Tetori \u00ebsht\u00eb muaji i nd\u00ebrgjegj\u00ebsimit p\u00ebr kancerin e gjirit. Ndoshta ju jeni t\u00eb vet\u00ebdijsh\u00ebm p\u00ebr kancerin e gjirit n\u00eb nj\u00eb far\u00eb m\u00ebnyre. Un\u00eb mendoj se isha. P\u00ebr pjes\u00ebn m\u00eb t\u00eb madhe t\u00eb f\u00ebmij\u00ebris\u00eb sime, n\u00ebna ime trajtohej p\u00ebr t\u00eb luftuar kancerin dhe pak para se t\u00eb mbushja 10 vje\u00e7, ajo vdiq nga po kjo s\u00ebmundje. Por pavar\u00ebsisht k\u00ebsaj p\u00ebrvoje, un\u00eb nuk isha n\u00eb dijeni p\u00ebr shum\u00eb gj\u00ebra rreth kancerit t\u00eb gjirit derisa u diagnostikova me t\u00eb ver\u00ebn e kaluar. N\u00eb k\u00ebt\u00eb shkrim mund t\u00eb gjeni disa nga gj\u00ebrat q\u00eb i di tani e do t\u00eb doja t’i kisha ditur m\u00eb her\u00ebt.<\/p>\n\n\n\n
1. Ka shum\u00eb lloje t\u00eb kancerit t\u00eb gjirit<\/strong><\/p>\n\n\n\n Para se t\u00eb b\u00ebja biopsin\u00eb time, kanceri i gjirit ishte kancer gjiri. Nd\u00ebrsa prisja me ankth rezultatet, k\u00ebrkimet n\u00eb Google do t\u00eb m\u00eb \u00e7onin n\u00eb faqet rreth karcinom\u00ebs duktale in situ<\/em>, nj\u00eb kancer i hersh\u00ebm i gjirit ende i pa p\u00ebrhapur. N\u00eb kok\u00ebn time, prisja q\u00eb mjekja do m\u00eb tregonte se e kisha at\u00eb lloj. N\u00eb realitet, ajo m\u00eb tha se kisha edhe at\u00eb edhe nj\u00eb lloj tjet\u00ebr – nj\u00eb kancer t\u00eb “shkall\u00ebs s\u00eb tret\u00eb” q\u00eb sipas saj kishte efekt negativ t\u00eb “trefisht\u00eb”. M\u00ebnyra se si ajo e tha k\u00ebt\u00eb m\u00eb beri me dije se ishte shum\u00eb m\u00eb keq se q\u00eb kisha menduar.<\/p>\n\n\n\n Profesori Richard Simcock, shefi mjek\u00ebsor n\u00eb Macmillan Cancer Support<\/em>, thot\u00eb se ekzistojn\u00eb kat\u00ebr kategori q\u00eb p\u00ebrdoren p\u00ebr t\u00eb p\u00ebrshkruar kancerin e gjirit dhe p\u00ebr t\u00eb p\u00ebrcaktuar se \u00e7far\u00eb trajtimi i nevojitet. S\u00eb pari, mjek\u00ebt do t\u00eb shohin se nga ku \u00ebsht\u00eb zhvilluar – zakonisht vjen nga kanalet e qum\u00ebshtit (duktal) ose nga gj\u00ebndrat (lobulare). M\u00eb pas ata do t\u00eb shikojn\u00eb numrin dhe madh\u00ebsin\u00eb e tumoreve. \u201cShkall\u00ebt\u201d japin nj\u00eb vler\u00ebsim se sa shpejt qelizat e kancerit rriten – shkalla e tret\u00eb \u00ebsht\u00eb m\u00eb agresive dhe ka m\u00eb shum\u00eb gjasa t\u00eb p\u00ebrhapet. S\u00eb fundi, ata shikojn\u00eb se ndaj \u00e7far\u00eb hormonesh qelizat e kancerit jan\u00eb t\u00eb ndjeshme. “Negativi” n\u00eb diagnoz\u00ebn time n\u00ebnkuptonte se qelizat e kancerit nuk ishin t\u00eb ndjeshme ndaj disa hormoneve \u2013 q\u00eb do t\u00eb thoshte se medikamentet p\u00ebr t\u00eb cilat kisha d\u00ebgjuar, si Tamoxifen-i, nuk do t\u00eb funksiononin p\u00ebr trajtimin tim.<\/p>\n\n\n\n \u201cGrat\u00eb shpesh e krahasojn\u00eb veten me fqinj\u00ebn ose shoqen e tyre q\u00eb gjithashtu ka pasur kancer t\u00eb gjirit, por ato mund t\u00eb mos ken\u00eb pasur t\u00eb nj\u00ebjtin lloj. Shpesh mund t\u00eb thon\u00eb se \u2018shoqja ime u trajtua me kimioterapi dhe asaj iu shfaq p\u00ebrs\u00ebri kanceri\u2019 dhe ne duhet t\u2019u shpjegojm\u00eb se lloji q\u00eb kan\u00eb ato mund t\u00eb jet\u00eb ndryshe\u201d, thot\u00eb Antigone Johnstone-Burt, nj\u00eb bashk\u00ebpun\u00ebtore klinike e gjenomik\u00ebs n\u00eb Macmillan,<\/p>\n\n\n\n Gjithashtu, negativi i trefisht\u00eb \u00ebsht\u00eb i lidhur fort me bartjen e nj\u00eb gjeni kancerogjen. Nuk e di se \u00e7far\u00eb lloj kanceri kishte n\u00ebna ime, por n\u00ebse ajo kishte trefishin negativ dhe n\u00ebse un\u00eb do e kisha ditur, at\u00ebher\u00eb do t\u00eb kisha nj\u00eb arsye t\u00eb mir\u00eb p\u00ebr t\u2019u testuar vite m\u00eb par\u00eb.<\/p>\n\n\n\n Ndoshta duhet t\u00eb flasim p\u00ebr kancerin e gjirit n\u00eb shum\u00ebs. Un\u00eb duhet t’u them njer\u00ebzve: \u201cKam pasur nj\u00eb ose dy kacere gjiri\u201d.<\/p>\n\n\n\n 2. Trajtimi nuk \u00ebsht\u00eb i nj\u00ebjt\u00eb p\u00ebr t\u00eb gjith\u00eb<\/strong><\/p>\n\n\n\n P\u00ebr mua, trajtimi p\u00ebrb\u00ebhej nga kimioterapia, kirurgjia dhe m\u00eb pas radioterapia. P\u00ebr t\u00eb tjer\u00ebt, trajtimi mund b\u00ebhet me nj\u00eb radhitje tjet\u00ebr, ose ndodh\u00eb q\u00eb jo t\u00eb gjith\u00eb k\u00ebta hapa jan\u00eb t\u00eb nevojsh\u00ebm.<\/p>\n\n\n\n Natyrisht, sa m\u00eb pak nga k\u00ebta hapa, aq m\u00eb mir\u00eb, megjith\u00ebse ka di\u00e7ka qet\u00ebsuese kur trajtimi p\u00ebrfshin \u00e7do opsion t\u00eb mundsh\u00ebm. Kam takuar njer\u00ebz q\u00eb ishin t\u00eb shqet\u00ebsuar sepse nuk shkonin n\u00ebp\u00ebr t\u00eb gjith\u00eb k\u00ebta hapa. Mos kini frik\u00eb t\u00eb pyesni pse mjeku juaj po sugjeron apo nuk po sugjeron hapa t\u00eb caktuar.<\/p>\n\n\n\n 3. \u201cKimioterapia\u201d mund t\u00eb n\u00ebnkuptoj\u00eb shum\u00eb gj\u00ebra t\u00eb ndryshme<\/strong><\/p>\n\n\n\n Fjala kimioterapi mbulon nj\u00eb mori barnash t\u00eb shp\u00ebrndara n\u00eb nj\u00eb mori m\u00ebnyrash. Kimioterapia mund t\u00eb p\u00ebrfshij\u00eb thjesht marrjen e nj\u00eb tablete t\u00eb r\u00ebnd\u00eb, ose q\u00ebndrimin n\u00eb spital duke marr\u00eb ila\u00e7et p\u00ebrmes venave. Un\u00eb e kisha k\u00ebt\u00eb t\u00eb fundit, ku ma hap\u00ebn nj\u00eb “port” n\u00eb gjoks, n\u00eb m\u00ebnyr\u00eb q\u00eb mos t\u00eb kisha nevoj\u00eb t\u00eb vendosja shum\u00eb kanula n\u00ebp\u00ebr vena. Gjysma e kimioterapis\u00eb sime p\u00ebrb\u00ebhej nga dy ila\u00e7e, paclitaxel dhe karboplatin, t\u00eb cilat trupi im i p\u00ebrballoi mjaft mir\u00eb. Gjysma e dyt\u00eb p\u00ebrfshinte dy t\u00eb tjera t\u00eb quajtura epirubicin dhe cyclophosphamide (i njohur zakonisht si EC). Pas doz\u00ebs sime t\u00eb par\u00eb, un\u00eb vjella gjat\u00eb nj\u00eb episodi t\u00eb t\u00ebr\u00eb t\u00eb The Great British Bake Off<\/em>, andaj si rezultat trajtimet pasuese u reduktuan. Llojet e ndryshme t\u00eb kancerit t\u00eb gjirit n\u00ebnkuptojn\u00eb medikamente t\u00eb ndryshme dhe njer\u00ebzit mund t’ju thon\u00eb se EC u shkoi mir\u00eb, por paklitaksel ishte m\u00eb i v\u00ebshtir\u00eb p\u00ebr t\u2019u p\u00ebrballuar.<\/p>\n\n\n\n 4. N\u00ebse keni nj\u00eb nga k\u00ebto gjene, rreziku \u00ebsht\u00eb i madh<\/strong><\/p>\n\n\n\n P\u00ebr popullat\u00ebn e p\u00ebrgjithshme fem\u00ebrore, disa studime tregojn\u00eb nj\u00eb shans prej 11% p\u00ebr t’u prekur nga kanceri i gjirit para mosh\u00ebs 80 vje\u00e7are. P\u00ebr ato me gjenet e kancerit BRCA 1 ose BRCA 2, rreziku \u00ebsht\u00eb p\u00ebrkat\u00ebsisht deri n\u00eb 79% dhe 77%.<\/p>\n\n\n\n “T\u00eb kesh nj\u00eb mutacion BRCA \u00ebsht\u00eb si t\u00eb ngas\u00ebsh vetur\u00ebn n\u00eb gjendje shum\u00eb t\u00eb dehur”, thot\u00eb Simcock. \u201cJo domosdoshm\u00ebrisht do aksidentoheni, por jeni m\u00eb pak t\u00eb sigurt se njer\u00ebzit e tjer\u00eb. Ka gj\u00ebra q\u00eb mund t\u00eb b\u00ebni p\u00ebr t\u00eb zbutur rrezikun, t\u00eb tilla si t\u00eb ngr\u00ebnit sh\u00ebndetsh\u00ebm dhe t\u00eb st\u00ebrviturit, por shanset jan\u00eb kund\u00ebr jush\u201d, shton ai.<\/p>\n\n\n\n Zbulova se kam gjenin BRCA 2 dhe supozoj se kjo m\u00eb ndihmoi t’i p\u00ebrgjigjem pyetjes \u201cPse mua?\u201d, pyetje me t\u00eb cil\u00ebn, sipas Simcock, luftojn\u00eb shum\u00eb paciente. Ndonj\u00ebher\u00eb, p\u00ebrgjigjja m\u00eb e af\u00ebrt \u00ebsht\u00eb prania e \u201cgabimeve gjenetike t\u00eb grumbulluara\u201d. K\u00ebto nuk jan\u00eb t\u00eb ashtuquajturat gjene t\u00eb kancerit, por ndryshime delikate q\u00eb jan\u00eb zhvilluar n\u00eb trupin tuaj dhe jan\u00eb grumbulluar deri n\u00eb faz\u00ebn ku ju jeni n\u00eb rrezik m\u00eb t\u00eb lart\u00eb p\u00ebr t\u00eb marr\u00eb s\u00ebmundjen.<\/p>\n\n\n\n 5. Mund t\u00eb dukeni shum\u00eb t\u00eb sh\u00ebndetshme edhe kur keni kancer<\/strong><\/p>\n\n\n\n Pak para se t\u00eb merrja diagnoz\u00ebn shkoja \u00e7do dit\u00eb n\u00eb pun\u00eb me bi\u00e7iklet\u00eb, luaja tenis, kisha diet\u00eb t\u00eb mir\u00eb dhe dukesha m\u00eb e sh\u00ebndetshme se kurr\u00eb m\u00eb par\u00eb. E vetmja simptom\u00eb q\u00eb kisha v\u00ebn\u00eb re ishte dhimbja, t\u00eb cil\u00ebn e n\u00ebnvler\u00ebsoja si tendosje t\u00eb muskujve deri kur gjeta gung\u00ebn. Vet\u00ebm pak koh\u00eb pasi fillova t\u00eb trajtohesha, fillova t\u00eb dukesha m\u00eb e moshuar.<\/p>\n\n\n\n 6. Nyjet limfatike tregojn\u00eb shum\u00eb<\/strong><\/p>\n\n\n\n N\u00eb sqetull\u00ebn tuaj gjenden deri n\u00eb 40 nyje limfatike. Kur keni nj\u00eb gung\u00eb n\u00eb gjoksin tuaj, mjek\u00ebt do t\u00eb duan t’i kontrollojn\u00eb ato, sepse n\u00ebse kanceri \u00ebsht\u00eb p\u00ebrhapur, kjo \u00ebsht\u00eb zakonisht porta e par\u00eb e shp\u00ebrndarjes. Ndodh\u00eb q\u00eb do ju duhet t’i hiqni t\u00eb gjitha. Edhe n\u00ebse nuk ka, mjek\u00ebt zakonisht do t’i marrin disa mostra prej tyre p\u00ebr t’i kontrolluar.<\/p>\n\n\n\n Tregojuni mjek\u00ebve n\u00ebse koh\u00ebt e fundit keni marr\u00eb vaksin\u00eb t\u00eb COVID-it ose gripit para sw tw kryeni skanimin – un\u00eb nuk i tregova dhe kjo shkaktoi shum\u00eb shqet\u00ebsime sepse nyjet e mija limfatike ishin fryr\u00eb.<\/p>\n\n\n\n 7.<\/strong> Kimioterapia mund t’ju sjell\u00eb menopauz\u00eb m\u00eb t\u00eb hershme<\/strong><\/p>\n\n\n\n Po, nj\u00eb faz\u00eb e jet\u00ebs si menopauza, q\u00eb sjell\u00eb kaq shum\u00eb simptoma negative \u00ebsht\u00eb edhe nj\u00eb gj\u00eb tjet\u00ebr me t\u00eb cil\u00ebn duhet t\u00eb luftoni kur jeni duke trajtuar kancerin.<\/p>\n\n\n\n Ndonj\u00ebher\u00eb mjek\u00ebt n\u00eb m\u00ebnyr\u00eb aktive p\u00ebrpiqen t’ju fusin n\u00eb menopauz\u00eb – 80% e kancereve t\u00eb gjirit jan\u00eb t\u00eb ndjesh\u00ebm ndaj estrogjenit dhe duke shtypur vezoret tuaja ata po p\u00ebrpiqen t\u00eb ndalojn\u00eb tumorin t\u00eb rritet dhe t\u00eb p\u00ebrhapet.<\/p>\n\n\n\n Johnstone-Burt thot\u00eb se disa gra n\u00eb menopauz\u00eb vuajn\u00eb me “simptoma tejet t\u00eb r\u00ebnda” dhe se dhimbjet e ky\u00e7eve dhe djersitjet e nat\u00ebs mund t\u00eb jen\u00eb problem i madh. Simcock thot\u00eb se mund t\u00eb jet\u00eb e v\u00ebshtir\u00eb t’u thuash pacient\u00ebve n\u00eb menopauz\u00eb se nuk mund t\u00eb marrin terapi z\u00ebvend\u00ebsuese t\u00eb hormoneve, sepse kjo mund t\u00eb shkaktoj kancerin t\u00eb kthehet.<\/p>\n\n\n\n Nuk e vura re gjat\u00eb trajtimit tim, por tani flukset e t\u00eb nxehtit shpesh m\u00eb zgjojn\u00eb gjat\u00eb nat\u00ebs dhe nyjet e mia m\u00eb k\u00ebrcasin. Un\u00eb jam n\u00eb fund t\u00eb t\u00eb 40-tave, k\u00ebshtu q\u00eb ka nj\u00eb shans q\u00eb cikli menstrual t\u00eb m\u00eb rikthehet – mjek\u00ebt m\u00eb than\u00eb se kjo mund t\u00eb ndodh\u00eb nj\u00eb vit pasi ta mbaroj kimioterapin\u00eb. Megjithat\u00eb kjo do t\u00eb n\u00ebnkuptonte se do t\u00eb m\u00eb duhej t’i kaloja t\u00eb gjitha k\u00ebto dhimbje p\u00ebrs\u00ebri n\u00eb nj\u00eb moment tjet\u00ebr t\u00eb jet\u00ebs.<\/p>\n\n\n\n 8. Ekziston nj\u00eb tablet\u00eb p\u00ebr \u00e7do gj\u00eb<\/strong><\/p>\n\n\n\n \u00cbsht\u00eb qet\u00ebsuese t\u00eb zbulosh se pothuajse \u00e7do gj\u00eb q\u00eb ndodh gjat\u00eb koh\u00ebs q\u00eb trajtohesh i ka ndodhur dikujt m\u00eb par\u00eb dhe mjek\u00ebt dhe infermier\u00ebt kan\u00eb gjithmon\u00eb nj\u00eb p\u00ebrgjigje.<\/p>\n\n\n\n \u00cbsht\u00eb m\u00eb alarmante kur ju japin ila\u00e7e p\u00ebr t\u00eb luftuar efektet an\u00ebsore para se ato t\u00eb ndodhin. \u00cbsht\u00eb dhurata m\u00eb e keqe ndonj\u00ebher\u00eb \u2013 nj\u00eb koleksion tabletash q\u00eb ju ndalon t\u00eb vjellat apo barkqitjen. Ndonj\u00ebher\u00eb, marrja e nj\u00eb tablete do t\u00eb thot\u00eb q\u00eb do t’ju duhet t\u00eb merrni nj\u00eb tjet\u00ebr tablet\u00eb p\u00ebr t\u00eb luftuar efektet an\u00ebsore t\u00eb s\u00eb par\u00ebs. Qelizat e bardha t\u00eb gjakut tim u tkurren si rezultat i kimioterapis\u00eb sime, k\u00ebshtu q\u00eb m\u00eb rekomanduan t\u2019i marr disa injeksione p\u00ebr ta trajtuar k\u00ebt\u00eb. K\u00ebto injeksione mund t\u00eb shkaktojn\u00eb dhimbje t\u00eb forta n\u00eb kocka, k\u00ebshtu q\u00eb mua m’u dhan\u00eb disa qet\u00ebsues n\u00eb rast se kjo do ndodhte. N\u00ebse i merrja k\u00ebta qet\u00ebsues, do t\u00eb m\u00eb duhej t\u00eb merrja disa tableta p\u00ebr t\u00eb mbrojtur mukoz\u00ebn e stomakut. Lajmi i mir\u00eb \u00ebsht\u00eb se injeksioni nuk m\u00eb shkaktoi dhimbje n\u00eb kocka.<\/p>\n\n\n\n 9. Trajtimi domosdo p\u00ebrfshin biseda rreth sistemit t\u00eb tretjes s\u00eb ushqimit<\/strong><\/p>\n\n\n\n Do t\u00eb habiteni se sa njer\u00ebz \u2013 mjek\u00eb, infermier\u00eb, pacient\u00eb t\u00eb tjer\u00eb \u2013 duan t\u00eb din\u00eb se sa shpesh keni shkuar n\u00eb tualet dhe si ka qen\u00eb p\u00ebrvoja gjat\u00eb asaj kohe. N\u00eb jav\u00ebn time t\u00eb par\u00eb t\u00eb trajtimit, p\u00ebrgjigja ishte p\u00ebr k\u00ebt\u00eb pyetje ishte: “jo \u00e7do dit\u00eb”. Kam pasur dhimbje t\u00eb m\u00ebdha derisa partneri u detyrua t\u00eb shkonte n\u00eb barnatore tri her\u00eb brenda dit\u00ebs p\u00ebr t\u00eb m\u00eb bler\u00eb laksativ\u00eb t\u00eb ndrysh\u00ebm.<\/p>\n\n\n\n Pothuajse \u00e7do ila\u00e7 q\u00eb ju japin p\u00ebr t’ju b\u00ebr\u00eb m\u00eb mir\u00eb mund t\u00eb ket\u00eb ndikim n\u00eb sistemin e tretjes tuaj, dhe n\u00ebse si un\u00eb, ju jepet imunoterapi, mjek\u00ebt jan\u00eb ve\u00e7an\u00ebrisht vigjilent\u00eb ndaj rreziqeve t\u00eb kolitit. Jini t\u00eb p\u00ebrgatitura p\u00ebr t\u00eb larguar ndjenj\u00ebn e turpit q\u00eb mund t\u00eb keni kur p\u00ebrshkruani at\u00eb q\u00eb ndodh n\u00eb tualet.<\/p>\n\n\n\n 10. Mund t\u00eb ruani disa nga flok\u00ebt tuaja<\/strong><\/p>\n\n\n\n Nj\u00eb nga efektet an\u00ebsore m\u00eb t\u00eb k\u00ebqija t\u00eb shum\u00eb ila\u00e7eve kimioterapeutike t\u00eb p\u00ebrdorura p\u00ebr trajtimin e kancerit t\u00eb gjirit \u00ebsht\u00eb humbja e flok\u00ebve. Para se t\u00eb filloja trajtimin tim, onkologu m\u00eb tha se do t\u00eb m\u00eb binin flok\u00ebt brenda tre jav\u00ebsh dhe nuk do t\u00eb rriteshin p\u00ebrs\u00ebri derisa t\u00eb p\u00ebrfundonte trajtimi.<\/p>\n\n\n\n P\u00ebrgjat\u00eb marrjes s\u00eb terapis\u00eb zakonisht n\u00eb kok\u00eb vendoset nj\u00eb kapak i ftoht\u00eb: nj\u00eb kapel\u00eb q\u00eb t\u00eb ftoh kok\u00ebn gjat\u00eb koh\u00ebs q\u00eb kryeni kimioterapin\u00eb dhe mbron folikulat nga thithja e shum\u00eb ila\u00e7eve. \u00cbsht\u00eb e tmerrshme. Ju duhet t\u00eb kaloni or\u00eb t\u00eb t\u00ebra duke vuajtur dhimbjen m\u00eb t\u00eb keqe t\u00eb kok\u00ebs, e teksa flok\u00ebt tuaja rrallohen \u2013 gj\u00eb q\u00eb n\u00eb shum\u00eb raste do t\u00eb ndodh\u00eb para p\u00ebrfundimit t\u00eb trajtimit \u2013 dhimbja b\u00ebhet edhe m\u00eb e r\u00ebnd\u00eb. Por p\u00ebr mua ia vlente. Un\u00eb isha n\u00eb gjendje t\u00eb ruaja pjes\u00ebn m\u00eb t\u00eb madhe t\u00eb flok\u00ebve t\u00eb mija gjat\u00eb doz\u00ebs s\u00eb par\u00eb t\u00eb ila\u00e7eve. Gjat\u00eb p\u00ebrdorimit t\u00eb EC (kombinimi i epirubicin\u00ebs dhe ciklofosfamidit), fillova t\u00eb p\u00ebrjetoja r\u00ebnien e flok\u00ebve: nj\u00eb jav\u00eb pas trajtimit zgjohesha nga gjumi me nj\u00eb grumbull flok\u00ebsh n\u00eb jast\u00ebk q\u00eb dukej si fole e ndonj\u00eb zogu dhe kjo m\u00eb beri t\u00eb ndihem tmerrsh\u00ebm. Por kisha ende mjaftuesh\u00ebm flok\u00eb sa p\u00ebr t\u2019i lidhur dhe kur vendosja nj\u00eb kapele dukej sikur ende nuk m\u00eb kishte r\u00ebn\u00eb asnj\u00eb fije. E di q\u00eb nuk mund ta kisha p\u00ebrballuar prerjen e tyre dhe paruket q\u00eb provova nuk m\u00eb ndihmuan.<\/p>\n\n\n\n Njer\u00ebz t\u00eb tjer\u00eb marrin vendim dhe presin flok\u00ebt ose rruajn\u00eb komplet kok\u00ebn. Kjo do t\u00eb siguronte seanca m\u00eb t\u00eb rehatshme t\u00eb kimioterapis\u00eb, por n\u00ebse kjo nuk \u00ebsht\u00eb e p\u00ebrshtatshme p\u00ebr ju, at\u00ebher\u00eb kapaku ia vlen t\u00eb shikohet si mund\u00ebsi.<\/p>\n\n\n\n 11. Qimet n\u00eb hund\u00eb jan\u00eb tejet t\u00eb r\u00ebnd\u00ebsishme<\/strong><\/p>\n\n\n\n Kur d\u00ebgjoni p\u00ebr kimioterapin\u00eb dhe r\u00ebnien e flok\u00ebve, ndoshta nuk mendoni p\u00ebr pjes\u00ebt me qime diku tjet\u00ebr p\u00ebrpos kok\u00ebs, por terapia ka efekte n\u00eb \u00e7do pjes\u00eb t\u00eb trupit. N\u00eb an\u00ebn pozitive, nuk kisha nevoj\u00eb t’i rruaj k\u00ebmb\u00ebt gjat\u00eb gjith\u00eb ver\u00ebs. N\u00eb an\u00ebn negative, kuptova se qimet e hund\u00ebs kan\u00eb m\u00eb shum\u00eb se nj\u00eb pun\u00eb: p\u00ebrpos q\u00eb ato ndalojn\u00eb gj\u00ebra nga dep\u00ebrtimi n\u00eb hund\u00eb, ato poashtu ndalojn\u00eb edhe gj\u00ebra nga dep\u00ebrtimi jasht\u00eb hund\u00ebs. Kur hunda filloi t\u00eb m\u00eb pikonte pa kontroll, kuptova q\u00eb nuk i kisha m\u00eb qimet brenda saj. Nuk dola m\u00eb kurr\u00eb nga sht\u00ebpia pa faculeta.<\/p>\n\n\n\n 12. Rraskapitja e trupit dhe mendjes nuk \u00ebsht\u00eb e nj\u00ebjt\u00eb me lodhjen<\/strong><\/p>\n\n\n\n Para gjith\u00eb k\u00ebsaj, mendoja se rraskapitja dhe lodhja ishin sinonime, k\u00ebshtu q\u00eb kur m\u00eb paralajm\u00ebruan q\u00eb do e p\u00ebrjetoja t\u00eb par\u00ebn, prisja se do t\u00eb ndihesha sikur t\u00eb isha pa gjum\u00eb ose sikur pas nj\u00eb dite shum\u00eb t\u00eb ngarkuar. E kisha shum\u00eb gabim. Kishte dit\u00eb kur ndjehesha sikur po t\u00ebrhiqja veten zvarr\u00eb, dit\u00eb kur ndjehesha sikur m\u00eb duhej t\u00eb mblidhja gjith\u00eb energjin\u00eb q\u00eb kisha vet\u00ebm p\u00ebr t\u2019u ngritur nga shtrati. Nj\u00eb dit\u00eb isha ulur n\u00eb divan dhe po mendoja se sa shum\u00eb do t\u00eb doja t\u00eb ngrihesha e ta merrja nj\u00eb revist\u00eb n\u00eb an\u00ebn tjet\u00ebr t\u00eb dhom\u00ebs, por nuk kisha fuqi t\u00eb mjaftueshme as p\u00ebr tu ngritur. Tabletat Olaparib q\u00eb do t\u2019i marr n\u00eb muajt e ardhsh\u00ebm kan\u00eb si efekt an\u00ebsor rraskapitjen. Shpesh e harroj k\u00ebt\u00eb fakt dhe pyes veten pse disa dit\u00eb krejt \u00e7ka dua t\u00eb b\u00ebj \u00ebsht\u00eb t\u00eb rri shtrir\u00eb. N\u00ebse jeni person aktiv, kjo mund t\u00eb jet\u00eb paksa trondit\u00ebse.<\/p>\n\n\n\n 13. Duhet t\u00eb jeni vigjilente edhe n\u00ebse keni kryer mastektomi<\/strong><\/p>\n\n\n\n Procedura e mastektomis\u00eb heq pjes\u00ebn m\u00eb t\u00eb madhe t\u00eb indeve t\u00eb gjirit, por jo t\u00eb gjitha, kjo do t\u00eb thot\u00eb se ekziston nj\u00eb mund\u00ebsi q\u00eb kanceri mund t\u00eb kthehet. Radioterapia e zvog\u00eblon k\u00ebt\u00eb rrezik dhe poashtu ka tableta dhe terapi t\u00eb tjera q\u00eb jan\u00eb krijuar p\u00ebr t’i ndaluar qelizat e kancerit nga zhvillimi. Edhe pas t\u00eb gjitha k\u00ebtyre, frika e p\u00ebrs\u00ebritjes ende ekziston.<\/p>\n\n\n\n 14. Do ju duhet t\u2019i peshoni gjinjt\u00eb<\/strong><\/p>\n\n\n\n Para se t\u00eb hyja n\u00eb mastektomin\u00eb dhe procedur\u00ebn e riform\u00ebsimit, kirurgu plastik m\u00eb tha q\u00eb do t\u00eb m\u2019i peshonin gjinjt\u00eb p\u00ebr t’u siguruar q\u00eb implantet q\u00eb do p\u00ebrdornin do t\u00eb ishin madh\u00ebsia e duhur. Nj\u00eb dit\u00eb pas operacionit, m\u00eb treguan se sa peshuan. Un\u00eb nuk d\u00ebshiroj ta ndaj at\u00eb detaj, por do t\u00eb them q\u00eb ka shtuar nj\u00eb dimension t\u00eb ri n\u00eb terapit\u00eb pasuese.<\/p>\n\n\n\n 15. Disa zgjedhin \u201cimplante\u201d t\u00eb leshta<\/strong><\/p>\n\n\n\n Jo t\u00eb gjith\u00eb zgjedhin riform\u00ebsimin klasik. Un\u00eb po diskutoja mastektomin\u00eb time t\u00eb ardhshme me dik\u00eb n\u00eb spital dhe ajo m\u00eb pyeti n\u00ebse doja ta shihja t\u2019i shihja implantet e saj t\u00eb leshta. Nuk isha i sigurt se e kuptova mir\u00eb. Ajo l\u00ebvizi sytjenat e saja dhe shfaqi pik\u00ebrisht at\u00eb q\u00eb shpjegoi – nj\u00eb gji protetik me material t\u00eb lesht\u00eb. Ajo tha se nuk i p\u00eblqenin implantet klasike dhe prandaj e p\u00ebrdor llojin tjet\u00ebr. T\u00eb tjera t\u00eb prekura zgjedhin t\u00eb mos b\u00ebjn\u00eb kurrfar\u00eb riform\u00ebsimi.<\/p>\n\n\n\n 16. Ka shum\u00eb burime ku mund t\u00eb merrni k\u00ebshilla<\/strong><\/p>\n\n\n\n Fondacionet bamir\u00ebse p\u00ebr sh\u00ebrimin e kancerit si dhe ato t\u00eb p\u00ebrkushtuara posa\u00e7\u00ebrisht n\u00eb kancerin e gjirit kan\u00eb faqe interneti, linja telefonike dhe qendra t\u00eb cilave mund t’i drejtoheni p\u00ebr t\u00eb k\u00ebrkuar ndihm\u00eb dhe informacion. Organizata \u201cBreast Cancer Now\u201d poashtu mund do t’ju vendos\u00eb n\u00eb kontakt me dik\u00eb q\u00eb ka kaluar eksperienca t\u00eb ngjashme, kjo ju mund\u00ebson q\u00eb t\u00eb merrni k\u00ebshilla edhe nga k\u00ebta persona. \u201cDreams Future\u201d ofron grupe mb\u00ebshtet\u00ebse dhe kurse praktike, nd\u00ebr ta nj\u00eb kurs t\u00eb lidhjes s\u00eb shamis\u00eb q\u00eb un\u00eb ia rekomandoj t\u00eb gjithave. \u201cMacmillan and Maggie\u201d kan\u00eb njer\u00ebz q\u00eb mund t\u2019ju ndihmojn\u00eb t\u00eb p\u00ebrfitoni nga skema t\u00eb ndryshme n\u00ebse jeni duke hasur probleme me financat tuaja.<\/p>\n\n\n\n 17. T\u00eb pasurit kancer nuk vendos\u00eb gjith\u00e7ka tjet\u00ebr n\u00eb perspektiv\u00eb<\/strong><\/p>\n\n\n\n Pasi nj\u00eb nga shoqet e mija u diagnostikua me kancer, partneri i saj m\u00eb tha q\u00eb ajo nuk m\u00ebrzitej m\u00eb p\u00ebr gj\u00ebrat e vogla, dhe un\u00eb kalova nj\u00eb koh\u00eb t\u00eb gjat\u00eb duke pyetur veten se kur un\u00eb do arrij n\u00eb k\u00ebt\u00eb faz\u00eb. Ende nuk kam arritur. Shpesh kaloj or\u00eb t\u00eb t\u00ebra duke u m\u00ebrzitur p\u00ebr vog\u00eblsira.<\/p>\n\n\n\n Diagnoza m\u00eb m\u00ebsoi nj\u00eb gj\u00eb shum\u00eb t\u00eb r\u00ebnd\u00ebsishme: ambiciet e mija kryesore tani jan\u00eb jasht\u00eb kontrollit tim. Nga t\u00eb gjitha gj\u00ebrat q\u00eb m\u00eb kalonin n\u00eb mendje, si mendimi q\u00eb kurr\u00eb nuk kisha vizituar Australin\u00eb apo se si nuk kisha shkruar nj\u00eb roman, mendimi m\u00eb shqet\u00ebsues ishte se un\u00eb ndoshta nuk do mund ta shihja djalin tim tek rritej. Gj\u00ebja q\u00eb un\u00eb dua m\u00eb s\u00eb shumti \u00ebsht\u00eb ta shikoj at\u00eb teksa arrin mosh\u00ebn madhore, por nuk \u00ebsht\u00eb se mund t\u00eb b\u00ebj di\u00e7ka q\u00eb t\u00eb sigurohem se kjo ambicie p\u00ebrmbushet. N\u00eb nd\u00ebrkoh\u00eb, un\u00eb do vazhdoj t\u00eb shaj n\u00eb pjes\u00ebn ku aplikohet p\u00ebr lejet e parkimit te webfaqja e komun\u00ebs.<\/p>\n\n\n\n