He aha te Hāora-waho mō te Matepukupuku Porotēhi? Te Whāinga, te Hātepe & ngā Hua

Ko te rongoā hāora-waho he rongoā tika, kāore e pokanoa ana, e whakamahi ana i ngā hihi-X kaha-nui ki te whai me te whakangaro i ngā pūtau matepukupuku porotēhi mai i waho o tō tinana. Whakaarohia he kurupae pūngao e arotahi ana, e whai ana ki te puku i te wā e tiaki ana i ngā kiko hauora i te taha.

Kua āwhina tēnei rongoā i ngā mano o ngā tāne ki te whawhai angitu i te matepukupuku porotēhi, ā, e kiia ana ko tētahi o ngā kōwhiringa whai hua e wātea ana i tēnei rā. E mahi ana te hāora mā te whakangaro i te DNA i roto i ngā pūtau matepukupuku, e aukati ana i a rātou ki te tipu me te wehe.

He aha te rongoā hāora-waho?

Ko te rongoā hāora-waho (EBRT) e tuku ana i te hāora whāinga ki tō porotēhi mai i tētahi mīhini e tū ana i waho o tō tinana. Ko ngā kurupae hāora e āta whakamaherehia ana, e āhua ana kia ōrite ki te rahi me te wāhi tika o tō matepukupuku porotēhi.

I te wā o te rongoā, ka takoto koe ki runga i tētahi tēpu i te wā e neke ana tētahi mīhini nui e kīia ana he whakaterenga rārangi i a koe, e tuku ana i te hāora mai i ngā koki rerekē. Kāore he mamae o te hātepe katoa, ā, e 15-30 meneti te roa mō ia wā.

He maha ngā momo hāora-waho, tae atu ki te rongoā hāora-whakawhiti kaha (IMRT) me te rongoā hāora-tinana stereotactic (SBRT). Māu e whiriwhiri te huarahi pai rawa atu i runga i tō āhuatanga motuhake me ngā āhuatanga o te matepukupuku.

He aha te take e mahia ana te rongoā hāora-waho?

E rongoā ana te rongoā hāora-waho i te matepukupuku porotēhi mā te whakangaro i ngā pūtau matepukupuku i te wā e tiaki ana i te nui o ngā kiko hauora ka taea. Ka tūtohu pea tō tākuta i tēnei rongoā mēnā kei roto anake tō matepukupuku i te porotēhi, kua horapa rānei ki ngā wāhi tata.

He pai rawa atu tenei rongoa mo te mate pukupuku prostate i te timatanga, i te wa e whai hua ana ano he pokanga. He whiringa pai ano hoki mena karekau koe i te pai mo te pokanga na te pakeke, etahi atu ahuatanga hauora, i te hiahia whaiaro ranei.

I etahi wa, ka whakamahia te rongoa iraruke i muri i te pokanga mena ka noho tonu, ka hoki mai ranei nga pūtau mate pukupuku. Ka taea hoki te whakakotahi ki te rongoa homoni kia whai hua ake ai te rongoa, ina koa mo nga mate pukupuku kaha ake.

Mo nga tane e mate ana i te mate pukupuku prostate kua matatau, ka taea e te rongoa iraruke te awhina i te whakahaere i nga tohu me te whakapai ake i te kounga o te oranga ma te whakaheke i nga puku e puta ai te mamae, etahi atu raruraru ranei.

He aha te tikanga mo te rongoa iraruke hihi-waho?

Ka timata te tukanga iraruke hihi-waho me te huihuinga whakamahere taipitopito e kiia nei ko te whaihanga. I tenei wa, ka hangaia e to roopu hauora he mahere rongoa tika i hangaia mo to mate pukupuku prostate.

Tuatahi, ka takoto koe ki runga i te tepu rongoa i te waahi tika ka noho koe i ia huihuinga rongoa. Ka whakamahia e te roopu iraruke nga karapa CT, i etahi wa nga whakaahua MRI hei mapi i te waahi tika o to prostate me nga whekau e tata ana.

Ka whakanohohia nga moko iti, pumau, tata ki te rahi o te waahi ki runga i to kiri hei awhina i a koe ki te tu tika mo ia rongoa. Kaua e māharahara - he iti noa enei tohu, he uaua ki te kite.

Ka whakapau nga ra e maha to tohunga oncologist iraruke me te tohunga ahupūngao rongoa ki te hanga i to mahere rongoa whaiaro. Ka whakatauhia e tenei mahere te waahi tika e whaaia ai nga hihi iraruke me te nui o te iraruke ka whiwhi koe.

Ka oti te whakamahere, ka timata koe i o rongoa ia ra. Anei nga mea ka tupu i ia huihuinga:

1. Ka huri koe ki te kākahu hōhipera ka takoto ki runga i te tēpu rongoā
2. Ka whakatakotoria koe e ngā tākuta iraruke mā te whakamahi i ngā tohu tā mō te ārahi
3. Ka huri te whakaterenga rārangi i a koe, ka tukuna te iraruke mai i ngā koki maha
4. Me takoto tino marie koe i te wā e tukuna ana te iraruke, he meneti noa iho te roa
5. Ka aroturukihia koe e ngā tākuta mai i tētahi rūma tata mā roto i ngā kāmera me ngā pūoro

Ko te nuinga o ngā tāne e rongoā ana e rima ngā rā i te wiki (Mane ki te Paraire) mō te 7-9 wiki. Heoi, ko ngā tikanga hou pēnei i te SBRT ka hiahia kia 4-5 rongoā anake i roto i te 1-2 wiki.

Me pēhea te whakarite mō tō rongoā iraruke hihi-waho?

Ko te whakarite mō te rongoā iraruke hihi-waho e hiahia ana te whakarite tinana me te whakarite ā-whatumanawa. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe, engari koinei ngā mahi tino nui hei whai.

Mō tō whakarite pūpū me te kōpū, me pupuri e koe ngā tikanga rite tonu puta noa i te rongoā. Ka tono pea tō tākuta ki a koe kia inu i tētahi wai motuhake i mua i ia wāhanga kia mōhio ai kei te ki tonu tō pūpū, e āwhina ana i te tiaki i ngā okana tata.

Me whai pea koe i ngā aratohu whakarite kōpū, pēnei i te whai i te nekehanga kōpū, i te whakamahi rānei i te enema i mua i te rongoā. Ko ēnei mahi e āwhina ana kia noho ngā okana o roto i te tūnga kotahi mō ia wāhanga.

Tiakina tō kiri i te wāhi rongoā mā te whakamahi i te hopi ngawari, kāore he kakara, me te karo i ngā hinu, ngā whakakakara, i ngā paura rānei ki te kore e whakaaetia e tō rōpū. Kaua e tono i tētahi mea ki tō kiri i ngā rā rongoā kia mutu ra anō tō wāhanga.

Haere tonu ki te tango i ō rongoā auau ki te kore tō tākuta e kī atu ki a koe. Ki te tango koe i ngā whakaiti toto, i ētahi atu rongoā rānei, kōrerohia te wā tahi me tō rōpū hauora.

I te taha o te ngākau, he mea noa te āwangawanga mō te tīmatanga o te rongoā. Whakaarohia te haere mai me tētahi tangata tautoko ki ō koutou tūpono tuatahi, kaua e whakaroa ki te pātai pātai mō ngā mea katoa e pā ana ki a koe.

Me pēhea te pānui i ngā hua o tō rongoā iraruke hihi-waho?

Ka inea ngā hua o te rongoā iraruke hihi-waho mā ngā tūpono whai muri me ngā whakamātautau, kaua mā ngā pānui tonu. Ka aroturukihia tō angitu i roto i ngā marama me ngā tau mā ngā whakamātautau toto PSA me ngā whakamātautau tinana.

Ka tirohia ō taumata PSA i ngā wā katoa i muri i te rongoā, te nuinga i ngā marama 3-6 mō ngā tau tuatahi. Ko te rongoā angitu te tikanga e whakaatu ana i te hekenga haere o ngā taumata PSA, ahakoa ka puta tēnei hekenga i roto i ngā marama 18-24.

He rerekē te whakamāramatanga o te angitu o te rongoā, engari i te nuinga, me tae tō PSA ki tōna wāhi iti rawa (e kiia ana ko te nadir) i roto i ngā tau e rua. Ka eke ētahi tāne ki ngā taumata PSA e kore e kitea, i te wā e mau tonu ana ētahi atu i ngā taumata iti rawa engari ka taea te ine.

Ka aroturukihia hoki koe e tō tākuta mō ngā tohu o te hokinga mai o te mate pukupuku mā ngā whakamātautau tinana me ngā whakamātautau whakaahua mēnā e tika ana. Ko te pikinga o ngā taumata PSA i muri i te tae ki te nadir ka tohu pea kua ora, kua hoki mai rānei ngā pūtau mate pukupuku.

He mea nui kia mārama kei te haere tonu ngā pānga o te iraruke mō ngā marama i muri i te otinga o te rongoā. E hiahia ana tō tinana ki te wā ki te whakakore i ngā pūtau mate pukupuku kua pakaru, nā reira ka puta haere ngā whakapainga i ngā taumata PSA.

Me pēhea te whakahaere i ngā pānga taha mai i te rongoā iraruke hihi-waho?

Ko te whakahaere i ngā pānga taha mai i te rongoā iraruke hihi-waho e arotahi ana ki te tautoko i te tukanga whakaora o tō tinana i te wā e mau tonu ana tō kounga o te ora. Ko te nuinga o ngā pānga taha he wā poto, he mea whakahaere mā te manaaki tika.

Mō ngā tohu mimi pēnei i te mimi auau, te wera, te ohorere rānei, inu i te wai nui me te karo i te kawhe, te waipiro, me ngā kai raukikini. Ka tohua pea e tō tākuta ngā rongoā hei āwhina i te whakahaere i ēnei tohu mēnā ka pōuri.

Ka taea te whakahaere i nga tohu o te whekau pēnei i te korere, te hau, te raruraru rānei o te nono mā te huri i te kai. Kai i ngā kai iti ake, i ngā wā maha ake, me te karo i ngā kai muka nui i te wā o te rongoā. Ka āwhina pea ngā rongoā probiotic me ngā rongoā anti-diarrheal mēnā ka tohutohutia e tō tākuta.

He mea noa te ngenge i te wā o te rongoā iraruke, nō reira whakarite kia nui ake te okiokinga me te karo i te whakapau kaha. Ka taea e te whakakori tinana māmā pēnei i te hīkoi te āwhina i te pupuri i ō taumata pūngao, engari whakarongo ki tō tinana me te okioki ina hiahiatia.

Me atawhai marie ngā huringa kiri i te wāhi rongoā. Whakamahia te hopi ngawari, horoia mā te pāpā kaua mā te mirimiri, me te whakamahi i te whakamakuku kiri mēnā ka tohutohutia e tō rōpū. Kaua e pā te rā ki te wāhi i rongoatia.

Ka puta pea ngā huringa o te mahi tāngata i te wā o te rongoā, i muri rānei i te rongoā. Kōrero tuwhera ki tō rōpū hauora mō ēnei āwangawanga - he rongoā me ngā rautaki hei āwhina i te pupuri, i te whakahoki mai rānei i te hauora tāngata.

He aha ngā putanga pai mō te rongoā iraruke hihi-waho?

Ko ngā putanga pai mai i te rongoā iraruke hihi-waho ka puta i te wā e mau ana te mate pukupuku i te wā wawe, ā, ka tukuna te rongoā me te tika. He pai ngā reiti angitu mō te mate pukupuku prostate kua whakatauhia, me ngā reiti whakaora e rite ana ki te tango mā te pokanga.

Mō te mate pukupuku prostate mōrearea iti, ka tutuki i te rongoā iraruke hihi-waho te whakahaere i te mate pukupuku i roto i te 95% o ngā tāne i te 10 tau. He reiti angitu 85-90% ngā mate pukupuku mōrearea waenga, ā, ka whai hua ngā mate pukupuku mōrearea nui mai i ngā rongoā whakakotahi.

Ko ngā putanga pai rawa atu ka puta i te wā ka heke tō PSA ki ngā taumata iti rawa, ā, ka noho tonu ki reira. Ko ngā tāne e tutuki ana i ngā taumata PSA i raro i te 0.5 ng/mL i muri i te rongoā te mea pai rawa atu te matapae mo te wā roa.

He pai te nuinga o ngā putanga o te kounga o te ora, me te nuinga o ngā tāne e pupuri ana i te mahi pai o te mimi me te whekau. Ka pā pea te mahi tāngata, engari he maha ngā wā ka pai ake tēnei i te wā, ina koa me te rongoā tika me te tautoko.

He tino whakahihiri ngā reiti oranga wā-roa. Ko te nuinga o ngā tāne e rongoatia ana ki te rongoā iraruke hihi-waho mō te mate pukupuku pūkahukahu kua kitea i te wāhi kotahi, e noho ana i ngā oranga noa, kāore he hokinga mai o te mate pukupuku.

He aha ngā āhuatanga tūpono mō ngā raruraru mai i te rongoā iraruke hihi-waho?

He maha ngā āhuatanga ka piki ake te tūponotanga o ngā raruraru mai i te rongoā iraruke hihi-waho. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō rōpū hauora ki te whakamahere i te huarahi rongoā haumaru me te whai hua.

He pānga tō te pakeke ki te pai o tō tū i te rongoā, ahakoa te nuinga o te wā ka pai te tū o te rongoā iraruke hihi-waho e ngā tāne o ngā tau katoa. Ka nui ake pea te ngenge o ngā tāne pakeke, ā, ka roa ake te wā ki te ora mai i ngā pānga taha.

Ko te pokanga o mua i te puku, i te pūkahukahu rānei, ka piki ake te tūponotanga o ngā raruraru whekau, nā te mea he tairongo ake pea te kiko kiko ki te iraruke. Ka whakamahere tō tākuta iraruke i te tūponotanga o ngā wāhi pokanga.

Ko ngā raruraru mimi o mua, pēnei i te pūkahukahu whānui, i te pupuri mimi rānei, ka kino ake pea i te wā o te rongoā. Ka tūtohu pea tō tākuta ki te rongoā i ēnei āhuatanga i mua i te tīmatanga o te rongoā iraruke.

Ko ngā āhuatanga whekau mumura pēnei i te mate a Crohn, i te colitis ulcerative rānei, ka piki ake te tūponotanga o ngā pānga taha whekau nui. Ka āta whakatau tō rōpū hauora i ēnei tūponotanga i te wā e whakamahere ana i tō rongoā.

Ka pā te mate huka ki te whakaora, ā, ka piki ake te tūponotanga o ngā raruraru, ahakoa he pai tonu te kōwhiringa rongoā o te rongoā iraruke. He mea nui te mana whakahaere huka toto pai i mua i te wā o te rongoā.

Ko te rahi me te wāhi o tō mate pukupuku pūkahukahu ka pā ki ngā tūponotanga raruraru. Ko ngā puku nui ake, ko ērā rānei e tata ana ki ngā hanganga tairongo, ka hiahia pea ki te whakamahere rongoā uaua ake.

He pai ake te rongoā iraruke hihi-waho, te pokanga rānei?

Ko te whakatau i waenga i te rongoā iraruke hihi-waho me te pokanga e whakawhirinaki ana ki tō āhuatanga takitahi, ngā āhuatanga o te mate pukupuku, me ngā hiahia whaiaro. He tino whai hua ngā rongoā e rua mō te mate pukupuku prostate kua pūmau.

He maha ngā painga o te rongoā iraruke hihi-waho, tae atu ki te kore tūponotanga pokanga, te wā whakaora poto ake, me te kaha ki te rongoā i te mate pukupuku kua horapa noa atu i te prostate. Ka taea e koe te pupuri i ō mahi noa puta noa i te nuinga o te wā rongoā.

Ka pai pea te pokanga mēnā he taitamariki koe, he roa te oranga e tūmanakohia ana, he āhuatanga mate pukupuku rānei ōu. Ko te tango pokanga ka whakarato i te tango mate pukupuku tonu, ka whakakore i te tūponotanga iti o ngā mate pukupuku tuarua i puta mai i te iraruke i ngā tau tekau i muri mai.

He rerekē te whakaora i waenga i ngā huarahi e rua. Ka taea e te rongoā iraruke te haere tonu i te nuinga o ngā mahi noa i te wā rongoā, i te mea e hiahia ana te pokanga i ngā wiki maha o te whakaora me ngā here mahi.

He rerekē ngā pānga taha wā-roa i waenga i ngā rongoā. Ka puta pea te rongoā iraruke i ngā huringa haere i roto i te mahi mimi me te mahi whekau, i te mea he pānga tonu te pokanga ki te whakahaere me te mahi tāngata e pai ake ai i te wā.

Ko tō tau, te hauora whānui, te wāhanga mate pukupuku, me ngā uara whaiaro katoa e whai wāhi ana ki tēnei whakatau. He maha ngā tāne e kite ana he āwhina ki te tiki i ngā whakaaro tuarua me te kōrero hōhonu i ngā kōwhiringa e rua me tā rātou rōpū hauora.

He aha ngā raruraru ka puta mai i te rongoā iraruke hihi-waho?

Ka puta pea te rongoā iraruke hihi-waho i ngā raruraru wā-poto me te wā-roa, ahakoa he ngawari te nuinga, ā, he maha e pai ake ana i te wā. Ko te māramatanga ki ēnei raruraru ka āwhina i a koe ki te whakatau i ngā whakatau mōhio me te whakarite mō te rongoā.

Ko ngā raruraru wā-poto ka puta i te wā rongoā me ngā wiki i muri i te otinga. Ko ēnei pānga koi he wā poto noa iho, ka ngaro i roto i ngā marama torutoru.

Ngā raruraru wā-poto noa ko:

• Te auau mimi, te ohorere, te wera rānei i te wā e mimi ana
• Ngā huringa o te whekau pērā i te pāhau, te hau, te raru rānei o te tūtae
• Te ngenge ka roa pea mō ētahi wiki i muri i te rongoā
• Te riri kiri, te whero rānei i te wāhi e rongoatia ana
• Te pōrohe o te rere mimi mō te wā poto ki te whānui tōu pūkahukahu

He iti noa iho ngā raruraru i te wā roa, engari ka puta pea i ngā marama, i ngā tau rānei i muri i te rongoā. E hiahia ana ēnei pānga roa ki te whakahaere me te aroturuki tonu.

Ngā raruraru pea i te wā roa ko:

• Ngā raruraru mimi roa pērā i te kore e taea te pupuri mimi, te uaua rānei ki te whakawātea i te pūpū
• Te kore mahi o te whekau tae atu ki te pāhau roa, te toto rānei o te tūtae
• Te kore mahi o te ira tangata nā te kino ki ngā io me ngā oko toto
• Te whāiti o te ure (te whāiti o te ure) e hiahia ana ki te whakatikatika pokanga
• Ngā mate pukupuku tuarua i te wāhi e rongoatia ana, ahakoa he tino onge tēnei

Ka puta pea ngā raruraru onge engari he nui, ina koa ki ngā horopeta iraruke teitei, ki ngā tāne rānei e whai ana i ngā āhuatanga o mua. Ka uru pea ēnei ki te aukati nui o te whekau, ngā fistula (ngā hononga kōaro i waenga i ngā okana), te pupuri mimi nui rānei e hiahia ana ki te whakauru i te katita.

Te tūponotanga o ngā raruraru e whakawhirinaki ana ki ngā āhuatanga pērā i tō hauora whānui, te horopeta iraruke me te tikanga i whakamahia, me te pai o tō whai i ngā tohutohu tiaki i muri i te rongoā. Kua tino whakaiti ngā tikanga iraruke hou i ngā reiti raruraru i te whakataurite ki ngā tikanga tawhito.

Āhea au e kite ai i te tākuta i te wā o te rongoā iraruke hihi-waho?

Me whakapā atu koe ki tō rōpū hauora tonu ki te pā mai ngā tohu nui, ngā tohu rānei e pā ana ki a koe i te wā, i muri rānei i te rongoā iraruke hihi-waho. Ahakoa he maha ngā pānga taha e tūmanakohia ana, e taea ana te whakahaere, me hiahia ētahi ki te aro mai o te rongoā.

Whakapā atu ki tō tākuta tonu mēnā ka pūremu koe i ngā tohu mimi kino pēnei i te kore rawa e mimi, te wera kino kāore e pai ake ana i te rongoā, te toto rānei i roto i tō mimi he nui ake i te torutoru noa iho ngā topata.

Ko ngā tohu whekau kino e tika ana kia aro tonu mai ko te mamae nui o te puku, te nui o te toto i te tūtae, te ruaki tonu, ngā tohu rānei o te aukati i te whekau pēnei i te pāpāpā nui me te pupuhi.

Waea atu ki tō rōpū hauora mēnā ka pā te kirika ki a koe neke atu i te 101°F (38.3°C), te tino ngenge e kore ai koe e mahi i ngā mahi o ia rā, i ngā tohu rānei e ahua kino haere ana, kaua e pai ake.

Ko ngā huringa kiri e hiahia ana kia aro mai ko te whero nui, te pupuhi, ngā patunga tuwhera, ngā tohu rānei o te mate i te wāhi e rongoatia ana. Ahakoa he mea noa te riri kiri ngawari, me arotake ngā huringa kino e te tohunga.

Me whakapā atu anō koe ki tō tākuta mēnā he raruraru tō whakahaere i ō tohu ki ngā rongoā kua whakaritea, mēnā e māharahara ana koe mō ngā tohu hou, mēnā rānei e pōuri ana koe i ngā pānga taha.

He mea nui ngā whakaritenga whai-a-muri i ngā wā katoa mō te aroturuki i tō ahunga whakamua me te hopu i ngā raruraru i te wā wawe. Kaua e peke i ēnei whakaritenga, ahakoa kei te pai koe.

Ngā pātai e pātai pinepine ana mō te iraruke hihi-waho mō te mate pukupuku prostate

Q.1 He pai te rongoā iraruke hihi-waho mō te mate pukupuku prostate kaha?

He tino whai hua te rongoā iraruke hihi-waho mō te mate pukupuku prostate kaha, ina honoa ki te rongoā homoni. He maha ngā wā ka pai ake ngā hua o te rongoā whakakotahi i te iraruke anake mō ngā mate pukupuku mōrearea.

Mō ngā mate pukupuku kaha, ka tūtohu pea tō tākuta iraruke kia nui ake te horopeta katoa o te iraruke ka tukuna i roto i te wā roa. Mā tēnei huarahi e āwhina kia whakakorea katoatia ngā pūtau mate pukupuku i te wā e tiaki ana i ngā kiko hauora.

Ko te angitu o te rongoā e whakawhirinaki ana ki ngā mea pēnei i tō taumata PSA, te kaute Gleason, me te horapa o te mate pukupuku i tua atu i te pūkahukahu. He maha ngā tāne e mate ana i te mate pukupuku pūkahukahu kaha e whai ana i te whakahaere mate pukupuku wā-roa mā te rongoā iraruke i whakaritea tika.

Q.2 Ka pā te rongoā iraruke kurupae-waho i te korenga o te mahi tūāwhiwhi?

Ka pā te rongoā iraruke kurupae-waho ki te mahi tūāwhiwhi, engari ka puta ngā huringa i te wā roa, kaua tonu. Tata ki te 30-50% o ngā tāne e pā ana ki te korenga o te mahi tūāwhiwhi i roto i ngā tau e rua o te rongoā.

Ko te pānga ki te mahi tūāwhiwhi e whakawhirinaki ana ki ētahi mea, tae atu ki tō tau, te mahi tūāwhiwhi i mua i te rongoā, te horopeta iraruke, me te whiwhi koe i te rongoā homoni. Ko ngā tāne taitamariki me te mahi pai i mua i te rongoā te nuinga o te wā he pai ake ngā hua.

He maha ngā rongoā whai hua e wātea ana mō te korenga o te mahi tūāwhiwhi i puta mai i te iraruke, tae atu ki ngā rongoā, ngā pūrere korehau, me ētahi atu rongoā. Ko te wawaotanga wawe te nuinga o te wā e whakarato ana i ngā hua pai, nā reira kōrero tēnei ki tō tākuta i mua i te pūngia o ngā raruraru.

Q.3 Kia pēhea te roa o te ngenge i muri i te rongoā iraruke kurupae-waho?

Ko te ngenge mai i te rongoā iraruke kurupae-waho te nuinga o te wā ka eke ki te tihi i ngā wiki whakamutunga o te rongoā, ā, ka taea te noho mō te 2-6 marama i muri i te otinga. Ko te nuinga o ngā tāne e kite ana i te whakapai haere i ō rātou taumata pūngao i te wā.

Ko te roa me te kaha o te ngenge e rerekē ana i te tangata ki te tangata. Ko ngā mea pēnei i tō tau, te hauora whānui, ētahi atu rongoā e whiwhi ana koe, me te pai o tō pupuri i te mahi tinana, ka pā katoa ki tō wāhanga whakaora.

Ka taea e koe te āwhina ki te whakahaere i te ngenge mā te pupuri i te whakakori tinana māmā, te moe pai, te kai i ngā kai whai kiko, me te whakatika i ō mahi. Ki te noho tonu te ngenge i te roa atu i te mea e tūmanakohia ana, ki te pā kaha rānei ki tō oranga o ia rā, kōrero tēnei ki tō rōpū hauora.

Q.4 Ka taea te whakahoki anō i te rongoā iraruke kurupae-waho ki te hoki mai te mate pukupuku?

Kāore i te tohutohutia te tukurua i te rongoā iraruke hihi ki waho ki te wāhi kotahi, nā te tūponotanga o ngā raruraru nui. Heoi anō, ka taea te whakamahi iraruke ki te rongoā i te mate pukupuku kua horapa ki ētahi atu wāhi o te tinana.

Mēnā ka hoki mai te mate pukupuku pūkahukahu i muri i te rongoā iraruke, ko ētahi atu kōwhiringa rongoā ko te rongoā homoni, te rongoā matū, me ngā rongoā hou pēnei i te rongoā ārai mate. Mā tō tākuta mate pukupuku e tohutohu te huarahi pai rawa atu i runga i tō āhuatanga motuhake.

I ētahi wā, ka taea pea ngā rongoā iraruke arotahi mō ngā wāhi iti o te mate pukupuku hoki mai, engari me āta arotake tēnei e ngā tohunga mōhio. Ka whakawhirinaki te whakatau ki ngā āhuatanga pēnei i te wāhi i hoki mai ai, me tō hauora whānui.

Q.5 Ka waiho au hei iraruke i te wā o te rongoā iraruke hihi ki waho?

Kāore koe e waiho hei iraruke i te wā, i muri rānei i ngā rongoā iraruke hihi ki waho. Ka tukuna te iraruke mai i tētahi mīhini o waho, ā, kāore e noho ana i tō tinana i muri mai.

Ka taea e koe te noho haumaru i te taha o ngā mema o te whānau, tae atu ki ngā tamariki me ngā wahine hapū, i muri tonu i ia hui rongoā. Kāore he here i runga i te whakapā tinana, i te tiritiri rānei i ngā taonga o te whare.

He rerekē tēnei i ngā rongoā iraruke o roto (brachytherapy), kei reira ngā kākano iraruke e whakatakotoria ana ki roto i te tinana. Ki te iraruke hihi ki waho, ka whiwhi koe i te rongoā, ā, ka wehe atu i te whare me te kore e noho ana ngā rauemi iraruke i tō tinana.