Ukwelashwa komdlavuza wezingane - izingozi zesikhathi eside

Imithi yokwelapha yomdlavuza yanamuhla isiza ukwelapha izingane eziningi ezinomdlavuza. Lezi zindlela zokwelashwa nazo zingadala izinkinga zempilo ngokuhamba kwesikhathi. Lokhu kubizwa ngokuthi "imiphumela yesikhathi esedlule."

Imiphumela engemuva kwesikhathi yimiphumela engemihle yokwelashwa ebonakala ezinyangeni ezimbalwa noma eminyakeni ngemuva kokwelashwa komdlavuza. Imiphumela yamuva ingathinta indawo eyodwa noma eziningi zomzimba. Imiphumela ingaba mncane kuya kokubi.

Ukuthi ingane yakho izoba nemiphumela yesikhathi esedlule kuncike ohlotsheni lomdlavuza kanye nasekwelapheni ingane yakho enakho. Ukwazi ingozi yengane yakho yezinkinga zezempilo zesikhathi eside kungakusiza ukulandelela abahlinzeki bokunakekelwa kwezempilo futhi uthole noma yiziphi izinkinga kusenesikhathi.

Ezinye izindlela zokwelapha umdlavuza zilimaza amaseli aphilile. Umonakalo awubonakali ngesikhathi sokwelashwa, kepha njengoba umzimba wengane ukhula, izinguquko ekukhuleni kweseli noma kokusebenza ziyavela.

Imithi esetshenziselwa ukwelashwa ngamakhemikhali nemisebe enamandla esetshenziswa ekwelashweni ngemisebe kungalimaza amaseli aphilile. Lo monakalo ungashintsha noma ubambezele indlela amangqamuzana akhula ngayo. Ukwelashwa ngemisebe kunomthelela oqondile ekukhuleni kwesikhathi eside kunokwelashwa ngamakhemikhali.

Lapho kwenziwa ukuhlinzwa komdlavuza, kungadala ushintsho ekukhuleni noma ekusebenzeni kwesitho.

Ithimba lezokunakekelwa kwempilo yengane yakho lizoza nohlelo lokwelashwa ukugwema ukulimaza amaseli anempilo ngangokunokwenzeka.

Yonke ingane ihlukile. Ingozi yokuthola umphumela sekwephuzile incike ezintweni eziningi ezinjenge:

• Impilo ephelele yengane ngaphambi komdlavuza
• Iminyaka yengane ngesikhathi sokwelashwa
• Umthamo wokwelashwa ngemisebe nokuthi yiziphi izitho zomzimba ezithola imisebe
• Uhlobo lweChemotherapy kanye nomthamo ophelele
• Kwakudingeka isikhathi esingakanani ukwelashwa
• Uhlobo lomdlavuza olashwa nendawo yomzimba ethintekayo
• Imvelaphi yofuzo yengane (ezinye izingane zizwela kakhulu ekwelashweni)

Kunezinhlobo eziningi zemiphumela sekwephuzile engenzeka ngokuya ngokuthi umdlavuza wawukuphi nokuthi yiziphi izinhlobo zokwelashwa ezenziwa. Imiphumela yangemuva kwesikhathi ibikezela kusengaphambili ngokuya ngemithi ethile yengane. Imiphumela eminingi ingalawulwa. Okulandelayo yizibonelo zemiphumela ethile sekwephuzile ngokususelwa ezingxenyeni zomzimba ezithintekile. Qaphela ukuthi lolu uhlu oluphelele futhi akuyona yonke imiphumela ezosebenza enganeni kuye ngezindlela ezithile zokwelashwa.

Ubuchopho:

• Ukufunda
• Imemori
• Ukunakwa
• Ulimi
• Izinkinga zokuziphatha nezingokomzwelo
• Ukudlikizela, ukuphathwa ikhanda

Izindlebe:

• Ukulahlekelwa ukuzwa
• Kukhala ezindlebeni
• Isiyezi

Amehlo:

• Izinkinga zombono
• Amehlo omile noma amanzi
• Ukuzwela ekukhanyeni
• Ukuthukuthela
• Ukujikisa ijwabu leso
• Izimila zamehlo

Amaphaphu:

• Izifo
• Ukuphelelwa umoya
• Ukukhwehlela okungapheli
• Ukuphefumula kanzima
• Umdlavuza wamaphaphu

Umlomo:

• Amazinyo amancane noma alahlekile
• Ingozi yezimbotshana
• Amazinyo azwelayo
• Ukuthuthuka kwamazinyo
• Isifo sezinsini
• Umlomo owomile

Eminye imiphumela sekwedlule isikhathi ingafaka:

• Imisipha noma ithambo lingathinteka kunoma iyiphi indawo yomzimba lapho kwakudingeka khona ukwelashwa. Kungaba nomthelela ekutheni ingane ihamba kanjani noma igijime kanjani noma idale ubuhlungu bethambo noma imisipha, ubuthakathaka, noma ukuqina.
• Izindlala nezitho ezenza ama-hormone zingavezwa ekwelashweni. Lokhu kufaka phakathi indlala yegilo entanyeni kanye nendlala yamapayipi ebuchosheni. Lokhu kungaba nomthelela ekukhuleni kwamuva, imetabolism, ukuthomba, ukuzala, neminye imisebenzi.
• Isigqi senhliziyo noma ukusebenza kungathinteka ekwelashweni okuthile.
• Ukwanda okuncane engcupheni yokuthola omunye umdlavuza kamuva empilweni.

Imiphumela eminingi engenhla ingokomzimba. Kungaba nemiphumela engokomzwelo yesikhathi eside futhi. Ukubhekana nezinkinga zempilo, ukuvakashelwa okwengeziwe kwezokwelapha, noma ukukhathazeka okuza nomdlavuza kungaba yinselele yokuphila kwakho konke.

Imiphumela eminingi sekwephuzile ayinakuvinjelwa, kepha eminye ingalawulwa noma yelashwe.

Kunezinto ezithile ingane yakho engazenza ukusiza ukuvimbela ezinye izinkinga zempilo nokuthola izinkinga kusenesikhathi ezinjengalezi:

• Yidla ukudla okunempilo
• Ungabhemi
• Vocavoca umzimba njalo
• Gcina isisindo esinempilo
• Yiba nokuhlolwa okuvamile nokuhlolwa, kufaka phakathi inhliziyo namaphaphu

Ukubuka imiphumela esekupheleni kwesikhathi kuzoba yingxenye ebalulekile yokunakekelwa kwengane yakho iminyaka eminingi. I-Children’s Oncology Group (COG) idala imihlahlandlela yokulandelwa kwesikhathi eside ezinganeni nasebusheni abake baba nomdlavuza. Buza umhlinzeki wengane yakho ngemihlahlandlela. Landela lezi zinyathelo ezijwayelekile:

• Yenza ama-aphoyintimenti avamile wezivivinyo zomzimba nokuhlolwa.
• Gcina amarekhodi anemininingwane yokwelashwa kwengane yakho.
• Thola amakhophi ayo yonke imibiko yezokwelapha.
• Gcina uhlu lokuxhumana lwethimba lezokunakekelwa kwempilo yengane yakho.
• Buza umhlinzeki wengane yakho ukuthi yimiphi imiphumela esekupheleni kwesikhathi ingane yakho engafuna ukuyibheka ngokuya ngemithi yokwelashwa.
• Yabelana ngolwazi ngomdlavuza nabahlinzeki bakusasa.

Ukulandelelwa njalo nokunakekelwa kunikeza ingane yakho ithuba elihle lokululama nempilo enhle.

Umdlavuza wezingane - imiphumela yamuva

Iwebhusayithi yeAmerican Cancer Society. Imiphumela yamuva yokwelashwa komdlavuza wezingane. www.cancer.org/treatment/childrenandcancer/whenyourchildhascancer/children-diagnosed-with-cancer-late-effects-of-cancer-treatment. Kubuyekezwe ngo-Septhemba 18, 2017. Kufinyelelwe ngo-Okthoba 7, 2020.

Iwebhusayithi yeNational Cancer Institute. Izingane ezinomdlavuza: Umhlahlandlela wabazali. www.cancer.gov/publications/patient-education/abantwana-nomdlavuza.pdf. Kubuyekezwe uSepthemba 2015. Kufinyelelwe ngo-Okthoba 7, 2020.

Iwebhusayithi yeNational Cancer Institute. Imiphumela yamuva yokwelashwa komdlavuza wezingane (PDQ) - inguqulo yezobuchwepheshe yezempilo. www.cancer.gov/types/childhood-cancers/late-effects-hp-pdq#section/all. Kubuyekezwe u-Agasti 11, 2020. Kufinyelelwe ngo-Okthoba 7, 2020.

UVrooman L, uDiller L, uKenney LB. Ukusinda komdlavuza wezingane. Ku: Orkin SH, Fisher DE, Ginsburg D, Bheka AT, Lux SE, Nathan DG, eds. I-Hematology ne-Oncology kaNathan no-Oski ye-Infancy ne-Childhood. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 72.

• Umdlavuza Ezinganeni