Uma sizwa igama elithi umdlavuza, sicabanga ngokushesha ngokwelashwa kwendabuko njengokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe. Kodwa ubuwazi ukuthi ngokuthuthuka kwesayensi yezokwelapha, kukhona nokwelashwa okusha nokumangalisayo okusengaphansi kocwaningo okwamanje okusebenzisa "ukushisa" noma "ukufudumala" ukubhubhisa amangqamuzana omdlavuza? Yilokho esikubiza ngokuthi i-Hyperthermia Therapy. Lokhu kusesesigabeni sokucwaninga emazweni amaningi futhi akuyona indlela yokwelapha etholakala kuwo wonke umuntu. Kodwa kubaluleke kakhulu ukwazi ngakho. Ngakho ake sixoxe ngakho namuhla.
Kalula nje, iyini le ndlela yokwelapha i-hyperthermia?
Kungumqondo olula kakhulu. Ekwelashweni kwe-hypothermia, ukushisa okulawulwayo kusetshenziswa endaweni lapho amangqamuzana omdlavuza atholakala khona noma kuwo wonke umzimba. Kungani kwenziwa lokhu? Ngoba amangqamuzana omdlavuza awakwazi ukumelana nokushisa kunamaseli avamile, anempilo emzimbeni wethu.
Cabanga ngale ndlela: iseli eliphilile lifana nomuthi oqinile, okhulayo. Iseli lomdlavuza lifana nesitshalo esingaphili, esibuthakathaka. Lapho ilanga, okungukuthi, ukushisa, lishaya, umuthi oqinile ungamelana nalo. Kodwa leso sitshalo esibuthakathaka siyafa ngokushesha. Yilokho okwenzekayo kulokhu kwelashwa. Uma kunikezwa ukushisa okulawulwayo, amangqamuzana aphilile awalimali kakhulu, kodwa amangqamuzana omdlavuza ayalimala futhi abhujiswe.
Enye inzuzo enkulu yalokhu kwelashwa ukuthi kungandisa ukusebenza kahle kwezinye izindlela zokwelapha umdlavuza, njengokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe. Ukushisa kwenza amangqamuzana omdlavuza abe buthakathaka futhi kuwenze azwele kakhulu kulezo zidakamizwa kanye nemisebe. Ngakho-ke, imiphumela etholakala kwezinye izindlela zokwelapha iphumelela kakhulu.
Into ebaluleke kakhulu ukuthi lokhu kuseyindlela yokwelapha esekelwe ocwaningweni. Lokho kusho ukuthi ayitholakali kuzo zonke izibhedlela eSri Lanka noma emhlabeni wonke. Lena indlela esafundwa.
Le ndlela yokwelapha ihlukaniswe kakhulu ngezinhlobo eziningana:
Lokhu kwelashwa akufani kuwo wonke umdlavuza kanye nesiguli ngasinye. Indlela lokhu kwelashwa okwenziwa ngayo iyahlukahluka kuye ngokuthi umdlavuza ukuphi nokuthi ususakazeke kangakanani. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokwelashwa | Kuchazwe kalula |
|---|---|
| 1. Ukwelashwa Kwe-Hyperthermia Yasendaweni | Lokhu kuhilela ukuqondisa ukushisa endaweni yomdlavuza kuphela, okusho ukuthi kugxile endaweni encane kakhulu. Kufana nomsebe we-laser oqondisa indawo eyodwa kuphela. |
| 2. Ukwelashwa Kwe-Hyperthermia Yesifunda | Lapha, ukushisa kufakwa endaweni enkulu yomzimba, isibonelo, umlenze wonke, ingalo, noma ingxenye yesisu (ngaphakathi kwesisu). |
| 3. Ukwelashwa Kokushisa Okuphezulu Komzimba Wonke | Ezimweni lapho umdlavuza ususakazeke kuwo wonke umzimba (usuqothulwe), izinga lokushisa lomzimba wonke liyalawulwa futhi likhushulwe, njengokungathi kudala umkhuhlane ngokwenziwa. |
Ake sibheke lezi zinhlobo ngemininingwane ethe xaxa.
Ukuze sikucacisele ngalezi zinhlobo, ake sixoxe ngazo ngayinye ngayinye.
1. Ukwelashwa Kwe-Hyperthermia Yasendaweni
Lokhu kufana nokudubula endaweni eqondiwe. Ukushisa kulethwa kuphela endaweni lapho umdlavuza ukhona. Lokhu kushisa kukhiqizwa kusetshenziswa amagagasi omsakazo, amagagasi kagesi, noma amagagasi e-ultrasound.
Le ndlela iphumelela kakhulu:
- Kwamathumba amancane anomdlavuza ngaphansi kwesikhumba noma ebusweni besikhumba.
- Ngomdlavuza osemathunjini amancane emzimbeni.
- Kumdlavuza ojulile kakhulu ukuthi ungasuswa ngokuhlinzwa.
Isibonelo, i-radiofrequency ablation (RFA) yomdlavuza wesibindi, wezinso, noma wamaphaphu, kanye ne-laser interstitial thermal therapy (LITT) yama-deep brain tumors ziwela kulesi sigaba. Kulezi zindlela zokwelapha, kufakwa idivayisi encane efana nenaliti esigaxeni bese kukhishwa ukushisa kusuka esiqongweni ukuze kubhubhise amangqamuzana omdlavuza.
2. Ukwelashwa Kwe-Hyperthermia Yesifunda
Le ndlela isetshenziselwa ukwelapha indawo enkulu. Isibonelo, isetshenziselwa ukwelapha umdlavuza ezithweni ezifana nesinye, umlomo wesibeletho, noma wonke umgodi wesisu. Ngokuvamile yenziwa kanye ne-chemotherapy.
Kunezindlela eziningana eziyinhloko zalokhu:
- Ukwelashwa kwezicubu ezijulile: Amaza anamandla aphezulu avela ngaphandle komzimba aqondiswe esithweni somzimba.
- Ukugeleza kwegazi kwesifunda:Lokhu kuyinto exakile kakhulu. Kushisa ingalo yonke, umlenze, noma umgodi. Ngezinye izikhathi bathatha igazi emzimbeni wakho, balifudumale, bese belibuyisela. Noma bafaka isixazululo se-chemotherapy esishisayo endaweni. Le ndlela isetshenziselwa umdlavuza wesikhumba (ama-melanoma) noma umdlavuza wezicubu ezithambile namathambo (ama-sarcomas).
- I-Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Lena inqubo ekhethekile esetshenziselwa umdlavuza esiswini (ingxenye lapho kutholakala khona amathumbu, isisu, nesibindi). Ngemva kokuhlinzwa ukuze kususwe umdlavuza, ikhambi le-chemotherapy elishisayo liphonswa ngqo esiswini ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele.
3. Ukwelashwa Kokushisa Okuphezulu Komzimba Wonke
Le ndlela iyacatshangelwa uma umdlavuza ususakazeke emzimbeni wonke, okungukuthi, uma ususakazeke kakhulu . Lokhu kuhilela ukulawula izinga lokushisa lomzimba wonke, ukulikhuphula lifike cishe kuma-degree Celsius angu-40 (104 Fahrenheit), okufana nomkhuhlane.
Lokhu kwenziwa kusetshenziswa izingubo zokulala ezifudumele, ama-incubator, noma ama-hot tub. Kukholelwa ukuthi uma umzimba ufudunyezwa ngale ndlela, amasosha omzimba wethu ayavuselelwa futhi aqale ukulwa namaseli omdlavuza. Njengoba nje lapho sithola igciwane, sithola umkhuhlane wokulwa nalo.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo nezingozi. Kubaluleke kakhulu ukuqonda kahle lokhu.
| Izinzuzo zokwelashwa | Izingozi ezingaba khona |
|---|---|
| Kwenza ezinye izindlela zokwelapha, njengokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe, zisebenze kangcono. | Ukushisa kwesikhumba noma ukuqhakaza. |
| Ihlasela kuphela isimila somdlavuza, inciphisa umonakalo ezicutshini eziphilile ezizungezile. | Ubuhlungu, ukuvuvukala, noma ukulimala kwezicubu endaweni yokwelashwa. |
| Kungaba yindlela ehlukile yeziguli ezinempilo ebuthakathaka kakhulu ukuba zihlinzwe. | Ukopha, ukutheleleka, noma amahlule egazi. |
| Ikhono lokwelapha eminye imidlavuza okunzima ukuyisusa ngokuhlinzwa. | Imiphumela emibi efana nokucanuzela kwenhliziyo, ukuhlanza, kanye nesifo sohudo. |
| - | Akuvamile kakhulu ukuthi ukwelashwa ngomzimba wonke kungathinta inhliziyo, imithambo yegazi, noma ezinye izitho zomzimba. |
Kwenzekani ngaphambi nangemva kokwelashwa?
Uma uphathwa lolu hlobo lokwelashwa, ikhona indlela yokukulungiselela. Ithimba lezokwelapha lizokuchazela konke.
Ngaphambi kokwelashwa:
- Ukuhlela: Ithimba lodokotela lizosebenzisana ukuze linqume ukwelashwa okungcono kakhulu kuwe, okuhlanganisa nokulandelana kokulashwa, izinga lokushisa lokushisa, njalo njalo. Isibonelo, abanye abantu bangathola ukwelashwa kwe-hypothermia okulandelwa ukwelashwa ngemisebe.
- Ukuhlolwa: Ukuhlolwa kwegazi kwenziwa ukuze kubonakale ukuthi umzimba wakho usukulungele yini ukwelashwa. Futhi, izinto ezifana ne-ultrasound, i-MRI, noma i-CT scan zenziwa ukuze kutholakale ukuthi umdlavuza ukuphi ngempela.
- Imiyalelo: Uzonikezwa imiyalelo yokuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokwelashwa, kanye nokuyeka imithi ethile, njengemithi yokunciphisa igazi.
- Ukulungiselela: Ngaphambi kokwelashwa kwendawo, ithubhu elincane (i-catheter) kanye ne-port kungafakwa ngaphansi kwesikhumba. Lokhu kwenza kube lula ukunikeza imithi endaweni eyodwa, ngaphandle kokuthola imijovo eminingi.
Ngesikhathi nangemva kokwelashwa:
Inqubo yokwelashwa iyahlukahluka kuye ngohlobo olutholayo. Okunye ukwelashwa kufushane njengemizuzu eyi-10. Okunye kuthatha amahora. Phakathi nalesi sikhathi, izinga lokushisa lomzimba wakho liqashelwa njalo kusetshenziswa ama-thermometer akhethekile. Ungase futhi unikezwe i-anesthesia ukuze ungezwa ubuhlungu.
Ngemva kokwelashwa, uma kwenziwe njengomuntu ohlala esibhedlela, uzokwazi ukuya ekhaya ngalolo suku. Kodwa-ke, uma kwenziwe ngokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Isikhathi sokululama sizohluka kuye ngohlobo lokwelashwa olutholile. Udokotela wakho uzoqhubeka nokuqapha isimo sakho futhi enze izivivinyo ukuze abone ukuthi umdlavuza unciphile noma ukuthi amangqamuzana omdlavuza anyamalele.
Ngenxa yokuthi lokhu kwelashwa kusekusha, akukacaci ukuthi kuzokwandisa kangakanani impilo yeziguli ezinomdlavuza. Kodwa-ke, ucwaningo lukhombisile ukuthi kungasiza ekunciphiseni izimila uma kuhlanganiswa nezinye izindlela zokwelapha.
Ekuphetheni, lena yindawo ethembisayo kakhulu futhi ekhulayo yokwelashwa komdlavuza. Uma wena noma othile omaziyo enomdlavuza, ungakhuluma nodokotela wakho ngalezi zinhlobo zokwelapha. Uzokwazi ukukweluleka ngokuthi ziyafaneleka yini esimweni sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa Nge-Hyperthermia kuyindlela entsha yokwelapha esebenzisa ukushisa okulawulwayo ukubhubhisa noma ukwenza buthaka amangqamuzana omdlavuza.
- Lokhu akuvamile ukuba ukwelashwa okuzimele. Kuvame ukuhlanganiswa nezinye izindlela zokwelapha, njengokwelashwa ngamakhemikhali noma ngemisebe.
- Lokhu kusesesigabeni socwaningo futhi akuyona indlela yokwelapha evame ukwenziwa kuzo zonke izibhedlela emhlabeni noma eSri Lanka.
- Lokhu kwelashwa kwenziwa ngezindlela ezahlukene, njengokwasendaweni, kwesifunda, noma komzimba wonke, kuye ngohlobo lomdlavuza nokuthi usakazeke kanjani.
- Njenganoma yikuphi ukwelashwa, kunezinzuzo nezingozi.
- Uma wena noma othile oseduze nawe enomdlavuza, sicela uxoxe ngalokhu kwelashwa nodokotela wakho ukuze ubone ukuthi kuyindlela efanelekile yini kuwe.
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