Kunzima ukuchaza ukuthi uzizwa kanjani uma udokotela ethi 'isimila sobuchopho' noma 'umdlavuza.' Wena nabathandekayo bakho nizoba nemibuzo eminingi. Yiziphi izindlela zokwelapha ezitholakalayo? Zisebenza kahle kangakanani? Yiziphi imiphumela emibi? Kungokwemvelo ukuzibuza ngazo zonke lezi zinto. Kodwa ungakhathazeki, kunethimba lodokotela nabahlengikazi abazokusiza kulolu hambo futhi baphendule imibuzo yakho.
Ungahlela kanjani ukwelashwa?
Ukwelapha umdlavuza wobuchopho kuyinqubo eyinkimbinkimbi. Eqinisweni, kuwumzamo weqembu. Kuhilela ithimba lochwepheshe abasebenza ndawonye ukudala uhlelo lokwelashwa olungcono kakhulu kuwe. Ithimba lakho lezokwelapha lingafaka:
- Odokotela Abahlinzayo Bezinzwa: Ochwepheshe bobuchopho kanye nohlelo lwezinzwa.
- Odokotela bezifo zomdlavuza: Odokotela abangochwepheshe bomdlavuza.
- Odokotela Bomdlavuza Wemisebe: Ochwepheshe ekuhlinzekeni ngokwelashwa ngemisebe.
- Udokotela womndeni wakho (Udokotela Oyinhloko): Umuntu onakekela impilo yakho iyonke.
Ngaphezu kwalokho, abanye abantu njengochwepheshe bezokudla, izisebenzi zezenhlalakahle, kanye nochwepheshe bezokuzivocavoca umzimba bangajoyina leli qembu.
Ukwelashwa okutholayo kuzoncika ezintweni eziningana.
- Uhlobo lwesimila somdlavuza.
- Ubukhulu besimila nendawo yaso ebuchosheni.
- Ubudala bakho kanye nempilo yakho iyonke.
- Izingozi ezingaba khona zokwelashwa okuthile.
- Ezinye izifo onazo.
- Iyiphi indlela yokwelapha oyithandayo kakhulu?
Ungesabi ukubuza ithimba lakho lezokwelapha noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bakhona ukuzokusiza. Kubaluleke kakhulu ukuthi ukwelashwa kuphumelele ukuze kucacise konke okusengqondweni yakho.
Kuyini ukuhlinzwa?
Abantu abaningi abanezimila zobuchopho bazodinga ukuhlinzwa. Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uzoqala aqinisekise ukuthi unesimila bese ezama ukusisusa ngokuphelele. Ngezinye izikhathi, uma isimila singenakususwa ngokuphelele, kuzothathwa ingcezu encane yezicubu (i-biopsy) ukuze ihlolwe ukuze kutholakale ukuthi hlobo luni lwaso.
Izinto okufanele uzenze ngaphambi kokuhlinzwa
Ngezinye izikhathi ungase unikezwe ezinye izindlela zokwelapha eziningana ngaphambi kokuhlinzwa .
- Nciphisa ukuvuvukala: Umuthi we-steroid ofana ne-Dexamethasone unganikezwa ukunciphisa ukuvuvukala ebuchosheni.
- Ukulawula ukuxhuzula: Imithi yokulwa nokuxhuzula inganikezwa ukuvimba noma ukulawula ukuxhuzula.
- Ukususa uketshezi oluningi:Uma uketshezi lwe-cerebrospinal luqongelelene ebuchosheni, ipayipi elincane lepulasitiki elibizwa ngokuthi i-shunt lingafakwa ukuze lisuswe. Ukuphela kwaleli payipi kubekwa lapho uketshezi luqongelela khona, kanti olunye uhlangothi lubekwe ngaphansi kwesikhumba kwenye ingxenye yomzimba. Lokhu kuvumela uketshezi olwengeziwe ukuthi luphume ebuchosheni luye endaweni lapho lungasuswa kalula khona emzimbeni.
Izinhlobo zokuhlinzwa
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa.
1. I-Craniotomy: Lena yindlela evame ukusetshenziswa kakhulu. Udokotela ohlinzayo usika isikhumba sekhanda, asuse ingxenye encane yekhanda, bese eveza ubuchopho. Isimila siyasuswa, kungaba ngokuphelele noma ngangokunokwenzeka. Ekugcineni, ingxenye yekhanda esusiwe iyabuyiselwa endaweni yayo bese isikhumba sithungwa.
2. I-Neuroendoscopy: Lokhu kuhilela ukwenza imbobo encane ekhanda, noma ukungena ekhaleni noma emlonyeni, kuye ngokuthi i-tumor ikuphi, nokusebenzisa amathuluzi amancane ukususa i-tumor. Udokotela usebenzisa izithombe ezivela kwikhamera encane kwenye yalezi zinsimbi ukuthola nokususa i-tumor emshinini wokuqapha egumbini lokuhlinza.
Ake sifunde ngokwelashwa ngemisebe.
Ukwelashwa ngemisebe, noma i-radiotherapy, kuyindlela yokwelapha esebenzisa imisebe enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza nokuwavimba ekukhuleni nasekusabalaleni kwawo.
Lokhu kwelashwa kusetshenziselwa abantu abangakwazi ukuhlinzwa. Kuphinde kusetshenziswe ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa. Lokhu kuyindlela yokwelapha yendawo . Lokhu kusho ukuthi imisebe iqondiswa kuphela esigaxeni. Ngakho-ke, kunomonakalo omncane kakhulu kwamanye amangqamuzana aphilile emzimbeni noma ebuchosheni.
Kunezindlela eziningana eziyinhloko zokunikeza ukwelashwa ngemisebe:
- Imisebe Yangaphandle: Umsebe wemisebe enamandla aphezulu uhloselwe isimila somdlavuza. Imisebe idlula esikhumbeni, ekhanda, nasezicutshini zobuchopho ezinempilo ukuze ifinyelele isimila. Lokhu kwelashwa kuvame ukunikezwa izinsuku ezi-5 ngesonto amasonto amaningana. Kuthatha imizuzu embalwa kuphela ngesikhathi.
- Imisebe Yangaphakathi: Lokhu kuhilela ukufaka i-capsule encane enemisebe ngaphakathi kwesimila. Imisebe ephuma ku-capsule ibhubhisa isimila.
- Ukuhlinzwa Kwemisebe Ye-Stereotactic: Lokhu kubhubhisa isimila esinomdlavuza ngaphandle kokuvula ugebhezi. Imisebe yemisebe enamandla aphezulu iqondiswa esimila kusuka emakhoneni ahlukene ngesikhathi esisodwa, iyibhubhise. Inezinkinga ezimbalwa kanye nesikhathi esifushane sokululama kunokuhlinzwa okuvamile.
| Imiphumela emibi yokwelashwa ngemisebe | |
|---|---|
| - Ukukhathala | - Ukubomvu kwesikhumba |
| - Isicanucanu | - Ukulahlekelwa izinwele |
| - Ukwanda kwesisindo | - Izinkinga zememori |
Ukwelashwa ngamakhemikhali kuyindlela yokwelapha.
Ukwelashwa ngamakhemikhali kuyindlela yokwelapha esebenzisa imithi enamandla ukubhubhisa amangqamuzana omdlavuza.
Unganikwa umuthi owodwa noma inhlanganisela yemithi. Le mithi inikezwa njengamaphilisi noma inikezwe nge-IV. Eminye imithi inikezwa nge-shunt, okuyinto efanayo nalokho okukhulunywe ngakho ngaphambili, ukuze kususwe uketshezi oluningi ebuchosheni.
Ukwelashwa ngamakhemikhali kuvame ukunikezwa ngemijikelezo . Lokhu kusho ukuthi uthola isikhathi esifushane sokwelashwa okunamandla, kulandelwe isikhathi sokuphumula nokululama. Umjikelezo ungahlala amasonto amaningana. Kungase kudingeke ube nemijikelezo eminingana. Bese uba nekhefu elifushane ukuze ubone ukuthi ukwelashwa kuye kwenzani esimila sakho.
| Imiphumela emibi ye-chemotherapy | |
|---|---|
| - Isicanucanu nokuhlanza | - Izilonda zomlomo |
| - Ukulahlekelwa yisifiso sokudla | - Ukulahlekelwa izinwele |
| - Ukwehlisa isisindo | - Uhudo |
| - Ukuphuka okulula nokopha igazi | - Ingozi eyengeziwe yokutheleleka ngenxa yobuthakathaka besimiso somzimba sokuzivikela |
Eminye yale miphumela emibi ingalawulwa noma incishiswe ngemithi, ngakho-ke uma uzwa ukungakhululeki, ungakhohlwa ukutshela udokotela noma umhlengikazi wakho.
Kwenzekani ngemva kokwelashwa? (Ukunakekelwa Kokulandelela)
Ngemva kokuhlinzwa ukuze kususwe isimila sobuchopho, kuzodingeka uhlale esibhedlela izinsuku eziningana ukuze ululame. Lesi sikhathi singahluka kuye ngobudala bakho, isimo sempilo, kanye nohlobo lokwelashwa.
Ngesikhathi sokululama kwakho, ungase ube nokuhlolwa okungenabuhlungu, njenge-CT scans kanye ne-MRI scans, ukuhlola izinguquko ebuchosheni bakho. Kuye ngesimo sakho, kungase kudingeke uhlale esikhungweni sokuvuselela isikhashana.
Kukhona ochwepheshe abahlukahlukene abazokusiza ngemva kokuhlinzwa.
| Uchwepheshe | Ngingasiza kanjani? |
|---|---|
| Udokotela Wezokwelapha Umzimba | Kusiza ngokuhamba kanye neminye imisebenzi emikhulu yemisipha. |
| Uchwepheshe Wezokwelapha Emsebenzini | Kusiza ngemisebenzi emincane yemisipha njengokusebenzisa izitsha kanye nokubopha izinkinobho zehembe. |
| Uchwepheshe Wezokukhuluma | Kusiza ngezinkinga zokukhuluma, zokuxhumana, kanye nokugwinya. |
| Isazi sezengqondo noma isazi sezengqondo | Kusiza ekuhloleni izinguquko kwinkumbulo, ekuhlakanipheni, nakwamanye amakhono engqondo, uma zikhona. |
Izinkinga kanye nesikhathi sokubiza udokotela wakho
Uma unenkinga yokuphefumula noma ukuxhuzula (ikakhulukazi uma kuhlukile kokuxhuzula kwangaphambilini, noma uma ungakaze ube nokuxhuzula ngaphambili) ngemva kokubuyela ekhaya, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ngaphezu kwalokho, shayela udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezilandelayo:
- Izinkinga zememori
- Ukubona noma ukuzwa izinto ezingekho (i-Hallucinations)
- Izinguquko ezinkulu esimweni sengqondo
- Ubunzima bokukhipha indle nokuchama
- Ubuhlungu bekhanda obuvamile
- Ubuthakathaka noma ukungakhululeki emilenzeni
- Isicanucanu
- Umkhuhlane ongaphezu kuka-100.5 Fahrenheit
Uma kuphakama imibuzo mayelana nempilo yakho ngesikhathi sokululama kwakho, ungalibali ukukhuluma nodokotela wakho.
Kubaluleke kangakanani ukwesekwa kwengqondo?
Ukuphila nomdlavuza kuyinselele enkulu kuwe, emndenini wakho nakubangani bakho. Kuvamile ukuzibuza ukuthi lesi sifo sizoyithinta kanjani impilo yakho nokuthi uzokwazi yini ukuqhubeka nomndeni wakho, emsebenzini, kanye nobungane njengakuqala.
Ngokuvamile, ukukhuluma ngemizwa yakho kanye nokwesaba kwakho kungaba impumuzo enkulu. Abangani bakho nomndeni wakho bangaba umthombo omkhulu wokusekela. Bangase bangabaze ukusiza baze babone ukuthi ubhekana kanjani nesimo sakho. Ngakho ungalindi ukuthi bakhulume. Uma udinga ukukhuluma, batshele.
Abanye abantu abafuni ukuba "umthwalo" kwabathandekayo babo. Ezikhathini ezinjengalezi, ukukhuluma nomuntu onjengomeluleki kungaba usizo kakhulu. Futhi, ukukhuluma nabanye abantu ababhekene nomdlavuza njengawe kungaba yinduduzo enkulu futhi kunikeze amandla. Ungathola ulwazi ngamaqembu okusekela esibhedlela lapho uthola khona ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa komdlavuza wobuchopho kuwumzamo weqembu. Themba ithimba lakho lezokwelapha.
- Ungangabazi ukubuza odokotela bakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ukucaca kubaluleke kakhulu.
- Funda ngemithi yokwelapha eyinhloko, ukuhlinzwa, ukwelashwa ngemisebe, kanye ne-chemotherapy, kanye nemiphumela yayo emibi.
- Qaphela izimpawu eziyisixwayiso ezingase zivele ngemva kokwelashwa futhi funa iseluleko sezokwelapha ngokushesha uma zivela.
- Akudingeki ukuthi udlule kulolu hambo wedwa. Thola ukwesekwa ngokomzwelo emndenini, kubangani, futhi, uma kudingeka, kubeluleki. Lokho kuzoba amandla amakhulu kuwe.
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