Ukwelapha nokulawula umdlavuza webele ngesikhathi sokukhulelwa

-Delile

• Ukubuka konke
• Umdlavuza webele nokukhulelwa: Ukwelashwa okubheka impilo yengane
• Yiziphi izinketho zokwelashwa komdlavuza webele ngesikhathi sokukhulelwa?
• Ukuhlinzwa
• Ukwelashwa ngamakhemikhali
• Imisebe
• Izindlela zokwelapha ezihlosiwe
• I-Mastectomy ngesikhathi sokukhulelwa
• Ukwelashwa kokuncelisa nokuncelisa umdlavuza
• Umbono womdlavuza webele ngesikhathi sokukhulelwa

Ukubuka konke

Ukuthola ukuxilongwa komdlavuza webele ngenkathi ukhulelwe akuyona into ejwayelekile. Kulinganiselwa ukuthi kwenzeka cishe kokukodwa koku-1 kuya ku-1 kwabakhulelwe abangu-10 000.

Umdlavuza webele ohlotshaniswa nokukhulelwa ufaka umdlavuza webele otholakala nganoma yisiphi isikhathi ngesikhathi sokukhulelwa noma ku-.

Kungenzeka ukuthi umdlavuza webele ekukhulelweni ukhuphukile ngoba abesifazane abaningi bathola izingane kamuva empilweni. Ingozi yokuba nomdlavuza webele ngeminyaka yowesifazane.

Ukukhulelwa akubangeli umdlavuza webele, kepha uma usuvele unamaseli athile omdlavuza webele, izinguquko ze-hormonal zokukhulelwa zingadala ukuthi zikhule.

Qhubeka ufunde ukuze ufunde kabanzi ngomdlavuza webele ngesikhathi sokukhulelwa, izinketho zokwelashwa, nokuthi yini ongayilindela wena nengane yakho.

Umdlavuza webele nokukhulelwa: Ukwelashwa okubheka impilo yengane

Ukuhlonza nokwelapha umdlavuza webele kuyinkimbinkimbi ngokukhulelwa. Umgomo ukwelapha umdlavuza, uma kungenzeka, noma ukuwugcina ungasabalali ngenkathi uvikela impilo yengane yakho. Ithimba lakho lokunakekela umdlavuza kanye nodokotela wakho wokubeletha bazodinga ukuhlanganisa ukuze banakekele wena nengane yakho kangcono kakhulu.

Kunomdlavuza webele osabalalela embungwini, noma ngabe kunezimo lapho utholwe khona ku-placenta. Kulokho okwalandela izingane ezavezwa ukwelashwa ngamakhemikhali esibelethweni iminyaka engaphezu kwengu-18, azikho ezitholakele zinomdlavuza noma okunye okungajwayelekile okubi.

Ezinye izindlela zokwelashwa kungadingeka ukuthi zibambezeleke kuze kube yilapho ingane izelwe. Umgomo ukuthwala ingane eduze nesikhathi esigcwele ngangokunokwenzeka.

Amathuba okusinda kufanele athuthuke ngokuqeda ukukhulelwa. Uma kuqhathaniswa nabesifazane abangakhulelwe futhi abanezinhlobo ezifanayo zomdlavuza webele, womabili amaqembu anombono ofanayo ngokujwayelekile.

Yiziphi izinketho zokwelashwa komdlavuza webele ngesikhathi sokukhulelwa?

Lapho uza nohlelo lokwelashwa, okuningi kuzoncika ebangeni lomdlavuza. Odokotela bakho bazocubungula:

• isibalo nosayizi wamathumba
• tumor grade, ekhombisa ukuthi umdlavuza ungalindeleka ukuthi ukhule futhi usabalale ngokushesha kangakanani
• uhlobo oluthile lomdlavuza webele
• kukude kangakanani lapho ukhulelwe
• impilo yakho jikelele
• okuthandwa nguwe

Ukuhlinzwa

Ukwelashwa komugqa wokuqala komdlavuza webele ukuhlinzwa, noma ngabe ukhulelwe. Lokhu kungasho ukuhlinzekwa kokugcina amabele (i-lumpectomy) noma i-mastectomy ngokususwa kwe-lymph node.

Ukuhlinzwa kwesifo somdlavuza webele kusenesikhathi kubhekwa njengokuphephile ngesikhathi sokukhulelwa, yize i-anesthesia ejwayelekile ingaletha enganeni.

Ukwelashwa ngamakhemikhali

I-Chemotherapy ngokuvamile ayinikezwa ngesikhathi se-trimester yokuqala yokukhulelwa, lapho izitho zangaphakathi zomntwana zikhula. Ucwaningo lukhombisa ukuthi kuphephile ukusebenzisa ezinye izidakamizwa ze-chemo ngesikhathi samathathu wesibili nowesithathu, kepha akuvamisile ukunikezwa emasontweni amathathu okugcina okukhulelwa.

Ukusetshenziswa kwe-chemotherapy kungaxhomeka ohlotsheni oluthile lomdlavuza webele onawo nokuthi unolaka kangakanani. Kwezinye izimo, ukulinda uze uhambise kuyinketho.

Imisebe

Ukweqiwa okuphezulu kwemisebe enikezwa nganoma yisiphi isikhathi ngesikhathi sokukhulelwa kungabeka izingozi engozini enganeni. Lezi zingozi zifaka:

• ukukhulelwa kwesisu
• ukukhula kancane kombungu
• ukukhubazeka kokuzalwa
• umdlavuza wengane

Ngalesi sizathu, ukwelashwa ngemisebe kuvame ukubambezeleka kuze kube ngemuva kokuzalwa kwengane.

Izindlela zokwelapha ezihlosiwe

Izindlela zokwelapha zeHormone kanye nezindlela zokwelashwa ezihlosiwe azithathwa njengeziphephile ukusebenzisa ngesikhathi sokukhulelwa. Lokhu kufaka:

• i-aromatase inhibitors
• i-bevacizumab (Avastin)
• everolimus (Afinitor)
• i-lapatinib (iTykerb)
• i-palbociclib (Ibrance)
• tomoxifen
• i-trastuzumab (Herceptin)

I-Mastectomy ngesikhathi sokukhulelwa

Ukuhlinzwa kuyindlela yokwelashwa eyinhloko yomdlavuza webele, noma ngabe ukhulelwe.

I-Lumpectomy inikezwa ihlanganiswe nokwelashwa ngemisebe, kepha imisebe kufanele ilinde kuze kube ngemuva kokuzalwa kwengane. Le inketho uma useduze nokulethwa futhi imisebe ngeke ibambezeleke isikhathi eside kakhulu.

Ngaphandle kwalokho, i-mastectomy imvamisa iyindlela engcono. Lapho une-mastectomy, udokotela ohlinzayo uzophinde ahlole ama-lymph node ngaphansi kwengalo yakho ukubona ukuthi umdlavuza ususakazekile yini. Lokhu kwesinye isikhathi kufaka ukusetshenziswa kwe-tracers ye-radioactive nedayi. Ngokuya ngokuthi ubude kangakanani lapho ukhulelwe, udokotela wakho angancoma ngokumelene nalokhu.

I-anesthesia ejwayelekile ingabeka ingozi enganeni. Udokotela wakho wokubelethisa, udokotela obulala izinzwa, nodokotela ohlinzayo bazosebenzisana ukuze banqume ngesikhathi nangendlela ephephe kunazo zonke yokwenza ukuhlinzwa.

Ukwelashwa kokuncelisa nokuncelisa umdlavuza

Kungenzeka ukuthi uncelise ibele ngemuva kwe-lumpectomy, kepha izicubu ezibomvu kanye nevolumu yobisi encishisiwe kungenza kube nzima kuleso sifuba. Elinye ibele lakho alithinteki.

Uma une-mastectomy enecala elilodwa, uzokwazi ukuncelisa ibele elingathintekile.

I-Chemotherapy, ukwelashwa kwamahomoni, kanye nemithi yokwelashwa ehlosiwe kungadluliselwa enganeni yakho ngobisi lwebele.

Uma ungathanda ukuncelisa, khuluma ne-oncologist yakho kanye nodokotela wakho wokubeletha ukuze uqiniseke ukuthi kuphephile. Ungase futhi uthande ukukhuluma nomxhumanisi we-lactation.

Umbono womdlavuza webele ngesikhathi sokukhulelwa

Ukufunda ukuthi unomdlavuza webele ngenkathi ukhulelwe kungakucindezela wena nomndeni wakho. Cabanga ukubona owelapha ukuze akusize udlule kulesi sikhathi esiyinselele. Nazi ezinye izinsiza ongaqala ngazo:

• Buza i-oncologist yakho noma isikhungo sokwelapha ukuthi udlulisele kubelaphi namaqembu okusekela.
• Finyelela kumxhumanisi we-lactation webhodi oqinisekisiwe ngemibuzo yakho yokuncelisa.
• Bheka iYoung Survival Coalition, uhlelo lokuxhasa abesifazane abasha abatholakala benomdlavuza webele.
• Xhumana ne-American Cancer Society ukuthola imininingwane ngezinhlelo zokweseka kanye nezinsizakalo endaweni yangakini.