Ngazi Kanjani Uma Ukwelashwa Kwami Kwemdlavuza Webele Okuthuthukile Kuyasebenza?

-Delile

• Ziyini izimpawu zomdlavuza we-metastatic?
• Sizogcina kanjani amathebhu ekwelashweni?
• Ukuhlolwa kwegazi
• Ukuhlola ukuhlolwa
• Okunye ukuhlolwa
• Ukunquma ngezinyathelo ezilandelayo

Ukwazi ukuthi ukwelashwa kwakho kwamanje kwelapha kwenza konke okusemandleni ukushaya umdlavuza wakho webele, kulungile, kunzima ukusho okuncane. Nazi izinto okufanele ucabange ngazo noma uzicabangele.

Ziyini izimpawu zomdlavuza we-metastatic?

Akulula ngaso sonke isikhathi ukusho uma umdlavuza uqhubeka, naphezu kokwelashwa. Lokho kungenxa yokuthi akuhlali kubangela izimpawu ezintsha ngaso leso sikhathi.

Ezinye izimpawu ezijwayelekile zomdlavuza webele we-metastasis yilezi:

• ukukhathala
• ukulahlekelwa isifiso sokudla
• ukuba ndikindiki
• ubuthakathaka
• ukuncipha komzimba

Okubangela izinkinga ukuthi ezinye zalezo zimpawu zingaba nemiphumela emibi yezokwelapha ezinjenge:

• ukwelashwa ngamakhemikhali
• ukwelashwa kwamahomoni
• ukwelashwa okubhekiswe
• imisebe

Umdlavuza webele ungasakazeka noma kuphi emzimbeni. Amasayithi angamathambo, ubuchopho, isibindi namaphaphu. Izimpawu onazo zizoya ngokuthi umdlavuza usabalale kuphi nokuthi izimila zikhulu kangakanani.

Uma unenkinga yokuchama, ngokwesibonelo, kungasho ukuthi isimila sincipha izinzwa emhlane wakho. Nazi ezinye izimpawu ze-metastasis entsha ngesayithi:

• Ithambo: Ungahle ube nobuhlungu obuqhubekayo noma obufiphele emathanjeni nasemalungeni akho. Kungaba nokuvuvukala okuthile. Ukuqhekeka kwamathambo nokucindezelwa komgogodla nakho kuyizimpawu zamathambo e-metastasis.

Lapho amathambo elinyazwa umdlavuza, angakhipha i-calcium egazini lakho. Lokhu kwaziwa njenge-hypercalcemia. Ezinye izimpawu ze-hypercalcemia yisicanucanu, ukuqunjelwa, ukoma, ukucasuka, ubuthongo nokudideka.

• Ubuchopho: Izimpawu zingafaka ikhanda, isiyezi, izinkinga zokubona, ukulahlekelwa ibhalansi, isicanucanu, noma ukuhlanza. Kungaba nezinguquko ebuntwini noma ekuziphatheni, ekudidekeni, noma nasekuqulekeni.
• Isibindi: Ubuhlungu besisu, ikakhulukazi ngakwesokunene sakho, kungasho ukuthi umdlavuza usufinyelele esibindini sakho. Ezinye izinkomba ukuqunjelwa esiswini, ukungathandi ukudla, isicanucanu, ukuhlanza, isikhumba esilumayo, ukuqubuka kanye ne-jaundice, okubangela ukuphuka kwesikhumba noma kwamehlo akho.
• Amaphaphu: Ukuphefumula, ukukhwehlela okungapheli, ukukhwehlela igazi, ubuhlungu besifuba, noma ukutheleleka okungapheli kwesifuba kungaba ngenxa yamathumba emaphashini akho.

Bika udokotela wakho lezi kanye nezinye izimpawu ngokushesha.

Sizogcina kanjani amathebhu ekwelashweni?

Ngezinye izindlela zokwelashwa, uyazi ngokushesha ukuthi ziyahluleka. Kungathatha izinyanga ukuhlola abanye. Emdlavuzeni webele osezingeni eliphakeme, ukwelashwa okusebenze kahle isikhathi esithile kungazelelwe kungasebenzi.

Yingakho wena nethimba lakho le-oncology nobabili nidlala indima ebalulekile ekuhloleni ukusebenza kokwelapha kwakho.

Indima yakho ukulandela imihlahlandlela yokwelashwa futhi ugcine udokotela wakho esesikhathini ngezimpawu ezintsha noma eziya ziba zimbi. Uma unanoma ikuphi ukukhathazeka nhlobo - noma ngabe ucabanga ukuthi bancane - musa ukubalahla. Ukukhulumisana okuhle kuyisihluthulelo.

Ngenkathi ukwelashwa, udokotela wakho uzoqapha izimpawu nezimpawu, enze izivivinyo zomzimba, bese enza izivivinyo ezimbalwa. Ukuthi uvame ukubonwa futhi uvivinywe kangakanani kuzoya ngezindawo zemetastasis eyaziwayo nohlobo lokwelashwa olutholayo.

Uma kusolwa i-metastasis entsha, kunezivivinyo eziningi zokusiza ukuthola ukuthi ngabe kunjalo. Phakathi kwazo kukhona:

Ukuhlolwa kwegazi

Ukuhlolwa kwegazi kuvame ukusetshenziselwa ukuqapha ukwelashwa. Izimpawu zesimila egazini lakho zingabonisa ukuqhubekela phambili kwezifo futhi zisize ekwenzeni izinqumo zokwelashwa.

Ukuhlolwa kwamakhemikhali egazi kunganikeza udokotela wakho umbono uma izitho ezithile zisebenza kahle, futhi zingalinganisa:

• amazinga e-enzyme yesibindi, kufaka phakathi i-bilirubin, ukuhlola ukusebenza kwesibindi
• potassium, i-chloride, ne-urea nitrogen amazinga wokuhlola ukusebenza kwesibindi nezinso
• amazinga e-calcium ukuhlola impilo yamathambo nezinso

Uma imiphumela yamakhemikhali egazi ingabazeka, ukuhlolwa kwe-imaging kungasiza ekutholeni ukuthi umdlavuza ususabalele endaweni entsha yini.

Ukuhlola ukuhlolwa

• Ukuskena kwe-CT noma ukuskena kwe-MRI: Izikrini zekhanda lakho, isifuba, isisu, noma i-pelvis zingasiza ekuboneni umdlavuza osakaze ebuchosheni bakho, emaphashini noma esibindi. Bangakwazi futhi ukuthola umdlavuza emgogodleni wakho.
• I-X-ray: Lokhu kuhlolwa kwe-imaging okulula kunganikeza udokotela wakho ukubhekisisa amathambo athile, isifuba sakho, noma isisu sakho.
• Ukuskena kwamathambo: Uma uhlangabezana nobuhlungu bethambo ezindaweni eziningi, ukuskena kwamathambo okugcwele kuyindlela enhle yokubona ukuthi umdlavuza ususabalele amathambo noma kuphi emzimbeni wakho.
• Ukuskena kwe-PET: Lokhu kuhlolwa kuhle ekutholeni umdlavuza osudlulele kuma-lymph node nakwezinye izingxenye zomzimba wakho.

Okunye ukuhlolwa

• I-Bronchoscopy: Le yinqubo lapho kufakwa khona insimbi encane ebizwa nge-bronchoscope ezansi nomphimbo wakho nasemaphashini akho. Ithuluzi linekhamera encane ekugcineni ukuze udokotela wakho abheke izimpawu zomdlavuza.
• I-Biopsy: Isampula lezicubu ezisolisayo lingahlaziywa ngaphansi kwesibonakhulu ukuthola ukuthi linomdlavuza yini.

Ukunquma ngezinyathelo ezilandelayo

Izinhloso eziyinhloko zokwelashwa komdlavuza webele okuthuthukile ukwengeza impilo nokugcina izimpawu zilawulwa. Uma ukwelashwa kwakho kwamanje kusebenza, ungaqhubeka nakho unomphela.

Uma ukwelashwa kwakho kwamanje kungasebenzi, asikho isizathu sokuqhubeka. Khuluma nodokotela wakho mayelana nokuthi yiziphi ezinye izindlela zokwelashwa ezingafaneleka. Gcina la maphuzu engqondweni:

• imigomo yakho yokwelashwa
• ukuthi kungenziwa kanjani okunye ukwelashwa ukuthi kusebenze
• ukuthi ukwelashwa kuzokwenziwa kanjani futhi kubhekwe kanjani - nokuthi konke lokho kufanelana kanjani nempilo yakho
• ibhalansi yezinzuzo ezingaba khona emiphumeleni emibi engaba khona
• ukuthi imiphumela emibi ingaphathwa kanjani ngempumelelo
• impilo yakho yonke

Ungase futhi ufune ukuxoxa ngokuthi kungenzeka yini ukungena esivivinyweni somtholampilo somdlavuza webele osezingeni eliphakeme. Uma uhlangabezana nezimfuneko zokufaneleka, ungahle ube nokufinyelela ekwelashweni okusha nokuhlola udokotela wakho angakwazi ukukuhlinzeka.

Buza imibuzo futhi wenze izifiso zakho zaziwe.

Lapho usuzame zonke izindlela zokwelashwa kanti umdlavuza wakho usaqhubeka, unganquma ukuyeka ukwelapha umdlavuza.

Uma lokho kungukukhetha kwakho, usengathola ukunakekelwa okunciphisayo. Lokho kungafaka ukuphathwa kobuhlungu, kanye nosizo ngezinye izimpawu. Udokotela wakho angakunikeza imininingwane eyengeziwe ngezinhlelo zokunakekelwa kwezempilo ekhaya kanye nezinhlelo zokunakekela abagulayo ukuze akusize wena nomndeni wakho nibhekane nakho.