Uma wena noma othile omaziyo etholakala enomdlavuza webele, kuvamile ukuzizwa ukwesaba okukhulu nokukhathazeka lapho udokotela ethi, "Ngidinga ukwelashwa ngamakhemikhali." Uma sizwa igama elithi "i-chemo," sivame ukucabanga ngokuhlangenwe nakho okunzima nokubuhlungu. Kodwa uma sinolwazi oluhle ngalokhu kwelashwa, lokho kwesaba kungancishiswa kakhulu. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini ngempela i-chemotherapy yomdlavuza webele, ukuthi kungani yenziwa, nokuthi kufanele sibhekane kanjani nayo.
Kuyini ukwelashwa ngamakhemikhali?
Kalula nje, i-chemotherapy uhlobo olunamandla lomuthi olunikezwa ukubulala amangqamuzana omdlavuza. Le mithi ibulala amangqamuzana omdlavuza ebeleni lakho, noma amangqamuzana omdlavuza asakazeke esuka ebeleni lakho aya kwezinye izingxenye zomzimba wakho. Odokotela bezifo zomdlavuza bavame ukunikeza lokhu kwelashwa ngaphambi noma ngemva kokuhlinzwa komdlavuza webele.
Ngezinye izikhathi kusetshenziswa uhlobo olulodwa kuphela lomuthi we-chemotherapy, ngezinye izikhathi kunikezwa imithi eminingana ndawonye. Ukwelashwa ngamakhemikhali nakho kunganikezwa kanye nezinye izindlela zokwelapha.
Lokhu kwelashwa kubangela imiphumela emibi. Kodwa ungakhathazeki ngayo. Udokotela wakho uzokunikeza imithi edingekayo kanye neseluleko sokuphatha leyo miphumela emibi. Eminye imiphumela emibi ingase iqhubeke isikhathi esithile ngemva kokuphela kokwelashwa, futhi udokotela wakho uzokwazisa ngayo.
Kukuziphi izimo lapho i-chemotherapy isetshenziswa khona kumdlavuza webele?
Ukwelashwa ngamakhemikhali kusetshenziswa ezimweni ezahlukene nangezinhloso ezahlukene. Ake sibheke ukuthi ziyini.
| Ithuba lokuhlinzeka ngokwelashwa | Umgomo oyinhloko wokwelashwa |
|---|---|
| Ngaphambi kokuhlinzwa (i-Neoadjuvant Chemotherapy) | Ukunciphisa isimila kusiza udokotela ohlinzayo ukusisusa kalula. Ukunciphisa ukususwa kwezicubu zebele ezinempilo. Kuphinde kusize ukwazi kusengaphambili ukuthi imithi enikeziwe isebenza kahle kangakanani kumdlavuza. |
| Ngemva kokuhlinzwa (i-Adjuvant Chemotherapy) | Ukubhubhisa amangqamuzana omdlavuza amancane kakhulu angase ahlale emzimbeni ngemva kokuhlinzwa, kunciphisa ingozi yokubuya komdlavuza. |
| Ngomdlavuza osakazekele kwezinye izingxenye zomzimba (i-Metastatic Breast Cancer) | Uma umdlavuza ususakazekele ngale kwebele kwezinye izitho zomzimba, i-chemotherapy ingasetshenziswa njengendlela yokwelapha eyinhloko yokuwulawula. |
| Ngezinhlobo ezithile zomdlavuza |
|
Yimiphi imithi ye-chemotherapy esetshenziswa kakhulu?
Kunezinhlobo eziningi zemithi ye-chemotherapy esetshenziselwa umdlavuza webele. Udokotela wakho uzokhetha umuthi ofanele kakhulu noma inhlanganisela yemithi ngokusekelwe ohlotsheni kanye nesigaba somdlavuza wakho, kanye nesimo sakho sempilo.
Ezinye zezinhlobo zezidakamizwa ezisetshenziswa kakhulu yilezi:
- Ama-anthracycline: Isibonelo, imithi efana ne-`doxorubicin (Adriamycin®)` kanye ne-`epirubicin (Ellence®)`.
- I-Taxanes: Izidakamizwa ezifana ne-`paclitaxel (Taxol®)` kanye ne-`docetaxel (Taxotere®)`.
- Eminye imithi: Imithi efana ne-`5-fluorouracil (5-FU®)`, `capecitabine (Xeloda®)`, `cyclophosphamide (Cytoxan®)` kanye ne-`carboplatin (Paraplatin®)`.
Ngaphezu kwalokho, eminye imithi efana ne-gemcitabine (Gemzar®) kanye ne-vinorelbine (Navelbine®) nayo isetshenziselwa umdlavuza webele osabalele.
Into ebaluleke kakhulu ukuthi umuthi owunikezwayo unqunywa ngudokotela wakho womdlavuza. Ngakho-ke ungasheshi ufinyelele eziphethweni mayelana nomuthi wakho ngokusekelwe kulokho okufundayo ku-inthanethi noma kulokho okushiwo abanye abantu. Buza udokotela wakho yonke imibuzo yakho.
Iyini imiphumela emibi ye-chemotherapy?
Imiphumela emibi ye-chemotherapy iyahlukahluka kuye ngohlobo lomuthi owunikezwayo, umthamo, kanye nobude bokwelashwa. Imiphumela emibi eminingi iyaphela ngemva kokuphela kokwelashwa, kodwa eminye ingase ihlale amasonto noma izinyanga.
Imiphumela emibi evame kakhulu
- I-Chemo brain fog: Ubunzima bokukhumbula nokuzizwa sengathi awukwazi ukugxilisa ingqondo. Lokhu kungahlala cishe izinyanga eziyi-6 kuya kweziyi-12 ngemuva kokuphela kokwelashwa.
- Ukukhathala: Ungase uzizwe ukhathele kakhulu phakathi nesikhathi sokwelashwa kanye nezinyanga ezi-3-6 ngemva kwalokho.
- Isicanucanu nokuhlanza: Lokhu kungaqala ngesikhathi sokwelashwa futhi kuqhubeke amasonto ama-2-3 ngemuva kokuphela. Kodwa manje kunemithi emihle kakhulu yokukulawula.
Eminye imiphumela emibi
- Izinkinga zesistimu yokugaya ukudla: Ukuqunjelwa kanye nesifo sohudo kungase kwenzeke.
- Izinguquko zezinwele: Ukulahlekelwa izinwele kungenzeka ngesikhathi sokwelashwa. Abantu abaningi babhekana nalokhu, kodwa khumbula ukuthi lokhu kungokwesikhashana. Izinwele zizokhula futhi ngemva kokuphela kokwelashwa. Kungaba umbala noma ukuthungwa okuhlukile kunangaphambili.
- Isifiso Sokudla: Isifiso sakho sokudla singase sinciphe ngesikhathi sokwelashwa. Lokhu kuzobuyela esimweni esijwayelekile uma ukwelashwa sekuqediwe.
- Ukushintsha kwesikhumba nezinzipho: Isikhumba singase some futhi silume. Izinzipho zingase ziqhekeke futhi ziphuke kalula.
- I-peripheral neuropathy: Lokhu kungabangela ukungazweli kanye nobuhlungu ezandleni nasezinyaweni. Lokhu kuvame ukuphela ngemva kokwelashwa.
Inikezwa kanjani i-chemotherapy?
Ukwelashwa ngamakhemikhali kunikezwa ngezindlela eziningana eziyinhloko.
1. Okuthathwa ngomlomo: Imithi ethathwa ngomlomo ngesimo samaphilisi noma ama-capsule.
2. I-Intravenous (IV): Ukunikeza umuthi ngqo emthanjeni ngepayipi likasawoti.
Ukuze bagweme ukugwaza imithambo ngokuphindaphindiwe, odokotela ngezinye izikhathi basebenzisa amadivayisi akhethekile.
- Umugqa Ophakathi: Ipayipi lepulasitiki elide nelincane elifakwa emthanjeni omkhulu entanyeni, esifubeni, noma engalweni.
- Umugqa we-PICC: Ipayipi elifakwa ngomthambo engalweni bese liholela emthanjeni omkhulu eduze kwenhliziyo.
- I-Chemo Port: Idivayisi encane efakwa ngokuhlinzwa ngaphansi kwesikhumba sesifuba. Ingasetshenziswa ukunikeza imithi kalula ngokufaka inalithi kuyo.
Kuthatha isikhathi esingakanani ukwelashwa?
Lokhu kuzohluka kuye ngohlelo lwakho lokwelashwa. Ngokuvamile, ukwelashwa ngamakhemikhali komdlavuza webele kuthatha izinyanga ezintathu kuya kweziyisithupha . Ngezinye izikhathi kungaba isikhathi eside njengonyaka.
Ukwelashwa kunikezwa "ngemijikelezo" .
- Ngokuvamile kuzodingeka uthole ukwelashwa okuningana.
- Iseshini eyodwa ingafaka izinsuku ezimbili noma ezintathu zokwelashwa.
- Lezi zikhathi zokwelapha zingaba kanye ngesonto, kanye njalo emavikini amabili, noma kanye njalo emavikini amathathu kuya kwamane.
- Ngemva kweseshini ngayinye, umzimba wakho unikezwa isikhathi sokuphumula nokululama. Lokhu kubizwa ngokuthi "isikhathi sokuphumula."
Uzilungiselela kanjani ngaphambi kokwelashwa?
Ngaphambi kokuqala ukwelashwa, udokotela wakho uzonquma umthamo wemithi oyidingayo, ecabangela izici ezifana nohlobo kanye nesigaba somdlavuza wakho, imiphumela yokuhlolwa kwakho, kanye ne-body mass index yakho (BMI).
Lesi yisikhathi esihle kakhulu sokubuza udokotela wakho yonke imibuzo onayo. Babuze ngokucacile mayelana nokwelashwa, imiphumela emibi, nokuthi bazokwenzelani.
Kunezinto eziningana ongazenza ukuze ulungiselele izinsuku zakho zokwelashwa:
- Cela othile akusize ngemisebenzi yasekhaya usuku olulodwa noma ezimbili ngemuva kokwelashwa kwakho.
- Hlela ukuthi othile akuphelezele lapho uya khona futhi ubuya ekwelashweni.
- Khetha izingubo ezikhululekile nezikhululekile ozogqoka ngesikhathi sokwelashwa.
- Letha okuthile okuzokuphazamisa , njengencwadi noma i-headset ukuze ulalele umculo.
- Phuza amanzi engeziwe ngosuku olwandulela ukwelashwa, njengoba ukwelashwa ngamakhemikhali kungaqeda amanzi emzimbeni.
Isikhathi sokubona udokotela wakho ngokushesha
Uzobona udokotela wakho njalo ngesikhathi sokwelashwa kwakho. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu ezidinga ukunakekelwa okusheshayo | |
|---|---|
| Imfiva | Izinga lokushisa lomzimba lingaphezu kuka-100.4 Fahrenheit (38 Celsius). |
| Ubuhlungu besifuba noma ubunzima bokuphefumula | Ubuhlungu besifuba obungazelelwe noma ukuphelelwa umoya. |
| Ukuzizwa ubanda futhi uthuthumela | Ukuthuthumela nokuzizwa ubanda ngaphandle kwesizathu esibonakalayo. |
| Ukulahlekelwa ingqondo ngokuzumayo | Ukudideka okungazelelwe noma ukuphazamiseka kwengqondo. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elinzima elihambisana nokuqina kwentamo. |
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa ngamakhemikhali kuyindlela yokwelapha ephumelela kakhulu futhi esetshenziswa kabanzi yomdlavuza webele. Ungakwesabi ngokungadingekile.
- Lokhu kwelashwa kusetshenziswa ezimweni ezahlukene, njengangaphambi, ngemva kokuhlinzwa, noma umdlavuza osakazeke emzimbeni wonke.
- Kuvamile ukuba nemiphumela emibi, kodwa ithimba lakho lezokwelapha lizokusiza ukuthi uyilawule futhi uyilawule .
- Kubaluleke kakhulu ukugcina ukudla okunempilo , ukuzivocavoca okulula ngangokunokwenzeka, nokugcina impilo yengqondo enhle phakathi nesikhathi sokwelashwa.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka ongase ube nakho. Ukuthola ulwazi olufanele kuyindlela engcono kakhulu yokunqoba ukwesaba kwakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho