Zinthu Zimene Dokotala Wanu Sangakuuzeni Zokhudza Khansa ya M'mawere

Dokotala wanu akakuuzani kuti muli ndi khansa ya m'mawere, muyenera kuti munamva ngati mwala waukulu wagwera pamutu panu. Mwadzidzidzi mumamva mantha ndi nkhawa. Mwina simungathe kuganiza kuti, "Ndichite chiyani tsopano?" Nthawi zambiri, panthawi ngati iyi, timamva ngati tikufuna kunena "inde" ku chithandizo chilichonse chomwe dokotalayo akupereka. Koma dikirani kaye. Musanachite mantha, pali zinthu zofunika zomwe muyenera kudziwa, koma mwina simunakambirane. Tiyeni tikambirane za izo.

Chofunika kwambiri kukumbukira ndichakuti musaope kufunsa maganizo a dokotala wina . Ngakhale dokotala wanu atakana kukupatsani malangizo, kulankhula ndi katswiri wina za vutoli kungakuthandizeni kukhala ndi mtendere wamumtima.

Khansa ya m'mawere nthawi zambiri si vuto lachipatala lomwe limafuna chithandizo usiku wonse. Mumakhala ndi nthawi yopuma, kuganiza bwino, kulankhula ndi anthu omwe mumawadalira, ndikupanga chisankho chabwino kwambiri.

Tsopano tiyeni tiwone zina mwa zinthu zomwe sizimakambidwa kawirikawiri pochiza khansa ya m'mawere, koma zomwe muyenera kuzidziwa.

Kutupa kwa mkono pambuyo pa opaleshoni (Lymphedema)

Izi ndi zomwe anthu ambiri amakumana nazo, koma samazidziwa kale. Pa opaleshoni ya khansa ya m'mawere kapena chithandizo cha radiation, ma lymph nodes omwe ali m'khwapa amatha kuwonongeka. Mwachidule, izi zimasokoneza kuyenda kwa madzi a lymph m'thupi lathu. Kenako madziwo amatha kusonkhana m'dzanja, m'dzanja lapamwamba, kapena pachifuwa, zomwe zimapangitsa kutupa kowawa. Ichi ndi chomwe timachitcha (Lymphedema) .

Ngakhale kuti palibe mankhwala ochiritsira matendawa, n'zosavuta kuwongolera zizindikiro ngati chithandizo chayamba msanga . Chifukwa chake, ngakhale dokotala wanu sanatchule izi, dzifunseni nokha ndipo pemphani kuti mukakumane ndi katswiri wa matenda a lymphedema musanachite opaleshoni. Ndikofunikira kwambiri.

Kuchepa mwadzidzidzi kwa chitetezo chamthupi (Neutropenia)

Ichi ndi chimodzi mwa zotsatirapo zoyipa kwambiri za mankhwala a chemotherapy. Neutropenia ndi pamene kuchuluka kwa ma neutrophils, mtundu wa maselo oyera a m'magazi omwe amalimbana ndi matenda m'thupi lathu, kumatsika kwambiri. Izi zikachitika, mphamvu ya thupi lanu yolimbana ndi matenda imakhala yofooka kwambiri.

Ngakhale chimfine chofala chingakhale choopsa. Chifukwa chake, panthawi ya chemotherapy, lankhulani ndi dokotala wanu za kuchuluka kwa maselo oyera m'magazi anu ndi njira zomwe muyenera kuchita kuti mudziteteze ku matenda. Izi ndizofunikira kwambiri panthawi ya mliri wa COVID-19.

Kubereka

Nkhani imeneyi nthawi zambiri imanyalanyazidwa pochiza khansa, koma ndi yovuta kwambiri. Mwina chifukwa chakuti muli ndi zaka zoposa 40, kapena chifukwa choti simuli pa banja, dokotala wanu angaganize kuti simukufuna kukhala ndi ana. Koma si zoona. Muli ndi ufulu wonse wolankhula za mapulani anu a banja lamtsogolo.

Zinthu monga mankhwala a chemotherapy ndi mankhwala a mahomoni zingakhudze kubereka kwanu. Mwachitsanzo, zingakhale zovuta kutenga mimba mutatha zaka 5 mukumwa mankhwala a mahomoni. Chifukwa chake, onetsetsani kuti mwalankhula ndi dokotala wanu za njira zoberekera mwana mtsogolo (monga kuzizira dzira kapena mluza) musanayambe kulandira chithandizo.

Zotsatirapo zoyipa za chithandizo cha mahomoni

Anthu ambiri amangoopa zotsatirapo za mankhwala a chemotherapy. Koma zotsatirapo za mankhwala a mahomoni (endocrine therapy) zingakhalenso zoopsa. Koma odwala sadziwa bwino za izi.

Azimayi ena amavutika kwa zaka 5-10 chifukwa cha zotsatirapo zake (monga kutopa, kupweteka kwa mafupa, kuvutika maganizo) chifukwa cha mankhwala monga tamoxifen. Chinthu china chomwe nthawi zambiri sichimakambidwa ndi vuto lotchedwa 'brain fog' . Uku ndi kumva kusokonezeka, kuiwala, komanso kumva ngati watayika. Ngakhale izi zimayembekezeredwa ndi mankhwala a chemo, anthu ambiri sadziwa kuti zingachitike ndi mankhwala a mahomoni.

Ngati dokotala wanu sakusamala kapena kusamala za zotsatirapo zanu, si bwino kuganizira zokaonana ndi dokotala wina. Kukhala ndi munthu amene amamvetsera nkhawa zanu n'kofunika kwambiri paulendo wanu wopulumuka.

Chiwopsezo cha khansa kubwereranso (Khansa Yobwerezabwereza)

Iyi ndi nkhani yomwe anthu ambiri amaopa kuikamba. Ngakhale atalandira chithandizo chabwino kwambiri, khansa ikhoza kubwereranso ). Ikhoza kukhala pamalo omwewo monga kale, kapena ingafalikire mbali ina ya thupi.

Ngakhale kuti akuti "kumwa mankhwala kwa zaka 5 kudzachiritsa khansa yonse", zoona zake n'zakuti nthawi zina ngakhale patatha zaka 15 kapena 20, pali chiopsezo chochepa kwambiri chakuti khansayo idzabwereranso kapena kufalikira ku ziwalo zina (metastasize). Ngakhale mutakhala ndi khansa yomwe ikukula pang'onopang'ono komanso yosaopsa kwambiri, maselo a khansa angakhalebe akubisala m'thupi lanu. Ndikofunikira kukambirana za chiopsezochi nthawi iliyonse dokotala akakumana ndi dokotala.

Kupewa ndi kudzimva wolakwa

Madokotala ena sakonda kulankhula za kupewa khansa chifukwa zingapangitse odwala kudzimva kuti ali ndi mlandu. Azimayi amadziimba mlandu okha, kuganiza zinthu monga, "Kodi ndinamwa galasi la vinyo limenelo?" kapena "Kodi sindinachite masewera olimbitsa thupi mokwanira?"

Ndipotu, palibe amene anganene chifukwa chenicheni chomwe munthu adadwala khansa. Choncho, musamangoganizira zakale. M'malo mwake, ganizirani za mtsogolo. Kukhala ndi moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi) panthawi yopulumuka sikungochepetsa chiopsezo cha khansa kubwerera, komanso kudzakuthandizani kukutetezani ku matenda ena, monga matenda a mtima.

Ndalama

Chithandizo cha khansa ndi chovuta kwambiri pa thupi ndi chikwama. Anthu ambiri amachita manyazi kapena amaopa kulankhula za izi. Komabe, ndikofunikira kulankhula ndi dokotala wanu za mtengo wa chithandizo. Madokotala ayenera kumvetsetsa kuti si aliyense amene ali ndi ndalama zofanana.

Ngati n'kotheka, perekani nkhani zachuma ndi inshuwalansi kwa wachibale kapena mnzanu. Muthanso kupempha thandizo kwa ogwira ntchito zachitukuko kapena alangizi azachuma m'zipatala. Kupempha thandizo si chizindikiro cha kufooka.