Ucabangani uma uthola into efana neqhubu esifubeni sakho? Isikhathi esiningi, sicabanga ukuthi, "O, angiguli kanjalo ngiseminyakeni yami, mhlawumbe kumane kuyiqhubu." Ikakhulukazi uma usemncane , cishe awucabangi ngisho nangomdlavuza. Kodwa namuhla, indaba kamama osemusha oneminyaka engu-31 ubudala ogama lakhe linguNatoya Pascacio iyindaba esifundisa okuningi sonke futhi iletha amandla amakhulu ezinhliziyweni zethu.
Ungubani lo Natoya? Kwenzekeni kuye?
UNatoya ungumama ongayedwa oqinile onezingane ezimbili. Lapho eneminyaka engu-31 ubudala, kwatholakala ukuthi unohlobo lomdlavuza webele olungavamile nolunolaka. Lubizwa ngokuthi 'umdlavuza webele ongemuhle kathathu'. Ngokuvamile, uma kukhulunywa ngomdlavuza webele, abesifazane abangaphezu kweminyaka engu-50 basengozini enkulu. Kodwa-ke, lolu hlobo 'lomdlavuza ongemuhle kathathu' luvame kakhulu phakathi kwabesifazane abasebasha abangaphansi kweminyaka engu-40.
Into emangaza kakhulu ngale ndaba yile. UNatoya uqala ukuzwa iqhubu ebeleni lakhe ngenkathi encelisa ingane yakhe. Njengoba kungekho muntu emndenini wakhe onomlando womdlavuza, ngisho nodokotela ekuqaleni bathi, "Akukho okufanele ukhathazeke ngakho, ngeke kube kubi kakhulu eminyakeni yakho, asikho isidingo sokuhlola."
Cabanga nje, umuntu ojwayelekile ubengenzani uma odokotela besho lokho? "O... akukho lutho olungalungile," akunjalo? Kodwa uNatoya akakwenzanga lokho. Inhliziyo yakhe yathi, "Cha, kukhona okungahambi kahle lapha." Wenqaba iseluleko sodokotela, futhi ngobunzima obukhulu, wenza i-mammogram . Kwakungenxa yalokho kuhlolwa lapho athola khona ukuthi unomdlavuza. Wayethemba inhliziyo yakhe, futhi impilo yakhe yasindiswa.
Iyini i-Triple-Negative Breast Cancer?
Ake sikubeke kalula lokhu. Cabanga ngamaseli omdlavuza njengesigebengu esigqekeza endlini. Lesi sigebengu sidinga izindawo ezifana neminyango namafasitela ukuze singene ngaphakathi. Ngokufanayo, amaseli amaningi omdlavuza webele asebenzisa 'iminyango' emithathu ekhethekile ebizwa ngokuthi 'ama-receptor' ukuze akhule, okungukuthi, akhule futhi asakazeke.
Kunjalo:
- Ama-receptor e-estrogen
- Ama-receptor e-progesterone
- I-Human Epidermal Growth Factor Receptor 2 (HER2)
Imithi eminingi yomdlavuza esiyinikezayo manje isebenza njengokungathi ikhiya 'iminyango' isela elingangena kuyo. Okusho ukuthi, iyamisa ukusebenza kwala ma-receptor. Khona-ke amangqamuzana omdlavuza awakwazi ukukhula.
Kodwa-ke, okukhethekile kwalolu hlobo lwe-'Triple-Negative' ukuthi amangqamuzana omdlavuza awanawo 'amasango' amathathu ashiwo. Yingakho ibizwa ngokuthi "triple-negative". Ngenxa yokuthi le 'minyango' ayikho, kunzima ngalezi zindlela zokwelapha ezivamile ukulawula lo mdlavuza. Ngenxa yalesi sizathu, lolu hlobo lomdlavuza lukhula ngokushesha, lusakazeka ngokushesha , futhi izinketho zokwelapha zilinganiselwe.
| Uhlobo lomdlavuza | 'Amasango' (ama-receptor) esitokisini somdlavuza | Izinketho zokwelapha |
|---|---|---|
| Umdlavuza One-Hormone Receptor | I-estrogen kanye/noma i-progesterone | Isabela kahle ekwelashweni okuqondiwe njengokwelashwa ngama-hormone. |
| Umdlavuza one-HER2 (HER2-Positive) | I-HER2 | I-HER2 isabela kahle ekwelashweni okuqondiwe. |
| Umdlavuza Ongemuhle Kathathu | Akukho noyedwa kwabathathu abamukelayo abangenhla. | Izindlela zokwelapha zilinganiselwe, ikakhulukazi ukwelashwa ngamakhemikhali. |
Uhambo olunzima lukaNatoya lokwelashwa
Ukwelapha umdlavuza onzima kangaka akulula. UNatoya kwadingeka abhekane nokwelashwa okunzima kakhulu.
- I-chemotherapy efakwa ngemithambo yegazi: Lolu uhlobo olunamandla kakhulu lokwelapha umdlavuza. Lunikezwa ukubulala amangqamuzana omdlavuza emzimbeni wonke.
- Ukususwa kwe-Lumpectomy: Lokhu ukususwa kweqhubu elinomdlavuza kanye nenani elincane lezicubu ezinempilo ezizungezile, ngaphandle kokususa lonke ibele.
- Ukwelashwa Ngemisebe: Ngemva kokuhlinzwa, imisebe enamandla aphezulu isetshenziswa ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele. UNatoya usethole imijikelezo engu-25 yalokhu.
- Ukwelashwa Nge-Oral Chemotherapy : Ngaphezu kokwelashwa ngemithambo yegazi, kwadingeka futhi asebenzise i-oral chemotherapy.
Izinselele zempilo zinkulu kunomdlavuza
UNatoya wayenezinye izinkinga ezinkulu empilweni yakhe, okungaphezu kokubekezelela ubuhlungu balezi zindlela zokwelapha. Cabanga nje, kwadingeka ahlukanise nomyeni wakhe ezinsukwini ezingu-12 ngaphambi kokuba atholakale enomdlavuza. Kunzima kangakanani ngomama ongayedwa onezingane ezimbili ukubhekana nesifo esibulalayo eyedwa?
Akukhona lokho kuphela, konke lokhu kwenzeka ngesikhathi umhlaba ubhekene nobhubhane. Wawungenakukwazi ukuphuma, wawungenakukwazi ukuhlangana nabantu. Kodwa uNatoya akazange ayeke. Amandla akhe amakhulu kwakuyinkolo yakhe nezingane zakhe ezimbili. Ngaphezu kwalokho, abangane bakhe, abantu emphakathini ayehlala kuwo, kanye nomeluleki wakhe wezokwelapha (umeluleki wengqondo) babengumthombo omkhulu wamandla kuye.
UNatoya ungumuntu ongazange avumele umdlavuza ukuthi ulawule impilo yakhe. Walwa nalesi sifo, wabhekana nobuhlungu, kodwa kukho konke lokho, wavela njengowesifazane oqinile.
Umlayezo Wokuya Nawe Ekhaya
- Lalela umzimba wakho: Lesi yisifundo esikhulu kakhulu esingasifunda endabeni kaNatoya. Uma ubona ushintsho olungavamile emzimbeni wakho, ikakhulukazi iqhubu esifubeni sakho, ungalushayi indiva bese uthi, "Lokhu kuyinto nje."
- Ubudala abuyona into ebalulekile: Ungacabangi ukuthi ukuba mncane kusho ukuthi ngeke uthole umdlavuza webele. Ezinye izinhlobo ezingavamile zingakhula kubantu abasebasha, ngakho-ke nakekela umzimba wakho njalo.
- Funa iseluleko sezokwelapha ngaphandle kokwesaba: Uma unemibuzo, bona udokotela wakho ngokushesha. Buza imibuzo kuze kube yilapho ukungabaza kwakho sekuphelile. Ungesabi ukuthola umbono wesibili uma kudingeka.
- Awuwedwa: Kubaluleke kakhulu ukufuna ukwesekwa emndenini, kubangani, futhi, uma kudingeka, umeluleki ngesikhathi sokugula. Lokhu kuzoba umthombo omkhulu wamandla kuwe.
- Ungalilahli ithemba: Bhekana nezinselele ngombono omuhle namandla njengoNatoya. Kungakhathaliseki ukuthi kufika izikhathi ezinzima kangakanani empilweni, hlala unethemba.
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