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Side
Effects & Complications
of Treatment |
Treatment to eradicate breast
cancer may also damage otherwise healthy surrounding
tissue. Luckily, side effects related to breast
cancer treatment are generally temporary; symptoms
usually subside when treatment ends, or soon
after.Side effects differ from woman to woman
and from treatment to treatment. Here are the
most common problems associated with the various
facets of breast cancer treatment.
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After Surgery |
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Discomfort is common after
any surgery. The short-term pain that follows
surgery may require pain-controlling medication.
If you are in pain, don't hesitate to talk to
your doctor about a method of relief that works
for you. Removal of a breast affects the muscles
and nerve endings in the shoulder and arm. Movement
may be painful and limited, and there may be
loss of strength on the side of the surgery.
Consult a physical therapist who for targeted
exercises to improve flexibility and strength.
When lymph nodes under the arm are removed,
the flow of lymph (fluid that carries infection-fighting
cells through the body via the lymphatic system)
slows down and can build up. Lymphedema, swelling
of the arm or hand on the side of the surgery,
can make it easy for even small cuts or scrapes
to become infected. Women with lymphedema need
to prevent injury to the affected arm and hand,
and have any infections that may develop there
promptly treated.
There are special programs available for women
with lymphedema that use massage, arm wraps,
and pump-like devices to relieve symptoms. If
you develop
swelling in your arm or hand, be sure to speak
up about it and actively pursue treatment. Many
doctors just don't pay enough attention to this
potentially severe complication.
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After Radiation |
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Radiation therapy affects the
skin in much the way sunburn does, causing redness,
itchiness, soreness, blistering, or peeling. Exposing
the skin to the air will help any weepy sores to
heal more quickly. The breast skin may also become
shiny or darker than normal. And sensation in the
breast can change, becoming more or less sensitive
than normal. Many women find that during radiation
treatment, loose, lightweight tops are more comfortable
to wear than traditional bras.
Fatigue is another effect of radiation, especially
after treatment has gone on for a few weeks.
Poor wound healing at the surgery site may
also be a
problem if radiation is performed too close
to the time of breast cancer surgery. |
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After Biological Therapy |
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The immune-stimulating drugs used
in biological therapy can ease side effects and
boost your body's ability to fight the cancer during
or after chemotherapy treatment. However, these
same drugs carry potential side effects of their
own including pain in the legs, chest, or back;
skin rashes or swelling at the place where the
injections were given; flu-like symptoms, such
as fever, chills, and fatigue; digestive tract
problems; and possible allergic reactions. |
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After hormone Therapy |
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Hormone therapy drugs have unique
side effects related to the hormone-blocking effect
that makes them effective against breast cancer.
Possible problems resemble menopause and may include
hot flashes, nausea, vaginal spotting, itching,
discharge, or dryness. Tamoxifen in particular
is linked to an increased risk for cancer of the
uterus (endometrial cancer), as well as stroke
and blood clots in the legs (deep-vein thrombosis).
The benefits of any form of hormone therapy may
outweigh the risks for you; ask your doctor to
help you decide. |
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Alternative Therapies |
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Breast cancer is a serious illness
that requires the most sophisticated treatment
the medical industry has to offer. However, many
alternative therapies make excellent partners when
combined with standard treatment. Choosing to include
some or all of these additional modes of healing
can positively affect your well-being and get you
through breast cancer treatment as gently as possible.
Of course, be sure to consult your doctor if you
want to try any alternative remedy -- not all alternative
therapies combine well with chemotherapy or hormone
therapy. |
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Psychosocial
Effects of Disease |
After treatment is over, you,
your family, and friends might expect you to
go right back to "normal." But this
is easier said than done. All the physical and
emotional changes, like fatigue, hot flashes,
fear of recurrence, and most of all issues about
self image, as well as issues related to daily
activities, career & relationships may be
making your life difficult.
The breasts
are a profound source of female self-image. Cancer
of the breast may seriously affect a
woman's perception of her identity, and breast
loss can
be very psychologically damaging. About 30% of women with the disease suffer
from prolonged anxiety and depression, which
are natural responses to the loss of a breast
or fear of the
disease. Women who fail to adjust often have other life crises such
as divorce
or unemployment.
These psychological problems can be helped by referral
to a
psychiatrist (specialist in mental illness), who may recommend psychotherapy
or medications to aid recovery. Physical and sexual rehabilitation can be helped
by providing the woman with an adequate prosthetic device (breast
form) and by
encouraging the woman and her partner to discuss sexual problems in an
open way.(
which is against the norms of our society, & prohibited too) The decision
to use a prosthesis or to undergo breast reconstruction usually is based on the
woman's own body image, family back ground, moral & economical support from
family. Other key factors include her level of physical activity, style of clothing,
and her willingness to reveal the diagnosis of breast cancer to others. The majority
of women can return to normal life.
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Sexuality |
Certain breast cancer myths
still exist and may affect a woman's sexuality.
The woman's partner may have fears of "catching
cancer." Although such beliefs are unfounded,
they may interfere with there establishment
of a healthy sex life. Therefore, the spouse
- as well as the breast cancer patient - should
be involved in discussions about breast cancer
diagnosis, risk factors, treatment options, and
potential side effects of therapy. Cooperation
in post-treatment care often enhances the ability
of the woman and her husband to adjust to the
disease and its treatment.
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