Ungenza ntoni ukuba unyango lwakho lwangoku lwe-HCC alusebenzi

Umxholo

• Uqwalaselo lonyango
• Unyango ekujoliswe kulo
• Uvavanyo lweziyobisi
• Ukunyanga kunye nolunye unyango

Asinguye wonke umntu ophendula kunyango lwe-hepatocellular carcinoma (HCC) ngendlela efanayo. Ukuba unyango lwakho alwenzi into emelwe ukuyenza, uya kufuna ukuba nembono yokuba kuya kwenzeka ntoni emva koko.

Fumana ulwazi ngonyango lwamva nje, uvavanyo lweziyobisi, kunye nokuba ubuze ntoni kugqirha wakho apha.

Uqwalaselo lonyango

Ugqirha wakho uya kudala isicwangciso sakho sokuqala sonyango ngokusekelwe kwizinto ezinje:

• isigaba somhlaza ekuchongeni
• ingaba umhlaza ukhule waba yimithambo yegazi
• ubudala bakho kunye nempilo ngokubanzi
• ukuba utyando okanye utyando lwesibindi lunokwenzeka
• isebenza njani isibindi sakho

Kwinqanaba lokuqala lomhlaza wesibindi, utyando lokususa ithumba kunye nenxalenye encinci yesibindi sakho inokuba yiyo yonke into oyifunayo. Ukuba umhlaza awukenzi metastasized, unokulungela ukufakelwa isibindi. Ukuba utyando alunakukhetha, iindlela ezahlukeneyo zokunciphisa umzimba zinokutshabalalisa amathumba amancinci esibindini ngaphandle kokuwasusa.

Unokufuna kwakhona unyango oluqhubekayo olufana ne-radiation okanye i-chemotherapy. Nokuba loluphi na unyango olukhethayo ekugqibeleni, iqela lakho lokhathalelo lwempilo liza kulandela ukuze libone ukuba basebenza kakuhle kangakanani. Ugqirha wakho unokuhlengahlengisa isicwangciso sakho sonyango njengoko kufuneka.

Oku kulandelayo zizinto ezimbalwa onokuzigcina engqondweni xa unyango lungasebenzi.

Unyango ekujoliswe kulo

I-HCC inokunyangwa ngamachiza ajolise kutshintsho oluthile kwiiseli ezibangela umhlaza. Kanye egazini lakho, la machiza anokukhangela iiseli zomhlaza naphina emzimbeni wakho. Yiyo loo nto zinokusetyenziselwa umhlaza osasazeke ngaphandle kwesibindi.

Ngomhlaza wesibindi, i-sorafenib (Nexavar) inokuba sisiyobisi sokuqala ugqirha wakho aza kuzama. Iiseli zomhlaza zineeproteni ezibakhuthazayo ukuba zikhule, kwaye eli chiza lijolise kwezo proteni. Izidumbu kufuneka kwakhona zenze imithambo yegazi emitsha ukuze ikhule, kwaye i-sorafenib iyalithintela eli nyathelo. Kukho iziphumo ebezingalindelekanga ezimbalwa kunokuba unokwenza ngekhemotherapy. Ngenxa yokuba ifumaneka kwifom yeepilisi, kulula kwakhona ukuthatha.

Ukuba i-sorafenib ayisebenzi, ugqirha wakho unokucebisa i-regorafenib (Stivarga). Isebenza ngokufanayo, kodwa igcinelwe abo sele bephethwe nge-sorafenib.

Ukunyanga okujolise kuko okutsha kumhlaza ophakamileyo wesibindi yi-nivolumab (Opdivo), enikwa ngenaliti. UNivolumab wanikwa imvume ekhawulezileyo yabantu abane-HCC abaye baphathwa nge-sorafenib. Izifundo zakwangoko kubantu abanomhlaza wesibindi ophambili zibonisa iziphumo ezikhuthazayo.

Ukuba ugqirha wakho ucebise unyango nge-sorafenib, buza:

• Loluphi uvavanyo olulandelayo oluya kusetyenziswa ukufumanisa ukuba luyasebenza na?
• Ngeliphi ixesha apho siya kuqiniseka ukuba lixesha lokwenza utshintsho?

Ukuba i-sorafenib ayisebenzi, okanye njengoko iyekile ukusebenza:

• Ngaba inyathelo elilandelayo regorafenib okanye nivolumab?
• Yeyiphi indlela ebhetele kum kwaye ngoba?
• Siza kwazi njani ukuba iyasebenza?
• Ukuba ayisebenzi, ngawaphi amanyathelo alandelayo?

Uvavanyo lweziyobisi

Inkqubo evela kuphando yokufumana iyeza elamkelweyo kunyango lide. Uvavanyo lwezonyango luphakathi kwamanyathelo okugqibela kuloo nkqubo. Ezi zilingo zixhomekeke kubantu abazinikelayo kunyango lovavanyo. Kokwakho, kuthetha ukufikelela kunyango olunobuchule olungagunyaziswanga ukuba lusebenzise ngokubanzi.

Izilingo eziqhubekayo zonyango lwe-HCC zibandakanya iindlela ezahlukeneyo zonyango ezisebenzisa amajoni omzimba ukulwa nomhlaza. La machiza abandakanya i-immune checkpoint inhibitors, ii-monoclonal antibodies, unyango lweseli olwamkelayo, kunye nonyango lwe-oncolytic virus.

Ngolwazi oluthe kratya malunga novavanyo lweklinikhi yomhlaza wesibindi, ndwendwela i-American Cancer Society's Clinical Trial Matching Service okanye iZiko loPhando lweCancer's Clinical Trial Finder.

Ugqirha wakho unokukunceda ekukhokeleni kwicala elifanelekileyo. Nayi imibuzo embalwa ukubuza:

• Ngaba ndivumelekile kuvavanyo lweklinikhi?
• Yintoni injongo yetyala?
• Athini amava ngonyango olutsha ukuza kuthi ga ngoku?
• Iya kwenziwa njani kwaye yintoni eza kucelwa kum?
• Zeziphi iingozi ezinokubakho?

Ukunyanga kunye nolunye unyango

Ngelixa iqela lakho le-oncology linyanga umhlaza, unokufumana unyango lolawulo lweempawu. Unonophelo oluxhasayo lukwabizwa ngokuba lukhathalelo lokuthomalalisa.

Iingcali zokhathalelo lokunyanga azinyangi umhlaza ngokwawo. Baqeqeshelwe ukugxila kwiintlungu kunye nezinye iimpawu zomhlaza kunye nonyango lwayo. Injongo yabo kukuphucula umgangatho wobomi bakho. Baya kulungelelanisa nabanye oogqirha bakho ukuqinisekisa ukuba unyango lwakho lusebenza kakuhle kunye kunye nokuphepha ukusebenzisana kweziyobisi.

Unokujonga kunyango olongezelelekileyo nolunye. Oku kunokubandakanya i-acupuncture, i-massage kunye neendlela zokuphumla. Qiniseka ukuba ubonisana nogqirha wakho ukuqinisekisa ukuba unyango olutsha lukhuselekile kuwe kwaye usebenzisa iingcali ezifanelekileyo.

Ngaphambi kokuba uthathe amayeza amatsha okanye izongezo zokutya, cela oogqirha bakho ukuba bangaphazamisa amanye amayeza.

Ukunyanga umhlaza wesibindi kuhlala kubandakanya iqela elandisiweyo. Oogqirha kunye nabanye abaqeqeshi bezempilo kufuneka basebenze kunye ukubonelela ngononophelo lomntu.