Buza iNgcali: Imibuzo esi-8 malunga nokuchuma kunye noMhlaza weMastast Breast

Umxholo

• 1. I-MBC inokuchaphazela njani ukuchuma kwam?
• 2. Zithini iimpembelelo zonyango lwe-MBC kumandla am okumitha?
• 3. Zeziphi iindlela zokulondolozwa kokuchuma ezikhoyo kwabasetyhini abane-MBC?
• 4. Ngaba ndingathatha ikhefu kunyango ukuze ndikhulelwe?
• 5. Ngawaphi amathuba am okufumana abantwana kwixa elizayo?
• 6. Ngabaphi ogqirha ekufuneka ndibabonile ukuba baxoxe ngeendlela zam zokuzala?
• 7. Ngaba ndisenalo ithuba lokuba nabantwana ukuba andikhange ndenze naziphi na iindlela zokulondolozwa kokuchuma ngaphambi konyango?
• 8. Ukuba ndingena exesheni ngaphambi kwexesha kunyango lwam, ngaba oko kuthetha ukuba soze ndikwazi ukuba nabantwana?

1. I-MBC inokuchaphazela njani ukuchuma kwam?

Umhlaza webele we-Metastatic (MBC) unokubangela ukuba umfazi aphulukane namandla akhe okuba nabantwana ngamaqanda akhe. Esi sifo sinokulibazisa ixesha xa umfazi enokukhulelwa.

Esinye isizathu kukuba emva kokuqala unyango, oogqirha bahlala becela abantu basetyhini ukuba balinde iminyaka ngaphambi kokukhulelwa ngenxa yomngcipheko wokuphindaphinda. Esinye isizathu kukuba unyango lwe-MBC lunokubangela ukuya exesheni kwangoko. Le micimbi mibini ikhokelela ekwehleni kwezinga lokuchuma kwabasetyhini abane-MBC.

Abasetyhini bazalwa nawo onke amaqanda esiya kuba nawo, kodwa njengoko ixesha lihamba, siphelelwa ngamaqanda asebenzayo. Ngelishwa, ubudala bubutshaba bokuchuma.

Umzekelo, ukuba ufunyaniswe une-MBC uneminyaka engama-38, kwaye uxelelwe ukuba awukwazi ukukhulelwa de ube neminyaka engama-40, uqala okanye ukhulisa usapho lwakho kubudala apho umgangatho weqanda lakho kunye namathuba okukhulelwa kwendalo asezantsi kakhulu . Ngaphezulu koko, unyango lwe-MBC lunokuchaphazela ukubalwa kweqanda lakho.

2. Zithini iimpembelelo zonyango lwe-MBC kumandla am okumitha?

Unyango lwe-MBC lunokukhokelela ekuyekeni ukuya exesheni kwangoko.Kuxhomekeka kubudala bakho ekufumanekeni, oku kunokuthetha ukubanakho kokukhulelwa okuzayo. Kungenxa yoko le nto kubaluleke kakhulu kubafazi abane-MBC ukuba baqwalasele ukugcinwa kokuchuma ngaphambi kokuqala unyango.

Amachiza e-Chemotherapy anokubangela into ebizwa ngokuba yi-gonadotoxicity. Ukubeka nje, zinokubangela ukuba amaqanda kwi-ovary yowesifazane aphele ngokukhawuleza kunesiqhelo. Xa oku kusenzeka, amaqanda aseleyo anethuba elisezantsi lokujika abe kukukhulelwa okusempilweni.

3. Zeziphi iindlela zokulondolozwa kokuchuma ezikhoyo kwabasetyhini abane-MBC?

Iindlela zokulondolozwa kokuchuma kwabasetyhini abane-MBC kubandakanya ukubanda kweqanda kunye nokuqanduselwa kombungu. Kubalulekile ukuba uthethe nengcali malunga nokuzala malunga nezi ndlela ngaphambi kokuqala ichemotherapy okanye uqhaqho lokuzala.

Ukucinezelwa kwe-Ovarian ngamayeza abizwa ngokuba yi-GnRH agonist anokugcina nomsebenzi we-ovari. Usenokuba ukhe weva okanye wafunda ngonyango olufana nokubuyisa kunye nokugcina amaqanda amancinci kunye ne-ovarian tissue cryopreservation. Nangona kunjalo, ezi zonyango azifumaneki ngokulula okanye zithembekile kwabasetyhini abane-MBC.

4. Ngaba ndingathatha ikhefu kunyango ukuze ndikhulelwe?

Lo ngumbuzo oxhomekeke kunyango oza kulufuna kunye nemeko yakho ye-MBC. Kubalulekile ukuba uthethe ngokugqibeleleyo kunye noogqirha bakho ukuvavanya ukhetho lwakho ngaphambi kokwenza isigqibo.

Abaphandi bazama nokuphendula lo mbuzo ngovavanyo olulungileyo. Kolu phando, abaphandi baqesha amabhinqa angama-500 angama-premenopausal anomdlavuza webele wokuqala we-ER. Emva kwekhefu lonyango lweenyanga ezi-3, abasetyhini bayayeka unyango ukuya kuthi ga kwiminyaka emibini ukukhulelwa. Emva kwelo xesha, banokuqalisa kwakhona unyango lwe-endocrine.

Ukuphela kwe-2018, ngaphezulu kwe-300 yabasetyhini ababhalisile kufundo kwaye phantse i-60 yeentsana zazalwa. Abaphandi baya kulandelelana nabasetyhini kwiminyaka eyi-10 yokujonga ukuba baqhuba njani. Oku kuyakuvumela abaphandi ukuba babone ukuba ikhefu kunyango lunokukhokelela kumngcipheko ophezulu wokuphindeka kwakhona.

5. Ngawaphi amathuba am okufumana abantwana kwixa elizayo?

Ithuba lomfazi lokukhulelwa ngempumelelo lihambelana nezinto ezimbalwa, kubandakanya:

• ubudala
• Amanqanaba e-anti-Mullerian hormone (AMH)
• ubalo lwe follicle
• amanqanaba e-follicle avuselelayo (FSH) amanqanaba
• Amanqanaba e-estradiol
• yemfuza
• iimeko zokusingqongileyo

Ukufumana uvavanyo olusisiseko ngaphambi kokuba unyango lwe-MBC lube luncedo. Olu vavanyo luya kukuxelela ukuba mangaphi amaqanda onokuthi ube neqhwa, nokuba uqwalasele iimbumba ezibandayo, okanye ukuba kufanelekile ukwenza zombini. Ndikwacebisa ukubeka esweni amanqanaba okuzala emva konyango.

6. Ngabaphi ogqirha ekufuneka ndibabonile ukuba baxoxe ngeendlela zam zokuzala?

Ukuze abaguli be-MBC bandise amathuba abo okukhulelwa kwixa elizayo, kubalulekile ukuba bafune iingcebiso kwangoko kunye nokudluliselwa kwiingcali zokuchuma.

Ndixelela abaguli bam abanomhlaza ukuba babone igqwetha lezomthetho losapho ukuba lenze ukuthembela kumaqanda akho okanye iimbungu xa kunokwenzeka into yehle kuwe. Unokuxhamla ngokuthetha nonyango ukuze uxoxe ngempilo yakho yeemvakalelo kuyo yonke le nkqubo.

7. Ngaba ndisenalo ithuba lokuba nabantwana ukuba andikhange ndenze naziphi na iindlela zokulondolozwa kokuchuma ngaphambi konyango?

Abasetyhini abangazange bakugcine ukuchuma kwabo ngaphambi kokunyangwa komhlaza banokukhulelwa. Umngcipheko wokungachumi unento yokwenza nobudala bakho ngexesha lokuchongwa kunye nohlobo lonyango olufumanayo.

Umzekelo, owasetyhini owafunyaniswa ukuba uneminyaka engama-27 unethuba eliphezulu lokuba namaqanda ashiye emva konyango xa kuthelekiswa nowasetyhini ofunyenwe eneminyaka engama-37.

8. Ukuba ndingena exesheni ngaphambi kwexesha kunyango lwam, ngaba oko kuthetha ukuba soze ndikwazi ukuba nabantwana?

Ukukhulelwa kweMenopausal kunokwenzeka. Ngelixa kunokubonakala ngathi la magama mabini akahambi kunye, eneneni banako. Kodwa ithuba lokukhulelwa elikhulelwe ngokwendalo ngaphandle koncedo lwegcisa lokuchuma emva kokuyeka ukuya exesheni kunyango liphantsi.

Unyango lweHormone lunokwenza ukuba isibeleko sikulungele ukwamkela umbungu, ke ngoko umfazi unokufumana ukukhulelwa okusempilweni emva kokuba eyekile ukuya exesheni. Umfazi unokusebenzisa iqanda awalikhenkcezayo ngaphambi konyango, umbungu, okanye amaqanda anikezelwe ukukhulelwa. Amathuba akho okukhulelwa ahambelana nempilo yeqanda okanye umbungu ngexesha lokudalwa kwalo.

Ugqirha Aimee Eyvazzadeh weSan Francisco Bay Area ubone amawaka ezigulana ajongana nokungachumi. Amayeza othintelo, asebenzayo, kunye nawenzelwe wena ayisiyiyo into ayishumayelayo njengenxalenye ye-Egg Whisperer Show yakhe yeveki, kodwa ikwayile nto ayenzayo nabazali abanethemba asebenzisana nabo unyaka nonyaka. Njengenxalenye yemishini yokwenza ukuba abantu bazi ngakumbi ngokuzala, ukhathalelo lwakhe ludlulela ngaphaya kweofisi yakhe eCalifornia kubantu kwihlabathi liphela. Ufundisa ngeendlela zokulondolozwa kokuchuma ngamaQela aQandayo amaqanda kunye nokusasaza kwakhe iVeki ye-Egg Whisperer Show, kwaye kunceda abasetyhini baqonde amanqanaba abo okuchuma ngeepaneli zokuLumkisa ukuchuma kweqanda. UGqr. Aimee ukwamfundisa uphawu "lwendlela ye-TUSHY" ukukhuthaza izigulana ukuba ziqonde umfanekiso opheleleyo wezempilo yabo yokuzala ngaphambi kokuqala unyango.