Te Ora i ngā Āhuatanga Tūpono: He Haerenga Manawanui 14-Tau i te Pakanga ki te Melanoma Wahanga IV

I te tau 2010, i te 48 o ōna tau, i whiwhi a Jennifer Ficko i tētahi tātaritanga i whakarerekē i tōna ao: te melanoma wāhanga IV. Ko te mea i tīmata hei puku āhua korekore i runga i tōna mahunga i mutu ai te ohorere o te Thanksgiving i te wā i whakaū ai ngā tākuta i ōna wehi nui rawa atu. I huri pōturi te ao o Jennifer, me tōna whānau hoki, i a rātou e tūtaki ana ki te mooni kino o te mate pukupuku wāhanga whakamutunga. Me te iti o ngā kōwhiringa, i rapu a Jennifer me ōna whanaunga i te aratohu, ā, i te mutunga i hono atu ki ngā tohunga matua i te Hōhipera Matepukupuku Smilow i Yale.

I te tīmatanga, i pokangahia a Jennifer hei tango i te pukupuku, ā, i pāngia hoki ngā kōpū lymph. I whai wāhi atu hoki ia ki ngā whakamātautau haumanu e tūhura ana i ngā aukati ārai mate pērā i a Yervoy (ipilimumab) ā, i muri mai ka whakakotahihia te rongoā me Nivolumab. Ahakoa i pāngia ia e ētahi urupare, i pāngia a Jennifer e ngā pānga kino, tae atu ki te wehenga o te retina me te ngaronga o te rongo, heoi i whawhai tonu ia.

I puta he huringa nui i te tau 2017 i te wā i tūtohutia ai ia e tana tākuta mate pukupuku, e Tākuta Harriet Kluger, kia whakamātauria ia ki tētahi whakamātautau haumanu auaha i te Yale Cancer Center, e arotahi ana ki te rongoā Tumor-Infiltrating Lymphocyte (TIL). I roto i tēnei huarahi hou, i tangohia e ngā kairangahau āna ake pūtau-T, ā, i whakawhānuihia, i whakahokia mai ki roto i tōna tinana hei whakapakari i tana urupare ārai mate ki te mate pukupuku. Nā te maimoatanga kaha i puta ai ngā tauhohenga tinana kaha engari i te mutunga ka tīmata te whakaiti i ōna pukupuku.

He roa, he uaua hoki te tukanga whakaora a Jennifer. Nā tōna kaha me tōna manawanui, me te tautoko tonu a tōna whānau, i āwhina i a ia ki te wikitoria i tēnei wā uaua. I tēnei rā, kua kore a Jennifer i te mate pukupuku, ā, kua neke atu i te whitu tau ia e pērā ana. I te 61 o ōna tau, e whakaaroaro ana ia ki tana haerenga me te whakawhetai me te whai whakaaro, me te whakanui he mea nui te pai me te manawanui ki te whawhai ki te mate pukupuku. Ko āna tamariki, i whakaaweawehia e te haerenga a tō rātou whaea, kei te whai i ngā mahi rongoā inaianei.

E whakaatu ana te kōrero a Jennifer i te kaha whakarerekētanga o te rongoā TIL, kua tere ake nei te whakaae a te FDA, ā, e tuku ana i te tumanako ki te tini o ngā tūroro e pāngia ana e ngā pakanga uaua rite tonu. Ko tōna manawanui me tōna whakapau kaha ki te ora katoa he tohu o te tumanako, e whakaatu ana mā te tautoko a te whānau, ka piki ake te taumata o te Te Maimoatanga Matepukupuku, me te tirohanga pai, ka taea e ngā merekara te tupu.