He aha te rongoā matū mō te mate pukupuku u? Te Whāinga, te Hātepe & Ngā Hua

Ka whakamahi te rongoā matū mō te mate pukupuku u i ngā rongoā kaha ki te whakangaro i ngā pūtau mate pukupuku puta noa i tō tinana. E mahi ana ēnei rongoā mā te aro ki ngā pūtau e wehe tere ana, e kapi ana i ngā pūtau mate pukupuku engari ka pā hoki ki ētahi pūtau hauora e tipu tere ana.

Whakaarohia te rongoā matū hei rongoā pūnaha e haere ana mā tō toto ki te tae atu ki ngā pūtau mate pukupuku ahakoa kei hea e huna ana. Ahakoa ka tangohia e te pokanga te puku e kitea ana e koe, ka āwhina te rongoā matū ki te whakakore i ngā pūtau mate pukupuku kua horapa ki ētahi atu wāhi o tō tinana, ahakoa he iti rawa te kite i ngā karapa.

He aha te take e mahia ai te rongoā matū mō te mate pukupuku u?

He maha ngā whāinga nui o te rongoā matū i roto i te rongoā mate pukupuku u, i runga i tō āhuatanga. Ka tūtohu pea tō tākuta mate pukupuku kia whakaheke i ngā puku i mua i te pokanga, kia whakakore i ngā pūtau mate pukupuku e toe ana i muri i te pokanga, kia whakahaere rānei i te mate pukupuku kua horapa ki ētahi atu wāhi o tō tinana.

Inā whakamahia i mua i te pokanga, e kiia ana ko te rongoā matū neoadjuvant, ka taea e ia te whakaiti i ngā puku nui kia iti ake, kia māmā ake te tango. I ētahi wā ka taea e tēnei huarahi ngā wāhine ki te pokanga tiaki u hei utu mō te mastectomy. Ka āwhina hoki te rongoā i ngā tākuta ki te kite i te pai o te urupare o tō mate pukupuku ki ngā rongoā motuhake.

I muri i te pokanga, ka mahi te rongoā matū adjuvant hei kaupapa inihua mō te hokinga mai o te mate pukupuku. Ahakoa kua tangohia te mate pukupuku e kitea ana, ka noho tonu pea ngā pūtau mate pukupuku microscopic i roto i tō tinana. Ka āwhina ēnei rongoā ki te whakakore i aua pūtau huna i mua i te tipu ki ngā puku hou.

Mō te mate pukupuku u kua horapa ki ētahi atu okana, ka taea e te rongoā matū te āwhina ki te whakahaere i te mate, te whakaiti i ngā tohu, me te whakapai ake i te kounga o te oranga. Ahakoa kāore pea e rongoā i te mate pukupuku kua horapa, ka āwhina pea i te tangata ki te noho roa ake, me te oranga pai ake.

He aha te hātepe mō te rongoā matū?

Ko te rongoā matū te tikanga ka puta i roto i ngā huringa, me ngā wā rongoā e whai ana i ngā wā okioki kia ora ai tō tinana. Ko te nuinga o te tangata ka whiwhi rongoā ia rua ki te toru wiki, ahakoa te wā e whakatakotoria ana e te tākuta me te pēhea te urupare a tō tinana.

Ko te tikanga ka whiwhi koe i te rongoā matū mā te raina IV i tō ringa, mā te tauranga rānei, he pūrere iti kei raro i tō kiri e tata ana ki tō koiwi kara. Mā te tauranga e māmā ake ai te hoatu rongoā me te tango tauira toto me te kore e werohia tonutia. Ko ētahi rongoā matū ka puta mai i roto i ngā pire ka taea e koe te tango i te kāinga.

Ko ia wā rongoā te tikanga ka roa i waenga i te kotahi ki te whā haora, i runga i ngā rongoā e whiwhi ana koe. Ka noho koe i roto i te tūru pai i te pokapū whakauru, ā, ka mātakitaki ngā nēhi i a koe i te wā katoa o te tukanga. He maha ngā tāngata e kawe ana i ngā pukapuka, ngā papa, i te waiata rānei hei āwhina i te wā.

I mua i ia rongoā, ka tirohia e tō rōpū hauora ō tatauranga toto me te hauora whānui kia mōhio ai kei te rite koe mō te horopeta e whai ake nei. Ka taea e rātou te whakaroa i te rongoā mēnā he iti rawa ō tatauranga toto, mēnā rānei kei te pā koe i ngā pānga taha nui e hiahia ana ki te wā ki te whakapai ake.

Me pēhea te whakarite mō tō rongoā matū?

Ko te whakarite mō te rongoā matū e whai ana i ngā mahi whaihua me te rite o te kare-ā-roto. Ka hoatu e tō rōpū hauora ngā tohutohu taipitopito e pā ana ki tō mahere rongoā, engari he huarahi whānui hei whakarite ka āwhina i a koe kia māia ake, kia pai ake.

Me tīmata mā te whakarite i te kawe pono ki te haere ki ō pōti me te hoki mai, nā te mea ka ngenge koe, ka kore rānei e pai i muri i te rongoā. He maha ngā tāngata e kite ana he āwhina ki te whai hoa, mema rānei o te whānau hei hoa mō rātou, ina koa mō ngā wā tuatahi. Whakarite kia noho rā i te rā mahi i ngā rā rongoā me te rā i muri mai.

Whakaarohia ēnei whakaritenga whaihua hei whakangawari i tō wheako rongoā:

• Whakakiia ngā kai me ngā paramanawa ngawari ki te whakarite e pai ana ki a koe
• Whakakiia ngā rongoā anti-nausea i mua i te wā
• Whakaritea he awhina mō te tiaki tamariki, mō ngā mokai, mō ngā mahi o te whare
• Whakaritea he wāhi whakaora pai i te kāinga me ngā whiringa whakangahau
• Whakaarohia te tapahi i ō makawe kia poto mēnā e tūmanakohia ana te ngaro o ngā makawe
• Whakaritea ngā mahi niho i mua i te tīmatanga o te rongoā
• Tikina ngā kano ārai mate e tika ana, me te karo i ngā kano ārai mate ora

Ka whakawhiwhia hoki e tō rōpū oncology ngā aratohu kai me ngā rongoā hei āwhina i te whakahaere i ngā pānga taha. Mā te whai i ēnei tohutohu ka nui te rerekētanga o tō ahua i te wā o te rongoā.

Me pēhea te pānui i ō hua chemotherapy?

He rerekē te ine i ngā hua chemotherapy i ngā whakamātautau taiwhanga noa, nā te mea ko te whāinga kia kite i te urupare o tō mate pukupuku ki te rongoā. Ka whakamahi tō oncologist i ngā momo tikanga hei aromatawai mēnā e whai hua ana te chemotherapy ki tō mate pukupuku motuhake.

I te wā o te rongoā, ka aroturuki tō tākuta i tō ahunga whakamua mā ngā whakamātautau toto i te wā katoa, ngā whakamātautau tinana, me ngā rangahau whakaahua pēnei i ngā karapa CT, MRIs rānei. Ka tirohia e ngā whakamātautau toto tō hauora whānui me te pai o tō tinana ki te rongoā, i te wā e whakaatu ana te whakaahua mēnā kei te whakaheke, kei te noho tonu te rahi, kei te tipu rānei ngā puku.

Ka titiro tō rōpū hauora ki ētahi tohu matua o te angitu o te rongoā:

• Te whakaheke i te rahi o te puku i runga i ngā karapa
• Te whakaheke i ngā tohu mate pukupuku i ngā whakamātautau toto
• Te whakapai ake i ngā tohu mēnā i pā te mamae, ētahi atu rānei
• Kāore he wāhi hou o te tipu o te mate pukupuku
• Te tūnga hauora whānui e mau ana, e pai ake ana rānei

Ko te urupare katoa te tikanga kāore he mate pukupuku e kitea ana, i te wā e tohu ana te urupare wāhanga i te whakaheke nui o te puku. Ko te mate tūmau te tikanga kāore te mate pukupuku e tipu ana, he mea ka whakaarohia he putanga pai, ina koa i ngā keehi matatau.

Me pēhea te whakahaere i ngā pānga taha o te chemotherapy?

Ko te whakahaere i ngā pānga taha o te rongoā matū e hiahia ana he huarahi whai hua me te kōrero tata ki tō rōpū hauora. Ahakoa he uaua ngā pānga taha, he maha ngā rautaki whai hua me ngā rongoā ka āwhina i a koe kia pai ake te tū me te pupuri i tō kounga o te oranga i te wā o te rongoā.

Ko te whakapairuaki me te ruaki ētahi o ngā āwangawanga tino noa, engari he tino whai hua ngā rongoā anti-nausea hou ina whakamahia tika. Ka tohutohu tō tākuta i ngā rongoā motuhake hei tango i mua, i te wā, me muri i te rongoā matū hei aukati i ēnei tohu kia kore e kaha.

Anei ngā rautaki e hāngai ana ki te taunakitanga ka āwhina i te whakahaere i ngā pānga taha noa:

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• Tangohia ngā rongoā anti-nausea i te mea i tohutohutia, ahakoa kei te pai koe
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• Kai i ngā kai iti, auau, me te karo i ngā haunga kaha
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• Noho wai mā te inu wai mārama pēnei i te wai, te hupa, te inu hiko rānei
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• Kia nui te okiokinga, engari ngana ki te noho paku kaha ki te taea
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• Whakamahia ngā hua ngawari, kāore he kakara i runga i tō kiri
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• Tiakina koe i ngā mate mā te horoi i ō ringa i ngā wā katoa
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• Mau sunscreen me ngā kākahu whakamarumaru ina waho
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Ko te ngenge tētahi atu pānga taha noa e pai ake ana ki te whakakori tinana ngawari, te kai pai, me te moe pai. Kaua e whakaroa ki te tono āwhina mō ngā mahi o ia rā, me te manawanui ki a koe anō i te mea ka rereke pea ō taumata pūngao i te wā o te rongoā.

He aha te rongoā matū pai mō te mate pukupuku u?

Ko te rongoā matū pai rawa atu e whakawhirinaki ana ki tō momo motuhake o te mate pukupuku u, tōna wāhanga, me ō āhuatanga hauora takitahi. Kāore he rongoā kotahi

Ka whai whakaaro tō tākuta mate pukupuku ki ētahi āhuatanga i te wā e whiriwhiri ana i tō mahere maimoatanga, tae atu ki te tūnga o te kaiwhakawhiwhi homoni, te tūnga HER2, te tohu o te puku, te whai wāhi o te kōpuku rāpoi, me tō tau me te hauora whānui. Mā ēnei kōrero e āwhina i te whakatau ko ēhea rongoā te mea pea ka whai hua ki tō mate pukupuku.

Ko ngā huinga rongoā matū mō te mate pukupuku uma e whai ake nei:

• AC-T (Adriamycin, Cytoxan, whai muri ko Taxol)
• TC (Taxotere me Cytoxan)
• FEC (5-fluorouracil, epirubicin, me te cyclophosphamide)
• Ngā tikanga e hāngai ana ki te Carboplatin mō te mate pukupuku uma triple-negative
• Ngā rongoā whāinga pēnei i te trastuzumab mō ngā mate pukupuku HER2-positive

Ka uru pea tō mahere maimoatanga ki ngā rongoā whāinga, ki te rongoā ārai mate rānei, i runga i ngā āhuatanga motuhake o tō mate pukupuku. He rerekē te mahi a ēnei maimoatanga hou i te rongoā matū tuku iho, ā, ka whai hua nui mō ētahi momo mate pukupuku uma.

He aha ngā āhuatanga tūpono mō ngā raruraru o te rongoā matū?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te pā mai o ngā raruraru i te rongoā matū, ahakoa te nuinga o te tangata ka oti pai tā rātou maimoatanga me te aroturuki tika me te tautoko. Mā te māramatanga ki ēnei āhuatanga tūpono e āwhina i tō rōpū hauora ki te whakarato i te tiaki haumaru me te whai hua.

He wāhi nui te tau i te pai o te tangata ki te rongoā matū, me te hunga tamariki rawa me ngā pakeke ake pea ka tūpono ki ngā tūponotanga nui ake. Heoi anō, ko te tau anake e kore e whakatau i ngā whakataunga maimoatanga - ko tō hauora whānui me tō taumata oranga te mea nui ake i te maha o ngā tau i ora ai koe.

Ko ngā āhuatanga hauora ka whakanui i tō tūponotanga ki ngā raruraru e whai ake nei:

• Te mate tākihi, te ate rānei e pā ana ki te tukatuka rongoā
• Ngā raruraru o te ngākau, inā koa ki ētahi rongoā rongoā mate pukupuku
• Te mate huka, ka taea te whakaroa i te whakaora me te whakanui i te tūponotanga o te mate
• Ngā rongoā mate pukupuku o mua ka ārai i ngā kōwhiringa ā muri ake nei
• Ngā āhuatanga autoimmune e pā ana ki tō pūnaha ārai mate
• Te kore kai pai, te nui rānei o te whakaheke taumaha
• Ngā mate e kaha ana, te ngoikore rānei o te mahi ārai mate

Ka āta arotake tō tākuta mate pukupuku i ēnei āhuatanga i mua i te tūtohu i te rongoā, ā, ka whakatika pea i ngā horopeta rongoā, ka kōwhiri rānei i ētahi atu rongoā hei whakaiti i ngā tūponotanga i te wā e mau tonu ana te whai huatanga.

He pai ake te rongoā mate pukupuku i mua, i muri rānei i te pokanga mō te mate pukupuku u?

Kei runga i tō āhuatanga motuhake te wā o te rongoā mate pukupuku, ā, he tino whai hua ngā huarahi e rua – i mua i te pokanga (neoadjuvant) me muri i te pokanga (adjuvant). Ka tūtohu tō tākuta mate pukupuku i te wā pai rawa atu i runga i ngā āhuatanga o tō puku me ngā whāinga rongoā.

He pai te mahi a te rongoā mate pukupuku neoadjuvant, ka hoatu i mua i te pokanga, mō ngā puku nui ake, mō te wā rānei e hiahia ana ngā tākuta ki te kite i te urupare o tō mate pukupuku ki te rongoā. Ka taea e tēnei huarahi te whakaheke i ngā puku kia nui ai te pokanga tiaki u hei utu mō te mastectomy, he mea e pai ana te nuinga o ngā wāhine ina taea.

Ko te rongoā mate pukupuku adjuvant, ka hoatu i muri i te pokanga, te huarahi tuku iho e mahi ana hei kupenga haumaru hei whakakore i ngā pūtau mate pukupuku e toe ana. Mā tēnei wā ka taea e tō tākuta pokanga te tango i te puku matua i te tuatahi, ā, ka hoatu ki tō rōpū hauora ngā mōhiohio katoa mō ngā āhuatanga o te mate pukupuku hei ārahi i ngā whakatau rongoā.

Kua whai hua ngā huarahi e rua i roto i ngā whakamātau haumanu, ā, ko te kōwhiringa ka heke iho ki ngā āhuatanga takitahi pēnei i te rahi o te puku, te wāhi, me ō hiahia whaiaro mō te raupapa rongoā.

He aha ngā raruraru ka puta mai i te rongoā mate pukupuku?

Ahakoa te haumaru o te rongoā matū i te wā e aroturukihia ana, ka pā ngā momo pānga taha, nā te mea ka pā ki ngā pūtau mate pukupuku me ētahi pūtau hauora. Mā te māramatanga ki ngā raruraru ka āwhina i a koe ki te mōhio ki te wā hei whakapā atu ki tō rōpū hauora, me te whakarite kia whiwhi koe i te rongoā wawe mēnā ka puta mai ngā raruraru.

Ko te nuinga o ngā pānga taha he wā poto, ka pai ake i muri i te otinga o te rongoā, ahakoa ka roa pea ētahi marama kia tino ora. Ka āta aroturukihia koe e tō rōpū hauora i te wā o te rongoā kia kitea, kia whakahaerehia ngā raruraru i te wā wawe.

Ko ngā raruraru noa e hiahia ana ki te āwhina hauora ko:

• Te whakapairuaki me te ruaki nui e aukati ana i te kai, i te inu rānei
• Ngā tohu o te mate, pēnei i te kirika, te mākū, te ngenge rānei
• Te toto, te pānga rānei e kore e rite
• Te korere nui, te pāpā rānei
• Ngā patunga waha e pā ana ki te kai
• Ngā pānga kiri nui, te pūwhā rānei
• Te uaua ki te hā, te mamae rānei o te uma

Ko ngā raruraru onge engari he nui te kino ka uru ki ngā raruraru o te ngākau me ētahi rongoā, ngā mate pukupuku tuarua i ngā tau i muri mai, ngā pānga rānei ki te mate pāwera i te wā o te rongoā. Ka aroturukihia e tō rōpū oncology ēnei take, ka whai i ngā mahi hei aukati i a rātou i te wā e taea ana.

Āhea au e kite ai i te tākuta i te wā o te rongoā matū?

Me whakapā atu koe ki tō rōpū oncology tonu mēnā ka puta mai te kirika o te 100.4°F (38°C) teitei ake rānei, nā te mea ka tohu tēnei i te mate nui i te wā e ngoikore ana tō pūnaha ārai mate. Kaua e tatari kia kite mēnā ka ngaro noa te kirika - he mea nui te rongoā wawe o ngā mate i te wā o te rongoā matū.

Ko ētahi atu tohu e hiahia ana ki te āwhina hauora tonu ko te whakapairuaki me te ruaki nui e aukati ana i a koe ki te pupuri i ngā wai, te toto, te pānga rānei e kore e rite, te uaua ki te hā, te mamae o te uma, ngā tohu rānei o te maroke nui, pēnei i te whanoke me te mimi kōwhai pouri.

Whakapā atu ki tō rōpū hauora tonu mō ēnei tohu e pā ana:

• Te kirika tonu, te wiri rānei
• Te tino ngenge e aukati ana i ngā mahi o ia rā
• Te mamae rerekē, ina koa i tō uma, i tō puku rānei
• Te korere nui e roa ana i te 24 haora
• Ngā patito i te waha e aukati ana i te kai, i te inu rānei
• Ngā huringa o te kiri pēnei i te pupuhi nui, i te pūhi rerekē rānei
• Ngā huringa i te mimi, i te mahi tākihi rānei

Kia mahara e tatari ana tō rōpū oncology ki ēnei waea, ā, e hiahia ana rātou ki te āwhina i a koe kia noho haumaru, kia pai hoki. Ko te nuinga o ngā pokapū rongoā he rārangi waea 24-haora e whakahaeretia ana e ngā nēhi, e taea ai e rātou te tohutohu i a koe mēnā e hiahia ana koe ki te manaaki tonu, ka taea rānei e koe te tatari kia tae rā anō ki te rā pakihi e whai ake nei.

Ngā pātai e pātai pinepine ana mō te rongoā matū mō te mate pukupuku uma

P1: He whai hua te rongoā matū mō ngā momo katoa o te mate pukupuku uma?

He rerekē te mahi a te rongoā matū mō ngā momo rerekē o te mate pukupuku uma. He pai te urupare a ngā mate pukupuku uma triple-negative ki te rongoā matū, i te wā e whai hua ana ngā mate pukupuku hormone-positive mai i te rongoā hormone i honoa ki te rongoā matū. Ko ngā mate pukupuku HER2-positive te tikanga ka whiwhi rongoā whāinga me te rongoā matū tuku iho mō ngā hua pai.

Ka whakatau tō oncologist i te huarahi rongoā whai hua rawa atu i runga i ngā āhuatanga motuhake o tō mate pukupuku, tae atu ki te tūnga o te kaiwhakawhiwhi hormone, te tūnga HER2, me ngā āhuatanga ira i whakaaturia mā te whakamātautau puku.

P2: Ka pā tonu te ngaro o ngā makawe i te rongoā matū?

Kāore ngā rongoā matū katoa e pā ana ki te ngaro o ngā makawe, engari he maha ngā rongoā mate pukupuku e whakamahia ana e arahi ana ki te angiangi o ngā makawe, ki te ngaro katoa rānei o ngā makawe. Ko te tikanga ka tīmata te ngaro o ngā makawe i te rua ki te toru wiki i muri i te tīmatanga o te rongoā, ā, ka tipu anō i roto i ngā marama i muri i te whakaotinga o te rongoā matū.

Ko ētahi tikanga hou pēnei i te whakamatao o te kiri mahunga ka āwhina i te whakaiti i te ngaro o ngā makawe me ētahi rongoā matū, ahakoa kāore e mahi mō te katoa, mō ngā momo rongoā katoa rānei.

P3: Ka taea e au te mahi i te wā o te rongoā matū?

He maha ngā tāngata e mahi tonu ana i te wā o te rongoā matū, ahakoa me whakarerekē pea tō wā rānei, ngā kawenga rānei. Ko tō kaha ki te mahi e whakawhirinaki ana ki ngā whakaritenga o tō mahi, te wā rānei o te rongoā, me te pēhea tō urupare ki ngā rongoā.

Whakaarohia te kōrero mō ngā whakaritenga mahi ngawari ki tō kaituku mahi, pēnei i te mahi mai i te kāinga i ngā rā rongoā, te whakaiti rānei i ō hāora mō tētahi wā. E kite ana ētahi tāngata he pai te noho whai wāhi ki te mahi e whakarato ana i te hanganga me te noho noa i te wā o te rongoā.

Q4: Ka pā te rongoā matū ki tōku kaha ki te whai tamariki?

Ka pā te rongoā matū ki te whai tamariki, ina koa ki ngā wāhine neke atu i te 35 tau, ahakoa he rerekē te pānga i runga i ngā rongoā motuhake e whakamahia ana me tō tau i te wā o te rongoā. E pā ana ētahi wāhine i ngā huringa wā poto i roto i ā rātou huringa paheketanga, i te mea ka pā tonu ētahi atu ki te whai tamariki.

Mēnā he mea nui ki a koe te pupuri i te whai tamariki, kōrerohia ngā kōwhiringa pēnei i te whakatio i te hua manu, i te pūtau rānei ki tō tākuta mate pukupuku i mua i te tīmatanga o te rongoā. Ka taea te whakaoti i ēnei tikanga i te wā tere me te kore e whakaroa i tō rongoā mate pukupuku.

Q5: Kia pēhea te roa o ngā pānga taha o te rongoā matū i muri i te mutunga o te rongoā?

Ka pai ake te nuinga o ngā pānga taha o te rongoā matū i roto i ngā marama maha i muri i te mutunga o te rongoā. Ka roa pea te ngenge me ngā huringa hinengaro e ono marama ki te tau kia tino whakaoti, i te mea ka tīmata te tupu o ngā makawe i roto i ngā marama torutoru.

E pā ana ētahi tāngata i ngā pānga wā roa pēnei i te neuropathy (te kino o te io) rānei, ngā huringa ngākau rānei, koinei te take he mea nui tonu te tiaki whai muri i te tākuta mate pukupuku ahakoa i muri i te whakaotinga o te rongoā. Ka taea e tō rōpū hauora te āwhina i te whakahaere i ngā tohumate e mau tonu ana me te aroturuki i tō hauora whānui.