Ukwelapha umdlavuza webele kuwesifazane okhulelwe kudinga ukucubungula okuningi kokubili impilo yesiguli nengane.
Lapha, ukuwohloka kwezokwelapha ezahlukene.
Ukuhlinzwa
Ngokuvamile ukwelashwa kuyindlela yokuqala yokwelashwa kwabesifazane abakhulelwe abanomdlavuza webele. I-lumpectomy noma i- mastectomy kanye nokususwa kwe-lymph node , konke okwenziwa nge-anesthesia, kungenziwa ukuze kususwe isisu.
Ngenxa yokuthi i-anesthesia ingafaka izingozi ezinganeni, odokotela bakho bazodinga ukusebenza ndawonye ukuze banqume isikhathi esihle ngesikhathi ukhulelwe ukuhlela ukuhlinzwa.
Ukwelashwa kokubeletha, okufana ne- lumpectomy kanye ne-mastectomy eyingxenye, kungadinga ukwelashwa kwemisebe njengokulandela. Kodwa lokho akunakwenziwa ngesikhathi sokukhulelwa. Imithi yokwelapha ihlinzeka ngamanani aphezulu; kungalimaza ingane yakho kunoma isiphi isigaba sokukhulelwa, ngisho noma isihlangu sokuhola sisetshenziswa.
I-Chemotherapy
Phakathi nezinyanga ezintathu zokuqala zokukhulelwa kwakho, i-chemotherapy ayitholakali, ngoba ingabangela ukulimala ezingxenyeni zomntwana wakho ezisathuthuka. Uma i-chemo iyadingeka, izonikezwa kuphela phakathi nezinyanga ezimbili zokugcina zokukhulelwa. Ucwaningo oluningi lwe-FAC chemotherapy (inhlanganisela ye-fluorouracil, i-Adriamycin, ne-cyclophosphamide) ibonise ukuthi iphephile kumntanakho. Amacala okukhulelwa kwesisu, ukubeletha ngaphambi kwesikhathi, ukubeletha, noma ukukhubazeka kokuzalwa okubangelwa ukwelashwa kwe-FAC akuvamile.
Kodwa-ke, ukuzala kwakho esikhathini esizayo kuyothinteka yiloluhlobo lwe-chemotherapy.
Imithi esetshenziselwa i-chemo ngesikhathi ukhulelwe iyoxhomeka ku-trimester lapho ukhona uma ukwelashwa kwakho kuqala. Ukuthatha izidakamizwa ezithile kuyingozi ngesikhathi sezinyanga ezintathu kunabanye.
- Okuyingozi kakhulu: I- Methotrexate - izobangela ukuphuma kwesisu nokukhubazeka kokuzalwa
- Okuphikisanayo: 5-FU (fluorouracil) - ezinye izifundo zibonise ukuthi zingenabungozi, kanti abanye bayabona ukuthi kungabangela ukukhulelwa kwesisu nokukhubazeka kokuzalwa
- Ngokuphephile ngokuphephile: I- Cytoxan (cyclophosphamide) - ephephile uma isetshenziswe phakathi nezinyanga eziyisithupha zokukhulelwa; ingozi yokulinganisela uma isetshenziswe phakathi nezinyanga ezintathu zokuqala zokukhulelwa
- Iphephile: i- Velban (i-vinblastine) no- Adriamycin (doxorubicin) - ephephile uma isetshenziswe phakathi nezinyanga ezingu-6 zokugcina zokukhulelwa
- Ulwazi olunganele : I- Taxol (paclitaxel) ne-Taxotere (i-docetaxel) - izifundo ezimbalwa kuphela ezibuke umphumela we-teremotherapy yamatela kumntwana okhulayo. Omunye umcwaningi ubike ukuthi ukwelapha owesifazane okhulelwe onotela phakathi nezinyanga ezintathu zokugcina zokukhulelwa kwaholela ekubeni ingane evamile ifike ngesikhathi esigcwele, kepha ucwaningo oluningi luyadingeka.
Qapha uhlelo lwakho lokuzivikela komzimba
I-Chemo inciphisa isibalo sakho segazi elimhlophe bese ushiya wena nomntanakho besengozini yokutheleleka ngenkathi ukwelashwa. Akuwona wonke amasosha omzimba omntwana azothinteka ngenkathi i-chemo Kodwa uma isengozini futhi ihlala iphansi ngemuva kokuzalwa, qiniseka ukuthola ukwelashwa. Odokotela banomuzwa wokuthi kubonakala kuphephile ukuhlinzeka ngezijovo zeNeupogen noma Neulasta ngesikhathi sokukhulelwa ukuphakamisa isibalo esincane samaseli.
Ukwelashwa Kwemithi Emva kokukhulelwa
Lokhu ukwelashwa kusetshenziselwa kuphela emva kokubeletha.
Isetshenziselwa ukusiza ukubulala nanoma yimaphi amangqamuzana omdlavuza angase abe khona esifubeni sakho futhi avimbele ukuphindaphindiwe. (I-radiation ihlukumeza ingane ngokubangela ukukhulelwa kwesisu, ukukhubazeka kokuzalwa, noma ukukhula okusheshayo.) Akucwaningi okuningi okwenziwe emisebeni yesikhumba noma i-brachytherapy (imisebe yendawo kakhulu) kanye nomphumela wayo emabele ashintshiwe ngenxa yokukhulelwa, noma kunjalo. Ngakho-ke, asazi ukuthi ukwelashwa ukubambezeleka kuzoba ngempumelelo ngemva kokubeletha njengoba kungenjalo. Odokotela, ngokuvamile, bayavuma ukuthi imisebe yomdlavuza webele ayiphephile ngesikhathi sokukhulelwa.
Ukwelashwa kwamaHormonal emva kokukhulelwa
I-Tamoxifen iyindlela yokwelapha yama-hormone evimba isrogen kusuka ezinhloboneni zesifuba.
Ngokuvamile kunikezwa abesifazane abanomdlavuza wesifuba we-estrogen-receptor. Nokho, kuyingozi ukuthatha ngesikhathi sokukhulelwa. I-hormone therapy inganikezwa ngemuva kokuzalwa komntwana wakho ukwehlisa ingozi yokuphindaphinda.
Izinketho ezinzima
Ngesikhathi lapho ungagxila kakhulu empilweni entsha ngaphakathi kwakho, ungacelwa ukuba wenze izinqumo zomuntu siqu ezinzima. Ngokusekelwe esigabeni sokukhulelwa, impilo ejwayelekile, nokuxilongwa, ungacelwa ukuba ucabangele ukuqeda ukukhulelwa.
Ucwaningo alubonisi ukuthi ukuqedwa kunomphumela omuhle emdlalweni webelevuza webele, futhi ngokuvamile akubhekwa njengendlela yokwelapha. Kodwa-ke, uma umdlavuza wakho ulaka, kutholakala ukuthi usephuzile, futhi unesidingo se-high-dose ne-ray, ungase udingeke uxoxe ngokuqeda ukukhulelwa kwakho ukuze uvumele ukwelashwa okufanele. Enye inketho ingaba ukubeletha ingane yakho kusenesikhathi uma usesikhathini sokugcina sokukhulelwa futhi ithuba lomntwana lokusinda lihle.
Khuluma nomndeni wakho, i-oncologist, kanye nesibhedlela ukuze uhlole ngokugcwele konke ongakhetha kukho.
> Imithombo:
I-American Cancer Society. Ukukhulelwa kanye ne-Breast Cancer, Ukwelashwa Kwebele Lomzimba Ngesikhathi Ukhulelwa. Kugcine ukubuyekezwa: 08/08/2007 Ukwelashwa Kwebelevuza Ngesisu Ngesikhathi Ukukhulelwa
I-National Cancer Institute. I-Cancer Isisu Nokukhulelwa - I-Health Professional Version. Kugcine ukubuyekezwa: 12/09/2004. I-Cancer Isisu Nokukhulelwa