Kurapa kenza yemazamu mumukadzi ane pamuviri kunoda kuongorora kukuru kune hutano hwomurwere uye mwana.
Pano, kuparara kwemishonga yakasiyana.
Surgery
Kuvhiya kazhinji ndiko kutanga kokusarudzwa kwevakadzi vane pamuviri vane kenza yemazamu. A lumpectomy kana mastectomy uye kubvisa lymph node , zvose zvakaitwa neanesthesia, zvinogona kuitwa kuti ibvise tumarara.
Nemhaka yekuti anesthesia inogona kuisa njodzi kune mwana, vanachiremba vako vachada kushanda pamwe chete kuti vaone nguva yakanakisisa paunenge uine pamuviri kuronga chirwere.
Kuberekwa-kuchengetedza chirwere, zvakadai se- lumpectomy uye kusagadzikana kwemaitiro, zvinogona kudiwa kurapwa kwemishonga sekutevera. Asi izvozvo hazvigone kuitwa panguva yekuzvitakura. Mishonga inorapwa inowanikwa muhope yakakura; inogona kukanganisa fetus chero ipi zvayo yekuita pamuviri, kunyange kana mutungamiri wenhovo inoshandiswa.
Chemotherapy
Mumwedzi mitatu yekutanga yehutano hwako, chemotherapy haina kupa, nekuti inogona kukuvadza nhengo dzemuviri wako dzinokura. Kana chemo inodiwa, ichapiwa chete panguva yekupedzisira kwemamiriyoni matatu ekudzivirira. Ongororo dzakawanda paFAC chemotherapy (kusanganiswa kwe fluorouracil, Adriamycin, uye cyclophosphamide) vakaratidza kuti zvakachengeteka kumwana wako. Mhosva dzekupererwa pamuviri, kusununguka nguva isati yasvika, kuberekwa, kana kukanganisa kuberekwa kunoitwa neFAC kurapa hazviwanzoitiki.
Zvisinei, ramangwana rako rekubereka richave rakakanganiswa nemhando iyi ye chemotherapy.
Mishonga inoshandiswa chemo panguva yekuzvitakura inobva pane trimester uripo apo utano hwako hunotanga. Kutora mamwe mishonga ndeye riskier mune dzimwe trimester kupfuura mamwe.
- Inotyisa zvikuru : Methotrexate - inokonzera kusununguka kwepamuviri nekuremara kwekuberekwa
- Kakavhiringidza: 5-FU (fluorouracil) - zvimwe zvidzidzo zvakaratidza kuti hazvina maturo, asi vamwe vanocherechedza kuti zvinogona kukonzera kusununguka kwepamuviri uye kuora kwekuzvarwa
- Zvakanyatsochengeteka : Cytoxan (cyclophosphamide) - yakachengeteka kana yakashandiswa mumwedzi mitanhatu yekupedzisira yekuzvitakura; dambudziko rinononoka kana rinoshandiswa mukati mekutanga mwedzi mitatu yekudzivirira
- Yakachengeteka: Velban (vinblastine) uye Adriamycin (doxorubicin) - yakachengeteka kana inoshandiswa mumwedzi mitanhatu yekupera pamuviri
- Hazvina kukwana ruzivo: Taxol (paclitaxel) uye Taxotere (docetaxel) - zvidzidzo zvishomanana chete zvakatarisa zvinokonzerwa nekateketeti chemotherapy pamusikana anowedzera. Imwe nyanzvi yakashuma kuti kurapa mukadzi ane pamuviri ane taxane munguva yekupedzisira kwemwedzi mitatu yekuzvitakura kwakaguma nevana vanowanzosvika panguva yakazara, asi zvimwe zvitsvakurudzo zvinodiwa.
Chenjerera Simba Rako Rokuzvidzivirira
Chemo inoderedza ropa rako rekuyera ropa uye inokusiya iwe nechecheche wako kuti uwedzere kutapukirwa panguva yekurapa. Hazvisi zvirwere zvemuviri zvevana zvichange zvichitambudzwa panguva yechimo asi kana zvichishungurudzwa uye zvinoramba zvakaderera mushure mokuberekwa, iva nechokwadi chokuti uwane mushonga. Vanachiremba vanofunga kuti zvinoratidzika zvakachengetedzeka kupa Neupogen kana Neulasta injections panguva yekuzvitakura kuti irere mhlophe sero count.
Radiation Therapy Mushure mekuberekwa
Iyi kurapa inoshandiswa mushure mokunge musununguka.
Inoshandiswa kubatsira kubatsira kuuraya chero kenza yemukenza inogona kuve iripo mukati mako uye kudzivirira kudzokorora. (Mishonga inoparadza mwana kuburikidza nekukonzera kupererwa, kuberekwa, kana kukura zvishoma.) Hazvina tsvakurudzo dzakaitwa pamazamu ehutachiona kana kuti brachytherapy (maharai chaiwo emharaunda) uye zvinokonzerwa nemazamu akachinjwa semubhedha, asi zvakadaro. Nokudaro, hatizivi kana kunonoka kurapwa kuchave kwakabudirira mushure mokuberekwa sezvazvaizoita. Vanachiremba, kazhinji, vanobvumirana kuti mazai echepabonde rehadzi haasi akachengeteka panguva yekuzvitakura.
Hormonal Therapy Mushure mekuberekwa
Tamoxifen inonzi hormonal therapy inodzivirira isrogen kubva muchifuva mishonga.
Inowanzopiwa vakadzi vane estrogen-receptor chine kenza yemazamu. Zvisinei, zvine ngozi kutora panguva yekuzvitakura. Utachiona hweHormone hunogona kupiwa mushure mekuberekwa kwomwana wako kuti kuderedza dambudziko rako rekudzoka.
Hard Choices
Pane imwe nguva iwe unogona kunyanya kufunga nezvehupenyu hutsva mukati mako, unogona kubvunzwa kuita zvisarudzo zvakaoma iwe pachako. Kubva pachitamba chepamuviri, hutano huzhinji, uye hutachiona, unogona kubvunzwa kuti uone kuguma kwekuita pamuviri.
Kutsvakurudza hakuna kuratidza kuti kupera kunobatsira pamusana pekenza yemucheche, uye hazviwanzoonekwa sechinhu chinorapa. Zvisinei, kana kenza yako ine utsinye, yakaonekwa kuti yakanonoka, uye iwe unoshaiwa che-high-dose chemo uye mazairo emvura, iwe unogona kutaurirana kuguma kwekubata kwako kuitira kuti ugone kurapa kwakakodzera. Imwe nzira inogona kunge ichangobva kutora mwana wako kana iwe uri padanho rekupera kwekuzvimba uye mukana wemwana wekupona zvakanaka.
Taura nemhuri yako, oncologist, uye chigadzirwa chezvipfeko kuti uone zvakakwana zvose zvaunogona.
> Sources:
American Cancer Society. Kuberekwa uye Breast Cancer, Breast Cancer Treatment During Pregnancy. Kugadziriswa Kwakapedzisira: 08/08/2007 Kuchengetwa Kwekenza Kurapa Panguva Yechirwere
National Cancer Institute. Chirwere chepabonde uye Kubata - Health Professional Version. Last Updated: 12/09/2004. Chirwere Chepabonde uye Kuberekwa