Kuguma kuenda kumwedzi uye kusakwana kweovarian ndiwo maitiro akajairika anogona kuwanikwa nevakadzi vezvakasikwa kana iwe wakamborapwa lymphoma isati yasvika kumwedzi. Kuenda kumwedzi kunowanzoitika kana isu tiri pakati pemakore 45-55 ezera, zvisinei zvinogona kuitika kare kana wakamborapwa chemotherapy, mamwe immunotherapies kana radiation kudumbu rako kana pelvic nzvimbo.
Kunyangwe iwe uchida vana kana kwete, kuenda kumwedzi uye kusakwana kweovarian kunogona kuve nezviratidzo zvisingadiwe uye matambudziko. Zvizhinji zveizvi zvinokonzeresa ndezvenguva pfupi, asi zvimwe zvingangoda kurapwa.
Iri peji rinopa ruzivo pamusoro pemisiyano pakati pekuenda kumwedzi uye kusakwana kweovarian, uye maitiro aungaita zviratidzo zvine chekuita nazvo.
Musiyano pakati pekuenda kumwedzi uye kusakwana kweovarian
Kunyange zvazvo vangave vane zviratidzo zvakafanana, kuenda kumwedzi uye kusakwana kwe ovarian hazvisi chinhu chimwe chete.
Kusvitsa
Kuenda kumwedzi (Menopause) ndiko paunomira kutevera zvachose, wotadza kubata pamuviri. Maovari ako haachabudisi mahomoni pamazinga anogona kukura mazai ako, kurongedza chibereko chako (chibereko) kana kuchengetedza pamuviri. Kana kuenda kumwedzi kunoitika nekuda kwekurapwa kwechemotherapy inozivikanwa sechemotherapy-induced menopause (CIM).
Ovarian insufficiency
Ovarian insufficiency ndeye apo iwe uchiri kubudisa mahomoni, asi muhuwandu husina kukwana. Izvi zvinoreva kuti iwe unogona kuramba uchitevera nguva yako, asi inenge isina nguva. Iwe unogona kunge uchiri kubata pamuviri, asi zvinogona kuva zvakaoma. Unogona kubata pamuviri nerubatsiro rwekurapa rwakadai seye invitro fertilization (IVF).
Sei mishonga ye lymphoma ichikonzera kuenda kumwedzi uye kusakwana kwe ovarian?
Mishonga ye lymphoma inogona kukonzera kuenda kumwedzi kana kusakwana kwe ovarian nekukonzera kukanganisa kwakananga kumaovha ako nemazai kana kukanganisa kugona kwemuviri wako kugadzira mahomoni. Mahomoni anogona kukonzera kutanga kuenda kumwedzi kana kusakwana kweovarian akanyorwa patafura iri pazasi.
Homoni | basa |
Estrogen | Inogadzirwa muovary's, mafuta tishu uye adrenal glands. Inodiwa pakukura kwemazamu panguva yekuyaruka uye kumisa chibereko kugadzirira kuenda kumwedzi (kutevera) kana kuchengetedza nhumbu. Zvakare mutoro wemapfupa ane hutano, tsandanyama, ganda, moyo, shuga yeropa uye cholesterol mazinga, tsinga system uye dundira kudzora. |
Progesterone | Inogadzirwa nemaovari mushure mekuvhara (kusunungurwa kwezai) uye inogadzirira chibereko chekuzvitakura uye inobatsira kukura kwemwana asati aberekwa. Zvakare zvinodiwa pakugadzirwa kwemukaka wezamu. Mamwe mabasa eprogesterone anosanganisira hutano hwehutano hwehutano uye kugadzirisa mafungiro. Chikamu chiduku cheprogesterone chinogadzirwawo neadrenal glands, uye ne placenta panguva yekuzvitakura. |
Testosterone | Inogadzirwa nemaovari, adrenal glands, mafuta tishu uye masero eganda. Testosterone yakawanda mumadzimai ezvisikwa inoshandurwa kuita estrogen. Inodiwa pakukura kwenhengo dzepabonde, mapfupa ane hutano uye kuita zvepabonde (libido). |
Luteinising Hormone | Inogadzirwa nepituitary gland uye inodiwa pakukura uye kusunungurwa kwemazai kubva mumaovari, uye kuchengetedza pamuviri. |
Follicle stimulating hormone (FSH) | Inogadzirwa mupituitary gland uye inodiwa kuti mazai asunungure mazai. |
Mahomoni anongoitika makemikari mumuviri wedu anodiwa pakuita mabasa emuviri. Mamwe mahomoni anodiwa kukudziridza hunhu hwechipiri hwepabonde senge mazamu, uye hutano hwekubereka. Izvo zvinodiwawo kuti akure mazai ako kuitira kuti agone kubatanidzwa nembeu, uye kurongedza chibereko chako kuti uve nechokwadi chokuti une nguva yako kana kuti unogona kuchengetedza pamuviri.
Mahomoni anobatsirawo kuchengeta mapfupa edu, tsandanyama uye mwoyo zvakasimba, zvinogona kukanganisa mafungiro edu, inzwi, ganda, uremu uye zvinogona kukanganisa chido chedu chepabonde (libido).
Dzvanya pamisoro iri pazasi kuti udzidze zvakawanda nezvekuti kurapwa kwakasiyana kungakonzeresa sei kutanga kuenda kumwedzi kana kusakwana kwe ovarian.
Chemotherapy inogona kukonzera kutanga kutanga kuenda kumwedzi kana kusakwana kweovarian muvasikana vekubereka uye vakadzi vezera ripi neripi kana usati watopfuura nemusikirwo wekuenda kumwedzi.
Izvi zvinoitika nekuti chemotherapy inogona kukuvadza maovarian follicles ako anoburitsa mazai mukati memaovha ako. Kukuvadzwa kwemafollicles kunoita kuti iwe ugadzire yakaderera, kana isingaenderane huwandu hwemahomoni anodiwa akadai seestrogen, progesterone uye testosterone.
Radiation kune pelvis yako kana dumbu inogona kukonzera kukuvara uye mavanga kune ovary yako uye kuparadza akawanda, kana asiri ese mazai ako. Iyo matishu yakakuvadzwa inogonawo kukanganisa kugona kweovary yako kugadzira mahormone, zvichitungamira kune yakaderera mahormone anosanganisira estrogen, progesterone uye testosterone.
Mhedzisiro yeradiation pamaovari ako zvinoenderana nenzvimbo, dhamu uye nguva yekurapa.
Immune checkpoint inhibitors mushonga mutsva we lymphoma uye imhando ye monoclonal antibody. Maitiro avo pamuviri wako akasiyana kune mamwe marapirwo uye mhedzisiro inowanzo konzerwa neako immune system pane kurapwa pachako.
Mishonga iyi inoshanda nekuvhara mapuroteni pane lymphoma cell yavanokura, ichiita kuti iite senge masero ane hutano. Nekudaro, masero ako ane hutano ane mapuroteni aya. Nekuvhara mapuroteni, masero anotaridzika ane ngozi kune immune system yako, saka immune system yako inorwisa nekuabvisa. Iyi inzira yakanaka yekuparadza masero ako e-lymphoma zvakadaro. zvinogona kukonzera kuti immune system yako irwise maseru ako ehutano zvakare.
Mamwe masero ane mapuroteni aya anosanganisira ari mumaovari ako, adrenal uye pituitary glands izvo zvinokanganisa kugona kwavo kugadzira mahormone.
Immune checkpoint inhibitors saka inogona kukanganisa kugadzirwa kweesrogen, progesterone, testosterone, follicle stimulating hormone uye luetinising hormone - zvese zvinodiwa pakubereka kune hutano uye mamwe mabasa emuviri.
Zoladex kurapwa kwehomoni kunopiwa sejekiseni mudumbu rako. Inopiwa kuvhara mazai ako panguva yekurapa kuti uvape dziviriro kubva kumishonga ye lymphoma. Inogona kukonzera kurapwa kunokonzerwa uye kwenguva pfupi kuenda kumwedzi.
Handidi mwana, idambudziko here?
Kuenda kumwedzi uye kusakwana kwe ovarian kunokanganisa zvinopfuura kugona kwako kuita mwana. Kunyange kana iwe usingadi kubata pamuviri, pane zvimwe zviratidzo zvekuenda kumwedzi uye kusakwana kwe ovarian zvinogona kukunetsa kana kukanganisa mararamiro ako kana zvikasagadziriswa zvakanaka.
Wese munhu akasiyana kana zvasvika kune maside-effects uye unogona kungove nemhedzisiro imwe chete kana maviri, kana iwe unogona kunge uine akawanda akanyorwa maside-effects pazasi. Zvinogona kunge zvisiri nyore, kana kuti zvinogona kukanganisa hupenyu hwako hwezuva nezuva. Kuziva zvekutarisira, maitiro ekugadzirisa maside-effects uye nguva yekubata chiremba wako kwakakosha kuchengetedza hupenyu hwakanaka.
Zviratidzo zvekuenda kumwedzi & kusakwana kwe ovarian
Zvakakosha kuziva icho zvizhinji zveizvi side-effects ndezvenguva pfupi. Zvinoitika apo muviri wako unodzidza kujaira kudzika mazinga ehomoni, uye sezvo muviri wako unoverenga uye uchidzidza kuti nhanho dzako nyowani ndedzipi, zvimwe zviratidzo zvinongovandudza.
Zviratidzo zvinowanzoonekwa zvekuenda kumwedzi zvakanyorwa pasi apa.
- Hapasisina kuenda kumwedzi, kana kusaenda kumwedzi.
- Kusakwanisa kubata pamuviri kana kutakura mimba kusvika panguva.
- Kuderera kwebhonzo (osteoporosis) izvo zvinogona kukonzera kuputsika kwemapfupa.
- Ropa rinovhara.
- Kushaya simba nekuda kwekurasikirwa kwemhasuru.
- Mwoyo (moyo) shanduko dzinogona kukanganisa BP uye kurova kwemoyo.
- High cholesterol mazinga muropa rako.
- Kupisa kupenya & dikita husiku.
- Kuchinja-chinja kwemaitiro kunosanganisira kusuwa kana kuora mwoyo, kutsamwa, kurasikirwa nemoyo murefu.
- Kuoma kwevaginal uye/kana kupera simba madziro emukadzi.
- Kuderera kwekuda kuita zvepabonde kana kunzwa kuda kuita bonde zvichiita kuti zviome kusvika pakusvirana.
- Kushaya hope uye kuneta.
- Zvakaoma kuisa pfungwa.
- Incontinence (kuomerwa nekusvika kuchimbuzi nenguva).
- Kuwedzera kwehuwandu.
Zvimwe zviratidzo zvevasikana vari kupfuura kana kuti vasati vasvika pakuyaruka.
- Kunonoka kutanga kwenguva.
- Kunonoka kukura kwehunhu hwechikadzi hwechipiri hwepabonde senge mazamu, kuwanda kwehudyu nebvudzi.
- Mafungiro uye kuzviremekedza zvinoshanduka.
- Kuwedzera uremu kunyanya kutenderedza dumbu (tummy).
- Kunonoka kufarira pabonde uye kufambidzana.
- General utera uye utera.
Miedzo yaungade
Mhan'ara zviratidzo zvese zvitsva uye zviri kuwedzera kuna chiremba wako wehematologist, oncologist kana general practitioner (GP). Vachakwanisa kuongorora kuoma kwezviratidzo zvako uye tarisa mazinga ehomoni yako nekuongororwa ropa kuti uone kana uri mukuguma kwekuenda kumwedzi kana kuti ovarian insufficiency.
Kana uri kumwedzi kana kuti une ovarian insufficiency pane mimwe miedzo yaunofanira kutarisa njodzi yako yematambudziko akadai sechirwere chemoyo kana osteoporosis. Kuziva njodzi yako kunogona kukubatsira kushanda neboka rako rekurapa kudzivirira kana kuderedza chero zviratidzo kana matambudziko. Mimwe miedzo yaungade inosanganisira:
- Kuongororwa kweropa kutarisa mazinga ehomoni, Vitamin D, clotting factor, cholesterol uye mamwe mamark zvichienderana nemamiriro ako ega.
- Bone density scan.
- Psychosocial assessment.
- Zviratidzo zvakakosha zvinosanganisira kurova kwemoyo uye BP.
- Miedzo pamwoyo wako yakadai se ultrasound (ECHO) kana electrocardiogram (ECG).
Kurapa kwekuenda kumwedzi uye kusakwana kwe ovarian
Iwe unogona kuda hormone replacement therapy (HRT) kuti utsive mahomoni ausingachakwanisi kugadzira. HRT inogona kupihwa semapiritsi, zvigamba zvaunonamatira paganda rako, semafuta kana gels. Kana ukadzi wakaoma, unogona kuwana hormonal cream kana gel inopinda musikarudzi yako kuti uwedzere kugadzikana uye kudzivirira kusangana kunorwadza (bonde).
Hormone replacement therapy ichabatsira kuvandudza zvimwe zvezviratidzo zvako asi zvakakoshawo kubatsira kudzivirira zvimwe zvakakomba zvakanyanya semoyo nehosha yemapfupa. Nekudaro, kana iwe wakambove negomarara rinokuchidzirwa nemahomoni akadai semamwe marudzi ezamu negomarara reovarian, ita kuti timu yako yekurapa izive kuitira kuti vazive kana HRT iriyo yakakunakira sarudzo.
HRT inofanira kuenderera mberi kusvika wasvika zera raunowanzoenda nekuenda kumwedzi. Natural menopause inowanzoitika pakati pemakore e45 ne55 makore. Taura nachiremba wako usati wamisa HRT.
Dzvanya pamisoro iri pazasi kuti udzidze zvakawanda nezve kutonga mhedzisiro.
Kuderera kweesrogen kunokuisa panjodzi yeosteoporosis inova mamiriro ekuti mapfupa ako anopera simba uye anogona kutyoka nyore nyore. Kudzivirira kurasikirwa kwepfupa kunouya neosteoporosis chikamu chakakosha chekugadzirisa kutanga kuenda kumwedzi uye kusakwana kwe ovarian.
Iwe unogona kubatsira kuchengetedza kana kusimbisa mapfupa ako ne:
- Kwete kutanga, kana kurega kusvuta. Taura nemufesi wako, chiremba kana mukoti nezverubatsiro rwuripo kukubatsira kurega.
- Kugara uchitakura uremu (kanenge katatu vhiki imwe neimwe). Maekisesaizi ekutakura uremu ndepaya paunotsigira uremu hwako, senge paunofamba, jog, kutamba, kukwira masitepisi kana kutamba mitambo yakawanda (kwete kusanganisira kushambira kana kuchovha bhasikoro).
- Ita shuwa kuti iwe unowana yakakwana calcium uye vhitamini D mukudya kwako. Bvunza chiremba wako kana uchida zvokuwedzera.
- Kutora hormone replacement therapy sezvinorayirwa.
Iwe unogona kunge uine njodzi yakawedzera yechirwere chemoyo kana uchinge watanga kuenda kumwedzi kana ovarian kusakwana. Chirwere chemoyo chinoreva mamiriro anokanganisa mwoyo wako netsinga dzeropa. Zvimwe zveizvi zvinogona kunge zvakakomba saka zvakakosha kuti uzive njodzi yako uye nekuisa nzira dzekudzikisa mhedzisiro inogona kuitika pahupenyu hwako.
Zvimwe zvinhu zvaunogona kuita zvinosanganisira:
- Chengeta uremu hune hutano. Kana iwe uchida rubatsiro neizvi, bvunza chiremba wako kuti akutumire kune anosimbisa muviri physiologist kana dietician.
- Usatanga, kana kurega kusvuta - chiremba wako anogona kubatsira kana iwe uchida kurega.
- Rongedza mamwe mamiriro zvakanaka (akadai seBP, chirwere cheshuga uye cholesterol mazinga). Kumbira chiremba wako kuti aongorore izvi uye akubatsire kuita hurongwa hwekuzvidzora.
- Tora iwe Hormone Replacement Therapy sekurairwa nachiremba wako.
Kuti uwane rumwe ruzivo nezve shanduko yemoyo tinya pano.
Kubata pamuviri mushure mekurapwa kana wava nekuenda kumwedzi kana kuti ovarian insufficiency inogona kuva yakaoma. Zvinosuruvarisa, mune zvimwe zviitiko, kubata pamuviri kungasakwanisika kunyange nerubatsiro rwechiremba.
Ndinovimba wanga uine nguva yekuunganidza mazai kana maovarian tissue usati watanga kurapwa. Kana iwe usati watanga kurapwa uye uchida kuziva nezve kuchengetedza kubereka, tinya pano.
Kuchinja kwemazinga ehomoni kunogona kuita zvakakosha pamanzwiro ako uye manzwiro. Unogona kuwana zvinhu zvidiki izvo zvingadai zvisina kukunetsa munguva yakapfuura zvakakushatirisa zvikuru. Unogona kuchema pasina chikonzero, kunzwa kuremerwa kana kuva nekushanduka-shanduka.
Iwe hausi kupenga! Muviri wako uri kugadziridza kusvika kumazinga akaderera ehomoni, uye mamwe emahomoni aya anobatsira kudzora manzwiro ako nemanzwiro. Pamusoro peizvi, kuenda kuburikidza nekurapa lymphoma, uye ikozvino kuve nekutanga kuenda kumwedzi kana kusakwana kweovarian izvo zvinogona kukanganisa zvirongwa zvako zvemhuri mune ramangwana, zvese zvinotora kukanganisa pamafungiro ako nemanzwiro.
Sezvo muviri wako uchigadziridza kune yakaderera mahormone mazinga ako manzwiro uye manzwiro anofanirwa kunge ari kunze kune izvo zvazvaive usati warapwa. Zvisinei, kana kutanga kuenda kumwedzi kana kusakwana kwe ovarian kwakakanganisa hupenyu hwako nedzimwe nzira, dzakadai sekuva nevana, kana zvimwe zvinetso zvakadai semwoyo kana chirwere chepfupa, zvakajairika kuti unzwe wakatsamwa pamusoro peizvi.
Rubatsiro rwuripo. Unogona kusvika kune yedu Lymphoma Mukoti nekudzvanya pane bhatani rekutibata pazasi pechidzitiro. Varipo kuti vateerere zvinokunetsa kana zvinokunetsa uye vanogona kubatsira nekupa ruzivo rwerutsigiro rwaunowana kwauri.
Uyewo taura nachiremba wako. Iwe Chiremba wezvirwere zvese unokwanisa kuita hurongwa hweutano hwepfungwa newe kuti uve nechokwadi chekuti unowana rutsigiro rwakakwana rwekubatsira kugadzirisa manzwiro ako nemanzwiro. Vanogona zvakare kuronga zvinotumirwa kuti iwe uone nyanzvi dzakasiyana dzinogona kukubatsira.
Zvimwe zviratidzo zvaunowana zvichava nemaitiro ekutonga akafanana kune anokonzerwa nemishonga yako ye lymphoma. Kuti uwane rumwe ruzivo nezve kutonga zvimwe zviratidzo uye mhedzisiro, tinya pane iyi link iripazasi.
Zvimwe zviratidzo zvekutanga kuenda kumwedzi uye kusakwana kweovarian zvakafanana nezviratidzo zve lymphoma kana mhedzisiro yekurapa. Gara uchitaura zviratidzo zvako kuti iwe ugoongororwa uye uzive chikonzero chezviratidzo uye nzira dzekurapa dzakanakisa.
Dzimwe nyanzvi dzaungade
Ungangoda imwe rutsigiro rwekuwedzera kugadzirisa mhedzisiro kana matambudziko ekutanga kuenda kumwedzi uye kusakwana kwe ovarian. Pazasi pane runyorwa rwevamwe vashandi vehutano vanogona kukubatsira kubata izvi nekuvandudza hupenyu hwako.
General practitioner (GP) ndiye chiremba wako wepanzvimbo uye akakosha zvakanyanya pakuramba uchichengeta panguva uye mushure mekurapa kwako lymphoma. Vanogona kukubatsira kugadzirisa maside-effects uye kuita chirongwa chekutungamira kweGP kana hutano hwepfungwa kuronga zvido zvehutano hwako mugore rinotevera. Chiremba weChiremba wako anogona kutaura kune nyanzvi iri pazasi kana ichidikanwa kuti ikubatsire kugadzirisa mhedzisiro yekukurumidza kuenda kumwedzi kana kusakwana kwechibereko.
Endocrinologists vanachiremba vane kudzidziswa kwakawedzerwa pakutarisira mamiriro ane chekuita nemahormone.
Cardiologist vanachiremba vane kudzidziswa kwekuwedzera mukugadzirisa mamiriro anokanganisa moyo wako.
Psychologists inhengo dzeboka rehutano uye hunogona kukubatsira kubata pfungwa dzako, manzwiro ako uye manzwiro ako ese anogona kukanganiswa ne lymphoma yako, marapirwo ayo uye kutanga kuenda kumwedzi uye kusakwana kwe ovarian.
Dieticians iuniverstiy yakadzidziswa nhengo dzeallied health care team vanogona kukubatsira kuita hurongwa hwekudya kwako mukati mebhajeti yako inosanganisira chikafu chaunoda. Ivo vanoita shuwa kuti iwe unowana yakaringana macalorie uye chikafu chinodiwa chekudzora uremu hwako uye kukuchengetedza hutano.
Exercise physiologists uye physiotherapists vari yunivhesiti vakadzidziswa vakabatana vehutano vanogona kukubatsira kuita chirongwa chakachengeteka chekurovedza muviri kuchengetedza mapfupa ako akasimba sezvinobvira, mukati memiganhu yako wega.
Nyanzvi dzekubereka inogona kudiwa kana iwe uchida kubata pamuviri mushure mekurapa lymphoma. Kuti udzidze zvakawanda nezve kubereka mushure mekurapa tapota tapota apa.
pfupiso
- Mhando dzakawanda dzakasiyana dzekurapa lymphoma dzinogona kukonzera kutanga kuenda kumwedzi kana kusakwana kwe ovarian.
- Kana usati watanga kurapwa, ndapota ona yedu Fertility peji yekudzidza nezve sarudzo yekuwedzera mukana wako wekubata pamuviri mushure mekurapwa.
- Vanhukadzi vese vekubereka vanenge vasati vatopfuura nekuenda kumwedzi kwekuzvarwa vanogona kukanganiswa, kusanganisira vasikana vadiki vasati vabva zera.
- Iwe unogona kunge uchida rubatsiro rwechiremba kuti uwane pamuviri kana iwe unotanga kuenda kumwedzi kana kuti ovarian insufficiency, kunyange mune dzimwe nguva kubata pamuviri kungave kusingakwanisi. Ona yedu Kubereka mushure mekurapa peji kuti uwane mamwe mashoko.
- Kunyange kana iwe usingade kubata pamuviri, matambudziko kubva pakutanga kuenda kumwedzi kana kusakwana kweovarian kunogona kukukanganisa uye unoda kuongororwa kwekutevera uye kurapwa.
- Chiremba wezvirwere zvese achave munhu akakosha mukuchengeta kwako uye anogona kubatsira kuronga ongororo dzekutumira uye kutarisirwa kwekutevera.
- Ungangoda vashandi vehutano vakasiyana vanobatanidzwa mukutarisira kwako kuti vakupe hupenyu hwakanakisa.
- Vedu Lymphoma Care Nurses vanogonawo kupa rutsigiro nemazano.
