Amathiphu Ekuthuthukiseni Ukusinda Kwengculaza

by ULynne Eldridge, MD; Kubuyekeziwe ngo-Grant Hughes, MD

Indlela Yokuthuthukisa Ukusinda Kwakho Kusuka Emdlalweni We-Cancer

Kuthiwani uma sikutshela ukuthi kunezinto ongayenza ukuze uphakamise amathuba okuphila nomdlavuza wamaphaphu - futhi lezozinto azibandakanyi ukuhlinzwa, i-chemotherapy noma ukwelashwa kwama-radiation? Iqiniso liwukuthi, kunezinto ongayenza ukuze usize ukuthuthukisa izinkinga zakho.Izinto ezingokoqobo nezingezona ezokwelapha, ezifana nezindlela zokuphila nokusekelwa komphakathi.

Ngomoya owodwa njengoba sisho ukuthi asifuni ukuthi noma ubani abe nomuzwa wokuthi akenzi ngokwanele. Sonke siyazi ngabantu abenza konke kahle futhi bahlakulela umdlavuza futhi kuthuthukile noma kunjalo. Iqiniso lihlala liwukuthi izinga lokusinda emdlalweni wamaphaphu akusikho esikufisayo. Kodwa ngisho noma lezi zeluleko zingathuthuki ukusinda kwakho, zingase zithuthukise izinga lempilo ophila ngayo namhlanje.

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Thola ukwesekwa

Ukusekelwa okuhle kwezenhlalakahle kungakwandisa ukusinda. I-JGI / Jamie Grill / I-Blend Images / Getty Izithombe

Ukuzwa ngokweqile komuntu ngokuqinisekile akuzizwa kahle, kodwa ukusekela uhlelo oluqinile kungase kuthuthukise ukusinda nomdlavuza wamaphaphu . Akuwona wonke ucwaningo oluye lwabonisa lokhu. Ucwaningo oluthile lwathola ukuthi iziguli ezenza ukwelashwa ngomdlavuza wamaphaphu azibonakala zingcono noma zibi nakakhulu uma zisekelwa umphakathi.

Noma kunjalo ukubuyekezwa kwezinye izifundo kubonisa okunye. Esinye isifundo esikhulu (esibheka imiphumela yezifundo ezingaba ngu-150) sabheka umphumela wobudlelwane bezenhlalakahle ekuguleni nasekufeni okuvela ezinhlobonhlobo zezimo zezokwelapha. Kubonakala sengathi abantu abanomphakathi obunamandla babe namaphesenti ama-50 okwandisa amathuba okuphila. Ukubheka umdlavuza wedwa, esinye isifundo (esasenza izifundo ezingaba ngu-90) sathola ukuthi amazinga aphezulu okusekelwa umphakathi ahlanganiswe nengozi engaphansi kwezingu-25 eziphansi zokufa.

Ukuba nenethiwekhi yokusekela yedwa kungasiza, kodwa kudingeka futhi sibuze futhi sithole. Ngemva kokuthola ukuthi unomdlavuza, enye yezinhlamvu ezingcono kakhulu zeluleki engangizitholile kwakuwukufunda ukuthola. Akukhona nje ngoba ngidinga usizo, kodwa ngoba empeleni isipho esingabanika abanye. Njengomngane oyedwa wangitshela ukuthi, "Indlela engcono kakhulu yokubonga ngesipho ukuwuthola ngokugcwele." Abantu bafuna ukusiza. Kubalulekile ukukhumbula ukuthi umngane oyedwa noma othandekayo akakwazi ukwenza konke. I-Cancer ingathatha umuzi. Abanye abantu bayakujabulela ukulalela. Abanye bajabulela ukuhlanza. Kodwa abanye bayakujabulela ukuhlinzeka ngokugibela.

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Yazi Izimpawu Zokucindezeleka

istockphoto.com

Ucwaningo luye lwabonisa ukuthi ukucindezeleka kwengqondo, njengokucindezeleka okuqhubekayo nokukhathazeka, kuyindlela yokuphila kubantu abanomdlavuza - futhi lokhu kuxhumano kunamandla phakathi kwabantu abaphila nomdlavuza wamaphaphu.

Kubantu abanomdlavuza wamapapu ophakeme, labo abacindezelekile ngesikhathi sokuqala kokwelashwa kwe- chemotherapy bahlala ingxenye eyodwa nje kuphela labo abangazange bacindezeleke. Kwesinye isifundo sokusinda komphakathi (okungukuthi, isikhathi esilandelayo lapho amaphesenti angu-50 abantu besaphila futhi amaphesenti angu-50 asefile), kwaba izikhathi ezine emifushane kubantu abacindezelekile.

Ingozi yokuzibulala iphindwe izikhathi ezimbili kuya kwezi-10 phakathi kwabantu abanomdlavuza kunabantu abaningi. Ingozi ibaluleke kunazo zonke kubantu nasezinyangeni zokuqala ngemva kokuxilongwa komdlavuza.

Kubalulekile ukuhlukanisa phakathi kokucindezeleka esimweni somdlavuza nesifo esijwayelekile. Iningi lalowo wonke umuntu uzwa ukudabuka nosizi njengoba bebhekene nokuthola ukuthi unomdlavuza yini, kodwa ukucindezeleka ngokwempilo akuvamile. Kungasiza ukuzijwayeza izimpawu zokucindezeleka, nokukhuluma nodokotela wakho uma uzizwa ucindezelekile.

Okuningi Nge-Cancer Lung kanye Nokucindezeleka

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Cela ukuvakashelwa kokunakekelwa kokunakekelwa kokunakekelwa

I-National Cancer Institute, uRoda Baer (photographer)

Ngiyaqiniseka ukuthi abanye bathi wena "hu"? uma ufunda isihloko esilandelayo ngenhla. Akukhona yini lokho kufana ne-hospice? Kungani ukhuluma ngalokho ku-athikili mayelana nezindlela zokuthuthukisa ukuphila komdlavuza wamaphaphu?

Igama lokunakekelwa kwe-palliative ngokuyinhloko aliqondakali kahle. Yindlela efuna ukuthuthukisa ikhwalithi yokuphila kubantu ababhekene nesimo esibucayi sezokwelapha, ngokubhekana nezimo ezingokomzwelo, ezingokwenyama kanye nezidingo ezingokomoya. Ngesikhathi sokuvakashelwa ukunakekelwa kokunakekelwa kokunakekela, abantu abaningi bahlangana neqembu elibandakanya udokotela, umhlengikazi kanye nesisebenzi senhlalakahle, ukuze uxazulule uhla olugcwele lwezinto ozikhathazayo ongazithola ngenkathi ukwelashwa komdlavuza.

Ucwaningo lwango-2010 lubonise ukuthi abantu abanomdlavuza wamapapu ophakeme ababenokubonisana ngokunakekelwa kokunakekelwa kokunakekelwa kokulondeka ngemuva kokuthola ukuthi baxilongwa yini phakathi kwezinyanga ezingu-2½ ezide kunalabo abangenalo ukubonisana.

Ezinye izikhungo zomdlavuza manje sezihlinzeka ngokubonisana ngokucophelela ngemva kokuthola ukuthi unomdlavuza. Uma ungakanikezwa le nketho, kungase kudingeke ubuze i-oncologist yakho ukuthi yini etholakala esikhungweni sakho somdlavuza

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Thuthukisa Ukuphila Kwakho Okungokomoya

istockphoto.com

Ngisho noma umsebenzi wezokwelapha uye wephuza ukufaka ingokomoya emiphakathini yokwelapha umdlavuza, ukuphila okungokomoya okusebenzayo kungadlala indima emdlalweni wemdlavuza wamaphaphu.

Okokuqala, kubalulekile ukuchaza okungokomoya. I-National Cancer Institute ichaza ngokomoya njengenkolelo yomuntu mayelana nenjongo yokuphila. Kubantu abathile, lokhu kungathatha uhlobo lwenkolo ehleliwe. Kwabanye, kungase kuboniswe ukuzindla, yoga noma ukuxhumana nemvelo.

Izifundo ezimbalwa ezincane kubantu abanesifo somdlavuza we-Stage IV bathola ukuthi abantu abanompilo okhuthele ngokomoya abazange baphendule kangcono imithi yamakhemikhali kodwa basinda isikhathi eside.

Lokho kusho, ngiyazi ngabantu abaningi abanempilo ekhuthele engokomoya abalahlekelwa impi yabo nomdlavuza wamaphaphu. Kodwa noma ngabe impilo engokomoya ekhuthele ayikuphuculisi ukusinda, ezinye izifundo ziye zathola ukuthi ukuqonda okungokomoya kubalulekile ekubhekaneni nomdlavuza kanye nemfanelo yokuphila ngenkathi uhlala nomdlavuza.

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Thola Okudlulele Kuyi-Stigma

istockphoto.com

Abantu abaningi abanomdlavuza wamaphaphu bazijwayele ukuhlambalaza kwesifo. Iyiphi enye yamazwana okuqala abantu abakwenzayo? "Uze ude kuze kube nini?" Amazwi angacabangi angabangela ukucindezeleka uma uzama ukubhekana nezinkinga zokwelapha. Kodwa ngaphesheya kwalokho, inhlamba yomdlavuza wamaphaphu uye empeleni igcine abanye abantu ekutholeni ukunakekelwa abayidingayo futhi bafanelwe. Ucwaningo luye lwabonisa nokuthi odokotela, ngezinye izikhathi, abahlukumezi kakhulu ekwelapheni iziguli zomdlavuza wamaphaphu kuneziguli ezinezinye izinhlobo zomdlavuza.

Qiniseka ukuthi ufunda isigaba kulesi sihloko mayelana nokuba ngummeli wakho (ngezansi).

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Yiba nokuqonda kwezingubo zegazi nokuvimbela kwabo

I-Callista Izithombe / i-Getty Images

Ama-blood clots, eyaziwa nangokuthi i-thrombosis ejulile ye-vein, ivela kumaphesenti angu-3 kuya ku-15 abantu abanomdlavuza wamaphaphu. Amaqabunga egazi ngokuvamile ayenziwa emilenzeni noma ekhanda futhi angasongela ukuphila uma ephumula futhi ehamba emapapheni. Kwesinye isifundo, kwaba namaphesenti angu-70 okwandisa ingozi yokufa kubantu abanomdlavuza wamaphaphu abathola ama-blood clots.

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Yidla ukudla okunempilo

I-National Cancer Institute, i-photographer engaziwa

Siyazi ukuthi ukudla ukudla okunempilo kungasenza sizizwe singcono, kodwa kunganciphisa amathuba okuba nomdlavuza ophindaphindiwe. I-American Institute for Cancer Research (AICR) ivele nezincomo zokudla kubantu abanethemba lokuvimbela umdlavuza kuqala. Kubantu abasindile umdlavuza, batusa ukulandela le mihlahlandlela ukuzama ukuvimbela ukuphindaphindiwe.

Bheka isihloko esingezansi ukuze ufunde ngezifundo ezibuke umphumela wokudla emdlalweni wamaphaphu.

I-Cancer Lung Ukulwa Nokudla

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Thola Ukuzivocavoca Okuncane

I-National Cancer Institute, uBill Branson (umdwebi wezithombe)

Umsebenzi wokuzivocavoca uboniswe ukuthi udlala indima emdlalweni wokuvimbela umdlavuza wamaphaphu, kodwa ukucaca kancane ukuthi kungenza ngcono ukusinda kubantu abavele bephila nalesi sifo.

Kulabo abangakwazi ukubekezelela ukuzivocavoca, kunganciphisa amathuba okufa ngaphambi kwesikhathi futhi kuncishiswe ingozi yokufa ngenxa yezifo ezihlobene nobudala. Ukusinda eceleni, izifundo zibonisa ukuthi ukuvivinya umzimba kuthuthukisa ikhwalithi yokuphila kubantu abaphila nomdlavuza wamaphaphu. Njengamanje, asazi ukuthi ngiyiphi indlela yokuzivocavoca noma isikhathi esichitha kuso esiza kakhulu. Buza i-oncologist yakho lokho akuphakamisayo.

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Yeka ukubhema

istockphoto.com, LuisPortugal

Ngakhetha ukungena ukubhema eduze kwelalu hlu ngoba angifuni ukungeza ekuhlaleni komdlavuza wamaphaphu. Kodwa ukubhema ngemuva kokuxilongwa komdlavuza wamaphaphu kungasho ukusinda okuncane.

Esikhathini esidlule, ucwaningo lwaphakamisa ukuthi abantu abayeka ukubhema ngemuva kokuxilongwa ngomdlavuza wamaphaphu kungcono ngokuhlinza futhi baphendule kangcono ukwelashwa kwama-radiation. Kubantu abanesifo somdlavuza wamaphaphu esandulela isandulela-ngculaza, ukutadisha okwedlule kunomphumela omkhulu kakhulu wokuyeka. Kubantu abanesifo somdlavuza wamangqamuzana omncane osesimweni esincane, kanti nomkhawulo omncane wesifo samangqamuzana wamaphaphu omncane , iminyaka emihlanu isinda ngaphezu kokuphindwe kabili kulabo abaye bakwazi ukukhahlela lo mkhuba ngemuva kokuhlushwa.

Uma unzima ukuyeka, hlola ibhokisi lesitoreji sokuyeka ukubhema ngezansi njengesiqalo.

Izizathu Eziphezulu Eziyishumi Zokuyeka Ukubhema Ngomdlavuza

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Yiba Ummeli Wakho

istockphoto.com

Asinakho izibalo ezicacile ezitshela ukuthi ukuthi ummeli wethu uphakamisa ukusinda. Kodwa siyazi ukuthi ukubaluleka okungcono kunokwenzeka kubalulekile.

Ukuthola i-oncologist nesistimu yesibhedlela ozizwa ukhululekile nayo kuyisiqalo. Ukubuza imibuzo nokwenza ucwaningo lwakho (futhi ukuba nabathandekayo basize uma kudingeka) kungasiza ngalezo zincumo. Isibonelo, ezinye izifundo zikhomba ukuthi ukusinda ekuhlinzekeni komdlavuza wamaphaphu kuphakeme ezibhedlela ezenza ukuhlinzeka okukhulu kwemisebenzi. Inketho yokuhlola ukuvivinywa komtholampilo ingabalulekile kuwe. Naphezu kokuthi i-National Cancer Institute incoma ukuthi uhlole ukuhlola okusemtholampilo uma unesigaba se-III noma umdlavuza wesifo se-Stage IV, kuphela iziguli zomdlavuza wamaphaphu kuphela.

Okokugcina, wazi izimpawu zomdlavuza we-lung cancer . Nakuba kunezizathu eziningi abantu abangase bazinakekele izimpawu ezingaphezu kwamandla ethu njengodokotela, kuyabuhlungu lapho umuntu engenzi ngenxa yento eyobe isetshenziselwa kalula ukuvakashelwa kwegumbi lokuphuthumayo nokuvakasha.

Hlola izihloko ezingezansi ngokuba ngummeli wakho siqu:

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Izinkomba

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_{Anguiano, L. et al.} _{Ukubuyekezwa Kwezincwadi Zokuzibulala Emagceni E-Cancer.} _{Ubunakekeli beCans .} _{2011 Sep 23. (Epub ngaphambi kokuphrinta)}

_{I-Arrieta, O. et al.} _{Inhlangano Yokucindezeleka Nokukhathazeka Ngekhwalithi Yokuphila, Ukunamathela Kwezokwelapha, Nokuguqulwa Kwamalungu Eziguli Ezinezifo Ezincane Ezincane Zengculaza Yengqamuzana.} _{Ama-Annal of Oncology Yokuhlinza .} _{2012 Dec 22. (Epub ngaphambi kokuphrinta).}

_{Chen, M. et al.} _{Izimpawu ezicindezelayo phakathi nomjikelezo wokuqala we-chemotherapy zibikezela ukufa kwabantu ezigulini ezinomdlavuza omncane ongasemncane wesifo samaphaphu.} _{Ukondla Ukusekela Ekhanda .} _{2011. 19 (11): 1705-11.}

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_{ULissoni, uP. et al.} _{Ukusebenza komdlavuza we-kymotherapy ngokuphathelene nokuvumelanisa isigqi se-cortisol, isimo se-immune kanye nesiprofayili se-psychospiritual emdlalweni wesifo samangqamuzana omzimba ongasona omncane.} _{E-Vivo .} _{2008. 22 (2): 257-62.}

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