Ukwenza Izinqumo Nokubhekana NeSigaba 4 Cancer Colon
Ungabhekana kanjani nokuphumelela kangcono uma ufunda ukuthi unesifo somdlavuza we-colon 4? Iziphi izinqumo ozodinga ukwenza futhi yini oyidingayo yokwenza izinqumo ezifanele wena ngokwakho? Ake sibheke ukuthi kunomdlavuza wekoloni wesigaba 4, kusho ukuthi abantu bahlala isikhathi esingakanani ngalesi sifo, nokuthi yini okudingeka ukwazi ukuthi wenze izinqumo ezingcono kakhulu kule nkathi eyesabekayo neyinkimbinkimbi.
Iyini igciwane lesifo se-Colage 4?
Umdlavuza we-colon wesi-4 yisigaba esiphezulu kakhulu sesifo futhi singase sibhekwe njengomdlavuza we- colon metastatic . Ngaphambi kokusho noma yini enye kudingeka sidalule ukuthi akuzona zonke izigaba ze-cancer zamakholoni ezine ezifanayo. Ngencazelo, isigaba 4 se-colon kancers yilabo abaye bahamba ngaphesheya kwekoloni ( okusetshenziselwa imithi ,) kodwa kunezifunda eziningana ezihlukene lapho lokhu kwenzeka khona. Ngenxa yalesi sizathu, izibalo ngokuphathelene nokusinda zingadukisa. Wonke umdlavuza wekoloni uhlukile, futhi umzimba womuntu ngamunye, kuhlanganise nezinye izimo zezokwelapha kanye nempilo ejwayelekile, kuhlukile.
Ukwenza Izinqumo Ezibalulekile Ngesigaba Sakho
Ngeshwa, kubantu abaningi, umdlavuza wesigaba se-colon 4 awubhekwa njengokuphulukiswa. Kodwa-ke, cishe cishe njalo ingaphathwa. Abantu bangaphila izinyanga eziningi ngisho neminyaka ngesifo somdlavuza we-colon 4. Umuntu uhlala isikhathi esingakanani ngemuva kokuba ukuxilongwa kuxhomeke ezintweni eziningi, kuhlanganise nendlela amangqamuzana omdlavuza wekoloni aziphatha ngayo, lapho umdlavuza wekoloni usakazeke khona, nokuthi umuntu uphendula kanjani ezitholakalayo zokwelapha.
Indawo evamile kunazo zonke umdlavuza wekoloni isakazeka yi-isibindi (metastases yesibindi) kodwa ingahle isakaze emaphashini, ebuchosheni, nase-peritoneum, izibungu ezizungeze isigxobo sesisu, kanye nezinye izindawo.
Ngesikhathi senza izinqumo kubalulekile ukuqaphela ukuthi kuye kwaba nendlela entsha yokwelapha umdlavuza wekoloni eminyakeni yamuva.
Esikhathini esedlule, isigaba se-4 colon cancer yabuye yaphathwa ngendlela efanayo. Ukwelashwa kwakuqondiswa umdlavuza ngokuvamile, kungakhathaliseki ukuthi umdlavuza usakaze kuphi. Lokhu, ngokubonga, kushintshile. Manje, uma umuntu enezindawo ezimbalwa noma ezincane zezidakamizwa, tshela esibindi, ukwelashwa kwamathambo kungacatshangwa. Ngolwazi lwezokwelapha, i-metastase eyodwa noma embalwa kuphela ebizwa ngokuthi "i-oligometastatic" negama elithi "oligo" elisho ezimbalwa.
Kulabo abanomdlavuza wekoloni we-metastatic ne-metastases ezimbalwa kuphela esibindi noma amaphaphu, ukususa ama-metastases kungase kube nomphumela wokuphila isikhathi eside. Kodwa-ke, kubantu abaningi, lezi zindlela zokwelapha azikwazi, futhi ukugxila kokwelashwa kuyazama ukulawula umdlavuza ukwandisa impilo ngenkathi kugcizelela izinga lokuphila.
Ungase ufise ukufunda okwengeziwe mayelana nokwelashwa kwe-metastase yesibindi ehlobene nomdlavuza wekoloni .
Ukwaziswa Okuningi Kangakanani Ngesigaba Sakho?
Phakathi kwezinto zokuqala, uzoxoxa ngeqembu lakho lokunakekelwa kwezempilo ukuthi ulwazi oluningi olufunayo mayelana nokubikezela kwakho. Isibikezelo sibhekisela esimweni esingenzeka saleso sifo nokuthi unesikhathi esingakanani. Abanye abantu bafuna ulwazi oluqondile mayelana nokuthi bangahlala isikhathi esingakanani nomdlavuza wesigaba se-4.
Abanye abantu bakhetha ukungazi le mininingwane.
Ngisho noma ufuna ulwazi oluthe xaxa ngangokunokwenzeka, khumbula ukuthi ukubikezela ukuthi umuntu uzohlala isikhathi eside kangakanani nomdlavuza we-colon 4 ayikho ngqo. Udokotela wakho angakunika isikhathi esithile akulindele ukuthi uzophila. Lokhu kungukuqagela kwakhe okungcono kakhulu, okusekelwe esimweni sakho esithile nasesipiliyoni sakho sezokwelapha. Wonke umuntu uhlukile.
Futhi, khumbula ukuthi izimo zishintsha. Abanye abantu baphila isikhathi eside kunalindelekile. Abanye baphila isikhathi esifushane. Futhi odokotela abathile ngeke babikezele ukuthi umuntu uzohlala isikhathi eside kangakanani nomdlavuza wesigaba se-colon 4 ngoba abamazi nje.
Into ebaluleke kakhulu ukwazi ukuthi ungafunda okuningi noma okuncani njengoba uthanda mayelana nokubikezela kwakho. Lokho ke kuxhomeke kuwena. Qinisekisa ukwenza lokho ofuna ukukwazi (noma ungayifaki) ukucacisa kudokotela.
Yini Umndeni Wakho Okufuna Ukwazi?
Uma wenza isinqumo sakho mayelana nemininingwane, kungaba kubalulekile ukucabanga ngalabo abathandayo futhi bangakusiza ukunakekela. Amalungu omndeni amaningi afuna ulwazi oluphelele mayelana nokuthi umuntu othandekayo angaphila isikhathi eside ngemuva kokuthola ukuthi unesifo somdlavuza wesigaba 4. Amanye amalungu omndeni angathola ukuthi lolu lwazi lusizi kakhulu. Kungenzeka bangathandi ukuyizwa.
Qinisekisa ukuthi udokotela wakho owaziyo emndenini wakho ufuna (noma udinga) ugcwalise ulwazi futhi ungubani. Udokotela wakho angakwazi ngisho nokwenza inothi eshadini lakho echaza imigomo yakho yokwabelana ngolwazi mayelana nokwelapha komdlavuza wakho. Ngale ndlela, wonke umuntu eqembu lezokunakekelwa kwezempilo uzoba ekhasini elifanayo ngesikhathi sokuqokwa.
Ukuthola ukuthi unesifo somdlavuza we-colon 4 kungenza uzizwe ungenakho ukulawula. Ukwazi izinketho zakho mayelana nokwabelana ngolwazi mayelana nomdlavuza wakho, izinqumo zokwelashwa kwakho, nokuphela kwezinqumo zokunakekela impilo kuzokusiza ukuba uqhubeke esikhathini esinzima.
Ungaphila Kude Kangakanani NgeSigaba 4 Cancer Colon?
Izibikezelo mayelana nokusinda ngesifo somdlavuza we-colon 4 isekelwe kwizibalo, futhi abantu abangezona izinombolo.
Ngaphezu kwalokho, izibalo zokusinda zikhona, ngencazelo, njalo iminyaka embalwa ubudala. Isilinganiso sokusinda kweminyaka emihlanu yesifo sizokunika isilinganiso sokuthi umuntu othile angaphila isikhathi esingakanani esitholwe eminyakeni emihlanu edlule. Ngokuthuthukiswa kwamuva kwindlela yokwelashwa komdlavuza, futhi imishanguzo eminingi yomdlavuza omusha, njengezokwelapha ezithintekile kanye nokuzivivinya umzimba ngokucwaninga emitholampilo, kanye nokwelashwa kwe-oligometastatic (isibonelo, umdlavuza we-colon metastases esibindi) lezi zinombolo kulindeleke ukuthi ziguquke. Indlela umuntu owenza ngayo namuhla ngomdlavuza wekoloni angase ahluke kakhulu kunalokho umuntu angase akwenze ngisho neminyaka emihlanu edlule.
Kubalulekile ukuqonda le ndlela yokushintsha imithi yomdlavuza uma wenza izinqumo zakho. Uma ukhuluma nomuntu, mhlawumbe umakhelwane noma elinye ilungu lomndeni, elibhekene nomdlavuza wekoloni esikhathini esidlule, indlela yokwelashwa ingase ihluke kakhulu manje. Lapho abantu bekhuluma ngabanye ababenesifo-okuzokwenzeka ngokuqinisekile-ungase ufune ukubakhumbuza ngomusa ukuthi ukwelashwa kuyashintsha. Ukwelashwa okungcono kuyatholakala kumdlavuza wekoloni kunokuba sasibe neminyaka emibili eyedlule, futhi izinga lokusinda isikhathi eside-ngisho nesigaba sesine sezifo ziyathuthuka.
Isilinganiso samanje sokusinda emdlalweni we-colon 4, ngokwesAmerican Cancer Society ingamaphesenti angu-11. Lokho kusho ukuthi isifundo se-2017 sathola ukuthi labo abanesifo somdlavuza wesiteji sesine lesiteji se-metastases, ababengaboshwa ekuqothulweni kwe-metastase yesibindi ngesikhathi esifanayo nokuhlinzekwa kwekoloni, babenamazinga okusinda eminyaka ama-5 angama-70%. Kukhona abantu abaningi abahlala isikhathi eside, ngisho nezifo mahhala, nomdlavuza wesiteji se-4 kunanini ngaphambili. Uma unomdlavuza wekoloni ene-metastase yesibindi ephiliswayo, kunabantu abaningi, njengomculi wezwe wesentshonalanga u-Wade Hayes, abaphila ubufakazi bokuthi ngezinye izikhathi kuba nesifo somdlavuza we-colon 4.
Isikhungo somdlavuza we-MD Anderson sinomshini wokubala womdlavuza wekoloni ongacabangeli ngesigaba kuphela, kodwa ubudala, ubuhlanga, ubulili, nokuhlukaniswa kwamangqamuzana omdlavuza. Yiqiniso, ngisho nalezi zinguquko, ukusinda kungahluka kakhulu ngokusekelwe kwezinye izimo zezokwelapha ongase ube nazo, ukwelashwa okuqondile owutholayo, kanye nephrofayli ye-molecular of the tumor.
Ngabe Kufanele Uyeke Ukwelashwa Ngesigaba 4 Cancer Colon?
Ngenkathi sinezokwelapha ezingcono kakhulu kunesikhathi esedlule, futhi ngezinye izikhathi singakwazi ukuphatha imithi ye-metastases, siyazi ukuthi abantu abaningi abanomdlavuza we-colon 4 bazofinyelela isikhathi lapho izingozi nemiphumela emibi yokwelapha iphezulu kunezinzuzo.
Ukufika kwemithi emisha kuyinkemba ehlangene kabili. Lezi zindlela zokwelapha ezintsha zingandisa impilo futhi zinikeze izinketho ezingatholakali eminyakeni embalwa edlule. Kodwa-ke, esikhathini esedlule sasivele nje siphumelele ukwelapha, sifike iphuzu lapho ukukhetha ukuyeka ukwelashwa kuvame ukuba yisinqumo esisebenzayo.
Uma ukhona kuleli phuzu ohambweni lwakho, qiniseka ukuthi ubuza imibuzo eminingi, futhi ucabangisise ngokucophelela lezizinto ezingu-9 okufanele uzicabangele ngaphambi kokuyeka ukwelashwa komdlavuza .
Ukubhekana neCaron Cancer Uma Ukwelashwa Kusekho Okuyisikhathi Esiwusizo
Uma unqume ukuyeka ukwelashwa okusebenzayo ngomdlavuza wakho, yisiphi isinyathelo esilandelayo?
Ngenxa yokuthi ukwelashwa okusebenzayo komdlavuza wakho wekoloni kuphelile, akusho ukuthi ngeke ube nemithi yokwelapha. Ukunakekelwa kwamaphilisi emakhanoni ekoloni kunolududuzo kunokwelashwa, kodwa ngezinye izikhathi kungabandakanya ukwelashwa kwama-radiation, chemotherapy, noma ukuhlinzwa. Ukuphathwa kobuhlungu kubaluleke kakhulu, kanye nokwelapha okuhloswe ukunciphisa izimpawu zesisu (njengokuqothulwa noma ukuvimbela isisu,) ukungabi nesifiso sokudla, ukuphazamiseka kwegazi, nokukhathazeka nokucindezeleka okungahambisani nomdlavuza ophuthumayo.
Ungase ufise ukuhlola lezi zeluleko zokubhekana nomdlavuza wokugcina ; amathiphu abanye abakulesi sikhundla babelane ngezinkinga ezivela ekusebenzelaneni ubudlelwane nezindlela zokuthola nokuvuselela ithemba.
Ukwenza isinqumo mayelana ne-Hospice Care
Akekho othanda ukuletha ingxoxo mayelana nokunakekelwa esibhedlela . Iziguli ze-Cancer kanye nemindeni yazo zombili zithemba ukuvikela omunye ngokungazinaki le ngxoxo. Ngisho nodokotela bayenqikaza ukuveza lolu daba. Okubalulekile ukwazi, noma kunjalo, ukuthi ukukhetha ukunakekelwa kwe-hospice akusho ukuthi ushiya. Njengoba kunakekelwa esibhedlela, abantu basaphathwa. Umehluko wukuthi esikhundleni sokugxila ezithombeni ukuhlasela umdlavuza, ukwelashwa esibhedlela kugxila ezithombeni ukulawula izimpawu zomdlavuza, futhi ngethemba lokuthi uthuthukisa izinga lakho lokuphila.
Abantu abaningi bayavuma ukuthi emva kokukhetha ukunakekelwa esibhedlela abafisa ukuthi benze ngaphambili. Ukuze uthole ukunakekelwa esibhedlela, uzodinga inothi evela kudokotela wakho okulinganisela ukuthi unezinyanga eziyisithupha noma ngaphansi ukuhlala. Uma uhlala ngaphesheya kwezinyanga eziyisithupha, lokho kuyamangalisa! Awusoze "uhlawuliswe" ngokukhetha ukunakekelwa kokunakekelwa esibhedlela ngokushesha, futhi ngaleso sikhathi ungakhetha ukuvuselela ukunakekelwa kwakho kokubeletha ezinye izinyanga eziyisithupha uma kudingeka. Ukunakekelwa kwezibhedlela akusho ukuthi ushiya ithemba , kunalokho, ukhetha ithemba lokuphila okungcono kakhulu ezinsukwini oshiye kuzo.
Ngezansi ekubhekaneni nesigaba 4 Cancer Colon
Umdlavuza we-colon wesi-4 uyesabisa, futhi kuze kube yilapho nje usanda kuhlaselwa kakhulu. Sinezokwelapha eziningi ezitholakalayo ngalesi sikhathi, nangokwengeziwe okutholakala ekuvivinyweni kwemitholampilo. Lokhu kuyamangalisa ngezindlela eziningi, kodwa ngokungafani nesikhathi esidlule, abantu kudingeka babe yingxenye ekhuthele kakhulu yeqembu labo lokunakekelwa umdlavuza. Ngaphandle kokwenza izinqumo mayelana nokuthi ungabeka yini ukwelashwa, abantu kufanele bafunde futhi bacabange ukuthi bahlanganyele ekuvivinyweni kwemitholampilo- okunye okuye kwashintsha isimo sengqondo sesigaba 4 somdlavuza wekoloni. Kubalulekile ukufunda konke ongakwenza mayelana nomdlavuza wakho.
Thatha isikhathi sokufunda mayelana nendlela yokucwaninga umdlavuza wakho ku-intanethi . Ukubandakanya emphakathini wokusekela umdlavuza we-colon-kahle, lapho ungakwazi ukuxhumana nabanye abantu ababhekana nomdlavuza wesigaba 4-hhayi kuphela unikeza umthombo wokusekela kodwa kungabalulekile ekufundeni mayelana nocwaningo lwamuva ngalesi sifo. Ngaphambi kokuthi uthathe "thumela" noma kunjalo, thatha izikhathi ezimbalwa ukubuyekeza ukuthi ungasebenzisa kanjani imithombo yezokuphepha ngokuphepha njengesifo somdlavuza . I-oncology iyashintsha ngokushesha kangangokuthi kunzima kunoma yimuphi udokotela-ngisho nomuntu oyisigqila somdlavuza wekoloni-ukungahambisani nazo zonke izindlela zakamuva nezindlela zokwelapha. Abanye abantu abahlala nomdlavuza wesigaba 4, baphila kuphela ngenxa yolwazi abazuza ngokuyingxenye yalomunye wemiphakathi yokusekela.
Futhi yisikhathi lapho udinga khona iqembu kunokuba udokotela oyedwa. Kulabo abanesifo sesigaba sesi-4 nge-oligometastatic, ithimba lakho lingabandakanya udokotela ohlinzayo kanye ne-oncologist yemisebe kanye ne-oncologist yakho yezokwelapha. Ochwepheshe bezinakekelo zokunakekelwa ngeziguli bavame ukubizwa ukuba basize abantu ukuthi babhekane nezinkinga zesifo. Yiqiniso, ilungu elibaluleke kunazo zonke leqembu lakho lokunakekela umdlavuza nguwe.
Uma ukhethe ukuyeka ukwelashwa, lindele ukuthi abantu bahloniphe isinqumo sakho. Lokhu kuzomele kube yisinqumo sakho yedwa, futhi ngeshwa, abantu abaningi bayanconywa abathandekayo ukuba baqhubeke nokwelashwa ngisho nalapho imiphumela emibi ingaphezu kwanoma yiziphi izinzuzo. Lokho kusho, finyelela kubangani bakho nomndeni wakho ukusekela. Akuwona wonke umuntu okhululekile ukuhlala nomuntu onomdlavuza ophakeme, futhi ubuhlobo bakho bungashintsha; abanye abangane abaseduze bahamba phambili, futhi abangane abasha basondela.
Okubaluleke kakhulu, funda indlela yokuba ngummeli wakho ekunakekelweni komdlavuza wakho . Akugcini nje ukunciphisa ukukhathazeka kwakho futhi kukusize uzizwe unikwe amandla ekwenzeni izinqumo zakho, kodwa ngezinye izikhathi kungenza umehluko emiphumeleni.
> Imithombo
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- > National Cancer Institute. I-Colon Cancer Treatment (PDQ) - I-Health Professional Version. Isigaba IV kanye Nokwelashwa Kwelinye Kansa Kanti. Kubuyekezwe 04/21/17. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq#section/_145
- > Nosher, J., Ahmed, I., Patel, A. et al. Imithi engeyona yokusebenza ye-Colorectal Liver Metastases. I-Journal ye-Oncology yamathumbu . 2015. 6 (2): 224-40.