Imiphumela ye-Chemotherapy ne-Radiation Therapy ngokuzikhandla kanye nezinketho ezitholakalayo
Umdlavuza uthinta kanjani ukuzala? Yini engiyidingayo ngaphambi kokuba ngiphathe ukwelashwa komdlavuza ukuze ngihlele phambili?
Nakuba izinkinga zokuzala ziyimiphumela emihle kakhulu yomdlavuza nomuthi wokwelapha , ngokuvamile baxoshwa njengomphumela omubi wokuthi akukho muntu onokulawula. Abantu abaningi abazi ukuthi ukwelashwa kuyathinteka kanjani lezi zindlela zokwelapha noma kunokuqonda ukuthi yini engenziwa ngaphambi kwesikhathi ukulungiselela ngokugcwele.
Iqiniso lendaba ukuthi ngenkathi eziningi zokwelashwa kwegazi zomdlavuza zingabangela ukungasebenzi, lokhu akuyona into yazo zonke izindlela zokwelashwa, futhi kungenzeka kube nento ongayenza ngayo. Ingqondo yakho ingase igxile ekwelapheni umdlavuza wakho kodwa uthathe isikhathi sokucabanga ngokuzala kwakho manje. Kucatshangwa ukuthi phakathi kwalabo abasinda emdlalweni wesifo somdlavuza abasha abathinteka kakhulu ekukhathazeni-okwesibili nje kuphela ukuthi banethemba lokusinda lesi sifo.
Yini Ebangelwa Ukungabi Nesifo Esigulini Sengculaza?
Ukwelapha okuhlobene ne-Cancer kungenziwa okwesikhashana noma okuphakade. Ukukwazi kwakho ukuba nezingane kungathinteka yizici eziningi:
- Lesi sifo ngokwazo
- Imiphumela emibi yokwelashwa
- Uhlobo lomuthi owutholayo
- Iminyaka yakho
- Ezinye imithi noma izinkinga zempilo ongase ube nayo
- Ukutholakala kwamasu okulondolozwa kokuzala
- Izinkolelo zakho zenkolo noma zamasiko mayelana nokusiza ukukhiqiza (isib. In vitro fertilization nezinye ezifana)
Kukhona nokukhathazeka kwabanye abantu ukuthi ukukhulelwa kungafaka umzimba emzimbeni wesifazane ongeke uhlakaniphe ngokulandela ukwelashwa komdlavuza.
I-Cancers Yenza Kanjani Ukuzala
Nakuba zivame kakhulu kubantu abaneminyaka yobudala, ezinye i-leukemias ne-lymphomas zivamile kubantu abasha abaneminyaka yobudala noma ngisho nezingane. Iziguli eziningi zegciwane lesifo segazi zenzeka ngesikhathi lapho abantu bengakabi nethuba lokuqala, noma bacabange ngokuqala, umndeni.
Endabeni ye-khansa yegazi, ukungabi nalutho ngokuvamile akubangelwa yisifo ngokwayo, kodwa kaningi ngokuphathwa kwayo. Okuhlukile yi-Hodgkin lymphoma, engabangela isibalo esincane kakhulu semaduna emadodeni.
Ukuthinta I-Chemotherapy Kanjani Ukuzala?
I-Chemotherapy ingaba nomthelela kokubili kokuzala kwesilisa nowesifazane, kodwa akuwona wonke umuthi onomphumela ofanayo. Emadodeni, i-chemotherapy ingabangela ukuba isidoda singekho emzaneni (azoospermia). Kulaba besifazane, kungabangela ukungakwazi kwamakha amaqanda ukukhulula iqanda lamaqanda (ukwehluleka kwe-ovari noma ukuyeka esikhathini sokuqala) .
Ngokuyinhloko, inani lemithi yokwelapha i-chemotherapy enikezwa ngaphezu kwamasonto nezinyanga zokwelapha kunethonya elikhulu ekuzaleni ukwedlula inani lemithi enikezwe ngesilinganiso esisodwa. I-chemotherapy yokuhlanganiswa cishe ingabangela umonakalo ohlelweni lokuzala kunomuthi owodwa wezokwelapha.
Kuzo zombili amadoda nabesifazane, iqembu lemithi elithinta kakhulu ukulimala yilabo abasebenzisa i-alkylating agents. Ezinye izibonelo zama-alkylating agents zihlanganisa i- Cytoxan (cyclophosphamide), i-Ifex noma iMitoxana (ifosfamide), i-Alkeran (melphalan), i-Myleran noma i-Busulfex (busulfan) ne-Matulane (procarbazine.)
Njengoba kunezici eziningi ezithonya ukwelashwa kweziguli zomdlavuza, ngaphezu kwemithi oyitholayo, kunzima ukuthi ochwepheshe bakwazi ukusho ngokuqinisekile ukuthi ngubani ozophazamiseka.
Ukwelashwa Kwemithi Yokwelapha Kwenzeka Kanjani Ukuzala?
Ukwelashwa kwezidakamizwa kuvame ukunikezwa ngamanani amancane (izingxenyana) esikhathini eside ukunciphisa imiphumela emibi kanye nezidakamizwa. Ngeshwa, "ukuhlukana" kudala umonakalo omkhulu ezingxenyeni zokuzala kunokulawula umthamo owodwa omkhulu. Lapho kuhlinzeka ama-radiation, yonke imizamo yenziwa ukuvikela izitho zokubeletha uma kunokwenzeka.
Ngisho emithini encane, imisebe eya kuma- testes inganciphisa isibalo sesidoda. Lo mphumela ungase ube wesikhashana noma ungahlala unomphela uma kusetshenziswa amanani aphezulu. I-radiation ingase ibangele ukwehla kwamazinga e-testosterone.
Kwabesifazane, ama-ovari angase abe ngqo emkhakheni wezimoto.
Kulolu daba, udokotela angakhetha ukwelapha i-ovary kwenye indawo yomzimba ngakho kungenakwenzeka ukuthi ingonakaliswe yimisebe. Abesifazane abasebasha banamathuba amaningi kunabesifazane asebekhulile ukuze babuyisele emuva kokuzala kwabo emva kwemisebe.
Ukushisa komzimba okuphelele, njengoba kwesinye isikhathi kusetshenziselwa ukulungiselela ukufakelwa kwe-stem cell, ngokuvamile kuzobangela ukukhubazeka okungapheli kokuzala kokubili kokubili kwamadoda nabesifazane.
Ukulondolozwa kokuzala
Kubalulekile ukucabangela izinketho onakho uma kufanele uhlakulele ukungabi nalutho ngaphambi kokuba uqale ukwelashwa. Kunezinketho eziningana, kodwa izinqumo phakathi kwalezi zintando yomuntu siqu. Izinketho ezitholakalayo zifaka:
- Ukuqandisa amaqanda noma isidoda
- Imihume yokuqhwaza
- Ukusebenzisa amaqanda omnikelo, i-sperm, noma imibungu
- Ukuzibuza
- Ukwamukelwa
Ukulungelelwa kwe-Male Infertiity
Ngokuthakazelisayo, izindlela zokuqeda isidoda siphumelele kakhulu, okwenza ukukhishwa kwesilisa kube yindlela enhle kubantu abaningi uma sebefinyelele ekukhuleni. Izinketho zamadoda zingabandakanya:
- I-sperm yasebhange - isisu sokuqandisa ukuze sisebenzise kamuva.
- Isidakamizwa sesidoda - isisu singasuswa ngokuqondile esihlokweni sezinyosi uma isidoda sembewu singakhulile, futhi ingaqhwa noma isetshenziselwa ukukhulelwa nge-vitro.
- Ama-tissue e-Testicular-freezing - Asesezinyathelo zokuhlola, kodwa ososayensi babheka ukuthi kungenzeka yini ukususa isilwane noma ingxenye ye-testicle ngokuqanda, bese uyilungisela kabusha emzimbeni esikhathini esizayo.
Ukulungiselela Ukungafanisi Kwabesifazane
Ukulondoloza ukwelashwa kwabesifazane kunzima kakhulu kunabesilisa, njengoba izindlela zokuqanda amaqanda azizange ziphumelele njengalezo zokufisa umuthi. Izinketho zingafaka:
- Imikhuhlane yokuqandisa / ukufaka umanyolo we-in vitro - ukubhubhisa umbungu ukuze kutholakale emzimbeni wesifazane emva kokunakekelwa noma ukuxoshwa, kuye kwasetshenziselwa ngempumelelo kwabesifazane abaningi abaye bahlupheka ngenxa yokungelashwa komdlavuza. Yiqiniso, lokhu kudinga ukuhlela, nokudala nokuqanda umbungu (s) ngaphambi kokuba ukwelashwa komdlavuza kuqala.
- Amaqanda aqhakazile - Imizamo yokufisa amaqanda asuke eholele ekukhuleni okungamakhulu ambalwa, futhi inqubo ilinganiselwe ikhono lokukhanda ngempumelelo amaqanda ngaphandle kokulimala.
- Ukulondolozwa kwezicubu ze-ovarian - Le ndlela, njengamaqanda aqanda amaqanda, isamavivinyo, kodwa ihilela ukususa i-ovary noma ingxenye ye-ovary ngethemba lokuthi izicubu zingasetshenziswa kabusha ngemva kokuqeda ukwelashwa komdlavuza.
Imibuzo Yokubuza Udokotela Wakho
Kuyinto evamile ukuba ukwelashwa kwemdlavuza wegazi kubangele ukungabikho kokubili kwabesilisa nabesifazane. Nakuba lokhu kungase kubonakale sengathi kuyinto engcono kunazo zonke engqondweni yakho, kubalulekile ukuthi uxoxe ngezinketho zakho zokuzala kanye nomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka emva kokuthola ukuhlolwa kwakho.
Nazi imibuzo embalwa ongase ufune ukuyibuza udokotela wakho:
- Ingabe le thrase ingase ithinte ukuzala kwami?
- Ingabe ulindele ukuthi lo mphumela ohlangothini uzoba wesikhashana noma unomphela?
- Ingabe kukhona okungenziwa ukuze kuvinjelwe ukungabi nabantwana ngesikhathi sengilashwa?
- Zikhona yini ezinye izindlela zokwelashwa ezingenakudala ukungabi nabantwana?
- Ngabe ngizoba nesikhathi ngaphambi kokuba ukwelashwa kwami kuqala ukuhlola izinketho zami zokulondoloza ukuzala?
- Ngingayithunyelwa yini kumchwepheshe wokuzala ukuxoxa ngezinketho zami zokulondoloza ukuzala? (Awudingi ukwazi konke ukwelashwa kwezingane ezingakafiki ngaphambi kokwelashwa komdlavuza, kodwa ochwepheshe angakunikeza konke okufanele ukwazi khona ngalesi sikhathi.)
- Uma ngihlala ngivundile, ingabe izingane zami ezizayo zingathinteka ukwelashwa kwami?
- Ngizokwazi kanjani ukuthi nginomhlabathi noma cha?
Isingatha phezulu
Abantu abaningi abaye babhekana nesimo esesongela impilo bajabulela ukubonga okukhulu ngesipho sokuphila kanye nekhono lokudala impilo. Kunezici eziningi ezingathonya ukwelashwa komdlavuza wethonya kuzoba nokuzala kwakho. Ezimweni eziningi, akunakwenzeka odokotela ukubikezela. Yize kungase kube nzima, noma kungenakwenzeka, ukuthola ukwelashwa okuphumelelayo komdlavuza wakho ngenkathi uvimbela ukungasebenzi, kungase kube nezinketho zokulondoloza ukuzala kwakho ngaphambi kokuqala ukwelashwa.
Kubalulekile ukuthi uxoxe yonke imibuzo yakho kanye nokukhathazeka ngokukhulelwa noma ukubeletha ingane esikhathini esizayo ngaphambi kokuba uqale ukwelashwa.
Imithombo
I-American Society of Clinical Oncology. I-Cancer.Net. Ukukhathazeka kokunakekelwa nokulondolozwa kwamadoda. 03/2014. http://www.cancer.net/navigating-cancer-care/dating-sex-and-reproduction/fertility-concerns-and-preservation-men
Kim, SY., Kim, SK, Lee, J., noT. Woodruff. Ngomuthi ocacile wokulondoloza ukwelashwa kweziguli zomdlavuza: izinketho zokulondoloza izitshalo ezikhona nezasanda kukhuphuka kwabesifazane. I-Journal ye-Gynecologic Oncology . 2016. 27 (2): e22.
I-Krebs, L. "Ukukhubazeka kobulili nokuzala" e-Yarbro, C., Frogge, M., Goodman, M., naseGroenwald, S. eds. (2000) Ukwelashwa Kwemdlavuza: Izimiso Nezenzo 5th.Jones noBartlett: Sudbury MA. (pp.831- 854).
Lee, S., Schover, L. Partridge, A. et al. I-American Society of Clinical Oncology Izincomo mayelana Nokulondolozwa Kwezinzalo Emagceni E-Cancer. I-Journal of Clinical Oncology 2006; 24 (18): 2917- 2931.