Created at:1/13/2025
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Ko te Radium Ra 223 dichloride he rongoā iraruke motuhake e whakamahia ana hei rongoā i ētahi momo mate pukupuku prostate kua horapa ki ngā wheua. E mahi ana tēnei rongoā whāinga mā te tuku iraruke ki ngā pūtau mate pukupuku i roto i te kiko wheua, e āwhina ana ki te whakaiti i te tipu o te puku me te whakaiti i te mamae wheua.
Mēnā kua tūtohu tō tākuta i tēnei rongoā, kei te raru pea koe i te mate pukupuku prostate ātete ki te kōpū e kua horapa ki ō wheua. Ahakoa he mea nui tēnei, ko te radium Ra 223 he ahunga whakamua nui i roto i te tiaki mate pukupuku, e tuku ana i te tūmanako mō te whakahaere i ngā tohumate me te whakanui pea i te kounga o te oranga.
Ko te Radium Ra 223 dichloride he pūwhakawhāiti iraruke alpha e rite ana ki te konupūmā i tō tinana. Nā te mea ka ngāwari ake te ngongo o ngā pūtau mate pukupuku i roto i ngā wheua i te kiko hauora, ka whāinga tēnei rongoā ki ngā wāhi kua horapa te mate pukupuku prostate ki tō angaanga.
No te akomanga e kiia nei ko ngā rongoā iraruke te rongoā, e whakakotahi ana i ngā huānga iraruke me ngā pūhui rongoā. Kāore i rite ki te rongoā iraruke o waho e pā ana ki ngā wāhi nui, ka tuku te radium Ra 223 i te iraruke whāinga, tika ki ngā metastases wheua mai i roto ki waho.
Kua nui te rangahau i tēnei rongoā, ā, kua whakaaetia mō ngā tāne e mate ana i te mate pukupuku prostate ātete ki te kōpū me ngā metastases wheua. E tohu ana i ngā tau o te rangahau ki te kimi i ngā huarahi whai hua ake hei rongoā i te mate pukupuku prostate kua eke ki mua i te wā e whakaiti ana i ngā pānga taha.
Ka rongoā te Radium Ra 223 dichloride i te mate pukupuku prostate ātete ki te kōpū kua horapa ki ngā wheua engari kāore ki ētahi atu okana. Ka tūtohu tō tākuta i tēnei rongoā i te wā kāore anō tō mate pukupuku e aro ana ki te rongoā hormone, ā, kua hanga metastases i roto i tō pūnaha angaanga.
E rua ngā whāinga matua o te rongoā nei i tō mahere rongoā. Tuatahi, ka āwhina pea ki te whakaiti i te mamae o te wheua i pā mai i te mate pukupuku metastatic, e pai ake ai tō hāneanea me te neke i ia rā. Tuarua, e whakaatu ana ngā rangahau haumanu ka āwhina pea ki te whakaroa i te wā ora i te whakataurite ki te manaaki paerewa anake.
Ka āta arotake tō tākuta mate pukupuku mēnā he kaitono pai koe mō tēnei rongoā. Ka whakaarohia e rātou ngā āhuatanga pēnei i tō hauora whānui, te whānuitanga o te pānga o te wheua, me te horapa o te mate pukupuku ki ngā kiko ngohengohe, ki ngā okana rānei i waho o te wheua.
Ka mahi a Radium Ra 223 dichloride mā te mahi pēnei i te tāpiringa konupūmā e ngāwari ana te ngongo e ō wheua. Heoi, hei utu mō te whakakaha i ngā wheua, ka tukuna e ia te iraruke alpha whāinga ki ngā wāhi kua nohoia e ngā pūtau mate pukupuku prostate i roto i tō kiko wheua.
He tino whai hua ngā matūriki alpha ki ngā pūtau mate pukupuku nā te mea he kaha rawa tō rātou pānga i roto i tētahi wāhi iti rawa. E haere ana ēnei matūriki i ētahi roa pūtau noa, ko te tikanga ka taea e rātou te whakangaro i ngā pūtau mate pukupuku i te wā e iti ana te kino ki te hāora wheua me te kiko hauora e tata ana.
Ka raru te iraruke i te DNA i roto i ngā pūtau mate pukupuku, e ārai ana i a rātou ki te wehe me te tipu. I te roanga o te wā, ka taea e tēnei tukanga te whakaheke i ngā puku i ō wheua me te whakaiti i te mamae e pā ana ki a rātou. E whakaarohia ana he kaha te rongoā, e tuku ana i ngā painga whai tikanga i te wā e pai ana te manawanui.
Ka tukuna te Radium Ra 223 dichloride hei werohanga i roto i te uaua i te tari o tō tākuta, i te hōhipera rānei. Ka whiwhi koe i te rongoā mā te raina IV, te tikanga i roto i te 1-2 meneti, kotahi i ngā wiki e whā mō te ono katoa o ngā horopeta.
I mua i ia rongoā, me karo koe i te kai mō te iti rawa e rua hāora i mua i tō tūtohinga. Ka āwhina tēnei ki te whakarite i te ngongo pai o te rongoā. Ka taea e koe te inu wai i te tikanga, ki te kore te rōpū hauora e tuku i ētahi atu tohutohu.
I te wā o te werohanga, ka mātakitakihia koe e ngā kaimahi rongoā karihi kua whakangungua. Whai muri i te whiwhinga i te horopeta, me whai koe i ngā whakatūpato haumaru mō te wiki pea, tae atu ki te horoi ringa āta me te akuaku wharepaku tika hei tiaki i ngā mema o te whānau i ngā toenga o te iraruke.
Ka hoatu e tō rōpū hauora ngā tohutohu taipitopito mō ngā whakatūpato i muri i te rongoā. Ko te tikanga, kei roto i tēnei ko te whakamahi i ngā wharepaku motuhake i te wā e taea ana, me te horoi i ō ringa i muri i te whakamahi i te wharepaku.
Ko te akoranga rongoā paerewa e ono ngā werohanga ka hoatu i te whā wiki te wā i waenga i ia werohanga, e rima marama pea te katoa o te rongoā. Kua āta rangahaua tēnei hōtaka, ā, e whakaatu ana i te taurite pai i waenga i te whai hua me te haumaru.
Ka taea e tō tākuta te whakatika i tēnei wā-ā-tīpuna i runga i te āhua o tō urupare ki te rongoā me ngā pānga taha e pā ana ki a koe. Ka oti i ētahi tāngata te tango i ngā horopeta e ono katoa kāore he raruraru, engari me whakaroa, me whakarerekē rānei te rongoā i runga i ngā tatauranga toto, i ētahi atu āhuatanga rānei.
Ko te aroturuki i te wā katoa o te rongoā ka āwhina i te whakarite kia pai te whakawhiti i te rongoā. Ka tirohia e tō rōpū hauora ō tatauranga toto, te mahi tākihi, me te āhua o te hauora i mua i ia werohanga kia mōhio ai he haumaru te haere tonu.
Pērā i te nuinga o ngā rongoā mate pukupuku, ka taea e te radium Ra 223 dichloride te pānga taha, ahakoa he maha ngā tāngata e pai ake ana i te chemotherapy tuku iho. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i a koe ki te whakarite me te mōhio ki te wā ki te whakapā atu ki tō rōpū hauora.
Ko ngā pānga taha e tino kitea ana ka pā ki a koe ko te ngenge, te whakapairuaki, te pātea, me te iti o te hiahia. Ko te tikanga he ngawari, he āhua rānei ēnei tohumate, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā.
Anei ngā pānga taha e kitea ana e pā ana ki te nuinga o ngā tāngata:
Ko enei paanga taha noa ka taea te whakahaere ma te manaaki tautoko, a he uaua te hiahia kia whakamutua te maimoatanga. Ka whakawhiwhia e to roopu hauora nga rautaki hei awhina i te whakaiti i te mamae.
Ka puta pea nga paanga taha nui ake, engari he iti noa iho. Me aro tonu enei ki te rongoa me te aro turuki i te wa o to maimoatanga.
Anei nga paanga taha e tino awangawanga ana me arotake wawe:
Ka aroturukihia e to roopu hauora enei raruraru ka puta ma nga whakamatautau toto me nga whakamatautau tinana. Ko te kitenga wawe me te whakahaere i nga paanga taha nui ka awhina i te whakarite i to haumaru i roto i te maimoatanga.
Ko etahi raruraru onge engari nui ko te tino pehanga o te hinu wheua me te piki ake o te tupono o te whati i roto i nga wheua he nui nga metastases. Ka puta enei i roto i te iti o nga turoro engari me uru tonu te rongoa ina puta ana.
Kāore te radium Ra 223 dichloride e tika ana mō te katoa e mate ana i te mate pukupuku prostate. Ka āta arotakehia e tō tākuta tō āhuatanga motuhake hei whakatau mēnā he tika tēnei rongoā mōu.
Kāore koe e whiwhi i tēnei rongoā mēnā kua horapa tō mate pukupuku prostate ki ngā okana i waho o te wheua, pēnei i te ate, te pūkahukahu, te kōpuku rānei. I hangaia te rongoā mō ngā pūtau wheua anake, ā, kāore e whai hua ki te mate kiko ngawari.
He maha atu ētahi āhuatanga ka kore e tika tēnei rongoā, ka hiahiatia rānei he whakaaro motuhake:
Ka arotakehia e tō tākuta mate pukupuku tō hītori hauora katoa me ngā hua whakamātautau o nāianei i mua i te tūtohu i tēnei rongoā. Ka whakaarohia hoki e rātou tō āhua hauora whānui me te kaha ki te aro ki ngā pānga taha pea.
Kāore te pakeke anake e whakakore i a koe i te rongoā, engari ka āta whakatauhia e tō tākuta ngā painga me ngā tūponotanga i runga i ō āhuatanga takitahi. Ko te kōrero tuwhera mō ō āwangawanga hauora ka āwhina i te whakarite i ngā whakatau rongoā pai rawa atu.
Ka hokohoko te radium Ra 223 dichloride i raro i te ingoa waitohu Xofigo. I hangaia tēnei rongoā e Bayer HealthCare Pharmaceuticals, ā, koinei anake te momo radium Ra 223 dichloride e wātea ana i te hokohoko.
Inā whiwhi koe i tō rongoā, ka kite koe i te Xofigo e rārangihia ana i runga i ō rēhita hauora me ngā pānui nama. Ka tae mai te rongoā i roto i ngā ipu whakamahi kotahi i te wā kotahi, i hangaia motuhake mō te horopeta o ia tūroro i runga i tō rātou taumaha tinana.
Ka rerekē pea te inihua i runga i tō mahere me ngā paearu e tika ana mō te hauora. He maha ngā kamupene inihua e hipoki ana i te Xofigo mō ngā tohu kua whakaaetia, engari me whai whakaaetanga i mua i te tīmatanga o te rongoā.
He maha ngā kōwhiringa rongoā mō ngā tāne e mate ana i te mate pukupuku prostate e ātete ana ki te kōpū, me ngā pūtau wheua. Mā tō tākuta mate pukupuku e kōrero ēnei kōwhiringa kē mēnā kāore te radium Ra 223 dichloride e tika ana mō tō āhuatanga.
Ko ētahi atu rongoā pūnaha ko ngā rongoā homoni hou pēnei i te enzalutamide, i te abiraterone rānei, he whai hua ēnei ahakoa te mate e ātete ana ki te kōpū. Ka whakaarohia pea ngā kōwhiringa rongoā matū pēnei i te docetaxel, i te cabazitaxel rānei i runga i tō hauora whānui me te hītori rongoā.
Mō te whakahaere i te mamae wheua, ka taea e te rongoā iraruke kurupae o waho te whakarato i te āwhina whāinga mō ngā wāhi mamae. Ko ngā rongoā whakakaha wheua pēnei i te waikawa zoledronic, i te denosumab rānei, e āwhina ana ki te ārai i ngā whati me te whakaiti i te mamae i te roanga o te wā.
Mā tō rōpū rongoā koe e āwhina ki te mārama ki te pēhea te whakataurite o ēnei kōwhiringa me te mea e tika ana mō tō āhuatanga. I ētahi wā, he pai ake te mahi tahi o ngā rongoā i ngā huarahi kotahi.
He painga motuhake te radium Ra 223 dichloride i te whakataurite ki ētahi atu rongoā mō ngā pūtau wheua mai i te mate pukupuku prostate. Kua whakaatu ngā whakamātau haumanu ka taea e ia te whakaroa i te oranga i te wā e whakapai ana i te kounga o te oranga, e waiho ana hei kōwhiringa whai hua i roto i te kete rongoā.
I te whakataurite ki te rongoā matū, he iti ake ngā pānga taha me te kore e kaha te radium Ra 223. He maha ngā tūroro e pai ana ki a ia i ngā rongoā matū tuku iho, he iti ake te whakapairuaki, te ngaro o ngā makawe, me te ngenge.
He rerekē te huarahi whāinga o te rongoā nei i te rongoā iraruke o waho. Ahakoa ka taea e te iraruke o waho te rongoā i ngā wāhi mamae, ka mahi te radium Ra 223 puta noa i tō pūnaha koiwi, ka taea te whakatika i ngā pūtau mate maha i te wā kotahi.
Heoi, kāore he rongoā kotahi e 'pai ake' ana i ētahi atu. Ka whakaaro tō tākuta mate pukupuku ki ngā āhuatanga motuhake o tō mate pukupuku, te hauora whānui, te hītori rongoā, me ō hiahia whaiaro i te wā e tūtohu ana i te huarahi pai rawa atu mō tō āhuatanga.
Kāore te radium Ra 223 dichloride e pā tika ana ki tō ngākau, nō reira he haumaru mō te hunga e mate pūngāwerewere ana. Kāore i rite ki ētahi rongoā rongoā matū ka taea te whakangaro i te uaua o te ngākau, ko te rongoā nei te mea nui e whāinga ana ki te kiko koiwi i te wā i horapa ai te mate pukupuku.
Heoi, me mahi tahi tō tākuta ngākau me tō tākuta mate pukupuku i tō manaakitanga mēnā he mate pūngāwerewere nui tō. Ko te ngenge me te pupuri wai ka puta i te rongoā ka pā pea ki tō whakahaere i te mate pūngāwerewere, nō reira he mea nui te aroturuki tata.
He tino kore pea te nui rawa o te radium Ra 223 dichloride nā te mea ka hoatu e ngā tākuta whakangungu i ngā wāhi haumanu whakahaere. Ko ia horopeta ka tātai āta i runga i tō taumaha tinana, ā, ka whakarite motuhake mō koe.
Mēnā e māharahara ana koe mō te whiwhi i te horopeta hē, kaua e whakaroa ki te pātai ki tō rōpū hauora ki te whakaū i tō tuakiri me te horopeta i mua i te whakahaere. He pūtake whai mana ngā whare rongoā hei aukati i ngā hē horopeta me ngā rongoā iraruke.
Mēnā ka ngaro koe i tētahi whakaritenga mō te radium Ra 223 dichloride, whakapā atu ki tō rōpū oncology tonu ki te whakarite anō. Ka tukuna te rongoā i runga i te hōtaka whā wiki motuhake, ā, he mea nui te pupuri i tēnei wā ki te whai hua.
Ka taea e tō tākuta te whakatika i tō hōtaka maimoatanga kia uru ki te horopeta ngaro, engari kaua e ngana ki te whakatika mā te whakarite i ngā horopeta kia tata tahi. Ka taea e te wā whā wiki tō tinana te ora i waenga i ngā maimoatanga me te pupuri i te haumaru.
Me whakaoti e koe ngā horopeta e ono katoa i whakamaherehia o te radium Ra 223 dichloride ki te kore tō tākuta e whakatau he mea tika te whakamutu wawe. E whakarato ana te akoranga maimoatanga katoa i te painga nui rawa atu i whakaatuhia i roto i ngā whakamātau haumanu.
Ka tūtohu pea tō oncologist ki te whakamutu wawe i te maimoatanga mēnā ka whakawhanake koe i ngā pānga taha nui, mēnā ka piki ake tō mate pukupuku ki te whakauru i ngā okana i waho o te kōiwi, mēnā ka tino heke tō hauora whānui. Kaua rawa e whakamutu i te maimoatanga i runga i a koe anō me te kore e kōrero tuatahi ki tō rōpū hauora.
Āe, ka whai koe i ngā rahinga iti o te iraruke i roto i tō tinana mō te wiki i muri i ia werohanga. Heoi, he iti ngā taumata, ā, he iti noa te tūponotanga ki ētahi atu ina whai koe i ngā whakatūpato haumaru e whakarato ana tō rōpū hauora.
Ko ngā mahi ngawari pēnei i te horoi ringa tino, te whakamahi i ngā wharepaku motuhake ka taea, me te karo i te whakapā tata ki ngā wahine hapū me ngā tamariki nohinohi mō ētahi rā ka āwhina i te tiaki i ō mema o te whānau. He wā poto ēnei whakatūpato, ā, ka iti ake te hiahia i te hekenga o te iraruke.