Enye yezinto abafazi abaninzi abasoloko beyoyika kukufumana into efana neqhuma emabeleni abo. Ngumthwalo omkhulu engqondweni. Kodwa kufuneka sikhumbule ukuba ayizizo zonke iziqhuma ezingumhlaza. Nangona kunjalo, kubaluleke kakhulu ukuba sikuqonde ngokupheleleyo oku kwaye silungiselele nantoni na kwangaphambili. Namhlanje sithetha ngokubaluleka okumangalisayo kokubhaqwa kwangethuba komhlaza wamabele ngebali lomdlali weqonga odumileyo kwihlabathi uChristina Applegate . Ibali lakhe lisifundisa lukhulu.
Kutheni kubaluleke kangaka ukujonga kwangaphambili?
UChristina akazange afumane umhlaza ngequbuliso. Wayekulungele ngokwenene. Isizathu kukuba unina wayenomhlaza webele kunye nowesibeleko. Ngoko ke uChristina waqala ukufumana ii-mammogram rhoqo xa wayeneminyaka engama-30 ubudala.
Khawucinge nje ukuba wayekukhathalele kangakanani oku.
Kodwa xa wayeneminyaka engama-36 ubudala, ugqirha wathi, “Izicubu zebele lakho zijiyile kakhulu ukuba zingabonakala ngokucacileyo nge-mammogram yodwa.” Emva koko ugqirha wamthumela ukuba ayokwenziwa i-MRI scan.
Kwiinyanga ezimbalwa ngaphambi kokuba uChristina afunyaniswe enomhlaza, wafunda into eyayiza kumothusa. Yayimalunga nobunzima obujongene nabasetyhini abaselula ababesengozini enkulu yomhlaza, kodwa ababengenazo iindlela ezifanayo zemali. "Emva kwe-MRI yam yesibini, umntu owandincedayo wathi abafazi abaninzi abaselula, abasengozini enkulu abayifumani le MRI scan kuba ibiza kakhulu." "Ndacaphuka kakhulu xa ndisiva loo nto!"
Kungaphelanga nonyaka emva kweso siganeko, ngo-2008, uChristina wafunyaniswa ukuba unomhlaza webele. Ngethamsanqa, kungenxa ye-MRI scan eyabangela ukuba ufunyanwe kwasekuqaleni.
"Ndandinethamsanqa kakhulu. Ndandizimisele kakhulu kwiimvavanyo zam, andizange ndiphoswe lusuku endandifanele ndiye ngalo. Akukho mhlaza kwimvavanyo enye. Kodwa emva kweenyanga ezintathu, i-MRI yabonisa loo nto. Khawucinge nje, kwiinyanga ezintathu, umhlaza wawufikelele kwinqanaba elibonakalayo emzimbeni wam. Ukuba bendilinde ezinye iinyanga ezintandathu okanye unyaka, ngubani owaziyo ukuba ubuya kusasazeka kangakanani?"
Umngcipheko we-Genetic kunye noNyango
Emva kokuba uChristina efunyenwe enomhlaza, waqala wahlushwa ii-lumpectomies ezimbini. Kodwa kwaba ngoko ke iziphumo zovavanyo lwakhe lwemfuza zabuya. Zatyhila ukuba wayene-BRCA1 mutation .
Ngamafutshane, oku kufana nobuthathaka obuzuzwa njengelifa obonyusa umngcipheko wokuba nomhlaza.
Emva kokuva oku, isigqibo sakhe malunga nonyango satshintsha ngokupheleleyo. "Ndithethe nogqirha. Ekuqaleni, ndandingavumelani kakhulu nokususwa kwebele . Ndakhala ndathi andisoze ndikwenze oko. Kodwa ndaqonda ngequbuliso ukuba ndinethuba elingaphezu kwama-50% lokuba umhlaza uphinde ubuye . Bendingafuni ukuhlala nolo loyiko ubomi bam bonke. Ngoko ke ndagqiba kwelokuba ndisuswe ibele kabini."
Oogqirha bathi kumntu ofana noChristina one-BRCA gene change, esi sisigqibo esifanelekileyo kuba basengozini enkulu yokuba nomhlaza kwelinye ibele. Nangona kunjalo, kubafazi abangenalo olu bungozi bemfuza kwaye banomhlaza ongaqhelekanga, akukho nzuzo iqinisekisiweyo yokususwa kwamabele omabini.
Ngaba abasetyhini abaselula nabo basengozini yokuba nomhlaza webele?
Abantu abaninzi bacinga ukuba umhlaza webele ubakho kubantu abadala kuphela, kodwa loo nto ayilunganga ngokupheleleyo .
Ngokutsho kogqirha kaChristina, bonke abafazi abaselula, kungekuphela nje abo basengozini enkulu, kufuneka baqaphele oku. "Abafazi abancinci kufuneka bazi ukuba akukho siqinisekiso sokuba abayi kuba nomhlaza webele njengoko bekhula. Nokuba akukho mntu kwintsapho yabo okhe waba nawo, ukwanda kwale mhlaza kuyanda phakathi kwabasetyhini abancinci."
Zithini izizathu zoku?
- Ukuzalwa komntwana wokuqala emva kwexesha.
- Ukwanda kokutyeba.
- Ukuchanabeka kwizinto ezifana neehomoni kwindawo esingqongileyo.
UChristina ubalisa ibali elilandelayo ngomhlobo wakhe:
"Intombazana endiyaziyo yayinomhlaza webele wesigaba sesi-3. Xa yabonisa ugqirha iqhuma ebeleni layo kunyaka ophelileyo, ugqirha wathi, 'Isenokuba yi-calcium deposit encinci,' kodwa akazange enze naluphi na uvavanyo. Ukuba babeyisusile ngelo xesha, mhlawumbi ngeyayingumhlaza wesigaba soku-1. Ngoku isasazeke kwi-lymph nodes yayo, kwaye ikwimeko embi kakhulu."
Le yinto ebuhlungu kakhulu. Ngoko ke ukuba ubona utshintsho emzimbeni wakho, musa ukulutyeshela.
Izinto ezi-3 ekufuneka wonke umfazi azi
Nazi iingcebiso ezintathu ezibalulekileyo uChristina nogqirha wakhe abazinika wonke umfazi. Khumbula oku kakuhle.
| Ingcebiso | Inkcazo |
|---|---|
| 1. Lumka ngamabele akho. | Ufanele ukuba uqhelene nendlela amabele akho abonakala kwaye avakala ngayo. Thetha nogqirha wakho malunga nokuzihlola amabele. Ngale ndlela, unokukhawuleza uchonge naluphi na utshintsho olungaqhelekanga (amaqhuma, utshintsho lolusu, iintlungu). |
| 2. Yiba nomdla wokuzingisa | Ukuba uvakalelwa kukuba kukho "into engalunganga" ngawe, kodwa ugqirha okanye ilungu losapho liyayikhanyela loo nto ngokuthi, "Awukakulungeli oko," musa ukuyikhanyela. Kuya kufuneka uzithethele. Bona ugqirha owahlukileyo ukuba kuyimfuneko. Qhubeka uzama de amathandabuzo akho aphele. |
| 3. Khetha iqela lezonyango elibalaseleyo | Akunyanzelekanga ukuba uqale unyango nogqirha wokuqala oza kubonana naye. Unexesha. Khetha iqela loogqirha abakhululekileyo ngawe, abakuqondayo, nabanolwazi malunga nonyango olutsha (uvavanyo lwemfuza, unyango lwe-neoadjuvant). Akuyonto imbi ukufumana uluvo lwesibini. |
Ubomi kunye nempilo yengqondo emva komhlaza
Umhlaza watshintsha ubomi bukaChristina ngeendlela ezininzi. Wakhathazeka kakhulu ngempilo yakhe. Wasusa ngokupheleleyo uxinzelelo ebomini bakhe.
Kwaye esona sixhobo silungileyo esamncedayo ukuba aphumelele kweli dabi yayikukuhleka . "Ndahleka kakhulu ngexesha lotyando nasemva kwalo kunokuba ndandikhe ndahleka ebomini bam," utshilo.
Kodwa uhambo ngokwalo belungapheleli nje ekuncumeni. "Ukususwa kwebele kufana nokunqunyulwa kwelungu. Mhlawumbi oogqirha bathi umhle ngakumbi ngoku, kodwa akusafani nangaphambili. Umzimba wakho, iimvakalelo zakho, umphefumlo wakho, yonke into idlula kuloo ntlungu."
Ngoko ke uthi nawuphi na umfazi oselula odlula kwinto efana nale kufuneka adibane nabanye abaye banamava afanayo. "Udinga abantu onokuthetha nabo, abantu abayiqondayo intlungu yakho."
Umama kaChristina wayesoloko esithi, "Umhlaza ligama, asilovakalisi."
Ekugqibeleni, uthi ungavumeli umhlaza ukuba uchaze wena. "Umhlaza awungomntu unguye. Yinto nje ojongene nayo."
Umyalezo Wokuya Ekhaya
- Ukubhaqwa kwangoko kunokusindisa ubomi. Musa ukulibazisa uhlolo lwakho lwezonyango olucwangcisiweyo, ingakumbi ii-mammogram.
- Ukuba kukho umntu kusapho lwakho okhe waba nomhlaza (imbali yosapho), qiniseka ukuba uthetha nogqirha wakho ngaloo nto.
- Ukuba ubona naluphi na utshintsho olungaqhelekanga emabeleni akho, musa ukulutyeshela. Ungumgcini womzimba wakho ongcono kakhulu.
- Unelungelo lokufumana uluvo lwesibini. Khetha iqela lezonyango olithembayo nelikhululekileyo kulo.
- Inkxaso yosapho, abahlobo, kunye nabanye abaye badlula kumava afanayo ibaluleke kakhulu kolu hambo. Musa ukubandezeleka wedwa.
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