Kwenzekani uma i-leukemia noma i-lymphoma ibuya - uma uphinda uphinda. Kuzizwa sengathi ubuhlungu obunayo buye bugcwaliseka. Ngakho kuthiwani manje?
I-Cancer Recurrence
Ukuphindaphinda lapho umdlavuza ubuya ngemuva kwesikhathi sokuxolelwa . Endabeni ye-cancer engelapheki, njenge- lemonemia engapheli , ukuphindaphinda kungalindelwa njengengxenye yomjikelezo wesifo.
Kwezinye izimo, ukuphindaphinda kungahle kungalindelekile, ikakhulukazi uma ukukhululwa kuqhubeka isikhathi esiningi.
Ukuphindaphinda komdlavuza kwenzeka uma ukwelashwa kokuqala kwesifo akubulalanga wonke amangqamuzana omdlavuza. I-chemotherapy noma imishanguzo ye-radiation oyithole yakwazi ukubulala amangqamuzana omdlavuza okwanele ukuze lesi sifo singatholakali. Kodwa-ke, uma amaseli ambalwa ashiywa ngemuva futhi asinda, angakwazi ukukhula nokukhula ngokuhamba kwesikhathi, okuholela ekuphindeni kabusha.
Ukuthi umdlavuza wakho ubuyile akusho ukuthi awutholanga ukwelashwa okulungile okokuqala ngqa. Kungase kube nokuningi okuphathelene nezici zomdlavuza ngokwayo. Njengoba sifunda kabanzi ngalokho okwenza ukuba i-lymphoma ne-leukemia zenzeke okokuqala, ngokuqinisekile sizofunda okwengeziwe ngalokho okwenza kubuyele. Kunemibono eminingi , isibonelo, ingabe kukhona amangqamuzana amancane avumela ukuthi amangqamuzana omdlavuza ahlale elele?
Ngalesi sikhathi, noma kunjalo, asikwazi nje.
Yiziphi Amathuba I-Cancer Eyobuya?
Lo ngumbuzo obunzima ukuwuphendula. Ingozi ukuthi umdlavuza wakho uzobuyela emuva kuncike kunhlobo lomdlavuza onayo, i- genetics yesifo, kanye nohlobo lomuthi owawuphethe. Ngisho nazo zonke idatha yezibalo, odokotela abakwazi ngempela ukuqiniseka ukuthi umdlavuza wakho uphelelwe ngokuphelele, ungalokothi ubonwe futhi.
Ingabe Ukubuyela Kwemdlavuza Kungavinjelwa?
Lapho abantu bezwa ukuthi umdlavuza wabo ubuye waphinda, bavame ukuzibuza noma bakhathazeke ngokuthi okuthile abakwenzile, noma abazange bakwenze, kwenze ukuthi kwenzeke. Bangase bazibeke icala ngokwabo ngokuphindaphindiwe. Qinisekisa ukuthi akukho lutho ongakwenza ukuze lokhu kungenzeki.
Ngisho noma ulandela yonke imiyalelo kadokotela wakho encwadini, futhi ugcine ukukhetha okunempilo yokuphila, umdlavuza usakwazi ukubuyela.
Ukwelashwa kokuphindaphindiwe
Izinketho zokwelashwa ezitholakalayo zokwelapha ukuphindaphinda kwe-lymphoma noma i-leukemia zithembele ekuhleleni ukuthi ufuna ukuphathwa kanjani. Ungase ufune ukuqala ngokushesha futhi uphathe ukuphindaphindiwe ngokucindezelayo. Noma ungase ungazimisele ukuphishekela ukwelashwa futhi. Lezi zikhethelo zomuntu siqu.
Uma ukhetha ukwelashwa okuqhubekayo, cishe uzothola ukwelashwa okungafani nalokho okwenzile esikhathini esidlule. Inhlanganisela ehlukene yemithi noma izinqubo zokwelashwa ezintsha zokwelashwa zingase zikhethwe.
Ukukhetha ukungatholi ukwelashwa okuqhubekayo kungase kube isinqumo esinzima sokwenza - kokubili wena nabantu abakuthandayo. Kodwa-ke, ukhetha ukungaphathi umdlavuza akusho ukuthi ngeke usakwazi ukunakekelwa, nje ukuthi imigomo nokugxila kokunakekelwa kuyoba okuhlukile.
Ukunakekelwa kwe-palliative kugxile ekusizeni izimpawu nokugcina izinga lokuphila.
Kunezici eziningana okufanele uzicabangele uma unquma ukuthi noma ungaqhubeka yini nokwelashwa okusebenzayo komdlavuza wakho. Uhambisane nalokhu ngaphambili, ngakho-ke wazi okuningi mayelana nalokho ukwelashwa okubandakanya kulokhu okuzungezile. Lokho kungase kube yinzuzo noma insalela!
Khumbula ukuthi ulwazi lwethu ngegazi kanye nomdlavuza wamarrow kanye nokwelapha kwakhe kuqhubeka njalo kukhula. Izindlela zokwelapha ezintsha nezindlela zokulawula imiphumela emibi kanye nezinkinga kungenzeka ukuthi zakhiwe kusukela lapho uphathwa khona okokuqala.
Lokhu kuyiqiniso kunanini ngaphambili, futhi ngaphambi kokwenza isinqumo ungase ufise ukuba nengxoxo enhle ne-oncologist yakho mayelana nokuhlolwa kwemitholampilo okuqhubekayo.
Imibuzo Yokubuza Ithimba Lakho LezeMpilo
Ukufunda ukuthi umdlavuza wakho ubuyile kungabonakalisa futhi kuyamangalisa. Lapho uzwa lezo zindaba, imizwa yenza kube nzima ukuzwa ezinye izindaba emva kwalo! Kungasiza ekudaleni uhlu lwemibuzo yokubuza ithimba lakho lokunakekelwa ngempilo mayelana nokuphindaphinda komdlavuza ukuze ubheke kuzo ekuqokweni kwakho okulandelayo. Izinto ongazicabangela ukubuza zihlanganisa:
- Yini ongakhetha ngayo yokwelapha?
- Yini engingayilindela kulokho ukwelashwa ngokwemiphumela emibi kanye nekhwalithi yokuphila?
- Ngidinga yini ukungeniswa esibhedlela kulokhu kukwelashwa?
- Kuzoze kube nini lokhu ukwelashwa kuqhubeka?
- Lo mkhiqizo uqhathanisa kanjani nalokho engikutholile esikhathini esidlule?
- Ingabe le ndlela yokwelapha ingaphumelela kimi?
- Kuthiwani uma kungasebenzi kimi?
- Iyini isincomo sakho sokwelashwa?
- Ingabe ukuhlolwa kokwelashwa kuyindlela engikhetha yona?
- Kwenzekani uma ngikhetha ukungaphathwa kahle?
Khumbula ukuthi kungakhathaliseki ukuthi udokotela wakho uyancoma yini, lokho kungukuthi - isincoma. Isinqumo esiphezulu mayelana nokuthi yiluphi uhlobo lwezokwelapha ozikhethayo, noma cha, oluthola kuwe. Uma ungathanda umbono ohlukile ngesimo sakho esithile, ungakhetha ukucela umbono wesibili . Kubalulekile ukuqaphela ukuthi ungase uzwe imibono eminingi evela kubathandekayo bakho. Lokhu kungaba nzima kakhulu uma izifiso zabo zihluke ngokwakho. Ngisho nje ukuthi, "Ngikholelwa ukuthi lokho okushoyo ukuthi kuyona engcono kakhulu kuwe, kodwa ngithanda uku ..." ngethemba lokuthi uzobazisa ngomusa ukuthi uhlonipha umbono wabo, kodwa kufanele ube yiqiniso kuwe.
Iyifinyelela phezulu
Ukuphindaphindiwe komdlavuza kungabuyisa yonke imizwa yakho lapho uthola ukuthi une-leukemia noma i-lymphoma. Ungase uzizwe njengethimba lakho lokunakekelwa kwezempilo, umzimba wakho, ngisho nomoya wakho ukuvulekele. Ungase uzizwe sengathi izinto azikho ngaphansi kokulawula kwakho - emva kwakho konke, wenza konke okulungile futhi kusabuya!
Iqiniso liwukuthi, nakuba kungenakwenzeka ukulawula noma ngabe umdlavuza ubuya noma cha, kusemandleni akho ukunquma ukuthi uzoyiphatha kanjani.
Ngalesi sikhathi, kubalulekile ukuthi uyazi zonke izinketho zakho futhi ulinganise izingozi nezinzuzo ngamunye. Gcina imigqa yokuxhumana evulekile neqembu lakho lokunakekela impilo, kanye nomndeni wakho, ukuze umuntu ngamunye aqonde imigomo yakho nezifiso zekusasa lakho. Ungase uzizwe sengathi awufuni ukubuyela futhi emndenini nabangani , kodwa ukuvumela abanye ukuthi bakusize kubaluleke kunanini ngaphambili ukubhekana nalesi sihambeli esisha nomdlavuza.
Imithombo:
I-American Society of Clinical Oncology. I-Lymphoma-Hodgkin: Izinyathelo. I-Cancer.Net. 10/2015. http://www.cancer.net/cancer-types/lymphoma-hodgkin/stages
Canellos, G., noP. Mauch. Ukwelashwa kokuphindaphindiwe kwe-Hodgkin lymphoma ye-classic ngemuva kwe-chemotherapy yokuqala. Kusesikhathini. Kubuyekezwe ngo-10/06/15. http://www.uptodate.com/contents/treatment-of-relapse-of-classical-hodgkin-lymphoma-after-initial-chemotherapy
UKelvin, J., Tyson, L. (2005) Imibuzo nezimpendulo Ngezimpawu zeCanscer and Treatment Side Effects. UJones noBartlett: Sudbury, MA.
Larouche, J., Berger, F., Chassagne-Clement, C. et al. I-Lymphoma Recurrence 5 Years noma Later Elandela Ukunciphisa I-B-Cell Lymphoma Enkulu: Izimpawu Zemitholampilo kanye Nemiphumela. I-Journal ye-Clinical Oncology . 2010. 28 (12): 2094-21--.
I-National Cancer Institute. Ukwelashwa kwe-Non-Hodgkin ye-Adult Adult - yezokwelapha (PDQ). Kubuyekezwe 01/15/16. http://www.cancer.gov/types/lymphoma/hp/adult-nhl-treatment-pdq
I-National Institute of Health. Ukujikeleza i-DNA ye-tumor egazini kungabikezela ukuphindaphinda uhlobo oluvame kakhulu lwe-lymphoma. 04/02/15. http://www.nih.gov/news-events/news-releases/circulating-tumor-dna-blood-can-predict-recurrence-most-common-type-lymphoma
Stern, T., Sekeres, M. (2004) Ukubhekana neCanscer. McGraw-Hill: eNew York.