Nokuba sisiva igama elithi 'umhlaza', siyoyika kakhulu. Kwaye ukuba umntu osemncinci, ingakumbi umfazi ongaphantsi kweminyaka engama-40, ufunyaniswa enomhlaza webele, kunzima ukuchaza ngamazwi imvakalelo efika engqondweni. Imibuzo efika engqondweni ayinasiphelo. 'Kutheni oku kwenzeke kum?', 'Kuza kwenzeka ntoni ngoku?', 'Ngaba oku kunganyangeka?', 'Ngaba kuya kubuya emva kokuba unyango luphelile?'... Mhlawumbi unemibuzo eliwaka enjalo engqondweni yakho. Ngoko ke namhlanje sithetha ngomhlaza webele ochaphazela abasetyhini abaselula ukuphendula le mibuzo unayo engqondweni yakho.
Ukuba umhlaza uvela kwelinye ibele, ngaba ungavela nakwelinye ibele?
Olu loyikiso olukhulu kubantu abaninzi. Kodwa inyani yile, uninzi lwabasetyhini abaselula banomngcipheko omncinci kakhulu wokuba nomhlaza omtsha kwelinye ibele labo elisempilweni. Ukuba lo mngcipheko ungakanani na kuxhomekeke kwizinto ezahlukeneyo.
- Ufuzo lwakho: Oku kuchaphazela nokuba kukho naluphi na utshintsho lwemfuza oluyandisa umngcipheko wakho wokuba nomhlaza.
- Uhlobo lomhlaza onalo: Kukho iintlobo ezahlukeneyo zomhlaza webele . Umngcipheko unokwahluka ngokuxhomekeke kuhlobo lwawo.
- Unyango olufumeneyo: Olu mngcipheko luyahluka ngokuxhomekeke kunyango olufumeneyo.
Ngoko ke, oogqirha badla ngokuzama ukususa ibele kuphela xa kukho umhlaza (i-lumpectomy) okanye, ukuba kuyimfuneko, lonke ibele (i-mastectomy), ngelixa begcina elinye ibele liphilile. Oku kubizwa ngokuba kukugcinwa kwebele. Ngaphandle kokuba kukho umngcipheko okhethekileyo, ukususa ibele eliphilileyo akukhuthazwa rhoqo.
Ngaba kuyimfuneko ukwenza uvavanyo lwemfuza?
Ewe, oku kubaluleke kakhulu. Ingakumbi ukuba ungaphantsi kweminyaka engama-45, qiniseka ukuba uthetha nogqirha wakho malunga novavanyo lwemfuza ukuba ufunyaniswe unomhlaza webele.
Kutheni le nto olu vavanyo lwemfuza lubaluleke kangaka?
Kukho iintlobo ezimbini zezakhi zofuzo emzimbeni wethu ezibizwa ngokuba yi-'BRCA1' kunye ne-'BRCA2'. Ukuba kukho utshintsho kwezi zakhi zofuzo, umngcipheko wokuba nomhlaza wamabele kunye neminye imifuzo uyanda kakhulu.
Into ebalulekileyo kukuba, nokuba akukho mntu kusapho lwakho owakha waba nomhlaza webele ngaphambili, usenokuba nalo tshintsho lwemfuza. Ngoko ke ungaluphosi olu vavanyo ucinga ukuba, "Akukho mntu kusapho lwethu onalo."
Kukho iingenelo ezininzi kolu vavanyo:
- Ungayazi ingozi yakho kwixesha elizayo: Ukuba unale nguqu yemfuza, ungayazi ingozi yakho yokuba nomhlaza kwixesha elizayo kwaye uthathe amanyathelo afunekayo ukuze uwuthintele.
- Inceda ekumiseleni unyango: Ezinye iindlela zonyango zomhlaza zimiselwa ngokusekelwe kolu lwazi lwemfuza.
- Kubalulekile nakwintsapho yakho: Ukuba ufumanisa ukuba unale nguqu yemfuza, izalamane zakho ezisondeleyo, ezinje ngomama wakho, utata wakho, abantakwenu nabantwana, nazo zingavavanywa ukuze kubonwe ukuba zisengozini na.
Kudla ngokucetyiswa ukuba ucinge ngolu vavanyo emva kweminyaka engama-25. Kodwa ukuba ufuna ukwazi ngalo ngaphambi koko, thetha nogqirha wakho kunye nomcebisi wezofuzo .
Malunga noNyango loMhlaza kunye neZiphumo zalo eziNgasecaleni
Mhlawumbi unemibuzo emininzi malunga nonyango kunye nemiphumo yalo. Makhe sijonge.
Iingxaki nge-Endocrine Therapy
Ezinye iintlobo zomhlaza wamabele zibangelwa yi-hormone ye-estrogen. Unyango lwe-endocrine, okanye unyango lwe-hormone, lusebenza ngokuthintela ukusebenza kwezi hormone. Amayeza afana neTamoxifen kunye ne-Aromatase Inhibitors asetyenziselwa le njongo.
Oogqirha badla ngokucebisa olu nyango ixesha elide, njengeminyaka emi-5 okanye eli-10 . Oku kunokunciphisa kakhulu umngcipheko wokubuya komhlaza. Nangona kunjalo, abanye abantu banokufumana iziphumo ebezingalindelekanga kolu nyango. Umzekelo, ubushushu, iintlungu zamalungu, kunye nokutshintsha kweemvakalelo.
Okubaluleke kakhulu: Musa ukuyeka unyango kuba nje ucinga ukuba uneziphumo ebezingalindelekanga. Qiniseka ukuba uthetha nogqirha wakho wezifo zomhlaza. Usenokukwazi ukutshintshela kwelinye iyeza, utshintshe umthamo, okanye usebenzise ezinye iindlela zokulawula iziphumo ebezingalindelekanga.
Ngaba ii-estrogens ezisetyenziswa ngaphandle zikhuselekile kwi-vaginal dryness?
Enye ingxaki abanye abafazi abahlangabezana nayo ngonyango lweehomoni kukoma kwesisu. Ii-estrogens ezisetyenziswayo apha ziyafumaneka. Nangona kunjalo, akukho datha icacileyo yokuba zikhuselekile kangakanani na ezi zinto kumntu onembali yomhlaza webele.
Kungoko ke, oogqirha bacebisa ukuba uzame izithambisi kunye nezithambisi ezingezizo iihomoni kuqala. Ukuba ezi aziyisombululi ingxaki, iikhrimu zehomoni ziqwalaselwa ngononophelo olukhulu kwaye kuphela xa kuyimfuneko. Kubalulekile ukuthetha nogqirha wakho we-oncologist kunye nogqirha wezifo zabesifazane ngaphambi kokuba wenze isigqibo malunga noku.
Ungaphila njani noloyiko lokubuyela umva komhlaza?
Nokuba sele zonke iindlela zakho zonyango ziphelile, kuyinto eqhelekileyo ukuba noloyiko olungapheliyo lokuba "Ngaba luza kubuya?" Le yimvakalelo eqhelekileyo kuye nabani na ochachayo kumhlaza. Zimbalwa izinto onokuzenza ukukunceda ujongane nolu xinzelelo.
| Isenzo | Inkcazo kunye neenzuzo |
|---|---|
| Ukuphefumla nzulu | Xa uziva uxhalabile okanye ukhathazekile, hlala kwindawo ezolileyo uphefumle nzulu. Oku kuya kunceda uphumze ingqondo nomzimba wakho. |
| Ukuzilolonga | Yenza umthambo owuthandayo, njengokuhamba okanye i-yoga, yonke imihla. Umthambo ukhupha iihomoni zovuyo emzimbeni, nto leyo enciphisa uxinzelelo. |
| Ukuthetha | Ukuthetha ngeemvakalelo zakho nomhlobo othembekileyo, ilungu losapho, ugqirha wakho, okanye umcebisi kunokuba yindlela ephumelelayo yokuhlangabezana nale ngxaki kunokuzigcina ziyimfihlo. |
| Indlela yokuphila esempilweni | Lala ngokwaneleyo, yitya ukutya okunesondlo, kwaye unciphise ukusetyenziswa kotywala kunye ne-caffeine, nto leyo enokunyusa ixhala. |
Ngaba umama osemtsha okhe waba nomhlaza angamncancisa umntwana wakhe?
Oku kukwayingxaki nakoomama abaninzi abaselula. Ngamanye amaxesha kunokwenzeka. Zininzi izinto ekufuneka zenziwe ukuze oku kwenzeke. Unyango lwakho lomhlaza kufuneka lugqitywe ngokupheleleyo, okanye kufuneka luyekiswe okwethutyana ngengcebiso kagqirha wakho. Kwakhona, kufuneka ube nezicubu zebele ezivelisa ubisi kunye neengono ezishiyekileyo emva kotyando. Nangona kunjalo, ukuba ufumene unyango lwemitha, ukuncancisa kunokuba nzima kancinci. Isigqibo esilungileyo kukuthetha nogqirha wakho ngale nto.
Izixhobo apho unokufumana khona uncedo
Awuwedwa kolu hambo. Kukho abantu abaninzi kunye nemibutho yokukunceda nokukunika ulwazi oludingayo.
1. Iqela lakho lezonyango: Okokuqala nokubalulekileyo, kubalulekile ukuthetha ngokukhululekileyo ngayo yonke into nogqirha wakho kunye neqela lakho lezonyango.
2. UNontlalontle: Izibhedlele ezininzi zomhlaza zinabasebenzi bezentlalo abaqeqeshwe ukunceda ngeengxaki zengqondo nezentlalo.
3. Iiwebhusayithi ezithembekileyo: Xa ufuna ulwazi kwi-intanethi, soloko ujonga imithombo ethembekileyo kuphela. Iiwebhusayithi zemibutho eyaziwayo kwihlabathi liphela efana ne-'Susan G. Komen', 'Living Beyond Breast Cancer', 'Young Survival Coalition', `American Cancer Society' zinolwazi oluhle kakhulu.
Umyalezo Wokuya Ekhaya
- Umhlaza webele ungakhula usemncinci, ngoko ke ukuba ubona naluphi na utshintsho emabeleni akho, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba umntu ongaphantsi kweminyaka engama-40 ubudala ufunyaniswa ukuba unomhlaza webele, kubaluleke kakhulu ukuba enze uvavanyo lwemfuza.
- Uloyiko lokubuyela komhlaza luqhelekile. Musa ukuthandabuza ukufuna inkxaso yengqondo kwaye uzame iindlela zokuphumla.
- Ukuba uneziphumo ebezingalindelekanga ezivela kunyango oluhlala ixesha elide, olufana nonyango lweehomoni, thetha nogqirha wakho uze ufumane izisombululo. Ungaze uyeke unyango wedwa.
- Awuwedwa kule mfazwe. Usapho lwakho, abahlobo, kunye neqela lezonyango basoloko bekulungele ukukuxhasa.
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