Ukwelashwa kwe-Second-line ukwelashwa kwesifo noma isimo ngemuva kokwelashwa kokuqala ( ukwelashwa kwelayini lokuqala ) kwehlulekile.
Izizathu Zokwelashwa Kwesibili Kungase Kunconywe
Ukwelashwa komugqa wesibili kungasetshenziswa ngezizathu ezimbalwa ezihlukene:
- Ukwelashwa kokuqala kwe-line akusebenzi,
- Ukwelashwa kwemigqa yokuqala kusebenza kepha sekuyeke ukusebenza, noma
- Ukwelashwa komugqa wokuqala kunemiphumela emibi engavunyelwe.
Ukubaluleka
Njengoba ukuxoxa ngemithi yokwelashwa kwesibili ngokuvamile kusho ukuthi ukwelashwa kwemigqa yokuqala akuphumelelanga, mhlawumbe uzizwa unomdlavuza womdlavuza ophelele, ofanayo nesikhathi usuqala ukutholakala ngayo. Abanye abantu bathi kubonakala sengathi ukuqala konke-kodwa ngamandla angaphansi manje. Ngokujwayelekile, ukwelashwa kokuqala kwe-line kukhethwe ngoba kunenzuzo enkulu kunazo zonke kanye / noma nemiphumela emibi kakhulu. Kodwa bonke abantu bahluke futhi baphendula ngezindlela ezehlukene zokwelapha ezahlukene.
Imithi yokwelapha yesibili iyatholakala kuma-cancer amaningi, kodwa amathuba okukhetha okuphumelelayo angahluka nohlobo nesigaba somdlavuza wakho. Ngokuvamile, ithuba lomphumela omuhle ukwelashwa kwemigqa yesibili ngokuvamile liphansi-futhi isizathu sokuthi wena kanye ne-oncologist yakho uqale ukwelashwa kwakho ngomuthi wokuqala. Noma kunjalo, ukuthuthuka kuyaqhubeka njalo emithi, kanti iningi lamagama amabili, futhi ngisho nemigqa yesithathu kanye nemithi yokwelapha engu-4 iyathuthuka.
Option of Trials Clinical
Njengoba noma yikuphi imithi emisha noma ukwelashwa kuqala ekuhlolweni kokuhlolwa kwemithi, abantu abaningi bangase babe nesithakazelo ekufundeni mayelana nokuhlolwa kwemitholampilo uma ukwelashwa komugqa wokuqala kwehlulekile (noma ngisho nangaphambili.) Ezinye izilingo zomtholampilo zidinga ukuthi abantu abanakho ukwelashwa kwangaphambilini, kanti abanye zenzelwe abantu abaye banemiphumela enganele ngemithi yangaphambilini.
Funda ngezigaba ezihlukene zokuhlolwa kwemitholampilo, izingozi ezingenzeka, nezinzuzo, nokuthi ungathola kanjani izilingo ezihambisana nezimo zakho ezithile .
Imibuzo Yokubuza
Njengoba ukuhluleka kokwelashwa kokuqala kungakusiza uzizwe ukhululekile futhi ukhathazekile, unolwazi lwemibuzo yokubuza udokotela wakho (kanye nomngane ozohambela nawe) kungasiza kakhulu.
- Ukuphumelela kangakanani ukwelashwa kwemigqa yesibili, futhi kuqhathaniswa kanjani nokwelashwa owawunakho ngaphambili?
- Ziyini imiphumela emibi yokwelapha?
- Yiziphi ezinye izinketho ezitholakalayo ekwelapheni kwemigqa yesibili?
- Ingabe kungenza umehluko ukulinda ngaphambi kokuqala ukwelashwa okusha?
- Yikuphi okukhethwa kukho okubekwe ngaphesheya kokunakekelwa kwemigqa yesibili-umugqa we-3 kanye nokwelashwa kwe-line 4?
- Zikhona yini izivivinyo zemitholampilo ezizofanele uhlobo lwakho oluthile nesigaba somdlavuza?
- Kuyini ukuphawula kwakho uma uthola ukwelashwa kwemigqa yesibili?
> Umthombo:
> Society of American of Clinical Oncology. Lapho Ukwelashwa Okokuqala Kungasebenzi. 6/2013.