Zvakajairika kunzwa kutya, kushamisika, uye kusaziva kana waonekwa uine kenza. "Chii chichaitika izvozvi?" uye "Ndichada kurapwa kwerudzii?" zvingangove zviri mupfungwa dzako. Asi waiziva here kuti kunyange mhando imwe chete yekenza, yakadai sekenza yemazamu, inogona kusiyana kubva kumunhu kuenda kumunhu? Kungofanana neminwe yedu, kenza yega yega ine 'siginecha yemajini' yakasiyana. Nekuverenga siginecha iyoyo, sainzi yezvekurapa ikozvino yakwanisa kusarudza kurapwa kwakanakisa uye kunoshanda zvakanyanya kwekenza yako. Nhasi, tiri kutaura nezvenzira iyoyo inochinja-chinja, iyo iri kuyedza majini.
Zvichitaurwa zviri nyore, chii chinonzi genomic testing?
Izvi zvinganzwika seshoko rakaoma kunzwisisa, asi pfungwa yacho iri nyore kwazvo. Funga nezvazvo, miviri yedu yakaumbwa nemamiriyoni emasero. Sero rega rega rinopihwa mirairo nemajini. Masero ekenza rudzi rwesero rine hurongwa hwemirairo iyi hwakakanganiswa uye hunopatsanuka zvisingadzoreki.
Kuongororwa kwemajini kunoongorora zvakadzama majini ari mumasero ako ekenza. Zvinogona kuona shanduko chaiyo, kana kuti kuchinja-chinja, mumajini iwayo. Zvichitaurwa zviri nyore, zvinoburitsa pachena kodhi yakavanzika inobatsira kukura nekupararira kwekenza.
Asi iyi haisi bvunzo inodiwa nemurwere wese wegomarara. Semuenzaniso, gomarara rinokura zvishoma nezvishoma uye rinogona kurapwa zviri nyore nekurapwa kwakajairika ringasade bvunzo yakadzama yakadaro. Kazhinji, idzi dzinoshandiswa kune kenza dzisingawanzoitiki, kana kune kenza dzisingapindure pakurapwa kwakajairika. Chiremba wako ndiye munhu akakodzera kuita sarudzo iyi.
Ndezvipi zvakanakira zvikuru zvebvunzo idzi?
Sei chiremba angakurudzira bvunzo iyi? Pane zvikonzero zvakati wandei zveizvi. Kuongororwa uku kunogona kuva chishandiso chakakosha pakusarudza hurongwa hwekurapa kenza.
| Kubatsira | Zvichitaurwa zviri nyore... |
|---|---|
| Kusarudza kurapwa kwakakunakira (Targeted Therapy) | Kare, kenza yairapwa nenzira 'inokodzera munhu wese'. Izvi zvinoreva kuti mushonga mumwe chete kune wese ane kenza yemapapu. Hazvichadaro. Kuongororwa kwemajini kunowana 'mutation' yekenza uye kunopa mishonga inorwisa mutation iyoyo chete (Targeted Therapy). Semuenzaniso, vamwe varwere vekenza yemapapu vane mutation yemajini inonzi (EGFR). Vanopiwa mishonga inotarisa jini iroro. Kunewo mishonga chaiyo, yakadai se (PARP inhibitors), yekenza yemazamu, ovarian, uye prostate ine mutation yemajini (BRCA). |
| Kunzwisisa kugona kushivirira kurapwa | Dzimwe nguva masero egomarara anonyengera zvikuru. Nekufamba kwenguva, anova asingachadi mishonga yaanopiwa. Kuongororwa kwemajini kunogona kufanotaura pachine nguva kana gomarara rako ringangove risingachadiwi nemishonga yakati. Kana zvakadaro, chiremba wako anogona kutanga kurapwa kwakasiyana uye kunoshanda kubva pakutanga. |
| Kuona kana paine kumwe kurapwa kunodiwa | Fungidzira kuti wakavhiyiwa kubvisa bundu rekenza. Pane njodzi here yekuti kenza ichadzoka? Kuongororwa kwemajini kunogona kuyera kushata kwekenza uye kufungidzira kuti njodzi iripo ndeyei. Kana njodzi yacho yakakura, kurapwa kwakawedzerwa (semuenzaniso chemotherapy) kungadiwa kudzivirira kenza kuti isadzoke. |
| Kuderedza migumisiro yakaipa | Kurapa kwechivanhu kwakadai se chemotherapy nemwaranzi kunogona kuuraya kwete masero ekenza chete asiwo masero ane hutano. Ndosaka paine migumisiro yakadai sekudonha kwebvudzi nekurutsa. Asi kurapwa kwakanangana, kunowanikwa kuburikidza nekuongororwa kwemajini, kwakafanana nepfuti inorova chinangwa chaicho. Inoenda zvakananga kumasero ekenza uye inorova iwo chete. Nokudaro, kukuvara uye migumisiro kumasero ane hutano zvishoma. |
| Kutsvaga mushonga mutsva (Clinical Trial) | Dzimwe nguva, kune mishonga yekuedza inogona kushanda zviri nani pane mishonga inotenderwa parizvino. Izvi ndizvo zvatinodaidza kuti 'Clinical Trials'. Kana paine chidzidzo chitsva pasi rose chinoenderana nekuchinja kwemajini mukenza yako, bvunzo iyi inogonawo kukubatsira kukubatanidza nayo. |
Ndingasarudza sei kana ndichida kunyora bvunzo iyi?
Uyu ndiwo mubvunzo unonyanya kukosha. Yeuka, ichi hachisi chisarudzo chaunofanira kuita wega. Ichi chisarudzo chaunofanira kuita pamwe chete nachiremba wako wekenza .
Chiremba wako achafunga nezvezvinhu zvakati wandei asati akurudzira bvunzo iyi:
- Rudzi uye danho rekenza yako.
- Kurapwa kwawakaitwa kare uye kuti wakaita sei kana wakarapwa.
- Hutano hwako hwese.
- Zvichibva paruzivo rwakawanikwa kubva mubvunzo iyi, kana paine mishonga yakanangana nemi inogona kupihwa kwamuri.
Usatya kutaura pachena nezvenyaya iyi nachiremba wako. Bvunza mibvunzo yakaita sekuti, "Chiremba, bvunzo iyi yemajini yakakodzera kenza yangu here?", "Ndezvipi zvakanakira bvunzo iyi kwandiri?", "Ko hurongwa hwangu hwekurapa huchachinja here zvichienderana nezvabuda muongororo iyi?" Ibasa rachiremba wako kutsanangura zvese nenzira yaunogona kunzwisisa.
Tekinoroji iyi yaunza vimbiso huru mukurapa kenza. Tava kugona kugumisa nguva yekurapwa kwemhando imwe chete uye kupa murwere wega wega kurapwa kwakagadzirirwa majini ekenza yake. Inyaya huru kwazvo.
Mharidzo Yekuenda Nayo Kumba
- Gomarara harisi chirwere chimwe chete. Gomarara rega rega rine chiratidzo charo chemajini.
- Kuongororwa kwemajini kunoshandiswa kuona shanduko dzemajini (kuchinja kwemajini) mumasero ekenza.
- Uchishandisa ruzivo urwu, mushonga wakanangana nawo unogona kusarudzwa unoshanda zviri nani uye une migumisiro mishoma.
- Kuongororwa uku hakudiwi kumurwere wese, uye sarudzo yakanakisisa inotorwa mushure mekubvunza chiremba wako.
- Usazeza kubvunza chiremba wako wekenza nezve tekinoroji iyi itsva. Kuziviswa inhanho inokosha murwendo rwako rwekurapwa.
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