Hanyoyin Chemotherapy da Radiation Far a kan Ferility da Zabuka Akwai
Ta yaya ciwon daji ke shafar haihuwa? Mene ne ya kamata in sani kafin maganin ciwon daji don yin shirin gaba?
Ko da yake matsalolin haihuwa suna da nasaba da ilimin ciwon daji da ciwon daji , ana watsar da su a matsayin mummunan sakamako wanda babu wanda ke da iko. Mutane da yawa basu san yadda irin wadannan jiyya ke shafar haihuwa ba ko kuma fahimtar abin da za a iya yi a gaban lokaci don a shirya shi sosai.
Gaskiyar lamarin ita ce, yayinda yawancin cututtuka na jini na iya haifar da rashin haihuwa, wannan ba shine batun dukan jiyya ba, kuma akwai wani abu da zaka iya yi game da shi. Zuciyarka na iya mayar da hankali ga maganin ciwon daji amma dauki lokaci don tunani game da haihuwa a yanzu. Ana tsammanin cewa a tsakanin yara masu ciwon daji da ke ciwon daji suna nuna damuwa sosai a cikin damuwa - na biyu kawai suna fatan su tsira da cutar.
Mene ne ke haifar da rashin lafiya a marasa lafiya?
Ciwon haihuwa ba tare da dindindin ba zai kasance na wucin gadi ko na dindindin. Kwanan dalilai da dama na iya samun damar yin amfani da ƙananan yara:
- Haka kuma cutar kanta
- Sakamakon maganin jiyya
- Irin maganin da kake karɓa
- Yawan ku
- Wasu magunguna ko matsalolin kiwon lafiya da kuke da shi
- Samun takardun adana takin gargajiya
- Addininku na addini ko al'adu game da haifuwa (misali, hadewar in vitro da sauransu)
Har ila yau, akwai damuwa ga wasu mutane cewa daukar ciki zai iya sanya mummunan rauni a jikin mace wanda ba zai kasance mai hikima ba wajen maganin ciwon daji.
Ta Yaya Cutar Cancer na Ciki Yayi Ciki
Ko da yake mafi yawan mutane a cikin shekarun da suka tsufa, wasu leukemias da lymphomas sun kasance a cikin matasa masu haihuwa ko ma yara. Mutane da yawa marasa lafiya na jini suna faruwa ne a lokacin da mutane basu riga sun sami zarafi su fara, ko ma suna tunani game da farawa, iyali.
A game da ciwon jini, rashin haihuwa ba yakan haifar da cutar kanta kanta, amma sau da yawa ta hanyar jiyya . Banda shi ne lymphoma na Hodgkin, wanda zai iya haifar da ƙwayar ƙwayar cuta a maza.
Ta yaya Chemotherapy Yayi Ciki?
Chemotherapy zai iya tasiri ga namiji da mace, amma ba duk magunguna suna da irin wannan tasiri ba. A cikin mutane, chemotherapy zai iya sa sperm ya kasance ba a cikin maniyyi (azoospermia). A cikin mata, zai iya haifar da rashin iyawa na ovaries don saki kwayar kwai (gazawar ovarian ko farkon mazauni) .
A mafi yawancin, adadin likita na jiyyar cutar da aka ba a cikin makonni da watanni na jiyya yana da tasiri akan amfanin haihuwa fiye da yawan miyagun ƙwayoyi da aka ba su a cikin kashi ɗaya. Haɗuwa da cutar shan magani yana iya haifar da lalacewa ga tsarin haihuwa fiye da maganin miyagun kwayoyi.
A cikin maza da mata, rukuni na magungunan da suke da tasirin tasirin amfanin jiki su ne alkylating agents. Wasu misalai na wakilan alkylating sun hada da Cytoxan (cyclophosphamide), Ifex ko Mitoxana (ifosfamide), Alkeran (melphalan), Myleran ko Busulfex (busulfan) da Matulane (procarbazine).
Tunda akwai dalilai masu yawa wanda ke tasiri da haihuwa a marasa lafiya na marasa lafiya, ban da magunguna da ka karɓa, yana da wuya ga kwararru don su iya tabbatar da wanda za a shafa.
Yaya Yarda Saurin Farfasawa haihuwa?
Ana yin saurin farfadowa a kananan ƙwayoyin (raunuka) a cikin lokaci mai tsawo don rage yawan lalacewa da kuma cututtuka. Abin takaici, "rarraba" yana haifar da lalacewa ga gabobin haihuwa fiye da gudanarwa kashi daya. Yayin da ake yin radiation, kowane ƙoƙarin ya yi don kare garkuwar haihuwa idan ya yiwu.
Koda a ƙananan allurai, radiation zuwa gwaji na iya rage yawan ƙwayoyin jini. Wannan sakamako zai iya zama na wucin gadi ko zai kasance na dindindin idan an yi amfani da asibitoci mafi girma. Radiation na iya haifar da ƙananan matakan testosterone.
A cikin mata, ovaries zasu iya zama kai tsaye a cikin filin radiation.
A wannan yanayin, likita na iya zaɓar da ƙwayar ƙwayar ovary zuwa wani sashi na jiki don haka ba zai iya lalacewa ta hanyar radiation ba. Matan mata sun fi dacewa da matan tsofaffi don sake samu haihuwa bayan radiation.
Yawan nauyin sakawa jiki, kamar yadda aka yi amfani da shi a wasu lokutan don yin amfani da shi don safarar sutura, zai haifar da rashin daidaituwa a cikin haihuwa na maza da mata.
Ajiye haihuwa
Yana da muhimmanci a yi la'akari da zaɓin da kake da shi idan ya kamata ka ci gaba da haihuwa kafin ka fara jiyya. Akwai zaɓuɓɓuka da yawa, amma zaɓuɓɓuka cikin waɗannan su ne na sirri. Zaɓuka waɗanda suke samuwa sun haɗa da:
- Ƙwai mai yalwaci ko maniyyi
- Hanyoyin embryos
- Yin amfani da ƙwaiyayyaki, sperm, ko embryos
- Surrogacy
- Adoption
Ana shirya don Neman Farin Ciki
Abin godiya, hanyoyin yin amfani da maniyyi na daskarewa suna cike da nasara, yin banki na banki wani zaɓi mai mahimmanci ga mutane da yawa idan sun kai ga balaga. Zaɓuɓɓuka don mutane sun haɗa da:
- Sperm banki - daskarewa dashi don amfani da baya.
- Sassara hakar - za a iya fitar da kwayar jini ta hanyar kai tsaye daga jigidar idan maniyyi a cikin maniyyi ba su da girma, kuma ko dai an daskare ko amfani da su a cikin bitamin.
- Gwaran gwajin gwaji - Har yanzu a cikin gwaji, amma masana kimiyya suna kallon yiwuwar cire kayan gwadawa ko wani ɓangare na jigilar kwayoyin don daskarewa, sa'an nan kuma reimplanting shi cikin jiki a nan gaba.
Ana shirya don rashin amfanin mata
Tsayayyyar haihuwa na haihuwa ya fi wuya fiye da maza, don dabarun da za su daskare ƙwai ba suyi nasara ba kamar yadda zasu daskare kwaya. Zabuka zasu iya haɗawa da:
- Yayi amfani da amfrayo / embryos in vitro - embryo daskarewa ga ko dai shigarwa a cikin jikin mace bayan jiyya ko a cikin mahaifa, an yi amfani dashi sosai ga mata da yawa wadanda suka kamu da rashin haihuwa saboda maganin cutar kanji. Hakika, wannan yana buƙatar tsarawa, da kuma samarwa da daskarewa da amfrayo (s) kafin magani ya fara.
- Sanyaye mai yalwata - Ƙoƙarin ƙin ƙwai ya haifar da ƙananan ƙwararrun yara, kuma ƙwarewar ta iyakance ne ta ikon iya samun daskare da narke qwai ba tare da lalacewa ba.
- Ovarian Dairy Dairy - Wannan dabara, kamar dai gishiri ne, har yanzu yana gwaji, amma ya shafi cire wani ovary ko ɓangare na wani ovary tare da bege cewa za'a iya sake gyara jikin bayan kammala magani.
Tambayoyi don tambayi likitanku
Ba sananne ba ne game da maganin cutar kankara don haifar da rashin haihuwa a cikin maza da mata. Duk da yake wannan yana iya zama kamar abinda ya fi dacewa daga tunaninka, yana da muhimmanci ka tattauna yadda za ka samu haihuwa tare da mai bada lafiyarka a wuri-wuri bayan ganewar asali.
Ga wasu tambayoyin da zaka iya tambayar likitanku:
- Shin wannan farfasa zai iya tasiri na haihuwa?
- Shin kuna tsammanin wannan sakamako na gaba zai kasance na wucin gadi ko na dindindin?
- Shin akwai wani abu da za a iya yi don hana rashin haihuwa a yayin da ake kula da ni?
- Shin akwai wasu zaɓuɓɓukan magani wadanda basu iya haifar da rashin haihuwa?
- Shin, zan iya samun lokaci kafin a fara maganin na fara nazarin abubuwan da nake tanada na haihuwa?
- Shin za a iya kiran ni likita na haihuwa don tattauna abubuwan da zan tanadar na haihuwa? (Ba a buƙatar ka san duk game da kula da rashin haihuwa ba kafin magani, amma likita zai iya jagorantarka ta duk abin da ya kamata ka sani a wannan lokaci.)
- Idan na ci gaba da zama mai kyau, in ji lafiyar yara na gaba?
- Ta yaya zan san idan na kasance mai kyau ko a'a?
Ƙaddara Up
Mutane da yawa waɗanda suka fuskanci yanayin barazana suna jin dadi ga kyautar rai da kuma ikon yin halitta. Akwai dalilai masu yawa waɗanda zasu iya rinjayar tasirin maganin ciwon daji da zai shafi lafiyar ku. A yawancin lokuta, bazai yiwuwa likitoci suyi hango. Duk da yake yana da wuya, ko kuma ba zai yiwu ba, don samun magani mai mahimmanci don ciwon daji yayin hana rashin haihuwa, za a iya samun zaɓuɓɓuka don kiyaye lafiyarka kafin ka fara farfadowa.
Yana da muhimmanci ku tattauna dukan tambayoyinku da damuwa game da kasancewa cikin ciki ko kuma haifi ɗa a nan gaba kafin ku fara magani.
Sources
Ƙasar Amirka ta Cibiyar Nazarin Harkokin Kwayoyi. Cancer.Net. Ra'ayin damuwa da kuma tanadi ga maza. 03/2014. http://www.cancer.net/navigating-cancer-care/dating-sex-and-reproduction/fertility-concerns-and-preservation-men
Kim, SY., Kim, SK., Lee, J., da T. Woodruff. Don maganganun maganin maganin rigakafi a cikin marasa lafiya na ciwon daji: samuwa da kuma samowa don samar da kayan haihuwa na mata. Journal of Gynecologic Oncology . 2016 27 (2): e22.
Krebs, L. "Harkokin Jima'i da Hanyoyi" a Yarbro, C., Frogge, M., Goodman, M., da Groenwald, S. eds. (2000) Ciwon daji: Ka'idoji da Ɗabi'a 5th ed.Jones da Bartlett: Sudbury MA. (pp.831- 854).
Lee, S., Schover, L. Partridge, A. et al. Ƙungiyar Amirka ta Cibiyar Nazarin Kwayoyin Harkokin Kiwon Lafiyar Harkokin Kiwon Lafiyar Harkokin Kwayoyin Kwayoyin Halitta. Journal of Clinical Oncology 2006; 24 (18): 2917- 2931.