Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile uma uzwa amagama athi "umdlavuza" kanye "nokwelashwa ngemisebe" noma njengoba sithanda ukukubiza kanjalo, "ukwelashwa ngemisebe." Kodwa kuyini ngempela lokhu? Kusho ukuthini lokhu? Uma usukwazi kahle ukuthi kuyini, ukwesaba kwakho kuzophela. Ngakho-ke, namuhla sizokhuluma ngakho konke mayelana nokwelashwa ngemisebe yomdlavuza webele, kalula, ngendlela ongayiqonda.
Kalula nje, kuyini ukwelashwa ngemisebe?
Ukwelashwa ngemisebe kusebenzisa ama-X-ray anamandla amakhulu ukubulala noma ukulimaza amangqamuzana omdlavuza ebeleni lakho. Ngokuvamile, umuntu onomdlavuza webele uhlinzwa ukuze kususwe umdlavuza. Kodwa ngisho nangemva kwalokho, kungase kube namangqamuzana amancane kakhulu omdlavuza asele endaweni esingawaboni. Ukwelashwa ngemisebe kusetshenziselwa ukubhubhisa ngokuphelele noma yimaphi amangqamuzana omdlavuza asele.
Ngezinye izikhathi, uma umdlavuza ususakazekele kwezinye izingxenye zomzimba (umdlavuza webele osakazekile), lokhu kwelashwa kusetshenziselwa nokulawula izimpawu ezifana nobuhlungu. Kufana nokuthatha ithoshi elinamandla amakhulu bese uliqondisa ngqo emaseli omdlavuza bese uwabhubhisa.
Yiziphi izindlela zokwelapha ngemisebe ezitholakalayo?
Kunezindlela eziningana zokunikeza lokhu kwelashwa. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe, kuye ngezici eziningi, njengohlobo lomdlavuza onawo nokuthi utholakala kuphi.
Ake sibheke izindlela eziyinhloko ezinjengalezi.
| Igama lendlela yokwelapha | Indlela yokukwenza ilula. |
|---|---|
| Ukwelashwa Ngemisebe Yangaphandle (i-EBRT) | Lena yindlela evame ukusetshenziswa kakhulu. Umshini omkhulu (i-Linear Accelerator) usetshenziselwa ukuletha imisebe yemisebe ebeleni. Lokhu kwelashwa kuvame ukunikezwa izinsuku ezinhlanu ngesonto, isonto elilodwa kuya kwayisithupha. |
| Ukwelashwa ngemisebe yangaphakathi (i-Brachytherapy) | Lokhu kuhilela ukufaka into efana nembewu enomsebe ngepayipi elincane (i-catheter) endaweni lapho umdlavuza wawukhona khona. Ishiywa endaweni yayo imizuzu embalwa bese isuswa. Lokhu kwelashwa kwenziwa kabili ngosuku cishe izinsuku ezinhlanu. |
| Ukwelashwa Ngemisebe Ngesikhathi Sokuhlinzwa (IORT) | Lokhu kwenziwa ngesikhathi esifanayo nokuhlinzwa. Udokotela ususa isimila esinomdlavuza bese enikeza umthamo wemisebe endaweni lapho isimila sasikhona ngaphambi kokuvala inxeba. |
Kwenzekani ngosuku lokuqala? (Iseshini yokuhlela)
Usuku lokuqala lokwelashwa kwakho empeleni akulona usuku lokwelashwa. Luwusuku lokuhlela. Sisebenzisa lolu suku ukubuza yonke imibuzo yakho, nokusiza ithimba lezokwelapha likuchazele konke.
Kuzokwenzekani-ke?
- Ukukhuluma ngesimiso sokwelashwa: Bazokuchazela ukuthi uzodinga isikhathi esingakanani ukuze uthole ukwelashwa, kangaki, nokuthi kuzothatha isikhathi esingakanani ngesikhathi. Nakuba ngokuvamile kuthatha cishe imizuzu engama-30-45, empeleni imisebe inikezwa imizuzu embalwa kuphela.
- Uzochazelwa inqubo: ukuthi imisebe izonikezwa kanjani, ukuthi ithimba lezokwelapha lizobe likuphi ngaleso sikhathi, nokuthi yini ongeke ukwazi ukuyenza (isibonelo, ukungahambi).
- Uzofundiswa amasu okuvikela inhliziyo namaphaphu akho: Uzofundiswa amasu akhethekile, njengokugcina umoya uphefumulela ngokujulile, ngesikhathi sokwelashwa. Lokhu kuzosiza ekunciphiseni imiphumela yemisebe enhliziyweni nasemaphaphu akho.
- Uzokwaziswa ngezinto ongazenza ukuze uzizwe ukhululekile: isibonelo, ukugqoka izingubo ezikhululekile, ezingaqinile uma uza ukuzokwelashwa, njengoba lokhu kuzonciphisa inani lokukhuhla isikhumba emabeleni akho.
- Ukukhuluma ngemiphumela emibi nendlela yokubhekana nayo: Kukuchazela ukuthi yimiphi imiphumela emibi engase ivele nokuthi yini ongayenza ngayo.
I-CT scan yenziwe ngesikhathi sokuhlela
Ngalo lolo suku, uzobe uhlolwa nge-CT scan ukuze ubhale ukuthi ufuna ukuthola imisebe kuphi esifubeni sakho. Lokhu kungathatha cishe ihora.
- Uzogcinwa unganyakazi embhedeni wokwelashwa ngosizo lwedivayisi ekhethekile. Lokhu kukusiza ukuthi uhlale usesimweni esifanayo phakathi nokwelashwa ngakunye.
- Ngemuva kwalokho, kubekwa amamaki amancane amane emagumbini amane endawo okufanele aphathwe. Lawa amamaki amancane abukeka njenge-mole. Ngezinye izikhathi lawa ama-tattoo ahlala njalo, ngezinye izikhathi awesikhashana. Lokhu kunganqunywa ngokukhuluma nodokotela wakho, kuye ngokuthi ukhetha ini. Lawa mamaki akhona ukukusiza ukuthi uqondise imisebe endaweni efanayo njalo.
Kwenzekani ngempela ngesikhathi sokwelashwa?
Uma ufika ukuzokwelashwa, ilungu lethimba lezokwelapha lizokubingelela futhi likunike ingubo ekhethekile ozoyigqoka ngesikhathi sokwelashwa kwakho. Bese:
1. Uzoyiswa ekamelweni lokwelashwa.
2. Kukusiza ukuthi ungene embhedeni wokwelashwa. Esikhathini esiningi, kuzodingeka ulale ngohlangothi lwakho. Kuzodingeka ugcine ingalo yakho ohlangothini lapho umdlavuza wakho ungaphezu kwekhanda lakho.
3. Uzobekwa ngqo ngaphakathi kwedivayisi evimbelayo okukhulunywe ngayo ngenhla.
4. Ngemva kwalokho, ithimba lezokwelapha lizophuma ekamelweni. Kodwa ungakhathazeki, bangakubona kumakhamera futhi bezwe ukuthi uthini.
5. Umshini uvuliwe. Uzozwa umsindo omncane ovela emshinini, kodwa ngeke ubone noma yimiphi imisebe yemisebe, futhi ngeke uzwe lutho.
6. Uma ukwelashwa sekuphelile, bazobuya ekamelweni bakusize uvuke embhedeni.
Khumbula, ngeke uzwe ubuhlungu phakathi nalo lonke lolu hlelo, ngakho-ke asikho isizathu sokwesaba.
Yimiphi imiphumela emibi engaba khona yokwelashwa?
Ukwelashwa ngemisebe akubangeli imiphumela emibi ngokushesha ngemva kokuqala. Kodwa-ke, imiphumela emibi yesikhathi esifushane neyesikhathi eside ingase ivele ngesikhathi nangemva kokwelashwa.
| Imiphumela emibi yesikhashana (ngesikhathi sokwelashwa nangemva nje kokwelashwa) | Imiphumela emibi yesikhathi eside (izinyanga noma iminyaka ngemva kokwelashwa) |
|---|---|
| Ukukhathala: Abantu abaningi bazizwa bekhathele kancane. Lokhu kuyaphela zingakapheli amasonto ambalwa ukwelashwa kuphelile. | Imithambo yesicabucabu (i-Telangiectasias): Imithambo emincane ebomvu ingavela ebusweni besikhumba. Lokhu kuyinto evamile futhi akukho okufanele ukhathazeke ngakho. |
| Izinguquko zesikhumba: Isikhumba singase some, sibe namaqhubu, futhi sibe bomvu. Abanye abantu bangase babe nokungcola okumanzi emakhwapheni noma ngaphansi kwamabele. | Ushintsho kusayizi webele: Ibele lingase libe likhulu noma libe lincane kunakuqala. |
| Ukushintsha kombala wesikhumba: Umuntu onesikhumba esikhanyayo angase abonakale eshiswe yilanga, kanti umuntu onesikhumba esimnyama angase abe nesikhumba esimnyama. | I-Lymphedema: Uma imisebe inikezwa kuma-lymph node asekhwapheni, ingalo engakolunye uhlangothi ingase ivuvuke. |
| Ubuhlungu bebele: Abanye abantu bangase babe nobuhlungu obuncane ngezikhathi ezithile noma ubuhlungu obuhlabayo emabeleni abo. | Ukukhathala okuhlala isikhathi eside: Abanye abantu bangase bazizwe bekhathele izinyanga eziningi ngemva kokuphela kokwelashwa. |
Okubalulekile: Ngokungafani ne-chemotherapy, lokhu kwelashwa akususi izinwele ekhanda. Kodwa-ke, izinwele zasekhwapheni zingase zisuswe.
Ziyini izinzuzo zalokhu kwelashwa?
Ukwelashwa ngemisebe kuyindlela ephumelela kakhulu yokuhlasela amangqamuzana omdlavuza ngaphandle kokulimaza izicubu ezinempilo ezizungezile. Ucwaningo luthole ukuthi iziguli zomdlavuza webele ezisesigabeni sokuqala ezithola ukwelashwa ngemisebe ngemva kokuhlinzwa zisengozini encane kakhulu yokuthi umdlavuza wazo uphinde ubuye. Eqinisweni, ngaphansi kuka-5% weziguli ezihlinzwa kanye nokwelashwa ngemisebe zinezinga lokuphindeka kwesifo eminyakeni eyi-10 ngemva kokuhlinzwa.
Ingabe zikhona izingozi noma izinkinga?
Lezi yizinto ezingavamile kakhulu , kodwa kubalulekile ukuziqaphela.
- Ukuphuka kwembambo
- Izinkinga zenhliziyo (Isifo senhliziyo esibangelwa imisebe)
- Izinkinga zamaphaphu (i-pulmonary fibrosis)
- Ukulimala kwemizwa ehlombe nasengalweni (i-Brachial plexopathy)
- Akuvamile kakhulu ukuthi umdlavuza omusha (i-Angiosarcoma) ukhule endaweni elashwe kuyo.
Khumbula ukuthi lezi zingozi zincane kakhulu. Udokotela wakho uzokwenza konke okusemandleni akhe ukunciphisa lezi zingozi.
Ngizinakekela kanjani ngesikhathi sokwelashwa nangemva kokwelashwa?
Isikhathi sokwelashwa singase singakhululeki kancane kuwe. Ungase uzizwe uluma, ubuhlungu, futhi ukhathele. Nanka amanye amathiphu angakusiza phakathi nalesi sikhathi.
- Gqoka izingubo zikakotini ezikhululekile: Ukugqoka izingubo eziqinile nama-bra aqinile kungathinta isikhumba futhi kwandise ubuhlungu.
- Nakekela isikhumba sakho kakhulu: Geza isikhumba sakho ngensipho ethambile namanzi afudumele. Buza ithimba lakho lezokwelapha mayelana nokhilimu ongacasuli ofanele isikhumba sakho.
- Phumula kahle:Ungase uzizwe ukhathele kakhulu ezinsukwini ezimbalwa zokugcina zokwelashwa. Qiniseka ukuthi uzinika isikhathi sokuphumula phakathi nemisebenzi yakho yansuku zonke.
- Yidla kahle: Ukudla okunomsoco (okusanhlamvu, izithelo, imifino, inyama engenamafutha amaningi, ubisi olunamafutha amancane) kuzokusiza ukuthi uhlale unamandla.
- Ukuzivocavoca: Ukuzivocavoca okulula njengokuhamba imizuzu engama-30 ngosuku kungasiza ekulawuleni ukukhathala.
Imibuzo ebalulekile okufanele uyibuze udokotela wakho
Ungesabi ukukhuluma nodokotela wakho ngakho konke okusengqondweni yakho. Nansi eminye imibuzo ongayibuza.
- Yikuphi ukwelashwa ngemisebe okunconywayo kimi futhi kungani?
- Kuthatha isikhathi esingakanani lokhu kwelashwa? Kudingeka ngize kangaki?
- Yimiphi imiphumela emibi yesikhashana engingayilindela ngesikhathi sokwelashwa?
- Yini engenziwa ukunciphisa leyo miphumela emibi?
- Uma nginemiphumela emibi, kufanele ngitshele bani? Kufanele ngiyitshele ngokushesha kangakanani?
- Lokhu kwelashwa kuzothinta kanjani impilo yami yansuku zonke? Ngizokwazi yini ukuya emsebenzini noma ukuzivocavoca?
- Yimiphi imiphumela emibi engaba khona yesikhathi eside yalokhu kwelashwa?
- Uma ngizizwa ngesaba kakhulu noma ngikhathazekile ngale ndlela yokwelashwa, ngingakhuluma nobani?
- Sizokwazi nini ukuthi lokhu kwelashwa kuphumelele? Kanjani?
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa ngemisebe kuyindlela yokwelapha ephumelela kakhulu futhi eqondiswe ngqo umdlavuza webele. Ungakwesabi ngokungadingekile.
- Le ndlela yokwelapha inciphisa kakhulu ingozi yokuphinda umdlavuza.
- Imiphumela emibi efana nokukhathala kanye noshintsho lwesikhumba ingase ivele ngesikhathi sokwelashwa, kodwa eminingi yayo ingalawulwa.
- Ungalokothi unqikaze ukwazisa udokotela wakho noma ithimba lezokwelapha nganoma yikuphi ukungakhululeki okungenzeka ukuthi ubhekene nakho.
- Kubaluleke kakhulu ukuphumula ngokwanele, udle ukudla okunomsoco, futhi ugcine ingqondo yakho ikhululekile ngesikhathi sokwelashwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho