Yin maganin ciwon nono a cikin mace mai ciki yana buƙatar la'akari da lafiyar mai haƙuri da jariri.
A nan, rashin lafiya na daban-daban jiyya.
Tiyata
Magunguna shine yawancin zafin jiki na farko na mata masu juna biyu da ciwon nono. Kullun kwaikwayo ko mastectomy da ƙumbodin ƙumbodin lymph , duk wanda aka yi tare da maganin rigakafi, za'a iya yi don cire tumɓin.
Saboda ciwon rigakafi zai iya haifar da ƙananan hadarin ga jariri, likitocinka zasu buƙaci aiki tare domin sanin lokaci mafi kyau a yayin da kake ciki don tsara aikin tiyata.
Yin aikin tiyata, irin su lumquentomy da m mastectomy, na iya buƙatar radiation magani a matsayin bi-up. Amma wannan ba za a iya yi a lokacin daukar ciki ba. An bayar da maganin radiation a cikin manyan allurai; zai iya lalata tayin a kowane mataki na ciki, ko da an yi amfani da garkuwar jagora.
Chemotherapy
A cikin watanni uku na farko da aka yi ciki, ba a ba chemotherapy ba, saboda zai iya cutar da ƙwayoyin jikin ka. Idan ana buƙatar chemo, za'a ba shi ne kawai a cikin shekaru biyu da suka gabata na ciki. Yawancin bincike a kan maganin chemotherapy na FAC (hade da fluorouracil, Adriamycin, da cyclophosphamide) sun nuna cewa yana da lafiya ga jariri. Sakamakon rashin zubar da ciki, haihuwa, haihuwa, ko haihuwa marar lahani da aka danganci maganin FAC sun yi wuya.
Duk da haka, ƙwayar rigakafinka za ta shafe ka.
Magunguna da aka yi amfani da su a lokacin da za su haifa za su dogara ne a kan lokutan da kuka kasance a lokacin da farawar ku fara. Samun wasu magungunan yana da haɗari yayin wasu lokuta fiye da wasu.
- Very m: Methotrexate - zai haifar da zubar da ciki da kuma haifawar haihuwa
- Mai rikitarwa: 5-FU (Fluorouracil) - wasu nazarin sun nuna cewa bazai cutar ba, yayin da wasu sun lura cewa zai iya haifar da rashin zubar da ciki da haifawar haihuwa
- Kyakkyawan aminci: Cytoxan (cyclophosphamide) - lafiya idan an yi amfani dashi a cikin watanni 6 na ciki na ciki; matsananciyar hadarin idan an yi amfani dashi a farkon watanni 3 na ciki
- Safe: Velban (vinblastine) da Adriamycin (doxorubicin) - lafiya idan an yi amfani da su a cikin watanni shida na ciki
- Bayanin bai isa ba: Taxol (paclitaxel) da Taxotere (docetaxel) - ƙananan bincike ne kawai suka kalli tasirin chemotherapy a kan tayin tayi. Wani masanin binciken ya ruwaito cewa yin zubar da ciki ga mace mai ciki da takaddama a cikin watanni 3 da ta gabata ta ciki ya haifar da yaran da ya dace da shi a cikakke lokaci, amma ana bukatar karin bincike.
Kiyaye Tsarin Rashin Gidanka
Chemo ya rage yawan ƙwayar jinin ku kuma ya bar ku da jaririn ku mafi muni ga kamuwa da cuta lokacin magani. Ba kowane nau'i na rigakafi na kowane jariri ba zai faru a lokacin chemo Amma idan an daidaita shi kuma ya kasance kadan bayan haihuwa, tabbas za a sami magani. Doctors suna jin cewa yana da lafiya don samar da Neupogen ko Neulasta a cikin lokacin haihuwa don tayar da kididdigar fata.
Maganin Radiation Bayan Cigaba
Ana amfani da wannan farfadowa ne kawai bayan ka haifi haihuwa.
An yi amfani da shi don taimakawa wajen kashe duk wani kwayar cutar ciwon daji wanda zai iya kasancewa a cikin ƙirjinka kuma ya hana komawa. (Radiation ta cutar da jariri ta hanyar haddasa rashin haihuwa, rashin lahani, ko jinkirin girma.) Ba a gudanar da bincike ba a kan radiation ko raunuka (radiation sosai) da kuma tasiri akan ƙirjin da suka canza saboda sakamakon ciki. Saboda haka, ba mu sani ba idan jinkirin magani zai kasance da tasiri bayan haihuwa kamar yadda zai yiwu. Doctors, a gaba ɗaya, sun yarda cewa radiation ga ciwon nono ba shi da lafiya a lokacin daukar ciki.
Tsarin Hormonal Bayan Hawan ciki
Tamoxifen wani maganin hormonal ne wanda ke cire isrogen daga nau'in ƙirjin jikin.
An bayar da ita ga mata da ciwon ciwon ƙirjin mai cike da jijiyar estrogen-receptor. Duk da haka, yana da haɗari a ɗaukar lokacin daukar ciki. Za a iya ba da maganin gaggawa bayan haihuwar jariri don rage yawan hadarin komawa.
Hard Choices
A lokacin da zaka iya mayar da hankalinka akan sabuwar rayuwa a cikinka, ana iya tambayarka don yin wasu yanke shawara na sirri. Bisa ga mataki na ciki, kiwon lafiya na gari, da kuma ganewar asali, ana iya tambayarka don la'akari da kawo karshen ciki.
Bincike bai nuna cewa kawo karshen yana da tasiri mai amfani akan sakamakon ciwon nono, kuma ba a la'akari da shi a matsayin wani zaɓi na ilimin likitanci. Duk da haka, idan ciwon daji ya zama mummunan aiki, an gano shi a cikin marigayi, kuma kana bukatar yawan chemo da radiation, za ka iya yin magana game da ƙaddamar da ciki don ka ba da damar yin magani mai kyau. Wani zabin zai iya zama baftisma na farko da jaririnka idan kun kasance a ƙarshen lokacin haihuwa da kuma damar samun jariri na da kyau.
Yi magana da iyalinka, likitan ilimin likita, da kuma obstetrician don cikakken la'akari da dukan zaɓuɓɓuka.
> Sources:
Cibiyar Cancer na Amurka. Tsokanar ciki da nono, Ciwon daji na nono a lokacin haihuwa. Ƙarshen ƙarshe: 08/08/2007 Yin Maganin Ciwon Kankara a lokacin da ake ciki
Cibiyar Cancer ta Kasa. Ciwon daji da kuma juna biyu - Lafiya na Lafiya. Bayanin karshe: 12/09/2004. Ciwon daji da ciki