Yintoni ekufuneka ubuze ugqirha wakho malunga noMhlaza weSifuba

Umxholo

• Ngoku ukuba ndifunyenwe ndinomhlaza wamabele, ngaba zikhona ezinye iimvavanyo zokucinga endiza kuzifuna?
• Luhlobo luni lomhlaza wamabele endinawo, ufumaneka phi, kwaye oku kuthetha ntoni kwimbono yam?
• Lide kangakanani ithumba lam?
• Lithini inqanaba lethumba?
• Ngaba i-receptor yam inomdlavuza okanye i-hormone receptor-negative?
• Ngaba iiseli zam zomhlaza zina ezinye ii-receptors kumphezulu ezinokuchaphazela unyango lwam?
• Zeziphi iimpawu zomhlaza wamabele endinokuzifumana?
• Luthini unyango lwam ngomhlaza wamabele?
• Zeziphi iintlobo zokhetho zotyando ezikhoyo kum?
• Zeziphi iintlobo zonyango lwezam ezikhoyo kum?
• Zeziphi iintlobo zekhemotherapy ezikhethwa ndim?
• Zeziphi iintlobo zonyango lwehomoni onokukhetha kuzo?
• Zeziphi iintlobo zonyango lwe-monoclonal antibody ezikhethwe ndim?
• Zeziphi iintlobo zonyango lwe radiation endikhetha zona?
• Ngaba kuya kufuneka ndikhuphe ixesha emsebenzini ngalo naluphi na unyango. Ndizokwazi nini ukubuyela emsebenzini?
• Iyintoni imbono yam emva konyango?
• Ngaba lukhona uvavanyo lwezonyango endinokuthi ndithathe inxaxheba kulo?
• Kutheni ndafumana umhlaza wamabele?
• Zinto zini endinokuzenza ekhaya ukuphucula imbonakalo yam emva konyango kunye nokuphucula umgangatho wobomi bam?
• Zeziphi izixhobo zenkxaso ezikhoyo kum?

Andiqinisekanga ukuba ungaqala phi xa kufikwa ekubuzeni ugqirha wakho malunga nokufumanisa isifo somhlaza wamabele? Le mibuzo engama-20 yindawo efanelekileyo yokuqala:

Ngoku ukuba ndifunyenwe ndinomhlaza wamabele, ngaba zikhona ezinye iimvavanyo zokucinga endiza kuzifuna?

Buza i-oncologist yakho ukuba ngaba uya kufuna ezinye iimvavanyo zokucinga ukuba unesi sifo sisasazekile kwii-lymph node okanye amanye amalungu omzimba wakho.

Luhlobo luni lomhlaza wamabele endinawo, ufumaneka phi, kwaye oku kuthetha ntoni kwimbono yam?

Buza i-oncologist yakho, esekwe kwi-biopsy yakho, yeyiphi i-subtype yomhlaza wamabele onayo, apho ikhoyo ebeleni, kwaye oko kuthetha ntoni kwisicwangciso sakho sonyango kunye nembono yakho emva konyango.

Lide kangakanani ithumba lam?

Ukuqonda ukuba leliphi inqanaba lomhlaza wamabele onalo kubalulekile. Buza ugqirha wakho ukuba akuchazele inqanaba kwaye ufumane ukuba yeyiphi na enye into ngaphandle kwebele.

Ngokwenqanaba, isigaba somhlaza wakho webele sisekwe kubungakanani besisu, nokuba umhlaza usasazekile nakweyiphi na i-lymph node, nokuba umhlaza usasazekile nakwezinye iindawo emzimbeni.

Lithini inqanaba lethumba?

Iimpawu ezikhethekileyo zesifo somhlaza webele zichaphazela indlela enobukrwada ngayo ithumba lakho. Oku kubandakanya inani leeseli zethumba ezizalayo, kunye nendlela engaqhelekanga ngayo iiseli zethumba xa zivavanywa phantsi kwemicroscope.

Ukuphakama kwenqanaba, kokungaphantsi iiseli zomhlaza zifana neeseli zebele eziqhelekileyo. Inqanaba lesisu sakho sinokuchaphazela umbono wakho kunye nesicwangciso sonyango.

Ngaba i-receptor yam inomdlavuza okanye i-hormone receptor-negative?

Buza ugqirha wakho ukuba ngaba umhlaza wakho unazo ii-receptors. Ezi ziimolekyuli kumphezulu weseli ezibophelela kwiihormoni emzimbeni ezinokukhuthaza ithumba ukuba likhule.

Ngokukodwa buza ukuba umhlaza wakho yi-estrogen receptor-positive okanye i-receptor-negative, okanye i-progesterone receptor-positive okanye i-receptor-negative. Impendulo iya kumisela ukuba uyawasebenzisa okanye awunawo na amayeza athintela ifuthe lamahomoni ukunyanga umhlaza wamabele.

Ukuba i-biopsy yakho ayibandakanyi kuvavanyo lwee-receptors ze-hormone, cela ugqirha wakho ukuba enze olu vavanyo lwenziwe kwisampuli ye-biopsy.

Ngaba iiseli zam zomhlaza zina ezinye ii-receptors kumphezulu ezinokuchaphazela unyango lwam?

Ezinye iiseli zomhlaza webele zinee-receptors okanye iimolekyuli kumphezulu ezinokubopha ezinye iiproteni emzimbeni. Ezi zinokuvuselela ithumba ukuba likhule.

Umzekelo, iAmerican Cancer Society (ACS) icebisa ukuba zonke izigulana ezinomhlaza wamabele ongenayo zivavanywe ukuze kubonwe ukuba ngaba iiseli zazo zethumba zinamanqanaba aphezulu e-HER2 protein receptor. Oku kubalulekile kuba kukho ezinye iindlela zokhetho zonyango lwe-HER2-positive cancer cancer.

Buza i-oncologist yakho ukuba umhlaza wakho une-HER2-positive. Kwaye ukuba awuzange uvavanyelwe i-HER2 protein receptors, cela i-oncologist yakho ukuba iodole uvavanyo.

Zeziphi iimpawu zomhlaza wamabele endinokuzifumana?

Fumanisa ukuba zeziphi iimpawu zomhlaza webele onokuthi ube nazo kwixesha elizayo, kwaye zeziphi iimpawu ekufuneka unxibelelane nogqirha wakho ngazo.

Luthini unyango lwam ngomhlaza wamabele?

Unyango lwakho luya kuxhomekeka koku kulandelayo:

• uhlobo lomhlaza
• inqanaba lomhlaza
• ihormone kunye nenqanaba lokufumana i-HER2
• Inqanaba lomhlaza
• Imbali yakho yezonyango kunye nobudala

Zeziphi iintlobo zokhetho zotyando ezikhoyo kum?

Unokuba ngumgqatswa wokususwa ngotyando (lumpectomy), ukususwa kwesifuba (i-mastectomy), kunye nokususwa kotyando lwee-lymph node ezichaphazelekayo. Bacele oogqirha bakho bachaze ubungozi nezibonelelo zokhetho ngalunye.

Ukuba oogqirha bakho bancomela ukubelekisa, babuze ukuba ngaba kukuphinda ukwenze uqhaqho lwesifuba.

Zeziphi iintlobo zonyango lwezam ezikhoyo kum?

Buza i-oncologist yakho ukuba ngaba kukho ezi zonyango zilandelayo:

• ichemotherapy
• imitha
• Unyango lwehomoni
• unyango lwe-monoclonal antibody

Zeziphi iintlobo zekhemotherapy ezikhethwa ndim?

Ukuba ugqirha wakho ucebisa ngekhemotherapy, babuze ukuba yeyiphi indibaniselwano ye-chemo ethathelwa ingqalelo. Fumanisa ukuba yintoni ingozi kunye nezibonelelo ze-chemotherapy.

Kukwabalulekile ukubuza ukuba zeziphi iziphumo ebezingalindelekanga zokudibanisa iirejimeni zokudibanisa. Umzekelo, ukuba ukulahleka kweenwele okwethutyana kukukhathaza, buza i-oncologist yakho ukuba amayeza acetyiswayo angabangela ukulahleka kweenwele okanye i-alopecia.

Zeziphi iintlobo zonyango lwehomoni onokukhetha kuzo?

Ukuba i-oncologist yakho icebisa unyango lwehomoni, buza ukuba loluphi kolu nyango luthathelwa ingqalelo. Fumanisa ukuba yintoni ingozi kunye nezibonelelo zonyango lwehomoni kunye neziphumo ebezingalindelekanga ezinokubakho.

Zeziphi iintlobo zonyango lwe-monoclonal antibody ezikhethwe ndim?

Iintsholongwane zeMonoclonal zibopha ukubopha kwezinto kwii-receptors kumphezulu wamathumba. Ukuba i-oncologist yakho icebisa unyango ngamachiza e-monoclonal, buza ugqirha wakho ukuba zeziphi iindlela zonyango eziqwalaselwayo.

Fumanisa ukuba yeyiphi imingcipheko kunye nezibonelelo nokuba zeziphi iziphumo ebezingalindelekanga ze-monoclonal antibodies.

Zeziphi iintlobo zonyango lwe radiation endikhetha zona?

Fumanisa ukuba yeyiphi ingozi kunye nezibonelelo zemitha kumhlaza wakho, nokuba zeziphi na iziphumo ebezingalindelekanga ezinokubakho.

Ngaba kuya kufuneka ndikhuphe ixesha emsebenzini ngalo naluphi na unyango. Ndizokwazi nini ukubuyela emsebenzini?

Buza i-oncologist yakho ukuba iziphumo ebezingalindelekanga zonyango lwakho ziya kufuna ukuba uthathe ikhefu emsebenzini ngexesha okanye emva konyango. Yazisa umqeshi wakho kwangaphambili ukuba licebisa ntoni iqela lakho lokhathalelo lwempilo.

Iyintoni imbono yam emva konyango?

Imbono yakho emva konyango ixhomekeke koku kulandelayo:

• imbali yakho yonyango
• iminyaka yakho
• uhlobo lwethumba
• inqanaba lethumba
• indawo yethumba
• Inqanaba lomhlaza

Kwangoko inqanaba lakho lomhlaza wamabele lixesha lokuchongwa kunye nonyango, kokukhona kunokwenzeka ukuba unyango luya kuphumelela.

Ngaba lukhona uvavanyo lwezonyango endinokuthi ndithathe inxaxheba kulo?

Ukuba unenqanaba eliphambili lomhlaza webele, unokufuna ukucinga ngezilingo zeklinikhi. Iingcali zakho ze-oncologists zinokukwazi ukukukhomba kwicala elilungileyo, okanye unokujonga ku-http: //www.clinicaltrials.gov/ ngolwazi oluthe kratya.

Kutheni ndafumana umhlaza wamabele?

Lo mbuzo usenokungakwazi ukuwuphendula, kodwa awuzukukhathazeka ukubuza. Kunokubakho umngcipheko njengembali yosapho okanye iindlela zokuphila ezinjengokutshaya imidiza. Ukutyeba kakhulu kunokwandisa umngcipheko wokufumana umhlaza webele.

Zinto zini endinokuzenza ekhaya ukuphucula imbonakalo yam emva konyango kunye nokuphucula umgangatho wobomi bam?

Buza i-oncologist yakho ukuba kukho utshintsho kwindlela onokuyenza ngayo. Utshintsho olucetyiswayo lunokubandakanya:

• ukwenza utshintsho kwindlela otya ngayo
• ukunciphisa uxinzelelo
• ukwenza umthambo
• ukuyeka ukutshaya
• ukunciphisa ukuselwa kotywala

Ezi zinto ziya kunceda ukukhawulezisa ukuchacha kwakho kunyango kunye nokunyusa amathuba akho okuba neziphumo ezingcono.

Zeziphi izixhobo zenkxaso ezikhoyo kum?

Ukufumana uncedo nenkxaso kubalulekile ngeli xesha. Cinga ngokuya kumaqela enkxaso yendawo ngezinto ezinje ngemicimbi yezemali kunye nokufumana inkxaso ebonakalayo njengokufumana uthutho xa kufuneka. Uyakukwazi ukufumana inkxaso yeemvakalelo kumaqela abhengezayo afana noMbutho Womhlaza waseMelika.