Dzidza Ichokwadi Pamusoro pemishonga yeRadio Treatment For Breast Cancer
Kuti ndibvise mamwe maitiro emishonga ekurapa mazwi, ndakataura naDkt. Michael Nichols, bhodhi-yakagadziriswa mazairo oncologist. Dr. Nichols anonyora zvakananga nezvekurapa kwemaawa uye kuti inobata sei hutano hwako.
Nhema 1: Mhepo inobva mumukoko unotarisa inogona kukupa kenza yemazamu.
Mhinduro: Mishonga yakagadzirirwa kubva pamakemikiramu ekucherechedza yakaderera.
Funga nezvezvinoita kuti huve hutano hukuru huve hutano hwako: uine mammogram, kana kuti usaona chiremera pakutanga. Zviri pachena kuti njodzi yakakwirira kana iwe ukasvetuka kuongorora mammograms. Kutsvakurudza kunoratidza kuti njodzi yokufa nekenza yemazamu inenge 30% yepamusoro kune vakadzi vane kuongorora mammograms. Yeuka kuti njodzi yako yehupenyu yekukuisa kenza yepamu inenge 1 mu8 kana 9. Mukana wekuwana kenza yepabonde kubva mumuviri wemukomana muduku.
Nhema 2: Mheni inofanirwa kudzivirira kudzokorora, asi ndinofunga kuti inokonzera kenza yemazamu akawanda.
Mhinduro: Mukuongorora vose vakadzi vane kenza yepabonde pekutanga, ngozi yekudzoka mushure mekuvhiyiwa ndoga inenge 40%. Nehuwandu hwemazamu ehutema, iyo ngozi inodonha kusvika 15%. Ngozi yechirwere chechipiri kubva mumhepo inonzi radiation inenge imwe muzviuru kune imwe muzviuru zvine gumi. Ichokwadi, nekuda kwemichina yakagadziridzwa, nhamba chaiyo yekenza itsva inokonzerwa nehutachiona inogona kunge yakaderera.
Nhema 3: Pakati pemishonga inonzi radiation, iwe unofanira kutora mapiritsi uye ugofukidzwa nemashizha ekutungamirira kudzivirirwa.
Mhinduro: Utachiona hwemishonga yemishonga hunogona kuitwa nenzira dzinoverengeka. Chete nekuda kwemhando yakasiyana yeukenza yekenza iwe unotora mapiritsi. Muzviitiko zvakawanda, iwe unorara pane tafura yekurapa uye mihizha inopiwa zvakawanda nenzira yaunowana X-ray.
Iwe haunzwi kunzwa mazai uye hauna kurwadza. Kwete kutungamira kushandiswa kunoshandiswa nokuti mazairo akajeka, uye zvishoma zvishoma zvinoparadzira hazvizodzivirirwa nepepeti.
Nhema 4: Kurapa kwechirwere chekenza yepamu kunorwadza.
Mhinduro: Pazuva rega rega, marapirwo emisipiresi pachawo haambotambudzi. Muzviitiko zvishomanana, unogona kuva nekunetseka kana kurwadziwa kunobatana nekutarisa nokuti kazhinji iwe unofanira kunge wakabata ruoko rwako pamusoro pemusoro wako, sezvazvingava zvezamu kuongorora . Sezvo kurapwa kuchifambira mberi, unogona kuve nekudzivirira uye kushambidzika kweganda. Pane imwe nguva ganda rako richava nekupisa kwezuva, izvo zvinogona kurwadza. Majekesa ako oncologist achakubatsira nekuchengetwa kweganda nemishonga inorwadza kana zvichidikanwa. Chinhu chinokosha chokuyeuka ndechokuti ganda rako richaporesa.
Nhema 5: Kurapa kwechirwere kunokonzera kushata kwemigumisiro.
Mhinduro: Kusvibiswa kwemazamu hakuiti kukandisa kana kusuruvara kwebvudzi (kunze kwebvudzi risina bvudzi kana dzimwe mvere dzingave dziri mukati memharaunda yakananga). Varwere vane mazai emamwe makondombera, akadai sekenza yemuviri kana kenza yepancreatic , inogona kukura nekushushikana uye kurutsa. Varwere vanogamuchira miviri yakaiswa kumusoro (somuenzaniso, kubata chirwere chepfungwa ) vanogona kurasikirwa nevhudzi ravo.
Zvichizoitika: 5 Mamwe Mavara Okurapa MafungiroKuti ndiwane chokwadi pamusoro pezvimwe zvakajairika maitiro emishonga ekurapa , ndakataura naDkt. Michael Nichols, bhodhi-yakagadziridzwa mazaiyo oncologist. Dr. Nichols anonyora zvakananga nezvekurapa kwemaawa uye kuti inobata sei hutano hwako.
Nhema 6: Shamwari yangu yakatsva nehutachiona uye yakarasika. Radiation haisi yakachengeteka kana yakajeka.
Mhinduro: Dzimwe nguva varwere vachakudzidzira kupisa kwezuva.
Kunyangwe zvinorwadza panguva iyoyo, izvi zvinowanzoda kuporesa nokukurumidza. Izvo zvingava zvisinganyanyi kukosha kuti izvi zviitike mukurasikirwa kwezamu. Urongwa hwehuwandu hwemhepo hunonyatsojeka uye hunonyatsoitwa nehutachiona hwehutachiona. Zviitiko zvizhinji zvinokurukurwa nevamwe vanachiremba vasati vatanga kurapwa uye nguva pfupi mushure mekunge kurapwa kunotanga kukura kwehutano.
Nhema ye7: Tiri kuwana mazaiyo nguva dzose - kubva paTV, mafoni, masero asina tsvina, magetsi emagetsi, zvivhovheni zve microwave - saka ndicho chikonzero kanhamba dzekenza dziri kuwedzera.
Mhinduro: Tiri kuwana mazaisai emhepo nguva dzose, kunyanya kubva kumarambo emasikati kubva munzvimbo. Uwandu hwekutsvaga hunowedzera zvikuru apo vanhu vari kubhururuka vari mundiro kana kuti vachizviisa kune zuva pavanenge vachiita zuva.
Chiitiko chemamwe makondombera ari kuwedzera. Semuenzaniso, nhamba yekenza yemapapu yave ichikwira kubva muna 1965 asi yakangodaro yakasimbiswa mumakore achangopfuura. Nhamba dzevarume dzinoratidzika dzichiderera apo vakadzi vanoita sevakasvika padunhu.
Izvi zvinowirirana zvakafanana mukusvuta asi zvinogonawo kuva nezvimwe zvekuita nekombiyuta yakagadziriswa inotibvumira kuti tione kenza pamusana muduku. Kenza yekenza yakanga yakaramba yakasimba kwemakore akawanda asi yave ichiderera kubva muna 1995 zvichida nekuda kwekuderera kwekushandiswa kweHRT (hormone replacement therapy).
Izvo zviyero zvekenza zvinokwira uye zvichiwa zvinogona kuva zvakaoma kududzira nokuti iyo kazhinji inowanzobatanidza kuvepo kwekuvapo kwekenza pamwe nekukwanisa kwedu kuona kenza.
Nhema 8: Mishonga yezvoutano inogona kudarika kana kutaridzirwa zvakaipa, uye kana izvozvo zvikaitika, unofa rufu runononoka uye runorwadza.
Mhinduro: Sezvakaita chero nzira ipi zvayo yezvehutano, pane zvingava nezvikanganiso. Mishonga inoshandiswa inoshamisa inoponesa upenyu husingaverengeki, asi inogonawo kukuvadza varwere kana vasina kununurwa vakachengeteka. Kunyangwe pave pane zvimwe zvezvinobudisa nhau zvakabatana zvakabatana nemakanganisa erima, kazhinji ichi ndicho chiitiko chisingawanzoitiki. Kune dzakawanda, zvinowanzotarisa kutarisa chekuongorora - kusanganisira simulations - inoitwa musati maita sarudzo. Mukuwedzera, mishonga yekurapa yakagadzirirwa kuvhara kana pane dambudziko nayo. Mazayiro evanonyanya kukanganisa anowanzova nehanya nevhidhiyo uye inoita kuti vaite sevanojaira. Asi makumi ezviuru zvehutano hwemaawa anoitika muUnited States zuva rega rega, huzhinji husina kukanganisa.
Nhema 9: Kana ndine majekesheni emagetsi emukenza webonde, mazamu angu achachinja uye achakanganisa vana vangu mune ramangwana.
Mhinduro: Vakadzi vane pamuviri havafaniri kuve nemirairo. Kana zvisina kudaro, hapana humwe uchapupu hwokuti mazamu ose emadzimai evanamambo anmenopausal achakonzera matambudziko gare gare nekuzvitakura kana kuti kukonzera kukanganisa kuberekwa.
Dzimwe nhoroondo dzinoratidza kuti vakadzi vanobatwa nekenza yepabonde kare kare vakave nepamuviri mushure mokunge vaine mikana yekuvandudza yekupona. Kana iwe uri kurapwa nekenza yepamu uye uchifunga kuva nevana, unofanira kutaura izvi nechiremba wako. Mukuwedzera kumayera, kunewo chemotherapy uye mahara hormonal zvinogona kuchinja ramangwana rako rekubereka .
10. Kana ndikawana mhepo yakawanda, ndichadzokera kuSpiderWoman, Hulk Lady, kana kuti ndichapenya murima.
Mhinduro: Chiyero chemirairo yakapiwa kuvakadzi nokuda kwekenza yemazamu haisi yakachengeteka. Mune zviitiko zvakawanda, zvakakwana kuti ibvise chiremera ichi uchibvumira kuti zvidimbu zvechifuva zvive kuporesa.
Pasina nguva uchange uine radioactive. Kuziva kwangu, hakuna munhu akamboshandura kuva hukuru hunotevera mashizha.
Dzokera Kukutanga 5 Nhema dzeMhepo
Nezve Dr. Nichols
Michael A. Nichols, MD, PhD ibhodhi-yakagadziriswa mazairo oncologist anoita kuWilmington, North Carolina neCoastal Carolina Radiation Oncology. Akawana Ph.D yake. achidzidza ma molecular biology yemukenza paYunivhesiti yeNorth Carolina kuChapel Hill muna 1999. Muna 2003 akapedza kudzidza kubva kuWake Forest University School of Medicine uko akawana MD yake akapedzisa kudzidzira kwake kugara paYunivhesiti yeChicago muRadiation Oncology muna 2008 .
Sources:
Nhaurirano yega neDkt. Michael A. Nichols, 2-26-2010.
Kusangana Kwegore Makumi Makumi maviri Emutambo Wakaitwa Randomized Kufananidza Maitiro Ose, Mucheka, Lumpectomy Plus Irradiation nokuda kweKurapwa kweKubata Kwechirwere Chinodiwa. Fisher et al., New England Journal of Medicine . 2002. 347: 1233.
Yechipiri yakasimba kanzira shure kweraotherapy yekenza yemvere mu SEER kanyoreji yechirwere. Berrington de Gonzalez A. et al., Br J Cancer. 2010 Jan 5; 102 (1): 220-6.