Kufunika kwa chiyanjano poyang'anizana ndi khansa ya mthupi yathandizidwa kwambiri m'zaka zaposachedwapa. Kansara ya pachifuwa , makamaka, ingayambitse nkhani zomwe zimapangitsa kuti munthu asamagwirizane, koma izi sizikutanthauza kuti ndizosafunika kwenikweni. M'malo mwake, kukhalabe pachibwenzi pamene mukukhala ndi khansa kungakukhudzeni mwabwino m'njira zinanso.
Sikuti amangokhalira kugwidwa ndi khansa ya metastatic, koma mbali yomwe imayambitsa chibwenzi chakumbuyo.
Chithunzi cha thupi chingasinthe ndi zilonda za mastectomy ndi zina. Matenda a metastases akhoza kufooketsa mafupa ndi kuchepetsa kusuntha, ndipo kutopa kwa khansa kungachititse ntchito iliyonse-makamaka kugonana-ndizovuta.
Kumene Mantha Amatha Kuchokera
Kukhala m'dera limene limawona mabere ngati chinthu chogonana, ambirife timaopa kuti tisakonde kugonana ndi mnzathu kapena mnzathu. Kwa amayi osakwatirana amene amakwatirana, pali mantha omwe amatsatizana nawo kuyamba chiyanjano chatsopano, kugawana nzeru zokhudza kukhala ndi khansa ya m'mawere komanso kukhala pachibwenzi. Azimayi omwe akufuna ana angakumane ndi vuto lachonde chifukwa cha mankhwala a chemotherapy .
Khansa ya M'bwere ndi Ubale Wanu
Dr. Marc Hurlburt, Chief Mission Officer wa Breast Cancer Research Foundation, adagawana zomwe anapeza pa American Cancer Society ndi American Society ya Clinical Oncology Breast Cancer Survivorship Care Guideline, yomwe idaperekedwa kumapeto kwa 2015.
Monga momwe Dr. Hurlburt akufotokozera, "Cholinga cha Njira Yopulumutsira Ntchito Yopulumutsira ndi kupereka malangizo kuti athandize chisamaliro chapadera ndi madokotala ena pa chisamaliro cha atsikana achikulire omwe ali ndi khansa ya m'mawere.
Zimatchula mavuto omwe angakhudze opulumuka akazi, a mibadwo yonse, ndipo amasonyeza madokotala akuyankhula nawo za umoyo wawo.
Popeza amayi ambiri samasuka kuthetsa mavuto a chibwenzi, odwala amalimbikitsidwa kuti afotokoze za kugonana ndi mavuto omwe angakhale nawo okhudzana ndi khansa ya m'mawere. "
Dr. Hurlburt adatchula mfundo zazikuluzikulu zomwe zimakhudza maubwenzi ndi ubwenzi monga:
- Chithunzi cha thupi ndi maonekedwe akusintha, zomwe zimakhudza pakati pa 31 ndi 67 peresenti ya opulumuka. Mavuto asanu ndi awiri omwe anali ovuta kwambiri kwa amayi ambiri ndi awa:
- Kuchokera ku mastectomy ndi kugwirizanitsa mastectomy opaleshoni ndi kumanganso. Akazi ogonana amasonyeza mavuto akuluakulu a thupilo kaya akhale kapena ayi.
- Chemotherapy-amachititsa kuti ayambe kusamba.
- Kusintha kwa khungu chifukwa cha ma radiation.
- Kusiyanasiyana kwa kukula kwa chifuwa chochitidwa chifukwa cha lumpectomy ndi / kapena mankhwala.
- Kutupa mdzanja ndi dzanja pambuyo pa opaleshoni (lymphedema).
- Kulemera kwa phindu kumakhudzana ndi mankhwala.
- Nkhani zokhudzana ndi kugonana zimaphatikizapo kuchepetsedwa kwa libido, kuuma kwa umuna, kugonana kopweteka komanso kuvutika kugonana. Njira zothandizira amayi, pakubereka kwawo, omwe amatenga tamoxifen kuti asamangobwereza, amafunika kuchepetsa njira zowonetsera kubereka kwa IUD ndi makondomu. Kukhala ndi pakati pa tamoxifen sikuli bwino; Zingayambitse zilema zobereka
- Kuzindikira malingaliro kunali vuto kwa opitirira 35 peresenti ya akazi a nthawi yaitali.
- Kusokonezeka maganizo ndi nkhawa zinafotokozedwa ndi azimayi 22 pa 100 aliwonse omwe akuvutika.
- Zochitika zina, zomwe zimaperekedwa mobwerezabwereza, zimaphatikizapo: kufooka kwa mafupa, ndi ululu wa mafupa m'mayi omwe amatha kutuluka m'mbuyo chifukwa cha kutenga mankhwala a mahomoni otchedwa aromatase inhibitors kuti asapitenso.
Kodi Mungatani?
Pali zinthu zingapo zomwe mungafune kuganizira kuti zikuthandizeni kukhalabe pachibwenzi mu ubale wanu pamene mukulimbana ndi khansa ya m'mawere.
- Kumbukirani kuti kugonana sikungogonana. Pali njira zambiri zomwe mungakhudzire zomwe siziphatikizapo kugonana.
- Ganizilani njira zowonjezera kutuluka ngakhale pakati pa mankhwala. Mungafune kuganizira momwe munalili pamene inu ndi mnzanuyo mwakumana. Kugwira manja pamene mukulandira chemotherapy, kuyenda mumsewu wa chipatala, kapena kubwerera ku galimoto ndi kuyamba. Dandaula pang'onopang'ono pamene dokotala sakuyang'ana. Ganizirani njira zosewera.
- Konzekerani zotsatira za mankhwala musanayambe kugonana. Thandizo la mahomoni lingayambitse ukazi, kotero kukhala ndi mafuta ambiri pamanja ndiloyenera. Amayi ambiri amanena kuti malo "mbali ndi mbali" amakhala omasuka ngati mukukumana ndi ululu wa zipsera za mastectomy.
- Pezani njira zogonana. Makandulo, chovala chatsopano (kapena bokosi), nyimbo zomwe mumazikonda, komanso chokoleti ndi strawberries amatha kukhudza pamene maganizo anu akugwiritsidwa ntchito pa khansara m'malo mogwirizana.
- Kukhala wopanda chilakolako kumakhala kofala kwambiri ndipo kumakhudzana ndi zizindikiro zambiri zokhudzana ndi khansa ya m'mawere. Ngati mukudikira mpaka mutakhala ndi chikhumbo mukhoza kutha nthawi yayitali. Odwala ena omwe agwira ntchito ndi anthu omwe ali ndi khansa amati "kupusitsa mpaka mutapanga" kuyandikira ndi chilakolako. Zingatenge "kukumbukira mwathupi" musanayambe kutsata maganizo anu.
Wokondedwa wanu angakhalenso ndi nkhawa kuti kukhala wachibwenzi kungakuvulazeni, zomwe zingayambitse bwalo loipa. Ngakhale zingakhale zovuta kuyambitsa zokambirana, pokambirana momasuka komanso moona mtima ndi mnzanuyo komanso wanu wa oncologist amatha kufotokozera mpweya wokhudzana ndi izi.
Kuonjezera apo, zambiri zomwe amayi adanena kuti ndizofunika pazomwe angaphunzire zingathe kumasulidwa mwa kupeza chithandizo kuchokera kuchipatala omwe angathe kuwachenjeza zomwe zidzathetsa kapena kuchepetsa zotsatira zake zoyipa monga:
- Zowonongeka zomwe zingachepetse maonekedwe a zida zopangira opaleshoni ndi zomanganso.
- Mafuta omwe ali otetezeka kugwiritsira ntchito omwe angathandize kuchepetsa ubongo ndi kupweteka kwa kugonana.
- Mawere amene sali wowoneka mofanana, monga zotsatira za opaleshoni, akhoza kupangidwa motero kupyolera mu opaleshoni yokonzanso.
- Zotsatira za kusamba kwa nthawi yoyamba zikhoza kuchepetsedwa ndi mankhwala ndi kuchita masewera olimbitsa thupi.
- Kusintha kwa khungu chifukwa cha ma radiation omwe amatenga nthawi yaitali kuposa miyezi ingapo nthawi zambiri amachiza mankhwala.
- Lymphedema amatha kuchiritsidwa ndipo kutupa kumachepetsedwa kwa amayi ambiri.
- Kulemera kwa phindu kwa mankhwala kungathe kusamalidwa kudzera mu zakudya ndi masewera olimbitsa thupi.
- Kuvutika maganizo ndi nkhawa zimatha kuchiritsidwa ndi mankhwala ndipo, ngati kuli koyenera, ndi mankhwala.
Zotsatira:
American Cancer Society / American Sociology of Clinical Oncology Mmene Mungapitirizire Kugonana ndi Khansa Yopereka Khansa 2015.