Ubungacabangani ukube welashwe umdlavuza, mhlawumbe wahlinzwa, wacabanga ukuthi sekuphelile, kanti udokotela ukutshele ukuthi udinga ukwelashwa okwengeziwe? Kuvamile ukuzizwa ukhathazekile futhi udidekile. "Ukuhlinzwa kuphumelele, umdlavuza ususiwe, pho kungani umuthi?" ungase ucabange. Lowo ngumbuzo ofanele. Namuhla, sikhuluma ngempendulo yalokho kanye nokwelashwa okuzokwenza uqine.
Kuyini ngempela i-Adjuvant Therapy?
Kalula nje, i-Adjuvant Therapy isho "ukwelashwa okusizayo." Ukuze kube sobala, kuyindlela yokwelapha eyengeziwe enikezwa ngemva kokuba ukwelashwa kwakho okuyinhloko, okuvame ukuba ukuhlinzwa kokususa umdlavuza, sekuqediwe.
Ake sithi sesishanele futhi sahlanza indlu kahle. Kodwa kungase kube nezinhlayiya zothuli ezincane ezingabonakali ngeso lenyama, akunjalo? Yilokho okwenzekayo. Ngemva kokuba isimila somdlavuza sisusiwe ngokuhlinzwa, amangqamuzana amancane omdlavuza angenakubonwa ngamehlo ethu noma ngokuhlolwa okuthuthukisiwe kokuskena (i-MRI, i-CT scan, i-PET scan) futhi angabonakala kuphela nge-microscope angase afihlwe ndawana-thile emzimbeni.
Umgomo oyinhloko walezi zindlela zokwelapha ezengeziwe ukuthola nokubhubhisa lezo zitha ezifihliwe, okungukuthi, amangqamuzana omdlavuza amancane kakhulu. Lokhu kunganciphisa kakhulu ingozi yokuphinda umdlavuza.
Ubani odinga lokhu kwelashwa? Kuziphi izimo?
Uma udokotela encoma lolu hlobo lokwelashwa okwengeziwe kuwe, ucabangela izici eziningana. Akufani kuwo wonke umuntu. Kungathonywa izinto ezifana nalezi:
- Uhlobo lomdlavuza: Lezi zindlela zokwelapha zivame ukusetshenziswa ezinhlotsheni ezithile zomdlavuza. Izibonelo zifaka phakathi, kodwa azigcini nje, umdlavuza webele, umdlavuza wamathumbu amakhulu, umdlavuza wamaphaphu, kanye neminye imidlavuza yesikhumba.
- Isigaba Somdlavuza: Ngokuvamile, ngemva kokuhlinzwa ezigabeni zokuqala zomdlavuza, lokhu kwelashwa kunikezwa ukuvimbela umdlavuza ukuthi ungabuyi. Ngezinye izikhathi, lokhu kwelashwa kungasiza futhi ekwandiseni impilo yeziguli ezinomdlavuza osezingeni eliphezulu, lapho umdlavuza ususakazeke khona kancane.
- Uhlobo lwamangqamuzana omdlavuza: Amanye amangqamuzana omdlavuza anolaka kakhulu futhi asakazeka ngokushesha. Odokotela bahlola lawa maseli ngaphansi kwe-microscope ukuze bathole ukuthi anolaka kangakanani. Lezi zindlela zokwelapha ezengeziwe cishe zinconywa njalo kumdlavuza ongase ubuye.
Kwenzekani ngesikhathi sokwelashwa kwe-adjuvant?
Kulokhu, uma uzwa igama elithi "adjuvant," into yokuqala efika engqondweni "ngemuva." Okusho ukuthi, ngemva kokwelashwa okuyinhloko (ngokuvamile ukuhlinzwa).Ukwelashwa. Kukhona olunye uhlangothi lwalokhu, lubizwa ngokuthi "ukwelashwa kwe-neoadjuvant." Lunikezwa ngaphambi kokuhlinzwa, ukuze kuncishiswe isimila futhi kwenziwe ukuhlinzwa kube lula. Leso yisihloko esihlukile.
Kunezindlela eziningana eziyinhloko ezisetshenziswa ekwelashweni kwe-adjuvant. Kuye ngohlobo kanye nohlobo lomdlavuza wakho, udokotela wakho angase asikisele okukodwa noma ngaphezulu kwalokhu.
| Uhlobo Lokwelapha | Kalula nje... |
|---|---|
| Ukwelashwa Ngemisebe | Le ndlela isebenzisa imisebe enamandla aphezulu, njenge-X-ray, ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa. Le ndlela ngezinye izikhathi isetshenziswa uma isimila sonke singenakususwa ngesikhathi sokuhlinzwa. |
| Ukwelashwa ngamakhemikhali | Lokhu kuhilela ukunikeza imithi enamandla ehamba emzimbeni wonke futhi ibhubhise amangqamuzana omdlavuza afihliwe ndawana thize. Ukwelashwa kokuqala okungeziwe okusetshenziswayo kwaba ukwelashwa ngamakhemikhali ngemva kokuhlinzwa komdlavuza webele. |
| Ukwelashwa ngama-hormone | Ama-hormone asiza ukukhula komdlavuza othile (isib. ibele, i-prostate). Lokhu kwelashwa kusebenza ngokuvimbela ukusebenza kwalawo ma-hormone, kuncisha amangqamuzana omdlavuza "uphethiloli" awudingayo. |
| Ukwelashwa nge-immunotherapy | "Iqeqesha" amasosha ethu omzimba ukuthi aqaphele futhi ahlasele amangqamuzana omdlavuza. Lokhu manje sekusetshenziselwa kabanzi izinto ezifana nomdlavuza wamaphaphu, wamathumbu amakhulu kanye nowebele. |
| Ukwelashwa Okuqondiwe | Lena indlela entsha. Isebenzisa imithi ehlose amaprotheni athile asetshenziswa amangqamuzana omdlavuza ukuze akhule futhi awavimbe ukusebenza. |
Yiziphi izinzuzo kanye nokungalungi kwalokhu kwelashwa?
Uma kukhulunywa ngokwelashwa komdlavuza, akukho siqinisekiso esingu-100% sokwelashwa. Kodwa-ke , ukwelashwa okungeziwe kunganciphisa kakhulu ingozi yokubuya komdlavuza. Kungasiza futhi iziguli ezinomdlavuza okunzima ukwelapha ziphile isikhathi eside. Ngenxa yalezi zizathu, abantu abaningi bakhetha ukuthola lokhu kwelashwa okwengeziwe.
Kodwa, kukhona olunye uhlangothi lwemali. Lokhu kwelashwa kungabangela imiphumela emibi engathandeki . Indlela yakho yansuku zonke ingashintsha, futhi kungase kudingeke ukuthi ubonane nodokotela wakho kaningi. Futhi, asikaze sazi ngokuqinisekile ukuthi lokhu kwelashwa bekudingeka ngempela yini. Kungenzeka ukuthi ukuhlinzwa ngokwako bekuzosusa umdlavuza ongu-100%.
Into ebaluleke kakhulu ukuthi isinqumo sokugcina sokuthola lokhu kwelashwa ngesakho. Ithimba lakho lezokwelapha lizohlonipha noma yisiphi isinqumo osenzayo. Ngakho-ke, kubaluleke kakhulu ukuhlaziya ngokucophelela izinzuzo nezingozi ngaphambi kokwenza isinqumo.
Uma ukhuluma nodokotela wakho ngalokhu, ungabuza le mibuzo. Le mibuzo izokusiza ukuthi wenze isinqumo:
- Yikuphi ukwelashwa okwengeziwe engikuncomayo?
- Kungani ucabanga ukuthi ngikufanelekela kahle lokho?
- Kufanele kuqalwe nini lokhu kwelashwa?
- Kuthatha isikhathi esingakanani ukwelashwa?
- Yimiphi imiphumela emibi engaba khona yesikhathi eside noma ehlala njalo yalokhu?
- Lokhu kwelashwa kuzothinta kanjani isimo sami sempilo esizayo (isibikezelo)?
Kuzothatha isikhathi esingakanani ukubuyela esimweni esijwayelekile ngemva kokuba konke lokhu sekuphelile?
Lolu hambo luhlukile kuwo wonke umuntu. Ukwelashwa okusizayo kungakunikeza ukuthula kwengqondo kokuthi "ngenze konke okusemandleni ami ukuvimbela umdlavuza ukuthi ungabuyi." Kodwa ngezinye izikhathi, ungase uzizwe ukhathazekile kakhulu ngemiphumela emibi yokwelashwa kunezinzuzo zokwelashwa.
Ukulwa nomdlavuza kungaba njengomjaho wezithiyo. Njengoba usondela emgqeni wokugcina, usunqobe izithiyo eziningana, futhi uzizwa ukhathele futhi ukhungathekile uma uqaphela ukuthi unesithiyo esisodwa okufanele usigxume. Ukwelashwa okungeziwe kungazwakala njengesithiyo esengeziwe.
Kodwa qiniseka ukuthi uyaziqonda izinzuzo nezingozi zokugxuma leso sithiyo, khuluma nodokotela wakho, bese wenza isinqumo esinolwazi. Ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukukusiza ukuthi wenze leso sinqumo. Khona-ke ungasiwela leso sithiyo sokugcina ngokunqoba.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa okusizayo kuyindlela yokwelapha "esizayo" enikezwa ngemva kokwelashwa okuyinhloko, njengokuhlinzwa komdlavuza.
- Umgomo oyinhloko ukubhubhisa amangqamuzana omdlavuza amancane afihliwe angatholakali ngisho nangokuskena, nokuvimbela umdlavuza ukuthi ungabuyi.
- Kunezinhlobo ezahlukene zezindlela zokwelapha ezisizayo, njengokwelashwa ngemisebe, i-chemotherapy, kanye nokwelashwa ngama-hormone.
- Kunezinzuzo (ingozi encishisiwe yokuphinda kwenzeke) kanye nokungalungi (imiphumela emibi) kokuthola lokhu kwelashwa.
- Ukuthi uzokwelashwa noma cha kuyisinqumo sakho. Xoxa ngazo zonke izici ngokucophelela nodokotela wakho ngaphambi kokwenza leso sinqumo.
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