Izingozi ezi-5 zokumisa ukwelashwa okuningi kwe-Myeloma

-Delile

• 1. Kunganciphisa impilo yakho
• 2. Umdlavuza wakho kungenzeka ucashe
• 3. Ungahle uzibe izinketho ezinhle
• 4. Ungaba nezimpawu ezingakhululekile
• 5. Izimo zakho zokusinda zithuthuke kakhulu
• Ukudla okudlela endlini

I-myeloma eminingi ibangela umzimba wakho ukuba wenze amangqamuzana amaningi e-plasma angajwayelekile emnkantsheni wakho wethambo. Amaseli e-plasma aphilile alwa nezifo. Ku-myeloma eminingi, lawa maseli angajwayelekile akhiqiza ngokushesha okukhulu futhi akha izicubu ezibizwa ngokuthi ama-plasmacytomas.

Umgomo wokwelashwa okuningi kwe-myeloma ukubulala amangqamuzana angajwayelekile ukuze amangqamuzana egazi aphilile abe nendawo eyengeziwe yokukhula emnkantsheni wethambo. Ukwelashwa okuningi kwe-myeloma kungabandakanya:

• imisebe
• ukuhlinzwa
• ukwelashwa ngamakhemikhali
• ukwelashwa okubhekiswe
• ukufakelwa kwe-stem cell

Ukwelashwa kokuqala ozokuthola kubizwa ngokuthi yi-induction therapy. Kwenzelwe ukubulala amangqamuzana omdlavuza amaningi ngangokunokwenzeka. Kamuva, uzothola ukwelashwa kwesondlo ukunqanda umdlavuza ukuthi ungakhuli futhi.

Konke lokhu kwelashwa kungaba nemiphumela engemihle. I-Chemotherapy ingadala ukulahleka kwezinwele, isicanucanu nokuhlanza. Imisebe ingaholela esikhunjeni esibomvu, esinamabala. Ukwelashwa okuhlosiwe kunganciphisa inani lamaseli amhlophe egazi emzimbeni, okudala ingozi yokwanda kwezifo.

Uma unemiphumela engemihle ekwelashweni kwakho noma ungacabangi ukuthi iyasebenza, musa ukuyeka nje ukuyithatha. Ukuyeka ukwelashwa ngaphambi kwesikhathi kungadala izingozi zangempela. Nazi izingozi ezinhlanu zokumisa ukwelashwa okuningi kwe-myeloma.

1. Kunganciphisa impilo yakho

Ukwelapha i-myeloma eminingi kudinga ukwelashwa okuningi. Ngemuva kwesigaba sokuqala sokwelashwa, abantu abaningi bazoqhubeka nokwelashwa kwesondlo, okungahlala iminyaka.

Ukuhlala ekwelashweni isikhathi eside kunezinkinga zako. Lokhu kufaka imiphumela emibi, ukuhlolwa okuphindaphindiwe, nokuhambisana nenqubo yemithi. Okucacayo ukuthi ukuhlala ekwelashweni kungakusiza uphile isikhathi eside.

2. Umdlavuza wakho kungenzeka ucashe

Noma uzizwa umuhle, ungahle ube namaseli omdlavuza ambalwa adukile emzimbeni wakho. Abantu abaneseli elingaphansi kwesisodwa se-myeloma kuzo zonke izingqamuzana eziyizigidi emnkantsheni wabo wethambo kuthiwa banezifo ezisasele (MRD).

Ngenkathi eyodwa esigidini ingahle ingazwakali ithusa, ngisho neseli elilodwa linganda futhi lakhe amanye amaningi uma linikezwa isikhathi esanele. Udokotela wakho uzohlolela i-MRD ngokuthatha isampula yegazi noma uketshezi kusuka emnkantsheni wakho wethambo bese ulinganisa inani lamaseli amaningi e-myeloma kuwo.

Ukubalwa okuvamile kwamaseli akho e-myeloma amaningi kunganikeza udokotela wakho umbono wokuthi ukuthethelelwa kwakho kungahlala isikhathi esingakanani, nokuthi ungaphinda ubuye nini. Ukuhlolwa njalo ezinyangeni ezintathu noma ngaphezulu kuzosiza ukubamba noma yimaphi amangqamuzana omdlavuza aphambukayo futhi uwelaphe ngaphambi kokuba ande.

3. Ungahle uzibe izinketho ezinhle

Kunezindlela ezingaphezu kweyodwa zokwelapha i-myeloma eminingi, nodokotela abangaphezu koyedwa abakhona ukukuqondisa ekwelashweni. Uma ungeneme ngethimba lakho lokwelashwa noma umuthi owuphuzayo, funa umbono wesibili noma ubuze ngokuzama omunye umuthi.

Noma umdlavuza wakho ubuya ngemuva kokwelashwa kwakho kokuqala, kungenzeka ukuthi olunye ukwelashwa luzosiza ukunciphisa noma ukunciphisa umdlavuza wakho. Ngokuyeka ukwelashwa, udlulisa ithuba lokuthola umuthi noma indlela ezogcina ibeke umdlavuza wakho ekuphumuleni.

4. Ungaba nezimpawu ezingakhululekile

Lapho umdlavuza ukhula, ungena ungene kwezinye izitho nezicubu emzimbeni wakho. Lokhu kuhlasela kungadala izimpawu zomzimba wonke.

I-myeloma eminingi ilimaza umnkantsha, okuyindawo enesiponji ngaphakathi kwamathambo lapho kwenziwa khona amaseli egazi. Njengoba umdlavuza ukhula ngaphakathi komnkantsha wamathambo, ungawenza buthaka amathambo aze afike lapho ephuka khona. Ukwephuka kungaba buhlungu ngokweqile.

I-myeloma eminingi engalawulwa ingaholela nasezimpawu ezifana nalezi:

• ingozi eyengeziwe yokutheleleka kusukela ekubalweni kwamaseli amhlophe egazi
• ukuphefumula okuncane okuvela ku-anemia
• ukulimaza okungathi sína noma ukopha emaplateletsini aphansi
• ukoma ngokweqile, ukuqunjelwa, nokuchama njalo kusuka emazingeni aphezulu e-calcium egazini
• ubuthakathaka nokuba ndikindiki ngenxa yomonakalo wezinzwa obangelwe ngamathambo awele emgogodleni

Ngokunciphisa umdlavuza, uzonciphisa ingozi yokuba nezimpawu. Noma ukwelashwa kwakho kungasavimbeli noma kumise umdlavuza wakho, kungasiza ukuphatha imiphumela engemihle futhi kukugcine ukhululekile. Ukwelashwa okuhlose ukukhululeka kwezimpawu kubizwa ngokuthi ukunakekelwa kwe-palliative.

5. Izimo zakho zokusinda zithuthuke kakhulu

Kuyaqondakala kuwe ukuthi uphele amandla ngokwelashwa kwakho noma ngemiphumela yako emibi. Kepha uma ungakwazi ukulenga lapho, amathuba akho okusinda ku-myeloma amaningi angcono kunangaphambili.

Emuva ngawo-1990, isilinganiso seminyaka emihlanu sokusinda komuntu okutholwe ukuthi une-myeloma eminingi kwakungamaphesenti angama-30. Namuhla, ingaphezu kwamaphesenti angama-50. Kubantu abatholakala kusenesikhathi, kungaphezu kwamaphesenti angama-70.

Ukudla okudlela endlini

Ukwelapha umdlavuza akulula neze. Kuzofanele uhambe ngokuvakashelwa kaningi, ukuhlolwa, kanye nokwelashwa. Lokhu kungahlala iminyaka. Kodwa uma unamathela ekwelashweni kwakho isikhathi eside, amathuba akho okulawula noma ukushaya umdlavuza wakho angcono kunangaphambili.

Uma ulwela ukuhlala nohlelo lwakho lokwelashwa, khuluma nodokotela wakho namanye amalungu eqembu lakho lezokwelapha. Kungaba nemithi yokusiza ukuphatha imiphumela yakho emibi noma amakhambi ongazama ukuthi kube lula kuwe ukubekezelela.