Chithandizo cha khansa - kusamba koyambirira

Mitundu ina ya chithandizo cha khansa imatha kupangitsa amayi kuyamba kusamba. Uku ndiye kusamba komwe kumachitika asanakwanitse zaka 40. Zimachitika pamene thumba lanu losunga mazira lasiya kugwira ntchito ndipo simulinso kusamba ndipo simungatenge mimba.

Kusamba kwa msambo kumatha kuyambitsa zizindikilo monga kutentha ndi kuwuma kumaliseche. Wothandizira zaumoyo wanu akhoza kukuthandizani kupeza chithandizo chazizindikirozi.

Mankhwala a khansa omwe angayambitse kusamba msanga ndi awa:

• Opaleshoni. Kuchotsa thumba losunga mazira kumayambitsa kusintha kwa msambo nthawi yomweyo. Ngati muli ndi zaka 50 kapena zazing'ono, wothandizira anu akhoza kuyesa kusiya ovary kapena gawo la ovary ngati zingatheke. Izi zitha kukulepheretsani kusamba msanga.
• Chemotherapy (chemo). Mitundu ina ya chemo imatha kuwononga thumba losunga mazira ndikuyambitsa kusamba msanga. Mutha kusamba nthawi yomweyo kapena miyezi mukalandira chithandizo. Kuopsa kwanu kusamba msanga kuchokera ku chemo kumadalira mtundu ndi kuchuluka kwa mankhwala a chemo omwe muli nawo. Achichepere omwe muli, simudzatha kusamba msanga kuchokera ku chemo.
• Mafunde. Kupeza ma radiation m'chiuno mwanu kumathanso kuwononga mazira anu. Nthawi zina, thumba lanu losunga mazira limatha kuchira ndikuyambiranso kugwira ntchito. Koma, mukalandira ma radiation ambiri, kuwonongeka kumatha kukhala kwamuyaya.
• Thandizo la mahomoni. Mankhwalawa omwe amagwiritsidwa ntchito pochizira khansa ya m'mawere ndi chiberekero nthawi zambiri amatha kuyambanso kusamba.

Funsani omwe akukuthandizani ngati chithandizo chanu cha khansa chingayambitse kusamba kwanu.

Mimba yanu ikachotsedwa kapena ikasiya kugwira ntchito, siyipanganso estrogen. Izi zimayambitsa zizindikiro zofananira ndi kusamba kwachilengedwe.

• Kuuma kwa nyini kapena kulimba
• Kutentha kotentha
• Khalidwe limasintha
• Kugonana kotsika
• Mavuto akugona

Nthawi zina, zizindikirozi zimatha kukhala zamphamvu ndipo zimatha kukhala zowopsa.

Kuchepetsa estrogen m'thupi lanu kumawonjezeranso chiopsezo cha matenda ena, monga:

• Matenda a mtima
• Osteoporosis (kupatulira mafupa)

Mankhwala ambiri amatha kuthandiza kuchepetsa zizindikilo za kusamba kwa msambo. Amaphatikizapo mankhwala ndi chithandizo chamankhwala chomwe mungachite kunyumba.

Mankhwala ena omwe angathandize ndi awa:

• Thandizo la mahomoni. Nthawi zina, omwe amakupatsani akhoza kupereka mahomoni achikazi kuti athandizire kunyezimira komanso zizindikilo zina. Koma, pali zoopsa zina ndi mahomoni, ndipo mwina simungathe kuzitenga ngati mwakhala ndi mitundu ina ya khansa.
• Ukazi wa estrogen. Ngakhale simungathe kumwa mankhwala a mahomoni, mutha kugwiritsa ntchito estrogen pang'ono mkati mwanu kapena kumaliseche kwanu kuti muthandize pakuuma. Mahomoniwa amabwera mu mafuta, ma gels, mapiritsi, ndi mphete. Mukufuna mankhwala ochokera kwa omwe amakupatsani mankhwalawa.
• Ma antidepressants kapena mankhwala ena. Ngati simungathe kumwa mahomoni, omwe amakupatsirani mankhwalawa atha kukupatsirani mankhwala amtundu wina kuti athandizirepo kutentha, monga mankhwala ena opatsirana thukuta (ngakhale simupsinjika). Chifukwa cha momwe zimakhudzira mankhwala, izi zimathandiza pakuwala kwakanthawi ngakhale simupsinjika.
• Mafuta kapena zonunkhira. Zoterezi zitha kuthandiza kuti kugonana kuzikhala kosavuta ngati muli ndi vuto lanyini. Fufuzani mafuta opangira madzi, monga KY Jelly kapena Astroglide. Kapena, yesetsani kugwiritsa ntchito mafuta osungunulira ukazi monga Replens masiku angapo aliwonse.
• Mankhwala ochotsa fupa. Amayi ena amatenga mankhwala othandizira kuchepetsa kutayika kwa mafupa atatha kusamba. Funsani omwe akukuthandizani ngati mankhwalawa angakhale oyenera kwa inu.

Mankhwala omwe mungayesere kunyumba ndi awa:

• Kukhala wokangalika. Kuchita masewera olimbitsa thupi pafupipafupi kumatha kuthandizira kusintha kwamaganizidwe, mavuto ogona, komanso kutentha pang'ono.
• Zizolowezi zabwino zogona. Kugona mokwanira kumathandiza kuchepetsa kusinthasintha kwamaganizidwe. Koma, ngati mukuvutika kugona usiku, yesetsani kudumpha masana. Muyeneranso kupewa tiyi kapena khofi mochedwa masana, ndipo musadye chakudya chochuluka kapena musachite chilichonse chogwira ntchito musanagone.
• Kuvala mosanjikiza. Izi zitha kuthandizira pakuwala kotentha, chifukwa mutha kuchotsa zigawo mukamamva kutentha. Zitha kuthandizanso kuvala mosavala, zovala za thonje.

Funsani omwe akukupatsani chithandizo chomwe angakuthandizeni kwambiri.

Popeza kusamba koyambirira kungakhudze thanzi lanu la mafupa ndi mtima, ndikofunikira kuchitapo kanthu kuti akhalebe athanzi. Umu ndi momwe:

• Idyani zakudya zabwino. Ganizirani zipatso ndi ndiwo zamasamba, mbewu zonse, nyama zowonda, nsomba, mtedza, nyemba, ndi mkaka wopanda mafuta ambiri.
• Pezani calcium yokwanira ndi vitamini D. Zakudya izi zimathandizira kupanga mafupa. Zakudya zokhala ndi calcium yambiri zimaphatikizapo yogurt wopanda mkaka ndi mkaka, sipinachi, ndi nyemba zoyera. Thupi lanu limapanga vitamini D wake wambiri kuchokera padzuwa, koma mutha kulipezanso kuchokera ku salimoni, mazira, ndi mkaka womwe uli ndi vitamini D wowonjezera. Funsani omwe akukuthandizani ngati mukufuna kumwa zowonjezera.
• Chitani masewera olimbitsa thupi. Mitundu yabwino kwambiri yochitira masewera olimbitsa thupi m'mafupa anu ndi zolimbitsa thupi zomwe zimapangitsa kuti thupi lanu likhale ndi mphamvu yokoka. Malingaliro ena ndi monga kuyenda, yoga, kukwera mapiri, kuvina, kunyamula zolemera, kulima dimba, ndi tenisi.
• Osasuta. Kusuta kumawonjezera chiopsezo chanu cha kufooka kwa mafupa komanso matenda amtima. Ngati mukufuna thandizo kusiya, funsani omwe akukuthandizani.
• Funsani za kuyesa kwa mafupa. Ichi ndi mayeso omwe amayang'ana kufooka kwa mafupa. Ili ndi mayeso olimbikitsidwa kwa azimayi onse azaka 65, koma mungafunike koyambirira ngati mwayamba kusamba.
• Onetsetsani manambala anu. Onetsetsani kuti wothandizira wanu akuyang'ana kuthamanga kwa magazi, cholesterol, ndi shuga m'magazi nthawi zonse. Kuyesa kosavuta kumeneku kumatha kukuwuzani ngati muli pachiwopsezo chodwala matenda amtima kapena sitiroko.

Kusamba msanga; Kulephera kwamchiberekero - khansa

Tsamba la National Cancer Institute. Nkhani zokhudzana ndi kugonana kwa amayi omwe ali ndi khansa. www.cancer.gov/about-cancer/treatment/side-effects/ sexuality-women. Idasinthidwa pa Januware 23, 2020. Idapezeka pa Januware 25, 2021.

Mitsis D, Beaupin LK, O'Connor T. Zovuta zoberekera. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 43.

• Khansa
• Kusamba