Nakuba ukufunda ukuncelisa kungase kube inselelo kubomama abasha, ukuvumelana kwempilo ukuthi ubisi lwebele lungumthombo omuhle wokudla okunabantwana nokuncelisa kufanele kukhuthazwe.
Kodwa-ke, kuthiwani uma usanda kuthola ukuxilongwa kwesifo somdlavuza webele noma ubelokhu ukwelashwa umdlavuza webele? Uzokwazi yini ukuncelisa? Futhi ingabe kuyoba nempilo yokwenza kanjalo wena nomntanakho?
Izimpendulo zingaba nzima. Kodwa, jikelele, okusebenza kwabanye omama kusebenza nakomama abaye babhekana nomdlavuza webele.
Ukuthola Ukusekela Okufanele & Usizo
Ukubeletha akulula, ngisho nasesimweni esihle kakhulu, futhi ukuxilongwa komdlavuza webele kunciphisa ubunzima. Ngaphandle kokwabelana ngezinhlelo zakho zokuncelisa ngeqembu lakho lokwelapha umdlavuza, uzofuna ukubonisana nodokotela wakho wezinsizakalo kanye nodokotela wezingane wengane yakho.
Ngaphezu kwalokho, ngoba izinselelo zingaba ngokomqondo nangokomzwelo nangokomzimba, ungase uthole ukuthi kuyasiza ukukhuluma nomsebenzi wezempilo yengqondo ongakusiza ukuba usebenze ngezinkinga ezibandakanya isithombe somzimba noma ukulahleka kokulawula okungase uzizwe.
Futhi, cabanga ngokubhalisa usizo lomxhumanisi oqinisekisiwe wesitokisi. Labachwepheshe bezokwelapha abaqeqeshwe bangahlinzeka usizo ngezimo ezikhethekile, njengokuveza ubisi nokulondoloza ukuze kusetshenziswe kamuva noma kugcinwe ukunikezwa ubisi ngesikhathi sokuphazamiseka kwendlela yokubeletha.
Uma isikhungo sakho sokwelapha umdlavuza sihambisana nesibhedlela esinesizinda sokuzalwa, abasebenzi bangakwazi ukuncoma umxhumanisi we-lactation. I-International Lactation Consultant Association ingakwazi ukunikeza ulwazi oluthe xaxa mayelana nokuthola umxhumanisi we-lactation eduze nawe, futhi.
Ukubeletha Ngesikhathi Sokwelashwa
Ngenxa yokuthi umdlavuza kunzima ukubona emathunjini okuphuza, akuyona into engavamile-nakuba kungenakwenzeka-ukuthi abesifazane baxilongwe ngesikhathi bebeletha.
Uma kwenzeka lokhu kwenzeka, akusho ngokuzenzakalelayo ukuphela kokuncelisa. Isibonelo, izinqubo zokuxilonga (njenge-biopsy yenaliti) azivimbi neze ukuvimbela ukubeletha.
Ngemuva kokuxilongwa, ukondla kufanele kuphazanyiswe ngenkathi kwenziwa ukwelashwa. Nakulokhu, lokhu akusho ukuthi ingane kufanele isuswe. Ukondla ingane yakho ngobisi obisiwe ngaphambili noma ifomula yezohwebo kungavimbela igebe kuze kudokotela wakho athi ungaqala futhi.
Uma ukwelashwa kwakho kuhilela ukuhlinzekwa, thola ukuthi ngabe udokotela ohlinzayo usebenze ngesifuba sokuphuza ngaphambi. Kungaba yindawo eyinkimbinkimbi. Nakuba ungafuni ukulimaza ama-milk ducts ngokungadingekile, ukususa umdlavuza kungabandakanya umonakalo othile.
Futhi, uma uhlelo lwakho lwezokwelapha luhlanganisa i-chemotherapy, kuzodingeka uyeke ukubeletha ngenkathi ukwelashwa futhi isikhathi esithile ngemva kwalokho. Amakhemikhali e-chemotherapy adluliselwa ngobisi lwebele futhi angase abe yingozi kumntanakho.
Ukwelashwa kwezidakamizwa kungadinga nokuphazanyiswa ekunceliseni, ngokuya ngohlobo lwemisebe esetshenzisiwe kanye nobude besikhathi sokwelashwa. Udokotela wakho uzokwazi ukuchaza imiphumela yokwelapha kwakho nokuthi ngabe uncelisa yini kokubili amabele noma isifuba esingathinteki kuphela ngenkathi ukwelashwa kuqhubeka.
Uma ungenalo ukubeletha, ungase uthathe isimiso "sokupompa nokulahla". Lokhu kuhilela ukuphambanisa amabele usuku ngalunye ukuze uketshezi lwebisi luqhubeke kodwa lulahle ubisi ngoba ukuphepha kwalo akungabazeki.
Ukubeletha Ngemuva Kokwelapha
Uma ukwelashwa kwakho sekuphelile, wena nomntanakho nikwazi ukukhetha lapho ushiye khona-noma ungadinga ukubekezela nokubekezela ukuze ubuyele emuva. Khumbula ukuthi imiphumela yokwelashwa kwakho ingase ihlale ihlala emzimbeni wakho kanye nobisi lwebele. Buza udokotela wakho uma ephephile ukuzama ukubeletha futhi.
Ngemuva kokuhlinzwa, ukuncelisa kungase kube yinselelo.
Ukuhlinzwa kungase kubhidle amanye amathanga akho obisi, ukunciphisa inani lobisi okwazi ukuhlinzeka ngalo. Uma ububeletha (noma uhlela) ngaphambi kokuhlinzwa kwakho, udokotela wakho ohlinzayo kungenzeka ukuthi wazama ukugwema ukulimala komgwaqo lapho kunokwenzeka khona. Kodwa noma ngabe kwenzeka umonakalo, ukunakekelwa okukhuthele kungase kuvuselele ukuhlinzekwa kwakho ngaphakathi kwamasonto ambalwa noma isifuba esingathinteki singakwandisa ukukhiqizwa kwayo ngokwanele ukwenza umehluko.
Ukunikezwa kwakho ubisi kunganciphisa noma kukhishwe esifubeni sokunakekelwa ngemuva kokwelashwa kwemisebe. I-radiation inganciphisa nokuqina kwe-ingono, okwenza kube nzima ukuba usana lwakho "lushise" kahle. Uma uthola ukuthi isifuba esiphathwayo asisebenzi, esinye isifuba sakho kufanele sikwazi ukwenza umthamo wobisi olungekho emkhatsini weviki ezimbalwa zokuqala ukuhlengikaza njalo.
Ngemuva kwe-chemotherapy, amakhemikhali asele angase abe khona ekunikezeni ubisi lwakho. Buza udokotela wakho uma ephephile ukubeletha futhi. Izindaba ezinhle ukuthi uma ususuliwe udokotela wakho, i-chemotherapy ayinakwenzeka ukuthi inomthelela wesikhathi eside ekusebenzeni kwakho ukuncelisa.
Uma unqunywe ukwelashwa okuqhubekayo kwe- Nolvadex (iTamoxifen) , ngeke ukwazi ukulincelisa kuze kube yilapho usuqede le nkambo yokwelashwa. I-Tamoxifen ivimbela ukhiqizwa ubisi, futhi ukutholakala kwayo kunoma yiliphi ubisi lwebele elisele lingalimaza ingane.
Ingozi yokuphindaphindiwe
Umbuzo ovamile phakathi kwabasindile yomdlavuza wokuncelisa ukubeletha kungakhathaliseki ukuthi amahomoni okukhulelwa nokukhulelwa angabangela ukuphindaphinda kwesifo. Akukho bufakazi balokhu. Eqinisweni, ucwaningo oluthile lubonisa ukuthi ukuncelisa ingane kunganciphisa ingozi yomfazi wesifo somdlavuza wesifuba (nakuba lezi zifundo azizange zibheke ukuphindaphindiwe kwabesifazane abasesitholiwe).
Ingozi Yomntwana
Abukho ubufakazi bokuthi ubisi lwebele olusinda kumdlavuza lubeka noma iyiphi inselele enganeni yakhe, uma nje noma yimiphi imiphumela ehleliwe yokwelapha isuse uhlelo lwakhe. Njengoba kunikezwe izinzuzo ezinamandla zokuncelisa, abasindile bomdlavuza webele kufanele bazizwe bekhuthazwa ukwenza kanjalo nanoma imuphi omunye umama.
Izwi elivela
Uma, naphezu kwemizamo yakho emihle kanye ne-Odokotela wakho, uthola ukuthi ukubeletha nje akusebenzi, ungakwazi ukuqinisekisa ukuthi wena nomntanakho nithola inzuzo yalowo mbhangqwana okhethekile. Nansi indlela:
- Buza mayelana nobisi lwebele olunikeziwe. Abanye besifazane baphambanisa futhi banikele ubisi babo ukuze abantwana besifazane abanenkinga yokulahla bamukele ubisi lomama. Buza udokotela wezingane zakho noma ochwepheshe be-lactation esibhedlela uma uhlelo olufana nalokhu luseduze nawe.
- Phatha isikhathi sokunakekela njengoba uhlala unayo. Kungenxa yokuthi ivela ebhodleleni akusho ukuthi isikhathi esichithwa ekunceliseni ingane yakho yisiphi okukhethekile kakhulu. Yenza iso lokuxhumana nomntanakho, futhi uthole ukuthintana okuningi kesikhumba nesikhumba ngangokunokwenzeka.
- Thola iqembu lokusekela. Kungakhathaliseki ukuthi igciwane lesandulela ngculaza lesifuba noma iqembu lomama wendawo, ungathola induduzo ekukhulumeni nabesifazane abaye babhekana nezinselele ezifanayo.
Imithombo:
UDavid, F. "Ukubambisana Ukulandela Ukwelashwa Kwemithi Eyinhloko Ye-Carcinoma Yebele." I-Int J Radiat Oncol Biol Phys.
Abasebenzi be-FDA. "Amantombazane Azalwa Ngokubeletha ." I-FDA.gov . Nov. 2007. Ukuphathwa Kwezokudla Nezidakamizwa. 12 Meyi 2008.
Higgins, S. noBaffty. "Ukukhulelwa kanye ne-Lactation Ngemuva kweTherapy-Conserving Therapy for Stage Early Stage Cancer Breast." Cancer.
SOGC Abasebenzi. "Umdlavuza webele, ukubeletha nokukhulelwa." SOGC.org . NgoFebruwari 2002. Inhlangano Yezifo Zokuzibulala Nezazi ZamaGynecologists eCanada. 12 Meyi 2008.