Abesifazane abasha ababhekene nomdlavuza webele banezinselelo ezithile ezikhethekile okufanele bazicabangele lapho benza izinqumo zokwelashwa. Cishe ingxenye eyodwa yesine yazo zonke iziguli zomdlavuza webele ziphakathi kweminyaka engu-18 no-45 ubudala, ziseminyakeni yabo evundile. Laba besifazane kungenzeka ukuthi bahlolwe ngaphambi, ngesikhathi, noma emva kokukhulelwa.
Abesifazane abangakaze bakhulelwe bangaphinda bahlakulele umdlavuza webele, njengoba abesifazane abaningi bephuza ukukhulelwa ngezizathu ezihlukahlukene. Ukuzala kunqamuka ngokwemvelo njengoba sinyakala futhi ukwelashwa okufana ne-chemotherapy kanye nomswakama kunganciphisa ukuzala ngokwengeziwe.
Yazi Ingozi Yakho Yokungenzi Inzuzo Ngaphambi Kokuqala Ukwelashwa
Abesifazane abaningi bayashaqeka lapho beqeda ukwelashwa bese bethola ukuthi ikhono labo lokukhulelwa seliphelile. Unenketho mayelana nalolu daba, kodwa kufanele uzise udokotela wakho futhi uxoxe ngezindlela zokulondoloza ukuzala kwakho, uma ukhetha. Ngisho nokwelashwa kwe-chemo eyodwa kunganciphisa amathuba akho okuvuna emva kwalokho. Thatha isinyathelo futhi uzifundise kule ndaba ngaphambi kokuqala ukwelashwa. Yenza ukhululekile ngesinqumo sakho njengoba unakho.
Izindlela Eziyinhloko Eyandisa Ingozi Yokungafaki
Abesifazane abaningi baye basinda ekwelashweni futhi baqhubeka nokubheja ngempumelelo futhi banake izingane zabo. Ngakho-ke ungazi kanjani ukuthi usengozini yokungasebenzi ngemuva kokwelashwa? Uhlobo lwezokwelapha ozothola luhlangene kakhulu nalokhu, kepha nansi ezinye izici ezibucayi:
- Iminyaka yakho yokwelashwa (isimo samadoda)
- Uhlobo lwezidakamizwa ezisetshenzisiwe
- Isilinganiso
Indlela i-Chemotherapy ethinta ngayo ukuzala
Ukwelapha i-chemotherapy yomdlavuza wesifuba kunemiphumela emibi eminingi, okunye okungukuthi ukucindezelwa kwe-estrogen. Lokhu kungabangela ukuthi ama-ovari akho ayeke ukusebenza okwesikhashana noma unomphela. Kufanele usebenzise ukukhulelwa ngokweqile ngenkathi ukwelashwa, ngoba ayikho isiqinisekiso sokuthi ngeke ukhulelwe ngenkathi ukwelashwa. Uma wenza, izidakamizwa zingalimaza ingane yakho. Ukuzala kungabuya izinyanga ezimbalwa ngemuva kokwelashwa njengoba amazinga akho e-hormone ahlaselwa.
I-Chemotherapy ne-Medical Menopause
Uma ukhula ngaphambi kokuqala ukwelashwa, qaphela ukuthi izidakamizwa ezithile ze-chemotherapy zingakufaka esikhathini sokungena esikhathini esizayo noma sokuphela kwesikhathi . Izinkathi zakho zingase zime futhi ungathola isikhathi sokumisa esikhathini esizayo .
Uma ususondele ekupheleni kweminyaka yakho evundile, i-chemo ingase ikufake esikhathini sokuya esikhathini sokuqala . Kodwa-ke, uma uneminyaka eminingana yokuzala ishiywe futhi ungadingi ukususwa kwama-ovari wakho ukuvimbela ukuphindaphinda, ungase ukwazi ukubuyisela ukuzala kwakho bese uzama ukukhulelwa emva kokuqeda zonke izifo.
Umswakama & Ukuzala Okuzayo
Uma unemithi yokwelashwa ebelethweni lakho, cishe awukwazi ukuthuthukisa ukungabi nabantwana kusukela amandla angeke aqondiswe ezithombeni zakho zokuzala. Kodwa uma udinga ukushisa imisebe endaweni yakho ye- pelvic, lokho kungathinta ama-ovari, amaqanda, nesisu sakho. Njengoba abesifazane banenani elingenamkhawulo wamaqanda, ikhwalithi eyanqamuka ngokuhamba kwesikhathi, ungase ufune ukuba amaqanda akho asuswe futhi agcinwe.
Ukwelashwa kwamahomoni nokuzala
Njengengxenye yokwelashwa kwebelevuza yesifuba, kungase kudingeke uthathe imithi ukunciphisa amazinga akho e-hormone ngemuva kokwelashwa okuyisisekelo kuqediwe. Izisombululo ze-estrogen receptor (SERMs) kanye ne- aromatase inhibitors (AI) zisetshenziselwa ukusiza ukuvimbela ukuphindaphindiwe. Lezi zithathwa iminyaka emihlanu emva kokwelashwa kwakho okuyinhloko. Akuphephile ukukhulelwa ngenkathi uthatha le mithi ngoba ingalimaza ingane yakho.
Ukuthatha Isinyathelo Ngaphambi Ukwelashwa Kuqala
Khuluma ne-oncologist yakho ngaphambi kokuqala ukwelashwa. Buza ukuthi ungaba yini ongapheli ngenxa yokwelapha, futhi uma kunjalo, yikuphi okukhethwa kukho okumele ulondoloze ukuzala kwakho. Funda konke ongakwenza mayelana nezidakamizwa ozothatha ngesikhathi kokubili zokwelashwa eziyisisekelo kanye nokulandela.
Izinketho zokulondolozwa kokuzala
Kunezinketho eziningana zokulondoloza ukuzala kwakho. Zonke lezi zindlela zinezingozi nezinzuzo futhi inqubo kufanele ihambisane nesimo sakho sokuzala nesimo samanje sokuzala. Ezinye izindlela ongase ufune ukuxoxa nodokotela wakho ziyi:
- Ukuqanda amaqanda okufakwe ama-in vitro fertilization (IVF)
- Iqhwaza amaqanda angenalutho
- Izicubu ze-ovariya ziyashisa
- Lupron (leuprolide) injection ngaphambi nangesikhathi chemo
- Ukuqhaqhazela noma isidoda sasebhange
Kanjani Ngokushesha Ngemva Kokwelashwa Ingabe Kuphephile Ukuba Ukhulelwe?
Ngokushesha ngemva kokuqeda ukwelashwa, kufanele uchithe isikhathi ukuphulukisa impilo yakho. Nakani ukudla nokuzivocavoca futhi unamathela esimisweni sakho semithi. Ngokuqondene nokukhulelwa, konke ukuxilongwa kuhlukile. Ngakho-ke, isinqumo kanye nesikhathi sokukhulelwa okuzayo kufanele kukhulunywe nodokotela wakho. Abaningi besifazane bayelulekwa ukuba balinde kusukela eminyakeni emibili kuya kwemihlanu.
Ukukhulelwa Kwesikhathi Esizayo kanye Nengozi Yokubuyela Emdlalweni
Ososayensi babevame ukucabanga ukuthi ukukhulelwa emva kokwelapha umdlavuza webele kungakhulisa ingozi yokuphindaphindiwe. Kodwa ucwaningo olusha luye lwabonisa ukuthi ukukhulelwa emva kokuxilongwa kanye nokwelashwa akukhulise kakhulu amathuba akho ukuthi umdlavuza webele uzophinde uphinde uqhubeke.
Uma usuqedile ukwelashwa, bheka i-gynecologist yakho ukuhlola futhi uxoxe ngezempilo yakho yokuzala. Imiphumela yokuhlolwa kwakho izokusiza ukuthi wenze izinhlelo zokukhulelwa esikhathini esizayo-uma unempilo ngokwanele yokuthwala ingane.