UkuCwangcisa, ukuLawula ixesha, nokuPhinda
Ukuba uye wafumanisa ukuba unomdlavuza webele, mhlawumbi uzibuza ukuba uza kuthatha ixesha elingakanani unyango. Kuthatha ixesha elingakanani unyango oluthile olunjengokuhlinzwa, i-chemotherapy, kunye neyeza lokuphuza i-radiation-kwaye ziphi ixesha eliqhelekileyo lokuphucula? Kuza kube nini ude ubuyele kwisiqhelo? Kubalulekile ukuba uqaphele ukuba kulabo abanomdlavuza webele we-estrogen, isilumkiso somlomo singadinga ukuthathwa imihla ngemihla kwiminyaka emi-5 ukuya kweyimi-10 unyango lokuqala lugqityiwe, kodwa ngoku kuthethwa ngokuthi "unyango lokulondolozwa" kunokuba "unyango olunyango."
Ukufundwa ngokutsha
Ukuxilongwa komhlaza wesisu kunokuphazamisa ubomi bakho-iimvakalelo, impilo, impilo kunye nobudlelwane. Xa ufumene uvavanyo, mhlawumbi usebenze ixesha elizeleyo, ukhulise intsapho, okanye uphishekele amaphupha akho. Ikhalenda yakho yayigcwele kwaye ubomi bakho buxakekile.
Ngokukhawuleza, ishedyuli yakho ihlaselwa yindlela yokuqokwa kwamagqirha, oncologists, oongikazi, ochwephesha, kunye neengcali. Ngokukhawuleza unomsebenzi omtsha-ukufumana unyango lomhlaza webele. Makhe sijonge indlela iyeza zonyango kunye nokubuyisela ixesha elide elingathatha ngayo kwaye zixubushe ukugcina umkhondo wexesha lakho.
Ukulinganisa
Ukuba usebenza ngaphandle kwekhaya, unokufuna ukwazi ukuba ixesha elide lokugula liza kucela. Qinisekisa ukuba uyayazi umgaqo wekhefu ogulayo emsebenzini wakho kwaye unike umphathi wakho umlinganiselo ogqwesileyo ongayenza.
Khumbula ukuba xa ushaya i-snag ngexesha lokunyanga, uya kuphuma ixesha elide kunokuba wawucebile. Ngoko, qiniseka ukuba umphathi wakho uyazi ukuba kwenzekani.
Gcina ikhalenda kwincwadi yencwadi yakho yempilo ukulandelela bonke abaqeshwa. Ungazibhali, ngokukodwa kunyango kunye neentsuku zokubuyisela. Cela uncedo uze uthumele imisebenzi ngelixa uhlaziya.
Abantu abaninzi bayamangaliswa kukuba baziva behluke kunokuba babekulindela ngaphambi kokuba baxilongwe.
Unokufumanisa ukuba ukusebenza kuyanceda, kwaye kunokuba ukhathele, kuthatha ingqondo yakho kwimicimbi yakho yempilo. Ngokwahlukileyo, abanye abantu babenomdla wokuba bakwazi ukwenza yonke into kunyango kodwa bafumane ukuba abanako. Wonke umntu uhlukile. Into ebalulekileyo kukuba uzuze iimvakalelo zakho.
Amerika aseMzimbeni wokukhubazeka (ADA) athi abaqeshi kufuneka banikezele "indawo yokuhlala yokuhlala" kubantu abajongene nesifo esifana nesifo somhlaza. Ezi ndawo ziquka ukukwazi ukuthabatha ixesha lokuba kuqeshwe oogqirha kunye nokufumana unyango. Ezinye iindawo zokuhlala, ezifana neshedyuli yomsebenzi eyahlukeneyo okanye ithuba lokusebenzela ekhaya lisinceda abanye abantu. Inhlangano engekho inzuzo I-Cancer kunye neMisebenzi inezincedisi kwaye inika uncedo lwabantu abangabanceda ngaphandle kwenkululeko kubantu abanobunzima bokulinganisa ubomi babo bomsebenzi kunye neyeza zabo zonyango.
Uphando no ku Buyela
Ubungakanani bexesha eliza kuthatha ukuba uzuze ekutyathweni luya kuxhomekeka kwindlela osebenza ngayo kunye nokuba unayo i-lymph node biopsy okanye i-axillary node dissection.
- I-Lumpectomy (i-7-14 days recovery). I- lumpectomy inkqubo yonyango, ngoko uya kubuyela ekhaya ngosuku olufanayo lotyando. Unokuba neendawo zokuhambisa izikhumba endaweni, ngoko ungabuyeli emsebenzini. Ukuba unayo i- lymph node esuswa ngexesha lakho lumpectomy, ukuphilisa kuya kuthatha ixesha elide kuneveki enye. Fumana omnye umntu ukuba enze ukuqhuma nokuqhuma okukhulu, kwaye ulungele ukuhlalisa indlu, imidlalo kunye nokulima.
- I-Mastectomy (iiveki ezi-1-3 ziphinde zifumaneke). A I-mastectomy yinkqubo yokugula, ngoko uya kuba esibhedlele omnye okanye iintsuku ezimbini emva kokuhlinzwa. Uya kuba neenkonkxa zokubhobhoza kwindawo ukuya kwiintsuku ezintlanu ukuya kwi sixhenxe (ngamanye amaxesha ukuya kwiiveki ezi-3) ukunceda ekuphiliseni. Ezi ziya kususwa ngexesha lokuqokwa kokulandelwa kunye nodokotela wakho ogqirha. Iingxaki ezingenazo, izigqibo zakho kufuneka ziphilise kwiiveki ezintathu ukuya kwezine. Ukuba unayo i-lymph node esususweni ngexesha lakho le-mastectomy, ukuphilisa kuya kuthatha ixesha elide. I-mastectomy isoloko iyenziwa ngokuvuselelwa kwangaphambili kwebele, kodwa loo nto ayifanele ukulibazise ukuphulukiswa ekusebenzeni. Fumana amaninzi okuphumla kwaye uthathe ixesha lokuchukumisa iimvakalelo zakho xa usubuyela.
- Ukulungiswa kwakhona (ukubuyiswa kweentsuku ezi-3-7). Akuyena wonke umntu oza kufuna ukuhlaziywa kwakhona ukuba izigulane zokugqitywa zicacile. Le nkqubo yonyango eyenziwa emva kwe-lumpectomy ukuqinisekisa iimpawu ezicacileyo. Uya kubuyela ekhaya emva kokuhlinzwa kwakho. Unokuba nekratshi yokucoca, kodwa ingasuswa ngokukhawuleza. Thatha lula ekhaya uze udle imfuneko yakho.
- Ukuvuselelwa kwesisu (amaxesha okubuyisela ahluka). Ngenxa yokuvuselelwa kwebele kunokuvela kwiimplants ezibekwe ngexesha le-mastectomy ukuya kutshintshwe i-flap ye-flap yokukhulula , ixesha lakho lokubuyisela liya kuxhomekeka kwindlela enzima yokwakha. Ezinye iintlobo zokuphinda zakhiwe zibandakanya iinkqubo ezimbini zokuzikhusela ezihlukeneyo ukugqiba isifuba sakho esitsha. Ukuba unayo unyango lwe-radiation, ukulungiswa kwakhona kunokulibaziseka uze uzalise zonke iiseshoni.
I-Chemotherapy kunye nokubuyisela
Isifo somhlaza wesifo somhlaza sisinikwe kwiishedyuli ezahlukeneyo kuxhomekeke apho uphinde uphathwe khona. Ngokuqhelekileyo, uhlobo olulodwa lwe-chemotherapy lunikezelwa rhoqo kwiiveki ezimbini ngeesigidi-4. I-chemotherapy elandelayo iyakunikwa nganye iiveki ezimbini ngeesigidi ezi-4, okanye ngeveki malunga neenyanga ezi-2. Ngokubanzi, i-chemotherapy ithatha malunga neenyanga ezi-4 ukuya kwezi-6 ukugqiba. Uninzi lwexesha uya kuba negazi lakho kwaye udibana ne-oncologist yakho phambi kweseshoni nganye, kodwa oku kuyahluka ngokufanayo.
Ukunyuka ngamnye kuya kuthatha iiyure ezintathu ukuya kwezine kunye nohambo lwe-oncology kunye nokuqeshwa kwamabhabhane kufuneka kuthathe nantoni na imizuzu engama-15 ukuya kwiyure, kuxhomekeke kwindlela osebenza ngayo eklinikhi yakho. Ukuba iimpembelelo zakho zincinci, ungabuyela kwimisebenzi eqhelekileyo phakathi kweyonyango ngalinye. Kodwa ukuba baxhalabisa, cwangcisa ukuthatha ixesha ukubuyela. Ngezinye iirimenimenti unganikwa i-dose yeyeza ukuba ukwandise iseli lakho elimhlophe libe lilanga emva kokunyuswa kwakho. Ezi zonyango ngamanye amaxesha zingabangela iintlungu zethambo ezingapheli iintsuku ezi-3 ukuya kwezi-4.
Izihlandlo zokubuyisela kwi-chemotherapy ziyahluka kumntu ngamnye. Khumbula ukuba i-chemotherapy yonyango lwenkqubo echaphazela umzimba wakho wonke. Ufanele uceba kwinyanga enye ukuya kweyesithathu yokuphucula ixesha ngalinye kwi-dose standard standard of chemotherapy xa unyango lwakho luphelile.
Ukunyanga kwamayeza kunye nokubuyisela
Ixesha lokuxhatshazwa kwexesha liya kuxhomekeka kukuphi uhlobo lwezonyango zomlambo oza kuba nazo. Uninzi lweeprotokholi zintsha zifuna ngaphantsi kweeseshoni zangaphambili ezingama-33.
Inkqubo eqhelekileyo yokunakekelwa kwamayeza emitha emva kokuhlinzwa kuqulunqwe rhoqo ngeveki iintsuku ezintandathu okanye ezisixhenxe. Nawuphi na umphumo onokubakho uza kuba nawo, uyacwangcisa ukuthatha ixesha lokuphumla ngeveki kunye nasekupheleni kwonyango.
I-Irradiation ye-Breast Irritation (i-APBI) ekhawulezayo ingagqitywa kwiiveki ezintathu okanye ngaphantsi. I-brachytherapy , okanye i-radiation yangaphakathi yesifuba, inokuthi yenziwe kwiintsuku ezintlanu, kunye nemiphumo emibi kunye nexesha elifutshane lokubuyisela.
Ixesha elipheleleyo
Ionyango zomhlaza zesisu zithatha ixesha elide kwaye unokuzibuza ukuba kungekudala uza kufumana njani ubomi bakho. Kufuneka uvumele iintsapho, abahlobo, okanye umphathi wakho bazi ukuba lixesha elingakanani kunyango.
Ngezantsi itafile kunye nokuqikelelwa kwexesha lokuba unyango lunokuthatha ixesha elingakanani ngokuxhomekeka kwakho. Amaxesha akabandakanyi ukuhlukana phakathi kweentlobo zonyango, ukubonisana, iingcamango zesibini, ukuhlolwa okungeziwe kunye nezifundo zokucinga. Ukuba uza kuba neyeza le-hormonal ( unyango lwe- endocrine) emva kokuba unyango oluphambili luphela, unokuthatha amachiza ukukhusela ukuphindaphinda iminyaka emihlanu okanye ngaphezulu.
"Iimeko eziqhelekileyo" zesifo somhlaza wesifuba sokuqala unokuthatha unyaka ukuxilongwa kunye nokunyangwa ngokuphucula ixesha elifutshane. Zonke iimeko kule tafile zithatha umdlavuza webele wexesha lokuqala, kungekho metastasis . Gcina ukhumbule ukuba le nto inokuthi awunayo nayiphi na ingxaki ngenxa yonyango lwakho kwaye akukho ukuphindaphinda kwangoko umdlavuza webele.
I-Canast Metastatic Breast Cancer
Umhlaza wesifuba seMetastatic uya kuphathwa kwaye uhlolwe ngendlela eyahlukileyo. Ukunyangwa kunikezelwa ukunciphisa ukusasazeka komhlaza wesibeletho se-metastatic, ukunciphisa ubukhulu be-tumor , ukunciphisa intlungu, nokwandisa ukusinda. Icandelo ngalinye lomhlaza wesifuba se-metastatic liza kufuna isicwangciso sonyango malunga nobude bomntu wesigulane, ngoko ke ukuqikelela amaxesha okunyanga kunye nokubuyiswa kwenzelwa kwimeko yimeko. Ngomdlavuza webele we-metastatic, unyango alunakwenziwa "lwenziwe." Uninzi lwabantu luya kuba luhlobo oluthile lonyango lokunciphisa ukukhula kwe-tumor ebomini babo bonke ubomi. Enyanisweni, ukubuza xa kuya kwenziwa ngonyango ngenye yezinto ezingathethi kumntu onomdlavuza wesifo se-metastatic .
Itheyibhile: Ixesha leMpilo kunye nokuPhinda kwakhona ngokusekelwe kuGawulayo
Itheyibhile engezantsi yindlela ekhohlakeleyo yeziganeko eziqhelekileyo. Ezi ziko zicinga ukuxilongwa kweso sifo sesifo somhlaza wesisu esususwe ngugqirha kwaye unike unyango olusisigxina ukukhusela ukuphindaphinda.
Kukho amanani amaninzi kwiimeko ezichazwe apha. Ngokomzekelo, ukuxilongwa kwesifo somhlaza wesifuba esinesithathu esineengcambu ezincinci, i-lymph nodes ezicacileyo, kunye nezigulane zokugqithisa ziya kunyangwa ngeenyanga ezintathu ukuya ezintandathu ze-chemotherapy, ngelixa imeko ye-grade-grade ductal carcinoma inendawo encinci, kucacisa i-lymph nodes, kunye neengcambu zogqirha zingaphathwa nge-radiation yodwa.
Ukongeza, iithebhile ayifaki ukufikelela kwiminyaka emihlanu okanye ngaphezulu kwonyango lwama-hormone kwi-breast cancer. Xoxa ngokuxilongwa kwakho kunye ne-oncologist yakho ukuze ufumane umfanekiso ochanekileyo wexesha lakho lonke kunyango nokuphulukana.
| Ukuxilongwa | Ukuhlinzwa | Olongezelelweyo Ukuhlinzwa | EziPrayimari Unyango | Sekondari Unyango | Ixesha Lonyango no ku buyiswa * |
| T1 / N0 / M0 | Lumpectomy (Iintsuku ezi-7) | I midiyo: Brachytherapy (Iintsuku ezi-7) | 14 - 21 iintsuku (Ii-2 - 3 iiveki) | ||
| T1 / N0 / M0 | Lumpectomy (Iintsuku ezi-7) | Ukulungiswa kwakhona (Iintsuku ezi-3-7) | I midiyo: APBI | 6 iiiveki | |
| T1 / N1 / M0 | Lumpectomy (Iintsuku ezi-7) | I midiyo: APBI (Iiveki ezi-3) | Chemotherapy (6 Izijikelezo / iinyanga 6) | 7 - 8 inyanga | |
| T2 / N0 / M0 | Lumpectomy (Iintsuku ezi-7) | I midiyo: Yonke Isifuba | Chemotherapy (6 Izijikelezo / iinyanga 6) | 8 - 9 inyanga | |
| T3 / N1 / M0 | Mastectomy (Iintsuku ezili-14) | Chemotherapy (6 Izijikelezo / iinyanga 6) | 7 - 8 inyanga | ||
| T3 / N1 / M0 | Mastectomy (21 iintsuku) | Ngokukhawuleza Ukwakhiwa kwakhona | Chemotherapy (6 Izijikelezo / iinyanga 6) | 7 - 8 inyanga | |
| * Qaphela: Izihlandlo zonyango kunye nokubuyiselwa ziqikelelo -kodwa icala liyahluka. Amaxesha akabandakanyi ukuhlukana phakathi kweentlobo zonyango, ukubonisana, iingcamango zesibini, ukuhlolwa okungeziwe kunye nezifundo zokucinga. | |||||
Ukuya phambili
Ixesha lokubuyisela lixhomekeka kwimpilo yakho ngaphambi kokuba uhlolwe, impendulo yomzimba wakho kwinyango, izinto zokuphila, kunye namanqanaba omsebenzi ngexesha lokuphucula. Ukuzilolonga, ukutya ukutya okunempilo, ukuphepha utywala kunye nogwayi, kwaye ngokukhawuleza ubuyela kwimisebenzi eqhelekileyo kunokukhawuleza ukuphucula, njengoko kunokukwazi ukujongana nayo nayiphi na imiba yokulala oqhubeka nayo emva kokuba unyango.
Ukubuyiselwa ngokomzwelo yinkqubo eyinkimbinkimbi ngakumbi kuthi ngamnye wethu usebenza ngehedyuli yethu. Ukuba uziva uxinezelekile okanye uloyiko lokuphindaphinda , cela uncedo. Izifundo zitsho ukuba ukuphucula kuphuculwe kubantu abahamba ngeengcebiso zengqondo yokuziphatha, aka "bathetha unyango."
Imiphumo emibi yecala iya kuhla kwexesha njengoko impilo yakho ihlawulela, kodwa ezinye zihlala zihleli. Umzimba wakho uza kuthwala amacwecwe kwi-battle- lymphedema kunye ne- chemobrain inokuchaphazela ixesha elide kunokuba ungathanda. Ubuhlobo bakho bunokutshintsha, kwaye amaninzi amabhinqa athetha ukuba ingaba yiminyaka ngaphambi kokuba amanqanaba abo wamandla abuyele ejwayelekile.
Surivorship
Sithatha nje nje ukuqala ukuthetha "ukukhathazeka kokusinda" kubantu abanomdlavuza wesibele, njengenguqu yengqondo ngenxa yobuchopho be-chemo, ukukhathala okuqhubekayo, intlungu engapheliyo, kunye nokunye. Amanqanaba omhlaza amaninzi ngoku anikezela "ukuvuselelwa komhlaza" onokubandakanya ukululekwa, unyango lomzimba, kunye nokunye ukukunceda ukubuyisela umzimba wakho ngokusondeleyo apho ungaphambi komhlaza-mhlawumbi ungcono.
Njengamanje zicinga ukuba kuphela ama-5 ekhulwini kwabasetyhini abasinda kumdlavuza webele abanikezelwa le "yonyango yokuvuselela" unyango, kodwa ubuncinane ubuncinane be-60 ukuya kuma-95 ekhulwini. Ubomi emva komhlaza wesifuba kuquka utshintsho, ngoko ke zinike indawo eninzi kunye nexesha lokulungisa. Ukusinda kunendawo enkulu yokuhlala!
> Imithombo:
> De Groef, A., Van Kampen, M., Dieltjens, E. et al. Ukuphumelela kweThythrapie yePhysical Personnel for Upper-Limb Dispairments Emva kokuba unyango lwe-Breast Cancer: Uhlolo olusisiseko. IiNqoloba zoLwazi lweMpilo kunye nokuHlaziya . 2015. 96 (6): 1140-53.
> Joly, F., Giffard, B., Rigal, O. et al. Impembelelo yeCarcer kunye neZonyango zayo kuMsebenzi weCognitive: Intuthuko yoPhando oluvela kwi-International International Cognition kunye neCanscer Task Force Symposium kunye noHlolo olususela ngo-2012. I-Journal ye-Pain kunye neSimptom Management . 2015. 50 (6): 830-41.
> ULoh, S., no-A. Musa. Izindlela zokuphucula ukulungiswa kwezigulane Ukulandela utyando lwe-Breast Cancer: Ukuphononongwa kweeNkqubo eziPhezulu. Ngomhlaza webele . 2015. 7: 81-98.
> McKhona, uM., uBinkley, J., Pusic, A., Campbell, K., Gabram, S., noP. Soballe. Umzekelo ongenamathuba wokunakekelwa kweNtsholongwane kaBestern Rehabilitation: Iingxaki zokuPhumela emva kweZithuba kunye neZithuba. Cancer . 2012. 118 (I-Suppl ye-8): 2226-36.
> Stout, N., Binkley, J., Schmitz, K. et al. Umzekelo Ojongene Nokongamela Ukubuyiselwa Kwabesetyhini abane-Cancer Breast. Cancer . 2012. 188 (I-Suppl ye-8): 2191-200.