Kunzima ukuchaza impumuzo oyizwayo lapho udokotela wakho ethi, "Usuphulukisiwe ngokuphelele manje," akunjalo? Yilelo gama sonke esithanda ukulizwa. Kodwa bewazi ukuthi kwezokwelapha, igama elithi "ukwelapha" linencazelo ejulile kakhulu kunalokho esikucabangayo? Ngezinye izikhathi singaliqonda kabi leli gama. Ngakho-ke namuhla, ake sixoxe ngokuthi leli "khambi" lisho ukuthini ngempela, ukuthi lihluke kanjani "ekwelashweni," nokuthi la magama asho ukuthini ngempela, ikakhulukazi uma kukhulunywa ngezifo ezifana nomdlavuza.
Uyini umehluko phakathi "kokwelapha" kanye "nokwelashwa"?
Nakuba abantu abaningi becabanga ukuthi la magama amabili afana, kunomehluko ocacile phakathi kwawo womabili. Kalula nje, ukwelashwa kubhekisela ezintweni esizenzayo ukuze siphilise, silawule, noma sinciphise izimpawu zesifo. Lokho kusho ukuthatha imithi, ukuhlinzwa, kanye nokwelashwa okuhlukahlukene. Ukwelashwa kuwumphumela walezo zindlela zokwelapha. Lokho kusho ukuthi ngemva kokwelashwa, lesi sifo siyanyamalala ngokuphelele futhi asiphinde sibuye.
Cabanga ngokwelashwa njengohambo. Singase sihlangane nezindawo eziningi ezahlukene zokuma endleleni. "Ukwelashwa okuphelele" kumane nje kuyindawo eyodwa kulolo hambo. Kuneminye imiphumela ngale kwalokho.
Lokhu kucaca kakhulu kusukela kuthebula elingezansi.
| Umphumela wokwelashwa | Kalula nje... |
|---|---|
| Ukwelashwa okuphelele | Ukugula kwakho kuzophela ngokuphelele. Ngeke kubuye. Isibonelo, uma uthatha ama-antibiotics ukuze uthole ukutheleleka ngamagciwane, amagciwane azobhujiswa ngokuphelele futhi ukugula kuzophulukiswa. |
| Ukuvimbela Izifo | Ukuvimbela isifo ngaphambi kokuba sikhule. Isibonelo, ukuthola umuthi wokugomela i-HPV kungakuvikela ku-HPV, engabangela umdlavuza njengomdlavuza wesibeletho. |
| Ukuphathwa Kwezifo | Ngisho noma lesi sifo singelapheki ngokuphelele, singalawulwa futhi siphile kahle. Isibonelo, umuntu onesifo sikashukela angaphuza i-insulin futhi alawule amazinga kashukela egazini lakhe ukuze aphile impilo enempilo. |
| Ukunakekelwa Kwe-Palliative | Ukuthuthukisa ikhwalithi yokuphila komuntu ophila nesifo esingelapheki ngokunciphisa izimpawu nobuhlungu. Nakuba lokhu kungelaphi lesi sifo, kusiza isiguli ukuba siphile ngenduduzo nesithunzi. |
Ingabe "Ukwelapha" kanye "Nokululama" kuyinto efanayo?
Sivame ukudidanisa la magama amabili. "Ukululama" kusho ukuba ngcono usuku nosuku. Kungaba uhambo olude. Kodwa akusho ukuthi ukugula sekuphelile ngokuphelele.
Isibonelo esihle kakhulu umlutha wezidakamizwa. Umuntu olulama ekuluthweni yizidakamizwa usenqubweni "yokululama". Lokho kusho ukuthi usuku nosuku, uyayeka izidakamizwa futhi ujwayele impilo engcono. Kodwa lokho akusho ukuthi ngeke aphinde abe nesifiso sokusebenzisa izidakamizwa. Kuyisinqumo sansuku zonke.
Kodwa "ukwelashwa okuphelele" kusho ukuthi inkinga isiphelile ngokuphelele. Asikho isidingo sokucabanga ngayo futhi.
Kuyini 'ukwelapha' kanye 'nokuxolelwa' kumdlavuza?
Incazelo yala magama iba yinkimbinkimbi kakhulu uma kukhulunywa ngomdlavuza. Odokotela bezifo zomdlavuza abaphatha umdlavuza bavame ukungabaza ukusebenzisa igama elithi "ukwelapha okuphelele." Kunalokho, basebenzisa igama elithi "ukuxolelwa."
Kalula nje, "ukwelashwa okuphelele" kusho ukuthi umdlavuza ngeke uphinde ubuye. Kodwa "ukuthethelelwa" kusho ukuthi akukho siqinisekiso esinjalo esinganikezwa.
Kunezinhlobo ezimbili zokuxolelwa:
- Ukuxolelwa Okuphelele: Kulesi simo, udokotela wakho akakwazi ukuthola noma yimaphi amangqamuzana omdlavuza emzimbeni wakho ngokuhlolwa noma ngokuskena. Awunazo izimpawu. Kodwa-ke, kungase kube khona inani elincane kakhulu lamangqamuzana omdlavuza afihliwe endaweni ethile emzimbeni wakho angatholakali ngokuhlolwa. Noma, ungase ungabi nomdlavuza ngokuphelele.
- Ukuxolelwa Okungaphelele: Kulesi simo, kusekhona amangqamuzana omdlavuza emzimbeni wakho, kodwa mancane kakhulu kunangesikhathi ukwelashwa kuqala. Uma bekukhona amathumba, kungenzeka ukuthi anciphile.
Uma udokotela ethi, "Umdlavuza wakho usuphelile manje," kuyizindaba ezinhle. Kodwa futhi kungaba yinto ephazamisayo kancane, ngoba sifuna isiqinisekiso sokuthi "ngeke uphinde ubuye." Umdlavuza ungaphela amasonto, izinyanga, noma ngisho neminyaka. Ungase ungabuyi impilo yakho yonke. Kodwa ngezinye izikhathi, ungabuya (ukuphinda). Uma lokho kwenzeka, kuzodingeka uqale ukwelashwa okusha.
Ngakho-ke, ingabe umdlavuza 'ungelapheka' ngempela?
Impendulo emfushane ithi, "Hhayi okwamanje." Kodwa impendulo ende iyinkimbinkimbi kakhulu.
Uma sizwa igama elithi "umdlavuza," silibheka njengesifo esisodwa. Kodwa empeleni kunezinhlobo zomdlavuza ezingaphezu kwe-100. Uhlobo ngalunye lwalezi zimo zomdlavuza luhlukile endleleni oluthinta ngayo umzimba, ubukhali bawo, ukwelashwa okudingekayo, kanye nendlela osabela ngayo ekwelashweni.
Kodwa izindaba ezinhle ukuthi eminye imidlavuza, ikakhulukazi uma itholakala kusenesikhathi, ingelapheka ngokuphelele ngokwelashwa. Yilokhu abaningi bethu abanethemba lakho uma sithi "ukwelashwa okuphelele." Kungenxa yale ntuthuko kwezokwelapha ukuthi abantu manje sebesinda emidlavuza eyayibulala eminyakeni embalwa edlule. Yingakho abanye odokotela bebiza eminye imidlavuza ngokuthi "iyalapheka" uma itholakala kusenesikhathi.
Yimiphi imidlavuza enezinga eliphezulu kakhulu lokwelashwa?
Udokotela cishe uzothi umdlavuza wakho "usuphelile" uma usuneminyaka emihlanu noma ngaphezulu uphilile. Lokho kungenxa yokuthi iningi lomdlavuza liyabuya, futhi kungenzeka kakhulu ukuthi kwenzeke phakathi neminyaka emihlanu yokuqala.
Isilinganiso esibalulekile esisetshenziswa odokotela lapho bekhuluma ngemiphumela yomdlavuza "isilinganiso sokusinda seminyaka emihlanu." Kalula nje, yilesi inani labantu abayi-100 abatholakale benohlobo oluthile lomdlavuza abasaphila ngemva kweminyaka emi-5. Nakuba lokhu kungenakukutshela ngokuqiniseka okungu-100% ukuthi kuzokwenzekani kuwe, kungakunikeza umbono ojwayelekile wokuthi lesi sifo sizoqhubeka kanjani.
Iningi lomdlavuza elitholakala futhi lelashwe kusenesikhathi linesilinganiso "sokusinda iminyaka emihlanu" esingaphezu kuka-90%. Lokho kusho ukuthi abantu abangu-90 kwabayi-100 basaphila ngemva kweminyaka emihlanu.
Ngezansi kunezinhlobo ezithile zomdlavuza ezinezinga eliphezulu lokuphulukiswa.
| Uhlobo lomdlavuza | Izinga lokusinda (esigabeni sokuqala) | Kungani amathuba okululama ephezulu? |
|---|---|---|
| Umdlavuza Webele | ~99% | Ukuhlolwa njalo kungasiza ekutholeni umdlavuza webele kusenesikhathi, futhi kuye kwasungulwa izindlela zokwelapha eziqondiwe zezinhlobo ezahlukene zomdlavuza webele. |
| Umdlavuza Wesibeletho | ~92% | Lona umdlavuza okhula kancane kakhulu. Ama-Pap smear avamile angabona amangqamuzana angajwayelekile ngaphambi kokuba abe umdlavuza. |
| Umdlavuza Wendlala Yesitho Sangasese | ~99% | Lona futhi umdlavuza okhula kancane kakhulu. Ungatholakala futhi welashwe ngaphambi kokuba usakazeke (usakazeke) kwezinye izingxenye zomzimba. |
| Umdlavuza Wamasende | ~99% | Ukususwa kwesende elinomdlavuza ngokuhlinzwa kuvame ukuba yindlela yokwelapha ephelele, futhi lo mdlavuza usabela kahle kakhulu ku-chemotherapy. |
| Umdlavuza We-Thyroid | ~99% | Ngokuvamile uhlobo olukhula kancane, olususwa ngokuhlinzwa indlala yegilo luvame ukususa ngokuphelele umdlavuza. |
| I-Melanoma - uhlobo lomdlavuza wesikhumba | ~99% | Izinguquko zesikhumba (amabala, izinhlungu) zingatholakala kalula kusenesikhathi ngoba zibonakala kalula. I-Melanoma ebusweni besikhumba ingasuswa ngokuphelele ngokuhlinzwa. |
Khuluma nodokotela wakho ngalokhu.
Uma unesifo esithile, kuvamile ukuzizwa wesaba futhi unelukuluku uma uzwa amagama anjengokuthi “ukwelashwa okuphelele,” “izinga lokusinda,” kanye “nokukhululwa kwesifo.” Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngakho konke lokhu nodokotela wakho.
Ungesabi ukutshelwa ukuthi “akunakwelapheka.” Akusho ukuthi awukwazi ukuphila impilo enhle. Kunalokho, buza udokotela wakho ukuthi yiziphi izindlela zokwelapha ezingakusiza ukuthi uphile impilo enhle, ukuthi ungahlala ungenazo yini izimpawu, nokuthi ungabuyela yini empilweni yakho evamile.
Kubaluleke kakhulu ukuthi wena nodokotela wakho nibe nokuqonda okufanayo ngenhloso yangempela yokwelashwa kwenu. Lokhu kuzokulethela ukuthula kwengqondo okukhulu.
Umlayezo Wokuya Nawe Ekhaya
- "Ukwelashwa okuphelele" kusho ukuthi lesi sifo sesiphelile ngokuphelele futhi ngeke siphinde sibuye.
- "Ukwelashwa" kubhekisela ezintweni ezenziwe ukwelapha, ukulawula, noma ukunciphisa izimpawu zesifo. "Ukwelashwa okuphelele" kuwumphumela owodwa kuphela wokwelashwa.
- Kumdlavuza, odokotela bakhetha ukusebenzisa igama elithi "remission" kunelithi "cure" ngoba kunzima ukunikeza isiqinisekiso esingu-100% sokuthi umdlavuza ngeke uphinde ubuye.
- Ezinye izinhlobo zomdlavuza, njengomdlavuza webele, wesibeletho, kanye nomdlavuza wendlala, zingelashwa ngempumelelo enkulu futhi cishe zilapheke ngokuphelele uma zitholakala kusenesikhathi.
- Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngesimo sakho kanye nohlelo lokwelashwa ngokuningiliziwe. Ungesabi ukubuza imibuzo nokwabelana ngemicabango yakho.
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