Izizathu Eziphezulu Eziyishumi Zokuyeka Ukubhema Ngomdlavuza

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Izizathu Ezibalulekile Zokuyeka Ukubhema Emva Kokuthola I-Cancer

Kungaba nzima ukuzwa ngezingozi zokubhema, futhi kukhona ulwazi oluthe xaxa oluchaza izizathu.

Kodwa kuthiwani uma usuvele unomdlavuza? Ingabe ngempela kwenza umehluko uma uyeka? Ngempela, akukona yini umonakalo okwenziwe kakade? Kungani engeza ukucindezeleka kokuyeka ukucindezeleka kokubhekana nemithi yomdlavuza?

Lesi sihloko sizokunikeza izizathu eziyishumi zokuthi kungani umuntu onomdlavuza kufanele azame ukuyeka. Akunandaba ukuthi unesiteji sokuqala noma umdlavuza wephambili. Akunandaba ukuthi unjani umdlavuza onayo. Akunandaba ngisho nokuthi ukwelashwa okunjani, kungakhathaliseki ukuthi kusho ukwelashwa kwamakhemikhali, ukuhlinzeka, ukwelapha imishanguzo, izifo ezithintekayo, noma ngisho nokunakekelwa kwempilo yokunethezeka.

Ungase ucabange ukuthi uhlukile; ukuthi ngeke kwenze umehluko uma uyeka. Bamba lowo mcabango manje, futhi ufunde njalo.

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Inombolo 1-Ukuyeka Ukuthuthukisa Ukusinda Kwemdlavuza Nokunciphisa Ukuncipha

Umphumela wokubhema oqhubekayo awuhlolwanga ngawo wonke umdlavuza, kodwa kusukela kulokho esikwaziyo ngokusekelwe kwizifundo zamanqamu ajwayelekile, kubonakala sengathi ukukhahlela umkhuba kuyindlela elula (yokukhuluma) yokukhulisa izinga lokuphila kubantu abaningi abaphila nomdlavuza.

Umdlavuza we-Lung yiyona imbangela ehamba phambili yomdlavuza womdlavuza kokubili amadoda nabesifazane e-United States, futhi kubonakala sengathi ukuyeka noma yisiphi isigaba sesifo kungenza umehluko. Siyazi isikhathi esithile ukuthi abantu abanomdlavuza wamaphaphu okuqala abanomdlavuza ongcono kakhulu kusuka emdlalweni wamaphaphu (kanye nokuphila konke) lapho beyeka ukubhema. Muva nje ucwaningo olubheka abantu abangu-250 abanomdlavuza wamapapu ophuthumayo bathola ukuthi ukusinda okuphakathi (isikhathi esingamaphesenti angu-50 abantu asebesaphila futhi amaphesenti angu-50 asefile) yizinyanga ezingu-28 kulabo abaphumelelayo ukuyeka, kodwa kuphela izinyanga ezingu-18 kuphela labo abaqhubeka bebhema. Kwakucatshangwa ukuthi kungase kube khona inzuzo yokuphila kulabo abazama ukuyeka kepha abaphumelelanga ngokuphelele.

Kwabesilisa abanomdlavuza wesibeletho (isizathu sesibili esibangela umdlavuza wokufa komdlavuza emadodeni,) ukuqhubeka ukubhema kuhlotshaniswa nokusinda okuhluphekile kanye nokuphindaphinda kwesifo.

Umdlavuza weColon yimbangela yesithathu yokuhola komdlavuza womdlavuza kokubili kokubili amadoda nabesifazane, futhi ukuyeka ukubhema imiphumela yokuphila okuthuthukisiwe kanye namazinga aphansi okuphindaphinda wesifo.

Kwezinye ukwelapha, ukuyeka ukubhema kungenza umehluko omkhulu ekusindeni. Ekucwaningweni okukhulu kwabantu abanomdlavuza wekhanda nentamo, labo abayeka ukubhema ngesikhathi sokuxilongwa nangaphambi kokwelashwa baqala ukulinganiselwa kweminyaka emihlanu yamaphesenti angama-55 kuya kuma-23 amaphesenti kulabo abaqhubeka bebhema.

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Inombolo 2-Ukuyeka Ukunciphisa Ingozi Yokufa Kwezinye Izimbangela

Ukuyeka ukubhema akukona nje ukuthuthukisa amazinga okusinda kubantu abaningi abaphila nomdlavuza kodwa ngcono amazinga okusinda jikelele.

Uma uhlala nomdlavuza ngokwakho, kulula ukucabanga ngomdlavuza njengengozi eyinhloko empilweni yakho, kodwa lokho akusilo njalo. Njengoba abantu abaningi basinda futhi baphila ngaphezu komdlavuza, ingozi yezinye izimbangela zokufa iba enkulu.

Ukubhema akukona nje ukuphakamisa ingozi yezinye izimo eziningi (bheka lesi sihloko ngezifo ezibangelwa ukubhema ,) kodwa ukubhema okuhlangene neminye imithi yokwelashwa njengokwelapha imishanguzo kanye ne-chemotherapy kungaba ngaphezu kokungeza.

Kungaba nzima ukuchaza ukuthi inhlanganisela yokubhema nomdlavuza yandisa ingozi yini, ngakho-ke nasi isibonelo sokucabanga. Yisho ukuthi ukubhema kuphazamisa ingozi yesifo senhliziyo, futhi imithi ethize ye-chemotherapy ivuselela ingozi yesifo senhliziyo esifanayo. Ukubhema ngenkathi ku-chemotherapy kungase kube ngaphezu kokungenelela uma kuziwa engozini. Esikhundleni sokungeza u-2 kanye no-2 ukuthola ingozi ephindwe kabili ekhulayo njengoba kubonakala sengathi kuyingozi, ingozi ingaba izikhathi ezingu-14 eziphakeme.

Lokhu kufana nalokhu okuye kwabonwa nomdlavuza kubangela kanye. Ukubili ukubhema kanye nokuchayeka kwe-asbestos kuphakamisa ingozi yomdlavuza wamaphaphu, kodwa ukuhlanganiswa kokubili kwalezi zici kuphakamisa ingozi ephezulu kunokuba kungalindelwa ngokungeza ingozi yokubhema kanye nengozi yokuchayeka kwe-asbestos yedwa.

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Inombolo 3-Ukuyeka Ukunciphisa Ingozi Yezinkinga Zokuhlinzwa

Ukuyeka ukubhema kunganciphisa ingozi yezinkinga kusuka ekuhlinzekeni-izinkinga ezingase zisongela ukuphila, noma okungenani ukunciphisa izinga lempilo kubantu ababazwayo.

Ngisho nangaphambi kokuhlinzwa , ukubhema kuphakamisa ingozi yezinkinga ze-anesthesia jikelele.

Ngesikhathi sokuhlinzwa , ukubhema kwandisa ingozi yokuthuthukisa izinkinga zenhliziyo ezisongela ukuphila noma zokuphefumula.

Ngemuva kokuhlinzwa , ukubhema kubangelwa ukuphulukiswa okulimalayo okulimazayo kanye nethuba elikhulayo lokuthuthukisa isifo. Lokhu akubonanga nje ekufundweni kwemitholampilo kodwa kunengqondo ngokubheka izinto eziphilayo. Kokubili i-nicotine ne-carbon monoxide kubangelwa i-vasoconstriction (ukunciphisa kwemithambo yegazi) okunciphisa ukugeleza kwegazi kuya kwezicubu. Ukuvinjelwa kwegazi okuvinjelwe endaweni yokuhlinzeka bese kusebenza ukuvimbela ukulungiswa kwesilonda sokuhlinzwa.

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Inombolo engu-4-Ukuyeka Izimo Ezihlukumezayo Futhi Ukwenza Ukwelashwa Kwemithi Kusebenza Kakhulu

Kunezizathu eziyisikhombisa zokuthi ukubhema ngesikhathi sokwelashwa kwemisebe kungumqondo omubi .

1. Ukwelashwa kwezidakamizwa akubonakali kuphumelela kubantu ababhema - Ucwaningo lusitshela ukuthi abantu ababhema ngesikhathi sokwelashwa kwemisebe bengenzi kanye nabangabhemi. Isibonelo, abantu abanomdlavuza wekhanda nentamo abathola imishanguzo njengoba ukwelashwa kwabo okuyinhloko kunesilinganiso esiphakeme kakhulu sokusinda kweminyaka emihlanu uma bebhema, futhi lokhu kulahlekelwa okuphumelelayo kuye kwabonakala kubantu abanomdlavuza we-cell wamaphaphu okungewona omncane. Enye yezincazelo ngemuva kwalokhu ukuthi ukuphefumula kwezicubu (igazi eliletha umoya-mpilo kumaseli) kuyadingeka ukuze ukwelashwa kwe-radiation kube nomthelela omkhulu. Uma kukhona ukugeleza kwegazi okungaphansi komdlavuza ngenxa yokubhema (ngenxa ye-vasoconstriction noma amazinga akhuphuka we-carboxyhemoglobin,) amangqamuzana omzimba aphikisana kakhulu nomonakalo obangelwa yimisebe. Okushiwo ngenye indlela, ukubhema kubangelwa ukukhiqizwa kwama-cytotoxic amancane (ukubulawa kwamangqamuzana nokulimaza) ama-radicals mahhala avela emisebeni (ngoba ukukhiqizwa kwamahhala okudinga amahhala kudinga i-oksijeni,) Ukunciphisa ama-radicals mahhala kusho ukulimala okungenani kwe-DNA kumaseli omdlavuza, okusho ukuphulukiswa okuqhubekayo kwamangqamuzana omdlavuza. Asifuni amasosha omdlavuza aphile.

Ukubhema kugxilisa futhi kwandise izinkinga ezibangelwa ukushisa imisebe - imiphumela yokubhema emiphumeleni yocala ekhuphuka evela emisebeni yokufaka imisebe kuhlanganise nezimo ezinjengezilonda zomlomo (ukulahlekelwa ukunambitheka, umlomo owomile, i- pneumonitis emisebeni , ukulahlekelwa kwekhwalithi yezwi, amathambo kanye nokulimala kwezicubu, isisindo ukulahlekelwa, nokukhathala. Ngaphandle kokuqina okukhulu kwalokhu kunzima, baphinde bahlale isikhathi eside kunalokho abakwenzayo kubantu abangabhemi.

3. Ukubhema ngesikhathi sokwelapha imishanguzo kungandisa kakhulu ingozi yokuthuthukisa umdlavuza wesibili oyinhloko - Ukubhema ngesikhathi somdlavuza webele wesifuba ngemuva kokukhula kwe-mastectomy kakhulu kwandisa ingozi yomdlavuza wamaphaphu kwesifundo esisodwa esikhulu. Nakuba ingozi yomdlavuza wamaphaphu kwabesifazane ababhema kuzoba ngamaphesenti angu-6, lokhu kungengozini kwaphakama ngamaphesenti angu-38 kwabesifazane ababhema ngenkathi benomuthi wokwelapha imithi esifubeni somdlavuza webele. Ukutholakala okufanayo kwaqaphela phakathi kwabantu ababhema ngesikhathi sokuthola imishanguzo yesifo sikaHodgkin's. Ukwelashwa kwezidakamizwa kuye kwaba ngcono kakhulu kusukela ngesikhathi lezi zifundo zenziwe (ngasekupheleni kuka-80 no-90) kodwa ukubaluleka kwezifundo kuhlala; ukubhema ngesikhathi yokwelapha imishanguzo kungumqondo omubi.

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Inombolo 5-Ukubhema Kunganciphisa Umphumela We-Chemotherapy futhi Iphakamisa Izinkinga

Njengazokwelapha imishanguzo, ukubhema kungathinta i-chemotherapy ngezindlela ezimbalwa ezahlukene.

Ukubhema kunganciphisa ukusebenza kwe-chemotherapy , futhi kungakwenza ngendlela engaphezu kweyodwa. Ezinye zazo zihlanganisa:

• Ukubhema kungashintsha imithi yamakhemikhali e-chemotherapy, okubangelwa amazinga aphezulu noma aphansi kwezidakamizwa. Lokhu nakho kungabangela amazinga aphansi egazi lomuthi we-chemotherapy (okungase ukunciphise ukusebenza kwawo) noma izinga eliphezulu legazi lomuthi (okungabangela ingozi yemiphumela emibi kanye nezinkinga.) Ngokwesibonelo, abantu abashaya ngenkathi basebenzisa i-chemtosrapy yezidakamizwa iCamptosar (i-irinotecan) inezinga eliphansi lomuthi egazini labo kunabangabhemi.
• Ukubhema kungakhuthaza ukukhula kwamathumba futhi kwandiswe ukumelana namakthemikhali ngenxa yokuphikiswa kwe-nicotine ekufeni kwe-cell ( apoptosis ) ngokuthinta izindlela amaseli axhumane ngazo.

Abantu abaqhubeka bebhema ngesikhathi samakhemikhali ngokuvamile baye benza imiphumela emibi , ngokwesibonelo, ukukhathala okwedlulele, ukulahlekelwa isisindo esikhulu, kanye nengozi yokwelashwa.

Amakhemikhali asebenza ngokuqondile angakhuphula ingozi yezinkinga lapho ehlangene nokubhema . Isibonelo, isigaba semithi ye-chemotherapy ebizwa ngokuthi i-anthracycline ingabangela ukulimala kwenhliziyo kwabanye abantu. Abantu ababhemayo cishe bangakwazi ukuhlakulela umonakalo wenhliziyo njengomphumela wecala wale mithi kunabantu abangabhemi.

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Inombolo 6-Ukubhema Iyanciphisa Umphumela Wezokwelapha Ezibhekiswe

Isandulela esiphuthumayo ekwelapheni umdlavuza bekulokhu kusetshenziswa izindlela zokwelashwa ezihlosiwe-izifo ezihlasela ngqo umdlavuza futhi ngokuvamile ziphethe imiphumela emincane kunezidakamizwa zendabuko.

Kodwa kubonakala sengathi abantu abaqhubeka bebhema bangase babe nemiphumela engaphansi uma belashwa ngezindlela ezibhekiswe kuzo. Ucwaningo olubheke eTarceva (erlotinib) ukwelashwa okuhlosiwe kubantu abanezinhlobo ezithile zomdlavuza we-cell wamaphaphu okungewona amancane, baye baphawula imiphumela embi kubantu abaqhubeka bebhema. Isizathu asicacile ngalesi sikhathi, kodwa omunye umcabango wokuthi ukubhema kubangela inani elinciphile le-Tarceva elikhona egazini legazi, okwenza lingasebenzi kahle.

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Inombolo engu-7-Ukuyeka Ukunciphisa Ingozi Yomdlavuza Wesibili

Izifundo zisitshela ukuthi ukuyeka ukubhema ngesikhathi sokuxilongwa komdlavuza kunciphisa kakhulu ingozi yamagciwane wesibili .

Ngaphambi kokukhuluma ngamagciwane wesibili kusiza ukucacisa izincazelo ezimbalwa. Umdlavuza wesibili oyinhloko awuyona imithanguzo yesisindo noma isakazeka kumdlavuza wokuqala. Esikhundleni salokho kubhekisela kumdlavuza omusha ngokuphelele futhi ohlukile, ongahambisani nomdlavuza wokuqala. (Lokhu kuqhathaniswa nomdlavuza wesibili ongabhekisela kumdlavuza wesibili oyinhloko noma emasimini emdlavuza wokuqala.)

Ukuqhubeka ukubhema kungabheki ingozi yomdlavuza wesibili (njengoba kungalindelwe ngokusekelwe izibalo nokubhema wedwa,) kodwa ukuhlanganiswa kokubhema kanye neminye imithi yokwelapha kungabangela ingozi ephakeme kakhulu kunokuba ngabe umuntu obhema kodwa akazange abe nemithi yokwelashwa.

Ukuqonda lokhu, kungasiza ukuqonda kancane ukuthi umdlavuza uqala kanjani kuqala. Iningi le-khansa libhekwa njengelithi "i-multifactorial" ngesizathu, okusho ukuthi izinto eziningi zisebenza ndawonye ukuze zibangele noma zivimbele umdlavuza. Enye yemiphumela emibi yokwelashwa komdlavuza efana nokwelapha imishanguzo kanye ne-chemotherapy ukuthi lezi zonyango ngokwayo zingandisa ingozi yomdlavuza wesikhathi esizayo. Ukwengeza lezi zengozi engozini eyenziwa ukubhema kungaba njengepheloli eliyisitshalo elithululiwe emlilweni.

Izibonelo ezimbalwa zingenza lokhu kube lula ukuyiqonda. Kutholakale ukuthi abantu abanomdlavuza wekhanda nentamo abaqhubeka bebhema ngemuva kokuxilongwa futhi ngenkathi belashwa, banengozi yokuthuthukisa umdlavuza wesibili izikhathi eziyisihlanu eziphakeme kunalokho okusekelwe ekubhemeni yedwa. Kubantu ababhema ngesikhathi sokwelashwa kwesifo sikaHodgkin, ingozi yayiyizikhathi ezingaphezu kuka-20 ngaphezu kwengozi esekelwe ekubhemeni yedwa esifundweni esisodwa.

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Inombolo 8-Ukuyeka Ukubhema Kuthuthukisa Ikhwalithi Yokuphila

Ukubhema ngemuva kokuxilongwa komdlavuza kuye kwaboniswa ukunciphisa izinga lokuphila ngezindlela eziningana. Ezinye zazo zihlanganisa:

• Amandla / ukukhathala - Ukubhema okuqhubekayo ngemva kokuxilongwa komdlavuza kubonakala kukwandisa uphawu olucasulayo lomkhuhlane wokukhathala , nokunciphisa amazinga kagesi.
• Ukuphefumula - Izinkinga ezinzima njengokuphefumula, ukukhwehlela, ukukhwehlela nokudabuka kubi kakhulu kubantu abaqhubeka bebhema.
• Ubuhlungu - Ukubhema ngemuva kokuxilongwa komdlavuza kuxhumene nobuhlungu obukhulu. Abantu abaqhubeka bebhema batholakale babe nobunzima obukhulu kanye nokukhubazeka okukhulu ekusebenzeni ngenxa yobuhlungu.
• Isimo somsebenzi - Isimo sokusebenza , isilinganiso somkhono womuntu wokuqhuba imisebenzi yansuku zonke, sinciphisa inani labantu abaqhubeka bebhema ngemva komdlavuza.

Ngaphezu kokuhlola ukuhlola lezi zici zekhwalithi yokuphila, kunezizathu eziningi ezicacile zokuyeka. Hlola imicabango yomuntu oyedwa kulesi sihloko ngezizathu ezingu-7 engangikuthanda ukubhema nezizathu ezingu-50 engizizondayo.

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Inombolo 9-Ukuyeka Ukunciphisa Ingozi Yomndeni Nabangane

Ukuyeka ukubhema ngokuqinisekile kuthuthukisa impilo yakho ngomdlavuza, kodwa kungase kuthuthukise impilo yabathandekayo bakho. Iningi labantu litshelwe ukuthi kudingeka bakhethe ukuziyeka, kodwa ukucabanga ngomthelela wokuyeka kwakho emndenini wakho awukwazi ukulimaza.

Ukubhema kwentuthuko kubhekene nezinkinga eziningi futhi kulinganiselwa ukuthi kubangele ukushona komdlavuza wamaphaphu wamaphesenti angu-3 ngonyaka.

Ngivame ukuzwa abantu ababhema ngokushesha baphendula ukuthi ngeke bashunqe abathandekayo babo. Futhi lokhu kuyanconywa. Kukhona izimbobo ezimbalwa ezimpikiswaneni, noma kunjalo, njengoba ukubhema komsizi wesibhamu akuyona ukuphela kokukhathazeka. Sisaqala ukufunda ngomthelela wocingo lomuntu oyedwa , izinhlayiya kanye nama-gas asele phezu kwezembatho nezinye izindawo emva kokuba ugwayi uqedwe. Kusheshe kakhulu ukwazi ukuthi umthelela walesi sabelo kubangaphandle ababhemayo, kodwa kucatshangwa ukuthi izingane zisengozini enkulu kunabantu abadala.

Okungase kungabi nakusobala ukuthi ingqondo engathinta ukubhema ngemuva komdlavuza ingaba nomndeni wakho. Akukhona nje ukulahlekelwa isikhathi nomuntu othandekayo (ngenxa yokuya endaweni ethile kude nomndeni ukuyobhema.) Nginomngane oyedwa ongakhulumeli ubaba wakhe ngokungayeki ngemuva kokuthola ukuthi unomdlavuza. Uhlala emthukuthele ngokuqhubeka nokubhema, futhi mhlawumbe anciphisa ukuphila kwakhe ngenxa yalesi sizathu. Esikhundleni sokunciphisa isikhathi, uyakhunjuzwa eholidini ngalinye ukuthi kungenzeka ukuthi izingane zakhe zazibe nomkhulu wakhe ayezikhethele ukuyeka. Ngokuqinisekile lo mngane unenkinga yokubhekana nayo - okungukuthi, kudingeka afunde ukuyeka ukuthethelela! Kodwa kuyisikhumbuzo esibalulekile sokuthi ukubhema kungathinta labo abaseduze nomuntu ophuza ngezindlela ezingahle zenzeke ngokomzimba.

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Inombolo 10-Ukuyeka Ukugcina Imali Engasetshenziselwa Ukwelashwa Kwemdlavuza

Ukuyeka ukubhema kungasiza ekwelapheni komdlavuza ngenye indlela: Igcina imali! Imali engasetshenziselwa ukwelashwa kwemithi yomdlavuza, noma okungcono okwamanje, ukugubha impilo onayo namhlanje.

Uma ubhema ipakethe ngosuku, lokho kuhumusha cishe ku-$ 5,000 ngonyaka. Uma ufaka ku-gesi ukuze ufike esitolo, kungadingekile ukuthenga okwenziwe esitolo, kanye nesikhathi ongase usebenzise ngayo enye into - ngisho nokusebenza - leyo nombolo iphezulu kakhulu. Qala ukwengeza ngezinye izindleko ezimbalwa (cabanga: izikweletu zamazinyo ezivela ezinkingeni zamazinyo ezihlobene nokubhema) futhi inombolo iya phezulu nakakhulu. Ngokusho kwe-CDC, izindleko zomnotho eziphelele zokubhema e-United States zingaphezu kuka-300 billion ngonyaka.

I-Cancer iyabiza ezinhlangothini zombili. Izindleko zokunakekelwa kwezokwelapha ziphakeme kunokuba ngaphambi komdlavuza, kuyilapho inzuzo ngokuvamile iphansi. E-United States manje, cishe amaphesenti angama-60 ekuqothulwa komuntu siqu ngenxa yezindleko zezokwelapha, eziningi zazo ziwumdlavuza.

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Isikweletu Esengeziwe-Ukuyeka Ukushiya Ifa

Wake wafunda ukuthi " Ukubulala I-Mockingbird" nguHarper Lee? Ngifunde ngokuzwakalayo kubantwana bami ngabanye, futhi umlingisi owodwa wayehlale ekhuluma ngokuxoxa ngomlilo. UNkk Henry Lafayette Dubose. UNkk. Dubose wayengumuntu wesifazane omdala onesizotha, onomuntu onomuntu ongenamuntu omncane othuthukiswa ngokwengeziwe nesifiso sakhe sokuhoxisa ekufakeni i-morphine ekupheleni kokuphila. Ubuningi bakhe bubangela umbuzo othi: "Kungani umuntu engena into engahlaziyi kahle lapho ezofa maduzane?"

Ngiyaqiniseka ukuthi kunezincazelo eziningi zokuziphatha kwakhe nemiphumela yayo, kodwa kubonakala sengathi uNksz Dubose omdala wafeza izinto ezimbili ekufuneni kwakhe. Omunye kwakufanele azibonakalise ukuthi angenza into enzima kakhulu ngaphambi kokufa, kodwa enye yayisinde isikhathi eside. Wabonisa abanye (bacabange iScout) ukuthi kunzima ukufinyeleleka ngempela, futhi kaningi sinamandla kunalokho esikukholelwa ukuthi sinakho. Ukubona ukuthi amandla kwabanye kubashukumisela ukuba sithole amandla kithi.

Cishe mhlawumbe indlela ende yokusho ukuthi noma ngabe izizathu eziyishumi ezidlule zokuyeka ukubhema nomdlavuza akwanele, kukhona okunye. Ithuba lokuzibonela amandla akho ngesikhathi sakho sokuphila, nethuba lokudlulisela ukuhlakanipha kubangane bakho nomndeni wakho ukuthi sinamandla ngaphezu kwalokho esikukholelwayo.

Uma ungakashiyi, zifanele njengomuntu oshisayo. Ungabe uzwa imicabango yakho siqu? "Ngikwenzile!" Ungabe uzwa imicabango yendodakazi yakho? "Ngiziqhenya kakhulu ngobaba. Nakuba ayekwazi ukuthi ngeke kube nomthelela omkhulu (njengoba kuphawuliwe ngenhla, kungenzeka) wasitshengisa ukuthi wayenamandla kangakanani ukukhahlela lo mkhuba." Ungabeki lapho. "Ukukwazi ukuthi ubaba wami unamandla kangakanani kungisiza ukuba ngazi ukuthi nami ngingaqina. Uma engakwazi ukuyeka ukubhema naphezu kokubhekene nomdlavuza, ngicabanga ukuthi ngingakwazi ukubhekana no-____ (faka okungenalutho.)"

Mhlawumbe lesi sibonelo sokucabanga asiyona into engalungile, kodwa akuyona yonke into eqanjiwe. Ngingumntombazane oziqhenya ngubaba ongakwazi ukukhahlela lo mkhuba ngemuva kokuthola ukuthi unomdlavuza yini futhi uthole amandla akhe kulowo mlando.

Ufuna ukuthi ilifa lakho libe yiphi?

(PS) Angikwazi ukuyeka ukubhala ngaphambi kokwenza into eyodwa icacile. Uthando lomndeni kufanele lube ngokungenamthetho. Ngingathanda ukuthanda ubaba kancane kancane uma ekhethile ukuqhubeka ebhema. Kodwa kunezikhathi, ngokuvamile ezicashile futhi ezingajwayelekile, lapho intaba empilweni yami ibukeka nje kulula ukulinganisa inikezwe isibonelo sikababa.)

Ulungele ukuyeka? Ibhokisi lamathuluzi wokuyeka ukubhema linikeza ulwazi, izinsiza, nesisusa ukukusiza ukuthi uqale namuhla.

_Imithombo:

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_{U-Peppone, uL. et al. Umphumela wokubhema ugwayi emifuleni ehlobene nemithi yokwelashwa. Oncologist . 2011. 16 (12) 1784-92.}

_{Rades, D. et al. Umphumela Wokubhema Ngesikhathi Sama-Radiotherapy, Ukungakwazi Ukuphefumula, namazinga E-Hemoglobin on Impumelelo Kwabagulayo Irradiated for Non-Small-Cell Cell Lung Cancer. I-International Journal of Radiation Oncology, Biology and Physics . 2008. Feb 5 (Epub ngaphambi kwesikhathi.)}

_{Waller, L., Miller, A., noW. Petty. Ukusebenzisa i-erlotinib ukuphatha iziguli nge-non-encane yomdlavuza wesifo samaphaphu oqhubekayo ukubhema. I-Cancer Lung . 2010. 67 (1): 12-6.}

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