Kubva pamutengo kusvika pakuchengeta: Zvinhu gumi zvekuziva Kana Uchitanga Metastatic Breast Cancer Kurapa

Zvemukati

• 1. Kurapa hakuzorape kenza yemazamu yemastastatic
• 2. Mamiriro ako egomarara akakosha
• 3. Iwe uchapedza nguva yakawanda muzvivakwa zvekurapa
• 4. Kurapa gomarara kunodhura
• 5. Tarisira mhedzisiro
• 6. Unenge uchida rubatsiro
• 7. Iwe wakasiyana nevamwe vese vane cancer yemazamu
• 8. Hupenyu hwako hunokosha
• 9. Kuedzwa kwekiriniki kunogara kuri sarudzo
• 10. Hausi wega

Kuonekwa uine metastatic kenza yemazamu chiitiko chinotyisa. Gomarara nemarapirwo aro angangotora hupenyu hwako hwezuva nezuva. Pfungwa dzako dzinochinja kubva kumhuri uye dzinoshanda kuenda kunana chiremba, kuongororwa ropa, uye kuongorora.

Iyi nyika nyowani yekurapa inogona kunge isina kujairika kwauri. Iwe unenge uine mibvunzo yakawanda nezve metastatic kenza yemazamu, senge:

• Ndeupi kurapwa kwakandinakira?
• Ingashanda zvakadii pakurwisa kenza yangu?
• Chii chandinofanira kuita kana chisingashande?
• Kurapwa kwangu kuchabhadhara zvakadii? Ndichazvibhadhara sei?
• Ndiani achandichengeta ini pandinenge ndichirapwa nekenza?

Heano mamwe akakosha ruzivo kuti akubatsire kugadzirira izvo zviri mberi.

1. Kurapa hakuzorape kenza yemazamu yemastastatic

Kuziva kuti haugone kurapwa chimwe chezvinhu zvakaomarara zvekurarama nekenza yemazamu yemastastatic. Kana kenza yapararira kune dzimwe nhengo dzemuviri wako, hairapike.

Asi zvisingarapike hazvireve kuti hazvirapike. Chemotherapy, radiation, uye hormone uye zvakanangwa kurapwa zvinogona kudzora bundu rako uye kunonoka chirwere chako. Izvi zvinogona kuwedzera kupona kwako uye kukubatsira kuti unzwe zvirinani mukuita.

2. Mamiriro ako egomarara akakosha

Kurapa gomarara repazamu hakusi kukura-kwese-kwese. Paunenge uchionekwa, chiremba wako achamhanyisa bvunzo kune mamwe mahormone receptors, majini, uye zvinhu zvekukura. Aya maedzo anobatsira kuratidza kurapwa kwakanyanya kwerudzi rwekenza yako.

Imwe mhando yekenza yemazamu inonzi hormone receptor-positive. Mahormone estrogen uye progesterone anobatsira maseru ekenza yemazamu kukura. Ivo vanongova neiyi mhedzisiro pane maseru ekenza ane hormone receptor pane yavo pamusoro. Anogamuchira akafanana nekiyi, uye iyo hormone yakafanana nekiyi inokodzera mukiyi iyo. Hormone receptor-positive kenza yemazamu inopindura mushe pakurapa kwehomoni senge tamoxifen kana aromatase inhibitors, inomisa estrogen kubva pakubatsira maseru ekenza kukura.

Mamwe maseru ekenza yemazamu ane munhu epidermal kukura factor receptors (HERs) pamusoro payo. HER mapuroteni anoratidzira maseru ekenza kuti apatsanuke. Cancer masero ari HER2-akanaka anokura uye anopatsanura zvine hukasha kupfuura zvakajairwa. Vanorapwa nemishonga yakanangwa se trastuzumab (Herceptin) kana pertuzumab (Perjeta) inovhara aya maseru ekukura maseru.

3. Iwe uchapedza nguva yakawanda muzvivakwa zvekurapa

Kurapwa kwekenza yemazamu inoda kushanya kwakawanda navanachiremba nevamwe vashandi vezvipatara nezvipatara. Unogona kusimudzira kushandisa yakawanda yenguva yako muhofisi yechiremba.

Chemotherapy, semuenzaniso, inzira yakareba. Zvinogona kutora maawa kuti utore mukati. Pakati pekurapwa, uchafanirwa kudzokera kuna chiremba wako kunoongororwa kuti uone kuti kurapa kwako parizvino kuri kushanda.

4. Kurapa gomarara kunodhura

Kunyangwe iwe uine inishuwarenzi kuburikidza newaunoshandira kana Medicare, inogona kunge isingavhare yako ese marapirwo emitengo. Mazhinji zvirongwa zveinishuwarenzi zvakavanzika zvine makapu - muganho wemarii yauchazobhadhara muhomwe chirongwa chisati chatanga. Unogona kushandisa zviuru zvemadhora usati wasvika pane yako cap, zvakadaro. Munguva yekurapwa kwako, unogona kutadza kushanda uye kutora muhoro imwe cheteyo sezvawakaita kare, izvo zvinogona kuita kuti zvinhu zviome.

Usati watanga kurapwa, tsvaga mari inotarisirwa kubva kuchikwata chako chekurapa. Ipapo, fonera yako inishuwarenzi yehutano kambani kuti ubvunze kuti yakawanda sei yavanofukidza. Kana iwe uchinetseka kuti haugone kubhadhara mari yako yekurapwa, bvunza mushandi wezvemagariro kana mumiriri wemurwere kuchipatara chako kuti vapiwe mazano pane rubatsiro rwemari.

5. Tarisira mhedzisiro

Kurapa kenza yemazamu nhasi inoshanda zvakanyanya, asi inouya nemutengo wekusagadzikana kana kusagadzikana mhedzisiro.

Kurapa kweHormone kunogona kuita kuti iwe uwane akawanda ezviratidzo zvekuguma kuenda kumwedzi, kusanganisira kupisa kunopisa uye kuonda mapfupa (osteoporosis). Chemotherapy inogona kuita kuti vhudzi rako ribude, uye kukonzeresa kusvotwa, kurutsa, uye manyoka.

Chiremba wako ane marapiro ekukubatsira iwe kubata izvi uye mamwe marapirwo mhedzisiro.

6. Unenge uchida rubatsiro

Kurapwa kenza yemazamu kunogona kunetesa. Uyezve, chemotherapy uye mamwe marapirwo ekenza anogona kukonzera kuneta. Tarisira kuti haungakwanise kuita zvese zvawakakwanisa kuita usati waongororwa.

Tsigiro kubva kune vaunoda inogona kuita mutsauko mukuru. Svitsa kumhuri yako uye shamwari kuti ubatsirwe nemabasa epamba sekubika, kutsvaira, uye kutenga muchitoro. Shandisa nguva iyoyo kuzorora uye kuwanazve simba rako. Iwe unogona zvakare kufunga nezvekuhaya rubatsiro kana zvichidikanwa.

7. Iwe wakasiyana nevamwe vese vane cancer yemazamu

Wese munhu anoonekwa aine uye akarapwa metastatic kenza yemazamu akasiyana. Kunyangwe iwe uine mhando imwechete yekenza yemazamu seumwe munhu waunoziva, kenza yako haigone kuzvibata - kana kupindura kurapwa - nenzira imwecheteyo seyavo.

Edza kutarisa pamamiriro ako ezvinhu. Kunyangwe zvakanaka kuwana rutsigiro kubva kune vamwe, usazvienzanisa nevamwe nekenza yemazamu.

8. Hupenyu hwako hunokosha

Chiremba wako anozopa sarudzo dzekurapa, asi pakupedzisira sarudzo yedzipi dzaungaedza zviri kwauri. Sarudza marapirwo anozowedzera hupenyu hwako kwenguva yakareba sezvazvinogona, asi zvakare ichave nemhedzisiro inokanganisika.

Tora mukana wekupora, unosanganisira maratidziro ekurwadziwa uye mamwe matipi ekukubatsira kuti unzwe zvirinani panguva yekurapwa kwako. Zvipatara zvakawanda zvinopa rubatsiro rwekurapa sechikamu chehurongwa hwegomarara.

9. Kuedzwa kwekiriniki kunogara kuri sarudzo

Kana chiremba wako akaedza ese aripo marapirwo emakemikari emazamu uye vasina kushanda kana kuti varega kushanda, usakanda mapfumo pasi. Mishonga mitsva inogara iri mukuvandudza.

Kumbira chiremba wako kana iwe uchikwanisa kunyoresa mukuedzwa kwekiriniki. Zvinogoneka kuti kurapwa kwekuyedza kunogona kunonoka - kana kutoporesa - kenza yaimboita senge isingarapike.

10. Hausi wega

Muna 2017, vakafungidzirwa kunge vachirarama nekenza yemazamu yemastastatic muUnited States. Iwe watove chikamu chenharaunda izere nevanhu vanoziva chaizvo zvauri kupfuura nazvo.

Batanidza navo kuburikidza neyedu yemahara app, Chipfuva Chegomarara Healthline, inowanikwa kune iPhone neApple. Iwe unozokwanisa kugovera zviitiko, kubvunza mibvunzo, uye kujoina nharaunda ine zviuru zvevamwe vakadzi vanorarama nekenza yemazamu.

Kana, tsvaga rutsigiro kuburikidza nepamhepo uye mu-munhu-mapoka ekutsigira. Tsvaga mapoka munzvimbo yako kuburikidza nemasangano akaita seAmerican Cancer Society, kana kuburikidza nechipatara chako chegomarara. Iwe unogona zvakare kutsvaga kwakazvimirira kuraira kubva kune varapi kana vamwe vatano vehutano hwepfungwa kana iwe uchinzwa kuremerwa.