Abasetyhini abancinci abajongene nomhlaza wesibeleko banemiqobo ethile yokuqwalasela xa besenza izigqibo zonyango. Phantse enye yesine yazo zonke izigulane zomhlaza zesifuba ziphakathi kweminyaka eyi-18 ukuya kwe-45 ubudala, isele kwiminyaka yabo enemveliso. Aba besetyhini bafumane ukufunyaniswa ngaphambili, ngexesha okanye emva kokukhulelwa.
Abasetyhini abangakaze bavelele banokuhlakulela umdlavuza webele, njengabaninzi abasetyhini baxakeka ukukhulelwa ngezizathu ezahlukahlukeneyo. Ukhula luyancipha ngokwemvelo njengoko sineminyaka yobudala kwaye unyango olunjengekhemotherapy kunye ne-radiation lunokunciphisa ukwandisa.
Yazi Ingozi Yakho Yokungahambi Ngaphambi kokuba Uqale Ukwelashwa
Abasetyhini abaninzi bayothuka xa begqiba unyango kwaye bafumene ukuba bakwazi ukukhulelwa. Unokukhetha malunga nale ngxaki, kodwa kufuneka uxelele ugqirha wakho kwaye uxoxe ngeendlela zokulondoloza ukuzala kwakho, ukuba ukhetha. Enye unyango lwe-chemo lunokunciphisa kakhulu amathuba akho okuzala emva koko. Thatha isenzo kwaye uzifundise kule ngxaki ngaphambi kokuqala unyango. Yenza ukhululekile kwisigqibo sakho njengoko unako.
Izinto eziphambili ezibangela ingozi yokungabikho komzimba
Abasetyhini abaninzi baye basinda kwonyango kwaye baqhubeka bebeletha ngempumelelo kwaye banake abantwana babo. Ngoko unokwazi njani ukuba usengozini yokungabikho kwengqondo emva kokunyanga? Uhlobo lwenyango oya kuyifumana luninzi olwenzayo oku, kodwa nakhu ezinye izinto ezibalulekileyo:
- Ubudala bakho kwonyango (isimo se-menopausal)
- Uhlobo lweziyobisi ezisetyenzisiweyo
- Isistim
Indlela i-Chemotherapy ithinta ngayo ukulima
Ukwelashwa kwe-Chemotherapy kumhlaza wesifuba unempembelelo emininzi, enye ye-estrogen. Oku kunokubangela ukuba ii-ovari zakho ziyeke ukusebenza ngexesha elithile okanye ngokusisigxina. Kufuneka usebenzise ukukhulelwa kwangoko ngexesha lokonyango, kuba akukho siqinisekiso sokuba awuyi kukhulelwa ngexesha lotyando. Ukuba uyenzayo, iziyobisi zingalimaza umntwana wakho. Ukhula lunokubuyela emva kweenyanga emva kokuba unyango njengoko ama-hormone akho ahlawuleka.
I-Chemotherapy & I-Medical Menopause
Ukuba uvelisa ngaphambi kokuba uqale unyango, qaphela ukuba iziyobisi ezithile ze-chemotherapy zingakubeka kwimizuzu yokugqibela yesikhashana. Amaxesha akho angasima kwaye unokufumana ixesha lokunyanga kokunyanga .
Ukuba usondele ngasekupheleni kweminyaka yakho enesivuno, i-chemo inokukutshintshela ekunqumeni kwesikhashana . Nangona kunjalo, ukuba uneminyaka emininzi yokuzala kwaye ungasidingi ukuba ususwe amaqanda akho ukukhusela ukuphindaphinda, unokukwazi ukubuyisela ukuzala kwakho kwaye uzame ukukhulelwa emva kokuzalisa zonke izibonelelo.
Izaphulo kunye nexesha elizayo
Ukuba unayo unyango lwe-radiation kwibele yakho, awukwazi ukuhlakulela ukusweleka ekubeni amandla angayi kuqondiswa kwizitho zakho zokuzala. Kodwa ukuba kufuneka ube nemisebe kwindawo yakho ye- pelvic, oko kunokuchaphazela amaqanda akho, amaqanda, kunye nesisu. Ekubeni abafazi banomlinganiselo omncinci weeqanda, ubunzima obuncitshiswe ngaphezu kwexesha, unokufuna ukuba amaqanda akho asuswe kwaye agcinwe.
IHormone unyango kunye noNzala
Njengengxenye yonyango lomhlaza wakho webele, unokufuna ukuthatha amayeza ukuze unciphise amazinga e-hormone emva kokuba unyango oluphambili lugqityiwe. Iimoduli ze-estrogen receptor (i-SERMs) kunye ne- aromatase inhibitors (AI) zisetyenziselwa ukunceda ukukhusela ukuphindaphinda. Ezi zithathwa iminyaka emihlanu emva kokuba unyango lwakho oluphambili. Akukhuselekile ukuba ukhulelwe ngeli xesha uthabatha la mayeza ngenxa yokuba angalimaza umntwana wakho.
Ukuthatha Isenzo phambi kokuba unyango luqale
Thetha kunye ne-oncologist yakho phambi kokuqala unyango. Buza ukuba unokuba ungenasiphelo ngenxa yonyango, kwaye ukuba kunjalo, yiyiphi inketho onayo yokugcina ukuzala kwakho. Funda yonke into enokuyenza malunga neziyobisi oza kuthatha ngexesha lokubaluleka kokuqala kunye nokulandelelana.
Izinketho zokuLondolozwa koLondolozo
Kukho iindlela ezininzi zokugcina ukuzala kwakho. Zonke ezi ndlela zineengozi kunye neenzuzo kwaye inkqubo kufuneka ifanelekile kwiminyaka yakho kunye nesimo sokuzala. Ezinye iindlela onokufuna ukuxoxa ngazo kunye nogqirha wakho:
- Amaqanda aqhoqhoqhoqhoweyo e-vitro fertilization (IVF)
- Ukukhupha amaqanda angenayo
- I-ovarian tissue freezing
- I-Lupron (i-leuprolide) injections ngaphambi nangesikhathi se-chemo
- Ukuqhwala okanye isidlo sebhanki
Kwenzeka Kungekudala Emva Kwonyango Ngaba Kukhuselekile Ukuba Ukhulelwe?
Ngokukhawuleza emva kokugqiba unyango, kufuneka uchithe ixesha lokubuyisela impilo yakho. Namela ukutya kunye nokuzilolonga kwaye unamathele kwishedyuli yakho. Ngokuphathelele ukukhulelwa, zonke iingxaki zokuxilonga zihlukile. Ngoko, isigqibo kunye nexesha lokukhulelwa kwangaphambili kufuneka kuxoxwe nodokotela wakho. Uninzi lwabasetyhini luyacetyiswa ukuba ulinde ukususela kwiminyaka emibili ukuya kwiminyaka emihlanu.
Ukukhulelwa kwexesha elizayo kunye neengozi yeCarcer Recurrence
Iingcali zenzululwazi zazisetyenziselwa ukucinga ukuba ukukhulelwa emva kokuba unyango lwebele lomhlaza luza kuphakamisa umngcipheko wokuphindaphinda. Kodwa uphando olutsha luye lwabonisa ukuba ukukhulelwa emva kokuxilongwa kunye nonyango akunakwandisa kakhulu amathuba akho ukuba umdlavuza webele uya kubuya.
Xa usuqedile unyango, jonga i-gynecologist yakho yokuhlola kwaye uxoxe ngempilo yakho yokuzala. Iziphumo zoviwo lwakho ziya kukunceda wenze izicwangciso zokukhulelwa kwangaphambili-ukuba unempilweni ngokwaneleyo yokuthwala umntwana.