Kukosha kwehukama hwepedyo mukurwisana nekenza yemasitadhi kwakagadziriswa zvakanyanya mumakore achangopfuura. Chirwere chepabonde , kunyanya, chinogona kutungamirira kune dzimwe nyaya dzinoisa kuderedza kushamwaridzana, asi izvozvo hazvirevi kuti hazvina kukosha. Asi, kuchengetedza ukama hwepedyo kana uchirarama nekenza kunogona kukukanganisa nenzira dzakanaka mune dzimwe nzira zvakare.
Haisi kungovhiringidza mupfungwa yemukirini yemasita, asi rutivi rwemuviri runowanzoswededza ukama hwepedyo kumhepo inopisa.
Chimiro chemuviri chinogona kuchinja nemasikironi machena nezvimwe. Bone metastases inogona kuderedza mapfupa uye kugadzirisa kufamba, uye kuneta kwekenza kunogona kuita chero basa-kunyanya zvepabonde-chinetso.
Apo Kutya Kunogona Kubva Kubva
Kurarama munharaunda inoona mazamu sezvinhu zvepabonde, vazhinji vedu tinotya kusaita zvepabonde kune mumwe wedu kana mudzimai. Kune vakadzi vasina kuroora vanosangana, kune kutya kunotangira kutanga ukama hutsva, kugoverana ruzivo pamusoro pekuve nekenza yemvere uye kuva pedyo. Vasikana vaduku vanoda vana vanogona kutarisana nenyaya dzekubereka nekuda kwekemotherapy .
Chirwere Chepabonde uye Ukama Hwako
Dr Marc Hurlburt, Chief Mission Officer we Breast Cancer Research Foundation, akagovera zvitsva zvinowanikwa zveAmerican Cancer Society uye American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline, iyo yakabudiswa muchikamu chekupedzisira cha2015.
Sezvakaitwa naDr. Hurlburt, "Chinangwa chekuchengetedzwa kwekuchengetedzwa kwevatano ndechekupa mazano ekubatsira rubatsiro rwekutanga uye mamwe makiriniki mukuchengetedzwa kwevakadzi vakuru vanorwara nekenza yemazamu.
Inoratidza nhau dzinogona kukanganisa vakadzi vakapukunyuka, zvemazera ose, uye zvinoratidza kuti vanachiremba vanotaura navo nezvehupenyu hwavo.
Sezvo vakadzi vakawanda vasinganzwisisiki kukonzera matambudziko ehukama hwepedyo, vanachiremba vanokurudzirwa kuti vaudze nyaya yehutano hwehupombwe uye hukama hwehukama hunogona kuenderana nekenza yavo yepabonde. "
Dr Hurlburt akacherechedza nyaya huru mumitemo yekuchengetedza iyo inobatsira pahukama uye ukama hwepedyo se:
- Chimiro chemuviri uye kuonekwa kunochinja, izvo zvinosvibisa pakati pe31 kusvika ku 67 muzana yevakasara. Matambudziko matanhatu ematambudziko omuviri yevakadzi vakawanda aisanganisira:
- Kuparadzana kubva mumararamiro uye kuwirirana kwepachiviri chekuita uye kushandiswa kwemvere. Vakadzi vanoita zvepabonde vakataura matambudziko makuru emufananidzo kana kuti havana kuvakazve.
- Chemotherapy-induced early menopause.
- Kuchinja ganda rinokonzerwa nemirasi.
- Misiyano muhukuru hwehutano hwehutano hunokonzerwa ne lumpectomy uye / kana kupisa kwemavara.
- Kukurira muruvoko noruoko shure kwekuvhiyiwa (lymphedema).
- Kuwedzera kwehuwandu hunoenderana nemishonga.
- Zvirwere zvepabonde zvinosanganisira kuburitsa libido, kuomeswa kwemudzimai, kurwadza kwepabonde uye kuoma kunosvika kanagasm. Nzira dzekudzivirira kuberekwa kwevakadzi, mumakore ekubereka kwavo, vanotora tamoxifen kudzivirira kudzoka, vanoda kupedza maitiro avo ekudzivirira kuberekwa kuIUD nemakondomu. Kuberekwa pa tamoxifen hakusi yakachengeteka; inogona kukonzera kukanganisa kuberekwa
- Kusangana kwepfungwa kwakange kuri dambudziko kune 35 kubva muzana yevakadzi venguva refu.
- Kushungurudzika uye kuzvidya mwoyo zvakataurwa ne 22 muzana yevakadzi sekutambudzika.
- Zvimwe, nyaya dzinowanzotaurirwa, dzinosanganisira: osteoporosis, uye kurwadziwa kwepfupa mumadzimai anonzi postmenopausal nekuda kwekutora kirasi yeirmone therapy inonzi aromatase inhibitors kudzivirira kudzokorora.
Chii Chaungaita?
Pane zvinhu zvishomanana zvingada kufungidzira kuti zvikubatsire kuchengetedza ukama hwepedyo muhukama hwako huri kurwisana nekenza yepamusoro yepabonde.
- Ramba uchifunga kuti zvepabonde zvinopfuura zvepabonde. Pane nzira dzakawanda dzaunogona kubata nadzo dzisingasanganisi zvepabonde.
- Funga nezvenzira dzekuchengeta mararamiro achienda kunyange pakati pemishonga. Iwe unogona kufungidzira kuti wakanga uri sei apo iwe newawakaroorana naye makatanga kusangana. Kubata maoko paunenge uchigamuchira chemotherapy, kufamba mumakiratiro emudhipatimendi, kana kumashure kumotokari kutanga. Sneak a kiss apo chiremba asiri kutarisa. Funga nezvenzira dzekutamba.
- Iva wakagadzirira yemigumisiro yehutano usati waita zvepabonde. Utachiona hweHormone hunogona kukonzera vaginhi kuoma, saka kuva nemafuta akawanda aripo ndeyekufanirwa. Vakadzi vakawanda vanotaura kuti "kurutivi rumwe norutivi" chinonyanya kufara kana uri kurwisana nemarwadzo kubva mastectomy zvikanganiso.
- Tsvaga nzira dzekuve nenyama. Makese, chivako chitsva chemasikati (kana mabhokisi), mimhanzi yako yaunofarira, uye kunyange chokoti uye strawberries inogona kuwedzera kubata apo mafungiro ako ari pane kenza yako panzvimbo yehukama hwepedyo.
- Kushaya kwechido kunowanzozara uye kwakabatana nehuwandu hwezviratidzo zvinosangana nekenza yepamusasa yematenda. Kana iwe wakamirira kusvikira unonzwa uchida iwe ungaguma nenguva yakamirira kwenguva refu. Vamwe vanachiremba vakashanda nevanhu vane kenza vanoratidza "fake kusvikira iwe uchiita" inosvika nechido. Zvinogona kutora "kurangarira mumuviri" usati wanyatsoteerera.
Waunofambidzana wako anogonawo kuva nehanya nazvo kuti kuva pedyo kunogona kukukuvadza iwe, izvo zvinogona kutanga denderedzwa rakaipa. Kunyange zvazvo zvingave zvakaoma kutanga kukurukurirana, kuva nehurukuro inofungisisa uye yakatendeseka nemumwe wako uye wako oncologist angabudisa mhepo pamusoro pezvinetso izvi.
Uyezve, zvizhinji zvezvakaitwa nevakadzi semibvunzo muongorori zvinogona kudzikinurwa nekuwana rubatsiro kubva kunechiremba anokwanisa kuvayambira pane zvichazobvisa kana kuderedza migumisiro yechirwere yakadai se:
- Zvisikwa zvinogona kuderedza kuonekwa kwezvokuvhiya uye zvekuvaka zvakare.
- Mafuta anochengetedzwa kuti ashandise izvozvo achaita kuti vaginhe uome uye kuora kwepabonde.
- Mazamu asina kutarisa akafanana, nekuda kwekuvhiyiwa, anogona kuitwa saizvozvo kuburikidza nekuvhiyiwazve.
- Migumisiro yemigumisiro yekutanga kuenda kumwedzi inogona kuderedzwa nemishonga uye yekurovedza muviri.
- Ganda rinoshandiswa nemhaka yemirasi iyo inogara kwenguva yakareba kupfuura mwedzi mishomanana inowanzobata kurapwa.
- Lymphedema inogona kurapwa uye kuzvikudza kunoderedzwa kuvakadzi vazhinji.
- Kuwedzera kwehutano hwekurapa kunogona kuchengetedzwa kuburikidza nekudya uye kuita zvekudzidzira.
- Kuora mwoyo uye kuzvidya mwoyo zvinogona kurapwa nemishonga uye, kana zvichidikanwa, nemishonga.
Sources:
American Cancer Society / American Society of Clinical Oncology Mucherechedzo weCarcer Cancer Survivorship Care Guidelines 2015.