Kuthiwani uma umdlavuza ubuya?

Okunye ukwesaba okuvame kakhulu kubantu abake baba nomdlavuza ukuthi ungabuya. Lapho umdlavuza ubuya, ubizwa ngokuthi ukuphindaphinda. Umdlavuza ungabuyela endaweni efanayo noma endaweni ehluke ngokuphelele yomzimba wakho. Akekho umuntu othanda ukucabanga ngokuba nomdlavuza futhi, kodwa kubalulekile ukufunda ngokuphindelela ukuze ukwazi ukuqhubeka nempilo yakho yize kunokungaqiniseki.

Umdlavuza ungabuya uma kukhona amangqamuzana omdlavuza asele ngemuva kokwelashwa. Lokhu akusho ukuthi iqembu lakho lokunakekelwa kwezempilo lenze noma yini engalungile. Kwesinye isikhathi, la maseli omdlavuza awatholakali ngokuhlolwa. Kepha ngokuhamba kwesikhathi, ziyakhula zize zibe nkulu ngokwanele ukuthi zitholakale. Kwesinye isikhathi, umdlavuza uyakhula endaweni efanayo, kepha ungadlulela nakwezinye izingxenye zomzimba wakho.

Kunezinhlobo ezintathu zokuphindeka:

• Ukuphindeka kwendawo. Yilapho umdlavuza uvela endaweni efanayo futhi.
• Ukuphindeka kwesifunda. Lokhu kusho ukuthi umdlavuza usukhulile ezicutshini noma kuma-lymph node azungeze indawo yomdlavuza wokuqala.
• Ukuphindaphinda okude. Yilapho-ke umdlavuza ususabalale waya endaweni ekude kakhulu nomdlavuza owawukuyo. Uma lokhu kwenzeka, abahlinzeki bezokunakekelwa kwezempilo bathi umdlavuza ususetshenzisiwe.

Le ngozi yokuba nomdlavuza ephindayo yehlukile kumuntu ngamunye. Ingozi yakho incike ezintweni eziningana:

• Uhlobo lomdlavuza owawunalo
• Isigaba somdlavuza obukade unaso (uma futhi sasasazeke nini lapho welashwa okokuqala)
• Izinga lomdlavuza wakho (ukuthi akuvamile kangakanani ukuthi amangqamuzana wesimila nezicubu avele ngaphansi kwesibonakhulu)
• Ukwelashwa kwakho
• Ubude besikhathi kusukela ukwelashwa kwakho. Ngokuvamile, ingozi yakho yehla lapho isikhathi esiningi sidlulile selokhu welashwa

Ukuze ufunde kabanzi ngobungozi bakho, khuluma nomhlinzeki wakho. Bangakwazi ukukunikeza umbono wokuphindeka kwakho komuntu siqu nanoma yiziphi izimpawu okufanele uzibukele.

Yize kungekho ongakwenza ukuqinisekisa ukuthi umdlavuza wakho ngeke ubuye, kunezinyathelo ezithile ongazithatha ukuzama ukuhlala upbeat futhi unempilo ngangokunokwenzeka.

• Gcina umhlinzeki wakho evakashela. Umhlinzeki wakho uzofuna ukukubona njalo ngemuva kokwelashwa komdlavuza wakho. Phakathi kokunye kwalokhu kuvakashelwa, umhlinzeki wakho uzoqhuba izivivinyo ukuhlola umdlavuza. Uma umdlavuza wakho ubuya, ukuvakashelwa njalo kungasiza ekuqinisekiseni ukuthi utholakala kusenesikhathi, lapho kuvame ukuba lula ukwelashwa.
• Ungawushiyi umshuwalense wakho wezempilo. Ngemuva kokuba ube nomdlavuza, uzodinga ukunakekelwa kokulandelela iminyaka eminingi. Futhi uma umdlavuza wakho ubuya, uzofuna ukuqinisekisa ukuthi umboziwe.
• Yidla ukudla okunempilo. Akunabufakazi bokuthi ukudla ukudla okunempilo kuzovimbela umdlavuza wakho ukuthi ungabuyi, kepha kungathuthukisa impilo yakho yonke. Futhi kunobunye ubufakazi bokuthi ukudla okunothe ngezithelo nemifino kanye namafutha anele kungasiza ekunciphiseni ubungozi bokuphindeka kwezinye izinhlobo zomdlavuza.
• Nciphisa ukusetshenziswa kotshwala. Eminye imidlavuza ixhunyaniswe nokuphuza utshwala. Abesifazane akufanele baphuze isiphuzo esingaphezu kwesisodwa ngosuku nabesilisa bangabi neziphuzo ezingaphezu kwezingu-2 ngosuku. Ingozi yakho iphakeme lapho uphuza kakhulu.
• Vivinya umzimba njalo. Ukuzivocavoca umzimba kungasiza ekuthuthukiseni impilo yakho yonke, kukhulise imizwa yakho, futhi kukusize uhlale esisindweni esinempilo. Olunye ucwaningo lukhombisa ukuthi ukukhuluphala ngokweqile kungakhuphula ubungozi bokuphindeka komdlavuza webele.
• Zama ukungavumeli ukwesaba kwakho kukunqobe. Gxila ekubeni nempilo enhle ngangokunokwenzeka. Buyela esimeni sakho sansuku zonke. Ukuba nesheduli kungakusiza uzizwe ukwazi ukulawula. Gxila ezintweni ezincane ezikuthokozisayo, noma ngabe ukudla isidlo sakusihlwa nomngani, ukudlala nabazukulu bakho, noma ukuhamba nenja yakho.

Uma uthola okunye ukuxilongwa komdlavuza, kungokwemvelo ukuzwa intukuthelo, ukwethuka, ukwesaba, noma ukuphika. Ukubhekana nomdlavuza futhi akulula. Kepha uke wabhekana nakho ngaphambilini, ngakho-ke unolwazi lokulwa nomdlavuza.

Nazi ezinye izinto ongazenza:

• Funda konke ongakwenza mayelana nokuxilongwa nezinketho zokwelashwa kwakho. Ukuphatha ukunakekelwa kwakho kwezempilo kungakusiza uzizwe ukwazi ukulawula.
• Lawula ukucindezeleka kwakho. Umdlavuza ungakwenza uzizwe ucindezelekile futhi ukhathazekile. Zinike isikhathi sokwenza izinto ozijabulelayo. Futhi funda inqubo yokuphumula.
• Khuluma ngemizwa yakho nabangani kanye namalungu omndeni. Cabanga ngokujoyina iqembu elisekela umdlavuza noma ukubona umeluleki. Ukukhuluma kungakusiza ukubhekana nengcindezi yokulwa nomdlavuza futhi.
• Zibekele imigomo. Zombili izinhloso ezincane nezinhloso zesikhathi eside kungakunika izinto ongabheka phambili kuzo. Lokhu kungaba lula njengokuqedela incwadi enhle, ukubona umdlalo nabangani, noma ukuya endaweni obukade ufuna ukuyivakashela.
• Zama ukuhlala unethemba. Ukwelashwa kuyaqhubeka nokuthuthuka. Kulezi zinsuku, izinhlobo eziningi zomdlavuza zilawulwa njengesifo esingelapheki.
• Cabanga ngesivivinyo somtholampilo. Ukwenza kanjalo kungakunika ukufinyelela kuzindlela zokwelashwa ezintsha. Kungasiza futhi abanye ukuthi bafunde kumdlavuza wakho. Khuluma nomhlinzeki wakho ukubona ukuthi ngabe enye ingakulungela yini.

I-Carcinoma - ukuphindaphinda; Iseli le-squamous - ukuphindaphinda; I-Adenocarcinoma - ukuphindaphinda; I-Lymphoma - ukuphindaphinda; Isimila - ukuphindeka; I-leukemia - ukuphindaphinda; I-Cancer - ukuphindaphinda

UDemark-Wahnefried W, uRogers LQ, u-Alfano CM, et al. Ukungenelela okusebenzayo komtholampilo kokudla, ukuvivinya umzimba, nokulawulwa kwesisindo kwabasindile kumdlavuza. I-CA Cancer J Clin. 2015; 65 (3): 167-189. I-PMID: 25683894 pubmed.ncbi.nlm.nih.gov/25683894/.

UFriedman DL. Ama-neoplasms wesibili amabi. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli.I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 50.

Iwebhusayithi yeNational Cancer Institute. Ishidi lamaqiniso we-tumor. www.cancer.gov/about-cancer/diagnosis-staging/prognosis/tumor-grade-fact-sheet. Kubuyekezwe ngoMeyi 3, 2013. Kufinyelelwe ngo-Okthoba 24, 2020.

Iwebhusayithi yeNational Cancer Institute. Lapho umdlavuza ubuya. www.cancer.gov/publications/patient-education/when-cancer-returns.pdf. Kubuyekezwe uFebhuwari 2019. Kufinyelelwe ngo-Okthoba 24, 2020.

• Umdlavuza