Mukuganiza bwanji mukapeza chinthu chonga chotupa m'mawere mwanu? Nthawi zambiri, timaganiza kuti, "O, sindidwala chonchi ndili ndi zaka zanga, mwina ndi chotupa chabe." Makamaka ngati muli aang'ono , mwina simumaganizira za khansa. Koma lero, nkhani ya mayi wachinyamata wazaka 31 dzina lake Natoya Pascacio ndi nkhani yomwe imatiphunzitsa tonse zambiri ndipo imabweretsa mphamvu zazikulu m'mitima yathu.
Kodi Natoya uyu ndani? N’chiyani chinamuchitikira?
Natoya ndi mayi wolimba mtima komanso wopanda mwamuna, wa ana awiri. Ali ndi zaka 31, anapezeka ndi khansa ya m'mawere yosowa komanso yoopsa. Imatchedwa `Triple-Negative Breast Cancer`. Nthawi zambiri, pokamba za khansa ya m'mawere, akazi azaka zopitirira 50 amakhala pachiwopsezo chachikulu. Komabe, mtundu uwu wa `Triple-Negative` umapezeka kwambiri pakati pa atsikana osakwana zaka 40.
Chinthu chodabwitsa kwambiri pa nkhaniyi ndi ichi. Natoya poyamba amamva chotupa m'bere lake pamene akuyamwitsa mwana wake. Popeza palibe m'banja mwake amene ali ndi mbiri ya khansa, ngakhale madokotala poyamba amati, "Palibe chodetsa nkhawa nacho, sichidzaipiraipira pa msinkhu wanu, palibe chifukwa choyezetsa."
Tangoganizirani, kodi munthu wabwinobwino angachite chiyani madokotala akanena zimenezo? "O... ndiye palibe cholakwika," sichoncho? Koma Natoya sanachite zimenezo. Mtima wake unati, "Ayi, pali cholakwika apa." Anatsutsana ndi uphungu wa madokotala, ndipo movutikira kwambiri, anachitidwa mammogram . Kuchokera pa mayeso amenewo ndi pamene adapeza kuti anali ndi khansa. Anadalira mtima wake, ndipo moyo wake unapulumutsidwa.
Kodi Khansa ya M'mawere Yopanda Katatu N'chiyani?
Tiyeni tinene mwachidule. Taganizirani maselo a khansa ngati wakuba amene akulowa m'nyumba. Wakuba uyu amafunika malo monga zitseko ndi mawindo kuti alowe mkati. Mofananamo, maselo ambiri a khansa ya m'mawere amagwiritsa ntchito 'zitseko' zitatu zapadera zotchedwa ``receptors'' kuti zikule, kutanthauza kuti, zikule ndikufalikira.
Ali:
- Zolandilira za estrogen
- Zolandira za Progesterone
- Cholandirira cha Kukula kwa Epidermal cha Anthu 2 (HER2)
Mankhwala ambiri a khansa omwe timapereka tsopano amagwira ntchito ngati akutseka 'zitseko' zomwe wakuba angalowemo. Izi zikutanthauza kuti, amaletsa ntchito ya ma receptor awa. Kenako maselo a khansa sangathe kukula.
Komabe, luso la mtundu uwu wa `Triple-Negative` ndilakuti maselo a khansa alibe chilichonse mwa 'zitseko' zitatu zomwe zatchulidwa. Ichi ndichifukwa chake amatchedwa "triple-negative". Chifukwa 'zitseko' izi sizikupezeka, zimakhala zovuta kuti mankhwala ofala awa athetse khansa iyi. Pachifukwa ichi, khansa yamtunduwu imakula mwachangu, imafalikira mwachangu , ndipo njira zochiritsira ndizochepa.
| Mtundu wa khansa | 'Zipata' (ma receptor) mu selo la khansa | Njira zochizira |
|---|---|---|
| Khansa Zabwino za Hormone Receptor | Estrogen ndi/kapena progesterone | Amayankha bwino ku mankhwala ofunikira monga mankhwala a mahomoni. |
| Khansa yokhala ndi HER2 (HER2-Positive) | HER2 | HER2 imayankha bwino ku chithandizo cholunjika. |
| Khansa Yoipa Katatu | Palibe m'modzi mwa atatu omwe ali pamwambapa amene amalandira. | Njira zochiritsira ndizochepa, makamaka mankhwala a chemotherapy. |
Ulendo wovuta wa chithandizo cha Natoya
Kuchiza khansa yoopsa chonchi sikophweka. Natoya adakumana ndi machiritso ambiri ovuta kwambiri.
- Mankhwala a chemotherapy omwe amaperekedwa kudzera m'mitsempha: Uwu ndi mtundu wamphamvu kwambiri wa mankhwala a khansa. Umaperekedwa kuti uphe maselo a khansa m'thupi lonse.
- Kuchotsa bere lonse pogwiritsa ntchito opaleshoni: Kuchotsa bere lonse pogwiritsa ntchito opaleshoni ya chotupa cha khansa ndi minofu yathanzi yozungulira bere lonse popanda kuchotsa bere lonse.
- Chithandizo cha Radiation: Pambuyo pa opaleshoni, ma radiation amphamvu kwambiri amagwiritsidwa ntchito kuwononga maselo otsala a khansa. Natoya wakhala ndi ma raundi 25 a izi.
- Mankhwala Oletsa Kupweteka M'kamwa: Kuwonjezera pa chithandizo cha m'mitsempha, anayeneranso kugwiritsa ntchito mankhwala oletsa kupweteka m'kamwa.
Mavuto a moyo ndi akulu kuposa khansa
Natoya anali ndi mavuto ena akuluakulu m'moyo wake, kuposa kupirira ululu wa mankhwala amenewa. Tangoganizirani, anayenera kusudzulana ndi mwamuna wake masiku 12 asanapezeke ndi khansa. Kodi n'zovuta bwanji kwa mayi wosakwatiwa wokhala ndi ana awiri kukumana ndi matenda oopsa chonchi yekha?
Si zokhazo, zonsezi zinachitika panthawi imene dziko lonse linali kuvutika ndi mliri. Simungathe kutuluka, simungathe kukumana ndi anthu. Koma Natoya sanasiye. Mphamvu yake yaikulu inali chipembedzo chake ndi ana ake awiri. Kuphatikiza apo, anzake, anthu ammudzi momwe ankakhala, ndi 'wothandizira' wake (mlangizi wa zamaganizo) anali gwero lalikulu la mphamvu kwa iye.
Natoya ndi munthu amene sanalole kuti khansa izimulamulira. Analimbana ndi matendawa, anavutika ndi ululu, koma pa zonsezi, anakhala mkazi wamphamvu.
Uthenga Wopita Nawo Kunyumba
- Mvetserani thupi lanu: Ili ndi phunziro lalikulu kwambiri lomwe tingaphunzire kuchokera ku nkhani ya Natoya. Ngati muwona kusintha kwachilendo m'thupi lanu, makamaka chotupa m'bere lanu, musanyalanyaze ndi kunena kuti, "Izi ndi zinazake chabe."
- Ukalamba si chinthu chofunikira: Musaganize kuti kukhala wamng'ono kumatanthauza kuti simudzadwala khansa ya m'mawere. Mitundu ina yosowa kwambiri imatha kufalikira mwa achinyamata, choncho nthawi zonse muzisamalira thupi lanu.
- Funani upangiri wa dokotala popanda mantha: Ngati muli ndi kukayikira kulikonse, pitani kwa dokotala nthawi yomweyo. Funsani mafunso mpaka kukayikira kwanu kutatheratu. Musamaope kupeza lingaliro lachiwiri ngati pakufunika kutero.
- Simuli nokha: Ndikofunikira kwambiri kupempha thandizo kwa abale, abwenzi, ndipo, ngati kuli kofunikira, mlangizi mukadwala. Izi zidzakuthandizani kwambiri.
- Musataye chiyembekezo: Yang'anani ndi mavuto ndi chiyembekezo komanso mphamvu ngati Natoya. Kaya nthawi zovuta zifike bwanji m'moyo, pitirizani kukhala ndi chiyembekezo.
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