Chii Chaunobvunza Chiremba Wako NezveCancer Yemazamu

Zvemukati

• Iye zvino zvandakaonekwa kuti ndine gomarara repazamu, pane mimwe miedzo yekufungidzira yandingazoda?
• Ndeupi rudzi rwekenza yemazamu yandinayo, iripi, uye izvi zvinorevei pamaonero angu?
• Bundu rangu rapararira kusvika papi?
• Chii chinonzi bundu rebundu?
• Yangu kenza kemikari inogamuchira-yakanaka kana hormone yekugamuchira-isina?
• Masero angu egomarara ane mamwe anogamuchira pamusoro anogona kukanganisa kurapwa kwangu here?
• Ndezvipi zviratidzo zvekenza yemazamu yandinogona kusangana nayo?
• Ndedzipi nzira dzangu dzekurapa kenza yemazamu?
• Ndedzipi mhando dzesarudzo dzekuvhiya dziripo kwandiri?
• Ndedzipi mhando dzokurapa dziripo kwandiri?
• Ndeapi marudzi emakemotherapy ari sarudzo kwandiri?
• Ndedzipi mhando dzekurapwa kwehomoni ndidzo sarudzo kwandiri?
• Ndedzipi mhando dzeronoclonal antibody Therapy ingasarudzwa kwandiri?
• Ndedzipi mhando dzeradiotherapy kurapa sarudzo kwandiri?
• Ndichafanira here kutora nguva kubva kubasa kune chero ekurapwa. Uye ndaizokwanisa riini kudzokera kubasa?
• Ndeupi maonero angu mushure mekurapwa?
• Pane here chero kiriniki miedzo yekurapwa kwandinogona kutora chikamu mairi?
• Sei ndakawana gomarara repazamu?
• Ndezvipi zvinhu zvandingaite kumba kugadzirisa maonero angu mushure mekurapwa uye nekuvandudza hupenyu hwangu?
• Ndezvipi zviwanikwa zvekutsigira zviripo kwandiri?

Haisi chokwadi chekutangira kana zvasvika pakubvunza chiremba wako nezve kenza yako yemazamu kuongororwa? Iyi mibvunzo makumi maviri inzvimbo yakanaka yekutanga:

Iye zvino zvandakaonekwa kuti ndine gomarara repazamu, pane mimwe miedzo yekufungidzira yandingazoda?

Kumbira wako oncologist kana iwe uchizoda imwe yekufungidzira bvunzo kuti uone kana kana kwete bundu rapararira kune lymph node kana zvimwe zvikamu zvemuviri wako.

Ndeupi rudzi rwekenza yemazamu yandinayo, iripi, uye izvi zvinorevei pamaonero angu?

Bvunza wako oncologist, zvichibva pane yako biopsy, ndeipi chikamu chekenza yemazamu yauinayo, kwairi muzamu, uye zvinorevei kune chirongwa chako chekurapa uye maonero ako mushure mekurapwa.

Bundu rangu rapararira kusvika papi?

Kunzwisisa kuti ndeapi nhanho yekenza yemazamu yauinayo yakakosha. Kumbira chiremba wako kuti atsanangure danho kwauri uye uone kuti ndekupi kumwe kunze kwekunge zamu riripo chero mamota.

Zvinoenderana neiyo, danho rekenza yako yemazamu inoenderana nehukuru hwebundu, kunyangwe kenza yapararira kune chero lymph node, uye kana gomarara rapararira kune dzimwe nzvimbo mumuviri.

Chii chinonzi bundu rebundu?

Kunyanya hunhu hwekenza yemazamu maseru inokanganisa mashandiro ako bundu. Izvi zvinosanganisira kuwanda kwemamota maseru ari kubereka, uye kuti maseru emota anoonekwa sei kana akaongororwa pasi pe microscope.

Iyo yakakwira giredhi, mashoma masero ekenza akafanana neakajairwa maseru emuzamu. Chikamu chebundu rako chinogona kukanganisa maonero ako uye chirongwa chekurapa.

Yangu kenza kemikari inogamuchira-yakanaka kana hormone yekugamuchira-isina?

Kumbira chiremba wako kana kenza yako ine ma receptors. Aya ndiwo mamorekuru ari pamusoro pechitokisi anosunga mahormone mumuviri anogona kukurudzira kuti bundu rikure.

Kunyanya bvunza kana kenza yako isrogen receptor-yakanaka kana yekugamuchira-isina, kana progesterone receptor-yakanaka kana yekugamuchira-isina. Mhinduro ichaona kuti unokwanisa here kana kwete mishonga inovhara zvinoitwa nemahomoni kurapa kenza yemazamu yako.

Kana bhaopsy yako isina kusanganisira kuyedza kwemahormone receptors, bvunza chiremba wako kuti izvi zviitwe pamuenzaniso webiopsy.

Masero angu egomarara ane mamwe anogamuchira pamusoro anogona kukanganisa kurapwa kwangu here?

Mamwe maseru ekenza yemazamu ane ma receptors kana mamorekuru ari pamusoro anogona kusungira kune mamwe mapuroteni mumuviri. Izvi zvinogona kukurudzira kuti bundu rikure.

Semuenzaniso, iyo American Cancer Society (ACS) inokurudzira kuti vese varwere vane gomarara remazamu risingaoneki vaongororwe kuti vaone kana maseru avo emota aine mazinga epamusoro eHER2 protein receptor. Izvi zvakakosha nekuti kune mamwe marapirwo ekurapa kweHER2-positive kenza yemazamu.

Bvunza wako oncologist kana kenza yako iri HER2-yakanaka. Uye kana usati waedzwa HER2 protein receptors, bvunza wako oncologist kuti aongorore muyedzo.

Ndezvipi zviratidzo zvekenza yemazamu yandinogona kusangana nayo?

Tsvaga kuti ndezvipi zviratidzo zvekenza yemazamu iwe yaungangosangana nayo mune ramangwana, uye ndezvipi zviratidzo zvaunofanira kubata chiremba wako nezvazvo.

Ndedzipi nzira dzangu dzekurapa kenza yemazamu?

Kurapa kwako kunoenderana nezvinotevera:

• mhando yekenza
• giredhi rekenza
• hormone uye HER2 chinzvimbo chekugamuchira
• danho rekenza
• nhoroondo yako yekurapa uye zera

Ndedzipi mhando dzesarudzo dzekuvhiya dziripo kwandiri?

Iwe unogona kuve mukwikwidzi wekuvhiya kubvisa bundu (lumpectomy), kubviswa kwekuvhiya chipfuva (mastectomy), uye kubviswa kwekuvhiya kwema lymph node akakanganiswa. Ita kuti vanachiremba vako vatsanangure njodzi uye zvakanakira sarudzo yega yega.

Kana vanachiremba vako vachikurudzira mastectomy, vabvunze kana kuvhiya kuvaka kwechifuva iri sarudzo kwauri.

Ndedzipi mhando dzokurapa dziripo kwandiri?

Kumbira wako oncologist kana paine anotevera ekurapa aripo kwauri:

• chemotherapy
• radiation
• kurapa kwehomoni
• monoclonal antibody kurapa

Ndeapi marudzi emakemotherapy ari sarudzo kwandiri?

Kana chiremba wako achikurudzira chemotherapy, vabvunze kuti ndeupi mubatanidzwa wechemo regimens ari kutariswa. Tsvaga kuti ndeipi njodzi uye mabhenefiti echemotherapy.

Izvo zvakakoshawo kubvunza kuti ndezvipi zvinokanganisa mhedzisiro yemubatanidzwa chemo regimens ari. Semuenzaniso, kana kurasikirwa nevhudzi rako kwechinguva chiri kunetsekana newe, bvunza wako oncologist kana iyo mishonga yakakurudzirwa ingakonzeresa bvudzi kurasikirwa kana alopecia.

Ndedzipi mhando dzekurapwa kwehomoni ndidzo sarudzo kwandiri?

Kana wako oncologist achikurudzira kurapa kwehomoni, bvunza kuti ndeipi yeiyi marapirwo ari kutariswa. Tsvaga kuti ndeipi njodzi uye bhenefiti yehomoni yekurapa iri uye zvinogona kuitika mhedzisiro.

Ndedzipi mhando dzeronoclonal antibody Therapy ingasarudzwa kwandiri?

MaMonoclonal antibodies anovharira kusunga zvinhu kune zvinogamuchirwa pamusoro pemamota. Kana wako oncologist achikurudzira kurapwa nema monoclonal antibodies, bvunza chiremba wako kuti ndeapi marapirwo ari kutariswa.

Tsvaga kuti njodzi ndedzipi uye mabhenefiti acho ndeapi uye mhedzisiro inokonzeresa yema monoclonal antibodies.

Ndedzipi mhando dzeradiotherapy kurapa sarudzo kwandiri?

Tsvaga kuti njodzi uye mabhenefiti emwaranzi ndeapi kune kenza yako, uye kuti mhedzisiro yacho ndeyei.

Ndichafanira here kutora nguva kubva kubasa kune chero ekurapwa. Uye ndaizokwanisa riini kudzokera kubasa?

Kumbira oncologist yako kana mhedzisiro yemhedzisiro yako ichizoda iwe kuti utore nguva kubva kubasa panguva kana mushure mekurapwa. Uye rega waunoshandira azive pamberi peizvo zvinokurudzirwa neboka rako rezvehutano.

Ndeupi maonero angu mushure mekurapwa?

Maonero ako mushure mekurapa anoenderana nezvinotevera:

• nhoroondo yako yekurapa
• zera rako
• mhando yebundu
• giredhi rebundu
• nzvimbo yebundu
• danho rekenza

Pakutanga danho rako rekenza yemazamu iri panguva yekuongororwa uye kurapwa, iwo mukana mukuru wekuti kurapwa kuchabudirira.

Pane here chero kiriniki miedzo yekurapwa kwandinogona kutora chikamu mairi?

Kana iwe uine yakakwira nhanho yekenza yemazamu, iwe ungangoda kufunga nezve zvemakiriniki miedzo. Ma oncologists ako anogona kunge achikunongedzera munzira kwayo, kana iwe unogona kutarisa http://www.clinicaltrials.gov/ kuti uwane rumwe ruzivo.

Sei ndakawana gomarara repazamu?

Uyu mubvunzo unogona kusakwanisika kupindura, asi haumborwadzi kubvunza. Panogona kunge paine njodzi senge nhoroondo yemhuri kana maitiro ehupenyu senge kusvuta fodya. Kufutisa kunogona zvakare kuwedzera njodzi yekubatwa nekenza yemazamu.

Ndezvipi zvinhu zvandingaite kumba kugadzirisa maonero angu mushure mekurapwa uye nekuvandudza hupenyu hwangu?

Bvunza wako oncologist kana paine mararamiro ehupenyu aunogona kuita. Dzakakurudzira shanduko dzinogona kusanganisira:

• kuita shanduko kuchikafu chako
• kuderedza kushungurudzika
• kurovedza muviri
• kurega kusvuta
• kuderedza kunwa doro

Izvi zvinhu zvinobatsira kukurumidza kupora kubva pakurapwa uye kuwedzera mikana yako yemhedzisiro iri nani.

Ndezvipi zviwanikwa zvekutsigira zviripo kwandiri?

Kuwana rubatsiro nerutsigiro kwakakosha panguva ino. Funga nezvekuenda kumapoka emunharaunda ekutsigira zvinhu senge zvemari nyaya uye kuwana rubatsiro runoshanda sekutsvaga chekufambisa kana zvichidikanwa. Iwe zvakare uchakwanisa kuwana rutsigiro rwepfungwa kubva kumapoka ekutsigira seAmerican Cancer Society.