Ngaba iChemo isakusebenzela? Izinto ekufuneka ziqwalaselwe

Umxholo

• Ingathatha ixesha elingakanani ukusebenza?
• Zeziphi ezinye iindlela zam?
• Unyango ekujoliswe kulo
• Amajoni omzimba
• Unyango lweHormone
• Unyango ngemitha
• Ndingazazisa njani iingxaki zam kugqirha wam?
• Ukuqala incoko
• Kuthekani ukuba ndifuna ukuyeka unyango ngokupheleleyo?
• Unonophelo lonyango
• Ukunyamekela
• Umgca wezantsi

I-Chemotherapy yonyango olunamandla lomhlaza olusebenzisa iziyobisi ukutshabalalisa iiseli zomhlaza. Inganciphisa i-tumor yokuqala, ibulale iiseli zomhlaza ezinokuthi ziphule i-tumor yokuqala, kwaye ziyeke umhlaza ukusasazeka.

Kodwa ayisebenzi kuwo wonke umntu. Ezinye iintlobo zomhlaza ziyamelana ne-chemo kunezinye, kwaye ezinye zinokumelana nayo ekuhambeni kwexesha.

Nantsi eminye imiqondiso yokuba ichemotherapy isenokungasebenzi njengoko kulindelwe:

• amathumba awanciphi
• amathumba amatsha aqhubeka ekhula
• umhlaza usasazeka kwiindawo ezintsha
• iimpawu ezintsha okanye eziba mandundu

Ukuba ichemotherapy ayisasebenzi ngokuchasene nomhlaza okanye ukunciphisa iimpawu, unokufuna ukulinganisa ukhetho lwakho. Ukukhetha ukuyeka ichemotherapy sisigqibo esibalulekileyo ekufuneka siqwalaselwe ngononophelo, kodwa lukhetho olusemthethweni.

Ingathatha ixesha elingakanani ukusebenza?

I-Chemotherapy ihlala inikwa kwimijikelezo kwisithuba seeveki, iinyanga, okanye iminyaka. Ixesha lakho elichanekileyo liya kuxhomekeka kuhlobo lomhlaza onawo, iintlobo zamachiza e-chemotherapy asetyenzisiweyo, kunye nendlela umhlaza ophendula ngayo kula machiza.

Ezinye izinto ezichaphazela ixesha lakho lobuqu zibandakanya:

• isigaba sokuxilongwa
• Unyango lwangaphambili lomhlaza, njengoko umhlaza uhlala uphendula okokuqala kwaye ezinye iindlela zonyango zinzima kakhulu ukuba ziphindwe
• Olunye unyango olunokubakho
• ubudala kunye nempilo iyonke, kubandakanya nezinye iimeko zonyango
• uhlangabezana njani kakuhle neziphumo ebezingalindelekanga

Endleleni, ixesha elifanelekileyo linokuhlengahlengiswa ngenxa:

• ubalo lwegazi olusezantsi
• iziphumo ezibi kumalungu aphambili
• iziphumo ebezingalindelekanga ezimandundu

Kuxhomekeka kwiimeko zakho ezithile, ichemotherapy inokunikwa ngaphambi, emva, okanye ngokudibeneyo nolunye unyango, njengotyando, unyango ngemitha, kunye nonyango ekujolise kulo.

Zeziphi ezinye iindlela zam?

Ukuba uziva ngathi i-chemo ayisebenzi kuwe, unokuba nolunye ukhetho. Ayizizo zonke i-cancer eziphendulayo kolu nyango, ngenxa yoko zisenokungakulungeli. Qiniseka ukuba uxoxa ngazo zonke izibonelelo ezinokubakho kunye nomngcipheko wezinye iindlela zonyango kunye nomboneleli wakho wezempilo.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lujolise kutshintsho oluthile kwiiseli zomhlaza ezibavumela ukuba baphumelele.

Ezi zonyango, ezingekafumaneki kuzo zonke iintlobo zomhlaza, zinakho:

• yenza kube lula kumajoni akho omzimba ukufumana iiseli zomhlaza
• yenza kube nzima ukuba iiseli zomhlaza zahlule, zikhule kwaye zisasaze
• yeka ukwenziwa kwemithambo yegazi emitsha enceda ukukhula komhlaza
• ukutshabalalisa ngqo iiseli zomhlaza ekujoliswe kuzo
• thintela umhlaza ekufikeleleni kwiihomoni ezifuna ukukhula

Amajoni omzimba

Ama-Immunotherapies, ekwabizwa ngokuba lonyango lwebhayoloji, asebenzise amandla omzimba ukulwa umhlaza. Oku kukhuthaza amajoni omzimba ukuba ahlasele umhlaza ngokuthe ngqo ngelixa ezinye zonyusa amajoni omzimba ngokubanzi.

Iindidi ze-immunotherapies zibandakanya:

• ukutshintshwa kweseli okwamkelayo
• IBacillus Calmette-Guerin
• inhibitors zokutshekisha
• cytokines
• omzimba monoclonal
• izitofu zonyango

Unyango lweHormone

Eminye imihlaza yomhlaza, kubandakanya ezinye iintlobo zomhlaza wamabele kunye webele, ziqhutywa ziihomoni. Unyango lwehormone, ekwabizwa ngokuba lonyango lwe-endocrine, lusetyenziselwa ukuvimba ezi hormone kunye nokulamba umhlaza.

Unyango ngemitha

Amanani aphezulu emitha anokutshabalalisa iiseli zomhlaza. Unyango ngemitha ayilulo unyango olucwangcisiweyo njenge-chemo, kodwa lunokucothisa ukukhula kwethumba okanye linciphise amathumba kwindawo ekujoliswe kuyo emzimbeni wakho, enokuthi ikhuphe iintlungu kunye nezinye iimpawu.

Ndingazazisa njani iingxaki zam kugqirha wam?

Ukuba uqala ukuzibuza ukuba i-chemotherapy iseyindlela efanelekileyo kuwe, kubalulekile ukuzisa ezi nkxalabo kumboneleli wakho wezempilo. Uya kufuna ingqalelo yabo epheleleyo, ke yenza idinga lokujongana nale njongo.

Hlanganisa iingcinga zakho kwangaphambili kwaye wenze uluhlu lwemibuzo. Ukuba unako, yiza nomntu oza kukunceda ngemibuzo elandelayo.

Ukuqala incoko

Le mibuzo ilandelayo inokukunceda ukuba uqale incoko kunye nomboneleli wakho wezempilo malunga nokuba i-chemo iseyindlela efanelekileyo kuwe:

• Uhambele phambili kangakanani umhlaza? Buyintoni ubomi bam kunye ne-chemo kwaye ngaphandle kwe-chemo?
• Yintoni eyona nto ndiyilindeleyo ukuba ndiyaqhubeka nokukhohlisa? Yintoni injongo?
• Sazi njani ngokuqinisekileyo ukuba i-chemo ayisasebenzi? Zeziphi iimvavanyo ezongezelelweyo, ukuba zikhona, ezinokusinceda sithathe esi sigqibo?
• Ngaba kufuneka sitshintshele kwelinye ichiza le-chemo? Ukuba kunjalo, iza kuthatha ixesha elingakanani ngaphambi kokuba sazi ukuba umntu uyasebenza?
• Ngaba lukhona olunye unyango endingekaluzami? Ukuba kunjalo, ziziphi izibonelelo ezinokubakho kunye nokwenzakala kolo nyango? Yintoni ebandakanyekileyo ekufumaneni unyango?
• Ngaba ndikulungele ukulingwa kweklinikhi?
• Ukuba sifikelela esiphelweni kukhetho lwam lwe-chemo, kwenzeka ntoni ukuba ndiyekile ngoku?
• Ukuba ndiyeka unyango, ngawaphi amanyathelo am alandelayo? Zeziphi iintlobo zononophelo endinokulufumana?

Ngaphandle kokufumana uluvo lukagqirha wakho, uya kufuna ukuphonononga iimvakalelo zakho, kwaye mhlawumbi nezo zabanye obathandayo.

Nazi izinto onokucinga ngazo:

• Ngaba iziphumo ebezingalindelekanga ze-chemo-kunye nonyango lwezo ziphumo zichaphazela umgangatho wakho wobomi? Ngaba umgangatho wobomi ungaphucuka okanye ube mandundu ukuba ungayeka chemo?
• Ngaba uyaziqonda ngokucacileyo iingenelo kunye nobubi bokumisa i-chemo ngeli xesha?
• Ngaba uceba ukutshintsha i-chemo kunye nezinye iindlela zonyango okanye uza kuhamba kunyango lobomi?
• Ngaba wanelisekile zizindululo zikagqirha wakho okanye ungaziva uzithembile xa unokufumana olunye uluvo?
• Abahlobo bakho bahlangabezana njani nesi sigqibo? Ngaba banokunika ulwazi olongezelelweyo?

Kuthekani ukuba ndifuna ukuyeka unyango ngokupheleleyo?

Mhlawumbi unomdlavuza oqhubele phambili kwaye sele uzigqibile zonke ezinye iindlela zonyango. Mhlawumbi unohlobo lomhlaza olungaphenduliyo kunyango oluthile. Okanye, mhlawumbi ufumana ukhetho lwakho olushiyekileyo lusilela kwizibonelelo, ezingafanelekanga ukubhatala ngokwasemzimbeni nangokweemvakalelo, okanye ukuphazamisa kakhulu kumgangatho wobomi bakho.

Ngokwe-American Society of Clinical Oncology (ASCO), ukuba unonyango ezintathu ezahlukeneyo kwaye umhlaza usakhula okanye usasazeka, unyango oluninzi alunakukwenza uzive ungcono okanye wandise ubomi bakho.

Ukukhetha ukuyeka ichemotherapy okanye olunye unyango lomhlaza sisigqibo esikhulu, kodwa sisigqibo sakho osenzayo. Akukho mntu ubuqondayo ubunyani bobomi bakho ngcono kunawe. Ke, thetha nogqirha wakho, thetha nabantu obathandayo, kwaye unike ingcinga eninzi ngononophelo- kodwa wenze ukhetho olulungele wena.

Nokuba yeyiphi na indlela, kubalulekile ukukhumbula ukuba isigqibo sokumisa i-chemo-okanye naluphi na unyango-alunikezeli okanye lunikezele kumhlaza. Ayikwenzi uyeke. Kukhetho olusengqiqweni noluchanekileyo.

Ukuba uthatha isigqibo sokuba uyeke ukuthatha unyango, usenalo ukhetho.

Unonophelo lonyango

Unonophelo lonyango yindlela egxile ekunciphiseni iimpawu kunye nokunciphisa uxinzelelo. Gcina ukhumbula ukuba unokuba nokhathalelo lokuthomalalisa ingakhathaleli inqanaba lakho lomhlaza okanye ukuba ukwinkqubo yomhlaza esebenzayo.

Iqela lokunyamekela lijolise ekunciphiseni iimpawu kunye nemiphumo emibi ukuze uqhubeke nokwenza izinto ozithandayo ixesha elide.

Ukunyamekela

Kukhathalelo lwe-hospice, kugxilwe kuwe njengomntu uphela, hayi kumhlaza. Iqela lokunyamekela abagulela ukufa lisebenza ekuphuculeni umgangatho wobomi endaweni yobude bobomi. Ungaqhubeka nokufumana unyango lwentlungu kunye nezinye iimpawu zomzimba, kodwa iimfuno zakho zokomoya kunye nezomoya zinokuqwalaselwa ngokunjalo.

Inkathalo ye-Hospice ayincedi wena kuphela-inokunika abakhathaleli ikhefu kwaye inike neengcebiso kusapho nakubahlobo.

Ezinye iindlela zonyango ezinokuba yinto eluncedo ekunyamekeleni okanye ekunyamekeleni abaguli zibandakanya:

• ukutshiza
• kwiyeza
• ukuphefumla okunzulu kunye nezinye iindlela zokuphumla
• Ukuzivocavoca njenge-tai chi kunye neyoga
• ngomlingo
• ukuphulula
• ukucamngca
• Unyango lomculo

Umgca wezantsi

Ukuba uyazibuza ukuba lixesha lokuba uyeke ichemotherapy, kukho izinto ezininzi ezibalulekileyo ekufuneka uziqwalasele. Phakathi kwazo kukho iingcebiso ze-oncologist yakho, ukuxela kwangaphambili, kunye nomgangatho wobomi ngokubanzi.

Cinga malunga nokuba amanyathelo akho alandelayo aya kuba yintoni xa uyeka, kwaye oko kuya kukuchaphazela njani wena kunye nabantu obathandayo.

Xa isiza kanye kuyo, sisigqibo sakho.