Uma ungakaze uzwe nge-cachexia, mhlawumbe uyazibuza ukuthi kungani sizinikele yonke into enkingeni. Kodwa umdlavuza we-cachexia ukukhathazeka okukhulu kubantu abanomdlavuza webele we-metastatic.
Kucatshangwa ukuthi kwenzeka okungenani ngamaphesenti angu-50 abantu abanomdlavuza ophuthumayo, ukunciphisa ikhono lokubekezelela imithi yokwelashwa nokubhebhethekisa inkinga evele ikhungathekile yokukhathala komdlavuza .
Ngokwalo, kubhekwa njengesizathu esiqondile sokufa emaphesenti angu-20 abantu abanomdlavuza. Futhi akukhona ukusinda kuphela okusengozini. I-cachexia inganciphisa kakhulu izinga lokuphila kubantu abaphila nomdlavuza ophakeme.
Siyazi ukuthi le ncazelo ye-cachexia ivela kakhulu, futhi lokho kungenhloso. Kusekuqaleni nje ukuthi le nkinga iqala ukuxazululwa, kanti namanje isalondolozwa kakhulu, okungenani kuze kube yilapho isaba kakhulu.
Kucatshangwa ukuthi i-cachexia ingaqala ngisho nangaphambi kokuba abantu balahlekelwe yisisindo-futhi yisikhathi esihle sokuzama ukwenza umehluko.
Kuyini i-cachexia?
I-Cachexia iyisifo esihlanganisa ukulahlekelwa kwesisindo esingenasisekelo, ukulahleka kwesisindo somzimba, nokulahlekelwa kwesidlo. Asiqiniseki kahle ukuthi yini ebangele lezi zimpawu, kodwa abanye abacwaningi bakholelwa ukuthi kungenzeka ukuthi ihlobene nezinto ezifihliwe yizicubu noma ukuphendula komzimba kwisifo.
Kuvame ukubonakala ngokulahlekelwa kwesisindo okwenzekayo, kodwa njengoba kuphawuliwe, kucatshangwa ukuthi i-cachexia ingaqala ngisho nangaphambi kokuba noma yiziphi izimpawu ezenzekayo.
Izimpawu Nezibonakaliso
Kunezibonakaliso ezintathu eziyinhloko ezihlobene ne-cachexia:
- Ukulahleka kwesisindo okungenasisekelo - Ukulahlekelwa isisindo esingakahlelwa kuchazwa njengokulahlekelwa kwamaphesenti amahlanu omzimba womzimba noma amaphesenti angama-7.5 kumuntu ovame ukulinganisa amapremu angu-150. Lokhu kungase kwenzeke ngisho noma othile ethola inani elifanele lama-calories ekudleni kwawo.
- Ukudubula kwemisipha - Ukuhlukumeza ama-muscle kuthinteka ngokungahambisani namafutha, nakuba ukulahlekelwa kwamafutha kungase kwenzeke. Ngokungafani namafutha, ukulahleka kwemisipha yomzimba kungase kube yinto engacabangi kakhulu futhi kungavamile ukuqashelwa kuze kube khona ukulahlekelwa okukhulu kwe-muscle mass.
- Ukulahlekelwa kwesifiso - Ukuncipha kokudla kujwayelekile ngomdlavuza kanye nemithi yokwelapha, nakuba lokhu kuhluke kakhulu nge-cachexia. Esikhundleni sokulahlekelwa isithakazelo ekudleni noma ukungabi nampawu zendlala, lokhu kungaphezulu kokulahlekelwa kwesifiso sokudla.
Ukuvimbela Nokuphathwa Ngendlela Yokuphila
Isikhathi esihle sokuphatha i-cachexia ngaphambi kokuba kwenzeke. Uma ulahlekelwa isisindo noma uma unzima ukudla ngenxa yezibonakaliso zokwelashwa komdlavuza, khuluma ne- oncologist yakho.
Ungase ufune ukungeza ukudla okuphezulu kwekhalori noma ukudla okulula okudlayo ekudleni kwakho. Uma uthola ngokugcwele kalula, zama ukudla kaningi. Izithako ezinjengokuqinisekisa ukuthi zingakusiza wengeze amakholori ekudleni kwakho.
Ungesabi yizifundo ezikhuthaza ukulahlekelwa isisindo kwabesifazane abanomdlavuza wesifuba. Lapho isifo somdlavuza webele sesisencane, isisindo esiningi singabangela ukuphindaphindiwe, kodwa ngomdlavuza wesifuba we-metastatic, ukukhathazeka okukhulu kunendaba enkulu.
Ukwenza ukudla kwakho kungabi okumnandi nje kuphela kepha ukujabulisa okuhle kuyibhonasi.
Lokhu kungaba yisikhathi sokukhipha izitsha ezinhle bese wengeza amakhandlela ambalwa etafuleni. Ukudla nabangani kungasiza, nakuba ungase ungaboni ngalokhu ngezikhathi ezithile.
Sifunda ukuthi ukudla kwaseMedithera-okuhlose ukusiza konke okuvela emdlalweni wesifo somdlavuza-kungaphezu kokudla kuphela. Lokhu kudla kwenza kube nokudla okuhlangenwe nakho, nokudla kancane kancane lapho kugcinwa izikhathi ezimnandi nabangani.
Ukuzivocavoca ngomzimba omncane kuya ekulinganiseni kubonakala kuwusizo futhi, nakuba ama-khalori ashiswa kulo misebenzi.
Ingabe Imithi Ingasiza?
Imithi eminingi kanye nezithako ezithengisiwe ziye zahlolwa, nakuba kube nempumelelo elinganiselwe eziningi zazo.
Eminyakeni yamuva amafutha wezinhlanzi ahlolwe ngezinye izinto ezitholakalayo, ikakhulukazi ngeziqu ze-omega-3-fatty acids eyaziwa nge-eicosapentaenoic acid (EPA). Ekucwaningweni, lezi zithako zahlanganiswa nokunciphisa ukutheleleka kwezifo kanye nezinkinga ezimbalwa zokwelapha umdlavuza .
Ngokusho kweNational Cancer Institute, imbongi yezokwelapha ingase ibe usizo futhi, okungenani kulabo abahlala ezindaweni lapho lokhu kusemthethweni.
Khuluma njalo ku-oncologist yakho kuqala. Izilingo eziningi zokwelapha ziyaqhubeka futhi kuzoba nethemba lokuthi kuzoba ngcono ukwelashwa okusheshayo.
> Imithombo:
> Bruggeman, A., Kamal, A., LeBlanc, T. et al. I-Cancer Cachexia: Ngaphandle Kokulahlekelwa Isisindo. I-Journal ye-Oncology Practice . 2016. 12 (11): 1163-1171.