I-VV vs VV vs Medical Menopause: Ixesha elifutshane okanye eliPhezulu
Ukuba uhlala nomhlaza wesifuba, i-oncologist yakho inokuthetha nawe malunga nokunyangwa komzimba. Ithetha ntoni le nto? Ihluke njani kwindalo yokudlulela kwindalo kunye nokuqeda umva? Kwaye kungenzeka ukuba yesikhashana okanye isigxina?
Kutheni i-Menopause ebalulekileyo ngeCarcer Breast?
Kubasetyhini abanama-foremenopausal ngexesha lokuxilongwa komhlaza wesibeleko kunye ne- estrogen receptor , iyeza (okanye utyando) ukunyusa ukuphuphuma komzimba kunokuqwalaselwa.
Sifunda ukuba ukusebenzisa i-aromatase inhibitors emva kokuba unyango lwe-tamoxifen lunokunciphisa umngcipheko wokuphindaphinda, kodwa i-aromatase inhibitors ayinakusetyenziswa ngabantu abangazange bafike esikhathini sokumisa.
Ukuba unayo i- chemotherapy uye wacelwa ukuba ube nexesha, ingakumbi ukuba usondele ekumeni kwexesha ukuqala. Nangona kunjalo, ugqirha wakho unokuncoma uvavanyo ukuze ubone ukuba ngaba uyenaye. Ukuze siqonde kangcono oku, makhe sithethe ngeentlobo ezahlukeneyo zokuyeka umyeni, umahluko phakathi kokumisa okwesikhashana kunye nokusisigxina, nokuba kutheni oku kubaluleke kangaka.
Iintlobo ezahlukeneyo zokunquma kwexesha
Kukho ngokwenene iintlobo ezahlukeneyo zokudibanisa kweentlobo zexesha lokuyeka umyeni. Ngokuxhomekeka kohlobo, ukuphuma kwimiba kungasesikhashana okanye kusisigxina, kwaye oku kubalulekile ekunqumeni malunga nonyango olungcono lomhlaza webele xa i-tumor is receptor.
Ukumiswa kwemvelo
Ukunyuka kwexesha ngokwemvelo yinkqubo encinci ngexesha lokuzala komfazi kuyancipha.
Ngethuba lokumiswa komzimba, iimazi zomfazi ziyeka ukukhula amaqanda, kwaye umzimba wakhe udala i-estrogen encinane kunye neprogesterone , ukujikeleza kwakhe kwimizuzu kuya kuphelisa. Xa inkqubo yokuqeda isisu iphelile, umfazi akakwazi ukukhulelwa. Ukuphela kwesimopho sokwemvelo kuhlala kusisigxina.
Ukunyuka kweMesopause
Ukunyuka komntu ngokukhawuleza kwenzeka xa i-ovari esetyhini isuswe, okanye une-hysterectomy epheleleyo (ukususwa kwe-uterus kunye nama-ovari), kwaye amanqanaba akhe e-estrogen ahla kakhulu. Ngaphandle kwama-ovari okanye isisu, umfazi akavumi. Ukunyuka komyeni ngokugqithiseleyo kuninzi kunokubonakalisa ukwedlula ukuphela komntu ngenxa yokukhawuleza kwenguqu. Ukupheka komyeni ngokukhawuleza kuyigxina.
Unopopause Medical
Ukwelashwa kwexesha lokugula kuyisiphumo seyeza unyango olungonakalisa amaqanda omfazi okanye ukunyusa ama-estrogen kunye namazinga e-progesterone. I-Chemotherapy, i-anti-estrogen i-hormone therapies, kunye neyeza zonyango ze-pelvic zingabangela ukuba ahlawule ngokukhawuleza amazinga e-hormone amabhinqa, okubangelwa ukuphela kwesigxina okanye okusisigxina . Olu hlobo lokunquma kwesikhashana lungathunyelwa ngokuthi:
- Ikhefu lexeshana
- Ukunyuka kwexesha lomama
- I-amenorrhea eyenziwa yi-Chemotherapy
- Ikhefu lokumisa umdaka
- Ikhefu
Emva kwe-chemotherapy, abaninzi abafazi banomdla okwesikhashana, kodwa kunokutshintsha ukuba ngaba amaxesha akho aya kubuya okanye awunayo. Ukuba ubukufuphi kwindoda yokumelana nomntu okwemvelo kuncinci kunokuba uneminyaka encinane kwaye ude ukuphuma kwimizuzu ngexesha lokuxilongwa. Xa unyango lwexeshana lonyango lusexeshana, kunzima ukwazi (ngaphandle kokufundiswa kwebhabhu) nokuba ukuphuma kwesigxina kungokwesikhashana okanye kusisigxina, kwaye ixesha elide ngaphambi kokuba wazi likwazi ukuhluka.
Abanye abasetyhini banomdla okwesikhashana emva kokuba ngumama weshumi ngaphambi kokuba babe yi-premenopausal kwakhona kwaye ixesha labo liphinde liqhubeke.
Oku kubangela ubunzima ukuba i-oncologist yakho inqwenela ukunikezela isilwanyana esisetyenziswe kuphela kubantu abasemva kwe-postmenopausal. I-Aromatase inhibitors inokusebenza ngakumbi kune-tamoxifen ekuthintela ukuphinda, kodwa ukuba ungo-foremenopausal awanelisekanga ukunciphisa ama-estrogen akho kunye ne-tamoxifen iyadingeka ngaphandle kokuba ufumana unyango lwe-ovarian
Ukunyangwa kweMesopause yesikhashana / Utyando lwe-Ovarian Treatment
Ukuba usondele ekumiseni kwexesha, i-oncologist yakho ingenza iimvavanyo zegazi ukuze uzame ukuba ngaba unesigxina sokuphela kwesigxina okanye cha.
Ukuba ungumfazi omncinci we-premenopausal, unyango lwexeshana lwezokwelapha nge-ovarian suppression cure lungachazwa. Ukuze ugcine i-estrogen yakho kunye namanqanaba e-progesterone aphantsi, kodwa gcina ii-ovari zakho ziphilile, unokuba unikwe iziyobisi "ukucima" amaqanda akho.
(Kwixesha elidlulileyo, ukugqithiswa komzimba ngokususa ama-ovari kwakuvame ukucetyiswa kungekhona nje kuphela le nkqubo inomdla, kodwa iphelisa ukhetho lwabafazi ukuphinda bekhulelwe kwikamva emva kokunyanga.)
Ukwelashwa kwe-Ovarian kunyango kwenza abafazi bathathe i-aromatase inhibitor kwaye bavune iingenelo zalolu cwangciso. Ezi zi yobisi zithintela i-hormone ezikhishwa kwi-pituitary gland kwaye zitsho ii-ovari ukuvelisa i-estrogen. Xa ezi zi yobisi zivaliwe, umjikelezo wakho wokuya esikhathini unokuqalisa kwakhona.
Ulwaphulo-mboleko ngexesha loNyango lwezoNyango
Kubalulekile ukuzakhela ukukhulelwa kwezokwelapha ngexesha lokwelashwa ngumhlaza wesifuba, nangona ufumana unyango lomama. Kukho ithuba elincinci lokuba ukhulelwe ngexesha lotyando, kwaye asiyiqondi ngokupheleleyo imiphumo yalezi yobisi xa ukhulelwe. Ungasebenzisi iipilisi zokulawula ukuzalwa okanye nayiphi na uhlobo lokukhulelwa kwe- hormonal . Izinketho zingabandakanya ubhedu be-UUD , iikhondom , i- spermicide , okanye ezinye iindlela zokuthintela ukukhulelwa.
Ngaba unyango lweMedopause Uyakwazi Ukufumana Ukunquma KwesiXhosa?
Ukuba unesigxina sokunyuka kwesiganeko, ngaba oku kuthetha ukuba unokwenza umva wesigxina kabini? Impendulo ixhomeke kakhulu kwiminyaka yakho kunye nokuba ungasondeli kangakanani nesikhokelo sokumisa. Ukuba uneminyaka engama-40 ekupheleni kwexesha xa ufumene unyango kwaye uhamba nge-chemotherapy, unyango lwakho lokunyanga lonyango luyakwenza ukuba ungene emva kokuyeka umyeni ngaphandle kokuphindaphinda umjikelezo wakho wokuya esikhathini. Ukuba uneminyaka engama-30 ngelixesha lokuxilongwa, kunjalo, unokufumana ukuphuphuma komntu ngokuzayo. Ukuba ubuncinane ubuncinane iminyaka emihlanu ukusuka kwindoda yokumelana nomntu, amaxesha akho abuyele emva kokunyanga kwaye ukuzala kwakho kungaphinduka. (Funda kabanzi malunga nendlela unyango lwebele lomhlaza lunokuchaphazela ngayo ukuzala kwakho .) Ubuncinane xa ixesha lesibini lifika, uza kulungelelanisa nezicwangciso zakho zokuxilonga, sele usaphila ukuphuluka komzimba.
> Imithombo:
> Jerzak, K., kunye noK. Pritchard. Ukunciphisa i-Ovarian kwi-Women Premenopausal nge-Estrogen I-Cancer-Positive Cancer Breast: Impembelelo ka-2016 Isikhokelo se-ASCO seZenzo zoKliniki. I-ASCO Post 06 / 1- / 16.
> Lambertini, M., Del Mastro, L., Viglietti, G. et al. Umsebenzi we-Ovarian Ukunciphisa kwi-Women Premenopausal nge-Early Stage Cancer Breast Cancer. Izinketho zamanje zonyango kwi-Oncology . 2017. 18 (1): 4.