Kukonzekera, Kusamalira Nthawi, ndi Kubwezeretsa
Ngati mwapezeka kuti muli ndi khansa ya m'mawere, mwina mukudabwa kuti chithandizo chamutali chingatenge nthawi yayitali bwanji. Kodi mankhwalawa monga mankhwala opaleshoni, chemotherapy, ndi ma radiation amatenga nthawi yaitali bwanji? Zidzatalika liti kufikira mutabwerera ku zachilendo? Ndikofunika kuzindikira kuti kwa omwe ali ndi khansa ya m'mawere yotchedwa estrogen, mankhwala oyenera amatha kutengedwa tsiku lililonse kwa zaka 5 mpaka 10 mankhwala oyambirira amatha, koma nthawi zambiri amatengedwa ngati "chithandizo chamankhwala" osati "mankhwala othandiza."
Zodziwika Zatsopano
Kuzindikira kwa khansa ya m'mawere kungasokoneze moyo wanu-maganizo, thanzi lanu, ndalama, ndi maubwenzi angawonongeke. Mukapezeka, mutha kugwira ntchito nthawi zonse, kulera banja, kapena kutsatira maloto anu. Kalendala yanu inali yodzaza ndipo moyo wanu unali wotanganidwa.
Mwadzidzidzi, ndondomeko yanu imayendetsedwa ndi adiresi ya opaleshoni, opaleshoni, oncologists, anamwino, akatswiri, ndi othandizira. Nthawi yomweyo mumakhala ndi ntchito yatsopano-kudutsa kuchipatala cha m'mawere. Tiyeni tiwone momwe chithandizo chamatenda ndi chithandizo chautali chingatenge nthawi yayitali ndikukambirana momwe mungathere nthawi yanu.
Zofuna Zogwirizana
Ngati mukugwira ntchito kunja kwa nyumba, mungafunike kudziwa nthawi yochuluka yomwe mukufuna kudwala. Onetsetsani kuti mukudziwa ndondomeko yochoka kuntchito kwanu kuntchito ndikupatsa woyang'anira wanu chiwerengero chabwino chomwe mungathe.
Kumbukirani kuti ngati mutagwira nthendayi mukalandira chithandizo, mudzakhala motalika kuposa momwe mwakonzekera. Choncho, onetsetsani kuti bwana wanu adziwe zomwe zikuchitika.
Sungani kalendala mu bukhu lanu lazinthu labwino kuti muzitsatira maimidwe onse. Musadzipangire nokha, makamaka pa masiku achiritsi ndi kuchiza. Funsani thandizo ndikugawana ntchito pamene mukuchira.
Anthu ambiri amadabwa kuti amamva mosiyana ndi momwe angayembekezere asanadziwe.
Mungapeze kuti kugwira ntchito kumathandiza, m'malo movutikira kwambiri, kumangoganizira zaumoyo wanu. Mosiyana ndi zimenezi, anthu ena ankaganiza kuti akhoza kugwira ntchito yonse kudzera kuchipatala koma amapeza kuti sangathe. Aliyense ndi wosiyana. Chofunika kwambiri ndi kulemekeza maganizo anu.
Ambiri a ku America omwe ali ndi Disability ACT (ADA) amanena kuti olemba ntchito ayenera kupereka "malo oyenera" okhala ndi matenda monga khansa ya m'mawere. Malo ogonawa akuphatikizapo kutha nthawi kuti madokotala asankhidwe ndikubwezeretsa kuchipatala. Malo ena okhala, monga ntchito yosiyana kapena mwayi wogwira ntchito kunyumba ndiwothandiza kwa anthu ena. Bungwe lopanda phindu Kansala ndi Ntchito zakhala ndi zothandiza ndipo zimapereka thandizo laulere kwa anthu ambiri omwe akuvutika kuthetsa moyo wawo wa ntchito ndi chithandizo cha khansa.
Opaleshoni ndi Kubwezeretsedwa
Kuchuluka kwa nthawi yomwe idzakutengerani kuti mubwezeretsedwe kuchokera ku opaleshoni kumadalira pa opaleshoni yomwe muli nayo komanso ngati muli ndi vuto lopweteka kwambiri la matenda a fetinel kapena dissiction.
- Lumpectomy (masiku asanu ndi awiri (14) akuchira). Lumpectomy ndizoperewera, choncho mwinamwake mudzapita kunyumba tsiku lomwelo la opaleshoni. Mutha kukhala ndi zophikira opaleshoni, choncho musachedwe kuntchito. Ngati muli ndi lymph nodes mu nthawi yanu yamapectomy, machiritso amatenga nthawi yaitali kuposa sabata limodzi. Pezani wina kuti aziyendetsa galimoto ndi kulemetsa kwambiri, ndipo musamangodula, kumasewera, ndi kumunda.
- Mastectomy (masabata atatu akuchira). A Mastectomy ndi njira yochiritsira matenda, kotero mutakhala kuchipatala patatha masiku awiri kapena awiri mutatha opaleshoni. Mudzakhala ndi zophikira opaleshoni m'malo asanu mpaka asanu ndi awiri (nthawi zina mpaka masabata atatu) kuti muthandize kuchiritsa. Izi zidzachotsedwa pamsonkhano wotsatila ndi dokotala wanu opaleshoni. Powonjezereka, zofunikila zanu ziyenera kuchiza masabata atatu kapena anayi. Ngati muli ndi lymph nodes mukuchotsa mastectomy, kuchiritsa kumatenga nthawi yaitali. Kachilombo kaŵirikaŵiri kachitidwe kake kamangidwe, koma izi siziyenera kuchepetsa machiritso kuchokera ku opaleshoni. Pezani mpumulo ndikutenga nthawi kuti mugwiritse ntchito maganizo anu mutachira.
- Kubwereranso (masiku atatu mpaka asanu). Osati aliyense adzafuna kubwezeretsanso ngati magalasi opaleshoni anali omveka. Imeneyi ndi njira yoperekera kuchipatala yomwe imachitika pambuyo pa lumpectomy kuti zitsimikizidwe bwino. Mudzapita kwanu mutatha opaleshoni yanu. Mutha kukhala ndi kukonza opaleshoni, koma ikhoza kuchotsedwa mwamsanga. Sungani pakhomo pokhapokha kukhetsa kwanu sikukufunikanso.
- Kubwezeretsa m'mimba (nthawi zosintha zimasiyana). Chifukwa chakuti kumanganso mawere kumatha kuchoka ku implants yomwe imayikidwa panthawi yomwe imayambitsa matenda osakaniza , nthawi yanu yochira imadalira kuvuta kwa njira yanu yokonzanso. Mitundu ina yokonzanso ntchito imaphatikizapo opaleshoni ziwiri kapena zitatu kuti mutsirize bere lanu latsopano. Ngati muli ndi mankhwala a radiation, kumangidwanso kungachedwetsedwe kufikira mutatsiriza magawo onse.
Chemotherapy ndi Recovery
Kansalu ya khansa ya m'mawere imaperekedwa pazinthu zosiyanasiyana malinga ndi komwe mukuchitikanso. Kawirikawiri, mtundu umodzi wa mankhwala a chemotherapy amaperekedwa milungu iwiri iliyonse kwa ma 4. Mankhwala othandizira mankhwalawa angaperekedwe kwa milungu iwiri iliyonse kwa ma 4, kapena sabata iliyonse kwa miyezi iwiri. Kwenikweni, chemotherapy imatenga miyezi 4 mpaka 6 kuti ikwaniritse. Nthawi zambiri mukhala ndi magazi anu ndipo mumakumana ndi oncologist musanayambe phunziroli, komabe izi zimasiyana.
Kutsekedwa kulikonse kudzatenga maola atatu kapena anayi ndi maulendo apamwamba pa maulendo ndi ma labiti akuyenera kutenga nthawi iliyonse kuchokera maminiti 15 mpaka ora, malingana ndi momwe mukugwirira ntchito kuchipatala chanu. Ngati zowawa zanu zili zochepa, mukhoza kubwerera kuntchito zoyenera pakati pa chithandizo chilichonse. Koma ngati akuvutitsa, konzekerani kuti mutenge nthawi kuti mupeze. Ndi madokotala ena mungaperekedwe mlingo wa mankhwala kuti muwonjezere selo lanu loyera la magazi tsiku lomwe mutalowa. Mankhwalawa nthawi zina amachititsa kupweteka kwa pfupa komwe kumatha masiku 3 mpaka 4.
Nthawi yobwereza kuchokera ku chemotherapy amasiyana ndi munthu aliyense. Kumbukirani kuti chemotherapy ndi mankhwala oyenera omwe angakhudze thupi lanu lonse. Muyenera kukonzekera kwa miyezi itatu kapena itatu ya nthawi yochira pa mlingo uliwonse wa mankhwala a chemotherapy kamodzi mankhwala anu atatha.
Kuchiza Mankhwala ndi Kubwezeretsa
Nthawi yotentha imadalira mtundu wa mankhwala omwe mumakhala nawo. Malamulo ambiri atsopano akufunikira zochepa kusiyana ndi zomwe kale zinkachitika 33.
Mankhwala othandiza mazira a m'mawere pambuyo pa opaleshoni amaikidwa tsiku lililonse sabata sabata kapena asanu ndi awiri. Zotsatira zilizonse zomwe mungakhale nazo zidzakhala zowonjezera, choncho pangani nthawi yopuma mapeto ndi mapeto a mankhwala.
Kuthamanga kwapadera kwapakati pa mimba (APBI) ikhoza kumalizidwa patatha masabata atatu kapena osachepera. Matenda a ubongo , kapena mazira a m'mawere amkati, angathe kuchitika masiku asanu, ndi zotsatira zofatsa ndi nthawi yochizira.
Nthawi Yonse
Matenda a khansa ya m'mawere akhoza kutenga nthawi ndithu ndipo mwina mumadabwa kuti mudzabwezeretsa moyo wanu posachedwa. Mwina mungafunike kuti banja lanu, abwenzi anu , kapena abwana anu adziŵe nthawi yochuluka yomwe mudzakhala nayo.
Pansipa pali gome lomwe liri ndi zifukwa zina za momwe mankhwala angatengere nthawi yaitali malingana ndi momwe mumadziwira. Nthawi sizimaphatikizapo kuswa pakati pa mitundu ya mankhwala, mafunsano, maganizo achiwiri, maphunziro ena oyezetsa ndi kuyesera. Ngati mutakhala ndi mankhwala a hormonal ( mankhwala a endocrine) mutatha kumwa mankhwala, mutha kumwa mankhwala kuti mupewe kubwereza kwa zaka zisanu kapena kupitilira.
"Kawirikawiri" ya khansa ya m'mawere oyambirira imatha kutenga chaka kuti apeze matenda ndi kuchiritsidwa kwafupipafupi. Zonsezi m'tawuniyi zimaganizira za khansa ya m'mawere oyambirira, popanda masastasis . Kumbukirani kuti izi zikutanthauza kuti mulibe vuto lililonse chifukwa cha mankhwala anu komanso palibe khansa ya m'mawere oyambirira.
Khansara ya Breast Metastatic
Kansera yamatenda ya m'matumbo idzachiritsidwa ndikuyang'aniridwa mosiyana.Zoperewera zimaperekedwa kuti zichepetse kufalikira kwa kansa ya m'mawere, kuchepetsa kukula kwa chotupa , kuchepetsa kupweteka, ndi kupitiriza kupulumuka. Nthendayi iliyonse ya kansa ya m'mawere imayenera kupanga chithandizo cha mankhwala kwa nthawi ya moyo wa wodwala, kotero kuyerekezera nthawi zamachiritso ndi kuchiza kumachitidwa pazomwe zimakhalira. Ndi khansara ya m'mawere, mankhwala sakhala "okwaniritsidwa." Anthu ambiri adzalandira chithandizo chamtundu wina kuti achepetse kukula kwa chifuwa kwa moyo wawo wonse. Ndipotu, kufunsa ngati adzachitidwa ndi chithandizo ndi chimodzi mwa zinthu zomwe sitinganene kwa munthu yemwe ali ndi kansa ya metastatic .
Pulogalamu: Kuchiza ndi Kukonza Times Chifukwa cha Kusanthula
Gome ili m'munsiyi ndilopangidwe ka zochitika zofanana. Matendawa amadziwika kuti ali ndi khansa ya m'mawere oyambirira yomwe imachotsedwa ndi opaleshoni ndikupatsidwa chithandizo chamankhwala kuti asadzabwererenso.
Pali zosiyana zambiri ku milandu yomwe ili pano. Mwachitsanzo, matenda odwala khansa ya m'mawere ndi katatu, omwe amatha kukhala opaleshoni, amatha kuchiritsidwa ndi miyezi itatu kapena isanu ndi umodzi ya chemotherapy, pomwe matendawa amakhala ochepa kwambiri. zofiira zamadzimadzi, ndi mapiritsi opaleshoni akhoza kuchiritsidwa ndi mpweya wokhawokha.
Kuonjezera apo, tebulo silinaphatikizepo mwina kwa zaka zisanu kapena kuposerapo mankhwala opatsirana pogwiritsa ntchito khansa. Kambiranani za matendawa ndi wanu oncologist kuti mupeze chithunzi chokwanira pa nthawi yanu yonse kuchiza ndi kuchira.
| Kudziwa | Opaleshoni | Zowonjezera Opaleshoni | Makhalidwe oyambirira Chithandizo | Sekondale Chithandizo | Nthawi Yachiritsi ndi Kubwezeretsa |
| T1 / N0 / M0 | Lumpectomy (Masiku 7) | Maizoni: Brachytherapy (Masiku 7) | 14 - 21 masiku (Masabata awiri ndi atatu) | ||
| T1 / N0 / M0 | Lumpectomy (Masiku 7) | Kubwereranso (Masiku 3-7) | Maizoni: APBI | Masabata 6 | |
| T1 / N1 / M0 | Lumpectomy (Masiku 7) | Maizoni: APBI (Masabata atatu) | Chemotherapy (6 Miyezi / Miyezi 6) | Miyezi 7 mpaka 8 | |
| T2 / N0 / M0 | Lumpectomy (Masiku 7) | Maizoni: Chifuwa chonse | Chemotherapy (6 Miyezi / Miyezi 6) | Miyezi 8 mpaka 9 | |
| T3 / N1 / M0 | Mastectomy (Masiku 14) | Chemotherapy (6 Miyezi / Miyezi 6) | Miyezi 7 mpaka 8 | ||
| T3 / N1 / M0 | Mastectomy (Masiku 21) | Posakhalitsa Ntchito yomangidwanso | Chemotherapy (6 Miyezi / Miyezi 6) | Miyezi 7 mpaka 8 | |
| * Zindikirani: Nthaŵi zamachiritso ndi zowonongeka ndizoyesa - nthawi iliyonse zidzakhala zosiyana. Nthawi sizimaphatikizapo kuswa pakati pa mitundu ya mankhwala, mafunsano, maganizo achiwiri, maphunziro ena oyezetsa ndi kuyesera. | |||||
Kupita Patsogolo
Nthawi yobwezeretsa zimadalira thanzi lanu musanamvetsetse, thupi lanu limayankhidwa pa mankhwala, zamoyo, komanso zochitika zolimbitsa thupi. Kugwiritsa ntchito, kudya zakudya zabwino, kupeŵa mowa ndi fodya, ndipo pang'onopang'ono kubwerera kuntchito zowonongeka kungachititse kuti mutha kuchira, monga momwe mungathetsere vuto lililonse limene mukupitiriza kukhala nalo pambuyo pa chithandizo.
Kukhalanso ndi mtima ndi njira yovuta kwambiri imene aliyense wa ife amagwira ntchito pokhapokha. Ngati mumamva kuti mukuvutika maganizo kapena mumakhala ndi mantha nthawi zonse , funsani chithandizo. Zofukufuku zimapanganso kuti kupulumuka kumawoneka mwa anthu omwe amatsatira uphungu wokhudzana ndi khalidwe labwino, aka "mankhwala othandizira."
Zotsatira zambiri za thupi zimachepa pakapita nthawi pamene thanzi lanu likula, koma ena amatha. Thupi lanu lidzabala zilonda ku nkhondo- lymphedema ndi chemobrain zingakukhudze iwe motalika kuposa momwe mungafunire. Ubale wanu ukhoza kusintha, ndipo akazi ambiri amanena kuti zingakhale zaka zisanafike mphamvu zawo zowonongeka.
Kuwongolera
Tangoyamba kumene kuyankhula za "kupulumuka" mu anthu omwe ali ndi khansara ya m'mawere, monga kusintha kwa chidziwitso chifukwa cha ubongo wa chemo, kufooka kosalekeza, kupweteka kosalekeza, ndi zina zambiri. Malo ambiri a khansa tsopano akupereka "kukonzanso khansa" zomwe zingaphatikizepo uphungu, chithandizo chamankhwala, ndi zina zothandizira kubwezeretsa thupi lanu mofulumira kumene inu munalipo musanayambe khansa kapena mwinamwake bwino.
Panopa akuganiza kuti amayi asanu okha ndi asanu okha omwe amapulumuka khansa ya m'mawere amapatsidwa mankhwalawa, koma pafupifupi 60 mpaka 95 peresenti akhoza kupindula. Moyo pambuyo pa khansa ya m'mawere imaphatikiza kusintha, kotero patsani malo ambiri komanso nthawi yoti musinthe. Kupulumuka ndi malo abwino okhalamo!
> Zotsatira:
> De Groef, A., Van Kampen, M., Dieltjens, E. et al. Kuchiritsa kwa Mankhwala Opatsirana Opatsirana Opatsirana Amphamvu Pamwamba Pambuyo pa Khansara Yamatenda: Kufufuza Kwambiri. Archives of Physical Medicine ndi Kukonzanso . 2015. 96 (6): 1140-53.
> Joly, F., Giffard, B., Rigal, O. et al. Zotsatira za Khansa ndi Zamankhwala Zake pa Ntchito Yoganizira: Kupita Patsogolo Pa Kafukufuku Wochokera ku Paris International Cognition ndi Cancer Task Force Msonkhano ndi Kukonza Kuyambira 2012. Journal of Pain and Symptom Management . 2015. 50 (6): 830-41.
> Loh, S., ndi A. Musa. Njira Zothandizira Kukonzekera kwa Odwala Kuchita Opaleshoni ya Khansa ya M'bwere: Kubwereza kwa Zosintha Zogwiritsa Ntchito. Khansa ya m'mawere . 2015. 7: 81-98.
> McKodi, M., Binkley, J., Pusic, A., Campbell, K., Gabram, S., ndi P. Soballe. Njira Yabwino Yothandiza Kusamalira Khansa ya M'bwere: Zochitika za Postoperative ndi Post-Reconstructive issues. Khansa . 2012. 118 (8 Suppl): 2226-36.
> Stout, N., Binkley, J., Schmitz, K. et al. Njira Yowoneka Yowonongeka kwa Akazi Ndi Khansa ya M'mimba. Khansa . 2012. 188 (Suppl 8): 2191-200.