I-Metastatic Breast Cancer: Ukuqonda Izimpawu

-Delile

• Yini i-metastasis?
• Ziyini izimpawu?
• Izimpawu ze-metastasis
• I-Hospice noma ukunakekelwa okunciphisayo
• Ukukhathala
• Ubuhlungu
• Ukwehla kwesifiso sokudla nokuncipha
• Ukwesaba nokukhathazeka
• Eminye imiphumela emibi
• Ukuphatha izimpawu nokunakekelwa
• Ukuphefumula
• Ukudla
• Imithi
• Ukukhuluma nodokotela wakho

Uyini umdlavuza webele we-metastatic?

Umdlavuza webele we-Metastatic wenzeka lapho umdlavuza owaqala ebeleni usakazekela kwenye ingxenye yomzimba. Kuyaziwa nangokuthi umdlavuza webele wesigaba 4. Alikho ikhambi lomdlavuza webele we-metastatic, kepha lingelashwa isikhathi esithile.

Isibikezelo somdlavuza webele we-metastatic kanye nobude besikhathi phakathi kwesigaba 4 sokuxilongwa kanye nokuqala kwezimpawu zokuphela kokuphila kuyahluka kakhulu phakathi kwabantu abanalolu hlobo lomdlavuza.

Ucwaningo luphakamisa ukuthi cishe amaphesenti angama-27 abantu abatholakala benomdlavuza webele we-metastatic baphila okungenani iminyaka emihlanu ngemuva kokutholakala kwabo.

Kukhona labo abaphila isikhathi eside kakhulu. Ukwelashwa okusha kusiza ukunweba izimpilo futhi kuthuthukise ikhwalithi yempilo yabantu abanomdlavuza webele we-metastatic.

Akunandaba ukuthi unasiphi isigaba somdlavuza, kubalulekile ukwaziswa. Lokhu kuzokunikeza umbono ongcono walokho okuzayo.

Yini i-metastasis?

I-Metastasis yenzeka lapho umdlavuza usakazeka usuka lapho uqale khona kwenye ingxenye yomzimba. Uma umdlavuza webele usakazeka ngaphesheya kwesifuba, uvame ukuvela kwenye yezindawo ezilandelayo:

• amathambo
• ubuchopho
• amaphaphu
• isibindi

Uma umdlavuza uvalelwe ebeleni, imvamisa awusongeli impilo. Uma isisakazekile, kuba nzima ukwelashwa. Yingakho ukuxilongwa nokwelashwa komdlavuza webele kusenesikhathi kubaluleke kangaka.

Yilapho umdlavuza usakazekela kolunye uhlangothi lomzimba lapho kutholakala ukuthi lesi sifo siyi-metastatic.

Ukwelashwa okuphumelelayo komdlavuza webele kungaqeda umdlavuza ngokuphelele emzimbeni. Kodwa-ke, umdlavuza ungabuya esifubeni noma kwezinye izingxenye zomzimba.Lokhu kungenzeka izinyanga emva kweminyaka.

Ziyini izimpawu?

Esigabeni sayo sokuqala, ngokuvamile azikho izimpawu ezisobala zomdlavuza webele. Uma nje izimpawu sezivele, zingafaka isigaxa esizwakala esifubeni noma ngaphansi kwekhwapha.

Umdlavuza webele wokuvuvukala ungaveza ngokubomvu nokuvuvukala. Isikhumba singaphanjaniswa, sifudumele uma usithinta, noma zombili.

Uma kutholakala ngokuhamba kwesikhathi, izimpawu zesifuba zingabandakanya isigaxa, kanye nokukodwa noma ngaphezulu kokulandelayo:

• izinguquko zesikhumba, njengokuncipha noma izilonda
• Ukukhishwa kwengono
• ukuvuvukala kwesifuba noma kwengalo
• ama-lymph node amakhulu, aqinile futhi athintekayo ngaphansi kwengalo yakho noma entanyeni yakho
• ubuhlungu noma ukungaphatheki kahle

Ungase futhi ubone umehluko obonakalayo ekumeni kwesifuba esithintekile.

Izimpawu zesigaba sesine esithuthukile zingafaka futhi:

• ukukhathala
• ubunzima bokulala
• ubunzima bokugaya
• ukuphelelwa umoya
• ubuhlungu
• ukukhathazeka
• ukudana

Izimpawu ze-metastasis

Ubunzima bokubamba umoya wakho bungakhombisa ukuthi umdlavuza wakho webele kungenzeka usakazekele emaphashini akho. Kungokufanayo nangezimpawu ezifana nobuhlungu besifuba nokukhwehlela okungamahlalakhona.

Umdlavuza webele osabalele emathanjeni ungenza amathambo abe ntekenteke futhi aphuke kalula. Ubuhlungu buvamile.

Uma umdlavuza wakho webele ususakaze esibindini sakho, ungahlangabezana:

• ukuphuzi kwesikhumba, okubizwa nge-jaundice
• ukusebenza kwesibindi okungavamile
• ubuhlungu besisu
• isikhumba esilumayo

Uma umdlavuza webele ugcizelela ebuchosheni, izimpawu zingafaka ikhanda elibuhlungu nokuhlaselwa okungenzeka, kanye noku:

• izinguquko zokuziphatha
• izinkinga zokubona
• isicanucanu
• ukuhamba kanzima noma ukulinganisa

I-Hospice noma ukunakekelwa okunciphisayo

Uma izinketho eziningi zokwelashwa komdlavuza webele we-metastatic ziyeka ukusebenza noma uthatha isinqumo sokuyeka ukwelashwa kwekhwalithi yempilo noma ezinye izizathu, udokotela wakho angaphakamisa ukuthi udlulisele enkulisa noma ekunakekelweni okunciphisayo.

Lokhu kuvame ukwenzeka lapho wena nodokotela wakho ninquma ukuyeka ukwelashwa okuqondiswe ngumdlavuza bese nigxila ekunakekelweni kwenu ekulawuleni izimpawu, ukunethezeka, kanye nekhwalithi yempilo.

Kuleli qophelo, iqembu le-hospice lizokunikeza ukunakekelwa kwakho. Leli qembu livame ukufaka:

• odokotela
• abahlengikazi
• abasebenzi bezenhlalakahle
• izinkonzo zomfundisi

Eminye imiphumela emibi engahle yenzeke ngesikhathi sokwelashwa noma uma uthathe isinqumo sokuyeka ukwelashwa ingafaka:

Ukukhathala

Ukukhathala kungumphumela ojwayelekile wezindlela zokwelashwa ezisetshenziselwa umdlavuza webele we-metastatic, kanye nophawu lomdlavuza osusele emuva kwesikhathi. Kungazwakala sengathi alikho inani lokulala elingabuyisa amandla akho.

Ubuhlungu

Ubuhlungu buyisikhalazo esivamile phakathi kwabantu abanomdlavuza webele we-metastatic. Bhekisisa ubuhlungu bakho. Uma ukwazi kangcono ukuyichaza kudokotela wakho, kuba lula ukuthi bakusize ekutholeni ukwelashwa okuphumelela kakhulu.

Ukwehla kwesifiso sokudla nokuncipha

Ungase futhi ulahlekelwe ukudla futhi ulahlekelwe isisindo. Njengoba umzimba wakho uncipha, kudinga ukudla okuncane. Ungahle ube nobunzima bokugwinya, okungenza kube nzima ukudla nokuphuza.

Ukwesaba nokukhathazeka

Lesi kungaba yisikhathi sokukhathazeka okukhulu nokwesaba okungaziwa. Abanye abantu bangathola induduzo esiqondisweni esingokomoya ngalesi sikhathi. Ukuzindla, izinkonzo zomfundisi, kanye nomthandazo kungasiza ngokuya ngezinkolelo zakho ezingokomoya noma ezenkolo.

Eminye imiphumela emibi

Inkinga yokugwinya ingaholela ezinkingeni zokuphefumula ekugcineni kwempilo. Ukuphefumula okuncane nakho kungakhula kusuka ekwakhiweni kwamafinyila emaphashini noma ezinye izinkinga zokuphefumula ezihlobene nomdlavuza webele.

Ukuphatha izimpawu nokunakekelwa

Wena nethimba lakho lezokunakekelwa kwempilo ningasebenzisana ukuphatha izimpawu. Ezinye izinto, njengokushintsha kwendlela yokuphila, zingenziwa ekhaya ngosizo lwabathandekayo, kanti ezinye zingadinga izeluleko nodokotela.

Khuluma nodokotela wakho ngezindlela ezingcono kakhulu zokunciphisa izimpawu nokuthuthukisa ikhwalithi yakho yokuphila.

Ukuguqulwa okuthile kwemvelo yakho kanye nemisebenzi yansuku zonke kungenza ukuhlala nezimpawu zomdlavuza we-metastatic kulawuleke kakhulu.

Ukuphefumula

Ezimweni eziningi, ubunzima bokuphefumula bungalawulwa. Ukuphakamisa imicamelo ukuze ukwazi ukulala nekhanda lakho liphakanyiswe kancane kungenza umehluko omkhulu. Ukuqinisekisa ukuthi igumbi lakho lipholile futhi aligcwele kungasiza.

Khuluma nodokotela wakho noma uchwepheshe wokuphefumula ngamasu okuphefumula angakusiza uphefumule kalula futhi akusize uphumule. Kwezinye izimo, ungadinga i-oxygen eyengeziwe.

Ukudla

Kungase kudingeke nokuthi ulungise indlela odla ngayo. Ungaba nesifiso esincishisiwe futhi ushintsho ezinzwa zakho zokuhogela nokunambitha nakho kungakwenza ungabi nentshisekelo ekudleni.

Zama ukuzama ukudla okwehlukile noma ungeze ukudla kwakho ngeziphuzo zamaprotheni ezinama-calories aphezulu. Lokhu kungakusiza ukuthi wenze ibhalansi phakathi kwesifiso esincane nokugcina amandla namandla anele ukuze uqede usuku.

Imithi

Udokotela wakho angakunikeza imithi yokudambisa noma yibuphi ubuhlungu noma ukukhathazeka.

Imithi ye-opioid ivame ukuhlinzekwa ngobuhlungu ngezindlela ezahlukahlukene:

• ngomlomo
• ngokusebenzisa isichibi sesikhumba
• ngokusebenzisa i-suppal rectal
• ngemithambo yegazi

Iphampu yemithi yezinhlungu kwesinye isikhathi iyadingeka ukuphatha amazinga afanele emithi.

Ama-opioid angadala ukozela okukhulu. Lokhu kungaphazamisa isimiso sokulala esivele sonakalisiwe. Uma ukukhathala nezinkinga zokulala zithinta ikhwalithi yakho yempilo, izixazululo ezinjengokulungisa uhlelo lwakho lokulala noma ngisho nalapho ulala khona kungasiza.

Ukukhuluma nodokotela wakho

Odokotela namanye amalungu eqembu lakho lokunakekelwa kwezempilo bangakwazi ukuphatha kangcono ukunakekelwa kwakho uma ubika izimpawu zakho, ukukhathazeka, nokuthi yini okungasebenzi noma okungasebenzi.

Ukuxhuma nabanye nokwabelana ngokuhlangenwe nakho kwakho nokukhathazeka kwakho nakho kungaba ukwelashwa.

Thola ukwesekwa kwabanye abaphila nomdlavuza webele ngokulanda uhlelo lokusebenza lwamahhala lwe-Healthline.