Enye yezinto abesifazane abaningi abahlale besaba ukuthola into efana neqhubu emabeleni abo. Kungumthwalo omkhulu engqondweni. Kodwa kumelwe sikhumbule ukuthi akuwona wonke amaqhubu awumdlavuza. Kodwa-ke, kubaluleke kakhulu kithi ukuqaphela lokhu ngokugcwele futhi silungiselele noma yini kusengaphambili. Namuhla sikhuluma ngokubaluleka okumangalisayo kokutholakala komdlavuza webele kusenesikhathi ngendaba yomlingisi odumile emhlabeni uChristina Applegate . Indaba yakhe isifundisa okuningi.
Kungani kubaluleke kangaka ukuhlola kusenesikhathi?
UChristina akatholanga umdlavuza ngokuzumayo. Empeleni wayekulungele. Isizathu ukuthi unina wayenomdlavuza webele kanye nowesibeletho. Ngakho uChristina waqala ukuthola ama-mammogram njalo eneminyaka engu-30.
Cabanga ukuthi wayekukhathalela kangakanani lokhu.
Kodwa lapho eneminyaka engu-36, udokotela wathi, "Izicubu zebele lakho zijiyile kakhulu ukuthi zingabonakala kahle nge-mammogram kuphela." Udokotela wabe esethumela kuye ukuze ayohlolwa nge-MRI.
Ezinyangeni ezimbalwa ngaphambi kokuba uChristina atholakale enomdlavuza, wafunda okuthile okwakuzomshaqisa. Kwakumayelana nobunzima obubhekene nabesifazane abasebasha ababesengozini enkulu yokuba nomdlavuza, kodwa ababengenazo izindlela ezifanayo zezimali. "Ngemva kwe-MRI yami yesibili, othile ongisizile wathi abesifazane abaningi abasebasha, abasengozini enkulu abayitholi le MRI scan ngoba ibiza kakhulu." "Ngathukuthela kakhulu lapho ngizwa lokho!"
Kungakapheli nonyaka ngemuva kwaleso sigameko, ngo-2008, uChristina watholakala enomdlavuza webele. Ngenhlanhla, kwakungenxa yaleso skeni se-MRI ukuthi utholakale usesesigabeni sokuqala.
"Benginenhlanhla enkulu. Bengikukhuthalele kakhulu ukuhlolwa kwami, angikaze ngiphuthelwe usuku lapho kwakufanele ngiye khona. Akukho mdlavuza ohlolweni olulodwa. Kodwa ezinyangeni ezintathu kamuva, i-MRI yakubonisa lokho. Cabanga nje, zingakapheli izinyanga ezintathu, umdlavuza wawusufinyelele ezingeni elibonakalayo emzimbeni wami. Ukube bengilinde ezinye izinyanga eziyisithupha noma unyaka, ubani owaziyo ukuthi ngabe usakazeke kangakanani?"
Ingozi Yezakhi Zofuzo Nokwelashwa
Ngemva kokutholakala komdlavuza kaChristina, waqala wahlushwa yi-lumpectomies kabili. Kodwa kwaba yileso sikhathi lapho imiphumela yokuhlolwa kwakhe kwezakhi zofuzo yabuya khona. Kwembulwa ukuthi wayene-BRCA1 mutation .
Kalula nje, lokhu kufana nobuthakathaka obuzuzwe njengefa okwandisa ingozi yokuba nomdlavuza.
Ngemva kokuzwa lokhu, isinqumo sakhe mayelana nokwelashwa sashintsha ngokuphelele. "Ngakhuluma nodokotela. Ekuqaleni, ngangimelene kakhulu nokuhlinzwa kwebele . Ngakhala ngathi angisoze ngakwenza lokho. Kodwa-ke ngaqaphela ngokuzumayo ukuthi nginethuba elingaphezu kuka-50% lokuthi umdlavuza uphinde ubuye . Ngangingafuni ukuhlala nalolo valo impilo yami yonke. Ngakho nganquma ukwenza i-bilateral mastectomy."
Odokotela bathi kumuntu onjengoChristina one-BRCA gene mutation, lesi yisinqumo esinengqondo ngoba basengozini enkulu kakhulu yokuthola umdlavuza kwelinye ibele. Kodwa-ke, kwabesifazane abangenayo le ngozi yezakhi zofuzo futhi abanomdlavuza ongavamile, akukho nzuzo eqinisekisiwe yokususwa kwamabele womabili.
Ingabe abesifazane abasebasha nabo basengozini yokuba nomdlavuza webele?
Abantu abaningi bacabanga ukuthi umdlavuza webele uvela kubantu abadala kuphela, kodwa lokho kuyiphutha eliphelele .
Ngokusho kukadokotela kaChristina, bonke abesifazane abasebasha, hhayi labo abasengcupheni enkulu kuphela, kudingeka baqaphele lokhu. "Abesifazane abasebasha kudingeka bazi ukuthi akukho siqinisekiso sokuthi ngeke babe nomdlavuza webele njengoba bekhula. Ngisho noma kungekho muntu emndenini wabo oke waba nawo, ukwanda kwalesi sifo kuyanda phakathi kwabesifazane abasebasha."
Yiziphi izizathu zalokhu?
- Ukuthola umntwana wokuqala sekwephuzile.
- Ukwanda kokukhuluphala.
- Ukuchayeka ezintweni ezifana nama-hormone endaweni ezungezile.
UChristina ulandisa indaba elandelayo ngomngane wakhe:
"Intombazane engiyaziyo yayinomdlavuza webele wesigaba sesi-3. Lapho ikhombisa udokotela iqhubu ebeleni layo ngonyaka odlule, udokotela wathi, 'Kungase kube yi-calcium deposit encane,' kodwa akazange enze noma yikuphi ukuhlolwa. Ukube babeyisusile ngaleso sikhathi, cishe ngabe kwakuyi-cancer yesigaba soku-1. Manje isisakazekele kuma-lymph node ayo, futhi isesimweni esibucayi kakhulu."
Lokhu kuyinto edabukisayo kakhulu. Ngakho-ke uma ubona ushintsho emzimbeni wakho, ungalushayi indiva.
Izinto ezi-3 okufanele wonke owesifazane azi
Nazi izeluleko ezintathu ezibaluleke kakhulu uChristina nodokotela wakhe abanikeza wonke owesifazane. Khumbula lokhu kahle.
| Iseluleko | Incazelo |
|---|---|
| 1. Qaphela amabele akho. | Kufanele ujwayelene nendlela amabele akho abukeka futhi azizwa ngayo ngokuvamile. Khuluma nodokotela wakho mayelana nokuzihlola amabele. Ngale ndlela, ungakwazi ukubona ngokushesha noma yiziphi izinguquko ezingavamile (amaqhubu, izinguquko zesikhumba, ubuhlungu). |
| 2. Phikelela | Uma uzizwa sengathi kukhona “okungahambi kahle” ngawe, kodwa udokotela noma ilungu lomndeni likuphika ngokuthi, “Awukakhuli ngokwanele ngalokho,” ungakuchithi. Kufanele uzikhulumele. Bona udokotela ohlukile uma kudingeka. Qhubeka uzama kuze kube yilapho ukungabaza kwakho sekuphelile. |
| 3. Khetha ithimba lezokwelapha elingcono kakhulu | Akudingeki uqale ukwelashwa nodokotela wokuqala ombonayo. Unesikhathi. Khetha iqembu lodokotela abakhululekile ngawe, abakuqondayo, futhi abanolwazi ngemithi emisha (ukuhlolwa kofuzo, ukwelashwa kwe-neoadjuvant). Akuyona neze into embi ukuthola umbono wesibili. |
Impilo kanye nempilo yengqondo ngemva komdlavuza
Umdlavuza washintsha impilo kaChristina ngezindlela eziningi. Wakhathazeka kakhulu ngempilo yakhe. Waqeda ngokuphelele ukucindezeleka empilweni yakhe.
Futhi isikhali esingcono kakhulu esamsiza ukuba anqobe le mpi kwakuwukuhleka . "Ngahleka kakhulu ngesikhathi sokuhlinzwa nangemva kwalokho engake ngahleka kukho empilweni yami," usho kanje.
Kodwa uhambo ngokwalo aluzange lube nokumamatheka kuphela. "Ukususwa kwebele kufana nokunqunywa kwesikhumba. Mhlawumbe odokotela bathi umuhle kakhulu manje, kodwa akusenjengoba wawunjalo ngaphambili. Umzimba wakho, imizwa yakho, umphefumulo wakho, konke kudlula kulolo buhlungu."
Ngakho-ke uthi noma yimuphi owesifazane osemusha odlula entweni efana nale kufanele axhumane nabanye abake baba nokuhlangenwe nakho okufanayo. "Udinga abantu ongakhuluma nabo, abantu abaqonda ubuhlungu bakho."
Umama kaChristina wayehlala ethi, "Umdlavuza yigama, hhayi umusho."
Ekugcineni, uthi ungavumeli umdlavuza ukuthi ukuchaze. "Umdlavuza awuyona into oyiyo. Yinto nje obhekene nayo."
Umlayezo Wokuya Nawe Ekhaya
- Ukutholwa kusenesikhathi kungasindisa izimpilo. Ungayeki ukuhlolwa kwakho okuhleliwe kwezokwelapha, ikakhulukazi ukuhlolwa kwe-mammogram.
- Uma kukhona emndenini wakho oke waba nomdlavuza (umlando womndeni), qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- Uma ubona noma yiziphi izinguquko ezingavamile emabeleni akho, ungakuzibi. Ungumgcini omuhle kakhulu womzimba wakho.
- Unelungelo lokuthola umbono wesibili. Khetha ithimba lezokwelapha olethembayo futhi ozizwa ukhululekile ngalo.
- Ukusekelwa umndeni, abangani, nabanye abaye badlula ezimweni ezifanayo kubaluleke kakhulu kulolu hambo. Ungahlupheki wedwa.
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