, i raro rānei i tō whekau
• Te u e taumaha ana, kāore rānei e pakeke

Ka puta tere ēnei tohu, i roto i ngā wiki. Ko tēnei tere o te haere he rerekētanga nui i waenga i te mate pukupuku u i te ngakau me ētahi atu momo mate pukupuku u, e puea ana te tipu.

I ētahi wā, ka pāngia koe e ngā tohu onge penei i te waiū u onge, ngā huringa i te ahua o te u, te kiri rānei e pōkai ana ina pehia. Ko te mea tino awangawanga ko ēnei tohu ka taea te whakaaro he mate u, koia te take he mea nui kia kite i te taote ki te kore ngā tohu e pai ake mā ngā maimoatanga mate noa.

He aha ngā take o te mate pukupuku u i te ngakau?

Ka puta te mate pukupuku u i te ngakau ina aukati ngā pūtau mate i ngā oko lymphatic i roto i te kiko u. Ko ēnei oko iti e awhina ana i te tango wai me te whawhai i te mate, engari ina aukati ngā pūtau mate i a rātou, ka hanga te wai, ā, ka puta te pupuhi me te whero.

Kāore i tino mārama te take tika he aha ngā pūtau e puta ai te mate pukupuku, engari e whakapono ana ngā kairangahau he whakakotahitanga o ngā huringa ira me ngā take taiao. Kāore i rite ki ētahi atu mate pukupuku, kāore te mate pukupuku u i te ngakau e whai take motuhake e taea ai e tātou te tohu.

Ko te mea e rerekē ai tēnei momo mate pukupuku ko te āhua e horapa ai. Kāore i te hanga tuatahi he pūngāwerewere, ka tīmata tonu ngā pūtau mate te tipu i ngā oko lymphatic o te kiri u. Koia te take e kite ai koe i ngā huringa kiri, kāore i te kite i te pūngāwerewere.

Ko te nuinga o ngā keehi o te mate pukupuku u i te ngakau he mate pukupuku ductal invasive, ā, ko te tikanga ka tīmata i ngā awa waiū, ka horapa atu.

He aha ngā take morearea mō te mate pukupuku u i te ngakau?

He maha ngā take ka piki ake tō morearea ki te whanake i te mate pukupuku u i te ngakau, ahakoa he mea nui kia mahara ko te whai i ēnei take morearea kāore e tikanga ka whiwhi koe i te mate. Ka taea e te mārama ki ēnei take te awhina i a koe ki te tiaki i tō hauora u.

Ko ēnei ngā take morearea tino nui:

• Ko te wahine, ahakoa ka taea e ngā tāne te whiwhi i tēnei mate pukupuku
• Te tau, me te nuinga o ngā keehi e puta ana i ngā wāhine i waenga i ngā tau 45-55
• Ko te Māori, no te mea he maha ake tēnei mate pukupuku i ngā wāhine Māori
• Te whai i te BMI teitei, te taumaha rānei
• Te whānau tamariki i te taitamariki, te maha rānei o ngā haputanga

Ko ētahi atu take morearea onge ko te whai i te hītori whānau o te mate pukupuku u, te mate pukupuku ovaries rānei, te whakamahinga o mua o te radiation ki te rohe uma, me ētahi huringa ira penei i te BRCA1, te BRCA2 rānei. Heoi, he maha ngā tāngata e whai ana i te mate pukupuku u i te ngakau kāore he take morearea e mohiotia ana.

He mea nui kia mahara, kāore i rite ki ētahi atu mate pukupuku u, kāore te mate pukupuku u i te ngakau e hono atu ki te whakamahinga o te homoni, ki ētahi āhuatanga ora rānei. Ko tēnei kore e mōhiotia he wāhanga o te mea e hāngai ana te kite tere i ngā tohu.

Nōhea koe me kite i te taote mō ngā tohu o te mate pukupuku u i te ngakau?

Me kite tonu koe i te taote ki te kite koe i tetahi whakakotahitanga o te whero o te u, te pupuhi, me ngā huringa kiri, ina koa ki te puta tere i roto i ngā rā, ngā wiki rānei. Kaua e tatari kia pai ake ngā tohu.

No te mea ka rite ngā tohu o te mate pukupuku u i te ngakau ki te mate u (mastitis), ka whakamātau te tini i ngā rongoā kāinga, ka tatari rānei kia pai ake. Heoi, ki te kore koe e whāngai u, ka puta ēnei tohu, ki te whāngai u koe, ā, kāore ngā tohu e pai ake i roto i ngā rā torutoru o te maimoatanga, rapu kia whakawātea te tiaki hauora.

Whakapa atu ki tō kaiwhakarato hauora kia tere ki te pāngia koe e te kiri u e rite ana ki te kiri rēmana, te pupuhi nui o te u, te mamae o te u tonu, tetahi huringa papā rānei me te whero o te kiri. Ko ēnei tohu ngātahi he mea tino awangawanga, ā, me whakamātau tonu.

Ahakoa ko ngā tohu mai i te mate, kāore i te mate pukupuku, he mea nui kia whakawātea te maimoatanga. Me whakawātea te maimoatanga o ngā mate u, ā, ka taea te kino ki te kore e maimoatia.

He aha ngā raruraru pea o te mate pukupuku u i te ngakau?

Ka taea e te mate pukupuku u i te ngakau te arahi ki ngā raruraru kino, no te mea he mate pukupuku kaha e horapa ana tere. Ko te mārama ki ēnei raruraru pea e whakaatu ana he aha te mea nui o te maimoatanga tere.

Ko ēnei ngā raruraru tere:

• Te horapa tere ki ngā whekau lymphatic, ngā kiko tata rānei
• Te metastasis ki ētahi atu wāhanga o te tinana penei i ngā wheua, te ate, ngā pūkahukahu, te roro rānei
• Te pakaru o te kiri me ngā whara tuwhera i runga i te u
• Te pupuhi kino e pā ana ki te nekehanga o te ringa
• Ngā mate i roto i te kiko u e pā ana

No te mea ka tere te tipu o tēnei mate pukupuku, ka taea te whanake i ngā raruraru i roto i ngā wiki, ngā marama rānei ki te kore e maimoatia. Ka taea e ngā pūtau mate te horapa puta noa i te toto ki ngā whekau tawhiti, e hanga ana te maimoatanga kia uaua ake.

Ko ngā raruraru roa pea ko te lymphedema (te pupuhi o te ringa tonu), te mamae tonu, me ngā wero hinengaro e pā ana ki te āhua kaha o te maimoatanga. Heoi, mā te maimoatanga tere me te tika, ka taea te aukati, te whakahaere rānei i te tini o ēnei raruraru.

Me pēhea te whakamātau o te mate pukupuku u i te ngakau?

Ko te whakamātau i te mate pukupuku u i te ngakau e hiahia ana ki ngā whakamātau maha, no te mea ka rite ngā tohu ki ētahi atu āhuatanga penei i ngā mate. Ka tīmata tō taote me te tirotiro tinana me te hītori hauora kia mārama ki ō tohu.

Ko te tukanga whakamātau e whakauru ana i ngā whakamātau whakaahua penei i te mammogram me te ultrasound u, ahakoa kāore ēnei e whakaatu i ngā tohu noa o ētahi atu mate pukupuku u, no te mea kāore te mate pukupuku u i te ngakau e hanga ana i ngā pūngāwerewere motuhake. Ka whakarato te MRI o te u i ngā korero taipitopito ake mō te nui o te mate.

He mea nui te biopsy mō te whakau i te whakamātau. Ka tango tō taote i tetahi tauira iti o te kiko u, e whakauru ana i te kiri, kia tirohia i raro i te microscope. Ka awhina tēnei ki te whakatau, ehara i te mea kei reira ngā pūtau mate, engari he aha te momo mate pukupuku, me te āhua kaha rānei.

Ko ētahi atu whakamātau pea ko te mahi toto, ngā X-rays uma, ngā CT scans, ngā PET scans rānei ki te tirotiro mena kua horapa te mate pukupuku ki ētahi atu wāhanga o tō tinana. Ka awhina ēnei whakamātau whakatakotoranga i tō rōpū hauora ki te whakatakoto i te huarahi maimoatanga tino pai.

He aha te maimoatanga mō te mate pukupuku u i te ngakau?

Ko te maimoatanga mō te mate pukupuku u i te ngakau e whakauru ana i te whakakotahitanga o ngā tikanga e whakamahia ana i tetahi rarangi motuhake. Ko tēnei huarahi maha-taha, e kiia nei ko te maimoatanga multimodal, i hangaia hei whawhai i te mate pukupuku mai i ngā kōrero rerekē.

Ko te mahere maimoatanga noa e whai ana i tēnei tauira:

1. Te chemotherapy tuatahi ki te whakaiti i te mate pukupuku me te whakaiti i te mumura
2. Te pokanga ki te tango i ngā kiko mate pukupuku e toe ana
3. Te rongoā radiation ki te whakakore i ngā pūtau mate pukupuku e toe ana
4. Te maimoatanga tautuhi atu, te maimoatanga homoni rānei ki te tika

Ko te chemotherapy e tīmata ana i roto i ngā rā o te whakamātau, ā, ka roa mo ngā marama maha. Ko ngā rongoā motuhake e whakawhirinaki ana ki ngā āhuatanga o ō pūtau mate pukupuku, tae atu ki te whakautu rānei ki ngā homoni, te whai rānei i ētahi pūtau penei i te HER2.

Ko te pokanga e whakauru ana i te mastectomy (te tango katoa i te u) me te tango i ngā whekau lymphatic tata. Kāore te pokanga tiaki u e tūtohutia mō te mate pukupuku u i te ngakau, no te āhua e horapa ai te mate pukupuku puta noa i te kiko u.

I muri i te pokanga, ka tautuhi te rongoā radiation ki te rohe uma ki te whakangaro i ngā pūtau mate pukupuku e toe ana kāore pea e kitea. Ka taea e ētahi tāngata te whiwhi i ngā maimoatanga atu penei i te maimoatanga homoni ki te whakautu ō mate pukupuku ki ngā homoni, ngā rongoā tautuhi rānei ki te whai ō mate pukupuku i ngā āhuatanga ira motuhake.

Me pēhea te whakahaere i te mate pukupuku u i te ngakau i te kāinga?

Ahakoa ko te maimoatanga hauora te huarahi matua ki te whawhai i te mate pukupuku u i te ngakau, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō ora, te whakahaere rānei i ngā tohu i te wā o te maimoatanga.

Ko te whakahaere i ngā pānga o te maimoatanga ka waiho hei wāhanga matua o tō mahi o ia rā. Ka taea e te tiaki kiri ngawari me ngā kaihoroi kore kakara te awhina i te mumura o te kiri e pā ana ki te radiation. Ka taea e te kai i ngā kai iti, te maha te awhina i te ruaki e pā ana ki te chemotherapy, ā, ko te inu wai e tautoko ana i tō hauora katoa i te wā o te maimoatanga.

Ko te mahi tinana, e tūtohu ana tō rōpū hauora, ka taea te awhina i te pupuri i tō kaha me ō taumata kaha. Ahakoa ngā mahi māori penei i ngā hikoi poto ka taea te whakarerekē i tō āhua, te awhina rānei i te whakaiti i te ngenge.

He mea nui te tautoko hinengaro. Ko te hono atu ki ngā hoa, ki te whānau, ki ngā rōpū tautoko rānei ka taea te whakawhiwhi i te whakamarie i tēnei wā uaua. He maha ngā tāngata e kite ana ko te kōrero ki ētahi atu kua pāngia e ngā āhuatanga rite te awhina i a rātou ki te whakahaere pai ake.

Tūpato ki ō tohu me ētahi atu pānga o te maimoatanga. Ka awhina ēnei korero i tō rōpū hauora ki te whakarerekē i tō mahere maimoatanga kia rite ai, ā, kia whakarite ai kei te whiwhi koe i te tiaki pai rawa.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui taote ka taea te awhina i te whakarite kei te whiwhi koe i te hua pai o tō haerenga, ā, kaua e wareware i ngā korero nui. Tīmata mā te tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou, me te āhua o te huringa i te wā.

Kawe mai i te rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe, me ngā korero mō ētahi mate pāwera kei a koe. Ki te whai koe i ngā mammograms o mua, ngā whakaahua u rānei, kawe mai i aua rēkōta, whakarite rānei kia tukuna ki tō taote hou.

Tuhituhi i ngā pātai e hiahia ana koe ki te ui i mua i tō haerenga ki te hui. Ko ngā pātai nui pea ko te ui mō tō whakamātau motuhake, ngā kōwhiringa maimoatanga, ngā pānga pea, me te aha e tumanakohia ana i te wā o te ora.

Whakaarohia te kawe mai i tetahi hoa whakawhirinaki, te mema whānau rānei ki te hui. Ka taea e rātou te whakawhiwhi tautoko hinengaro, te awhina rānei i a koe ki te mahara ki ngā korero nui e whakaputaina ana e te taote, ina koa ki te pāngia koe e te nui.

Whakarite ki te kōrero mō tō hītori hauora whānau, ina koa tetahi hītori o te mate pukupuku u, te mate pukupuku ovaries rānei. Ka awhina ēnei korero i tō taote ki te mārama ki ō take morearea, te whakatakoto rānei i tō tiaki kia rite ai.

He aha te mea nui mō te mate pukupuku u i te ngakau?

Ko te mea nui rawa hei mahara mō te mate pukupuku u i te ngakau ko te mahi tere e whakarerekē ana i ngā hua. Ahakoa he momo mate pukupuku kaha tēnei, he maha ngā tāngata e whakautu pai ana ki te maimoatanga ina tīmata tere.

Kaua e wareware i ngā huringa u, ina koa ki te puta tere, ki te rerekē rānei i ngā tohu mate pukupuku u noa. Whakawhirinaki ki ō whakaaro mō tō tinana, ā, kaua e whakaroa ki te rapu tiaki hauora ki te kore tetahi mea e pai.

Kia mahara he onge te mate pukupuku u i te ngakau, engari ko te matauranga o ōna tohu motuhake ka taea te awhina i te whakawātea i te whakamātau me te maimoatanga. Ko te whakakotahitanga o te whero, te pupuhi, me ngā huringa kiri e puta ana tere me whakaohooho tonu i te whakamātau hauora.

Mā ngā whakapainga i te maimoatanga mate pukupuku me te mārama pai ake ki tēnei mate, ka haere tonu te pai ake o te tirohanga mō ngā tāngata e whai ana i te mate pukupuku u i te ngakau. Ko te kite tere me te maimoatanga tere tonu ngā taputapu pai rawa mō te whawhai i tēnei āhuatanga.

Ngā pātai e ui pinepinetia ana mō te mate pukupuku u i te ngakau

He mate mate tonu te mate pukupuku u i te ngakau?

Kāo, ehara i te mate mate tonu te mate pukupuku u i te ngakau. Ahakoa he momo mate pukupuku kaha tēnei, he maha ngā tāngata e maimoatia ana me te ora tonu. Ko te mea nui ko te whiwhi maimoatanga tere i muri i te puta o ngā tohu. Kua pai ake te tipu o ngā reiti ora rima tau mā ngā huarahi maimoatanga pai ake, ā, he maha ngā tāngata e ora ana i te roa atu i ngā tau rima i muri i te whakamātau.

Ka taea te whakaaro he mate te mate pukupuku u i te ngakau?

Ae, ka whakaarohia te mate pukupuku u i te ngakau he mate u (mastitis) no te mea e rua ngā āhuatanga e puta ai te whero, te pupuhi, me te mahana i te u. Ko te rerekētanga nui ko ngā mate u e whakautu ana ki ngā antibiotics i roto i ngā rā torutoru, ā, ko ngā tohu o te mate pukupuku u i te ngakau e mau tonu ana, e kino ake rānei. Ki te kore koe e whāngai u, ka puta ēnei tohu, he iti ake te tūpono he mate.

E pā ana te mate pukupuku u i te ngakau ki te u katoa?

Ko te mate pukupuku u i te ngakau e pā ana ki te toru tekau o te u, engari kāore i te whakauru tonu i te u katoa i te tīmatanga. Heoi, no te mea ka horapa ngā pūtau mate puta noa i ngā oko lymphatic i roto i te kiri, ka tere te horapa o te rohe e pā ana. Ka taea te tīmata o te whero me te pupuhi i tetahi rohe, ka horapa atu ki te mata o te u i roto i ngā rā, ngā wiki rānei.

Ka taea e ngā tāne te whiwhi i te mate pukupuku u i te ngakau?

Ae, ka taea e ngā tāne te whiwhi i te mate pukupuku u i te ngakau, ahakoa he onge rawa. He iti te kiko u o ngā tāne, ā, ka taea te whanake i te mate pukupuku i reira, i rite ai ki ngā wāhine. He rite ngā tohu - te whero, te pupuhi, me ngā huringa kiri i te rohe u. No te mea he onge rawa i ngā tāne, pea ka whakaroa te whakamātau, e hanga ana te matauranga o ngā tohu he mea nui.

He mate ira te mate pukupuku u i te ngakau?

Ka taea e te mate pukupuku u i te ngakau te whai i te wāhanga ira, engari ehara te nuinga o ngā keehi i te whakawhitia tika. Ko te whai i te hītori whānau o te mate pukupuku u, te mate pukupuku ovaries rānei, te mau rānei i ngā huringa ira penei i te BRCA1, te BRCA2 rānei, ka piki ake tō morearea. Heoi, ko te nuinga o ngā tāngata e whanake ana i te mate pukupuku u i te ngakau kāore he hītori whānau o te mate.