Amabele ayelokhu efanekisela ubulili kanye nobulili kusukela impucuko iqalile, ngakho akuyona into engavamile ngesiguli somdlavuza webele ukuba uzizwe ukuthi lesi sifo siye sahlasela isithombe sakhe somzimba kanye nezicubu zakhe zesifuba.
"Yebo, ngizizwa sengathi abantu bayabheka, futhi kunzima ukuthola izingubo." Yebo, ngiyaxolisa kakhulu, "kusho omunye wesifazane kwi-National Forum of Survivor Survivor forum.
"Kodwa ... kwadingeka ngifunde ukuthanda umzimba wami futhi."
Kungakhathaliseki ukuthi isiguli sesifo somdlavuza silondoloze amabele, siwasuse, noma siwavuselele, ukufunda ukwamukela ngisho nokuthanda umzimba we-post-diagnostic kuyinkqubo. Qiniseka ukuthi uhlanganisa umndeni, abangani, futhi ikakhulukazi ozakwethu kule nkinga yokwelashwa komdlavuza.
Futhi, ungesabi ukhuluma ngezinkinga zomzimba womzimba nodokotela. Izifundo zisitshengisa ukuthi odokotela bavame ukwehluleka ukuveza le ndaba ebalulekile. Yiba ngummeli wakho siqu ukunakekelwa komdlavuza wakho futhi ukhulume-uwufanele!
Isifo somdlavuza nesithombeni somzimba
Umdlavuza wesibeletho awugcini nje ekuholeni izibazi ze-mastectomy yedwa. I-radiation ingaholela ekubomvu nasezinhlungwini endaweni ethintekile, i-chemotherapy ngokuvamile ibangele ukulahleka kwezinwele nokuncipha kwenani, kanti izibazi zangaphakathi ezinemizwelo yakho zingaba nzima nakakhulu.
Ukubhekana nalezi zinhlobo zokuguqulwa komzimba kungaba inselele ikakhulukazi kwabesifazane abasebasha, njengoba ucwaningo lubonise ukuthi laba besifazane bavame ukukhathazeka kakhulu ngalezi zinguquko kunabesifazane abangaphezu kuka-67.
Kungaba nzima ukuveza umqondo wokuthi umzimba wakho ukukhaphele noma ukuthi ukulahlekelwa kwesinye sezibilini zakho noma kokubili kungase kube nomuzwa wokuphela kokuba ngowesifazane.
Abanye besifazane bathola ukuthi baqala ukugwema ukusondelana, ukugqoka yedwa noma ebumnyameni, noma ngisho nokunciphisa ukugeza njengoba bebhekana nemiphumela yomdlavuza webele.
Lezi ziphathekayo zivamile kodwa kufanele zinciphise futhi zithuthukise isikhathi. Uma wena noma othandekayo udinga usizo lokubhekana nezinkinga zomzimba womzimba, khuluma nodokotela, iqembu lokusekela noma umeluleki othembekile.
Izinketho zokuhlinza nesithombe somzimba
Abesifazane bangaziqhenya ngamabele abo ngoba nje umdlavuza webele usithinta ingxenye ebusweni yomzimba. Nokho, ezimweni eziningi, akuyona umdlavuza obangela izibazi ezingokomzwelo ezihlobene nomdlavuza wesifuba, yilapha yokwelapha.
Ngesikhathi sokuxilongwa, abesifazane abaningi babhekana nezinketho ezintathu zokuhlinzwa:
- I-Lumpectomy -ukukhipha izicubu zomdlavuza kanye nesisindo esincane sezicubu ezivamile ezizungezile.
- I-mastectomy ehlukile -ukususwa kwezicubu zomdlavuza kanye nenani elikhudlwana lesisele esele kunalokho okuthathwe enqubo ye-lumpectomy. (I-mastectomy eyingxenye ngokuvamile ibandakanya i-quadrant noma amabili webele.)
- I-mastectomy -ukususwa kwesinye noma kokubili amabele.
Ayikho isifundo esicacile ukuthi lezi zindlela zokwelashwa zithinta kanjani ukuzethemba nokuzibona komzimba. Uma ucabangela ukukhetha kokuhlinzwa, owesifazane ngamunye kudingeka acabange ngohlobo lwakhe lomdlavuza, izincomo zesidokotela, umlando womndeni, ingozi yokuphindaphinda, futhi, noma kunjalo, noma yiziphi izinkinga zomzimba zomuntu ezilindelekile.
Qinisekisa ukuthi ubuza imibuzo futhi uqhuba ucwaningo kukho okukhethwa kukho. Ungesabi ukubuza abanye abasindile umdlavuza webele, kungakhathaliseki ukuthi ku-intanethi noma ngeqembu lokusekela, ukuthi ukuhlinzwa kwabathinte kanjani ukuzethemba kwabo. Qinisekisa ukuthi ukhuluma nabantu abaningana, njengoba isipiliyoni sowesifazane ngamunye singabhala ngemibono yakhe kanye nesizinda sakhe.
I-Lumpectomy, i-Mastectomy, ne-Reconstruction
Nakuba i-lumpectomy noma i-mastectomy eyingxenye igcina isifuba, abanye besifazane abakhetha lezi zinqubo bazobona ukuthi iziphi izinambuzane zasepulasitiki ezibiza ngokuthi "ukuhlanekezela" ekubukeni kwesifuba. Lezi ziphazamiso zingabandakanya ukuguqulwa noma izinguquko ezinkulu ebusini besifuba.
Nokho, ngokucwaninga okunye, ukuphazamiseka okukhulu akuvamile.
Abanye besifazane bazokhetha ukusebenzisa i- prosthesis , ehambisana ngaphakathi kwebra, ukugcwalisa izingubo nokugwema imibuzo. Abanye besifazane bangakhetha ukuhlinzwa okuvuselelayo . Ukuhlinzwa kabusha kungenziwa ngesikhathi sokuhlinzwa komdlavuza wakho webele noma kamuva uma usuphululile.
Abesifazane ngokusobala balungisa kangcono ngokuvuselela ngokushesha, kodwa lokhu akusi njalo njalo. Kunezizathu eziningana zezokwelapha zokuvuselelwa kokulibaziseka, kepha ngesinye isikhathi abesifazane besibhekene nakho kuyinkinga yokugcoba kokubili udokotela ohlinzayo nodokotela ohlinzayo weplastiki ukuba babe endaweni efanayo ngesikhathi esifanayo nangaphansi komshwalense wabo.
Uma unenkinga yalolu daba, finyelela emisebenzini eminingi yokusekela etholakalayo kwabesifazane abanomdlavuza wesifuba ngakho akudingeki uhambe lokhu kuphela. Kungenzeka kepha kungathatha umsebenzi othile.
Kunezifundo ezingenakubalwa zezokwelapha ezikhuluma ngezinzuzo zengqondo zokuhlinzwa kabusha. Ucwaningo oluthile lubika ukuthi abesifazane abakhetha ukuhlinzwa ngokuvuselela bahlangabezana nesithombe somzimba onempilo kunabesifazane abangenalo; Kodwa-ke, ezinye izifundo zibonisa ukuthi abesifazane abakhetha ukuhlinzwa ngokuvuselela banenkathazo ephakeme mayelana nokulahleka kwebele kunabesifazane abangakhethi ukuhlinzwa.
Kubalulekile nokuba nethemba elifanele mayelana nokuvuselelwa kwebele. Abanye besifazane badumala lapho amabele abo avuselelwe bengabheki njengezifuba zabo zangaphambili, kanti abanye bakubheka njengethuba lokuba nesayizi lesifuba abaye bafuna (uhlobo lwemali yesiliva).
Kubalulekile ukukhumbula ukuthi ukuvuselelwa kwebele akubuyiselanga izinzwa. Futhi ukuxhumana okuvulekile nomlingani wakho kubaluleke kakhulu uma ukhetha lo mzila.
Amathiphu Wokugcina Isithombe Esihle Somzimba
Njengalokhu nganoma yikuphi ukukhathazeka kwengqondo, abesifazane abanomdlavuza wesifuba bangazuza ngokuhlanganyela engxoxweni eqotho mayelana nezindaba zabo zomzimba ezihlobene nomdlavuza. Ngaphandle nje kokuthi "ukukhipha lapho," abesifazane bangenza izinto eziningana ukuze baziphathe ngokuthuthukisa ukuzethemba kwabo. Ukudla ukudla okunempilo nokuthatha isikhathi sokuzivocavoca hhayi nje kuphela ngomzimba womzimba kodwa kunganciphisa ingozi yokuphindaphinda.
Yiba nomusa futhi usekele ngokuqondene nesithombe somzimba wesifazane esishintshayo-ukwesekwa komlingani kungahamba ngendlela ende. Ukuveza ukwamukela nokukhuthazwa njengoba owesifazane enza izinguquko ekhabethe lakhe, ukugqoka izinwele, noma ngisho nendlela yokuphila kungenza ushintsho oluvela ngaphambi komdlavuza emzimbeni we-post-cancer lube lula.
Ucwaningo olulodwa lwathola ukuthi ukwelashwa ngokocansi kanye nokwelulekwa kwemibhangqwana ngcono ukuzethemba phakathi kwabesifazane abanomdlavuza. Khumbula ukuthi ukukhulumisana okuhle kusiza ekwakhiweni kokusondelana futhi kungathatha ukubekezela, ukuphikelela, kanye nokudala kancane.
UDkt. Helen Coons, isazi sezengqondo esibhekene nempilo yabesifazane nempilo yengqondo, sincoma ukuthi abasindile besifo somdlavuza besifuba baqinisa ukuzibonakalisa kwabo ngokuzivocavoca njalo, ukuphathwa ngokucindezeleka, ukukhulumisana nokukhulumisana, ukuhlolisisa ukuthi bangasondelana kanjani futhi bazinikele, njenge-manicure noma ibra esisha.
UDkt. Coons ukhuthaza abesifazane ukuba baphuthele, njengoba ukuzivocavoca kunganciphisa ukucindezeleka futhi kuthuthukise ukuzethemba. Ngaphezu kwalokho, uthi iziguli zakhe eziningana ziye zabona ukuthuthuka okukhulu kokuziveza ngokuzibuza abahlinzeki babo bokuhlinza nge-plastic ukuthuthukisa ukubonakala kwendawo yabo yokukhokha.
Imithombo:
I-American Cancer Society. Ukukhetha okusha ekuhlinzekeni komdlavuza webele kanye nokwakhiwa kabusha. 10/20/15.
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Fobair, P., Stewart, S., Chang, S., D'Onofrio, E., Amabhange, P., noJ. Bloom. Isithombe somzimba nezinkinga zobulili kwabesifazane abasha abanekhanda lomdlavuza. Psychooncology . 2006. 15 (7): 579-94.
Male, D., Fergus, K., no K. Cullen. Ukuzibandakanya ngokobulili ngemuva komdlavuza webele: ubulili, isithombe somzimba, kanye nezimpikiswano zobudlelwane. Umbono wamanje ekunakekelweni nasekusekeleni . 2016. 10 (1): 66-74.
Teo, I., Reece, G., Christie, I. et al. Isithombe somzimba kanye nekhwalithi yokuphila kweziguli zomdlavuza webele: ithonya lezinsuku kanye nesigaba sokuvuselelwa kwebele. Psychooncology . 2015 Sep 10.