Izithombe ezinhle kakhulu: I-Chemotherapy ingenye yezindlela ezisemqoka zokwelashwa komdlavuza kanye nokwelashwa komugqa wokuqala wokuzikhethela komdlavuza omningi njengoba kusekelwa ubufakazi nemitholampilo yomtholampilo. Kukhona ama-chemo amaningi izidakamizwa ezisetshenziselwa izinhlobo ezithile zomdlavuza, kepha iziguli eziningi zomdlavuza zigcina ngokubhekana nemiphumela emibi yesikhathi eside neyesikhashana. Le bhulogi ichaza ukuhlaziywa kwezingcuphe / izinzuzo zale ndlela yokwelashwa esabekayo kodwa engenakugwenywa ezigulini zomdlavuza.
Kuyini i-Chemotherapy?
I-Chemotherapy ingumgogodla wokwelashwa komdlavuza kanye nokhetho lokuqala lokwelashwa komdlavuza omningi njengoba kusekelwa imihlahlandlela yomtholampilo nobufakazi. Kunemithi eminingi yokwelashwa ngamakhemikhali enezindlela ezihlukile zesenzo ezisetshenziselwa izinhlobo ezithile zomdlavuza. Izazi ze-oncologists zinikeza i-chemotherapy ngaphambi kokuhlinzwa ukuze inciphise ubukhulu besimila esikhulu; ukwehlisa nje ukukhula kwamangqamuzana omdlavuza; ukwelapha umdlavuza osusakaze futhi wasabalala ezingxenyeni ezihlukene zomzimba; noma ukuqeda kanye nokuhlanza wonke amangqamuzana omdlavuza ashintshiwe futhi akhula ngokushesha ukuvimbela ukubuyela emuva okuzayo esikhathini esizayo.
Izidakamizwa ze-Chemotherapy ekuqaleni zazingahloselwe ukusetshenziswa kwazo okwamanje umdlavuza ukwelashwa. Eqinisweni, kwatholakala phakathi neMpi Yezwe Yesibili lapho abacwaningi beqaphela ukuthi igesi ye-nitrogen yesinaphi yabulala inani elikhulu lamangqamuzana amhlophe egazi, okwenza ucwaningo olwengeziwe mayelana nokuthi lungavimba yini ukukhula kwamanye amangqamuzana omdlavuza ahlukana ngokushesha futhi aguquke. Ngocwaningo olwengeziwe, ukuhlola, nokuhlolwa komtholampilo, ukwelashwa ngamakhemikhali kuguquke kwaba yilokho eyikho namuhla.
Ukudla Okufanele Ukudla Ngemuva Kokuxilongwa Komdlavuza!
Akukho mdlavuza owodwa ofanayo. Dlulela ngale kwemihlahlandlela ejwayelekile yokudla kuwo wonke umuntu futhi wenze izinqumo ezenziwe ngezifiso ngokudla nezithasiselo ngokuzethemba.
Imiphumela emibi ye-Chemo ezigulini zomdlavuza
Imiphumela emibi ye-chemotherapy yaziwa kabanzi futhi iyaziwa njengoba le ndlela yokwelapha ingehlisa kakhulu ikhwalithi yempilo yesiguli.
Eminye yemiphumela emibi yesikhathi esifushane yokwelashwa ngamakhemikhali ihlanganisa:
- ukulahlekelwa izinwele
- isicanucanu nokuhlanza
- ukukhathala
- ukuqwasha kanye
- inkathazo yokuphefumula
Lezi zimpawu ziyahlukahluka kokubili ngokusekelwe kumuntu kanye nohlobo lwabo umdlavuza esiza ekunqumeni ukuthi yiziphi izidakamizwa ze-chemo ezisetshenziswayo. Umuthi wokwelapha ngamakhemikhali obizwa ngokuthi i-Adriamycin (DOX), owaziwa kakhulu ngokuthi udeveli obomvu, udume ngokudala umonakalo omkhulu wesikhumba nezicubu uma ngephutha umuthi uwela esikhumbeni somuntu, kanye nokudanga ukuncipha kwegazi, izilonda emlonyeni, nesicanucanu.
Eminye yemiphumela emibi ejwayelekile yesikhathi eside ye-chemotherapy ifaka:
- izifo zamaphaphu futhi
Manje, ukwelashwa okunjalo okunokhahlo nokuguqula impilo kubalulekile kuphela uma odokotela bethembele kakhulu ekusebenzeni kwalokhu kwelashwa. Kodwa-ke, imvamisa engazi esigulini, ukwelashwa okuyingozi futhi okubiza kakhulu kwe-chemo kuvame ukuphakanyiswa njengesixazululo esijwayelekile sokulwa nomdlavuza.
Ngenkathi amazinga okusinda yeminyaka emi-5 esethuthuke kancane kule minyaka engama-20 edlule, akungabazeki ukuthi kungakanani lokho okungabangelwa yimithi yomdlavuza. UPeter H Wise, udokotela waseCharing Cross Hospital e-UK uhlaziye ucwaningo olukhulu olwenziwe ukubona umphumela we-cytotoxic chemotherapy kumazinga okuphila komdlavuza weminyaka emihlanu futhi wathola ukuthi "ukwelashwa kwezidakamizwa kwenyusa ukusinda komdlavuza ngaphansi kuka-2.5%" (UPeter H Wise et al, BMJ, 2016).
Akunzima ukuqonda ukuthi kungani lokhu kwenzeka njengoba ukwelashwa komdlavuza akufanele nje kunqunywe ngokusekelwe ohlotsheni kanye nesigaba somdlavuza umuntu anawo, kodwa ngokubheka umlando womtholampilo womuntu ngamunye, ubudala nesimo sezempilo kanye nezakhi zofuzo ezithile zomdlavuza, ukwakha izinketho zokwelapha eziqondene nawe. Ngenkathi i-Chemotherapy iyisidingo esinzima sokulawula ukukhula ngokushesha zomdlavuza, ukwelapha okungadingekile, okudlulele, okunolaka kanye nesikhathi eside kungase kudlule izinzuzo ngomthelela omubi omkhulu ikhwalithi yokuphila zesiguli.
Ukudla okudlayo nokuthi yikuphi okunezelayo okwenzayo yisinqumo osithathayo. Isinqumo sakho kufanele sifake ukucutshungulwa kwezakhi zofuzo zomdlavuza, okuwumdlavuza, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imininingwane yokuphila, isisindo, ubude nemikhuba.
Ukuhlelela okunomsoco komdlavuza kusuka ku-addon akususelwa ekusesheni kwe-inthanethi. Kwenzela wena ukuthathela izinqumo ngokuya ngesayensi yamangqamuzana eyenziwe ososayensi bethu nonjiniyela be-software. Kungakhathalekile ukuthi ngabe uyakukhathalela ukuqonda okuyisisekelo kwamakhemikhali amakhemikhali noma cha - wokuhlelela umsoco ukuhlela lokho kudinga ukuqonda.
Qalisa MANJE ngokuhlela kwakho okunomsoco ngokuphendula imibuzo egameni lomdlavuza, ukuguquka kwezakhi zofuzo, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imikhuba, indlela yokuphila, iqembu lobudala nobulili.
Ukudla Okungokwakho Komdlavuza!
Umdlavuza uyashintsha ngokuhamba kwesikhathi. Enza ngendlela oyifisayo futhi uguqule umsoco wakho ngokusekelwe kunkomba yomdlavuza, ukwelashwa, indlela yokuphila, okuncamelayo kokudla, izinto ezingakuphathi kahle nezinye izici.
Iziguli ezinomdlavuza imvamisa kufanele zibhekane nemiphumela ehlukile yamakhemikhali ethinta ikhwalithi yempilo yazo futhi ibheke ezinye izindlela zokwelapha umdlavuza. Ukuthatha ukudla okunomsoco nezithasiselo ezisuselwa ekucabangeni kwesayensi (ukugwema ukuqagela nokukhetha okungahleliwe) yikhambi elingcono kakhulu lemvelo lomdlavuza nemiphumela emibi ehlobene nokwelashwa.