Umlobi: Lewis Jackson
Usuku Lokudalwa: 12 Mhlawumbe 2021
Ukuvuselela Usuku: 18 Unovemba 2024
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-Delile

Awuqiniseki ukuthi ungaqala kuphi uma kuziwa ekubuzeni udokotela wakho mayelana nokuxilongwa komdlavuza webele? Le mibuzo engama-20 yindawo enhle yokuqala:

Manje njengoba sengitholwe nginomdlavuza webele, ngabe kukhona okunye ukuhlolwa kwe-imaging engizokudinga?

Buza i-oncologist yakho ukuthi uzodinga yini okunye ukuhlolwa kwe-imaging ukunquma ukuthi ngabe isimila sisakazekele kuma-lymph node noma kwezinye izingxenye zomzimba wakho.

Hlobo luni lomdlavuza webele enginawo, ukutholakala kuphi, futhi lokhu kusho ukuthini ngombono wami?

Buza i-oncologist yakho, ngokususelwa ku-biopsy yakho, unjani uhlobo lomdlavuza webele onawo, lapho utholakala khona ebeleni, nokuthi kusho ukuthini lokho ohlelweni lwakho lokwelashwa nangombono wakho ngemuva kokwelashwa.

Sesisabalalele kangakanani isimila sami?

Ukuqonda ukuthi yisiphi isigaba somdlavuza onawo kubalulekile. Cela udokotela wakho akuchazele isigaba bese uthola ukuthi ikuphi okunye ngaphandle kwesifuba okutholakala khona izimila.


Ngokusho kwe-, isigaba somdlavuza wakho webele sincike ebukhulu besimila, ukuthi ngabe umdlavuza ususabalele kunoma yimaphi ama-lymph node, nokuthi umdlavuza ususabalele nakwezinye izindawo emzimbeni.

Lithini ibanga lesimila?

Izici ezikhethekile zamangqamuzana omdlavuza webele zithinta indlela isilonda sakho esinolaka ngayo. Lokhu kufaka inani lamangqamuzana ezimila azalanayo, nokuthi kuvela kanjani okungavamile amaseli wesimila lapho ehlolwa ngaphansi kwesibonakhulu.

Ukuphakama kwezinga, lapho amangqamuzana omdlavuza angafani namaseli webele ajwayelekile. Izinga lesimila sakho lingathonya umbono wakho kanye nohlelo lokwelashwa.

Ingabe i-hormone receptor yami i-receptor-positive noma i-hormone receptor-negative?

Buza udokotela wakho ukuthi umdlavuza wakho unama-receptors. Lawa ngama-molecule ebusweni beseli abopha ama-hormone emzimbeni angakhuthaza isimila ukuthi sikhule.

Buza ngokukhethekile ukuthi ngabe umdlavuza wakho ungukutholwa kwe-estrogen receptor noma i-receptor-negative, noma i-progesterone receptor-positive noma i-receptor-negative. Impendulo izonquma ukuthi ungayisebenzisa yini noma cha imithi evimba umphumela wamahomoni ukwelapha umdlavuza webele.


Uma i-biopsy yakho ingabandakanyi ukuhlolwa kwama-hormone receptors, cela udokotela wakho ukuthi enze lezi zivivinyo zenziwe kusifanekiso se-biopsy.

Ngabe amangqamuzana ami omdlavuza anamanye ama-receptors ebusweni angathinta ukwelashwa kwami?

Amanye amangqamuzana omdlavuza webele anama-receptors noma ama-molecule ebusweni angabopha amanye amaprotheni emzimbeni. Lokhu kungakhuthaza isimila ukuthi sikhule.

Isibonelo, i-American Cancer Society (ACS) incoma ukuthi zonke iziguli ezinomdlavuza webele we-invasive zihlolwe ukuze kubonwe ukuthi ngabe amangqamuzana azo ezimila aqukethe amazinga aphezulu we-HER2 protein receptor. Lokhu kubalulekile ngoba kunezinye izindlela zokwelashwa ezengeziwe zomdlavuza webele we-HER2-positive.

Buza i-oncologist yakho uma umdlavuza wakho une-HER2-positive. Futhi uma ungakahlolwa ama-HER2 protein receptors, cela i-oncologist yakho uku-oda ukuhlolwa.

Yiziphi izimpawu zomdlavuza webele engingahlangabezana nazo?

Thola ukuthi yiziphi izimpawu zomdlavuza webele ongase uhlangane nazo esikhathini esizayo, futhi yiziphi izimpawu okufanele uxhumane nodokotela wakho ngazo.


Yiziphi izinketho zami zokwelashwa ngomdlavuza webele?

Ukwelashwa kwakho kuzoya ngalokhu okulandelayo:

  • uhlobo lomdlavuza
  • izinga lomdlavuza
  • i-hormone nesimo se-HER2 receptor
  • isigaba somdlavuza
  • umlando wakho wezokwelapha nobudala

Yiziphi izinhlobo zezinketho zokuhlinza ezitholakalayo kimi?

Ungase ube ukhetho lokukhishwa kokuhlinzwa kwesimila (i-lumpectomy), ukukhishwa kwesifuba (i-mastectomy), nokususwa kokuhlinzwa kwama-lymph node athintekile. Cela odokotela bakho bachaze ubungozi nezinzuzo zendlela ngayinye.

Uma odokotela bakho bancoma i-mastectomy, babuze ukuthi ukwakhiwa kabusha kwesifuba kuyindlela ongakhetha ngayo.

Yiziphi izinhlobo zokwelashwa ezitholakalayo kimi?

Buza i-oncologist yakho uma ngabe kukhona kulezi zindlela zokwelapha ezilandelayo:

  • ukwelashwa ngamakhemikhali
  • imisebe
  • ukwelashwa kwamahomoni
  • ukwelashwa kwe-monoclonal antibody

Yiziphi izinhlobo zamakhemikhali ezingakhetha kimi?

Uma udokotela wakho encoma i-chemotherapy, babuze ukuthi iyiphi inhlanganisela yama-chemo ebhekwayo. Thola ukuthi iziphi izingozi nezinzuzo ze-chemotherapy.

Kubalulekile futhi ukubuza ukuthi yimiphi imiphumela engemihle yezinhlanganisela zama-chemo regimens. Isibonelo, uma ukulahlekelwa izinwele zakho okwesikhashana kukukhathaza, buza i-oncologist yakho ukuthi imishanguzo enconyiwe ingadala yini ukulahleka kwezinwele noma i-alopecia.

Yiziphi izinhlobo zokwelashwa kwama-hormone ongakhetha kukho kimi?

Uma i-oncologist yakho incoma ukwelashwa kwe-hormone, buza ukuthi iyiphi kulezi zindlela zokwelashwa ezicatshangelwayo. Thola ukuthi iziphi izingozi nezinzuzo zokwelashwa kwama-hormone kanye nemiphumela engemihle engaba khona.

Yiziphi izinhlobo zendlela yokwelashwa kwama-monoclonal antibody engingakhetha kuyo?

Amasosha omzimba angama-monoclonal avimba ukubopha izinto kuma-receptors ebusweni bezimila. Uma i-oncologist yakho incoma ukwelashwa ngama-antibody monoclonal, buza udokotela wakho ukuthi yiziphi izindlela zokwelashwa ezicatshangwayo.

Thola ukuthi iziphi izingozi nezinzuzo nokuthi iyini imiphumela engemihle yama-antibody monoclonal.

Yiziphi izinhlobo zokwelashwa ngemisebe okuyizinketho kimi?

Thola ukuthi yini ubungozi nezinzuzo zemisebe ngomdlavuza wakho, nokuthi yini imiphumela engemihle engaba khona.

Ngabe ngizodinga ukuthatha isikhathi emsebenzini nganoma iyiphi indlela yokwelashwa. Futhi ngizokwazi nini ukubuyela emsebenzini?

Buza i-oncologist yakho ukuthi imiphumela emibi yokwelashwa kwakho izokudinga yini ukuthi uthathe ikhefu emsebenzini ngesikhathi sokwelashwa noma ngemuva kwaso. Futhi vumela umqashi wakho azi kusengaphambili ukuthi yini iqembu lakho lezokunakekelwa kwezempilo elincomayo.

Uyini umbono wami ngemuva kokwelashwa?

Umbono wakho emva kokwelashwa uncike kokulandelayo:

  • umlando wakho wezokwelapha
  • iminyaka yakho
  • uhlobo lwesimila
  • ibanga lesimila
  • indawo yesimila
  • isigaba somdlavuza

Lapho isigaba sakho somdlavuza webele sisekuqaleni kwesikhathi sokuxilongwa nokwelashwa, maningi amathuba okuthi ukwelashwa kuzophumelela.

Ngabe zikhona izivivinyo zokwelashwa engingabamba iqhaza kuzo?

Uma unesigaba esithuthukile somdlavuza webele, ungahle uthande ukucabanga ngezivivinyo zomtholampilo. Ama-oncologists wakho angakwazi ukukukhomba endaweni efanele, noma ungabheka ku-http: //www.clinicaltrials.gov/ ukuthola eminye imininingwane.

Kungani ngathola umdlavuza webele?

Lo mbuzo kungenzeka ungaphendulwa, kepha awubuhlungu ukubuza. Kungaba nezici eziyingozi njengomlando womndeni noma imikhuba yokuphila efana nokubhema osikilidi. Ukukhuluphala kungakhulisa nengozi yokuthola umdlavuza webele.

Yiziphi izinto engingazenza ekhaya ukuthuthukisa umbono wami ngemuva kokwelashwa nokwenza ngcono impilo yami?

Buza i-oncologist yakho uma kukhona ushintsho lwendlela yokuphila ongayenza. Izinguquko ezinconyiwe zingafaka:

  • ukwenza izinguquko ekudleni kwakho
  • ukwehlisa ukucindezeleka
  • ukuzivocavoca umzimba
  • ukuyeka ukubhema
  • ukunciphisa ukuphuza utshwala

Lezi zinto zizosiza ukusheshisa ukutakula kwakho ekwelashweni futhi zikhulise amathuba akho omphumela ongcono.

Yiziphi izinsiza zokuxhasa engizitholayo?

Ukuthola usizo nokuxhaswa kubalulekile ngalesi sikhathi. Cabanga ngokuya emaqenjini osizo asendaweni ngezinto ezifana nezinkinga zezezimali nokuthola ukwesekwa okusebenzayo njengokuthola izinto zokuhamba uma kudingeka. Uzokwazi nokuthola ukusekelwa okungokomzwelo kumaqembu abameli afana ne-American Cancer Society.

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