Lapho ukwelashwa kwakho komdlavuza kuyeka ukusebenza

Ukwelashwa komdlavuza kungagcina umdlavuza ungasabalali futhi welaphe nomdlavuza osanda kuqala kubantu abaningi. Kodwa akuwona wonke umdlavuza ongelapheka. Kwesinye isikhathi, ukwelashwa kuyeka ukusebenza noma umdlavuza ufinyelela esigabeni lapho ungeke welashwe khona. Lokhu kubizwa ngomdlavuza osezingeni eliphezulu.

Lapho unomdlavuza osezingeni eliphezulu, ungena esigabeni esihlukile sempilo. Yisikhathi lapho uqala ukucabanga ngokuphela kwempilo. Lokhu akulula, kepha akusho ukuthi awunazo izinketho. Abanye abantu baphila iminyaka benomdlavuza osezingeni eliphezulu. Ukufunda ngomdlavuza osezingeni eliphezulu nokwazi izinketho zakho kungakusiza wenze izinqumo ezisebenza kangcono kuwe.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngokuthi umdlavuza osezingeni eliphakeme usho ukuthini kuwe. Abekho abantu ababili abafanayo. Thola ukuthi yiziphi izinketho zakho zokwelashwa, yini ongayilindela ekwelashweni, nokuthi ungaba yini umphumela. Ungahle ufune ukukhuluma ngalokhu nomndeni wakho, noma nibe nomhlangano womndeni nomhlinzeki wakho, ukuze nihlele kusengaphambili ndawonye.

Usengathola ukwelashwa lapho unomdlavuza osezingeni eliphezulu. Kepha izinhloso zizohluka. Esikhundleni sokuphulukisa umdlavuza, ukwelashwa kungasiza ekunciphiseni izimpawu nasekulawuleni umdlavuza. Lokhu kungakusiza ukhululeke ngangokunokwenzeka isikhathi eside ngangokunokwenzeka. Kungakusiza nokuthi uphile isikhathi eside.

Izinketho zakho zokwelashwa zingabandakanya:

• Ukwelashwa ngamakhemikhali (chemo)
• I-Immunotherapy
• Ukwelashwa okuhlosiwe
• Ukwelashwa kweHormone

Khuluma nomhlinzeki wakho ngezinketho zakho bese ulinganisa ubungozi nezinzuzo. Iningi lokwelashwa komdlavuza kunemiphumela emibi engathinta ikhwalithi yempilo yakho. Abanye abantu banquma ukuthi imiphumela emibi ayifanele inzuzo encane yokwelashwa. Abanye abantu bakhetha ukuqhubeka nokwelashwa isikhathi eside ngangokunokwenzeka. Lesi yisinqumo sakho ozodinga ukusenza kanye nomhlinzeki wakho.

Lapho ukwelashwa okujwayelekile kungasasebenzi kumdlavuza wakho, usenokukhetha okuthile mayelana nokuthi hlobo luni lokunakekelwa ongathanda ukuluthola. Ezinye izinketho zifaka:

• Ukuhlolwa kwemitholampilo. Lezi yizifundo zocwaningo ezibheka izindlela ezintsha zokwelapha umdlavuza. Kukhona izinzuzo nezingozi zokuba sesivivinyweni somtholampilo, futhi ngayinye inemithetho yokuthi ngubani ongabamba iqhaza. Uma unentshisekelo, buza umhlinzeki wakho mayelana nokuhlolwa kwemitholampilo ngohlobo lwakho lomdlavuza.
• Ukunakekelwa kwe-Palliative. Lokhu ukwelashwa okusiza ukuvimbela nokwelapha izimpawu nemiphumela emibi ebangelwa umdlavuza. Kungakusiza futhi ngezinkinga ezingokomzwelo nezingokomoya ngenkathi ubhekene nomdlavuza. Ukunakekelwa kwe-palliative kungasiza ekuthuthukiseni izinga lakho lempilo. Ungathola lolu hlobo lokunakekelwa kuzo zonke izigaba zokwelashwa komdlavuza.
• Ukunakekelwa kwabahlengikazi. Unganquma ukukhetha ukunakekelwa kwe-hospice uma ungasafuni ukwelashwa okusebenzayo komdlavuza wakho. Ukunakekelwa kwe-Hospice kuhlose ukuthuthukisa izimpawu zakho futhi kukusize uzizwe ukhululekile ezinyangeni zokugcina zokuphila.
• Ukunakekelwa kwasekhaya. Lokhu ukwelashwa ekhaya lakho esikhundleni sesibhedlela. Ungahle ukwazi ukuphatha ukunakekelwa kwakho futhi uthole imishini yezokwelapha oyidingayo ekhaya. Kungadingeka ukuthi ukhokhele ezinye izinsizakalo ngokwakho. Hlola ngohlelo lwakho lwezempilo ukubona ukuthi zimbozani.

Ungase ucabange ukuthi izimpawu zizoba zimbi kakhulu njengoba umdlavuza uqhubeka. Lokhu akuhlali kunjalo. Ungaba nezimpawu ezimbalwa noma ungabi nhlobo. Izimpawu ezivamile zifaka:

• Ubuhlungu
• Isicanucanu nokuhlanza
• Ukukhathala
• Ukukhathazeka
• Ukuphelelwa isifiso sokudla
• Izinkinga zokulala
• Ukuqunjelwa
• Ukudideka

Uma unanoma iyiphi yalezi zimpawu, kubalulekile ukutshela umhlinzeki wakho. Ungazibukeli phansi izimpawu. Kunezindlela eziningi zokwelapha ezingakusiza uzizwe ungcono. Akufanele ube ungakhululekile. Izimpawu zokudambisa zingakusiza ukuthi ujabulele impilo yakho ngokugcwele.

Njengomuntu onomdlavuza, kungenzeka ukuthi wezwa ukuthukuthela, ukuphika, ukudabuka, ukukhathazeka, usizi, ukwesaba, noma ukuzisola. Le mizwa ingase ibe namandla kakhulu manje. Kuyinto evamile ukuzwa imizwa ehlukahlukene. Ukuthi usebenza kanjani nemizwa yakho kukuwe. Nazi izinto ezingasiza.

• Thola ukwesekwa. Ukwabelana ngemizwa yakho nabanye kungasiza ukwenza imizwelo yakho izizwe ingaphansi kakhulu. Ungajoyina iqembu lokuxhasa abantu abanomdlavuza noma uhlangane nomeluleki noma ilungu labefundisi.
• Qhubeka wenze izinto ozijabulelayo. Hlela usuku lwakho ngendlela ojwayele ukwenza ngayo bese uzama ukwenza izinto ozijabulelayo. Ungathatha ikilasi ngokuthile okusha.
• Vumela uzizwe unethemba. Cabanga ngezinto nsuku zonke ongabheka phambili kuzo. Ngokuzizwa unethemba, ungathola ukwamukelwa, umuzwa wokuthula, nenduduzo.
• Khumbula ukuhleka. Ukuhleka kunganciphisa ukucindezeleka, kukusize uphumule, futhi kukuxhumanise nabanye. Bheka izindlela zokuletha amahlaya empilweni yakho. Bukela ama-movie ahlekisayo, funda iziqephu zamahlaya noma izincwadi ezihlekisayo, bese uzama ukubona amahlaya ezintweni ezizungezile.

Lesi yisihloko esinzima kubantu abaningi ukuba bacabange ngaso. Kepha ungazizwa ungcono ngokwazi ukuthi uthathe izinyathelo zokulungiselela ukuphela kwempilo, noma ngabe kusho ukuthini kuwe. Nazi ezinye izindlela ongafuna ukuhlela kusengaphambili:

• Dalaizinkomba kusengaphambili. Lawa amaphepha asemthethweni achaza uhlobo lokunakekelwa olufunayo noma ongafuni ukuba nalo. Ungakhetha futhi umuntu ozokuthathela izinqumo zezokwelapha uma ungakwazi ukuzenzela wena. Lokhu kubizwa ngokuthi ngummeleli wokunakekelwa kwezempilo. Ukwazi izifiso zakho kusengaphambili kungasiza wena nabathandekayo bakho ukuba ningakhathazeki kangako ngekusasa.
• Hlela izindaba zakho ngendlela. Kungumqondo omuhle ukudlula emaphepheni akho futhi uqiniseke ukuthi imibhalo ebalulekile ihlangene. Lokhu kufaka ifa lakho, ama-trust, amarekhodi omshuwalense nezitatimende zebhange. Zigcine ebhokisini lediphozi eliphephile noma kummeli wakho. Qiniseka ukuthi abantu abazophatha izindaba zakho bayazi ukuthi ikuphi le mibhalo.
• Chitha isikhathi nabantu obathandayo. Finyelela koshade naye, izingane zakini, izingane, noma abazukulu bese uzama ukwenza izinkumbulo ezihlala njalo. Ungahle uthande ukunikeza izinto ezinengqondo kulabo obathandayo.
• Shiya ifa. Abanye abantu bakhetha ukudala izindlela ezikhethekile zokugubha izimpilo zabo. Cabanga ukwenza i-scrapbook, ukwenza ubucwebe noma ubuciko, ukubhala izinkondlo, ukutshala ingadi, ukwenza ividiyo, noma ukubhala izinkumbulo zangaphambilini.

Akulula ukubhekana nokuphela kwempilo yakho. Noma kunjalo ukuhlala nsuku zonke nokusebenza ukujabulela impilo yakho nabantu abaseduze kwakho kungaletha umuzwa wokwaneliseka nokwaneliseka. Lokhu kungakusiza ukuthi usisebenzise ngokunenzuzo isikhathi onaso.

Iwebhusayithi yeAmerican Cancer Society. Ukuqonda umdlavuza osezingeni eliphakeme, umdlavuza we-metastatic, kanye ne-bone metastasis. www.cancer.org/content/cancer/en/treatment/understanding-your-diagnosis/advanced-cancer/what-is.html. Kubuyekezwe uSepthemba 10, 2020. Kufinyelelwe ngoNovemba 3, 2020.

Ummbila BW, Hahn E, Cherny NI. Umuthi wemisebe we-Palliative. Ku: Tepper JE, Foote RL, Michalski JM, eds. IGunderson neTepper’s Clinical Radiation Oncology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 17.

UNabati L, Abrahm JL. Ukunakekela iziguli ekugcineni kwempilo. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 51.

Iwebhusayithi yeNational Cancer Institute. Ukubhekana nomdlavuza ophambili. www.cancer.gov/publications/patient-education/cancercancer.pdf. Kubuyekezwe uJuni 2020. Kufinyelelwe ngoNovemba 3, 2020.

• Umdlavuza
• Izinkinga Zokugcina Zempilo