Ukuhlela, Ukuphathwa Kwesikhathi, Nokubuyiselwa
Uma uthola ukuthi unesifo somdlavuza webele, cishe uyazi ukuthi ukwelashwa kuzothatha isikhathi eside kangakanani. Kuzoze kube nini ukwelashwa ngabanye okufana nokuhlinzwa, i-chemotherapy, kanye nokwelashwa kwemisebe kuthatha-futhi yiziphi izikhathi zokuphumula ezivamile? Kuyoze kube nini uze ubuyele ekujwayelekile? Kubalulekile ukuqaphela ukuthi kulabo abane-cancer yesifuba yesisu se-estrogen, imithi yomlomo ingadinga ukuthi ithathwe nsuku zonke iminyaka engu-5 ukuya kweyengu-10 ukwelashwa kokuqala kuqediwe, kepha ngokuvamile lokhu kubhekwa "ukwelashwa kokugcinwa" kunokuba "ukwelashwa okusebenzayo."
Kutholakale okusha
Ukuxilongwa komdlavuza webele kungaphazamisa impilo yakho-imizwelo, impilo yempilo, ezezimali kanye nobuhlobo kungathinteka. Lapho utholakala, kungenzeka ukuthi usebenza isikhathi esigcwele, ukhulisa umndeni, noma uphishekela amaphupho akho. Ikhalenda lakho ligcwele futhi impilo yakho yayimatasa.
Ngokungazelelwe, isimiso sakho sihlaselwa yi-raft of appointments kanye nodokotela ohlinzayo, oncologists, abahlengikazi, ochwepheshe kanye nababelapha. Ngokushesha unomsebenzi omusha-ukuthola isifo somdlavuza webele. Ake sibheke ukuthi izidakamizwa nokuphulukiswa isikhathi eside kungathatha kanjani futhi sixoxe ngokugcina ithrekhi yesikhathi sakho.
Izidingo zokulinganisela
Uma usebenza ngaphandle kwekhaya, kungase kudingeke ukwazi ukuthi isikhathi esingakanani sokugula sekhefu ukucela. Qinisekisa ukuthi uyazi inqubomgomo yekhefu lokugula emsebenzini wakho futhi unikeza umphathi wakho isilinganiso esingcono kakhulu ongayenza.
Khumbula ukuthi uma ushaya i-snag ngenkathi ukwelashwa, uzobe uphume isikhathi eside kunalokho obekuhlelile. Ngakho-ke, qiniseka ukuthi uvumele umphathi wakho azi ukuthi kwenzekani.
Gcina ikhalenda ebhokisini lakho lezempilo ukulandelela wonke ama-aphoyintimenti. Ungazifaki ngokwengeziwe, ikakhulukazi ekwelapheni nasezinsukwini zokutakula. Cela usizo futhi unikeze imisebenzi ngenkathi usuphulukile.
Abantu abaningi bayamangala ukuthi bazizwa ngendlela ehlukile kunalokho ababengakulindela ngaphambi kokuba bahlolwe.
Ungathola ukuthi ukusebenza kuyasiza, futhi esikhundleni sokucindezeleka, kuthatha ingqondo yakho ezindabeni zakho zezempilo. Ngokuphambene nalokho, abanye abantu babecabanga ukuthi bayakwazi ukusebenza yonke ngemithi kodwa bathole ukuthi abakwazi. Wonke umuntu uhlukile. Into ebaluleke kakhulu ukuhlonipha imizwa yakho.
AbaseMelika abane-Disability ACT (ADA) bathi abaqashi kumele banikeze "izindawo zokuhlala ezifanele" kulabo abhekene nesifo njengesifo somdlavuza webele. Lezi zindawo zibandakanya ukukwazi ukukhipha isikhathi sokuqokwa kwabadokotela nokuphulukisa ekwelapheni. Ezinye izindawo zokuhlala, ezifana nesimiso somsebenzi ohlukile noma ithuba lokusebenzela ekhaya liwusizo kwabanye abantu. Inhlangano engenzi inzuzo I-Cancer ne-Careers inezinsiza futhi inikeza usizo olukhululekile kubantu abaningi abahlukumeza ukulinganisela impilo yabo yomsebenzi kanye nokwelashwa kwabo komdlavuza.
Ukuhlinzwa nokuvuselelwa
Isilinganiso sesikhathi esizothatha wena ukuba ululame kusukela ekuhlinzekeni sizoxhomeka ekuhlinzekeni okukhona nokuthi ngabe unayo i-sentinel lymph node biopsy noma i-axillary node dissection.
- I-Lumpectomy (alulame izinsuku ezingu-7-14). I- lumpectomy iyinkqubo yokuphulukisa izifo, ngakho-ke cishe uzobuyela ekhaya ngosuku olufanayo lokuhlinzwa. Ungase ube nezikhukhula zokuhlinza endaweni, ngakho ungasheshi ukubuyela emsebenzini. Uma une- lymph nodes isuswe ngesikhathi se-lumpectomy yakho, ukuphulukiswa kuzothatha isikhathi esingaphezu kwesonto elilodwa. Thola omunye umuntu ukuba enze ukushayela nokushayela okukhulu, bese uyeka ukuhlanza indlu, ezemidlalo nokulima.
- I-Mastectomy (ukutakula kwamaviki 1-3). A i-mastectomy iyinkqubo yokugula, ngakho-ke uzoba esibhedlela ngemva kwezinsuku ezimbili noma emva kokuhlinzwa. Uzoba nezinkinga zokuhlinzeka ngezinsuku eziyisihlanu kuya kweziyisikhombisa (ngezinye izikhathi kuze kube amasonto amathathu) ukusiza ngokuphulukisa. Lezi zizosuswa ngesikhathi sokuqokwa kokulandelwa kanye nodokotela wakho ohlinzayo. Ukungahambi kahle, izinqumo zakho kufanele ziphulukise ngaphakathi kwamasonto amathathu kuya kwamane. Uma une-lymph nodes isusiwe ngesikhathi sakho se-mastectomy, ukuphulukiswa kuzothatha isikhathi eside. I-mastectomy ivame ukwenza ngokuvuselelwa kwesifuba esisheshayo, kepha lokho akumele kubambezele ukuphulukiswa kusukela ekuhlinzekeni. Thola ukuphumula okuningi futhi uthathe isikhathi sokucubungula imizwelo yakho ngenkathi usuphulukile.
- Ukulungiswa kabusha (ukutakula kwezinsuku ezingu-3-7). Akuwona wonke umuntu oyodinga ukulungiswa kabusha uma amachashazi akhethiwe ecacile. Lena inqubo yokwelapha eyenziwa emva kwe-lumpectomy ukuqinisekisa amachashazi acacile. Uzobuyela ekhaya ngemuva kokuhlinzwa kwakho. Ungase ube ne-drain yokuhlinzwa ukuze ulawule, kodwa ingasuswa ngokushesha. Thatha lula ekhaya kuze kufike umchamo wakho.
- Ukuvuselelwa kwesisu (izikhathi zokuphumula ziyahlukahluka). Ngoba ukuvuselelwa kwebele kungase kuvele ezimpilweni ezibekwa ngesikhathi sokugaya isisindo ekufakweni kokukhululeka kwe- flap , isikhathi sakho sokutakula sizoxhomeka ekubuneni kwendlela yakho yokuvuselela. Ezinye izinhlobo zokuvuselela zibandakanya izinqubo zokuhlinza ezimbili noma ezintathu zokuqedela isifuba sakho esisha. Uma une-radiation therapy, ukuvuselelwa kabusha kungase kubambezeleke uze uqede zonke izinhlelo.
I-Chemotherapy ne-Recovery
Umdlavuza we-Breast chemotherapy unikezwa ngamashejuli ahlukene kuye ngokuthi uphathwe kuphi. Ngokuvamile, uhlobo olulodwa lwe-chemotherapy lunikezwa njalo amasonto amabili ngemigqa engu-4. I-chemotherapy elandelayo inganikezwa njalo ngamasonto amabili emijikelezweni engu-4, noma ngeviki zonke izinyanga ezimbili. Ngokuvamile, i-chemotherapy ithatha izinyanga ezingu-4 kuya kwezi-6 ukuqedela. Esikhathini esiningi uzoba negazi lakho elidonsa futhi uhlangane ne-oncologist yakho ngaphambi kweseshini ngayinye, kodwa lokhu kungahlukahluka futhi.
Ukumiswa kwamanye amahora kuzothatha amahora amathathu kuya kwangu amane ukuvakashelwa kwe-oncology kanye nokuqashwa kwamabhodi kufanele kuthathe noma yikuphi kusukela emiaminithi engu-15 kuya kwehora, kuye ngokuthi umatasa wakho umatasa kangakanani. Uma imiphumela yakho yecala ilula, ungabuyela emisebenzini evamile phakathi kwemithi ngayinye. Kodwa uma behlupha, cabanga ngokuthatha isikhathi sokuphumula. Ngezinye izilawuli unganikezwa umthamo wemithi yokwandisa iseli lakho elimhlophe legazi ngosuku emva kokukhipha kwakho. Lezi mithi ngezinye izikhathi zingabangela ubuhlungu bezinsizi ezingahlala izinsuku ezintathu kuya kwezingu-4.
Izikhathi zokubuyiswa ezivela kumakhemikhali ahlukene nomuntu ngamunye. Khumbula ukuthi i-chemotherapy iyindlela yokwelapha eyoshintsha impilo yakho yonke. Kufanele uhlele isikhathi esisodwa kuya kwezintathu zokuphumula ngesikhathi ngasinye isilinganiso somthamo we-chemotherapy uma ukwelashwa kwakho sekuphelile.
Ukwelashwa kwezidakamizwa nokubuyiswa
Isikhathi somswakama sizoxhomeka kunhlobo luni lwemithi yokwelashwa oyoba nayo. Eziningi zezivumelwano ezintsha zidinga ngaphansi kwezikhathi ezingama-33 zangaphambili.
Inkambo ejwayelekile yezokwelashwa kwemisipha emva kokuhlinzwa ihlelwe njalo njalo ngeviki amasonto ayisithupha noma ayisikhombisa. Noma yimiphi imiphumela emibi ongayithola iyoba khona, ngakho cabanga ukuthatha isikhathi sokuphumula ngezimpelasonto futhi ekupheleni kokwelashwa.
Ukuphuthumiswa kwe-Bretial Irradiation (APBI) okuphuthumayo kungagcwaliswa ngamasonto amathathu noma ngaphansi. I-Brachytherapy , noma imisebe yangaphakathi yesifuba, ingenziwa ezinsukwini ezinhlanu, nemiphumela emibi nemiphumela encane yokutakula.
Isikhathi Sonke
Imithi yesifo somdlavuza yesibindi ingathatha isikhathi esithile futhi ungase uzibuze ukuthi maduzane uzothola kanjani impilo yakho. Kungase kudingeke uvumele umndeni, abangane, noma umphathi wakho bazi ukuthi uzoba isikhathi esingakanani ukwelashwa.
Ngezansi itafula elinamanye amanani okuthi ukwelashwa okungakanani kungathatha kuye ngokuthi uhlolwe kanjani. I-Times ayifaki ikhefu phakathi kwezinhlobo zokwelapha, ukubonisana, imibono yesibili, ukuhlolwa okungeziwe kanye nokuhlola izithombe. Uma uzoba ne- hormonal therapy (i-endocrine therapy) ngemuva kokuphela kokwelashwa okuyisisekelo, ungase uthathe imithi yokuvimbela ukuphindaphinda iminyaka emihlanu noma ngaphezulu.
I-"case average" yesifo somdlavuza webele wesandulela-ngculazi ingathatha unyaka wokuthola ukuxilongwa kanye nokwelapha ngokuphumula okwesikhashana. Wonke amacala kuleli tafula aqala umdlavuza webele wesandulela-ntambama, kungekho metastasis . Khumbula ukuthi lokhu kuthatha ukuthi awunaso izinkinga ngenxa yokwelashwa kwakho futhi akukho ukuphindaphinda kokuqala komdlavuza webele.
I-Metastatic Breast Cancer
Umdlavuza wesifuba we-Metastatic uzophathwa futhi uhlolwe ngokuhlukile.Ukuhlinzekwa okunciphisa ukusakazeka komdlavuza wesifuba we-metastatic, ukunciphisa usayizi we-tumor , ukunciphisa ubuhlungu, nokwandisa ukusinda. Icala ngalinye lomdlavuza wesifuba we-metastatic lizodinga uhlelo lwezokwelapha isikhathi sokuphila kwesiguli, ngakho ukulinganisela izikhathi zokwelashwa nokubuyiswa kwenzelwe uma kwenzeka icala. Ngomdlavuza webele we-metastatic, ukwelashwa akukaze "kwenziwe." Abantu abaningi bayobe bethola uhlobo oluthile lwezokwelapha ukunciphisa ukukhula kwesisu ngenxa yokuphila kwabo bonke. Eqinisweni, ukubuza lapho kuzokwenziwa ukwelashwa kungenye yezinto ezingasho kumuntu onomdlavuza we-metastatic .
Ithebula: I-Treatment & Recovery Times Isekelwe ekutholeni
Ithebula elingezansi liyisikhombisi esiyinkimbinkimbi sezinye izimo ezivamile. Lezi zimo zithatha ukuxilongwa kwesifo somdlavuza wesifuba esisezingeni lokuqala esususwa ngokuhlinzwa futhi sinikezwe ukwelashwa okune-adjuvant ukuvimbela ukuphindaphindiwe.
Kukhona okungafani okuningi kumacala athulwe lapha. Isibonelo, ukuxilongwa komdlavuza webele wezintathu ongenamandla nge-tumor encane, i-lymph nodes ecacile, kanye nemigqa yokuhlinza iyokwelapha ngezinyanga ezintathu kuya kweziyisithupha ze-chemotherapy, kuyilapho isimo se-low-grade ductal carcinoma in situ ene-tumor encane, ukucacisa i-lymph nodes, kanye nemigqa yokuhlinzwa ingaphathwa nge-radiation yedwa.
Ngaphezu kwalokho, ithebula alibandakanyi ukuthi kungenzeka kube neminyaka emihlanu noma ngaphezulu yokwelashwa kwamahomoni ngamakhansela abelethwe yi-hormone. Xoxa ngesifo sakho nge-oncologist yakho ukuze uthole isithombe esinembile kakhulu sesikhathi sakho sonke ekwelapheni nasekutholeni.
| Ukuxilongwa | Ukuhlinzwa | Okungeziwe Ukuhlinzwa | Okuyinhloko Ukwelapha | Secondary Ukwelapha | Isikhathi sokwelapha nokubuyiswa * |
| I-T1 / N0 / M0 | Lumpectomy (Izinsuku ezingu-7) | Umswakama: I-Brachytherapy (Izinsuku ezingu-7) | 14 - 21 Izinsuku (Amasonto amabili kuya kwangu-3) | ||
| I-T1 / N0 / M0 | Lumpectomy (Izinsuku ezingu-7) | Ukubuyisela kabusha (Izinsuku ezingu-3-7) | Umswakama: I-APBI | Amaviki ayisithupha | |
| I-T1 / N1 / M0 | Lumpectomy (Izinsuku ezingu-7) | Umswakama: I-APBI (Amaviki amathathu) | I-Chemotherapy (6 Imijikelezo / Izinyanga eziyisithupha) | Izinyanga ezingu-7 kuya ku-8 | |
| I-T2 / N0 / M0 | Lumpectomy (Izinsuku ezingu-7) | Umswakama: Isifuba soke | I-Chemotherapy (6 Imijikelezo / Izinyanga eziyisithupha) | Izinyanga ezingu-8 kuya ku-9 | |
| I-T3 / N1 / M0 | I-mastectomy (Izinsuku ezingu-14) | I-Chemotherapy (6 Imijikelezo / Izinyanga eziyisithupha) | Izinyanga ezingu-7 kuya ku-8 | ||
| I-T3 / N1 / M0 | I-mastectomy (Izinsuku ezingu-21) | Ngokushesha Ukwakhiwa kabusha | I-Chemotherapy (6 Imijikelezo / Izinyanga eziyisithupha) | Izinyanga ezingu-7 kuya ku-8 | |
| * Qaphela: Izinkathi zokwelashwa nokubuyiswa zilinganiselwa-noma kunjalo icala lizohluka. I-Times ayifaki ikhefu phakathi kwezinhlobo zokwelapha, ukubonisana, imibono yesibili, ukuhlolwa okungeziwe kanye nokuhlola izithombe. | |||||
Qhubekela phambili
Izikhathi zokubuyiselwa zixhomeke empilweni yakho ngaphambi kokuxilongwa, ukuphendula komzimba wakho kokwelapha, izici zokuphila, kanye namazinga womsebenzi okwenziwe ngesikhathi sokuvuselela. Ukuzivocavoca, ukudla ukudla okunempilo, ukugwema utshwala nogwayi, futhi kancane kancane ubuyele emisebenzini evamile kungasheshisa ukutakula, njengoba kungakwazi ukubhekana nanoma yiziphi izinkinga zokulala oqhubeka nazo emva kokwelashwa.
Ukutholwa ngokomzwelo kuyinkambo eyinkimbinkimbi kakhulu ukuthi ngamunye wethu usebenza ngezikhathi zethu. Uma uzwa ukucindezeleka okucindezelayo noma ukwesaba njalo ngokuphindaphindiwe , cela usizo. Ucwaningo lubonisa ukuthi ukusinda kuthuthukiswa kubantu abahamba ngokululekwa kwengqondo yokuziphatha, aka "ukukhulumisana."
Iningi lemiphumela emibi ngokomzimba izokwehla ngokuhamba kwesikhathi njengoba impilo yakho ivuselela, kodwa ezinye zingase zihlale isikhathi eside. Umzimba wakho uzothatha izibazi kusukela empini- lymphedema kanye ne- chemobrain ingakuphazamisa isikhathi eside kunokuba ungathanda. Ubuhlobo bakho kungenzeka ukuthi bushintshile, futhi abesifazane abaningi basho ukuthi kungaba iminyaka ngaphambi kokuthi amazinga azo amandla abuyele evamile.
Surivorship
Sesanda nje ukuqala ukukhuluma ngokuthi "ukusinda okukhathazayo" kubantu abanomdlavuza webele, njengokushintsha kwengqondo ngenxa yobuchopho be-chemo, ukukhathala okuqhubekayo, ubuhlungu obungapheli, nokuningi. Izikhungo eziningi zomdlavuza manje zinikeza "ukuvuselelwa komdlavuza" okungabandakanya ukwelulekwa, ukwelashwa ngokomzimba, nokunye ukusiza ukubuyisela umzimba wakho eduze ngangokunokwenzeka lapho ukhona ngaphambi komdlavuza-noma mhlawumbe nakakhulu.
Okwamanje ucatshangwa ukuthi amaphesenti angu-5 kuphela abesifazane abasinda umdlavuza webele abanikezwa lokhu "ukuvuselelwa kwezinkanyezi" ukwelashwa, kodwa okungenani amaphesenti angama-60 kuya kwangu-95 angazuza. Ukuphila emva komdlavuza wesifu kuhilela ushintsho, ngakho-ke zinikeze indawo eningi nesikhathi sokulungisa. Survivorhood yindawo enhle yokuhlala!
> Imithombo:
> De Groef, A., Van Kampen, M., Dieltjens, E. et al. Ukuphumelela Kwe-Postoperative Physical Therapy Yokukhubazeka Okuphezulu-Limbimbi Ngemva Kokuphathwa Kwemdlavuza Webele: Ukubuyekezwa Okuhlelekile. Archives of Medicine Physical and Rehabilitation . 2015. 96 (6): 1140-53.
> Joly, F., Giffard, B., Rigal, O. et al. Impact of Cancer kanye Nezokwelapha Zomsebenzi Ongqondweni: Izinqubekelaphambili Ekucwaningweni Ezivela E-Paris International Cognition and Cancer Task Force Symposium kanye Nokuvuselela Kusukela Ngo-2012. Journal of Pain and Symptom Management . 2015. 50 (6): 830-41.
> ULoh, S., no-A. Musa. Izindlela Zokuthuthukisa Ukuvuselelwa Kwabagulayo Ukulandela Ukwelashwa Kwebele Kabele: Ukubukeza Ukuhlolwa Okuhlelekile. Umdlavuza webele . 2015. 7: 81-98.
> McNeely, M., Binkley, J., Pusic, A., Campbell, K., Gabram, S., noP. Soballe. Isibonelo Esihle Sokunakekela I-Cancer Breast Rehabilitation: Izinkinga Zokuthunyelwa Kwangemva Nezokuthunyelwa Kwangemva. I-Cancer . 2012. 118 (8 Suppl): 2226-36.
> Stout, N., Binkley, J., Schmitz, K. et al. Isibonelo Sokuqapha Isibikezelo Sokuvuselelwa Kwabesifazane Abanomdlavuza Webele. I-Cancer . 2012. 188 (8 Suppl): 2191-200.