Kusuka Ezindlekweni Kuya Ekunakekelweni: Izinto Eziyi-10 Okufanele Uzazi Lapho Uqala Ukwelashwa Komdlavuza Webele Wemibele

-Delile

• 1. Ukwelashwa ngeke kulaphe umdlavuza webele we-metastatic
• 2. Isimo sakho somdlavuza sibalulekile
• 3. Uzochitha isikhathi esiningi ezakhiweni zezokwelapha
• 4. Ukwelapha umdlavuza kuyabiza
• 5. Lindela imiphumela engemihle
• 6. Uzodinga usizo
• 7. Uhlukile kubo bonke abantu abanomdlavuza webele
• 8. Izinga lempilo yakho libalulekile
• 9. Isivivinyo somtholampilo ngaso sonke isikhathi siyindlela yokukhetha
• 10. Awuwedwa

Ukutholakala unomdlavuza webele we-metastatic kungokuhlangenwe nakho okumangazayo. Umdlavuza kanye nokwelashwa kwawo cishe kuzothatha impilo yakho yansuku zonke. Ukugxila kwakho kuzosuka emndenini bese kusebenza ukuvakashelwa odokotela, ukuhlolwa kwegazi, nokuskena.

Lo mhlaba omusha wezokwelapha kungenzeka awujwayele neze kuwe. Cishe uzoba nemibuzo eminingi mayelana nomdlavuza webele we-metastatic, njenge:

• Yikuphi ukwelashwa okungifanele?
• Kungasebenza kahle kangakanani ekulweni nomdlavuza wami?
• Yini okufanele ngiyenze uma ingasebenzi?
• Imali yami izobiza malini? Ngizoyikhokhela kanjani?
• Ubani ozonginakekela ngenkathi ngiya ekwelashweni ngomdlavuza?

Nayi eminye imininingwane ebalulekile ukukusiza ulungiselele okuzayo.

1. Ukwelashwa ngeke kulaphe umdlavuza webele we-metastatic

Ukwazi ukuthi awukwazi ukwelashwa kungenye yezingxenye ezinzima kakhulu zokuphila nomdlavuza webele we-metastatic. Uma umdlavuza ususabalele kwezinye izingxenye zomzimba wakho, awulapheki.

Kodwa okungalapheki akusho ukuthi ayelapheki. I-Chemotherapy, i-radiation, ne-hormone kanye nemithi yokwelashwa ehlosiwe inganciphisa isimila sakho futhi yehlise isifo sakho. Lokhu kungandisa isikhathi sokusinda kwakho futhi kukusize uzizwe ungcono kule nqubo.

2. Isimo sakho somdlavuza sibalulekile

Ukwelashwa komdlavuza webele akulona usayizi owodwa. Lapho uthola ukuthi unesifo, udokotela wakho uzokwenza izivivinyo zama-receptors athile ama-hormone, izakhi zofuzo, nezici zokukhula. Lezi zivivinyo zisiza ukukhomba ukwelashwa okuphumelela kakhulu kohlobo lwakho lomdlavuza.

Uhlobo olulodwa lomdlavuza webele lubizwa ngokuthi yi-hormone receptor-positive. Amahomoni i-estrogen ne-progesterone asiza amangqamuzana omdlavuza webele ukuba akhule. Banomphumela kuphela kumaseli omdlavuza ane-receptor receptor ebusweni bawo. Isamukeli sifana nokukhiya, futhi i-hormone ifana nokhiye ongena kulelo khiya. Umdlavuza webele we-Hormone receptor-positive uphendula kahle ekwelashweni kwamahomoni njenge-tamoxifen noma i-aromatase inhibitors, evimba i-estrogen ekusizeni amangqamuzana omdlavuza ukuthi akhule.

Amanye amangqamuzana omdlavuza webele anama-receptor epidermal factor factor (HERs) ebusweni bawo. Ama-HER angamaprotheni akhombisa ukuthi amangqamuzana omdlavuza ahlukane. Amaseli womdlavuza ane-HER2-positive ayakhula futhi ahlukane ngolaka kunokujwayelekile. Baphathwa ngemithi eqondisiwe efana ne-trastuzumab (Herceptin) noma i-pertuzumab (Perjeta) evimba lezi zimpawu zokukhula kwamaseli.

3. Uzochitha isikhathi esiningi ezakhiweni zezokwelapha

Ukwelashwa komdlavuza webele we-metastatic kudinga ukuvakashelwa okuningi nodokotela nabanye abasebenzi bezokwelapha ezibhedlela nasemitholampilo. Ungaqeda ukuchitha isikhathi sakho esiningi ehhovisi likadokotela.

I-Chemotherapy, isibonelo, inqubo ende. Kungathatha amahora ukuphatha ngemithambo yegazi. Phakathi kwezindlela zokwelashwa, kuzodingeka ubuyele kudokotela wakho ukuze wenze izivivinyo ukuze uqiniseke ukuthi ukwelashwa kwakho kwamanje kuyasebenza.

4. Ukwelapha umdlavuza kuyabiza

Noma ngabe unomshuwalense ngomqashi wakho noma ngeMedicare, kungenzeka kungakhokhi zonke izindleko zakho zokwelashwa. Iningi lezinhlelo zomshuwalense wangasese zinama-caps - umkhawulo wokuthi kuzodingeka ukhokhe malini ephaketheni ngaphambi kokuba uhlelo luqale. Ungachitha izinkulungwane zamaRandi ngaphambi kokufinyelela kukepisi yakho. Ngesikhathi sokwelashwa kwakho, ungahle ungakwazi ukusebenza futhi udonse umholo ofanayo njengoba wawukade wenza, okungenza izinto zibe nzima kakhulu.

Ngaphambi kokuba uqale ukwelashwa, thola izindleko ezilindelekile ethimbeni lakho lezokwelapha. Bese, shayela inkampani yakho yomshuwalense wezempilo ukubuza ukuthi izokhokha malini. Uma ukhathazekile ngokuthi ngeke ukwazi ukukhokha izikweletu zakho zezokwelapha, cela isisebenzi sezenhlalakahle noma ummeli wesiguli esibhedlela sakho ukuthola iseluleko ngosizo lwezezimali.

5. Lindela imiphumela engemihle

Ukwelashwa komdlavuza webele namuhla kusebenza kakhulu, kepha kuza ngemali engemihle noma emibi.

Izindlela zokwelapha zeHormone zingakwenza ube nezimpawu eziningi zokunqamuka kokuya esikhathini, kufaka phakathi ukushisa okushisayo namathambo ancipha (i-osteoporosis). I-Chemotherapy ingenza izinwele zakho ziphume, futhi ibangele isicanucanu, ukuhlanza nokuhuda.

Udokotela wakho unezokwelapha ezokusiza ukuphatha le miphumela engemihle yokwelashwa.

6. Uzodinga usizo

Ukwelashelwa umdlavuza webele kungakhathaza. Futhi, ukwelashwa ngamakhemikhali nokunye ukwelashwa komdlavuza kungaholela ekukhathaleni. Lindela ukuthi ngeke ukwazi ukufeza konke okwazile ukukwenza ngaphambi kokuxilongwa kwakho.

Ukusekelwa okuvela kubathandekayo bakho kungenza umehluko omkhulu. Finyelela emndenini wakho nakubangane bakho ukuze uthole usizo ngemisebenzi efana nokupheka, ukuhlanza nokuthenga ezitolo. Sebenzisa leso sikhathi ukuphumula uphinde uthole amandla akho. Ungase futhi ucabangele ukuqasha usizo uma kudingeka.

7. Uhlukile kubo bonke abantu abanomdlavuza webele

Wonke umuntu okutholwa ukuthi unomdlavuza webele we-metastatic futhi uwelasile uhlukile. Noma ngabe unohlobo olufanayo lomdlavuza webele njengomunye umuntu omaziyo, umdlavuza wakho akunakwenzeka ukuthi uziphathe - noma uphendule ekwelashweni - ngendlela efanayo neyabo.

Zama ukugxila esimweni sakho. Yize kukuhle ukuthola ukwesekwa kwabanye, ungaziqhathanisi nabanye ngomdlavuza webele.

8. Izinga lempilo yakho libalulekile

Udokotela wakho uzophakamisa izinketho zokwelashwa, kepha ekugcineni ukuthi ikuphi ozokuzama kukuwe. Khetha imishanguzo ezokwelula impilo yakho isikhathi eside ngangokunokwenzeka, kodwa futhi izoba nemiphumela engemihle ebekezeleleka kakhulu.

Sebenzisa ngokunakekelwa kokuthokomala, okubandakanya amasu okudambisa izinhlungu nezinye izeluleko zokukusiza uzizwe ungcono ngesikhathi sokwelashwa kwakho. Izibhedlela eziningi zinikeza ukunakekelwa okunciphisayo njengengxenye yezinhlelo zazo zomdlavuza.

9. Isivivinyo somtholampilo ngaso sonke isikhathi siyindlela yokukhetha

Uma udokotela wakho ezame konke ukwelashwa okukhona komdlavuza webele we-metastatic futhi engasebenzi noma eyekile ukusebenza, ungayeki. Izindlela zokwelapha ezintsha zihlala zakhiwa.

Buza udokotela wakho ukuthi ungabhalisa yini esivivinyweni somtholampilo. Kungenzeka ukuthi ukwelashwa kokuhlola kunganciphisa - noma kuphulukise - umdlavuza owake wabonakala ungenakulapheka.

10. Awuwedwa

Ku-2017, balinganiselwa ukuthi bahlala nomdlavuza webele we-metastatic e-United States. Usuyingxenye yomphakathi ogcwele abantu abazi kahle ukuthi ubhekene nani.

Xhuma nabo ngohlelo lwethu lwamahhala, i-Breast Cancer Healthline, etholakalayo nge-iPhone ne-Android. Uzokwazi ukwabelana ngokuhlangenwe nakho, ubuze imibuzo, futhi ujoyine umphakathi nezinye izinkulungwane zabesifazane abaphila nomdlavuza webele.

Noma, funa ukwesekwa ngamaqembu wokuxhaswa we-inthanethi nawabantu abangaphakathi. Thola amaqembu endaweni yakho ngokusebenzisa izinhlangano ezifana ne-American Cancer Society, noma ngesibhedlela sakho somdlavuza. Ungafuna nokwelulekwa ngasese kubelaphi noma kwabanye abahlinzeki bezempilo yengqondo lapho uzizwa ukhungathekile.