Me pēhea te tautuhi i te mate pukupuku i roto i ngā kararehe
Kāore te mate pukupuku e pā ki te tangata anake; ka pā anō hoki ki ngā mōkai pērā i ngā kurī, ngā ngeru, ngā rāpeti, tae atu ki ngā kararehe. Ahakoa he āhua whakamataku, he maha ngā momo mate pukupuku i roto i ngā kararehe ka taea te whakahaere pai ake mēnā ka kitea wawe. Nā te mea kāore e taea e ngā kararehe te whakamārama i ō rātou kare ā-roto, he mea nui te mahi a ngā rangatira ki te kite i ngā huringa ngawari o ō rātou tinana me ō rātou whanonga e tohu wawe ana i tētahi raruraru nui. Ka matapakihia e tēnei tuhinga te tautuhi i te mate pukupuku i roto i ngā kararehe, ngā tohu noa hei tirotiro, me ngā whakamātautau kararehe noa.
Te Mārama ki te Mate Pukupuku i roto i ngā Kararehe
Ko te mate pukupuku te tipu kore whakahaere o ngā pūtau. Ka taea e ēnei pūtau te hanga i ngā puku (pukupuku), te whakaeke i ngā kiko e karapoti ana, te horapa rānei (metastasize) ki ētahi atu whekau mā te toto me te pūnaha lymphatic. Ehara i te mea he kino katoa ngā puku; ko ētahi he pai, ā, he puhoi te tipu. Heoi, ki te kore he tirotiro hauora, he uaua ki te wehewehe i waenga i ngā puku pai me ngā puku kino mā te tirotiro ā-waho. Nō reira, ko te mātāpono matua mō te tautuhi i te mate pukupuku ko: me tirotirohia tetahi puku, tetahi huringa rerekē rānei o te tinana.
Ngā Tohu Noa o te Mate Pukupuku i roto i ngā Kararehe
He maha ngā tohu whakatūpato e kitea whānuitia ana mō ngā momo mate pukupuku. Mēnā ka kite koe i tētahi, i ētahi rānei o ēnei tohu e mau tonu ana mō ngā rā maha, e kino haere ana rānei, me toro atu tonu koe ki tētahi rata kararehe.
1. Ngā puku, ngā pupuhi rerekē rānei
Ko ngā puku i raro i te kiri ngā tohu tino kitea e ngā kaipupuri. Ka taea e ngā puku te ngohengohe, te mārō, te nekeneke, te piri rānei ki te kiko. Kia tūpato ki ngā puku e:
- tere te tipu,
– ka piki ake te maha,
– he mārō te āhua, kāore e taea te neke,
– ka puta anō i muri i te tangohanga,
– ka mamae rānei ina pāngia.
I roto i ngā kurī, he pai te nuinga o ngā puku pēnei i te lipomas (ngako), engari me whakaū tonu. I roto i ngā ngeru, he nui ake te tūponotanga ka kino ngā puku i ngā kurī, nō reira he mea nui te tirotiro wawe.
2. Te whakahekenga taumaha kāore he take mārama
Me whakapae he kararehe e ngaro ana tōna taumaha ahakoa te āhua noa, te iti noa rānei o te hiahia kai. Ka puta pea te ngaronga taumaha nā te mea ka whakararuraru te mate pukupuku i te pākia o te tinana, ka whakaiti i te mimiti o ngā matūkai, nā te mea rānei ka puta te ahotea me te whakaiti i te hiahia kai nā te mamae.
3. Te Hiahia Kai me te Ngoikore
Ka taea e te mate pukupuku te whakararu i te mumura mau tonu, te mate toto, te ngoikore rānei o ngā okana, ka puta ai te ngoikore o ngā kararehe, te moe roa, te ngaro o te hiahia ki te tākaro, me te kore e pai ki te whakakorikori tinana. I ētahi wā, ka puta pea te "pōuri" o ngā kararehe, te riri rānei nā te kore whakamarie.
4. Ngā patunga e uaua ana ki te whakaora
Me āwangawanga koe mō ngā mate pukupuku o te kiri, o te waha, o ētahi atu wāhi rānei kāore e ora, e ngawari ana te toto, e nui haere ana rānei. Ka puta pea ētahi mate pukupuku kiri hei mate pukupuku iti e noho tuwhera ana, e kiripaka ana rānei.
5. Te Toto, te Tukunga rānei o te Waipiro
Rapua te toto mai i te ihu, te waha, te nono, te ara mimi rānei. Ko te rere rerekē mai i ngā kanohi, i ngā taringa rānei, kāore e pai ake i te rongoā noa, he tohu pea tēnei, inā koa mēnā he haunga kino, he pupuhi rānei.
6. Manawa Kino me ngā Raru o te Waha
Ka puta te mate pukupuku waha hei puranga i runga i ngā kapia, i te arero, i te tuanui rānei o te waha. Ko ētahi o ngā tohu ko:
– te manawa kino rerekē,
– te nui rawa o te huware,
– te āhua wetekina o ngā niho,
– te uaua ki te kai,
– te toto rānei mai i te waha.
7. Te uaua ki te mimi, ki te tutae rānei
Ka taea e te mate pukupuku o te ara mimi, te repeure (i roto i ngā kurī tāne), ngā whekau nakunaku rānei te whakararu i ēnei:
– te whakamātau i te toto i te wā e mimi ana, e tūtae ana rānei,
– te mimi i konatunatua ki te toto,
- te mate pāwera roa,
– te mate korere rānei e hokihoki mai ana, kāhore he tino take.
8. Maremare Mau tonu, uaua rānei ki te manawa
Ka taea e te mate pukupuku pūkahukahu, e tōna horapa rānei (metastasis) te puta te maremare, te tere o te manawa, te wheezing, te ahua rānei ka tere te ngenge o te kararehe ahakoa he iti noa te mahi. I roto i ngā ngeru, he rite tonu ngā tohu tōmua ki te mate huango, me arotakehia anō.
9. Te mamae o te take kāore i whakamāramahia
Ko ngā kararehe e kore e peke, e ngoikore ana, kāore he whara e kitea ana, e karo ana rānei i te pāngia i ētahi wāhi, tera pea he mate pukupuku wheua, he mate pukupuku rānei e pēhi ana i te io. Hei tauira, ko te mate pukupuku wheua i roto i ngā kurī nunui, he maha ngā wā ka ngoikore haere te waewae me te pupuhi.
10. Ngā Pūnaha Lymph kua Whakanuia
Ko te nui haere o ngā kōpū lymph (e kitea ana i raro i te kauae, i ngā kēkē, i muri i ngā turi, i roto hoki i te hope) he tohu pea tēnei mō te mate pukupuku, engari tera pea he hononga anō hoki ki te mate pukupuku pērā i te lymphoma. Mēnā ka mau tonu te nui haere, ka nui haere rānei te rahi, me tirotirohia.
Ngā Mahi Whai Hua mō ngā Kaipupuri Whare: Me pēhea te Whakahaere i tētahi Tirotiro Whare Tuatahi
Ka taea e ngā rangatira te āwhina i te kimi wawe mā te mahi i ngā tirotiro māmā i ia wā, hei tauira, kotahi i te wiki:
1. Pāngia te tinana katoa i a koe e mirimiri ana: kimihia ngā puku hou, ngā wāhi matotoru, ngā wāhi mamae rānei.
2. Tirohia te waha: tirohia ngā kapia, te arero, me te tuanui o te waha (mēnā kei te mahi tahi te kararehe).
3. Mātakihia ngā tikanga kai me te inu: kua iti iho, kua nui ake, kua tino rerekē rānei.
4. Aroturukihia te taumaha o te tinana: paunatia ia 2–4 wiki, inā koa mō ngā kararehe kaumātua.
5. Kia tūpato ki ngā tūtae me te mimi: ngā panonitanga o te tae, te matotoru, te auau, te aroaro rānei o te toto.
6. Mātakihia ngā panonitanga o te whanonga: ngāwari te ngenge, te noho puku, te pukuriri, te āhua mamae rānei.
Mā te tuhi i ngā kitenga ki tētahi pukatuhi iti (te rā, te wāhi i puta ai te puku, te rahi tata) ka āwhina i te rata kararehe ki te aromatawai i te haere whakamua o te mate.
Ngā Whakamātautau Hauora hei Whakaū i te Mate Pukupuku
Kāore ngā tohu o runga ake nei e tohu aunoa i te mate pukupuku. Tērā pea ka rite te āhua o ngā mate pāwera, ngā mate pāwera, ngā mate homoni, me ētahi atu mate. Nō reira, me tirotirohia e te rata kararehe te mate pukupuku, tae atu ki:
1. Whakamātautau Tinana Katoa
Ka tirohia e te tākuta kararehe ngā puku, ngā kōpū waikura, te waha, te kiri, te manawa, me te āhua whānui. He mea nui te hītori hauora o te rangatira: te wā i tīmata ai ngā tohu, mēnā kua heke te taumaha, me ērā atu mea.
2. Te Whakapūtanga o te Ngira Pai (FNA)
Ka whakamahia e tēnei tikanga he ngira iti hei tango i tētahi tauira pūtau mai i te puku, kātahi ka tirohia i raro i te karuārai. Ko te FNA te taahiraa tuatahi i te nuinga o te wā nā te mea he tere, ā, kāore he mamae.
3. Kohikohi
Mena kāore i te tino mārama te FNA, i te whakapaetia rānei he mate pukupuku kino, ka mahia he koiora hei tango i te nui o te kiko. Mā te koiora ka kitea he tātaritanga tika ake, tae atu ki te momo mate pukupuku me te nui o te kino.
4. Ngā Whakamātautau Toto me te Mimi
Mā tēnei whakamātautau ka āwhina i te aromatawai i te mahi a ngā okana (ate, whatukuhu), te kite i te anemia, ngā mate urutā tuarua, ngā tohu mumura rānei. He mea nui ngā hua hei whakatau i te haumaru o te pokanga, te chemotherapy rānei.
5. Whakaahua: X-ray, ultrasound, CT scan, MRI rānei
Ka whakamahia te whakaahua hei aromatawai i te rahi o te pukupuku, te pānga o ngā okana, me te tūponotanga o te horapa o te mate ki roto i te tinana. Hei tauira, ka mahia he hihi-X o te uma hei tirotiro mēnā kua horapa ki ngā pukahukahu.
Ngā Take Tūpono hei Mōhio
Ko ētahi o ngā āhuatanga ka whakapiki ake i te mōrearea o te mate pukupuku i roto i ngā kararehe ko:
– Tau: he nui ake te mōrearea o ngā kararehe kaumātua.
– Ngā ira me te momo: he ngāwari ētahi momo kurī ki te pāngia e ētahi mate pukupuku.
– Te pānga ki te taiao: te paowa hikareti, ngā matū, te nui rawa o te rā (te matepukupuku kiri).
– Ngā homoni: i ētahi wā, ki te kore e whakahoromatatia te ū, ka nui ake te mōrearea o ngā pukupuku ū i roto i ngā kurī me ngā ngeru uwha.
Mā te whakawhānau me te whakamoe i ngā kararehe i te wā tika (e ai ki tā te rata kararehe i tūtohu ai) ka taea te whakaiti i te mōrearea o ētahi momo mate pukupuku.
Āhea koe me toro atu ki te rata kararehe tonu?
Me tirotiro tonu tō kararehe mēnā ka kitea e koe:
– ngā puku e whakanui ana i roto i ngā wiki,
– te uaua ki te manawa, te ngoikore, te ngoikore nui rānei,
– te toto rerekē,
– te kore e hiahia ki te kai mō ngā haora neke atu i te 24 (ina koa mō ngā ngeru),
– te mamae nui, te totitoti rānei e tere haere ana te kino.
Mā te kitenga wawe i te mate ka whānui ake ngā kōwhiringa maimoatanga me te whakapiki ake i ngā tūponotanga o te angitu.
Te Katinga
Ko te tautuhi i te mate pukupuku o ngā kararehe me āta tirotiro i ngā huringa ngawari o ō rātou tinana me ō rātou whanonga. Ko ngā puku, te ngaronga taumaha, te hekenga o te hiahia kai, ngā patunga kāore e ora, te toto rerekē, tae noa ki te maremare roa, he tohu ēnei kāore e tika kia warewarehia. Ahakoa ehara i te mea ko ngā tohu katoa he tohu mate pukupuku, ko te tirotiro wawe i tō mōkai te huarahi haumaru rawa atu. Mā te tirotiro tonu i te kāinga me ngā whakamātautau tika a te rata kararehe, he maha ngā mate pukupuku ka taea te kite wawe, ka pai ake te tūponotanga o te kararehe ki te whiwhi maimoatanga me te kounga pai o te oranga.
