Ingabe umdlavuza webele ubuyile? (Ukuphinda Ubuye Komdlavuza Webele) Ake sixoxe ngalokhu!

Uma ucabanga ukuthi welashwe umdlavuza webele futhi uzizwa ungcono, ingabe unokwesaba okungapheli kokuthi lesi sifo sizobuya? Eqinisweni, ngezinye izikhathi singabuya. Namuhla sikhuluma ngokuphindeka komdlavuza webele. Ungesabi ukuzwa lokhu, ngoba kubaluleke kakhulu ukukuqaphela.

Kuyini ukuphinda umdlavuza webele?

Kalula nje, uma usuqedile ukwelashwa komdlavuza webele, umdlavuza ubuyela emzimbeni wakho futhi, okuyilokho esikubiza ngokuthi ' ukuphinda umdlavuza webele' . Lokhu kungenzeka ezinyangeni ezimbalwa zokwelashwa, noma kungenzeka eminyakeni eminingi kamuva. Odokotela bethu bangayilapha le mdlavuza ephindaphindayo, kodwa ngezinye izikhathi ingabuya.

Yiziphi izindlela lo mdlavuza obuya ngazo?

Uhlobo lomdlavuza lunqunywa ukuthi uvelaphi. Kunezinhlobo ezintathu eziyinhloko:

• Ukuphinda Kwendawo: Lokhu kusho ukuthi umdlavuza ubuyele ebeleni elifanayo (noma endaweni yebele) lapho watholakala khona okokuqala. Isibonelo, uma ubunomdlavuza ebeleni lakho langakwesokudla futhi ususiwe, ubungafana namaseli omdlavuza akhula emuva ebeleni langakwesokudla.

• Ukuphindaphinda Kwesifunda: Lokhu kwenzeka lapho umdlavuza uphinda ubuye eduze kwesimila sokuqala, njengakuma -lymph node e-axillary noma kuma-lymph node azungeze intamo.

• Ukuphinda Kude: Lolu uhlobo olubi kakhulu. Lokhu kwenzeka lapho amangqamuzana omdlavuza webele esakazeke kude nalapho kwakukhona khona isimila sokuqala, emaphashini akho, emathanjeni, ebuchosheni, noma kwezinye izingxenye zomzimba wakho. Lokhu kubizwa nangokuthi (umdlavuza webele we-Metastatic) . Kuvame ukubizwa ngokuthi (umdlavuza webele wesigaba sesi-4) .

Kukhona okunye okufanele ukwazi. Ake sithi unomdlavuza kwelinye lamabele akho, futhi welashwa futhi welashwa. Uma-ke, uma kuvela umdlavuza omusha kwelinye ibele lakho, okungukuthi, ibele elikwelinye icala lapho kungekho khona umdlavuza ngaphambili, awubhekwa 'njengokuphindeka'. Odokotela bawubiza ngokuthi 'umdlavuza wesibili'.

Yiziphi izinhlobo zomdlavuza webele okungenzeka kakhulu ukuthi zibuye?

Ngokusho kwe-American Cancer Society, umdlavuza webele ovuvukalayo (IBC) kanye nomdlavuza webele one-triple-negative (TNBC) kungenzeka kakhulu ukuthi ubuye kunezinye izinhlobo zomdlavuza webele. Lezi zinhlobo zinolaka kakhulu, yingakho zivame kangaka.

Kuvamile kangakanani ukuthi umdlavuza webele uphinde ubuyeke?

Eqinisweni, lokhu akuyona into eyenzeka kuwo wonke umuntu, okusho ukuthi akuvamile kakhulu. Kodwa-ke, iphesenti eliqondile lezikhathi lokhu okwenzeka ngazo lincike ezintweni eziningi, njengesigaba somdlavuza wakho wokuqala kanye nokwelashwa owakuthola.

Ngokuvamile kuthatha isikhathi esingakanani ukuthi umdlavuza ubuye?

Ezimweni eziningi, uma umdlavuza ubuya endaweni efanayo ngemva kokuhlinzwa kwe-lumpectomy , okuwukuhlinzwa okususa ingxenye yebele kuphela, kungenzeka kakhulu ukuthi kwenzeke eminyakeni emihlanu yokuqala. Kodwa-ke, uma uthola ukwelashwa ngemisebe ngemva kokuhlinzwa kwe-lumpectomy , le ngozi ingancishiswa kakhulu. Uma lezi zindlela zokwelapha ezimbili zihlanganiswa, amathuba okuba umdlavuza uphinde ubuye phakathi kweminyaka eyi-10 ancishiswa abe phakathi kuka-3% no-15%. Ngezinye izikhathi, ngokusekelwe ezintweni ezifana nokuhlolwa kwakho kwezakhi zofuzo, udokotela wakho angase ancome ezinye izindlela zokwelapha ukuze anciphise le ngozi.

Izinga lokubuyela komdlavuza lihlukile kancane kulabo abaye bahlinzwa ibele , okuhlanganisa ukususwa kwebele lonke:

• Uma bekungekho amangqamuzana omdlavuza kuma -lymph node e-axillary lapho uhlinzwa okokuqala, amathuba okuthi umdlavuza uphinde ubuye eminyakeni emihlanu angaba ngu-6%.
• Kodwa-ke, uma kukhona amangqamuzana omdlavuza kuma-lymph node ekhwapheni, amathuba okuphinda avele angaba ngu-25%. Kodwa-ke, uma uthola ukwelashwa ngemisebe ngemva kokususwa kwesisu , le ngozi ingancishiswa ibe ngu-6%.

Ziyini izimpawu zokubuyela emuva komdlavuza?

Izimpawu ziyahlukahluka kuye ngokuthi umdlavuza ubuya kuphi. Isibonelo, izimpawu azifani lapho umdlavuza ubuya endaweni efanayo owawuyiyo (ukuphinda ubuye endaweni ethile), kodwa uma ususakazekele kuma-lymph node aseduze (ukuphinda ubuye endaweni ethile).

Ukuphinda kwenzeke kwalesi sifo endaweni ethile kungabonakala ngezimpawu ezifana nalezi:

• Ukuzwa iqhubu elisha noma isimila ebeleni noma ngaphansi kwesikhumba sesifuba.
• Ukushintsha kwengono: Ingono ingase ibonakale sengathi iphendukezelwe, noma kungase kube nokukhishwa okuthile okuvela engonweni.
• (Ukususwa kwezicubu) Isikhumba esizungeze indawo yokuhlinzwa siyavuvukala futhi sibonakala sengathi sidonseleka ngaphakathi.
• Ukuqina kwesikhumba phezu noma eduze kwesibazi sokuhlinzwa.
• Izicubu zebele zizwakala ziqinile kunokujwayelekile.

Ukuphinda kwesifo endaweni ethile kungabonakala ngezimpawu ezilandelayo:

• Ubuhlungu besifuba obuqhubekayo.
• Ubunzima bokugwinya .
• Ukuzwa ubuhlungu, ukuvuvukala, noma ukuba ndikindiki engalweni eyodwa noma ehlombe.
• Ama-lymph node avuvukele ekhwapheni noma eduze kwentamo.

Uma umdlavuza uphinda ubuye (Ukude / Ukusabalala kwe-Metastatic / Isigaba sesi-4), lezi zimpawu zingathinta noma yisiphi isitho. Okusho ukuthi, izindawo ezifana namathambo, amaphaphu, ubuchopho, isibindi. Izimpawu ziyahlukahluka kuye ngokuthi umdlavuza usakazeke kuphi. Zingafaka:

• Ubuhlungu lapho umdlavuza ususakazeke khona, ikakhulukazi emathanjeni .
• Ukukhwehlela okomile okuqhubekayo.
• Izimo ezifana nesiyezi, ukulahlekelwa yibhalansi, kanye nokuquleka.
• Ukuzizwa ukhathele ngendlela engakholeki (Ukukhathala Okukhulu) .
• Ukulahlekelwa yisifiso sokudla, isicanucanu, ukwehla kwesisindo.
• Ikhanda elibuhlungu kakhulu.
• Ukuzizwa ungenamizwa noma ubuthakathaka kwezinye izingxenye zomzimba.

Kungani lo mdlavuza webele ulokhu ubuya?

Isizathu esiyinhloko sokuba umdlavuza webele ubuye ukuthi amanye amangqamuzana omdlavuza ebeleni lakho awazange abhujiswe ngokuphelele ngenxa yokwelashwa owakuthola. Ukwelashwa komdlavuza webele kusebenza kahle kakhulu, kodwa bewazi ukuthi lawa mangqamuzana omdlavuza anobuqili kakhulu?

• Ngezinye izikhathi, ukwelashwa kunganciphisa izimila futhi kunciphise amangqamuzana omdlavuza kuze kube yilapho engenakutholakala ngokuhlolwa. Kodwa lawo maseli asekhona. Ngokuhamba kwesikhathi, lawo maseli angaqina futhi, aqale ukukhula futhi, futhi akhe izimila ezintsha.
• Ukuhlinzwa ukuze kususwe isimila somdlavuza akuphumelelanga ngokuphelele ngaso sonke isikhathi. Ngaphambi kokuhlinzwa, amangqamuzana omdlavuza kungenzeka ukuthi asakazekele kuma-lymph node aseduze, ezicutshini, noma egazini.

Ubani osengozini enkulu yokubuya kwalo mdlavuza?

Noma ubani oke waba nomdlavuza webele angawubuyisa. Kodwa-ke, ingozi yakho yokuthi umdlavuza uphinde ubuye incike ezintweni eziningana:

• Ubudala: Abesifazane abathola umdlavuza webele ngaphambi kweminyaka engama-35 banamathuba amaningi okubuya komdlavuza.
• Isigaba Somdlavuza: Uma utholakala okokuqala unomdlavuza webele, odokotela bazosebenzisa isigaba somdlavuza ukuhlela ukwelashwa nokubikezela ikusasa. Kukhona ubudlelwano phakathi kwesigaba lapho umdlavuza waqala ukutholakala khona kanye nengozi yokuthi umdlavuza uphinde ubuye. Isibonelo, umuntu onomdlavuza weSigaba III unamathuba amaningi okuthi umdlavuza uphinde ubuye kunomuntu onomdlavuza weSigaba I noma weSigaba II .
• Uhlobo Lomdlavuza: Umdlavuza onolaka kakhulu futhi osakazeka ngokushesha, njengomdlavuza webele ovuvukalayo noma umdlavuza webele onezibi ezintathu, kunzima kakhulu ukwelapha. Ngakho-ke, umdlavuza onjalo uvame ukuvela futhi usakazeke.

Yiziphi izinkinga ezingaba khona uma umdlavuza ubuya?

Ukwelapha umdlavuza webele kungaba nzima uma uphinda ubuye noma usakazeka:

• Ukwelashwa okwasebenza esikhathini esidlule kungase kungasebenzi kahle kulokhu. Udokotela wakho angazama ezinye izindlela zokwelapha. Bangase batuse nokuthi uhlanganyele ezivivinyweni zemitholampilo , okuyizifundo zocwaningo ngemithi emisha.
• (Umdlavuza Webele Owakhiwe Yi-Metastatic), okusho ukuthi umdlavuza usezindaweni ezingaphezu kweyodwa emzimbeni, okwenza kube nzima kakhulu ukuwulapha. (Kodwa khumbula, kungakhathaliseki ukuthi umdlavuza webele usakazeka kuphi, usabhekwa njengomdlavuza webele. Ngoba amangqamuzana ebele ahlukile kumaseli amaphaphu, amangqamuzana amathambo, noma amangqamuzana kwezinye izindawo lapho umdlavuza ungasakazeka khona.)

Odokotela bathola kanjani ukuthi umdlavuza ubuyile?

Ezinye zezivivinyo ezasetshenziswa ekuqaleni ukuthola umdlavuza webele seziyenziwa manje:

• Ukuhlolwa kwe -Mammogram
• Ukuhlolwa kwe-Ultrasound
• Izikena ezifana ne- (MRI) , (CT Scan) noma (PET Scan - Positron Emission Tomography Scan)
• Ukuhlolwa kwegazi ukuze kubhekwe izimpawu zesimila
• I -biopsy isho ukuthatha ingxenye encane yezicubu bese uyihlola.

Yiziphi izindlela zokwelapha umdlavuza webele ophindaphindayo?

Izinketho zokwelapha ziyahlukahluka kuye ngokuthi umdlavuza uphinde wavelaphi nokuthi yiziphi izindlela zokwelapha ezinikeziwe ngaphambilini. Isibonelo:

• Uma uke wahlinzwa i-lumpectomy ngaphambilini ngenxa yomdlavuza wendawo noma wesifunda, kulokhu udokotela wakho angase ancome ukuthi kuhlinzwe i -mastectomy ukuze kususwe ibele elilodwa noma womabili, kanye nama-lymph node aseduze.
• Uma uke wahlinzwa i -lumpectomy ngaphambili, ungase ukwazi ukuhlinzwa i-lumpectomy kanye nokwelashwa ngemisebe. Kufanele uxoxe ngalokhu nodokotela wakho.
• Uma umdlavuza uphindela esifubeni esakhiwe kabusha, udokotela ohlinzayo kungase kudingeke asuse i-breast implant noma i-skin flap.
• Uma uke wahlinzwa i -mastectomy ngaphambili, kulokhu ukwelashwa kungafaka phakathi ukuhlinzwa ukuze kususwe isimila esisha, kulandelwe ukwelashwa ngemisebe .

Ngaphezu kwalokhu, kunezinye izindlela zokwelapha:

• Ukwelashwa ngama-hormone
• (Ukwelashwa ngamakhemikhali) (Sikubiza ngokuthi i-chemo)
• Ukwelashwa nge-immunotherapy
• Ukwelashwa Okuqondiwe

Iyini indlela yokwelapha umdlavuza osakazeke kakhulu?

Ukwelashwa okuyinhloko komdlavuza webele osabalele yi-systemic therapy, ethinta umzimba wonke. Lokhu kufaka phakathi i-chemotherapy , i-hormone therapy , i-immunotherapy , kanye ne-target therapy .

Uma umdlavuza ubuya, ingabe uzoba mubi kakhulu kunakuqala?

Ukwelapha umdlavuza webele obuyayo kungaba yinselele. Kodwa akusho ukuthi mubi kakhulu kunomdlavuza wokuqala. Uma unomdlavuza webele obuyayo, ungase unikezwe ukwelashwa okuhlukile kunalokho owawukunikwe ngaphambili, noma ukwelashwa okunamandla njengokuhlinzwa, noma imithi yokulwa nomdlavuza enamandla kakhulu. Okuningi kuncike esimweni sakho. Ngakho-ke umuntu ongcono kakhulu ongakubuza ukuthi yini ongayilindela udokotela wakho.

Ingabe umdlavuza ophindaphindayo ungalapheka ngokuphelele?

Kuya ngesimo sakho ngempela. Buza udokotela wakho ukuthi umgomo wokwelashwa kulokhu uwukwelapha umdlavuza ngokuphelele, noma ukulawula ukukhula nokusabalala kwawo. Ngaleyo ndlela, ungathola umbono ocacile.

Liyini ithuba lokusinda uma umdlavuza ubuya?

Lokhu kuyindaba ebucayi kancane. Ngokuvamile, izinga lokusinda kweminyaka emihlanu ngemva kokutholakala komdlavuza limi kanje:

• Umdlavuza webele wendawo cishe u-99% wamacala omdlavuza webele.
• Umdlavuza webele wesifunda ucishe ube ngu-86%.
• Cishe ama-27% amacala asakazeke kude, okungukuthi , umdlavuza webele osakazeke kabanzi .

Kodwa lokhu kubaluleke kakhulu : Lawa mazinga okusinda komdlavuza ayizilinganiso nje ezisekelwe kokuhlangenwe nakho kweqembu elikhulu labantu abanesimo esifanayo. Futhi, lezi zilinganiso zisekelwe olwazini okungenzeka ukuthi lwalutholakala eminyakeni edlule. Cabanga ngomehluko phakathi kwesithombe-selfie owasithatha eminyakeni emihlanu edlule kanye nesithombe owasithatha izolo. Njengokubukeka kwakho, lawa mazinga okusinda ayashintsha ngokuhamba kwesikhathi, njengoba kuvela ukwelashwa okusha kanye nesayensi yezokwelapha ithuthuka.

Lena mhlawumbe yimibuzo owawunayo lapho uqala ukuzwa ukuthi unomdlavuza webele. Udokotela wakho wayengumthombo wakho wolwazi ongcono kakhulu ngaleso sikhathi, futhi usenjalo namanje. Ngakho ungakhathazeki ngalezi zibalo. Kungcono ukukhuluma nodokotela wakho ukuze uthole ulwazi olunembile kakhulu ngesimo sakho.

Ingabe umdlavuza webele ungavinjelwa ukuthi ungabuyi?

Ucwaningo lukhombisile ukuthi ezinye izindlela zokwelapha zinganciphisa ingozi yokuthi ezinye izinhlobo zomdlavuza webele zibuye. Isibonelo, ukwelashwa ngama-hormone , njenge- tamoxifen noma i-aromatase inhibitors, kunganciphisa ingozi yokuthi umdlavuza webele uphinde ubuye kubantu abanomdlavuza webele oqalayo we-estrogen (ER-positive noma ER+) . Ukwelashwa ngamakhemikhali ngemva kokuhlinzwa (okubizwa ngokuthi i-adjuvant therapy ) kunganciphisa ingozi.

Kodwa, ngokuvamile, ochwepheshe abakaqondi ngokugcwele ukuthi kungani umdlavuza webele uphindela kwabanye abantu hhayi kwabanye.Uma uphinde uthole umdlavuza webele, ungacabangi ukuthi kungenxa yokuthile okwenzile noma ongakwenzanga. Akulona iphutha lakho.

Nakuba ungeke ukwazi ukuvimbela umdlavuza webele ukuthi ungaphinde uvele, kubalulekile ukuzihlola njalo amabele kanye nokuhlolwa kokulandelela njengoba kunconywe udokotela wakho. Lokhu kungasiza udokotela wakho ukuthi athole umdlavuza webele osabalele esiteji sokuqala, lapho kulula khona ukwelapha.

Kufanele ngizinakekele kanjani? (kokubili ngokwengqondo nangokomzimba)

Uma uke waba nomdlavuza webele futhi, cishe uphila nemizwa eminingi ehlukene. Lokho kuvamile kakhulu.

• Ungase uthukuthele ngokuthi kufanele uphinde ubhekane nalolu hlobo lokwelashwa komdlavuza.
• Kungaba yinto ekhungathekisayo ukubhekana nalesi simo futhi, okukwenza uzizwe sengathi ulahlekelwe ukulawula impilo yakho.
• Ukukhathazeka nokwesaba ngekusasa kungase kufike engqondweni.
• Njengoba kungekho siqinisekiso sokuthi umdlavuza ngeke uphinde ubuye, kungakhungathekisa.

Kujwayelekile futhi kungokwemvelo ukuzwa le mizwa. Kodwa uma uzizwa ubhajwe emjikelezweni wemizwa engemihle, khuluma nodokotela wakho. Angakusiza ukuthi ucabangele ukwesaba kwakho. Bangase bakuthumele kuchwepheshe wezempilo yengqondo ukuze akusize uqonde futhi uphathe imizwa yakho.

Nazi ezinye izinto ongazenza ukuze unciphise ukucindezeleka kokuphila nomdlavuza webele ophindaphindayo:

• Qhubeka nokudla ukudla okunempilo: Gxila ekugcwaliseni ipuleti lakho ngemifino ehlukahlukene, izithelo, amaprotheni angenamafutha, kanye nokusanhlamvu okuphelele. Ukudla kahle kuzokusiza ukuthi ugcine amandla akho ngesikhathi sokwelashwa.
• Thola ukuzivocavoca: Ukuzivocavoca njalo kunciphisa ukucindezeleka futhi kungakusiza ukuthi ubhekane nezinye zezinselele zengqondo ezihambisana nokubuyela emuva komdlavuza webele.
• Cabanga ngokunakekelwa kobuhlungu: Abahlinzeki bokunakekelwa kobuhlungu bakusiza ukuphatha izimpawu nemiphumela emibi yokwelashwa.
• Bamba iqhaza ezinhlelweni zokusinda kumdlavuza: Ubulokhu usindile kusukela ngosuku owatholakala ngalo ukuthi unomdlavuza webele. Buza udokotela wakho ngezinhlelo nezinsizakalo ezenzelwe ngqo abantu abanomdlavuza webele ophindaphindayo.

Kufanele ngimbone nini udokotela wami?

Uma ubona noma yiziphi izinguquko emabeleni akho, noma uma unezimpawu ezifana nokukhwehlela, ikhanda elibuhlungu, noma ama-lymph node avuvukile aqhubeka futhi angapheli, kufanele nakanjani ubone udokotela wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ukuhlolwa kuqinisekisa ukuthi umdlavuza wakho webele ubuyile, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Uhlobo luni lokubuyela emuva komdlavuza webele enginalo?
• Uma sekusabalele, sekusabalele kuphi?
• Iyini isigaba salo mdlavuza?
• Yiziphi izindlela zokwelapha?
• Ziyini izingozi nemiphumela emibi yokwelashwa?
• Yiziphi izimpawu zezinkinga okufanele ngiziqaphele?

Ngingaqiniseka yini ukuthi umdlavuza ngeke uphinde ubuye?

Ngeshwa, akekho ongakunikeza leso siqinisekiso. Ngisho noma ukuhlolwa kungatholi zimpawu zomdlavuza webele, kungase kube namangqamuzana amancane omdlavuza angabonakali asephunyukile ekwelashweni komdlavuza obuye wabuya. Futhi, amangqamuzana omdlavuza angahamba esuka ebeleni lakho aye kwezinye izingxenye zomzimba wakho. Uma enza kanjalo, angakhula lapho futhi akhe amathumba.

Ukuthola ukuthi umdlavuza wakho webele ubuyile kungaba yinto enzima ukuyenza. Kuyaqondakala ukuzizwa udumele, uthukuthele, futhi wesaba. Kodwa-ke, kungenzeka ukuthi wajabula kakhulu lapho uthola ukwelashwa futhi wathola ukuthi umdlavuza awusekho. Manje, ubuyile. Kungazwakala njengephupho elibi futhi. Kodwa ukwazi lokhu kungakunika ukuthula kwengqondo: Ukwelashwa komdlavuza webele obuyile ngokuvamile kungasusa umdlavuza obuyile. Ungase ukwazi futhi ukuhlanganyela ezivivinyweni zemitholampilo ezihlola ukwelashwa okusha. Uma umdlavuza wakho webele ubuyile, udokotela wakho uzoncoma izinketho zokwelapha ezingcono kakhulu kuwe, okuhlanganisa nezivivinyo zemitholampilo .

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule

Ukuphinda umdlavuza webele kuyinto eyesabekayo. Kodwa kubalulekile ukuqaphela, ukunaka izimpawu, nokukhuluma ngokukhululekile nodokotela wakho.

• Ungakhathazeki: akuwona wonke umdlavuza obuyayo, futhi noma ngabe uyabuya, kukhona ukwelashwa.
• Lalela umzimba wakho: Tshela udokotela wakho uma ubona noma yiziphi izigaxa ezintsha, ubuhlungu, noma izinguquko.
• Ungaphuthelwa ukuhlolwa okufanele: Thola ukuhlolwa okulandelayo njengoba kuqondiswe udokotela wakho.
• Awuwedwa: umndeni wakho, abangani, kanye nethimba lezokwelapha bazokusekela. Ukusekelwa kwengqondo nakho kubaluleke kakhulu.
• Zama ukuhlala unethemba: Ukwelashwa kungaphumelela, futhi ukwelashwa okusha kuyaqhubeka kuvela.

Khumbula, udokotela wakho ungumuntu ongcono kakhulu ongakweluleka, ngakho ungangabazi ukumbuza uma unemibuzo noma ukukhathazeka.

` Umdlavuza Webele, Ukuphindaphindeka Komdlavuza, Ukuphindaphindeka Komdlavuza Webele, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza, Umdlavuza Webele Osakazekile, Impilo Yabesifazane