Kuyenzeka uphile nomdlavuza wesibeletho, isikhathi sibaluleke kakhulu lapha… Indaba kaDkt. Hanna njengethemba labanye abantu besifazane

UHanna ungudokotela oneminyaka engama-40 yolwazi lomsebenzi. Ukuqaphela kwakhe isidingo sokuhlolwa njalo kukhulu. Nokho, lokhu akuzange kumvikele emdlavuzeni wesibeletho. Lesi sifo saqala phakathi nezinyanga ezimbalwa.

  1. - NgoMeyi 2018, ngezwa ukuthi nginomdlavuza we-ovarian osekhulile - ukhumbula uNksz Hanna. - Ezinyangeni ezine ngaphambili, ngenza ukuhlolwa kwe-transvaginal okungabonisi ukugula
  2. Njengoba udokotela evuma, wezwa ubuhlungu obuncane besisu kanye negesi. Nokho, wayenomuzwa omubi, ngakho wanquma ukumxilonga ngokuningiliziwe
  3. Umdlavuza wesibeletho utholwa minyaka yonke ngabesifazane basePoland abangu-3. Umdlavuza uvame ukubizwa ngokuthi “umbulali othule” ngoba awubonisi zimpawu ezithile ngesikhathi usaqala
  4. Umdlavuza wesibeletho awusesona isigwebo sentambo. Ukuthuthukiswa kwe-pharmacology kwakusho ukuthi lesi sifo singabizwa ngokuthi yizifo ezingelapheki futhi zelapheka. I-PARP inhibitors inikeza ithemba lokwelapha okusebenzayo
  5. Olunye ulwazi lwamanje lungatholakala ekhasini eliyisiqalo le-Onet.

Izimpawu zazingabonakali ...

U-Hanna ungudokotela ngemva kweminyaka engama-60, okuyisisekelo sokuvimbela isifo se-oncological ngonyaka ukuhlolwa kwe-transvaginal. Ngakho-ke, ukutholakala komdlavuza wesibeletho kwaba isimanga esikhulu kuye. Okukhulu nakakhulu ngoba izimpawu zazingaqondile futhi imiphumela ye-morphology yayivamile. Konke ayekuzwa kwakuwubuhlungu obuncane besisu nokuqunjelwa, ngaphandle kokuncipha. Nokho, wayekhathazeke ngokuthile, ngakho wanquma ukuqhubeka nokuhlola.

Eminyakeni emibili edlule, ngoMeyi 2018, ngezwa ukuthi nginomdlavuza we-ovarian wesigaba se-IIC. Angikwazanga ukuzivikela kukho, nakuba ngingakaze ngikudebeselele ukuhlolwa kwami ​​kokuvimbela izifo zabesifazane. Ngacelwa ukuxilongwa okwengeziwe ngobuhlungu obungavamile, obungenamandla kakhulu ku-hypochondrium efanele. Ezinyangeni ezine ngaphambili, ngahlolwa i-transvaginal engabonisi ukugula. Ukuqunjelwa kwenzeka ngokuhamba kwesikhathi. Ngazizwa ngingakhululekile. Kwakhanya ilambu elibomvu ekhanda lami. Ngangazi ukuthi kwakungenjengoba kufanele kube njalo, ngakho ngajula esihlokweni, ngifuna imbangela yalezi zimpawu. Ozakwethu kancane kancane baqala ukungiphatha njenge-hypochondriac, bebuza, “Ufunani ngempela lapho? Phela konke kujwayelekile! ». Ngokuphambene nakho konke ukuphawula, ngiphindaphinde uchungechunge lwezivivinyo. Ngesikhathi se-ultrasound ye-pelvis encane, kwatholakala ukuthi kukhona okuphazamisayo nge-ovary. Ubukhulu beshwa bembulwa kuphela nge-laparoscopy ngokuguqulwa ekuvuleni okugcwele kwesisu kanye nokuhlinzwa kwamahora angu-3 okwenziwa yiqembu lika-prof. U-Panka - wabelana ngolwazi lwakhe nodokotela.

Ukuxilongwa komdlavuza we-ovarian kunikezwa minyaka yonke cishe. 3 izinkulungwane. Abesifazane basePoland abangama-700, abangamaphesenti angama-80. uneminyaka engaphezu kwengama-50. Nokho, lokhu akusho ukuthi lesi sifo asibathinti abesifazane abasebasha namantombazane. Umdlavuza wesibeletho uvame ukubizwa ngokuthi “umbulali othule” ngenxa yokuthi awunazo izimpawu ezithile lapho usaqala. Isendaweni yesihlanu ohlwini lwama-neoplasms ayingozi atholakala kakhulu emhlabeni. Ingozi yokukhula kwayo ikhula kakhulu kwabesifazane abanofuzo, okungukuthi ngokuguqulwa kofuzo lwe-BRCA1 noma i-BRCA2, njengoba kwenzeka ku-44% wabesifazane. abathwali bofuzo olungasebenzi baba nesifo esibi…

Ngemva kokuzwa ukuxilongwa, kuningi okushintshile ekuphileni kwami. Kunezinto okwakudingeka ngizihlaziye kabusha. Ekuqaleni, nganginovalo olukhulu lokuthi ngizoshiya abantu engibathandayo. Nokho, ngokuhamba kwesikhathi nganquma ukuthi ngeke ngiphele amandla futhi ngizozilwela, ngoba nginomuntu okufanele ngiphilele. Lapho ngiqala ukulwa, ngazizwa ngisendandatho lapho umphikisi wayengumdlavuza we-ovarian - umdlavuza omubi kakhulu we-gynecological ePoland.

  1. Abesifazane benza iphutha ngezinkinga zokugaya ukudla. Kuvamise ukuba sekwephuzile kakhulu ekwelashweni

Ithemba Elisha Ekwelapheni Umdlavuza We-Ovarian - Ngaphambilini Lingcono

Ngenxa yobuchwepheshe obuthuthukile kanye nentuthuko yocwaningo, umdlavuza wesibeletho akudingeki ube isigwebo sentambo. Ukuthuthukiswa kwe-pharmacology kwakusho ukuthi lesi sifo singabizwa ngokuqhubekayo futhi silawuleke futhi siyelapheka.

I-PARP inhibitors inikeza ithuba elinjalo lokwelashwa okuphumelelayo komdlavuza wesibeletho. Izidakamizwa ezifakazele ukusebenza kwazo, ezinikeza imiphumela emangalisayo ekwandiseni impilo yeziguli ezinomdlavuza wesibeletho, zethulwe ezingqungqutheleni ezibalulekile zezokwelapha zomhlaba wonke - i-American and European Society of Clinical Oncology - ASCO kanye ne-ESMO. Umculi owaziwayo wasePoland uKora, ophethwe umdlavuza we-ovarian, walwela ukubuyiselwa kwemali komunye wabo - i-olaparib. Ngeshwa, umdlavuza wakhe wawusezingeni eliphezulu kangangokuthi umdwebi walahlekelwa yile mpi engalingani ngoJulayi 28, 2018. Ngezenzo zakhe, nokho, waba nesandla ekubuyiselweni komuthi, okuthi, naphezu kwezinzuzo ezinkulu zomtholampilo, zisahlanganisa futhi. iqembu elincane leziguli, okungukuthi yilabo kuphela abathola umdlavuza wokuphinde ube nomdlavuza.

Ngo-2020, phakathi nenye yezingqungquthela zezokwelapha - i-ESMO, imiphumela yocwaningo lwesidakamizwa i-olaparib esasetshenziswa ekuqaleni kwalesi sifo, okungukuthi ezigulini ezinomdlavuza we-ovarian osanda kutholakala. Bakhombisa ukuthi cishe uhhafu wabesifazane abasesimeni esifana noNkz Hanna baphila iminyaka emi-5 ngaphandle kokuqhubekela phambili, okuyiminyaka engu-3,5 ubude kunamanje uma kuqhathaniswa nokuntuleka kokwelashwa kwesondlo. Odokotela abaningi bakholelwa ukuthi kuwuhlobo lwenguquko ekwelapheni umdlavuza wesibeletho.

UDkt. Hanna ngokushesha ngemva kokuzwa ukuxilongwa waqala ukulandela ucwaningo lwama-molecule amasha kumdlavuza wesibeletho. Wabe esethola imiphumela ethembisayo yohlolo lwe-SOLO1 nge-olaparib, okwamshukumisela ukuba aqale ukwelashwa.

Imiphumela engayibona yayimangalisa! Kunginikeze ithemba elikhulu lokuthi ukuxilongwa - umdlavuza wesibeletho akusona isiphetho sempilo yami. Ngazinqumela ngokwami ​​amaphakheji amabili okuqala omuthi futhi ngakhokhela ukwelashwa izinyanga ezimbalwa ngokusekelwa umndeni wami nabangane ngoba uMnyango Wezempilo wenqaba ukungixhasa ngezimali. Ngibe nenhlanhla ngokubhaliswa ohlelweni lokufinyelela ngaphambi kwesikhathi kwezidakamizwa oluxhaswe ngumkhiqizi. Bengithatha i-Olaparyb izinyanga ezingama-24. Manje sengixolelwe ngokugcwele. Ngizizwa ngikahle kakhulu. Anginayo imiphumela emibi. Ngiyazi ukuthi ukube bekungengenxa yalokhu kwelashwa, ngabe angisekho ... Okwamanje, ngimatasatasa, ngizama ukudlala ezemidlalo njalo futhi ngijabulele yonke imizuzu “yempilo entsha” yami nomyeni wami. Angisahleli lutho, ngoba angazi ukuthi ikusasa lizolethani, kodwa ngijabule kakhulu ngenginakho. Uyaphila.

UNksz Hanna, njengodokotela onesineke nonolwazi, ugcizelela ukuthi naphezu kokuqwashisa nge-cytology nokuhlolwa kwebele, ukunakekelwa okuncane okunikezwa umdlavuza wesibeletho. Njenganoma yimuphi umdlavuza, “ukuqapha kwe-oncological” nokulalela umzimba wakho kubalulekile, ikakhulukazi njengoba zingekho izindlela ezisebenzayo zokutholwa komdlavuza wesibeletho kusenesikhathi. Endabeni yeziguli esezitholwe kakade, kubalulekile ukuqinisekisa ukufinyelela kumathuluzi aphelele okuxilonga, futhi ikakhulukazi ukwenza izivivinyo zokuguqulwa kwezakhi zofuzo ze-BRCA1/2 kwabesifazane abagulayo. Ukunquma lokhu kuguquka, okokuqala, kungase kube nomthelela ekukhethweni kokwelashwa okuhlosiwe okufanelekile kwesiguli, futhi okwesibili, kungase kusekele inqubo yokuhlonzwa kusenesikhathi kwabantu abavela eqenjini elisengozini (umndeni wesiguli) nokubabeka ngaphansi kokuqondisa kwe-oncological njalo.

Ukwenza lula: Njengoba sinolwazi ngokuguquguquka kwezakhi zofuzo, singavimbela umndeni wethu ekutholeni umdlavuza sekwephuzile. Njengoba uDkt. Hanna egcizelela, sisashikashikeka nokunganakwa okuningi ekwelapheni lo mdlavuza, okuhlanganisa: ukuntuleka kwezikhungo eziphelele, ezimaphakathi, ukufinyelela okulinganiselwe kokuxilongwa nokwelashwa kwamangqamuzana, futhi esimweni somdlavuza wesibeletho, amasonto noma ngisho nezinsuku. bala...

Ngokusekelwe kokuhlangenwe nakho kwami, ngiyaqaphela ukubaluleka kokwethula izikhungo zokwelapha umdlavuza wesibeletho, ezizohlinzeka ngokwelashwa okuphelele nokuxilongwa, ngokuyinhloko izakhi zofuzo. Endabeni yami, ngaphoqeleka ukuba ngenze izivivinyo ezinemininingwane ezikhungweni eziningi ezahlukene eWarsaw. Ngakho-ke akunakwenzeka ukuqagela ukuthi ezigulini ezivela emadolobheni amancane, ukuxilonga ngokushesha kungase kube nzima kakhulu ... Kuyadingeka futhi ukubuyisela izidakamizwa zesimanje, njenge-olaparib, eziyisihluthulelo sokugcina ukuthethelelwa kwesifo kusenesikhathi. yenqubo. Ukuhlolwa kwezakhi zofuzo kuzosinika iziguli ithuba lokwelashwa okuphumelelayo, futhi amadodakazi ethu nabazukulu bazovumela i-prophylaxis kusenesikhathi.

UDkt Hanna, ofundiswe ngokuhlangenwe nakho kwakhe, naye ugcizelela ukubaluleka kocwaningo olunzulu, ngisho noma i-morphology eyisisekelo kanye ne-cytology ingabonisi lutho oluphazamisayo. Ikakhulukazi uma uzwa ukungakhululeki okuhlobene nokuqunjelwa kanye ne-flatulence. Iziguli akufanele zikhohlwe ukwenza i-ultrasound ye-transvaginal futhi zihlole izinga lezimpawu zesimila ze-CA125.

  1. Umbulali wabesifazane basePoland. “Umdlavuza Asikwazi Ukuwuthola Kusenesikhathi”

Ungalutholaphi usizo?

Ukutholakala komdlavuza njalo kuhambisana nokwesaba nokukhathazeka. Akumangalisi ukuthi ekugcineni, ngobusuku obubodwa, iziguli zibhekene neqiniso lokuthi zinezinyanga noma amasonto ambalwa ukuba ziphile. Kwaba okufanayo nakimi. Nakuba ngingudokotela, izindaba eziphathelene nalesi sifo zangifikela kungazelelwe futhi ngingalindele ... Nokho, ngokuhamba kwesikhathi ngabona ukuthi okubaluleke kakhulu manje yisikhathi futhi kufanele ngiqale ukulwela impilo yami. Ngangazi ukuthi kufanele ngiye kubani nokuthi ikuphi ukwelashwa okufanele ngikuthathe. Kodwa kuthiwani ngeziguli ezingazi ukuthi zingalufunaphi usizo? I-# Coalition for Life of people with the BRCA 1/2 mutation, inhloso yayo kuwukusheshisa nokwenza ngcono ikhwalithi yenqubo yokuxilonga neyokwelapha yeziguli, ngaleyo ndlela andise izimpilo zabo, iphuma ukuze isize abesifazane abaphethwe umdlavuza wesibeletho.

# I-CoalitionForLife yabantu abanokuguqulwa kwe-BRCA1 / 2

Abalingani bomfelandawonye bethula izinkulumo ezintathu ezibaluleke kakhulu.

  1. Ukufinyelela okulula ku-Next-Generation Sequencing (NGS) yokuxilongwa kwamangqamuzana. Ulwazi oluningi lwesayensi olukhulayo mayelana nezimpawu zesimila kufanele zisekele ukuthuthukiswa komuthi womuntu siqu, okungukuthi, umuthi oklanyelwe isiguli ngasinye. I-Next-Generation Sequencing iyithuluzi elisha lokuxilonga. Ngakho-ke, kuyadingeka ukwandisa inani lokuhlolwa kwamangqamuzana okwenziwa ezikhungweni ezenza ukuhlinzwa komdlavuza wesibeletho. Akubalulekile kangako ukwenza i-Akhawunti Yesiguli Ye-inthanethi (i-IKP), lapho idatha kuyo yonke imiphumela yokuhlolwa kofuzo, i-pathomorphological kanye ne-molecular izoqoqwa endaweni eyodwa. 
  2. Ukuthuthukisa ikhwalithi nokutholakala kokwelashwa okuphelele. Ukunakekelwa okuphelele kwesiguli esitholakale sinomdlavuza wesibeletho kubalulekile. Ithuba lokuthuthukisa ikhwalithi yokwelashwa kwabo linikezwa ngokwethula ithimba lochwepheshe bemikhakha eminingi emitholampilo. Isixazululo futhi kungaba ukuqaliswa kwezixazululo ze-tele-medicine.
  3. Ukusetshenziswa kwezindlela zokwelapha ezisebenzayo, ngokuhambisana nezindinganiso zaseYurophu, esigabeni sokuqala sesifo kwabesifazane abaphethwe umdlavuza wesibeletho.

Ozakwethu bomfelandawonye bazama ukuthola imbuyiselo yomuthi ukuze baqinisekise ukwelashwa ngokushesha okukhulu kwesifo - ngokuhambisana nezindinganiso zaseYurophu zezindlela zokwelapha.

Imininingwane enemininingwane ehlobene nomdlavuza wesibeletho kanye nemisebenzi yabalingani bomfelandawonye iyatholakala kusizindalwazi esithi www.koalicjadlazycia.pl. Lapho, iziguli ezinomdlavuza wesibeletho zizothola nekheli le-imeyili lapho zingathola khona usizo oludingekayo.

Funda futhi:

  1. "Ukuthuthuka komdlavuza wesibeletho kwabesifazane basePoland kuphakeme kakhulu kunaseNtshonalanga" Kunamathuba okwelashwa okuphumelelayo
  2. Izimpawu zokuqala zomdlavuza azifaneli. "Iziguli ezingamaphesenti angama-75 ziza kithi zisezingeni eliphezulu"
  3. Isimila esicashile. Akukho okubuhlungu isikhathi eside, izimpawu zifana nezinkinga zesisu

Ngaphambi kokusetshenziswa, funda ipheshana, eliqukethe izinkomba, ukuphikisana, idatha yemiphumela emibi kanye nomthamo kanye nolwazi ngokusetshenziswa komkhiqizo wokwelapha, noma uthintane nodokotela wakho noma usokhemisi, njengoba umuthi ngamunye osetshenziswe ngendlela engafanele uyingozi empilweni yakho noma impilo. Ingabe udinga ukubonisana nodokotela noma incwadi kadokotela? Iya ku-halodoctor.pl, lapho uzothola khona usizo lwe-inthanethi - ngokushesha, ngokuphepha futhi ngaphandle kokushiya ikhaya lakho. Manje ungasebenzisa i-e-consultation futhi mahhala ngaphansi kweSikhwama Sezempilo Sikazwelonke.

shiya impendulo