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

Ka puta te mate pukupuku hua ina tīmata ngā pūtau i roto i tetahi hua, i ngā hua e rua rānei, ki te tipu haere kore mana. Ahakoa ka raru pea te whakarongo ki te kupu "mate pukupuku", ko te mate pukupuku hua tētahi o ngā momo mate pukupuku tino ārai, ina koa ka kitea wawe.

Ko tēnei momo mate pukupuku te nuinga o te pānga ki ngā tāne kōhungahunga, i te nuinga i waenga i ngā tau 15 me te 35. Ko te rongo pai, me ngā whiringa maimoatanga o nāianei, he tino teitei te reiti whakaora. Ko te nuinga o ngā tāne e whānau ana i te mate pukupuku hua ka ora tonu, ka ora hauora.

He aha te mate pukupuku hua?

Ka whānau te mate pukupuku hua ina tīmata ngā pūtau noa i roto i ngā hua ki te huri me te tupu kore mana. Ko ngā hua e rua ngā mea iti, porowhita, e noho ana i roto i te pūkahukahu, i raro i te ure.

He mahi nui kei ēnei okana – ka whakaputa rātou i te purapura me te testosterone, te homoni tane. Ka whānau te mate pukupuku i konei, ka tīmata i ngā pūtau e hanga ana i te purapura, e kiia ana ko ngā pūtau germ.

Ko te mate pukupuku te nuinga o te tīmatanga hei pupū iti, hei wāhi pakeke rānei i roto i tetahi hua. Ahakoa ka raru pea tēnei, ka whakautu pai te mate pukupuku hua ki te maimoatanga, me ngā reiti whakaora neke atu i te 95% ina kitea wawe.

He aha ngā tohu o te mate pukupuku hua?

Ko te tohu tino noa ko te pupū kore mamae, te pupū rānei i roto i tetahi hua. Ka kite pea koe i tēnei i te wā e kaukau ana koe, i te wā e kakahuria ana koe rānei – ka rite pea te ahua ki te pī, ki te maramara iti, pakeke rānei.

Tā te titiro ki ngā tohu me titiro koe, me mahara ko te nuinga o ēnei ka whai take ke hoki:

• He pupū kore mamae, he pupū rānei i roto i tetahi hua
• He āhua taimaha i te pūkahukahu
• He mamae ngawari i te puku raro, i te uaua rānei
• Te kohikohi ohorere o te wai i te pūkahukahu
• Te mamae, te kore ngāwari rānei i roto i te hua, i te pūkahukahu rānei
• Te whānui, te ngawari rānei o te u i te uma
• Te mamae o te tuara (ki te horapa te mate pukupuku)

He mea tika te kī he iti rawa te mamae nui o te mate pukupuku hua i te tīmatanga. Ko te nuinga o ngā tāne e whakaahua ana i te āhua hei mamae ngawari, hei āhua taimaha rānei i te mamae koi.

Ka pāngia hoki ētahi tāne e ngā huringa i to rātou āhua uma, pēnei i te whānui o te uma, te ngawari rānei. Ka puta tēnei nā te mea ka taea e ētahi momo mate pukupuku hua te whakaputa i ngā homoni e pā ana ki ētahi atu wāhanga o te tinana.

He aha ngā momo mate pukupuku hua?

E rua ngā momo matua o te mate pukupuku hua, ā, ko te mōhio ki te momo kei a koe ka āwhina i tō tākua ki te whakarite i te huarahi maimoatanga pai. He tino ārai ngā momo e rua, engari he iti te rerekē o ō rātou whāinga.

Ko te momo tuatahi ko te seminoma, e tino puea ana, ā, e pā ana ki ngā tāne i ō rātou tau 30 me te 40. He tino māmā ēnei mate pukupuku ki te rongoā radiation, e ngāwari ai te maimoatanga i te nuinga o ngā take.

Ko te momo tuarua ko te kore-seminoma, e whai ana i ngā momo iti, ā, e pā ana ki ngā tāne kōhungahunga i ō rātou tau tekau mā rima, rua tekau, me ngā tau tekau mā toru o mua. Ko ēnei mate pukupuku te nuinga o te tere ake te tipu i ngā seminomas engari ka whakautu pai ki te chemotherapy.

I etahi wa, ka taea e te mate pukupuku te whai i ngā momo pūtau e rua, e kiia ana e ngā tākua he mate pūtau germ whakaranu. Ka whakatau tō rōpū hauora te momo kei a koe mā te whakamātautau ata, i te mea ka ārahi tēnei i tō mahere maimoatanga.

He aha ngā take o te mate pukupuku hua?

Kāo te take tika o te mate pukupuku hua kāore i tino mōhiotia, engari kua kitea e ngā kairangahau ētahi take ka piki ake te tūponotanga. Ko te nuinga o ngā take ka whānau mai kahore he take mārama, no reira he mea nui kia kaua e whakahe ki a koe ano ki te whakahaere koe i tēnei whakatau.

He maha ngā take ka āwhina ki te whānautanga o te mate pukupuku hua:

• Te hua kore e heke (cryptorchidism) – ina kore tetahi hua, i ngā hua e rua rānei, e heke ki te pūkahukahu i mua i te whānautanga
• Te hītori whānau o te mate pukupuku hua
• Te mate pukupuku hua o mua i tetahi atu hua
• Te whānautanga koretake o ngā hua
• Te mate Klinefelter (te āhua ira)
• Te mate HIV
• Te iwi me te momo (he maha atu i ngā tāne ma)

Ko te whai hua kore e heke te take tino nui e mōhiotia ana. Ahakoa i mahia te pokanga hei neke i te hua ki te tūranga tika, ka noho tonu te tūponotanga teitei atu i te noa.

He mea nui te mōhio kei te whai koe i ngā take tūponotanga kāore e tikanga ka whānau koe i te mate pukupuku. Ko te nuinga o ngā tāne e whai ana i ngā take tūponotanga kāore e whiwhi i te mate pukupuku hua, ā, ko ētahi atu kahore he take tūponotanga e mōhiotia ana ka whānau.

Nōhea koe me haere ki te tākua mō ngā take hua?

Me haere koe ki te tākua ki te kite koe i ētahi huringa koretake i ō hua, ahakoa kāore rātou e mamae. Ka tino whai hua te kite wawe ki te maimoatanga, ā, ka iti ake te kaha.

Whakaritea he whakatau ki te pāngia koe e ētahi o ēnei huringa neke atu i ngā wiki e rua. Kaua e tatari kia kino ake ngā tohu, kia mamae rānei – kāore te mate pukupuku hua te nuinga o te mamae nui i ōna wā tīmatanga.

Whakapa atu ki tō tākua tonu ki te kite koe i te pupū pakeke, te pupū e kore e ngaro, i tetahi kore ngāwari tonu rānei i ō hua, i tō pūkahukahu rānei. Whakapa atu hoki ki te pāngia koe e te mamae nui ohorere i ō hua, i te mea ka tohu pea tēnei i tētahi atu āhuatanga ohorere.

Kia mahara, ko te nuinga o ngā pupū hua me ngā huringa kāore i te mate pukupuku. Ko ngā āhuatanga pēnei i ngā mate, ngā cysts, i te whara ka taea te whakaatu i ngā tohu rite. Heoi, ko tetahi tohunga hauora anake ka taea te arotake tika i ēnei huringa me te hoatu i te rangimarie o te ngākau.

He aha ngā take tūponotanga mō te mate pukupuku hua?

Ko te mōhiotanga i ngā take tūponotanga ka āwhina i a koe ki te noho mataara ki tō hauora, engari kia mahara ko te nuinga o ngā tāne e whai ana i ngā take tūponotanga kāore e whānau i te mate pukupuku hua. Ko ēnei take anake te tikanga pea ka whai hua koe i te noho tino mataara ki ngā whakamātautau whaiaro hua.

Koinei ngā take tūponotanga matua kua kitea e ngā tākua:

• Te tau (he tino noa i ngā tāne 15-35 tau te pakeke)
• Te hua kore e heke, ahakoa kua whakatikahia mā te pokanga
• Te hītori whānau, ina koa i ngā matua, i ngā teina rānei
• Te hītori whaiaro o te mate pukupuku hua
• Te iwi (te tūponotanga teitei i ngā tāne ma)
• Te kore-whai hua, te whānautanga purapura koretake rānei
• Te mate HIV
• Ētahi āhua ira pēnei i te mate Klinefelter

Ko te tau tētahi o ngā take tino nui – he tauira motuhake te mate pukupuku hua i te mea ka piki i ngā tāne kōhungahunga, kaore i rite ki te nuinga o ētahi atu mate pukupuku e tino noa ana me te pakeke.

Ki te whai koe i ngā take tūponotanga maha, kaua e manukanuka. Engari, whakamahia tēnei mōhiotanga hei noho mahi mō tō hauora mā ngā whakamātautau whaiaro auau me te kōrero whakatuwhera ki tō kaiwhakarato hauora.

He aha ngā raruraru pea o te mate pukupuku hua?

Ina kitea wawe, kāore te mate pukupuku hua te nuinga o te whakaatu i ngā raruraru nui. Heoi, ko te mōhiotanga i ngā take pea ka āwhina i a koe ki te mohio he aha te mea nui o te maimoatanga tere.

Ko te take matua ko te horapa pea o te mate pukupuku ki ētahi atu wāhanga o te tinana ki te kore e maimoatia. Koinei ngā mea me mōhio koe mō ngā raruraru pea:

• Te horapa ki ngā pūtau lymph tata i te kopu
• Te horapa ki ngā pūkahukahu, ki te ate rānei i ngā take whanake
• Ngā take whai hua mai i te mate pukupuku, i te maimoatanga rānei
• Ngā koretake homoni ki te pāngia ngā hua e rua
• Ngā pānga hinengaro me te hinengaro
• He iti rawa: Ngā mate pukupuku tuarua mai i te maimoatanga (he tino iti)

Ko ngā take whai hua te nuinga o te awangawanga i ngā tāne. Ahakoa ka pā te mate pukupuku hua me tōna maimoatanga ki te whai hua, he maha ngā tāne e whānau ana i ngā tamariki i muri i te maimoatanga. Ka taea e tō tākua te kōrero mō ngā whiringa tiaki whai hua i mua i te tīmatanga o te maimoatanga.

Kaua hoki e wareware ki te pānga hinengaro. Ko te whakahaere i te mate pukupuku i te tau kōhungahunga ka raru pea, engari ka taea e ngā rōpū tautoko me te tohutohu te whakarereke nui i tō haerenga.

Me pēhea te whakatau i te mate pukupuku hua?

Ko te whakatau i te mate pukupuku hua te nuinga o te tīmatanga mā te whakamātautau tinana, ā, ka neke atu ki ngā whakamātautau ngāwari. Ka hiahia tō tākua ki te whakakore i ētahi atu āhuatanga me te whakatau i te momo me te wā o te mate pukupuku ki te whai.

Ko te tukanga whakatau te nuinga o te tīmatanga mā tō tākua e tirotiro ana i ō hua, e kite ana i ngā pupū, te pupū, i ētahi atu huringa rānei. Ka tirotirohia hoki e rātou tō kopu me tō uma mō ngā tohu pea kua horapa te mate pukupuku.

Ka haere mai ngā whakamātautau toto i muri mai, e titiro ana ki ngā tohu motuhake e whakaputa ana ngā mate pukupuku hua. Ko ēnei tohu, e kiia ana ko AFP, HCG, me LDH, ka āwhina i te whakau i te whakatau me te aroturuki i te pai o te maimoatanga.

Ka whakarato he ultrasound o tō pūkahukahu i ngā whakaahua taipitopito o ō hua. Ka taea e tēnei whakamātautau kore mamae te whakaatu mena he pupū pakeke (he tino mate pukupuku pea) te pupū, he pupū wai rānei (he tino cyst pea).

Ki te tohu ēnei whakamātautau i te mate pukupuku, ka hiahia pea koe ki te CT scan o tō uma, o tō kopu, o tō pūkahukahu rānei. Ka āwhina tēnei ki te whakatau mena kua horapa te mate pukupuku ki ngā pūtau lymph, ki ētahi atu okana rānei, e ārahi ana i tō mahere maimoatanga.

He aha te maimoatanga mō te mate pukupuku hua?

He tino whai hua te maimoatanga mō te mate pukupuku hua, me ngā reiti whakaora neke atu i te 95% mō te nuinga o ngā take. Ko te huarahi motuhake e whakawhirinaki ana ki te momo mate pukupuku, tōna wā, me tō hauora whānui, engari kia whakamarie koe kei reira ngā whiringa pai.

Ko te pokanga te mea tuatahi, e whai ana i te tango i te hua e pāngia ana mā te tukanga e kiia nei ko te radical inguinal orchiectomy. Ka raru pea tēnei, engari ko te tango i te hua katoa ka whakarite kia tangohia ngā pūtau mate pukupuku katoa, kāore hoki e pā nui ki te whakaputa homoni, ki te whai hua rānei ki te hauora tetahi atu hua.

I muri i te pokanga, ka whakatau tō rōpū maimoatanga mena he hiahia ki te rongoā atu. Mō ngā seminomas o te wā tīmatanga, ka whiwhi pea koe i te rongoā radiation ki ngā pūtau lymph tata. He tino whai hua tēnei maimoatanga, ā, e whai ana i ngā hui auau i ia rā mō ngā wiki torutoru.

Mō ngā kore-seminomas me ngā take whanake ake, ka tūtohutia te chemotherapy. Ko te whakakotahitanga tino noa ko te BEP (bleomycin, etoposide, me te cisplatin), he tino angitu ngā reiti. Ko te nuinga o ngā tāne e manawanui ana ki te chemotherapy, ahakoa ka pāngia koe e te ngenge, te ruaki, i ētahi atu pānga taha wā poto rānei.

I etahi wā, ina koa mō te mate pukupuku o te wā tīmatanga, ka tūtohu pea tō tākua i te tirotiro mahi i te wāhi o te maimoatanga atu. E whai ana tēnei i te aroturuki auau mā ngā whakamātautau toto me te whakaahua hei hopu i ētahi atu huringa wawe.

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

Ko te whakahaere i ngā pānga taha i te kāinga ka āwhina i a koe ki te noho mārama i te wā e maimoatia ana. Ka taea e ngā rautaki ngāwari te whakarereke nui i tō oranga o ia rā i te wā e ora ana tō tinana.

I muri i te pokanga, me ngāwari koe mō ngā rā torutoru. Tā te whakamahi i ngā putea hukapapa hei whakaiti i te pupū, kakahuria he kakahu tautoko, ā, kaua e neke taimaha mō te wiki tata. Ko te nuinga o ngā tāne ka hoki ki ngā mahi noa i roto i ngā wiki 2-3.

Ki te whiwhi koe i te chemotherapy, ka tino nui te noho makuku. Inu wai maha i te rā, kai kai iti auau ki te raru te ruaki, ā, kaua e whakaroa ki te whakamahi i ngā rongoā anti-nausea kua tohua e tō tākua.

He noa te ngenge i te wā e maimoatia ana, no reira whakarongo ki tō tinana, okioki hoki ina hiahia. Ka taea e te whakakori ngawari pēnei i te hikoi te whakapakari i ō taumata kaha, engari kaua e mahi whakakori kaha kia hoatu e tō tākua te āwhina.

Tā te tuhi i ētahi atu tohu, i ngā pānga taha rānei e pāngia ana koe. Ka āwhina tēnei mōhiohio i tō rōpū hauora ki te whakarereke i tō mahere maimoatanga ki te hiahiatia, ā, ka whakarite kei te whiwhi koe i te tiaki pai rawa.

Me pēhea te whakarite mō tō whakatau ki te tākua?

Ko te whakarite mō tō whakatau ka āwhina i a koe ki te whiwhi i te nuinga o tō wā ki te tākua, ā, ka whakarite kia whakautuhia ngā awangawanga katoa. He roa te haere o te whakarite iti ki te āwhina i a koe ki te noho maia me te mōhio.

Tuhia ngā tohu katoa, tae atu ki te wā i tīmata ai rātou me te āhua o ō rātou huringa i te wā. Whakauruhia ngā kōrero mō ngā taumata mamae, ngā pupū kua kitea e koe, me te āhua o ēnei take e pā ana ki tō oranga o ia rā.

Kawe mai he rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā kore-tohutohu me ngā taapiri. Kohikohia hoki ngā mōhiohio mō tō hītori hauora whānau, ina koa ngā mate pukupuku kua pā ki ngā whānau.

Whakaritea he rārangi o ngā pātai e hiahia ana koe ki te ui. Kaua e manukanuka ki te kore e mōhio – e hiahia ana tō tākua ki te āwhina i a koe ki te mōhio tika ki tō āhuatanga. Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei mō te tautoko me te āwhina ki te mahara ki ngā mōhiohio nui.

Whakaarohia ō awangawanga i tua atu i ngā take hauora. Ko ngā pātai mō te whai hua, te mahi taangata, te mahi, me ngā whānau he wāhanga tika, nui hoki o tō tiaki.

He aha te mea nui mō te mate pukupuku hua?

Ko te mea nui rawa hei mahara ko te mate pukupuku hua he tino ārai, ina koa ina kitea wawe. Ahakoa kāore te whakatau mate pukupuku i te ngāwari, ko tēnei momo motuhake tētahi o ngā whakatau pai rawa atu o ngā mate pukupuku katoa.

Ko ngā whakamātautau whaiaro auau tō parekura pai rawa – kia mōhio ki te āhua noa o ō hua kia taea ai e koe te kite wawe i ngā huringa. Ko te nuinga o ngā tāne e whānau ana i te mate pukupuku hua ka ora tonu, tae atu ki te whai whānau me te whai i ō rātou whāinga.

Kaua e tuku i te wehi kia kaua e rapu awhina hauora ki te kite koe i tetahi mea koretake. Ko te kite wawe te mea nui rawa i te angitu o te maimoatanga me te whakaiti i te kaha o te rongoā e hiahiatia ana.

Kia mahara kāore te whai mate pukupuku hua e whakatau i a koe – he wero noa iho e taea e koe te wikitoria mā te tiaki hauora tika me te tautoko mai i ō hoa aroha.

Ngā pātai uiui noa mō te mate pukupuku hua

Ka taea te ārai i te mate pukupuku hua?

Heoi, kāore he huarahi kua whakamāramahia ki te ārai i te mate pukupuku hua i te mea ko te nuinga o ngā take ka puta mai kahore he take e taea te whakatau. Heoi, ka taea e ngā whakamātautau whaiaro auau te āwhina ki te hopu wawe ina tino whai hua te maimoatanga. Ki te whai koe i ngā take tūponotanga pēnei i te hua kore e heke, ko te noho mataara ki ngā huringa me te pupuri i ngā tirotiro auau ki tō tākua tō rautaki pai rawa.

Ka taea e au te whai tamariki i muri i te maimoatanga mate pukupuku hua?

He maha ngā tāne e angitu ana te whānau i ngā tamariki i muri i te maimoatanga mate pukupuku hua. Ki te awangawanga koe mō te whai hua, kōrerohia te pūtea purapura ki tō tākua i mua i te tīmatanga o te maimoatanga. Ko tetahi hua hauora te nuinga o te taea te whakaputa purapura me ngā homoni mō te mahi noa, ā, ka hoki mai te whai hua i muri o te chemotherapy, ahakoa pea ka roa.

Me pehea te auau o ngā whakamātautau whaiaro hua?

Ko te nuinga o ngā tākua e tūtohu ana ki te mahi i te whakamātautau whaiaro hua kotahi i ia marama, i muri i te kaukau mahana, i te kaukau rānei ina ngawari te kiri pūkahukahu. Ko te wā pai i te wā, i muri rānei i te pakeketanga tae noa ki te tau waenganui. Ki te kite koe i ētahi atu huringa, pupū, i ngā āhua koretake rānei, whakapa atu ki tō kaiwhakarato hauora tere atu i te tatari mō tō whakamātautau e wātea ana.

He mamae te mate pukupuku hua?

Kāore te mate pukupuku hua te nuinga o te mamae nui i ōna wā tīmatanga, koia te take i whakaroa ai te nuinga o ngā tāne ki te rapu awhina hauora. Ka kite pea koe i te mamae ngawari, te taimaha, i te kore ngāwari rānei, engari he iti te mamae nui. Kaua e tatari kia whānau te mamae – ko ētahi atu pupū koretake, te pupū, i ngā huringa rānei i ō hua he mea tika te arotake hauora.

He aha ngā pānga roa o te maimoatanga mate pukupuku hua?

Ko te nuinga o ngā tāne kāore e pāngia e ngā pānga roa nui i muri i te maimoatanga mō te mate pukupuku hua. Ka taea e ētahi te whai i ngā huringa whai hua wā poto, i ngā huringa whai hua tonu rānei, ā, he iti rawa, ko ngā tāne e whiwhi ana i te chemotherapy pea ka piki ake te tūponotanga o ngā raruraru ngakau, i ngā mate pukupuku tuarua rānei i muri mai i ngā tau. Heoi, he iti rawa ēnei tūponotanga, ā, ka aroturuki tō rōpū hauora i tō hauora roa hei hopu i ētahi atu take wawe. Ko te nuinga o ngā kaiora mate pukupuku hua ka ora tonu, ka ora hauora.