Ukuhlola Umlando Womndeni Wakho we-Cancer Breast
Isiphi isipho esiphelele sokunikeza umama wakho usuku olukhethekile? Inthanethi ilayishwe iziphakamiso. Yini okungaba yiyona isipho "esiphelele," noma kunjalo, umuntu oyedwa ongenakucabanga ngakho. Okokuqala, kukhululekile, ngakho ngeke ukwazi ukukhangisa. Ngolunye uhlangothi, kungase kuzwakale kungavumelani ngaphandle kwencazelo.
Usho ukuthini usuku lukaMama?
Usuku lomama usuku lokuhlonipha omama bethu-lokho kunikeziwe.
Kodwa wake wake wazibuza, yini ngempela esiyihloniphayo?
Izipho zethu zisitshela okuningi. Kusukela esikhathini esihlonishwayo sokukhonza ukudla kwasekuseni embhedeni ukuthenga izimbali zakhe, singena ezicathulweni uMama ukugqoka ezinye izinsuku ezingu-364 zonyaka. Sihlonipha ukuzidela kwakhe okungenakuzidela okuvame ukuthathwa kalula.
Esikhundleni sokuphindaphinda-usuku olulodwa-ukuthi umama uthatha isikhathi esiningi kangakanani, mhlawumbe kufanele sibheke ngaphesheya kwemisebenzi ethize kwisisusa sakhe sokwenza lokho akwenzayo.
Kungani umama wethu asisebenzela ukudla okunempilo (okwamanje okunomsoco)? Kungani beqinisekisa ukuthi sihlala sishisa? Kungani batusa ukuba sichithe isikhathi esithile ngaphandle ngenkathi benza indawo esingayithola kuyo? Impendulo ilula kakhulu. Basithandayo. Ukuziphatha kwabo okungenabugovu kubangelwa isifiso sokuqinisekisa impilo, injabulo nokuphila kwezingane zabo.
Ungaqinisekisa kanjani impilo kamama wakho nenjabulo ngokubuyisela?
Ukuze siqonde ukuthi sihamba kuphi nalokhu masikhangele, okwesikhashana, kulabo abangamama abalahlekile ngalolu suku.
Ukulahlekelwa Umama Ngosuku Lomama
Ngenkathi abantu abaningi bethola usuku lwamaMama ngosuku lokujabula, baningi abazwa ubuhlungu bokungabi namama. Asikhulumi ngabaMama abadlulile ekupheleni kokuphila okude, lapho usuku lungase lukhumbule okudabukisayo kodwa okufudumele.
Esikhundleni salokho, sikhuluma ngoMama olahlekelwe ithuba kuMama izingane zabo, kanti ngolunye usuku bazuze abazukulu. Labo omama lapho ubuhlungu buhlala bunzima khona.
Ngokusho kwe-CDC, imbangela eholela ekufeni kwabantu besifazane abaneminyaka engama-35 no-64 ngumdlavuza. Futhi kanomdlavuza, umdlavuza webele usuke ovame kakhulu kunomama ababeletha ngenkuthalo.
Siyazi ukuthi ukusinda kuphakeme uma umdlavuza ubanjwe ezinyathelweni zangaphambili, kodwa abaningi balaba besifazane abaseneminyaka yobudala lapho ukucutshungulwa kunconywa. Okungukuthi, ngaphandle kokuthi, bayazi ukuthi banomlando womndeni. Kodwa ukwazi lokhu okunye umsebenzi wokuphenywa kungadingeka.
Ingxoxo Yosuku Lomama Lokho Okungaqhubeka Ukunikeza
Lokho esikusiphakamisayo kunengxoxo yosuku lomama kaBrunch ukuhlola umlando womndeni wakho womdlavuza. Siyazi ukuthi ukudla ukudla okunempilo kungenza umehluko, kodwa ukuba nomlando womndeni onembile kunento abantu abaningi abangenayo ngenkathi bephuza ama-smoothies abo bese bephuza itiye yabo eluhlaza.
Ngokusho kukaDkt. Huma Q Rana weDana-Farber Cancer Institute, ecashunwe eHarvard Men's Health Watch, "Umlando womndeni ungaba omunye wemigqa yokuqala yokuzivikela ekuvimbeleni umdlavuza."
Ukulungele ukuqinisa izindonga zenkambiso yomama wakho?
Imibuthano yemindeni, njengosuku lomama, iyisikhathi esingavamile futhi esingenakulinganiswa sokubhala umlando womndeni wakho womdlavuza. Isiphakamiso sodwa asibonisi uthando lwakho kuphela, kodwa siyazi ukuthi singasebenza, njengoba owesifazane oyedwa angafakazela.
Izwi ngeCanscer Breast
Uma uke uqaphele amathrekhi abomvana ezintweni zonke kusukela kuma-mixer tennis kuya ekhishini, ungase ucabange ukuthi kunezinto eziningi "zokuqwashisa" ngomdlavuza webele.
Kodwa ngenxa yokuqwashisa, kukhona ukuqwashisa okuncane ukuthi umdlavuza webele awusizo njalo ukwelashwa kanye ne- chemotherapy . Ngenkathi isifundo sitholile ukuthi amaphesenti angu-50 abantu abakholelwa ukuthi umdlavuza webele uyaphilika, lokho akukona iqiniso.
Abesifazane abangaba ngu-40 000 balahlekelwa yimpilo yabo emdlalweni wesibeletho sebele.
Kukhona nokuqwashisa okuncane ukuthi iningi labesifazane abafa ngesifo somdlavuza webele abenzanga kanjalo ngoba behlulekile ukulandela imihlahlandlela yokuhlola . Abesifazane abaningi ababulawa isifo somdlavuza webele besengakafiki isikhathi lapho kunconywa khona ukuhlolwa, kanti abanye abaningi bafa ngenxa yesifo somdlavuza webele webele ngemva kokuthola umdlavuza webele webele.
Kulabo abanomdlavuza webele we-metastatic ( isigaba somdlavuza wesifuba se-4 ) indaba ayikwenziwanga. Ngenkathi kunabantu abasinde isikhathi eside, izinga lokuphila lomphakathi labantu abanesifo somdlavuza webele wesigaba 4 kuphela izinyanga ezingu-18 kuya ku-24 kuphela. Unganciphisa kanjani umama wakho, futhi ingozi yomndeni wakho yokwengezwa kulezi zibalo?
Indlela Yokuthatha Umlando Womndeni
Ukuthatha isikhathi sokuthatha umlando womndeni ngenkathi u-brunch ngosuku lomama wakho kulula. Thatha inothi kanye nerekhodi (noma ifomu lomlando lomndeni eliphrintiwe elibhalwe ngezansi) bese ubuza imibuzo. Ungase ufise ukuthatha umlando ophelele womndeni wazo zonke izimo, kodwa zama okungenani ukumboza umdlavuza ekuqaleni.
Bhala phansi lezi zinto:
- Noma iziphi izihlobo ezinomdlavuza nobuhlobo bazo kuwe
- Ukuzalwa kanye nezinsuku zokufa uma kusebenza
- Izinhlobo ze-Cancer (nezinye izimo zezokwelapha uma ukhetha) - Qinisekisa ukurekhoda imininingwane eminingi ngangokunokwenzeka. Uhlobo lomdlavuza uma lwaziwa, ukwelashwa okutholakele uma kuyaziwa (ngokuvamile umdlavuza ungabonakala ngezinhlobo zokwelashwa ezisetshenzisiwe,) nanoma yiluphi olunye ulwazi olutholakalayo, njengesimo se-receroor ye-receptor yamathambo webele, noma iphrofayli ye-molecular of a tumor .
Imithombo eyengeziwe engasiza ingabandakanya izitifiketi zokufa, noma yimaphi amarekhodi wezokwelapha onakho, noma ngisho nama-albhamu esithombe. Kulezo zihlobo ongeke ube nawe, yenza iphuzu ukuzozibiza esikhathini esizayo esiseduze noma ngisho nokuthumela uhlu lwemibuzo. Qinisekisa ukuthi uphinde ubenze ngokubazisa ukuthi ufundeni.
Amathiphu wokuthola umlando womndeni onembile
Ukuthatha umlando womndeni kungase kubonakale kulula ekuqaleni, kodwa akulula kakhulu. Kwaze kwaphela amashumi ambalwa eminyaka edlule ukukhuluma ngokuthi "amabele" etafuleni lesidlo kwakungaba yinto emnandi. Nakuba lokho kushintshile, kungadlala indima ekuqopheni umlando womndeni onembile.
Bhala phansi noma yikuphi ukukhumbula izihlobo zakho. Esikhathini esidlule "umdlavuza wesifazane" wasetshenziselwa ukuchaza noma yini kusuka emathunjini kuya kumdlavuza we-ovarian. Khumbula ukuthi abantu abaningi babika indawo "yokugcina" lapho umdlavuza uthola khona. Isibonelo, uma umuntu enomdlavuza wesifuba osakazeka emaphashini abo, umndeni wakho ungakhumbula lokhu ngokuthi "umdlavuza wamaphaphu."
Abantu abangamaphesenti angama-90 abanomdlavuza webele wefa ngenxa ye-metastases, ngakho-ke bhala izindawo lapho umdlavuza webele usakazeka khona , njengamaphaphu, isibindi, amathambo nobuchopho. Abantu abaningi bakhumbula kuphela ukuthi othandekayo wafa "umdlavuza yonke indawo." Bhala lokhu phansi, uqaphele ukuthi umdlavuza kumele uqale ekuqaleni.
Amathuluzi Wokuthatha Umlando Womndeni
Konke okudingayo ngempela i-notebook ne peneni, kodwa kulabo abathanda amashadi, kunezifanekiso ongaziphrinta. Nazi amathuluzi ambalwa ongafinyelela ku-intanethi:
- I-American Society of Clinical Oncology Cancer Umlando Umbuzo Questionary
- I-Case Western Reserve University Genetic Risk I-Easy Assessment Tool (GREAT)
Imifanekiso Yomlando Womndeni Ephakamisa Amafulegi Abomvu
Kukhona amaphethini amaningana angatholakala emlandweni womndeni wakho ongayiphakamisa amathuba okuba nomdlavuza. Umeluleki wezakhi zofuzo ngokuvamile udinga ukuthola izinhlanganisela ezicashile noma eziyinkimbinkimbi ezifaka ingozi, kodwa amafulege ambalwa amasha afaka:
- Cancer kwanoma yiluphi uhlobo ngaphambi kweminyaka engu-50
- Isihlobo esingaphezu kwesisodwa nomhlobo ofanayo womdlavuza
- Ilungu lomndeni elilodwa elinolunye uhlobo lomdlavuza
- Ilungu lomndeni elinomdlavuza ongajwayelekile kulowobulili, njengomdlavuza webele emadodeni
- Izinhlanganisela ezithile zomdlavuza, ezifana nokuhlanganiswa komdlavuza wesifu nomdlavuza we-ovari, umdlavuza wesibeletho, umdlavuza we-colon, umdlavuza wesifo sofuba, umdlavuza we-pancreatic, noma i-melanoma
- I-Cancer kokubili komzimba owodwa, isibonelo, umdlavuza webele wesifuba
I-Cancer Heredity vs. Umlando Womndeni We-Cancer
Uma ukhuluma ngezingozi zofuzo zomdlavuza kubalulekile ukwenza umehluko owodwa, umehluko ongakusiza uqonde izibalo ezibonakala ziphikisanayo ozifundayo.
Ngesikhathi samanje, kubonakala sengathi cishe amaphesenti angu-5 kuya kwezingu-10 ekhansela ahlobene ngqo nokuguqulwa kwezakhi , kodwa izakhi zofuzo zingadlala indima emaphesenti angu-cancer. Uma uzwa ngezibalo ezikhuluma ngezici ze-genetic kumdlavuza noma umdlavuza wefa ongase uzithole udidekile. Isibonelo yindlela engcono kakhulu yokuchaza lokhu.
Nakuba amaphesenti ayisisodwa kuphela ama-melanomas ahlanganiswe ngqo ekuguquleni kwezakhi zofuzo (esiye sathola futhi angahlola noma kunjalo) kubonakala sengathi izici zofuzo zingase zidlale indima emazingeni angama-55 ama-melanomas.
Ngamanye amazwi, noma ngabe uhlolwe futhi ungenayo i-BRCA1 noma i-BRCA2 yokuguqula izakhi zofuzo (okwenza ulwazi olujwayelekile kubonga ku-Angelina Jolie,) ungase ube nengozi eyengeziwe yomdlavuza webele ngokusekelwe ekutholeni komlando wakho womndeni womdlavuza.
I-Genetics ne-Breast Cancer Risk
Yini esikwaziyo ngomlando womndeni kanye nengozi yomdlavuza webele ?
- Owesifazane onesivumelwano sokuqala ngezinga lomdlavuza wesifuba cishe cishe amaphesenti angama-30 okuthuthukisa umdlavuza webele (izihlobo zokuqala zihlanganisa abazali, izingane zakubo kanye nezingane.)
- Owesifazane onesihlobo sesibili sesibili nomdlavuza webele unamathuba angamaphesenti angama-22 okuthuthukisa umdlavuza webele (izihlobo zesibili-degree zihlanganisa nogogo nomkhulukazikazi, omama, omalume, amantombazane, nabaphangi.)
- Owesifazane onesisindo sesithathu esihlobene nesifo somdlavuza webele unamathuba angama-16 amaphesenti okuthuthukisa umdlavuza webele. Izibonelo zezihlobo zesithathu-degree zihlanganisa ugogo nomkhulu, omzala noma umkhulukazi noma umalumekazi.)
- Umdlavuza wesibeletho ezihlotsheni ezincane (premenopausal, noma ngaphansi kweminyaka engama-50) ithatha ingozi enkulu kunezihlobo ezindala.
- Umdlavuza we-prostate ezihlotsheni zesilisa ukwandisa ingozi yomdlavuza webele (futhi, lokhu kubaluleke nakakhulu uma amadoda esencane.) Funda mayelana nokuxhumeka komdlavuza we-prostate yomdlavuza webele .
Enye iphuzu elibalulekile ukuthi abantu abaningi abanengozi yomdlavuza okwenyukayo bangangeni ezinhlotsheni ezinhle. Isibonelo, kuthiwani uma unabantu ababili emndenini wakho oye waba nesifo somdlavuza webele, kodwa omunye usehlangothini lukayihlo omunye ohlangothini lukayo? Yingakho ukukhuluma nomeluleki wezofuzo kubaluleke kakhulu.
Ukuxoxa ngomlando womndeni wakho nomhlinzeki wakho
Abantu abaningi bathatha umlando womndeni wabo lapho bevakashela udokotela wabo oyinhloko, futhi lo mqondo omuhle, kodwa kukhona i-caveat. Uma ubona noma yimaphi amafulege abomvu emlandweni womndeni wakho, ukubheja kwakho okuhle ukukhuluma nomeluleki wezakhi zofuzo. Abacebisi bezakhi zofuzo baqeqeshwe kuma-idiosyncrasies kanye nemininingwane yomuntu oyedwa (iphrofayli yomlando womndeni wakho) futhi bangakunika ukulinganisa kangcono kunoma yikuphi ukubeka ingozi kunezinyanga eziningi zokwelapha eziyinhloko.
Ukuthola Umeluleki WamaGenesis nokucubungula ukuhlolwa kwe-Genetic
Ungathola kanjani umeluleki wezakhi zofuzo? Udokotela wakho angakwazi ukukuqondisa kumeluleki omuhle wezakhi zofuzo, kodwa futhi ungabheka ngokwakho ku-intanethi. I-National Cancer Institute inomhlahlandlela wezinsizakalo zofuzo olubala abahlinzeki ngendawo.
Ubani okufanele abe nokuhlolwa kofuzo? Impendulo yalo mbuzo iwukuthi noma ubani ocubungula ukuhlolwa kofuzo kufanele akhulume nomeluleki wezakhi zofuzo, futhi ngezizathu eziningana.
- Ukuvivinya nge-genetic kusengumntwana. Sinezivivinyo eziningana zofuzo zomdlavuza, kepha kukhona okuningi okulindele ukutholakala.
- Ukuhamba ngokucophelela (ishadi lomlando womndeni wakho) kungavame ukunikeza ulwazi mayelana nobungozi obungatholakali ekuhlolweni kofuzo.
- Kunezici eziningi ezingokomzwelo nezinye izinto eziphathelene nokuhlolwa kwe-genetic. Umeluleki wezakhi zofuzo angakusiza ukwazi ukubhekana nalezi zinkinga ngaphambi kokuba unikezwe ukufunda okungase kube nzima ukuyiqonda.
Ukuhlolwa kofuzo kuyaba okungabizi kakhulu, kepha akufanele kwenziwe ngaphandle kokucabanga noma ukunakekelwa.
Izinketho zabesifazane (kanye namadoda) Ngomlando Womndeni weCanscer Breast
Kunezinketho eziningi uma uthola ukuthi usengozini enkulu yokwenza umdlavuza. Vele ubheke ukudla kwakho nokuzivocavoca futhi uqiniseke ukuthi wazi izimpawu ezikhona kuyisiqalo esihle.
Ukuhlolwa kokuqala noma okuningiliziwe kunganconywa. Isibonelo, umbiko oshicilelwe encwadini ethi Canadian Family Physician uthi abesifazane, lapho bebuka umlando wezokwelapha, banamathuba angu-20 kuya kwangu-25 amathuba okuphila isikhathi eside sokuthuthukisa umdlavuza webele kufanele athole i- MRI yebele ngokungeziwe kumammogram wokuhlola.
Uma unengozi enkulu, noma kunjalo, kubalulekile ukuthola udokotela ongakusiza ukuba ufunde lawo manzi aphuzi.
Ubani Ongakusiza Uze Ube Nomgomo?
Uma ubonakala unengozi enkulu yomdlavuza, umeluleki wakho wezakhi zofuzo angase abe nesincoma ukuthi ubani okufanele ubone, kodwa uma kungenjalo, sinamasu ambalwa.
Kungaba kuhle uma kunemihlahlandlela futhi uma odokotela bokunakekelwa okuyisisekelo bebazi kahle ukuthi ngubani okufanele akhulume ukuhlola futhi nini. Ngeshwa, ngesikhathi usucwaninga ingozi yakho, ungase ukwazi noma kuningi odokotela abaningi noma ngaphezulu. Imithi isiyinkimbinkimbi kangangokuthi akekho udokotela ongakwazi konke. Ngisho noma isazi somdlavuza webele singase sijwayele izivivinyo zakamuva zokwelapha ukwelashwa kunalokho okufanele ukwenze kulabo abasengozini enkulu. Ngakho ungathola kanjani umuntu okuzokusiza?
Izinhlangano zomdlavuza we-Breast zinikeza umthombo omuhle kakhulu. Lezi zinhlangano zinikeza ukusekelwa kwabesifazane abaningi abazobe bewela emiphakathini. Eziningi zalezi zinhlangano zenza umsebenzi omuhle wokuphendula imibuzo eminingi ephathelene nesifo esithile.
Indawo emangalisayo, kodwa evame ukuphumelela ukufunda izindaba zakamuva ukuthi ihileleke emithonjeni yezenhlalo ezihlobene nomdlavuza. Odokotela nabacwaningi abanesithakazelo kwizakhi zofuzo zomdlavuza webele esifundeni sezinga neziguli, abanakekeli, kanye nabameli ku-Twitter. Uma ungenayo i-akhawunti ye-Twitter, kuthatha umzuzu nje ukubhalisa. Amathiphu ambalwa akhona ukuze ungalahleki ku-intanethi. Sebenzisa ama-hashtag. I-hashtag #BCSM imelela "umdlavuza wezenhlalo zomphakathi webele" futhi ingakusiza ukuthola abantu abasebenza kakhulu ku-inthanethi, kubandakanya odokotela.
Ungase ufise ukusebenzisa amanye ama-hashtag kanye nanjenge- # umbhishobhi we-#cancergenetics. Thatha isikhathi ukuzwa umuzwa wezwe, landela labo abacwaninga izimpendulo zemibuzo oyicelayo, bese uqhubeka futhi uphendule imibuzo yakho, isibonelo, "Ubani onesithakazelo kwizakhi zofuzo zomdlavuza noma umlando womndeni wamabele umdlavuza? "
Kuthiwani Uma Umndeni Wakho Ungathandi Le Nkulumo?
Nakuba ukufunda ngomlando womndeni wakho womdlavuza kungabalulekile, akuwona wonke umndeni ozokwamukela le ngxoxo. Imindeni eminingi ngeke ifune ukwehla kule mgwaqo ngezizathu eziningana, futhi kubalulekile ukuhlonipha la malungu omndeni. Siyabonga ngokucubungula isicelo sakho. Kukhona izindlela eziningi ongawehlisa ngazo ingozi yomdlavuza webele .
Ngemuva kokudla ukudla: Spread the Conversation
Yini wonke umama ayifunayo? Unempilo nenjabulo kubantwana bakhe. Yini izingane ezifuna omama? Impilo yakhe nenjabulo. Ingxoxo ngomlando womndeni wakho womdlavuza yisipho onganikeza omunye nomunye.
Njengombhalo wokugcina, ngenkathi sikhuluma ngosuku lwamaMama nabesifazane abanomdlavuza wesifuba, kumele sikhombise ukuthi amadoda athole umdlavuza webele, futhi . Futhi ngokungafani neyodwa kwabesifazane abathathu abazobe nomdlavuza ngesikhathi sabo sokuphila, kuyoba omunye wabesilisa ababili. Mhlawumbe ungaqala ukuhlela ingxoxo yomndeni kaBaba wakho ngaphambi kokuba usuke etafuleni.
> Imithombo:
> I-American Cancer Society. I-Cancer Syndromes yomndeni. Kubuyekezwe 03/15/17. https://www.cancer.org/cancer/cancer-causes/genetics/family-cancer-syndromes.html
> Society of American of Clinical Oncology. Cancer.net. Ukuqoqa Umlando Womndeni Wakho. Kubuyekezwe 02/16. http://www.cancer.net/navigating-cancer-care/cancer-basics/genetics/collecting-your-cancer-omndeni-history
> Heald, B., > Marguard >, J., noP. Funchain. Amasu okusetshenziswa komtholampilo wokuhlolwa kwesifo se-Hereditary Cancer Syndromes. Ama-Seminar ku-Oncology . 2016. 43 (5): 609-614>.
> Uthando, uSusan M., Elizabeth Love, noKaren Lindsey. Ibhuku likabele likaDkt Susan Love. I-Boston, MA: I-Da Capo Yokuphila Kwonke, 2015. Phrinta.
> Shekar, S., Duffy, D., Youl, P. et al. Isifundo Esisuselwa Ezintweni Zama-Twins ase-Australia nge-Melanoma Iphakamisa Umthelela Wezakhi Zofuzo Eziswini. Journal of Dermatology Investigational . 2009. 129 (9): 2211-9.