He aha te pokanga mate pukupuku u? Te Whāinga, Ngā Momo me te Oranga

Ko te pokanga mate pukupuku u he tikanga rongoā hei tango i ngā kiko mate pukupuku mai i te u. Koinei tētahi o ngā rongoā tino noa me te whai hua mō te mate pukupuku u, i hangaia hei whakakore i ngā pūtau mate pukupuku me te aukati i a rātou ki te horapa ki ētahi atu wāhi o tō tinana.

Mēnā kua kīia koe e hiahia ana koe ki te pokanga mate pukupuku u, he mea māori noa te āwangawanga, te mataku rānei. Ko te rongo pai ko te mea kua tino pai ake ngā tikanga pokanga, ā, he tokomaha ngā tāngata e ora ana, e noho ana i ngā oranga hauora i muri i te rongoā. Me haere tātou i ngā mea e tūmanakohia ana e koe me te āhua o tēnei tikanga ka āwhina i a koe i tō haerenga whakaora.

He aha te pokanga mate pukupuku u?

Kei roto i te pokanga mate pukupuku u te tango i ngā kiko mate pukupuku mai i tō u mā te tikanga pokanga i whakamaherehia. Ka tangohia e tō tākuta pokanga te puku me ētahi kiko hauora e tata ana kia mōhio ai ka whakakorea katoa ngā pūtau mate pukupuku.

Whakaarohia he huarahi tēnei nā tō rōpū rongoā ki te whai wāhi pai rawa atu mō te whakaora. Ko te tikanga ka mahia te pokanga i raro i te rongoā whānui, ko te tikanga ka moe koe, ka pai hoki i te wā o te tikanga. Ka aroturukihia koe e tō rōpū pokanga kia mōhio ai kei te haumaru koe, kei te pai hoki.

Ko te momo pokanga e hiahia ana koe ka whakawhirinaki ki ngā mea pēnei i te rahi me te wāhi o tō puku, mēnā kua horapa te mate pukupuku, me ō hiahia ake. Ka mahi tō tākuta ki a koe ki te whiriwhiri i te huarahi e tika ana mō tō āhuatanga motuhake.

He aha te take i mahia ai te pokanga mate pukupuku u?

Ko te pokanga mate pukupuku u te rongoā tuatahi hei tango i te mate pukupuku mai i tō tinana me te aukati i te horapa atu. Koinei te huarahi tino tika me te whai hua ki te whakakore i ngā kiko mate pukupuku me te whai wāhi pai rawa atu mō te whakaora katoa.

Ka āwhina hoki te pokanga i tō rōpū hauora ki te mārama tika ki ngā mea e pā ana ki a koe. I te wā e tirotirohia ana e rātou te kiko i tangohia i raro i te karuiti, ka taea e rātou te whakatau i ngā kōrero nui mō tō mate pukupuku, pēnei i te kaha o te mate me te horapa ki ngā kōpuku rāpoi tata.

I ētahi wā, ka tūtohutia te pokanga ahakoa kei te whiwhi koe i ētahi atu rongoā pēnei i te rongoā matū, te iraruke rānei. Ko tēnei huarahi whakakotahi te nuinga o te wā e whakarato ana i te mahere rongoā whānui rawa atu i hangaia mō ō hiahia motuhake.

He aha ngā momo pokanga mō te mate pukupuku u?

He maha ngā huarahi pokanga rerekē mō te rongoā i te mate pukupuku u, i hangaia ia mea mō ngā āhuatanga motuhake. Ka tūtohu tō tākuta pokanga i te kōwhiringa e pai ana ki tō momo mate pukupuku, te rahi, me ō āhuatanga whaiaro.

Koinei ngā momo pokanga mō te mate pukupuku u ka tūtaki pea koe:

• Lumpectomy: Ka tangohia te puku me te iti o te kiko hauora e karapoti ana i a ia, me te tiaki i te nuinga o tō u
• Mastectomy wāhanga: Ka tangohia te wāhanga nui ake o te kiko u i te lumpectomy engari ka waiho te nuinga o te u kia ora
• Mastectomy māmā: Ka tangohia te u katoa engari ka waiho ngā uaua o te pouaka me ngā kōpuku rāpoi kia kore e pā
• Mastectomy radical whakarerekē: Ka tangohia te u katoa me ētahi kōpuku rāpoi i raro i te ringa
• Mastectomy radical: Ka tangohia te u, ngā uaua o te pouaka, me ngā kōpuku rāpoi (kāore i te whakamahia i tēnei rā)

Ka whakaaro hoki tō tākuta pokanga mō te painga pea o te pokanga hanga anō, ka taea te hanga anō i te āhua o te u i te wā o te tikanga kotahi, i tētahi wā rānei i muri mai. Ko tēnei whakatau nāu anō i runga i tō taumata whakamarie me ō hiahia whaiaro.

Me pēhea te whakarite mō tō pokanga mō te mate pukupuku u?

Ko te whakarite mō te pokanga mō te mate pukupuku i te u e hāngai ana ki te whakarite tinana me te ngākau. Ka ārahi tō rōpū hauora i a koe i ia wāhanga kia mōhio ai koe he māia, he rite hoki mō te mahi.

Ka tono pea tō tākuta ki a koe kia mutu te tango i ētahi rongoā i te wiki kotahi i mua i te pokanga, ina koa ngā rongoā whakaheke toto, ngā rongoā anti-inflammatory rānei ka piki ake te tūponotanga o te toto. Ka tono hoki rātou kia karo koe i te kai, i te inu rānei i muri i te pō waenga i mua i tō pokanga.

Anei ētahi mahi whaihua hei āwhina i a koe ki te whakarite:

• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te pokanga, me te noho tahi me koe mō te 24 haora tuatahi
• Whakaritea tō kāinga ki ngā urunga pai, ngā paramanawa ngāwari ki te toro atu, me ngā whakangahau mō te whakaora
• Hokona ngā pōtae i muri i te pokanga, ngā kākahu kōpeke rānei i mua i te wā
• Whakakiia ngā rongoā kua tohua me ngā taonga taketake
• Whakaotia ngā whakamātautau i mua i te pokanga e tono ana tō tākuta, pēnei i te mahi toto, te whakaahua rānei

Kaua e whakaroa ki te pātai ki tō rōpū pokanga i ngā pātai katoa e pā ana ki te mahi. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i te whakaiti i te āwangawanga, ka waiho koe i te rite ake mō te haerenga kei mua.

He aha te mahi mō te pokanga mō te mate pukupuku i te u?

Ko te mahi pokanga te tikanga ka tīmata mā te whiwhi koe i te rongoā whānui, ko te tikanga ka moe katoa koe, ka kore he mamae i te wā o te mahi. Ka aroturuki tō tākuta rongoā i ō tohu nui i ngā wā katoa kia mōhio ai koe kei te haumaru koe.

Ka hanga e tō tākuta he tapahi i te wāhi kua whakatauhia, ka tango āta i te kiko mate pukupuku e ai ki tō mahere maimoatanga. Mēnā me tātari ngā kōpuku rēwa, ka tango pea rātou i ētahi kōpuku hei tirotiro mēnā kua horapa te mate pukupuku i tua atu i te u.

Ko te pokanga te tikanga e rua ki te wha haora, i runga i te uaua o tō tikanga motuhake. Ka kati tō tākuta pokanga i te tapahi ki ngā tuitui, ki ngā tūāpapa pokanga rānei, ā, ka waiho pea ngā ngongo rerenga hei aukati i te kohinga wai i te wā e rongoa ana.

I muri i te pokanga, ka nekehia koe ki tētahi wāhi whakaora i reira ka aroturukihia koe e ngā kaimahi hauora i a koe e ara ake ana i te rongoā. Ko te nuinga o te tangata e pōrangi ana, ā, ka pā pea te ruaki i te tīmatanga, engari ka ngaro ēnei pānga i roto i ngā hāora ruarua.

Me pēhea te pānui i ngā hua o tō pokanga mate pukupuku u?

He uaua pea te māramatanga ki ngā hua o tō pokanga, engari ka whakamāramahia e tō tākuta ngā mea katoa i roto i te taipitopito, ā, ka whakautu i ngā pātai katoa kei a koe. Kei roto i te pūrongo pathology ngā kōrero nui mō te mate pukupuku i tangohia.

Ka whakauruhia e tō pūrongo ngā taipitopito mō te rahi o te puku, te momo pūtau mate pukupuku, me te mea i taea e te tākuta pokanga te tango i ngā mate pukupuku katoa e kitea ana me ngā taha mārama. Ko te tikanga o ngā taha mārama kāore he pūtau mate pukupuku i kitea i ngā tapa o te kiko i tangohia, he rongo pai tēnā.

Mēnā i tangohia ngā kōpuku rākau, ka tohu te pūrongo mēnā kei roto i ētahi pūtau mate pukupuku. Mā tēnei kōrero e āwhina tō rōpū hauora ki te whakatau mēnā ka whai hua koe i ngā maimoatanga atu pēnei i te chemotherapy, i te rongoā iraruke rānei.

Ka whakarite tō tākuta i tētahi tūpono whai muri ki te kōrero i ēnei hua ki a koe i te tangata. Ko tēnei kōrero te wā pai ki te pātai i ngā pātai mō te tikanga o ngā kitenga mō tō mahere maimoatanga me te whakaora.

Me pēhea te whakaora i te pokanga mate pukupuku u?

Ko te whakaora i te pokanga mate pukupuku u he tukanga haere haere e rua wiki ki te marama. E hiahia ana tō tinana i te wā ki te rongoa, ā, he mea nui kia manawanui ki a koe i tēnei wā.

I ngā rā tuatahi i muri i te pokanga, ka pā pea te mamae, te puku, me te ngenge. Ka tohua e tō tākuta he rongoā mamae hei whakamarie i a koe, ā, ka āwhina te whakamahi i ngā pākete huka ki te whakaiti i te puku.

Anei ētahi aratohu hei tautoko i tō whakaora:

• Whaia ngā tohutohu a tō tākuta mō te tiaki i tō tapahi me te huri i ngā kākahu
• Kaua e hiki i tētahi mea neke atu i te 10 pauna mō ngā wiki tuatahi
• Whakanuia haere tō taumata mahi i te wā e kaha ake ana koe
• Haere ki ngā pōhiri whai muri katoa hei arotake i tō ahunga whakamua
• Mahia ngā mahi whakangungu ringa me te pakihiwi e taunakitia ana hei pupuri i te nekeneke

He maha ngā tāngata e kite ana he māmā ake te whakaora mā te whai pūnaha tautoko kaha. Kaua e whakaroa ki te tono i te āwhina mai i te whānau me ngā hoa mō ngā mahi o ia rā i te wā e ora ana koe.

He aha ngā āhuatanga tūpono mō ngā raruraru pokanga mō te mate pukupuku u?

Ahakoa te nuinga o te wā he haumaru te pokanga mō te mate pukupuku u, ka taea e ētahi āhuatanga te whakanui i te tūponotanga o ngā raruraru. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina tō rōpū pokanga ki te whai i ngā whakatūpato anō kia pai ai te putanga.

Ka taea e te pakeke te whai wāhi, i te mea he iti ake te tūponotanga o ngā raruraru ki ngā tūroro pakeke nā te ētahi atu āhuatanga hauora. Heoi anō, ko te pakeke anake e kore e aukati i tētahi tangata ki te whai pokanga angitu.

He maha ngā āhuatanga hauora ka whakanui i ngā tūponotanga pokanga:

• Te mate huka, ka taea te whakaroa i te whakaora i te patunga
• Te mate ngākau, te toto tiketike rānei
• Te momomo, ka whakanui pea i te tūponotanga o te mate
• Te kai paipa, e tino whakararu ana i te whakaora
• Ngā mate pūhihi toto
• Te rongoā iraruke o mua ki te wāhi o te uma

Ka arotake tō rōpū pokanga i tō hītori hauora katoa, ā, ka mahi tahi me koe ki te whakaiti i ngā tūponotanga. I te nuinga o ngā wā, mā te whakapai ake i tō hauora i mua i te pokanga ka tino whakaiti i te tūponotanga o ngā raruraru.

He aha ngā raruraru ka puta i te pokanga mō te mate pukupuku uma?

Te nuinga o te tangata ka ora mai i te pokanga mō te mate pukupuku uma kāore he raruraru nui, engari he mea nui kia mōhio ki ngā tohu hei mātakitaki. Mā te mōhio ki ngā take ka puta, ka āwhina koe ki te rapu āwhina hauora wawe ki te hiahiatia.

Ngā raruraru noa ka puta ko te mate i te wāhi pokanga, te toto, te kohinga wai rānei e kīia ana he seroma. Ko ēnei take ka taea te whakahaere mā te manaaki hauora tika, ā, kāore e puta ngā raruraru mō te wā roa.

Anei ngā raruraru hei mōhio:

• Mate: Whero, mahana, piki ake te mamae, te kirika rānei
• Toto: He pānga kikorangi rerekē, he toto rānei e mākū ana i ngā takai
• Seroma: Te kohinga wai e hiahia ana kia whakahekea
• Lymphedema: Te pūhi i te ringa, i te ringaringa rānei mēnā i tangohia ngā pona rākau
• Whara o te io: Te mōneti, te ngau rānei i te uma, te ringa, te pakihiwi rānei
• Ngā huringa whakapaipai: Ngā kōpū, ngā huringa rānei i te āhua o te uma

Ngā raruraru onge engari nui ka puta ko te pūhi toto, ngā pānga mate pāwera nui ki te rongoā whakamoe, te whara rānei o ngā okana tata. Kua whakangungua tō rōpū pokanga ki te whakahaere i ēnei āhuatanga, ā, ka mātakitaki tata rātou i a koe i te wā o te pokanga, i muri hoki.

Āhea au e kite ai i te tākuta i muri i te pokanga mō te mate pukupuku uma?

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ngā tohu o te mate, pērā i te kirika i runga ake i te 101°F, te piki ake o te whero i te taha o te tapahi, te wai pēnei i te pūhi rānei. E hiahia ana ēnei tohu ki te āwhina hauora wawe hei aukati i ngā raruraru.

Ko te toto rerekē tētahi atu take hei rapu āwhina tonu. Mēnā ka kite koe i te toto e mākū ana i ō takai, i te pānga kikorangi nui rānei, kaua e tatari ki te waea atu ki tō kaiwhakarato hauora.

Ētahi atu tohu e pā ana, e tika ana kia rapu āwhina hauora tonu:

• Te mamae nui kāore e pai ake ki te rongoā i whakaritea
• Te pupuhi ohorere i tō ringa, i tō pūhi rānei
• Te mamae o te uma, te uaua rānei ki te hā
• Te whakapairuaki me te ruaki e kore ai e taea e koe te pupuri wai
• Ngā tohu o te pānga mate pāwera pērā i te pāwera kiri, te uaua rānei ki te hā

Mō te aroturuki i ngā wā katoa, ka kite koe i tō tākuta i roto i te kotahi ki te rua wiki i muri i te pokanga. Kaua e whakaroa ki te whakapā atu ki tō rōpū hauora i waenga i ngā whakaritenga mēnā he āwangawanga, he pātai rānei āu mō tō whakaora.

Ngā pātai e pātai pinepine ana mō te pokanga mō te mate pukupuku uma

Q.1 He whai hua te pokanga mō te mate pukupuku uma mō te wāhanga tuatahi?

Āe, he tino whai hua te pokanga mō te mate pukupuku uma mō te wāhanga tuatahi, me te reiti rongoā e neke atu ana i te 90% i te wā kāore anō te mate pukupuku i horapa atu i te uma. Ko te kitenga wawe me te rongoā ka tino pai ake ngā hua.

Mō ngā wāhanga 1 me te 2 o te mate pukupuku uma, ko te pokanga i honoa ki te rongoā whai muri e tika ana ka whai hua pai mō te oranga i te wā roa. He maha ngā tāngata e mate pukupuku uma ana i te wāhanga tuatahi ka ora, ka ora hauora i muri i te rongoā.

Q.2 Ka horapa te mate pukupuku i te pokanga mō te mate pukupuku uma?

Kāore, kāore te pokanga mō te mate pukupuku uma e horapa ai te mate pukupuku. He āwangawanga noa tēnei, engari kua whakaatu tonu te rangahau hauora e aukati ana te pokanga i te horapa o te mate pukupuku mā te tango i te puku.

Ka tūpato tō rōpū pokanga i te wā o te mahi kia iti ai te tūponotanga o ngā pūtau mate pukupuku e neke ana ki ētahi atu wāhi. He nui ake ngā painga o te tango i te mate pukupuku i ngā tūponotanga ariā.

Q.3 Kia pēhea te roa o te whakaora i te pokanga mō te mate pukupuku uma?

He rerekē te wā whakaora i runga i te momo pokanga me tō ake ake tukanga whakaora. Ka taea e te nuinga o ngā tāngata te hoki ki ngā mahi māmā i roto i ngā rā torutoru, me te hoki ki ngā mahi noa i roto i te 2-4 wiki.

Ka ora katoa, tae atu ki te whānuitanga o te nekehanga me te kaha, e 6-8 wiki te roa. Ka hoatu e tō tākuta ngā aratohu motuhake i runga i te momo pokanga me te ahunga whakamua o te whakaora.

Q.4 Me whai maimoatanga anō au i muri i te pokanga mate pukupuku u?

E hia rānei ngā maimoatanga anō e hiahiatia ana e koe, kei runga i ngā āhuatanga motuhake o tō mate pukupuku me ngā hua o tō pokanga. Ka arotake tō tākuta mate pukupuku i tō pūrongo pathology hei whakatau mēnā he pai te rongoā matū, te iraruke, te rongoā homoni rānei.

He maha ngā tāngata e whiwhi ana i ngā maimoatanga anō hei whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku. Kua whakaaturia ēnei maimoatanga hei whakapai ake i ngā hua mo te wā roa, he wāhanga nui hoki o te manaaki mate pukupuku whānui.

Q.5 Ka taea e au te whiriwhiri i te hanga anō o te u i muri i te pokanga mate pukupuku?

Āe, he kōwhiringa te hanga anō o te u mō te nuinga o ngā tāngata kua pokaina te mastectomy. Ka taea e koe te whiriwhiri kia mahia te hanga anō i te wā kotahi me tō pokanga mate pukupuku, i tētahi rā anō rānei.

Ka kōrero tō tākuta kirihou i ngā kōwhiringa hanga anō rerekē ki a koe, tae atu ki ngā whakauru, ki te whakamahi rānei i ō ake kiko. He mea whaiaro katoa te whiriwhiri, ā, kei runga i ō hiahia, te āhua o tō hauora, me te mahere maimoatanga.