Kusho ukuthini ukwelapha isifo ngokuphelele? (Ukwelapha) Ake sithole ukuthi lokhu kusho ukuthini ngempela!

Kunamagama athile esiwasebenzisa kwezokwelapha angabangela izinkinga ezinkulu uma singazi kahle ukuthi asho ukuthini. Elinye lamagama anjalo lithi 'Ukwelapha'. Kalula nje, isifo siyaphulukiswa uma seselaphekile ngokuphelele futhi ngeke sibuye. Kwabaningi, 'ukwelapha' kusho okungaphezu kwalokho. Kusho ukukhululeka ekuguleni, ukungabambeki ohlelweni lokwelashwa, ukungadingi ukubona udokotela ngaso sonke isikhathi, nokuba nokuthula nawe. Lokhu kubi nakakhulu uma kwenzeka izifo ezifana ne-Alzheimer's Disease, i-Parkinson's Disease, isifo senhliziyo esibi, kanye nomdlavuza. Ithemba lokwelashwa ukukwazi ukuphila ngaphandle kokwesaba ukufa, ngaphandle komthwalo wokushintsha impilo yakho ngenxa yokuxilongwa ongakwazi ukukulawula. Kodwa yilapho igama elithi 'Ukwelapha' lingase lidideke khona. Akuyona inhlamvu yomlingo ezokunikeza impilo enhle kanye nokuthula kwengqondo okuhambisana nayo. Isibonelo, abantu abaningi abanezifo ezingelapheki, njengezinhlobo ezithile zomdlavuza, baphila impilo egcwele ngaphandle kwezimpawu. Ngakho-ke, ukuqonda ukuthi 'ikhambi' liyini nokuthi aliyini kungakusiza ukuthi uhlele ikusasa uma ubona ukuthi unesifo esingelapheki.

Uyini umehluko phakathi "kokwelapha" kanye "nokwelashwa"?

Ukwelashwa kubhekisela emithini, izinqubo zezokwelapha, kanye nokwelashwa okunikezwayo ukuthuthukisa impilo yakho kanye nenhlalakahle yakho. Ukwelashwa kumane nje kuwumphumela owodwa wokwelashwa ongaholela kulokhu kuthuthukiswa. Eminye imiphumela yokwelashwa ingakugcina uphilile futhi ikuvumele ukuthi uphile impilo oyifunayo. Nansi eminye imiphumela yokwelashwa:

• Ukwelapha: Isifo sakho noma ukugula kwakho sekuphelile ngokuphelele. Ngeke kubuye. Isibonelo, ama-antibiotic okutheleleka ngamagciwane abulala amabhaktheriya akhona njengamanje futhi elapha lesi sifo. Kodwa-ke, awakwazi ukuvimbela ukuchayeka okusha kubhaktheriya ukuthi kungabuyi. Kodwa angabulala amabhaktheriya athile abangele ukutheleleka kwakho kwamanje.
• Ukuvimbela : Ukuzivikela esifweni noma esimweni ngaphambi kokuba sivele. Isibonelo, ukuthola umuthi wokugomela i-HPV kungakuvikela ezinhlotsheni ezithile ze- human papillomavirus (HPV) engabangela umdlavuza. Lezi zimdlavuza zifaka phakathi umdlavuza wendunu, umlomo wesibeletho , ipenis, nomphimbo .
• Ukuphathwa Kwezifo:Ukunciphisa ubucayi besifo ngesikhathi sisakhona nokuthuthukisa isimo sakho jikelele. Isibonelo, uma unesifo sikashukela sohlobo 1, sebenzisa i-insulin ukulawula amazinga kashukela egazini lakho. Nakuba isifo sikashukela singakalulami ngokuphelele, yisifo esingaphila naso ngokuthatha imithi efanele nokuqapha njalo amazinga kashukela egazini lakho.
• Ukunakekelwa kwe-palliative: Ukuthuthukisa ikhwalithi yempilo yomuntu ophila nokugula noma ukukhubazeka, kanye nokunciphisa izimpawu nemiphumela emibi yokwelashwa. Isibonelo, uma ungakwazi ukuphuma embhedeni, isisebenzi sezempilo singakusiza ugweme izilonda zombhede ngokukujikisa, futhi ungazizwa ududuzekile ngokuthintwa ngomunye umuntu. Ukunakekelwa kwe-palliative akukwazi ukwelapha isimo sakho noma ukunciphisa ubucayi bokugula kwakho. Kodwa-ke, kungenza impilo yakho ibe ngcono kunokuba ibingaba njalo ngaphandle kwakho.

Umehluko phakathi "kokwelapha" kanye "nokululama"

Abantu abaningi basebenzisa amagama athi 'ukwelapha' kanye 'nokululama' ngokushintshana, ngoba womabili adlulisela umqondo wokuba ngcono futhi anethemba. Kodwa-ke, ukululama kungenzeka ngaphandle kokwelashwa okuphelele. Isibonelo, umuntu onenkinga yokusebenzisa izidakamizwa angase 'alulame'. Lokhu kusho ukuthi impilo yakhe iyathuthuka futhi akasasebenzisi izidakamizwa noma utshwala. Kodwa-ke, ukululama akusho ukuthi ngeke aphinde abe nesifiso sokusebenzisa lezo zinto futhi. Kunalokho, kusho ukuthi ukhethe ukuzibophezela empilweni engenazo izidakamizwa phakade.

Umehluko phakathi "kokwelapha" kanye "nokuxolelwa"

Odokotela abelapha umdlavuza, noma odokotela bezifo zomdlavuza, bavame ukulinganisa impumelelo yokwelashwa ngokuthi umdlavuza 'ukukhululelwa' yini. Nakuba 'ukwelapha' kusho ukuthi lesi sifo sesinyamalele ngokuphelele, 'ukukhululelwa' akuqinisekisi lokho. Ukukhululelwa kungaba okuphelele noma okungaphelele:

• Ukuphumula okuphelele: Udokotela wakho akatholi zimpawu zomdlavuza, futhi awunazo izimpawu. Kodwa-ke, amangqamuzana omdlavuza angase afihlwe ezicutshini, angatholakali ngokuhlolwa noma ngezithombe. Ungase futhi ungabi nomdlavuza ngokuphelele.
• Ukukhululwa okuyingxenye: Usenawo amangqamuzana omdlavuza emzimbeni wakho, kodwa mancane kunangaphambili. Amathumba kungenzeka ukuthi anciphile, noma inani lamangqamuzana omdlavuza egazini lakho kungenzeka ukuthi lehlile.

Ukuxolelwa kungaba yinto edidayo ngoba ayinaso isikhathi esibekiwe. Umdlavuza wakho kungenzeka ukuthi ubusuphelile impilo yakho yonke. Uma ekugcineni ufa, kungase kube ngenxa yesizathu esingahlobene nomdlavuza. Noma, umdlavuza wakho kungenzeka ukuthi ubusuphelile amasonto, izinyanga, noma iminyaka ngaphambi kokuba udokotela wakho athole izimpawu zomdlavuza futhi. Uma lokhu kwenzeka, umdlavuza wakho ubuyile (ubuye wabuya). Umdlavuza obuyile ungase udinge ukwelashwa okusha, okungabuyisela umdlavuza esimweni esihle. Ukwazi ukuthi umdlavuza wakho usuphelile kuyizindaba ezinhle. Kodwa futhi kungaba yinto edumazayo uma ufuna isiqinisekiso sokuthi umdlavuza usuphelile unomphela.

Ingabe umdlavuza ungelapheka?

Impendulo emfushane ithi cha. Umdlavuza, okungenani okwamanje, awukwazi ukwelapha ngokuphelele. Kodwa impendulo ende iyinkimbinkimbi kakhulu. Nakuba umdlavuza ungelapheki, ukwelashwa kwezinhlobo ezithile zomdlavuza kungasiza ekuwususeni ngokuphelele emzimbeni wakho. Lena impendulo abantu abaningi abafuna ukuyazi. Cabanga ngale ndlela. Nakuba igama elithi “umdlavuza” lingase lizwakale njengesifo esisodwa, akunjalo. Kunezinhlobo zomdlavuza ezingaphezu kwe-100 ezahlukene. Zonke zinezindlela ezahlukene zokuthinta umzimba wakho, amazinga ahlukene obunzima, ukwelashwa okuhlukene okudingekayo, kanye nezindlela ezahlukene zokusabela kulezi zindlela zokwelapha. Esinye sezizathu zokwelapha umdlavuza kuphumelele kangaka ukuthi abacwaningi bafunde izinhlobo ezithile zomdlavuza futhi bazenzela ukwelashwa. Ngenxa yalokho, abantu manje basinda emidlavuzeni ebingaba yingozi eminyakeni embalwa edlule. Ezinye zalezi zidlavuza ziya ekuphumuleni okuphelele ngemva kokwelashwa, zingaphinde zibuye. Ngenxa yempumelelo yalezi zindlela zokwelapha, abanye odokotela bezifo zomdlavuza babiza ezinye izinhlobo zomdlavuza ngokuthi 'ziyaphulukiswa' uma zelashwa ngesikhathi esifanele (ngokuvamile kusenesikhathi, ngaphambi kokuba umdlavuza usakazeke). Kulesi simo, 'ziyaphulukiswa' kusho ukuthi uma uthola ukwelashwa ngokushesha nangokufanele, udokotela wakho angawelapha umdlavuza. Abanye odokotela bezifo zomdlavuza abalokothi basebenzise amagama athi 'ukwelapha' noma 'okwelaphayo' lapho bekhuluma ngemiphumela yokwelashwa komdlavuza. Nakuba amathuba okuthi umdlavuza uphinde ubuye ephansi, akukho siqinisekiso esingu-100% sokuthi iseli lomdlavuza elingatholakalanga ngesikhathi esisodwa ngeke liphinde libangele umdlavuza esikhathini esizayo.

Yimiphi imidlavuza enezinga eliphezulu kakhulu lokusinda ("ukwelashwa")?

Abanye odokotela bezifo zomdlavuza bangase bathi umdlavuza wakho 'uyaphulukiswa' uma usuneminyaka emihlanu noma ngaphezulu uphilile. Kungenzeka kakhulu ukuthi basebenzise igama elithi 'uyaphulukiswa' uma unomdlavuza ohlotshaniswa nesilinganiso esiphezulu sokusinda komdlavuza weminyaka emihlanu.

Ziyini Izinga Lokusinda Kumdlavuza?

Amazinga okusinda komdlavuza ayisilinganiso sokuthi amaphesenti amangaki abantu abatholakale benohlobo oluthile lomdlavuza abasaphila ngemva kwesikhathi esithile (ngokuvamile iminyaka emihlanu). Uphawu lweminyaka emihlanu luyingqophamlando ebalulekile ngoba iningi lomdlavuza elibuyayo libuya phakathi neminyaka emihlanu. Kuye ngohlobo lomdlavuza wakho, uma umdlavuza ungakabuyi ngaleso sikhathi, kunethuba elihle lokuthi ngeke uphinde ubuye. Enye yezinombolo ezibaluleke kakhulu odokotela be-oncologists abazisebenzisayo ukubikezela umphumela wokwelashwa kwakho izinga lokusinda leminyaka emihlanu. Likutshela ukuthi bangaki abantu abanohlobo oluthile lomdlavuza abaphila eminyakeni emihlanu ngemva kokuxilongwa, uma kuqhathaniswa nabantu abangenalo uhlobo olufanayo lomdlavuza. Nakuba lezi zinombolo zingenakubikezela okuhlangenwe nakho kwakho okuyingqayizivele, zingakunikeza umbono ojwayelekile wokuthi yini ongayilindela ngokusekelwe kokuhlangenwe nakho kwabanye. Umdlavuza omningi otholakala futhi welashwe kusenesikhathi unezinga lokusinda leminyaka emihlanu elingaphezu kuka-90%. Lokhu kusho ukuthi abantu abangu-90 kwabayi-100 bazophila eminyakeni emihlanu, uma kuqhathaniswa nalabo abangatholakalanga benomdlavuza. Abantu abaningi abanale mdlavuza, abathola ukwelashwa, baphila isikhathi eside, ngokuvamile bengenazo izimpawu zomdlavuza. Ake sibheke ezinye zalezi zinhlobo zomdlavuza:

Umdlavuza Webele

Umdlavuza webele ungavela ebeleni elilodwa (ngokuvamile) noma kuwo womabili amabele.

• Izinga lokusinda kweminyaka emihlanu: Cishe abantu abangu-99% abanomdlavuza webele ongakasabalali ngale kwezicubu zebele basaphila ngemva kweminyaka emihlanu. Cishe wonke umuntu onomdlavuza webele ongahlaseli noma wesigaba 0 (i-Ductal Carcinoma In Situ) usaphila ngemva kweminyaka emihlanu. Isimo asisihle kangako ngomdlavuza osusabalele.
• Kungani isimo sihle? Ukuhlolwa komdlavuza webele kungawubona umdlavuza kusenesikhathi, ngakho ukwelashwa kungaqala ngokushesha. Lokhu kwandisa amathuba okuhlala ungenawo umdlavuza. Ngenxa yocwaningo lomdlavuza, ososayensi bathuthukise izindlela zokwelapha ezihlose izinhlobo ezithile zomdlavuza webele futhi ezingawuqeda.

Umdlavuza Wesibeletho

Umdlavuza wesibeletho ukhula emlonyeni wesibeletho sakho, umsele oxhumanisa isitho sakho sangasese sowesifazane kanye nesibeletho.

• Izinga lokusinda leminyaka emihlanu: Cishe abantu abangu-92% abanomdlavuza womlomo wesibeletho abangakasabalali ngale komlomo wesibeletho noma kwesibeletho basaphila ngemva kweminyaka emihlanu. Izinga lokusinda liphezulu futhi ngemva kokwelashwa kwe-cervical dysplasia, ukukhula okungavamile kwamangqamuzana okungaba umdlavuza womlomo wesibeletho. Umdlavuza womlomo wesibeletho osakazekele kuma-lymph node noma kwezinye izingxenye zomzimba kunzima kakhulu ukuwuphatha.
• Kungani isimo sihle?Umdlavuza wesibeletho ukhula kancane. Ukuhlolwa njalo kwe-Pap smears kungasiza ekutholeni umdlavuza kusenesikhathi, lapho ukwelashwa kusebenza kahle kakhulu.

I-Hodgkin Lymphoma

I-Hodgkin lymphoma uhlobo lomdlavuza oluvela emangqamuzaneni amhlophe egazi abizwa ngokuthi ama-lymphocyte.

• Izinga lokusinda leminyaka emihlanu: Cishe abantu abangu-92% abane-non-Hodgkin lymphoma engakasabalali ezithweni ezinkulu, emnkantsheni wamathambo, noma kuma-lymph node angaphezulu nangaphansi kwe-diaphragm basaphila ngemva kweminyaka emihlanu.
• Kungani isimo sihamba kahle? I-Hodgkin lymphoma isabela kahle ekwelashweni komdlavuza njengokwelashwa ngemisebe kanye ne-chemotherapy.

I-Melanoma

I-Melanoma uhlobo lomdlavuza wesikhumba.

• Izinga lokusinda kweminyaka emihlanu: Cishe abantu abangu-99% abane-melanoma engakasabalali ngaphezu kwesikhumba basaphila ngemva kweminyaka emihlanu. Isimo siba sibi kakhulu uma umdlavuza ususakazekele ezingqimbeni ezingezansi.
• Kungani isimo sihle? Izinguquko zesikhumba kulula ukuzibona nokuzibona kusenesikhathi. Ukuhlinzwa kuvame ukususa i-melanoma, ekhula engxenyeni ephezulu yesikhumba. Intuthuko entsha ekwelashweni okufana nokwelashwa okuqondiwe kanye ne-immunotherapy kwenze kwaba nokwenzeka ukuhlala ungenawo umdlavuza isikhathi esingaphezu kweminyaka eyi-10.

Umdlavuza Wendlala Yesitho Sangasese

Umdlavuza we-prostate uvela endlaleni yakho ye-prostate.

• Izinga lokusinda kweminyaka emihlanu: Cishe ama-99% amadoda atholakale enomdlavuza we-prostate ongasakazekanga ngaphandle kwe-gland asaphila eminyakeni emihlanu ngemva kokuxilongwa.
• Kungani isimo sihamba kahle? Umdlavuza we-prostate ukhula kancane futhi uvame ukutholakala futhi welashwe kusenesikhathi, ngaphambi kokuba usabalale. Kunzima kakhulu ukwelapha umdlavuza we-prostate osusabalele (osusabalele).

Umdlavuza Wamasende

Umdlavuza wamasende uvela esendeni elilodwa (ngokuvamile) noma kuwo womabili amasende.

• Izinga lokusinda kweminyaka emihlanu: Cishe abantu abangu-99% abatholakale benomdlavuza wamasende ongasakazekanga ngaphandle kwamasende basaphila eminyakeni emihlanu ngemva kokuxilongwa. Ukwelashwa komdlavuza wamasende kusebenza kahle kakhulu, futhi abantu abaningi (73%) abanomdlavuza osakazekile basaphila eminyakeni emihlanu ngemva kokuxilongwa.
• Kungani isimo sihle? Ukuhlinzwa kokususa isende elinomdlavuza kuvame ukwelapha umdlavuza. Lo mdlavuza uphinde usabela kahle ekwelashweni ngamakhemikhali.

Umdlavuza We-Thyroid

Umdlavuza we-thyroid uvela endlaleni yakho ye-thyroid, indlala emise okwebhabhathane phansi kwentamo yakho.

• Izinga lokusinda kweminyaka emihlanu: Cishe wonke umuntu onomdlavuza we-thyroid ongakasabalali ngale kwe-thyroid usaphila ngemva kweminyaka emihlanu. Isibikezelo sibi kakhulu ngohlobo olungavamile lomdlavuza we-thyroid olubizwa ngokuthi umdlavuza we-thyroid we-anaplastic.
• Kungani isibikezelo silungile? Lolu hlobo lomdlavuza lukhula kancane. Ukuhlinzwa kokususa indlala yegilo kuvame ukuqeda umdlavuza.

Uma udokotela wakho esebenzisa amagama anjengokuthi 'ukwelapha', 'imiphumela yokwelashwa', 'amazinga okusinda', noma 'ukuxolelwa', cela imininingwane eyengeziwe. Ngayinye yala magama idlulisela ulwazi olubalulekile oluzokusiza uqonde ukuxilongwa kwakho futhi uhlele ikusasa. Kubalulekile ukuthi wena nodokotela wakho nivumelane ngemigomo yokwelashwa kwakho.

Into yokugcina abantu abaningi abayifunayo lapho bezama ukuthola ukuthi ukuxilongwa kusho ukuthini empilweni yabo ukungakwazi ukukhuluma kakhulu. Ngeshwa, amagama anjengokuthi "ukwelapha," ikakhulukazi uma kukhulunywa ngokuxilongwa okufana nomdlavuza, angaba nzima. Uma unomdlavuza, udokotela wakho angase acabange kabili ngokusebenzisa igama elithi "ukwelapha," noma ngabe awunawo umdlavuza futhi amathuba okuthi ubuye aphansi.

Umyalezo wokugcina okufanele uwuthathe uye ekhaya

Ungesabi uma uthola ukuthi isimo sakho asilapheki. Kunalokho, buza imibuzo ngokusekelwe kulokho okubalulekile kuwe. Ungase ubuze:

• "Yiziphi izindlela zokwelapha ezitholakalayo zokuqeda izimpawu zesifo sami?"
• "Ingabe ukwelashwa kuzongisiza ukuthi ngibuyele emisebenzini yami evamile?"
• "Yimiphi imikhuba engingayithuthukisa ukuze ngihlale ngiphilile?"

Thola izimpendulo ozidingayo ukuze ukhululeke. Khumbula, ngisho noma unesifo esingelapheki, ungalondoloza impilo enhle ngokuphathwa okuhle nokunakekelwa kokunciphisa ubuhlungu.

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Ukwelashwa , umdlavuza, ukwelashwa, ukucindezelwa kwezifo, amazinga okusinda, impilo, iseluleko sezokwelapha