Ukubhekana nomdlavuza ongapheli

Kwesinye isikhathi umdlavuza awukwazi ukwelashwa ngokuphelele. Lokhu kusho ukuthi ayikho indlela yokuwususa ngokuphelele umdlavuza, kepha umdlavuza nawo kungenzeka ungathuthuki ngokushesha. Eminye imidlavuza ingenziwa ukuthi ihambe kodwa ibuye futhi yelashwe ngempumelelo futhi.

Kungenzeka ukulawula umdlavuza izinyanga noma iminyaka. Ukwenza kanjalo kudinga ukwelashwa okuqhubekayo ukusiza ukugcina umdlavuza ungathuthuki isikhathi eside ngangokunokwenzeka. Ngakho-ke, kuba njengokugula okungalapheki.

Izinhlobo ezithile zomdlavuza zihlala noma zingagulisa futhi zingasuki ngokuphelele:

• I-leukemia engapheli
• Ezinye izinhlobo ze-lymphoma
• Umdlavuza we-Ovarian
• Umdlavuza webele

Imvamisa, le mdlavuza isabalalele kwezinye izingxenye zomzimba (metastasized). Azikwazi ukwelashwa, kepha kaningi zilawulwa isikhathi esithile.

Uma unomdlavuza ongalapheki, kugxilwe ekuwugcineni ulawulwa, hhayi ukwelapha umdlavuza. Lokhu kusho ukugcina isimila singakhuli noma sisabalalele kwezinye izindawo. Ukwelashwa komdlavuza ongapheli nakho kungasiza ukuphatha izimpawu.

Lapho umdlavuza ungakhuli, ubizwa ngokuthi yi-remission noma unesifo esizinzile. Umhlinzeki wakho wezokunakekelwa kwempilo uzobhekisisa umdlavuza ukuze abheke noma yikuphi ukukhula. Ungadinga ukwelashwa okuqhubekayo ukusiza ukugcina umdlavuza ulawulwa. Lokhu kubizwa ngokuthi ukwelashwa kwesondlo.

Uma umdlavuza wakho uqala ukukhula noma ukusabalala, ungadinga ukwelashwa okwehlukile ukuzama ukuwenza unciphise noma uyeke ukukhula. Umdlavuza wakho ungadlula emizuliswaneni eminingana yokukhula nokuncipha. Noma umdlavuza wakho kungenzeka ungakhuli nhlobo iminyaka eminingi.

Njengoba umuntu ngamunye nomdlavuza ngamunye wehlukile, umhlinzeki wakho kungenzeka angakwazi ukukutshela kahle ukuthi umdlavuza wakho ungalawulwa isikhathi esingakanani.

I-Chemotherapy (chemo) noma i-immunotherapy ingasetshenziselwa umdlavuza ongapheli. Kunezinhlobo eziningi zemithi ongakhetha kuzo. Uma uhlobo olulodwa lungasebenzi, noma luyeka ukusebenza, umhlinzeki wakho angaphakamisa ukusebenzisa olunye.

Kwesinye isikhathi, umdlavuza ungamelana nayo yonke imishanguzo evunyelwe ukuyelapha. Uma lokhu kwenzeka, khuluma nomhlinzeki wakho mayelana nezinketho zakho. Ungahle uthande ukuzama olunye ukwelashwa, ujoyine isilingo somtholampilo, noma unganquma ukuyeka ukwelashwa.

Noma ngabe yikuphi ukwelashwa okutholayo, kubaluleke kakhulu ukulandela imiyalo yomhlinzeki wakho ngokuthatha umuthi. Ufike kuma-aphoyintimenti odokotela njengoba kuhlelwe. Uma uneminye imiphumela emibi, tshela umhlinzeki wakho. Kungaba nezindlela zokunciphisa imiphumela emibi. Ungayeki ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Akunamkhawulo wokuthi ungaqhubeka isikhathi esingakanani ukwelashwa komdlavuza ongapheli. Kuyisinqumo somuntu siqu okudingeka usenze ngosizo lomhlinzeki wakho nabathandekayo. Isinqumo sakho sincike ku:

• Uhlobo lomdlavuza onalo
• Iminyaka yakho
• Impilo yakho iyonke
• Uzizwa kanjani ngemuva kokwelashwa
• Ukwelashwa kusebenza kahle kangakanani ukulawula umdlavuza wakho
• Imiphumela emibi onayo ngokwelashwa

Uma uthatha isinqumo sokuyeka ukwelashwa okungasasebenzi, usengathola ukunakekelwa okunciphisayo noma ukunakekelwa kwe-hospice ukuze welaphe izimpawu zomdlavuza wakho. Lokhu ngeke kusize ukwelapha umdlavuza, kepha kungakusiza uzizwe ungcono kakhulu ngesikhathi osesele.

Akulula ukuhlala nomdlavuza owaziyo ukuthi ngeke uphele. Ungazizwa udabukile, uthukuthele, noma wesaba. Lezi ziphakamiso zingakusiza ukubhekana nalokhu:

• Yenza izinto ozijabulelayo. Lokhu kungafaka ukuyobona umculo noma itiyetha, ukuvakasha noma ukudoba. Noma ngabe yini, zinike isikhathi sokwenza.
• Jabulela okwamanje. Zama ukugxila ekujabuleleni okwamanje esikhundleni sokukhathazeka ngekusasa. Gxila ezintweni ezincane ezikulethela injabulo nsuku zonke, njengokuchitha isikhathi nomndeni, ukufunda incwadi enhle, noma ukuhamba ehlathini.
• Yabelana ngemizwa yakho. Ukwabelana ngemizwa yakho nabanye kungakusiza uzizwe ungcono. Ungakhuluma nelungu lomndeni eliseduze noma umngane, ujoyine iqembu lokusekela, noma uhlangane nomeluleki noma ilungu labefundisi.
• Dedela ukukhathazeka. Ukuzizwa ukhathazekile kuyinto ejwayelekile, kodwa zama ukungavumeli le micabango ukuthi ithathe izintambo. Vuma lokhu kwesaba bese uzijwayeza ukuziyeka.

Iwebhusayithi yeAmerican Cancer Society. Ukuphatha umdlavuza njengesifo esingelapheki. www.cancer.org/treatment/survivorship-during-and-after-treatment/when-cancer-doesnt-go-away.html. Kubuyekezwe ngoJanuwari 14, 2019. Kufinyelelwe ngo-Ephreli 8, 2020.

Iwebhusayithi ye-ASCO Cancer.net. Ukubhekana nomdlavuza we-metastatic. www.cancer.net/coping-with-cancer/managing-emotions/coping-with-metastatic-cancer. Kubuyekezwe ngoMashi 2019. Kufinyelelwe ngo-Ephreli 8, 2020.

Iwebhusayithi yeNational Cancer Institute. Lapho umdlavuza ubuya. www.cancer.gov/publications/patient-education/when-cancer-returns.pdf. Kubuyekezwe uFebhuwari 2019. Kufinyelelwe ngo-Ephreli 8, 2020.

U-Byrd JC. I-leukemia engapheli ye-lymphocytic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 174.

• Umdlavuza - Ukuphila Nomdlavuza