Uma ukhuluma ngokwelashwa komdlavuza, kungenzeka ukuthi uke wezwa amagama anjengokuthi 'i-Adjuvant Chemotherapy' kanye ne-'Neoadjuvant Chemotherapy'. La magama angase azwakale eyinkimbinkimbi futhi angase akuthuse. Kodwa empeleni awayinkimbinkimbi kangako. Namuhla, sizokhuluma ngalezi zindlela zokwelapha ezimbili ngendlela elula kakhulu ongayiqonda.
Kuyini 'i-Adjuvant Chemotherapy'?
Kalula nje, i-adjuvant chemotherapy iwukwelashwa ngamakhemikhali okunikezwa *ngemva* kokwelashwa kwakho okuyinhloko komdlavuza (njengokuhlinzwa). Ngezinye izikhathi kubizwa ngokuthi "i-preventive chemotherapy."
Cabanga ngale ndlela. Ususa ukhula olukhulu engadini yakho ngegeja. Kodwa kungenzeka ukuthi kusekhona ukhula oluncane kanye nembewu yokhula engabonakali emehlweni enhlabathini, akunjalo? Uma uzishiya zodwa, ukhula lungakhula futhi ngemva kwesikhashana.
I-adjuvant chemotherapy ifana naleyo. Ake sithi usuwususile ngokuphelele umdlavuza emzimbeni wakho ngokuhlinzwa. Kodwa-ke, ngezinye izikhathi kungase kube namaseli ambalwa amancane kakhulu omdlavuza asele endaweni ethile emzimbeni angabonakali ngeso lenyama noma atholakale ngisho nangokuskena. Umgomo walokhu kwelashwa ukuthola nokubhubhisa lawo maseli omdlavuza asele, ngaleyo ndlela kuncishiswe ingozi yokubuya komdlavuza (ukuphinda) ngangokunokwenzeka.
Ngakho-ke iyini i-'Neoadjuvant Chemotherapy'?
Lokhu kuphambene nalokho okwashiwo ngaphambilini. I-Neoadjuvant chemotherapy iwukwelashwa ngamakhemikhali okunikezwa *ngaphambi* kokwelashwa okuyinhloko, okungukuthi, ukuhlinzwa.
Lokhu kunezinhloso eziningana eziyinhloko:
- Ukunciphisa isimila: Uma kunikezwa i-chemotherapy ngaphambi kokuhlinzwa ukuze kuncishiswe isimila, kuba lula kakhulu kudokotela ohlinzayo ukusisusa ngesikhathi sokuhlinzwa.
- Ukuhlinzwa ukuze kuncishiswe usayizi wesimila: Ngezinye izikhathi, kudingeka ukuhlinzwa okukhulu ngoba isimila sikhulu. Isibonelo, ezimweni zomdlavuza webele, uma lonke ibele lisusiwe (i-mastectomy), futhi isimila sincishiswa ukwelashwa kwe-neoadjuvant, kungenzeka ukuthi kuqedwe inqubo ngokuhlinzwa okuncane okususa isimila kuphela (i-lumpectomy).
- Ukuthuthukisa imiphumela yokwelashwa: Ukususwa kwesimila ngokuhlinzwa kungandisa impumelelo yokwelashwa.
Bheka leli thebula ukuze kube lula ukulibhekisela.
| Isici | Ukwelashwa Nge-Chemotherapy Okungeziwe | Ukwelashwa Nge-Chemotherapy Kwe-Neoadjuvant |
|---|---|---|
| Isikhathi sokunikeza | Ngemva kokwelashwa okuyinhloko (ukuhlinzwa) | Ngaphambi kokwelashwa okuyinhloko (ukuhlinzwa) |
| Inhloso eyinhloko | Bhubhisa amangqamuzana omdlavuza asele futhi uvimbele umdlavuza ukuthi ungabuyi | Ukunciphisa isimila ukuze kube lula ukuhlinzwa |
Yimiphi imiphumela emibi evamile yalezi zindlela zokwelapha?
Enye yezinto abantu abaningi abesabayo lapho bekhuluma nge-chemotherapy yimiphumela emibi. Njengoba imithi esetshenziswa kuzo zombili izindlela zokwelapha (isib. i-5-FU, i-Taxanes, i-Anthracyclines) ivame ukufana, imiphumela emibi nayo ifana kakhulu.
Kungani le miphumela emibi ivela? Kalula nje, imithi ye-chemotherapy ihlose amangqamuzana ahlukana ngokushesha . Amangqamuzana omdlavuza awuhlobo lweseli elihlukana ngokushesha kakhulu. Kodwa amanye amangqamuzana anempilo emzimbeni wethu, isibonelo, amangqamuzana e-hair follicle, amangqamuzana angaphakathi komlomo wethu, amangqamuzana egazi, kanye namangqamuzana omzimba, nawo ahlukana ngokushesha. Ngakho-ke imithi ye-chemotherapy nayo ingabangela umonakalo othile kulawa maseli anempilo. Yingakho imiphumela emibi ivela.
Nazi ezinye zemiphumela emibi evamile:
- Ukukhathala
- Ukulahlekelwa izinwele
- Izilonda zomlomo
- Isicanucanu nokuhlanza
- Uhudo noma ukuqunjelwa
- Ukuthambekela ekuthelelekeni
- Izinkinga zemizwa, njengokungazweli emilenzeni
- Izinkinga zokugxila
Into ebaluleke kakhulu ukungesabi le miphumela emibi. Ithimba lakho lezokwelapha likhona ukukusiza ukuthi uyilawule futhi unciphise imiphumela yayo. Futhi, akuwona wonke umuntu ozobhekana nayo yonke le miphumela emibi. Ukuthi nje abanye abantu abanayo imiphumela emibi akusho ukuthi ukwelashwa akusebenzi.
Imibuzo okufanele uyibuze udokotela wakho nakanjani
Uma udokotela wakho ephakamisa lolu hlobo lokwelashwa, kuyilungelo lakho ukucacisa ngakho. Ungagodli lutho. Nansi eminye imibuzo ebalulekile ongayibuza.
| Buza nge-Adjuvant Chemotherapy (ngemuva kokuhlinzwa) | Buza nge-Neoadjuvant Chemotherapy (ngaphambi kokuhlinzwa) |
|---|---|
| Ngizonikezwa kanjani lokhu kwelashwa? (Nge-intravesical? Njengephilisi?) | Ngizothola luphi uhlobo lomuthi kulokhu kwelashwa? |
| Kuthatha isikhathi esingakanani lokhu kwelashwa? | Kuthatha isikhathi esingakanani lokhu kwelashwa? |
| Uma lokhu kwelashwa kungathathwa, ingakanani ingozi yokuthi umdlavuza uphinde ubuye? | Lokhu kwelashwa kuzothinta kanjani ukuhlinzwa kwami? |
| Yimiphi imiphumela engemihle engaba khona? Izohlala isikhathi esingakanani? | Yimiphi imiphumela engemihle engaba khona? Izohlala isikhathi esingakanani? |
| Uyilawula kanjani leyo miphumela emibi? | Wenzani ngaleyo miphumela emibi? |
| Ingabe zikhona ezinye izindlela zokwelapha ngaphandle kwalokhu? | Ingabe zikhona ezinye izinto ezingenziwa esikhundleni salokhu kwelashwa? |
Khumbula, khuluma ngokukhululekile ngakho konke lokhu nodokotela wakho. Uzolalela konke ukwesaba kwakho nokungabaza kwakho. Kuyilungelo lakho, futhi kuzokunika amandla okubhekana kahle nokwelashwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-adjuvant chemotherapy iwukwelashwa ngamakhemikhali okunikezwa ngemva kokwelashwa okukhulu, njengokuhlinzwa. Umgomo oyinhloko ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele nokuvimbela umdlavuza ukuthi ungabuyi.
- I-Neoadjuvant chemotherapy iwukwelashwa ngamakhemikhali okunikezwa ngaphambi kokwelashwa okukhulu, njengokuhlinzwa. Umgomo oyinhloko ukunciphisa isimila, okwenza ukuhlinzwa kube lula futhi kuphumelele kakhudlwana.
- Zombili lezi zindlela zokwelapha zingadala imiphumela emibi, kodwa kunezindlela nemithi eyahlukahlukene yokuzilawula nokunciphisa imiphumela yazo.
- Khuluma nodokotela wakho ngokukhululekile ukuze uthole ukuqonda okucacile kokuthi yikuphi ukwelashwa okungcono kakhulu kuwe, nokuthi yiziphi izinzuzo nezinkinga zako.
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