He aha te take e kitea ai te mate pukupuku ate i te wā tōmuri? He "Tohu Whakatūpato Moata" Matua tēnei Tohu Koiora

Ki te whakaaro o te tini tāngata, ko te mate pukupuku ate te āhua nei ka pā mai "mārire" mai, ā, kāore i te kitea - i te wā e kitea ai, kua tae kē ki te wā waenga, kua piki ake rānei, ā, kāore e kitea te wā tika mō te maimoatanga. Ehara tēnei i te mea tinihanga: i te taha haumanu, neke atu i te 70% o ngā tūroro mate pukupuku ate ka kitea i te wā kāore e taea te pokanga whakaora. He aha te take? He tino "pūmau" te mate pukupuku ate?

Take Tuatahi: He "Okana Wahangu" te Ate

He nui te kaha o te ate ki te whakaea i ngā matea o te tinana—ahakoa tata ki te 30% noa iho o ōna pūtau e mahi tika ana, ka taea tonu e ia te whakatutuki i ngā matea taketake o te tinana. Heoi anō, kāore he pito io mamae i roto i te ate. Ko te pukupuku ate i te tīmatanga, he torutoru henimita noa iho, he iti ake rānei, kāore e puta he mamae, he koretake rānei e kitea. Ina nui te pukupuku ki te uru ki te kāpū o waho o te ate, ki ngā kiko e karapoti ana rānei, ka pāngia ngā tūroro e te mamae, te pupuhi rānei i te taha matau o runga o te whāwhā—engari i taua wā, kua tino whanake haere te mate.

Take Tuarua: He Ngāwari te wareware i ngā tohu tōmua

Ahakoa ka puta mai ngā tohu ngawari i te tīmatanga—pērā i te ngenge ngawari, te kore hiahia kai, te mākū rānei i muri i te kai—he tokomaha e whakahē ana i ēnei tohu he "ngenge noa iho" he "raruraru puku" rānei, kāore rawa e hono ana ki te ate. I te wā e puta ake ai ngā tohu e kitea nuitia ana, pērā i te whakahekenga taumaha nui, te jaundice, te ascites (te pupūnga wai o te puku), te pupuhi waewae rānei, kua horapa kē te mate.

Te Utauta Hiranga:AFP—Te “Kaitiaki Tūatahi” o te Mate Pukupuku Ate

I te mea kāore e taea te whakawhirinaki ki ngā tohu, he aha te mea hei āwhina i a tātou ki te kite wawe? Kei roto i te whakautuAFP (Alpha-Fetoprotein)

AFPe mōhiotia ana i tēnei wā ko tētahi o ngā tohu koiora toto tino nui mō te mate pukupuku ate. I roto i ngā pakeke hauora,AFPHe tino iti ngā taumata i roto i te toto (i raro iho i te 20 ng/mL). Ina huri ngā pūtau ate hei matepukupuku, ka tīmata rātou ki te whakaputa i te nui oAFPanō, ka puta te totoAFPka piki ake ngā taumata. E whakaatu ana ngā rangahau he 60–70% o ngā tūroro mate pukupuku ate kua piki akeAFPngā taumata—ā, ka taea pea tēnei pikinga te puta i ētahi wā ahakoa i ngā wāhanga tōmua.

Me pēhea te whakamahi pai i tēnei tohu whakatūpato mō te wā poto?

Mō ngā tāngata e tino mōrearea ana ki te mate pukupuku ate—tae atu ki te hunga e pāngia ana e te mate pukupuku mau tonuhepataitis B or hepataitis Cte mate pukupuku, te cirrhosis, te inu waipiro nui mō te wā roa, te hītori whānau rānei o te mate pukupuku ate—te whiwhi i te serumWhakamātautau AFPme te tirotiro i te ate i ia ono marama te "paerewa koura" e mōhiotia ana i te ao mō te tirotiro wawe. Mena ka kitea he mate pukupuku ate i te wā tōmua (iti iho i te 3 cm) i tēnei wā, ka taea e te maimoatanga mā te pokanga, te tango rānei i te kiri te whakatutuki i te reiti oranga mō ngā tau e rima o te 70–80%, neke atu rānei. He rerekē, ko te reiti oranga mō ngā tau e rima mō te mate pukupuku ate kua whanake haere he maha ngā wā kei raro iho i te 20%.

Kaua e tatari kia mamae rā anō ka tirohia

Ko te aituā o te mate pukupuku ate ehara i te mea he tino kaha rawa, engari he maha ngā wā ka taea te kite wawe. Ko teWhakamātautau AFPHe māmā noa iho, he tere, he iti hoki te utu—engari koinei pea te huarahi hei whakarerekē i tōu aituā. Mena kei roto koe, kei roto rānei i te kāwai mōrearea nui, kia mahara kia whakaurua tēnei whakamātautau ki roto i ō tirotiro auau. Tiakina tō ate, ā, kaua e pouri mō te kitenga i te mate pukupuku ate i te mutunga rawa.