Ngisho nalapho sizwa igama elithi 'umdlavuza', siyesaba kakhulu. Futhi uma umuntu osemusha, ikakhulukazi owesifazane ongaphansi kweminyaka engama-40, etholakala enomdlavuza webele, kunzima ukusho ngamazwi umuzwa ofika engqondweni. Imibuzo efika engqondweni ayinamkhawulo. 'Kungani lokhu kwenzeke kimi?', 'Kuzokwenzekani manje?', 'Ingabe lokhu kungelapheka?', 'Ingabe kuzobuya ngemva kokuphela kokwelashwa?'... Cishe unemibuzo eyinkulungwane enjalo engqondweni yakho. Ngakho-ke namuhla sikhuluma ngomdlavuza webele othinta abesifazane abasebasha ukuze baphendule le mibuzo onayo engqondweni yakho.
Uma umdlavuza uvela kwelinye ibele, ingabe ungavela nakwelinye ibele?
Lokhu kwesaba okukhulu kubantu abaningi. Kodwa iqiniso liwukuthi, iningi labesifazane abasebasha lisengozini encane kakhulu yokuthola umdlavuza omusha emabeleni abo anempilo. Ukuthi le ngozi iyini kuncike ezintweni eziningana.
- Ukwakheka kwezakhi zofuzo zakho: Lokhu kuthinta ukuthi ngabe unezinguquko zofuzo ezandisa ingozi yakho yokuba nomdlavuza.
- Uhlobo lomdlavuza onalo: Kunezinhlobo ezahlukene zomdlavuza webele . Ingozi ingahluka kuye ngohlobo lwawo.
- Ukwelashwa okutholile: Le ngozi iyahlukahluka kuye ngokwelashwa okutholile.
Ngakho-ke, odokotela bavame ukuzama ukususa ibele kuphela uma kunomdlavuza (i-lumpectomy) noma, uma kudingeka, lonke ibele (i-mastectomy), kuyilapho kulondolozwa elinye ibele elinempilo. Lokhu kubizwa ngokuthi ukulondolozwa kwebele. Ngaphandle kokuthi kunengozi ekhethekile, ukususa ibele elinempilo ngokuvamile akukhuthazwa.
Ingabe kuyadingeka ukwenza ukuhlolwa kofuzo?
Yebo, lokhu kubaluleke kakhulu. Ikakhulukazi uma ungaphansi kweminyaka engu-45, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokuhlolwa kofuzo uma kutholakale ukuthi unomdlavuza webele.
Kungani lokhu kuhlolwa kwezakhi zofuzo kubaluleke kangaka?
Kunezinhlobo ezimbili zezakhi zofuzo emzimbeni wethu ezibizwa ngokuthi `BRCA1` kanye `BRCA2`. Uma kukhona ukuguquka kwalezi zakhi zofuzo, ingozi yokuba nomdlavuza webele kanye neminye imidlavuza iyanda kakhulu.
Into ebalulekile ukuthi, noma ngabe akekho emndenini wakho oke waba nomdlavuza webele ngaphambili, usengaba nalolu guquko lwezakhi zofuzo. Ngakho-ke ungayeki lokhu kuhlolwa ucabanga ukuthi, "Akekho emndenini wethu onalo."
Kunezinzuzo eziningana zalolu vivinyo:
- Ungayazi ingozi yakho yesikhathi esizayo: Uma unalolu shintsho lwezakhi zofuzo, ungaqaphela ingozi yakho yokuba nomdlavuza esikhathini esizayo futhi uthathe izinyathelo ezidingekayo zokuwuvimbela.
- Kusiza ekunqumeni ukwelashwa: Ezinye izindlela zokwelapha umdlavuza zinqunywa ngokusekelwe kulolu lwazi lwezakhi zofuzo.
- Kubalulekile futhi emndenini wakho: Uma uthola ukuthi unalolu shintsho lwezakhi zofuzo, izihlobo zakho eziseduze, njengomama wakho, ubaba, izingane zakini, nezingane, nazo zingahlolwa ukuze kubonakale ukuthi zisengozini yini.
Ngokuvamile kunconywa ukuthi ucabangele lokhu kuhlolwa ngemva kweminyaka engu-25. Kodwa uma ufuna ukwazi ngakho ngaphambi kwalokho, khuluma nodokotela wakho kanye nomeluleki wezakhi zofuzo .
Mayelana Nokwelashwa Komdlavuza Nemiphumela Yawo Engemihle
Cishe unemibuzo eminingi mayelana nokwelashwa kanye nemiphumela yako emibi. Ake sibheke.
Izinkinga Ngokwelashwa Kwe-Endocrine
Ezinye izinhlobo zomdlavuza webele zibangelwa yi-hormone i-estrogen. Ukwelashwa nge-endocrine, noma ukwelashwa ngama-hormone, kusebenza ngokuvimbela ukusebenza kwala ma-hormone. Imithi efana ne-Tamoxifen kanye ne-Aromatase Inhibitors isetshenziselwa le njongo.
Odokotela bavame ukuncoma lokhu kwelashwa isikhathi eside, njengeminyaka emi-5 noma eyi-10 . Lokhu kunganciphisa kakhulu ingozi yokubuya komdlavuza. Kodwa-ke, abanye abantu bangase babe nemiphumela emibi evela kulokhu kwelashwa. Isibonelo, ukushisa, ubuhlungu bamalunga, kanye nokushintsha kwemizwelo.
Okubaluleke kakhulu: Ungayeki ukwelashwa ngoba nje ucabanga ukuthi unemiphumela emibi. Qiniseka ukuthi ukhuluma nodokotela wakho womdlavuza. Ungase ukwazi ukushintshela komunye umuthi, ushintshe umthamo, noma usebenzise ezinye izindlela zokulawula imiphumela emibi.
Ingabe ama-estrogen angaphandle aphephile ekomeni kwesitho sangasese sowesifazane?
Enye inkinga abanye besifazane ababhekana nayo ngokwelashwa ngama-hormone ukoma kwesitho sangasese sowesifazane. Ama-estrogen atholakalayo kulokhu. Kodwa-ke, akukabikho datha ecacile yokuthi lokhu kuphephile kangakanani kumuntu onomlando womdlavuza webele.
Ngakho-ke, odokotela batusa ukuthi bazame ama-moisturizers nama-lubricant angewona ama-hormone kuqala. Uma lokhu kungayixazululi inkinga, ama-hormonal creams acatshangelwa ngokucophelela okukhulu futhi kuphela uma kudingeka. Kubalulekile ukukhuluma nodokotela wakho we-oncologist kanye nodokotela wezifo zabesifazane ngaphambi kokwenza isinqumo ngalokhu.
Ungaphila kanjani nokwesaba ukuphinda umdlavuza?
Ngisho noma ngabe konke ukwelashwa kwakho sekuphelile, kuvamile ukuba nokwesaba okungapheli kokuthi "Ingabe kuzobuya?" Lona umuzwa ovamile kunoma ubani ophulukiswa umdlavuza. Kunezinto ezimbalwa ongazenza ukuze ubhekane nalokhu kukhathazeka.
| Isenzo | Incazelo kanye nezinzuzo |
|---|---|
| Ukuphefumula Okujulile | Uma uzizwa ukhathazekile noma ukhathazekile, hlala endaweni ezolile bese uphefumula kakhulu. Lokhu kuzokusiza uphumule ingqondo nomzimba wakho. |
| Ukuzivocavoca umzimba | Yenza ukuzivocavoca okuthandayo, njengokuhamba noma i-yoga, nsuku zonke. Ukuzivocavoca kukhipha ama-hormone enjabulo emzimbeni, okunciphisa ukucindezeleka. |
| Ukukhuluma | Ukukhuluma ngemizwa yakho nomngane omethembayo, ilungu lomndeni, udokotela wakho, noma umeluleki kungaba yindlela ephumelela kakhulu yokubhekana nesimo kunokuyigcina ingaphakathi. |
| Indlela yokuphila enempilo | Lala ngokwanele, udle ukudla okunomsoco, futhi unciphise ukusetshenziswa kotshwala ne-caffeine, okungandisa ukukhathazeka. |
Ingabe umama osemusha oke waba nomdlavuza angayincelisa ingane yakhe?
Lokhu kuyinkinga nakomama abaningi abasebasha. Ngezinye izikhathi kungenzeka. Kudingeka kuhlangatshezwane nezinto eziningana ukuze lokhu kwenzeke. Ukwelashwa kwakho komdlavuza kumele kuqedwe ngokuphelele, noma kumele ukuthi kuyekwe okwesikhashana ngeseluleko sikadokotela wakho. Futhi, kumele ube nezicubu zebele ezikhiqiza ubisi kanye nezingono ezisele ngemuva kokuhlinzwa. Kodwa-ke, uma uthole ukwelashwa ngemisebe, ukuncelisa kungase kube nzima kancane. Isinqumo esingcono kakhulu ukukhuluma nodokotela wakho ngalokhu.
Izinsiza lapho ungathola khona usizo
Awuwedwa kulolu hambo. Kunabantu abaningi nezinhlangano ezizokusiza futhi zikunike ulwazi oludingayo.
1. Ithimba lakho lezokwelapha: Okokuqala nokubaluleke kakhulu, kubalulekile ukukhuluma ngokukhululekile ngakho konke nodokotela wakho kanye nethimba lezokwelapha.
2. Isisebenzi Sezenhlalakahle: Izibhedlela eziningi zomdlavuza zinezisebenzi zezenhlalakahle eziqeqeshwe ukusiza ngezinkinga zengqondo nezenhlalo.
3. Amawebhusayithi athembekile: Uma ufuna ulwazi ku-inthanethi, bheka njalo imithombo ethembekile kuphela. Amawebhusayithi ezinhlangano eziqashelwa emhlabeni wonke njenge-'Susan G. Komen', 'Living Beyond Breast Cancer', 'Young Survival Coalition', 'American Cancer Society' anolwazi oluhle kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza webele ungavela usemncane, ngakho-ke uma ubona noma yiziphi izinguquko emabeleni akho, funa iseluleko sezokwelapha ngokushesha.
- Uma umuntu ongaphansi kweminyaka engama-40 etholakala enomdlavuza webele, kubaluleke kakhulu ukuhlolwa kofuzo.
- Ukwesaba ukuthi umdlavuza uzobuya kuyinto evamile. Unganqikazi ukufuna usizo lwengqondo bese uzama izindlela zokuphumula.
- Uma unemiphumela emibi evela ekwelashweni kwesikhathi eside, njengokwelashwa ngama-hormone, khuluma nodokotela wakho bese uthola izixazululo. Ungalokothi uyeke ukwelashwa wedwa.
- Awuwedwa kule mpi. Umndeni wakho, abangani, kanye nethimba lezokwelapha bahlala bekulungele ukukusekela.
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