He aha te Carinoma Pūtau Papatohu? Tohutohu, Take, me te Maimoatanga

Ko te carinoma pūtau papatohu te tuarua o ngā momo mate pūtau kiri e tupu ana i ngā pūtau papatahi, angiangi kei runga i tō kiri. Whakaarohia he tipu pūtau rerekē e puta ana ina tīmata te maha o ēnei pūtau mata i te kore mana, te nuinga na te nui o te rā i te roa o te wā.

Ahakoa ka rongo pea tenei he wehi, koinei tetahi korero whakamarie: ina kitea wawe, he tino taea te whakaora i te carinoma pūtau papatohu, ā, kāore e horapa ki ētahi atu wāhanga o tō tinana. Ka taea te whakaora katoa i te nuinga o ngā take mā ngā mahi ngāwari i waho, ā, e miriona te tokomaha o te iwi e ora tonu ana, e ora hauora ana i muri i te maimoatanga.

He aha ngā tohu o te carinoma pūtau papatohu?

Ka kitea pea te carinoma pūtau papatohu hei huringa kei runga i tō kiri ka taea e koe te kite me te whakarongo. Ko te mea nui ko te mohio ki te mea hei rapu kia taea ai e koe te hopu wawe ina pai rawa te mahi a te maimoatanga.

Ko ēnei ngā tohu tino noa ka kitea pea e koe:

• He wahi rapa, tautau e rite ana ki te pepa oneone, ā, kāore e ora
• He pupuhi, he tipu pea he pakaru kei waenganui
• He wahi pouri e toto ana, e hipoki ana i te kirikiri, ka tuwhera ano
• He tipu rite ki te whewhe e pakari ana te pa
• He waahi whero, papatahi e puea haere ana i te roa o te wā

Ka puta pea ēnei tipu kei ngā wāhi e pā ana ki te rā, pēnei i tō mata, tō taringa, tō kaki, ngutu, me ngā tua o ō ringaringa. Heoi, ka taea hoki te whanake o te carinoma pūtau papatohu i ngā wāhi kaore e kitea, pēnei i tō waha, ngā taonga ira tangata, ā, ahakoa kei raro i ō maru.

Ko te mea ka tino uaua tenei mate pūtau ko te mea ka rite pea ki ētahi atu āhuatanga kiri kore morearea. Ko te tohu tohu ko te tikanga kaore e ora te waahi pēnei i te kotinga noa, i te mamae ranei, ahakoa i muri i ngā wiki maha o te tiaki ngawari.

He aha ngā momo carinoma pūtau papatohu?

Ka wehewehe ngā tākuta i te carinoma pūtau papatohu ki ngā momo rerekē i runga i te ahua o ngā pūtau i raro i te microscope me te wāhi e whanake ana. Ko te mārama ki ēnei momo ka āwhina i tō rōpū hauora ki te whiriwhiri i te huarahi maimoatanga pai mōu.

Ko ēnei ngā momo matua:

• Carinoma pūtau papatohu noa: Ko te momo tino noa e tipu haere ana, kāore e horapa
• Keratoacanthoma: He momo tipu tere e rite ana ki te puia me te poka kei waenganui
• Carinoma pūtau pūtau: He momo iti ake te noa e roa ana ngā pūtau i raro i te microscope
• Adenosquamous carcinoma: He momo onge e whai āhuatanga ana o ngā pūtau papatohu me ngā pūtau glandular

He maha atu ngā momo onge, kaha ake ka kōrero atu tō tākuta ki a koe mena e tika ana. Ko te nuinga o ngā take ko te momo noa, e tino pai ana te whakautu ki te maimoatanga ina kitea wawe.

Ka whakatau tō tākuta ko tēhea momo kei a koe mā te biopsy, kei reira e tangohia ana e rātou he tauira iti o te kiko mō te tātaritanga taiwhanga. Ka āwhina tēnei korero i a rātou ki te hanga i te mahere maimoatanga tino whai hua mō tō āhuatanga motuhake.

He aha ngā take o te carinoma pūtau papatohu?

Ko te take matua o te carinoma pūtau papatohu ko te kino o te DNA o tō kiri mai i te radiation ultraviolet, te nuinga mai i te rā i ngā tau maha. Whakaarohia pēnei i te pupuri a tō kiri i te rēhita o ia tahuna me ia rā i noho ai koe i te rā kaore he tiaki.

Ko ēnei ngā mea e āwhina ana ki te whanake o tēnei mate pūtau:

• Te whakamahinga rā roa, ina koa ki te mahi koe i waho, ki te noho ranei koe i ngā āhuarangi rā
• He hītori o ngā tahuna rā nui, ina koa i ngā tau tamariki me ngā tau taiohi
• Te whakamahinga noa o ngā moenga tāninga, i ngā rama rā rānei
• He kiri mā e tahuna ngāwari ana, kāore e tāninga pai
• He pūnaha mate pūtau ngoikore mai i ngā rongoā, i ngā āhuatanga hauora rānei
• Te whakamahinga o ētahi matū pēnei i te arsenic, i te taru waro rānei
• Ngā maimoatanga rongoā radiation o mua
• Ngā mate kiri roa, i ngā wahi pouri roa rānei

Ka whanake pea ētahi atu i te carinoma pūtau papatohu i ngā wāhi kaore e kitea te rā. I ēnei take, ka taea pea te mahi a ētahi atu mea, pēnei i te mamae roa, ētahi mate, i ngā āhuatanga ira rānei.

Ko te rongo pai ko te mārama ki ēnei take ka hoatu ki a koe te mana pono ki te tiaki i a koe me ō whānau. Ka taea e ngā tikanga o ia rā, pēnei i te kakahu i te sunscreen me te kakahu tiaki, te whakaiti nui i tō morearea.

Nō hea te kite i te tākuta mō te carinoma pūtau papatohu?

Me kite koe i te tākuta i ngā wā katoa ka kite koe i ētahi huringa kiri e awangawanga ana koe, ina koa ki te kore e ora i roto i ngā wiki torutoru. Ko te kite wawe te mea nui mō te angitu o te maimoatanga me te rangimarie o te ngākau.

Whakahaere he huihuinga mena ka kite koe:

• Tetahi tipu hou, tetahi waahi rānei e puta ana, kāore e ngaro i muri i te 2-3 wiki
• He whewhe, he waahi rānei e huri ana te rahi, te tae, te ahua, te āhua rānei
• He wahi pouri e toto ana i te maha o ngā wā, kāore rānei e ora tika
• He wahi rapa, tautau e rerekē ana i tō kiri noa
• Tetahi tipu e ngawari ana, e ngau ana, e pāngia ana rānei

Kaua e tatari mena he hītori whaiaro tōu mō te mate pūtau kiri, ki te maha rānei o ngā mema whānau kua whiwhi.

Kia mahara, ko te nuinga o ngā huringa kiri he mea kore morearea. Engari ko te tirotiro i a rātou ka hoatu ki a koe te rangimarie o te ngākau, te wā rānei ki te hopu i tetahi mea wawe ina tino whai hua te maimoatanga.

He aha ngā take morearea mō te carinoma pūtau papatohu?

Ahakoa ka taea e te tangata te whanake i te carinoma pūtau papatohu, ka piki ake ētahi take i tō tūponotanga ki te whiwhi. Ko te mārama ki tō morearea whaiaro ka āwhina i a koe ki te tango i ngā mahi tiaki tika me te mohio ki te wā hei tiaki atu mō ngā huringa kiri.

Ko ēnei ngā take morearea tino nui:

• He kiri tae mā e tahuna ngāwari ana i te tāninga
• He kanohi kikorangi, matomato, mā rānei
• He makawe karaka, whero rānei
• He pakeke neke atu i te 50, i te mea ka kohia te kino i te roa o te wā
• He tane, pea na te nui o te mahi i waho me te whakamahinga o te rā
• Te noho i ngā āhuarangi rā, teitei teitei, ki te tonga rānei
• He hītori whānau mō te mate pūtau kiri
• He hītori whaiaro mō te mate pūtau kiri, i ngā lesions precancerous rānei

Ka piki ake hoki te morearea o ētahi āhuatanga hauora me ngā maimoatanga, tae atu ki te tango i ngā rongoā immunosuppressive i muri i ngā whakawhiti whekau, te whiwhi i ētahi mate ira, te whakamahinga rongoā radiation rānei mō ētahi atu mate pūtau.

Mena he maha ngā take morearea kei a koe, kaua e manukanuka. Engari, whakamahia tēnei mātauranga hei mahi whakamua mō te tiaki me te kite wawe. Kāore te nuinga o te iwi e whanake i te mate pūtau kiri, ā, ko ētahi atu e iti ana ngā take morearea ka puta pea.

He aha ngā raruraru pea o te carinoma pūtau papatohu?

Ko te nuinga o ngā carinoma pūtau papatohu ka whakaorahia pai kaore he raruraru roa. Heoi, he whai hua te mārama ki te mea ka puta mena kaore i kitea, i maimoatia wawe te mate pūtau.

Ko ēnei ngā āhuatanga matua:

• Te horapa rohe ki ngā kiko, ngā uaua, i ngā io rānei mena kaore i maimoatia
• Te urupare o te lymph node, kei reira ngā pūtau mate pūtau e haere ana ki ngā lymph nodes tata
• Te metastasis tawhiti, ahakoa he onge tenei, ka puta noa i ngā take tino matatau
• Te hokinga mai i te wāhi kotahi mena kaore i tangohia katoa
• Te tohu, i ngā huringa āhuatanga rānei mai i te maimoatanga, i runga i te wāhi me te rahi

Ka piki ake te tūponotanga o ētahi take, pēnei i ngā mate pūtau neke atu i te 2 henimita, ngā mate pūtau e whanake ana i ngā tohu, i ngā ngutu, i ngā taringa rānei, me ngā take i ngā tāngata he pūnaha mate pūtau ngoikore.

Ko te nuinga o te iwi e whiwhi ana i te maimoatanga tika he hua pai. Ahakoa ka puta mai ngā raruraru, he maha ngā huarahi whai hua ki te whakahaere i a rātou mā te aratohu a tō rōpū hauora.

Me pēhea te aukati i te carinoma pūtau papatohu?

Ko te rongo pai ko te mea ka taea te aukati i te carinoma pūtau papatohu mā ngā mahi tiaki o ia rā. I te mea ko te whakamahinga o te rā te take o te nuinga o ngā take, ko te tiaki i tō kiri mai i te radiation UV tō tiaki pai rawa.

Ko ēnei ngā rautaki aukati tino whai hua:

• Whakamahia te sunscreen whānui-spectrum me te SPF 30 neke atu rānei i ia rā, ahakoa i ngā rā kapua
• Kakahu i ngā kakahu tiaki pēnei i ngā ringa roa, ngā tarau, me ngā potae whāiti whāiti ina kei waho
• Rapua te atarangi i ngā hāora rā nui, i waenga i te 10 AM me te 4 PM
• Kaua e whakamahi i ngā moenga tāninga, i ngā rama rā rānei
• Whakahaerehia ngā whakamātautau whaiaro o ia marama hei tirotiro i ngā waahi hou, i ngā huringa rānei
• Whakahaerehia ngā tirotiro kiri auau me te dermatologist, ina koa ki te nui ake tō morearea
• Tīaki i te kiri o ngā tamariki, i te mea ka piki ake te morearea o te ora mō te kino o te rā wawe

Mena kei te mahi koe i waho, ki te maha rānei o te wā e noho ana koe i te rā, whakaarohia ēnei mahi atu: ngā kakahu tiaki UV, te zinc oxide mō ngā wāhi ngawari pēnei i tō ihu me ō ngutu, me ngā okioki auau i ngā wāhi atarangi.

Kia mahara, kāore e mutu te wā ki te tīmata ki te tiaki i tō kiri. Ahakoa kua maha ngā whakamahinga o te rā i mua, ko te tango i ngā mahi tiaki inaianei ka taea tonu te whakaiti i tō morearea o muri.

Me pēhea te whakatau i te carinoma pūtau papatohu?

Ko te whakatau i te carinoma pūtau papatohu ka tīmata noa i te tirotiro whakairoiro ngāwari e tō tākuta, dermatologist rānei. Ka titiro rātou ki te wāhi whakapae tata, te nuinga mā te whakamahi i te taputapu whakanui motuhake e kiia nei he dermatoscope hei kite i ngā mōhiohio kaore e kitea e te kanohi tahanga.

Mena ka whakapae tō tākuta he mate pūtau, ka whakahaere rātou i te biopsy hei whiwhi i te whakautu tino. Ka uru atu tenei ki te whakamakuku i te wāhi mā te anesthetic rohe me te tango i tetahi kiko iti mō te tātaritanga taiwhanga.

Ko te tukanga biopsy te nuinga:

• Te horoi me te whakamakuku i te wāhi mā te whakauru iti
• Te tango i te kiko mā te biopsy punch, biopsy shave, biopsy excisional rānei
• Te tuku i te tauira ki te pathologist e tirotiro ana i raro i te microscope
• Te whiwhi i ngā hua i roto i ngā rā torutoru ki te wiki

Mena ka whakau te mate pūtau, ka tono pea tō tākuta i ētahi atu whakamātautau hei whakatau mena kua horapa. Ka uru pea tenei ki te tirotiro i ngā lymph nodes tata, i ngā rangahau whakairoiro rānei pēnei i ngā CT scans.

Ko te tukanga whakatau katoa i hangaia hei mea ngāwari rawa, ka hoatu ki tō rōpū hauora ngā mōhiohio e hiahia ana rātou ki te whakarite i te maimoatanga pai mōu.

He aha te maimoatanga mō te carinoma pūtau papatohu?

Ko te maimoatanga mō te carinoma pūtau papatohu he mea ngāwari, he tino whai hua, ina koa ina kitea wawe te mate pūtau. Ka whiriwhiri tō tākuta i te huarahi pai i runga i te rahi, te wāhi, me ngā āhuatanga o tō mate pūtau motuhake.

Ko ēnei ngā kōwhiringa maimoatanga tino noa:

• Te tango pokanga: Te tapahi i te mate pūtau me te iti o te kiko hauora
• Te pokanga Mohs: He tikanga tika e tango ana i te mate pūtau paparangi i te paparangi, i te pupuri i te kiko hauora
• Curettage me te electrodesiccation: Te kakau i ngā pūtau mate pūtau me te whakamahi i te hiko hiko hei whakangaro i ngā pūtau toenga
• Cryotherapy: Te whakamatao i te mate pūtau mā te hau konutai wai mō ngā mate pūtau iti, wawe
• Te rongoā radiation: Te whakamahi i ngā hihi radiation arotahi, te nuinga mō ngā turoro kaore e taea te pokanga

Mō te nuinga o te iwi, ko te maimoatanga he mahi ngāwari i waho e iti iho i te haora. Ka whiwhi koe i te anesthetic rohe hei pupuri i a koe i te ngāwari, ka taea e koe te haere ki te kāinga i taua rā.

Ka kōrero atu tō tākuta ko tēhea kōwhiringa te mea pai mō tō āhuatanga, te whakaaro ki ngā mea pēnei i te wāhi o te mate pūtau, tō tau me tō hauora, me ō hiahia whaiaro mō te tohu me te wā ora.

Me pēhea te whakahaere i te maimoatanga kāinga i te wā e ora ana i te carinoma pūtau papatohu?

I muri i tō maimoatanga, ko te tiaki o te wahi kua maimoatia te mea hei whakarite i te ora pai me te hua ataahua pai rawa. Ko te nuinga o te iwi e kite ana i te tukanga ora he ngāwari atu i te mea i tumanakohia e rātou, ina koa mā te whakarite me te tiaki tika.

Koinei te huarahi ki te tiaki i a koe i te kāinga:

• Pupuri i te wāhi maimoatanga kia ma, kia maroke hoki kia rite ki te aratohu a tō tākuta
• Whakamahia ngā hinu antibiotic, i ngā kakahu wahi rānei kua tohua
• Kaua e mahi i ngā mahi kaha ka raru pea te ora mō ngā rā tuatahi
• Tīaki i te wāhi mai i te whakamahinga o te rā mā te kakahu, i te sunscreen rānei ina kua ora
• Tangohia ngā rongoā mamae kore-tohu mena e hiahiatia ana mō te kore ngāwari iti
• Tirohia ngā tohu o te mate pēnei i te whero nui ake, te wera, i te mimiti rānei

Ko te nuinga o te iwi e pāngia ana e te kore ngāwari iti mō te rā, rua rānei i muri i te maimoatanga. Ka kite pea koe i te pupuhi, te whero, i te pīngao rānei i te wāhi kua maimoatia, he mea noa katoa.

Kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora mena he pātai tōu mō te ora, ki te kite rānei koe i tetahi mea e awangawanga ana koe. E hiahia ana rātou ki te tautoko i a koe i roto i te tukanga ora katoa.

Me pēhea te whakarite mō tō huihuinga tākuta?

Ko te whakarite mō tō huihuinga ka āwhina i a koe ki te whiwhi i te nuinga o tō wā me te tākuta me te whakautu i ō awangawanga katoa. Ka taea hoki e te whakarite iti te whakaiti i tetahi manukanuka pea e pā ana ki te haerenga.

I mua i tō huihuinga:

• Tuhia te wā i kite tuatahi ai koe i te huringa kiri me te āhua o tōna whanaketanga
• Rārangihia ngā rongoā, ngā taapiri, me ngā hua hua e inu ana koe inaianei
• Whakaritea ngā pātai mō ngā kōwhiringa maimoatanga, te wā ora, me te tiaki whai muri
• Whakaarohia te kawea mai i tetahi mema whānau, hoa rānei mō te tautoko me te awhina ki te mahara ki ngā mōhiohio
• Kaua e whakamahi i te whakapaipai, i ngā hinu rānei ki te wāhi e hiahia ana koe ki te tirotiro
• Kakahu i ngā kakahu ngāwari e taea ai te uru ngāwari ki te wāhi kiri e pā ana

Kaua e whakama mō te ui i ngā pātai i te wā o tō haerenga. E hiahia ana tō tākuta ki te āwhina i a koe ki te mārama ki tō āhuatanga me te whakapono ki tō mahere maimoatanga.

Kia mahara, ko te nuinga o ngā awangawanga kiri he take iti ka taea te whakaora ngāwari. Ko te haere ki tō huihuinga he mahi pai ki te tiaki i tō hauora.

He aha te mea nui mō te carinoma pūtau papatohu?

Ko te carinoma pūtau papatohu he momo mate pūtau kiri tino taea te whakaora ina kitea wawe, me ngā reiti whakaora neke atu i te 95% mō te nuinga o ngā take. Ahakoa ka rongo pea te whakatau he nui te pānga i te tīmatanga, kia mahara ko te miriona o te iwi e wikitoria ana i tēnei mate pūtau ia tau, ka haere tonu ki te ora noa.

Ko ngā mea nui hei mahara ko te kite wawe ka ngāwari ake, ka whai hua ake te maimoatanga, ka taea e te tiaki rā te aukati i te nuinga o ngā take, ā, ko ngā tirotiro kiri auau ka āwhina ki te hopu i ngā raruraru ina tino taea te maimoatanga.

Kei reira tō rōpū hauora hei aratohu i a koe i ia kaupae, mai i te whakatau tae atu ki te maimoatanga me te tiaki whai muri. Kaua e whakaroa ki te ui i ngā pātai, ki te whakaatu i ngā awangawanga, ki te rapu tautoko rānei ina hiahia koe.

Ko te mahi mā te kite i te tākuta mō ngā huringa kiri whakapae te whiringa tika tonu. Ahakoa ka puta mai he mate pūtau, he mea kore morearea rānei, ka whiwhi koe i te rangimarie o te ngākau me te hua pai rawa.

Ngā pātai uiui noa mō te carinoma pūtau papatohu

Q1. Kia tere te horapa o te carinoma pūtau papatohu?

Ko te nuinga o ngā carinoma pūtau papatohu e tipu haere ana i roto i ngā marama, i ngā tau rānei, kāore e horapa ki ētahi atu wāhanga o te tinana. Ina kitea wawe, ka noho te mate pūtau i ngā paparangi kiri i tīmata ai. Heoi, ka taea e ētahi momo kaha te tipu tere ake, koia te take he mea nui kia kaua e whakaroa te maimoatanga ina whakatauhia.

Q2. Me hiahia ahau ki te chemotherapy mō te carinoma pūtau papatohu?

Ko te nuinga o te iwi e mate ana i te carinoma pūtau papatohu kaore e hiahia ki te chemotherapy. Ko te nuinga o ngā take ka whakaorahia katoa mā ngā mahi pokanga ngāwari. Ko te chemotherapy te nuinga ka whakaarohia noa i ngā take onge kua horapa whānuitia te mate pūtau, ki ngā tāngata kaore e taea te pokanga.

Q3. Ka taea te hokinga mai o te carinoma pūtau papatohu i muri i te maimoatanga?

He onge te hokinga mai ina tangohia katoa te mate pūtau me ngā taha marama. Ka whakarite tō tākuta i ngā huihuinga whai muri auau hei tirotiro i te wāhi kua maimoatia me te tirotiro i ngā huringa kiri hou. Ko te nuinga o te iwi e whiwhi ana i te maimoatanga tika me te tiaki whai muri kaore e pāngia e te hokinga mai.

Q4. He ira te carinoma pūtau papatohu?

Ahakoa ko te whai i ngā mema whānau e mate ana i te mate pūtau kiri ka piki ake te morearea, ko te carinoma pūtau papatohu te nuinga na ngā take taiao pēnei i te whakamahinga o te rā i te ira. Heoi, ka taea e ētahi āhuatanga ira onge te piki ake i te morearea o te mate pūtau kiri, ka taea e tō tākuta te kōrero ki a koe mena e tika ana.

Q5. Kia pehea te roa o te ora mai i te maimoatanga carinoma pūtau papatohu?

Ko te wā ora e whakawhirinaki ana ki te tikanga maimoatanga me te wāhi, engari ko te nuinga o te iwi e ora ana i roto i te 2-4 wiki. Ko ngā tango pokanga ngāwari e ora ana i te 1-2 wiki, ā, ko ngā mahi whānui ake pea ka roa ake. Ka hoatu e tō tākuta ngā tumanakohanga motuhake i runga i tō mahere maimoatanga, ā, ko te nuinga o te iwi e hoki ana ki ngā mahi noa i roto i ngā rā.