Khansa ina pambuyo pa chithandizo cha khansa ya m'mawere? (Khansa yachiwiri) Tiyeni tidziwe izi

Mwalimbana ndi khansa ya m'mawere, mwachitidwa opaleshoni ndi chemotherapy, ndipo tsopano mukumva bwino pang'ono. Ndi kupambana kwakukulu. Koma mukudziwa kuti mukalandira chithandizo, pali chiopsezo chochepa choti khansa yoyambirira ibwererenso. Komanso, anthu ena amatha kukhala ndi khansa yatsopano yomwe si yogwirizana ndi khansa yoyambirira ngati zotsatira zoyipa za chithandizo. Mu zamankhwala, timatcha iyi ' khansa yachiwiri' . Musaope kumva izi. Chofunika kwambiri ndikudziwa bwino za izi.

Kodi mitundu ya khansa yachiwiri ndi iti?

Khansa yachiwiri yofala kwambiri yomwe ingachitike pambuyo pa khansa ya m'mawere ndi khansa ina ya m'mawere. Koma iyi si khansa yobwerezabwereza ya m'mbuyomu. Iyi ndi khansa yatsopano yomwe imachokera ku maselo atsopano a khansa. Ikhoza kukhala m'bere lina, kapena ngati munachotsa khansayo yokha (lumpectomy), ikhoza kukhala m'dera lina la bere lomwelo.

Kutengera mtundu wa chithandizo cha khansa ya m'mawere chomwe mwalandira, mungakhale pachiwopsezo chachikulu kuposa munthu wamba chotenga mitundu ina ya khansa yachiwiri. Zina mwa izi zalembedwa pansipa.

Kafukufuku akusonyeza kuti mtundu ndi zaka nthawi zina zingathandize pa izi. Komanso, chiopsezochi chingakule pang'ono mukakula mutachira kwathunthu ku khansa ya m'mawere ndikukhala ndi moyo kwakanthawi. Koma kafukufuku akupitilirabe pa izi. Chifukwa chake ndikofunikira kudziwa m'malo mochita mantha.

Kodi ndi zinthu ziti zomwe zimayambitsa khansa yachiwiri?

Pali zinthu zingapo zomwe zingathandize kuti khansa yachiwiri ikule pambuyo polandira chithandizo cha khansa ya m'mawere. Tiyeni tiwone zomwe zili.

Majini

Azimayi ena amalandira kusintha kwa majini kotchedwa BRCA gene . Kukhala ndi majini amenewa kumawonjezera chiopsezo chanu chokhala ndi khansa ya m'thupi, monga khansa ya m'mawere ndi khansa ya m'chiberekero. Ngati muli ndi mbiri ya khansa m'banja mwanu, ndikofunikira kulankhula ndi dokotala wanu za izi.

Chithandizo cha X-ray

Chithandizo cha radiation ndi chithandizo chachikulu cha khansa ya m'mawere. Chimaphatikizapo kutumiza radiation pachifuwa. Chiwopsezo chonse chotenga khansa yachiwiri ndi chochepa kwambiri. Komabe, pali chiopsezo chochepa.

• Khansa ya m'mapapo: Chiwopsezochi ndi chachikulu makamaka kwa akazi omwe amasuta.
• Sarcoma: Iyi ndi mtundu wa khansa womwe umakhudza minofu yolumikizana monga mitsempha yamagazi ndi mafupa.
• Khansa ya m'magazi: Khansa yokhudzana ndi mafupa monga khansa ya m'magazi ndi matenda a myelodysplastic (MDS).

Chiwopsezochi chimadalira kuchuluka kwa kuwala komwe mudalandira, nthawi yomwe mudakumana ndi kuwala kwa dzuwa, komanso kuchuluka kwa mafuta anu am'mafupa omwe mudakumana nawo. Khansa yachiwiri yamtunduwu nthawi zambiri imachitika zaka zingapo mutalandira chithandizo cha kuwala kwa dzuwa.

Mankhwala a Chemotherapy

Mankhwala ena a chemotherapy angawonjezere pang'ono chiopsezo chotenga khansa ya m'magazi ndi MDS. Mlingo wokwera komanso nthawi yayitali ya chithandizo kumawonjezera chiopsezochi kwambiri. Mitundu ya mankhwala a chemotherapy omwe amawonjezera chiopsezo ndi awa:

• Mankhwala ophera alkylating
• Mankhwala ochokera ku platinamu
• Zoletsa za Anthracycline topoisomerase II

Mankhwala a Tamoxifen

Iyi ndi mankhwala ofunikira kwambiri omwe amaperekedwa kuti achepetse chiopsezo chobwereranso kwa khansa ya m'mawere yokhala ndi mahomoni. Komabe, mukamagwiritsa ntchito, chiopsezo cha khansa ya m'chiberekero, mwachitsanzo khansa ya endometrial ndi uterine sarcoma, chimawonjezeka pang'ono. Chifukwa chake, ngati muli ndi magazi osazolowereka mukamamwa mankhwalawa, muyenera kuuza dokotala wanu nthawi yomweyo .

Kunenepa kwambiri

Izi sizikugwirizana ndi chithandizo. Koma kafukufuku wapeza kuti kunenepa kwambiri, kapena kunenepa kwambiri, ndi chinthu chachikulu chomwe chimapangitsa kuti pakhale chiopsezo cha khansa yachiwiri pakati pa opulumuka khansa ya m'mawere. Makamaka, kukhala ndi chiwerengero chachikulu cha thupi (BMI) kumatsegula khomo la khansa yachiwiri ya m'mawere kapena khansa zina zokhudzana ndi kunenepa kwambiri.

Kuwunika kuti azindikire khansa yachiwiri

Mukamaliza kulandira chithandizo cha khansa ya m'mawere, ndikofunikira kwambiri kupita ku zipatala zomwe dokotala wanu wakupatsani. Dokotala wanu adzafuna kukuyang'anirani nthawi zonse. Maulendo awa amapereka mwayi woti:

• Kufufuza zizindikiro zosonyeza kuti khansa ya m'mawere yabwerera.
• Kuti muwone ngati pali zotsatirapo zilizonse zomwe zingachitike chifukwa cha mankhwalawo pakapita nthawi.
• Ma mammogram amachitidwa kuti aone ngati khansa yabwereranso kapena ngati pali zizindikiro za khansa yachiwiri.
• Yesani kuona zizindikiro za khansa ya pachibelekero pogwiritsa ntchito mayeso monga Pap smears ndi mayeso a mafupa kuti muwone ngati mafupa ali bwino.

Maulendo obwerezabwereza awa ndi nthawi yabwino yofunsa mafunso aliwonse omwe mungakhale nawo. Ngati muwona kusintha kulikonse kwatsopano kapena zinthu zachilendo m'thupi lanu mutalandira chithandizo, uzani dokotala wanu nthawi yomweyo.

Zinthu zomwe mungachite kuti muchepetse chiopsezo

Nkhani yabwino ndi yakuti anthu ambiri omwe akuchira ku khansa ya m'mawere sadzadwala khansa yachiwiri . Koma chiopsezo chake ndi chachikulu pang'ono kuposa cha munthu wamba, choncho ndikofunikira kudziwa izi. Ngakhale kuti palibe njira yopewera khansa yachiwiri 100%, pali zinthu zambiri zomwe mungachite kuti muchepetse chiopsezo chanu.

• Kuzindikira msanga: Onetsetsani kuti mwapita kukaonana ndi dokotala wanu nthawi yomweyo. Tsatirani ndondomeko ya chithandizo mosamala kuti khansa isabwererenso.
• Khalani ndi kulemera kwabwino: Kunenepa kwambiri ndi chinthu chachikulu chomwe chimayambitsa mavuto, choncho yesetsani kukhala ndi kulemera kwabwino mwa kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi.
• Khalani otanganidwa:Kuchita masewera olimbitsa thupi tsiku lililonse. Yambani pang'onopang'ono. Yambani ndi zinthu zosavuta monga kuyenda ndi kuchita masewera olimbitsa thupi otambasula thupi, ndipo pang'onopang'ono muwonjezere mphamvu zanu pamene mukupeza mphamvu.
• Zakudya Zopatsa Thanzi: Idyani zakudya zokhala ndi zipatso zatsopano, ndiwo zamasamba, ndi tirigu wonse. Chepetsani nyama yofiira, nyama yokonzedwa, zakumwa zotsekemera, ndi zakudya zokonzedwa kwambiri momwe mungathere.
• Chepetsani mowa: Ngati mumamwa mowa, yesani kuchepetsa kumwa mowawo pa mlingo umodzi patsiku.
• Pewani kusuta fodya konse: Pewani kusuta fodya konse ndi zinthu zopangidwa ndi fodya. Ichi ndi chinthu chachikulu chomwe chimayambitsa mitundu yambiri ya khansa, kuphatikizapo khansa ya m'mapapo.