Nangona ukufunda ukunyanga kunokuba ngumngeni kubamama abatsha, ukuvumelana kwempilo kukuba ubisi lwebele lubona mthombo ongcono kakhulu wesondlo kubantwana kunye nokuncelisa kufuneka kukhuthazwe.
Kodwa, kuthekani ukuba ufumene nje ukufumanisa ukuxilongwa komhlaza wesifuba okanye uye wafumana unyango lomhlaza webele? Ngaba uya kukwazi ukuncelisa? Ngaba kuya kuba nempilo yokwenza njalo wena nomntwana wakho?
Iimpendulo zinokuba nzima. Kodwa, ngokubanzi, oko kusebenza kwabanye oomama kusebenza nakumama abajongene nomdlavuza webele.
Ukufumana inkxaso kunye neNcedo
Ukuncwina akulula, kwimeko efanelekileyo kakhulu, kwaye ukuxilongwa komhlaza wesifuba kwandisa ubunzima. Ukongezelela ukwabelana ngezicwangciso zakho ukuba uncelise iqela lakho lononyango lomhlaza, uya kufuna ukunxibelelana nodokotela wakho wesigqirha nomntwana wezingane.
Ngaphezu koko, ngenxa yokuba imingeni ingaba yengqondo kunye nemvakalelo kunye nempilo, unokufumanisa kukunceda ukuthetha nomqeqeshi wezempilo yengqondo onokukunceda ukuba usebenze ngemiba equka umfanekiso womzimba okanye ukulahleka kolawulo onokuziva.
Kwakhona, cinga ngokubhalela uncedo lomcebisi ocebileyo wezobisi. Abaqeqeshi bezonyango abaqeqeshwe banokukunceda ngoncedo olukhethekileyo, njengokubonakalisa ubisi nokulondoloza ukuze ulisebenzise kamva okanye ulondoloze ubonelelo lobisi ngexesha lokuphazamiseka kwenkqubo yokuncelisa.
Ukuba isikhungo sakho sonyango somhlaza sihambisana nesibhedlele esinesiko lokuzalwa, abasebenzi banokukwazi ukucebisa umcebisi we-lactation. I-International Lactation Consultant Association inokukwazi ukubonelela ngolwazi olongezelelweyo malunga nokufumana umcebisi we-lactation kufuphi nawe, naye.
Ukuxiliswa Ngethuba Ngonyango
Ngenxa yokuba umdlavuza unzima ukuwufumana kwisifuba esilahlayo, akuqhelekanga-nangona kungenakwenzeka-ukuba abafazi bafunyaniswe ngethuba lokuncelisa.
Ukuba oko kwenzeka, akuthethi ngokuthe ngqo ukuphela kokuncelisa. Ngokomzekelo, iinkqubo zokuxilonga (ezifana nenaliti ye-apiyo) ayinaso isithintelo ekunceliseni ibele.
Emva kokuxilongwa, kunjalo, ukuncelisa kufuneka kuphazanyiswe ngelixa isicwangciso sonyango senziwa. Kwakhona, oku akuthethi umntwana kufuneka aphuliswe. Ukondla umntwana wakho kunye nobisi obuphambanwe ngaphambili okanye ifom yezorhwebo unokubhenca i-gap de ugqirha uthi usenokuqala kwakhona.
Ukuba unyango luquka utyando, fumana ukuba ugqirha uye wasebenza kwibele elambileyo ngaphambili. Ingaba yindawo enzima. Ngelixa ungafuni ukulimaza ubisi obungasomfuneko, ukususa umhlaza kunokubandakanya umonakalo.
Kwaye, ukuba isicwangciso sonyango sakho siquka i-chemotherapy, kuya kufuneka unqande ukunyamezela ngexesha lokunyanga kwaye emva kwexesha elilandelayo. I-agents ze-Chemotherapy zidluliselwa ngobisi lwebele kwaye zinokuba ziyingozi kumntwana wakho.
Ukunyangwa kwamayeza kunokufuna ukuphazamiseka ekunceliseni, kuxhomekeke kuhlobo lombane osetyenziswayo kunye nobude bonyango. Ugqirha wakho uya kukwazi ukuchazela imiphumo yonyango lwakho kwaye nokuba unako ukutsalisa usebenzisa amabele okanye kuphela isifuba esingathintekiyo ngexesha unyango luqhubeka.
Xa ungelibele, unokufumana "ipompo kunye nokulahla". Oku kuquka ukupompa amabele imihla ngemihla ukwenzela ukuba ubisi luqhubeke kodwa lulawule ubisi ngenxa yokuba ukhuseleko lwayo luyazaza.
Ukuxiliswa emva kokunyanga
Xa unyango lwakho luphelile, wena kunye nosana lwakho unokukwazi ukukhetha apho ushiye khona-okanye ungadinga umonde kunye nokunyamezela ukubuyela kumzila. Khumbula ukuba iziphumo zonyango lwakho zisenokuhlala zihlala emzimbeni wakho kunye nobisi lwakho lwebele. Buza ugqirha wakho xa ukhuselekile ukuzama ukuncelisa.
Emva kokuhlinzwa, ukuncelisa kunokuba ngumngeni.
Utyando luye lwaphazamisa ezinye iibisi zakho zobisi, ukunciphisa inani lobisi okwazi ukubonelela ngalo. Ukuba ububele (okanye uceba) phambi kokuhlinzwa kwakho, udokotela wakho ugqirha unokufuna ukuphepha umonakalo weendlela zokuhamba. Kodwa nangona umonakalo uye wehla, ukunyamekela ngononophelo kungabangela ukunikezelwa kwakho kwiiveki ezimbalwa okanye isifuba esingathintekiyo sinokunyusa imveliso yayo ngokwaneleyo ukwenza umehluko.
Ukunikezela kwakho ngobisi kunokunciphisa okanye kupheliswe kwibele ephathwayo emva kokunyanga kwamayeza. I-radiation inganciphisa ukunyaniseka kwesipontsho, okwenza kube nzima ukuba umntwana wakho "angene" ngokufanelekileyo. Ukuba ufumanisa ukuba isifuba esiphathwe ngayo asisebenzi, esinye isifuba kufuneka sikwazi ukwenza umthamo wobisi olungekho phantsi kweeyure ezimbalwa zee-nursing rhoqo.
Emva kwe-chemotherapy, iikhemikhali zokuhlala zisekho kwi-milk supply yakho. Buza ugqirha wakho xa ukhuselekile ukuba uncelise kwakhona. Iindaba ezilungileyo kukuba xa usususwe ngugqirha wakho, i-chemotherapy akunakwenzeka ukuba naluphi na ixesha elide elichaphazelayo ekunandiseni.
Ukuba unikwe unyango oluqhubekayo lwe- Nolvadex (iTamoxifen) , awuyi kukwazi ukuncelisa unyaka kude kube emva kokumisa le nkqubo yokonyango. I-Tamoxifen inqanda ukuveliswa kobisi, kwaye ubukho kuyo nayiphi na ubisi yobisi esele buyingozi kumntwana.
Ukuphindaphinda Ingozi
Umbuzo oqhelekileyo phakathi kwabasindileyo bomhlaza wongcinezelo kungakhathaliseki ukuba i-hormone yokukhulelwa kunye ne-lactation ingabangela ukuphindaphinda kwesi sifo. Akukho bubungqina bokuba. Enyanisweni, uphando lubonisa ukuba ukuncelisa inganciphisa umngcipheko wesifazana somhlaza wesibeleko (nangona izifundo zingakhange ziphendule ngokuphindaphindiweyo kubasetyhini abaye bafunyaniswa).
Ingozi yomntwana
Akukho bubungqina bokuba ubisi lwebele olusuka kumdlavuza womhlaza lubeka nayiphi na umngcipheko kwintsana yakhe, ngokude nje ukuba nayiphi na imiphumo eseleyo yonyango iye yacima inkqubo yayo. Ngenxa yokufumana uncedo oluqinileyo lokuncelisa, isifo somhlaza wesifuba esifanelekileyo sifanele sive ngathi sikhuthazwa ukuba senze njalo njengoko kunomnye umama.
ILizwi
Ukuba, naphezu kwemizamo yakho engcono kunye noogqirha wakho, ufumanisa ukuba ukuncelisa ibele akusebenzi, unako ukuqinisekisa ukuba wena kunye nosana lwakho ufumana inzuzo yaloo nto. Nantsi indlela:
- Buza malunga nobisi lwebele. Abanye besetyhini bapompa kwaye banikele ubisi babo ukuze iintsana zabesetyhini abanenkxalabo yokuxhamla zifumana ubisi lwangunina. Buza udokotela wakho wezilwanyana okanye iingcali zesibhedlele sezibhedlele ukuba inkqubo efana nale yile kufuphi nawe.
- Phatha ixesha lokutya njengoko uhlala unayo. Kungenxa yokuba ivela kwibhotile ayithethi ixesha elichithe lokunyusa umntwana wakho naluphi na olukhethekileyo. Jongana nomntwana wakho, kwaye ufumane unxibelelwano olunzulu lwekhumba njengoko unako.
- Fumana iqela lokuxhasa. Ingaba liqela leentsholongwane lomhlaza webele okanye iqela lomama wendawo, unokufumana induduzo xa uthetha nabasetyhini abajongene nemingeni efanayo.
Imithombo:
UDavid, F. "Ukulungelelanisa Ukulandela unyango lwe-Primary Radiation yeCarcinoma ye Breast." Int J Radiat Oncol Biol Phys.
Abasebenzi be-FDA. "Iintsana Ezizalelwe Ukubeleka ." I-FDA.gov . NgoNovemba 2007. Ukutya kunye noLawulo lweeMithi. 12 Meyi 2008.
Higgins, S. kunye noHaffty. "Ukukhulelwa kunye ne-Lactation Emva kokuba unyango lwe-Breast-Conserving Treatment lwe-Early Stage Cancer Breast" .
SOGC Abasebenzi. "Umhlaza webele, ukubeleka nokukhulelwa." SOGC.org . NgoFebruwari 2002. UMbutho weeNqununu kunye namaGynecologists eCanada. 12 Meyi 2008.