Khansa ya m'mawere: Chifukwa Chiyani Ndimakhala Ndi Ululu Ndi Mapewa?

Zamkati

• Opaleshoni
• Mafunde
• Fibrosis yomwe imayambitsa ma radiation
• Chemotherapy
• Mankhwala ndi ma posturgery oyesera
• Mabwalo amapewa
• Pamapewa amakweza
• Dzanja limadzuka
• Amakweza mkono
• Zingwe zamanja
• Mankhwala ena
• Kuchira kuchokera kuchipatala
• Kuchulukitsa mankhwala
• Kutambasula
• Kulimbitsa mphamvu
• Kusamalitsa
• Kuchiza ululu wa chemotherapy
• Zosintha m'moyo
• Chiwonetsero

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kupweteka kwa khansa ya m'mawere

Mukalandira chithandizo cha khansa ya m'mawere, ndizofala kumva zowawa, dzanzi, komanso kusayenda. Pafupifupi mbali iliyonse yamankhwala imatha kubweretsa kuuma, kuchepa kwamayendedwe, kapena kutaya mphamvu. Kutupa kapena kusintha kwamalingaliro kumatha kuchitika.

Mbali zina za thupi lanu zomwe zingakhudzidwe ndizo:

• khosi
• mikono ndi miyendo
• chifuwa ndi mapewa
• manja ndi mapazi
• mafupa

Ena mwa mavutowa amatha kuchitika nthawi yomweyo. Ena amatha kukula pakapita nthawi, ngakhale miyezi ingapo chithandizo choyambirira chitachitika.

Chifukwa chiyani izi zimachitika? Dziwani zina mwazifukwa zomwe zili pansipa komanso momwe mungachepetsere kupweteka kwanu.

Opaleshoni

Mitundu ingapo ya maopareshoni amatha kuchitidwa khansa ya m'mawere. Nthawi zambiri, mumayenera kukhala ndi zochulukirapo. Opaleshoni ndi awa:

• lumpectomy
• chifuwa
• sentinel mfundo biopsy
• Lymph node dissection
• opaleshoni yokonzanso mawere
• kutulutsa kwa expander
• kusinthana kwa expander ndikukhazikitsa

Munthawi iliyonse ya njirazi, minofu ndi minyewa imagwiritsidwa ntchito ndipo imatha kuwonongeka. Izi zitha kubweretsa kutupa komanso kupweteka pambuyo pake.

Dokotala wanu amatha kuyika ngalande kwa milungu ingapo kuti athandize kuchotsa madzi owonjezera. Ma draina okha nthawi zambiri amakhala osasangalala, nawonso.

Pamene machiritso akupita, mutha kupanga zilonda zowonekera. Pakatikati, pamatha kukhala zosintha pamitundu yolumikizira yomwe imatha kumva ngati yolimba mukasuntha. Ikhozanso kumva ngati cholimba kapena chopanda chingwe m'khwapa, mkono wakumtunda, kapena thunthu lakumtunda.

Mutha kukhala otopa komanso opanikizika mukadikirira malipoti a matenda. Mwinanso mukumwa mankhwala opweteka omwe simumamwa, omwe angayambitse kutopa ndi chizungulire.

Zonsezi ndi zachilendo, komanso mavuto akayamba. Nthawi iliyonse yomwe kuyenda kwanu kuli kochepa chifukwa cha kuchitidwa opaleshoni kwa masiku angapo, mutha kuyamba kutaya mphamvu, mphamvu, komanso mayendedwe osiyanasiyana. Mutha kupeza kuti mukufunika kuthandizidwa kuti muvale komanso kusamba.

Mwambiri, ochita opaleshoni ambiri amalola anthu kuti ayambe kuchita masewera olimbitsa manja ndi mapewa atangomaliza kumene opaleshoni. Musanapite kunyumba kuchokera kuchipatala, onetsetsani kuti mukudziwa zomwe dokotala wanu akuuzani.

Ngati mukufuna thandizo kunyumba, mutha kupempha thandizo kwakanthawi kuchokera kwa namwino woyendera kapena malo azaumoyo kunyumba kapena othandizira kunyumba. Anamwino azaumoyo kunyumba akhoza kukuthandizani kuti muwone ma drains anu, zilonda za opaleshoni, ndi zizindikilo zofunikira pazizindikiro zilizonse zatenda. Atha kuwonetsetsanso kuti kupweteka kwanu kukuyang'aniridwa. Ogwira ntchito kunyumba akhoza kukuthandizani ndi ntchito zapakhomo, kugula, kuphika, ndi ntchito zina za tsiku ndi tsiku, monga kusamba ndi kuvala.

Mafunde

Anthu ambiri adzalandira chithandizo chama radiation mkati mwa milungu ingapo atachitidwa opaleshoni. Kungakhale radiation ya mkati (brachytherapy) kapena radiation yakunja.

Thandizo lamkati limayang'aniridwa ndi mankhwala omwe amapangidwira kuti athane ndi minofu yabwinobwino, yathanzi. Ma radiation akunja nthawi zambiri amaperekedwa pa bere lonse m'mayeso a tsiku lililonse kwa milungu ingapo. Nthawi zina, imaphatikizapo chikwapu (axilla), malo a kolala, kapena zonse ziwiri.

Chithandizo cha ma radiation chimagwiritsa ntchito kuwononga DNA mkati mwa selo ndikupangitsa kuti izilephera kugawa ndikuchulukitsa.

Magetsi amakhudza maselo onse a khansa komanso maselo abwinobwino. Imawononga mosavuta ma cell a khansa. Maselo athanzi, abwinobwino amatha kudzikonza okha ndikupulumuka kuchipatala.

Ntchito yokonza ndi yopanda ungwiro. Zimakonda kusintha ena mwa maselo athanzi owonongeka ndi minofu yomwe siili yofanana ndi momwe idaliri poyambirira.

Fibrosis yomwe imayambitsa ma radiation

Minofu yanu pachifuwa ikhoza kukonzedwa ndi minofu yomwe imakhala yolimba kwambiri, chifukwa chake imalephera kukulira ndikumangika ngati minofu yabwinobwino ya mnofu.

Kuphatikiza apo, zingwe za tinyuzi tating'onoting'onoting'onoting'onoting'onoting'onoting'onotingizi timathanso kulumikizana ndikupanga zomata. Izi zimapangidwa ndi mtundu waziphuphu zamkati. Mizere yofiira yomwe mumawona pamachiritso ochiritsidwa ophatikizira imaphatikizaponso minofu ya fibrotic.

Mtundu wamtundu wofiira wamkati umatchedwa fibrosis wopangidwa ndi radiation. Sichitha kwathunthu, koma mutha kuyisintha. Kutambasula ndi kulimbitsa minofu yoyandikana kumatha kuletsa zovuta zina kuti zisayambike.

Chemotherapy

Chifukwa madokotala amadziwa kuti ma cell a khansa amachulukirachulukira, mankhwala ambiri a chemotherapy amapangidwa kuti athe kulunjika minofu yomwe imakula mwachangu. Pamenepo pamakhala chiopsezo cha zotsatirapo.

Mitundu yambiri yamaselo abwinobwino imakula ndikudzichotsa m'malo mwachangu. Izi zikuphatikiza:

• maselo omwe amapanga tsitsi, zikhadabo, ndi eyelashes
• maselo omwe amayenda pakamwa ndi m'mimba
• maselo ofiira ndi oyera omwe amapangidwa m'mafupa

Mankhwala apakamwa a antihormone, monga aromatase inhibitors, amatha kuyambitsa kupweteka kwamalumikizidwe ndikuchepetsa kuchepa kwa mafupa. Izi zitha kukuikani pachiwopsezo chodwala kufooka kwa mafupa ndi mafupa.

Mankhwala ena a chemotherapy, makamaka ma taxi, amatha kuwononga mitsempha ya m'manja ndi m'miyendo. Izi zitha kuyambitsa:

• dzanzi
• kumva kulira
• kuchepa kwachisoni
• ululu

Pamodzi, zizindikirazi zimadziwika kuti chemotherapy-induced peripheral neuropathy (CIPN).

CIPN m'manja mwanu imatha kukupangitsani kukhala kovuta kugwira ntchito zabwino zamagalimoto, monga kulemba, kunyamula ziwiya, komanso kugwiritsa ntchito kiyibodi. CIPN pamapazi anu imatha kukhudza kuthekera kwanu kuti muzimva nthaka ndikukhala olimba.

Kuphatikiza apo, anthu ambiri amachepetsa kuthekera koganiza. Mutha kuyiwala zinthu, zimakuvutani kuthana ndi mavuto osavuta, ndipo mumadzimva kuti mulibe mgwirizano.

Zotsatira zoyipazi zingakupangitseni kulipira ndalama pogwiritsa ntchito ziwalo ndi thunthu lanu munjira zachilendo. Nthawi zambiri simukudziwa kuchita kusinthaku, koma kusintha kumeneku kumatha kubweretsa zovuta mwadzidzidzi m'manja mwanu, kumbuyo, m'chiuno, ndi m'mapewa.

Mankhwala ndi ma posturgery oyesera

Pambuyo pa opaleshoni, si zachilendo kukhala ndi zizindikiro monga kutupa, kupweteka, ndi kuuma.

Ngati mukukumana ndi zizindikilozi, ndibwino kuti muyambe kaye kuunika kwa katswiri wa mafupa kapena wothandizira. Amatha kukuphunzitsani momwe mungasinthire komanso kuchita masewera olimbitsa thupi mosatekeseka.

Ngati simukuvulala, nthawi zambiri mumatha kuyambitsa pulogalamu yochita masewera olimbitsa thupi. Mwina simukufuna kuchita zambiri, koma ndikofunikira kusuntha pamene mungathe.

Pakadali pano, ngakhale machitidwe oyenda modekha angakuthandizeni kuti muchepetse kuyenda kwambiri ndikukulepheretsani kukhala ndi lymphedema.

Mabwalo amapewa

Mabwalo amapewa amatha kuthandiza kumasula ndi kutentha minofu yolimba.

1. Sungani mapewa patsogolo.
2. Pitirizani kuyenda mozungulira mozungulira mozungulira maulendo 10.
3. Sinthani mayendedwe anu ndikubwezeretsanso mapewa anu kumbuyo kwa ma 10 obwereza.

Pamapewa amakweza

Ntchitoyi ingathandize kuthana ndi mavuto pogwiritsa ntchito minofu yowonjezera m'mapewa ndi m'khwapa.

1. Pang'onopang'ono kwezani mapewa anu mlengalenga, mukuyesa ngati kuti mukukweza mapewa anu m'makutu anu.
2. Gwiritsani malo pamwamba kwa masekondi 5.
3. Gwetsani mapewa anu pamalo oyambira.
4. Bwerezani nthawi 8 mpaka 10, kenako mubwereza katatu kapena kasanu patsiku.

Dzanja limadzuka

Ntchitoyi imathandizira kuyenda kosafunikira popanda kukweza mikono yanu kuposa kutalika kwa phewa.

1. Ikani dzanja lanu lamanja paphewa lanu lamanja ndi dzanja lanu lamanzere paphewa lanu lamanzere.
2. Pang'onopang'ono kwezani mivi yanu mlengalenga.
3. Imani pamene zigongono zanu zifika kutalika kwa phewa. (Mwina simungathe kukweza mokweza izi. Kwezani momwe mungathere.)
4. Pepetsani zigoli zanu pamalo oyambira.
5. Bwerezani nthawi 8 mpaka 10.

Amakweza mkono

Ntchitoyi nthawi zambiri imalimbikitsidwa pamene mukupita kuchira ndipo mukuyenda bwino m'manja mwanu.

1. Imani ndi msana wanu kukhoma, kuti muwoneke momwe mukukhalira molunjika momwe mukuyimira.
2. Kuyika manja anu molunjika, pang'onopang'ono kwezani manja anu patsogolo panu, kuyimilira mukafika pamwamba momwe mungathere. Momwemo, izi zidzakhala ndi manja anu kuloza padenga ndipo mikono ikukhudza makutu anu.
3. Pepani manja anu kuti mubwerere poyambira. Bwerezani nthawi 8 mpaka 10, kapena momwe mungathere.

Zingwe zamanja

Ntchitoyi imathandiza kutambasula m'khwapa ndi kumbuyo kwa mapewa.

1. Gona pansi ndi msana wako pansi. Mutha kugwiritsa ntchito pilo pothandizira khosi.
2. Ikani mikono yanu kumbuyo kwa mutu wanu ndi manja anu m'makutu anu. Zigongono zanu zidzapindidwa mbali zonse za mutu wanu.
3. Pepani maondo anu moyang'anana wina ndi mnzake, mukumva kutambasula monga momwe mumachitira.
4. Imani pamene zigongono zanu zatsala pang'ono kukumana, mukumva kutambasula kumtunda kwanu.
5. Pepetsani zigoli zanu pamalo oyambira.
6. Bwerezani nthawi 8 mpaka 10.

Mankhwala ena

Mukayamba kuchita zipsera m'khwapa mutachotsa ma lymph node, kusisita madera omwe akhudzidwa kumatha kuthandizira. Kutambasula ndi kutikita minofu, kuphatikiza ndi mankhwala odana ndi zotupa komanso kugwiritsa ntchito kutentha konyowa, zitha kuthandiza kuthetsa vutoli.

Gulani mankhwala odana ndi zotupa komanso ma pedi otenthetsera.

Kuchira kuchokera kuchipatala

Simungathe kuwona fibrosis yopangidwa ndi radiation, koma mumatha kumverera mukamayendetsa dzanja lanu ndikupeza kuti mayendedwe anu amaletsedwa.

Fibrosis yomwe imayambitsa ma radiation imatha kupweteketsa, kukhathamiritsa, ndikusintha kwamphamvu, ngakhale miyezi kapena zaka mankhwala anu atatha. Madokotala nthawi zambiri amalangiza njira zingapo zochiritsira kuti athetse mphamvu komanso kuyenda.

Kuchulukitsa mankhwala

Ganizirani zokhazokha nthawi zonse kuti muthandizire kutambasula minofu ndikuwapangitsa kukhala owonjezera.

Muthanso kuganizira zodziphunzitsiratu za madera omwe akhudzidwa. Izi zitha kukuphatikizani kusisita pamanja malo owuma komanso olimba kapena kugula zida zothandizira zomwe zingatambasule dzanja lanu.

Zitsanzo zimaphatikizira chopukutira thovu kapena ndodo yotikita, yomwe ingakuthandizeni kupita kumbuyo kwanu kapena mbali ya thupi lanu.

Gulani cholumikizira chithovu kapena ndodo.

Kutambasula

Chitani zolimbitsa thupi pafupipafupi, monga zojambulazo zomwe zidatchulidwa pamwambapa.

Mwinanso mungafune kuphatikiza khosi lanu, monga kupanga mabwalo ndi mutu wanu. Komanso yesetsani kutambasula mutu wanu kutsogolo (ponyani chibwano chanu pachifuwa) kenako ndikuyang'ana kudenga.

Kuchita masewera olimbitsa thupi kumatumiza chizindikiro ku thupi lanu kuti musinthe, kumasula, ndikuchepetsa zipsera zakunja ndi zamkati. Zipsera zina zimatsalira, koma sizachilendo.

Kulimbitsa mphamvu

Limbikitsani mikono yanu, mapewa, ndi kubwerera kwanu ndi zolimbitsa thupi kapena kugwiritsa ntchito magulu azolimbitsa thupi. Zitsanzo za machitidwe opindulitsa ndi awa:

• bicep ma curls
• zowonjezera za triceps
• mkono ukukweza
• osindikiza phewa

Gulani magulu azithandizo zakuthupi.

Kusamalitsa

Nthawi zonse lankhulani ndi dokotala musanayambe kuchita masewera olimbitsa thupi kapena pulogalamu yotambasula.

Lankhulani nawo musanapite kukatikita minofu, inunso. Ngati mwakhala mukuchotsedwa ma lymph node, pakhoza kukhala njira zomwe wothandizira uthenga wanu ayenera kuzipewa, monga kupsinjika kwakukulu kapena mankhwala otentha komanso ozizira.

Kuchiza ululu wa chemotherapy

Chemotherapy imatha kubweretsa zovuta zambiri, kuphatikiza ululu wamitsempha. Kupweteka kwamitsempha kumeneku kumatha kukhala kovuta kuchiza. Mankhwala ambiri opweteka sagwira ntchito nthawi zonse.

Gawo loyamba ndikulankhula ndi dokotala za ululu wanu. Amatha kupereka gabapentin (Neurontin). Amavomerezedwa ndi U.S. Food and Drug Administration (FDA) kuti athetse ululu wamitsempha.

Kutengera mtundu wa zowawa zanu, amathanso kukupatsirani mankhwala opweteka kuti muchepetse kupweteka.

Dokotala wanu amathanso kukupatsirani mankhwala "opanda chizindikiro" kuti athe kuchiza matenda anu. Malamulowa savomerezedwa ndi a FDA kuti athetse zizindikiro zanu, koma amadziwika kuti amathandiza anthu ena.

Mankhwala omwe amalembedwa ndi dokotala omwe akukulemberani amasiyana malinga ndi mbiri yaumoyo wanu.

Kugwiritsa ntchito mankhwala osokoneza bongo kumatanthauza mankhwala omwe amavomerezedwa ndi FDA pacholinga chimodzi amagwiritsidwa ntchito pazinthu zina zomwe sizinavomerezedwe. Komabe, dokotala amatha kugwiritsabe ntchito mankhwalawa pazifukwa izi. Izi ndichifukwa choti a FDA amayang'anira kuyesa ndi kuvomereza mankhwala, koma osati momwe madotolo amagwiritsira ntchito mankhwala pochizira odwala awo. Chifukwa chake, adotolo amatha kukupatsani mankhwala ngakhale akuganiza kuti ndi bwino kuti musamalire.

Zosintha m'moyo

Kuphatikiza pakupanikizika ndi kuuma, mutha kupeza kuti muli ndi zovuta zambiri zomwe zimayambitsidwa chifukwa chotsutsana kapena thukuta m'malo omwe mumachitirako opaleshoni kapena mankhwala. Nthawi zina, zovala zomwe mumavala kale zimatha kukhala zovuta kapena zoletsa.

Kuti muchepetse izi, mutha kusintha motere:

• Ikani chimanga m'dera lanu lam'munsi kuti muchepetse kukangana. Anthu ena amalimbikitsa kuyika chimanga mu sokosi kapena kusungitsa, kumangiriza mfundo pamwamba, ndikumangirira zokhazokha pakhungu.
• Pewani kumeta m'khwapa mukalandira mankhwala a radiation.
• Pewani kugwiritsa ntchito madzi otentha mukamatsuka kuti musamaume khungu lanu. Gwiritsani ntchito madzi ofunda m'malo mwake.
• Pewani kukwiya pakhungu popewa sopo wamphamvu, oletsa antiperspirants, kapena zonunkhiritsa.
• Valani zovala zotakasuka kuti muchepetse kupsinjika ndikulola kuyenda ndikulimbikitsidwa.

Chiwonetsero

Chinthu choyamba chimene muyenera kuchita ndicho kuzindikira zizindikiro zanu msanga ndikuziwuza dokotala wanu. Zizindikiro zofunika kuzizindikira ndi monga:

• zowawa zilizonse zomwe zimachitika mwina popuma kapena poyenda
• kuchepa kuyenda limodzi
• kufooka kulikonse, kutopa, kapena kusintha kwakumverera
• kuchepa kwa luso lodzisamalira
• kujambula m'khwapa mwanu kapena m'manja mwanu, zomwe zimangowonekera mukakweza dzanja lanu
• kuchuluka kwa kutupa m'manja mwanu, thunthu, chifuwa, kapena khosi

Osanyalanyaza zizindikiro. Zizindikiro zanu zoyambirira zimayesedwa ndikuchiritsidwa bwino. Katswiri wanu wa oncologist akuyeneranso kukuyesani. Atha kuwona kuti ndi koyenera kukutumizirani kwa asing'anga, orologist, kapena othandizira.

Ndikofunika kudziwa kuti zisonyezo sizingawonekere milungu ingapo, miyezi, kapenanso zaka mutangomaliza kulandira chithandizo cha khansa ya m'mawere. Izi si zachilendo. Musaganize kuti adzathetsa okha pakapita nthawi.

Mavuto a mkono ndi phewa nthawi zambiri amakhala gawo lazowonongeka kwakanthawi kochepa komwe kumayambitsidwa ndi chithandizo cha khansa. Zina mwazizindikirozi zitha kuwonetsanso china chachikulu, monga kubwereza khansa kapena metastasis.

Upangiri womwewo ukugwiranso ntchito: Fotokozerani mavuto msanga, muyesedwe bwino, ndikupezerani chithandizo. Simungathetse vuto lomwe mumanyalanyaza.

Pezani chithandizo kuchokera kwa ena omwe ali ndi khansa ya m'mawere. Tsitsani pulogalamu yaulere ya Healthline Pano.