Amaphuzu avelele
Kukhona ingozi eyengeziwe yokwehluleka kwenhliziyo / izifo kwabasindile kumdlavuza webele, eminyakeni ngemuva kokutholakala kokuqala nokwelashwa komdlavuza wabo (umphumela wesikhathi eside we-chemotherapy). Umdlavuza wesibeletho iziguli zidinga ukufundiswa ngemithelela engemihle leyo umdlavuza Ukwelashwa okufana ne-radiotherapy kanye ne-chemotherapy kungaba nomthelela empilweni yabo yenhliziyo.
Umdlavuza webele ulinganiselwa ukuthi uyimbangela yesibili ehamba phambili yokufa komdlavuza kubantu besifazane ngonyaka wezi-2020. Ngokuthuthuka kwakamuva ekwelashweni nasekutholeni phambilini, amazinga okufa komdlavuza webele ehle ngo-40% kusukela ngo-1989 kuya ku-2017 futhi andise kakhulu isibalo Abasindile emdlalweni wesifo somdlavuza (i-American Cancer Society, 2020). Kodwa-ke, ucwaningo oluhlukile lubika ingozi eyandayo yezifo ezisongela impilo ezihlobene nokwelashwa kwabasinde kumdlavuza, eminyakeni ngemuva kokutholakala nokwelashwa kokuqala. Kunobufakazi obuqand 'ikhanda bezifo ezingelona umdlavuza ezifana nesifo senhliziyo nesifo se-cerebrovascular okufaka isandla kwinani elikhulu lokufa kweziguli / abasindile bomdlavuza webele, abake baphathwa i-radiotherapy noma i-chemotherapy (UBansod S et al, Ukuphathwa Komdlavuza Webele. 2020; U-Ahmed M. Afifi et al, Umdlavuza, 2020).
Ukudla Okufanele Ukudla Ngemuva Kokuxilongwa Komdlavuza!
Akukho mdlavuza owodwa ofanayo. Dlulela ngale kwemihlahlandlela ejwayelekile yokudla kuwo wonke umuntu futhi wenze izinqumo ezenziwe ngezifiso ngokudla nezithasiselo ngokuzethemba.
Izifundo ziveza ubungozi obuningi bezifo zenhliziyo kwabasindile kumdlavuza webele
Ngokukhula kwesibalo sebele umdlavuza abasindile, abacwaningi baseKorea abavela ku-SMARTSHIP Group (Study of Multi-Disciplinary Teamwork for Breast Cancer Survivorship), benze ucwaningo oluqhubekayo ezweni lonke ukuze bahlole imvamisa yokwenzeka kanye nezici eziyingozi ezihlobene nokuhluleka kwenhliziyo (CHF) ezigulini ezinomdlavuza webele ezisindile. ngaphezu kweminyaka emi-2 ngemuva kokuxilongwa komdlavuza (U-Lee J et al, Umdlavuza, i-2020). Ukwehluleka kwenhliziyo ukuminyana yisimo esingelapheki esenzeka lapho inhliziyo ingakwazi ukumpompa igazi emzimbeni ngokufanele. Lolu cwaningo lwenziwe kwiNational Health Information Database yaseNingizimu Korea futhi kwafakwa nemininingwane evela kubantu abangu-91,227 abasinde kumdlavuza webele kanye nezilawuli ezingama-273,681 phakathi kukaJanuwari 2007 noDisemba 2013. Abaphenyi bathole ukuthi izingozi zokuhluleka kwenhliziyo eshubile zaziphezulu kumdlavuza webele abasindile, ikakhulukazi kwabasindile abasebasha abaneminyaka engaphansi kwengu-50, kunezilawuli. Baphinde bathola ukuthi abasindile bomdlavuza ababelashwa ngaphambili ngamakhemikhali e-chemotherapy afana ne-anthracyclines (epirubicin noma i-doxorubicin) namatekisi (i-docetaxel noma i-paclitaxel) bakhombisa ingozi enkulu kakhulu yezifo zenhliziyo (U-Lee J et al, Umdlavuza, i-2020).
Kokunye ukuhlola okushicilelwe ngabaphenyi basePaulista State University (UNESP), eSao Paulo, eBrazil, baqhathanisa isifuba esingu-96 se-postmenopausal abasinde emdlavuzeni ababeneminyaka engaphezu kwengu-45 nabesifazane abangu-192 be-postmenopausal ababengenawo umdlavuza webele, ukuhlola izici ezinobungozi ezihambisana nezinkinga zenhliziyo kwabasindile besifo somdlavuza webele we-postmenopausal. Abaphenyi baphetha ngokuthi abesifazane abasanda kuphelelwa yisikhathi abasinde kumdlavuza webele babenobudlelwano obunamandla nezici eziyingozi zesifo senhliziyo kanye nokwanda kokukhuluphala esiswini uma kuqhathaniswa nabesifazane be-postmenopausal abangenawo umlando womdlavuza webele (I-Buttros DAB et al, Ukunqamuka kwesikhashana, i-2019).
Ngokuya ngocwaningo olushicilelwe nguDkt Carolyn Larsel nethimba elivela eMayo Clinic, eRochester, e-United States, ngokususelwa kumdlavuza webele we-900 + noma kwiziguli ze-lymphoma ezivela e-Olmsted County, MN, United States, kutholakale ukuthi umdlavuza webele kanye neziguli ze-lymphoma zazisezingeni eliphakeme ingozi eyengeziwe yokwehluleka kwenhliziyo ngemuva konyaka wokuqala wokuxilongwa okwaqhubeka kwaze kwaba yiminyaka engama-20. Ngokwengeziwe, iziguli ezelashwa ngeDoxorubicin zazinengozi ephindwe kabili yokuhluleka kwenhliziyo uma kuqhathaniswa nezinye izindlela zokwelapha (UCarolyn Larsen et al, Ijenali yeAmerican College of Cardiology, Mashi 2018).
Lokhu okutholakele kusungula iqiniso lokuthi ezinye izindlela zokwelapha zomdlavuza webele zingandisa ingozi yokuba nezinkinga zenhliziyo ngisho neminyaka eminingana ngemva kokwelashwa (umphumela wesikhathi eside we-chemotherapy side effect). Okubalulekile ukuthi, iziguli ezinomdlavuza webele zidinga ukwelulekwa ngemithelela engemihle imithi eminingi yamanje engaba nayo empilweni yazo yenhliziyo nemithambo yegazi. Imithi ehlukene ye-chemo esetshenziselwa umdlavuza webele ingaba yingozi enhliziyweni futhi yehlise ikhono lokumpompa inhliziyo kuyilapho imisebe nezinye izindlela zokwelapha zingaholela ekulimaleni kwezicubu zenhliziyo, ekugcineni kuholele ezinkingeni ezinkulu zenhliziyo. Ngakho-ke, ngesikhathi nangemva kokwelashwa komdlavuza webele, kunesidingo sokuqapha njalo impilo ejwayelekile yabesifazane abatholakale benebele. umdlavuza futhi ubheke noma yiziphi izimpawu zokuhluleka kwenhliziyo.
Ukudla okudlayo nokuthi yikuphi okunezelayo okwenzayo yisinqumo osithathayo. Isinqumo sakho kufanele sifake ukucutshungulwa kwezakhi zofuzo zomdlavuza, okuwumdlavuza, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imininingwane yokuphila, isisindo, ubude nemikhuba.
Ukuhlelela okunomsoco komdlavuza kusuka ku-addon akususelwa ekusesheni kwe-inthanethi. Kwenzela wena ukuthathela izinqumo ngokuya ngesayensi yamangqamuzana eyenziwe ososayensi bethu nonjiniyela be-software. Kungakhathalekile ukuthi ngabe uyakukhathalela ukuqonda okuyisisekelo kwamakhemikhali amakhemikhali noma cha - wokuhlelela umsoco ukuhlela lokho kudinga ukuqonda.
Qalisa MANJE ngokuhlela kwakho okunomsoco ngokuphendula imibuzo egameni lomdlavuza, ukuguquka kwezakhi zofuzo, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imikhuba, indlela yokuphila, iqembu lobudala nobulili.
Ukudla Okungokwakho Komdlavuza!
Umdlavuza uyashintsha ngokuhamba kwesikhathi. Enza ngendlela oyifisayo futhi uguqule umsoco wakho ngokusekelwe kunkomba yomdlavuza, ukwelashwa, indlela yokuphila, okuncamelayo kokudla, izinto ezingakuphathi kahle nezinye izici.
Iziguli ezinomdlavuza ngokuvamile kufanele zibhekane nokuhlukile imiphumela emibi ye-chemotherapy okuthinta ikhwalithi yempilo yabo futhi babheke ezinye izindlela zokwelapha umdlavuza. Ukuthatha ukudla okunomsoco nezithasiselo ezisuselwa ekucabangeni kwesayensi (ukugwema ukuqagela nokukhetha okungahleliwe) yikhambi elingcono kakhulu lemvelo lomdlavuza nemiphumela emibi ehlobene nokwelashwa.