Kumelwe ukuba wesaba kangakanani, washaqeka, futhi wadideka lapho udokotela wakho ekutshela ukuthi unomdlavuza wamathumbu nokuthi manje ususakazekele esibindini sakho? Kuvamile ukuba nemibuzo eminingi nokudideka ngesikhathi esinjengalesi. Akumangalisi ukuthi ucabanga izinto ezinjengokuthi, “Kuzokwenzekani kimi manje?”, “Ingabe lokhu kungelapheka?”, “Ukwelashwa kuzoba njani?”. Njengoba udlula kulolu hambo olunzima, khumbula ukuthi awuwedwa. Ithimba lakho lezokwelapha, umndeni wakho, nabangani bakho banawe. Into engcono kakhulu ongayenza kulolu hambo ukuba nolwazi oluningi ngangokunokwenzeka ngesimo sakho nokukhuluma ngokukhululekile nodokotela wakho. Ukuchaza konke okusengqondweni yakho kuzokusiza ukuthi wenze izinqumo ngamandla nangokuzethemba.
Buza le mibuzo ukuze uqonde kahle isimo sakho.
Ngesikhathi esizayo lapho ubona udokotela wakho, ungesabi ukubuza le mibuzo. Izimpendulo zale mibuzo zizokusiza ukuthi uqonde isimo sakho ngokucacile futhi wenze izinqumo eziqinisekile ngezinyathelo zakho ezilandelayo.
1. Iyini incazelo yangempela yalokhu kutholakala kwesifo?
Lona umbuzo obaluleke kakhulu. Incazelo elula yokuthi “ umdlavuza wamathumbu amakhulu ususakazekele esibindini” ukuthi amangqamuzana omdlavuza aphuke lapho umdlavuza waqala khona (ikholoni), ahamba egazini, ahlala esibindini, futhi aqala ukukhula lapho. Kwezokwelapha, lokhu sikubiza ngokuthi ‘ umdlavuza wamathumbu amakhulu’. Lona akuwona umdlavuza oqala esibindini , kodwa umdlavuza wamathumbu amakhulu osakazekele esibindini. Ukwelashwa kwalokhu okubili kuhlukile. Ngakho-ke, kubalulekile ukuqonda ngokucacile lesi simo.
2. Ingabe umdlavuza ususakazekele kwezinye izingxenye zomzimba ngaphandle kwesibindi?
Ukwazi isigaba esiqondile somdlavuza kubaluleke kakhulu ekuhleleni ukwelashwa. Udokotela uzosebenzisa izivivinyo ezifana ne- 'CT scan' kanye ne-'PET scan' ukuthola ukuthi umdlavuza usakazeke kuphi emzimbeni. Njengoba kungenzeka ukuthi usakazeke ezindaweni ezifana namaphaphu namathambo, kubalulekile ukwazi isithombe esiphelele ukuze unqume uhlelo lokwelashwa.
3. Ingabe umdlavuza wami ungalapheka ngokuphelele?
Lona umbuzo obucayi kakhulu futhi obalulekile okufanele uwubuze. Ngezinye izikhathi, kuye ngokuthi umdlavuza ungakanani nendawo okuyo, ukuhlinzwa kungenziwa ukuze kususwe isimila sesibindi futhi kuhlinzekwe 'ngokwelashwa' okuphelele. Kodwa-ke, ezimweni eziningi, umgomo wethu oyinhloko kumdlavuza othuthukile ukulawula lesi sifo kunokusilapha ngokuphelele.Lokho kusho ukwelapha umdlavuza ukuze uwunciphise, uwuvimbele ekukhuleni, futhi ukusize ugcine impilo yakho isezingeni elihle ngokulawula izimpawu zakho. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
4. Yikuphi ukwelashwa okuncomayo? Kungani?
Udokotela wakho uzokwakha uhlelo lokwelashwa olufanele kakhulu olusekelwe ezicini eziningi, okuhlanganisa uhlobo lomdlavuza onawo, ukuthi ususakazeke kangakanani, kanye nempilo yakho iyonke. Ngokuvamile kuzohilela ukwelashwa okukodwa noma okuhlanganisiwe.
Into ebalulekile ukuthi isiguli ngasinye sihlukile. Ngakho-ke ukwelashwa okufanayo okwanikezwa umngane wakho kungase kungasebenzi kuwe. Khuluma nodokotela wakho mayelana nohlelo lokwelashwa oluqondene nawe ngqo.
Kalula nje, izindlela zokwelapha eziyinhloko yilezi ezilandelayo:
| Indlela Yokwelapha | Kalula nje… |
|---|---|
| Ukwelashwa ngamakhemikhali | Imithi enikezwa ukubulala amangqamuzana omdlavuza ahlukana ngokushesha. Le mithi ihamba emzimbeni wonke. |
| Ukwelashwa Okuqondiwe | Imithi ehlose ubuthakathaka obuthile emaseli omdlavuza, okubangela umonakalo omncane emaseli anempilo. |
| Ukwelashwa nge-immunotherapy | Imithi esiza amasosha omzimba wakho ukuthi aqaphele futhi ahlasele amangqamuzana omdlavuza. |
| Ukwelashwa ngemisebe | Ukusetshenziswa kwemisebe enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza, ngokuvamile aqondiswe endaweni ethile. |
| Ukuhlinzwa | Ukususwa kwezimila zesibindi nomdlavuza wamathumbu akulungile kubo bonke abaguli ngokuhlinzwa. |
5. Ziphumelela kangakanani lezo zindlela zokwelapha?
"Impumelelo" ingasho izinto eziningana. Kungasho ukunciphisa umdlavuza, ukuwuvimba ukuthi ungasabalali, ukunciphisa izimpawu, noma ukwandisa impilo yakho. Nakuba kunezibalo mayelana nempumelelo yokwelashwa ngakunye, khumbula ukuthi imiphumela yawo wonke umuntu ihlukile . Khuluma nodokotela wakho ngalokho ongakulindela ngokusekelwe esimweni sakho.
6. Sazi kanjani ukuthi ukwelashwa kuphumelele?
Uma usuqalile ukwelashwa, udokotela wakho uzokuqapha njalo ukuze abone ukuthi kuyasebenza yini. Ukuhlolwa okufana nokuskena kwe-CT okwenziwa ngezikhathi ezithile kungabonisa ukuthi umdlavuza unciphile yini. Ukuhlolwa kwegazi (ama-tumor markers) kanye nokwehla kwezimpawu zakho nakho kuyizimpawu ezinhle zokuthi ukwelashwa kuyasebenza.
7. Ukwelashwa kwami kuzothatha isikhathi esingakanani?
Ubude bokwelashwa buxhomeke ohlotsheni lokwelashwa okunikezwayo kanye nendlela umzimba wakho osabela ngayo kukho. Isibonelo, i-chemotherapy ivame ukunikezwa ngemijikelezo . Lokhu kusho ukuthi uthola ukwelashwa amasonto ambalwa, kulandelwe yisonto elilodwa noma amabili okuphumula. Cela udokotela wakho isimiso esicacile.
8. Yimiphi imiphumela emibi engingayithola? Izohlala isikhathi esingakanani? Ngingayilawula kanjani?
Lokhu kubaluleke kakhulu. Zonke izindlela zokwelapha zingaba nemiphumela emibi . Ukukhathala, isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla , ukuqothuka kwezinwele, kanye nezilonda emlonyeni kuvamile. Kodwa ungakhathazeki. Akuwona wonke umuntu ozobhekana nayo yonke le miphumela emibi. Futhi, manje kunemithi emihle kakhulu yokulawula eminingi yale miphumela emibi. Buza udokotela wakho noma abahlengikazi esikhungweni sokwelapha umdlavuza kusenesikhathi mayelana nemiphumela emibi ongayithola nokuthi yini okufanele uyenze uma uyizwa.
9. Lokhu kuzothinta kanjani impilo yami yansuku zonke?
Ngesikhathi sokwelashwa komdlavuza, kungadingeka wenze izinguquko ezithile empilweni yakho evamile. Kungadingeka uthathe ikhefu emsebenzini noma unciphise amahora akho okusebenza. Ungadinga nosizo lomndeni wakho ngemisebenzi yasekhaya. Kubalulekile ukuxoxa ngalokhu nomndeni wakho kanye nomqashi wakho kusenesikhathi bese wenza izinhlelo.
10. Ingabe ungincoma ukuthi ngithole omunye umbono?
Akukho lutho olungalungile ngokuthola umbono wesibili. Akusho ukuthi awumethembi udokotela wakho wamanje. Ngaphambi kokwenza isinqumo esikhulu kangaka, ukuthola umbono womunye uchwepheshe kungakunika ukuzethemba okwengeziwe. Odokotela abaningi bakhuthaza iziguli zabo ukuba zenze lokhu. Ngakho ungesabi ukubuza.
11. Ingabe kukhona izivivinyo zezokwelapha engingahlanganyela kuzo?
Izivivinyo zemitholampilo ziyizifundo zocwaningo mayelana nezindlela zakamuva zokwelapha umdlavuza. Ngokuhlanganyela kulezi, ungase ube nethuba lokuthola ukwelashwa okusha okungase kusebenze kangcono kunezindlela zokwelapha ezijwayelekile zamanje. Akuzona zonke izibhedlela ezinalezi. Kodwa-ke, kufanelekile ukubuza udokotela wakho ukuthi kukhona yini ukuhlolwa kwemitholampilo okufanele wena.
12. Ingabe kudingeka ngishintshe indlela engidla ngayo kanye nesimiso sami sokuzivocavoca ngesikhathi sokwelashwa?
Yebo impela! Kubaluleke kakhulu ukunikeza umzimba wakho ukudla okunempilo ngesikhathi sokwelashwa. Kusiza ukubhekana nemiphumela emibi yokwelashwa futhi kunikeza umzimba wakho amandla. Futhi, njengoba kwelulekwe udokotela wakho, ukwenza ukuzivocavoca okulula (isib. ukuhamba) ezingeni ongalibekezelela nakho kuhle kakhulu empilweni yakho yengqondo neyomzimba. Cela udokotela wakho noma isazi sokudla ukuze akunike iseluleko mayelana nokuthi hlobo luni lokudla oluhle nokuthi yiziphi izivivinyo okufanele uzenze.
Umlayezo Wokuya Nawe Ekhaya
- Ungesabi ukubuza imibuzo ngesimo sakho, vula amehlo futhi uthembeke. Ukwaziswa kungamandla akho amakhulu ohambweni lwakho.
- Yenza udokotela wakho kanye nethimba lezokwelapha babe abangane bakho abakhulu. Khuluma nabo ngakho konke.
- Cacisa ngokwelashwa okutholayo kanye nemiphumela yako emibi. Khumbula ukuthi kunezindlela zokulawula imiphumela emibi.
- Ungalokothi unqikaze ukuthola umbono wesibili wezokwelapha. Kuyilungelo lakho.
- Funa ukwesekwa umndeni wakho nabangani bakho. Khumbula njalo ukuthi awuwedwa kulolu hambo.
- Ukudla okunempilo kanye nengqondo ekhululekile kubaluleke njengokwelashwa. Ungalokothi ulahle ithemba.
Umdlavuza wamathumbu amakhulu, umdlavuza wesibindi, umdlavuza wamathumbu amakhulu asakazekile, ukwelashwa komdlavuza, i-chemotherapy, izimpawu zomdlavuza, imibuzo yomdlavuza, imibuzo okufanele uyibuze udokotela
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