Ucinga ntoni xa ufumana into efana neqhuma esifubeni sakho? Ixesha elininzi, sicinga, "Owu, andiguli ngolo hlobo xa ndineminyaka yam, mhlawumbi liqhuma nje." Ingakumbi ukuba uselula , mhlawumbi awucingi nangomhlaza. Kodwa namhlanje, ibali lomama oselula oneminyaka engama-31 ubudala ogama linguNatoya Pascacio libali elisifundisa lukhulu sonke kwaye lizisa amandla amakhulu ezintliziyweni zethu.
Ngubani lo Natoya? Kwenzeke ntoni kuye?
UNatoya ngumama ongatshatanga onamandla onabantwana ababini. Xa wayeneminyaka engama-31 ubudala, wafunyaniswa enohlobo lomhlaza webele olungaqhelekanga nolunobundlongondlongo. Lubizwa ngokuba yi-'Triple-Negative Breast Cancer'. Ngokwesiqhelo, xa kuthethwa ngomhlaza webele, abafazi abangaphezu kweminyaka engama-50 ubudala basengozini enkulu. Nangona kunjalo, olu hlobo lwe-'Triple-Negative' luxhaphake kakhulu phakathi kwabasetyhini abaselula abangaphantsi kweminyaka engama-40 ubudala.
Eyona nto imangalisayo ngale bali yile. UNatoya uqala ngokuva iqhuma ebeleni lakhe ngelixa encancisa umntwana wakhe. Ekubeni kungekho mntu kusapho lwakhe onembali yomhlaza, kwanoogqirha bathi ekuqaleni, "Akukho nto ifanele ikhathazeke ngayo, ayizukuba mandundu xa useneminyaka, akukho mfuneko yokuvavanya."
Khawucinge nje, umntu oqhelekileyo ebeya kwenza ntoni xa oogqirha besitsho njalo? "Owu... akukho nto imbi," akunjalo? Kodwa uNatoya akazange akwenze oko. Intliziyo yakhe yathi, "Hayi, kukho into engalunganga apha." Wenqaba icebiso loogqirha, kwaye ngobunzima obukhulu, wenza i-mammogram . Kwakungokovavanyo awafumanisa ngalo ngokuqinisekileyo ukuba unomhlaza. Wayeyithemba intliziyo yakhe, kwaye ubomi bakhe basinda.
Yintoni umhlaza webele onemibi emithathu?
Masiyibeke ngokulula le nto. Cinga ngeeseli zomhlaza njengesela eliqhekeza indlu. Eli sela lifuna iindawo ezifana neengcango neefestile ukuze lingene ngaphakathi. Ngokufanayo, iiseli ezininzi zomhlaza wamabele zisebenzisa 'iingcango' ezintathu ezikhethekileyo ezibizwa ngokuba yi-'receptors' ukuze zikhule, oko kukuthi, zikhule kwaye zisasazeke.
Bazi:
- Ii-receptors ze-estrogen
- Ii-receptors zeProgesterone
- I-Human Epidermal Growth Factor Receptor 2 (HER2)
Uninzi lwamayeza omhlaza esiwanikayo ngoku asebenza ngokungathi atshixa 'iingcango' ezazinokungena kwisela. Oko kukuthi, ayayimisa imisebenzi yezi receptors. Emva koko iiseli zomhlaza azinakukhula.
Nangona kunjalo, into ekhethekileyo yolu hlobo lwe-'Triple-Negative' kukuba iiseli zomhlaza azinazo naziphi na 'iingcango' ezintathu ezikhankanyiweyo. Yiyo loo nto ibizwa ngokuba yi-"triple-negative". Ngenxa yokuba ezi 'ngcango' azikho, kunzima kwezi ndlela zonyango ziqhelekileyo ukulawula lo mhlaza. Ngenxa yesi sizathu, olu hlobo lomhlaza lukhula ngokukhawuleza, lusasazeka ngokukhawuleza , kwaye iindlela zonyango zinqongophele.
| Uhlobo lomhlaza | 'Amasango' (ii-receptors) kwiseli yomhlaza | Iindlela zonyango |
|---|---|---|
| Umhlaza oneHormone Receptor-Positive | I-estrogen kunye/okanye i-progesterone | Isabela kakuhle kunyango olujoliswe kulo olufana nonyango lweehomoni. |
| Umhlaza one-HER2 (HER2-Positive) | I-HER2 | I-HER2 isabela kakuhle kunyango olujoliswe kulo. |
| Umhlaza Ongemihle Kathathu | Akukho namnye kwaba bathathu bakhankanyiweyo apha ngasentla. | Iindlela zonyango zinqongophele, ikakhulu i-chemotherapy. |
Uhambo olunzima lukaNatoya lokunyanga
Ukunyanga umhlaza onzima kangaka akulula. UNatoya kwafuneka ajongane nonyango oluninzi olunzima ngendlela engaqhelekanga.
- I-chemotherapy efakwa kwimithambo yegazi: Olu luhlobo olunamandla kakhulu lonyango lomhlaza. Lunikwa ukubulala iiseli zomhlaza emzimbeni wonke.
- Ukususwa kweqhubu: Oku kukususwa kweqhubu elinomhlaza kuphela kunye nenani elincinci lezicubu eziphilileyo ezijikeleze lona, ngaphandle kokususa lonke ibele.
- Unyango lweMisebe: Emva kotyando, imisebe enamandla aphezulu isetyenziselwa ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo. UNatoya uchithe imijikelo engama-25 yoku.
- Unyango lweKhemotherapy yoMlomo: Ukongeza kunyango olufakwa kwimithambo yegazi, kwafuneka asebenzise ikhemotherapy yomlomo.
Iingxaki zobomi zinkulu kunomhlaza
UNatoya wayenezinye iingxaki ezinkulu ebomini bakhe, ngaphezu kokunyamezela intlungu yolu nyango. Khawuthelekelele, kwafuneka aqhawule umtshato nomyeni wakhe kwiintsuku ezili-12 ngaphambi kokuba afunyaniswe enomhlaza. Kunzima kangakanani kumama ongatshatanga onabantwana ababini ukujongana nesifo esibulalayo eyedwa?
Akuphelelanga apho, konke oku kwenzeke ngexesha apho ihlabathi lalithwaxwa yintsholongwane. Wawungenakukwazi ukuphuma, wawungenakukwazi ukudibana nabantu. Kodwa uNatoya akazange anikezele. Amandla akhe amakhulu yayilunqulo lwakhe kunye nabantwana bakhe ababini. Ukongeza, abahlobo bakhe, abantu boluntu awayehlala kulo, kunye 'nogqirha wengqondo' yakhe (umcebisi wengqondo) babengumthombo omkhulu wamandla kuye.
UNatoya ngumntu ongazange avumele umhlaza ukuba ulawule ubomi bakhe. Walwa nesi sifo, wabandezeleka ziintlungu, kodwa kuyo yonke loo nto, wavela njengomfazi onamandla.
Umyalezo Wokuya Ekhaya
- Mamela umzimba wakho: Esi sesona sifundo sikhulu esinokusifunda kwibali likaNatoya. Ukuba ubona utshintsho olungaqhelekanga emzimbeni wakho, ingakumbi iqhuma elisesifubeni sakho, musa ukulutyeshela uthi, "Le yinto nje."
- Ubudala abuyonto ibalulekileyo: Musa ukucinga ukuba ukuba mncinci kuthetha ukuba awuyi kufumana umhlaza webele. Ezinye iintlobo ezingaqhelekanga zinokuvela kubantu abancinci, ngoko ke hlala unyamekela umzimba wakho.
- Funa ingcebiso yezonyango ngaphandle koloyiko: Ukuba unamathandabuzo, bona ugqirha wakho ngoko nangoko. Buza imibuzo ude amathandabuzo akho aphele. Ungaze woyike ukufumana uluvo lwesibini ukuba kuyimfuneko.
- Awuwedwa: Kubaluleke kakhulu ukufuna inkxaso kusapho, kubahlobo, kwaye, ukuba kuyimfuneko, kumcebisi ngexesha lokugula. Oku kuya kuba ngumthombo omkhulu wamandla kuwe.
- Musa ukuphelelwa lithemba: Jongana nemingeni ngendlela eyakhayo nenamandla njengoNatoya. Nokuba amaxesha anzima kangakanani na ebomini, hlala unethemba.
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