Ngakhale kuti kuphunzira kuyamwitsa kungakhale kovuta kwa amayi atsopano, kugwirizana kwa zaumoyo ndikuti mkaka wa m'mawere ndiwo chakudya chabwino kwambiri kwa makanda ndi kuyamwitsa ayenera kulimbikitsidwa.
Koma, nanga bwanji ngati mwadzidzidzidwa ndi khansa ya m'mawere kapena mwakhala mukudwala khansa ya m'mawere? Kodi mudzatha kuyamwitsa? Ndipo kodi zingakhale zathanzi kuti azichita zimenezi kwa inu ndi mwana wanu?
Mayankho angakhale ovuta. Koma, zonsezi, zomwe zimagwiranso ntchito kwa amayi ena zimagwiranso ntchito kwa amayi omwe adakumana ndi khansa ya m'mawere.
Kupeza Thandizo Lolondola & Thandizo
Kuyamwitsa sikophweka, ngakhale panthawi yabwino, ndipo matenda a kansa ya m'mawere amachulukitsa mavuto. Kuwonjezera pa kugawana zolinga zanu kuyamwitsa ndi gulu lanu lachipatala, mungafunse kuonana ndi dokotala wa ana ndi mwana wa mwana wanu.
Komanso, chifukwa zovuta zingakhale zamaganizo komanso zamaganizo komanso zokhudzana ndi thupi, mungapeze zothandiza kulankhula ndi katswiri wa zamaganizo omwe angathe kukuthandizani kuthana ndi zochitika za thupi kapena kutayika kumene mungamve.
Komanso, ganizirani kulemba thandizo kwa wothandizira ovomerezedwa ndi laitroti. Ophunzira ogwira ntchito zachipatala angapereke chithandizo pa zochitika zapadera, monga kuwonetsera mkaka ndi kusungira kuti mugwiritse ntchito kapena kusunga mkaka panthawi yopuma pa nthawi ya kuyamwitsa.
Ngati malo anu opatsirana khansa akugwirizana ndi chipatala chomwe chiri ndi malo obadwira, ogwira ntchito angathe kuwalangiza ofufuza a lactation. Bungwe la International Lactation Consultant Association lingathe kupereka zowonjezera zowonjezera za kupeza katswiri wodziteteza pafupi ndi iwe.
Kuyamwitsa Pa Nthawi ya Chithandizo
Chifukwa khansa ndi yosavuta kuizindikira pamatenda otupa, si zachilendo-ngakhale kuti sizingatheke kuti amayi apeze nthawi yomwe akuyamwitsa.
Izi ziyenera kuchitika, sizikutanthauza kutha kwa kuyamwitsa. Mwachitsanzo, njira zothandizira (monga chingwe cha singano) sizikulepheretsani kupitiriza kuyamwa.
Pambuyo pa matendawa, kuyamwa kuyenera kusokonezeka pamene dongosolo la mankhwala likutha. Apanso, izi sizikutanthauza kuti mwanayo ayesedwa kuyamwa. Kudyetsa mwana wanu ndi mkaka umene waphedwa kale kapena mankhwala angagulitse mpata mpaka dokotala wanu atanena kuti mukhoza kuyamba kachiwiri.
Ngati mankhwala anu akuphatikizapo opaleshoni, fufuzani ngati dokotala wa opaleshoni wagwira ntchito pachifuwa choyamwa. Kungakhale malo ovuta. Pamene simukufuna kuvulaza mazira a mkaka mopanda pake, kuchotsa khansara kungapangitse kuwonongeka.
Ndipo, ngati dongosolo lanu la mankhwala likuphatikizapo chemotherapy, muyenera kusiya kuyamwitsa panthawi ya chithandizo komanso kwa nthawi yotsatira. Mankhwala a chemotherapy amadutsa mkaka wa m'mawere ndipo akhoza kukhala a poizoni kwa mwana wanu.
Mankhwalawa amafunikanso kusokoneza kuyamwitsa, malinga ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito komanso nthawi ya chithandizo. Dokotala wanu adzatha kufotokoza zotsatira za mankhwala anu komanso ngati mungathe kuyamwa pogwiritsa ntchito mawere kapena chifuwa chopanda chithandizo pamene mankhwala akuchitika.
Pamene simukuyamwitsa, mutha kukhala ndi "kapope ndi kutaya". Izi zimaphatikizapo kupopera pachifuwa tsiku lililonse kuti mkaka uzipitirirabe koma kutaya mkaka chifukwa chitetezo chake n'chokayika.
Kuyamwitsa Patatha Chithandizo
Pamene mankhwala anu atha, inu ndi mwana wanu mungakhoze kusankha pomwe mwasiya-kapena mungafunike kuleza mtima ndi chipiriro kuti mubwerere kumbuyo. Kumbukirani kuti zotsatira za mankhwala anu zikhoza kukhalabebe m'thupi lanu komanso mkaka wanu. Funsani dokotala wanu ngati zili bwino kuti ayese kuyamwitsa.
Pambuyo opaleshoni, kuyamwa kungakhale kovuta.
Kuchita opaleshoni kungakhale koononga mazira ena a mkaka, kuchepetsa kuchuluka kwa mkaka umene mungathe kupereka. Ngati inu mukuyamwitsa (kapena mukukonzekera) musanachitidwe opaleshoni yanu, mwina dokotala wanu adayesetsa kupeĊµa kuwonongeka kwa magalimoto ngati n'kotheka. Koma ngakhale kuwonongeka kwachitika, kuyamwitsa mwakhama kungabweretsere chakudya chanu patatha masabata angapo kapena chifuwa chosakhudzidwa chingapangitse kupanga bwino mokwanira kuti pakhale kusiyana.
Mkaka wanu umatha kuchepa kapena kuchotsedwera pamatenda otsekemera atatha mankhwala opatsirana. Mafunde amachepetsa kuchepa kwa msana, zomwe zimapangitsa kuti mwana wanu asamavutike. Ngati mupeza kuti chifuwachi sichiri kugwira ntchito, chifuwa chanu chiyenera kuyambitsa mkaka waumwini wokha mkati mwa masabata angapo kuti ayambenso kuyamwitsa nthawi zonse.
Pambuyo chemotherapy, mankhwala otsalira angakhale alipo mukamapereka mkaka. Funsani dokotala wanu ngati ziri bwino kuti aziyamwitsa kachiwiri. Nkhani yabwino ndi yakuti, ngati mudatulutsidwa ndi dokotala wanu, chemotherapy sizingatheke kuti mutha kuyamwa nthawi yaitali.
Ngati mwauzidwa kuti mupitirizebe mankhwala a Nolvadex (Tamoxifen) , simungathe kuyamwa mpaka mutasiya kumwa mankhwalawa. Tamoxifen imaletsa mkaka, ndipo kukhalapo kwake mu mkaka uli wonse wotsalira kungakhale kovulaza kwa mwanayo.
Kuwopsa Kwambiri
Funso lodziwika pakati pa opulumuka a khansa ya m'mawere ndiloti mahomoni a mimba ndi lactation angayambitse matendawa. Palibe umboni wa izi. Ndipotu, kafukufuku wina amasonyeza kuti kuyamwa kungachepetse chiopsezo cha amayi cha khansa ya m'mawere (ngakhale kuti maphunzirowa sanabwererenso mobwerezabwereza kwa amayi omwe atulukira kale).
Ngozi ya Ana
Palibe umboni wakuti mkaka wa m'mawere wochokera kwa khansara umayambitsa mwana wake pangozi iliyonse, malinga ngati zotsalira zilizonse zotsalira za mankhwala zamulepheretseratu. Chifukwa chopindulitsa kwambiri cha kuyamwitsa, opulumuka a khansa ya m'mawere ayenera kumverera ngati akulimbikitsidwa kuchita chomwecho monga mayi wina aliyense.
Mawu Ochokera
Ngati, ngakhale mutayesetsa kwambiri ndi dokotala wanu, mukupeza kuti kuyamwa sikugwira ntchito, mukhoza kutsimikiza kuti inu ndi mwana wanu mumapindula ndi mgwirizano wapaderadera. Nazi momwemo:
- Funsani za mkaka wa m'mawere. Azimayi ena amapopera ndi kupereka mkaka wawo kuti ana azimayi omwe ali ndi vuto lopweteka adzalandira mkaka wa amayi. Funsani dokotala wanu wamankhwala kapena akatswiri a chipatala cha chipatala ngati pulogalamu ngati iyi ili pafupi ndi inu.
- Pitirizani kudyetsa nthawi monga momwe mumakhalira. Chifukwa chakuti amabwera kuchokera ku botolo sikukutanthauza kuti nthawi yomwe mudayenera kudyetsa mwana wanu ndi yoposerapo. Yang'anani maso ndi mwana wanu, ndipo mutenge kangati khungu ndi khungu momwe mungathere.
- Pezani gulu lothandizira. Kaya ndi gulu la odwala khansa ya m'mawere kapena gulu la amayi ammudzi, mukhoza kupeza chitonthozo polankhula ndi amayi omwe anakumana ndi mavuto omwewo.
Zotsatira:
David, F. "Kulingalira Kumatsatira Chithandizo Chachikulu Chakumwa kwa Carcinoma ya Chifuwa." Int J Radiat Oncol Biol Phys.
Antchito a FDA. "Ana Amaberekera Kumaliseche ." FDA.gov . Nov. 2007. Ulamuliro wa Zakudya ndi Zamankhwala. 12 May 2008.
Higgins, S. ndi B. Haffty. "Mimba ndi Kugwirizanitsa Patatha Matenda Omwe Amateteza Kuteteza M'thupi Kumayambiriro Oyambirira Khansa ya M'bwere." Khansa.
SOGC Antchito. "Khansa ya m'mawere, kubereka ndi kumimba." SOGC.org . Feb. 2002. Society of Obstetricians ndi Gynecologists ku Canada. 12 May 2008.