Ngā Tikanga Tiaki Kaiwhakawhanau i roto i ngā Take Mate Pukupuku o te Uma
Ko te mate pukupuku o te ū tētahi o ngā raruraru hauora wahine tino noa i ngā whenua maha, tae atu ki Initonīhia. Ahakoa ko te maimoatanga tuatahi he oncology, he pokanga, me te radiotherapy, he mahi nui tonu tā ngā kaiwhakawhanau i roto i te tiaki tonu, inā koa i roto i te whakatairanga, te aukati, te kimi wawe, te tautoko hinengaro-pāpori, te mātauranga hauora, me te tautoko i te wā whakaora me te whakaora. Ko ngā tikanga tiaki kaiwhakawhanau mō ngā take mate pukupuku o te ū e aro ana ehara i te mea ko ngā wawaotanga haumanu anake engari ko te whakawhitiwhiti kōrero rongoā me te whakaritenga tuku kia tino whiwhi ai ngā tūroro i te tiaki whānui me te wā tika.
Te Tūranga o ngā Kaiwhakawhanau i roto i te Tiaki i te Mate Pukupuku o te Uma
Ko ngā kaiwhakawhanau te hunga tuatahi e taunekeneke ana ngā wāhine ki ngā tohunga hauora i roto i te tiaki tuatahi, i ngā pou hauora whakauru (Posyandu), i ngā mahi tūmataiti, i ngā whare hauora taumata tuatahi rānei. Koinei te wāhi e whai wāhi ai ngā kaiwhakawhanau ki te whakapiki i te mōhiotanga mō te hauora o ngā ū, te āwhina i ngā wāhine ki te kite i ngā tohu mōrearea, me te whakatenatena i ngā whakamātautau anō mēnā ka puta he whakapae. Hei tāpiri, mō ngā tūroro kua kitea he mate pukupuku ū, ka taea e ngā kaiwhakawhanau te āwhina i te tukanga whakatikatika, te āwhina ki te whakahaere i ngā amuamu e pā ana ki te maimoatanga, te whakarato tohutohu hauora uri , me te tautoko i te kounga o te oranga.
Aromatawai Whakawhanau i roto i ngā Take Matepukupuku o te Uma
Ka tīmata ngā tikanga tiaki kaiwhakawhanau mā te aromatawai pūnaha. Kei roto i tēnei aromatawai ngā raraunga whaiaro me ngā raraunga tūpono, ā, ka whai whakaaro ki ngā āhuatanga tinana, hinengaro, pāpori, me te wairua o te tūroro.
1. Te hītori tirotiro i whakahaerehia
Me tirotirohia e te kaiwhakawhanau te amuamu matua, pērā i te puku i roto i te ū, te rerekētanga o te āhua, te rahi rānei o te ū, te āhua rite ki te kiri karaka, te uma hurihuri, te mamae, te rere o te uma (he toto rawa), te patunga kāore anō kia ora. Ko ētahi atu mōhiohio nui ko te roa o te amuamu, tōna haere whakamua, me te aroaro o ngā mea e whakaoho ana i te mamae.
2. Hītori hauora me ngā āhuatanga mōrearea
Ka aromatawaihia e ngā kaiwhakawhanau te hītori whānau o te mate pukupuku ū/whaea ovarian, te pakeketanga wawe o te menarche, te mutunga o te menopause, te kore, te mutunga rānei o te haputanga tuatahi, te hītori o te whakamahinga roa o ngā rongoā homoni, te momona, te noho noa, te inu waipiro, me te pānga o te radiation. He mea nui anō hoki te hītori o te whāngai ū, nā te mea e mōhiotia ana he pānga tiaki i te mate pukupuku ū.
3. Hītori whānau me te tākuta wahine
Nā te mea he hononga tata ngā kaiwhakawhanau ki te hauora uri, me uru atu ki te aromatawai te maha o ngā hāputanga, ngā whānautanga, ngā whakatahe, ngā tauira paheketanga, me te whakamahinga o ngā ārai hapūtanga. ārai hapūtanga homoni, me ētahi atu amuamu ā-wahine ka pā ki te kōwhiringa rongoā, ki te āhua hinengaro rānei o te tūroro.
4. Whakamātautau tinana ū
Ka whakahaerehia te whakamātautau mā te whakamahi i ngā tikanga whakaute, te pupuri i te tūmataitinga, me te tiki i te whakaaetanga a te tūroro. Ka tirotirohia e te kaiwhakawhanau te ōritetanga, ngā huringa kiri, te hoki whakamuri o te uma, me te kitea o te pupuhi. Ka mahia te pātakitanga pūnaha hei aromatawai i ngā puranga, te wāhi, te ōritetanga, te nekehanga, me te ngawari. Ka aromatawaihia hoki ngā kōpū lymph axillary me supraclavicular, ki te taea.
5. Aromatawai hinengaro-pāpori
He maha ngā wā ka puta te manukanuka, te wehi kei ngaro te ū, ngā panonitanga o te āhua o te tinana, ngā raruraru whanaungatanga, tae atu ki te pouri i te tātaritanga mate pukupuku. Me aromatawai ngā kaiwhakawhanau i te taumata ahotea o te tūroro, te tautoko a te whānau, te āhua ōhanga, me te rite mō te tuku me te rongoā.
Te Whakatau i te Raru me te Tātaritanga Whānau
I roto i te mahi kaiwhakawhanau, ka taea e ngā kaiwhakawhanau te whakatakoto i ngā raruraru tiaki pēnei i:
– Te mōrearea o te whakaroa i te maimoatanga nā te kore mōhio ki te kimi wawe i te mate.
– Te manukanuka e pā ana ki te mate pukupuku o te ū kua whakapaetia/kua tautuhia.
– Te raruraru o te āhua o te tinana (ina koa i muri i te tango i te mīti).
– Te mamae, te kore whakamarie rānei nā ngā tikanga hauora.
– Te mōrearea o ngā mate kai me te ngenge i te wā o te chemotherapy.
– Ngā raruraru whāngai ū i roto i ngā whaea e whāngai ana i ngā ū, ā, me arotake anō ēnei kia kore ai he mate kino.
Me mārama tonu ngā kaiwhakawhanau ki ngā rohe o tō rātou mana: kāore rātou e tātaritanga i te mate pukupuku, engari ka taea e rātou te tautuhi i ngā whakapae me te whakarite kia tere te tuku atu.
Te Whakamahere Manaaki: Te Mātauranga, Te Tautoko, me te Tukunga
Ko ngā tikanga tiaki a te kaiwhakawhanau i roto i ngā mate pukupuku ū e aro nui ana ki te whakamahere pono me te whakauru:
1. Te mātauranga mō te kitenga wawe
Mā ngā kaiwhakawhanau e whakarato te mātauranga hauora mō te tirotiro-ā-u ake i te ū (SADARI) me te hiahia mō ngā whakamātautau haumanu me ngā mammogram, e tika ana mō te tau me te mōrearea. Me whakarite te mātauranga kia rite ki te māramatanga o te tūroro, me whakamahi i te reo māmā, me te whakakore i ngā kōrero pakiwaitara e pā ana ki te mate pukupuku.
2. Ngā tohutoro tere me te whai kiko
Mena ka kitea he tohu whakapae, me tūtohu te kaiwhakawhanau kia tukuna atu ki tētahi whare hauora he ratonga pokanga/mate pukupuku motuhake, ki tētahi whare rongoā ū rānei. Ka taea e ngā kaiwhakawhanau te āwhina i ngā tūroro ki te mārama ki te tukanga o ngā whakamātautau atu, pērā i te ultrasound o te ū, te mammography, te biopsy, me te whakamātautau anatomy pathological.
3. Te tohutohu hinengaro taketake
Ka whakamahia e ngā kaiwhakawhanau te whakawhitiwhiti kōrero whakaora: te whakarongo kaha, te whakamana i ngā kare ā-roto o ngā tūroro, me te āwhina i a rātou ki te whakatau kaupapa me te kore e akiakihia. He mea nui tēnei tautoko hei ārai i ngā tūroro kei whakaroa i te maimoatanga.
4. Te whai wāhi a te whānau
Mā te aromatawai me te tautoko a te whānau ka kaha ake te piri ki te rongoā. Ka taea e ngā kaiwhakawhanau te whakaako i ngā hoa rangatira, i ngā mema rānei o te whānau ki te tautoko i ngā tūroro, tae atu ki te āwhina i ngā mahi o ia rā mēnā ka ngoikore te tūroro i muri i te rongoā.
Te Whakatinanatanga o te Manaaki Kaiwhakawhanau mō ngā Tūroro Matepukupuku o te Uma
Ko te whakatinanatanga o te manaaki e arotahi ana ki ngā matea whānui o te tūroro:
1. Āwhina i mua i ngā tikanga hauora
Ka whakaratohia e te kaiwhakawhanau he whakamārama whānui mō te whakarite whakamātautau, ngā tikanga pea, me te hiranga o te whai i te kaupapa maimoatanga. Mena kei te pokangahia te tūroro, ka taea e te kaiwhakawhanau te āwhina i a ia ki te whakarite hinengaro me te whakarato mātauranga mō te tiaki patunga taketake, e ai ki ngā tohutohu a te whare tuku.
2. Te whakahaere amuamu i te wā whakaora
Mō ngā tūroro e whiwhi ana i te chemotherapy, i te radiotherapy rānei, ka taea e ngā kaiwhakawhanau te āwhina i ngā tūroro ki te whakahaere i ngā pānga taha iti pēnei i te whakapairuaki, te hekenga o te hiahia kai, te ngenge, ngā panoni kiri, me te hiranga o te wai me te kai taurite. Mena he tohu whakatūpato pēnei i te kirika nui, te ruaki nui, te toto rānei, me tūtohu ngā kaiwhakawhanau kia tere tonu te maimoatanga.
3. Manaaki whāngai hauora whānautanga me te moepuku
Ka pā te mate pukupuku o te ū me tana maimoatanga ki te paheketanga, te momonatanga, me te hiahia moepuku. Ka taea e ngā kaiwhakawhanau te tuku tohutohu mō te ārai hapūtanga haumaru e ai ki ngā taunakitanga a te tākuta, te tuku tohutohu ina tika, me te āwhina i ngā tūroro ki te kōrero ki ā rātou hoa mō ngā huringa ira tangata me te āhua o te tinana.
4. Tiaki mō whaea hāpu te whāngai ū rānei me te whakapae mate pukupuku
I ngā āhuatanga motuhake pēnei i te hapūtanga, te whāngai ū rānei, me tino mataara ngā kaiwhakawhanau, nā te mea ka taea e ngā huringa ā-tinana o te ū te huna i ngā tohu. Mena he puranga tonu, he huringa o te uma, he pupuhi rerekē rānei, me tere te tuku atu. Me whai hoki ngā kaiwhakawhanau i ngā tohutohu a te tākuta mō ngā whakatau whāngai ū me te haumaru o te rongoā.
5. Tautoko i muri i te tango i te mastectomy
Whai muri i te pokanga, ka pāngia pea ngā tūroro e te mamae, te iti o te nekehanga o ngā ringa, me ngā raruraru o te āhua o te tinana. Ka taea e ngā kaiwhakawhanau te whakatenatena i ngā mahi whakakori tinana māmā e ai ki ngā taunakitanga a tā rātou tākuta, te whakarato mātauranga tiaki patunga, me te tautoko kare ā-roto. Ka taea te whakarato i ngā mōhiohio mō te prosthesis ū, te hanga anō rānei hei kōwhiringa hei kōrero tahi me te tākuta.
Aromatawai me te Whai Aromatawai
Ka whakahaerehia ngā aromatawai hei aromatawai i te whai huatanga o te tiaki me te whakarite kia kore ngā tūroro e mutu te rongoā. Ko ngā tohu aromatawai ko:
– E mārama ana ngā tūroro ki ngā tohu mōrearea me te rārangi wā whakahaere.
– Kei te hiahia te tūroro, ā, kua oti i a ia te tirotiro/whakamātautau whai muri.
– Ka heke te taumata o te manukanuka, ka pai ake rānei ngā rautaki a ngā tūroro ki te aro atu ki tēnei āhuatanga.
– Ka whakahaeretia ngā amuamu i te wā e rongoatia ana, ā, e mōhio ana ngā tūroro ki te wā tika hei rapu āwhina.
– Kei te kaha te tautoko a ngā whānau.
Ka taea te aroturuki mā te toro atu anō, te aroturuki waea, te mahi tahi rānei me ngā kaiārahi/posyandu e ai ki te pūnaha ratonga ā-rohe.
Ngā Mātāpono Matatika me te Haumaru i roto i te Manaaki
Mēnā he mate pukupuku ū, me pupuri e ngā kaiwhakawhanau:
– Te noho muna: te pupuri i ngā mōhiohio e pā ana ki te mate me te āhua o te tūroro.
– Whakaaetanga ki te mahi: me tono whakaaetanga i mua i te tirotiro i te ū.
– Kaua e whakahe: kaua e whakapae i te tūroro mō tōna mate.
– Te mahi tahi a ngā umanga ngaio: te mahi tahi me ngā tākuta, ngā nēhi, ngā tohunga hinengaro, me ngā tohunga kai.
Whakamutunga
Mā ngā tikanga tiaki i te mate pukupuku o te ū, ka tū ngā kaiwhakawhanau hei hoa mahi nui mō te kimi wawe, te ako hauora, te tautoko hinengaro-ā-hinengaro, me te tuku me te whai i te mate. Mā te aromatawai hōhonu, te whakawhitiwhiti kōrero rongoā, me te whakarite ratonga whai hua, ka taea e ngā kaiwhakawhanau te āwhina i te tere ake o te tautuhi mate, te whakanui ake i te piripono ki te rongoā, me te whakapai ake i te kounga o te oranga o ngā tūroro. Ahakoa ehara i te mea ko te kawenga matua mō te maimoatanga mate pukupuku, he mea nui ngā takoha a ngā kaiwhakawhanau ki te whakarite i te tiaki atawhai tangata, pumau, me te arotahi ki ngā wāhine.
