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乳房自检让我近乎神经崩溃(双语)

  Fed up with self-imposed breast cancer surveillance routine

  作为一位40多岁的妇女,你是否每次月经之后都会对乳房癌的自我检测?你的医生是否每半年就会为你做乳房癌临床检查?你是否每年做一次乳房X光照相检查?
  If you are a woman over the age of 40, do you perform self breast cancer exam once a month when your menstrual cycle is just over? Do you go through clinical exams by your doctor once every six months? Do you get mammogram screening once a year?

  除了乳房检查和X光检查会带来不适感,你是否还怕检查结果, 对检查过程充满焦虑,恐惧和担心?要知道,有你这种经历的人可不止您一个。
  Aside from the discomfort that comes with breast exams and mammograms, do you experience anxiety, fear and worries when going through the procedures? Join the club.

  几年前,当我告诉家庭医生我的一个姨妈年近七十时死于乳腺癌,她立即在我的病历上写了些东西,然后递给我一份乳房X光照像检验单。
  When I told my doctor several years ago that one of my aunts died of breast cancer in her late 60s, she jotted down something in my chart and immediately passed me a mammogram requisite sheet.

  “鉴于你的家庭病史,你患乳腺癌的风险较高,因此你应该每年进行一次乳房X光检查。”
  “You should get mammogram screening once a year, because your family history identifies that you are at high risk.”

  我的家庭医生是一位非常尽职的医生。她的话下了我一跳。从那以后,我做了数次X光检查。每次检查后在结果出来之前,我都被电话铃响吓得魂不守舍,晚上也睡不着觉。
  Albeit knowing she is a very diligent and responsible doctor, her words struck my nerves. Since then, I have gone through several mammograms. After each test, until the results come out several days later, I jump out of my skin whenever the phone rings and cannot sleep at night.

  医生在每年体检时还告诉我说,除了X光检查之外,我还应该每个月进行乳房自我检查。“你应该对乳房有熟悉的感觉,因此可发现任何变化,包括形状,颜色的变化等。”
  “Except for the mammograms, you should also follow the self-exam guide and examine your breasts once a month,” said my doctor at each physical. “You should know what your breasts feel like so that you can detect any changes, which include shapes and colour.”

  我便给自己安排了一套乳房自我监控程序。每个月我都会在洗澡时,正坐及躺卧时自我检查乳房数次。但每次我都会发现一些以前似乎不存在的肿块,吓得我一次再又一次的自我检查。
  I then started a self-imposed breast cancer surveillance routine where I performed breast exams several times a month when I am in the shower, when I sit and when I lie down. And every time I would detect lumps that seemed to have not existed previously, which prompted me to check again and again.

  这些肿块是否坚硬如石?是否性状不规则,摸上去又硬又密?他们是否随着月经周期变化?他们是良性肿块还是恶性肿瘤?我一次又一次的,周而复始的试图回答这些问题,神经近乎崩溃。
  Do they feel like rocks, in random shapes, firm and dense? Do they change with menstrual cycles? Are they something benign or malignant? I become embroiled in never-ending attempts to answer these questions. I have almost had panic attacks.

  虽说每次的焦虑情绪在看医生后被化解(她告诉我,检查应严格按照检测指南执行),但我意识到,由于恐惧,我的判断力已经被大打折扣了。
  While the anxieties were relieved by visiting my doctor, who told me that I have to perform the checks closely following the guide, I realized that my judgment was significantly impaired by the fear that had set in.

  我告诉医生我是不能再这样检查下去了,我的神经经不起这种折磨。
  I told my doctor that I could no longer execute the self-exam routines as I am too scared to check them for fear of what I would find. It is a mental torture that I can no longer endure.

  我的理由得到近期发表的美国防务机构的一项报告的支持,该报告说,妇女根本不该进行自我检测,因错检结果所带来的害处要大于利处。该报告还反对40岁妇女进行常规X光检查。
  My argument seemed to be backed up by guidelines recently released by the U.S. Preventive Services Task Force which said that the self-exams do no good and women should not be taught to do them, because the harms from the false-alarms outweigh the benefits. The guidelines also recommend against women in 40s go through regular mammogram screening.

  这份报告让我大舒了一口气。至今为止,我尚未从该自我监控程序中获得任何好处。我所检查出来的肿块全被我的医生视为正常乳腺组织。如果真有癌细胞在我体内增长分裂,我很可能无法通过我的指压,掌触,和大脑没完没了地分析而被检测出来…… 只要检测过程中的恐惧,压力和焦虑没有增加乳腺的增生速度,我就谢天了!
  The new guidelines offer me with a great relief for my stress. So far I have not benefited from this surveillance routine. None of the lumps I detected have raised my doctor’s eyebrows, and if there were cancerous cells ever growing and dividing in my breast, I have not yet been able to detect them through my repeated finger pressing, palm touching and infinite brain loop… I would thank god if the fear and anxiety I suffered would not accelerate the speed they were multiplying themselves.

  按:本文曾在2009年11月20日的《大中报》上发表。

本文发布于: 2012-9-26 11:42
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