Chero nguva ipi zvayo iwe unotarisana nechisarudzo chekutarisira hutano chinokosha, zvinobatsira kuva nehutano pamusoro pezvaunogona kusarudza, zvibatsiro, uye njodzi dzenzira. Asi kutsvakurudza kwakaratidza kuti varwere vazhinji vari kusagamuchira sarudzo yavanoda ivo. Muzvokwadi, maererano nechimwe chidzidzo chinopfuura hafu yevaya vane kenza yepamupi vanowana mastectomy vakanga vasina ruzivo rwavaida kuti vaite chisarudzo chakanaka pamusoro pekugadzirwa kwekuvandudza .
Ngozi Dzakasangana Nekusagamuchira Chimiro Chokubatsira
Chidzidzo chakaitwa naClara Lee, MD, chiremba wezvechirwere chekurera paOhio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital uye Richard R Solove Research Institute, akayera ruzivo rwevatori vechikamu nezvemastectomy uye mastectomy nekuvakazve. Yakarongedzawo zvinodiwa nemurwere mumwe nomumwe zvinosanganisira mazamu anoonekwa mushure mekurapa, nguva yekudzorera, uye njodzi yezvinetso.
Zvakaita Dr. Lee neshamwari dzake vakawana kuti pasi pehafu yevakadzi vakanga vane ruzivo rwakakwana rwekupi kwekuvandudzwa kwezamu kunosanganisira nekuita sarudzo yakanga yakaenderana nezvinodiwa ivo pachavo. Somugumisiro, vamwe vakadzi havana kuwana kurapwa uye kutarisirwa kwavakasarudza.
Uyezve, vakadzi vari muchidzidzo havana kunyatsonzwisiswa kwezvinetso izvi zvinogona kuenzaniswa nekudzoka kwezamu, uye havana kuziva kuti zvakanyanya sei njodzi dzaive.
Kutaura zvazviri, 14 muzana chete yevarwere vakange vakanyatsonzwisisa pazvipingamupinyi zvepfungwa huru. Izvi ndezvekuti mukana wekugadzirisa kukuru mumakore maviri ekutanga mushure mekuvhiyiwa zvikamu pakati pe16 kusvika ku40 muzana. Pakupedzisira, izvi zvinoreva kuti vakadzi vazhinji vakatora matambudziko avo-kana vakagadzirirwa zvakakwana sarudzo-vanga vasina kutora.
Uyezve, izvo zvakawanikwa kubva muchidzidzo ichi hazvisi izvo chete zvekugadzirisa mazamu. Ichokwadi, kune nzvimbo dzakawanda mukuchengetwa kwehutano apo pane zvipembenene mumurwere kunzwisisa kwemashoko makuru ekurapa. Somugumisiro, zvisarudzo zvirwere zvinopedzisa kugadzira zvinowanzorasikirwa nezvinhu zvavanonyanya kufarira pamusoro, vanyori vekudzidza vakapedzisa.
Sei Kupa Kusarudzwa Kwechisarudzo Kwakakosha Zvikuru?
Kana zvasvika kune hutano hwavo, tsvakurudzo inoratidza kuti varwere vanoda kusanganiswa mukugadzirisa maitiro. Kutaura zvazviri, apo varwere vanopiwa rubatsiro rwekuita sarudzo, dzakadai semabhuku ekudzidzisa, maDVD kana zvimwe zvishandiso zvinobatsira kuti vaite sarudzo, vanopedzisira vachinzwa ruzivo uye vanogutsikana nehanya kwavo. Vanosanganawo nepfungwa shoma uye kushungurudzika pavanonyatsoziva zvavanotarisira.
Somuenzaniso, mune imwe nyika kuongororwa kwevanhu vakuru vanotarisana nechisarudzo chekurapa sekutora mishonga mitsva , kuve nekuvhiyiwa kwakasarudzwa, kana kurwara nekenza kuongorora, varwere vakanyanyisa vakaratidza kuti vaida kudzidza zvakawanda pamusoro pengozi dzinosangana nehutano hutsva. Vaidawo kunzwa sokuti vanachiremba vavo vaiteerera. Asi pasi pehafu yevarwere vakati chiremba wavo akavabvunza nezvezvinangwa zvavo, zvavanoda, uye zvinetso.
Kushayikwa kwekukurukurirana uye kusarudzo kunotsigira hukama hwechiremba-murwere .
Panguva iyi, imwe chidzidzo icho chakaongorora kupiwa kwevarwere , kushandiswa kwezvigaro zvekuita, kukurukurirana kwezvinetso zvehutano uye tsanangudzo dzemasarudzo ekurapwa zvakawanikwa kuti kuita izvi zvikamu zvehutano hwehutano zvinobatsira zvose chiremba uye murwere. Haisi ivo chete varwere vanogutsikana nehanya kwavo, asi vanovakawo kuvimba uye kuremekedza chiremba wavo, zviviri zvakakosha zvoukama hwechiremba-murwere. Uyezve, kushandiswa kwesarudzo zvinobatsira hazvirevi kutora chiremba. Panzvimbo pezvo, zvinorehwa kusimudzira nhaurirano yave atova nayo nevarwere vake.
Iko pfungwa ndeyokuti sarudzo yekubvumira inobvumira murwere kutora basa rakawanda mukurapa kwake kweutano.
Kuti uone kushandiswa kwekutsigirwa kwesarudzo, Mayo Clinic yave ichitukurira uye ichiedza mazano ezvokuita uye kugovera ivo pasina mvumo kune vamwe vatapi vehutano. Somuenzaniso, chirwere chavo cheShuga Chirongwa Chekushandisa, rinobatsira varwere nevatengi vavo vanosarudza pakati pemishonga mitanhatu yakasiyana-siyana inoshandiswa kubata chirwere cheshuga-2 . Nekushandiswa kwesarudzo dzinosarudzwa, varwere vanosarudza nyaya dzinonyanya kukosha kwavari. Izvi zvinogona kusanganisira kusvibiswa kwemashuga eropa, nzira yekushandiswa, kuedza kushuga kwezuva nezuva, njodzi yehuga yega yega, kushamba kuchinja, madhara, uye mari. Vanozoshanda pamwe chete nechiremba wavo kuti vaenzanise pakati pezvinodhaka uye zvavanoda.
Zvakakosha kureva kuti vamwe varwere havadi kugoverana mukugadzirisa kwekutora uye kazhinji vanoda kuti chiremba wavo aite zvisarudzo mukufarira kwavo. Asi chiyero chevarwere vanosarudza nzira iyi ishoma kudarika avo vanoda kuve nekubatanidzwa.
Apo Chisarudzo Chokubatsira Chizhinji Chinodiwa
Chisarudzo chekutsigira, kana kugoverana kusarudzwa sezvinonzi pane dzimwe nguva kunodanwa, kunokurudzirwa apo varwere vane chisarudzo-chisingaoneki, sechirwere chekuita nekudzoka kwezamu. Mune zviitiko izvi, kune huwandu hwemhando dzakanaka dzokurapa. Kusiyana nenyaya dzehutano apo kusarudzwa kusarudzwa kwakajeka, sekurapa kwekuwedzera , kune mamwe mamiriro ezvinhu apo pasina chakanaka chakanaka chisarudzo. Somugumisiro, kusarudza kuti ndeipi nzira yekuita inogona kutora inogona kuvimba nezvinodiwa nemurwere uyewo kushivirira kwake kune ngozi.
Somugumisiro, vashandi vakawanda vehutano vanofunga kuti zvisarudzo izvi zvakanakisisa zvakaitwa pamwe nekubatsirwa kwezvisarudzo zvinobatsira. Somuenzaniso, mune rumwe ruzivo rwakaitwa neCochrane Collaboration, vatsvakurudzi vakawana kuti kushandiswa kwezvigadziriswa zvesarudzo kunovandudza ruzivo rwerwere uye kugutsikana. Uyezve, vakawana kuti varwere vakaongorora zvigadziriswa zvisarudzo vasati vaita chisarudzo vakasarudza kutevera maitiro makuru ekuvhiya uye asina kuvhiringidza kazhinji. Izvi zvinonyanya kukosha nekuti zvinogona kuderedza kushandiswa kwepamusoro nekushandisa zvisina kunaka mamwe maitiro, kunyanya apo yakawanda se25 muzana yekuporesa kwekuita sarudzo ingasave isina kufanira kana isina kukodzera.
Kuguma kwehupenyu kune imwe nzvimbo iyo kutsigira chisarudzo kunonyanya kudiwa. Semuenzaniso, varwere uye nhengo dzemhuri dzavo dzinoda kuziva kuti vanoda sei kutarisa mamiriro ezvinhu akasiyana-siyana angangomuka pakuguma kwehupenyu uye ave nechokwadi chokuti zvido zvavo zvekupedzisira zvinokudzwa. Mumwe muenzaniso unogona kunge uchitaura nezvemishonga yakasiyana-siyana yemarwadzo, mararamiro avo, uye kuti murwere anoda sei kutarirwa pamagumo ehupenyu. Zvimwe nyaya dzinoda kutariswa zvinosanganisira kudzorerazve , kudyisa mabhesi, uye kuporesa. Vanhu vanoda kuziva kuti mamiriro ezvinhu angasimuka uye chii chavanosarudza. Nenzira iyi, vanogona kuita zvisarudzo zvakajeka zvisati zvaitika.
Vanhu vazhinji vanowanzotya kuva nehurukuro idzi. Somuenzaniso, murwere anowanzova nemibvunzo pamusoro pomugumo wehupenyu, asi anotya kugumbura vadikanwa vavo. Saka vanogara vakanyarara. Zvichakadaro, nhengo dzemhuri dzinogona kunge dziine mibvunzo asi hazvizivi kuti dzinovabudisa sei pasina kukuvadza manzwiro emudiwa. Muzviitiko izvi, rubatsiro rwesarudzo rwakapiwa nachiremba haringangoderedzeri mutoro wekukumbira, asiwo huchabatsira varwere nemhuri dzavo kutarisa nyaya dzinokosha. Inova nzira yemurwere kuti ataure zvaanoda zvisati zvaitika mumamiriro ake ezvinhu kumumanikidza kuita kudaro. Kunyange zvazvo pasina chigadziro chakakwana chokuunza kukanganisa kwehupenyu, zvisarudzo zvinobatsira zvingabatsira kusimbisa kukurukurirana kusinganzwisisiki.
Shoko Rinobva
Paunotarisana nehutachiwana hutsva, tsvaga chiremba kana hutano hwehutano husingarevi kurwara chete asi hunopawo hutano hwakasarudzwa sarudzo. Izvi zvinosanganisira kutsvaga mushandi anokupa iwe ruzivo pamusoro pemararamiro ako ekurapwa uye zviitiko zvinowanikwa. Vanachiremba vakawanda vanopa ruzivo urwu kuburikidza nemhando dzakasiyana-siyana dzekutengesa kusanganisira mu--munhu kukurukurirana, maDVD, uye zvinyorwa. Kana iwe uine ruzivo rwezvigadziro zvekuita zvisarudzo, uye unokwanisa kushanda pamwe chete nechiremba wako, unogona kuita chisarudzo chakanaka kwauri. Uye pakupedzisira kuchengetwa uye kurapwa kwaunowana kunowirirana nemishonga uye kutarisira iwe unoda.
> Sources:
> "Hafu yeArap Cancer Patients Gamuchira 'Kusarudzwa Kwepakadzika' Kusarudzwa Paunofunga Nezvekugadzirisa Kurapa," UT News , Yunivhesiti yeTexas kuAustin, May 3, 2017. https://news.utexas.edu/2017/05/03 / chidzidzo-varombo-chisarudzo-kutsigira-kwe-breast-cancer-patient
> Hosteler, Martha naKlein, Sarah. "Kubatsira Vatano Kuita Zviri nani Kurapa Zvisarudzo neChitori Aids," Quality Matters , Commonwealth Fund, Gumiguru 2012. http://www.commonwealthfund.org/publications/newsletters/quality-matters/2012/october-november/in-focus
> "Ko Kuberekwa Kwemazamu Kwakakodzera Here?" BreastCancer.org. http://www.breastcancer.org/treatment/surgery/reconstruction/is-reconstruction-for-you