Ingabe nawe uhlangabezana nemiphumela emibi evela ekwelashweni komdlavuza (i-chemotherapy)? Ake sixoxe ngalokhu!

Njengokwelashwa komdlavuza, nawe `( Uma usebenzisa i-chemotherapy , kuvamile ukuba nemiphumela emibi. Kalula nje, i-chemotherapy isebenzisa imithi ukubulala amangqamuzana akhula ngokushesha, njengamaseli omdlavuza. Le mithi ivimba amangqamuzana omdlavuza ukuthi ahlukane futhi akhule. I-Chemotherapy iwumuthi onamandla wokulwa nomdlavuza, yingakho odokotela bevame ukuwuncoma.

Kungani i-chemotherapy ibangela imiphumela emibi?

Kodwa-ke, kukhona ukubi okuncane kulokhu. Imithi yokwelapha ngamakhemikhali ayikwazi ukuhlukanisa phakathi kwamangqamuzana omdlavuza akhula ngokushesha namangqamuzana anempilo akhula ngokushesha. Ngakho-ke, lapho le mithi yokwelapha ngamakhemikhali nayo ilimaza amangqamuzana anempilo, uthola imiphumela emibi. Izinhlobo zamangqamuzana okungenzeka kakhulu ukuba onakale yi-chemotherapy yilezi:

• Amaseli akho esikhumba kanye nezimpande zezinwele (izimbotshana zezinwele).
• Amaseli angaphakathi komlomo ((mucosa)), amaseli ohlelweni lokugaya ukudla , kanye namaseli ohlelweni lokuzala .
• Umnkantsha uqukethe amangqamuzana akha igazi (amangqamuzana amhlophe egazi, amangqamuzana abomvu egazi, nama-platelet).

Kodwa kunezindaba ezinhle. Ngisho noma amangqamuzana omdlavuza onakele efa, amangqamuzana ethu aphilile angakhula futhi. Iningi labantu linikezwa i-chemotherapy ngemijikelezo, noma imijikelezo. Lokhu kunikeza amangqamuzana akho isikhathi sokukhula futhi. Ukunikeza umzimba wakho isikhathi sokuphulukisa kwenza kube lula ukulawula imiphumela emibi.

Akekho owaziyo ukuthi unjani. Ukuthi kuzoba nemiphumela emibi yini nokuthi izoba mibi kangakanani. Kodwa-ke, ukwazi ngemiphumela emibi engaba khona nokuthi ungayiphatha kanjani kuzokusiza ukuthi ubhekane kangcono ne-chemotherapy.

Yimiphi imiphumela emibi evame kakhulu ye-chemotherapy?

Imiphumela emibi oyitholayo incike ekutheni yimaphi amaseli anempilo alimele yimithi ye-chemotherapy. Eminingi yale miphumela incike ohlotsheni lomuthi we-chemotherapy owutholayo kanye nomthamo (`(umthamo)`). Imiphumela emibi evame kakhulu yile:

• Ukukhathala: Lona umphumela ovame kakhulu we-chemotherapy. Ungase uzizwe ukhathele kakhulu futhi ukhathele njengoba umzimba wakho uzama ukulwa nomdlavuza futhi ululame ekwelashweni. Ukwelashwa ngamakhemikhali nakho kungabangela i-anemia, okungakwenza uzizwe ukhathele.
• Ukulahlekelwa izinwele : Ukulahlekelwa izinwele kuvame ukuqala phakathi kwamasonto amathathu okuqala okuqala kwe-chemo. Ngezinye izikhathi lokhu kulahlekelwa izinwele kungaba unomphela. Kodwa-ke, izinwele eziningi ziqala ukukhula zingakapheli izinyanga ezimbili kuya kwezintathu ngemva kokuphela kokwelashwa. Kodwa-ke, umbala kanye nokuthungwa kwezinwele ezintsha kungase kuhluke kulokho okwakuyikho ngaphambili.
• Ukushintsha kwesikhumba: Ukwelashwa ngamakhemikhali kungabangela isikhumba sakho ukuba silume futhi sibe bomvu. Ngezinye izikhathi, ungase ube nama-blister ezandleni zakho nasematheni ezinyawo zakho (i-hand-foot syndrome). Futhi, isikhumba sakho singase sizwele kakhulu elangeni ngenkathi uthatha i-chemotherapy, ngakho-ke ungase ube sengozini enkulu yokushiswa yilanga.
• Isicanucanu nokuhlanza: Isicanucanu nokuhlanza okubangelwa yi-chemotherapy (CINV) kuthinta cishe abantu abangu-80% abathola i-chemotherapy. Ngakho-ke, kungenzeka ukuthi uzizwe ugula esiswini sakho.
• Izinguquko Emikhubeni Yamathumbu: I-Chemo ingabangela ukuqunjelwa kanye nesifo sohudo. Abanye abantu bangase bangakwazi ukubekezelela i-lactose okwesikhashana ngenkathi bethatha i-chemo.
• Ukulahlekelwa yisifiso sokudla: Ukwelashwa ngamakhemikhali kungashintsha umuzwa wakho wokunambitha futhi kukwenze ulahlekelwe yisifiso sokudla. Isibonelo, ukudla okubabayo kungase kunambitheke kakhudlwana kunokujwayelekile. Konke ukudla kungase kunambitheke njengensimbi.
• Ubunzima bokudla: Izilonda zomlomo kanye nomphimbo obuhlungu kungenza ukudla kube buhlungu. Lokhu futhi kuyimiphumela emibi evamile ye-chemo.
• Izinkinga zesinyi kanye nezinso: Eminye imithi yokwelapha ngamakhemikhali ingenza kube nzima ukuchama nokukhipha ngokuphelele isinyi sakho. Ungase uzwe ubuhlungu noma ukushisa uma uchama, umuzwa wokuthi kufanele uchame njalo, noma ukuvuza komchamo ngokungazi ( ukungakwazi ukuzibamba komchamo ).
• Isimiso somzimba sokuzivikela esibuthakathaka: Ukwelashwa ngamakhemikhali kunganciphisa inani lamaseli amhlophe egazi lakho, okwandisa ingozi yokugula. Abantu abasebenzisa i-chemotherapy basengozini enkulu yesimo esibizwa ngokuthi i-neutropenia, okuwukwehla kohlobo lweseli olulwa nokutheleleka.
• Ukudumba nokopha: I-Chemo ingabangela ukwehla kwenani lama-platelet akho. Uma ama-platelet akho ephansi (thrombocytopenia), ungase wophe kalula uma ulimala. Ungase uvuvuke kalula, futhi ngezinye izikhathi ungase ubone amabala amancane abomvu (petechiae) ngaphansi kwesikhumba.
• I-peripheral neuropathy: Lesi simo esibangelwa yi-chemotherapy (i-Chemotherapy-induced peripheral neuropathy - CIPN) singabangela ubuhlungu, ukungakhululeki, kanye nezinaliti ezingxenyeni zomzimba wakho, ikakhulukazi izandla nezinyawo zakho. Ungase ube nobunzima bokulawula imisipha yakho.
• Ubunzima bokucabanga nokukhumbula: Isimo esibizwa ngokuthi "ubuchopho be-chemo" singakwenza ungakwazi ukucabanga kahle. Abanye abantu abasebenzisa i-chemo banezinkinga zokukhumbula, ikakhulukazi izinkinga zokukhumbula zesikhashana.
• Izinkinga zobulili nokuzala: Ukwelashwa ngamakhemikhali kungadala amazinga aphansi e-estrogen kanye ne-testosterone yamahomoni. Lokhu kungathinta ikhono lakho lokuba nezingane kanye nesifiso sakho socansi. Lokhu kungaholela nasekunqamukeni kokuya esikhathini kusenesikhathi. Eminye imithi yamakhemikhali ingalimaza ingane engakazalwa uma ukhulelwa noma ukhulelwa omunye umuntu ngesikhathi sokwelashwa.

Ungayilawula kanjani imiphumela emibi ye-chemotherapy?

Udokotela wakho angakweluleka ngalokho ongakwenza ukuze ulawule imiphumela emibi obhekene nayo njengamanje. Okwamanje, kunezindlela ezithile ezisebenzayo zokukusiza.

Lawula ukukhathala.

Lezi zinto zizokusiza ukuthi ulawule ukukhathala ngesikhathi nangemva kokwelashwa kwakho nge-chemo:

• Landelela amazinga akho amasha amandla: Qaphela ukuthi uzizwa ukhathele kakhulu nini nokuthi kungani. Bhala phansi ibhuku lakho isonto lonke. Uma usuwaqonda amazinga akho amandla, kuzoba lula ukuhlela usuku lwakho.
• Hlela isimiso sakho sansuku zonke: Ake sithi unamandla amancane kunejwayelekile emisebenzini yakho yansuku zonke. Ngale mikhawulo emisha, nquma ukuthi yimiphi imisebenzi okudingeka ibekwe phambili, ukuthi yimiphi engahlehliswa, noma ukuthi yimiphi engasizakala.
• Linganisa umsebenzi nokuphumula: Thatha ikhefu njalo ngenkathi wenza ukuzivocavoca okulula kwansuku zonke, njengokuhamba. Kulungile ukulala kancane (imizuzu engama-30 noma ngaphansi) emini, kodwa ungalali kakhulu kangangokuthi awukwazi ukulala ebusuku.
• Cabanga ngempilo yakho: Yidla ukudla okunomsoco, vivinya umzimba ngokwanele, lala ngokwanele, futhi ulawule ukucindezeleka. Bheka isazi sokudla noma isazi sokusebenza kwengqondo ukuze uthole usizo lokuhlela isimiso esinempilo sokubhekana ne-chemotherapy.

Lungela ukuqala izinwele.

Ungenza lezi zinto ukusiza izinwele zakho zikhule:

• Hlela kusenesikhathi izinguquko: Thola iwigi efanela izinwele zakho. Faka izigqoko, ama-headscarf, kanye nama-scarves ekhabetheni lakho. Buza udokotela wakho ngezinhlelo ezifana ne-“Look Good Feel Better,” ezingakusiza ukuphatha imiphumela ye-chemo ekubukekeni kwakho.
• Phatha izinwele zakho ngobumnene:Gwema ukugeza izinwele njalo nokusebenzisa imikhiqizo yokwenza izinwele engalimaza izinwele zakho. Lokhu kuhlanganisa namathuluzi okwenza izinwele asebenzisa ukushisa. Geza izinwele zakho ngamanzi afudumele bese uzisula ngethawula.
• Vikela ikhanda lakho kanye nesikhumba sekhanda: Uma uphuma ngaphandle, gqoka isigqoko, ibhande lekhanda, isikhafu, noma isigqoko esenziwe ngendwangu ethambile kakotini ukuze uvikele ikhanda lakho.

Phatha izinguquko zesikhumba

Ngaphezu kokunakekela isikhumba sakho, kufanele wenze lezi zinto:

• Yiba mnene ngesikhumba sakho: Gwema ukusebenzisa imikhiqizo efana nezimonyo, amakha, izimpushana, kanye nokhilimu onephunga elinamandla ongacasula isikhumba sakho. Hlanza isikhumba sakho ngamanzi afudumele kanye nensipho ethambile. Komisa isikhumba sakho esikhundleni sokusigcoba ngethawula.
• Vikela isikhumba sakho ekulimaleni: Ungafaki ukushisa (njenge-heating pad) noma ukubanda (njenge-ice pack) ngqo esikhumbeni sakho. Ungafaki i-teyipu yezokwelapha noma amabhandeji esikhumbeni esonakele ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo.
• Zivikele elangeni: Uma uphuma ngaphandle, faka isivikelo selanga esine-SPF engama-30 noma ngaphezulu bese uphinda usifake njalo. Ungagqoka nesigqoko esikhulu noma izingubo zokuzivikela ukuze umboze isikhumba sakho.
• Vumela isikhumba sakho siphefumule: Gqoka izingubo ezikhululekile ezenziwe ngemicu yemvelo njengokotini.

Lawula isicanucanu, ukuhlanza, kanye nezinguquko ekuhambeni kwamathumbu

Ukuze unciphise ingozi yezinkinga zokugaya ukudla (noma ukunciphisa ubukhali bazo), yenza lezi zinto:

• Hlela ukudla kwakho ngokuhambisana nokwelashwa kwakho ngamakhemikhali: Ukudla kakhulu ngaphambi noma ngemva kokwelashwa ngamakhemikhali kungandisa ingozi yakho yokuba nesicanucanu. Zinike isikhathi esanele sokudla ngesikhathi sokwelashwa kwakho.
• Yidla ngokucophelela: Yidla ukudla okuncane, njalo usuku lonke. Hlafuna ukudla kwakho kahle ukuze umzimba wakho ube nesikhathi esanele sokukugaya. Gwema ukudla okunongwe kakhulu, okunamafutha, nokunzima ukukugaya. Gwema ukudla okukugcwalisayo, kanye nobisi nemikhiqizo yobisi uma kubangela isifo sohudo.
• Phuza amanzi ngokucophelela: Phuza izingilazi zamanzi eziyisithupha kuya kweziyisishiyagalombili ezingama-ounces angu-8 ngosuku, kodwa ziphuze phakathi kokudla esikhundleni sokudla. Ukuze unciphise ukucasuka kwesisu, phuza iziphuzo ezibandayo njenge-soda ehlanzekile, amajusi ezithelo angashukela, neziphuzo ezinongiwe. Ama-ice pack kanye ne-gelatin nakho kuhle.
• Phumula, phumula: Phumula ngemva kokudla ukuze isisu sakho sibe nesikhathi sokuzola.
• Thatha imithi (njengoba kuyalelwe): Udokotela wakho angase akunike imithi yokusiza ekunciphiseni izimpawu.

Uma uphelelwa yisifiso sokudla noma ubunzima bokudla

Ungavumeli ukudla kuzwakale njengomsebenzi, kungadingeka ushintshe indlela olungiselela ngayo ukudla nokudla okulula, kanye nendlela odla ngayo. Ungakwazi:

• Thuthukisa ukunambitheka kokudla:Ukuze ususe ukunambitheka kwensimbi, ungadla izithelo ezimuncu noma umunce i-sour toffee enongiwe ngezithelo. Gwema ukusebenzisa izitsha zensimbi. Uma umuzwa wakho wokunambitha wehlile, ungazama ukunambitheka okusha, njenge-salad dressing.
• Gcina umlomo wakho umanzi ukuze kube lula ukugwinya: Ukuphuza uketshezi ngenkathi udla noma uzama iziphuzo ezinomsoco eziwuketshezi kungasiza ukugcina umlomo wakho umanzi. Ncama ama-ice cubes noma amaswidi angenashukela ngesikhathi sokudla. Amathe okwenziwa kanye nemikhiqizo ye-Biotene ® nakho kungasiza.
• Phatha izilonda zomlomo ngobumnene: Ukuze uvimbele izilonda zomlomo ukuthi zingabi zimbi kakhulu, yidla ukudla okuthambile ekamelweni lokushisa. Gwema iziphuzo ezine-carbonated, ukudla kobisi, kanye nokudla okune-acidic (njengolamula). Zama ukugwema ikhofi, ushokoledi, notshwala. Udokotela wakho angase akuncome ukudla okuthambile.

Ngezinkinga zesinyi kanye nezinso

Lezi zinto zingasiza ekulawuleni noma ekuvimbeleni izinkinga zesinyi kanye nezinso:

• Phuza uketshezi ngokuhlakanipha: Phuza izinkomishi eziyisithupha kuya kweziyisishiyagalombili zama-ounce angu-8 ngosuku, kodwa gwema iziphuzo ezikwenza uchame njalo, njengekhofi notshwala.
• Nciphisa ingozi yakho yokutheleleka ngomchamo (UTIs): Geza esikhundleni sokugeza, gqoka izingubo zangaphansi zekotini, futhi ugweme izingubo eziqinile. Uma usebenzisa i-catheter, landela imiyalelo kadokotela wakho yokuthi ungayinakekela kanjani.
• Hlela ukuya endlini yangasese: Hlela ukuya endlini yangasese njalo emahoreni ambalwa, futhi uzinike isikhathi sokuchama ngaphambi kokuzivocavoca nangaphambi kokulala.

Qinisa isimiso somzimba esibuthakathaka

Lezi zinto zizosiza ekuvimbeleni ukutheleleka ngesikhathi usebenzisa i-"Chemo":

• Thola yonke imijovo yokugoma enconyiwe: Zivikele ngokuthola yonke imijovo yakho ngesikhathi.
• Landela imikhuba emihle yokuhlanzeka: ukugeza izandla zakho njalo, ukugqoka izingubo ezihlanzekile nezomile, nokuhlanza ngokushesha nokubopha noma yimaphi amanxeba kunganciphisa ingozi yokutheleleka.
• Zivikele ekusabalaleni kwamagciwane: Gwema ukusondelana nabantu abagulayo baze balulame. Gqoka imaski uma usengozini yokuthola amagciwane noma amagciwane ahamba emoyeni. Pheka ukudla kahle ukuze uvimbele ubuthi ekudleni.
• Thola umjovo wokwandisa amangqamuzana akho amhlophe egazi (uma kunconywa): Udokotela wakho angase akuncome umjovo we-granulocyte-colony stimulating factor (G-CSF). Lokhu kwelashwa kukhuthaza umzimba wakho ukuthi wakhe amangqamuzana amasha amhlophe egazi ukuze athathe indawo yalawo alimele yi-chemotherapy.

Uma usola ukuthi unesifo futhi uthatha i-`(Chemo)`, bona udokotela wakho ngokushesha. Izimpawu zifaka phakathi umkhuhlane kanye nokubanda. Izifo ezikhula ngenkathi uthatha i-`(Chemo)` zingaba zimbi kakhulu futhi zisongele nokuphila.

Nciphisa ukuklwebheka nokopha

Lezi zinto zizosiza ukunciphisa ingozi yokulunywa nokuphuma kwegazi:

• Zama ukuvimbela ukuwa: Thatha izinyathelo zokuvimbela ukuwa kokubili ngaphakathi nangaphandle.
• Zama ukugwema ukusikeka: Sebenzisa ibhulashi lamazinyo elithambile ukuvimbela ukuphuma kwegazi ezinsinini. Shefa nge-razor kagesi ukunciphisa ingozi yokusikeka. Faka umswakama esikhumbeni sakho nge-moisturizer ethambile, engenaphunga, bese usebenzisa i-lip balm ukuvimbela izindebe eziqhekekile. Uma lezi zindawo zomile kakhulu, zingase ziphume igazi.
• Gwema imithi ethile: Eminye imithi ethengwa ngaphandle kwemithi kadokotela, njenge-aspirin kanye ne-ibuprofen, ingandisa ingozi yokopha nokuklwebheka. Buza udokotela wakho ukuthi yimiphi imithi ephephile ukuyithatha.

Bona udokotela wakho ngokushesha uma unesifo sokopha ongakwazi ukukuyeka (okuthatha imizuzu engaphezu kwemibalwa), noma uma unegazi emchameni noma endle. Tshela nodokotela wakho uma unesifo sokopha esithweni sangasese sowesifazane okungeyona isikhathi sakho sokuya esikhathini.

Ngenxa yokungazweli kanye nobuhlungu emaphethelweni (i-peripheral neuropathy)

Tshela udokotela wakho uma unezimpawu ze-peripheral neuropathy, njengokungazweli noma ubuhlungu ezandleni noma ezinyaweni zakho. Kuye ngezimpawu zakho, kungadingeka bashintshe umthamo wakho we-chemotherapy ukuze bavimbele ukulimala kwemizwa. Kungadingeka futhi bakunike imithi yobuhlungu ukuze basize ekunciphiseni izimpawu zakho.

Cabanga, uma kunzima ukukhumbula

Lezi zinto zizokusiza ukuqinisa ingqondo yakho kanye nenkumbulo yakho:

• Bonana nodokotela wengqondo noma uchwepheshe wezokwelapha: Bonana nomhlinzeki wezempilo yengqondo njalo ukuze anakekele impilo yakho yengqondo. Umdlavuza uyinkinga enkulu. Ukunakekelwa kwempilo yengqondo kubalulekile ngalesi sikhathi.
• Lala ngokwanele: Lala okungenani amahora ayisishiyagalombili njalo ebusuku. Umzimba wakho (nengqondo) udinga lesi sikhathi ukuze ululame futhi uvuseleleke.
• Vivinya ingqondo yakho: Vivinya ubuchopho bakho njalo ngokufunda izincwadi, ukwenza amaphazili, nokuzibandakanya kweminye imisebenzi ephonsela ingqondo yakho inselele. Buza udokotela wakho ngemisebenzi efanele.
• Zama ukuhlala uhlelekile: Bhala amanothi bese udala indawo ebekelwe ukuwagcina ukuze unciphise ukucindezeleka enkumbulo yakho. Gcina izinto ozisebenzisa kakhulu ekhaya lakho zihlelekile ukuze ukwazi ukuzithola kalula.

Ngezinkinga zocansi kanye nokuzala

Ukuba nomdlavuza akusho ukuthi izinto ezifana nokusondelana nohlelo lomndeni azibe zibaluleke kakhulu. Nazi ezinye izinto ongazenza ukusiza lezi zindawo zempilo yakho:

• Thola isiqondiso ngezindaba zocansi: Khuluma nodokotela wakho nganoma yiziphi izinselele obhekene nazo embhedeni. Bangakunikeza imithi yokusiza ekunciphiseni izimpawu ezifana nokungakhululeki kwesitho sangasese sowesifazane noma ukungasebenzi kahle kwe-erection. Ukukhuluma nodokotela okhuluma ngocansi ovulekile nakho kungasiza.
• Hlela ukukhulelwa: Khuluma nodokotela wakho ngesifiso sakho sokuba nabantwana ngaphambi kokuqala ukwelashwa. Bangakunikeza iseluleko sokuthi ungahlela kanjani ukukhulelwa okuphephile. Bangakudlulisela nasezinsizeni ezifana nokugcinwa kwesidoda kanye nokugcinwa kwe-cryopreservation, okungakusiza ukuthi ube nezingane ngemuva kokwelashwa.

Iqala nini imiphumela emibi?

Abantu abaningi bathola imiphumela emibi njengokukhathala kanye nesicanucanu zingakapheli izinsuku ezimbalwa bethola i-chemotherapy. Futhi, uma uhlangabezana nezinto ezifana nokuqunjelwa noma isifo sohudo, zivame ukuqala ngokushesha ngemva kokuba uqale ukuthola i-chemotherapy. Izimpawu zivame ukulandela iphethini. Ngokuvamile, ziba zimbi kakhulu ngemva nje kokuqala i-chemotherapy bese zithuthuka kancane kancane ngaphambi komzuliswano olandelayo wokwelashwa.

Ukulahlekelwa izinwele nokukhathala kuyizinto ezimbili ezihlukene. Izinwele zivame ukuqala ukuwohloka phakathi kwamasonto amathathu okuqala okwelashwa. Ziphinde zikhule ngemva kokuphela kokwelashwa. Ukukhathala kuvame ukwanda ngomjikelezo ngamunye we-`(Chemo)`. Lokhu kusho ukuthi uma uzizwa ubuthakathaka ngemva kweseshini yokuqala ye-`(Chemo)`, ungase uzizwe ubuthakathaka nakakhulu ngemva kweseshini yesibili.

Kodwa-ke, akukho simiso esibekiwe sokuthi imiphumela emibi ye-chemotherapy iqala nini. Eminye imiphumela emibi ingase ivele maphakathi noma ngasekupheleni kokwelashwa kwakho. Indlela ozizwa ngayo incike empilweni yakho iyonke kanye nohlobo lokwelashwa olutholayo.

Ingabe umzimba wakho uzolulama ngokuphelele ngemva kokwelashwa ngamakhemikhali?

Imiphumela eminingi emibi iyaphela zingakapheli izinyanga ezimbalwa zokwelashwa, futhi kuthatha cishe izinyanga eziyisithupha kuya onyakeni ukuthi abantu abaningi babuyele ezingeni labo langaphambilini lamandla.

Eminye imiphumela emibi ingahlala izinyanga, ngisho neminyaka. Eminye iqala ngemva kokuphela kokwelashwa futhi ihlala isikhathi eside. Imiphumela emibi yesikhathi eside engenzeka ngemva kokwelashwa ngamakhemikhali ihlanganisa:

• Ukukhathala: Phakathi kuka-15% no-35% weziguli ezinomdlavuza zihlushwa ukukhathala okungapheli okuhlobene nomdlavuza.
• Ukuba ndikindiki nobuhlungu emalungeni (i-peripheral neuropathy): Abanye abantu bangase babe nemiphumela ye-peripheral neuropathy izinyanga noma ngisho neminyaka. Kodwa-ke, kubantu abaningi, imizwa ibuya kancane kancane.
• Inkungu yobuchopho: Ubunzima bokucabanga nezinkinga zenkumbulo zingaqhubeka izinyanga noma iminyaka ngemva kokuphela kokwelashwa ngamakhemikhali.
• Ukulahlekelwa amathambo: Ukwelashwa ngamakhemikhali kungenza amathambo akho abe buthaka, okwandisa ingozi yakho ye-osteoporosis kanye nokuqhekeka kwamathambo.

Buza udokotela wakho ngemiphumela emibi engaba khona yesikhathi eside ye-chemotherapy, kuye ngohlelo lwakho lokwelashwa. Uma unemiphumela emibi ongakwazi ukuyilawula wedwa, mcele ukuthi akuthumele ezinsizakalweni zokunakekelwa kwe-palliative ezingakusiza. Ukunakekelwa kwe-palliative akusikho ukunakekelwa kwe-hospice. Umgomo wayo ukuqeda izimpawu nokuthuthukisa ikhwalithi yokuphila kwakho, kungakhathaliseki ukuthi imigomo yakho yokwelashwa iyini.

"Enye yezimpendulo ezinzima kakhulu ongazithola uma ubuza ngezingozi zokwelashwa kanye nemiphumela emibi yile: 'Kuya ngokuthi.' Kodwa uma kukhulunywa nge-'(Chemotherapy)' (noma ngabe izwakala indala kangakanani), ulwazi lwawo wonke umuntu luhlukile ngempela. Futhi, awukwazi ukusho ukuthi imiphumela emibi efanayo eza ngemva komzuliswano wakho wokuqala we-'(Chemo)' izoza ngemva komzuliswano wesibili, wesithathu, noma wesine.

"Udokotela wakho angakweluleka ngemiphumela emibi evame kakhulu ongayilindela ngokusekelwe ohlelweni lwakho lokwelashwa oluthile. Bangakusiza ukuthi wakhe uhlelo lokuyilawula uma ivela. Lolo hlelo kufanele luhlale luhlanganisa ukwazisa odokotela bakho ukuthi yiziphi izimpawu onazo. Ngemuva kwalokho bangakusiza ukuthi uzilawule ngangokunokwenzeka."

Izinto okudingeka uzikhumbule kulesi sihloko

Kulungile, ngakho-ke sesikhulume kakhulu ngemiphumela emibi ye-chemotherapy. Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• Nakuba i-chemotherapy iyindlela yokwelapha enamandla ebhubhisa amangqamuzana omdlavuza, ingalimaza namangqamuzana anempilo, yingakho kuvela imiphumela emibi.
• Ukukhathala, ukuqothuka kwezinwele, isicanucanu, kanye nokulahlekelwa yisifiso sokudla kuvamile.
• Okuhlangenwe nakho kwawo wonke umuntu kuhlukile. Imiphumela emibi oyitholayo, kanye nobunzima bayo, kungase kuhluke kokwabanye abantu.
• Imiphumela eminingi emibi ingeyesikhashana futhi iyanyamalala uma ukwelashwa sekuqediwe, kodwa eminye ingase iqhubeke.
• Into ebaluleke kakhulu ukukhuluma nodokotela wakho nganoma yikuphi ukungakhululeki onakho. Bangakusiza, bakufundise izindlela zokuphatha imiphumela emibi, futhi bakunikeze imithi uma kudingeka.
• Awuwedwa, kunodokotela, abahlengikazi, umndeni, nabangani abakhona ukukusiza kulolu hambo. Ngakho-ke kubaluleke kakhulu ukuhlala uqinile.

Ngithemba ukuthi lolu lwazi luwusizo!

Ukwelashwa ngamakhemikhali, umdlavuza, imiphumela emibi, ukwelashwa komdlavuza, impilo, ezokwelapha, izimpawu