He aha te mate pukupuku pancreas? Tohutohu, Take, me te Maimoatanga

Ka puta te mate pukupuku pancreas ina tipu haere te hunga pūtau i roto i tō pancreas ka hanga i ngā pūngāwerewere. Ko tō pancreas tētahi kōpū iti kei muri i tō kopu e āwhina ana ki te whakahaere kai me te huka toto. Ahakoa ka raru pea tēnei whakatau, ko te mārama ki ngā kōrero mō te mate pukupuku pancreas ka āwhina iā koe kia rite ake, kia mōhio ake hoki ki ngā mea kei mua.

He aha te mate pukupuku pancreas?

Ka puta te mate pukupuku pancreas ina huri ngā pūtau noa i roto i tō pancreas ka whakaputa i te kore mana. E rua ngā mahi nui a te pancreas i roto i tō tinana. Ka hanga e ia ngā pūtau whakahaere kai e wawahi ana i te kai, ka whakaputa hoki i ngā homoni penei i te insulin e whakahaere ana i te huka toto.

Ko te nuinga o ngā mate pukupuku pancreas ka tīmata i ngā pūtau e taupoki ana i ngā ngongo e kawe ana i ngā pūtau whakahaere kai. Ka kiia ēnei he adenocarcinomas, ā, koinei te 95% o ngā mate pukupuku pancreas katoa. Ko ngā toenga ka puta i ngā pūtau whakaputa homoni, e kiia ana he pūngāwerewere neuroendocrine.

Ko tēnei momo mate pukupuku te nuinga o te wā ka kiia he "mate wahangu" no te mea kaore ngā tohu e puta rawa kia nui ake te tipu o te mate pukupuku, kia horapa rānei. Koia te take kaore te tini o te iwi e mohio ana kei a rātou i ngā wā tīmata, ina pea ka tino whai hua te maimoatanga.

He aha ngā tohu o te mate pukupuku pancreas?

Ko te mate pukupuku pancreas i ngā wā tīmata kaore e tino puta ngā tohu, koia te take ka uaua ki te kite. Ki te puta ngā tohu, ka ngāwari pea te whakaaro he take hauora noa.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te mamae o te kopu e mau tonu ana, ā, ka horapa pea ki tō tua
• Te ngaro o te taumaha kaore i te whakaaro ki te ngaro taumaha
• Te ngaro o te hiahia kai, te ngawari rānei ki te makona wawe ina kai
• Te kōwhai o tō kiri me ō kanohi (jaundice)
• Te mimi pouri me ngā paru mā, parauri rānei
• Te mate huka hou, te kino rānei o te whakahaere huka toto
• Te ruaki me te ruaki
• Te ngenge me te ngoikore

Ko ētahi atu ka kitea ngā tohu kaore i te noa, penei i ngā toto i roto i ō waewae, te pouri, te ngawari rānei ki te makona i tō pito o runga. Ka puta mai pea ēnei tohu, ka mutu rānei, ka kino haere rānei i te wā.

Kia mahara, ahakoa kei a koe ēnei tohu, ehara tena i te tikanga kei a koe te mate pukupuku pancreas. He maha atu ngā āhuatanga ka puta mai ngā tohu rite, koia te take he mea nui kia kōrero ki tō tākuta mō ētahi huringa e mau tonu ana e kitea ana e koe.

He aha ngā momo o te mate pukupuku pancreas?

E rua ngā momo nui o te mate pukupuku pancreas, ā, he rerekē rawa te āhua o te mahi. Ko te mārama ki te momo pea kei a koe ka āwhina i tō rōpū hauora ki te whakarite i te huarahi pai mō tō tiaki.

Ko ngā pūngāwerewere exocrine te nuinga o ngā mate pukupuku pancreas. Ko te mea tino noa ko te adenocarcinoma pancreatic, e tīmata ana i ngā pūtau e taupoki ana i ngā ngongo pancreatic. Ko ēnei pūngāwerewere te nuinga o te wā ka tipu haere, ka horapa atu i ētahi atu momo.

Ko ngā pūngāwerewere endocrine, e kiia ana hoki he pūngāwerewere neuroendocrine pancreatic, he iti rawa te noa. Ka puta ēnei i ngā pūtau whakaputa homoni o tō pancreas. Ko te nuinga o te wā ka tipu haere, ā, ka pai ake pea te tirohanga i ngā pūngāwerewere exocrine.

I roto i ēnei momo nui, he maha ngā momo iti ka taea e tō tākuta te whakatau mā te whakamātautau. Ka rerekē pea ngā āhuatanga me ngā huarahi maimoatanga o ia momo iti, koia te take he mea nui te whiwhi i te whakatau tika.

He aha ngā take o te mate pukupuku pancreas?

Kaore i tino mārama te take tika o te mate pukupuku pancreas, engari kua kitea e ngā kairangahau etahi take ka piki ake tō tūponotanga. Ko te nuinga o ngā keehi ka puta mai i te whakakotahitanga o ngā huringa ira me ngā pānga taiao i te wā.

He maha ngā take ka āwhina ki te whanake i te mate pukupuku pancreas:

• Ngā huringa ira ka taea te whakawhiwhi, te whanake rānei i roto i tō oranga
• Te mumura o te pancreas (pancreatitis)
• Te kai hikareti roa, e rua te tūponotanga
• Te inu waipiro nui i ngā tau maha
• Te whakaū ki ētahi matū i te wāhi mahi
• Te mate i te huakita Helicobacter pylori
• Te mate huaketo Hepatitis B

He mea nui te pakeke, no te mea ko te nuinga o te iwi e whakatauhia ana he 65 neke atu. Ka piki ake hoki tō tūponotanga ki te mate huka koe, ina koa ki te puta mai i te pakeketanga, ki te nui rawa rānei tō taumaha.

He mea nui te mohio kei a koe ngā take tūponotanga, ehara tena i te tikanga ka whanake koe i te mate pukupuku pancreas. He maha ngā tāngata he maha ngā take tūponotanga kaore e whiwhi i te mate, engari ko ētahi kaore he take tūponotanga e mohiotia ana.

Nōhea te haere ki te tākuta mō ngā tohu o te mate pukupuku pancreas?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e ngā tohu e mau tonu ana e awangawanga ana koe, ina koa ki te roa atu i ngā wiki torutoru. Ko te aromatawai wawe ka āwhina ki te kimi i te take me te whakawhiwhi i te rangimarie o te ngākau, te maimoatanga wawe rānei ki te hiahiatia.

Rapua te tiaki hauora wawe ki te kite koe i te kōwhai o tō kiri, o ō kanohi rānei, no te mea ka tohu pea tēnei i te aukati e hiahia ana ki te tiaki wawe. Ko te puta mai o te mate huka i roto i ngā pakeke neke atu i te 50, ina koa te whakakotahitanga me te ngaro o te taumaha, he mea nui hoki te aromatawai.

Kaua e tatari ki te pāngia koe e te mamae nui o te kopu kaore e pai ake me te okioki, ngā rongoā rānei i runga i te kaupapa. Pēnei, ko te ngaro o te taumaha kaore i te whakaarohia neke atu i te 10 pauna me te kore e ngana me whakatenatena te haere ki tō kaiwhakarato hauora.

Whakawhirinaki ki ō whakaaro mō tō tinana. Ki te he te mea, ki te rerekē rānei, he pai tonu te tirotiro. Ka taea e tō tākuta te āwhina ki te whakatau me pēhea te tirotiro i ō tohu, te hononga rānei ki tetahi mea iti ake te kino.

He aha ngā take tūponotanga mō te mate pukupuku pancreas?

Ko te mārama ki ngā take tūponotanga ka āwhina iā koe ki te whakatau i ngā whakatau mō tō hauora, ahakoa he mea nui te mahara kei a koe ngā take tūponotanga, ehara tena i te tikanga ka whanake koe i te mate pukupuku. Ko ētahi take tūponotanga ka taea e koe te whakahaere, ko ētahi kaore.

Ko ngā take tūponotanga kaore e taea e koe te huri i te:

• Pakeke (tino noa i muri i te 65, he iti rawa i mua i te 40)
• Ira tangata (he iti te noa i roto i ngā tāne)
• Iwi (ngā reiti teitei i roto i ngā Pākehā Amerika)
• Te hītori whānau o te mate pukupuku pancreas
• Ngā syndrome ira e whakawhiwhitia ana penei i ngā huringa BRCA2
• Te pancreatitis roa, te pancreatitis whakawhiwhi rānei

Ko ngā take tūponotanga ka taea pea e koe te whakahaere ko te kai hikareti, koinei te take tūponotanga tino nui e taea te whakahaere. Ko te inu waipiro nui, te momona, me te whakaū ki ētahi matū i te wāhi mahi ka piki ake hoki tō tūponotanga.

Ko te mate huka, ina koa te mate huka momo 2 e puta mai ana i te pakeketanga, ka hono pea ki te tūponotanga o te mate pukupuku pancreas. Ko ētahi rangahau e kī ana he nui ake te tūponotanga o te iwi he mate huka ki te whanake i tēnei mate pukupuku.

He aha ngā raruraru pea o te mate pukupuku pancreas?

Ka taea e te mate pukupuku pancreas te arahi ki ngā raruraru maha i te wā e haere ana, engari ko te mārama ki ēnei wā pea ka āwhina iā koe me tō rōpū hauora ki te whakarite me te whakahaere i te whai hua. Kaore te katoa e pāngia e ēnei raruraru katoa.

Ko ngā raruraru noa pea ko:

• Te aukati o te ngongo bile e puta ai te jaundice me te ngau
• Te aukati o te whekau e pā ana ki te whakahaere kai me te kai
• Ngā toto i roto i ngā waewae, ngā pūkahukahu rānei
• Te mate huka mai i te pakaru o ngā pūtau whakaputa insulin
• Ngā raruraru whakahaere kai me te kore kai
• Te mamae mai i te tipu o te pūngāwerewere, te pānga rānei o te io
• Te kohikohi wai i roto i te kopu

Ka taea e tō rōpū hauora te āwhina ki te whakahaere i ēnei raruraru mā ngā maimoatanga maha. Hei tauira, ka taea e rātou te whakanoho i te stent hei whakatuwhera i ngā ngongo bile kua aukatihia, te whakahau rānei i ngā pūtau hei āwhina i te whakahaere kai.

Ka taea te whakahaere, te whakahaere rānei i te nuinga o ēnei raruraru, koia te take he mea nui te noho hono atu ki tō rōpū hauora. Ka taea e rātou te aukati i ngā raruraru, te hopu rānei i te wā tīmata ina ngāwari ake te whakahaere.

Me pēhea te whakatau i te mate pukupuku pancreas?

Ko te whakatau i te mate pukupuku pancreas te nuinga o te wā ka whai ngā kaupae me ngā whakamātautau maha hei whiwhi i te whakaahua tino pai o ngā mea e puta ana i roto i tō tinana. Ka tīmata tō tākuta mā te kōrero mō ō tohu me tō hītori hauora, ka neke atu ki te whakamātautau tinana me te whakamātautau.

Ko ngā whakamātautau tīmata te nuinga o te wā ka whai whakaaro ki te mahi toto hei tirotiro i ngā tohu pūngāwerewere me te mahi ate. Ko ngā rangahau whakaahua penei i ngā CT scan, MRI rānei ka whakaatu i te rahi me te wāhi o ētahi pūngāwerewere. Ka taea pea e tō tākuta te tono i te ultrasound o tō kopu hei kaupae tuatahi.

Ko ngā whakamātautau motuhake atu pea ka whai whakaaro ki te ultrasound endoscopic, kei hea te ngongo angiangi me te kamera ka tukuna i roto i tō waha hei whiwhi i ngā whakaahua taipitopito o tō pancreas. Ka taea hoki e tēnei mahi te kohikohi i ngā tauira pūtau mō te biopsy.

He mea nui te biopsy hei whakau i te whakatau, hei whakatau hoki i te momo mate pukupuku. Koinei te tango i te tauira iti o te pūtau hei tirotiro i raro i te microscope. Ko ngā hua ka āwhina i tō rōpū hauora ki te whakarite i te huarahi maimoatanga tino tika.

He aha te maimoatanga mō te mate pukupuku pancreas?

Ko te maimoatanga mō te mate pukupuku pancreas ka whakawhirinaki ki ngā take maha, tae atu ki te wā o te mate pukupuku, tō hauora whānui, me ō hiahia whaiaro. Ka mahi tahi tō rōpū hauora ki a koe hei whakawhanake i te mahere e tika ana mō tō āhuatanga motuhake.

Ka taea pea te pokanga ki te kore i horapa te mate pukupuku ki tua atu o te pancreas. Ko te mahi tino noa ko te mahi Whipple, e tango ana i tetahi wāhanga o te pancreas me ngā kōpū tata. Ko te ora mai i tēnei pokanga te nuinga o te wā ka roa i ngā wiki maha.

Ko te chemotherapy te whakamahi i ngā rongoā hei whakamate i ngā pūtau mate pukupuku, ā, ko te nuinga o te wā ka tūtohutia i mua, i muri rānei i te pokanga, te maimoatanga matua rānei ina kore e taea te pokanga. Ka taea te hoatu ēnei rongoā mā te IV, ngā rongoā rānei e inu ana koe i te kāinga.

Ko te rongoā radiation te whakamahi i ngā hihi kaha ki te whakangaro i ngā pūtau mate pukupuku, ā, ka taea pea te whakakotahi me te chemotherapy. Ko ētahi atu ka whai hua mai i ngā maimoatanga hou penei i te immunotherapy, ngā rongoā rongoā āta whai whāinga rānei e mahi ana i ngā huarahi motuhake ki ngā pūtau mate pukupuku.

Ka whai whakaaro pea tō mahere maimoatanga ki te whakakotahitanga o ēnei huarahi. Ka whakamārama tō oncologist i ngā painga me ngā pānga o ia whiringa kia taea ai e koe te whakatau i ngā whakatau mō tō tiaki.

Me pēhea te tango i te maimoatanga kāinga i te wā o te mate pukupuku pancreas?

Ko te whakahaere i te mate pukupuku pancreas i te kāinga ko te tiaki i tō oranga whānui i te wā e whai ana i ngā tūtohu a tō rōpū hauora. Ka taea e ngā mahi iti te whakarereke nui i tō āhua i ia rā.

Arotake ki te kai mā te kai i ngā kai iti, maha e ngāwari ana te whakahaere. Ka hiahia pea koe ki te tango i ngā taapiri pūtau pancreatic me ngā kai hei āwhina i te wawahi tika i te kai. Kia makona te inu wai, ā, whakaarohia te mahi tahi me te kaiwhakaako kai e mārama ana ki te tiaki mate pukupuku.

He mea nui te whakahaere mamae mō tō kounga ora. Tangohia ngā rongoā mamae kua whakaritea e rite ana ki ngā tohutohu, kaua hoki e tatari kia kaha te mamae. Ko ngā mahi ngawari penei i ngā hikoi poto ka āwhina ki te pupuri i tō kaha me tō ngākau ina pai koe.

Tāruahia ō tohu me ētahi atu pānga o te maimoatanga. Ka āwhina ēnei kōrero i tō rōpū hauora ki te whakarite i tō tiaki e rite ana. Kaua e whakaroa ki te whakapiri atu ki a rātou me ngā pātai, ngā awangawanga rānei i waenga i ngā whakaritenga.

Me pēhea te whakarite mō tō whakaritenga tākuta?

Ko te whakarite mō tō whakaritenga ka āwhina iā koe ki te whakamahi pai i tō wā me tō kaiwhakarato hauora. 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 huaora, me ngā taapiri katoa e tangohia ana e koe. Whakauruhia ngā rāpoi me te maha o te tango. Huihuia hoki ētahi rēkōta hauora, ngā hua whakamātautau rānei mai i ētahi atu tākuta.

Whakaritea he rārangi o ngā pātai e hiahia ana koe ki te ui. Whakaarohia te kawe mai i te mema whānau, te hoa rānei hei āwhina iā koe ki te mahara ki ngā kōrero i kōrerotia. He mea whai hua hoki te kawe mai i te pukapuka hei tuhituhi i ngā kōrero nui.

Whakaarohia tō hītori hauora whānau, ina koa ētahi whānau kua pangia e te mate pukupuku. Ka taea te whakamahi ēnei kōrero mō te aromatawai a tō tākuta me te whakarite maimoatanga.

He aha te mea nui mō te mate pukupuku pancreas?

Ko te mate pukupuku pancreas he āhuatanga nui e hiahia ana ki te tiaki hauora wawe me te tiaki whānui. Ahakoa ka uaua pea te kite wawe, ko ngā whakapainga i te maimoatanga e whakawhiwhi ana i te tumanako hou me ngā whiringa mō te iwi e pā ana ki tēnei whakatau.

Ko te mea nui rawa ki te mahara ehara koe i te kotahi i roto i tēnei haerenga. Kei reira tō rōpū hauora hei aratohu iā koe i ia kaupae, mai i te whakatau tae atu ki te maimoatanga me tua atu. Ka taea e rātou te āwhina ki te whakahaere i ngā tohu me ngā pānga i te wā e mahi ana ki te whakaora i te mate pukupuku.

Noho hono atu ki ō kaiwhakarato hauora, ui pātai ina hiahia koe ki te whakamārama, kaua hoki e whakaroa ki te rapu tautoko mai i te whānau, ngā hoa, ngā rōpū tautoko rānei. Ko te mahi whai hua i roto i tō tiaki ka āwhina iā koe kia mōhio ake koe i te whakahaere i tēnei wā uaua.

Ngā Pātai e Ui pinepinetia ana mō te Mate Pukupuku Pancreas

P.1 Kia hohoro te horapa o te mate pukupuku pancreas?

Ko te mate pukupuku pancreas te nuinga o te wā ka tipu haere, ka horapa atu i etahi atu mate pukupuku. Heoi, ka rereke te tere mai i te tangata ki te tangata. Ko etahi pūngāwerewere ka noho tonu mo nga marama, engari ko etahi atu ka horapa atu. He mea nui te kite wawe me te maimoatanga mo nga hua pai, koia te take he mea nui kia kite wawe koe i to taakuta ki te mea he tohu awangawanga kei a koe.

P.2 He whakawhiwhi te mate pukupuku pancreas?

Ko te nuinga o nga mate pukupuku pancreas kaore i te whakawhiwhi, engari ko te 5-10% o nga keehi ka rere i roto i nga whanau. Ka nui pea to tupono ki te mea he whanaunga tata kei a koe kua pangia e te mate pukupuku pancreas, ki te mau ranei koe i etahi huringa ira penei i te BRCA2. Ki te mea he hītori whānau kaha kei a koe, whakaarohia te korero ki tetahi kaiāwhina ira mo to tupono me nga whiringa whakamātautau.

P.3 Ka taea te aukati i te mate pukupuku pancreas?

Ahakoa kaore e taea e koe te aukati katoa i te mate pukupuku pancreas, ka taea e koe te whakaiti i to tupono mā te mahi i ngā whiringa noho ora hauora. Ko te mahi nui rawa ko te kaua e kai hikareti, te mutu ranei ki te kai hikareti koe i tenei wa. Ko te pupuri i te taumaha hauora, te whakaiti i te inu waipiro, me te kai i te kai rite pea ka awhina ki te whakaiti i to tupono.

P.4 He aha te reiti ora mo te mate pukupuku pancreas?

Ka rereke nga reiti ora kia rite ki te wahanga i kitea ai te mate pukupuku me nga take takitahi. Ina kitea wawe ka taea te pokanga, ka pai ake nga hua. Heoi, ko te mate pukupuku pancreas te nuinga o te wa ka whakatauhia i nga wahanga o muri. Ka taea e to taakuta te korero mo te tikanga o nga tatauranga mo to ahuatanga motuhake, ka awhina i a koe ki te matau ki to whakatau.

P.5 He maimoatanga hou mo te mate pukupuku pancreas?

Ae, kei te whakawhanake tonu nga kairangahau i nga maimoatanga hou mo te mate pukupuku pancreas. Kei roto i enei nga rongoa immunotherapy, nga rongoa whai whāinga e whakaeke ana i nga ahuatanga motuhake o nga pūtau mate pukupuku, me nga whakakotahitanga hou o nga maimoatanga o mua. Kei te whakamātautau hoki nga whakamātautau hauora i nga huarahi hou e whai hua ana. Ka taea e to oncologist te korero mo te tika o etahi o enei maimoatanga hou mo to ahuatanga.