Yini Ongayenza Uma Usuphelelwe Ukwelashwa Kwebele?
Ungabhekana kanjani nokukhathala okuhambisana nokwelapha umdlavuza webele futhi kuqhubeke emva kwalokho?
Sibutsetelo
Ukhathala ngokuvamile kuyinkinga kubantu abanomdlavuza wesifuba, ukwelashwa ngesikhathi nangemva. Ukukhathala okuhlobene nomdlavuza kungaphezu nje kokukhathala; kuyisimo esibucayi sokukhathala nokubuthakathaka, futhi sihlala ngisho nokulingana okufanelekile kokulala.
Uma ubhekene nokukhathala okunjalo, khumbula ukuthi awunabo owodwa nokuthi kuyisici esivumelekile (nesifanele ngokusemthethweni) somdlavuza. Nakuba kungekho ndlela yokukala ukukhathala ngokuhlolwa kwegazi noma i-X-ray, izimpawu zakho zingokoqobo, futhi ufanelwe ukusekelwa njengoba ubhekene nazo.
Ukuvama
Ukubuyekezwa kuka-2006 kwe- European Journal of Cancer kwathola ukuthi iziguli ezingama-19 kuya ku-38% zomdlavuza zithola "ukukhubaza ukukhathala." Abesifazane abathola i- chemotherapy noma i-chemo kanye nokwelapha imishanguzo cishe banokuzwa ukukhathala kunelabo abathola imisebe kuphela .
Ucwaningo lubuye lubonise ukuthi kungenzeka ukuthi ukhathele okunjalo uma uneminye imibandela, kuhlanganise nobuhlungu obungalawuleki, ukucindezeleka , ukukhathazeka, izinkinga zokulala noma i-anemia.
Izimbangela
Abacwaningi abazange babone zonke izici ezihilelekile ekukhatheni okuhlobene nomdlavuza. Kokubili lesi sifo ngokwazo kanye nemiphumela emibi yokwelapha kubonakala sengathi idlala indima.
Amaseli e-Cancer angabangela ukukhathala nge-leaching izakhi ezisuka ohlelweni lwakho, ukushintsha amazinga akho e-hormone nokukhiqiza izinto ezibizwa ngokuthi "ama-cytokines" abangela ukukhathala.
Izinhlobo ezihlukahlukene zokwelapha-chemo, imisebe kanye nokwelashwa kwezinto eziphilayo-kanye nemiphumela yokuhlinzeka konke kufaka isandla ekhatheni. Kanti futhi, ukwelashwa okudambisa isifiso sakho, ukukhiqiza isicanucanu noma ukuhlanza noma ukubangela umlomo omncane noma umphimbo kungenza kube nzima ukuthola ukondla okwanele.
Ngisho nemithi esetshenziselwa ukubhekana nemiphumela emibi yokwelashwa (isibonelo, ubuhlungu kanye nemithi yokulwa nesisulu) ingabangela ukukhathala.
Okokugcina, ukucindezeleka ngokomzwelo komdlavuza kanye nokuphathwa kwayo kungadala futhi kungaholela ekucindezelekeni, kwenezela ekukhatheni kwakho.
Ukuvama nokudlula
Ukwazi ukuthi kungenzeka nini lapho uzwa ukukhathala okuhlobene nomdlavuza kungakusiza ukuthi uhlele phambili ukuze uthole ukwesekwa okwengeziwe uma kudingeka. Ukukhathala kungathatha nganoma isiphi isikhathi, kodwa abacwaningi baye baqaphela izikhathi ezithile lapho kubonakala sengathi kungenzeka kakhulu:
- I-Chemotherapy:
- Ungase ukwanda okweqile kwezimpawu ngaphakathi kwamahora angu-48 kuya kwangu-72 e-chemo, ehlala cishe amasonto amathathu.
- Ngaphezu kwalokho, ngezinye izikhathi i-spike yesibili ekukhathaleni ezinsukwini ezingu-10 kuya kwezingu-14 zezinhlelo ezithile ze-chemotherapy.
- Umswakama:
- Imisakazo ivame ukukhuphula kancane kancane amazinga okukhathala emavikini angu-4, bese uhlala uqinile futhi kancane kancane ubuyela emazingeni ajwayelekile emva kwamasonto amathathu kuya kwezinyanga ezintathu.
Ukukhathala kuvame ukuphela ngemva kokwelashwa sekuphelile, iziguli ezifika ku-40% zibika ukuthi ukukhathala kusaphazamisa impilo yabo iminyaka emithathu noma ngaphezulu ngemuva kokwelashwa.
Izimpawu
Ucwaningo lubonisa ukuthi abantu abanokukhathala okuhlobene nomdlavuza ngokuvamile babhekana nokukhathala okukhulu-ngisho nokungahambi kahle-emva kwanoma yiluphi uhlobo lokuzikhandla, ubuthakathaka, umuzwa onzima ezandleni nasemilenzeni, isifiso esincane noma ikhono lokwenza imisebenzi edingekayo noma ukuhlanganyela emisebenzini evamile, izinkinga zokugonywa noma ukukhumbula okwesikhashana, isidingo esengeziwe sokulala, ubunzima bokulala (ubuthongo) noma ukuzwa ukuthi ubuthongo alunciphisi ukukhathala noma ukwandisa izinga lamandla kanye nemizwa ehambisanayo yokudabuka, ukukhungatheka noma ukucasula.
Ukuxilongwa
Kunezinye izincazelo ezingase zibe khona zokukhathala kwakho. Udokotela wakho cishe uzokuhlolisisa ubuhlungu, ukucindezeleka ngokomzwelo, izinkinga zokulala, ukuphazamiseka kwegazi, ukungondleki kahle, ukunciphisa umsebenzi wokuzivocavoca kanye nezimo ezikhona, njengokubandakanyeka kwemizwa, izigulane, inhliziyo, amaphaphu, izinso, isibindi noma i-thyroid.
Ukwelapha lezi zimo kungasiza ukubhekana nokukhathala kwakho.
Ukuphathwa
Ngisho nezimpawu ezihlobene nezimo ezingavumelani, ungaqiniseka ukuthi umdlavuza noma i -anemia ehlobene ne-chemo isaphathwa kalula kalula, engathuthukisa ukukhathala kakhulu. Nanka ezinye izenzo ongazithatha ngokungenelela kokungenela kukadokotela wakho:
- Funda ukucela usizo. Lokhu kungaba nzima. Akulula ukucela abanye ukuthi bathathe imisebenzi oye wakwazi ukuyiphatha ngaso sonke isikhathi kodwa ucabange njengesigaba sesikhashana okufanele uhambe ngaso, futhi uma usenqenqemeni, ungaphinda uthathe futhi.
- I-Nap uma ukwazi. Ngisho nezinqwaba zezinhlanzi zingasiza, kodwa uma ulala kakhulu ngosuku olukuvimbela ukuba ungalali ebusuku, khona-ke kungadingeka ulungise uhlelo lwakho lokulala.
- Ukudlulisela imisebenzi yasekhaya ngangokunokwenzeka.
- Buza udokotela wakho ukuthi ukuvivinya umzimba okuphephile kangakanani kuwe. Ukuthola ukuphumula kuyabalulekile, kodwa umsebenzi wokuzivocavoca unemiphumela emihle-ukuthuthukisa isimo sengqondo, ukunikeza umqondo jikelele wenhlalakahle nokuqeda ukukhathala.
- Funda izindlela zokuphumula ukuze unciphise ukucindezeleka-isibonelo, ukuzindla , ama- yoga noma amasu okubuka.
- Uma ukucindezeleka noma ukucindezeleka (noma kokubili) kuphazamisa impilo yakho, ungase uthande ukucabangela ukwelulekwa nomuntu osebenza ngengqondo, ujoyine iqembu lokusekela labesifazane abanomdlavuza webele noma ukukhuluma nomeluleki wenkolo.
- Gcina uphuzo lwakho:
- Xhumana nomsoco wezondlo.
- Qiniseka ukuthi izinga lakho lekhalori lansuku zonke lanele. (Ukuze ulondoloze isisindo samanje, ukulawula kwesithupha kungama-khalori angu-15 ngosuku ngosuku lwesisindo sesisindo).
- Thola amaprotheni anele. (Isidingo sakho sansuku zonke cishe siningana nesisindo somzimba wakho izikhathi ezingu-0.5 kuya ku-0.6 zamaprotheni ngosuku).
- Ungapheli amandla. Kufanele uphuze ama-ounces angu-64 ngosuku (ungabalwa iziphuzo ze-caffeinated).
- Yidla izithelo eziningi, imifino kanye nohlamvu oluphelele .
Imithombo:
I-American Society of Clinical Oncology. I-Cancer.Net. Ukukhathala. Kubuyekezwe i-04/2014.
Bardwell WA "Umdlavuza Webele Nekhathala Imitholampilo Yezokwela Ukulala ngoMashi 2008; 3 (1): 61-71. (Ukubhalisa)
Ukuhlekisa V. "Ukukhathala." I-Oncology Clinic, Eyesithathu. I-Philadelphia: Elsevier, 2004. 835-843.
UPrue G., Rankin J., Allen J., et al. "Ukukhathala Okuhlobene Nomdlavuza: Ukuhlolwa Okubalulekile. I- European Journal of Cancer . 2006: 42 (7): 846-863. (Ukubhalisa)