Ingabe umdlavuza ubuyile kuwe? (Ukuphinda Umdlavuza) Ungesabi, ake sixoxe ngalokhu!

Ngemva kokulwa nomdlavuza, ukwelashwa, nokuzizwa ungcono kancane, kungaba nzima ukuzwa ukuthi umdlavuza ungase ubuye, akunjalo? Kunzima kakhulu. Kodwa khumbula ukuthi awuwedwa kulesi sikhathi. Ake sixoxe ngokuphindeka komdlavuza, ukuthi kusho ukuthini, ukuthi kungani kwenzeka, nokuthi yini ongayenza ngakho ngendlela elula neqondakalayo.

Kusho ukuthini ukuphinda umdlavuza?

Kalula nje, umdlavuza ophindaphindayo yilapho umdlavuza ubuya khona ngemva kokwelashwa. Lokhu kungenzeka ezinyangeni noma eminyakeni ngemva kokuqeda ukwelashwa. Ngezinye izikhathi umdlavuza usuke usunyamalale ngokuphelele, azikho izimpawu ezivelile, futhi awusakwazi ukutholakala ezivivinyweni. Lokhu sikubiza ngokuthi "ukuxolelwa." Kodwa-ke, ngisho nangesikhathi salokhu "ukuxolelwa," umdlavuza ungabuya. Uma lokho kwenzeka, odokotela bakho bazoncoma ukwelashwa okwengeziwe. Kuye ngesimo sakho, ungase ukwazi ukuphila kahle iminyaka eminingi ngisho noma umdlavuza ubuya.

Yiziphi izinhlobo ezahlukene zokuphindaphinda komdlavuza?

Odokotela bahlukanisa umdlavuza ngokusekelwe ekutheni ubuyela kuphi. Kunezinhlobo ezintathu eziyinhloko:

Ukuphindaphinda Kwendawo

Lokhu kusho ukuthi uhlobo olufanayo lomdlavuza luzophinde luvele endaweni efanayo lapho umdlavuza wawukhona khona ekuqaleni. Cabanga ukuthi unomdlavuza we-prostate bese ususwa ngokuhlinzwa (i-Prostatectomy). Ngemuva kwalokho, umdlavuza ungaphinde uvele endaweni efanayo lapho kwakukhona khona i-prostate . Lokho kubizwa ngokuthi "Ukuphindaphinda Kwendawo".

Ukuphindaphinda Kwesifunda

Yilapho umdlavuza usakazekela kuma -lymph node aseduze noma ezicutshini ezizungezile. Ezinye izinhlobo zomdlavuza, njenge-Triple Negative Breast Cancer, cishe zisakazeka ngale ndlela.

Ukuphindaphinda Okude

Kulokhu, amaseli avela kumdlavuza wokuqala asakazekela ezithweni noma ezicutshini ezikude emzimbeni, lapho akha khona umdlavuza omusha. Isibonelo, umdlavuza wamaphaphu ngezinye izikhathi ungasakazekela ohlelweni lwezinzwa oluphakathi, noma ebuchosheni, bese uphinda ubuye lapho.

Yiziphi izinhlobo zomdlavuza okungenzeka kakhulu ukuthi zibuye?

Eqinisweni, noma yiluphi uhlobo lomdlavuza lungabuya. Kodwa-ke, ucwaningo luthole ukuthi ezinye izinhlobo zomdlavuza zisengozini enkulu kancane. Ezinye zazo zifaka:

• Umdlavuza Wesibeletho
• I-Metastatic Melanoma , umdlavuza wesikhumba owawusakazekele kwezinye izingxenye zomzimba lapho utholakala ukuthi unegciwane.
• Uhlobo lwe-lymphoma olubizwa ngokuthi i-Peripheral T-cell Lymphoma (PTCL).

Kodwa, into ebalulekile lapha ukuthi la maphesenti ayizilinganiso ezijwayelekile. Lokhu kungahluka kuye ngezinto eziningi, njengohlobo lomdlavuza owawunawo, ukwelashwa kokuqala owakuthola, njll. Ngakho-ke, uma umdlavuza wakho ubuya, indlela engcono kakhulu yokwazi ngokuqinisekile ukukhuluma nodokotela wakho.

Ziyini izimpawu zokubuyela emuva komdlavuza?

Izimpawu zomdlavuza obuyayo zingafana nezezinye izimo. Ngakho-ke, ngenkathi unakekela impilo yakho, kubalulekile ukubuza udokotela wakho ngezimpawu ezivamile ezingase zihlobane nohlobo lomdlavuza owawunawo. Uzobe esekutshela ukuthi yiziphi izimpawu okufanele uzibheke nokuthi yiziphi izivivinyo okufanele uzenze ukuze uhlole ukuthi umdlavuza ubuyile yini. Bona udokotela wakho uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma izimpawu ezazikhona ngesikhathi umdlavuza uqala ukubonakala, isibonelo, iqhubu noma into efana nalo ingabuya lapho umdlavuza waqala khona.
• Ubuhlungu obungapheli.
• Ukukhwehlela okuqhubekayo.
• Uma wehlisa isisindo ngaphandle kwesizathu.
• Uma uphuma igazi ngendlela engajwayelekile noma unezibazi emzimbeni wakho.
• Umkhuhlane oqhubekayo.
• Uma uvame ukuba nekhanda elibuhlungu .
• Ubunzima bokuphefumula (i-Dyspnea).
• Uma kukhona igazi endle noma emchameni .
• Isicanucanu nokuhlanza.
• Ubunzima bokugwinya ukudla (i-Dysphagia).

Kungani umdlavuza uphindela emuva?

Umdlavuza ufana nesisulu esihambayo. Ngakho-ke, kunzima kakhulu nganoma yikuphi ukwelashwa ukubamba nokubhubhisa wonke amangqamuzana omdlavuza. Isibonelo, ngesikhathi sokuhlinzwa ukuze kususwe isimila, amanye amangqamuzana angaba mancane kakhulu ukuba angabanjwa. Amangqamuzana omdlavuza ahlala eshintshashintsha futhi eshintsha. Ngezinye izikhathi, ukwelashwa komdlavuza akuthinti wonke amangqamuzana omdlavuza ngendlela efanayo. Amangqamuzana amelana nalezo zindlela zokwelashwa angaqhubeka nokukhula naphezu kokwelashwa. Lawa atholakala kamuva kuphela ngesikhathi sokuhlolwa "kokuLandelela".

Ungawubona kanjani umdlavuza ophindaphindayo?

Izivivinyo eziningi ezifanayo ezisetshenziswa odokotela ukuxilonga umdlavuza kwasekuqaleni zisetshenziselwa nokuxilonga umdlavuza obuyile. Ezinye zazo zifaka:

Ukuhlolwa Kwegazi

Ukuhlolwa kwegazi ukuhlola ukuthi umdlavuza uphinde ubuye yini kungafaka:

• Inani Eliphelele Legazi:Lokhu kuhlola inani lamaseli egazi nama-platelet egazini lakho. Lokhu kuvumela odokotela ukuthi bahlole impilo yakho iyonke futhi bahlole izimpawu zokuphindeka komdlavuza.
• Ukuhlola Amaseli Angumzimba: Lokhu kukhomba izinhlobo ezithile zamaseli. Uma unomdlavuza wegazi ofana ne-leukemia obuyile, udokotela wakho angasebenzisa lolu vivinyo ukuthola okwengeziwe ngesimo sakho.
• I-Liquid Biopsy: Lokhu kuhlola igazi lakho ukuthola amangqamuzana omdlavuza noma izingcezu ze-DNA ezivela kumangqamuzana omdlavuza.
• Ukuhlolwa Kophawu Lwesimila: Izimpawu zesimila ziyizinto ezikhishwa amangqamuzana omdlavuza noma amanye amangqamuzana ngenxa yomdlavuza. Odokotela basebenzisa lezi zivivinyo ukufuna izimpawu zokuthi umdlavuza uyabuya.

Ukuhlolwa Kwezithombe

Uma umdlavuza wakho ubuya, odokotela bazosebenzisa izivivinyo zezithombe ukuze bafunde kabanzi ngamathumba amasha avele kumdlavuza wokuqala. Lokhu kungafaka:

• I-CT Scan (I-Computed Tomography - I-CT Scan): Lokhu kusetshenziselwa ukubona ukuthi umdlavuza ubuyile yini, noma ukuthola usayizi nendawo yesimila.
• I-MRI scan (Magnetic Resonance Imaging - MRI): I-MRI ingathatha izithombe ezinemininingwane zezindawo ezithile emzimbeni wakho. Lokhu kungasiza ekutholeni ukuthi umdlavuza ubuyile yini.
• I-PET Scan: I-PET scan ibheka izindawo zomzimba wakho ezisebenzisa i-glucose eningi. I-glucose uhlobo lukashukela. Amaseli omdlavuza asebenzisa i-glucose eningi kunamaseli avamile.

Ukuhlolwa komchamo

Ukuhlolwa komchamo kulinganisa inani lamaseli egazi, ushukela, kanye namaprotheni emchameni wakho. Odokotela bangakusebenzisa lokhu ukuhlola umdlavuza wesinyi noma umdlavuza wezinso.

Ukuhlolwa kwe-Biopsies

Ukuze kuhlolwe umdlavuza, noma ngabe ubuyile, odokotela benza i-biopsy. Ku-biopsy, odokotela bathatha isampula yezicubu bese udokotela wezifo ezibangelwa yisifo azihlole ngaphansi kwe-microscope ukuze abone ukuthi zikhona yini izimpawu zomdlavuza. Kunezinhlobo eziningana ze-biopsy:

• I-Biopsy Eqondiswa Yisithombe: Odokotela basebenzisa i-CT scan noma i-ultrasound ukuze babheke isimila bese bethatha isampula encane yesimila ngenaliti.
• I-Endoscopic noma i-Laparoscopic Biopsy:Odokotela basebenzisa i-endoscope noma i-laparoscope ukubheka ngaphakathi emzimbeni wakho. I-endoscope iyipayipi elincane, eliguquguqukayo elinekhamera ekugcineni kanye nethuluzi lokususa isampula. I-endoscope ayifakwa ngokusika. I-laparoscope iyithuluzi elihlukile kancane. Ifakwa ngokusika okuncane esiswini. Leli thuluzi livumela izicubu ukuthi zisuswe ngaphandle kokwenza ukusika okukhulu.
• I-Excisional Biopsy noma Incisional Biopsy: Kulezi biopsies ezivulekile, udokotela ohlinzayo wenza i-incision emzimbeni wakho bese esusa yonke i-tumor (Excisional Biopsy) noma ingxenye ye-tumor (Incisional Biopsy) ukuze ihlolwe noma ilashwe.
• Ukuhlolwa Kwe-Bone Marrow: Ukuze kubonakale ukuthi umdlavuza ubuyile yini, odokotela bathatha isampula yegazi nethambo elingaphakathi kwe-bone marrow.

Yiziphi izindlela zokwelapha umdlavuza ophindaphindayo?

Ukwelashwa komdlavuza obuyile kuzohluka kuye ngesimo sakho. Udokotela wakho angase:

• Ukuphinda ukwelashwa kokuqala okwanikezwa ekuqaleni.
• Ukuhlinzwa kokususa izimila ezintsha ezinomdlavuza.
• Ukusebenzisa imithi ehlukene yokwelapha ngamakhemikhali noma inhlanganisela yemithi.
• Ukuzama indlela ehlukile yokwelapha, njengokwelashwa okuqondiwe noma i-immunotherapy.

Uma umdlavuza wakho usubuyile, udokotela wakho uzokhuluma nawe ngezinketho zakho nokuthi yini ongayilindela ekwelashweni. Ngokuvamile, ukwelashwa komdlavuza obuyile kuklanyelwe ukulawula umdlavuza, ukuwuvimba ukuthi ungabi mubi kakhulu, noma ukuwuvimba ukuthi ungasabalali. Akwenzelwe ukwelapha umdlavuza ngokuphelele. Ezinye izinto ezingathinta izinqumo zokwelapha zifaka:

• Uhlobo lomdlavuza onalo.
• Sekuyisikhathi sokubuya. Ukwelapha umdlavuza obuya ngokushesha ngemva kokwelashwa kungaba nzima.
• Lapho umdlavuza ubuyile khona. Ngokuvamile, kungaba lula ukwelapha umdlavuza obuyile endaweni yokuqala noma eduze kwayo kunomdlavuza obuyile ezithweni noma ezicutshini ezikude nendawo yokuqala.
• Impilo yakho iyonke. Izindlela zokwelapha ezahlukene noma ezinamandla kakhulu zomdlavuza ezibuyile zingaba nemiphumela emibi kakhulu. Impilo yakho iyonke izothinta indlela oziphatha kahle ngayo ngesikhathi sokwelashwa.

Kungakhathaliseki ukuthi ukhetha ukwelashwa ini, cabanga ngokunakekelwa kokunciphisa ubuhlungu ukuze usize ekulawuleni izimpawu zomdlavuza kanye nemiphumela emibi yokwelashwa. Ukunakekelwa kokunciphisa ubuhlungu kuyinto ekunikeza ukwesekwa okwengeziwe kanye nokulawula izimpawu ngenkathi uphathwa umdlavuza.

Lizoba yini ikusasa uma umdlavuza ubuya? (Isibikezelo)

Ikusasa lesifo sakho, noma ukubikezela, lincike esimweni sakho. Izici eziningi ezithinta ukukhetha ukwelashwa, njengohlobo lomdlavuza onalo, indlela osabela ngayo ekwelashweni, indlela ophatha ngayo imiphumela emibi, kanye nempilo yakho iyonke, nazo zithinta ukubikezela kwakho. Ulwazi olungcono kakhulu ngalokhu luvela kudokotela wakho.

Uma umdlavuza ubuya, uphila kanjani nawo?

Ukuphinda umdlavuza kungazwakala sengathi "sekudlulile" . Uke walwa nomdlavuza kanye, manje usubuyile. Kodwa kulokhu, ungase uzizwe ukhungathekile futhi ukhungathekile ngomcabango wokuthi kufanele uphinde ubhekane nomdlavuza. Imizwa yakho ingokoqobo, futhi ibalulekile. Uma ungumuntu oke waphinde waba nomdlavuza futhi ophila nawo, into yokuqala okudingeka uyenze ukuzinika isikhathi nendawo yokuqonda isimo sakho. Bese uqala ukucabanga ngezinyathelo ongazithatha ukuze uphile kahle ngangokunokwenzeka, noma ngabe umdlavuza usubuyile. Nazi ezinye iziphakamiso:

• Buza udokotela wakho ngezinhlelo zokusinda emdlavuza. Lezi zinhlelo zikusiza ukuthi uqonde futhi uphathe izinselele zokuphila nomdlavuza.
• Yidla ukudla okunempilo nokulinganiselayo. Cela udokotela wakho ukuthi akhulume nochwepheshe wezokudla ongakusiza ukuthi wakhe uhlelo lokudla olufanela izidingo zakho.
• Zivocavoce. Ukuzivocavoca umzimba kungasiza ekunciphiseni ukucindezeleka futhi kwandise amandla nokukhuthazela. Kodwa-ke, qiniseka ukuthi uhlola udokotela wakho ngaphambi kokuqala uhlelo lokuzivocavoca.
• Yakha noma ulondoloze imikhuba emihle yokuphila. Uma usebenzisa imikhiqizo kagwayi noma uphuza utshwala, zama ukuyeka.
• Lala ngokwanele. Ukwelashwa komdlavuza nomdlavuza kungalimaza umzimba wakho. Ngakho-ke, qiniseka ukuthi ulala ngokwanele. Khuluma nodokotela wakho uma unenkinga yokulala.
• Cabanga Ngokuhlela Ukunakekelwa Okusengaphambili. Lokhu kufaka phakathi Iziqondiso Ezisengaphambili. Ekuhleleni ukunakekelwa okusengaphambili, ucabanga ngempilo yakho kusenesikhathi bese unquma ukuthi yini okufanele yenzeke uma ungakwazi ukukhuluma wedwa. Iziqondiso zokunakekelwa okusenesikhathi ziyimibhalo esemthethweni enikeza imiyalelo ebhaliwe mayelana nezifiso zakho zokuphela kwempilo yakho nokuthi ubani ongakwenzela izinqumo zezokwelapha.

Uyini umehluko phakathi komdlavuza ophindaphindayo nomdlavuza wesibili?

Uma uke waba nomdlavuza, ungaba nomdlavuza wesibili. Lona umdlavuza omusha ngokuphelele, ohlukile. Ngakolunye uhlangothi, umdlavuza ophindaphindayo yilapho uhlobo olufanayo lomdlavuza lubuya khona.

Ingabe umdlavuza obuye wavela ungaphinde ululame ngokuphelele?

Yebo, kungenzeka. Ngezinye izikhathi, iziguli zidlula emijikelezweni ebizwa ngokuthi "ukuxolelwa" (ukungabikho kwezimpawu) kanye "nokuphinda kuvele" (ukuphinde kuvele umdlavuza). Lapho umdlavuza ubuya, odokotela bangase bazame ukwelashwa okufanayo noma okuhlukile, ngenhloso yokubuyisela umdlavuza "ekuxolelweni."

Umdlavuza wami ubuyile. Nginganquma kanjani ukuthi ngidinga ukwelashwa okwengeziwe?

Akusona isinqumo esilula. Uma usuthole ukuthi umdlavuza wakho ubuyile, udinga ukuzinika isikhathi sokuqonda izinketho zakho zokwelashwa bese ucabanga ngalokho okufunayo kuwe, emndenini wakho, nakwabanye abakukhathalelayo. Nazi ezinye izinyathelo ezingakusiza ukuthi wenze lesi sinqumo:

• Zinike isikhathi sokuqonda izinketho zakho zokwelapha kanye nemiphumela yazo engaba khona. Udokotela wakho wezifo zomdlavuza kanye nethimba lezokwelapha bazokunikeza ulwazi oluningi ngangokunokwenzeka ukuze wenze izinqumo ezinolwazi.
• Khuluma nomndeni wakho kanye nabanye abathandekayo ubazise ngesimo sakho. Kungakhathaliseki ukuthi wenza siphi isinqumo, kubalulekile ukuthi umndeni wakho nabanye baqonde isinqumo sakho futhi bazi ukuthi yini oyilindele ekunakekelweni kwakho.
• Cabanga ukuthola umbono wesibili komunye udokotela womdlavuza. Ezinye izibhedlela ngezinye izikhathi zingakunikeza izinketho zokwelapha ezahlukene.
• Buza udokotela wakho mayelana nokuhlanganyela esivivinyweni somtholampilo. Izivivinyo zemitholampilo ziyimisebenzi yocwaningo eyenzelwe ukunquma ukuthi ukwelashwa okusha kuphephile futhi kuyasebenza yini.

Uma nginquma ukungabe ngisathola ukwelashwa komdlavuza, kuzokwenzekani ngokulandelayo?

Kunezizathu eziningi ezenza abantu banqume ukuyeka ukwelashwa komdlavuza. Thola iseluleko kudokotela wakho, emndenini wakho, nakwabanye abathandekayo bakho, kodwa yazi ukuthi nganoma yisiphi isikhathi, isinqumo sokugcina sokuqhubeka noma ukuyeka ukwelashwa ngesakho.

Uma ngiyeka ukwelashwa, ingabe ukunakekelwa kwe-hospice kuyindlela yokukhetha?

Kungenzeka, kodwa kuncike empilweni yakho iyonke kanye nokubikezelwa kokugula kwakho. Ngokuvamile, odokotela batusa ukunakekelwa kwe-hospice uma bekholelwa ukuthi isimo sakho asinakwelapheka ngokwelashwa futhi unezinyanga ezingaphansi kweziyisithupha zokuphila. Nakhu ongakulindela uma udokotela wakho etusa ukunakekelwa kwe-hospice:

• Ukunakekelwa Kokuphela Kokuphila Okuphelele: Umdlavuza uthinta wonke umuntu othintekile yiwo, okuhlanganisa umndeni wakho nalabo abakunakekelayo. I-Hospice Care iyakusiza wena nomndeni wakho. Ngenkathi odokotela benakekela izidingo zakho ezingokwenyama, abanye ochwepheshe bakunikeza ukwesekwa kwengqondo, ngokomzwelo, ngokomoya nangokwengqondo.
• Ukunakekelwa Kwenduduzo: Uzothola imithi kanye nezinye izindlela zokwelapha zokulawula ubuhlungu kanye nemiphumela emibi yalesi simo.
• Ukusekelwa Kwabanakekeli: Abanakekeli bakho abayinhloko bangase badinge usizo ngokunakekela kwakho. Bangase badinge nosizo lokuphatha impilo yabo engokomzimba nengokwengqondo. I-Hospice ibaxhumanisa nezinsiza ezidingwa umndeni wakho.
• Izinto zokwelashwa kanye nemishini: Nakuba abanye abantu bethola ukunakekelwa kwe-hospice ekhaya, bangase badinge imibhede ekhethekile kanye neminye imishini. I-Hospice inganikeza nokunakekelwa esikhungweni sokunakekelwa kwesikhashana noma esikhungweni sokuhlala se-hospice.

Okokugcina, izinto okufanele uzikhumbule

Uma welashwa ngempumelelo ngenxa yomdlavuza, cishe uyazi ukuthi umdlavuza ungabuya. Kodwa-ke, uma uthola ukuthi unomdlavuza futhi, ungase ushaqeke futhi ucasuke. Ungase uzizwe ungenathemba futhi wesaba. Kodwa ngomdlavuza, kuhlale kukhona ithemba, futhi umdlavuza obuyayo awuhlukile. Kukhona ithemba lokwelashwa okusha noma ithuba lokubamba iqhaza esivivinyweni somtholampilo. Ngaphezu kwalokho, noma ngabe ukwelashwa kungenakukwazi ukulawula umdlavuza obuyile, kungakhathaliseki ukuthi uphila isikhathi esingakanani, kunethemba lokuphila impilo oyifunayo. Uma umdlavuza wakho ubuya, udokotela wakho wezifo zomdlavuza kanye nethimba lezokwelapha bazokusekela izinqumo zakho futhi bakusize ngangokunokwenzeka. Ungesabi, hlala uqinile.

` Ukuphinda umdlavuza, izimpawu zomdlavuza, ukwelashwa komdlavuza, ukuxilongwa komdlavuza, ukuphila nomdlavuza, ukunakekelwa komdlavuza