Migumisiro yeKemotherapy neRadioation Therapy paFercility uye Options Available
Ko kenza inobata sei kubereka? Chii chandinofanira kuziva ndisati ndatanga kurapwa kwekenza kuitira kuronga mberi?
Kunyange zvazvo zvinetso zvekuberekwa zvakanyatsozivikaniswa nemigumisiro yekenza uye kenza yekenza , iyo inowanzodzingwa sechiitiko chakaipa icho hakuna munhu ane hutongi pamusoro. Vanhu vazhinji havazivi kuti kubereka kunobatwa sei nemishonga iyi kana kuti kunzwisiswa kwezvinhu zvinogona kuitwa nguva isati yasvika kuti zvigadzikane zvakakwana.
Ichokwadi chechinhu ndechokuti kunyange zvazvo kurapa kwekenza yeropa kunogona kukonzera kusapera, iyi haisi iyo yemishonga yose, uye pane chimwe chinhu chaungaita pamusoro payo. Pfungwa dzako dzinogona kunyanya kuisa mukurapa kenza yako asi tora nguva yekufunga nezvekubereka kwako ikozvino. Inofungidzirwa kuti pakati pevanorwara vechidiki vechirwere chepachirwere vanoita kuti vanhu vave nehutano hwakanyanya-chechipiri chete kutarisira kupona chirwere chacho.
Chii Chinokonzera Kusakosha Muzvirwere zveKenza?
Kushungurudzwa kwekenza-yakabatana kunogona kuva kwenguva pfupi kana kusingaperi. Unyanzvi hwako hwekuva nevana hunove hwakakanganiswa nezvinhu zvakawanda:
- Chirwere chacho pachako
- Kuchengetedza madhara
- Rudzi rwerapi yaunowana
- Zera rako
- Mamwe mishonga kana zvinetso zvehutano zvaungave nazvo
- Kuwanika kwemaitiro ekuchengetedza kubereka
- Zvitendero zvako kana tsika zvetsika pamusoro pekubatsira kubereka (semuenzaniso; in vitro fertilization nezvimwe)
Iko kunewo kunetseka kwevamwe vanhu kuti kubata kunogona kuisa dambudziko pamuviri wemukadzi iro raisazova rakachenjera kutevera kurapwa kwekenza.
Izvozvo zvinokonzerwa neropa reCancer Effect Fertility
Kunyange zvazvo zvakajairika kune vanhu vakwegura, mamwe maeukemias uye lymphomas zvinowanzoonekwa nevanhu vaduku vezera rekubereka kana vana. Vazhinji vane kenza yeropa vanoitika panguva iyo vanhu vasati vava nemukana wokutanga, kana kufunga kunyange kutanga, mhuri.
Mune mhaka yekenza yeropa, kusabereka hakuwanzo kukonzerwa nehosha yacho pachayo, asi kazhinji nekurapa kwayo. Izvo zvakasiyana neHodgkin lymphoma, iyo inogona kukonzera uwandu hwemuto hushoma muvarume.
Ko Chemotherapy Inobatsira Sei Kubereka?
Chemotherapy inogona kukanganisa vose varume nevakadzi kubereka, asi kwete mishonga yose ine mamiriro akafanana. Muvanhu, chemotherapy inogona kukonzera musikana kuti asave mumhara (azoospermia). Madzimai, zvinogona kukonzera kusakwanisa kweiyo mazai kusunungura mazai evha (kusakanganiswa kwemaawa kana kupera kwokutanga) .
Pamusoro pechikamu chikuru, chiyero che chemotherapy chinopiwa pamusoro pemavhiki nemwedzi yekurapa chinonyanya kukonzera kubereka kudarika chiyero chemishonga inopiwa mune imwe nhengo. Kusanganiswa kwemakemikrasi kunowanzokonzera kukanganisa kuberekwa kwehutano pane kushandiswa kwemishonga imwe chete.
Muvarume nevakadzi, boka remishonga inowanzokonzera kubereka ndeyevashandi vemazuva ano. Mimwe mienzaniso yei-alkylating agents inosanganisira Cytoxan (cyclophosphamide), Ifex kana Mitoxana (ifosfamide), Alkeran (melphalan), Myleran kana Busulfex (busulfan) uye Matulane (procarbazine.)
Sezvo kune zvinhu zvakawanda zvinokonzera kubereka kwevatano vechirwere, kuwedzera kune mishonga yaunogamuchira, zvakaoma kuti nyanzvi dzikwanise kutaura zvakananga kuti ndiani achagadziriswa.
Kupisa Kwemhepo Kunobatsira Sei Kuita Chibereko?
Radiation therapy inowanzopiwa mune zviduku zvishoma (zvikamu) zvenguva yakareba yekuderedza migumisiro uye zvinodhaka. Zvinosuruvarisa, "kupatsanurwa" kunokonzera kukanganisa kune nhengo dzinobereka kudarika chirwere chimwe chikuru. Paunotungamirira mazairo emvura, miedzo yose inoitwa kuti inodzivirire nhengo dzinobereka kana zvichibvira.
Kunyangwe mumadhani maduku, mashizha kusvika kune ma testes anogona kuderedza mbeu yevanhu. Izvi zvinogona kunge zvenguva pfupi kana zvingaguma zvisingagumi kana mizinga yakakwirira ishandiswa. Mishonga inogona kukonzera kuderera kwemazinga e testosterone.
Madzimai, mazamu acho anogona kunge ari mumharaunda yewaini.
Muchiitiko ichi, chiremba angasarudza kuvhiya achienda kune imwe nzvimbo yomuviri kuitira kuti zvisave zvisingakuvadzi nemirairo. Vasikana vaduku vanowanzoita kupfuura vakadzi vakwegura kuti vadzokezve kubereka shure kwemazuva.
Zvose muviri hutsinye, sezvinoshandiswa dzimwe nguva mukugadzirisa stem cell transplant, zvinowanzokonzera kuora mwoyo kwekusingaperi kwevarume nevakadzi.
Kubereka Kuchengetedzwa
Zvakakosha kufunga nezvekusarudza kwaunoita kana iwe uchifanira kukura kusununguka usati watanga kurapwa. Pane zvakawanda zvingasarudzwa, asi zvisarudzo pakati peizvi ndezvomunhu oga. Zvisarudzo zviripo zvinosanganisira:
- Kusvuta mazai kana chirume
- Kuchengeta embryos
- Kushandisa mazai ekupa, mbeu, kana embryo
- Kuzvidzivirira
- Adoption
Kugadzirira Male Infertiity
Ndinofara, nzira dzekukanda mhodzi dzakabudirira chaizvo, zvichiita kuti mbeu yebhuruti ive sarudzo yakakwana kune varume vazhinji kana vachinge vasvika pakuberekwa. Sarudzo dzevarume dzinogona kusanganisira:
- Mbeu yebhangi - inopisa mbeu inoshandiswa mberi.
- Uhu hunokwidziridzwa - mbeu inogona kubviswa zvakananga kubva muzvinyorwa kana chirume mumuna chisina kukwana, uye kana chando kana kushandiswa mu in vitro fertilization.
- Testicular tissue freezing - Inenge ichiri mumatanho ekuedza, asi masayendisiti ari kutarisa kubvira kwekubvisa nyanzvi kana chikamu chetachiona kuti chisvibise, uye kuchidzoka zvakare mumuviri munguva yemberi.
Kugadzirira Chikadzi Chisina Kuita
Kuchengetedza kubereka kwevakadzi kunonetsa kupfuura kuvarume, sezvo nzira yekuisa mazai mazai haana kumbobudirira seavo kuti vasvike mbeu. Zvimwe zvinogona kusanganisira:
- Kusununguka embryo / in vitro fertilization - kusinganzwisisiki embryo kuti kuve kwakapinda mumuviri wemukadzi mushure mokunge kurapwa kana kuti kubuda, kwakashandiswa zvakabudirira kuvakadzi vazhinji vakave vasina kutambura nemhaka yekenza kurapwa. Ichokwadi kuti izvi zvinoda kuronga, uye kusika uye kupisa embryo (s) vasati vatanga kurapwa kwekenza.
- Kusvinura mazai - Kuedza kubvisa mazai kwakaguma mumakore mashomanana ekudzivirira, uye nzira yacho yakakosha kuburikidza nekukwanisa kufambisa uye kunyorera mazai pasina kukanganisa.
- Ovarian tissue kuchengetedzwa - Iyi nzira, sezvinoita mazai mazai, ichiri kuedza, asi inosanganisira kubvisa ovary kana chikamu chevhavha uye netariro kuti mhuka inogona kuiswa zvakare mushure mokuzadzisa kenza yekenza.
Mibvunzo Yokubvunza Chiremba Wako
Hazvisi zvisinganzwisisiki kurapwa kwekenza yeropa kunokonzera kuderera kune varume nevakadzi. Kunyange zvazvo izvi zvingaita sechinhu chisina maturo kubva mupfungwa dzako, zvakakosha kuti ukurukure zvisarudzo zvako zvekubereka pamwe nemupi wehutano wehutano nokukurumidza kana zvichibvira mushure mekunge uongororwa.
Heano mibvunzo mashoma yaungada kubvunza chiremba wako:
- Iro chirwere ichi chinogona kunge chichikanganisa kubereka kwangu here?
- Iwe unotarisira here kuti rutivi rwuno rutivi runenge rwenguva duku kana rwusingaperi?
- Pane chimwe chinhu chinogona kuitwa kudzivirira kusununguka munguva yekurapwa kwangu here?
- Pane dzimwe nzira dzokurapa dzisingakwanisi kukonzera kusununguka here?
- Ndichine nguva here ndisati ndatanga kurapwa kutsvaga zvandinokwanisa kuita kuchengetedza mbeu?
- Ndingakwanisa kutumirwa kune nyanzvi yekubereka kuti ndikurukure zvandinokwanisa kuita kuchengetedza mbeu? (Iwe haufaniri kuziva zvose nezvekushaya rubatsiro musati waita kurapwa kwekenza, asi nyanzvi inogona kukutungamirira pane zvose zvaunofanira kuziva panguva ino.)
- Kana ini ndichiramba ndakabereka, vana vangu vepamangwana vangakanganiswa nekurapwa kwangu here?
- Ndingaziva sei kana ini ndiri kubereka kana kwete?
Summing Up
Vanhu vazhinji vakave vachitarisana nemamiriro ezvinhu anotyisidzira upenyu vanoziva kukoshesa zvikuru chipo cheupenyu uye kukwanisa kusika upenyu. Pane zvinhu zvakawanda zvinogona kukanganisa kukanganisa kenza yemukati kuchava nehutano hwako. Muzviitiko zvakawanda, hazvigoneki kuti vanachiremba vataure. Kunyange zvazvo zvingava zvakaoma, kana kunyange zvisingaiti, kuti uwane kurapa kwakanakisisa kwekenza yako paunenge uchidzivirira kusapera, pane zvingasarudzwa iwe kuti uchengetedze kubereka kwako usati watanga kurapwa.
Zvakakosha kuti ukurukure mibvunzo yako yose nezvinetso pamusoro pekuita pamuviri kana kubereka mwana mune ramangwana usati watanga kurapwa.
Sources
American Society of Clinical Oncology. Cancer.Net. Kuda Kunetseka nekuchengetedzwa Kwevanhu. 03/2014. http://www.cancer.net/navigating-cancer-care/dating-sex-and-reproduction/fertility-concerns-and-preservation-men
Kim, SY., Kim, SK., Lee, J., naT. Woodruff. Kutarisa mishonga yakakwana yekuchengetedza kubereka kune vanorwara nekenza: iripo uye inobuda inobereka mbeu yekuchengetedzwa kwevakadzi. Nyaya yeGynecologic Oncology . 2016. 27 (2): e22.
Krebs, L. "Kushushikana kwepabonde uye kubereka" mu Yarbro, C., Frogge, M., Goodman, M., uye Groenwald, S. eds. (2000) Kanzura Mukoti: Mazano uye Maitiro 5 ed.Jones naBartlett: Sudbury MA. (pp.831- 854).
Lee, S., Schover, L. Partridge, A. uye al. American Society of Clinical Oncology Zvinokurudzira pamusoro pekuchengetedzwa kwehutano muVarwere veCancer. Nyaya yeCliniki Oncology 2006; 24 (18): 2917- 2931.