Ubungacinga ntoni ukuba ubunyangelwe umhlaza, mhlawumbi wenze utyando, waza wacinga ukuba konke kuphelile, waza ugqirha wakuxelela ukuba udinga unyango olongezelelekileyo? Kuqhelekile ukuba uzive unexhala kwaye udidekile. "Utyando lube yimpumelelo, umhlaza ususiwe, ngoko kutheni amayeza?" unokucinga. Lo ngumbuzo ofanelekileyo. Namhlanje, sithetha ngempendulo kuloo nto kunye nonyango oluya kukwenza womelele.
Yintoni kanye kanye i-Adjuvant Therapy?
Ngamafutshane, i-Adjuvant Therapy ithetha "unyango oluncedayo." Ngokuchanekileyo, lunyango olongezelelweyo olunikwayo emva kokuba unyango lwakho oluphambili, oludla ngokuba lutyando lokususa umhlaza, lugqityiwe.
Khawucinge ukuba sitshayele saza sayicoca kakuhle indlu. Kodwa kusenokubakho amasuntswana othuli amancinci angabonakaliyo emehlweni, akunjalo? Yiyo loo nto kunjalo. Emva kokuba ithumba lomhlaza lisusiwe ngotyando, iiseli ezincinci zomhlaza ezingenakubonwa ngamehlo ethu okanye ngovavanyo oluphambili lokuskena (i-MRI, i-CT scan, i-PET scan) kwaye ezinokubonwa kuphela nge-microscope zinokufihlwa ndaweni ithile emzimbeni.
Injongo ephambili yale mithi yonyango eyongezelelweyo kukufumana nokutshabalalisa ezo ntshaba zifihlakeleyo, oko kukuthi, iiseli zomhlaza ezincinci. Oku kunokunciphisa kakhulu umngcipheko wokuphinda umhlaza.
Ngubani ofuna olu nyango? Kuphantsi kwaziphi iimeko?
Xa ugqirha ecebisa olu hlobo lonyango olongezelelweyo kuwe, uthatha izinto ezininzi ingqalelo. Alufani kuye wonke umntu. Lunokuchatshazelwa zizinto ezifana nezi:
- Uhlobo lomhlaza: Olu nyango lusetyenziswa kakhulu kwiintlobo ezithile zomhlaza. Imizekelo ibandakanya, kodwa ayiphelelanga apho, umhlaza webele, umhlaza wamathumbu amakhulu, umhlaza wemiphunga, kunye neminye imihlaza yolusu.
- Inqanaba lomhlaza: Rhoqo, emva kotyando lomhlaza okwinqanaba lokuqala, olu nyango lunikwa ukuthintela umhlaza ukuba ungabuyi. Ngamanye amaxesha, olu nyango lunokunceda ukwandisa ubomi bezigulane ezinomhlaza oqhubele phambili, apho umhlaza usasazeke kancinci.
- Uhlobo lweeseli zomhlaza: Ezinye iiseli zomhlaza zinobundlongondlongo kakhulu kwaye zisasazeka ngokukhawuleza. Oogqirha bahlola ezi seli phantsi kwemakroskopu ukuze babone ukuba zinobundlongondlongo kangakanani na. Olu nyango longezelelweyo luhlala lucetyiswa kumhlaza onokuthi ubuye kwakhona.
Kwenzeka ntoni ngexesha lonyango oluncedisayo?
Kwimeko enjalo, xa usiva igama elithi "adjuvant," into yokuqala efika engqondweni yi "emva." Oko kukuthi, emva konyango oluphambili (oludla ngotyando).Unyango. Kukho elinye icala kule nto, libizwa ngokuba yi-"neoadjuvant therapy." Inikwa ngaphambi kotyando, ukunciphisa ithumba nokwenza utyando lube lula. Loo nto yingongoma eyahlukileyo.
Kukho iindlela ezininzi eziphambili ezisetyenziswayo kunyango oluncedisayo. Ngokuxhomekeke kuhlobo kunye nohlobo lomhlaza wakho, ugqirha wakho unokucebisa enye okanye ezingaphezulu kwezi.
| Uhlobo loNyango | Kalula nje... |
|---|---|
| Unyango lweMisebe | Le ndlela isebenzisa imitha enamandla aphezulu, njengee-X-ray, ukutshabalalisa naziphi na iiseli zomhlaza ezinokuthi zihlale emva kotyando. Le ndlela ngamanye amaxesha isetyenziswa ukuba lonke ithumba alikwazanga ukususwa ngexesha lotyando. |
| Unyango ngamakhemikhali | Oku kuquka ukunika amayeza anamandla ahamba emzimbeni wonke aze atshabalalise iiseli zomhlaza ezifihliweyo ndaweni ithile. Unyango lokuqala oluncedisayo olusetyenzisiweyo yayiyi-chemotherapy eyanikwa emva kotyando lomhlaza webele. |
| Unyango lweHormone | Iihormone zinceda ukukhula kwezinye iintlobo zomhlaza (umz., ibele, iprostate). Olu nyango lusebenza ngokuthintela ukusebenza kwezo hormone, nto leyo ethintela iiseli zomhlaza "ipetroli" eziyidingayo. |
| Unyango lwe-immunotherapy | "Iqeqesha" amajoni ethu omzimba ukuba aqaphele kwaye ahlasele iiseli zomhlaza. Oku ngoku kusetyenziswa kakhulu kwizinto ezifana nomhlaza wamaphaphu, wamathumbu amakhulu, kunye nowebele. |
| Unyango olujoliswe kulo | Le yindlela entsha. Isebenzisa amayeza ajolise kwiiproteni ezithile ezisetyenziswa ziiseli zomhlaza ukuze zikhule kwaye ziyeke ukusebenza. |
Ziziphi iingenelo kunye neengxaki zolu nyango?
Xa kufikwa kunyango lomhlaza, akukho siqinisekiso sonyango olupheleleyo. Nangona kunjalo , unyango oluncedisayo lunokunciphisa kakhulu umngcipheko wokubuya komhlaza. Lunokunceda izigulane ezinomhlaza okunzima ukunyanga ziphile ixesha elide. Ngenxa yezi zizathu, abantu abaninzi bakhetha ukufumana olu nyango longezelelweyo.
Kodwa, kukho elinye icala lemali. Olu nyango lunokubangela iziphumo ebezingalindelekanga ezingathandekiyo . Indlela yakho yemihla ngemihla inokutshintsha, kwaye kusenokufuneka ubonane nogqirha wakho rhoqo. Kwakhona, asikaze sazi ngokuqinisekileyo ukuba olu nyango beluyimfuneko ngokwenene na. Kusenokwenzeka ukuba utyando ngokwalo belunokususa i-100% yomhlaza.
Eyona nto ibalulekileyo kukuba isigqibo sokugqibela sokufumana olu nyango sesakho. Iqela lakho lezonyango liya kuhlonipha nasiphi na isigqibo osenzayo. Kungoko ke, kubaluleke kakhulu ukuqwalasela ngononophelo izinto ezilungileyo nezingalunganga ngaphambi kokuba wenze isigqibo.
Xa uthetha nogqirha wakho ngale nto, ungabuza le mibuzo. Le mibuzo iya kukunceda wenze isigqibo:
- Loluphi unyango olongezelelweyo olucetyiswayo kum?
- Kutheni ucinga ukuba ndifanelekile?
- Olu nyango lufanele luqalwe nini?
- Unyango luthatha ixesha elingakanani?
- Zithini iziphumo ebezingalindelekanga ezihlala ixesha elide okanye ezingapheliyo zoku?
- Olu nyango luza kuyichaphazela njani imeko yam yempilo kwixesha elizayo (ukuxela kwangaphambili)?
Kuza kuthatha ixesha elingakanani ukubuyela esiqhelweni emva kokuba konke oku kuphelile?
Olu hambo lwahlukile kumntu wonke. Unyango oluncedisayo lunokukunika uxolo lwengqondo lokuba "ndenze konke okusemandleni am ukuthintela umhlaza ukuba ungabuyi." Kodwa ngamanye amaxesha, unokuziva uxhalabile ngakumbi ngemiphumo emibi yonyango kuneenzuzo zonyango.
Ukulwa nomhlaza kunokuba njengomdyarho weembaleki. Njengoko usondela kumgca wokugqibela, woyisile umqobo omnye emva komnye, kwaye uzive udiniwe kwaye udanile xa uqonda ukuba unemqobo omnye ekufuneka uwutsibe. Unyango oluncedisayo lunokuvakala njengomqobo owongezelelweyo.
Kodwa qiniseka ukuba uyaziqonda izinto ezilungileyo nezingalunganga zokutsiba loo mqobo, thetha nogqirha wakho, kwaye wenze isigqibo esinolwazi. Iqela lakho lezonyango liya kwenza konke okusemandleni alo ukukunceda wenze eso sigqibo. Emva koko ungawunqumla loo mqobo wokugqibela ngokuphumelela.
Umyalezo Wokuya Ekhaya
- Unyango oluncedisayo lunyango "oluncedisayo" olunikwa emva konyango oluphambili, njengotyando lomhlaza.
- Injongo ephambili kukutshabalalisa iiseli zomhlaza ezifihlakeleyo ezingabonwayo nazii-scan, nokuthintela umhlaza ukuba ungabuyi.
- Kukho iintlobo ngeentlobo zeendlela zonyango oluncedisayo, ezinje ngonyango lwemitha, i-chemotherapy, kunye nonyango lwehomoni.
- Kukho iingenelo (umngcipheko oncitshisiweyo wokubuyela kwakhona) kunye neengxaki (iziphumo ebezingalindelekanga) zokufumana olu nyango.
- Ukuba uza kunyangwa okanye awuzukunyangwa sisigqibo sakho. Xoxa ngazo zonke izinto ngononophelo nogqirha wakho ngaphambi kokuba wenze eso sigqibo.
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