Amaphuzu avelele
Ukwelashwa ngamakhemikhali okunamandla nezinhlanganisela eziningi zezidakamizwa ze-chemo manje sekuvame ukusetshenziswa ngokuya ngecebo lokuhlaselwa kwama-prong amaningi kumdlavuza ukuwulawula nokuzama ukuwuqeda ngokuphelele. Isivivinyo somtholampilo sikhombisile ukuthi i-radiotherapy ngokuhlanganiswa kwe-chemo drug Cisplatin ne-Cetuximab vs. Radiotherapy nge-Cisplatin chemotherapy kuphela engakwandisanga ukusinda kwesiguli futhi ngokuphambene nalokho, ukwelashwa okunolaka kukhuphule izinga lobuthi (chemo side-effect) ku iqembu nezidakamizwa eziningi.
Njengenhlobo yezilwane, thina bantu sifuna okungcono kakhulu kuzo zonke izinketho futhi sandise izinzuzo zazo zonke izinketho ngombono olula wokuthi okuningi kuhlala kungcono. Lokhu kubonakala kunjalo umdlavuza nokwelashwa. Ngokombono, umuntu ubengacabanga ukuthi uma benqwabelanisa imishanguzo eminingi yomdlavuza omunye komunye, lokho kuzokwandisa amathuba abo okusinda ngoba ukwelashwa ngakunye noma okwalandela kungasiza ekuqedeni ngokuphelele noma yimaphi amangqamuzana omdlavuza aphuthelwe wukwelashwa kokuqala. Nakuba lokhu kunengqondo ngokwethiyori futhi kuyiqiniso ngokwezinga elithile, kungase kungabi nenzuzo ngaso sonke isikhathi njengoba ekugcineni kufinyelela ophahleni lwenzuzo.
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.
Ukwelashwa kwe-Chemo okunolaka kungenzeka kungazuzisi iCancer
Ezivivinyweni eziningi zemitholampilo kukhonjisiwe ukuthi ukufaka izinhlobo eziningi zokwelashwa komdlavuza onobuthi akusho ukuthi kuthuthukisa ukusebenza kokwelapha ngenkathi kunomthelela omkhulu ku ikhwalithi yokuphila. Esivivinyweni sesigaba III esingahleliwe seRadiation Therapy Oncology Group (RTOG) 0522 esenziwe ezigulini ezinesigaba sesi-3 noma sesi-4 somdlavuza wekhanda nentamo, iziguli zithole ukwelashwa ngemisebe kanye nomuthi we-chemo obizwa ngokuthi i-Cisplatin unomunye noma ungenawo omunye umuthi we-chemo okuthiwa i-Cetuximab. Umbono ngaphambi kokwenza ucwaningo wawuwukuthi ukwelashwa ngemisebe, okusebenzisa ama-x-ray anamandla kakhulu ukubulala umdlavuza amaseli, angahlanganiswa nezidakamizwa ezifana ne-Cisplatin ne-Cetuximab ukuze enze amangqamuzana azwele kakhulu emisebeni futhi akwazi ukuncipha futhi aqede isimila unomphela. Imiphumela yocwaningo, nokho, ibonise ukuthi ukwelapha ngemisebe kanye nenhlanganisela ye-Cisplatin ne-Cetuximab akubanga nokwanda kokusinda kwesiguli uma kuqhathaniswa neziguli ezabhangqa ukwelapha kwazo ngemisebe ne-Cisplatin kuphela.I-NCT00265941). Eqinisweni, umehluko omkhulu emiphumeleni phakathi kweziguli emaqenjini womabili wokwelashwa kwakuyizinga elandayo lobuthi ezigulini ezathola ukwelashwa ngemisebe kanye nokuhlanganiswa kwezidakamizwa ezimbili ze-chemo (UHarari PM et al, J Clin Oncol. 2019).
Endabeni ye-prostate umdlavuza, ukusetshenziswa kokwelashwa ngemisebe ngemva kokuhlinzwa njengokwelashwa kwe-adjuvant uma kuqhathaniswa nokuyisebenzisa kuphela esimweni sokuphindaphinda njengokwelashwa kokulondoloza njengoba kukhonjiswe ngesigaba sesi-III sokuhlolwa komtholampilo okungahleliwe, baye bangabaza imiphumela enenzuzo yendlela enolaka yokwelula ukwelashwa. ekwandiseni ukusinda okuphelele phezu komthelela wekhwalithi yempilo ngenxa yemiphumela emibi ebalulekile (UHerrera noBerthold, Front Oncol. 2016).
Ngakho-ke, lena inkinga ejwayelekile ebhekene nomtholampilo neyomuntu siqu yezinzuzo nokuhweba okuphathelene nokwelashwa komdlavuza onolaka we ukwandisa impilo kuqhathaniswa nomthelela kwikhwalithi yempilo. Ukwelashwa komdlavuza ngama-chemotherapies kanye nokwelashwa ngemisebe kuwububi obudingekayo umuntu okuzodingeka abhekane nabo kodwa okuningi akuhlali kungcono futhi ukuba nempilo enhle kubaluleke ngokufanayo ekwandiseni ukuphila. Amathuba okuthi umdlavuza Ukwelashwa kungase kuthuthukiswe ngokugcwalisa ngokwesayensi i-chemo ngezithako ezilungile zemvelo, ezingafaki ubuthi kanye nomphumela ongaseceleni wokuthuthukisa impilo yesiguli.
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 ngokuvamile kufanele zibhekane nokuhlukile imiphumela emibi ye-chemotherapy okuthinta ikhwalithi yempilo yabo futhi babheke ezinye izindlela zokwelapha umdlavuza. Ukuthatha ukudla okunomsoco nezithasiselo ezisuselwa ekucabangeni kwesayensi (ukugwema ukuqagela nokukhetha okungahleliwe) yikhambi elingcono kakhulu lemvelo lomdlavuza nemiphumela emibi ehlobene nokwelashwa.