Upangiri Wokambirana Kwa Dotolo: Zomwe Mungafunse Akatswiri Anu Oncologist Zokhudza Njira Yoyamba Ya Khansa Ya M'mawere

Zamkati

• 1. Chifukwa chiyani iyi ndi njira yabwino kwambiri yosankhira ine?
• 2. Kodi cholinga cha mankhwalawa ndi chiyani?
• 3. Zimagwira bwanji ntchito pochepetsa khansa?
• 4. Kodi zovuta zakuchipatala zingakhale zotani?
• 5. Kodi zotsatira zoyipa zimatha bwanji?
• 6. Ndiyenera kuchita chiyani kukonzekera chithandizochi?
• 7. Kodi zingakhudze bwanji moyo wanga?
• 8. Tidziwa bwanji ngati ikugwira ntchito?
• 9. Ngati sichikugwira ntchito, ndikusuntha kwathu kwotsatira ndi chiyani?

Osatsimikiza kuti mufunse chiyani mukadzakumananso? Nayi mafunso asanu ndi anayi omwe mungaganizire pazomwe mungachite ndi mankhwala oyamba.

1. Chifukwa chiyani iyi ndi njira yabwino kwambiri yosankhira ine?

Pali njira zambiri zopezera chithandizo cha khansa ya m'mawere. Dokotala wanu amapereka malingaliro kutengera zinthu zosiyanasiyana, kuphatikizapo:

• mtundu wa khansa ya m'mawere
• siteji pakuzindikira
• zaka zanu
• thanzi lanu lonse, kuphatikizapo matenda ena aliwonse
• kaya ichi ndi matenda atsopano kapena kubwereza
• mankhwala am'mbuyomu komanso momwe munawalekerera
• zokonda zanu

Chifukwa chake kuli kofunika: Chifukwa khansa zonse za m'mawere sizofanana, komanso zosankha zanu sizimasiyana. Kumvetsetsa zomwe mungachite pa khansa yanu kungakuthandizeni kuti mukhale omasuka kuti mukupanga chisankho chabwino.

2. Kodi cholinga cha mankhwalawa ndi chiyani?

Mukakhala ndi khansa ya m'mawere, zolinga zanu zitha kukhala zosiyana kuposa mukadakhala ndi khansa ya m'mawere koyambirira. Zinthu zina zofunika kuziganizira ndi izi:

• momwe khansa yanu ya m'mawere yasinthira komanso ziwalo zomwe zakhudzidwa
• zaka
• thanzi lathunthu

Kwenikweni, mukufuna kumvetsetsa momwe zinthu zithandizire. Kodi cholinga ndikuthetsa khansa yonse? Kuchepetsa chotupa? Kuchedwa kufalikira kwa khansa? Kuchiza zowawa ndikusintha moyo?

Chifukwa chake kuli kofunika: Ndikofunika kuti zolinga zanu komanso za dokotala zigwirizane. Ngati sali, kambiranani moona mtima za zomwe mukuyembekezera.

3. Zimagwira bwanji ntchito pochepetsa khansa?

Chithandizo chilichonse cha khansa ya m'mawere chimagwira ntchito mosiyanasiyana.

Mwachitsanzo, mankhwala a radiation amagwiritsa ntchito matumba amphamvu kwambiri kupha ma cell a khansa. Mankhwala a chemotherapy amafunafuna ndikuwononga maselo omwe akukula mwachangu, kuphatikiza ma cell a khansa.

Mankhwala ena amtundu wa khansa omwe amagwiritsidwa ntchito pochiza khansa ya HR-positive (mahomoni wolandila-hormone) amaletsa thupi lanu kupanga estrogen. Ena amaletsa mahomoni kuti asagwirizane ndi maselo a khansa. Wina amatseka zotengera za estrogen pamaselo a khansa, kenako ndikuwononga zolandilira.

Njira zochiritsira zochiritsira za HER2-positive (human epidermal growth factor receptor 2-positive) khansa ya m'mawere imayambitsa zolakwika zina m'maselo a khansa.

Dokotala wanu akhoza kufotokoza momwe mankhwala anu amagwirira ntchito poletsa khansa.

Chifukwa chake kuli kofunika: Kukhala ndi khansa ya m'mawere kungakhale kovuta. Pali zambiri zomwe mungatenge, ndikudziwa zomwe muyenera kuyembekezera kuti muthe kulandira chithandizo kungakuthandizeni.

4. Kodi zovuta zakuchipatala zingakhale zotani?

Chithandizo chilichonse cha khansa ya m'mawere chimatha kuyambitsa zovuta zina.

Kutentha kumatha kuyambitsa:

• khungu kuyabwa
• kutopa
• kuwonongeka kwa ziwalo zapafupi

Chemotherapy itha kuyambitsa:

• nseru ndi kusanza
• kutopa
• kutayika tsitsi
• zikhadabo zakuthwa ndi zala zala
• zilonda mkamwa kapena chingamu chotuluka magazi
• chiopsezo chowonjezeka cha matenda
• kusamba msanga msanga

Matenda amtundu wa mahormone amasiyana kutengera mankhwala, ndipo atha kukhala:

• kutentha kapena thukuta usiku
• kuuma kwa nyini
• kupatulira mafupa (kufooka kwa mafupa)
• chiopsezo chowonjezeka chamagazi ndi sitiroko

Njira zochiritsira zomwe khansa ya m'mawere ya HER2 + ingayambitse:

• mutu
• nseru
• kutsegula m'mimba
• kupweteka kwa dzanja ndi phazi
• kutayika tsitsi
• kutopa
• mavuto a mtima kapena mapapo
• chiopsezo chowonjezeka cha matenda

Dokotala wanu akhoza kufotokoza zovuta zomwe zingakhalepo pachithandizo chomwe mungakhale mukumwa.

Chifukwa chake kuli kofunika: Zovuta zimatha kukhala zowopsa ngati simukuziyembekezera. Kudziwa zina mwazotheka pasadakhale kumatha kukupulumutsirani nkhawa.

5. Kodi zotsatira zoyipa zimatha bwanji?

Mutha kuthana ndi zovuta zochepa zochepa, koma zina zitha kusokoneza moyo wanu. Mankhwala ena amathandizira kuchepetsa zizindikilo zina. Izi zikuphatikiza:

• mankhwala opweteka
• mankhwala oletsa antuseuse
• mafuta odzola khungu
• kutsuka mkamwa
• masewera olimbitsa thupi komanso othandizira othandizira

Dokotala wanu akhoza kukupatsani mankhwala ndi upangiri wothandizira kusamalira zizindikiro, kapena kukutumizirani kwa katswiri wothandizira.

Chifukwa chake kuli kofunika: Ngati mankhwala akugwira ntchito ndipo mutha kuchita kanthu kena kuti zotsatira zake zizikhala zololera, mudzatha kumamatira kuchipatala. Ngati zovuta zimayamba kupiririka, muyenera kuganizira njira zina.

6. Ndiyenera kuchita chiyani kukonzekera chithandizochi?

Simusowa kuchita chilichonse kukonzekera, koma mudzafuna kudziwa zinthu zingapo zomwe zimatengera mtundu wa mankhwala.

Kuti mupeze chithandizo chama radiation, mufunika kufunsa:

• Kodi gawo lililonse la mankhwala limatenga nthawi yayitali bwanji?
• Zomwe zikuphatikizidwa?
• Kodi ndizitha kuyendetsa ndekha?
• Kodi ndiyenera kukonza khungu langa mwanjira iliyonse?

Ponena za chemotherapy, muyenera kupeza mayankho a izi:

• Kodi mankhwalawa atenga nthawi yayitali bwanji?
• Zomwe zikuphatikizidwa?
• Kodi ndizitha kuyendetsa ndekha?
• Kodi ndikufunika kubweretsa chilichonse?
• Kodi ndifunikira doko la chemo?

Gulu lanu la oncology lingaperekenso malangizo amomwe mungakhalire omasuka panthawi yamankhwalawa komanso mukatha.

Mafunso oti mufunse dokotala wanu za mahomoni ndi njira zochiritsira:

• Kodi awa ndi mankhwala akumwa, jakisoni, kapena kulowetsedwa?
• Nditenga kangati?
• Kodi ndiyenera kumwa nthawi ina kapena chakudya?
• Kodi pali njira zomwe zingagwirizane ndi mankhwala anga?

Chifukwa chake kuli kofunika: Chithandizo cha khansa sayenera kukhala chinthu chomwe chimangochitika kwa inu. Mwa kufunsa mafunso oyenera, mutha kukhala othandizana nawo pakuthandizira kwanu.

7. Kodi zingakhudze bwanji moyo wanga?

Kukhala ndi khansa ya m'mawere kumakhudza gawo lililonse la moyo wanu, kuyambira pantchito mpaka zosangalatsa komanso maubale apabanja. Mankhwala ena amafunikira nthawi yayitali kudzipereka ndipo amayambitsa zovuta zina.

Ndikofunika kuti mukhale ndi thanzi labwino kuti dokotala adziwe zomwe mumayika patsogolo.

Chifukwa chake kuli kofunika: Ngati pali zochitika kapena zochitika zina zofunika kwa inu, mukufuna kukhala ndi mwayi uliwonse wochita nawo ndikusangalala nawo kwathunthu.

8. Tidziwa bwanji ngati ikugwira ntchito?

Sizovuta nthawi zonse kudziwa ngati chithandizo cha khansa chikugwira ntchito nthawi yomweyo. Muthanso kuyamba kulimbana ndi mankhwala ena pakapita nthawi.

Kutengera chithandizo chanu, mungafunike kuyesa nthawi ndi nthawi kuti muwone ngati ikugwira ntchito. Izi zingaphatikizepo:

• mayesero ojambula, monga X-ray, CT scan, kapena bone scan
• kuyesa magazi kuti apeze zotupa
• kuwunika kwa zizindikilo

Chifukwa chake kuli kofunika: Ngati mankhwala ena sakugwira ntchito, palibe chifukwa chopitilira, makamaka ngati mukumana ndi zovuta zina.

9. Ngati sichikugwira ntchito, ndikusuntha kwathu kwotsatira ndi chiyani?

Khansa ndi yovuta. Chithandizo cha mzere woyamba sichimagwira ntchito nthawi zonse, ndipo kusintha kwa mankhwala siwachilendo. Ndibwino kudziwa zomwe mungasankhe pamsewu.

Chifukwa chake kuli kofunika: Pakhoza kukhala zinthu zina zomwe mungayesere. Ngati mwakhala mukudwala khansa ya m'mawere, mungafune kuyimitsa chithandizo cha khansa nthawi ina. Poterepa, mutha kupitirizabe ndi chithandizo chopatsa thanzi, chopatsa thanzi.