Ukubaluleka kobudlelwane obusondeleyo xa ujamelana nomhlaza wesifo se-metastatic ufumane ingqwalasela engakumbi kwiminyaka yamuva. Umdlavuza wesifuba , ngokukodwa, unokukhokelela kwimibandela ebeka umdaka obusondelene naye, kodwa oko akuthethi kubaluleke kakhulu. Kunoko, ukugcina ubudlelwane obusondeleyo xa uhlala nomhlaza kunokuchaphazela ngokuqinisekileyo nangezinye iindlela.
Akukhona nje ukubethelwa kwemvakalelo yomhlaza wesifo semitha, kodwa umxhelo oqhelekileyo uqhubisana nobudlelwane obushushu.
Umzimba womzimba unokutshintsha ngamacwecwe e-mastectomy nokunye. I-Boneastast i-Bone iyanciphisa amathambo kwaye iyanciphisa ukunyakaza, kwaye ukukhathala komhlaza kunokukwenza nayiphi na imisebenzi-ngakumbi ngokwesini-mngeni.
Xa Ukholo luya kusuka khona
Ukuhlala kuluntu olujonga amabele njengezinto zesini, abaninzi bethu besaba ukukhangela ngesondo kumlingane okanye iqabane lethu. Kubafazi abangatshatanga abahlala kumhla, kukho ukwesaba okuhamba kunye nokuqala ulwalamano olutsha, ukwabelana ngolwazi malunga nokuba nomdlavuza webele kunye nokuba nesondlo. Abasetyhini abaselula abafuna abantwana banokujamelana nemiba yokuzala ngenxa yokwelashwa kwe- chemotherapy .
I-Cancer yaBestile kunye noBudlelwane bakho
UDkt. Marc Hurlburt, iGosa eliPhambili leSigqeba soPhando lwe-Cancer Foundation, wabelana ngeziphumo zokuvavanywa kwe-American Cancer Society kunye ne-American Society ye-Clinical Oncology Guidance Care Survivorship Care Guideline, eyakhishwa kwinqanaba lokugqibela le-2015.
Njengoko uDkt. Hurlburt uchaza, "Injongo yoLondolozo lweNkcazo yoLondolozo lokuKhusela ukuKhusela ukuKhuthaza ukunika uncedo ekuncedeni ukunakekelwa okuphambili kunye nezinye iiklinikhi ekunyamekelweni kwabasetyhini abadala abaswele umhlaza wesibele.
Ichonga imiba enokuchaphazela abasindayo besifazane, kuwo onke amabini, kwaye ibonisa ukuba oogqirha bathetha nabo ngomgangatho wobomi.
Ekubeni abaninzi abafazi bengakhululekile ukuphakamisa iingxaki zobudlelwane obusondelene nabo, oogqirha bakhuthazwa ukuba baphakamise isifundo sobudlelwane bezesondo kunye nobunzima bobudlelwane obunokuthi buhlobene nomhlaza wesibeleko. "
UDkt. Hurlburt ubonise imiba ephambili kwiikhokelo zokunyamekela ezichaphazela ubudlelwane kunye nolwalamano olunjenge:
- Umzimba womzimba kunye nokubonakala kwenguquko, echaphazela phakathi kwama-31 ukuya kuma-67 ekhulwini kwabasindileyo. Iingxaki ezintandathu ezinzima kakhulu zomzimba kubafazi abaninzi baquka:
- Ukuqhekeka kwi-mastectomy kunye ne-bilateral mastectomy nokuhlinzwa kwakhona. Abasetyhini abasetyhini bachonga iingxaki zeempawu zomzimba nokuba ingazange zakhiwe kwakhona.
- Ukunyuka kwesisu kwangaphambili.
- Utshintsho kwesikhumba ngenxa yemisebe.
- Umehluko ngobukhulu bebele ephathwayo ngenxa ye-lumpectomy kunye / okanye imitha.
- Ukuvulela engalo nasesandleni emva kokuhlinzwa (lymphedema).
- Ukunyusa inzuzo ehambelana nokunyanga.
- Imiba yempilo yentsholongwane iquka ukunciphisa i-libido, ukumelela kwesisu, ubulili kunye nobunzima bokufikelela kwi-orgasm. Izindlela zokulawula ukuzalwa kwabafazi, kwiminyaka yabo yokuzala, abathatha i-tamoxifen ukukhusela ukuphindaphinda, kufuneka banciphise ukhetho lokuzalwa kwabo kwi-IUD kunye neikhondom. Ukukhulelwa kwi-tamoxifen akukhuselekanga; inokubangela iziphene zokuzalwa
- Ukusebenza kwengcamango kwakuyingxaki kuma-35 ekhulwini kwabasetyhini ixesha elide.
- Ukuxinezeleka nokuxhalaba kwabikwa ngamaphesenti angama-22 amabhinqa njengengxaki.
- Okunye, imiba engaphantsi kwexesha elibiweyo, iquka: i-osteoporosis, kunye neentlungu zethambo kuma-postmenopausal abesifazane ngenxa yokuthatha iklasi ye- hormone therapy ebizwa ngokuthi i-aromatase inhibitors ukukhusela ukuphindaphinda.
Ungenzani?
Kukho izinto ezimbalwa ongathanda ukucinga ngazo kukunceda uhlale usondelene nobudlelwane bakho ngelixa uhlangabezana nomdlavuza webele weemetastatic.
- Gcina ukhumbule ukuba ubulili bukhulu kunezo zesini. Kukho iindlela ezininzi ongachukumisa ngazo ezingabandakanyi ubulili.
- Cinga ngeendlela zokugcina u-spark uhamba ngisho naphakathi kwonyango. Unokufisa ukucinga ngendlela owaye ngayo xa wena kunye nomlingane wakho kuqala. Ukubamba izandla ngelixa ufumana i-chemotherapy, uhamba ngee-corridors zesibhedlele, okanye ukubuyela kwinqwelo-moya. Sneak kiss xa ugqirha engakhangeli. Cinga ngeendlela zokudlala.
- Yilungele imiphumo emibi yonyango phambi kokulala. I-hormone yokwelapha inokubangela ukuma komzimba wesisu, ngoko ukuba kuninzi ukugcoba ngesandla kufuneka. Abasetyhini abaninzi bathi i-"side-side" isikhundla sikhululekile xa ulwa neentlungu ezisuka kumacembe omzimba.
- Fumana iindlela zokuba ngumzimba. Amakhandlela, izitsha zokulala ebusuku (okanye iibhokisi), umculo ozithandayo, kunye ne-tshokoleta kunye ne-strawberries unokongeza umnxeba xa isimo sakho sengqondo sigxile kumdlavuza wakho kunokusondelana.
- Ukungabikho komnqweno kuqhelekileyo kwaye kuyahambelana nempawu ezininzi ezinxulumene nomdlavuza webele we-metastatic. Ukuba ulinde uze uzive unqwenela ungapheli ixesha elide lokulinda. Abanye abaphengululi abaye basebenzisana nabantu abanomdlavuza banqwenela ukuba "uyenze inkohlakalo uze uyenze" ukuhamba nomnqweno. Kungathatha "ukukhumbula ngokomzimba" ngaphambi kokuba ulandeleke.
Iqabane lakho linokuba nexhala lokuba ubuhlobo obusondelene nalo buya kukulimaza, oko kunokuqala isangqa esichukumisayo. Nangona kunzima ukuqala ingxoxo, ukuba nencoko enengqiqo kunye nenyanisekileyo kunye ne-oncologist yakho inokucima umoya malunga nale nkxalabo.
Ukongezelela, ezininzi zezinto abafazi abachonge ngazo njengemiba ekuhlolweni banokukhululeka ngokufumana uncedo kwi-klinikhi onokulucebisa malunga noko kuya kunciphisa okanye ukunciphisa imiphumo yabo ecaleni njengale:
- I-scar creams ezinokunciphisa ukubonakala kweenxeba zokugonywa nokutsha.
- Izixhobo ezikhuselekileyo zokusebenzisa ezi zinto ziya kunciphisa ukomama lwesisu kunye nobulili obubuhlungu.
- Izibilini ezingabonakali zifanayo, ngenxa yokuhlinzwa, zinokuthi zenziwe ngokuhlinzwa ngokutsha.
- Imiphumo emibi yexesha lokusuka kwimihla yangaphambili inganciphisa ngamachiza kunye nokuzivocavoca.
- Utshintsho lwesikhumba ngenxa yomswakama ohlala ixesha elide kuneenyanga ezimbalwa ngokukhawuleza uphendule unyango.
- I-Lymphedema inokuphathwa kwaye ukuvuvukala kuncitshiswe kubafazi abaninzi.
- Ukunyusa inzuzo kwonyango kunokugcinwa phantsi kolawulo ngokutya kunye nokuzilolonga.
- Ukuxinezeleka kunye nokuxhalaba kunokuphathwa ngonyango kwaye, ukuba kuyimfuneko, ngamayeza.
Imithombo:
I-American Cancer Society / i-American Society ye-Clinical Oncology ye-Clinical Survivorship Care Guidelines 2015.