Ukujongana nomhlaza onganyangekiyo

Ngamanye amaxesha umhlaza awunakunyangwa ngokupheleleyo. Oku kuthetha ukuba akukho ndlela yokuwususa ngokupheleleyo umhlaza, ukanti umhlaza nawo awunakuqhubela phambili ngokukhawuleza. Eminye imihlaza inokwenziwa ukuba ihambe kodwa ibuye inyangwe kwakhona.

Kunokwenzeka ukuba ulawule umhlaza iinyanga okanye iminyaka. Ukwenza njalo kufuna unyango oluqhubekayo ukunceda ukugcina umhlaza ekuqhubekeni ixesha elide kangangoko kunokwenzeka. Ke ngoko, iba sisigulo esinganyangekiyo.

Ezinye iintlobo zomhlaza zihlala okanye zinganyangeki kwaye zingaze ziphele ngokupheleleyo:

• I-leukemia engapheliyo
• Ezinye iintlobo ze-lymphoma
• Umhlaza we-Ovarian
• Umhlaza webele

Rhoqo, le mihlaza isasazeke nakwamanye amalungu omzimba (imetastasised). Azinakuphiliswa, kodwa zihlala zilawulwa kangangexesha elithile.

Xa unomdlavuza onganyangekiyo, kugxilwe ekuwugcineni ulawulwa, hayi ukunyanga umhlaza. Oku kuthetha ukugcina ithumba ekubeni likhulu okanye lisasazeke kwezinye iindawo. Unyango lomhlaza onganyangekiyo lunokunceda nasekulawuleni iimpawu.

Xa umhlaza ungakhuli, ubizwa ngokuba kukuxolelwa okanye ukuba nezifo ezizinzileyo. Umboneleli wakho wezempilo uya kuhlala ejonge umhlaza ukuze ajonge nakuphi na ukukhula. Unokufuna unyango oluqhubekayo ukunceda ukugcina umhlaza ulawulwa. Oku kubizwa ngokuba unyango lwesondlo.

Ukuba umhlaza wakho uqala ukukhula okanye ukusasazeka, unokufuna unyango olwahlukileyo ukuzama ukuwunciphisa okanye uyeke ukukhula. Umhlaza wakho unokuhamba ngokujikeleza okukhulayo kunye nokuncipha. Okanye umhlaza wakho awunakukhula kwaphela iminyaka emininzi.

Kuba umntu ngamnye kunye nomhlaza ngamnye wahlukile, umboneleli wakho ngekhe akwazi ukukuxelela ukuba umhlaza wakho unokulawulwa ixesha elingakanani.

I-Chemotherapy (chemo) okanye i-immunotherapy inokusetyenziselwa umhlaza ongapheliyo. Zininzi iintlobo zamachiza onokukhetha kuzo. Ukuba olunye uhlobo alusebenzi, okanye luyeka ukusebenza, umboneleli wakho unokucebisa ukuba usebenzise olunye.

Ngamanye amaxesha, umhlaza unokuxhathisa kulo lonke unyango olwamkelweyo ukuze lunyangwe. Ukuba oku kuyenzeka, thetha nomboneleli wakho malunga nezinto onokukhetha kuzo. Unokufuna ukuzama olunye unyango, ukujoyina uvavanyo lweklinikhi, okanye unokuthatha isigqibo sokuyeka unyango.

Naluphi na unyango olufumanayo, kubaluleke kakhulu ukulandela imiyalelo yomboneleli wakho wokuthatha iyeza. Uye kugqirha oqeshwe ngokocwangcisiweyo. Ukuba unayo nayiphi na imiphumo emibi, xelela umboneleli wakho. Kukho iindlela zokunciphisa iziphumo ebezingalindelekanga. Sukuyeka ukuthatha nasiphi na isiyobisi ungakhange uqale uthethe nomboneleli wakho.

Akukho mda wokuba ungaqhubeka kangakanani unyango lomhlaza ongapheliyo. Sisigqibo sobuqu ekufuneka usenzile ngoncedo lomboneleli wakho kunye nabantu obathandayo. Isigqibo sakho sinokuxhomekeka:

• Uhlobo lomhlaza onalo
• Iminyaka yakho
• Impilo yakho iyonke
• Uziva njani emva konyango
• Lisebenza kakuhle kangakanani unyango ukulawula umhlaza wakho
• Iziphumo ebezingalindelekanga onazo kunyango

Ukuba uthatha isigqibo sokuyeka unyango olungasasebenziyo, usenokufumana ukhathalelo lokunyanga okanye ukunyanga abaguli ukunyanga iimpawu zomhlaza wakho. Oku akunakunceda ukunyanga umhlaza, kodwa kunokukunceda uzive ungcono ngeli xesha ushiyekileyo.

Akululanga ukuhlala nomhlaza owaziyo ukuba awuyi kuphela. Ungaziva ulusizi, unomsindo, okanye usoyika. Ezi ngcebiso zinokukunceda ujongane:

• Yenza izinto ozithandayo. Oku kunokubandakanya ukuya kubona umculo okanye iithiyetha, ukhenketho, okanye ukuloba. Nokuba yintoni, yenza ixesha lokwenza.
• Konwabele okwangoku. Zama ukugxila kukonwabela okwangoku endaweni yokuzixhalabisa ngekamva. Gxila kwizinto ezincinci ezikonwabisa mihla le, njengokuchitha ixesha nosapho, ukufunda incwadi elungileyo, okanye ukuhamba ehlathini.
• Yabelana ngeemvakalelo zakho. Ukwabelana nabanye ngeemvakalelo zakho kunokukunceda uzive ungcono. Ungathetha nelungu losapho elisondeleyo okanye umhlobo, ujoyine iqela lenkxaso, okanye udibane nomcebisi okanye ilungu labefundisi.
• Luyeke ixhala. Ukuziva ukhathazekile kuyinto eqhelekileyo, kodwa zama ukungazivumeli ezi ngcinga zithathe indawo. Lwamkele olu loyiko uze uziqhelanise nalo.

Umbutho waseMelika woMhlaza. Ukulawula umhlaza njengesifo esinganyangekiyo. www.cancer.org/treatment/survivorship-during-and-after-treatment/when-cancer-doesnt-go-away.html. Ukuhlaziywa ngoJanuwari 14, 2019. Ifikeleleke ngo-Epreli 8, 2020.

Iwebhusayithi ye-ASCO Cancer.net. Ukujamelana nomhlaza wemastastatic. www.cancer.net/coping-with-cancer/managing-emotions/coping-with-metastatic-cancer. Ukuhlaziywa ngo-Matshi 2019. Kufikeleleke ngo-Epreli 8, 2020.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Xa umhlaza ubuya. www.cancer.gov/publications/patient-education/when-cancer-returns.pdf. Ukuhlaziywa ngoFebruwari 2019. Kufikeleleke ngo-Epreli 8, 2020.

Ngu-Byrd JC. Ileukemia enganyangekiyo ye-lymphocytic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 174.

• Umhlaza -Ukuphila nomhlaza