Impembelelo ye-Chemotherapy kunye noNyango lweZonyango ngokuChobisa kunye neenketho ezikhoyo
Umhlaza unokuchaphazela njani ukuzala? Yintoni endiyifunayo ukuba ndiyazi ngaphambi kokuba unyango lwemhlaza luze lubekwe phambili?
Nangona iingxaki zokuzala ziyimpembelelo engumdlavuza kunye nomhlaza wonyango , zivame ukuxothwa njengomphumo oswelekileyo wokuba akukho mntu unokulawula. Abantu abaninzi abaqapheli ukuba ulwalamano oluchaphazelekayo lunokuchaphazeleka njani okanye luyakwazi ukuba kwenziwe ntoni ngaphambi kwexesha ukuba lulungele ngokupheleleyo.
Inyaniso yolu mbandela kukuba ngelixa ezininzi izifo zengculaza zonyango zingabangela ukungabikho komzimba, oku akusiyo yonke into yokwelapha, kwaye kunokukho into onokuyenza ngayo. Ingqondo yakho inokugxila ngakumbi ekuphatheni umhlaza wakho kodwa uthathe ixesha lokucinga ngokuzala kwakho ngoku. Kucingelwa ukuba phakathi kwabadlali abasemdlalweni lweengculaza abasakhulayo abanomdla ophezulu kwiinkxalabo-okwesibili kuphela ukuthemba ukusinda esi sifo.
Yintoni Ebangelwa Ukungabi Namaqondo Okungabikho Kwizonyango Zomhlaza?
Ukungabikho komhlaza kunxulumana nexeshana okanye isigxina. Ukukwazi kwakho ukuba nabantwana kunokuchaphazeleka ngamanani amaninzi:
- Isifo ngokwawo
- Imiphumo emibi yonyango
- Uluhlobo lonyango olufumanayo
- Iminyaka yakho
- Amanye amayeza okanye iingxaki zempilo onokuba nazo
- Ukufumaneka kweendlela zokulondoloza izityalo
- Iinkolelo zakho zonqulo okanye iinkcubeko malunga nokuncedisa ukuzala (umzekelo: in vitro fertilization kunye nezinye)
Kukho inkxalabo kwabanye abantu ukuba ukukhulelwa kungafaka umthwalo kumzimba wesifazane ongeke ube nobulumko emva kokwelashwa komhlaza.
Iingcambu zeGciwane leeCarcel Effect Fertility
Nangona eqhelekileyo kubantu abaneminyaka yobudala, ezinye i-leukemia kunye ne-lymphomas ziqhelekileyo kubantu abancinci beminyaka yobudala okanye nabantwana. Izigulane ezininzi zegciwane lesifo segazi zenzeka ngexesha elidlulileyo apho abantu bengakabi nethuba lokuqala, okanye nokuba bacinge ngokuqala, intsapho.
Kwimeko yeengcingo zegazi, ukungabi nantlungu akuqhelekanga kubangelwa yisifo ngokwalo, kodwa ngokuphindaphindiweyo kunyango lwayo. I-exception yi-Hodgkin lymphoma, enokubangela ukuba isibalo se-sperm esisezantsi kakhulu kubesilisa.
I-Kymotherapy Impact Fertility?
I-Chemotherapy inokuchaphazela kokuzala kokuzalwa kwindoda neyowesifazana, kodwa akusiyo yonke imithi inefuthe elifanayo. Kwamadoda, i-chemotherapy inokubangela ukuba isidoda singekho kwi-semen (azoospermia). Kubasetyhini, kunokubangela ukungakwazi kwamanqanda ukukhupha iqela leqanda (ukuhluleka kwe-ovari okanye ukuphuma kwesisu) .
Ngokwenxalenye epheleleyo, inani elipheleleyo lezonyango zonyango ezinikezelwa kwiiveki kunye neenyanga zonyango zinempembelelo enkulu ekuzaleni ukwanda kunokuba isixa semfuyo esinikwe kwisitya esisodwa. I-chemotherapy yokudibanisa inokubangela umonakalo kwinkqubo yokuzala kunokusetyenziswa kweyeza elilodwa.
Kubabini nabasetyhini, iqela lamachiza enokuthi lichaphazele ukuvelisa i-alkylating agents. Eminye imizekelo yama-alkylating agents aquka i- Cytoxan (cyclophosphamide), i-Ifex okanye iMitoxana (ifosfamide), i-Alkeran (melphalan), i-Myleran okanye i-Busulfex (busulfan) ne-Matulane (procarbazine.)
Ekubeni kunezinto ezininzi ezichaphazela ukuvelisa kwizigulane zomhlaza, ngaphezu kweemichiza ozifumanayo, kunzima ukuba iingcali zikwazi ukusho ngokuthe ngqo ukuba ngubani oya kuthinteka.
Ingonyango Yonyango Ingozi Yenzani?
Ukunyanga kwamayeza kuninzi kunikwa ngamanani amancinci (amaqhezu) kwixesha elide lokunciphisa iziphumo ezibi kunye neetyhefu. Ngelishwa, "i-fractionation" ibangela umonakalo omkhulu kumalungu okuzala kunokulawula enye dose enkulu. Xa ukulawula i-radiation, zonke iinzame zenziwa ukukhusela izitho zokuzala xa kunokwenzeka.
Nangona kwimiba encinci, ukukhanya kwemitha kwiimvavanyo kunokunciphisa isibalo sembewu. Esi siphumo sinokuba sesigxina okanye sinokusisigxina xa kusetshenziswe ixabiso eliphezulu. I-radiation ingakhokelela ekunciphiseni kwamanqanaba e testosterone.
Kula mabhinqa, ii-ovari ziyakwazi ngqo kwibala lemida.
Kule meko, ugqirha unokukhetha ukunyusa i-ovary kwenye indawo yomzimba ukuze kungabi nakonakaliswa yimizi. Abasetyhini abasebancinci banamathuba amaninzi kunabesifazana abadala ukuba baphinde bavelise emva kokuphuma kwemitha.
Ukuqheliswa komzimba wonke, njengamanye amaxesha asetshenziselwa ukulungiselela ukutshintshwa kweseli ye-stem, kuya kubakho ukudala ukuphazamiseka okusisigxina kwindoda yabesilisa nabasetyhini.
UkuLondolozwa koLondolozo
Kubalulekile ukuqwalasela iindlela ozikhethayo ukuba ufanele uhlakulele intsholongwane ngaphambi kokuba uqale unyango. Kukho ukhetho oluninzi, kodwa ukhetho phakathi kwabo lubuqu kakhulu. Izinketho ezikhoyo ziquka:
- Ukukhupha amaqanda okanye isidoda
- Iimbusi ezinqabileyo
- Ukusebenzisa amaqanda abanikeli, i-sperm, okanye ama-embrosi
- Ukuxhaswa
- Ukwamukelwa
Ukulungelelwa koMntu
Ngombulelo, iindlela zokhenyuza umdaka ziphumelele, okwenza ibhinki ibone indlela enokusetyenziswa ngayo amadoda amaninzi xa sele efikelele ekufikeni. Izinketho kumadoda zingaquka:
- I-bermon yasebhankini - i-sperm yodibanisa ukuze isebenzise kamva.
- Ukukhutshwa kwesidoda - isidoda sinokukhishwa ngokuthe ngqo kwinqatyisi ukuba isityalo sembewu singagqibekanga, kwaye sinqabile okanye sisetyenziselwa ukuchumisa in vitro.
- Iingqungquthela zesicatshulwa seenyawo - Sisesezinyathelo zokulinga, kodwa izazinzulu zijonge ukukhupha itekisi okanye inxalenye yechungechunge ukuze iqhwale, uze uyibuyisele emzimbeni esikhathini esizayo.
Ukulungelelaniswa kwabantwana abasetyhini
Ukulondoloza ubunzima besifazane kunzima kakhulu kunabesilisa, njengokuba ubuchule bokubanda amaqanda abuzange baphumelele njengalezo zokufisa umdaka. Izinketho ziquka:
- Iibrobri / i-vitro fertilization - i-embrying ekhutshweyo ukuba ibuyele emzimbeni womfazi emva kokonyango okanye kwintetho, isetyenziswe ngempumelelo kubafazi abaninzi abaye babulawa ngenxa yokungenwa ngumhlaza. Kakade, oku kufuna ukucwangciswa, kunye nokudala kunye nokuqanda umbungu ngaphambi kokuba unyango lomhlaza luqale.
- Amaqanda amaqhwasi - Amagqabantshintshi okuqhwaba amaqanda aphelelise ukukhulelwa kwamakhulu ambalwa, kwaye ubuchule buncitshiswe ngokukwazi ukukhanda ngempumelelo kunye nokukrazula amaqanda ngaphandle komonakalo.
- Ukulondolozwa kwezicubu ze-Ovarian - Le ndlela, njengamaqanda aqhwaqayo, isasazama, kodwa ibandakanya ukususa i-ovary okanye inxalenye ye-ovary nethemba lokuba izicubu zinokuphinda zifakwe emva kokuzalisa unyango lomhlaza.
Imibuzo Yokubuza Ugqirha Wakho
Akuqhelekanga ukuba unyango lomhlaza wegazi lubangele ukungabikho komntu kumadoda kunye nabasetyhini. Nangona le nto ibonakala ngathi yinto engcono kakhulu engqondweni yakho, kubalulekile ukuba uxoxe ngezigqibo zakho zokuzala kunye nomboneleli wakho wezempilo ngokukhawuleza emva kokuvavanywa kwakho.
Nazi imibuzo embalwa ongayifuna ukuyibuza ugqirha wakho:
- Ngaba le ngonyango inokuchaphazela ukuzala kwam?
- Ngaba ulindele ukuba lo mphumela ongasecaleni uya kuba wesikhashana okanye unomphela?
- Ngaba kukho into enokuyenza ukukhusela ukungabi nantoni ngexesha lokunyanga?
- Ngaba zikhona ezinye iindlela zokonyango ezingenakwenzeka ukuba zenze ukungabi nantlungu?
- Ngaba ndiza kuba nexesha ngaphambi kokuba unyango lwam luqale ukuhlola iindlela zam zokulondoloza izityalo?
- Ngaba ndingayithunyelwa kwingcali yenzalo ukuze ndixoxe ngamathuba okulondoloza ukuzala? (Akudingeki ukuba wazi konke malunga nophatho lwezonyango phambi kokuba unyango lwemhlaza, kodwa ingcali inokukukhokelela kuyo yonke into omele uyiqonde ngeli xesha.)
- Ukuba ndihlala ndikhula, ngaba abantwana bam abazayo baya kuchatshazelwa unyango lwam?
- Ndingazi njani ukuba ndikhulile okanye akunjalo?
Ukuqulunqa
Abantu abaninzi abaye babhekene nesimo esongela ubomi banokuqonda ngakumbi ngesipho sobomi kunye nokukwazi ukudala ubomi. Kukho izinto ezininzi ezinokuchaphazela unyango lomhlaza wempembelelo oluya kuba nelokuzala. Kwiimeko ezininzi, akunakwenzeka ukuba oogqirha baqikelele. Nangona kunokuba kunzima, okanye kungenakwenzeka, ukufumana unyango ophezulu kumhlaza wakho xa ukhusela ukungabikho komntwana, kunokukho ukhetho lokugcina ukuzala kwakho ngaphambi kokuqala unyango.
Kubalulekile ukuba uxoxe yonke imibuzo yakho kunye nexhala malunga nokukhulelwa okanye ukuzala umntwana esikhathini esizayo ngaphambi kokuba uqale unyango.
Imithombo
I-American Society ye-Clinical Oncology. Cancer.Net. Ukuxhalabisa nokuLondolozwa kwamadoda. 03/2014. http://www.cancer.net/kuvakalisa-kunxibelelanisa / ukukhathazeka-
Kim, SY., Kim, SK, Lee, J., noT. Woodruff. Ukufika kweyeza elichanekileyo lokugcina ukondla kwizigulane zomhlaza: ezikhoyo kunye nezityalo ezikhulayo zokulondolozwa kwezilwanyana. Umbhalo we-Gynecologic Oncology . 2016. 27 (2): e22.
I-Krebs, L. "Ukungasebenzi kwezesondo kunye nokuzala" e-Yarbro, C., Frogge, M., Goodman, M., kunye ne-Groenwald, i-eds. (2000) Ukuncedisa umdlavuza: Iimigaqo kunye no-5 ed.Jones kunye noBartlett: UMasbury MA. (iphe.831- 854).
Lee, S., Schover, L. Partridge, A. et al. I-American Society ye-Clinical Oncology Iingcebiso malunga nokuLondolozwa koLondolozo kwiZifo zeCans. Umbhalo we-Clinical Oncology 2006; 24 (18): 2917- 2931.