Xa uthetha ngonyango lomhlaza, usenokuba ukhe weva amagama anje nge-'Adjuvant Chemotherapy' kunye ne-'Neoadjuvant Chemotherapy'. La magama asenokuvakala entsonkothile kwaye anokukwenza woyike. Kodwa eneneni awantsonkothanga kangako. Namhlanje, siza kuthetha ngala mayeza mabini ngendlela elula kakhulu onokuyiqonda.
Yintoni 'i-Adjuvant Chemotherapy'?
Ngamafutshane, i-adjuvant chemotherapy yi-chemotherapy enikwa *emva* konyango lwakho oluphambili lomhlaza (njengotyando). Ngamanye amaxesha ibizwa ngokuba yi-"preventive chemotherapy."
Cinga ngale ndlela. Ususa ukhula olukhulu emyezweni wakho ngekhuba. Kodwa kusenokwenzeka ukuba kusenokubakho ukhula oluncinci kunye nembewu yokhula engabonakaliyo emehlweni emhlabeni, akunjalo? Ukuba uyayishiya, ukhula lunokukhula kwakhona emva kwexesha elithile.
I-Adjuvant chemotherapy yinto efana naleyo. Masithi uwususile ngokupheleleyo umhlaza emzimbeni wakho ngotyando. Nangona kunjalo, ngamanye amaxesha kunokubakho iiseli ezimbalwa zomhlaza ezincinci ezishiyekileyo emzimbeni ezingabonakaliyo emehlweni okanye ezingabonakaliyo ngeeskeni. Injongo yolu nyango kukufumana nokutshabalalisa ezo seli zomhlaza ezisele, ngaloo ndlela kunciphisa umngcipheko wokubuya komhlaza (ukuphinda ubuye) kangangoko kunokwenzeka.
Ngoko ke yintoni i-'Neoadjuvant Chemotherapy'?
Oku kuchasene noko bekutshiwo ngaphambili. I-Neoadjuvant chemotherapy yi-chemotherapy enikwa *ngaphambi* konyango oluphambili, oko kukuthi, utyando.
Oku kuneenjongo eziphambili ezininzi:
- Ukunciphisa ithumba: Xa i-chemotherapy inikwa ngaphambi kotyando ukuze inciphise ithumba, kuba lula kakhulu kugqirha ukuba alisuse ngexesha lotyando.
- Utyando lokunciphisa ubukhulu bethumba: Ngamanye amaxesha, kufuneka utyando olukhulu kuba ithumba likhulu. Umzekelo, kwiimeko zomhlaza webele, ukuba ibele lonke lisusiwe (i-mastectomy), kwaye ithumba lincitshiswe ngonyango lwe-neoadjuvant, kunokwenzeka ukuba kugqitywe inkqubo ngotyando oluncinci olususa ithumba kuphela (i-lumpectomy).
- Ukuphucula iziphumo zonyango: Ukususwa kwesi sifo ngotyando kunokunyusa impumelelo yonyango.
Jonga le theyibhile ukuze kube lula ukubhekisela kuyo.
| Uphawu | I-Adjuvant Chemotherapy | I-Neoadjuvant Chemotherapy |
|---|---|---|
| Ixesha lokunika | Emva konyango oluphambili (utyando) | Ngaphambi konyango oluphambili (utyando) |
| Injongo ephambili | Tshabalalisa iiseli zomhlaza ezisele kwaye uthintele umhlaza ukuba ungabuyi | Ukunciphisa ithumba ukuze kube lula utyando |
Zithini iziphumo ebezingalindelekanga eziqhelekileyo zezi ndlela zonyango?
Enye yezinto abantu abaninzi abazoyikayo xa bethetha nge-chemotherapy ziziphumo ebezingalindelekanga. Ekubeni amayeza asetyenziswa kuzo zombini iindlela zonyango (umz. 5-FU, Taxanes, Anthracyclines) adla ngokufana, iziphumo ebezingalindelekanga nazo ziyafana kakhulu.
Kutheni le nto ezi ziphumo bezingalindelekanga zenzeka? Ngamafutshane, amayeza e-chemotherapy ajolise kwiiseli ezahlukana ngokukhawuleza . Iiseli zomhlaza luhlobo lweseli ezahlukana ngokukhawuleza. Kodwa ezinye iiseli eziphilileyo emzimbeni wethu, umzekelo, iiseli ze-hair follicle, iiseli ezingaphakathi emlonyeni wethu, iiseli zegazi, kunye neeseli zokuzikhusela komzimba, nazo zahlukana ngokukhawuleza. Ngoko ke amayeza e-chemotherapy anokubangela umonakalo othile kwezi seli ziphilileyo. Yiyo loo nto iziphumo ebezingalindelekanga zenzeka.
Nazi ezinye zeziphumo ebezingalindelekanga eziqhelekileyo:
- Ukudinwa
- Ukulahleka kweenwele
- Izilonda zomlomo
- Isicaphucaphu nokuhlanza
- Urhudo okanye ukuqhina
- Ukuchaphazeleka kusulelo
- Iingxaki zemithambo-luvo, ezifana nokungaziva mnandi kwamalungu omzimba
- Iingxaki zokugxila
Eyona nto ibalulekileyo kukungazoyiki ezi ziphumo bezingalindelekanga. Iqela lakho lezonyango likho ukukunceda uzilawule kwaye unciphise impembelelo yazo. Kwakhona, ayinguye wonke umntu oza kuhlangabezana nazo zonke ezi ziphumo bezingalindelekanga. Ukuba abanye abantu abanazo iziphumo ebezingalindelekanga akuthethi ukuba unyango alusebenzi.
Imibuzo ekufuneka uyibuze ugqirha wakho ngokuqinisekileyo
Ukuba ugqirha wakho ucebisa olu hlobo lonyango, lilungelo lakho ukucacisa ngalo. Musa ukugoba nantoni na. Nazi ezinye zemibuzo ebalulekileyo onokuzibuza yona.
| Buza nge-Adjuvant Chemotherapy (emva kotyando) | Buza ngeNeoadjuvant Chemotherapy (ngaphambi kotyando) |
|---|---|
| Ndingalunikwa njani olu nyango? (Nge-intravesical? Njengeepilisi?) | Luhlobo luni lwamayeza endiya kunikwa olu nyango? |
| Ithatha ixesha elingakanani le nyango? | Ithatha ixesha elingakanani le nyango? |
| Ukuba olu nyango alusetyenziswa, ingakanani ingozi yokuba umhlaza uphinde ubuye? | Olu nyango luza kuyichaphazela njani indlela endityandwa ngayo? |
| Zithini iziphumo ebezingalindelekanga? Ziza kuhlala ixesha elingakanani? | Zithini iziphumo ebezingalindelekanga? Ziza kuhlala ixesha elingakanani? |
| Uzilawula njani ezo ziphumo ebezingalindelekanga? | Wenza ntoni ngaloo miphumo emibi? |
| Ngaba zikho ezinye iindlela zonyango ezingasetyenziswayo? | Ngaba kukho ezinye izinto ezinokwenziwa endaweni yolu nyango? |
Khumbula, thetha ngokukhululekileyo ngayo yonke le nto nogqirha wakho. Uza kumamela zonke izinto ezikuxhalabisayo namathandabuzo akho. Lilungelo lakho, kwaye liza kukunika amandla okumelana kakuhle nonyango lwakho.
Umyalezo Wokuya Ekhaya
- I-adjuvant chemotherapy yi-chemotherapy enikwa emva konyango olukhulu, njengotyando. Injongo ephambili kukutshabalalisa naziphi na iiseli zomhlaza eziseleyo kunye nokuthintela umhlaza ukuba ungabuyi.
- I-Neoadjuvant chemotherapy yi-chemotherapy enikwa ngaphambi konyango olukhulu, njengotyando. Injongo ephambili kukunciphisa ithumba, ukuze utyando lube lula kwaye luphumelele ngakumbi.
- Zombini ezi ndlela zonyango zinokubangela iziphumo ebezingalindelekanga, kodwa kukho iindlela ezahlukeneyo kunye namayeza okuzilawula nokunciphisa iziphumo zazo.
- Thetha ngokukhululekileyo nogqirha wakho ukuze uqonde ngokucacileyo ukuba loluphi unyango olukulungeleyo, kunye nezinto ezilungileyo nezingalunganga.
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