Ukuzala kukukwazi kwakho ukwenza umntwana, oko kukuthi, ukukhulelwa okanye ukumithisa omnye umntu. Olunye unyango lwe-lymphoma lunokuchaphazela ukuzala kwakho. Oku kunokubandakanya ichemotherapy, i-immune checkpoint inhibitors, kunye nonyango lwemitha ukuba ikwisisu sakho okanye kumalungu angasese.
Utshintsho lokuchuma lunokwenzeka xa unonyango lwe-lymphoma njengomntwana okanye njengomntu omdala. Nangona kunjalo, kukho ezinye izinto ezinokuthi zenziwe ukuzama ukukhusela ukuchuma kwakho. Kubalulekile ukuba oku kwenziwe PHAMBI kokuba UQALE UNYANGO.
Ngaba unyango lwam luya kuchaphazela ukuchuma kwam? Kwaye, yintoni enokwenziwa ukuyikhusela?
Iinkcazo
Siyaqonda ukuba abanye abantu abazichongi njengamadoda okanye abasetyhini okanye bachonge ngesini esahlukileyo kwisini sabo sebhayoloji. Ngeenjongo zokuxoxa ngenzala kweli phepha, xa sikhankanya indoda, sibhekisa kubantu abazalwa benamalungu esini obudoda afana nepipi namasende. Xa sibhekisa kowasetyhini, sibhekisa kwabo bazalwe benamalungu esini abasetyhini kuquka ilungu lobufazi, ii-ovaries kunye nesibeleko (isibeleko).
Ngaba ndingakhulelwa (okanye ndifumane omnye umntu) ngexesha lonyango?
Kwiimeko ezininzi, impendulo nguhayi. Akufanele ukhulelwe okanye ukhulelwe omnye umntu ngexesha lokunyanga i-lymphoma. Unyango oluninzi lwe-lymphoma lunokuchaphazela isidoda kunye namaqanda (ova). Oku kubeka usana kumngcipheko ophezulu wokukhubazeka (ukungakhuli kakuhle). Isenokubangela ulibaziseko kunyango lwakho.
Olunye unyango lunokwenzakalisa usana olungekazalwa. Owona mngcipheko mkhulu kumntwana ukwiiveki zokuqala ezili-12 zokukhulelwa xa zonke iiseli ezenza umntwana ziphuhliswa.
Thetha ugqirha malunga nexesha elifanelekileyo lokucwangcisa ukukhulelwa. Kwezinye iimeko, kunokufuneka ulinde ukuya kutsho kwiminyaka emi-2 emva kokuba ugqibile unyango ngaphambi kokuba ukhulelwe.
Ukuba ukukhulelwa okungalindelekanga kwenzeka ngelixa ufumana unyango, xelela ugqirha ngokukhawuleza.
Kuthekani ukuba sele ndikhulelwe xa kufunyaniswa ukuba ndine-lymphoma?
Ukufumanisa ukuba une-lymphoma ngelixa sele ukhulelwe kunzima. Kwaye akulunganga! Kodwa, ngelishwa iyenzeka.
Ndingamgcina usana lwam?
Amaxesha amaninzi impendulo ithi EWE! Kusenokubakho iimeko apho ugqirha wakho eza kucebisa ukupheliswa kwezonyango (ukuqhomfa). Kodwa, kwiimeko ezininzi, ukukhulelwa kunokuqhubeka kwaye kubangele umntwana ophilileyo. Isigqibo sesakho. Qinisekisa ukuba ufumana lonke ulwazi oludingayo ngaphambi kokuba wenze isigqibo.
Ingaba ndisenalo unyango lwe-lymphoma?
Ewe. Nangona kunjalo, ugqirha wakho uya kufuna ukuqwalasela izinto ezininzi ngaphambi kokuba enze isicwangciso sonyango.
Ugqirha wakho uya kuqwalasela:
- Ingaba ukukhulelwa kwakho ku-1st trimester (iiveki ze-0-12), i-2nd trimester (iiveki ze-13-28), okanye i-3rd trimester (iiveki ze-29 kude kube nokuzalwa).
- I-subtype ye-lymphoma onayo.
- Inqanaba kunye nebakala le-lymphoma yakho.
- Naziphi na iimpawu onazo, kunye nendlela umzimba wakho ohlangabezana ngayo ne-lymphoma kunye nokukhulelwa.
- Kungxamiseke kangakanani ukuba ufumane unyango kwaye loluphi unyango oza kulufuna.
- Naziphi na ezinye izigulo okanye unyango osenokuba unalo.
Kutheni unyango luchaphazela ukuchuma kwam?
Unyango olwahlukileyo lunokuchaphazela ukuchuma kwakho ngeendlela ezahlukeneyo.
I-Lymphoma kumasende
I-Lymphoma inokuphuhla kuvavanyo lwamadoda ebhayoloji. Olunye unyango olujolise ekutshabalaliseni i-lymphoma lunokuchaphazela indlela ii-testes ezisebenza ngayo. Kwezinye iimeko, utyando lunokufuneka ukususa i-lymphoma kunye nezicubu ezijikelezayo ze-testicular.
Chemotherapy
I-Chemotherapy ihlasela iiseli ezikhula ngokukhawuleza, njengoko i-sperm iveliswa, okanye amaqanda avuthiwe kwi-ovari anokuchatshazelwa yi-chemotherapy.
Impembelelo kuma-ovari
I-Chemotherapy inokuchaphazela indlela ama-ovari akho asebenza ngayo, kwaye ibathintele ekukhuleni nasekukhululeni amaqanda aphilileyo. Isenokonakalisa namaqanda avuthwayo. Umphumo kumaqanda akho anokwahluka ngokuxhomekeke kwiminyaka yakho, nokuba sele ufikisa okanye usondele kwixesha lokuyeka ukuya exesheni, kunye nohlobo lwechemotherapy onayo.
Isiphumo kumatyhalarha
Impembelelo yechemotherapy kuvavanyo lwakho inokuba yethutyana okanye isigxina. I-chemotherapy inokuchaphazela isidoda sakho, kodwa inokonakalisa iiseli kwiimvavanyo zakho ezinoxanduva lokusebenza kwamathambo akho kunye nokuveliswa kwesidoda.
Ukuba iiseli ezikwiitestes zakho zonakele, ifuthe le-chemo enalo ekuchumeni kwakho linokuba sisigxina.
I-antioclonal antibodies
Ezinye ii-antibodies ze-monoclonal, ngokukodwa i-immune checkpoint inhibitors ezifana ne-pembrolizumab okanye i-nivolumab inokuchaphazela amandla akho okuvelisa amahomoni. Iihomoni ziyafuneka ukuze uxelele umzimba wakho ukuba wenze amadlozi okanye amaqanda aqolileyo.
Xa amanqanaba akho ehomoni echaphazeleka, ukuchuma kwakho kuyachaphazeleka. Oku kunokuba yinguqu esisigxina, kodwa ayenzeki kumntu wonke. Akukho ndlela yokuxelela ukuba iihomoni zakho ziya kuchaphazeleka ngokusisigxina ngala mayeza.
Unyango lwe-radiation
Ukusasazeka kwemitha kwisisu sakho okanye kwindawo yelungu lobufazi kunokubangela izicubu ezibomvu, kwaye kuchaphazele ii-ovari okanye ii-testes zakho ekuveliseni iihomoni ezifunekayo ekuchumeni.
Ukuyeka ukuya exesheni xa kuthelekiswa nokusilela kwe-Ovarian
Unyango lunokukhokelela ekuyekeni kokuya exesheni okanye ekungaphumeleli kwe-ovarian kwabasetyhini bebhayoloji. Ukuyeka ukuya exesheni yimeko esisigxina eya kumisa amaxesha kwaye ikuthintele ukuba ungakhulelwa.
Ukungaphumeleli kwe-Ovarian kwahlukile, nangona kuya kuba neempawu ezifanayo zokuyeka ukuya exesheni.
- ixesha elilahlekileyo kwiinyanga ezi-4-6 kwi-ovarian insufficiency kunye neenyanga ezili-12 zokuyeka ukuya exesheni.
- ukunciphisa amanqanaba e-follicle stimulating hormone (FSH).
- ukungakwazi ukukhulelwa
- ukufudumala okutshisayo
- utshintsho kwimo yakho kunye neepatheni zokulala
- i-libido ephantsi (umnqweno ophantsi wesondo)
- ukoma kwelungu lobufazi.
Buza ugqirha wakho ukuba unyango lwakho luyakuchaphazela njani ukuchuma kwakho, kwaye ingaba utshintsho luya kuba lusisigxina okanye lwexeshana.
Yintoni enokwenziwa ukukhusela ukuchuma kwam?
Kukho iindlela ezininzi onokukhetha kuzo, okanye umntwana wakho unonyango olunokunceda ukukhusela ukuchuma.
Inketho elungileyo kwimeko yakho iya kuxhomekeka kwizinto ezininzi ezibandakanya:
- ungakanani
- ukuba ufikelele, okanye udlule ebuntwaneni
- isini sakho
- ukungxamiseka konyango lwakho
- ukukwazi ukufumana idinga lokuchuma phambi kokuba unyango luqale.
Ukukhenkceza kwamaqanda, amadlozi, i-embryo okanye enye i-ovarian kunye ne-testicular tissue
Isiseko sikaSony sinenkqubo ebizwa ngokuba Unako Ukuchuma. Le nkonzo isimahla kubantu abaneminyaka eyi-13 ukuya kwengama-30 ubudala ukuba bagcine amaqanda, amadlozi, iimbumba (amaqanda aqhankqalazisiweyo) okanye ezinye iithishu ze-ovarian okanye i-testicular ukunceda ekukhulelweni kamva ebomini. Iinkcukacha zabo zoqhagamshelwano zisezantsi kweli phepha ngaphantsi Ezinye izixhobo.
Amaqanda namadlozi anokugcinwa ukuba sele ufikisa okanye sele umdala. I-embryo inokugcinwa ukuba uneqabane ongathanda ukuba nabantwana kamva.
Ezinye izicubu ze-ovarian okanye i-testicular tissue zihlala zigcinelwa abantwana abancinci abangekafiki kwiminyaka yokufikisa, okanye ukuba kufuneka uqale unyango ngaphambi kokuba amaqanda akho esidoda aqokelelwe kwaye agcinwe.
Unokuba nesilayi se-ovary yakho (abafazi bebhayoloji) okanye isende (amadoda ebhayoloji) asuswe kwaye afakwe emkhenkceni ukunceda ekukhulelweni emva konyango. Inkqubo inokwenziwa njengotyando lomngxuma wesitshixo. Xa sisithi "Ezinye izicubu ze-ovarian okanye i-testicular tissue" sibhekisela kwesi silayi se-ovary okanye i-testicle.
Olunye ukhetho lokugcina okanye ukugcina amaqanda / isidoda, iimbumba kunye nezinye izicubu
Ukuba awufikeleli kwiikhrayitheriya zenkqubo yeSony Foundations, usengawagcina amaqanda akho, amadlozi, iimbumba okanye ezinye ii-ovarian okanye izicubu zamatyhalarha. Kudla ngokubakho umrhumo wonyaka oya kwahluka ngokuxhomekeke kwindawo ogcinwe kuyo. Thetha nogqirha wakho malunga nokhetho kunye neendleko ezibandakanyekayo ekugcineni amaqanda akho, isidoda okanye ezinye iithishu.
Iyeza lokukhusela ukuchuma kwakho
Usenokuba neyeza elikunceda ukukhusela ama-ovari okanye amasende ngexesha lonyango. Eli yeza yihomoni evala okwethutyana ii-ovari okanye iimvavanyo, ngoko ke unyango lunempembelelo encinci kubo. Emva kokuba unyango luphelile, uya kuluyeka unyango lwehomoni kwaye iimvavanyo okanye ii-ovari zakho kufuneka ziqale ukusebenza kwakhona emva kweenyanga ezimbalwa.
Unyango lwehomoni lokugcinwa kokuchuma alusebenzi kubantwana abancinci.
Buza ugqirha wakho malunga nokukhetha onakho ukukhusela ukuchuma kwakho phambi kokuba uqale unyango.
Ngaba ndinokukhulelwa emva konyango ukuba andizange ndibe nokugcinwa kokuchuma?
Uninzi lwezonyango ze-lymphoma zinokwenza kube nzima ukukhulelwa kamva ebomini. Nangona kunjalo, ukukhulelwa ngamanye amaxesha kusengenzeka ngokwemvelo kwabanye abantu. Oku kunokwenzeka nokuba uye wagcina ukuchuma okanye akunjalo.
Ukuba awufuni ukukhulelwa, kufuneka uthabathe amanyathelo okuthintela ukukhulelwa emva konyango.
Ngaba zikhona iimvavanyo zokujonga ukuchuma kwam?
Ukujonga ukuba unokukwazi ukukhulelwa ngokwemvelo, thetha nogqirha wakho jikelele (GP okanye ugqirha wendawo). Banokucwangcisa iimvavanyo ukujonga amanqanaba akho ehomoni, ii-ovari okanye ii-testes kunye nomgangatho wamaqanda akho okanye isidoda. Nangona kunjalo, iziphumo zolu vavanyo zinokutshintsha ngokuhamba kwexesha.
Kwabanye abantu, ukuchuma kuphucula ngokukhawuleza emva konyango, kwaye kwabanye kunokuphucula iminyaka emva konyango. Kodwa kwabanye, ukukhulelwa kuya kwenzeka kuphela ngezinye iindlela, ezinjengokusebenzisa isidoda sakho esigciniweyo, amaqanda okanye iimbumba, okanye ezinye iithishu zamatyhalarha okanye ze-ovarian.
Kwenzeka ntoni ukuba andikwazi ukukhulelwa (okanye ukumithisa omnye umntu)?
Bayanda abantu abakhetha ukuba nabantwana ubomi obukhululekile. Oku kunokuba lukhetho kuwe.
Nangona kunjalo, ukuba ubomi obukhululekile bomntwana abukho kuwe, kukho ezinye iindlela zokuba nosapho nokuba wena okanye iqabane lakho aninakukhulelwa. Iintsapho ziyatshintsha kwaye iintsapho ezininzi zineemeko ezizodwa. Olunye ukhetho lungabandakanya:
- Ukwamukelwa
- Ukugcina abantwana
- Ukusebenzisa amaqanda omnikeli okanye amadlozi
- I-Surrogacy (imithetho ejikeleze i-surrogacy yahlukile kwiindawo ezahlukeneyo kunye nemimandla)
- Oobhuti abakhulu, inkqubo yoodade abakhulu
- Ivolontiya ukusebenza nabantwana.
Inkxaso yeemvakalelo nezengqondo
Ukuba ne-lymphoma kunye nonyango kunokuba lixesha elinzima kakhulu. Kodwa xa unyango oluya kusindisa ubomi bakho, lukuthintela ekubeni nobomi obubucebayo, kunokuba nzima kakhulu ukumelana neemvakalelo nangokwengqondo.
Kuyinto eqhelekileyo ukulwa neemvakalelo ngexesha okanye emva konyango. Nangona kunjalo, usenokungaziva iziphumo zoxinzelelo lweemvakalelo kunye nengqondo kude kube yiminyaka kamva, okanye xa sele ulungele ukuqala usapho.
Thetha nogqirha wakho wasekhaya (GP) malunga nendlela oziva ngayo kunye nefuthe lotshintsho kwinzala yakho kuwe okanye iqabane lakho. Banokuququzelela *isicwangciso sempilo yengqondo esiya kukuvumela ukuba ufikelele kwiiseshini ezili-10 kunye nesayikholojisti rhoqo ngonyaka. Ungaphinda ucele ukuthetha nomcebisi okanye isayikholojisti kwiziko locwangciso-ntsapho elikufutshane nawe.
*Uya kufuna ikhadi leMedicare ukuze ufikelele kwiSicwangciso seMpilo yeNgqondo.
Ezinye izixhobo
Isiseko sikaSony- Unako inkqubo yokuchuma
IBhunga loMhlaza- Incwadana yokuchuma kunye noMhlaza
isishwankathelo
- Uninzi lwezonyango ze-lymphoma zinokuchaphazela ukuzala kwakho kamva ebomini.
- Musa ukukhulelwa okanye ukhulelwe omnye umntu ngelixa unonyango lwe-lymphoma. Tshela ugqirha wakho ngokukhawuleza ukuba wena (okanye iqabane lakho) ukhulelwe ngelixa unyango.
- Kukho iindlela ezininzi zokukhusela ukuchuma kwakho.
- Ukugcinwa kokuchuma kufuneka kwenziwe ngaphambi kokuba uqale unyango.
- Kusenokufuneka ulinde ukuya kutsho kwiminyaka emi-2 emva kokuba ugqibile unyango ukuze ukhulelwe.
- Usenokukhulelwa ngokwemvelo emva konyango lwe-lymphoma. Ukuba akufuni ukukhulelwa, sebenzisa izilumkiso zokuthintela ukukhulelwa.
- Kwezinye iimeko, usenokungakwazi ukukhulelwa. Kukho ezinye iindlela ezikhoyo.
- Tsalela iLymphoma Care Nurses ngolwazi oluthe vetshe. Cofa iqhosha lokuqhagamshelana nathi ezantsi kwesikrini ngeenkcukacha zoqhagamshelwano.
