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Mate Kōpū

Tirohanga whānui

Ka puta pea te mate kōrehe ngutu hei mate pōka i tō ngutu e kore e ora.

Ka puta te mate kōrehe ngutu ki te kiri o ngā ngutu. Ka taea te puta o te mate kōrehe ngutu i ngā wāhi katoa o te ngutu o runga, o raro rānei, engari he tino noa i te ngutu raro. Ka whakaarohia te mate kōrehe ngutu he momo mate waha (waha).

Ko te nuinga o ngā mate kōrehe ngutu he mate pūtau squamous, ko te tikanga ka tīmata i ngā pūtau angiangi, papatahi i ngā paparanga waenganui me ngā paparanga o waho o te kiri e kiia nei ko ngā pūtau squamous.

Ko ngā take morearea mō te mate kōrehe ngutu ko te ra nui me te whakamahinga tapeka. Ka taea e koe te whakaiti i tō morearea mō te mate kōrehe ngutu mā te tiaki i tō mata i te rā mā te potae, mā te whakamarumaru rā anō, me te mutu i te wāhine.

Ko te maimoatanga mō te mate kōrehe ngutu te nuinga o te wā he pokanga hei tango i te mate pukupuku. Mō ngā mate kōrehe ngutu iti, ka taea te pokanga he mahi iti me te pā iti ki tō ahua.

Mō ngā mate kōrehe ngutu nui ake, ka hiahiatia pea te pokanga whānui ake. Ka taea te tiaki i tō kaha ki te kai me te kōrero noa i te whakamahere me te hanga hou, ā, ka taea hoki te whakatutuki i te ahua pai i muri i te pokanga.

Ngā tohu

Ngā tohu me ngā pūāhua o te mate pukupuku ngutu e whai ake nei:

  • He tae ma, he paku ara ake rānei o te ngutu
  • He pōkairua kei runga i tō ngutu e kore e ora
  • Te wiri, te mamae, te ngāngā rānei o ngā ngutu, o te kiri hoki e karapoti ana i te waha

Whakapa atu ki tō tākuta mēnā he tohu mau tonu kei a koe e manukanuka ana koe.

Āhea te kite i te tākuta

Whakatau rā hui me tō tākuta ki te pēhea he tohu mau tonu, mau rānei e manukanuka ana koe.

Ngā take

Kāore i te mārama he aha te take o te mate pūngāwerewere ngutu.

Hei te nuinga, ka tīmata te mate pūngāwerewere ina whanakehia e ngā pūtau ngā huringa (mutations) i roto i ō rātou DNA. Kei roto i te DNA o te pūtau ngā tohutohu e kōrero ana ki te pūtau me aha. Ka kī ngā huringa ki te pūtau kia tīmata te tupu kore-manaaki, ā, kia ora tonu ina mate ngā pūtau hauora. Ka hangaia e ngā pūtau e kohikohi ana tētahi kōpū e taea te whakaeke me te whakangaro i ngā kiko tinana noa.

Ngā āhuatanga tūpono

Ngā take ka piki ai tō raru o te mate kōrehe ngutu:

  • Te whakamahinga tapeka, ahakoa he aha te momo, tae atu ki ngā hikareti, ngā kākahu, ngā paipa, te tapeka ngau me te snuff, me ētahi atu
  • Te kiri mā
  • Te rā nui ki ō ngutu
  • Te pūnaha ārai mate ngoikore
Ngā raruraru

Kaore he uauatanga

Te ārai

Kia whakaiti te tūponotanga o te mate pūkahukahu, ka taea e koe te:

  • Whakamutu i te whakamahinga o te tapeka, kaua rānei e tīmata. Ki te whakamahi koe i te tapeka, mutu. Ki te kore koe e whakamahi tapeka, kaua e tīmata. Ko te whakamahinga o te tapeka, ahakoa i te wā kohuhu, i te ngau rānei, ka whakapā atu ngā pūtau i roto i ōu ngutu ki ngā matū kino e puta ai te mate pūkahukahu.
  • Kaua e tū i te rā i te waenganui o te rā. Ki te tokomaha o te iwi i Amerika Te Raki, he kaha rawa te rā i waenga i te 10 am me te 4 pm. Whakaritea ngā mahi i waho mō ētahi atu wā o te rā, ahakoa i te takurua, i te pōrangi rānei te rangi.
  • Whakamahia he whakamarumaru rā whānui-āhua me te SPF o te 30 noa atu, ahakoa i ngā rā pōrangi. Tāpirihia te whakamarumaru rā nui, ā, whakahokia i ngā haora e rua – i te maha atu rānei ki te kaukau koe, ki te werawera rānei.
  • Kaua e whakamahi i ngā moenga whakatanu. Ka tukuna e ngā moenga whakatanu ngā hihi UV, ā, ka piki ake te tūponotanga o te mate pūkahukahu.
Te tātaritanga

Ko ngā whakamātautau me ngā tukanga e whakamahia ana hei whakatau i te mate pukupuku ngutu e whai ake nei: Te tirotiro tinana. I te wā o te tirotiro tinana, ka tirotirohia e tō tākuta tō ngutu, tō waha, tō mata me tō kaki hei kimi i ngā tohu o te mate pukupuku. Ka ui atu tō tākuta ki a koe mō ō tohu me ō tohu. Te tango i te tauira o te kiko hei whakamātautau. I te wā o te biopsy, ka tangohia e tō tākuta he tauira iti o te kiko hei whakamātautau i te taiwhanga. I te taiwhanga, ka taea e te tākuta e āwhina ana i te kiko o te tinana (pathologist) te whakatau he mate pukupuku rānei, te momo mate pukupuku me te taumata o te kaha kei roto i ngā pūtau mate pukupuku. Ngā whakamātautau whakaahua. Ka taea te whakamahi i ngā whakamātautau whakaahua hei whakatau he horapa atu rānei te mate pukupuku i te ngutu. Ko ngā whakamātautau whakaahua ka uru pea ki te tomography rorohiko (CT), te whakaahua ā-mahi (MRI) te tomography tukunga positron (PET). Te tiaki i te Mayo Clinic Ka taea e tā mātou rōpū manaaki o ngā tohunga o te Mayo Clinic te āwhina i a koe ki ō kaupapa hauora e pā ana ki te mate pukupuku ngutu Tīmata konei

Te rongoā

Ko ngā tikanga whakaora mo te mate pūngāwerewere ngutu:

  • Taha rongoā. Ka whakamahia te taha rongoā hei tango i te mate pūngāwerewere ngutu me te taha o te kiko ora e karapoti ana i a ia. Ka whakatikatika te taote i te ngutu kia taea ai te kai, te inu, me te kōrero noa. Ka whakamahia ano ngā tikanga hei whakaiti i te tohu.

    Mō ngā mate pūngāwerewere ngutu iti, he mahi ngāwari pea te whakatikatika i te ngutu i muri i te pokanga. Engari mō ngā mate pūngāwerewere ngutu nui, pea ka hiahiatia ngā taote kirihou me te whakatikatika pūngāwerewere mohio hei whakatikatika i te ngutu. Ka uru pea te pokanga whakatikatika ki te neke i te kiko me te kiri ki te mata mai i tētahi atu wāhanga o te tinana.

    Ka uru pea te pokanga mō te mate pūngāwerewere ngutu ki te tango i ngā pūngāwerewere lymph i roto i te kaki.

  • Rongoā radiation. Ka whakamahi te rongoā radiation i ngā kaupapa kaha o te kaha, penei i ngā X-rays me ngā protons, hei whakamate i ngā pūtau mate pūngāwerewere. Ka taea te whakamahi i te rongoā radiation mō te mate pūngāwerewere ngutu anake, ka taea hoki te whakamahi i muri i te pokanga. Ka taea te āwhina i te radiation ki tō ngutu anake, ka taea hoki te āwhina ki ngā pūngāwerewere lymph i roto i tō kaki.

    Ko te nuinga o te rongoā radiation mō te mate pūngāwerewere ngutu ka puta mai i tētahi mīhini nui e arotahi tika ana i ngā kaupapa kaha. Engari i ētahi wā, ka taea te whakanoho tika i te radiation ki tō ngutu ka waiho i reira mō te wā poto. Ka taea e tēnei tukanga, e kiia nei ko te brachytherapy, ngā taote ki te whakamahi i ngā rongoā nui ake o te radiation.

  • Rongoā chemotherapy. Ka whakamahi te rongoā chemotherapy i ngā rongoā kaha hei whakamate i ngā pūtau mate pūngāwerewere. Mō te mate pūngāwerewere ngutu, ka whakamahia pea te rongoā chemotherapy me te rongoā radiation hei whakanui ake i te whai hua o te whakaora. I ngā take o te mate pūngāwerewere ngutu whānui kua horapa ki ētahi atu wāhanga o te tinana, ka taea te whakamahi i te rongoā chemotherapy hei whakaiti i ngā tohu me ngā tohu, me te whakamarie atu i a koe.

  • Rongoā taraiwa tarukino. Ka arotahi ngā rongoā taraiwa tarukino ki ngā ngoikoretanga motuhake kei roto i ngā pūtau mate pūngāwerewere. Mā te aukati i ēnei ngoikoretanga, ka taea e ngā rongoā taraiwa tarukino te whakamate i ngā pūtau mate pūngāwerewere. Ka honoa pea te rongoā taraiwa tarukino me te rongoā chemotherapy.

  • Immunotherapy. He rongoā tarukino te immunotherapy e āwhina ana i tō pūnaha mate-whawhai ki te whawhai ki te mate pūngāwerewere. Pea kaore tō pūnaha mate-whawhai o te tinana e whakaeke i te mate pūngāwerewere, no te mea ka whakaputa ngā pūtau mate pūngāwerewere i ngā pūmua e āwhina ana i a rātou ki te huna mai i ngā pūtau pūnaha mate. Ka mahi te immunotherapy mā te whakakore i taua tukanga. Mō te mate pūngāwerewere o te ngutu, ka whakaaro pea ki te immunotherapy ina whānui te mate pūngāwerewere, ā, kāore ngā whakaora atu e wātea ana.

Te tiaki whaiaro

Ka taea e te whakamārama mate pukupuku te whakarereke i tō oranga ake ake. Ka kimi ia tangata i tōna ake huarahi ki te whakahaere i ngā huringa hinengaro me te tinana e kawea mai ana e te mate pukupuku. Engari i te wā e whakamāramahia tuatahitia ai koe ki te mate pukupuku, i etahi wā ka uaua ki te mohio he aha te mahi e whai ake nei. Koinei etahi whakaaro hei āwhina i a koe ki te whakahaere: Akohia te nui o te mate pukupuku hei whakatau i ngā whakatau mō tō tiaki. Pātai atu ki tō tākua mō tō mate pukupuku, tae atu ki ō kōwhiringa maimoatanga, ā, ki te pai koe, tō whakatau. I te ako atu koe mō te mate pukupuku, ka tino whakapono koe ki te whakatau i ngā whakatau maimoatanga. Kia tata tonu ki ngā hoa me te whānau. Ko te pupuri i ō hononga tata ka kaha te awhina i a koe ki te whakahaere i tō mate pukupuku. Ka taea e ngā hoa me te whānau te whakarato i te tautoko mahi e hiahia ana koe, pēnei i te awhina i te tiaki i tō whare ki te noho koe i te hōhipera. Ka taea hoki e rātou te mahi hei tautoko hinengaro ina ngākau pouri koe ki te mate pukupuku. Kimihia tetahi hei kōrero atu. Kimihia tetahi kaiwhakarongo pai e mātau ana ki te whakarongo ki a koe e kōrero ana mō ō moemoeā me ō wehi. He hoa pea tēnei, he mema rānei o te whānau. Ko te awangawanga me te mārama o tetahi kaiāwhina, kaimahi whānau hauora, mema whakaminenga rānei, rōpū tautoko mate pukupuku rānei pea he whai hua. Pātai atu ki tō tākua mō ngā rōpū tautoko kei tō rohe. Ko ētahi atu puna kōrero ko te National Cancer Institute me te American Cancer Society.

Te whakarite mō tō whakaritenga

Tīmatahia mā te whakarite whakatau ki tō tākuta whānau mena kei a koe etahi tohu rānei e manukanuka ana koe. Ki te whakaaro tō tākuta pea kei a koe te mate pukupuku ngutu, ka tukuna pea koe ki te tākuta e mōhio ana ki ngā mate e pā ana ki te kiri (dermatologist) tetahi rānei e mōhio ana ki ngā āhuatanga e pā ana ki ngā taringa, ihu me te korokoro (otorhinolaryngologist). Nō te mea ka poto pea ngā whakatau, ā, he maha ngā mea hei kōrero, he whakaaro pai kia pai te whakarite. Koinei etahi mōhiohio hei āwhina i a koe ki te whakarite, me te aha e tatari ai koe i tō tākuta. Ngā mea ka taea e koe Kia mōhio ki ētahi tāpui i mua i te whakatau. I te wā e whakarite ana koe i te whakatau, kia ui atu mēnā kei te mea tētahi mea hei mahi i mua, pēnei i te whakaiti i tō kai. Tuhia ētahi tohu kei a koe, tae atu ki ētahi kaore pea e hono atu ki te take i whakarite ai koe i te whakatau. Tuhia ngā mōhiohio whaiaro nui, tae atu ki ētahi ahotea nui, te whakarerekētanga o te oranga hou rānei. Hanga he rārangi o ngā rongoā, huaora, te tāpiri rānei katoa e inu ana koe. Whakaarohia te kawe mai i tētahi mema whānau, hoa rānei. I etahi wā ka uaua pea te tango i ngā mōhiohio katoa i hoatu i te whakatau. Ko te tangata e haere tahi ana me koe ka mahara pea ki tētahi mea i ngaro, i wareware rānei koe. Tuhia ngā pūrongo hei ui ki tō tākuta. He iti te wā o tō tākuta, no reira ko te whakarite i te rārangi o ngā pūrongo ka āwhina i te whakamahi pai i tō wā tahi. Rārangihia ngā pūrongo mai i te mea nui rawa ki te mea iti rawa i te korenga o te wā. Mō te mate pukupuku ngutu, ko ētahi pūrongo taketake hei ui ki tō tākuta: Ka taea e koe te whakamārama i te tikanga o aku hua whakamātautau? Kei te tūtohutia e koe ētahi atu whakamātautau, mahi rānei? He aha te wā o taku mate pukupuku ngutu? He aha aku kōwhiringa maimoatanga? He aha ngā pānga taha e tōkia ana me ia maimoatanga? Me pēhea te pānga o te maimoatanga ki toku oranga o ia rā? Ko ēhea ngā kōwhiringa maimoatanga e whakaaro ana koe he pai mōku? He aha te tino pea ka tutuki ai te whakaora ki ngā maimoatanga e tūtohu ana koe? Kia tere rawa pea te whakatau i taku maimoatanga? Me tiki he whakaaro tuarua i tētahi tohunga? He aha te utu o tera, ā, ka hipokina e taku inihua? Kei te wātea ngā pukapuka, rauemi tā i tetahi atu e taea ai e au te tango? He aha ngā paetukutuku e tūtohu ana koe? I tua atu i ngā pūrongo kua whakaritea e koe hei ui ki tō tākuta, kaua e whakaroa ki te ui i ētahi atu pūrongo e puta mai ana ki a koe. Ngā mea e tatari ai koe i tō tākuta He tino ui pea tō tākuta ki a koe i te maha o ngā pūrongo. Ko te whakarite kia whakautu ai koe ka taea te wā muri atu hei hipoki i ētahi atu tohu e hiahia ana koe ki te whakatau. Ka ui pea tō tākuta: I tehea wā i tīmata ai koe te wheako i ngā tohu? He haere tonu, he wā wā rānei ō tohu? He aha te kaha o ō tohu? He aha, mēnā he aha, te ahua nei e pai ake ai ō tohu? He aha, mēnā he aha, te ahua nei e kino ake ai ō tohu? Na te kaimahi o te Kura Hauora o Mayo

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Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.

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