Ukwelapha Ukwelashwa Kwebele

Ukwelashwa Kwebelevuza Yesisu Neyokubuyiselwa

Imibuzo emibili evame ukubuzwa ngumuntu otholakala ukuthi unomdlavuza webele - kungakhathaliseki ukuthi u-novo noma ukuphindaphinda -kuthi "Ngisiphi imithi engiyidingayo?" Nokuthi "Kuzothatha isikhathi esingakanani ukwelashwa nokubuyiswa kwami?" Le mibuzo kufanele iphendulwe ngaphambi isiguli singenza izinqumo mayelana nokuphathwa kwemisebenzi kanye nemithwalo yemfanelo yomndeni ngenkathi ukwelashwa okusebenzayo kanye nesikhathi sokutakula.

Ukwelashwa Nokubuyiswa

Ngenkathi isiguli singanikezwa ukulinganisa ukuthi umuthi ngamunye uthatha isikhathi esingakanani, kunezici eziningi kakhulu ezingathinta impendulo yomuntu ekwelapheni nasekubuyiseni ngokomzimba-eziningi kakhulu ukunikeza umugqa wesikhathi esiqondile.

Ukwelashwa komdlavuza webele wesandulela-ngculazi kungathatha izinyanga, uma kungenjalo, kuye ngohlelo lwezokwelapha.

Isikhathi sokuvuselela sincike ezinhlotsheni zokwelashwa nemiphumela emibi yalezo zonyango. Ngenkathi kunezifo ezijwayelekile zesifo somdlavuza webele, ukwelashwa kanye nokuphumula isikhathi kuzohluka kusuka kwesiguli kuya kwesineke kuye ngesiteji somdlavuza webele ngesikhathi sokuxilongwa. Ngaphambi kokuba ukwelashwa kuqale, umdlavuza webele kufanele udalwe ukuze uhlelo olulodwa lomuthi lungenziwa.

• Yini Ongayilindela Uma Udinga I-Lumpectomy Ukwelapha Umdlavuza Webele

• Ukushisa Okushisayo Kwangathi Kungaba Isiliva Sesiliva Sokwelashwa Kwebelevuza Sebele

Ukuphazamisa umdlavuza webele

Ngemuva kokuthi ukuxilongwa komdlavuza wesifu kuqinisekisiwe, sekuyisikhathi sokunquma ukuthi ngabe sesasakazeka yini, futhi uma sinayo, sisakaze kangakanani. Le nqubo ichazwa njengesiteji. Ukugxila umdlavuza webele kuyisihluthulelo, hhayi kuphela ekunqumeni indlela engcono kakhulu yokwelapha kodwa nasekuhloleni umphumela ophumelelayo wokwelashwa.

Ukuhlolwa okungaphezulu kungadingeka ukuze kunqume isigaba somdlavuza webele, kufaka phakathi kodwa kungagcini esikhwameni se-x-ray, ukuhlola, nokusebenza kwegazi. Le nqubo ibuye ibe nesikhathi esiphezulu esigabeni esandulela ukwelashwa.

Lapho zonke izivivinyo zibuyekezwa, umdlavuza ungahle uhlelwe. Umdlavuza wesibeletho se-0 usho umdlavuza we-in-situ, owodwa ongazange usakaze ngaphesheya kwesayithi lapho waqala ukuhlasela khona izicubu zesifuba eseduze.

Izitebhisi I ngokusebenzisa IV yizinqamuzana eziye zasakazeka.

Ezinye zezinyathelo zibonisa izigaba ezincane usebenzisa izinhlamvu A, B, no-C. Inombolo ephansi yesiteji, umdlavuza omncane usakazeka. Ngaphakathi kwesiteji, incwadi yangaphambili isho isigaba esingcono. Amagciwane okubeletha anamazinga afanayo avame ukuphathwa ngendlela efanayo.

Uma umdlavuza usungulwe, isiguli singakwazi ukuqala ukwelashwa okujwayelekile okungabandakanya okukodwa noma okungaphezulu kwalokhu okulandelayo:

1. Ukuhlinzwa kuvame ukuyingxenye yepulani lokuncelisa umdlavuza webele, ngezinketho ezihlanganisa:
   • Lumpectomy. Lokhu kubhekwa njengokuhlinzwa kokubeletha kwebele. Ukukhipha isisu esinomdlavuza kanye nomkhawulo wezingcuba ezungezile. Kuvame ukuphakanyiswa iziguli ezinomdlavuza webele wekusasa. Lokhu kuvulwa kuyinkqubo efanayo-yosuku, ngokuvamile kuvunyelwe esikhungweni sokuhlinzeka ngokuvamezela. Isikhathi sokubuyisa esilandela lokhu kuhlinzeka ngaphandle kokucindezeleka, njengokungathi ukulungiswa kabusha ukuvula isayithi yokuhlinzeka nokususa izicubu ezengeziwe ukuze uqinisekise ama-margins ahlanzekile, unesikhathi sokuphumula esilinganiselwa ezinsukwini ezinhlanu kuya kweziyisikhombisa.
   • I-mastectomy. Lokhu kuhlinzekwa kuhilela ukususa lonke isifuba. Isikhathi sokuvuselela sincike ekutheni isiguli sidinga imastectomy elula noma eguquguqukayo. I-bi-lateral mastectomy ihilela ukususwa kokubili amabele. I-mastectomy ngokuvamile idinga ukuhlala esibhedlela izinsuku ezimbili ukuvimbela noma yiziphi izinkinga. Uma owesifazane ekhetha ukuvuselelwa ngokushesha, lokhu kungase kuthinte isikhathi sakhe sokutakula. I-mastectomy elula engenakho izinkinga noma ukuvuselelwa kwebele kunesikhathi sokuphumula seviki elilodwa kuya kwamane.
   • I-Breast Reconstruction. Lokhu ukuhlinzekwa ukwakha isifuba esisha ukuze kushintshe lowo okhishwa ngokuhlinzwa. Kungenziwa ngokushesha ngemuva kokuba isisu sisuswe noma senziwe njengophethilo oluhlukile ngosuku oluthile. Inkimbinkimbi yenkambiso izokwenza isikhathi sokuvuselela njengoba kuzokwenza noma yikuphi ukucindezeleka kokuthunyelwa kokuhlinzwa. Kuye ngokuthi uhlobo lokuvuselela ukwenza isifuba esisha, lungabandakanya ukuhlinzwa okungaphezu kokukodwa ukuqedela inqubo. Futhi, uma isiguli sidinga ukwelashwa kwemisebe, ukuvuselelwa kabusha kungase kubambezeleke kuze kube yilapho ukwelashwa kwemisebe nokuphumula sekuphelile.

1. I-Radiation Therapy isebenzisa ama-ray-ray amaningi noma amanye ama-radiation ukuze abulale amangqamuzana omdlavuza noma awagcine ekukhuleni. Ukwelashwa kwemisebe yangaphandle kusebenzisa umshini wangaphandle ukukhipha isifuba. Ukwelashwa kuthatha amasonto ayisithupha kuya kusikhombisa. Imisebe yangaphakathi isebenzisa isisetshenziswa esimisa imishanguzo esisindile ngezinaliti, imbewu, izintambo, noma ama-catheter futhi ifakwa ngqo esibelethweni. Lezi zinqubo zingathatha izinsuku ezingaba yizinsuku ezinhlanu kanti ezinye zizofika amasonto amathathu ukuqedela.
2. I-Chemotherapy isebenzisa izidakamizwa ukuvimbela ukukhula kwamangqamuzana omdlavuza noma ukubulala amangqamuzana omdlavuza. Ingasetshenziswa ngomlomo noma emgodini. Kuyindlela yokwelashwa ehlelekile futhi ingathinta wonke umzimba obangela imiphumela emibi. I-oncologist yezokwelapha izophakamisa ukusebenzisa i-chemotherapy esekelwe esigabeni sesisu kanye nezici zesisu. I-Chemotherapy ivame ukunikezwa njalo ngemva kwamasonto amabili kuya kwamathathu izinyanga ezintathu kuya kweziyisithupha. Izikhathi zokuvuselela ziyahlukahluka futhi iziguli zeluleka ukuba zihlele isikhathi esisodwa kuya kwezinyanga zokuphumula-emva kokuqeda ukwelashwa kwesilinganiso ngasinye se-chemotherapy.

1. Ukwelashwa okubhekiswe kusetshenziswa izidakamizwa ukuhlasela amangqamuzana omdlavuza ngaphandle kokulimaza amaseli avamile. Lezi zidakamizwa zisebenza ngokukhomba ushintsho emangqamuzaneni omdlavuza okwenza ahluke kumaseli avamile, aze asebenze ngezinye izikhathi lapho izidakamizwa ze-chemotherapy zihluleka ukusebenza. Ngokuvamile babe nemiphumela emibi kakhulu kunezidakamizwa zamakhemikhali. Izikhathi zokubuyisela zizohluka.
2. Ukwelashwa kwama-hormone kunciphisa noma kuvimbele ukukhula kwezicubu ezithinta i-hormone ngokuvimbela ikhono lomzimba lokukhiqiza ama-hormone noma ngokuphazamisa isenzo se-hormone. Uma ukwelashwa kwe-hormone kusetshenziselwa ukunciphisa izigameko zokuphindaphinda umdlavuza webele ngemva kokuphelelwa ukwelashwa okusebenzayo, kuthathwa ifomu lepilisi nsuku zonke iminyaka emihlanu noma ngaphezulu.

I-Metastatic Breast Cancer

Umdlavuza webele we-Metastatic uphathwa ngendlela ehlukile kunezigaba zomdlavuza webele. Umdlavuza we-metastatic, umdlavuza we-Stage IV, usakazekele ezithombeni ezikude, njengethambo, ubuchopho, amaphaphu, nesibindi. Amaphesenti angama-6 kuya ku-10 amaphesenti ayisiguli seziguli ezintsha uma kutholakala ukuthi unesifo somdlavuza webele. Umdlavuza wesifuba we-Metastatic uzohlale udinga ukuphathwa.

• Ukuvikela Inhliziyo Yakho Kusuka Kwemisebe Yomdlavuza Ngomdlavuza Webele Wase-Left

• Ukwelashwa Kwesifo Sebele Sezinyanga Zithatha?

Ukwelashwa kungokugcina izinga elihle lokuphila lomguli futhi likhulise impilo isikhathi eside ngangokunokwenzeka.

Ukuvuselelwa ngokomzwelo

Yize kungenzeka ukuthi ukubeka umugqa wesikhathi ngezici ezithile zokuvuselela ngokomzimba, okufanayo akulona iqiniso lokuvuselela ngokomzwelo okudingeka kwenzeke ngemuva kokuxilongwa komdlavuza webele. Lokhu kuyiqiniso ikakhulukazi ezinyangeni zayo zokwelapha ngokomzimba nangokomzwelo.

Ngenkathi kukhona ukuphumula ekuqedeni ukwelashwa, kunemizwelo edinga ukuphulukiswa. Imizwa yentukuthelo, ukudabuka, ukukhathazeka nokulahlekelwa ukuzethemba emva komdlavuza webele akuvamile. Kukhona nokwesaba kwangempela kokuphindaphindiwe. Izinguquko emfanekisweni womzimba zingabangela nokunciphisa ubuhlobo nobuhlobo obuseduze kungase buhluke ngemuva kokwelashwa. Ukwamukela ukuthi yikuphi "okuvamile" kuyinselele futhi kuthatha isikhathi.

Abathandekayo nabangane bangase bafake ngokungathandeki emithwalweni yilabo abaphulukisayo emdlalweni webele. Bangase balindele ukuthi iziguli zibuyele ezindala zabo ngemuva nje kokuba ukwelashwa kugcwaliswe. Lokhu kulindeleke okungenangqondo. Kumele kube khona isikhathi sokulungisa emva kokuphela kokwelashwa okusebenzayo; ayikwazi ukugijimela. Nokho, kungenziwa kube lula.

Ukwelashwa noma ukujoyina iqembu lokusekela ukwelashwa kunganciphisa ukuwa komzwelo kokuba nomdlavuza webele. Kungasiza futhi ekushintsheni empilweni njengomuntu osinda. Njengoba kungabikho abantu ababili ababhekene nomdlavuza webele ngendlela efanayo, kubalulekile ukukhomba-hhayi ukufaniswa komdlavuza webele wesinye abanye eqenjini lokusekela.

Izwi elivela

Uma ukwelashwa isifo somdlavuza wesifuba esasencane kungumlutha we-lumpectomy olandelwa ukwelashwa kwemisebe, kungenzeka ukuthi ugcine isimiso somsebenzi esivamile. Ukubuyela emsebenzini kungenzeka izinsuku ezimbalwa emva kokuhlinzwa. Ukusebenza ngesikhathi sokwelashwa kwemisebe, okuvame ukulandela amasonto ambalwa emva kokuhlinzwa, kungenziwa ngokuhlela ukwelashwa ngaphambi kokuqala usuku lomsebenzi noma ngemuva kosuku lomsebenzi. Ukushisa komzimba kunomphumela owumphumela-umphumela ohlangothini oyinhloko, ukukhathala, akusethi kuze kube ngemva kokunakekelwa okweziningana.

Iziguli, ukuphathwa nge-chemotherapy noma ukwelashwa okuhlosiwe zingathola ukuthi zingakwazi ukuphatha isimiso somsebenzi esinciphile uma kuvunyelwe ukusebenza ekhaya. Ukuthola ukwelashwa kulula ngokusekelwa kwabangani nomndeni. Ukuthatha "isikhathi sokuphuma" kuzo zonke izinto umdlavuza webele, njengokudla kwasemini nomngane, ukuthenga, noma i-movie ihamba phambili ekukhuliseni imimoya.

> Imithombo:

> I-American Cancer Society. Ukwelashwa okubhekiswe. Ukubuyekezwa Kwezokwelapha Okokugcina: 09/25/2014, Last Updated: 05/04/2016

> National Cancer Institute. I-Chemotherapy. Kuthunyelwe : Ngo-Ephreli 29, 2015

> National Cancer Institute. I-Hormone Therapy. Kubukeziwe: ngo-Agasti 2, 2012