Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela wakho ekutshela ukuthi unomdlavuza webele futhi udinga ukwelashwa ngemisebe. Igama elithi "imisebe" livame ukufika engqondweni njengento eyingozi. Kodwa empeleni lokhu kuyindlela yokwelapha ephumelela kakhulu futhi evamile esetshenziswa ukwelapha umdlavuza webele. Ngakho ake sifunde kabanzi ngakho namuhla.
Kalula nje, kuyini ukwelashwa ngemisebe?
Ukwelashwa ngemisebe, uma kukhulunywa ngokuqondile, ukusebenzisa ama-X-ray anamandla amakhulu ukubhubhisa noma ukulimaza amangqamuzana omdlavuza ebeleni lakho. Ngokuvamile, odokotela abahlinzayo abangochwepheshe ekuhlinzeni umdlavuza baqala ngokususa isimila somdlavuza ebeleni. Kodwa-ke, ngemva kwalokho, kungase kube namangqamuzana amancane omdlavuza esingawaboni kuleyo ndawo. Ukwelashwa ngemisebe kunikezwa ukuze kubhujiswe ngokuphelele lawo maseli omdlavuza asele futhi kuvinjelwe umdlavuza ukuthi ungabuyi .
Ngezinye izikhathi, lapho umdlavuza ususakazekele kwezinye izingxenye zomzimba (i-metastatic), lokhu kwelashwa kusetshenziselwa nokulawula izimpawu ezifana nobuhlungu.
Yiziphi izindlela eziyinhloko zokunikeza ukwelashwa ngemisebe?
Uchwepheshe wakho uzonquma ukuthi iyiphi indlela yokwelashwa ngemisebe engcono kakhulu kuwe ngokusekelwe ezicini eziningi, njengohlobo nendawo yomdlavuza wakho. Kunezindlela eziningana eziyinhloko.
| Igama lendlela yokwelapha | Kwenzekani nje |
|---|---|
| Ukwelashwa ngemisebe yangaphandle (i-EBRT) | Lena yindlela evame ukusetshenziswa kakhulu. Umshini omkhulu (i-Linear Accelerator) usebenzisa umsebe wangaphandle wemisebe ukuqondisa indawo yebele lakho lapho kwakukhona khona amangqamuzana omdlavuza. Lokhu kwelashwa kuvame ukunikezwa izinsuku ezi-5 ngesonto amasonto angu-1-6. |
| Ukwelashwa ngemisebe yangaphakathi (i-Brachytherapy) | Okwenzekayo lapha ukuthi imbewu enemisebe ifakwa ngethubhu elincane (i-catheter) endaweni lapho umdlavuza wawukhona. Ikhipha imisebe imizuzu embalwa bese ikhishwa futhi. Lokhu kwelashwa kuqedwa ngesikhathi esifushane, cishe izinsuku ezi-5, kabili ngosuku. |
| Ukwelashwa ngemisebe ngesikhathi sokuhlinzwa (IORT) | Lokhu kwenziwa ngesikhathi esifanayo nokuhlinzwa. Ngemva kokuba udokotela ohlinzayo esuse isimila, ngaphambi kokuvala inxeba, imisebe ithunyelwa ngqo ezicutshini eziveziwe. |
Kwenzekani ngesikhathi somhlangano wokuqala kanye nokuhlela ukwelashwa?
I-aphoyintimenti yakho yokuqala usuku lapho konke kuhleliwe. Yilapho ungabuza khona noma yimiphi imibuzo ongase ube nayo. Ithimba lezokwelapha lizokuchazela okulandelayo:
- Ishejuli yokwelashwa: Lokhu kukutshela ukuthi uzodinga ukwelashwa isikhathi esingakanani nokuthi uzodinga kangaki. Nakuba iseshini eyodwa ivame ukuthatha imizuzu engama-30-45, empeleni imisebe inikezwa esikhathini esifushane, cishe imizuzu emi-2-3.
- Ukuchaza inqubo: Kuchaza ukuthi kufanele ubekwe kanjani ngesikhathi sokwelashwa, ukuthi ithimba lezokwelapha lizoba kuphi, nokuthi yini ongeke ukwazi ukuyenza (isib., ukungakwazi ukunyakaza).
- Ukuvikelwa kwenhliziyo namaphaphu: Ngesikhathi sokwelashwa, uzofundiswa izindlela zokusiza ukunciphisa imiphumela yemisebe enhliziyweni nasemaphashini akho. Isibonelo, uzofundiswa ukuzijwayeza ukubamba umoya ojulile.
- Izinto ongazenza ukuze uzizwe ukhululekile: Uma ufika ukuzokwelashwa, uzokwelulekwa ukuthi ugqoke izingubo ezikhululekile ezingangeni esikhumbeni samabele akho.
- Imiphumela emibi kanye namakhambi: Ixoxa ngemiphumela emibi engaba khona kanye nendlela yokuyilawula.
Ukulungiselela ukwelashwa (Ukulingisa)
Ngosuku lwale aphoyintimenti, umzimba wakho uzobe usulungele ukwelashwa. Lokhu kungathatha ihora noma ngaphezulu.
1. Ukwenza i-CT scan: Kusetshenziswa i-`CT scanner`, indawo ethile okufanele iphathwe iyaklanywa.
2. Ukungasebenzi: Uzomiswa etafuleni lokwelashwa ngosizo lwedivayisi ekhethekile yokungasebenzi. Lokhu kuqinisekisa ukuthi uzoba sesimweni esifanayo phakathi neseshini ngayinye yokwelashwa.
3. Ukumaka: Ukuze kutholakale amakhona endawo yokwelapha, amachashazi amancane aphawulwa ngedivayisi yokudweba ama-tattoo. Lawa angaba angunaphakade noma abe esikhashana. Lawa machashazi aqinisekisa ukuthi imisebe iqondiswa endaweni efanayo njalo.
Kwenzekani ngesikhathi sokwelashwa?
Uma uya kokwelashwa, ilungu lethimba lezokwelapha lizokubingelela futhi likunike ingubo ekhethekile ongayigqoka ngesikhathi sokwelashwa kwakho. Ngemva kwalokho,
- Uzoyiswa ekamelweni lokwelashwa.
- Uzobekwa endaweni efanele etafuleni lokwelashwa. Ngokuvamile, uzobekwa ohlangothini lwakho ubheke phezulu. Ingalo ohlangothini olunomdlavuza kufanele ibanjwe ngaphezu kwekhanda lakho.
- Ithimba lezokwelapha lizophuma ekamelweni livule umshini. Lingakubona ngamakhamera futhi likhulume nawe.
- Uma umshini uvuliwe , uzozwa umsindo othi 'whoosh', kodwa ngeke uzwe lutho , futhi ngeke ubone noma yimiphi imisebe yemisebe.
- Uma ukwelashwa sekuphelile, bazokuza bazokusiza ukuthi uvuke etafuleni.
Khumbula, lokhu kwelashwa akwenzi umzimba wakho ube nemisebe. Ungaxhumana nabanye abantu ngokuvamile ngemva kokwelashwa.
Yimiphi imiphumela emibi evamile?
Ukwelashwa ngemisebe akunamiphumela emibi eminingi ngokushesha, kodwa kungaba nemiphumela yesikhashana neyesikhathi eside ngesikhathi nangemva kokwelashwa.
Imiphumela emibi yesikhashana
- Ukukhathala: Abantu abaningi bazizwa bekhathele kancane ngesikhathi sokwelashwa. Lokhu kuyaphela zingakapheli amasonto ambalwa ngemva kokuphela kokwelashwa.
- Izinguquko zesikhumba: Isikhumba endaweni eselashwe singase some futhi sibe namaqhubu. Ngezinye izikhathi, ukuhlanzwa okumanzi (`uhlanzwa okumanzi`) kungase kwenzeke emaqakaleni amabele noma emakhwapheni.
- Ukushintsha kombala wesikhumba: Uma unesikhumba esikhanyayo, ungase uthole ukubukeka okubomvu, okufana nokushiswa yilanga. Uma unesikhumba esimnyama, indawo ingase ibe mnyama kunokujwayelekile.
- Ubuhlungu bebele: Ngezinye izikhathi ubuhlungu obungacacile noma obubukhali bungase bufike budlule. I-areola noma ibele lingase lithambe.
Imiphumela emibi yesikhathi eside
- Imithambo yesicabucabu (`iTelangiectasias`): Lena imithambo emincane ebomvu evela ebusweni besikhumba. Lokhu kuyinto evamile futhi akukho okufanele ukhathazeke ngakho.
- Izinguquko kusayizi webele: Ibele lingase libe likhulu kancane noma libe lincane.
- I-Lymphedema: Uma ukwelashwa ngemisebe kunikezwa ama-lymph node, abanye abantu bangase bavuvuke engalweni kulolo hlangothi.
- Ukukhathala okuhlala isikhathi eside: Abanye abantu bangase bazizwe bekhathele amasonto amaningi ngemva kokuphela kokwelashwa.
Into ebaluleke kakhulu ukuthi, ngokungafani ne-chemotherapy, ukwelashwa ngemisebe akubangeli ukulahleka kwezinwele ekhanda. Kodwa-ke, izinwele zasekhwapheni zingase zibe khona.
Ungazinakekela kanjani?
Ukwelashwa yisikhathi lapho udinga ukuzinakekela kahle.
- Gqoka izingubo ezikhululekile, ezigqokwa ngokotini: Ama-bras aqinile nezingubo zingacasula isikhumba kakhulu.
- Yiba mnene esikhumbeni sakho: Geza isikhumba sakho ngensipho ethambile namanzi afudumele. Buza ithimba lakho lezempilo mayelana nokhilimu noma iloshini engacasuli, eqeda ubuhlungu.
- Phumula ngokwanele: Ungase uzizwe ukhathele kakhulu ezigabeni zokugcina zokwelashwa. Faka izikhathi zokuphumula ohlelweni lwakho lwansuku zonke.
- Yidla ukudla okuhle: Ukudla okunomsoco kungasiza ekugcineni umzimba unamandla.
- Yenza ukuzivocavoca okulula: Ukuzivocavoca okulula njengokuhamba imizuzu engama-30 nsuku zonke kungasiza ekulawuleni ukukhathala.
Imibuzo okufanele uyibuze udokotela wakho
Uma uhlangana nethimba lakho lezokwelapha, ungabuza le mibuzo.
- Uhlobo luni lokwelashwa ngemisebe olunconywayo kimi futhi kungani?
- Kuthatha isikhathi esingakanani lokhu kwelashwa? Kudingeka ngize kangaki?
- Yimiphi imiphumela emibi yesikhashana engingayilindela ngesikhathi sokwelashwa?
- Yini engingayenza ukuze nginciphise imiphumela emibi?
- Ubani okufanele ngikhulume naye nganoma yimiphi imiphumela emibi engiyitholayo? Kungakabiphi?
- Lokhu kwelashwa kuzothinta kanjani impilo yami yansuku zonke? Ngingaya emsebenzini, ngizivocavoce?
- Yimiphi imiphumela emibi engaba khona yesikhathi eside yalokhu kwelashwa ngemisebe?
- Sizokwazi nini futhi kanjani ukuthi lokhu kwelashwa kuphumelele?
Ukwelashwa ngemisebe akuyona into okufanele uyesabe. Kuyisinyathelo esibaluleke kakhulu nesiphumelelayo ohambweni lokunqoba umdlavuza. Khuluma ngokukhululekile nodokotela wakho ngakho konke okusengqondweni yakho. Bahlala bekulungele ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa ngemisebe yomdlavuza webele kuyindlela yokwelapha ephumelela kakhulu futhi evamile esetshenziselwa ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa nokuvimbela lesi sifo ukuthi singaphinde sivele.
- Ngeke uzwe ubuhlungu noma lutho ngesikhathi sokwelashwa. Uzokuzwa umsindo womshini kuphela.
- Imiphumela emibi efana nokushintsha kwesikhumba nokukhathala ivamile futhi ingalawulwa . Khuluma nethimba lakho lezokwelapha ngalokhu.
- Kubaluleke kakhulu ukuphumula kahle, ukudla okunomsoco, nokunakekela isikhumba sakho ngobumnene ngesikhathi sokwelashwa.
- Ungalokothi unqikaze ukuxoxa nganoma yikuphi ukwesaba, ukungabaza, noma imibuzo onayo nodokotela wakho .











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