He aha ngā mate pūngāwerewere me ngā pūngāwerewere kauae? Ngā tohu, ngā take, me te rongoā

Ko ngā mate pūngāwerewere me ngā pūngāwerewere kauae he tipu koretake e tipu ana i roto i tō iwi kauae, i ngā kiko ngawari hoki e karapotia ana tō waha. Ko te nuinga o ēnei tipu he pai, ā, e kore e pēnei i te mate pukupuku, engari ka taea tonu e rātou te whakaputa i te mamae, me te hiahia kia whakarongohia te rongoā.

Whakaarohia tō kauae hei takiwa mahi nui e noho ana, e mahi tahi ana ngā momo kiko rerekē. I etahi wā, ka tipu ngā pūtau i roto i tēnei wāhi i te huarahi rerekē i te mea e tika ana, ka hangaia ai ngā pūngāwerewere, ngā peke kua kīia rānei ki te wai. Ahakoa ka rongo pea tenei he wehi, he maha ngā tipu kauae e taea te rongoā, ina koa ka kitea wawe.

He aha ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Ko ngā mate pūngāwerewere kauae he huinga kiko koretake e tipu ana i roto i tō iwi kauae runga, kauae raro rānei. Ko ngā pūngāwerewere kauae he peke kua kīia ki te wai e hangaia ana i roto i te iwi, i ngā kiko ngawari rānei o tō rohe kauae.

Ko te rerekētanga matua he ngāwari: ko ngā mate pūngāwerewere he tipu pūtau pūngāwerewere, ko ngā pūngāwerewere he rite ki ngā poroporo iti kua kīia ki te wai, ki te mea ngawari rānei. Ka taea e ngā rua te tipu haere i roto i ngā marama, i ngā tau rānei, kāore pea koe e kite i te tīmatanga.

Ko tō iwi kauae te mea tino pāngia e ēnei tipu, no te mea kei te mahi tonu ia me te ngau, te kōrero, me te tautoko i ō niho. Ko te rongo pai ko te 90% pea o ngā mate pūngāwerewere kauae he pai, ā, e kore e horapa ki ētahi atu wāhanga o tō tinana.

He aha ngā momo mate pūngāwerewere me ngā pūngāwerewere kauae?

He maha ngā momo tipu kauae, he āhuatanga, he hiahia rongoā anō hoki ōna. Ka taea e te mōhiotanga ki ēnei momo te awhina i a koe kia rite ake te whakarite i te kōrero ki tō kaiwhakarongo hauora.

Ko ngā mate pūngāwerewere kauae tino noa e whai ake nei:

• Ameloblastoma: E tipu ana i ngā pūtau hanga niho, ka tipu haere, engari ka taea te tino nui
• Odontoma: He kiko rite ki te niho, ka kitea i ngā whakamātau niho noa
• Central giant cell granuloma: He maha ngā pūtau nui kei roto, ka pā nuitia ki te taha o mua o tō kauae raro
• Keratocystic odontogenic tumor: He tipu rite ki te pūngāwerewere, ka taea te hoki mai mena kaore i tangohia katoatia

Ko ngā pūngāwerewere kauae noa e whai ake nei:

• Dentigerous cysts: E hangaia ana i te karauna o te niho kaore i puta, ina koa ngā niho whakaaro
• Radicular cysts: E tipu ana i te pito pakiaka o te niho mate, kua pangia rānei
• Residual cysts: E toe ana i muri i te tango niho, ki te kore i tangohia katoatia te pūngāwerewere taketake

He tino onge ngā mate pūngāwerewere kauae kino, engari he tino kino. Kei roto i ēnei mate pūngāwerewere kaha te osteosarcoma, te chondrosarcoma, me te squamous cell carcinoma. Me whai rongoā motuhake, tere tonu ēnei mate pūngāwerewere.

He aha ngā tohu o ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

He maha ngā mate pūngāwerewere me ngā pūngāwerewere kauae e tipu pūhorohoro ana i te tīmatanga, koia te take i tino nui ai ngā tirotiro niho noa. Kāore pea koe e kite i tetahi mea koretake kia nui rawa te tipu, kia tīmata rānei te pā ki ngā hanganga tata.

Ko ēnei ngā tohu ka pā pea ki a koe i te tipu o ēnei tipu:

• He pupuhi, he pūngāwerewere rānei i tō kauae, iwi, waha rānei, kāore e mamae
• Te mamae kauae, te mamae rānei e kore e ngaro
• Te ngenge, te wiri rānei o ō ngutu, ihu, arero rānei
• Ngā niho ngawari, ngā niho rānei e neke haere ana i te wā kaore e tika
• Te uaua ki te whakatuwhera i tō waha katoa
• Ngā huringa i te noho o ō niho i te wā e ngau ana koe
• He reka kino tonu kei roto i tō waha

Ka kitea hoki e ētahi atu tangata ngā huringa ngāwari ake, pēnei i te uaua ki te ngau i ētahi kai, te ahua rānei kaore he mea tika i roto i tō waha. Whakawhirinaki ki ēnei whakaaro – e mohio ana tō tinana i te nuinga o te wā ina huri tetahi mea.

Ko ngā tohu onge, engari he kino, e hiahia ana ki te tiaki tere ko te pupuhi tere, te mamae nui, te uaua ki te horomia, tetahi tipu rānei e ngawari te toto. Ka taea e ēnei te tohu i tetahi āhuatanga kaha ake e hiahia ana ki te tiaki tere.

He aha ngā take o ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Kāore i tino mōhiotia te take tika o te nuinga o ngā mate pūngāwerewere me ngā pūngāwerewere kauae, engari kua kitea e ngā kairangahau etahi take ka taea te awhina i to ratou whanaketanga. I te nuinga o te wā, he whakakotahitanga o ngā take, kāore i te kotahi te take.

Ko ngā take me ngā take awhina tino noa e whai ake nei:

• Ngā take whanaketanga: Ka taea e ngā raruraru i te wā e whanake ana te niho te arahi i ngā pūngāwerewere e hangaia ana i ngā niho kaore i puta
• Ngā mate: Ka taea e ngā mate niho kaore i rongoā te hanga i ngā pūngāwerewere i ngā pakiaka niho
• Te whara: I etahi wā ka taea e ngā whara ki tō kauae, ki ō niho rānei te whakaoho i te tipu pūtau koretake
• Ngā take ira: Ka whiwhi etahi tangata i te hiahia nui ake ki te whanake i ētahi momo tipu kauae
• Ngā mahi niho o mua: He onge, ka taea e ngā raruraru mai i te tango, i ētahi atu rongoā rānei te arahi i te hanganga pūngāwerewere

Mo te maha o ngā mate pūngāwerewere pai, kei te ngaro tonu te take. Ko ō pūtau anake te whakatau ki te tipu rerekē i te mea e tika ana. Kāore tēnei hei mea i he koe, i taea rānei te aukati.

Ka taea e ētahi āhuatanga ira onge, pēnei i te mate pūngāwerewere basal cell nevoid, te whakanui i tō tūponotanga ki te whanake i ētahi momo pūngāwerewere kauae. Heoi, ko te nuinga o ngā tipu kauae ka puta ki ngā tāngata kāore he hītori whānau, he whakawhitinga ira rānei.

Nōhea koe me kite i te taote mō ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Me kite wawe koe i te kaiwhakarongo hauora, i te kaitātari niho rānei mena ka kite koe i tetahi huringa tonu i tō waha, i tō rohe kauae rānei. Ka tino whai hua te kite wawe, ka iti ake te mahi.

Whakaritea he hui i roto i ngā wiki torutoru mena ka pā ki a koe:

• Tetahi pūngāwerewere hou, pupuhi rānei e kore e ngaro i muri i ngā wiki e rua
• Te mamae kauae tonu e kore e hono atu ki tetahi raruraru niho e mohiotia ana
• Te ngenge i tō mata, ngutu, arero rānei e roa atu i ngā rā torutoru
• Ngā niho e ngawari ana kaore he take
• Ngā huringa i te ahua o tō ngau

Rapua te tiaki hauora tere mena ka puta mai te pupuhi tere, te mamae nui, te uaua ki te horomia, tetahi tipu rānei e ngawari te toto. Ka taea e ēnei tohu te tohu i tetahi āhuatanga nui ake e hiahia ana ki te aromatawai tere.

Kaua e tatari kia kino ake ngā tohu, kia ngāwari rānei ki a rātou. He maha ngā āhuatanga kauae he tino ngāwari te rongoā ina kitea wawe, ā, ko tō rangimarie ngākau te utu mō te haerenga.

He aha ngā take tūponotanga mō ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Ahakoa ka taea e te tangata te whanake i ngā mate pūngāwerewere, i ngā pūngāwerewere kauae rānei, ka taea e ētahi take te whakanui i tō tūponotanga ki te wheako i ēnei āhuatanga. Ka taea e te mōhiotanga ki ēnei take tūponotanga te awhina i a koe kia mataara tonu ki tō hauora waha.

Ko ngā take tūponotanga matua e whai ake nei:

• Te tau: Ko te nuinga o ngā pūngāwerewere kauae e whanake ana i waenga i ngā tau 20-40, ko ētahi mate pūngāwerewere te mea noa i ngā pakeke
• Te ira tangata: He iti te tūponotanga o ngā tāne ki te whanake i ētahi momo mate pūngāwerewere kauae
• Ngā niho kua mau: Ka whakanuia e ngā niho whakaaro kaore i puta te tūponotanga pūngāwerewere
• Te iti o te horoi niho: Ka taea e ngā mate kaore i rongoā te hanga i ngā pūngāwerewere
• Te whara kauae o mua: Ka taea e ngā whara mai i ngā aituā, i ngā hākinakina rānei te whakaoho i te tipu koretake
• Ngā mate ira: Ka whakanuia e ngā āhuatanga onge pēnei i te mate Gorlin te tūponotanga

Ko te whai i ngā take tūponotanga kāore e tikanga ka whanake koe i ngā tipu kauae. He maha ngā tāngata he maha ngā take tūponotanga kaore e wheako i ngā raruraru, ko ētahi atu kaore he take tūponotanga marama ka whanake i ēnei āhuatanga.

Ko ētahi take tūponotanga onge ko te whakamahinga o te radiation ki te rohe o te matenga me te kaki, etahi rongoā e pā ana ki te tipu iwi, me ngā āhuatanga autoimmune e whakaputa ana i te mumura roa i te rohe kauae.

He aha ngā raruraru pea o ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Ki te kore e rongoā, ka taea e ngā mate pūngāwerewere me ngā pūngāwerewere kauae te arahi ki ngā raruraru maha e pā ana ki tō hauora waha me te kounga o te ora. Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati me te rongoā tika.

Ko ngā raruraru noa ka pā pea ki a koe e whai ake nei:

• Te ngaro niho: Ka taea e ngā mate pūngāwerewere, pūngāwerewere rānei e tipu ana te kino i ngā pakiaka niho, i te iwi tautoko rānei
• Te whati kauae: Ka taea e ngā tipu nui te whakawaiho i tō iwi kauae, ka ngawari te whati
• Te kino o ngā io: Ka taea e te pehanga ki ngā io kanohi te whakaputa i te ngenge tonu
• Te mate: Ka taea te pangia e ngā pūngāwerewere, ka arahi ki ngā pupuhi kino
• Te kino o te mata: Ka taea e ngā tipu nui te huri i te ahua o tō mata
• Te uaua ki te kai: Ka taea e ngā raruraru kauae te whakawaiho i te ngau me te horomia

He onge ngā raruraru nui ake, engari he pea. Ka taea e ētahi mate pūngāwerewere pai te huri ki ngā mate kino i te wā, ahakoa kaore i te tino puta. Ka taea hoki e ngā pūngāwerewere nui te whakakore i ngā hanganga nui pēnei i ō sinuses, i tō kokonga kanohi rānei.

Ko te ki ki te aukati i ngā raruraru ko te kite wawe me te rongoā tika. Ka taea e ngā tirotiro niho noa te hopu i ngā raruraru i mua i te kino, ā, ko te rongoā tere te nuinga o te wā ka aukati i te nuinga o ngā raruraru.

Me pēhea te whakatau i ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Ko te whakatau i ngā mate pūngāwerewere me ngā pūngāwerewere kauae e whai ake nei i ngā mahi maha, te tīmatanga me te whakamātau tika, me te haere tonu ki ngā rangahau whakaahua. Ka whai huarahi pūnaha tō kaiwhakarongo hauora ki te mōhio tika ki te mea kei te puta i tō kauae.

Ko te tukanga whakatau e tīmata ana i tō kaitātari niho, i tō taote rānei e whakamātau ana i tō waha, e ngākau ana hoki i tō rohe kauae mō ngā pūngāwerewere, pupuhi rānei koretake. Ka ui rātou ki ō tohu, i te wā i kitea ai e koe, me te mea kua huri rānei i te wā.

Muri iho, ka hiahia pea koe ki ngā rangahau whakaahua kia kitea he whakaahua marama ake:

• Ngā X-rays: Ka whakaatu i te hanganga taketake o tō iwi kauae me ngā tipu marama
• Ngā CT scans: Ka whakarato i ngā whakaahua tapawha taipitopito o tō kauae me ngā kiko e karapotia ana
• Ngā MRI scans: Ka awhina i te wehewehe i ngā momo kiko ngawari me te whakaatu i te hononga o te tipu ki ngā io me ngā oko toto
• Ngā X-rays panoramic: Ka hoatu he tirohanga whānui o tō kauae katoa me ō niho katoa

Mena ka whakaatu te whakaahua i tetahi mate pūngāwerewere, pūngāwerewere rānei koretake, ka tūtohutia pea e tō taote he biopsy. Kei roto i tēnei te tango i tetahi tauira iti o te kiko mō te tātaritanga taiwhanga. Ko te biopsy anake te huarahi ki te whakatau tika mena he pai, he kino rānei te tipu.

I etahi wā, ka hiahiatia pea ngā whakamātau atu, pēnei i te mahi toto, te whakamātau ira rānei, ina koa ki te whakaaro tō taote he āhuatanga onge, he mate ira rānei.

He aha te rongoā mō ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Ko te rongoā mō ngā mate pūngāwerewere me ngā pūngāwerewere kauae e whakawhirinaki ana ki te momo, te rahi, me te wāhi o te tipu, me tō hauora whānui. Ko te whāinga tonu ko te tango katoa i te tipu i te wā e tiaki ana i te nui o te mahi kauae noa.

Mo te nuinga o ngā pūngāwerewere kauae, ko te rongoā ko te tango pokanga e kiia nei ko te enucleation. Ka hanga e tō taote waha he tapa iti, ka tukua te pūngāwerewere, ka tangohia marie te pakitara pūngāwerewere kia kore ai e hoki mai. Ko te nuinga o te wā ka mahia tēnei i raro i te rongoā rohe hei mahi manuhiri.

Ko ngā whiringa rongoā mate pūngāwerewere pai e whai ake nei:

• Te tango pokanga: Te tango katoa i te mate pūngāwerewere me te taha o te kiko hauora
• Curettage: Te kakā atu i te kiko mate pūngāwerewere, ka whakakotahitia ki ētahi atu rongoā
• Cryotherapy: Te whakamatao i ngā pūtau mate pūngāwerewere kia whakangaromia
• Te whakatō iwi: Te whakaki i ngā hapa nui ki te rauemi whakatō iwi kia hanga hou tō kauae

Mo ngā mate pūngāwerewere kino, he kaha ake te rongoā, ka uru pea ki te pokanga whānui, te rongoā radiation, te chemotherapy rānei. Ka mahi koe me te rōpū o ngā tohunga, tae atu ki ngā taote waha, ngā oncologists, me ngā taote whakahoki.

Ka rerekē te ora i runga i te mahi, engari ka taea e te nuinga o te iwi te hoki ki ngā mahi noa i roto i ngā wiki torutoru. Ka hoatu e tō taote ngā tohutohu motuhake mō te tiaki i te wā e ora ana.

Me pēhea te tiaki i a koe i te kāinga i te wā e rongoā ana?

Ko te tiaki pai i a koe i te kāinga i muri i te rongoā mate pūngāwerewere kauae, pūngāwerewere rānei ka taea te whakapai ake i tō ora me tō māngai. Me whai wā tō tinana me ngā āhuatanga tika kia ora tika.

I ngā rā tuatahi i muri i te pokanga, arotahi ki te okioki me te tiaki ngawari:

• Whakamahia ngā peke huka kia iti te pupuhi mō ngā meneti 15-20 i te wā
• Tangohia ngā rongoā mamae kua tohua e rite ana ki ngā tohutohu
• Kai ngawari, makariri pēnei i te yogurt, ngā smoothies, me te hupa
• Kaua e kai i ngā kai wera, kawa, kākā rānei ka taea te whakaoho i te rohe
• Moe me tō matenga teitei kia iti te pupuhi
• Horomia marie me te wai tote mahana e rite ana ki ngā tohutohu a tō taote

Kia ma te wāhi pokanga, engari kia ngawari. Ka hoatu e tō taote ngā tohutohu motuhake mō te horoi waha i te wā e ora ana. Ko te nuinga o te wā, ka karo koe i te horoi tika i runga i te wāhi pokanga mō ngā rā tuatahi.

Mataarahia ngā tohu o ngā raruraru pēnei i te toto nui, te mamae nui kaore i te whakahaeretia e te rongoā, ngā tohu o te mate (te kirika, te pupuhi haere, te pus), te ngenge rānei e ahua ana kei te kino haere, kāore i te pai ake.

Kia makona te wai, kia pai te kai kia tautoko i te ora. Mena kei te uaua ki a koe te kai nui na te kore e māngai, whakaarohia ngā taapiri kai, ngā inu whakakapi kai rānei mo te wā poto.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite pai mō tō hui ka taea te awhina i te whakarite kia whiwhi koe i te whakatau tika me te mahere rongoā tika. He iti te whakarite ka haere roa i te whakapai i tō haerenga hua, iti ake te ahotea.

I mua i tō hui, tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te huringa o te wā. Tātarihia ngā tauira kua kitea e koe, pēnei i te mamae kino ake i etahi wā o te rā, te pupuhi haere mai, te haere atu rānei.

Kohikohia ngā korero nui hei kawe mai ki a koe:

• He rārangi o ngā rongoā katoa e inu ana koe i te wā nei, tae atu ki ngā huaora me ngā taapiri
• Tō hītori hauora me te niho, tae atu ki ngā raruraru kauae, ngā rongoā rānei o mua
• Ngā korero inihua me ngā pepa tohutoro mena e hiahiatia ana
• Ngā X-rays o mua, ngā rangahau whakaahua rānei e pā ana ki tō kauae
• He rārangi o ngā pātai e hiahia ana koe ki te ui ki tō taote

Whakaarohia te kawe mai i tetahi hoa, whānau rānei e whakawhirinaki ana ki a koe, ina koa ki te manukanuka koe mō te hui. Ka taea e rātou te awhina i a koe ki te mahara ki ngā korero nui me te whakarato i te tautoko ngākau.

Kaua e kai, kaua e inu i tetahi mea mena kua whakahuahia e tō taote te tūponotanga o te whakangā, o ngā mahi tere rānei. Ui i mua o te wā mō ngā whakaritenga motuhake.

He aha te mea nui mō ngā mate pūngāwerewere me ngā pūngāwerewere kauae?

Ko te mea nui rawa ki te mahara ko te nuinga o ngā mate pūngāwerewere me ngā pūngāwerewere kauae he pai, he tino taea te rongoā, ina koa ka kitea wawe. Ahakoa ka rongo pea te kite i te tipu i tō kauae he wehi, ko te nuinga o ēnei āhuatanga he hua pai me te rongoā tika.

Ko te kite wawe tō hoa pai. Ko ngā tirotiro niho noa, te aro ki ngā huringa i tō waha, me te rapu i te tiaki hauora tere mō ngā tohu tonu ka taea te whakapai ake i te rongoā tino ngāwari me te angitu.

Kaua e tuku i te wehi kia kaua koe e rapu awhina mena ka kite koe i tetahi mea koretake. He tino whai hua ngā hangarau pokanga hou, ā, ka hoki te nuinga o te iwi ki te mahi noa i muri i te rongoā. Kei reira tō rōpū hauora ki te arahi i a koe i ia waahanga o te tukanga.

Kia mahara kei te whakaatu te whai i te mate pūngāwerewere kauae, pūngāwerewere rānei i tetahi mea i he koe. Ka taea e ēnei āhuatanga te pā ki te tangata, ā, me te tiaki tika, ka tumanako koe ki te pupuri i te hauora waha pai me te kounga o te ora.

Ngā pātai noa e ui ana mō ngā mate pūngāwerewere me ngā pūngāwerewere kauae

P1: He mate pukupuku tonu ngā mate pūngāwerewere kauae?

Kāo, ko te nuinga o ngā mate pūngāwerewere kauae he pai, ā, e kore e pēnei i te mate pukupuku. Ka whakaatu ngā rangahau ko te 90% pea o ngā mate pūngāwerewere kauae he tipu kore-mate pukupuku e kore e horapa ki ētahi atu wāhanga o tō tinana. Heoi, me arotaketia e tetahi kaimahi hauora katoa ngā tipu kauae kia kitea tōna ahua tika me te rongoā tika.

P2: Ka taea e ngā pūngāwerewere kauae te ngaro ake?

Ko te nuinga o ngā pūngāwerewere kauae e kore e ngaro me te kore rongoā. Kāore i rite ki ētahi atu momo pūngāwerewere i roto i tō tinana, ko ngā pūngāwerewere kauae te nuinga o te wā e tipu haere ana i te wā, ka taea te whakaputa i ngā raruraru ki te kore e rongoā. Ko te nuinga e hiahia ana ki te tango pokanga kia aukati i ngā raruraru pēnei i te ngaro niho, te whati kauae, te mate rānei.

P3: E hia te roa o te ora i muri i te pokanga mate pūngāwerewere kauae, pūngāwerewere rānei?

Ka rerekē te roa o te ora i runga i te rahi me te wāhi o te tipu me te momo pokanga i mahia. Ka taea e te nuinga o te iwi te hoki ki te mahi me ngā mahi noa i roto i ngā wiki 1-2, ahakoa ka roa pea te ora katoa i ngā wiki 4-6. Ka hoatu e tō taote ngā tumanakohanga wā motuhake i runga i tō āhuatanga motuhake.

P4: Ka hiahia au ki te pokanga whakahoki i muri i te tango mate pūngāwerewere kauae?

Ko te pokanga whakahoki e hiahiatia ana anake mena he nui te mate pūngāwerewere, pūngāwerewere rānei kia hanga he hapa nui i tō iwi kauae. Ka taea te tango i te maha o ngā tipu iti ake kaore e pā ki te hanganga o tō kauae. Mena e hiahiatia ana te whakahoki, ka kōrero tō taote mō ngā whiringa pēnei i te whakatō iwi kia whakahokia te mahi me te ahua noa.

P5: Ka taea e ngā mate pūngāwerewere me ngā pūngāwerewere kauae te hoki mai i muri i te rongoā?

He pea te hoki mai, engari ehara i te mea noa ina tangohia katoatia te tipu. Ko ētahi momo, pēnei i ngā mate pūngāwerewere odontogenic keratocystic, he nui ake te auau hoki mai, koia te take ka tūtohu pea tō taote i ētahi atu rongoā, i te tirotiro tata atu rānei. Ka awhina ngā tirotiro niho noa ki te hopu i tetahi hoki mai wawe.