Ukwelashwa komdlavuza - ukuya esikhathini kokuqala

Izinhlobo ezithile zokwelashwa komdlavuza zingadala ukuthi abesifazane basheshe baye esikhathini. Lokhu ukunqamuka kokuya esikhathini okwenzeka ngaphambi kweminyaka yobudala engama-40. Kwenzeka lapho amaqanda akho eyeka ukusebenza futhi ungasayi esikhathini futhi ungakwazi ukukhulelwa.

Ukunqamuka kokuya esikhathini kusenesikhathi kungadala izimpawu ezinjengokushisa okushisayo nokoma kwesitho sangasese sowesifazane. Umhlinzeki wakho wokunakekelwa kwezempilo angakusiza uthole ukwelashwa kwalezi zimpawu.

Ukwelashwa komdlavuza okungadala ukuya esikhathini kokuqala kufaka:

• Ukuhlinzwa. Ukususwa womabili amaqanda kudala ukuthi ukuya esikhathini kwenzeke ngokushesha. Uma uneminyaka engama-50 noma ngaphansi, umhlinzeki wakho angazama ukushiya i-ovary noma ingxenye ye-ovary uma kungenzeka. Lokhu kungakuvimbela ekubeni unganqamuka ekuqaleni.
• Ukwelashwa ngamakhemikhali (chemo). Ezinye izinhlobo ze-chemo zingalimaza ama-ovari akho futhi zibangele ukuya esikhathini kokuqala. Ungase uyeke ukuya esikhathini ngokushesha noma izinyanga ngemuva kokwelashwa. Ingozi yakho yokunqamuka kokuya esikhathini ekuqaleni kwe-chemo incike ohlotsheni nenani lomuthi we-chemo onawo. Uma umncane, mancane amathuba okuthi ube nokunqamuka kokuya esikhathini okuvela ku-chemo.
• Imisebe. Ukuthola imisebe endaweni yakho ye-pelvic nakho kungalimaza ama-ovari akho. Kwezinye izimo, ama-ovari akho angaphola futhi aqale ukusebenza futhi. Kepha, uma uthola imithamo emikhulu yemisebe, umonakalo ungaba unomphela.
• Ukwelashwa kweHormone. Lokhu kwelashwa okusetshenziselwa ukwelapha umdlavuza webele nowesibeletho kungadala ukuthi uyeke ukuya esikhathini ekuqaleni.

Buza umhlinzeki wakho uma ukwelashwa kwakho komdlavuza kungadala ukuya esikhathini kokuqala.

Lapho ama-ovari akho esuswa noma eyeka ukusebenza, awasenzi i-estrogen. Lokhu kudala izimpawu ezifanayo nokunqamuka kokuya esikhathini ngokwemvelo.

• Ukoma kwesitho sangasese sowesifazane noma ukuqina
• Ukushisa okushisayo
• Ukushintsha kwemizwelo
• Idrayivu yocansi ephansi
• Izinkinga zokulala

Kwezinye izimo, lezi zimpawu zingase ziqine futhi zibe nzima.

I-estrogen encane emzimbeni wakho futhi inyusa ingozi yakho yezimo ezithile zezempilo, njenge:

• Isifo senhliziyo
• I-osteoporosis (ukuncipha kwamathambo)

Imithi eminingi ingasiza ekunciphiseni izimpawu zokunqamuka kokuya esikhathini kokuqala. Kubandakanya imithi nokwelashwa ngendlela ongayenza ekhaya.

Eminye imithi engasiza ifaka:

• Ukwelashwa kweHormone. Kwezinye izimo, umhlinzeki wakho angahle anikeze ama-hormone abesifazane ukuthi asize ngokushisa okushisayo nezinye izimpawu. Kepha, kunezingozi ezithile ngamahomoni, futhi ungahle ungakwazi ukuzithatha uma ngabe unezinhlobo ezithile zomdlavuza.
• I-estrogen yesitho sangasese sowesifazane. Noma ungakwazi ukuthatha ukwelashwa ngamahomoni, ungakwazi ukusebenzisa amanani amancane e-estrogen ngaphakathi noma ezungeze isitho sakho sangasese ukusiza ukoma. La ma-hormone eza ngama-cream, ama-gel, amaphilisi, namasongo. Udinga incwadi kadokotela evela kumhlinzeki wakho yale mithi.
• Ama-anti-depressants noma eminye imithi. Uma ungeke ukwazi ukuthatha ama-hormone, umhlinzeki wakho angahle anikeze olunye uhlobo lomuthi ukusiza ngokushisa okushisayo, okufana nezidambisi ezithile zokulwa (noma ungacindezelekile). Ngenxa yemiphumela yazo yamakhemikhali, lokhu kuyasebenza ekukhanyeni okushisayo noma ungacindezelekile.
• Amafutha noma amafutha okuthambisa. Le mikhiqizo ingasiza ukwenza ucansi lube ntofontofo uma ngabe womile esithweni sangasese. Bheka okokuthambisa okwenziwe ngamanzi, njenge-KY Jelly noma i-Astroglide. Noma, zama ukusebenzisa i-moisturizer yangasese efana ne-Replens njalo ezinsukwini ezimbalwa.
• Imithi yokwehla kwamathambo. Abanye besifazane bathatha imithi yokusiza ukunciphisa ukulahleka kwethambo ngemuva kokunqamuka kokuya esikhathini. Buza umhlinzeki wakho ukuthi ngabe lolu hlobo lomuthi lungakulungela yini.

Imithi ongayizama ekhaya ifaka phakathi:

• Ukuhlala usebenza. Ukuvivinya umzimba njalo kungasiza ngokushintshashintsha kwemizwelo, izinkinga zokulala, nokukhanya okushisayo okuncane.
• Imikhuba yokulala enempilo. Ukulala ngokwanele kungasiza ekunciphiseni ukuguquguquka kwemizwelo. Kepha, uma unenkinga yokulala ebusuku, zama ukweqa isithongwana emini. Kufanele futhi ugweme i-caffeine ntambama, futhi ungadli kakhulu noma wenze noma yini esebenzayo ngaphambi kokulala.
• Ukugqoka ngezendlalelo. Lokhu kungasiza ngokukhanya okushisayo, ngoba ungasusa izingqimba lapho uzizwa ushisa. Kungasiza futhi ukugqoka izingubo ezikhululekile, zikakotini.

Buza umhlinzeki wakho ukuthi yiziphi izindlela zokwelashwa ezingakusiza kakhulu.

Njengoba ukuya esikhathini kokuqala kungathinta impilo yakho yethambo nenhliziyo, kubalulekile ukuthatha izinyathelo zokuzigcina ziphilile. Nakhu ukuthi:

• Yidla ukudla okunempilo. Gxila kuzithelo nemifino emisha, okusanhlamvu okuphelele, inyama enonile, inhlanzi, amantongomane, ubhontshisi, nemikhiqizo yobisi enamafutha amancane.
• Thola i-calcium eyanele novithamini D. Lezi zakhi zomzimba zisiza ekwakheni amathambo. Ukudla okunothe nge-calcium kufaka i-yogurt engenamafutha nobisi, isipinashi nobhontshisi omhlophe. Umzimba wakho wenza iningi uvithamini D walo elangeni, kodwa futhi ungawuthola ku-salmon, amaqanda, nobisi olune-vitamin D engeziwe. Buza umhlinzeki wakho uma udinga ukuthatha izithasiselo.
• Vivinya umzimba. Izinhlobo ezinhle kakhulu zokuzivocavoca emathanjeni akho izivivinyo ezithwala isisindo ezisebenza nomzimba wakho kumandla adonsela phansi. Eminye imibono ifaka phakathi ukuhamba, i-yoga, ukuhamba izintaba, ukudansa, ukuphakamisa izinsimbi, ingadi kanye nethenisi.
• UNGABHALI. Ukubhema kukhulisa ingozi yakho kokubili ukukhumuzeka kwamathambo nesifo senhliziyo. Uma udinga usizo lokuyeka, buza umhlinzeki wakho.
• Buza ngokuhlolwa kwesisindo samathambo. Lokhu ukuhlolwa okuhlola i-osteoporosis. Lokhu ukuhlolwa okunconywayo kubo bonke abesifazane abaneminyaka engama-65, kepha ungakudinga ngaphambi kwesikhathi uma unqamuka esikhathini sokuqala.
• Gcina umbhalo walokho izinombolo zakho. Qiniseka ukuthi umhlinzeki wakho uhlola umfutho wegazi, cholesterol, kanye namazinga kashukela wakho njalo. Lezi zivivinyo ezilula zingakusiza ukukutshela uma usengozini yesifo senhliziyo noma sohlangothi.

Ukunqamuka kokuya esikhathini ngaphambi kwesikhathi; Ukungalingani kwe-ovari - umdlavuza

Iwebhusayithi yeNational Cancer Institute. Izinkinga zezempilo yezocansi kwabesifazane abanomdlavuza. www.cancer.gov/about-cancer/treatment/side-effects/ukuya kwabesifazane-abesifazane. Kubuyekezwe ngoJanuwari 23, 2020. Kufinyelelwe ngoJanuwari 25, 2021.

UMitsis D, Beaupin LK, O'Connor T. Izinkinga zokuzala. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 43.

• Umdlavuza
• Ukunqamuka kokuya esikhathini