Kunzima ukuchaza uloyiko, ukothuka, kunye nokungaqiniseki okuzivayo xa ufunyaniswa ukuba unomhlaza webele. Imibuzo efana nokuthi "Ndenze ntoni ngoku?", "Ndiza kuphila?", "Luhlobo luni lonyango endiza kulufumana?" iqala ukujikeleza engqondweni yakho. Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba isayensi yezonyango ihambele phambili kakhulu namhlanje. Kukho unyango oluninzi olusebenzayo lomhlaza webele. Nangona olu hambo lunzima, awuwedwa. Kweli nqaku, siza kuthetha ngonyango olunokukunceda kunye nendlela onokudlula ngayo kulo.
Ndingayikhetha njani unyango olungcono kum?
Ngaphambi kokuba akucebise ngonyango, ugqirha wakho uza kuqwalasela izinto ezininzi. Kufana nokuya evenkileni yempahla ukhethe ilokhwe efanelekileyo kuwe. Asinguye wonke umntu oza kufumana unyango olufanayo.
Ugqirha wakho uza kuqwalasela ezi zinto zilandelayo:
- Uhlobo lomhlaza: Kukho iintlobo ezahlukeneyo zomhlaza webele . Unyango luxhomekeke kuhlobo lwawo.
- Inqanaba lomhlaza: Ingakanani ithumba? Kubalulekile nokwazi ukuba sele lisasazeke na kwamanye amalungu omzimba.
- Uhlobo lweeseli zomhlaza: Iiseli zakho zomhlaza ziya kuvavanywa ukuze kubonwe ukuba zinazo na ii-receptors ze-estrogen kunye ne-progesterone okanye iproteni ebizwa ngokuba yi-HER2. Ukuba ezi zikhona, zinokunikwa unyango olujoliswe kuzo.
- Iimpembelelo zemfuza: Eminye imiphunga yebele inxulunyaniswa notshintsho lwemfuza oludluliselwa kwizizukulwana ngezizukulwana.
- Imeko yakho: Ubudala bakho, nokuba ukhe wafikelela kwixesha lokuya exesheni, naziphi na ezinye iimeko zempilo onazo, kunye nezinto ozikhethayo nazo ziyayichaphazela le sigqibo.
Khumbula, zonke ezi zigqibo zenziwa emva kwengxoxo nawe kunye nogqirha wakho, ngoko ungoyiki ukubuza nayiphi na imibuzo onayo.
Zithini ezi ndlela zonyango lomhlaza webele?
Ngamafutshane, unyango lomhlaza webele lunokwahlulwahlulwa lube ziindidi ezimbini eziphambili. Olunye lunyango olujolise kumhlaza kuphela, kwaye olunye lunyango oluchaphazela umzimba wonke.
Uhlobo 1: Unyango lwasekuhlaleni
Olu nyango lususa umhlaza apho ukhoyo.
- Utyando: Utyando lolona nyango lokuqala kubantu abaninzi. Ngamanye amaxesha i-chemotherapy inikwa ngaphambi kotyando ukuze kuncitshiswe ithumba.
- Utyando lweLumpectomy (Utyando lweLumpectomy : Oku kuquka ukususa kuphela inxalenye yebele equlethe umhlaza. Oku kukwabizwa ngokuba "lutyando lokugcina amabele."
- Ukususwa kwebele: Oku kuquka ukususwa kwebele lonke. Kukho iindlela ezahlukeneyo kuzo zombini ezi ntlobo zotyando.
- Unyango lweMisebe: Oku kusebenzisa imitha enamandla aphezulu ukutshabalalisa iiseli zomhlaza. Abafazi abaninzi abaye banqunyulwa i-lumpectomy banikwa olu nyango lokubulala naziphi na iiseli zomhlaza eziseleyo. Olu nyango lunokuhanjiswa ngomatshini ongaphandle komzimba, okanye lunokuhanjiswa ngembewu encinci, enemitha efakwa kwindawo apho umhlaza wawukhona.
Uhlobo 2: Unyango oluchaphazela umzimba wonke (Unyango lweNkqubo)
Olu nyango lutshabalalisa iiseli zomhlaza ezinokubakho emzimbeni wonke.
| Indlela yonyango | Kalula nje... |
|---|---|
| Unyango ngamakhemikhali | Oku kuquka ukunika umzimba amayeza (amayeza) abulala iiseli zomhlaza. Oku kunganikwa njengeepilisi okanye nge-IV. Oku kungonakalisa kungekuphela nje iiseli zomhlaza, kodwa neeseli eziphilileyo ezahlukana ngokukhawuleza, yiyo loo nto kuvela iziphumo ebezingalindelekanga ezifana nokulahleka kweenwele. |
| Unyango lweHormone | Eminye imihlaza yamabele iqhutywa ziihomoni ezifana ne-estrogen. Olu nyango lusebenza ngokuthintela ukusebenza kwezo homoni. Umzekelo, kusetyenziswa iyeza elibizwa ngokuba yiTamoxifen. |
| Unyango olujoliswe kulo | Olu lunyango olukhethekileyo kakhulu. Lujolise kwiproteni ethile (efana ne-HER2) kwiiseli zomhlaza, ngelixa lunciphisa umonakalo kwiiseli eziphilileyo. I-Trastuzumab yenye yezo ziyobisi. |
| Unyango lwe-immunotherapy | Oku kuquka ukuvuselela amajoni omzimba wakho ukuze alwe neeseli zomhlaza, njengokuba kunceda umkhosi wakho ukuba ulwe nomhlaza. |
Isicwangciso sakho sonyango singaba yindibaniselwano yezi ndlela. Umzekelo, ungenza utyando olulandelwa yi-chemotherapy kunye ne-radiation therapy.
Iziphumo ebezingalindelekanga zonyango kunye nendlela yokujongana nazo
Njengazo zonke iindlela zonyango, kunokubakho iziphumo ebezingalindelekanga. Ezinye zazo ziyaphela emva kokuba unyango luphelile. Ezinye zinokuvela kamva. Kodwa ungakhathazeki , kukho iindlela zokujongana phantse nazo zonke ezi zinto.
- Isicaphucaphu nokuhlanza: Ugqirha wakho uza kukunika amayeza oku.
- Ukudinwa: Oku akufani nokudinwa okuqhelekileyo. Phumla kangangoko unako. Nokuba umthambo omncinci unokunceda ngamanye amaxesha kule nto.
- Ukulahleka kweenwele: Esi sisiphumo esiqhelekileyo se-chemotherapy. Kodwa khumbula, iinwele ziya kukhula kwakhona emva kokuba unyango luphelile.
- I-Lymphedema: Ukudumba kwengalo ecaleni kwebele. Ukuba uqaphela oku , xelela ugqirha wakho ngoko nangoko . Kukho iindlela zokulawula oku.
- Utshintsho lolusu kunye neenzipho: Ulusu olomileyo, ububomvu, kunye nokutshintsha kombala weenzipho kunokwenzeka.
- Ubunzima bokucinga ("i-chemo brain"): Abanye abantu banokuba neengxaki ezincinci ngenkumbulo kunye nokugxila. Oku kudla ngokuba yinto yexeshana.
Unyango kunye nokukwazi ukuba nabantwana (ukuzala)
Le yingongoma ebucayi kakhulu kubafazi abaxilongwe ukuba banomhlaza webele ngaphambi kokuba baye exesheni. Ezinye iindlela zonyango lwe-chemotherapy kunye ne-hormone zinokubangela ukungabi nabantwana okwethutyana okanye ukuyekiswa ukuya exesheni ngaphambi kwexesha.
Ukuba unethemba lokuba nabantwana kwixesha elizayo, kubalulekile ukuxoxa ngale nto nogqirha wakho ngaphambi kokuba uqale unyango . Kukho iindlela zokugcina ukuzala:
- Amaqanda okanye iimbumba eziqandisiweyo.
- Ukuthatha iqhekeza lezicubu zesibeleko uze ulikhenkceze.
Thetha ngokukhululekileyo ngale nto. Ugqirha wakho uza kukunika ingcebiso malunga neyona ndlela ifanelekileyo kuwe.
Ujongana njani neziphumo ebezingalindelekanga ezichaphazela inkangeleko?
Ukuhlala uqinile engqondweni ngenxa yotshintsho olubangelwa lunyango kunokuba ngumceli mngeni, kodwa zininzi izinto onokuzenza ukuze uhlangabezane nazo.
Ukulahleka kweenwele
Le yinto echaphazela abantu abaninzi engqondweni, kodwa ungayilungiselela.
- Cheba iinwele zakho zibe mfutshane ngaphambi kokuba ziqale ukuhla. Ngale ndlela, awuyi kumangaliswa xa iinwele ezinkulu zihla ngequbuliso.
- Sebenzisa izikhafu ezintle, iminqwazi, kunye nezikhafu.
- Ukuba ufuna ukusebenzisa iwigi, cela ugqirha wakho akunike ummiselo we "cranial prosthesis." Oko kunokukunceda ufumane umshuwalense.
- Xelela intsapho yakho, ingakumbi abantwana bakho, kwangaphambili malunga nendlela eza kutshintsha ngayo inkangeleko yakho.
Ukudumba kwengalo (iLymphedema)
Ukuba ubona oku, musa ukukubetha ngoyaba.
- Lumka ungalimazi isandla sakho esidumbileyo. Nxiba iiglavu xa usebenza egadini okanye endlwini.
- Kuphephe ukuphakamisa iingxowa ezinzima okanye ukunxiba izacholo ezinzima.
- Sebenzisa esinye isandla sakho xa ufaka inaliti okanye ityuwa.
- Cela ugqirha wakho ukuba akuthumelele kwingcali ye-physiotherapist (i-lymphedema therapist) ukuze akuncede.
Ukuhlala uqinile engqondweni
Ukulwa nomhlaza ngumceli mngeni omkhulu, emzimbeni nasengqondweni. Kuqhelekile ukuziva ulusizi, unomsindo, kwaye ungenathemba. Ngamanye amaxesha, oku kunokukhokelela ekudandathekeni.
Ukuba uziva ulusizi ngalo lonke ixesha, ungenamdla kwinto ethile, awukwazi ukulala okanye ukulala kakhulu, okanye uphoxekile bubomi, qiniseka ukuba uxelela ugqirha wakho ngaloo nto.
Ezi zinto ziya kukunceda uhlale uqinile engqondweni:
- Thetha nomntu omthembayo (umhlobo osenyongweni, ilungu losapho, ugqirha) ngento ekucingayo.
- Yenza into ezolisa ingqondo yakho, njengeyoga okanye ukucamngca.
- Yenza umthambo, njengokuhamba nje okufutshane.
- Vumela abo bafuna ukukunceda. Musa ukuzama ukwenza yonke into wedwa.
Umyalezo Wokuya Ekhaya
- Kukho unyango oluninzi oluphumeleleyo noluphucukileyo lomhlaza webele namhlanje. Ngoko ke ungalahli ithemba.
- Ugqirha wakho uza kukhetha unyango olulungele wena emva kokuqwalasela izinto ezininzi aze axoxe nawe ngazo.
- Unyango lunokuba nemiphumo emibi, kodwa kukho iindlela zokulawula phantse zonke. Thetha ngokukhululekileyo nogqirha wakho ngazo.
- Olu hambo lunzima ngokwasemzimbeni nangokwengqondo. Nyamekela impilo yakho yengqondo. Funa iingcebiso ukuba kuyimfuneko.
- Awuwedwa kolu hambo. Usapho lwakho, abahlobo, kunye neqela lezonyango bakunye nawe. Fumana uncedo lwabo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho