Kuronga, Time Management, nekudzorera
Kana iwe wakabatwa nekenza yemazamu, iwe unenge uchida kuziva kuti chirwere chinotora nguva yakareba sei. Inguva yakareba sei kurapwa kwomumwe munhu kwakadai sokuvhiya, chemotherapy, uye remishonga inonzi radiation inotora-uye ndeapi nguva yekudzidzira nguva? Inguva yakareba sei ichava iwe kusvikira wava kudzokera kune yakarongeka? Zvakakosha kucherechedza kuti kune avo vane estrogen receptor vane kenza yemazamu, mishonga yemuromo inogona kudiwa kutorwa zuva rimwe nerimwe kwemakore mashanu kusvika ku10 kutanga kurapwa kwapera, asi izvi zvinowanzoonekwa se "kugadziriswa" kune "kushandiswa kwekuita."
Inobva ichitsvaga
Kuonekwa kwekenza yemazamu kunogona kuvhiringidza hupenyu hwako-manzwiro, hutano hwepanyama, mari, uye hukama hunogona kukanganiswa. Pawakaonekwa, iwe ungangodaro uri kushanda nguva yakazara, kurera mhuri, kana kutevera zviroto zvako. Karenda yako yakanga yakazara uye hupenyu hwako hwakabatikana.
Nenguva isipi, purogiramu yako inopindirwa nechisimba chekugadza nevanovhiya, oncologists, vanachiremba, nyanzvi, uye vanachiremba. Iwe pakarepo une basa idzva-kutora kuburikidza nekenza yepabonde. Ngatitarisei kuti zvirwere uye nguva yakadini inogona kutora uye inokurukura kuchengetedza nguva yako.
Kuenzanisa Zvido
Kana uri kushanda kunze kwemusha, ungada kuziva kuti inguva yakawanda yekurega nguva yekukumbira. Iva nechokwadi kuti iwe unoziva chirwere chekuenda kwekusiya kune basa rako uye kupa maneja wako chiyero chakanakisisa chaunogona.
Yeuka kuti kana iwe uchirova nyoka panguva yekurapa, iwe uchange uine nguva yakareba kupfuura yawakaronga. Saka, iva nechokwadi chekuti bhodhi yako azive zviri kuitika.
Chengetedza kadhigiramu mubhuku rako rehutano rehutano kuti uone zvose zvakasarudzwa. Usazvinyora pamusoro pako, kunyanya pakurapa uye kupora mazuva. Kumbira rubatsiro uye kupa mishandira mabasa iwe uchiri kudzoka.
Vanhu vazhinji vanoshamisika kuti vanonzwa zvakasiyana pane zvavanotarisira vasati vasangana.
Unogona kuona kuti kushanda kunobatsira, uye panzvimbo yekuve wakanyanyisa, zvinotora pfungwa dzako pane zvehutano hwako. Kusiyana neizvi, vamwe vanhu vakanga vafunga kuti vaizokwanisa kushanda vose kuburikidza nekurapa asi vaone kuti havagone. Munhu wese akasiyana. Chinhu chinonyanya kukosha ndechokukudza iwe manzwiro ako.
Vanhu veAmerica vane Disability ACT (ADA) vanoti vanoshandira vanofanira kupa "nzvimbo dzakakodzera" dzevaya vanotarisana nechirwere chakadai sekenza yemazamu. Iyi dzimba dzinosanganisira kukwanisa kubvisa nguva kuvaridzi kugadzwa uye kuti vadzoke pakurapa. Dzimwe nzvimbo dzekugara, dzakadai sedhimwe purogiramu yemabasa kana mukana wekushanda kubva kumusha inobatsira kune vamwe vanhu. Sangano risingaiti-rekushandisa Kanjekisi uye Basa rine hurongwa uye inopa rubatsiro rusununguko rwevanhu vakawanda vari kutambura kuenzanisa upenyu hwavo hwemabasa nekenza yekenza.
Kuvhiya uye Kudzorera
Kuwanda kwenguva iyo ichakutora iwe kuti udzoke kubva pakuvhiya kunobva pane chirwere chako iwe uye kana iwe une sentinel lymph node biopsy kana axillary node dissection.
- Lumpectomy (mazuva manomwe kusvika pakuramba kwemazuva manomwe). A lumpectomy inoratidzika nzira, saka iwe uchazoenda kumba musi iwoyo wekuvhiyiwa. Iwe unogona kuva nekuvhiya mvura munzvimbo, naizvozvo usakurumidza kudzoka kushanda. Kana uine lymph nodes paunenge wabviswa munguva yako lumpectomy, kurapwa kunotora nguva yakareba kwevhiki imwe chete. Tora mumwe munhu kuti aite kutyaira uye kusimudza zvakasimba, uye udzoke kumba kwako, mitambo, uye munda.
- Mastectomy (mavhiki matatu akadzikinura). A mastectomy is inpatient procedure, so you will be in the hospital one or two days after the surgery. Iwe uchange uine chirwere chinoshandiswa munzvimbo panzvimbo kwemazuva mashanu kusvika kune manomwe (dzimwe nguva kusvika masvondo matatu) kuti ubatsire nekuporesa. Izvi zvichabviswa pamusangano wekutevera nechiremba wako. Pasinei nezvinetso, zvaunofunga zvinofanira kuporesa mukati memavhiki matatu kusvika mana. Kana uine lymph nodes paunenge wabviswa munguva yako yekuita mastectomy, kurapwa kunotora nguva yakati. Kakawanda kazhinji kunowanikwa nekukurumidza kugadzirwa kweputi, asi izvozvo hazvifaniri kukanganisa kuporesa kubva pakuvhiyiwa. Wana zororo rakawanda uye utore nguva yekugadzirisa manzwiro ako apo iwe unopora.
- Kudzokororazve (mazuva matatu kusvika ku7 kudzikinura). Haasi munhu wose achange achida kubvunzwa zvakare kana magedhi ekuvhiya akanga akajeka. Iyi ndiyo nzira yekurapa iyo inoitwa mushure mokunge lumpectomi inotarisa margins akajeka. Iwe uchaenda kumba mushure mekuvhiyiwa kwako. Iwe unogona kunge une chirongwa chokuvhiya kuti utarisire, asi chinogona kubviswa nokukurumidza. Tora zviri nyore pamusha kusvikira kukwira kwako kusisina kudiwa.
- Kugadziriswa kwebonde (nguva dzekudzidzira dzinosiyana). Nokuti kudzorerwa kwezamu kunogona kubva pane zvakasikwa zvakagadzirirwa panguva yekuita mastectomy kusvika pakusununguka kusina kusununguka , nguva yako yekudzorera inobva pane zvakaoma nzira yako yekuvakazve. Mamwe maitiro ekugadzirisazve anosanganisira maitiro maviri kana matatu akasiyana-siyana ekuvhiya kuti upedze chipfuva chako chitsva. Kana iwe uine rhetradio yemahara, kuvakazve kunogona kunonoka kusvika wapedza zvose zvidzidzo.
Chemotherapy uye Recovery
Kansa yemazamu chemotherapy inopiwa muhetera dzakasiyana-siyana zvichienderana nekuti iwe unoregerei kurapwa. Kazhinji, rudzi rumwe rwemakemikirini anopiwa mavhiki maviri ega ega. Ikoko chemotherapi inotevera inogona kupiwa masvondo maviri ega ega maitiro mana, kana vhiki yega kwega mwedzi miviri. Kwose, chemotherapy inotora mwedzi inenge 4 kusvika ku6 yekupedzisa. Nguva zhinji iwe uchange uine ropa rako rakaswededzwa uye unosangana ne oncologist yako mushure mega rega, asi izvi zvinogona kusiyana.
Kuiswa kwega kwega kwega kunotora maawa matatu kusvika mana uye kutarisa kwemaoticology uye mabhidhi ekugadzwa kunofanira kutora chero kupi zvako kubva pamaminitsi gumi nemashanu kusvika paawa, zvichienderana nekushanda kwawakaita kliniki yako. Kana zvikamu zvako zvikamu zvinyoro, iwe unogona kudzokera kumabasa anowanikwa mukati mekurapwa kwega kwega. Asi kana vari kushungurudza, ronga kuronga nguva yekudzoka. Nedzimwe chirongwa unogona kupiwa chirwere chemishonga kuti uwedzere ropa rako rega rega rega mushure mekunge iwe uchinge wapererwa. Iyi mishonga dzimwe nguva inokonzera kurwadziwa kwepfupa kunogona kugara kwemazuva matatu kusvika mana.
Nguva yekudzorera kubva chemotherapy inokasiyana nemunhu mumwe nomumwe. Yeuka kuti chemotherapy ndeye chirongwa chemuitiro chinoshandura muviri wako wose. Iwe unofanirwa kuronga kwemwedzi mumwe kusvika mitatu yekudzikinura nguva imwe neimwe muzinga weiyo chemotherapy kana chirwere chako chapera.
Radiation Therapy uye Kubva
Nguva yehuwandu icharamba ichienderana nemhando ipi yemishonga inonzi radiation iwe uchange uine. Zvizhinji zvezvitsva zvitsva zvinoda zvishoma kudarika zvekare zvaiitwa zvikamu 33.
Chidzidzo chemazinga emishonga emishonga yemazamu mushure mekuvhiyiwa inogadzirirwa kwevhiki rimwe nerimwe kwemavhiki matanhatu kana manomwe. Chero mimwe migumisiro yaunogona kuva nayo ichava yakawanda, naizvozvo ronga kuronga nguva yekuzorora pakupera kwevhiki uye pakuguma kwekurapwa.
Kuratidzira Partial Breast Irradiation (APBI) inogona kupera mumavhiki matatu kana pasi. Brachytherapy , kana kuti mazhenje emukati mukati, zvinogona kuitwa mumazuva mashanu, nemigumisiro ine unyoro uye nguva shoma yekudzikinura.
Total Time
Mishonga yekenza yepabonde inogona kutora nguva yakati uye iwe unganetseka kuti iwe uchakurumidza sei kuwana hupenyu hwako zvakare. Iwe unogona kutendera kuti mhuri, shamwari, kana mutariri wako azive nguva yakawanda yauchave iwe mukurapa.
Pasi pane tafura ine mamwe maonero ekurapa kwenguva yakareba sei zvichienderana nekuongorora kwako. Nguva dzisingatauri mapfupa pakati pemhando dzemishonga, mazano, maonero epiri, kuwedzera kuongororwa uye kuongorora zvidzidzo. Kana iwe uine hormonal therapy (endocrine therapy) mushure mekunge kurapwa kwekutanga kuchiguma, unogona kutora mishonga yekudzivirira kudzoka kwemakore mashanu kana kupfuura.
"Avhareji yepamusoro" yekambani yekutanga-yesera yepamu inogona kutora gore kuti aongorore uye kurapwa nekunonoka kwenguva pfupi. Zvose zviri mumutsetse uyu zvinotanga kufanana nekenza-kamu yekenza yepabonde, isina metastasis . Ramba uchifunga kuti izvi zvinotarisa kuti hauna matambudziko kubva pamarapirwo ako uye kwete nekudzoka kwekenza yepabonde.
Metastatic Breast Cancer
Chirwere chematenda cheMetastatic chicharapwa uye chichaongororwa zvakasiyana.Ukudya kunopiwa kupa kunonoka kupararira kwekenza yemasasa, kunoderedza chirwere chepamuviri, kuderedza marwadzo, nekuwedzera kupona. Chimwe nechimwe chekenza yemasasa inokonzera chirwere chinoda chirongwa chekurapa kwehupenyu hwomurwere, saka kuongororwa nguva yekurapa uye kugadzirisa kunoitwa pane imwe nyaya-ne-case basis. Nekenza yemasitemasi yemukaka, kurapwa hakumboiti "kwaitika." Vanhu vazhinji vachave vari kune imwe nzira yekurapa kunonoka kukura kwechiremera kwehupenyu hwavo hwose. Kutaura zvazviri, kukumbira kana vachizoitwa nekurapa ndeimwe yezvinhu zvisingatauri kune mumwe ane kenza yemasita .
Tetra: Kurapa & Kudzorera Nguva Kubva pakuziva
Tafura iri pasi apa inogadzirisa hurongwa hwezvimwe zviitiko zvinowanzoitika. Aya maitiro anofungidzira kuongororwa kwekenza yepamuviri-yekutanga-kamuti iyo inobviswa nekuvhiyiwa uye zvino inopa kurapwa kwechirjuvant kudzivirira kudzokorora.
Iko kune zvakawanda zvisiri izvo kumatambudziko anouya pano. Semuenzaniso, kuongororwa kwekenza yepabonde-katatu ine bundu duku, lymph node yakajeka, uye mitsara yekuvhiya icharapwa nemwedzi mitatu kusvika kumitanhatu yemakemikari, apo chirwere chepasi- ductal carcinoma in situ ine tumarara duku, kujekesa lymph nodes, uye mitsara yekuvhiya inogona kurapwa nemirasi yoga.
Mukuwedzera, tafura haina kuisa mukana wekukwanisa kusvika kumakore mashanu kana kupfuura kwehutachiona hwemakemikari anokonzerwa nehommone-sensitive. Kurukura kuongororwa kwako newe oncologist kuti uwane mufananidzo wakajeka wenguva yako yose mukurapa nekudzoka.
| Kuziva | Surgery | Zvimwe Surgery | Primary Kurapa | Secondary Kurapa | Nguva Murapa uye Kudzoka * |
| T1 / N0 / M0 | Lumpectomy (Mazuva 7) | Radiation: Brachytherapy (Mazuva 7) | 14 - 21 Mazuva (2 - 3 Mavhiki) | ||
| T1 / N0 / M0 | Lumpectomy (Mazuva 7) | Re-excision (3-7 Mazuva) | Radiation: APBI | 6 Mavhiki | |
| T1 / N1 / M0 | Lumpectomy (Mazuva 7) | Radiation: APBI (Mavhiki matatu) | Chemotherapy (6 Cycles / 6 Mwedzi) | 7 - 8 Mwedzi | |
| T2 / N0 / M0 | Lumpectomy (Mazuva 7) | Radiation: Whose Breast | Chemotherapy (6 Cycles / 6 Mwedzi) | 8 - 9 Mwedzi | |
| T3 / N1 / M0 | Mastectomy (14 Mazuva) | Chemotherapy (6 Cycles / 6 Mwedzi) | 7 - 8 Mwedzi | ||
| T3 / N1 / M0 | Mastectomy (21 Mazuva) | Nenguva isipi Kuvakwazve | Chemotherapy (6 Cycles / 6 Mwedzi) | 7 - 8 Mwedzi | |
| * Cherechedza: Nguva yekurapa uye kugadzirisa inofungidzirwa - chero nyaya ichasiyana. Nguva dzisingatauri mapfupa pakati pemhando dzemishonga, mazano, maonero epiri, kuwedzera kuongororwa uye kuongorora zvidzidzo. | |||||
Kufambira Mberi
Nguva yekudzorera inobva pane hutano hwako usati waongororwa, muviri wako unopindurwa kumarapirwo, mararamiro ehupenyu, uye maitiro ekuita zvekuita panguva yekudzikinura. Kushandisa, kudya kudya kwakanaka, kurega doro uye fodya, uye zvishoma nezvishoma kudzokera kumabasa anowanzoita zvinogona kukurumidza kupora, sezvinogona kugadzirisa chero dambudziko raunoramba uchiita pashure pokurapa.
Kuvandudza manzwiro inonyanya kuoma nzira iyo mumwe nomumwe wedu anoshandisa pachedu pachedu pachedu. Kana iwe uchinzwa kushungurudzika kunetseka kana kuva nekutya nguva dzose pamusoro pokudzoka , bvunza rubatsiro. Zvidzidzo zvinotoratidza kuti kupona kunovandudzika kune vanhu vanoenda kuburikidza nehupenzi hwekuita mazano, aka "kutaura therapy."
Zvizhinji zvepanyama zvinokanganisa zvichaderera nekufamba kwenguva apo hutano hwako huchiwedzera, asi vamwe vanogona kurara. Mumuviri wako unotakura maronda kubva muhondo- lymphedema uye chemobrain inogona kukukanganisa iwe kupfuura iwe waunoda. Ukama hwenyu hunove hwakashanduka, uye vakadzi vakawanda vanotaura kuti zvinogona kuva makore vasati vashandise simba ravo vadzokera kune zvakasikwa.
Surivorship
Isu takangobva kutanga kutaura nezve "kuchengetedza kunetseka" kune vanhu vane kenza yemazamu, zvakadai sekushandurwa kwekufunga kwekwenyuka chemo ubongo, kuramba kuneta, kurwadziwa kusingaperi, nezvimwewo. Kazhinji kenza nzvimbo dziri kupa "kugadzirisa kenza" iyo inogona kusanganisira kupa mazano, kurapa muviri, nezvimwe kubatsira kubatsira muviri wako pedyo nekukwanisika kwawaimbova nekenza-kana kuti zvichida zviri nani.
Iko zvino inofungidzirwa kuti 5% chete yevakadzi vari kurarama nekenza yemazamu inopiwa iyi "nyeredzi yekuvandudza" kurapa, asi makumi matanhatu kusvika ku95 kubva muzana vanogona kubatsirwa. Upenyu mushure mekenza yemazamu hunosanganisira kuchinja, saka zvipe nzvimbo yakawanda uye nguva yekugadzirisa. Kununura nzvimbo yakanaka yekurarama!
> Sources:
> De Groef, A., Van Kampen, M., Dieltjens, E. et al. Kubudirira kwePooperative Physical Therapy yeApp-Limb Impairments Post Breast Cancer Treatment: A Reviewed System. Archives of Physical Medicine uye Kuvandudza . 2015. 96 (6): 1140-53.
> Joly, F., Giffard, B., Rigal, O. uye al. Migumisiro yeCancer uye Mishonga Yayo pamusoro peKushanda Kwebasa: Kufambira Mberi Mukutsvakurudza Kubva kuParis International Cognition uye Cancer Task Force Symposium uye Kubva Muna 2012. Zvinyorwa zveHurwa uye Chiratidzo Chekuita . 2015. 50 (6): 830-41.
> Loh, S., uye A. Musa. Nzira Dzokuvandudza Kuvandudzwa kwevarwere Kuchitevera Kurapa Kenza Kurapa: Kudzokorora Kuongororwa Kwakarongeka. Chirwere chepabonde . 2015. 7: 81-98.
> McZvino, M., Binkley, J., Pusic, A., Campbell, K., Gabram, S., naP. Soballe. Muenzaniso Unofanirwa Wokuchengetedza Kenza Yemazamu Kuvandudza: Matambudziko anotevera Postoperative uye Post-Reconstructive. Cancer . 2012. 118 (8 Suppl): 2226-36.
> Stout, N., Binkley, J., Schmitz, K. et al. Mutevedzeri Anotarisirwa Kuongororwa Mutevedzeri wekuvandudzwa kwevakadzi nekenza yepabonde. Cancer . 2012. 188 (8 Suppl): 2191-200.