Ukubaluleka kobudlelwane obuseduze ngenkathi ukubhekana nomdlavuza we-metastatic bekuthole ukunakwa okwengeziwe eminyakeni yamuva. Umdlavuza webele , ikakhulukazi, ungaholela ezinkingeni ezibeka umonakalo ekusondelene, kodwa lokho akusho ukuthi kubaluleke kakhulu. Kunalokho, ukulondoloza ukusondelana ngenkathi uhlala nomdlavuza kungakuthinta kahle nakwezinye izindlela.
Akuyona nje ukucindezelwa ngokomzwelo komdlavuza we-metastatic, kodwa uhlangothi lwangempela oluvame ukusondeza ukusondelana nokushisa ngemuva.
Isithombe somzimba singashintsha ngezimpawu ze-mastectomy nokuningi. I-metastases ye-Bone ingenza buthakathaka amathambo futhi inciphise ukunyakaza, futhi ukukhathala komdlavuza kungenza noma yimuphi umsebenzi-ikakhulukazi ngokobulili-inselelo.
Lapho Ukholo Lungavela khona
Ukuhlala emphakathini obuka amabele njengezinto zocansi, abaningi bethu besaba ukungabonisi ngokobulili kumngane wethu noma oshade naye. Kwabesifazane abangashadile abathandana nabo, kukhona ukwesaba okuhambisana nokuqala ubudlelwane obusha, ukwabelana ngolwazi mayelana nokuba nomdlavuza wesifuba nokusondelana. Abesifazane abasha abafuna izingane bangase babhekane nezinkinga zokuzala ngenxa yokwelashwa kwamakhemikhali .
Umdlavuza Webele Nebuhlobo Bakho
UDkt. Marc Hurlburt, Isikhulu Esiyinhloko seSifo Sezinsana Zomdlavuza webele, wabelane ngemiphumela yokuhlolwa kwe-American Cancer Society kanye ne-American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline, eyakhishwa engxenyeni yokugcina ka-2015.
Njengoba uDkt. Hurlburt echaza, "Inhloso yoMhlahlandlela Wokunakekelwa Kokuphepha Kuwukuhlinzeka izincomo zokusiza ukunakekelwa okuyinhloko kanye nabanye abahlengikazi ekunakekeleni abasinda besifazane abanomdlavuza wesibeletho.
Lichaza izinkinga ezingathinta abasindile besifazane, babo bonke ubudala, futhi kubonisa ukuthi odokotela bakhuluma nabo ngekhwalithi yabo yokuphila.
Njengoba abesifazane abaningi bengakhululekile ukukhulisa izinkinga zokusondelana, odokotela bakhuthazwa ukuba bakhulume ngokuphathelene nobulili nobudlelwane bomshado okungenzeka buhlobene nomdlavuza wabo webele. "
UDkt. Hurlburt ubhekene nezinkinga ezinkulu ezinkombandlela zokunakekela ezithinta ubudlelwane nobudlelwane obunjengoba:
- Izinguquko zomzimba nezokubonakala, ezithinta amaphesenti angu-31 kuya kwangu-67 kwabasindile. Izinkinga eziyisithupha ezinzima kakhulu zomzimba kwabesifazane abaningi zihlanganisa:
- Ukusuka ekudleni kwe-mastectomy kanye nokuhlinzwa kokubili kwe-mastectomy nokuvuselelwa kwebele. Abesifazane abesilisa ocansini babonisa izinkinga ezinkulu zemizimba yomzimba noma ngabe bakha kabusha yini.
- Ukwelashwa kokuya esikhathini sokuqala kwe-Chemotherapy.
- Izinguquko esikhumbeni ngenxa yemisebe.
- Umehluko ngobukhulu besifuba esiphathwe ngenxa ye-lumpectomy kanye / noma imisebe.
- Ukuvuvukala ngengalo nangesandla emva kokuhlinzwa (i-lymphedema).
- Inzuzo yesisindo ehlobene nemithi yokwelapha.
- Izinkinga zezempilo zobulili zihlanganisa i-libido encishisiwe, isomiso esiswini, ubulili obubuhlungu kanye nobunzima bokufinyelela i-orgasm. Izindlela zokulawula ukubeletha kwabesifazane, eminyakeni yabo yokubeletha, abathatha i-tamoxifen ukuvimbela ukuphindaphinda, kudingeka ukuba banciphise izinketho zabo zokulawula ukuzalwa ku-IUD namakhondomu. Ukukhulelwa ku-tamoxifen akuphephile; kungabangela ukukhubazeka kokuzalwa
- Ukusebenza kwengqondo kwakuyinkinga ezingaphezu kuka-35 amaphesenti abesifazane besesikhathi eside.
- Ukucindezeleka nokukhathazeka kwabikwa ngamaphesenti angu-22 abesifazane njengenkinga.
- Okunye, izinkinga ezibikiwe kangako, kufaka phakathi: ukuphuza i-osteoporosis, nokuhlukunyezwa kwamathambo kuma-postmenopausal abesifazane ngenxa yokuthatha iklasi ye- hormone therapy okuthiwa i-aromatase inhibitors ukuvimbela ukuphindaphindiwe.
Yini Ongayenza?
Kukhona izinto ezimbalwa ongafisa ukuzicabangela ukukusiza uhlale usondelene nobuhlobo bakho ngenkathi uhlangabezana nomdlavuza webele we-metastatic.
- Khumbula ukuthi ubulili bungaphezulu kakhulu kobulili. Kunezindlela eziningi ongathinta ngazo ezingafaki ubulili.
- Cabanga ngezindlela zokugcina u-spark uhamba ngisho naphakathi kwezokwelapha. Ungase ufise ukucabanga ngendlela owawuyi ngayo lapho wena nomngane wakho ohlangana kuqala. Ukubamba izandla ngenkathi uthola i-chemotherapy, ukuhamba emigwaqweni yesibhedlela, noma ukubuyela emotweni kuyisiqalo. Sneak kiss uma udokotela engaboni. Cabanga ngezindlela zokudlala.
- Yilungele imiphumela emibi yokwelashwa ngaphambi kokulala. Ukwelashwa kwe-hormone kungabangela ukoma komzimba wesisu, ngakho-ke kufanele ube ne-lubricant eningi esandleni. Abesifazane abaningi bathi isikhundla "shlangothi nhlangothi" sikhululekile uma ulwa nobuhlungu obuvela emacaleni omzimba.
- Thola izindlela zokuba nomzimba. Amakhandlela, igumbi lokulala elisha (noma amabhokisi), umculo wakho ozithandayo, ngisho ne-chocolate kanye nama-strawberries angangezelela ukuthinta uma isimo sakho sengqondo sigxile emdlalweni wakho kunokuba usondelane.
- Ukuntuleka kwesifiso kuyinto evamile kakhulu futhi kuhlobene nokuningi kwezimpawu ezihlobene nomdlavuza webele we-metastatic. Uma ulinde uze uzizwe ufisa ungaqeda isikhathi eside kakhulu sokulinda. Abanye abathintekayo abaye basebenzelana nabantu abanomdlavuza basikisela ukuthi "ukukhohlisa kuze kube yilapho usenza" kufinyelela ngesifiso. Kungase kuthathe "ukukhumbula ngokomzimba" ngaphambi kokuba uhlangothi lwakho lwengqondo lulandele.
Umlingani wakho angase abe nokukhathazeka ukuthi ukusondelana kungakulimaza, okungaqala umbuthano ononya. Nakuba kungase kube nzima ukuqala ingxoxo, ukuxoxisana okucabangayo neqotho nomlingani wakho kanye ne-oncologist yakho kungase kuhlanzwe umoya ngokuphathelene nokukhathazeka.
Ukwengeza, okuningi kwalaba besifazane abakubheka njengezimpikiswano ekuhlolweni kungakhululwa ngokuthola usizo kumtholampilo ongabeluleka ukuthi yini ezokwenza noma iyanciphise imiphumela yabo yecala efana nalokhu:
- I-scar creams enganciphisa ukubukeka kwezibazi zokuhlinzwa nokuvuselela.
- Ama-lubricants aphephile ukusebenzisa wona azokwenza ukuthi u-dryin owome futhi ubulale ubulili bubuhlungu.
- Amabele angasaboni okufanayo, ngenxa yokuhlinzwa, angenziwa kanjalo ngokusebenzisa ukuvuselelwa kabusha.
- Imithelela emibi yokweqa esikhathini sokuqala inganciphisa ngemithi nokuzivocavoca.
- Izinguquko zesikhumba ngenxa yemisebe ehlala isikhathi eside kunezinyanga ezimbalwa zivame ukusabela ekwelapheni.
- I-Lymphedema ingelashwa futhi ukuvuvukala kunciphise abesifazane abaningi.
- Inzuzo yesisindo yokwelashwa ingagcinwa ngaphansi kokulawula ngokudla nokuzivocavoca.
- Ukucindezeleka nokukhathazeka kungelashwa ngelashwa futhi, uma kudingeka, ngemithi.
Imithombo:
I-American Cancer Society / i-American Society of Clinical Oncology I-Breast Cancer Survivorship Care Guidelines 2015.