Bvunza Nyanzvi: 8 Mibvunzo Nezve Kubereka uye Metastatic Breast Cancer

Zvemukati

• 1. MBC ingakanganisa sei kubereka kwangu?
• 2. Marapirwo eMBC anoshanda papi pakukwanisa kwangu kubata pamuviri?
• 3. Ndedzipi nzira dzekuchengetedza mbereko dzinowanikwa kuvakadzi vane MBC?
• 4. Ndinogona here kuzorora kubva pakurapwa kuti ndive nepamuviri?
• 5. Ndeipi mikana yangu yekuve nevana mune ramangwana?
• 6. Ndevapi vanachiremba vandinofanira kuona kuti vakurukure nzira dzangu dzekubereka?
• 7. Ndichine here mukana wekuva nevana kana ndisina kuita chero nzira dzekuchengetedza mbereko ndisati ndarapwa?
• 8. Kana ndikatangira kubereka kubva pakurapwa kwangu, zvinoreva here kuti handifi ndakakwanisa kuita vana?

1. MBC ingakanganisa sei kubereka kwangu?

Metastatic breast cancer (MBC) inogona kukonzera kuti mukadzi arasikirwe nekwaniso kekuita vana nemazai ake. Uku kuongororwa kunogona zvakare kunonotsa nguva yekuti mukadzi anogona kuve nepamuviri.

Chimwe chikonzero ndechekuti mushure mekutanga kurapwa, vanachiremba vanowanzo bvunza vakadzi kuti vamirire makore asati abata nhumbu nekuda kwenjodzi yekudzokazve. Chimwe chikonzero ndechekuti kurapwa kweMBC kunogona kukonzera kutanga kuenda kumwedzi. Idzi nyaya mbiri dzinotungamira kudzikira kwehuwandu hwekubereka muvakadzi vane MBC.

Vakadzi vanozvarwa vaine mazai ese atichambove nawo, asi nekufamba kwenguva, tinopera mazai anoshanda. Nehurombo, zera muvengi wekubereka.

Semuenzaniso, kana iwe ukaonekwa uine MBC pazera makumi matatu nemasere, uye ukakuudza kuti haugone kuve nepamuviri kusvika zera makumi mana, urikutanga kana kukura mhuri yako pazera iro rako rezai mhando uye mikana yekubata kwepanyama yakaderera zvakanyanya . Pamusoro peizvozvo, kurapwa kweMBC kunogona kukanganisa mazai ako.

2. Marapirwo eMBC anoshanda papi pakukwanisa kwangu kubata pamuviri?

Kurapa kweMBC kunogona kutungamira mukutanga kuenda kumwedzi.Zvichienderana nezera rako pakuongororwa, izvi zvinogona kureva mukana wakaderera wekubata nhumbu mune ramangwana. Ichi ndicho chikonzero zvichikosha kuti vakadzi vane MBC vafunge nezvekuchengetedza mbereko vasati vatanga kurapwa.

Chemotherapy zvinodhaka zvinogona kukonzera chimwe chinonzi gonadotoxicity. Zvichitaurwa zviri nyore, zvinogona kukonzera mazai muovari remukadzi kuti apere nekukurumidza kupfuura zvakajairwa. Kana izvi zvikaitika, mazai akasara ane mukana wakaderera wekushanduka kuita nhumbu ine hutano.

3. Ndedzipi nzira dzekuchengetedza mbereko dzinowanikwa kuvakadzi vane MBC?

Nzira dzekuchengetedza mbereko dzevakadzi vane MBC dzinosanganisira kutonhora kwezai uye kutonhora kwembryo. Zvakakosha kutaura nyanzvi yekubereka nezve idzi nzira usati watanga chemotherapy kana kuita oparesheni yekubereka.

Kudzvanywa kweOvarian nemishonga inonzi GnRH agonist inogona zvakare kuchengetedza ovari basa. Iwe unogona kunge wakanzwa kana kuverenga nezve marapirwo senge kutora uye kuchengetedza mazai asina kusimba uye ovarian tishu cryopreservation. Zvisinei, kurapwa uku hakuwanikwe nyore kana kuvimbika kune vakadzi vane MBC.

4. Ndinogona here kuzorora kubva pakurapwa kuti ndive nepamuviri?

Uyu mubvunzo unobva pane marapirwo auchazoda uye yako chaiyo kesi yeMBC. Zvakakosha kunyatso taura izvi kuburikidza navanachiremba vako kuyera zvaunogona kusarudza usati waita sarudzo.

Vatsvagiri vari kuyedzawo kupindura uyu mubvunzo kuburikidza nePOSITIVE muyedzo. Muchidzidzo ichi, vatsvagiri vari kutora vakadzi mazana mashanu premenopausal vane ER-yakanaka yekutanga gomarara repazamu. Mushure mekurapwa kwemwedzi mitatu, vakadzi vanozomira kurapwa kweanosvika makore maviri kuti vave nepamuviri. Mushure menguva iyoyo, ivo vanogona kutangazve endocrine kurapwa.

Pakupera kwegore ra2018, vakadzi vanopfuura mazana matatu vaive vanyoresa muchidzidzo uye vangangoita makumi matanhatu evana vaive vazvarwa. Vanotsvaga vachatevera nevakadzi kwemakore gumi kuti vaone kuti vari kuita sei. Izvi zvinobvumidza vaongorori kuti vaone kana kuzorora kwekurapa kunogona kukonzera njodzi yakakura yekudzokazve.

5. Ndeipi mikana yangu yekuve nevana mune ramangwana?

Mukana wemukadzi wekubata nhumbu wakabudirira unoenderana nezvinhu zvinoverengeka, zvinosanganisira:

• zera
• anti-Mullerian hormone (AMH) mazinga
• follicle kuverenga
• follicle-inosimudzira mahormone (FSH) mazinga
• mazinga eestradiol
• genetics
• zvakatipoteredza zvinhu

Kuwana yekutanga basement kurapwa MBC isati yabatsira. Uku kuongorora kuchakuudza kuti mangani mazai aungave akagwamba nechando, kunyangwe kufunga mazai echando, kana kana uchifanira kuita ese ari maviri. Ini ndinokurudzirawo kuongorora mazinga ekubereka mushure mekurapwa.

6. Ndevapi vanachiremba vandinofanira kuona kuti vakurukure nzira dzangu dzekubereka?

Kuti varwere veMBC vawedzere mikana yavo yekubata nhumbu mune ramangwana, zvakakosha kutsvaga kwekutanga kuraira uye kuendesa kune nyanzvi yekubereka.

Ini ndinotaurirawo varwere vangu vane cancer kuti vaone gweta remutemo wemhuri kuti vagadzire kuvimba kwemazai ako kana mazai kana chimwe chinhu chikaitika kwauri. Iwe unogona zvakare kubatsirwa nekutaura nemurapi kuti ukurukure hutano hwako hwepamoyo panguva yese iyi.

7. Ndichine here mukana wekuva nevana kana ndisina kuita chero nzira dzekuchengetedza mbereko ndisati ndarapwa?

Vakadzi vasina kuchengetedza kubereka kwavo vasati varapwa cancer vanogona kubata nhumbu. Njodzi yekushaya mbereko ine chekuita nezera rako panguva yekuongororwa kwako uye nemhando yekurapwa yaunogashira.

Semuenzaniso, mukadzi akaonekwa aine makore makumi maviri neshanu ane mukana wakakura wekuve nemazai akasara mushure mekurapwa zvichienzaniswa nemukadzi akawanikwa aine makore makumi matatu nemanomwe.

8. Kana ndikatangira kubereka kubva pakurapwa kwangu, zvinoreva here kuti handifi ndakakwanisa kuita vana?

Kubata kwepamuviri kunogoneka. Kunyange zvingaite senge iwo mazwi maviri haaendi pamwe chete, anogona chaizvo. Asi mukana wekubata nhumbu wakasununguka pasina rubatsiro rwenyanzvi yekubereka mushure mekumira kuenda kumwedzi kubva pakurapwa ishoma.

Kurapa kweHormone kunogona kuita kuti chibereko chigadzirire kugamuchira embryo, saka mukadzi anogona kuve nemimba yakanaka mushure mekunge apedza kuenda kumwedzi. Mukadzi anogona kushandisa zai raakatonhora asati arapwa, embryo, kana kupa mazai kuti abate nhumbu. Mikana yako yekuzvitakura inoenderana nehutano hwezai kana embryo panguva yaakasikwa.

Dr. Aimee Eyvazzadeh weSan Francisco Bay Area akaona zviuru zvevarwere vachibata nekushaya mbereko. Mishonga yekudzivirira, inoshanda, uye yakasarudzika haisi iyo chete yaanoparidza sechikamu cheYega Whisperer Show yake, asi zvakare ndizvo zvaanoita nevabereki vane tariro vaanobatana navo gore rega. Sechikamu chebasa rekuita kuti vanhu vawedzere kubereka vazive, kutarisira kwake kunopfuurira mberi kwehofisi yake muCalifornia kune vanhu pasi rese. Iye anodzidzisa nezvesarudzo dzekuchengetedza mbereko kuburikidza neEgg Kutonhora Mapato uye ake ehupenyu-anotenderera evhiki yega Egg Whisperer Show, uye anobatsira vakadzi kuti vanzwisise mwero wavo wekubereka kuburikidza neEgg Whisperer Fertility Awareness panels. Dr. Aimee vanodzidzisawo iye anozivikanwa "TUSHY Nzira" kukurudzira varwere kuti vanzwisise zvizere mufananidzo wehutano hwavo hwekubereka vasati vatanga kurapwa.