Kuvamile ukuzizwa wesaba futhi ushaqekile lapho wena noma umuntu omaziyo enomdlavuza wamathumbu bese uthola ukuthi ususakazekele esibindini. Odokotela babiza lesi sigaba ngokuthi umdlavuza we-metastatic, noma umdlavuza wesigaba sesi-4. Ngezinye izikhathi umdlavuza kungenzeka ukuthi ususakazekele esibindini lapho utholakala okokuqala. Noma, umdlavuza ungase ubuye futhi usakazekele esibindini ngemva kokwelashwa. Kungokwemvelo ukuzizwa wesaba lapho uzwa lokhu, kodwa ungakhathazeki. Ngezindlela zokwelapha ezithuthukisiwe zanamuhla, ungalawula izimpawu zakho, uthuthukise ikhwalithi yokuphila kwakho, futhi uphile isikhathi eside. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe.
Ziyini izimpawu zalesi simo?
Izimpawu zingahluka kuye ngobukhulu bomdlavuza nokuthi usakazeke kuphi emzimbeni. Okumangazayo ukuthi abanye abantu ababi nazo izimpawu ngisho noma umdlavuza wabo wamathumbu ususakazeke esibindini. Kodwa-ke, kunezimpawu ezithile ezivamile ezingabonakala.
Into ebalulekile ukuthi lezi zimpawu zingabonakala nakwezinye izimo zezokwelapha. Ngakho-ke ungesabi ukuba nesinye noma ngaphezulu salezi. Into engcono kakhulu ongayenza ukubona udokotela wakho bese uthola iseluleko.
Ithebula elingezansi libonisa ezinye zezimpawu ezivame kakhulu.
| Isibonakaliso | Incazelo |
|---|---|
| Igazi esitulweni | Igazi elimnyama noma elibomvu elixubene nendle. |
| Ubuhlungu ohlangothini lwesokudla lwesisu | Njengoba isibindi sitholakala ohlangothini oluphezulu kwesokudla lwesisu, ungase uzwe ubuhlungu noma ukungakhululeki okungajwayelekile kuleyo ndawo. |
| Ukuvuvukala | Isisu siphuma phambili ngenxa yokuvuvukala kwesibindi noma uketshezi esiswini. |
| Ukukhathala okuqhubekayo kanye nokuzola | Ukuzizwa ukhathele kakhulu, ukhathele, futhi ugula ngaphandle kwesizathu. |
| Ukwehla kwesisindo ngokuzumayo | Ukwehlisa isisindo ngokushesha ngaphandle komzamo. |
Indlela yokuxilonga lesi sifo ngokunembile?
Ukuze athole ukuthi umdlavuza wakho wamathumbu ususakazekele esibindini sakho, udokotela wakho uzokwenza izivivinyo ezimbalwa. Okokuqala, bazokubuza imibuzo embalwa. Ngemuva kwalokho, bazoyala ukuhlolwa kwegazi ukuhlola ukusebenza kwesibindi sakho kanye nokuskena ukuze babone ukuthi umdlavuza ukuphi nokuthi mkhulu kangakanani.
| Ukuhlolwa | Kalula nje... |
|---|---|
| I-CT Scan (i-Computed Tomography) | Lolu uhlobo olunamandla lwe-X-ray. Lungathatha izithombe ezicacile nezinemininingwane zangaphakathi lomzimba. |
| Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic) | Isebenzisa omaginethi abanamandla namagagasi omsakazo ukukhiqiza izithombe ezicacile zezitho zomzimba nezicubu. |
| Ukuskena kwe-PET (i-Positron Emission Tomography) | Kufakwa into enomsebe emzimbeni ukuze kutholakale izindawo lapho kukhona khona amangqamuzana anesifo, njengamaseli omdlavuza. |
| Ukuhlolwa kwesibindi (ukuhlolwa kwengxenye encane yesibindi) | Udokotela uthatha ingxenye encane kakhulu yezicubu esibindini bese eyihlola ngaphansi kwesibonakhulu ukuze abone ukuthi inamangqamuzana omdlavuza yini. |
Yiziphi izindlela zokwelapha?
Into ebalulekile okufanele uyiqonde lapha ukuthi noma umdlavuza ususakazekele esibindini, lawo maseli omdlavuza asengamaseli omdlavuza wamathumbu amakhulu , hhayi amaseli omdlavuza wesibindi. Ngakho-ke, uzophathwa ngendlela efanayo nomdlavuza wamathumbu amakhulu. Kungadingeka ukuthi uthole ukwelashwa okukodwa noma ngaphezulu ngesikhathi esisodwa.
Ukuhlinzwa
Noma nini lapho kungenzeka, ukwelashwa okuyinhloko ukususa umdlavuza ngokuhlinzwa. Udokotela ohlinzayo uzama ukususa umdlavuza omningi ngangokunokwenzeka esibindini nasemathunjini amakhulu. Uma kunomdlavuza owodwa kuphela esibindini, amathuba okusinda ngemva kokuhlinzwa aphezulu kakhulu.
Ukwelashwa ngamakhemikhali
Yilokhu sonke esikwazi ngokuthi 'i-chemo'. I-Chemo inganikezwa ngaphambi kokuhlinzwa ukuze kuncishiswe amangqamuzana omdlavuza ukuze asuswe kalula. I-Chemo inganikezwa futhi ngemva kokuhlinzwa ukuze kubulawe noma yimaphi amangqamuzana omdlavuza asele.
Ukwelashwa Ngemisebe
Ukwelashwa ngemisebe kusetshenziswa imisebe ye-X enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza. Isetshenziswa uma ukuhlinzwa kungakwazi ukususa isimila noma ukunciphisa izimpawu.
- Ukwenziwa kwe-Radioembolization: Kulokhu, ama-radioactive bead amancane athunyelwa ngegazi aye emithanjeni ehambisa igazi kumdlavuza wesibindi. Lawa aya lapho futhi akhiphe imisebe kuphela lapho umdlavuza ukhona.
- Ukwelashwa nge-Brachy: Kulokhu, izinto ezincane ezinemisebe zithunyelwa ngqo esimila kusetshenziswa ipayipi bese zishiywa lapho imizuzu embalwa.
Ukwelashwa Okuqondiwe
Lezi yimithi emisha, ethuthukisiwe. Ngokungafani ne-chemo ejwayelekile, le mithi ihlose ngqo ama-molecule athile asiza amangqamuzana omdlavuza ukukhula nokusabalala. Lokhu kubangela umonakalo omncane kumaseli anempilo. I-Cetuximab (Erbitux) kanye ne-Bevacizumab (Avastin) yimithi emibili enjalo.
Ukwelashwa nge-immunotherapy
Lokhu futhi kuyindlela yokwelapha esezingeni eliphezulu kakhulu. Kalula nje, le mithi isiza amasosha omzimba wakho ukuthi aqaphele futhi ahlasele amangqamuzana omdlavuza. I-Nivolumab (Opdivo) kanye ne-Pembrolizumab (Keytruda) ziyizibonelo zale mithi.
Kufanele uzinakekele kanjani?
Ukuphila nomdlavuza kuyimpi enkulu, ngokomzimba nangokwengqondo. Kubalulekile ukuthi uzinakekele kahle ngalesi sikhathi.
- Phumula futhi ulale: Phumula ngokwanele ukuze ulwe nokukhathala.
- Ukudla Okunomsoco: Ngesikhathi sokwelashwa, kungaba nzima ngomzimba wakho ukumunca izakhamzimba. Ngakho-ke, cela udokotela wakho ukuthi abonane nodokotela wezokudla. Bangakusiza ukuthi wakhe uhlelo lokudla oluzokunikeza amakhalori nezakhamzimba ozidingayo.
- Impilo yengqondo:Lokhu kubaluleke kakhulu. Khuluma nomngane omethembayo noma ilungu lomndeni ngemizwa yakho, ukwesaba, kanye nokukhathazeka. Bangase bangazi ukuthi bangakusiza kanjani. Ngakho-ke batshele okudingayo. Babuze, "Ngizizwa ngidangele namuhla. Ungathanda ukungilalela?" Buza udokotela wakho ngabeluleki kanye nezisebenzi zezenhlalakahle ezingakusiza.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukuzizwa wesaba uma uthola ukuthi umdlavuza wakho wamathumbu ususakazekele esibindini sakho. Kodwa-ke, ngokwelashwa kwanamuhla, kunethemba.
- Lesi simo siphathwa njengomdlavuza wamathumbu amakhulu, hhayi njengomdlavuza wesibindi.
- Umgomo oyinhloko wokwelashwa ukulawula umdlavuza, ukunciphisa izimpawu, nokukusiza uphile isikhathi eside ngekhwalithi enhle yokuphila .
- Khuluma nodokotela wakho ngokukhululekile ngakho konke. Buza ngemibuzo yakho kanye nokwesaba kwakho.
- Ngesikhathi sokwelashwa, kubalulekile ukuzinakekela kahle, ngokomzimba nangokwengqondo. Gxila ekudleni okunempilo, ekuphumuleni, kanye nasekuphileni kahle kwengqondo.
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