Noma ubani otholakale enomdlavuza uzizwa esaba kakhulu futhi eshaqekile. Kodwa-ke, kunzima nakakhulu ukuthola ukuthi umdlavuza ususakazekele kwezinye izingxenye zomzimba ngesikhathi elashwa. Namuhla sizokhuluma ngesimo esinjalo. Okusho ukuthi, lapho umdlavuza osesinye ingxenye yomzimba usakazekela emgogodleni. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-Spinal Metastasis'.
Kalula nje, kuyini ukusabalala komgogodla?
Cabanga ngomuntu onomdlavuza webele, umdlavuza wamaphaphu, noma omunye umdlavuza. Ngezinye izikhathi, amanye amangqamuzana avela kulowo mdlavuza ayaphuka, ahambe egazini lethu, bese efika emgogodleni (ingxenye esiyibiza ngokuthi umgogodla) bese eqala ukukhula lapho. Yilokho esikubiza ngokuthi 'i-Spinal Metastasis' noma umdlavuza wesibili emgogodleni.
Into ebalulekile ukuthi lokhu akuyona umdlavuza omusha osuvele emgogodleni. Okwenzekayo kulokhu ukuthi amaseli avela kumdlavuza wokuqala (isibonelo, umdlavuza webele) nawo asakazekele emgogodleni. Ngakho-ke, lapho welashwa, ukwelashwa kuhlobene nalowo mdlavuza wokuqala.
Lesi simo siyinkinga evamile phakathi kweziguli ezinomdlavuza. Ngokuvamile, la maseli omdlavuza asakazekela emathanjeni asemaphakathi nomgogodla (umgogodla wesifuba) kanye nasengxenyeni engezansi yomgogodla (umgogodla we-lumbar). Ngezinye izikhathi, umdlavuza ungasakazekela ngisho nasentanjeni yomgogodla ngale ndlela.
Uzibona kanjani izimpawu zalokhu?
Izimpawu zomdlavuza ezisakazekela emgogodleni zingahluka kuye ngokuthi umdlavuza ukuphi (okungukuthi, emgogodleni noma emgogodleni). Ake sibheke izimpawu eziyinhloko ongase uzizwe.
| Isibonakaliso | Kuzwakala kanjani futhi kungani? |
|---|---|
| Ubuhlungu emhlane noma entanyeni | Lolu uphawu oluvame kakhulu. Umdlavuza wonakalisa amathambo omgogodla. Lokhu kungabangela ubuhlungu obungacacile noma ubuhlungu obuhlabayo. Lobuhlungu bungaba bubi kakhulu ebusuku. |
| Ushintsho esimweni somgogodla | Umdlavuza ungashintsha isimo semvelo somgogodla, okubangela ukuthi ugobe noma ugobe. |
| Ukungabi namandla, ubuthakathaka, noma umuzwa wokuthuthumela | Uma umdlavuza ucindezela umgogodla, ucindezela imizwa egijimela ezingalweni nasemilenzeni. Lokhu kungabangela ukungakhululeki nomuzwa wokulahlekelwa ukwazi ezingalweni nasemilenzeni. Ngezinye izikhathi, ungase uzwe ngisho nezinaliti esifubeni. |
| Ubunzima bokulawula umchamo kanye nendle | Umsebenzi wesinyi sethu kanye namathumbu ulawulwa yintambo yomgogodla. Ngakho-ke uma isimila sicindezela intambo yomgogodla, ungase uzizwe ungenawo amandla okulawula umchamo noma ungenawo amandla okulawula indle ngaphandle kokuqaphela. |
| Ukukhubazeka | Lesi yisimo esibi kakhulu. Uma imizwa emgogodleni womgogodla yonakaliswa kakhulu ngumdlavuza, imiyalezo evela ebuchosheni ayifinyeleli kuwo wonke umzimba. Lokhu kungaholela ekulahlekelweni umuzwa ezithweni nasekukhubazekeni. |
Kungani lokhu kwenzeka? Yimiphi imidlavuza evame ukusabalala emgogodleni?
Njengoba sishilo ekuqaleni, yilapho amaseli avela kumdlavuza wokuqala ehamba khona egazini futhi afinyelele emgogodleni. Nakuba noma yimuphi umdlavuza ungasakazeka ngale ndlela, uvame kakhulu ezinhlotsheni ezithile zomdlavuza. Nazi izinhlobo zomdlavuza ezivame ukutholakala:
- Umdlavuza webele
- Umdlavuza wamaphaphu
- Umdlavuza we-prostate
- Umdlavuza wezinso
- Umdlavuza we-Colorectal kanye neminye imikhakha yesisu
- Umdlavuza we-thyroid
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma unomdlavuza futhi unezimpawu ezifana nobuhlungu bomhlane, into yokuqala udokotela wakho azokwenza ukukuhlola ngokucophelela. Bazohlola ibhalansi yakho nokuthi izingalo nemilenze yakho ziqine kangakanani. Bazobuza ngobuhlungu. Okusho ukuthi, luhlobo luni lobuhlungu, luqala nini, nokuthi luhlala njalo noma cha.
Ngemuva kwalokho, bazobuza ngomlando wakho wezokwelapha futhi batuse ukuhlolwa okuningana ukuqinisekisa lesi simo.
- Ukuhlolwa kwegazi: Uma amathambo ephuka ngenxa yomdlavuza, amakhemikhali afana ne-calcium ne-alkaline phosphatase avela kulawo mathambo angena egazini. Ngakho-ke kwenziwa ukuhlolwa ukuze kubonakale ukuthi ziningi yini lezi zinto egazini.
- Ukuhlolwa kwezithombe: I-MRI scan ingabonisa umgogodla, imizwa kanye nomgogodla ngokucacile. I-CT scan ingabona izinkinga ngamathambo omgogodla (ama-vertebrae). Ngisho ne-X-ray evamile ingabonisa ukukhula okungavamile emgogodleni.
- Ukuskena kwamathambo: Lokhu kungabona noma yikuphi ukukhubazeka emgogodleni, okungaba yilapho umdlavuza ususakazeke khona.
- Ukufuthwa kwenaliti encane / i-Biopsy: Ngezinye izikhathi, kuthathwa isampula encane kakhulu yesimila noma ithambo emgogodleni ukuze ihlolwe. Lokhu kungasiza ekunqumeni ukuthi hlobo luni lomdlavuza olusakazeke emgogodleni.
Yiziphi izindlela zokwelapha lokhu?
Into yokuqala okudingeka siyiqonde ukuthi ukusabalala komgogodla kuyisigaba esithuthukile somdlavuza. Lokhu kusho ukuthi kunzima ukuyelapha ngokuphelele. Kodwa-ke, imigomo eyinhloko yokwelashwa kwamanje ukulawula ubuhlungu, ukugcina ukusebenza komgogodla okuningi ngangokunokwenzeka, kanye nokunciphisa ukukhula komdlavuza.
Ukwelashwa okutholayo kuzoncika ezintweni eziningana.
- Uhlobo lomdlavuza wokuqala: Isibonelo, uma umdlavuza wamaphaphu usakazekela emgogodleni, umgogodla nawo uqukethe amangqamuzana omdlavuza wamaphaphu. Ngakho-ke, welashwa ngemithi ephumelela kakhulu yomdlavuza wamaphaphu.
- Impilo yakho iyonke: Umdlavuza kungenzeka ukuthi awusakazekelanga emgogodleni wakho kuphela, kodwa nakwezinye izingxenye zomzimba wakho (njengobuchopho noma isibindi sakho). Zonke lezi zici zizocatshangelwa lapho kunqunywa ukwelashwa.
- Ukuthi umdlavuza ukuphi: Ukwelashwa kungahluka kuye ngokuthi umdlavuza usemathanjeni omgogodla noma emgogodleni.
Izindlela zokwelapha eziyinhloko ezisetshenziswayo yilezi:
- Ukwelashwa ngamakhemikhali: Lokhu kuhilela ukunikeza umzimba imithi ebulala amangqamuzana omdlavuza. Lawa angathathwa njengamaphilisi noma anikezwe njengomjovo emthanjeni. Ngenxa yokuthi le mithi ihamba emzimbeni wonke, ingasiza ekubulaleni amangqamuzana omdlavuza emgogodleni kanye namangqamuzana omdlavuza kwezinye izingxenye zomzimba.
- Ukwelashwa ngemisebe: Lokhu kusebenzisa ama-X-ray anamandla amakhulu ukubhubhisa amangqamuzana omdlavuza noma ukunciphisa amathumba. Lokhu kunganikeza impumuzo enkulu ebuhlungwini.
- Ukuhlinzwa kwe-Stereotactic Radiosurgery:Lokhu akusihlinzi. Kuyindlela eqondile kakhulu, eqondiwe yokuletha imisebe yemisebe esigaxeni somdlavuza kuphela. Lokhu kubangela umonakalo omncane kakhulu ezicutshini eziphilile ezizungezile.
- Ukuhlinzwa: Ukuhlinzwa kuvame ukwenziwa kuphela uma ezinye izindlela zokwelapha zingaphumelelanga. Ngezinye izikhathi, uma kukhona ukwaphuka kokucindezela, ukuhlinzwa okuncane okufana ne-'Vertebroplasty' noma i-'Kyphoplasty' kungenziwa ukuze kuqiniswe amathambo futhi kuncishiswe ubuhlungu.
- Ukunakekelwa kobuhlungu: Lena yindawo ebaluleke kakhulu yokwelashwa. Umgomo oyinhloko walokhu akukhona ukwelapha lesi sifo, kodwa ukuthuthukisa ikhwalithi yokuphila kwesiguli. Kuhilela ukulawula ubuhlungu, ukuphatha imiphumela emibi yokwelashwa, kanye nokubasiza ukuba babhekane nalesi simo.
Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?
Yebo, njenganoma yikuphi ukwelashwa, kungaba nemiphumela emibi.
- Ngesikhathi sokwelashwa ngamakhemikhali nangemisebe, izinto ezinjengokukhathala, ukuqothuka kwezinwele, isicanucanu nokuhlanza zivame kakhulu.
- Ngesikhathi sokuhlinzwa kwe-stereotactic radiosurgery: Ungase uzizwe ukhathele kakhulu.
- Ngesikhathi sokuhlinzwa kwe-Kyphoplasty noma kwe-Vertebroplasty: Ukutheleleka, ukopha, ubuhlungu obandayo, kanye nokuba ndikindiki kungase kwenzeke kaningi.
Ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imiphumela emibi oyitholayo. Kukhona nezindlela zokwelapha leyo miphumela.
Ungazinakekela kanjani?
Phakathi nalezi zikhathi ezinzima, kubaluleke kakhulu ukuzinakekela kahle kanye nokufuna ukwelashwa.
- Yidla kahle: Umdlavuza kanye nokwelashwa kwawo kungabangela ukulahlekelwa yisifiso sokudla. Kodwa zama ukudla ukudla okunempilo ukuze uthole amandla umzimba wakho owadingayo. Uma unenkinga yokudla, cela iseluleko kuchwepheshe wezokudla.
- Cabanga ngempilo yakho yengqondo: Kuvamile ukuzwa ukucindezeleka noma ukukhathazeka ngalolu hlobo lwesimo. Uma ubhekene nobunzima, ukukhuluma nomeluleki wezempilo yengqondo kungaba impumuzo enkulu.
- Lawula ukucindezeleka: Izinto ezifana nokuzindla nokuzivocavoca ngokuphefumula zingasiza ekunciphiseni ukucindezeleka.
- Buza udokotela wakho imibuzo: Khuluma ngokukhululekile nodokotela wakho ngesimo sakho, ukwelashwa, imiphumela emibi, kanye nokuphathwa kobuhlungu. Mbuze nganoma yikuphi ukwesaba noma ukukhathazeka ongase ube nakho.
Yiziphi izimo ezidinga ukunakekelwa okusheshayo?
Kufanele uqaphele kakhulu ngalezi zimpawu. Uma kuvela noma yiziphi zalezi zimpawu , kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
| Ithuba | Okufanele ngikwenze |
|---|---|
| Uma ubuhlungu bungenakulawuleka ngemithi yobuhlungu enqunywe udokotela. | Shayela udokotela wakho. |
| Uma uzwa ubuhlungu obungazelelwe, obubukhali, obungabekezeleleki emhlane noma entanyeni (lokhu kungaba uphawu lokuphuka). | Shayela udokotela wakho. |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha! | |
| Uma imilenze yakho nesisu sakho kuzwakala sengathi kuyaphambana. | Yiya esibhedlela ngokushesha. |
| Uma kunzima ukuhambisa imilenze yakho, uma izizwa ingaphili. | Yiya esibhedlela ngokushesha. |
| Uma ungakwazi ukulawula umchamo noma indle yakho. | Yiya esibhedlela ngokushesha. |
| Uma ungakwazi ukuchama. | Yiya esibhedlela ngokushesha. |
Kuvamile ukuzizwa ukhungathekile, wesaba, uthukuthele, futhi ungaqiniseki ngekusasa uma uthola ukuxilongwa okufana nalokhu. Ithimba lakho lezokwelapha liyaqonda yonke le mizwa. Ngakho-ke yabelana nabo ngemicabango yakho nokukhathazeka kwakho. Bahlala bekulungele ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- Ukusabalala komgogodla akuyona umdlavuza omusha, kodwa ukusabalala komdlavuza kusuka kwenye indawo emzimbeni kuya emgogodleni.
- Uma unomdlavuza, ungalokothi ungazinaki izinhlungu ezingavamile nezinzima emhlane noma entanyeni yakho. Tshela udokotela wakho ngokushesha.
- Nakuba lesi simo singelapheki ngokuphelele, kunezindlela eziningi zokwelapha ezisebenza kahle kakhulu ezingakusiza ukuphatha ubuhlungu futhi uthuthukise ikhwalithi yempilo yakho.
- Uma kuvela izimpawu ezifana nokuba ndikindiki kwemilenze noma ukulahlekelwa ukulawula isinyi/amathumbu, kufanele kubhekwe njengesimo esiphuthumayo futhi kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
- Kubaluleke kakhulu ukukhuluma ngokukhululekile nangokwethembeka nodokotela wakho ngesimo sakho, izinketho zokwelapha kanye nokwesaba kwakho.
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