Maitiro uye Mafungiro ePfungwa Maitiro eKana Breast Cancer
Hatifaniri kutarisa kure kuona uchapupu hwekutsigira vakadzi vane kenza yemazamu , asi zvakadini nevarume vane kenza yemazamu? Vanhu vazhinji, chaizvoizvo, havatombozivi kuti kune chinhu chakafanana nekenza yemukomana yemazamu . Mune dzimwe nzira, kenza yemazamu mumavarume nhasi ndeye kenza yemazamu mumadzimai aiva makumi mana emakore akapfuura-chimwe chinhu chakaoma kutaura pamusoro pechirwere chepfungwa chakanyanya asi kunyanya kunotsigirwa.
Ngatitangei tichitarisa mhedziso yekenza yemukomana yepamuviri, nhamba, zviitiko zvinopisa, uye nzira dzokurapa, uye zvino funga nezvekuti iwe unogona sei kutarisana nekuwana rubatsiro rwese mumuviri uye mupfungwa semunhu ane kenza yemazamu.
Chirwere Chechirwere Chechirwere-Zvinonamatira
Varume vanowana kenza yemazamu, kunyange zvazvo vane zana shoma shoma yekuwedzera chirwere ichi kupfuura vakadzi. Inofungidzirwa kuti muna 2017 pachava nevarume 2 470 vanorwara nekenza yemazamu uye 460 vachafa kubva pachirwere. Zvinosuruvarisa, mune rumwe ruzivo, 80 muzana yevarume vane kenza yemazamu vakanga vasingazivi kuti varume vanogona kuwana kenza yemvere.
Parizvino, nguva inenge ye8 kuvakadzi ichava nekenza yemvere, iyo inokwana anenge 25 muzana yekenza muvakadzi. Kuvanhu, muwandu wehutachiwana hwekenza yemazamu ndeye 1 mu1000 uye nekenza yekenza nhoroondo ye1% chete yekenza mune varume. Nhamba yevarume vanoonekwa kuti vane kenza yemazamu yakawedzera pamusoro pemakumi mashoma apfuura.
Varume vanowanzoonekwa kuti vakwegura pavanenge vakwegura kupfuura vakadzi vane chiyero chezera rekuongororwa ndewe 68.
Kunyange zvazvo kune humwe humwe huri pakati pevarume nevakadzi vane kenza yemvere, pane zvakawanda zvakasiyana zvakasiyana uye izvo zvatichakurukura. Yakave iine runyerekuro kuti kuwedzera kwehuwandu huri pasi kune varume vane kenza yemazamu, asi zvakakosha kutaura pamusoro pezvikonzero zvinotevera.
Varume-nekuda kwekushayikwa kwekuongorora, kusakwanisa kuziva (nevose vevanhu uye vashandi vehutano), uye zvichida kuwedzera kusazeza kuona chiremba nokuda kwezviratidzo zvakabatana zvepamu-zvinowanzoridzirwa apo kenza iri pane imwe nguva yakakura yechirwere ichi . Kuponeswa kwevarume nevakadzi pavanenge vakatarisana nechetatu rechirwere zvakafanana zvikuru nekupukunyuka kwekunze zvishoma pane varume.
Anatomy ye Breast muMarume
Vanhurume vane mazamu emvere sezvinoita vakadzi, asi chimiro chacho chakasiyana zvakasiyana. Kunyange zvazvo varume vane mazamu emvere, ivo vashoma kukura kupfuura vakadzi. Kusiyana nevakadzi, varume havawanzove nefupa.
Mhando dzeBeast Cancer muMurume
Mhando dzekenza yemazamu muvarume nevakadzi dzakasiyana, zvichiratidza maitiro akasiyana nemazamu. Inenge 80 muzana yemakondombere emvere muvarume ndeye ductal carcinomas . Lobular carcinomas , kanzura inomuka muzamu mazamu, inongova 2 muzana chete yekenza yevarume muvarume. Chirwere chePaget chechiko chinowanzojairika asi chinowedzera chikamu chepamusoro chekenza yevaramu mumarume nevakadzi. Mimwe mhando dzekenza yebonde yakadai sekuputika kwekenza yemazamu uye sarcomas hazvishamisi.
Zviratidzo zveKenza yeBeresi muMurume
Zviratidzo zvekenza yebonde muvarume zvakafanana neyavakadzi uye zvinogona kusanganisira:
- Chifuva chemuzamu (kana pasina marwadzo)
- Ingwe kubuda
- Ganda rinowedzera
- Kuyera kana kubwinya kwemukoko (izvi zvinowanzoonekwa kare kune varume kupfuura vakadzi)
- Dimpling yeganda (rinoratidzika se "orange peel")
- Kudzosera kana kushanduka kwembambo (apo ruko rinoratidzika rudedzwa mukati)
- Bundu riri muchikwama chako kana pamusoro pekorlarbone yako
Sezvo nevakadzi, varume vanowanzoziva kuti vane kenza yemazamu mushure mekuwana bundu. Haasi ose mazamu evanhu ari kenza.
Chifuva Chinoputika Varume
Haasi ose mazamu evanhu ari kenza, asi kusiyana nevadzimai vanogona kunge vane zvirwere zvakasiyana-siyana zvepabonde, bundu mumurume rinowanzove nekenza.
Gynecomastia mamiriro ezvinhu muvarume izvo hachisi bundu asi panzvimbo yekuwedzera kwemafuta muzvipfuva. Gynecomastia yakajairika, inoitika kune imwe nzvimbo muhafu inenge yehafu yevakomana munguva yehucheche. Mukukura, kune zvikonzero zvakasiyana-siyana zve gynecomastia pamwe chete kubva pamishonga kusvika kuchiropa chechiropa kusvika pakuwedzerwa.
Zvinokonzera uye Nengozi dzeKana Breast Cancer
Hatizivi chaicho chinokonzera kenza yemazamu muvarume, asi huwandu hwezvipingamupinyi hunoonekwa. Izvi zvinosanganisira:
- Genetics: Inofungidzirwa kuti genetics inobatsira zvikuru mune kenza yevaramu mune varume kupfuura vakadzi. Kufanana nevakadzi, varume vane mutsauko we BRCA vari pangozi yakawanda, kunyange izvi zvakasiyana pane vakadzi. Munenge 55 kusvika ku65 kubva muzana yevakadzi vane mutsauko we BRCA1 ichava nekenza yepamu, asi inenge inenge 1 mu100 varume vane mutende. Mushanduko we BRCA2 unobatanidza nekenza yepabonde mukati ma 45% yevakadzi vane mutende asi 6% chete yevarume. Zvimwe zviitiko zvakakosha mukenza yemukomana zvinosanganisira CHEK2, PTEN, uye PALB2 mutations.
- Zera: Kanzera yepabonde mune varume inowedzera nezera uye avhareji yemakore ari makore 68.
- Mhangemutange: Vanhu veAfrica vokuAmerica vane chiitiko chikuru chekenza yemazamu kupfuura Caucasian, Asia, kana vanhu vokuAsia. Vanhu veAfrica yeAmerica vanofarirawo kuwana kenza yepabonde pazera duku (izvo zvinopesana ndezvavakadzi vane kenza yemvere).
- Klinefelter's syndrome (XXY): Varume vane Klinefelter's syndrome, trisomy yemakromosomes emupabonde akadai se XXY (nevamwewo) anotakura kenza yemukomana wepabonde yemunhu we1 mu100 varume.
- Makondombera ekupedzisira anotevera: Rhidiation therapy kumapfupa (somuenzaniso, varume vakamborapwa neHodgkin's disease), estrogen therapy yekenza yeprostate, uye orchiectomy yekenza yepereticular ingasanganiswa nehuwandu hwehutano.
- Doro rinoshandisa
- Chiropa chechiropa
- Kuwedzera muviri: Kunwa doro zvisina kufanira, chirwere chechiropa, uye kuninipiswa kunobatanidza nehupamhi hwemaestrogen uye zvinogona kuwedzera ngozi.
- Unstedcended testicles
- Mumasango orchitis
- Kusununguka kwezvakatipoteredza: Zvichida zvimwe zvitsva zvakatipoteredza zvinowedzera ngozi, asi kunze kwemhepo inopisa izvi zvakadzidzwa zvishomanana.
- Urongwa hwekuzvarwa kwekutanga: Kuva wekutanga kuberekwa kunobatanidzwa nechepakati chekenza yemazamu muvarume nevakadzi.
Kuongorora Chirwere Chepabonde Chechifu
Chirwere chepachifu chemuviri chinoratidzwa mune imwe nzira yakafanana nekuongororwa kwekenza yemazamu muvakadzi uye inogona kusanganisira mammogram, mazamu ultrasound , kana MRI. Iyi miedzo yekufungidzira inogona kuratidzira kenza, asi nzira chete inogadziriswa yekuita kuti uongororwe ndeyekunyora.
Kune mhando dzakasiyana dzakasiyana dzezamu bhiopsy nzira dzinogona kuitwa. Nhengo yakanaka inoshushira inoshandisa nheyo yakaipisisa inorohwa muchirwere kuwana samuenzaniso. Nechokuita nenyuchi bhiopsy , semuenzaniso mukuru zvishoma unobviswa. Bhiopsy yekuvhiya yakashama inogona kuitwa nenzira mbiri dzakasiyana, kusanganisa kana kusanganisa. Kazhinji inowanzosarudzwa kuti munhu aite izvo zvinosanganisira kubvisa zvisikwa zvose pamwe nemamwe mativi akaipoteredza.
Munguva yehupfumi yakasununguka (kana panguva yekuita mastectomy kana kuti kunyudza kuchengetedza chirwere chinokurukurwa pasi apa) chiremba wenyu anogonawo kukurudzira aininel node biopsy. Mune nzira iyi, dhayi inonzi radioactive inojowa mumarara ako apo inogadzirisa nzira yayo muitiro we lymphatic. Nenzira iyi, inogona kupa chiremba wako kuverenga pamusoro peiyo lymph node yemukenza yaizoenda kunekutanga, iyo inogona kuve yakagadzirwa kuti ione kana kune humwe uchapupu hwekenza mune lymph nodes yako.
Imwe nyanzvi inotarisa mhuka yako inonzi biopsy pasi pe microscope kuti uone kana mashoma ari kenza yemazamu, uye kana zvakadaro, rudzi rwepi. Mukuwedzera, iye acharondedzera mabhii ebheti yemukenza, iyo inopiwa nhamba imwe kusvika kune imwe zvichienderana nekurwadziwa kwechirwere ichi chinoita seicho. Miedzo inoshandiswawo kuti iongorore nzvimbo yehomoni yekutambira uye kuona kana kenza yakanaka kune HER2 / neu (ona pasi apa).
Kutarisa Bonde reBabonde muMurume
Mukuwedzera pakuongorora tsvina yako neine biopsy, mimwe miedzo inogona kuitwa kuti uone kana kenza yako yakapararira. Kuenzanisa miedzo yakadai sebhokisi x-ray, CT scan, MRI, bone scan, kana PET scan inogona kuitwa zvichienderana nezvimwe zvinhu. Nharaunda dzomuviri umo kenza yemazamu inonyanya kupararira ( nzvimbo dzemazamu echechi yepabonde ) ndiwo mapapu, mapfupa, chiropa, uye uropi.
Breast carcinomas inogona kunge iri "in situ" kana inopisa. Zvakakosha kuziva kuti dzimwe nhanho dzose, kubva kuna I kusvika ku4 dzinoonekwa se "invasive" mazamu echitema. Izvi hazvirevi kuti "vakapinda" mamwe maitiro, akapararira, kana kuti ane utsinye, kunyange zvingave zvinotyisa kuona shoko iri pamushumo wezvirwere. Chirwere chepachivande chisingawanikwi ndeimwe umo makirini emukenza akapararira kupfuura nzvimbo inonzi chivako chepasi.
Kuti aone danho rekenza inoparadza, vanachiremba vanoona zvitatu zvinokosha:
- T inoreva hukuru hwemarara.
- N inoreva kuvepo kwekenza mumakirini emakirini uye inopiwa nhamba yakatarwa kuti kurema kweiyi nhengo dzomukati dzinobva kune kenza yekutanga.
- M inoreva kuvapo kwemasitasvi kure.
Zvinodhaka zvepabonde mumurume zvinowanzopararira nokukurumidza kudarika izvo zviri zvevakadzi, zvichienderana nehombe shomanana yezvifuva zvemazamu. Aya kanzira haafaniri kuenda kure kuenda kune ganda nemukono kana kune imwe nzira, mushuga mubhokisi.
Tsanangudzo yakajeka yezvikamu zvekenza yemazamu inosanganisira:
- Nhanho 0 kana carcinoma in situ ndiyo kanzura isingasviki.
- Chikamu I kanzira kanowanzove kancini kenza dzisina kupararira kune lymph nodes.
- Nzira yekenza II inogona kuva yakakura kana yapararira kune lymph nodes iri pedyo.
- Gwara rechitatu kanzira rinosanganisira izvo zviri zvikuru, zvinowanikwa munzvimbo ino, kana kuti dzine lymph nodes yakawanda pedyo nekenza kana lymph nodes kure nechomuviri.
- Matanho emakemikari emuchina ndeaaya akapararira kune nzvimbo dziri kure.
Kurapa Kwokudya Kwechirwere cheBabonde Chechifu
Kune maitiro akawanda akasiyana-siyana ekurapa anowanikwa nekenza yepabonde mune varume, pamwe nekurapa kumwe kuri kuongororwa mumakiriniki. Mishonga inogona kusanganisira:
- Kuvhiya: Muvarume, chirwere chinonyanya kuitika chinowanzoitwa kakawanda kupfuura kuchera-kuchengetedza chirwere. Kukenza kachidiki, chirwere chinogona kunge chichirapa.
- Utachiona hweHormone: Inenge 90 muzana yemakondombere emvere muvarume ndeye estrogen-receptor yakanaka uye inogona kupindura zvakanaka kumapirisa ekurapa . Mishonga inonyanya kushandiswa yakashandiswa nekenza yemukomana yemazamu ndiyo tamoxifen iyo inoshandiswa kudzivirira maitiro ekugadzirisa kenza yemabere kuitira kuti isrogen isasagoni kusunga nekuita kuti ikure. Mahomoni evanhu anogonawo kukonzera masero emukamu webonde kukura. Orchiectomy (kubviswa kwee testes) yaimbowanzoitwa, asi mishonga yakadai seZoladex neLupron inowanzoshandiswa panzvimbo iyo kudzivirira ma testes kubva pakuita mahomoni evanhu.
- Chemotherapy: Chemotherapy yekenza yemazamu inogona kuitwa nenzira shomanana dzakasiyana. Inogona kupiwa mushure mekuvhiyiwa (adjuvant chemotherapy) kuitira kuti rishandise chero masero emukenza angangodaro akafamba kubva kune kenza yekenza asi asati aoneka pane zvaanoona. Inogona kupiwawo mushure mekuvhiyiwa (neoadjuvant chemotherapy) kuitira kuti kuderedza ukuru hwechirwere chisati chaitwa kuvhiyiwa.
- Targeted therapy: Pamakondomu ari HER2 / neu positive, mushonga weHerceptin (kana vamwe) unowanzoshandiswa. Iyi mishonga inovhara mukoko kuitira kuti kukura zvinhu zvisaisunge uye kuratidza kuti masero anokura.
- Radiation therapy: Kune nzira dzakawanda dzakasiyana-siyana umo chirwere chinonzi radiation chingashandiswa kurapa kenza yemukomana.
- Mishonga yemakiriniki: Pane zvimwe zvirongwa zvinorapwa uye kunyange immunotherapy mishonga iyo iri kuongororwa nekenza yepamu isina kumira kune dzimwe mishonga.
Zviratidzo zveKenza yeBabonde reMukomana
Nhamba maererano nekenza yemukomana yepamhino inogona kubatsira mune dzimwe nzira, asi zvakakosha kuchengeta mupfungwa kuti izvi hazvifungi nezvemishonga matsva ikozvino yavapo. Semuenzaniso, makore mashanu ekupukunyuka anotipa pfungwa yekufungidzirwa kwe "chiyero" murume akaongororwa makore mashanu akapfuura, asi mushonga mutsva wakabvumidzwa kubvira panguva iyoyo. Iko makore mashanu ekupukunyuka kwevarume vane kenza yemazamu nechikwata (kubva muna 2017) ndeichi:
- Chikamu 0 - 100 muzana
- Nhanho I - 100 muzana
- Stage II - 91 muzana
- Chikamu III - 72 muzana
- Nhanho IV - 20 muzana
Inotaura kuti kuponeswa kwevarume vane kenza yemazamu kwakaderera kupfuura yevakadzi. Kana ichienzaniswa nedanga, zvakadaro, kuponeswa kwemazana kwakafanana zvikuru pakati pepabonde uye zvichida zvishoma zviri nani kune varume. Izvozvo zvakati, kubudirira mukupona mumazana makumi emakore apfuura ishoma kune varume kupfuura vakadzi.
Genetic Testing
Sezvo vazhinji vane mukondombera wepamuviri muvarume vane ruzivo rwechimiro, varume vazhinji vanofarira maitiro ekuongorora. Kana uri kufunga izvi, zvakakosha kutanga kutaurirana kune mazita ekupa mazita. Kuenzanisa kwemajeni kuri mucheche. A genetic mazano anogona kuona muenzaniso wechiitiko apo achitarisa pedigree yako inopa ruzivo rwepamusoro pane zvidzidzo zvatiri iye zvino.
Iko vanhu vakawanda vasinganzwisisi ndeyekuti dzimwe shanduko dzinotarisana nekenza yemazamu inogonawo kuisa kune dzimwe kenza. Semuenzaniso, kuchinja kwe BRCA2 kunobatanidzwa nehuwandu hwekuwedzera kwekenza yepancreatic. Mune mazano akanaka anokwanisa kuisa zvikamu izvi pamwe chete kuti akubatsire kunzwisisa dambudziko rako uye iro remhuri yako.
Psychological Impact Breast Cancer Muvanhu
Chirwere chepabonde chinogona kuita kuti varume vave nemafungiro emagariro-chimwe chinhu chakakanganwa zvose pakuziva nekutsvakurudza. Varume vane kenza yemazamu vakaratidza manzwiro ekuzvidya mwoyo, kunyadziswa, uye kunyange kuora mwoyo maererano nehutano hwavo.
Kuongororwa kwekenza yemazamu kunogonawo kukanganisa hutano hwemunhu uye mumuviri. Panyama, mastectomi inokonzera kuchinja muchitarisiko chechipfuva chomurume, uye hormone therapy inogona kukonzera matambudziko akawanda kusanganisira zvepabonde. Emotionally, kuva nekenza iyo inonyanya kuonekwa se "kenza yevakadzi" inogona kuva nemigumisiro yakaipa panyaya dzehutano. Inenge hafu yevarume vakabvunzwa mune imwe chidzidzo yakataura kuti kuva nedambudziko rezamu kunogona kuchinja hukama hwavo.
Kuwedzerwa mune mamwe manzwiro akadai sekusurukirwa, kushorwa kunonzwisisika, kushungurudzika, uye pfungwa yekusaruramisira, zvakajeka kuti varume vane kenza yemazamu vanoda rubatsiro rwakawanda sevamwe vavokadzi. Mune dzimwe nzira, varume vari kutarisana nekenza yepabonde nhasi vari kurwisana nematambudziko akafanana ekunyadzisa kwakaitwa nevakadzi vatatu kana makumi emakumi apfuura.
Kurarama Nemanzwiro eKana Breast Cancer
Unogona sei kurarama nezvose izvi? Zvidzidzo zvevakadzi zvakatoona kuti pane zvinhu zvakawanda zvinogona kukanganisa mafungiro emanzwiro, uye naizvozvo kukwanisa kurarama, nekenza yemazamu. Izvi zvinosanganisira:
- Kukwanisa kuziva uye kuratidza manzwiro
- A strong support network
- Kubudirira kwekugadzirisa nzira dzakanaka (kusingapesana nemarapaptive nzira dzakadai sedoro rekushandisa)
- Iko kutenda kunobatsira vanhu kuwana chinangwa mukurwara
Zvinosuruvarisa, zvizhinji zvezvizvi zvinotarisana nazvo zvinowanzoonekwa zvishoma nezvishoma nevarume kupfuura vakadzi. Zviratidzo izvo varume vanowanzotarisa zvakakosha kusanganisira simba remuviri uye remanzwiro, kuvhiringidzika, kutonga, uye kuzvidzora pane dzimwe nzira zvakasiyana nezvakaratidzwa kuti zvinobatsira mukugadzirisa. Ngatitarisei kuti varume vanogona sei kurarama nemanzwiro echepamu yemazamu:
- Tsanangura manzwiro ako: Kuratidza manzwiro zvakaratidzwa kakawanda kuita mutsauko kana zvasvika pakurwisana nekenza. Zvinosuruvarisa, hazvisi varume chete avo "vakadzidza" kuchengeta manzwiro avo mukati. Vatano vehutano vanoita sevanonoka kuonga zvinodiwa zvepfungwa zvevarume vane kenza yemazamu, uye maitiro anozivikanwa (asi asina kururama) iwe unofanirwa "kuramba uine mafungiro akanaka nekenza kurarama nekenza" inodzivisa kutaura kwekunzwawo saizvozvo. Kunyange zvazvo uine unhu hwakanaka, kazhinji, unogona kuita kuti zvive nyore kurarama nekenza yehapa, kuratidza maitiro asina kunaka kana iwe une kenza inokosha.
- Ita mazano anobatsira ekugadzirisa: Kuita nekenza yepfungwa yekenza kunogona kubatsira zvikuru kuvarume vanorwara nekenza yemazamu, asi kune nzira dzakasiyana-siyana dzokugadzirisa chero munhu upi noupi anogona kutanga pakarepo. Nzira yekugadzirisa pfungwa, kunyanya, inogona kubatsira munzira dzakawanda. Nokugadzirisa maitiro, mamiriro evanhu haachinje, asi nzira yake yekuitarisa inoita. Semuenzaniso, pane kuchema kurasikirwa kwebvudzi pamusoro wako kubva chemotherapy iwe unogona kupemberera kusafanira kuveura kwemwedzi inoverengeka. Tinoshandisa muenzaniso uyu kuti tione kuti pane dzimwe nguva unoda "kuinyengera" kusvikira uchiita "nenzira iyi, asi nekufamba kwenguva inogona kuva yakabudirira. Tora nguva yekudzidza nezvedzimwe nzira dzokugadzirisa nadzo kuderedza kushungurudzika.
- Simbisa ukama hwako hwemweya: Tanga tichidzidza kuti kuwedzera kwemweya kunogona kuvandudza mararamiro ehupenyu kune vanhu vane kenza uye yakambobatanidzwa nekupona mune zvidzidzo zvishomanana. Maererano neNational Cancer Institute, kunamata kunoreva pfungwa dzemunhu uye manzwiro pamusoro pechinangwa chavo, kushamwaridzana kwavo nevamwe, uye zvitendero pamusoro pezvinoreva upenyu. Vamwe vanhu vanozviwana izvi kuburikidza nechitendero chakarongeka, asi vamwe vangasarudza kutaura nemasikirwo. Chero humwe hutano hwemweya hunoreva kwauri, tsvaga nzira dzekuchengeta chikamu ichi chako pachako.
- Wedzera sangano rako rutsigiro: Pasi patinotaura pamusoro pemapoka ekutsigira uye masangano ekutsigira, asi rudzi rwekutsigirwa kunovandudza hupenyu hwehupenyu hunosanganisira mhuri neshamwari. Izvi zvingada kuti varume vave vakanyanya kunetseka kudarika zvavanowanzoita, uye zvinogona kunge zvinotyisa. Varume vanogona kutanga kutanga nekuwana shamwari imwe iyo inogona kuva yakavanzika yavo.
Basa Rokutsigira Varume Nekenza Yebonde
Haisi chete kuti varume vane kenza yemazamu havatauri mafungiro avo nezvido zvavo, asi mutoro mukuru unogara muhutano hwehutano. Zvakawanikwa kuti vanachiremba vanozvidza zvido zvevarume vane kenza yemazamu zvakare.
Muenzaniso unogona kuonekwa mukutarisa mapurogiramu anowanikwa kuvakadzi vane chirwere. Izvi zvinosanganisira varwere / vakaroorana / dzidzo yemhuri, mapoka ekutsigira, mapoka ekurovedza muviri, zvidzidzo zvekudya, ruzivo rwezviratidzo zvepfungwa, ruzivo rwekubata nemavhudzi kurasikirwa (kusanganisira pachena wigs uye zvitsvuku), nezvimwe zvakawanda. Hazvizi kuti zvinhu izvi hazviwanikwi kune varume, asi zvinogona kutora mamwe mabasa kuti uzviwane uye chiremba wako angasave akakwanisa kukutungamirira.
Izvi zvinowanzoreva ndezvokuti varume-avo vashoma kudarika vakadzi kutsvaka rubatsiro-vangada kutsvaga rubatsiro kunyange kupfuura vakadzi vane chirwere. Kunyange zvazvo izvi zvisina kunaka, ndiko kwatinenge tiri panguva ino.
Dambudziko-Kushungurudzika Kushushikana Mupfungwa Mumarume Nekenza Yemumbu
Iwe wakangodaro wakanzwa kuti veterans nevanhu vakambonzwa njodzi dzinongoitika dzoga vari pangozi ye-post-traumatic stress syndrome, asi vanhu vazhinji vakapfuura nemukati mutsva vanonzwa manzwiro akadaro. Mune chidzidzo chakabudiswa mu Journal of Clinical Oncology, zvinenge chikamu chechina chevarume vane kenza yemazamu vakazorora mushure mekutambudzika kunetseka zviratidzo. Zviratidzo hazvigoni kuderedza hupenyu hwako chete asi zvinogona kuderedza kukwanisa kwako kudzokera shure munyika kana chirwere chaitwa.
Kuwana Kutsigirwa Kwevarume Nekenza Yebonde
Takaona kakawanda kuti kutsigirwa kwepfungwa kunokosha kune vakadzi vane kenza yemazamu, uye iyo inoratidzika kunge isiri nyaya yevarume. Handizvo chete rubatsiro rwakanaka runobatanidza nekutarisana nekugadzirisa uye hupenyu hwehupenyu, asi hwakatove hwakabatanidzwa nekupona mune zvimwe zvidzidzo.
Varume, zvisinei, havakwanisi kutsvaka rubatsiro uye havashoma kutaura zvekutsvaga kwavo pakati pehama neshamwari nekuda kwezvikonzero zvakawanda.
Kuwana vamwe varume vari kurwisana nekenza yemazamu kunogona kuva inokosha, zvose mukupa rubatsiro urwu, uye mukukupa mukana wokutaura nevamwe vari kutarisana nematambudziko akafanana.
Sezvo kenza yemazamu muvarume isinganzwisisiki, vanhu vazhinji havana boka rekutsigira kunharaunda rakagadzirirwa zvakakwana varume vane kenza yemazamu. Asi pane zvakawanda zvingasarudzwa. Kune chepanhau rekenza yemumukomana yakanyanya kufarira iri mumutambo. Zvechokwadi, pane Twitter, pane varume vanoverengeka vane kenza yemazamu avo vari kushanda vasinganeti kuti vazivise uye vasvike kune varume avo vachangobva kuongororwa nekenza yemazamu. Kana iwe uchienda pane twitter, zviri nyore kuwana vanhu ava uchishandisa hashtags.
Pamusoro pezvo, Chirwere cheMana Chirwere Chechipiri ishingairo inoshamisa yekutsigira varume vane chirwere nekuyeuchidza vanhu kuti "varume vane mazamuwo." Nzvimbo yavo yepaIndaneti inosanganisira nhamba dzevanopona nhau dzinogona kuunza tariro zvakare. I Susan G Komen Male Breast Cancer Patient Support Group ndiyo imwe nzira.
Kuva Murevereri Wako MuKwererera Yako
Zvidzidzo zvekugadzirwa kwepfungwa dzepfungwa dzepabonde rezamu mumavarume dzinoita sokuti dzinoramba dzichitaura kuti kubata "kushingaira" kunogona kuita mutsauko. Kushanda nekushingaira kunogona kusanganisira kudzidza zvose zvaunogona nezvekenza yako (dzidza kutsvakurudza kenza yako iri muIndaneti ), kutsvaga ruzivo uye rubatsiro kuburikidza nehuwandu hwemagariro evanhu, uye kutsvaka rubatsiro munharaunda yako uye nemhuri uye neshamwari.
Zvakakosha kuva chikamu chinoshanda cheboka rako rekurapa. Kenza kurapwa kuri kuchinja nokukurumidza zvokuti zvakaoma chero chiremba chero upi zvake kuti arambe achienzanisa zvose zvitsvakurudzo zvitsva uye kutsvakurudza. Kunyanya, hakuna munhu anokurudzirwa sezvaunenge uchitarisana nekenza yako. Tora nguva yekudzidza pamusoro pokuti ungava sei mumutsigiri wako mukuchengetedzwa kwekenza .
Pakupedzisira, chimbofunga kutaura nemunhu anopa mazano ane ruzivo mukushanda nevarume uye nekenza yebonde nezvose zvinetso zvakasiyana-siyana zvarinopa. Kuita izvi hakusi chiratidzo chekushaya simba, asi chaizvoizvo chiratidzo chikuru cheshingi nesimba. Sezvakawanda, zvidzidzo zvinototaura kuti zvinovandudza kupona. Kupona mazinga ari nani kupfuura kare kare nokuda kwevarume vane kenza yemazamu, asi kunyange kana kurapwa kwaitwa, migumisiro uye kushungurudzika kunogona kuramba. Kana iwe wakasvika pane ino murwendo rwako tora nguva yekudzidza nezve "kuponesa kenza" uye zvose zvasarudzo zvino zviripo kubatsira vanopukunyuka kenza vanove nani "itsva."
> Sources:
> America Cancer Society. Cancer Chokwadi uye Zvikamu 2017. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2017/cancer-facts- uye-nhamba-2017.pdf
> Johansson, I., Nilsson, C., Berglund, P. et al. High-Resolution Genomic Kufambisa Kwebonde reMbonde reMurume Kunoratidza Kusiyanana Kuvanzwa Kubva Kufananidzwa neChirwere Chechikadzi cheBonde. Chirwere Chepabonde Research and Treatment . 2011. 129 (3): 747-60.
> Kipling, M., Ralph, J., uye K. Callanan. Mafungiro ePfungwa Maitiro eMabereki eBabonde: Ongororo Yezvinyorwa uye Ongororo dzeSarudzo. Breast Care . 2014. 9 (1): 29-33.
> National Cancer Institute. Male Breast Cancer Treatment (PDQ) - Health Professional Version. Yashandurwa 02/08/18. https://www.cancer.gov/types/breast/hp/male-breast-treatment-pdq
> Silva, T. Murume Breast Cancer: Chiremba uye Masayenzi ekugadzirisa mukuenzaniswa neKana Breast Cancer. A Review. Cancer Treatment uye Research Communications . 2016. 7: 23-34.