Iimbalasane
Kukho umngcipheko okhulayo wokungaphumeleli kwentliziyo / izifo kumaxhoba omhlaza wamabele, iminyaka emva kokuchongwa kokuqala kunye nonyango lomhlaza wabo (ixesha elide lechemotherapy). Umhlaza webele izigulane kufuneka zifundiswe ngeempembelelo ezimbi ezithi umhlaza Unyango olufana neradiotherapy kunye nechemotherapy lunokubakho kwimpilo yabo yentliziyo.
Umhlaza webele uqikelelwa ukuba ungunobangela wesibini okhokelela ekubhubheni komhlaza kwabasetyhini ngo-2020. Ngokuqhubela phambili kunyango kunye nokufumanisa kwangaphambili, amazinga okusweleka komhlaza wamabele ehle ngama-40% ukusuka ngo-1989 ukuya ku-2017 kwaye alonyuse kakhulu inani lexesha elide Abasindileyo bomhlaza (American Cancer Society, 2020). Nangona kunjalo, izifundo ezahlukeneyo zixela umngcipheko okhulayo kunyango olunxulumene nonyango olusongela ubomi kumaxhoba omhlaza, iminyaka emva kokuchongwa okokuqala kunye nonyango. Kukho ubungqina obugqithisileyo bezifo ezingezizo ezomhlaza ezinje ngesifo sentliziyo kunye nesifo se-cerebrovascular esinegalelo kwinani elibalulekileyo lokusweleka kwabaguli abanomhlaza wamabele / abasindileyo, ababekhe baphathwa nge-radiotherapy okanye i-chemotherapy (U-Bansod S okqhubekayo, Unyango lweCarcer Breast Res. 2020; U-Ahmed M. Afifi okqhubekayo, uMhlaza, 2020).
Ukutya okuTyiwa emva kokuChongwa koMhlaza!
Akukho mhlaza mibini ifanayo. Yiya ngaphaya kwezikhokelo zesondlo esiqhelekileyo kuwo wonke umntu kwaye wenze izigqibo ezizezakho malunga nokutya kunye nezongezo ngokuzithemba.
Izifundo zibonisa ukwanda komngcipheko wezifo zentliziyo kumaxhoba omhlaza wamabele
Ngokunyuka kwenani lebele umhlaza abasindileyo, abaphandi baseKorea abasuka kwiQela le-SMARTSHIP (Uphononongo lweQela loQeqesho oluNinzi lokuSinda komhlaza webele), baqhube ilizwe lonke, uphononongo lokubuyela umva ukuphonononga ukuphindaphindeka kokwenzeka kunye nemingcipheko ehambelana nokungaphumeleli kwentliziyo (CHF) kwizigulana ezinomhlaza wamabele ezisindileyo. ngaphezu kweminyaka emi-2 emva kokuxilongwa komhlaza (U-Lee J okqhubekayo, Umhlaza, 2020). Ukusilela kwentliziyo yokuxinana yimeko engapheliyo eyenzekayo xa intliziyo ingakwazi ukumpompa igazi emzimbeni ngokufanelekileyo. Olu phononongo lwenziwe kunye neDatabase yeSizwe yeLwazi ngezeMpilo eMzantsi Korea kwaye ibandakanya idatha evela kuma-91,227 amatyala abasindileyo abanomhlaza wamabele kunye nolawulo lwe-273,681 phakathi kukaJanuwari 2007 noDisemba 2013. Abaphandi bafumanise ukuba umngcipheko wokungaphumeleli kwentliziyo yokuxinana wawuphezulu kumhlaza wamabele. abasindileyo, ngakumbi kumaxhoba aselula aneminyaka engaphantsi kweminyaka engama-50, kunolawulo. Baye bafumanisa ukuba abasindileyo bomhlaza ababephathwa ngaphambili ngamayeza e-chemotherapy njenge-anthracyclines (epirubicin okanye doxorubicin) kunye neeteksi (docetaxel okanye paclitaxel) babonisa umngcipheko ophezulu kakhulu wezifo zentliziyo (U-Lee J okqhubekayo, Umhlaza, 2020).
Kolunye uphando olupapashwe ngabaphandi beYunivesithi yasePaulista State (UNESP), eSao Paulo, eBrazil, bathelekise ibele elingama-96 lasemva kokuyeka ukuya esikhathini Amaxhoba omhlaza ababeneminyaka engaphezulu kwe-45 benabafazi abali-192 ababesemva kokuyeka ukuya kumama ababengenawo umhlaza wamabele, ukuvavanya umngcipheko onxulunyaniswa neengxaki zentliziyo kwi-postmenopausal yomhlaza wamabele abasindileyo. Abaphandi bagqiba kwelokuba abasetyhini abasele benesifo somhlaza wamabele banobudlelwane obomeleleyo kunye nemingcipheko yesifo sentliziyo kunye nokwanda kokutyeba esiswini xa kuthelekiswa nabasetyhini abasemva kokuyeka ukuya kumama ngaphandle kwembali yomhlaza wamabele (I-Buttros DAB okqhubekayo, Ukuyeka ukuya exesheni, 2019).
Ngokophando olupapashwe nguGqirha Carolyn Larsel kunye neqela elivela eMayo Clinic, eRochester, eUnited States, ngokusekwe kumhlaza webele we-900 + okanye kwizigulana ze-lymphoma ezivela e-Olmsted County, MN, United States, kwafunyaniswa ukuba umhlaza webele kunye nezigulana ze-lymphoma zikwiqondo eliphambili. Umngcipheko okhulayo wokungaphumeleli kwentliziyo emva konyaka wokuqala wokuchongwa oqhubekeke ukuya kwiminyaka engama-20. Ukongeza, abaguli abanyangwe ngeDoxorubicin babenomngcipheko ophindwe kabini wokusilela kwentliziyo xa kuthelekiswa nolunye unyango (UCarolyn Larsen okqhubekayo, Ijenali yeAmerican College of Cardiology, Matshi 2018).
Ezi ziphumo zenza ukuba ezinye iindlela zonyango zomhlaza webele zinokonyusa umngcipheko wokuba neengxaki zentliziyo nakwiminyaka eliqela emva konyango (ixesha elide le-chemotherapy side effect). Eyona nto iphambili kukuba, abaguli abanomhlaza wamabele kufuneka banikwe iingcebiso malunga neempembelelo ezingalunganga olunokuthi uninzi lonyango lwangoku lube nazo kwimpilo yabo yentliziyo. Amachiza ahlukeneyo e-chemo asetyenziselwa umhlaza wamabele anokuba yityhefu entliziyweni kwaye anciphise ukupompa kwentliziyo ngelixa i-radiation kunye nolunye unyango lunokukhokelela ekukhokeleleni kwezicubu zentliziyo, ekugqibeleni kukhokelela kwiingxaki ezinzulu zentliziyo. Ke ngoko, ngexesha nasemva konyango lomhlaza wamabele, kukho imfuneko yokubeka iliso rhoqo impilo yabasetyhini abafunyaniswe benebele. umhlaza kwaye ujonge naziphi na iimpawu zokusilela kwentliziyo.
Kukuphi ukutya okutyayo kwaye okuncedisayo kukuthatha sisigqibo osithathayo. Isigqibo sakho kufuneka sibandakanye ukuthathelwa ingqalelo kotshintsho lomhlaza kuhlobo lomhlaza, unyango oluqhubekayo kunye nezongezelelo, nakuphi na ukwaliwa, ulwazi ngobomi bakho, ubunzima, ukuphakama kunye nemikhwa.
Isicwangciso sesondlo somhlaza esivela kwi-addon asisekelwanga kukhangelo lwe-Intanethi. Isebenza ngokuzenzekelayo ukwenza izigqibo zakho kusekwe kwisayensi yemolekyuli ephunyezwe ngoososayensi kunye neenjineli zesoftware. Nokuba ukhathalele na ukuqonda iindlela ezisisiseko seemolekyuli okanye hayi - zokucwangciswa kwesondlo somhlaza ukuqonda kuyafuneka.
Qalisa NGOKU ngokucwangciswa kwesondlo ngokuphendula imibuzo ngegama lomhlaza, uguquko kwimfuza, unyango oluqhubekayo kunye nezincedisi, nakuphi na ukwaliwa, imikhwa, indlela yokuphila, iqela lobudala kunye nesini.
ISondlo esiSiqu soMhlaza!
Umhlaza uyatshintsha ngokuhamba kwexesha. Yenza ngokwezifiso kwaye uguqule isondlo sakho ngokusekwe kwisalathiso somhlaza, unyango, indlela yokuphila, ukhetho lokutya, i-allergies kunye nezinye izinto.
Izigulana ezinomhlaza zihlala zisebenza ngeendlela ezahlukeneyo iziphumo ebezingalindelekanga ezichaphazela umgangatho wobomi babo kwaye bajonge ezinye iindlela zonyango lomhlaza. Ukuthatha isondlo esifanelekileyo kunye nezongezelelo ezisekwe kuqwalaselo lwenzululwazi (ukunqanda ukuqikelela kunye nokukhetha okungahleliwe) sesona sixhobo sendalo somhlaza kunye neziphumo ebezingalindelekanga zonyango.