Amabele abe ngumfuziselo wobundlobongela kunye nolwabelana ngesondo ukususela kwimpucuko yaqala, ngoko akuqhelekanga ukuba isiguli sesifuba sesifuba sive ukuba isifo sele sihlasele umfanekiso wakhe womzimba kunye nesisu sakhe sebele.
"Ewe, ndiziva ngathi abantu baqhamuka, kwaye kunzima ukufumana iimpahla." Ewe, ndididekile kakhulu, "omnye umfazi wabhala kwi-forum ye-National Breast Cancer Foundation Survivor forum.
"Kodwa ... kwafuneka ndifunde ukuthanda umzimba wam kwakhona."
Ingaba isigulane somhlaza sisigcina amabele, sisuse okanye sakha kwakhona, ukufunda ukufunda nokwamkela umzimba we-post-diagnostic iyinkqubo. Qinisekisa ukuba uquka abentsapho, abahlobo, kunye nabalingani ngakumbi kule nkalo yonyango lomhlaza.
Kwakhona, ungalokothi uloyike ukuthetha ngemiba yomzimba kunye nodokotela. Izifundo zibonisa ukuba oogqirha bahlala behluleka ukuvelisa esi sifundo esibalulekileyo. Yiba ngummeli wakho wokhathalelo lomhlaza wakho kwaye uthethe-ufanelekile!
Isifo somhlaza wesisu kunye neZitho zoMzimba
Umhlaza wesifuba awukho nje ukukhokela kwimiba yecastectomy yodwa. I-radiation ingakhokelela ekubomeni nasekunyameni kwiindawo ezichaphazelekayo, i-chemotherapy kaninzi ibangela ukulahleka kweenwele kunye nokunyuka kwemithwalo, kunye nezikrakra zangaphakathi kwiimvakalelo zakho zinokuba nzima.
Ukufumana olu hlobo lweenguqulelo zomzimba lunokuba ngumngeni ngakumbi kubafazi abaselula, njengoko uphando lubonisile ukuba aba bafazi bavame ukuxhatshazwa ngolu tshintsho kunabesifazane abangaphezu kwama-67.
Kungaba nzima ukubonisa umzimba wakho ukukhawuleza okanye ukuba ukulahlekelwa kwesinye okanye amabini akho amabini kunokuziva ngathi ukuphela kokuba ngumfazi.
Abanye besetyhini bafumana ukuba baqala ukuphepha ukuthandana, ukugqoka bodwa okanye ebumnyameni, okanye ukuhlamba umda njengoko bejamelana nemiphumo yomhlaza wesisu.
Ezi ziphatha ziqhelekileyo kodwa zimele zinciphise kwaye ziphuculwe kunye nexesha. Ukuba wena okanye othandekayo ufuna uncedo ekujonganeni nemiba yomzimba, khuluma nodokotela, iqela lokuxhasa okanye umcebisi othembekileyo.
Izinketho zokuKhenketho kunye neMifanekiso yeBhunga
Abasetyhini banokuziqhatha ngamabele abo ngenxa yokuba umdlavuza webele uchaphazela inxalenye ebusweni yomzimba. Kwiimeko ezininzi, kungengomdlavuza obangela izikrakra zengqondo ezinxulumene nomhlaza wesifuba, yonyango.
Ngexesha lokuxilongwa, abaninzi abafazi bajamelana neendlela ezintathu zokunyangwa:
- I-Lumpectomy- ukususwa kweesisundu somhlaza kunye nesincinci seesisu eziqhelekileyo ezijikelezayo.
- I-mastectomy ekhethekileyo- ukususwa kweesisundu somhlaza kunye nenani elikhulu lemali eseleyo kunokuba kuthathwe inqubo ye-lumpectomy. (I-mastectomy ekhethekileyo ibandakanya i-quadrant okanye ezimbini zesifuba.)
- I-Mastectomy- ukususwa kwesinye okanye amabini amabele.
Akukho zifundo ezicacileyo malunga nendlela olu unyango olwenziwe ngayo oluchaphazelekayo luchaphazela ukuzithemba kunye nomzimba womzimba. Xa ucinga ukhetho lokuzikhethela, umfazi ngamnye kufuneka acinge ngohlobo lwakhe lomhlaza, iingcebiso zonyango, imbali yentsapho, umngcipheko wokuphindaphinda, kwaye, ngokuqinisekileyo, nayiphi na imiba yomfanekiso yomzimba.
Qiniseka ukuba ubuze imibuzo kwaye uqhube uphando kwindlela nganye. Ungesabi ukubuza abanye abaswelekileyo abanomdlavuza wesibeleko, nokuba ingaxhunyiwe kwi-intanethi okanye ngokusebenzisa iqela lokuxhasa, ukuba uphando lwachaphazela njani ukuzithemba kwabo. Qinisekisa ukuthetha nabantu abaningana, njengoko amava onke amabhinqa enokuthi abe nemibala ngokulindelekileyo kunye nemvelaphi yakhe.
I-Lumpectomy, i-Mastectomy, ne-Reconstruction
Nangona i-lumpectomy okanye i-mastectomy iyalondoloza isifuba, abathile abasetyhini abakhetha le nkqubo baya kubona ukuba iziphi izigulana zaseplastiki zibiza "ukuphazamiseka" ekubonakala kwebele. Ezi mpazamo zingabandakanya ukutshatyalaliswa okanye utshintsho olukhulu kwisayizi yebele.
Ngokomnye uphando, ke, ukuphazamiseka okukhulu kunzima.
Abanye abafazi baya kukhetha ukusebenzisa i- prosthesis , engena ngaphakathi kwibra, ukugcwalisa iimpahla kunye nokuphepha imibuzo. Abanye abafazi banokukhetha ukuhlinzwa ngokutsha . Ukuhlinzwa ngokutsha kungenziwa ngexesha lotyando lomhlaza wakho webele okanye emva koko xa uphilile.
Abasetyhini babonakala behlenga ngcono ngokutsha kwakhona, kodwa oku akunakwenzeka njalo. Kukho izizathu ezininzi zezonyango zokuvuselelwa kokulibaziseka, kodwa omnye umzekelo amaxesha amabhinqa ajamelana nobunzima ngokugqithisa zombini ugqirha kunye nodokotela ogqithisileyo weplastiki ukuba babe kwindawo enye kunye nangaphantsi kwe-inshurensi yabo.
Ukuba unzima nale ngxaki, fi kelela kwiinkonzo ezininzi zoncedo ezitholakalayo kubasetyhini abanomdlavuza wesibeleko ukuze ningabi nalena kuphela. Kunokwenzeka kodwa unokuthatha umsebenzi othile.
Kukho izifundo ezininzi zezokwelapha ezithetha ngezibonelelo zengqondo zokuhlinzwa ngokutsha. Olunye uphando lwengxelo ukuba abafazi abakhetha ukwenziwa kobugcisa baphinda bafumana umfanekiso omzimba ophilileyo kunabasetyhini abangenayo; Nangona kunjalo, ezinye iincwadi zibonisa ukuba abafazi abakhetha ukwenziwa kobugcisa ngokutsha banokuxhalabeleka ngakumbi malunga nokulahleka kwebele kunabesifazane abangenalo ukuhlinzwa.
Kwakhona kubalulekile ukuba ulindeleke ngokwenene malunga nokuvuselelwa kwebele. Amanye amabhinqa adidekile xa amabele abo aphinda abuyele angakhange abonakale njengamafubulo abo asekuqaleni, ngelixa abanye belijonga njengelithuba lokuba nobukhulu besifuba abaye bafuna (uhlobo lwesiliva).
Kubalulekile ukukhumbuza ukuba ukuvuselelwa kwebele akubuyanga ukuzwa kwiibele. Kwaye ukuthetha ngokukhululekile kunye neqabane lakho kubaluleke kakhulu ukuba ukhetha le ndlela.
Iingcebiso zokugcina umfanekiso weZitho ezilungileyo
Njengokuba nayiphi na ingxaki yengqondo, abasetyhini abanomdlavuza wesibeleko banokuzuza ngokuthatha inxaxheba ethe ngcokola ngemicimbi yabo yomzimba. Ukongezelela nje "ukuyikhupha ngaphandle," abafazi banokwenza izinto eziliqela ukuba bathathe uxanduva lokuphucula ukuzithemba kwabo. Ukutya ukutya okunempilo kunye nokuthatha ixesha lokusebenzisa ngaphandle nje kuphela ngoncedo ngomzimba womzimba kodwa kunokunciphisa umngcipheko wokuphindaphinda.
Yibani nothando kunye nenkxaso ngokubhekiselele kumfanekiso womzimba weshintsho-inkxaso yomlingane inokuhamba ixesha elide. Ukuvakalisa ukwamukelwa kunye nokukhuthazwa njengowesifazane wenza utshintsho kwi-wardrobe yakhe, i-hairstyles, okanye nokuba yindlela yokuphila kunokukwenza ukuba utshintsho oluvela ngaphambi komhlaza kumzimba osemva komhlaza lungelula.
Olunye uphando lwafumanisa ukuba unyango lwezesondo kunye neengcebiso zomtshato ziphucula ukuzithemba phakathi kwabasetyhini abanomdlavuza. Hlalani nikhumbule ukuba unxibelelwano olufanelekileyo lunceda ekuvuseleleni ukutshata kwaye kunokuthatha umonde, ukuphikelela, kunye nobuchule obuncinane.
Udokotela uHelen Coons, isazi sengqondo esichengileyo kwimpilo yabasetyhini kunye nempilo yengqondo, ikhuthaza abantu abasasaza umdlavuza webele ukuba baqinise ukuzithiba kwabo ngokusebenzisa rhoqo, ukuphathwa ngokunyanzeliswa, ukuphucula uxhulumano, ukuxubusha indlela yokwabelana, kunye nokuzinyamekela, njengento yokuguqula okanye ibrabhu entsha.
UDkt Coon ukhuthaza abesetyhini ukuba basebenze, njengokuba umzimba unokunciphisa uxinezelo kwaye kuphuculwe ukuzithemba. Ukongezelela, uthi izigulane zakhe ezininzi ziye zabona ukuphuculwa komfanekiso wokuzikhupha ngokuzibuza i-plastic surgeon ukuba ziphucule ukubonakala kwendawo yazo yokuzibandakanya.
Imithombo:
American Cancer Society. Ukhetho olutsha kwi-optic cancer and breast 10/20/15.
Fazzino, T., Hunter, R., Sporn, N., Christifano, D., kunye noC. Befort. Ukunyuka kwesantya ngexesha lomntu omdala kunye nokufumana ubunzima besifo sokuxilongwa komhlaza webele. Psychooncology . 2015 uNgo-12.
Fobair, P., Stewart, S., Chang, S., D'Onofrio, E., iiBhanki, uP., kunye noJ. Bloom. Umzimba womzimba kunye neengxaki zesini kubasetyhini abasetyhini abanomhlaza wesibele. Psychooncology . 2006. 15 (7): 579-94.
Owesilisa, D., Fergus, K., noK. Cullen. Ubunikazi besondo emva komhlaza wesifuba: ubulili, umfanekiso womzimba, kunye neziphumo zobudlelwane. Iingcamango zangoku kwiNkxaso kunye neNkathazo . 2016. 10 (1): 66-74.
Teo, I., Reece, G., Christie, I. et al. Umzimba womzimba kunye nomgangatho wobomi bezigulane zomhlaza wesifuba: impembelelo yesikhathi kunye nesigaba sokuvuselelwa kwebele. Psychooncology . 2015 Septemba 10.