Ingabe Isikhumba Esilumayo Sikhombisa Umdlavuza?

-Delile

• Yimiphi imidlavuza engadala ukulunywa?
• Umdlavuza wesikhumba
• Umdlavuza wepancreatic
• I-Lymphoma
• I-Polycythemia vera
• Yikuphi ukwelashwa komdlavuza okubangela ukulunywa?
• Ezinye izizathu isikhumba sakho singaluma
• Lapho uzobona udokotela wakho
• Ukudla okudlela endlini

Isikhumba esilumayo, esaziwa ngokwezokwelapha njenge-pruritus, ukuzwa kokucasuka nokungahambi kahle okwenza ufune ukuklwebha. Ukulunywa kungaba uphawu lwezinhlobo ezithile zomdlavuza. Ukulunywa nakho kungaba ukusabela ekwelashweni okuthile komdlavuza.

Yimiphi imidlavuza engadala ukulunywa?

Abantu abangaphezu kwe-16,000 kuJohns Hopkins Health System bakhombise ukuthi iziguli ezinokulunywa okujwayelekile zinamathuba amaningi okuba nomdlavuza kuneziguli ezingakubonanga ukulunywa. Izinhlobo zomdlavuza ezazivame ukuhlotshaniswa nokulunywa zifakiwe:

• umdlavuza ohlobene negazi, njenge-leukemia ne-lymphoma
• umdlavuza we-bile duct
• umdlavuza we-gallbladder
• umdlavuza wesibindi
• umdlavuza wesikhumba

Umdlavuza wesikhumba

Imvamisa, umdlavuza wesikhumba ukhonjwa ngendawo entsha noma eguqukayo esikhunjeni. Kwezinye izimo, ukulunywa kungaba yisizathu sokuthi indawo ibonwe.

Umdlavuza wepancreatic

Labo abanomdlavuza we-pancreatic bangase balume. Ukulunywa, noma kunjalo, akusona isibonakaliso esiqondile somdlavuza. I-jaundice ingahle ikhule njengomphumela wesimila esivimba i-bile duct namakhemikhali akwi-bile angangena esikhunjeni futhi abangele ukulunywa.

I-Lymphoma

Ukulunywa kuyimpawu ejwayelekile yesikhumba lymphoma, T-cell lymphoma, neHodgkin's lymphoma. Ukulunywa akuvamile kakhulu ezinhlotsheni eziningi ze-non-Hodgkin's lymphoma. Ukulunywa kungadalwa amakhemikhali akhishwe amasosha omzimba ekuphenduleni amaseli e-lymphoma.

I-Polycythemia vera

Ku-polycythemia vera, omunye womdlavuza wegazi okhula kancane eqenjini elaziwa ngokuthi ama-myeloproliferative neoplasms, ukulunywa kungaba uphawu. Ukulunywa kungabonakala ikakhulukazi ngemuva kweshawa esishisayo noma ukugeza.

Yikuphi ukwelashwa komdlavuza okubangela ukulunywa?

Ukulunywa ngenxa yokwelashwa komdlavuza kungaba ukusabela okweqile. Kukhona futhi ukwelashwa komdlavuza okuhambisana nokulunywa kwesikhathi eside, kufaka phakathi:

• ukwelashwa ngamakhemikhali
• ukwelashwa ngemisebe
• i-bortezomib (Velcade)
• i-brentuximab vedotin (Adcetris)
• ibrutinib (Imbruvica)
• ama-interferon
• interleukin-2
• i-rituximab (Rituxan, MabThera)

Ukulunywa nakho kungabangelwa ukwelashwa kwehomoni komdlavuza webele, njenge:

• i-anastrozole (i-Arimidex)
• i-exemestane (i-Aromasin)
• i-fulvestrant (Faslodex)
• i-letrozole (Femara)
• i-raloxifene (Evista)
• i-toremifene (Fareston)
• i-tamoxifen (Soltamox)

Ezinye izizathu isikhumba sakho singaluma

Ukuthi ukulunywa kwesikhumba sakho akusho ukuthi unomdlavuza. Kungenzeka ukuthi i-pruritus yakho ibangelwe okuthile okuvame kakhulu njenge:

• ukusabela okweqile
• i-atopic dermatitis, eyaziwa nangokuthi i-eczema
• isikhumba esomile
• ukulunywa yizinambuzane

Kukhona nezimo ezingaphansi ezingadala ukulunywa, kufaka phakathi:

• isifo sikashukela
• I-HIV
• ukushoda kwe-iron anemia
• isifo sesibindi
• isifo sezinso
• indlala yegilo esebenzayo
• amasongo

Lapho uzobona udokotela wakho

Uma ucabanga ukuthi ukulunywa kungaba wuphawu lomdlavuza, xhumana nodokotela wakho ukuze bakwazi ukubheka ukuxilongwa. Xhumana nodokotela wakho oyinhloko noma i-oncologist uma:

• ukulunywa kwakho kuhlala isikhathi esingaphezu kwezinsuku ezimbili
• umchamo wakho umnyama njengombala wetiye
• isikhumba sakho siphenduka siphuzi
• unwaya isikhumba sakho size sivuleke noma sopha
• unokuqubuka okuba kubi ngokusetshenziswa kwamafutha noma okhilimu
• isikhumba sakho sibomvu ngokugqamile noma sinamabhamuza noma ama-crust
• une-pus noma i-drainage evela esikhunjeni ngephunga elingathandeki
• awukwazi ukulala ubusuku bonke ngenxa yokulunywa
• unezimpawu zokuphendula okweqile okunjengokuphefumula, isifuba noma ukuvuvukala kobuso noma umphimbo

Ukudla okudlela endlini

Ziningi izimbangela zokulunywa. Kwezinye izimo, kungaba uphawu lwezinhlobo ezithile zomdlavuza noma ukwelashwa komdlavuza.

Uma unomdlavuza futhi uzwa ukulunywa okungavamile, bheka udokotela wakho ukuze aqiniseke ukuthi akuyona inkomba yenkinga enkulu. Udokotela wakho angakusiza unqume imbangela ethile futhi akunikeze neziphakamiso ezithile mayelana nokunciphisa ukulunywa.

Uma ungenakho ukuxilongwa komdlavuza futhi uhlangabezana nokulunywa okungajwayelekile, okuphikelelayo, udokotela wakho kufanele akwazi ukukhomba imbangela futhi ancome izindlela zokukuqeda.