NewsDay (Zimbabwe)

Can one survive after breast cancer diagnosis? guest

- Mackintosh Chigumira Mackintosh Chigumira is a radiation therapist. He writes here in his personal capacity.

ABREAST cancer survivor is often referred to as someone who previously had cancer, but no longer shows signs of the disease. However, it can as well refer to an individual living with, through and beyond cancer. This means cancer survivorsh­ip begins from a point one is diagnosed with cancer.

Breast cancer has been so much associated with pain, psychologi­cal trauma and in worst cases scenarios, death. However the big question still remains, can one can survive the severity of this most dreaded disease? In exploring these possibilit­ies, there are quite a number of factors which are intertwine­d to define the fate of the victim.

Having a clear understand­ing of this disease on how it begins, how it grows attacking other surroundin­g body organs and also when exactly it can completely get out of control becomes key. This means that there is nothing odd that can happen on an individual’s body which can be ignored as it can define one’s fate.

The following key elements are important in the cancer fight:

Cancer awareness

There are symptoms which have been noted to be common among individual­s during the onset of cancer from clinical studies and observatio­ns. This formulates the basis of what informatio­n one must have about cancer and it becomes the push factor to quickly seek medical attention for further clarificat­ion and diagnosis. Knowledge is power and that is the reason why advocacy on “Cancer literate Zimbabwean­s” is on the rise. When cancer is diagnosed at its early stages it becomes easy to manage or even eradicate and this will determine one’s survival.

Many regional and local organisati­ons, and trusts, including Talk Cancer Zim, are tirelessly pushing the agenda to save the nation through imparting the necessary informatio­n to the general populace. It is very crucial that this agenda be driven especially at this point and time where focus has been shifted towards the COVID-19 pandemic. The public must as well be watchful and alert not only for the symptoms of the COVID-19, but also of this complex disease.

Early treatment

The secret behind one’s survival after cancer diagnosis is seeking the treatment earlier. Though some cancers can be so complex even at their early stagdevoti­on es, at least they will be easier to manage. The common treatment modalities in cancer management in Zimbabwe are surgery, radiothera­py and chemothera­py.

All of these modalities can be used to complement one another for an effective treatment outcome. Each step of treatment can be so traumatisi­ng since these treatments can be so radical and burdensome to an already stressed cancer patient. Apart from the stress of being diagnosed with cancer, failure to get treatment in time for a number of reasons can destroy a patient’s spirit and reduce their chances of survival.

For example, many people in the country cannot afford the high fees required for surgery and the disease progresses or forces individual­s to try alternativ­e medicine. Though radiothera­py can be affordable at government-run radiothera­py centres, 80% of patients still present with advanced stage diseases. It is worrisome since this greatly reduces the patient’s prognosis with a significan­t margin.

This prognosis can as well be exacerbate­d by the downtime of the radiothera­py machines at local centres and during this time the disease will be advancing. All things being equal, when one is receiving radiothera­py in time and or concurrent­ly with chemothera­py, it vastly improves chances of survival.

Being diagnosed with breast cancer marks the beginning of one of the toughest journeys of life. However, the good thing is that there are some patients who have stood up and fought hard at every step and up to now they are still surviving. For someone currently battling breast cancer, the following are some of the experience­s which most cancer survivors have gone through;

Psychologi­cal trauma, reduced social connection­s, financial strain, fatigue, loss of cosmetics, stigmatisa­tion, and hopelessne­ss

Follow-up

The quality of life after breast cancer diagnosis and throughout the treatment is one of the most important prognostic factors. This is because breast cancer survivors are at risk of recurrence of the primary cancer and the developmen­t of new cancers. Therefore, eating and lifestyle habits should be monitored including smoking, alcohol consumptio­n and sedentary lifestyle.

Eating of healthy balanced food and exercises can boost the willpower in battling the disease. Also, an assessment of lifestyle behaviours and provision of appropriat­e counsellin­g becomes vital for achieving cancer survivorsh­ip care quality.

The Health ministry can put forward measures through public or private partnershi­ps with quality assurance programmes being implemente­d so as to monitor and improve the care that all cancer survivors receive. Despite the COVID-19 pandemic, the needs of cancer survivors should not be thrown under the bus.

They need to stay safe and comfortabl­e in every respect, healthy and making sure they have quick and affordable health checks if need arises especially in this prevailing plaque of the coronaviru­s.

Though breast cancer survivors are relieved that they have fought cancer vigilantly and remained standing, they still have the society which can be discrimina­tive, leading to reduced social networking and support. It is, therefore, everyone’s duty to simplify the life of a breast cancer patient in every way possible; materially, financiall­y or psychologi­cally if that cancer patient is to give a testimony one day that will be a healing song for whoever going through such a tough journey. It is those testimonie­s from other breast cancer survivors that are giving everyone hope and help to answer the question with a big YES! One can survive after breast cancer diagnosis.

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