Kuchitira khansa ya m'mawere m'mimba mwa mayi wodwala kumafuna kuganizira zambiri za thanzi la wodwala ndi mwanayo.
Apa, kuwonongeka kwa mankhwala osiyana.
Opaleshoni
Kuchita opaleshoni kawirikawiri ndi njira yoyamba yopatsira chithandizo kwa amayi apakati omwe ali ndi khansa ya m'mawere. Kachilombo kameneka kamene kamakhala ndi matenda enaake omwe amachitidwa ndi anesthesia, amatha kuchotsa chotupacho.
Chifukwa chakuti anesthesia ikhoza kuyambitsa mwanayo, madokotala anu ayenera kugwira ntchito limodzi kuti apeze nthawi yabwino panthawi yomwe mukuyembekezera kutenga opaleshoni.
Kuchitidwa opaleshoni ya m'mimba, monga lumpectomy ndi kuperewera kwapadera, kungafunike chithandizo cha ma ARV monga kutsatila. Koma izi sizingatheke panthawi ya mimba. Mankhwala opatsirana pogwiritsa ntchito mazira amathandizidwa kwambiri; Zitha kuwononga mwana wosabadwa panthawi iliyonse ya mimba, ngakhale ngati chishango chimagwiritsidwa ntchito.
Chemotherapy
Pa miyezi itatu yoyamba ya mimba yanu, mankhwala a chemotherapy saperekedwa, chifukwa akhoza kuvulaza ziwalo za mwana wanu. Ngati chemo ikufunika, idzaperekedwa kokha pakatha ma trimesters awiri omaliza. Kafukufuku wambiri pa FAC chemotherapy (kuphatikizapo fluorouracil, Adriamycin, ndi cyclophosphamide) asonyeza kuti ndibwino kwa mwana wanu. Milandu yopita padera, kubadwa msinkhu, kubadwa, kapena kubadwa kwapachibale koyambitsidwa ndi mankhwala a FAC ndi osowa.
Komabe, chithandizo chanu cham'tsogolo chidzakhudzidwa ndi mtundu uwu wa chemotherapy.
Mankhwala omwe amagwiritsidwa ntchito pa chemo pa nthawi yomwe ali ndi mimba adzadalira trimester yomwe muli nayo pamene mankhwala akuyamba. Kutenga mankhwala ena ndi oopsa pa trimesters ena kuposa ena.
- Zowopsya kwambiri: Methotrexate - imayambitsa kuperewera kwa amayi ndi zilema zobereka
- Zokangana: 5-FU (fluorouracil) - kafukufuku wina wasonyeza kuti ulibe vuto, pamene ena amadziwa kuti zingayambitse kuperewera kwa msinkhu ndi zilema zobereka
- Amakhala otetezeka: Cytoxan (cyclophosphamide) - yotetezeka ngati imagwiritsidwa ntchito m'miyezi 6 yapitayi; Zowononga ngati zingagwiritsidwe ntchito m'miyezi itatu yoyamba yoyembekezera
- Otetezeka: Velban (vinblastine) ndi Adriamycin (doxorubicin) - otetezeka ngati agwiritsidwa ntchito m'miyezi 6 yapitayi
- Zosakwanira zokwanira: Taxol (paclitaxel) ndi Taxotere (docetaxel) - kafukufuku wowerengeka chabe adayang'ana zotsatira za mankhwala a feteleza pa fetus yomwe ikukula. Wofufuza wina ananena kuti kusamalira mayi wapakati amene ali ndi msonkho m'miyezi itatu yapitali ya mimba kunachititsa kuti mwana wamba azifika nthawi zonse, koma kufufuza kwina n'kofunika.
Sungani Machitidwe Anu Oteteza Mthupi
Chemo imatsitsa kuchuluka kwa maselo oyera a magazi ndipo imasiya inu ndi mwana wanu kukhala pachiopsezo kwambiri pa matenda. Sikuti chitetezo cha mthupi cha mwana aliyense chidzakhudzidwa pa nthawi ya chemo. Koma ngati chitetezedwa ndikukhalabe otsika pambuyo pa kubadwa, onetsetsani kuti mwapeza mankhwala. Madokotala akuganiza kuti zikuwoneka bwino kuti apereke injini za Neupogen kapena Neulasta pa nthawi yoyembekezera kuti awonetsere maselo oyera.
Kuchiza Mankhwala Pambuyo pa Mimba
Mankhwalawa amagwiritsidwa ntchito pokhapokha mutabereka.
Amagwiritsidwa ntchito kuthandizira kupha maselo aliwonse a khansa omwe angakhalepobe m'matumbo anu ndi kupewa kupezeka. (Maizoni amavulaza mwanayo mwa kuchititsa kuperewera kwa amayi, kuperewera kwa kubadwa, kapena kuchepa msinkhu.) Palibe kafukufuku wochuluka omwe wachitidwa pa mazira a m'mawere kapena brachytherapy (miyezi yambiri) komanso zotsatira zake pa mawere amene asintha chifukwa cha mimba. Choncho, sitikudziwa ngati kuchedwa kwa mankhwala kungakhale kothandiza pakatha kubereka ngati sikukanatha. Madokotala, ambiri, amavomereza kuti mazira a khansa ya m'mawere sali otetezeka pa nthawi ya mimba.
Mankhwala a Hormonal After Pregnancy
Tamoxifen ndi mankhwala oteteza mahomoni omwe amaletsa estrogen ku mawere.
Kawirikawiri amaperekedwa kwa amayi omwe ali ndi khansa ya m'mawere yotchedwa estrogen-receptor. Komabe, ndi koopsa kutenga panthawi yoyembekezera. Mankhwala opanga mahomoni angaperekedwe pambuyo pa kubadwa kwa mwana wanu kuti achepetse chiopsezo chanu chobwerezabwereza.
Zosankha Zovuta
Pa nthawi yomwe mungakhale ndi chidwi kwambiri ndi moyo watsopano mwa inu, mukhoza kupemphedwa kupanga zosankha zanu zovuta. Kuchokera pa siteji ya mimba, thanzi labwino, ndi matenda, mukhoza kupemphedwa kulingalira kuthetsa mimba.
Kafukufuku sadasonyeze kuti kutha kwapadera kumapindulitsa pa khansa ya m'mawere, ndipo nthawi zambiri sikumayesedwa ngati chithandizo chamankhwala. Komabe, ngati khansara yanu ndi yowopsya, inapezeka kuti ikuchedwa mochedwa, ndipo mukusowa chemo yapamwamba ndi ma radiation, mungayambe kukambirana za kutha kwa mimba yanu kuti mupeze chithandizo choyenera. Njira ina ingakhale yoperekera mwana wanu msanga ngati muli pamapeto pa nthawi ya mimba ndipo mwayi wa mwana kuti apulumuke ndi wabwino.
Lankhulani ndi banja lanu, oncologist, ndi chipatala kuti muganizire bwino zomwe mungasankhe.
> Zotsatira:
American Cancer Society. Mimba ndi Khansa ya m'mimba, Matenda a khansa ya m'mawere Pa nthawi ya mimba. Kusinthidwa Kwatsiku: 08/08/2007 Chithandizo cha khansa ya m'mawere Pakati pa Mimba
National Cancer Institute. Khansa ya m'mawere ndi mimba - Health Professional Version. Ndasinthidwa komaliza: 12/09/2004. Khansa ya m'mawere ndi Mimba