Ingaba umhlaza webele ubuyile? (Ukuphinda Ubuye Komhlaza Webele) Makhe sithethe ngale nto!

Xa ucinga ukuba unyangelwe umhlaza webele kwaye uzive ungcono, ngaba unoloyiko olungapheliyo lokuba esi sifo siza kubuya? Enyanisweni, ngamanye amaxesha sinokwenzeka. Namhlanje sithetha ngokubuyela komhlaza webele. Musa ukoyika ukuva oku, kuba kubaluleke kakhulu ukukwazi.

Kuthetha ukuthini ukuphinda umhlaza webele?

Ngamafutshane, xa ugqibile unyango lomhlaza webele, umhlaza ubuyela emzimbeni wakho kwakhona, nto leyo esiyibiza ngokuba ' kukuphinda umhlaza webele' . Oku kungenzeka kwiinyanga ezimbalwa emva konyango, okanye kusenokwenzeka emva kweminyaka. Oogqirha bethu banokunyanga lo mhlaza uphinda ubuye, kodwa ngamanye amaxesha unokubuya.

Zeziphi iindlela lo mhlaza obuya ngazo?

Uhlobo lomhlaza lumiselwa kukuba luvela phi. Kukho iintlobo ezintathu eziphambili:

• Ukuphinda-phinda kwebele: Oku kuthetha ukuba umhlaza ubuyele kwibele elinye (okanye kwindawo yebele) apho wafunyanwa khona okokuqala. Umzekelo, ukuba ubunomhlaza kwibele lakho lasekunene waza wasuswa, bekuya kufana neeseli zomhlaza ezikhula kwakhona kwibele lasekunene.

• Ukuphinda-phinda kweSithili: Oku kuxa umhlaza uphinda uvela kufutshane nethumba lokuqala, njengakwii -lymph nodes ze-axillary okanye kwi-lymph nodes ezijikeleze intamo.

• Ukuphinda-phinda Okukude: Olu lolona hlobo lubi kakhulu. Oku kuxa iiseli zomhlaza webele zisasazeke kude nalapho kwakukho khona ithumba lokuqala, ukuya emiphungeni yakho, emathanjeni, ebuchotsheni, okanye kwezinye iindawo zomzimba wakho. Oku kukwabizwa ngokuba yi- (Metastatic Breast Cancer) . Kudla ngokubizwa ngokuba yi- (Stage 4 Breast Cancer) .

Kukho enye into omele uyazi. Khawuthelekelele ukuba unomhlaza kwelinye lamabele akho, waza wanyangwa waza wanyangwa. Emva koko, ukuba kuvela umhlaza omtsha kwelinye ibele lakho, oko kukuthi, ibele elikwelinye icala apho bekungekho mhlaza ngaphambili, awuthathwa 'njengokuphindeka kwakhona'. Oogqirha bawubiza ngokuba 'ngumhlaza wesibini'.

Zeziphi iintlobo zomhlaza webele ezinokuthi zibuye?

Ngokutsho kwe-American Cancer Society, umhlaza webele ovuvukalayo (IBC) kunye nomhlaza webele oneentsholongwane ezintathu (TNBC) zinokuphinda zibuye kunezinye iintlobo zomhlaza webele. Ezi ntlobo zinobundlongondlongo ngakumbi, yiyo loo nto zixhaphake kangaka.

Kuqheleke kangakanani ukuba umhlaza webele ubuye?

Enyanisweni, oku akwenzeki kumntu wonke, oko kuthetha ukuba akuqhelekanga kangako. Nangona kunjalo, ipesenti echanekileyo yezihlandlo oku kwenzeka ngazo ixhomekeke kwizinto ezininzi, njengenqanaba lomhlaza wakho wokuqala kunye nonyango owalufumanayo.

Kuthatha ixesha elingakanani ukuba umhlaza ubuye?

Kwiimeko ezininzi, ukuba umhlaza ubuya kwindawo enye emva kokususwa kwesisu , olu lutyando olususa inxalenye yebele kuphela, kusenokwenzeka ukuba kwenzeke kwiminyaka emihlanu yokuqala. Nangona kunjalo, ukuba une -radiation therapy emva kokususwa kwesisu , lo mngcipheko unokuncipha kakhulu. Xa ezi ndlela zimbini zonyango zidibene, ithuba lokuba umhlaza ubuya kwakhona kwiminyaka eli-10 liyancipha liye phakathi kwe-3% ne-15%. Ngamanye amaxesha, ngokusekelwe kwizinto ezifana novavanyo lwakho lwemfuza, ugqirha wakho unokucebisa unyango olongezelelweyo ukunciphisa ngakumbi lo mngcipheko.

Izinga lokubuyela komhlaza lihlukile kancinci kwabo baye banqunyulwa ibele lonke, nto leyo ebandakanya ukususwa kwebele lonke:

• Ukuba bekungekho ziseli zomhlaza kwi- axillary lymph nodes xa ubusenza utyando lwakho lokuqala, amathuba okuba umhlaza uphinde ubuye kwiminyaka emihlanu angama-6%.
• Nangona kunjalo, ukuba kukho iiseli zomhlaza kwi-lymph nodes ekhwapheni, ithuba lokuphinda ubuye limalunga ne-25%. Nangona kunjalo, ukuba une -radiation therapy emva kwe-mastectomy , le ngozi ingancitshiswa iye kwi-6%.

Zithini iimpawu zokubuyela umva komhlaza?

Iimpawu ziyahluka ngokuxhomekeke kwindawo apho umhlaza ubuya khona. Umzekelo, iimpawu azifani xa umhlaza ubuya kwindawo efanayo owawukuyo (ukuphinda ubuye kwindawo ethile), kodwa xa usasazeke kwiindawo ze-lymph ezikufutshane (ukuphinda ubuye kwindawo ethile).

Ukuphinda kwakhona kwesi sifo kungabonakala ngeempawu ezifana nezi:

• Ukuziva iqhuma elitsha okanye ithumba esifubeni okanye phantsi kwesikhumba sesifuba.
• Utshintsho kwingono: Ingono isenokubonakala ngathi ijikile, okanye kunokubakho ukukhupha okuthile kwingono.
• (Utyando lweLumpectomy) Ulusu olujikeleze indawo yotyando luyadumba kwaye lubonakala ngathi lutsalwa ngaphakathi.
• Ukujiya kolusu phezu okanye ngeenxa zonke kwesilonda sotyando.
• Izicubu zebele zivakala ziqinile kunesiqhelo.

Ukuphinda kwakhona kwesi sifo kwindawo ethile kungabonakala ngezi mpawu zilandelayo:

• Intlungu yesifuba engapheliyo.
• Ubunzima bokuginya .
• Ukuziva iintlungu, ukudumba, okanye ukuba ndindisholo engalweni okanye egxalabeni elinye.
• Ii-lymph nodes ezidumbileyo ekhwapheni okanye entanyeni.

Xa umhlaza uphinda ubuye (Ukude / Ukusasazeka kweMetastatic / Isigaba sesi-4), ezi mpawu zinokuchaphazela naliphi na ilungu lomzimba. Oko kukuthi, iindawo ezifana namathambo, imiphunga, ubuchopho, isibindi. Iimpawu ziyahluka ngokuxhomekeke ekubeni umhlaza usasazeke phi. Zingabandakanya:

• Intlungu apho umhlaza usasazeke khona, ingakumbi emathanjeni .
• Ukukhohlela okomileyo okungapheliyo.
• Iimeko ezifana nesiyezi, ukulahlekelwa yibhalansi, kunye nokuxhuzula.
• Ukuziva udiniwe ngendlela engaqhelekanga (Ukudinwa Okugqithisileyo) .
• Ukulahlekelwa ngumdla wokutya, isicaphucaphu, ukwehla kobunzima bomzimba.
• Intloko ebuhlungu kakhulu.
• Ukuziva ndindisholo okanye ubuthathaka kwezinye iindawo zomzimba.

Kutheni le nto lo mhlaza webele uqhubeka ubuya?

Eyona nto ibangela ukuba umhlaza webele ubuye kukuba ezinye zeeseli zomhlaza ebeleni lakho azizange zitshatyalaliswe ngokupheleleyo lunyango olufumeneyo. Unyango lomhlaza webele lusebenza kakhulu, kodwa ubusazi ukuba ezi seli zomhlaza zinobuqili kakhulu?

• Ngamanye amaxesha, unyango lunokunciphisa iithumba kwaye lwenze buthathaka iiseli zomhlaza zifikelele kwinqanaba apho zingafumaneki khona ngovavanyo. Kodwa ezo seli zisekhona. Ekuhambeni kwexesha, ezo seli zinokomelela kwakhona, ziqale ukukhula kwakhona, kwaye zenze iithumba ezintsha.
• Utyando lokususa ithumba elinomhlaza alusoloko luphumelela ngokupheleleyo. Ngaphambi kotyando, iiseli zomhlaza zisenokuba zisasazeke kwiindawo ze-lymph ezikufutshane, kwizicubu, okanye egazini.

Ngubani osengozini enkulu yokuba lo mhlaza ubuye kwakhona?

Nabani na okhe waba nomhlaza webele angawuphinda abuye. Nangona kunjalo, umngcipheko wakho wokuba umhlaza uphinde ubuye uxhomekeke kwizinto ezininzi:

• Ubudala: Abafazi abafumana umhlaza webele ngaphambi kokuba bafikelele kwiminyaka engama-35 ubudala banamathuba amaninzi okuba nomhlaza wokubuyela esiqhelweni.
• Inqanaba lomhlaza: Xa uqatshelwa okokuqala ukuba unomhlaza webele, oogqirha baza kusebenzisa inqanaba lomhlaza ukucwangcisa unyango nokuqikelela ikamva. Kukho ubudlelwane phakathi kwenqanaba apho umhlaza waqala ukufunyaniswa khona kunye nomngcipheko wokubuya komhlaza. Umzekelo, umntu onomhlaza weSigaba sesi-3 unamathuba amaninzi okuba nomhlaza ubuye kunomntu onomhlaza weSigaba soku -1 okanye seSigaba sesi-II .
• Uhlobo lomhlaza: Iimhlaza ezihlaselayo nezisasazeka ngokukhawuleza, ezifana nomhlaza webele ovuthayo okanye umhlaza webele oneempembelelo ezintathu, kunzima ukunyanga. Ke ngoko, ezi ntlobo zomhlaza zinokwenzeka ukuba ziphinde zibuye kwaye zisasazeke.

Ziziphi iingxaki ezinokubakho ukuba umhlaza ubuya?

Ukunyanga umhlaza webele kunokuba nzima xa uphinda uvela okanye usasazeka:

• Unyango olwalusebenza ngaphambili lusenokungasebenzi kakuhle ngeli xesha. Ugqirha wakho angazama ezinye iindlela zonyango. Banokucebisa ukuba uthathe inxaxheba kwiimvavanyo zeklinikhi , eziluphando lophando kunyango olutsha.
• (Umhlaza Webele Owasasazekayo), oko kuthetha ukuba umhlaza ukwindawo ezingaphezu kwesinye emzimbeni, nto leyo eyenza kube nzima kakhulu ukuwunyanga. (Kodwa khumbula, nokuba umhlaza webele usasazeka phi, usathathwa njengomhlaza webele. Kuba iiseli zebele zahlukile kwiiseli zemiphunga, iiseli zamathambo, okanye iiseli kwezinye iindawo apho umhlaza unokusasazeka khona.)

Oogqirha bafumanisa njani ukuba umhlaza ubuyile?

Ezinye zeemvavanyo ezazisetyenziswa ekufumaneni umhlaza wamabele ekuqaleni zenziwa ngoku:

• Uvavanyo lweMammogram
• Uvavanyo lwe-ultrasound
• Iiskeni ezifana ne (MRI) , (CT Scan) okanye (PET Scan - Positron Emission Tomography Scan)
• Uvavanyo lwegazi ukujonga iimpawu zethumba
• I -biopsy ithetha ukuthatha iqhekeza elincinci lesicwili uze ulihlolisise.

Ziziphi iindlela zonyango zomhlaza webele ophindaphindayo?

Iindlela zonyango ziyahluka ngokuxhomekeke ekubeni umhlaza uphinde wavela phi kwaye loluphi unyango olunikiweyo ngaphambili. Umzekelo:

• Ukuba sele ukhe wakhutshwa i-lumpectomy ngenxa yomhlaza wasekuhlaleni okanye wengingqi, ngeli xesha ugqirha wakho unokucebisa ukuba kususwe ibele elinye okanye omabini, kunye nee-lymph nodes ezikufutshane.
• Ukuba ukhe watyandwa i -lumpectomy ngaphambili, unokukwazi ukwenza olunye utyando kunye nonyango lwe-radiation. Kufuneka uxoxe ngale nto nogqirha wakho.
• Ukuba umhlaza uphinda ubuye kwibele elakhiwe ngokutsha, ugqirha wotyando unokufuna ukususa i-breast implant okanye i-skin flap.
• Ukuba ukhe wahlinzwa i -mastectomy ngaphambili, ngeli xesha unyango lunokubandakanya utyando lokususa ithumba elitsha, kulandele unyango lwe-radiation .

Ukongeza koku, kukho nezinye iindlela zonyango:

• Unyango lweHormone
• (I-Chemotherapy) (Siyibiza ngokuba yi-chemo)
• Unyango lwe-immunotherapy
• Unyango olujoliswe kulo

Iyintoni unyango lomhlaza osasazekayo?

Unyango oluphambili lomhlaza webele osasazekayo lunyango olusebenza emzimbeni wonke, oluchaphazela umzimba wonke. Oku kuquka i-chemotherapy , unyango lwehomoni , unyango lwe-immunotherapy , kunye nonyango olujoliswe kulo .

Ukuba umhlaza ubuya, ngaba uza kuba mbi kunangaphambili?

Ukunyanga umhlaza webele obuyayo kunokuba nzima. Kodwa akuthethi ukuba umbi kakhulu kunomhlaza wokuqala. Ukuba unomhlaza webele obuyayo, unganikwa unyango olwahlukileyo kolwawunikwe ngaphambili, okanye unyango oluqatha njengotyando, okanye amayeza anamandla okulwa nomhlaza. Okuninzi kuxhomekeke kwimeko yakho. Ngoko ke umntu ofanelekileyo ukubuza into onokuyilindela ngugqirha wakho.

Ngaba umhlaza ophinda ubuye unokunyangeka ngokupheleleyo?

Kuxhomekeke kakhulu kwimeko yakho. Buza ugqirha wakho ukuba injongo yonyango ngeli xesha kukunyanga umhlaza ngokupheleleyo, okanye ukulawula ukukhula kwawo nokusasazeka kwawo. Ngale ndlela, unokufumana umbono ocacileyo.

Lithini ithuba lokusinda ukuba umhlaza ubuya?

Lo ngumbandela onzima kancinci. Ngokubanzi, izinga lokusinda kweminyaka emihlanu emva kokufunyaniswa ukuba unesifo somhlaza lilandelayo:

• Umhlaza webele ohlala kwindawo ethile umalunga ne-99% yamatyala omhlaza webele.
• Umhlaza webele wengingqi umalunga ne-86%.
• Malunga ne-27% yamatyala asasazeke kude, oko kukuthi , umhlaza webele osasazekayo .

Kodwa oku kubaluleke kakhulu : La mazinga okusinda komhlaza asekelwe kumava eqela elikhulu labantu abanesimo esifanayo. Kwakhona, la manani asekelwe kulwazi olunokuba lwalukho kwiminyaka eyadlulayo. Cinga ngomahluko phakathi kwe-selfie oyithathileyo kwiminyaka emihlanu eyadlulayo kunye neyokuyithatha izolo. Kanye njengenkangeleko yakho, la mazinga okusinda ayatshintsha ngokuhamba kwexesha, njengoko unyango olutsha luphuma kwaye isayensi yezonyango iqhubela phambili.

Mhlawumbi le yimibuzo owawunayo xa wawuqala ukwazi ukuba unomhlaza webele. Ugqirha wakho wayengoyena mthombo wakho wolwazi ngelo xesha, kwaye usenjalo nanamhlanje. Ngoko ke ungoyikiswa zezi zibalo. Kungcono ukuthetha nogqirha wakho ukuze ufumane ulwazi oluchanekileyo malunga nemeko yakho.

Ngaba umhlaza webele ungathintelwa ukuba ungabuyi?

Uphando lubonise ukuba ezinye iindlela zonyango zinokunciphisa umngcipheko wokubuya kwezinye iintlobo zomhlaza webele. Umzekelo, unyango lweehomoni , ezifana ne -tamoxifen okanye i-aromatase inhibitors, lunokunciphisa umngcipheko wokubuya komhlaza webele kubantu abanomhlaza webele ofumana i-estrogen kwinqanaba lokuqala (ER-positive okanye ER+) . Unyango lwe-chemotherapy emva kotyando (olubizwa ngokuba yi -adjuvant therapy ) lunokunciphisa umngcipheko.

Kodwa, ngokubanzi, iingcali azikaqondi ngokupheleleyo ukuba kutheni umhlaza webele uphindela kwabanye abantu ungaphindeli kwabanye.Ukuba uphinde wafumana umhlaza webele, ungacingi ukuba kungenxa yento oyenzileyo okanye ongayenzanga. Asikuko ukuba unetyala.

Nangona ungenakukuthintela umhlaza webele ukuba ungaphindi ubuye, kubalulekile ukuzihlola rhoqo amabele kunye nokuhlolwa okulandelayo njengoko kucetyisiwe ngugqirha wakho. Oku kunokunceda ugqirha wakho abone umhlaza webele osasazekayo kwinqanaba lokuqala, xa kulula ukunyanga.

Ndingazinyamekela njani? (ngokwengqondo nangokomzimba)

Ukuba ukhe waba nomhlaza webele kwakhona, mhlawumbi uphila neemvakalelo ezahlukeneyo. Yinto eqhelekileyo leyo.

• Usenokuba nomsindo malunga nokujongana nolu nyango lomhlaza kwakhona.
• Kunokuba yinto ecaphukisayo ukujongana nale meko kwakhona, nto leyo ekwenza uzive ngathi uphulukene nolawulo kwimpilo yakho.
• Ixhala kunye noloyiko ngekamva lusenokuthi qatha engqondweni.
• Ekubeni kungekho siqinisekiso sokuba umhlaza awuyi kubuya, oko kunokuba yinto ecaphukisayo.

Kuqhelekile kwaye kungokwemvelo ukuziva ezi mvakalelo. Kodwa ukuba uziva ubambeke kumjikelo weemvakalelo ezimbi, thetha nogqirha wakho. Angakunceda uqiqe ngoloyiko lwakho. Banokukuthumela kwingcali yezempilo yengqondo ukuze ikuncede uqonde kwaye ulawule iimvakalelo zakho.

Nazi ezinye izinto onokuzenza ukunciphisa uxinzelelo lokuphila nomhlaza webele ophindaphindayo:

• Qhubeka usitya ukutya okunempilo: Gxila ekuzaliseni isitya sakho ngeentlobo ngeentlobo zemifuno, iziqhamo, iiproteni ezingenamafutha, kunye neenkozo ezipheleleyo. Ukutya kakuhle kuya kukunceda ugcine amandla akho ngexesha lonyango.
• Yenza umthambo: Ukuzilolonga rhoqo kunciphisa uxinzelelo kwaye kunokukunceda ujongane neminye yemingeni yengqondo ebangelwa kukubuyela komhlaza webele.
• Cinga ngononophelo lokuthomalalisa: Ababoneleli ngononophelo lokuthomalalisa bakunceda ukulawula iimpawu kunye nemiphumo emibi yonyango.
• Thatha inxaxheba kwiiNkqubo zokuSinda kuMhlaza: Ubusindile ukususela ngomhla owafunyaniswa ukuba unomhlaza webele. Buza ugqirha wakho malunga neenkqubo kunye neenkonzo ezenzelwe ngokukodwa abantu abanomhlaza webele ophindaphindayo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ubona naluphi na utshintsho emabeleni akho, okanye ukuba uneempawu ezifana nokukhwehlela, intloko ebuhlungu, okanye ii-lymph nodes ezidumbileyo ezihlala zikho kwaye zingapheli, ngokuqinisekileyo kufuneka ubone ugqirha wakho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba uvavanyo luqinisekisa ukuba umhlaza wakho webele ubuyile, ungabuza ugqirha wakho imibuzo efana nale:

• Luhlobo luni lokubuyela umva komhlaza webele endinalo?
• Ukuba isasazekile, isasazeke phi?
• Ithini inqanaba lalo mhlaza?
• Zithini iindlela zonyango?
• Zithini iingozi kunye neziphumo ebezingalindelekanga zonyango?
• Zeziphi iimpawu zeengxaki ekufuneka ndiziqaphele?

Ndingaqiniseka na ukuba umhlaza awusayi kuze ubuye?

Ngelishwa, akukho mntu unokukunika eso siqinisekiso. Nokuba uvavanyo alufumani zimpawu zomhlaza webele, kusenokuba kukho iiseli zomhlaza ezincinci, ezingabonakaliyo eziye zasinda kunyango lomhlaza obuye wabuya. Kwakhona, iiseli zomhlaza zinokuhamba ukusuka esifubeni sakho ziye kwezinye iindawo zomzimba wakho. Ukuba ziyakwenza oko, zinokukhula apho kwaye zenze amathumba.

Ukufumanisa ukuba umhlaza wakho webele ubuyile kunokuba yinto enzima ukuyenza. Kuyaqondakala ukuziva udanile, unomsindo, kwaye usoyika. Nangona kunjalo, usenokuba wonwabile kakhulu xa wafumana unyango waza wafumanisa ukuba umhlaza awusekho. Ngoku, ubuyile. Kungavakala ngathi liphupha elibi kwakhona. Kodwa ukwazi oku kunokukunika uxolo lwengqondo: Unyango lomhlaza webele obuyileyo lunokuphelisa umhlaza obuyileyo. Unokukwazi nokuthatha inxaxheba kwiimvavanyo zeklinikhi ezivavanya unyango olutsha. Ukuba umhlaza wakho webele ubuyile, ugqirha wakho uya kukucebisa iindlela zonyango ezilungileyo kuwe, kubandakanya iimvavanyo zeklinikhi .

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Ukuphinda umhlaza webele kuyoyikisa. Kodwa kubalulekile ukuqaphela oku, unike ingqalelo kwiimpawu, kwaye uthethe ngokukhululekileyo nogqirha wakho.

• Ungakhathazeki: ayizizo zonke iintlobo zomhlaza ezibuyayo, kwaye nokuba ziyabuya, zikhona iindlela zonyango.
• Mamela umzimba wakho: Xelela ugqirha wakho ukuba ubona naziphi na iziqwenga ezintsha, iintlungu, okanye utshintsho.
• Ungaphoswa ziimvavanyo ezifanelekileyo: Fumana iimvavanyo zokulandelela njengoko uyalelwe ngugqirha wakho.
• Awuwedwa: usapho lwakho, abahlobo, kunye neqela lezonyango baya kukuxhasa. Inkxaso yengqondo nayo ibaluleke kakhulu.
• Zama ukuhlala unethemba: Unyango lunokuphumelela, kwaye unyango olutsha luhlala luvela.

Khumbula, ugqirha wakho ngumntu ofanelekileyo ukukunika ingcebiso, ngoko ungathandabuzi ukumbuza ukuba unemibuzo okanye izinto ezikuxhalabisayo.

Umhlaza Webele, Ukuphinda Ubuye Umhlaza Webele, Ukuphinda Ubuye Umhlaza Webele, Iimpawu Zomhlaza, Unyango Lomhlaza, Umhlaza Webele Owehlayo, Impilo Yabasetyhini