Buza Isazi: Imibuzo eyi-8 Mayelana Nokuzala kanye Nomdlavuza Webele Wemibele

-Delile

• 1. I-MBC ingakuthinta kanjani ukuzala kwami?
• 2. Ukwelashwa kwe-MBC kunamthelela muni ekhonweni lami lokukhulelwa?
• 3. Yiziphi izindlela zokulondolozwa kwenzalo ezitholakalayo kwabesifazane abane-MBC?
• 4. Ngingathatha ikhefu ekwelashweni ukuze ngikhulelwe?
• 5. Ayini amathuba ami okuba nezingane esikhathini esizayo?
• 6. Yibaphi odokotela okufanele ngibabone ukuze baxoxe ngezindlela zami zokuzala?
• 7. Ngabe ngisenalo yini ithuba lokuba nezingane uma ngingenzanga zindlela zokulondolozwa kwenzalo ngaphambi kokwelashwa?
• 8. Uma ngiyeka ukuya esikhathini ngaphambi kwesikhathi ekwelashweni kwami, kusho ukuthi angisoze ngakwazi ukuba nezingane?

1. I-MBC ingakuthinta kanjani ukuzala kwami?

Umdlavuza webele we-Metastatic (MBC) ungadala ukuthi owesifazane alahlekelwe amandla akhe okuba nezingane ngamaqanda akhe. Lokhu kuxilongwa kungaphinde kubambezele isikhathi lapho owesifazane engakhulelwa khona.

Esinye isizathu ukuthi ngemuva kokuqala ukwelashwa, odokotela bavame ukucela abesifazane ukuthi balinde iminyaka ngaphambi kokukhulelwa ngenxa yengozi yokuphindeka. Esinye isizathu ukuthi ukwelashwa kwe-MBC kungadala ukuya esikhathini kokuqala. Lezi zinkinga ezimbili ziholela ekwehleni kwamazinga okuzala kwabesifazane abane-MBC.

Abesifazane bazalwa benawo wonke amaqanda esizoke sibe nawo, kepha njengoba isikhathi sihamba, siphelelwa amaqanda asebenzayo. Ngeshwa, ubudala buyisitha sokuzala.

Isibonelo, uma kutholakala ukuthi une-MBC uneminyaka engama-38, futhi wakutshela ukuthi awukwazi ukukhulelwa uze ube neminyaka engama-40, uqala noma ukhulisa umndeni wakho lapho ubudala bekhwalithi yeqanda lakho namathuba okukhulelwa kwemvelo kuphansi kakhulu . Ngaphezu kwalokho, ukwelashwa kwe-MBC kungathinta nokubalwa kwamaqanda akho.

2. Ukwelashwa kwe-MBC kunamthelela muni ekhonweni lami lokukhulelwa?

Ukwelashwa kwe-MBC kungaholela ekunqamukeni kokuya esikhathini ekuqaleni. Ngokuya ngobudala bakho ekuhlolweni, lokhu kungasho amathuba aphansi okukhulelwa okuzayo. Yingakho kubaluleke kakhulu kwabesifazane abane-MBC ukuthi bacabangele ukulondolozwa kokuzala ngaphambi kokuqala ukwelashwa.

Imithi yokwelashwa ngamakhemikhali nayo ingadala into ebizwa nge-gonadotoxicity. Kalula nje, zingadala amaqanda esibelethweni sowesifazane ukuba anciphe ngokushesha kunokujwayelekile. Uma lokhu kwenzeka, amaqanda asele anethuba eliphansi lokuphenduka ukukhulelwa okunempilo.

3. Yiziphi izindlela zokulondolozwa kwenzalo ezitholakalayo kwabesifazane abane-MBC?

Izindlela zokulondolozwa kwenzalo kwabesifazane abane-MBC zifaka phakathi iqanda eliqanda nokubandiswa kombungu. Kubalulekile ukukhuluma nochwepheshe wenzalo ngalezi zindlela ngaphambi kokuqala i-chemotherapy noma ukuhlinzwa ngokuzala.

Ukucindezelwa kwe-Ovarian ngemithi ebizwa nge-GnRH agonist nakho kungagcina ukusebenza kwe-ovarian. Kungenzeka ukuthi uke wezwa noma wafunda ngezindlela zokwelashwa ezinjengokubuyisa nokugcina amaqanda angavuthiwe kanye ne-ovarian tissue cryopreservation. Kodwa-ke, lezi zindlela zokwelashwa azitholakali kalula noma zinokwethenjelwa kwabesifazane abane-MBC.

4. Ngingathatha ikhefu ekwelashweni ukuze ngikhulelwe?

Lo ngumbuzo oncike emithini yokwelashwa oyodinga kanye necala lakho le-MBC. Kubalulekile ukukuxoxa kahle lokhu nodokotela bakho ukukala izinketho zakho ngaphambi kokwenza isinqumo.

Abaphenyi bazama futhi ukuphendula lo mbuzo ngesilingo esihle. Kulolu cwaningo, abacwaningi baqasha abesifazane abangama-500 be-premenopausal abanomdlavuza webele wesikhathi sokuqala we-ER-positive. Ngemuva kwekhefu lezinyanga ezintathu lokwelashwa, abesifazane bazoyeka ukwelashwa kuze kube yiminyaka emibili ukukhulelwa. Ngemuva kwaleso sikhathi, bangaqala kabusha ukwelashwa kwe-endocrine.

Ekupheleni konyaka we-2018, bangaphezu kuka-300 abesifazane ababebhalise ocwaningweni futhi sekuzelwe izingane ezingaba ngu-60. Abaphenyi bazolandelela abesifazane iminyaka eyishumi ukuqapha ukuthi baqhuba kanjani. Lokhu kuzovumela abacwaningi ukuthi banqume ukuthi ukuphuka ekwelashweni kungaholela engcupheni ephezulu yokuphindeka.

5. Ayini amathuba ami okuba nezingane esikhathini esizayo?

Ithuba lowesifazane lokukhulelwa ngempumelelo lihlobene nezici ezimbalwa, kufaka phakathi:

• ubudala
• amazinga we-anti-Mullerian hormone (AMH)
• ukubalwa kwezintambo
• amazinga e-follicle-stimulating hormone (FSH)
• amazinga e-estradiol
• izakhi zofuzo
• izici zemvelo

Ukuthola ukuhlolwa okuyisisekelo ngaphambi kokwelashwa kwe-MBC kungasiza. Lokhu kuhlolwa kuzokutshela ukuthi mangaki amaqanda ongaba neqhwa, noma ngabe ucabangele imibungu ebandayo, noma uma kufanele ukwenze kokubili. Ngincoma futhi nokuqapha amazinga okuzala ngemuva kokwelashwa.

6. Yibaphi odokotela okufanele ngibabone ukuze baxoxe ngezindlela zami zokuzala?

Ukuze iziguli ze-MBC zikhulise amathuba azo okukhulelwa esikhathini esizayo, kubalulekile ukuthi zifune ukwelulekwa kusenesikhathi nokudluliselwa kuchwepheshe wezokuzala.

Ngiphinde ngitshele iziguli zami ezinomdlavuza ukuthi zibone ummeli wezomthetho womndeni ukudala ukwethenjwa kwamaqanda akho noma imibungu uma kwenzeka okuthile kuwe. Ungazuza futhi ngokuxoxa nodokotela ukuze uxoxe ngempilo yakho engokomzwelo kuyo yonke le nqubo.

7. Ngabe ngisenalo yini ithuba lokuba nezingane uma ngingenzanga zindlela zokulondolozwa kwenzalo ngaphambi kokwelashwa?

Abesifazane abangazange balondoloze ukuzala kwabo ngaphambi kokwelashwa komdlavuza basengakhulelwa. Ingozi yokungabi nenzalo ihlobene nobudala bakho ngesikhathi sokuxilongwa kanye nohlobo lokwelashwa olutholayo.

Isibonelo, owesifazane otholwe eneminyaka engama-27 unethuba eliphakeme lokushiywa amaqanda ngemuva kokwelashwa uma kuqhathaniswa nowesifazane otholwe eneminyaka engama-37.

8. Uma ngiyeka ukuya esikhathini ngaphambi kwesikhathi ekwelashweni kwami, kusho ukuthi angisoze ngakwazi ukuba nezingane?

Ukukhulelwa kweMenopausal kungenzeka. Yize kungabonakala sengathi lawo magama amabili awahambi ndawonye, ​​empeleni angakwazi. Kepha ithuba lokukhulelwa elikhulelwe ngokwemvelo ngaphandle kosizo lochwepheshe bezokuzala ngemuva kokunqamuka kokuya esikhathini ngaphambi kwesikhathi ekwelashweni liphansi.

Ukwelashwa kweHormone kungenza isibeletho sikulungele ukwamukela umbungu, ngakho-ke owesifazane angakhulelwa okunempilo ngemuva kokudlula kokuya esikhathini. Owesifazane angasebenzisa iqanda alifrize ngaphambi kokwelashwa, umbungu, noma anikele ngamaqanda ukuze akhulelwe. Amathuba akho okukhulelwa ahlobene nempilo yeqanda noma umbungu ngesikhathi senziwa.

UDkt Aimee Eyvazzadeh waseSan Francisco Bay Area ubone izinkulungwane zeziguli zibhekana nokungazali. Umuthi wokuvimbela, osebenzayo, futhi owenzelwe wena uqobo akukhona lokho akushumayelayo njengengxenye ye-Show Whisperer Show yakhe yamasonto onke, kodwa futhi yilokho akwenzayo nabazali abanethemba asebenzisana nabo unyaka nonyaka. Njengengxenye yemishini yokwenza abantu bazale ngokwengeziwe, ukunakekelwa kwakhe kudlulela ngale kwehhovisi lakhe eCalifornia kubantu emhlabeni wonke. Ufundisa ngezinketho zokonga inzalo ngamaQembu Okumisa Amaqanda kanye nombukiso wakhe osakazwa masonto onke we-Egg Whisperer Show, futhi usiza abesifazane ukuthi baqonde amazinga abo okuzala ngamaphaneli wokuqwashisa nge-Egg Whisperer Fertility Awareness. UDkt. Aimee ubuye afundise uphawu lwayo oluthi "TUSHY Method" ukukhuthaza iziguli ukuthi ziqonde isithombe esigcwele sempilo yazo yokuzala ngaphambi kokuqala ukwelashwa.