Uma ulwa nomdlavuza, kuvamile ukuzizwa wesaba futhi wethukile kancane uma uzwa igama elithi 'ukwelashwa ngemisebe'. Kodwa-ke, uma uzwa igama elithi 'ukwelashwa ngemisebe emzimbeni wonke', lokho kwesaba kungaba kukhulu nakakhulu. Kodwa i-Total Body Irradiation (TBI) esikhuluma ngayo namuhla, uma iqondwa kahle, ingaba isinyathelo esibaluleke kakhulu nesiphephile ohambweni lwakho lokwelashwa. Ngakho-ke ake sithole izimpendulo zayo yonke imibuzo yakho ngayo, akunjalo?
Kuyini i-Total Body Irradiation (TBI)?
Kalula nje, lokhu futhi kuyindlela yokwelapha ngemisebe. Kodwa akufani nezinye izindlela zokwelapha ngemisebe. Esikhundleni sokugxila kakhulu emithanjeni ephezulu yesimila kuphela, i-TBI inikeza umthamo omncane kakhulu wemisebe kuwo wonke umzimba ngendlela elawulwayo.
Cabanga ngakho njengokulungisa inhlabathi engadini yakho yonke ngokufaka umanyolo omncane, hhayi nje ukukhipha ukhula oluncane. Umgomo oyinhloko walokhu ukukulungiselela isinyathelo esikhulu esilandelayo sokwelashwa, okuwukufakelwa umnkantsha wamathambo noma ukufakelwa i-stem cell.
Kungani udinga lokhu kwelashwa?
Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho engase akuncome lokhu kwelashwa.
- Ukubhubhisa amangqamuzana omdlavuza: Lokhu kusiza ekubhubhiseni amangqamuzana omdlavuza afihliwe ezindaweni okunzima ukufinyelela kuzo, ikakhulukazi emnkantsheni wamathambo kanye nesimiso sezinzwa.
- Ukuvula indawo yokufakelwa umongo wamathambo: Uma uhlelelwe ukufakelwa umongo wamathambo, lokhu kwelashwa kusiza ukunciphisa inani lamaseli amadala omnkantsha wamathambo ukuze kuvuleke indawo yamaseli amasha, anempilo emzimbeni wakho.
- Lawula amasosha omzimba wakho: Ukuze ukufakelwa umnkantsha wethambo kuphumelele, amasosha omzimba wakho akumelwe enqabe amangqamuzana amasha. Lokhu kwelashwa kulawula ngokuphephile ukusebenza kwalelo sistimu yokuzivikela komzimba, kwandisa amathuba okuba ukufakelwa kuphumelele.
Yiziphi izimo ezisetshenziswa ukwelashwa kwe-TBI?
I-Total Body Irradiation ivame ukunikezwa kanye nezinye izindlela zokwelapha umdlavuza, njenge-chemotherapy. Nazi ezinye zezimo ezingelashwa ngayo.
| Igama lesifo (Isimo) | Isingeniso esifushane |
|---|---|
| I-Leukemia | Umdlavuza wegazi kanye nomnkantsha. |
| I-Lymphoma | Umdlavuza owenzeka ohlelweni lwe-lymphatic. |
| I-Multiple Myeloma | Umdlavuza wamaseli e-plasma emnkantsheni wamathambo. |
| Isifo se-Myelodysplastic | Isifo lapho ukukhiqizwa kwamangqamuzana egazi anempilo emnkantsheni wethambo kungahambi kahle. |
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Ukuhlela ngaphambi kokwelashwa
Lokhu kufana nokuzijwayeza umdlalo. Ngaphambi kokuba kunikezwe imisebe yangempela, kuba 'nomhlangano wokuhlela' (ukulingiswa) ukuhlela yonke into ngqo. Ngalesi sikhathi, uhlolwa nge-CT scan, bese udokotela wezokwelapha ngemisebe ethatha izilinganiso ezidingekayo. Umzimba wakho ubekwa endaweni ethile, bese kubekwa amamaki amancane esikhumbeni ukuze kugcinwe leyo ndawo kulo lonke ukwelashwa. Lawa avame ukuba ahlala njalo, kodwa amancane kakhulu, njengechashazi ku-tattoo.
Ngesikhathi sokwelashwa
Kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa ngenkathi uthola ukwelashwa kwe-TBI. Nakhu okwenzekayo ngesikhathi sokwelashwa:
- Udokotela we-radiation uzokubeka endaweni efanele njengoba kuhleliwe.
- Ukuze kuncishiswe umthamo wemisebe ezithweni ezithile, njengamaphaphu, kungabekwa izihlangu ezikhethekile phezu kwalezo zindawo.
- Udokotela wezokwelapha ngemisebe uzophuma ekamelweni. Uzoba wedwa ngesikhathi sokwelashwa. Kodwa ungakhathazeki, bazobe bekubuka ngamakhamera, futhi ungakhuluma nabo nge-intercom.
- Umshini omkhulu obizwa ngokuthi i-linear accelerator uhamba nxazonke zakho futhi uletha imisebe yemisebe.
Ngokuvamile, iseshini yokwelashwa eyodwa ingahlala imizuzu engama-60. Ungase futhi ube nethuba lokwenza ezinye izinto phakathi nalesi sikhathi, njengokulalela umculo, uma uthanda. Iningi labantu lithola lokhu kwelashwa kabili noma kathathu ngosuku, izinsuku ezintathu kuya kwezinhlanu.
Okubaluleke kakhulu, lokhu kwelashwa akubuhlungu nhlobo . Ngeke uzwe noma yimiphi imisebe noma uzwe umshini ushaya umzimba wakho.
Yiziphi imiphumela emibi kanye nezingozi?
Njenganoma yikuphi ukwelashwa komdlavuza, i-TBI ingabangela imiphumela emibi. Kodwa lokhu kuvame ukulawuleka. Le miphumela emibi ingahluka kuye ngenani lokwelashwa okutholayo, umthamo wemisebe, kanye nempilo yakho iyonke.
| Uhlobo lomphumela ongemuhle | Okufanele ukulindele |
|---|---|
| Imiphumela emibi yesikhashana (izinsuku ezimbalwa noma amasonto ngemva kokwelashwa) | |
| Isicanucanu nokuhlanza | Isicanucanu nokuhlanza. Kunemithi yokulawula lokhu. |
| Ukukhathala | Ukuzizwa ukhathele kakhulu futhi ukhathele. |
| Ukulahlekelwa izinwele | Ukulahlekelwa izinwele kanye nokulahlekelwa izinwele emzimbeni (ngokuvamile okwesikhashana) |
| Uhudo | Ukuqunjelwa. |
| Izinguquko zesikhumba | Isikhumba esilumayo, esomile, noma esishintsha umbala. |
| Amaseli egazi anciphile | Lokhu kungaholela ekwandeni kwengozi yokutheleleka, ukopha (isib. ukopha ekhaleni , ukopha kwezinsini), kanye ne-anemia yokuntuleka kwensimbi. |
| Imiphumela emibi yesikhathi eside (ingase ivele kaningi) | |
| Ama-cataract | Ukufiphala kwelensi yeso. |
| Imiphumela ekhonweni lokuba nezingane (Ukungazali) | Kukhona ingozi yokungazali. |
| Ukusha kwamaphaphu (i-Pulmonary Fibrosis) | Ukusha kwezicubu zamaphaphu. |
| I-Hypothyroidism | Ukwehla kokukhiqizwa kwama-hormone e-thyroid. |
Okubalulekile: Nakuba ingozi yokuba nomdlavuza wesibili ngemva kokufakelwa umnkantsha inganda kancane, kubalulekile ukukhumbula ukuthi izingozi zempilo zokungafakelwa umnkantsha zinkulu kakhulu .
Ngizinakekela kanjani ngemva kokwelashwa?
Ukuphatha imiphumela emibi kungenza kube lula kulokhu.
- Uma uzizwa unesicanucanu, cela umuthi waso.
- Landela iseluleko sikadokotela wakho mayelana nokunakekelwa kwesikhumba. Uma bekutshela ukuthi usebenzise i-moisturizer, qiniseka ukuthi uyayisebenzisa.
- Lala kahle, futhi uma kungenzeka, hlose ukulala okungenani amahora angu-8 ngobusuku .
- Khuluma ngemizwa yakho, ukwesaba kwakho, kanye nokudabuka kwakho nomuntu omethembayo noma umeluleki.
- Uma kungenzeka, thatha ikhefu emsebenzini bese uphumula ngemva kokuphuma esibhedlela.
Ngingashayela nini udokotela ucingo?
Uma uhlangabezana nanoma yini efana nale ngesikhathi noma ngemva kokwelashwa, kufanele ukhulume nodokotela wakho ngokushesha .
- Izimpawu zokugodola
- Umkhuhlane ngaphandle kwesizathu
- Izinguquko zesikhumba ezifana nokuqhekeka kwesikhumba nokuqhekeka
Umlayezo Wokuya Nawe Ekhaya
- I-Total Body Irradiation (TBI) ukwelashwa kwemisebe okukhethekile okunikezwa umzimba wakho wonke ngomthamo ophansi ukuze kukulungiselele ukufakelwa umongo wethambo.
- Lokhu kwelashwa akubuhlungu, kodwa kungase kube nemiphumela emibi yesikhashana (njengokucasuka, ukukhathala, nokulahlekelwa izinwele). Lokhu kungalawulwa.
- Khuluma nodokotela wakho ngokukhululekile mayelana nohlelo lwakho lokwelashwa, imiphumela emibi, kanye nanoma yikuphi ukwesaba noma ukukhathazeka ongase ube nakho.
- Umgomo walokhu kwelashwa ukubhubhisa amangqamuzana omdlavuza ezindaweni okunzima ukuzifinyelela nokusiza ukufakelwa kwakho umnkantsha kuphumelele.
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