Xa unyango lwakho lomhlaza luyeka ukusebenza

Unyango lomhlaza lunokugcina umhlaza ekusasazeni nasekunyangeni umhlaza kwinqanaba lokuqala kubantu abaninzi. Kodwa ayingawo wonke umhlaza onokunyangeka. Ngamanye amaxesha, unyango luyeka ukusebenza okanye umhlaza ufike kwinqanaba apho ungenakunyangwa khona. Oku kubizwa ngokuba ngumhlaza ophambili.

Xa unomdlavuza ophucukileyo, usiya kwinqanaba elahlukileyo lobomi. Lixesha apho uqala ukucinga ngokuphela kobomi. Oku akukho lula, kodwa oko akuthethi ukuba awunakho ukhetho. Abanye abantu baphila iminyaka benomhlaza ophambili. Ukufunda ngomhlaza ophambili kunye nokwazi ukhetho lwakho kunokukunceda wenze izigqibo ezisebenza ngcono kuwe.

Thetha nomboneleli wakho wezempilo malunga nokuba yintoni umhlaza ophakamileyo othetha kuwe. Akukho bantu babini bayafana. Fumanisa ukuba zeziphi iindlela zonyango onokuthi ukhethe kuzo, onokuzilindela kunyango, kunye nesiphumo soko. Unokufuna ukuthetha ngale nto nosapho lwakho, okanye nibe nentlanganiso yosapho kunye nomboneleli wakho, ukuze nicwangcise kwangaphambili kunye.

Usenokufumana unyango xa unomdlavuza ohambele phambili. Kodwa iinjongo ziya kwahluka. Endaweni yokunyanga umhlaza, unyango lunokunceda ekuthomalaliseni iimpawu nasekulawuleni umhlaza. Oku kunokukunceda ukhululeke kangangoko kunokwenzeka kangangoko kunokwenzeka. Inokukunceda ukuba uphile ixesha elide.

Ukhetho lwakho lonyango lunokubandakanya:

• I-Chemotherapy (i-chemo)
• Unyango lwe-Immunotherapy
• Unyango ekujoliswe kulo
• Unyango lweHormone

Thetha nomboneleli wakho malunga nokukhetha kwakho kwaye ulinganise umngcipheko kunye nezibonelelo. Uninzi lonyango lomhlaza luneziphumo ebezingalindelekanga ezinokuchaphazela umgangatho wobomi bakho. Abanye abantu bathatha isigqibo sokuba iziphumo ebezingalindelekanga azifanelekanga kwisibonelelo esincinci kunyango. Abanye abantu bakhetha ukuqhubeka nonyango ixesha elide kangangoko kunokwenzeka. Esi sisigqibo sobuqu oya kuthi usenze kunye nomboneleli wakho.

Xa unyango olusemgangathweni lungasasebenzi kumhlaza wakho, usenokukhetha malunga nokuba loluphi uhlobo lononophelo ongathanda ukulifumana. Olunye ukhetho lubandakanya:

• Uvavanyo lwezonyango. Olu zizifundo zophando ezijonga iindlela ezintsha zokunyanga umhlaza. Kukho izibonelelo kunye nomngcipheko wokuba kulingo lweklinikhi, kwaye nganye inemithetho malunga nokuba ngubani onokuthatha inxaxheba. Ukuba unomdla, buza umboneleli wakho malunga novavanyo lweklinikhi kuhlobo lwakho lomhlaza.
• Unonophelo lonyango. Olu lonyango olunceda ukuthintela nokunyanga iimpawu kunye neziphumo ebezingalindelekanga zomhlaza. Inokukunceda nakwimizabalazo yeemvakalelo neyasemoyeni ngelixa ujongene nomhlaza. Ukhathalelo lokuthambisa lunokunceda ukuphucula umgangatho wobomi bakho. Unokulufumana olu hlobo lokhathalelo kuwo onke amabakala onyango lomhlaza.
• Ukunyamekela. Unokuthatha isigqibo sokukhetha ukhathalelo lwe-hospice ukuba awusafuni unyango olusebenzayo lomhlaza wakho. Ukhathalelo lwe-Hospice ijolise ekuphuculeni iimpawu zakho kwaye ikuncede uzive ukhululekile kwiinyanga zokugqibela zobomi.
• Unonophelo lwasekhaya. Olu lunyango ekhayeni lakho endaweni yesibhedlele. Unokwazi ukulawula ukhathalelo lwakho kwaye ufumane izixhobo zonyango ozifuna kanye ekhaya. Kuya kufuneka uhlawulele ezinye zeenkonzo ngokwakho. Hlola ngesicwangciso sakho sezempilo ukuze ubone oko bakugubungeleyo.

Unokucinga ukuba iimpawu ziya kusiba mandundu njengoko umhlaza uqhubeka. Oku akusoloko kunjalo. Unokuba neempawu ezimbalwa okanye ungabikho kwaphela. Iimpawu eziqhelekileyo zibandakanya:

• Intlungu
• Isicaphucaphu nokugabha
• Ukudinwa
• Ixhala
• Ukuphelelwa ngumdla wokutya
• Iingxaki zokulala
• Ukuqunjelwa
• Ukudideka

Ukuba unayo nayiphi na le mpawu, kubalulekile ukuxelela umboneleli wakho. Musa ukunciphisa iimpawu. Zininzi iindlela zonyango ezinokukunceda uzive ungcono. Akufanelekanga ukuba ungonwabi. Ukunciphisa iimpawu kunokukunceda ukonwabele ubomi bakho ngakumbi.

Njengomntu onomhlaza, usenokuba wawuva umsindo, ukukhanyela, ukudana, unxunguphalo, usizi, uloyiko, okanye ukuzisola. Ezi mvakalelo zinokuba mandundu ngakumbi ngoku. Kuqhelekile ukuziva uluhlu lweemvakalelo. Ixhomekeke kuwe indlela ohlangabezana ngayo neemvakalelo zakho. Nazi izinto ezinokukunceda.

• Fumana inkxaso. Ukwabelana nabanye ngeemvakalelo zakho kunokunceda ukwenza iimvakalelo zakho ziziva zingenaxhala. Unokujoyina iqela lenkxaso labantu abanomhlaza okanye udibane nomcebisi okanye ilungu labefundisi.
• Qhubeka usenza izinto ozithandayo. Cwangcisa usuku lwakho njengoko ubuqhele ukwenza kwaye uzame ukwenza izinto ozithandayo. Unokuthatha iklasi kwinto entsha.
• Vumela ukuba ube nethemba. Cinga ngezinto mihla le okhangele phambili kuzo. Ngokuziva unethemba, unokufumana ukwamkelwa, uxolo kunye nentuthuzelo.
• Khumbula ukuhleka. Ukuhleka kunokunciphisa uxinzelelo, kukuncede uphumle, kwaye kunxibelelane nabanye. Khangela iindlela zokuzisa uburharha ebomini bakho. Bukela iimovie ezihlekisayo, funda iziqwengana ezihlekisayo okanye iincwadi ezihlekisayo, kwaye uzame ukubona uburharha kwizinto ezikungqongileyo.

Esi sisihloko esinzima ukuba abantu abaninzi bacinge ngaso. Kodwa ungaziva ungcono ukwazi ukuba uthathe amanyathelo okulungiselela ukuphela kobomi, nokuba kuthetha ntoni kuwe oko. Nazi ezinye zeendlela onokufuna ukuzicwangcisa kwangaphambili:

• YenzaImiyalelo yokuqhubela phambili. La maphepha asemthethweni acacisa uhlobo lonyango olufunayo okanye ongafuni ukuba nalo. Unokukhetha umntu ukuba akwenzele izigqibo zonyango ukuba awunakuzenza ngokwakho. Oku kubizwa ngokuba ngummeli wokhathalelo lwempilo. Ukwazi iminqweno yakho ngaphambi kwexesha kunokukunceda wena kunye nabantu obathandayo bangazikhathazi kangako ngekamva.
• Lungisa imicimbi yakho. Ngumbono olungileyo ukuya emaphepheni akho kwaye uqiniseke ukuba amaxwebhu abalulekileyo ayonke. Oku kubandakanya umyolelo wakho, iitrasti, iirekhodi zeinshurensi kunye nezitetimenti zebhanki. Zigcine kwibhokisi ekhuselekileyo okanye ngegqwetha lakho. Qinisekisa ukuba abantu abaya kulawula imicimbi yakho bayazi ukuba akuphi la maxwebhu.
• Chitha ixesha nabantu obathandayo. Nxibelelana neqabane lakho, abantakwenu, abantwana, okanye abazukulwana kwaye uzame ukukhumbula okungapheliyo. Unokufuna ukunika izinto ezinentsingiselo kwabo ubathandayo.
• Shiya ilifa. Abanye abantu bakhetha ukwenza iindlela ezizodwa zokubhiyozela ubomi babo. Cinga ngokwenza i-scrapbook, ukwenza ubucwebe okanye ubugcisa, ukubhala imibongo, ukutyala igadi, ukwenza ividiyo, okanye ukubhala iinkumbulo zangaphambili.

Akululanga ukujongana nesiphelo sobomi bakho. Ukanti ukuhlala imihla ngemihla nokusebenza ukuxabisa ubomi bakho kunye nabantu abakungqongileyo kunokuzisa ulwaneliseko nolwaneliseko. Oku kunokukunceda ulisebenzise kakuhle ixesha onalo.

Umbutho waseMelika woMhlaza. Ukuqonda umhlaza oqhubela phambili, umhlaza we-metastatic, kunye ne-bone metastasis. www.cancer.org/content/cancer/en/treatment/understanding-your-diagnosis/advanced-cancer/what-is.html. Ukuhlaziywa kweSeptemba 10, 2020. Ifikeleleke ngoNovemba 3, 2020.

Umbona BW, Hahn E, Cherny NI. Amayeza okusasazeka kwemitha. Ku: Tepper JE, Foote RL, Michalski JM, ii-eds. Gunderson kunye neTepper's Clinical Radiation Oncology. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

UNabati L, uAbrahamm JL. Ukunyamekela abaguli ekupheleni kobomi. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl 51.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Ukujamelana nomhlaza ophambili. www.cancer.gov/publications/patient-education/advancedcancer.pdf. Ukuhlaziywa ngoJuni 2020. Kufikeleleke ngoNovemba 3, 2020.

• Umhlaza
• Imiba yoBomi yokuphela