Kubereka ndiko kugona kwako kuita mwana, kureva kubata pamuviri kana kupa mumwe munhu pamuviri. Mimwe mishonga ye lymphoma inogona kukanganisa kubereka kwako. Izvi zvinogona kusanganisira chemotherapy, immune checkpoint inhibitors, uye kurapwa nemwaranzi kana kuri kudumbu rako kana kusikarudzi.
Kuchinja kwekuberekwa kunogona kuitika kana iwe uchirapa lymphoma semwana kana semunhu mukuru. Nekudaro, pane zvimwe zvinhu zvinogona kuitwa kuedza kuchengetedza kubereka kwako. Zvakakosha kuti izvi zviitwe USATI WATANGA KURAPA.
Kurapa kwangu kuchakanganisa kubereka kwangu here? Uye, chii chingaitwa kuidzivirira?
Tsanangudzo
Tinoziva kuti vamwe vanhu havazvizivise semurume kana munhukadzi kana hunhu hwakasiyana nehunhu hwavo hwekuzvarwa. Nechinangwa chekukurukura nezvembereko papeji rino, kana tichitaura nezvemurume, tinoreva vanhu vakazvarwa vaine nhengo dzechirume dzakaita semboro nemachende. Kana tichitaura nezvemunhukadzi, tinoreva avo vanozvarwa vaine nhengo dzepabonde dzechikadzi dzinosanganisira chibereko, mazai nemimba (chibereko).
Ndinogona kuwana (kana kutora mumwe munhu) pamuviri panguva yekurapwa?
Kazhinji, mhinduro ndikwete. Iwe haufaniri kutora pamuviri kana kutora mumwe munhu pamuviri panguva yekurapa lymphoma. Mishonga yakawanda ye lymphoma inogona kukanganisa mbeu nemazai (ova). Izvi zvinoisa mucheche panjodzi huru yekuremara (kusakura zvakanaka). Zvinogonawo kukonzera kunonotsa kurapwa kwako.
Mamwe marapiro anogona kukuvadza mwana asati aberekwa. Njodzi huru kumwana iri mumavhiki gumi nemaviri ekutanga pamuviri apo masero ose anoumba mwana ari kugadzirwa.
Taura newe chiremba nezve nguva yakanakisisa yekuronga pamuviri ichava. Mune zvimwe zviitiko, ungada kumirira kusvika makore maviri mushure mekunge wapedza kurapwa usati wabata pamuviri.
Kana mimba isingatarisirwi ikaitika paunenge uchirapwa, zivisa chiremba wako nekukurumidza.
Ko kana ndatova nepamuviri pandinenge ndaonekwa kuti ndine lymphoma?
Kuonekwa kuti une lymphoma iwe uchitova nepamuviri kwakaoma. Uye hazvina kunaka! Asi, zvinosuruvarisa kuti zvinoitika.
Ndochengeta mwana wangu here?
Kazhinji mhinduro ndiYES! Panogona kunge paine zvimwe zviitiko apo chiremba wako achakurudzira kubviswa kwekurapa (kubvisa nhumbu). Asi, muzviitiko zvakawanda, kubata pamuviri kunogona kuenderera mberi uye kunokonzera mwana ane utano. Sarudzo ndeyako. Ita shuwa kuti wawana ruzivo rwese rwaunoda usati waita sarudzo.
Ndichiri kukwanisa kurapwa lymphoma?
Ehe. Zvisinei, chiremba wako achada kufunga zvinhu zvakawanda asati aita chirongwa chekurapa.
Chiremba wako achafunga nezve:
- Ingave mimba yako iri mu 1st trimester (vhiki 0-12), 2nd trimester (vhiki 13-28), kana 3rd trimester (vhiki 29 kusvika kuberekwa).
- Iyo subtype ye lymphoma yaunayo.
- Nhanho uye giredhi ye lymphoma yako.
- Chero zviratidzo zvaunazvo, uye kuti muviri wako uri kurarama sei ne lymphoma uye pamuviri.
- Zvinokurumidza sei kurapwa uye kuti ndeupi marapirwo aungade.
- Chero zvimwe zvirwere kana marapirwo aungave uchiwana.
Sei kurapwa kuchikanganisa kubereka kwangu?
Kurapa kwakasiyana kunogona kukanganisa kubereka kwako nenzira dzakasiyana.
Lymphoma mu testes
Lymphoma inogona kukura mu testes ye biological varume. Mamwe marapirwo ane chinangwa chekuparadza lymphoma anogona kukanganisa nzira iyo testes inoshanda. Mune zvimwe zviitiko, kuvhiyiwa kunogona kudiwa kubvisa lymphoma uye yakapoteredza testicular tissue.
Kurapwa
Chemotherapy inorwisa masero ari kukurumidza kukura, kuitira kuti urume huchigadzirwa, kana mazai akakura mumaovari anogona kukanganiswa nechemotherapy.
Mhedzisiro pamaovari
Chemotherapy inogona kukanganisa mashandiro anoita mazai ako, uye kuvadzivirira kubva pakukura uye kuburitsa mazai ane hutano. Inogonawo kukanganisa mazai ari kukura. Mamiriro anoitwa mazai ako anogona kusiyana zvichienderana nezera rako, ungave wasvika pakuyaruka kana kuti wava pedyo nezera rekuenda kumwedzi, uye rudzi rwekemotherapy yaunayo.
Mhedzisiro pama testes
Mhedzisiro ine chemotherapy pama testes ako inogona kuve yenguva pfupi kana zvachose. Iyo chemotherapy inogona kukanganisa urume hwako, asi inogona zvakare kukuvadza maseru muma testes ako ane chekuita nekushanda kwema testes ako uye kugadzirwa kwembeu.
Kana maseru ari mumatestes ako akakuvadzwa, mhedzisiro yechemo pambereko yako inogona kuve yekusingaperi.
Monoclonal antibodies
Mamwe monoclonal antibodies, kunyanya immune checkpoint inhibitors akadai se pembrolizumab kana nivolumab inogona kukanganisa kukwanisa kwako kugadzira mahomoni. Mahomoni anodiwa kuti uudze muviri wako kugadzira urume kana kuti mazai akakura.
Kana mazinga ako ehomoni akakanganiswa, kubereka kwako kunokanganisa. Izvi zvinogona kuchinja zvachose, asi hazviitike kune wese munhu. Iko hakuna nzira yekuudza kana mahormone ako achakanganiswa zvachose nemishonga iyi.
Radiation therapy
Radiation kudumbu rako kana nzvimbo yesikarudzi inogona kukonzera mavanga, uye kukanganisa mazai ako kana ma testes kubva mukuburitsa mahormone anodiwa pakuzvara.
Kuenda kumwedzi kunopesana neOvarian Insufficiency
Kurapa kunogona kukonzera kumisa kumwedzi kana kusakwana kwe ovarian muvakadzi vezvakasikwa. Kuenda kumwedzi (Menopause) chiitiko chisingaperi chinomisa kuenda kumwedzi uye kukudzivirira kuti usabate pamuviri.
Ovarian insufficiency yakasiyana, asi ichange iine zviratidzo zvakafanana nekuenda kumwedzi.
- nguva yakarasika kwemwedzi 4-6 mukusakwana kwe ovarian uye mwedzi gumi nemiviri yekuenda kumwedzi.
- yakaderera follicle stimulating hormone (FSH) mazinga
- kusakwanisa kubata pamuviri
- kupisa kupisa
- kuchinja kumafungiro ako uye maitiro ekurara
- low libido (yakaderera chido chepabonde)
- kuoma kwemukadzi.
Bvunza chiremba wako kuti kurapa kwako kuchakanganisa sei kubereka kwako, uye kana shanduko yacho ichave yekusingaperi kana yenguva pfupi.
Chii chingaitwa kuchengetedza mbereko yangu?
Pane zvakawanda zvingangove zviripo kwauri, kana mwana wako achirapwa anogona kubatsira kudzivirira kubereka.
Sarudzo chaiyo yemamiriro ako ezvinhu zvinoenderana nezvakati wandei zvinosanganisira:
- une makore mangani
- kana wasvika, kana kuyaruka
- murume wako
- kukurumidza kurapwa kwako
- kukwanisa kuwana nguva dzekuzvara kusati kwatanga kurapwa.
Kutonhodza mazai, urume, embryo kana mamwe maovarian uye testicular tissue
Iyo Sony nheyo ine chirongwa chinonzi Unogona Kubereka. Iyi sevhisi ndeyemahara kune vanhu vane makore 13-30 ekuzvarwa kuti vachengete mazai, urume, embryos (mazai akaomeswa) kana mamwe maovarian kana testicular tishu kubatsira kubata pamuviri mushure mehupenyu. Mashoko avo ekuonana ari pazasi pepeji ino pazasi Zvimwe zviwanikwa.
Mazai nembeu zvinogona kuchengetwa kana watoyaruka kana kuti wava munhu mukuru. Mwana ari mudumbu anogona kuchengetwa kana une mudiwa waungada kuita vana naye gare gare.
Mamwe maovarian kana testicular tissue anowanzo chengeterwa vana vadiki vasati vasvika pakuyaruka, kana kana uchida kutanga kurapwa mazai ako embeu asati aunganidzwa ochengetwa.
Unogona kunge uine chidimbu cheovary yako (biological females) kana testicle (biological males) yakabviswa uye yakaomeswa nechando kubatsira kubata pamuviri mushure mekurapwa. Iyo nzira inogona kuitwa sekuvhiya hole. Kana tichiti “Mamwe ma<em>ovarian kana kuti testicular tissue” tiri kureva chidimbu ichi che<em>ovary kana kuti testicle.
Dzimwe sarudzo dzekuchengeta kana kuchengetedza mazai / urume, embryo uye mamwe matushu
Kana ukasasangana nemaitiro echirongwa cheSony Foundations, unogona kuchengeta mazai ako, urume, embryos kana imwe ovarian kana testicular tissue. Panowanzova nemari yegore negore inosiyana zvichienderana nekuti inochengeterwa kupi. Taura nachiremba wako nezvesarudzo uye mari inobatanidzwa mukuchengetedza mazai ako, urume kana imwe matishu.
Mushonga wekuchengetedza mbereko yako
Unogona kuwana mushonga unobatsira kudzivirira mazai ako kana machende panguva yekurapwa. Mushonga uyu ihomoni inovhara maovari ako kwenguva pfupi kana ma testes pasi, saka kurapwa kunenge kwaita kushoma pavari. Mushure mekunge kurapwa kwapera, unomisa kurapwa kwehomoni uye ma testes ako kana ma ovari anofanira kutanga kushanda zvakare mushure memwedzi mishoma.
Mishonga yeHormone yekuchengetedza mbereko haibatsiri kuvana vadiki.
Bvunza chiremba wako nezvesarudzo dzaunadzo dzekudzivirira kubereka kwako usati watanga kurapwa.
Ndinogona kubata pamuviri mushure mekurapwa kana ndisina kuchengetedza mbereko?
Zvizhinji zvekurapa lymphoma zvinogona kuita kuti zvive zvakaoma kubata pamuviri gare gare muupenyu. Zvisinei, pamuviri dzimwe nguva zvichiri kuitika zvega kune vamwe vanhu. Izvi zvinogona kuitika kunyangwe wakave nekuchengetedza mbereko kana kwete.
Kana iwe usingade kubata pamuviri, iwe unofanirwa kutora matanho ekudzivirira kubata pamuviri mushure mekurapwa.
Pane bvunzo dzekutarisa mbereko yangu here?
Kuti uone kana uchikwanisa kubata pamuviri zvakasununguka, taura nachiremba wako (GP kana chiremba wepanzvimbo). Vanogona kuronga bvunzo kuti vatarise mazinga ako ehomoni, maovari kana ma testes uye mhando yemazai ako kana urume. Nekudaro, mhedzisiro yebvunzo idzi inogona kuchinja nekufamba kwenguva.
Kune vamwe vanhu, kubereka kunovandudzika mushure mekurapwa, uye kune vamwe kunogona kuvandudza makore mushure mekurapwa. Asi kune vamwe, kubata pamuviri kunokwanisika chete nedzimwe nzira, dzakadai sekushandisa mbeu yako yakachengetwa, mazai kana mazai, kana imwe testicular kana ovarian tissue.
Chii chinoitika kana ndichiri kutadza kubata (kana kutora mumwe munhu) pamuviri?
Vanhu vakawanda vari kusarudza kuva nemwana upenyu hwakasununguka. Iyi inogona kunge iri sarudzo kwauri.
Nekudaro, kana hupenyu hwemahara hwemwana husiri hwako, pane dzimwe sarudzo dzekuva nemhuri kunyangwe iwe kana mudiwa wako musingakwanisi kubata pamuviri. Mhuri dziri kuchinja uye mhuri dzakawanda dzine mamiriro akasiyana. Dzimwe sarudzo dzinogona kusanganisira:
- Adoption
- Kuchengeta
- Kushandisa mazai evanopa kana urume
- Surrogacy (mitemo yakatenderedza surrogacy yakasiyana mumatunhu akasiyana uye matunhu)
- Madzikoma makuru, chirongwa chehanzvadzi huru
- Zvipire kushanda nevana.
Tsigiro yepfungwa uye yepfungwa
Kuva ne lymphoma uye kurapwa kunogona kuva nguva inonetsa zvikuru. Asi apo kurapwa kunozoponesa upenyu hwako, kukudzivisa kuva noupenyu hwawanga uchironga, kunogona kuva kwakaoma zvikuru kugonana nendangariro nomupfungwa.
Zvakajairika kurwisana nemanzwiro panguva kana kuti mushure mokurapwa. Nekudaro, iwe zvakare ungasanzwa mhedzisiro yekushushikana mupfungwa uye mupfungwa kusvika makore gare gare, kana iwe wagadzirira kutanga mhuri.
Taura nachiremba wepanzvimbo yako (GP) nezve manzwiro auri kuita uye mabatiro ari kuita shanduko mukubereka kwako iwe kana mudiwa wako. Ivo vanogona kuronga * chirongwa chehutano hwepfungwa icho chinokutendera iwe kuti uwane anosvika gumi masesheni nenyanzvi yepfungwa gore rega rega. Unogona zvakare kuda kukumbira kutaura nachipangamazano kana chiremba wepfungwa panzvimbo yepedyo yekuronga mhuri.
*Unozoda kadhi reMedicare kuti uwane chirongwa cheMental Health Plan.
Zvimwe zviwanikwa
Sony Foundation - Iwe Unogona Fertility chirongwa
Cancer Council - Kabhuku kanonzi Fertility and Cancer
pfupiso
- Mishonga yakawanda ye lymphoma inogona kukanganisa kubereka kwako gare gare muupenyu.
- Usatora pamuviri kana kutora mumwe munhu pamuviri paunenge uchirapa lymphoma. Udza chiremba wako pakarepo kana iwe (kana mumwe wako) ukaita pamuviri paunenge uchirapwa.
- Pane nzira dzinoverengeka dzekudzivirira kubereka kwako.
- Kuchengetedza kubereka kunofanirwa kuitwa usati watanga kurapwa.
- Ungangoda kumirira kusvika makore maviri wapedza kurapwa kuti ubate pamuviri.
- Iwe unogona kunge uchiri kubata pamuviri pachako mushure mekurapa lymphoma. Kana iwe usingade kubata pamuviri, shandisa matanho ekudzivirira kubata pamuviri.
- Pamwe pacho ungatadza kubata pamuviri. Pane dzimwe nzira dziripo.
- Fonera Lymphoma Care Nurses kuti uwane rumwe ruzivo. Dzvanya bhatani rekutibata pazasi pescreen kuti uwane ruzivo.
