Funda Iqiniso Ngemayelana Nemithi Yokwelashwa Ngomdlavuza Webele
Ukuze ngisuse imithi ejwayelekile yokwelapha imishanguzo , ngikhuluma noDkt. Michael Nichols, i-oncologist eqinisekisiwe ebhodini. UDkt. Nichols ubeka irekhodi ngqo mayelana nokwelashwa kwemisebe nokuthi kuthinta kanjani impilo yakho.
Inganekwane 1: Ukushisa komzimba kusuka ekuhloleni kwamanzi kungakunika umdlavuza webele.
Impendulo: Imishanguzo etholakalayo kusuka ekuhloleni kwe-mammogram iphansi kakhulu.
Cabanga ngalokho okubangela ingozi enkulu empilweni yakho: ukuba ne-mammogram, noma ungatholi isifo ekuqaleni. Ngokusobala ingozi iphezulu uma weqa ukuhlolisisa ama-mammograms. Ukucwaninga kubonisa ukuthi ingozi yokufa ngomdlavuza wesifu ingama-30% aphansi kulabo abanobuchwepheshe bokuhlola. Khumbula ukuthi ingozi yakho yokuphila komdlavuza webele isencane cishe ku-1 ku-8 noma ku-9. Ithuba lokuthola umdlavuza webele usemgogmeni lincane kakhulu.
Inkolelo-ze 2: Ukushisa kwemithi kufanele kuvimbele ukuphindaphinda, kodwa ngicabanga ukuthi kuzobangela umdlavuza webele.
Impendulo: Ekucubunguleni bonke abesifazane abanomdlavuza webele wekusasa, ingozi yokuphindaphinda emva kokuhlinzwa yodwa ingaba ngu-40%. Ngama-radiation onke webele, leso sengozi sihlaselwa ku-15%. Ingozi yomdlavuza wesibili kusuka emisebeni yilapho iyingxenye eyodwa kwayinkulungwane kuya kweyodwa ezinkulungwaneni eziyishumi. Eqinisweni, ngenxa yamasu aphuthukisiwe, inani langempela lamakhansela amasha abangelwa yimisebe lingase libe liphansi nakakhulu.
Inganekwane 3: Ngesikhathi ukwelashwa kwe-radiation, kufanele uthathe iphilisi futhi uhlanganiswe ngamashidi okuhola wokuvikelwa.
Impendulo: Ukwelashwa kwemishanguzo yezokwelapha kungenziwa ngezindlela eziningana. Kuphela izinhlobo ezithile zegciwane lesandulela ngculazi uthatha iphilisi. Ezimweni eziningi, ulala etafuleni yokwelapha futhi imisebe inikezwa kakhulu ngendlela ozothola ngayo i-X-ray.
Ngeke uzizwe imisebe futhi ayibuhlungu. Akukho ukuvikelwa okuholayo okusetshenziselwa ukuthi imisebe igxile, futhi inani elincane lokusabalalisa ngeke livinjelwe yiphepha lokuhola.
Inkolelo-ze 4: Ukwelashwa kwemithi yomdlavuza wesifuba kuyabuhlungu.
Impendulo: Nsuku zonke, ukwelashwa kwemisebe ngokwabo akukaze kube buhlungu. Ezimweni ezimbalwa, ungase ube nobuhlungu noma ubuhlungu obuhlobene nokuma ngoba ngokuvamile kufanele ube nengalo yakho ephakanyiswe phezu kwekhanda lakho, njengoba kungaba ukuhlolwa kwesifuba . Njengoba ukwelashwa kuqhubekela phambili, ungase ube nokubomvu nokufudumala kwesikhumba. Ngezinye izikhathi isikhumba sakho sizoba nokushisa kwelanga, okungaba buhlungu. I-oncologist yakho ye-radiation izokusiza ngokunakekelwa kwesikhumba kanye nemithi yokuhlunguphazwa uma kunesidingo. Into ebalulekile ukukhumbula ukuthi isikhumba sakho sizophulukisa.
Inganekwane 5: Ukwelashwa kwezidakamizwa kubangela imiphumela emibi kakhulu.
Impendulo: Ukushisa emathunzini akubanga ukuhlanza noma ukulahlekelwa izinwele (ngaphandle kwezinwele ezingaphansi kwezinwele noma ezinye izinwele ezingase zingene emkhakheni wezimoto eziqondile). Iziguli ezinezifo zamanye amagciwane, ezifana nomdlavuza wesisu noma umdlavuza we-pancreatic , zingase zihlakulele isicuphoso nokuhlanza. Iziguli ezithola imisebe ekhanda (isibonelo, ukwelapha umdlavuza womqondo ) zingase zilahlekelwe izinwele.
Okulandelayo: 5 Izinkolelokwane Zokwelapha EzengeziweUkuze ngithole iqiniso mayelana nezinye izinkolelo eziyingozi zokwelapha imisebe , ngikhuluma noDkt. Michael Nichols, i-oncologist eqinisekisiwe ebhodini. UDkt. Nichols ubeka irekhodi ngqo mayelana nokwelashwa kwemisebe nokuthi kuthinta kanjani impilo yakho.
Inkolelo-ze 6: Umngane wami washiswa ngomuthi we-radiation futhi walahlekelwa isifuba sakhe. I-radiation ayiphephile noma ayiqondile.
Impendulo: Ngezinye izikhathi iziguli zizoqala ukuphendula kwehlobo lokushisa kwelanga.
Nakuba ubuhlungu ngaleso sikhathi, lokhu cishe kuphulukisa ngokushesha. Kungaba yinto engavamile kakhulu ukuthi lokhu kubangele ukulahlekelwa isifuba. Ukuhlelwa kweziphuzo kuqondile futhi kwenziwa ngokucophelela yi-oncologist yemisebe. Amacala amaningi axoxwa nabanye odokotela ngaphambi kokuqala ukwelashwa futhi nje nje emva kokwelashwa kuqala ukulawula izinga.
Inganekwane 7: Sithola imisebe ngaso sonke isikhathi - kusuka kumaTV, amafoni, amanethiwekhi angenantambo, amasimu kagesi, ama-oven microwaves - yingakho umthamo womdlavuza ukhuphuka.
Impendulo: Sithola imisebe ngaso sonke isikhathi, ikakhulukazi kusuka emisebeni ye-cosmic evela esikhaleni sangaphandle. Izinga lokungcola liyakwanda kakhulu lapho abantu bezindiza endizeni noma bezitshela ilanga ngenkathi ilanga.
Isifo samanye khansa sikhuphuka. Isibonelo, inani lamagciwane e-lungula liye lakhuphuka kusukela ngo-1965 kodwa liye lavulwa eminyakeni yamuva. Izinombolo kumadoda zibonakala ziyancipha ngenkathi abesifazane bebonakala befinyelele epulazini.
Lezi zindlela ezifana kakhulu zokubhema kodwa nazo zingaba nokuthile okwenziwe ngethemishini ethuthukisiwe esivumela ukuba sithole amathrekhi ngesayizi encane. Amagciwane okubeletha asebelokhu ehlala iminyaka eminingi kodwa ayencipha kusukela ngo-1995 ngenxa yokunciphisa ukusetshenziswa kwe-HRT (i-hormone substitution therapy).
Amanani ekhansana aphakama futhi awele angakunzima ukuwahumusha ngoba ngokuvamile kuvame ukungathinteka kokukhona komdlavuza ngokukwazi kwethu ukuthola umdlavuza.
Inganekwane 8: Imishanguzo yezokwelapha ingadluliselwa ngokweqile noma ihloselwe kabi, futhi lapho lokho kwenzeka, ufa ukufa okuncane futhi okubuhlungu.
Impendulo: Njenganoma iyiphi inqubo yezokwelapha, kungaba khona amaphutha. I-radiation iyithuluzi elimangalisayo elilondoloza izimpilo ezingenakubalwa, kodwa lingalimaza iziguli uma zingakhululwa ngokuphepha. Nakuba kube khona ukunakwa kwezindaba zakamuva ezithinta amaphutha emisebe, ngokuvamile lokhu kuyinto engavamile. Kunezinhlobo eziningi zokuhlola ukulawula izinga eliphezulu - kufaka phakathi ukulinganisa - okwenziwe ngaphambi kokwelashwa ngalunye. Ngaphezu kwalokho, imishini yokwelashwa yenzelwe ukuvala uma kunenkinga nayo. Amaphutha emisakazo ngokuvamile athola ukunakwa kwezindaba futhi okwenza kubonakale kubonakala. Kodwa amashumi ezinkulungwane zokwelapha imisebe eyenziwa e-United States nsuku zonke, iningi elingenaphutha.
Inkolelo-ze 9: Uma nginezokwelapha emdlalweni wesifo somdlavuza webele, ama-gciwane ami azoshintsha nokuthinta izingane zami zesikhathi esizayo.
Impendulo: Abesifazane abakhulelwe akufanele babe nemisebe. Uma kungenjalo, abukho ubufakazi bokuthi yonke imisebe yesikhumba yabesifazane besandulela ngculazi izobangela izinkinga kamuva ngokukhulelwa noma kubangele ukukhubazeka kokuzalwa.
Olunye ulwazi lubonisa ukuthi abesifazane baphathwe isifo somdlavuza webele wesandulela-ngculazi lapho bekhulelwe kamuva babe nethuba elihle lokuphila. Uma uphathiswa umdlavuza webele futhi ucabanga ukuthi unabantwana, kufanele ukhulume nalokhu nodokotela wakho. Ngaphandle kwemisebe, kunezokwelapha ngamakhemikhali kanye nemithi yokwelapha engathinta ukuzala kwakho esikhathini esizayo .
10. Uma ngithola imisebe enkulu kakhulu, ngizophendukela ku-SpiderWoman, i-Lady Hulk, noma ngizokhanya ebumnyameni.
Impendulo: Inani lemisebe elinikezwa abesifazane besifo somdlavuza wesifuba siphephile. Ezimweni eziningi, kunelungelo lokuqeda lesi sifo ngenkathi kuvumela izicubu zesifuba ezivamile ukuphulukisa.
Ngeke kube nesikhathi lapho uzoba nemisakazo. Ngolwazi lwami, akekho owake waphenduka waba yi-superhero emva kwemisebe.
Emuva kokuqala 5 Izinkolelo Zomsindo
Mayelana noDkt. Nichols
UMichael A. Nichols, MD, PhD yi-oncologist yemisebe eqinisekisiwe ebhodini eyenziwa eWilmington, eNorth Carolina ne-Coastal Carolina Radiation Oncology. Wathola i-Ph.D. yakhe. ukutadisha i-biology yamangqamuzana yomdlavuza e-University of North Carolina e-Chapel Hill ngo-1999. Ngo-2003 waphumelela eWake Forest University School of Medicine lapho athola khona i-MD yakhe eqedile ukuqeqeshwa kwakhe yokuhlala eNyuvesi yaseChicago e-Radiation Oncology ngo-2008 .
Imithombo:
Ukuxhumana komuntu siqu noDkt. Michael A. Nichols, 2-26-2010.
Ukulandelwa Kweminyaka Engamashumi amabili Yesivivinyo Esingalindelekile Ukuqhathanisa Ukuqhathaniswa Konke Kwemastectomy, Lumpectomy, neLumpectomy Plus Irradiation for the Treatment of Invasive Cancer Breast Invitations. UFisher et al., I- New England Journal of Medicine . 2002. 347: 1233.
I-Cancer ngemuva kwesibili emisebeni ye-radiotherapy yomdlavuza wesifuba kubhalisomdlavuza bomdlavuza we-SEER. Berrington de Gonzalez A. et al., Br J Cancer. 2010 Jan 5; 102 (1): 220-6.