Ngemva kokuqeda ukwelashwa komdlavuza, abantu abaningi bayesaba ukuthi 'Ingabe uzobuya?' Kuvamile kakhulu. Uma uke waba nomdlavuza we-colonectal futhi ubuya ngemva kokwelashwa, udokotela wakho uzowubiza ngokuthi 'umdlavuza we-colonectal ophindaphindayo '. Kuyiqiniso ukuthi lokhu kungaba umthwalo omkhulu ukuzwa. Kodwa ungakhathazeki. Ake sixoxe ngakho konke ngokucacile nangokulula.
Kunezindlela eziningana umdlavuza ongaphinde ubuye ngazo.
Uma kukhulunywa ngokubuya komdlavuza, kunezindlela eziningana ezingenzeka ngazo. Udokotela wakho angasebenzisa la magama lapho echaza lokhu, ngakho-ke kubalulekile ukuqonda kancane ngalokhu.
Kalula nje, lolu hlobo lwesifo lusekelwe ekutheni umdlavuza uphindelaphi.
| Uhlobo Lokuphindaphindeka | Incazelo elula |
|---|---|
| Ukuphindaphinda Kwendawo | Lokhu kusho ukuthi umdlavuza ubuya endaweni efanayo lapho umdlavuza wawukhona ngaphambili, okungukuthi, emathunjini noma emathunjini. |
| Ukuphindaphinda Kwesifunda | Okwenzekayo lapha ukuthi umdlavuza ubuya kuma -lymph node aseduze nalapho umdlavuza wawukhona ngaphambili. |
| Ukuphindaphinda Okude | Leli yigama eliqanjwa ngalo uma umdlavuza usubuyile engxenyeni ekude yomzimba, isibonelo, esibindini, emaphashini, noma ebuchosheni. Udokotela angase futhi akubize ngokuthi "i-Metastatic." |
Ngezinye izikhathi kunzima ukubona ukuthi lokhu kuwukuphindeka noma umdlavuza osuthuthuke kakhulu. Lokhu kuzonqunywa ngokuhamba kwesikhathi. Ngokuvamile, sikhuluma ngomdlavuza ophindeka ngemva konyaka okungenani wokwelashwa. Kodwa-ke, uma umdlavuza ubuya ngemva kwesikhathi esifushane, njengezinyanga ezimbalwa, ngokuvamile kusho ukuthi ukwelashwa kokuqala akuzange kuwaqede ngokuphelele amangqamuzana omdlavuza.
Ziyini izimpawu zalokhu?
Ngokuvamile, izimpawu zomdlavuza wamathumbu amakhulu ezibuyayo zingafana nezimpawu owawunazo lapho uqala ukuba nomdlavuza. Ungase ukhumbule ukungakhululeki owawukuzwa ngaleso sikhathi.
Lezi yizimpawu ezingabonakala ngokujwayelekile:
- Ubuhlungu besisu (ubuhlungu besisu)
- Ukuqunjelwa noma isifo sohudo
- Ukwehlisa isisindo ngaphandle kwesizathu
- Ukuzizwa ukhathele kakhulu kunokujwayelekile (Ukukhathala)
- Ukulahlekelwa yisifiso sokudla
Kuye ngokuthi umdlavuza usakazeke kuphi, kungase kuvele nezinye izimpawu, njenge:
- Ubuhlungu be-pelvic noma bomhlane
- Ukuphefumula okunenkinga
Kodwa kubalulekile ukukhumbula nalokhu. Ngezinye izikhathi, umdlavuza ungabuya ngaphandle kwezimpawu . Yingakho kubaluleke kakhulu ukuqhubeka nokuya emitholampilo (ukuvakasha okulandelayo) ngokwesheduli enqunywe udokotela wakho ngemva kokwelashwa komdlavuza.
Wazi kanjani ukuthi lesi sifo sesibuyile?
Ukuhlonza lesi simo kusenesikhathi kwandisa kakhulu amathuba okwelashwa . Ngokuvamile, udokotela wakho uzokubona lokhu ngesikhathi sokulandelela ngemva kokwelashwa kwakho. Lokhu kuhlolwa kuvame ukwenziwa njalo ezinyangeni ezi-3-6.
Kulezi zikliniki, udokotela angenza izinto ezifana nalezi:
- Ukuhlolwa Komzimba: Uzohlolwa ngokomzimba okuphelele.
- Ukubuza ngezimpawu: Khuluma nodokotela wakho nganoma yikuphi ukungakhululeki okusha okuzwayo. Ungakufihli, noma ngabe kuncane.
- Ukuhlolwa Kwegazi: Lokhu kubheka ngqo izinga leprotheni ebizwa ngokuthi i-CEA (Carcinoembryonic Antigen) . Nakuba kungenjalo ngaso sonke isikhathi, kwabanye abantu, leli zinga le-CEA liyakhula lapho umdlavuza ubuya.
- I-Endoscopy: Inqubo lapho ithubhu elincane, eliguquguqukayo elinekhamera enamathiselwe lidluliselwa emathunjini amakhulu ukuze kuhlolwe ingaphakathi.
- I-Colonoscopy: Lokhu kuhlolwa okufana ne-endoscopy, kodwa kufaneleka kakhulu ekufuneni izimila ezintsha kunomdlavuza osubuyile.
- Ukuhlolwa kwe-biopsy:Uma kukhona okusolakala ukuthi kunomdlavuza, lena yindlela engcono kakhulu yokukuqinisekisa. Lapha, kususwa ingxenye encane kakhulu yezicubu esigaxeni okusolwa ukuthi sinaso bese ihlolwa ngaphansi kwe-microscope ukuqinisekisa ukuthi akhona yini amangqamuzana omdlavuza.
- Ukuhlolwa Kwezithombe (njenge-CT, i-MRI): Udokotela wakho angase ancome ukuhlolwa okufana ne -CT scan (i-Computed Tomography) ukuze abone ukuthi umdlavuza ususakazekele kwezinye izingxenye zomzimba nokuthi ungakanani.
Yiziphi izindlela zokwelapha ezitholakalayo?
Ngaphambi kokusikisela uhlelo lokwelashwa, udokotela wakho uzocabangela izici eziningana.
- Sekuyisikhathi esingakanani kusukela umdlavuza waqala ukubonakala?
- Umdlavuza uphinde wavela kuphi? (Endaweni, Eyesifunda noma Ekude?)
- Ingabe umdlavuza usabalele?
- Injani impilo yakho iyonke?
Konke lokhu kuzonquma indlela yokwelapha efaneleka kakhulu kuwe.
Ikakhulukazi, khumbula ukuthi amangqamuzana omdlavuza kungenzeka ukuthi 'asemelana' nemithi ye-chemotherapy eyayisetshenziswa ngaphambilini. Ngakho-ke, udokotela angakhetha uhlobo oluhlukile lomuthi we-chemotherapy kulokhu.
Ngenhlanhla, kunezindlela eziningi zokwelapha ezitholakalayo namuhla.
- Ukuhlinzwa: Uma kungenzeka, ukwelashwa okuyinhloko ukususa isimila esiphinda sivele ngokuhlinzwa.
- Ukwelashwa ngamakhemikhali: Kunganikezwa inhlanganisela yemithi ehlukene. Ngezinye izikhathi amandla angashintsha, futhi ngezinye izikhathi imithi ingamiswa isikhashana bese iqalwa kabusha.
- Ukwelashwa ngemisebe: Uma ungazange uthole ukwelashwa ngemisebe ngaphambilini, ungase unikezwe ukwelashwa ngemisebe kanye nokuhlinzwa kanye ne-chemotherapy kulokhu.
- Ukwelashwa Okuqondiwe: Lezi izinhlobo ezintsha zemithi. Zihlasela ngqo amangqamuzana omdlavuza futhi ziwavimbele ekukhuleni. Imiphumela yazo emibi ihlukile kumakhemikhali avamile. Kodwa-ke, le mithi ayisebenzi kuzo zonke izinhlobo zomdlavuza.
Umlayezo Wokuya Nawe Ekhaya
- Ngemva kokwelashwa komdlavuza , qiniseka ukuthi uya ezinkonzweni zokulandelela njengoba udokotela wakho ekuyalele. Leyo yindlela engcono kakhulu yokubona ukuthi umdlavuza uphinde ubuye kusenesikhathi.
- Ungashalazeli noma yiziphi izinguquko noma izimpawu ezintsha emzimbeni wakho (ubuhlungu besisu, ukwehla kwesisindo, ukukhathala ngokweqile) bese utshela udokotela wakho ngokushesha.
- Ukubuya komdlavuza akusho ukuthi konke sekuphelile. Namuhla, kunezindlela eziningi zokwelapha ezithuthukisiwe neziphumelelayo.Yebo. Ukucabanga ngendlela enhle nakho kubaluleke kakhulu.
- Kuvamile ukuzizwa ukwesaba, ukukhathazeka, nokudabuka ngesikhathi esinjengalesi. Khuluma ngakho ngokukhululekile nomndeni wakho, umngane omethembayo, noma udokotela wakho. Ukuthola ukwesekwa ngokomzwelo nakho kuyingxenye yokwelashwa.
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