He aha te koiora o te repeure? Te Whāinga, te Hātepe me ngā Hua

Ko te koiora o te repeure he hātepe rongoā e tango ai tō tākuta i ngā tauira kiko iti mai i tō repeure kia tirohia i raro i te karuiti. Mā tēnei whakamātautau e āwhina ai te whakatau mēnā kei te noho ngā pūtau mate pukupuku i tō repeure, e hoatu ana ki a koe me tō rōpū hauora ngā whakautu mārama e hiahia ana koe kia anga whakamua me te māia.

Ahakoa te kupu "koiora" e pōuri ana, he tino noa, he ngāwari te hātepe nei. E hia mano ngā tāne e haere ana i ngā koiora repeure i ia tau, ā, ko te nuinga e kite ana i te wheako he tino tika ake i tā rātou i whakaaro ai.

He aha te koiora repeure?

Ko te koiora repeure e uru ana ki te tango i ngā wāhanga iti o te kiko mai i tō repeure mō te tātari taiwhanga. Ka whakamahi tō tākuta i tētahi ngira angiangi, kōhao hei kohi i ēnei tauira, te tikanga e tango ana i te 10-12 ngā matua kiko iti mai i ngā wāhi rerekē o te repeure.

Ko te repeure he repe rite ki te nati e noho ana i raro i tō pūpū me te karapoti i tētahi wāhanga o tō urethra. Ki te whakapae ngā tākuta i ngā raruraru pea i runga i ngā whakamātautau toto, i ngā whakamātautau tinana rānei, ka whai wāhi te koiora ki te whakatau i te mea e tupu ana i roto i te kiko tonu.

Whakaarohia me te whiwhi i tētahi whakautu tino tika, kaua ki te āta whakaaro tonu. E whakaatu ana ngā tauira kiko mēnā he noa ngā pūtau, e whakaatu ana i ngā tohu o te mumura, kei roto ngā huringa i mua i te mate pukupuku, e tohu ana rānei i te mate pukupuku.

He aha te take e mahia ai te koiora repeure?

Ka tūtohu tō tākuta i te koiora repeure ina hiahia ana rātou ki te tirotiro i ngā āwangawanga pea mō tō hauora repeure. Ko te take tino noa he piki ake te taumata PSA (antigen motuhake repeure) i roto i tō whakamātautau toto, i tētahi kitenga rerekē rānei i te wā o te whakamātautau tūtohu matihiko.

Ka piki ake ngā taumata PSA mō ngā take maha i tua atu i te mate pukupuku, tae atu ki te hyperplasia prostatic benign (he prostate whānui), te prostatitis (te mumura), tērā rānei te mahi tinana tata nei. Heoi anō, ki te piki tonu ngā taumata PSA, ki te piki rānei i te wā, ka āwhina te biopsy ki te whakatau i te take tika.

I ētahi wā ka tūtohu ngā tākuta i ngā biopsy i te wā e whakaatu ana ngā whakamātautau whakaahua pērā i te MRI i ngā wāhi whakapae i roto i te prostate. I tua atu, ki te whai hītori whānau koe mō te mate pukupuku prostate, ki te mau rānei i ētahi huringa ira, ka tūtohu pea tō tākuta i te aroturuki auau ake ka uru pea ki ngā biopsy.

I ngā wā onge, ka tūtohu pea ngā tākuta i tētahi biopsy tōtōā ki te kore i te tika ngā hua o mua, ki te kitea rānei e rātou ngā pūtau atypical e hiahia ana ki te rangahau atu.

He aha te tikanga mō te biopsy prostate?

Ko te huarahi tino noa he biopsy arataki ultrasound transrectal, e whakamahi ana tō tākuta i tētahi pūoro ultrasound i whakauruhia mā tō rectum hei ārahi i te whakatakoto ngira. Ka takoto koe i tō taha i te wā o tēnei tikanga 15-20 meneti.

Ka mahi tō tākuta i te ultrasound tuatahi hei whakaahua i tō prostate me te tautuhi i ngā wāhi pai rawa atu mō te tauira. Ka whakamahi rātou i tētahi pū biopsy e utaina ana ki te puna hei kohikohi tere i ngā tauira kiko, e hanga ana i tētahi tangi pāwhiri poto me te āhua pēhi mō tētahi wā.

Anei te mea e tupu ana i te wā o te tikanga:

1. Ka whiwhi koe i ngā paturopi i mua i te tikanga hei ārai i te mate
2. Ka werohia te rongoā ā-rohe ki te taha o te prostate hei whakaiti i te raruraru
3. Ka whakauruhia te pūoro ultrasound hei ārahi i te tikanga
4. 12-15 ngā tauira kiko ka kohia mai i ngā wāhi prostate rerekē
5. Ka tukuna tonu ngā tauira ki te taiwhanga mō te tātari

E whakamahi ana ētahi tākuta i ngā biopsy arataki MRI, e taea ai te whai i ngā wāhi whakapae motuhake. Ka uru pea tēnei huarahi ki te hangarau whakakotahi MRI-ultrasound, ki te arataki MRI tika rānei i te wā o te tikanga.

Ko tētahi huarahi kāore i te mōhiotia ko te pāhi transperineal, e tangohia ana ngā tauira mā te kiri i waenga i tō pūpū me tō tōpū. Mā tēnei tikanga e whakaiti te tūponotanga o te mate engari he nui ake te anahēhia e hiahiatia ana.

Me pēhea te whakarite mō tō pāhi prostate?

Ko te whakarite mō tō pāhi prostate e whai ana i ētahi mahi nui hei āwhina i te haumaru me te whakamarie. Ka hoatu e tō tākuta ngā tohutohu motuhake, engari ko te nuinga o ngā whakaritenga he tika, he ngāwari hoki.

Ka tīmata koe ki te tango paturopi kotahi ki te toru rā i mua i tō pāhi hei ārai i te mate. He mea nui kia tango i ēnei i runga i te tika i te mea kua whakaritea, ahakoa e pai ana koe.

Koinei ngā mahi whakarite noa e ārahi ana tō rōpū hauora i a koe:

• Kati te tango rongoā whakaheke toto pēnei i te aspirin, i te warfarin rānei i runga i ngā tohutohu a tō tākuta
• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te mahi
• Whakaotia ngā mahi toto, ngā rangahau whakaahua rānei i mua
• Whakamahia te enema horoi i te ata o tō pāhi ki te tūtohutia
• Mau i ngā kākahu whakamarie, ngā kākahu wātea ki tō rāhui

Ka arotake tō tākuta i tō rārangi rongoā katoa, ā, ka tono pea koe ki te whakamutu i ētahi taapiri, rongoā anti-inflammatory rānei. Kaua e whakamutu i ngā rongoā me te kore he tohutohu motuhake mai i tō rōpū hauora.

Mēnā he āwangawanga tō mō te āwangawanga, te kore whakamarie rānei, kōrerohia tēnei ki tō tākuta. Ka taea e rātou te whakarato i ētahi atu kōwhiringa whakahaere mamae, i te rongoā ngawari rānei hei āwhina i a koe kia pai ake te noho.

Me pēhea te pānui i ngā hua o tō pāhi prostate?

Ko ngā hua o tō pāhi ka hoki mai i roto i te kotahi ki te rua wiki, ā, ka whakarite tō tākuta i tētahi rāhui whai muri hei kōrero taipitopito mō ngā kitenga. Ko te māramatanga ki ēnei hua ka āwhina i a koe ki te whakatau whakatau mō tō hauora i te haere tonu.

Ka tirohia e te tohunga patu mate ō tauira kiko, ā, ka tukuna he pūrongo whānui mō ngā mea i kitea e rātou. Ko te nuinga o ngā hua ka taka ki roto i ētahi momo, he rerekē ngā pānga ki tō hauora.

Anei te tikanga o ngā hua rerekē o te tātaritanga:

• Kiko noa: Kāore he pūtau mate pukupuku i kitea, ahakoa kāore tēnei e whakakore i te mate pukupuku i ngā wāhi kāore i tauira
• Hyperplasia prostatic benign: Kiko pūkahukahu kua whānui, kāore he pūtau mate pukupuku
• Prostatitis: Te mumura i roto i te kiko pūkahukahu, he mea rongoā ki ngā paturopi
• Pūtau atypical: Ngā pūtau rerekē kāore i te tino mate pukupuku, tērā pea me tātaritanga anō
• High-grade prostatic intraepithelial neoplasia (PIN): Ngā huringa i mua i te mate pukupuku e hiahia ana ki te aroturuki
• Mate pukupuku pūkahukahu: Ngā pūtau mate pukupuku kei reira, me ētahi atu mōhiohio mō te kaha o te mate

Mēnā ka kitea te mate pukupuku, ka whakaurua e tō pūrongo he kaute Gleason, e ine ana i te kaha o te mate pukupuku. Ko ngā kaute Gleason iti (6-7) e tohu ana i ngā mate pukupuku e puhoi ana te tipu, i te wā e tohu ana ngā kaute teitei (8-10) i ngā puku kaha ake.

Ka tuhia hoki e te pūrongo te maha o ngā matua tātaritanga i roto i te mate pukupuku me te ōrau o ia matua i pā. Mā tēnei mōhiohio e āwhina ai tō rōpū hauora ki te whakatau i te whānuitanga me te kaha o te mate pukupuku e noho ana.

He aha ngā āhuatanga tūpono mō ngā hua tātaritanga pūkahukahu rerekē?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whai i ngā kitenga rerekē i runga i te tātaritanga pūkahukahu. Mā te māramatanga ki ēnei āhuatanga tūpono e āwhina ana ki te whakatakoto i tō āhuatanga takitahi ki roto i te tirohanga, me te ārahi i ō whakatau hauora.

Ko te pakeke te āhuatanga tūpono nui rawa atu, ka noho noa te mate pukupuku pūkahukahu i muri i te 50 tau. Heoi, ko te whai i ngā āhuatanga tūpono kāore i te tikanga ka whanake koe i ngā raruraru, ā, he maha ngā tāne me te maha o ngā āhuatanga tūpono kāore rawa i te whanake i ngā raruraru pūkahukahu nui.

Ko ngā mea mōrearea kua tino whakatūria ko:

• Neke atu i te 50 tau te pakeke: Ka nui ake te mōrearea i ia tekau tau o te oranga
• Hītori o te whānau: Ko te whai pāpā, teina rānei i te mate pukupuku prostate ka rua ō mōrearea
• Iwi me te iwi taketake: He nui ake te mate pukupuku prostate o ngā tāne o Awherika-Amerika
• Ngā huringa ira: Ko te BRCA1, BRCA2, me ētahi atu huringa ira tuku iho ka piki ake te mōrearea
• He kai nui i te mīti whero me te miraka: Ka whai wāhi pea ki te pikinga o te mōrearea i te roanga o te wā

Ko ngā mea mōrearea kāore i te pōturi engari he mea nui ko te pānga ki ētahi matū, te rongoā iraruke o mua ki te wāhi pelvic, me te whai i te mate Lynch, ētahi atu rānei mate pukupuku tuku iho.

He mea whakahihiri, ko ētahi mea ka ārai, tae atu ki te mahi tinana i ngā wā katoa, he kai nui i ngā huawhenua me te ika, me te pupuri i te taumaha hauora. Heoi anō, ahakoa ko ngā tāne e whai ana i ngā mea ārai ka whanake tonu ngā raruraru prostate.

He aha ngā raruraru ka puta mai i te koiora prostate?

Ahakoa he tikanga haumaru te koiora prostate, he mea nui kia mārama ki ngā raruraru ka puta pea kia mōhio ai koe ki a rātou, kia rapu hoki i te manaakitanga e tika ana ki te hiahiatia. Ko te nuinga o ngā tāne e pā ana ki ngā pānga taha iti, rangitahi noa iho ka ngaro i roto i ngā rā torutoru.

Ko ngā raruraru tino noa he ngawari, he mārama hoki ki te manaaki tika me te aroturuki. Ka hoatu e tō rōpū hauora ngā tohutohu taipitopito mō te aha e tūmanakohia ana, me te wā hei waea atu ki te rapu awhina.

Koinei ngā raruraru me mōhio koe:

• Te toto: Te toto i roto i te mimi, te tūtae, te wai rānei mō ētahi rā ki ētahi wiki
• Te mate: Te kirika, te mākākā, te wera rānei i te wā e mimi ana
• Ngā uaua ki te mimi: Ngā raruraru rangitahi ki te mimi, te pupuri mimi rānei
• Te mamae: Te mamae i te wāhi o te tūtae, te pūwero rānei mō ētahi rā
• Te tauhohenga vasovagal: Te whanoke rangitahi, te ngaro rānei i te wā o te mahi

He onge ngā raruraru nui, engari ka uru pea te mate nui e hiahia ana ki te hōhipera, te nui o te toto e hiahia ana ki te rongoā, te pupuri mimi roa rānei. Ka puta ēnei i roto i te iti iho i te 1-2% o ngā mahi.

He mea noa te toto i roto i tō wai, ā, ka mau tonu mō ētahi wiki, ētahi marama rānei i muri i te koiora. Ahakoa te āwangawanga ki te kite, he kore kino tēnei, ā, ka ngaro haere noa.

He tino onge, ka pā pea te tauhohenga mate pāwera ki ngā paturopi, ngā rongoā rānei e whakamahia ana i te wā o te mahi. Ka tirohia e tō rōpū hauora mō ngā mate pāwera i mua kia iti ai tēnei tūponotanga.

Āhea au e kite ai i te tākuta i muri i te koiora prostate?

Ko te nuinga o te whakaora i te koiora prostate he tika tonu, engari ko te mōhio ki te wā ki te whakapā atu ki tō rōpū hauora ka whai māia koe, ka whakarite kia tere te whakatika i ngā raruraru. Ka hoatu e tō tākuta ngā tohutohu motuhake mō te tiaki whai muri me ngā tohu whakatūpato.

Me whakapā atu koe ki tō tākuta tonu mēnā ka whai kirika koe i runga ake i te 101°F (38.3°C), nā te mea ka tohu tēnei i te mate e hiahia ana ki te rongoā paturopi tere. Kaua e tatari kia kite mēnā ka ngaro noa te kirika.

Ko ēnei ngā tohu e tika ana kia whiwhi rongoā tonu:

• Kirika nui, te wiri rānei: He tohu pea mō te mate e hiahia ana kia rongoā wawe
• Te kore e mimi: Te pupuri mimi katoa e hiahia ana kia atawhai tonu
• Te nui o te toto: Te toto nui, tonu i roto i te mimi kāore e pai ake
• Te mamae nui: Te mamae kāore e taea te whakahaere ki ngā rongoā e tūtohutia ana
• Ngā tohu o te sepsis: Te tino pōuri, te tere o te ngākau, te rangirua, te uaua rānei ki te hā

Me waea atu anō ki tō tākuta mō ngā tohu kāore i te tino ohorere, engari e pā ana, pēnei i te wera tonu i te wā e mimi ana, ngā toto toto i roto i te mimi e haere tonu ana i tua atu i te rā tuatahi, te kino haere rānei o te mamae, kaua ki te pai haere.

I te nuinga o te wā, ka whai wā tūtohu koe i roto i te kotahi ki te rua wiki ki te kōrero mō ngā hua o tō koiora. Heoi, kaua e whakaroa ki te waea wawe atu mēnā he pātai, he āwangawanga rānei āu mō tō whakaora.

Ngā pātai e pā ana ki te koiora o te pūkahukahu

Q.1 He pai te whakamātautau koiora o te pūkahukahu mō te kite i te mate pukupuku?

Ko te koiora o te pūkahukahu te paerewa koura mō te tātai i te mate pukupuku o te pūkahukahu, ā, ka whai hua tino tika i te wā e kitea ana te mate pukupuku i ngā wāhi i tangohia. E tika ana te whakamātautau i te mate pukupuku i roto i te 95% o ngā take e noho ana ngā pūtau mate pukupuku i ngā tauira kiko i tangohia.

Heoi, he mea nui kia mōhio ko te koiora kino kāore e taurangi ana te kore o te mate pukupuku puta noa i tō pūkahukahu katoa. I te mea he wāhanga iti noa iho o te repe ka tangohia e ngā ngira, ka taea te noho te mate pukupuku i ngā wāhi kāore i koiorahia. Koinei te take e tūtohu ana ngā tākuta i ngā koiora anō mēnā kei te tiketike tonu te whakapae ahakoa ngā hua kino tuatahi.

Q.2 Ko te PSA tiketike te tikanga me whai koiora tonu au?

Kāore te taumata PSA tiketike e kī ana me haere koe ki te koiora, he maha ngā mea i tua atu i te mate pukupuku ka piki ake te PSA. Ka whakaaro tō tākuta ki tō tau, te ahunga o te PSA i roto i te wā, te hītori o te whānau, me ētahi atu āhuatanga tūpono i te wā e whakatakoto ana i ngā tūtohutanga koiora.

Ko ētahi tāne he PSA tiketike he āhuatanga pai pēnei i te pūkahukahu nui, te mumura rānei o te pūkahukahu. Ka whakamātau pea tō tākuta ki te rongoā i ēnei āhuatanga, ki te aroturuki rānei i ngā huringa PSA i roto i ngā marama maha i mua i te whakatakoto i tētahi koiora.

Q.3 Kia pēhea te mamae o te koiora pūkahukahu?

Ko te nuinga o ngā tāne e whakaahua ana i te mamae o te koiora pūkahukahu he āhua ngawari, he poto, he rite ki te whiwhi i ngā werohanga maha i te wā tere. Ka whakaiti te rongoā ā-rohe i te mamae, ā, he torutoru noa ngā hēkona te tango tauira.

Ka pēnei pea koe i te pēhanga, ka rongo i ngā tangi pāwha i te wā e tangohia ana ngā tauira, engari kāore i te nuinga te mamae nui. He maha ngā tāne e kī ana he nui ake te pōhēhē i te tūponotanga i te wheako tonu. Ka taea e tō tākuta te whakarato i te whakahaere mamae atu mēnā e tino māharahara ana koe.

Q.4 Ka taea e au te hoki ki ngā mahi noa i muri i te koiora pūkahukahu?

Ka taea e koe te hoki ki te nuinga o ngā mahi noa i roto i te 24-48 haora i muri i tō koiora, ahakoa ka whakarato tō tākuta i ngā aratohu motuhake i runga i tō āhuatanga takitahi. Ko ngā mahi māmā pēnei i te hikoi me te mahi tēpu he pai tonu i te rā i muri i tō tukanga.

Me karo koe i te hiki taumaha, i te whakakori tinana kaha, me te mahi tūāhua mō te wiki kotahi kia pai ai te whakaora. Me karo te kauhoe me te kaukau i roto i ngā rā torutoru hei whakaiti i te tūponotanga o te mate, ahakoa he pai te kaukau.

Q.5 He aha te mea ka pā mai mēnā ka whakaatu te koiora i te mate pukupuku?

Mēnā ka whakaatu tō koiora i te mate pukupuku, ka kōrero tō rōpū hauora i ngā whiringa rongoā katoa e wātea ana i runga i ngā āhuatanga pēnei i te kaha o te mate pukupuku, tō tau, te hauora whānui, me ngā hiahia whaiaro. He maha ngā mate pukupuku pūkahukahu e tipu ana i te āta, ā, kāore pea e hiahiatia he rongoā tonu.

He whānuitanga ngā kōwhiringa maimoatanga mai i te tirotiro kaha (te aroturuki tupato) mō ngā mate pukupuku mōrearea iti ki te pokanga, te rongoā iraruke, te rongoā homoni rānei mō ngā mate pukupuku kaha ake. Ka whai wā koe ki te whakaaro i ō kōwhiringa me te rapu i ngā whakaaro tuarua ki te hiahiatia. Kia mahara kua tino pai ake te maimoatanga mō te mate pukupuku prostate, ā, he maha ngā tāne e ora ana i te ora tonu, te ora noa i muri i te tātaritanga me te maimoatanga.