Mmene Khansara Yamagazi ndi Matenda Ake Amakhudzira Matenda

by Karen Raymaakers; Yofotokozedwa ndi Doru Paul, MD

Zotsatira za Chemotherapy ndi Radiation Therapy pa Mphamvu ndi Njira Zomwe zilipo

Kodi khansa imakhudza bwanji chonde? Kodi ndifunika kudziwa chiyani chisanachitike chithandizo cha khansa kuti ndikonzekere?

Ngakhale kuti mavuto a kubereka ndi zotsatira zodziwika bwino za khansara ndi mankhwala a khansa , nthawi zambiri amazitcha kuti ndizosautsa zomwe palibe amene angathe kulamulira. Anthu ambiri sakudziwa kuti chithandizochi chimakhudza bwanji chithandizochi kapena kumvetsetsa zomwe zingachitike nthawi yambiri kuti zikonzekere.

Chowonadi cha nkhaniyi ndi chakuti ngakhale matenda ambiri a kansa ya magazi angayambitse kusabereka, izi siziri choncho kwa mankhwala onse, ndipo pakhoza kukhala chinachake chimene mungachitepo. Malingaliro anu angakhale otanganidwa kwambiri pakuchiza khansa yanu koma mutenge nthawi yoganizira za kubala kwanu tsopano. Zimaganiziridwa kuti pakati pa anthu odwala matenda a khansa, achinyamata ambiri amakhala ndi nkhawa kwambiri.

Kodi Chimachititsa Bwanji Odwala Matenda a Khansa?

Kusagwirizana ndi khansa kungakhale kanthawi kochepa kapena kosatha. Kukhoza kwanu kukhala ndi ana kungakhudzidwe ndi zifukwa zambiri:

Matendawa
Zotsatira za mankhwala
Mtundu wa mankhwala omwe mumalandira
Zaka zanu
Mankhwala ena kapena matenda omwe mungakhale nawo
Kupezeka kwa njira zotetezera kubereka
Zipembedzo zanu kapena zikhulupiliro zanu zokhudzana ndi kubereka (mwachitsanzo; mu vitro feteleza ndi zina zotere)

Palinso anthu ena okhudzidwa kuti kutenga mimba kungayambitse thupi la mkazi lomwe silingakhale labwino kutsatira chithandizo cha khansa.

Kodi Khansa Yamagazi Imakhudza Bwanji Makhalidwe Abwino?

Ngakhale kuti ndi ofala kwambiri kwa anthu okalamba, ena a leukemias ndi amphmasi amapezeka mwa achinyamata omwe ali ndi zaka zobereka kapena ngakhale ana. Odwala ambiri a khansa amagazi amatha msinkhu pamene anthu asanakhale nawo mwayi kuyamba, kapena kuganiza za kuyamba, banja.

Pankhani ya khansa ya magazi, kusabereka sikumayambitsa matendawa, koma kawirikawiri ndi mankhwala . Kupatulapo ndi Hodgkin lymphoma, yomwe ingayambitse chiwerengero chochepa cha umuna pakati pa amuna.

Kodi Chemotherapy Amakhudza Bwanji Mimba?

Chemotherapy ingakhudze abambo ndi amai omwe amabereka, koma sikuti mankhwala onse ali ndi zotsatira zofanana. Amuna, chemotherapy ikhoza kuyambitsa umuna kuti usakhalepo m'mimba (azoospermia). Kwa amayi, izi zingayambitse mazira ambiri kuti asamasule dzira (kutaya kwa ovari kapena kusamba kwa nthawi yoyamba) .

Kawirikawiri, kuchuluka kwa mankhwala a chemotherapy operekedwa kwa milungu ndi miyezi ya chithandizo kumakhudza kwambiri chonde kusiyana ndi kuchuluka kwa mankhwala operekedwa mu mlingo umodzi. Kachitidwe kake ka mankhwala kake kawirikawiri kumapangitsa kuwonongeka kwa njira yoberekera kusiyana ndi mankhwala osakaniza okha.

Amuna ndi akazi, gulu la mankhwala omwe angakhudzire kwambiri kubereka ndi omwe amachititsa kuti azitha kulera. Zitsanzo zina za alkylating agents ndi Cytoxan (cyclophosphamide), Ifex kapena Mitoxana (ifosfamide), Alkeran (melphalan), Myleran kapena Busulfex (busulfan) ndi Matulane (procarbazine.)

Popeza pali zifukwa zambiri zomwe zimakhudza chonde kwa odwala khansa, kuphatikizapo mankhwala omwe mumalandira, n'zovuta kuti akatswiri athe kunena omwe adzakhudzidwe.

Kodi Mankhwala Odzetsa Mafuta Amathandiza Bwanji Mbewu Zamchere?

Kawirikawiri mankhwalawa amaperekedwa ndi tizilombo ting'onoting'ono tating'onoting'ono ka nthawi yayitali kuti tipewe zotsatira ndi poizoni. Mwatsoka, "kugawa" kumayambitsa zowonongeka kwa ziwalo zoberekera kuposa kupereka mlingo umodzi waukulu. Pogwiritsa ntchito ma radiation, amayesetsa kupanga ziwalo zoberekera ngati n'kotheka.

Ngakhale pang'onoing'ono, ma radiation ku mayeso angachepetse umuna wa umuna. Zotsatirazi zingakhale zazing'ono kapena zingakhale zomaliza ngati mankhwala apamwamba akugwiritsidwa ntchito. Maizoni angapangitse kuchepa kwa testosterone.

Mwa amayi, mazira ochulukirapo akhoza kukhala mwachindunji m'munda wa radiation.

Pankhaniyi, dokotala angasankhe opaleshoni kupita ku dera lina la thupi kuti lisamawonongeke ndi ma radiation. Atsikana amakhala oposa amayi achikulire kuti abwererenso pambuyo pobereka.

Thupi lonse lalitali, monga momwe nthawi zina limagwiritsidwira ntchito pokonzekera kusamba kwa maselo, zimayambitsa kuwonongeka kwamuyaya kwa abambo ndi amai.

Kusungidwa kwachonde

Ndikofunika kulingalira zomwe mungasankhe ngati muyenera kukhala osabereka musanayambe mankhwala. Pali njira zingapo, koma zosankha mwa izi ndizokhakha. Zosankha zomwe zilipo zikuphatikizapo:

Kusindikiza mazira kapena umuna
Mazira oundana
Pogwiritsa ntchito mazira opereka, umuna, kapena mazira
Kusamala
Kulandiridwa

Kukonzekera Amuna Osakwanira

Mwamwayi, njira zowumitsa umuna zimapindula bwino, kupanga udulidwe wa umuna kukhala mwayi waukulu kwa amuna ambiri akatha msinkhu. Zosankha za amuna zingaphatikizepo:

Nkhumba zabambo - umuna wozizira kuti ugwiritsidwe ntchito.
Udzu wa umuna - umuna ukhoza kuchotsedwa mwachindunji kuchokera ku tinthu ngati umuna wa umuna suli okhwima, ndipo amawidwa kapena amawagwiritsa ntchito mu vitro fertilization.
Zizindikiro zowonongeka - Zidakali pazigawo zoyesera, koma asayansi akuyang'ana momwe angachotsere kachilombo kapena gawo la kachilombo pozizira, kenakonso amaikonzanso m'thupi.

Kukonzekera Chiopsezo cha Amayi

Kuteteza kubereka kwa amayi kumakhala kovuta kwambiri kuposa amuna, monga njira zowonetsera mazira sizinapambane ngati zomwe zimawombera umuna. Zosankha zingakhalepo:

Mazira oundana / mavitamini okhudzidwa - mazira oyambitsidwa kuti abwerere mumthupi la mayi atatha kuchipatala kapena atapatsidwa mankhwala, agwiritsidwa bwino ntchito kwa amayi ambiri omwe akuvutika chifukwa cha matenda a khansa. Inde, izi zimafuna kukonzekera, komanso kulenga ndi kuzizira mazira omwe asanatuluke.
Mazira ozizira - Kuyesera kufalitsa mazira kumangokhala ndi mimba zochepa chabe, ndipo njirayi ndi yochepa chifukwa amatha kufalitsa ndi kuyamwa mazira popanda kuwononga.
Zosungunuka minofu - Njirayi, monga mazira ozirazira, imayesetsabe, koma imaphatikizapo kuchotsa ovary kapena gawo la ovary ndi chiyembekezo kuti minofu ikhoza kubwezeretsedwanso pambuyo pomaliza mankhwala a khansa.

Mafunso Ofunsa Dokotala Wanu

Si zachilendo kuti chithandizo cha khansa yamagazi chibweretsere kusabereka kwa amuna ndi akazi. Ngakhale izi zingawoneke ngati zopanda pake m'maganizo mwanu, nkofunika kuti mukambirane zosankha zanu zachonde ndi wothandizira zaumoyo mwamsanga mukatha kupeza.

Nazi mafunso ochepa omwe mungafunse dokotala wanu:

Kodi mankhwalawa angakhudze bwanji chonde changa?
Kodi mukuyembekeza kuti zotsatirazi zidzakhala zazing'ono kapena zosatha?
Kodi pali chilichonse chomwe chingachitike kuti ndisamalandire chithandizo pakamwa panga?
Kodi pali njira zina zothandizira zomwe sizingayambitse kusabereka?
Kodi ndidzakhala ndi nthawi isanachitike chithandizo changa chikuyamba kufufuza njira zanga zotetezera chonde?
Kodi ndingatumizidwe kwa katswiri wa chonde kuti ndikambirane zosankha zanga zoteteza kubereka? (Simukuyenera kudziwa zonse zokhudza chithandizo cha kusabereka pamaso pa chithandizo cha khansa, koma katswiri akhoza kukutsogolerani zonse zomwe muyenera kudziwa panopa.)
Ngati ine ndikhalabe wachonde, kodi ana anga amtsogolo adzakhudzidwa ndi chithandizo changa?
Kodi ndingadziwe bwanji ngati ndili ndi chonde kapena ayi?

Kuphatikiza Pamwamba

Anthu ambiri omwe akukumana ndi chiopsezo chotenga moyo amatha kuyamikira kwambiri mphatso ya moyo komanso luso lokhazikitsa moyo. Pali zifukwa zambiri zomwe zingakhudzitse chithandizo cha khansa yomwe ingakhudze chonde. Nthaŵi zambiri, n'zosatheka kuti madokotala azilosera. Ngakhale zikhoza kukhala zovuta, kapena zosatheka, kuti mupeze mankhwala abwino kwambiri a khansara yanu poletsa kusabereka, pakhoza kukhala zosankha kuti musunge chonde chanu musanayambe mankhwala.

Ndikofunika kuti mukambirane mafunso ndi nkhawa zanu zonse zokhudza kutenga pakati kapena kubereka mwana mtsogolomu musanayambe mankhwala.

_Zotsatira

_{American Society of Clinical Oncology.} _Cancer.Net. _{Kusamalidwa Kwadyera ndi Kusungidwa kwa Amuna.} _03/2014. _{http://www.cancer.net/navigating-cancer-care/dating-sex-and-reproduction/fertility-concerns-and-preservation-men}

_{Kim, SY., Kim, SK., Lee, J., ndi T. Woodruff.} _{Kupita kuchipatala choyenera kuti asungire chonde kwa odwala khansa: Njira zowonetsera chithandizo kwa amayi.} _{Journal of Gynecologic Oncology .} _{2016. 27 (2): e22.}

_{Krebs, L. "Kulephera Kugonana ndi Kubereka" ku Yarbro, C., Frogge, M., Goodman, M., ndi Groenwald, S. eds.} _{(2000) Unamwino wa khansa: Mfundo ndi machitidwe a 5 ed.Jones ndi Bartlett: Sudbury MA.} _{(pp.831- 854).}

_{Lee, S., Schover, L. Partridge, A. et al.} _{American Society of Clinical Oncology Malingaliro okhudza Kuteteza Kuchulukitsa kwa Odwala Khansa.} _{Journal of Clinical Oncology 2006; 24 (18): 2917-2931.}