Ukuvakashelwa kanye Nezilinganiso Ukulandela Ukwelashwa Kwemfudu Ye-Lung
Yini okudingeka ukwazi mayelana nokulandelwa emva kokwelapha umdlavuza wamaphaphu? Ngaki kaningi udinga ukuba nokuvakashelwa kwemitholampilo, umsebenzi wegazi, nokuhlola? Yini ezayo ngokulandelayo?
Ukulandelela nokuPhepha
Ukuqonda ukulandelela kuyisici esisodwa salokho okwenziwe manje "ukusinda." Ekugcineni kubonakala ukuthi abantu bashintsha ngenxa yomuthi wokwelapha. Futhi njengoba nje sivusa ukuvuselelwa uma umuntu enesifo noma isondo esikhundleni sakhe, kubalulekile kulabo abaqeda ukwelashwa komdlavuza wamaphaphu ukuqonda izinyathelo ezilandelayo ekuphulukiseni.
Uma usufike kuleli sigaba ohambweni lwakho, cishe umangale ngeminye imizwa yakho. Kungenzeka uzifanele njengomuntu ojabulisayo futhi ugubha umzuzu ukwelashwa sekuphelile, futhi uzibuze ukuthi kungani ungazizwa ngaleyo ndlela emva kwakho konke. Eqinisweni, abantu abaningi abasesimweni sokuthatha isinyathelo - empeleni ukuqhuma okubanzi kulo lonke uhlangothi kusuka ekwelashweni komdlavuza osebenzayo ekulandeleni kanye nokuphila - uzizwa ucindezelekile. Yini manje?
Uhlelo lokuPhepha
Ukulandela emva komdlavuza akuxoxwanga ngaso sonke isikhathi ngenkathi ukwelashwa, noma ngisho nasekupheleni kokwelashwa. Ukunakekelwa komdlavuza kuyashintsha futhi manje kunconywa ukuba wonke umuntu abe nesisindo sokusinda sigcwaliswe. Ukuqondisisa kwalokhu kungase kuguquke kakhulu, kodwa kunezinsiza eziku-intanethi uma ungazazi lezi. Uqala kuphi? I-American Society of Clinical Oncology inikeza uhlelo lokunakekelwa kwe-ASCO lokusindisa ukuthi ungaphrinta.
Sizokwabelana futhi okuningi lapha maduzane.
Ukuqokwa Kwamtholampilo Okulandelwayo
Uma uqeda ukwelashwa udokotela wakho uzokutusa ukuthi ubuyele ngezikhathi ezithile. Lokhu kuzohluka kakhulu kuye ngokuthi uhlobo oluthile lomdlavuza wamaphaphu, kanye nempendulo nemiphumela emibi ngenkathi ukwelashwa. Lezi zincomo zokulandelwa zizohlala zingaphansi kakhudlwana ngesikhathi, kepha iningi labasindile yomdlavuza lizobonakala yi-oncologist yabo, okungenani ngonyaka, impilo yabo yonke.
Inhloso yalezi zivakashi ziyi-3:
Ukuqapha izimpawu zokuphindaphindiwe - Cishe noma ubani oye waba nomdlavuza wamaphaphu ubungozi bokuthi lesi sifo sizobuyela emuva. Udokotela wakho uzokubuza imibuzo (thatha umlando) enze ukuhlola ngokomzimba, futhi mhlawumbe uhlele izivivinyo zamalebhu nezifundo zokucabanga ukuze ubheke noma yikuphi ukubonakaliswa kwemiphumela yomdlavuza wamaphaphu.
Ukuhlola umdlavuza wesibili - Uma usenomdlavuza wamaphaphu usengozini enkulu yokuthuthukisa umdlavuza wesibili wamaphaphu oyinhloko . Ngaphezu kwalokho, ezinye zezokwelapha ngomdlavuza wamaphaphu kubandakanya ukwelashwa kwe-chemotherapy kanye nokwelashwa kwemisebe kungandisa ingozi yokuthuthukisa umdlavuza wesibili ongathintana nofana i-lymphoma (ebizwa ngokuthi i-secondary cancer).
Ukuze uhlole imiphumela ephuthumayo yesikhashana somdlavuza - Imiphumela emibi yokwelashwa ingase ihlale isikhathi eside ngemuva kokwelashwa komdlavuza igcwalisiwe. Ngaphezu kwalokho, ezinye izimo eziphuthumayo aziqali kuze kube yiminyaka, noma ngisho namashumi eminyaka emva kokwelashwa sekuphelile.
Imithi yokondla
Lapho sekuqediwe ukwelashwa, abanye abantu banikezwa imithi yesondlo yokuthatha. Lezi zingase zibe yimithi yokugcina umdlavuza wakho uphelele uma usenayo ubufakazi bomdlavuza noma ukunciphisa ingozi yokuphindaphinda. Kubalulekile ukuthatha lokhu ohlelweni oluvamile futhi ngesikhathi esifanayo nosuku ngalunye.
Ama-Scans okulandelwayo
Uma wazi noma ubani oqedile ukwelashwa komdlavuza, cishe uyazi kahle izilinganiso zokulandela. Lokhu kubangela ukukhathazeka okwanele ukuthi kunikezwe isikhathi sabo siqu: ukuxubusha .
Imvamisa yalezi zicucu izokwehla ngokuhamba kwesikhathi futhi ihluke kuwo wonke umuntu, ngesifo esifubeni se-CT ngokuvamile senziwa njalo ngemva kwezinyanga ezintathu iminyaka emithathu, okungenani ngonyaka. Ayaziwa ukuthi lezi zingakwazi yini ukumiswa kahle, noma ngabe ucwaningo lwe-CT lungakanani noma lwalufanele ngokwanele ngemva kwesikhathi. Ezinye izivivinyo ezifana ne-bronchoscopy, i-ultrasound yesisu, ubuchopho be-CT kanye ne-bone scans zingalawulwa njalo isikhathi esithile.
Ngezikrini, ungase uzwe mayelana nokuphikisana okulandelwayo nge-CT scans. Umbuzo ophathelene nalezi zicatshangelwa ukuthi ngabe kukhona noma ngabe kukhona inzuzo yokuphila. Ukuthola ukuphindaphindiwe komdlavuza ngaphambi kokuba noma yiziphi izimpawu zikhona kungabangela ukusinda okude noma izinga eliphakeme lokuphila kwabasindile? Eziningi zale mibuzo manje zibhekwa ezivivinyweni zomtholampilo.
Ukuhlala Unempilo
Uma uphakathi ukwelashwa komdlavuza, ukugxila ikakhulukazi ekusindeni. Umgomo wokudla ukuthola ama-calorie namaprotheyini, hhayi ukudla okunomsoco wokulwa ne-antioxidant okungenzeka kube yingozi ngoba "kungavikela" amangqamuzana omdlavuza.
Uma usuqedile ukwelashwa yisikhathi esihle sokubhekana nalokhu okukhathazayo. Ukudla ukudla okunempilo kubalulekile, kepha ngokujabulisayo, kunokudla okunye okunganciphisa ingozi yomdlavuza wesibili wamaphaphu noma ukudla okungasiza ekulwa nomdlavuza wamaphaphu . Ukuzivocavoca kubalulekile ekunciphiseni ubungozi bokuphindaphinda, kanti noma ukuleleka kungase kubonakale kuyinkimbinkimbi, ukubhekana nalesi sigameko kungahle kuthuthukise umphumela wakho.
Ukubhekana Nemiphumela Yomzimba Ye-Cancer
Nakuba kungakhulunywa ngaso kaningi ngokwanele, abantu abaningi babhekana nemiphumela ephuthumayo yokwelashwa komdlavuza wamaphaphu . Empeleni, iningi labantu lenza. Ucwaningo olulodwa lwathola ukuthi eminyakeni eyishumi ngemuva kokutholakala, abantu abangamaphesenti angu-80 abasinda emdlalweni basengabhekana nemiphumela emibi engokwelapha yomdlavuza ebalulekile ngokwanele ukuze kuthinte izinga labo lokuphila. Kunemiphumela eminingana yesikhathi eside ye-chemotherapy kanye nemiphumela emibi yesikhathi eside yokuthola imishanguzo . Ngaphezu kwalokho, abantu abaningi babhekana nobuhlungu besifuba kulandela ukuhlinzwa komdlavuza wamaphaphu okubhekwa ngokuthi yi-post-thoracotomy syndrome. Khuluma nodokotela wakho mayelana nanoma yiziphi izimpawu ozizwayo. Okuvamile kubantu abanomdlavuza wamaphaphu kufaka:
- Ubuhlungu (ikakhulukazi ubuhlungu be-post-thoracotomy)
- Ukukhathala
- Ukuphelelwa umoya
- Ukushaya
Ukulungiswa kwamapulmonary ("lung therapy") yindawo entsha kakhulu, kodwa izifundo ziphakamisa lokhu kungasiza abantu ukuba babhekane nezinkinga zokuphefumula zesikhathi eside ezihlobene nomdlavuza wamaphaphu.
Ukubhekana Nezimo Zomzwelo Zomdlavuza
Umzimba nomqondo uyahambisana, ngakho akusiyo isimanga ukuthi abantu abaningi bahlangabezana nezibazi ezingokomzwelo ezihlala njalo ngemuva kokwelashwa komdlavuza. Lezi zingaba nzima - njengokwesikhashana sokucindezeleka kokucindezeleka ezigulini zomdlavuza - noma ezinzima kakhulu, njengokungathinteki kokulungiswa nokucindezeleka okuncane. I-Cancer ishintsha abantu, futhi ungathola ukuthi impendulo yakho ezimweni ihluke kulokho okwakungaba khona ngaphambi komdlavuza. Ngokwesibonelo, kutholakale ukuthi abasindile bomdlavuza bavame ukungena ezindabeni ezingezona umdlavuza empilweni yabo ngokugwema - benethemba lokuthi noma yini eyenzekayo iyophela. Kunengqondo. Ngemuva komdlavuza, izinto ezincane ziba yizinto ezincane, kodwa ukubhekana nezinguquko eziphazamisa ikhono lakho lokuphila ngokugcwele emva komdlavuza kuwumqondo omuhle.
Ukubhekana namagagasi okhathazeka ngokomzwelo womdlavuza akusho ukuthi kufanele ubone udokotela - nakuba ucwaningo olunomdlavuza webele lwebele luveza ukuthi lokhu kungase kuthuthukise ngisho nokuphila isikhathi eside. Kunezindlela eziningi abantu abangabhekana nazo ngemuva kokucindezeleka ngokomzwelo womdlavuza wamaphaphu. Ungase ufune ukujoyina iqembu lokusekela . Noma mhlawumbe, qala ukuhambisa uhambo lwakho lomdlavuza . Abanye abantu bathola ukuthi ukugula kwengqondo / izifo zomzimba izigulane zomdlavuza kungenza umehluko omkhulu kokubili ukuphulukiswa ngokomzwelo nangokwenyama ngemva komdlavuza.
Ukuxhuma Nabanye Emphakathini We-Cancer Lung
Ngisho noma ulahla amaqembu okusekela ngenkathi ukwelashwa, futhi ikakhulukazi uma ufuna ukuqhubeka nokuphila kwakho, ukusebenza ngandlela-thile emphakathini omkhulu wemdlavuza wamaphaphu ungenye yezinto ezinhle kakhulu ongayenza wena. Lokhu kungasiza ngezindlela eziningi:
- Imfundo - Uma usanda kuqeda ukwelashwa cishe uyazi kahle ukuthi ukwelashwa komdlavuza wamaphaphu kushintshile kanjani - nokuthi ngokushesha kangakanani. Phakathi kuka-2011 no-2015 kwakunezokwelapha ezintsha ezamukelwa umdlavuza wamaphaphu kunama-4 amashumi eminyaka ngaphambi kuka-2011. Njengoba nje sithola ulwazi nsuku zonke mayelana nokwelashwa, sifunda okwengeziwe ngokuphindaphindiwe. Ukuhlanganyela emphakathini womdlavuza wamaphaphu kukuvumela ithuba lokuzwa ngalezi zintuthuko - ngezinye izikhathi ngisho nangaphambi kokuba umphakathi wakho oncologist uyenze.
- Ukusekelwa - Ukuthola nje ithuba lokukhuluma nabanye "ababekhona" kuyigugu kakhulu.
- Ukubuyisela emuva - Uthole lonke lolu lwazi, manje uzokwenzani nalo? Ukubuyiselwa emuva akusho ukuthi kufanele uchithe isikhathi esiningi - empeleni, ngemuva komdlavuza wamaphaphu, cishe unokuningi okubamba ukukwenza empilweni yakho. Thatha isikhashana ukuhlola ezinye zezinketho. Mhlawumbe ungase utholakale ukukhuluma nomuntu onomdlavuza ofanayo wesifo wamaphaphu osanda kutholakala? Kukhona nohlangothi lwe-flip kulokhu. Siyazi, ngeshwa, leyo mdlavuza wamaphaphu ngezinye izikhathi ubuya. Uma lokho kuzoke kwenzeke, manje unomphakathi wabantu abaye baphila ngokufanayo, ngakwesokudla sakho.
Imithombo:
I-American Society of Clinical Oncology. I-Cancer.Net. I-Cancer Cancer - Iseli Elingeyona Elincane: Ukunakekelwa Okulandelwayo. 08/2015. http://www.cancer.net/cancer-types/lung-cancer-non-small-cell/follow-care
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