He aha ngā mate pukupuku neuroendocrine o te pancreas? Ngā tohu, ngā take, me te rongoā

Ko ngā mate pukupuku neuroendocrine o te pancreas (PNETs) he tipu onge e tupu ana i roto i ngā pūtau whakaputa-hōmona o tō pancreas. Kāore i rite ki te mate pukupuku pancreas tino noa, ka tupu haere tonu ngā mate pukupuku nei, ā, ka taea te whakaora, ina koa ki te hopukina wawe.

E rua ngā mahi matua o tō pancreas: te hanga i ngā enzymes whakakōkō kai me te whakaputa i ngā hōmona pēnei i te insulin. Ka puta mai ngā PNETs i ngā pūtau motuhake e whakahaere ana i te taha whakaputa hōmona. Ahakoa ka ātaahua te kupu 'mate pukupuku', he maha o ēnei tipu ka taea te whakahaere me te tiaki hauora tika.

He aha ngā mate pukupuku neuroendocrine o te pancreas?

Ko ngā mate pukupuku neuroendocrine o te pancreas he tipu pūtau rerekē e hanga ana i roto i te kiko whakaputa-hōmona o tō pancreas. Ka taea e ēnei mate pukupuku te whakaputa i ngā hōmona nui ake, te noho rānei 'kāore e mahi', arā, kāore e hanga hōmona atu.

Whakaarohia tō pancreas he rua ngā takiwa rerekē. Ko te nuinga o te iwi e mōhio ana ki te wāhanga e āwhina ana ki te whakakōkō kai, engari he wāhi iti ano kei reira ngā pūtau whakaputa-hōmona e kiia nei ko ngā pūtau islet. Ka tupu ngā PNETs i roto i tēnei wāhi whakaputa-hōmona.

Ko te rongo pai, ko te tikanga ka tupu haere tonu ngā PNETs atu i ētahi atu momo mate pukupuku pancreas. He tokomaha ngā tāngata e ora ana i te ora tino, mahi tonu i muri i te whakamātautau me te rongoā. Ka kitea hoki etahi PNETs i te wā o ngā whakamātautau mō ētahi atu take hauora.

He aha ngā momo mate pukupuku neuroendocrine o te pancreas?

E rua ngā kāwai matua o ngā PNETs: ngā mate pukupuku mahi e whakaputa ana i ngā hōmona nui ake, me ngā mate pukupuku kāore e mahi e kore e whakaputa. Ko te momo kei a koe te mea e whakatau ana i ngā tohu ka pā pea ki a koe.

Ko ngā mate pukupuku mahi e 30% o ngā PNET katoa, ā, ka huaina ki te hōmona e nui ake te whakaputa. Ko ngā PNET mahi tino noa ko:

• Insulinomas: Ko ēnei e hanga ana i te nui rawa o te insulin, e pā ana ki te iti rawa o te huka toto e raru ana
• Gastrinomas: Ko ēnei e hanga ana i te nui rawa o te gastrin, e arahi ana ki ngā mate pukupuku o te puku me te nui o te waikawa
• Glucagonomas: Ko ēnei e hanga ana i te nui rawa o te glucagon, e pā ana ki te nui o te huka toto me ngā pupuhi kiri motuhake
• VIPomas: Ko ēnei e hanga ana i te nui rawa o te homoni VIP, e pā ana ki te ruaki wai nui, kino
• Somatostatinomas: He tino onge enei, ā, ka pā pea ki ngā tohu rite ki te mate huka

Ko ngā mate pukupuku e kore e mahi ana e whakaatu ana i te 70% o ngā PNET, ā, kāo e hanga i te nui o ngā homoni. I te nuinga o te wā ka kitea ina nui haere rātou kia pēhi ki ngā whekau tata atu, i te wā rānei o ngā whakamātautau whakaahua mō ētahi take atu.

He aha ngā tohu o ngā mate pukupuku neuroendocrine o te pancreas?

Ko ō tohu e whakawhirinaki ana ki te hanga rānei o ō mate pukupuku i te nui o ngā homoni, kāo rānei. Kaore pea ngā mate pukupuku e kore e mahi ana e whakaatu i tetahi tohu i ō rātou wā tuatahi, i te wā e hanga ana ngā mate pukupuku e mahi ana i ngā raruraru motuhake e whakaatu ana i te homoni e nui rawa ana te hanga.

Mēnā he PNET kāore e mahi ana tōu, kaore pea koe e kite i tetahi mea kia nui haere te mate pukupuku. Ina puta mai ngā tohu, i te nuinga o te wā ka uru atu:

• Te mamae o te kopu, te kore ranei o te harikoa, ina koa i tō puku o runga
• Te ngaro o te taumaha kaore i whakamāramatia i roto i ngā marama maha
• Te ruaki, te ruaki rānei e kore e rite ki ētahi atu mate
• Te kowhai o tō kiri, o ō kanohi rānei (jaundice) mēnā ka aukati te mate pukupuku i ngā ngongo bile
• Ngā huringa i ō nekehanga o te kopu, i te tae rānei o te paru

Ko ngā mate pukupuku e mahi ana e hanga ana i ngā tohu e pā ana ki te nui o te hanga homoni. Mēnā he insulinoma tōu, ka pā pea koe ki ngā wāhanga o te wiri, te werawera, te whakapohehe, te tere rānei o te ngakau ina iti rawa te huka toto. I te nuinga o te wā ka puta ēnei wāhanga i waenganui i ngā kai, i te wā rānei o te mahi tinana.

Ko ngā gastrinoma te tikanga ka puta mai ai ngā mate puku e hoki ana, kāo kore e whakautu pai ki ngā rongoā noa. Āta kē te mamae o te puku, te ngakau wera, te ruaki rānei. Ka puta mai hoki te korere roa ki ētahi atu tangata.

Ko ngā mate pūngāwerewere e mahi ana, he iti ake te nui, ka puta mai ai ngā tohu motuhake. Ka puta mai pea i ngā glucagonoma tētahi kiri whero, pupū, āhua motuhake ki ō waewae, kanohi, puku rānei, me te ngaro o te taumaha me te mate huka ngawari. Ko ngā VIPoma ka puta mai ai te korere wai nui e āhei ana te arahi ki te maroke me te koretake o ngā waikawa.

He aha te take o ngā mate pūngāwerewere pancreatic?

Kāore i te mōhiotia te take tika o te nuinga o ngā PNET, engari kua kitea e ngā kairangahau etahi take ka piki ake ai tō tūponotanga. I te nuinga o ngā take, ka tipu ngā mate pūngāwerewere nei i te koretake, kāore he take mārama.

E 10% pea o ngā PNET e hono ana ki ngā āhuatanga ira tuku iho. Ko ngā mea tino noa o ēnei ko:

• Te Multiple Endocrine Neoplasia Type 1 (MEN1): Ka piki ake tēnei mate te tūponotanga o ngā mate pūngāwerewere i roto i ngā whekau maha e whakaputa ana i ngā homoni
• Te mate a Von Hippel-Lindau: Ka taea e tēnei āhuatanga te puta mai o ngā mate pūngāwerewere i roto i ngā whekau maha, tae atu ki te pancreas
• Te Neurofibromatosis Type 1: Ka piki ake pea te tūponotanga o te PNET i tēnei mate ira
• Te mate tuberous sclerosis: Ka uru pea ngā mate pūngāwerewere pancreatic ki tēnei āhuatanga onge

Ki te whai koe i tētahi hītori whānau o ēnei mate ira tuku iho, kāore e whakaatu ana ka puta mai tētahi PNET ki a koe, engari ko te tikanga pea he pai te tirotiro tonu.

Kei te ako tonu ngā kairangahau mēnā he wāhi ngā take ora penei i te kai, te wāhine, te whakaū i te taiao rānei ki te whanaketanga o te PNET. I tēnei wā, kāore he mōhio pai e hono ana i ēnei mate pūngāwerewere ki ngā whiringa ora motuhake.

Nōhea koe me haere ki te taote mō ngā tohu o te mate pūngāwerewere pancreatic?

Mēnā ka mau tonu ngā tohu kaore e whakamāramahia, me whakapiri atu koe ki tō kaiwhakarato hauora. Ahakoa he maha ngā tohu ka puta mai i ngā take ngāwari, he mea nui kia tirohia, ina koa ki te haere tonu mō ngā wiki maha.

Rapua te tiaki hauora i te wa poto mena ka kite koe i ngā wāhanga maha o ngā tohu o te huka toto iti penei i te wiri, te werawera, te whakapohehe, te tere o te ngākau, ina koa ki te puta i waenga o ngā kai. Ka taea e ēnei te tohu i te insulinoma, e hiahia ana ki te aromatawai hauora tika.

Whakamaherehia he hui ki tō tākuta mēnā ka whanake koe i te mamae o te kopu e mau tonu ana, te ngaro o te taumaha kaore i whakamāramahia, te mate o te puku e puta ana kaore e whakautu ki te maimoatanga noa. Ahakoa he maha ngā take o ēnei tohu, he mea tika kia arotakehia e te tohunga.

Whakapiri atu ki tō kaiwhakarato hauora i te wa poto mēnā ka whanake koe i te jaundice (kowhai o te kiri, o ngā kanohi rānei), te mamae nui o te kopu, te ruaki wai nui e arahi ana ki te mate wai. Ka taea e ēnei tohu te tohu kei te pā te mate pukupuku ki ngā whekau tata atu, kei te whakaeke ranei i ngā koretake nui o te homoni.

He aha ngā take morearea mō ngā mate pukupuku neuroendocrine o te pancreas?

He maha ngā take ka piki ake ai tō tūponotanga ki te whanake i te PNET, ahakoa te whai i ngā take morearea kaore e tikanga ka whanake koe i tēnei āhuatanga. Ka taea e te mōhiotanga ki ēnei take te āwhina i a koe me tō tākuta ki te whakatau whakamārama mō te aroturuki me te aukati.

Ko ngā take morearea nui rawa atu me mōhio koe ko:

• Tauira: Ko te nuinga o ngā PNET ka puta ki ngā tāngata kei waenga i te 30 me te 60 tau te pakeke, ahakoa ka taea te whanake i tetahi tauira rānei
• Ira tangata: Ko ēnei mate pukupuku e pā ana ki ngā tāne me ngā wāhine āhua rite tonu, me ngā rerekētanga iti e whakamahia ana i runga i te momo motuhake
• Ngā mate pūngao: Ko te whai i te MEN1, te mate a Von Hippel-Lindau, te whakaiti rānei i te tūponotanga
• Hītori whānau: He hītori whānau o ngā mate pukupuku pancreatic, ngā mate pūngao e pā ana rānei, ka taea te whakapiki ake i tō tūponotanga
• Iwi: Ko ētahi rōpū iwi pea he tauira tūponotanga rerekē, ahakoa ka taea e ngā PNET te pā ki ngā tāngata o ngā papamuri katoa

Kāore i rite ki ētahi atu mate pukupuku, ko ngā take oranga penei i te kai hikareti, te inu waipiro, te kai rānei kaore e kitea he kaha te awe ki te whanaketanga o te PNET. Ko te tikanga, kāore he huringa oranga motuhake ka taea te aukati i ēnei mate pukupuku.

Mēnā he mate pūngao mohio koe e whakapiki ana i te tūponotanga o te PNET, ka tūtohu pea tō tākuta i te tirotiro auau me ngā whakamātautau whakaahua. Ka taea e tēnei huarahi whakahaere te awhina i te hopu i ngā mate pukupuku i te wā e taea ai te whakaora.

He aha ngā raruraru pea o ngā mate pukupuku neuroendocrine pancreatic?

Ka taea e ngā PNET te whakaputa i ngā raruraru mai i te mate pukupuku anō, me ngā homoni nui ka whakaputahia e ētahi mate pukupuku. Ko te mārama ki ēnei take pea ka taea te awhina i a koe ki te mohio ki te wā hei rapu awhina hauora me te take he mea nui te maimoatanga.

Ka taea te whanake i ngā raruraru tinana mai i te tipu o te mate pukupuku i te nui haere o te mate pukupuku. Ka uru atu ēnei ki:

• Te aukatinga o ngā whekau tata, inā te ngongo bile, te kopu iti rānei
• Te toto ki roto i te ara kai mēnā ka ngākau te mate pukupuku i ngā oko toto
• Te horapa ki ngā kōpū lymph tata, ki ētahi atu whekau rānei i ngā take whanake ake
• Te pehanga ki te kiko pancreatic e karapotia ana, ka pā pea ki te mahi pancreatic noa

Ka puta mai ngā raruraru o ngā homoni i ngā pūngāwerewere mahi tonu, ā, ka tino kino pea mēnā ka kore e āwhina. Ka taea e ngā insulinomas te whakaeke i te hypoglycemia nui ka āhei te arahi ki ngā manukanuka, ki te coma, ki te rāpoi roro rānei ki te heke te huka toto ki raro rawa.

Ka taea e ngā gastrinomas te hanga i te mate Zollinger-Ellison, kei reira te nui o te waikawa puku e whakaeke ana i ngā mate pukupuku ka taea te pakaru, te toto rānei. Kāore ngā mate pukupuku nei e whakautu ki ngā rongoā mate pukupuku noa, nō reira he mea nui te tautuhi tika.

Ka taea e ngā pūngāwerewere mahi iti te whakaeke i ō rātou ake raruraru motuhake. Ka āhei ngā VIPomas te arahi ki te maroke kino me ngā koretake o ngā waikura mai i te ruaki nui. Ka taea e ngā Glucagonomas te whakaeke i te mate huka nui me ngā ngoikore o te kai.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati mā te āwhina tika. Ka taea e te tautuhi wawe me te whakahaere tika te āwhina i a koe ki te karo i ēnei take kino me te pupuri i te kounga ora pai.

Me pēhea te tautuhi i ngā pūngāwerewere neuroendocrine pancreatic?

Ko te tautuhi i ngā PNET e whakauru ana i ētahi kaupae, te tīmatanga me tō hītori hauora me ngā tohu, ka whai ake ko ngā whakamātautau toto motuhake me ngā rangahau whakaahua. Ka mahi tahi tō tākuta ki te whakau i te tautuhi me te whakatau i ngā āhuatanga o te pūngāwerewere.

Ko tō kaiwhakarato hauora te tuatahi ka ui ki ō tohu, ki tō hītori whānau, ki ētahi āhuatanga ira rānei ka piki pea tō morearea. Ka mahi rātou i te tirotiro tinana, ka tirotiro hoki i ngā tohu penei i te mamae o te kopu, ngā kōpū nui, te jaundice rānei.

He mahi nui ngā whakamātautau toto ki te tautuhi PNET. Ka tirotiro pea tō tākuta mō:

• Ngā taumata homoni penei i te insulin, gastrin, te glucagon rānei mēnā ka whakapaehia he pūngāwerewere mahi.
• Chromogranin A, he pūmua e teitei ana i ngā pūngāwerewere neuroendocrine.
• Te kemika toto noa hei tirotiro i te mahi ate me te hauora whānui.
• Te whakamātautau ira mēnā kei a koe te hītori whānau o ngā āhuatanga e hono ana.

Ngā whakaahua whakaatu e āwhina ana ki te kimi me te whakamārama i te mate pukupuku. Ka taea e ngā tirotiro CT me te whakamahinga o te mea whakakāhua te whakaatu i te rahi me te wāhi o te mate pukupuku, ā, ka homai e te MRI ngā whakaahua taipitopito o ngā kiko ngawari. He tirotiro motuhake e kiia nei ko te tirotiro octreotide ka taea te whakakī i ngā mate pukupuku neuroendocrine.

Ka taea e te ultrasound endoscopic te tuku i ngā whakaahua tino taipitopito o tō pancreas ki tō tākuta, ā, ka uru pea ki te tango i te tauira iti o te kiko (biopsy) hei whakau i te tātaritanga. Ka whakamahia e tēnei tukanga tētahi pūtu rapa, ngawari me te pūtirotiro ultrasound e pā ana i tō waha me tō kopu.

Ka homai e te biopsy te whakau whakamutunga o te tātaritanga, ā, ka āwhina ki te whakatau i te taumata o te mate pukupuku, e whakaatu ana i te tere o tōna tipu pea. He mea nui tēnei mōhiohio mō te whakarite i tō maimoatanga.

He aha te maimoatanga mō ngā mate pukupuku neuroendocrine pancreatic?

Ko te maimoatanga mō ngā PNET e whakawhirinaki ana ki ētahi take, tae atu ki te rahi o te mate pukupuku, te wāhi, te whakaputa hormone rānei, me te hora rānei. Ko te rongo pai ko te maha o ngā whiringa maimoatanga kei te wātea, ā, ko te tirohanga mō ngā PNET he pai ake te nuinga atu i ētahi atu mate pukupuku pancreatic.

Ko te pokanga te maimoatanga tuatahi i te nuinga o te wā ina kei te noho te mate pukupuku, ā, ka taea te tango haumaru. I runga i te wāhi o te mate pukupuku, ka taea e tō taote te tango noa i te mate pukupuku, tetahi wāhanga o tō pancreas rānei, i ētahi wā rānei, ka mahi i tētahi tukanga whānui ake e kiia nei ko te mahi a Whipple.

Mō ngā mate pukupuku mahi, he mea nui te whakahaere i ngā tohu e pā ana ki te hormone, pēnei i te maimoatanga o te mate pukupuku anō. Ka hiahia pea ngā insulinomas ki ngā rongoā hei aukati i ngā hekenga kino o te huka toto, ā, ka hiahia pea ngā gastrinomas ki ngā kaihoroi pūmū proton hei whakaiti i te whakaputanga o te waikawa kopu.

Ina kore e taea te pokanga, te hora rānei o te mate pukupuku, ko ētahi atu whiringa maimoatanga ko:

• Ngā tauira o te somatostatin: Rongoā penei i te octreotide e taea te whakaheke i te tipu o te mate pukupuku me te whakahaere i te whakaputa o te homoni
• Rongoā whai pūtaiao: Rongoā penei i te everolimus, te sunitinib rānei e āta whai ana i ngā huarahi tipu o te mate pukupuku
• Kemōterapi: Ka whakamahia mō ngā mate pukupuku kaha ake, kāore rānei e whai hua ētahi atu rongoā
• Te rongoā radionuclide o te kaiwhiwhi peptide (PRRT): He rongoā motuhake e tuku ana i te radiation tika ki ngā pūtau mate pukupuku
• Rongoā ā-ate: Ngā rongoā motuhake mō ngā mate pukupuku kua horapa ki te ate

Ko tō rōpū rongoā pea ka whai ngā tohunga maha e mahi tahi ana, tae atu ki ngā gastroenterologists, ngā oncologists, ngā tākuta pokanga, me ngā endocrinologists. Ko tēnei huarahi mahi tahi ka whakarite kia whiwhi koe i te tiaki whānui e rite ana ki tō āhuatanga motuhake.

Me pēhea te whakahaere i ngā tohu kei te kāinga i te wā e rongoā ana?

Ko te whakahaere i ngā tohu PNET kei te kāinga e pā ana ki te mahi tata atu ki tō rōpū hauora, me te tango i ngā mahi whai hua hei pupuri i tō mārohirohi me te kounga o tō oranga. Ko ō hiahia tiaki kāinga motuhake ka whakawhirinaki ki te whakaputa ranei o tō mate pukupuku i ngā homoni nui, me te rongoā e whiwhi ana koe.

Mēnā he insulinoma tōu, ko te whakahaere i ngā taumata huka toto ka waiho hei kaupapa o ia rā. Pupurihia ngā kāreti mahi tere penei i ngā papa huka, wai hua, kai kēki rānei kia ngāwari te whakamahi hei whakaora i ngā wāhanga huka toto iti. Ko te kai i ngā kai iti, maha i te rā katoa ka āwhina i te aukati i ngā hekenga kino o te huka toto.

Mō ngā gastrinomas e puta mai ana te waikawa puku nui, ko te tango tonu i ngā rongoā whakaiti waikawa kua tohua he mea nui. Whakarērea ngā kai e whakaoho ana i ō tohu, penei i ngā kai kawa, waikawa, ngako rānei. Ko te kai i ngā kai iti ake, maha atu ka āwhina hoki i te whakaiti i te whakaputa waikawa me te whakapai ake i te mārohirohi.

Ngā rautaki whakahaere tohu whānui ka āwhina pea:

• Te pupuri i te rangitaki tohu hei aroturuki i ngā tauira me ngā mea whakaoho
• Te pupuri i te makuku, ina koa ki te pāngia koe e te ruaki, te korere rānei
• Te whiwhi i te okioki tika me te whakahaere i te ahotea mā ngā tikanga whakahaumaru
• Te whai i tō mahere rongoā kua tohua tika hei ārahi
• Te pupuri i te hononga tūturu ki tō rōpū hauora mō ngā huringa tohu

Ka uru pea te whakahaere mamae ki ngā rongoā kua tohua me ngā mahi whakamarie penei i te rongoā wera, te whakakori ngawari rānei, kia whakaaetia e tō tākua. Kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora ki te kino haere ō tohu, ki te puta mai rānei ngā āwangawanga hou.

He mea nui te tautoko kai, ina koa ki te ngaro te taumaha, ki te pāngia koe e ngā tohu pūnaha kai rānei. Ka taea e te kaiwhakaako kai kua rehitatia e mohio ana ki ngā PNET te āwhina i a koe ki te whakawhanake i te mahere kai hei tautoko i tō hauora me te whakahaere i ngā tohu e pā ana ki te kai.

Me pēhea te whakarite mō tō hui ki te taakuta?

Ka taea e te whakarite pai mō tō hui ki te taakuta te ārahi i a koe ki te whiwhi i te hua nui mai i tō haerenga, ā, ka hoatu ki tō rōpū hauora ngā mōhiohio e hiahia ana rātou ki te āwhina i a koe. Ko te tango i te wā ki te whakarite i ō whakaaro me ō pūrongo i mua ka ārahi i te hui ki te hua nui ake mō te katoa.

Tīmata mā te tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou, te auau o te puta mai, me te mea e pai ake ai, e kino ake ai rānei. Kia tino marama ki te wā, pēnei i te mea he tohu i mua i ngā kai, i muri i te kai, i ngā wā motuhake o te rā rānei.

Kohikohia ngā mōhiohio nui hei kawea atu ki a koe:

• He rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua hua katoa e inu ana koe
• Tō hītori hauora whānau, ina koa ngā mate pukupuku, ngā āhuatanga ira rānei
• Ngā hua whakamātautau o mua, ngā tirotiro, ngā rēkōta hauora rānei e pā ana ki ō āwangawanga o nāianei
• Ngā kāri inihua me te whakamārama
• He hoa whakawhirinaki, he mema whānau rānei hei tautoko me te āwhina ki te maumahara i ngā mōhiohio

Whakamahia he rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākua. Whakaarohia ngā pātai e pā ana ki tō whakatau, ngā whiringa rongoā, ngā pānga kino pea, me ngā mea e tumanakohia ana i mua. Kaua e manukanuka ki te maha rawa o ngā pātai – e hiahia ana tō rōpū hauora kia mohio koe ki tō mate me tō rongoā.

Whakaarohia ō whāinga me ō awangawanga e pā ana ki te rongoā. Ko te aha te mea nui rawa e awangawanga ana koe, te mana whakahaere o ngā tohu, te whakatau i te roa, te pēhea te pānga o te rongoā ki tō oranga o ia rā? Ko te whakawhiti i ēnei kaupapa matua hei āwhina i tō tākua ki te whakarite i ōna tūtohu ki te mea nui rawa atu ki a koe.

Whakaarohia te kawe mai i te pukapuka, te ui rānei mēnā ka taea e koe te tuhi i ngā wāhanga nui o te kōrero (me te whakaaetanga). Ka taea te nui o ngā korero hauora, ā, ko te pupuri i te rekoata hei āwhina i a koe ki te arotake me te whakawhitiwhiti korero ki ngā mema whānau i muri mai.

He aha te mea nui e pā ana ki ngā mate pukupuku neuroendocrine o te pancreas?

Ko te mea nui rawa atu hei mārama ki ngā PNET ko te nuinga o te wā ka taea te rongoā me te pai ake te tirohanga atu i ētahi atu momo mate pukupuku o te pancreas. Ahakoa te whiwhi i tetahi whakatau mate pukupuku ka raru, he tokomaha ngā tāngata e ora ana i ngā oranga tino whānuitia, mahi, me te tiaki hauora tika.

He mea nui te kite wawe me te rongoā tika ki ngā hua. Ki te pāngia koe e ngā tohu mau tonu, ina koa ngā mea e pā ana ki ngā rerekētanga o te huka toto, te raru o te puku rānei, kaua e whakaroa ki te rapu whakamātautau hauora. He maha ngā PNET e tipu haere ana, e homai ana ki a koe me tō rōpū hauora te wā ki te whakawhanake i te mahere rongoā whai hua.

Kia mahara kua tino whakapai ake te rongoā PNET i ngā tau tata nei, me ngā rongoā hou me ngā tikanga hou e whakawhiwhia ana te tumanako ahakoa mo ngā take tino nui. Ka mahi tahi tō rōpū hauora ki a koe ki te kimi i te huarahi rongoā e pai ana ki tō āhuatanga me ō whāinga motuhake.

Ko te noho tahi me te PNET te tikanga he hononga kaha ki tō rōpū hauora, me te ako ki te whakahaere i tō mate hei wāhanga o ō mahi o ia rā. Mā te tiaki hauora tika, te whakahaere i ngā tohu, me te tautoko mai i te whānau me ngā hoa, ka taea e koe te pupuri i te kounga ora pai ā, ka whakahaere pai hoki i tō mate.

Pātai auau mō ngā mate pūtau neuroendocrine o te pancreas

He rite ngā mate pūtau neuroendocrine o te pancreas ki te mate pukupuku o te pancreas?

Kāo, he rerekē ngā PNET i te momo mate pukupuku o te pancreas e mōhiotia ana ko te adenocarcinoma. Ahakoa e whānau ana raua i roto i te pancreas, ka tino puea haere ngā PNET, ā, he pai ake te whakatau. Ka puta mai ngā PNET i ngā pūtau whakaputa homoni, ka puta mai te adenocarcinoma o te pancreas i ngā pūtau e taupoki ana i ngā ngongo o te pancreas.

He rerekē rawa ngā tikanga whakaora me te tirohanga mō ēnei āhuatanga e rua, koia te take he mea nui kia tika te whakamārama. Ka āwangawanga ngā PNET ki ngā maimoatanga kaore e whai hua ki te adenocarcinoma o te pancreas.

Ka taea te whakaora i ngā mate pūtau neuroendocrine o te pancreas?

Ae, ka taea te whakaora i te nuinga o ngā PNET, inā te kitea wawe, kāore hoki i horapa atu i te pancreas. Ko te pokanga hei tango i te mate pukupuku te huarahi pai ki te whakaora, ā, he maha ngā wā ka taea tēnei mō ngā mate pukupuku iti, kei te rohe.

Ahakoa kaore e taea te whakaora katoa, ka āwangawanga ngā PNET ki te maimoatanga, ā, ka taea te whakahaere hei mate roa mō ngā tau maha. Ko te puea haere ngāwari o te nuinga o ngā PNET te tikanga ka taea e te iwi te noho i ngā oranga noa ahakoa he mate whānui ina whakahaerea tika.

E hohoro ana te tipu o ngā mate pūtau neuroendocrine o te pancreas?

Ko te nuinga o ngā PNET he mate pukupuku puea haere ngāwari ka roa pea ngā marama, ngā tau rānei kia puta mai ngā tohu e kitea ana. He rerekē tēnei i te maha atu o ngā momo mate pukupuku, e hiahia ana ki te puea haere me te horapa atu.

Ka rereke te tere o te tipu i runga i te taumata o te mate pukupuku, ko etahi e tipu haere ana i te roa o nga tau, ko etahi atu ka kaha ake te mahi. Ka taea e tō tākuta te whakatau i te taumata o tō mate pukupuku mā ngā hua o te tātaritanga, ā, ka āwhina tēnei ki te whakatau i tōna āhua pea me te aratohu i ngā whakatau ātete.

Me whakarerekē atu rānei taku kai mēnā he mate pukupuku neuroendocrine o te pancreas taku?

Ka whakawhirinaki ngā whakarerekētanga kai ki te whakaputa atu rānei tō mate pukupuku i ngā homoni nui me ngā tohu e pā ana ki a koe. Ki te pēhea he insulinoma tōu, ka hiahia pea koe ki te kai i ngā kai iti, maha, me te karo i ngā kai e pāngia ana te huringa o te huka toto.

Mō ngā gastrinomas, ko te karo i ngā kai kawa, waikawa, kākahi rānei ka āwhina pea ki te whakaiti i te whakaputanga o te waikawa puku me te whakapai ake i tō mārohirohi. Ka taea e tō rōpū hauora, pea ko te kaiwhakaako kai rehitatia, te tuku aratohu kai motuhake e whakaū ana ki tō āhuatanga me ngā tohu.

He aha te reiti ora mō ngā mate pukupuku neuroendocrine o te pancreas?

Ko te tirohanga mō ngā PNET he pai ake te nuinga atu i ētahi atu mate pukupuku o te pancreas. Ka rereke ngā reiti ora rima tau i runga i te wāhanga i te wā o te whakatau, engari he teitei ake te nuinga atu i te adenocarcinoma pancreatic.

Mō ngā PNET i tūturuhia kaore i horapa, he maha tonu ngā reiti ora rima tau i runga ake i te 90%. Āe rawa atu mō ngā mate pukupuku kua horapa ki ngā wāhi tata atu, ki ngā wāhi tawhiti rānei, he tokomaha ngā tāngata e ora ana i ngā tau maha me te kounga ora pai ina whiwhi i te ātete tika. Ka whakawhirinaki tō whakatau whaiaro ki ngā mea maha ka taea e tō rōpū hauora te kōrero atu ki a koe.