Uma udokotela ekutshela wena noma othile omaziyo ukuthi "unomdlavuza wendlala yesinye," yini efika engqondweni ngokushesha yizinto ezifana nokuhlinzwa, i-chemotherapy, noma ukwelashwa ngemisebe? Kuvamile ngempela ukuzizwa wesaba futhi ukhathazekile uma uzwa into efana naleyo. Kodwa bewazi ukuthi akuwona wonke umuntu onomdlavuza wendlala yesinye okudingeka aqale ukwelashwa okukhulu kangaka ngokushesha? Namuhla, sizokhuluma ngendlela esetshenziswa ezimweni ezinjalo, futhi abantu abaningi abazi ngayo.
Kalula nje, kuyini 'Ukuqapha Okusebenzayo'?
Njengoba igama lisho, 'ukuqapha okusebenzayo' kusho ukuqapha umdlavuza ngenkuthalo ngaphandle kokwelashwa, okungukuthi, ukuwuqapha ngokucophelela. Lokhu akusho ukungawunaki umdlavuza. Ngokuqondile, kusho ukuthi umuntu onomdlavuza we-prostate ongengozi kakhulu, ongeyona ingozi uqashwa njalo ukuze abone ukuthi umdlavuza uqhuba kanjani ngaphandle kokwelashwa ngokushesha, njengokuhlinzwa.
Cabanga ngale ndlela. Kukhona umfana omncane oyisiwula endlini. Uma nje edlala ekamelweni, asinankinga. Kodwa sihlala sibheke ukuthi uzokwenza into eyingozi yini, noma ukuthi uzothinta yini umsinga. Kuphela uma ezama ukwenza into eyingozi njengaleyo, lapho singenelela khona ngokushesha. 'Ukuqapha okusebenzayo' kuyinto enjalo. Silinda kuze kube yilapho umdlavuza use-prostate , kodwa kuphela uma ubonisa izimpawu zokuba mubi kakhulu lapho siqala khona ukwelashwa.
Umgomo oyinhloko walokhu ukubambezela imiphumela emibi yezinto ezifana nokuhlinzwa kanye nokwelashwa ngemisebe kuze kube yilapho kudingeka. Lokhu kuzokusiza ukuthi ugcine impilo yakho isezingeni elihle.
Ngubani ofanele kakhulu le ndlela?
Indlela ebizwa ngokuthi 'ukuqapha okusebenzayo' ayifanele wonke umuntu. Uma udokotela wakho ekusikisela le ndlela, kunezinto eziningana okudingeka zihlangatshezwe.
- Umdlavuza kungenzeka ukuthi awusakazekanga ngaphandle kwendlala yakho ye-prostate.
- Umdlavuza awukwazi ukuba nolaka. Ukuze kutholakale lokhu, odokotela basebenzisa izinto ezifana ne -'Gleason score', okuwukuhlolwa okuthatha amangqamuzana omdlavuza bese ewahlola. Leli phuzu kufanele libe liphansi.
- Isimila kumele sibe sincane ngobukhulu.
Kalula nje, uma unomdlavuza okhula kancane, futhi ongewona obulalayo , le ndlela ingaba inketho enhle kuwe.
Kwenzekani ngesikhathi 'sokuqapha okusebenzayo'?
Ngeke ushiywe wedwa phakathi nalesi sikhathi. Udokotela wakho womdlavuza uzokuqapha eduze kakhulu. Kukhona uhlelo oluthile, noma 'iphrothokholi', yalokhu. Yilokhu okuvame ukwenzeka phakathi nalesi sikhathi.
| Ukuhlolwa / Inqubo | Isikhathi esivamile |
|---|---|
| Ukuhlolwa Kwedijithali Kwe-Rectal | Ngokuvamile kanye noma kabili ngonyaka. |
| Ukuhlolwa kwegazi kwe-PSA (Ukuhlolwa kwe-PSA) | Kanye noma kabili ngonyaka. Lokhu kunikeza umbono wempilo yendlala yesinye. |
| Ukuhlolwa Kwe-Prostate Biopsy | Kanye njalo eminyakeni eyi-1 kuya kwemi-5. Lokhu kwenzelwa ukuhlola noma yiziphi izinguquko kumdlavuza. |
| Izikrini ze-MRI | Ngezinye izikhathi, udokotela angase futhi ancome ukuthi kwenziwe i-MRI scan ukuze kuqondiswe i-biopsy. |
Lolu hlelo lungahluka kuye ngesimo sakho. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo futhi ungayeki noma yiziphi izivivinyo.
Yiziphi izinzuzo nezingozi zale ndlela?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo nezingozi. Kubalulekile ukuqonda kokubili ngaphambi kokwenza isinqumo.
Izinzuzo
Inzuzo eyinhloko yithuba lokugwema noma lokulibazisa imiphumela emibi engenzeka ngezinto ezifana nokuhlinzwa kanye nokwelashwa ngemisebe. Isibonelo:
- Ubunzima bokulawula umchamo (ukungakwazi ukuzibamba komchamo)
- Ukungasebenzi kahle kwe-Erectile
- Izifo nobuhlungu
Kuyinto enhle ukukwazi ukuphila impilo yakho ngendlela evamile, ngaphandle kwezinto ezinjengalezi.
Izingozi
Ingozi enkulu ukuthi kungenzeka ukuthi umdlavuza uzokhula futhi usabalale (usakazeke) ngesikhathi silindile.Uma lokhu kwenzeka, ukwelashwa okulandelayo kungaba nzima kakhulu. Kodwa-ke, le ngozi ingalawulwa kakhulu ngokuhlolwa njalo.
Kuvamile ukuzizwa wesaba futhi ukhathazekile ngokungatholi ukwelashwa komdlavuza yize wazi ukuthi unawo. Ungase ucabange, "O, angazi ukuthi lokhu kuzokhula yini ngaphakathi kimi." Uma uzizwa ngaleyo ndlela, khuluma nodokotela wakho ngakho ngokukhululekile. Uzoyiqonda imizwa yakho.
Uyini umehluko phakathi 'kokubuka okusebenzayo' kanye 'nokulinda okuqaphile'?
Abantu abaningi bayawadida la magama amabili ngoba afana kancane. Kodwa-ke, kunomehluko omkhulu phakathi kwalezi zindlela ezimbili.
| Isici | 'Ukuqapha Okusebenzayo' | 'Ukulinda Ngokuqaphela' |
|---|---|---|
| Inhloso eyinhloko | Silinde isikhathi esingcono kakhulu sokuqala ukwelashwa, ngenhloso yokwelapha umdlavuza. | Umgomo awukona ukwelapha umdlavuza, kodwa ukulawula izimpawu nokugcina izinga lempilo lihle. |
| Ukuhlolwa | Ukuhlolwa okufana ne-PSA kanye ne-biopsy kwenziwa njalo . | Ukuhlolwa okuvamile akwenziwa futhi izimpawu zelashwa kuphela uma zivela. |
| Okufanele kakhulu | Kulabo abasebasha, abanempilo enhle, futhi abangalindela ukuphila impilo ende. | Kwasebekhulile, labo abanezinye izifo ezinkulu, kanye nalabo abanobunzima bokubekezelela imiphumela emibi yokwelashwa. |
Kalula nje, 'Ukuqapha Okusebenzayo' kusho ukuqaphela nokulinda ukwelashwa. 'Ukulinda Ngokuqaphela' kusho ukungazinakekeli izimpawu bese uzilapha kuphela uma zivela.
Ngingakhuluma nini nodokotela?
Ngesikhathi 'sokuqapha okusebenzayo', kubaluleke kakhulu ukuthi unake izinguquko emzimbeni wakho. Uma uthola noma yiziphi izimpawu ezintsha, noma uma unomuzwa wokuthi uphawu olukhona luya luba lubi kakhulu, yazisa udokotela wakho ngokushesha .
Ngokwesibonelo,
- Ubunzima obukhulu kunokujwayelekile lapho uchama
- Isidingo sokuphuza njalo
- Ubuhlungu bomhlane noma amathambo
Qaphela izinto ezinjengokuthi: Ungesabi ukubuza udokotela wakho nganoma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Unendima enkulu futhi ekwenzeni izinqumo mayelana nokwelashwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukuqapha Okusebenzayo' kuyindlela yokuphatha esetshenziselwa umdlavuza we-prostate ongakhuli kahle futhi okhula kancane.
- Umgomo lapha akusikho ukungawunaki umdlavuza, kodwa ukulibazisa imiphumela emibi engaba khona yokwelashwa kuze kube yilapho kudingeka.
- Phakathi nalesi sikhathi, kwenziwa izivivinyo zezokwelapha ezivamile (i-PSA, i-biopsy) ukuze kuqashwe ngokucophelela ukuziphatha komdlavuza.
- Kuvamile ukuzizwa wesaba noma ukhathazekile ngokungabi nomdlavuza nokungaphathwa. Kubalulekile ukukhuluma ngokukhululekile ngalokhu nodokotela wakho.
- Lokhu kuhlukile endleleni ebizwa ngokuthi 'ukulinda ngokuqapha'. Umgomo 'wokuqapha okusebenzayo' ukwelapha nokwelapha lesi sifo uma kudingeka.
- Ngaphambi kokwenza isinqumo sokugcina, xoxa ngokucophelela ngezinzuzo, izingozi, nokuthi le ndlela ikulungele yini nodokotela wakho.
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