I-First-Line vs Ukwelashwa Kwesibili Kwe-Cancer
Iyini imithi yokwelapha yokuqala? Ihluke kanjani kunezinketho zokunakekelwa kwe-line-line, futhi yini enye okudingayo ukwazi?
Ukwelashwa kokuqala komgwaqo kubhekisela ekutholeni kokuqala, noma ukwelashwa kokuqala okwenzelwe isifo noma ukugula. Ngezimo eziningi, kuhlanganise nomdlavuza, kunezinhlobo eziningi zokwelashwa ezingase zisebenze. Ukwelashwa kokuqala komgwaqo yilokho, kubantu abaningi, kulindeleke ukuthi unikeze imiphumela emihle ngemiphumela emibi kakhulu.
Imithi yokuqala yokuguqula ishintsha sonke isikhathi nomdlavuza. Njengoba izifundo ezintsha zithola izinketho ezingcono, kungakhathaliseki ukuthi kuhilela ukuhlinzwa, ukwelapha imishanguzo, ukwelashwa okuhlosiwe, noma i-immunotherapy, izincomo zokwelapha "zokuqala" zesifo ziqhubeka njalo.
Yikuphi Okuyiyona Eyokuqala Yokwelapha?
Imithi yokwelashwa kokuqala ivame ukwelashwa okujwayelekile ( "izinga legolide" ) elinikezwe uma othile ethola ukuthi unezifo ezithile noma isimo, njengomdlavuza wamaphaphu. Ngamanye amazwi, kungenzeka ukuthi ukwelashwa kakhulu ku-oncologists kuzoqala ukukhetha ukwelapha umuntu. Lokho kusho ukuthi akukho "imithetho" ejwayelekile echaza ukuthi ukwelashwa kufanele kufike kuqala, futhi ngaphezu kwalokho, kubalulekile ukusebenza ne-oncologist yakho ukukhetha ukwelashwa okungcono kuwe. Nguwe kuphela ongaba ummeli wakho futhi ukhethe ukwelashwa okukunikeza imiphumela emihle ngenkathi unciphisa imiphumela emibi ozimisele ukuyibekezelela.
Ngokuqondene nomdlavuza, ukwelashwa kokuqala komgwaqo kungase kube ukuhlanganiswa kwezokwelapha, njengokuhlinzwa, chemotherapy, kanye nokwelashwa kwemisebe, ngokulandelana. Ngakho-ke, igama elingcono cishe liyoba "uhlelo lokuqala lwemithi yokwelashwa noma i-protocol."
Ngokungafani nokwelashwa kwelayini lokuqala, ukwelashwa kwemigqa yesibili ngokuvamile ukwelashwa okukhethwa ngemuva kokwelashwa kwelayini lokuqala kuhlulekile ukufeza umgomo wakho, noma unemiphumela emibi efuna ukuthi uyeke ukusebenzisa leyo mithi.
Imithi yokwelapha yesibili ivame ukungaphansi kwemithi yokuqala kodwa hhayi njalo. Isibonelo, ngomdlavuza wesifuba we-metastatic, ukwelashwa kwemigqa yesibili akulona ukulawula umdlavuza isikhathi eside njengendlela yokwelashwa kokuqala.
Ngaphezu kokunakekelwa kwemigqa yokuqala neyesibili, kunezinketho eziningi eziqhubekayo. Isibonelo, ngomdlavuza wesifuba we-metastatic, ungase uzwe inkulumo yakho ye-oncologist mayelana nokwelashwa kwe-line line. Lelashwa ingase ivivinywe lapho imithi yokuqala, yesibili, neyesibili ingasasebenzi ukulawula umdlavuza.
Kungabhekana Nengculazi Efanayo
Wonke umdlavuza uhlukile, futhi kubalulekile ukugcina lokhu engqondweni uma uzwa ngomunye ukwelashwa ngohlobo lwakho lomdlavuza. Ukwelashwa kokuqala komdlavuza owodwa womhlobo nesigaba kungase kuhluke kunokwelapha kokuqala komdlavuza womunye umuntu ohlobo olufanayo nesiteji kodwa iphrofayli ehlukile yamangqamuzana. Ngaphezu kwalokho, ezinye izici ezifana nobudala, impilo ejwayelekile, kanye nezimo ezenzekayo zingenza ukuthi kube yimuphi ukwelashwa komugqa owodwa kumuntu oyedwa njengendlela yokwelashwa kwesibili komunye.
Ukwelapha Okokuqala Kuyisinqumo
Sifaka inkathi eyaziwa ngokuthi "imithi yokuhlanganyela " lapho iziguli zibandakanya kakhulu ekunakekelweni kwabo kwezempilo.
Izinqumo zenziwa njengeqembu, kunokuba ubudlelwane bomphakathi phakathi kwabahlengikazi neziguli zesikhathi esidlule. Ngemuva kokuxoxisana, nokufunda okuningi ngangokunokwenzeka ngomdlavuza wakho, cishe uzoba nokuzikhethela phakathi kwezinqubo ezahlukene.
Imibuzo Yokubuza
Uma wena nodokotela wakho nibheka ukwelashwa kwelayini lokuqala noma ukwelashwa kokuqala, cabanga ngale mibuzo.
- Chaza uhlobo nesigaba nesiprofayili se-molecule yesisu sakho. Ingabe kukhona okunye ukuhlolwa okumelwe kwenziwe?
- Uyini umgomo wakho ekutholeni le mithi?
- Imiphi imiphumela emibi ozimisele ukuyibekezelela?
- Iyini ukwelashwa kwemigqa yesibili uma lokhu ukwelashwa kungasebenzi. Kuthiwani ngomugqa wesithathu, umugqa wesine, nokuningi?
- Zikhona yini izilingo ezikhona zokwelapha ezingahle zivumelane kangcono nezidingo zakho? Buza mayelana nalezi, noma ucwaninge ngokushesha, njengoba ezinye izindlela zokwelashwa zokuqala zingakwenqabela ezifundweni ezithile zemitholampilo.
- Iyini izindleko kuwe ukwelashwa (ama)?
- Iyini isilinganiso sokuphumelela isilinganiso semithi yokwelapha?
- Yiziphi ezinye izingozi ezingenzeka?
- Kanjani maduze kuzodingeka uqale ukwelashwa?
- Ungasincoma kuphi ukuthi nginombono wesibili ?
Inothi Mayelana Nezinye izindlela zokwelapha
Kubalulekile uma ukhuluma ngomuthi ukucacisa ukuthi kusho ukuthini "ukwelashwa okunye." Iningi labantu manje lisisebenzisa imishanguzo ehlukile yokwelapha ukubhekisela ezithombeni ezihambisanayo ezinikezwa ezinye izikhungo zomdlavuza. Kulesi silungiselelo, izindlela zokwelashwa, ukuzindla, ukubhula, ne-yoga zisetshenziselwa indlela yokuhlanganisa - okuwukuthi, zisetshenziselwa ukwelashwa kwendabuko njengekhemotherapy. Lezo zokwelashwa ezihambisanayo zingasiza abanye abantu ukuba babhekane nemiphumela emibi yomdlavuza kanye nokwelashwa komdlavuza.
Kube nesithakazelo (futhi eziningi ze-intanethi) ngezindlela ezihlukile ezithatha enye imithi yokwelashwa ezivamile. Lezi ziyingozi, futhi okwamanje azikho ezinye izindlela zokwelashwa ezingase zibhekwe njengokwelashwa kokuqala komdlavuza womdlavuza.
Ngaphansi
Imithi yokwelashwa yokuqala yilokho wena kanye ne-oncologist ozoyikhetha njengokhetho lokuqala lokuqala lomdlavuza wakho. Ngokuvamile kunezinketho eziningi ezihlukahlukene ezitholakalayo, kodwa ukwelashwa kokuqala kunezindlela ezilindeleke ukulawula isifo sakho ngemiphumela emibi kakhulu emisebenzini. Kungakhathaliseki ukuthi imithi yokwelapha yesibili nomdlavuza wakho ingaphansi, noma esikhundleni sayo ingaguquguquki, nge-first-line therapy kuyoxhomeka ezicini eziningi ezihlukene. Thatha isikhathi sokufunda ngomdlavuza wakho ukuze wenze ukukhetha okufundiswe ukuthi imithi yokwelapha kufanele ibe yindlela yokwelapha yokuqala.
Futhi eyaziwa ngokuthi: ukwelashwa kokuqala kwe-line, ukwelapha okuyisisekelo, ukwelashwa okuyisisekelo, ukwelashwa kokungeniswa
Izibonelo: i -oncologist kaDan yancoma ukuthi i- chemotherapy ihlinzekwe ukwelashwa kwemithi yokuqala yomdlavuza wakhe wamaphaphu. Wasitshela ukuthi uzobheka uhlobo oluthile lwezokwelapha ezibhekiswe njengendlela yokwelashwa kwesibili uma iDan engasaphenduli ekwelapheni.
> Imithombo:
> Society of American of Clinical Oncology. I-Cancer.Net. Kuthiwani uma ukwelashwa kokuqala kungasebenzi? Kubuyekezwe i-01/2016. http://www.cancer.net/navigating-cancer-care/how-cancer-treated/when-first-treatment-doesnt-work