Unofungei kana ukaona chimwe chinhu chakaita sebundu muzamu rako? Kazhinji, tinofunga kuti, "Handirwari zvakadaro pazera rangu, pamwe bundu chete." Kunyanya kana uri mudiki , pamwe hautombofungi nezvegomarara. Asi nhasi, nyaya yaamai vechidiki vane makore makumi matatu nerimwe ekuberekwa vanonzi Natoya Pascacio inyaya inotidzidzisa zvakawanda uye inounza simba guru kumoyo yedu.
Ndiani uyu Natoya? Chii chakaitika kwaari?
Natoya amai vasina murume vane vana vaviri. Pazera remakore makumi matatu nerimwe, akaonekwa aine chirwere chegomarara rezamu chisingawanzoitiki uye chinotyisa. Chinonzi `Triple-Negative Breast Cancer`. Kazhinji, kana tichitaura nezvegomarara rezamu, vakadzi vane makore anopfuura makumi mashanu ndivo vari panjodzi huru. Zvisinei, rudzi urwu rwe`Triple-Negative` runonyanya kuwanikwa pakati pevakadzi vechidiki vari pasi pemakore makumi mana.
Chinhu chinonyanya kushamisa panyaya iyi ndechekuti Natoya anotanga kunzwa bundu muzamu rake achiyamwisa mwana wake. Sezvo pasina munhu mumhuri make ane nhoroondo yekenza, kunyangwe vanachiremba vanotanga vachiti, "Hapana chekunetseka nacho, hazvizotowedzera kuipa pazera rako, hapana chikonzero chekuyedza."
Fungidzira, munhuwo zvake angaitei kana vanachiremba vataura izvozvo? "Ah... saka hapana chakaipa," handiti? Asi Natoya haana kudaro. Mwoyo wake wakati, "Kwete, pane chakaipa pano." Akaramba zano revanachiremba, uye nekuoma kukuru, akaongororwa mammogram . Kubva pakuongororwa ikoko ndipo paakazoziva kuti aive nekenza. Aivimba nemoyo wake, uye hupenyu hwake hwakaponeswa.
Chii chinonzi Triple-Negative Breast Cancer?
Ngatizvitaure zviri nyore. Funga nezvemasero ekenza sembavha inopwanya imba. Mbavha iyi inoda nzvimbo dzakadai semasuo nemahwindo kuti ipinde mukati. Saizvozvowo, masero mazhinji ekenza yemazamu anoshandisa 'masuo' matatu akakosha anonzi ``receptors'' kuti akure, kureva kuti, akure uye apararire.
Vari:
- Zvinogamuchirwa zveestrogen
- Zvigamuchidzo zveProgesterone
- Chigadziro cheHuman Epidermal Growth Factor 2 (HER2)
Mishonga yakawanda yegomarara yatinopa ikozvino inoita sekunge iri kukiya 'masuo' ayo mbavha yaigona kupinda. Kureva kuti, inomisa kushanda kwemareceptor aya. Ipapo masero egomarara haagone kukura.
Zvisinei, hunyanzvi hwerudzi urwu rwe 'Triple-Negative' ndehwekuti masero egomarara haana chero 'magonhi' matatu ataurwa. Ndosaka ichinzi "triple-negative". Nekuti 'magonhi' aya haapo, zvakaoma kuti mishonga iyi idzorerwe kudzora gomarara iri. Nekuda kweizvi, rudzi urwu rwegomarara runokura nekukurumidza, runopararira nekukurumidza , uye nzira dzekurapa dzakaganhurirwa.
| Rudzi rwegomarara | 'Magedhi' (mareceptor) ari musero rekenza | Sarudzo dzekurapa |
|---|---|---|
| Kenza Dzine Hormone Receptor-Positive | Estrogen uye/kana progesterone | Inopindura zvakanaka kumishonga yakanangwa yakadai sekurapa nemahormone. |
| Kenza dzine HER2 (HER2-Positive) | HER2 | HER2 inopindura zvakanaka pakurapwa kwakanangana. |
| Kenza Inokonzera Zvirwere Zvitatu | Hapana kana mumwe wevatatu vari pamusoro apa anogamuchira. | Nzira dzekurapa dzakaganhurirwa, kunyanya chemotherapy. |
Rwendo rwakaoma rwekurapwa naNatoya
Kurapa kenza yakanyanya kudaro hakusi nyore. Natoya aifanira kusangana nemishonga yakawanda yakaoma zvisingafungidzike.
- Mishonga yekurapa kenza inopinzwa netsinga: Iyi imhando yekurapa kenza yakasimba kwazvo. Inopihwa kuuraya masero ekenza mumuviri wese.
- Kubviswa kwebundu rekenza: Uku kubviswa kwebundu rine kenza chete pamwe chete nenyama shoma yakaripoteredza, pasina kubviswa zamu rose.
- Kurapa Nemwaranzi: Mushure mekuvhiyiwa, mwaranzi ine simba guru inoshandiswa kuparadza chero masero ekenza asara. Natoya apedza kuvhiyiwa ka25.
- Kurapa Nemishonga Yemuromo: Pamusoro pekurapwa netsinga, aifanirawo kushandisa mishonga yemuromo.
Matambudziko ehupenyu akakura kupfuura kenza
Natoya aive nemamwe matambudziko makuru muhupenyu hwake, anotopfuura kutsungirira kurwadziwa kwekurapwa uku. Fungidzira, aifanira kurambana nemurume wake mazuva gumi nemaviri asati aonekwa kuti ane kenza. Zvinonetsa sei kuti amai vasina murume vane vana vaviri vatarisane nechirwere chinouraya kudaro vari vega?
Hazvisi izvozvo chete, zvese izvi zvakaitika panguva iyo nyika yakanga ichitambura nedenda. Waisagona kubuda, waisagona kusangana nevanhu. Asi Natoya haana kurega. Simba rake guru raive chitendero chake nevana vake vaviri. Pamusoro pezvo, shamwari dzake, vanhu vemunharaunda yaaigara, uye 'murapi wake' (mupi wezano wepfungwa) vaive sosi huru yesimba kwaari.
Natoya munhu asina kubvumira kenza kutonga hupenyu hwake. Akarwisa chirwere ichi, akatambura nemarwadzo, asi kuburikidza nezvose izvi, akabuda semukadzi akasimba.
Mharidzo Yekuenda Nayo Kumba
- Teerera muviri wako: Ichi ndicho chidzidzo chikuru chatinogona kudzidza kubva munyaya yaNatoya. Kana ukaona shanduko isingawanzoitika mumuviri wako, kunyanya bundu riri muzamu rako, usazviregeredza woti, "Izvi zvinongova chimwe chinhu."
- Zera harisi chinhu chinodiwa: Usafunge kuti kuva mudiki zvinoreva kuti hauzovi nekenza yemazamu. Dzimwe mhando dzekenza dzisingawanzoitiki dzinogona kuitika muvanhu vadiki, saka gara uchitarisira muviri wako.
- Tsvaga rubatsiro rwechiremba usingatyi: Kana uine kusava nechokwadi, enda kuna chiremba wako nekukasika. Bvunza mibvunzo kusvika kusava nechokwadi kwako kwapera. Usambotya kuwana mumwe munhu kana zvichidikanwa.
- Hausi wega: Zvakakosha kutsvaga rutsigiro kubva kumhuri, shamwari, uye, kana zvichidikanwa, kune mupi wezano panguva yekurwara. Izvi zvichava simba guru kwauri.
- Usarasa tariro: Tarisana nematambudziko uine tariro uye simba sezvakaita Natoya. Zvisinei nekuti nguva dzakaoma sei muhupenyu, ramba uine tariro.
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