Isigaba 4 Ukuphindaphindeka Komdlavuza Webele Nokuxolelwa

-Delile

• Ukuthethelelwa nokuphindeka
• Lapho umdlavuza usakazeka
• Ukubhekana nokuphindeka
• Ukuphila kahle

Ukuqonda isigaba 4 somdlavuza

Umdlavuza webele uhlukaniswe ngezigaba ezichaza isimo sesifo nombono womuntu.

Isigaba 4, noma i-metastatic, umdlavuza webele kusho ukuthi umdlavuza usakaze - noma wagcwala - ngaphezu kwephuzu lawo lokuvela kwezinye izitho nezicubu. Kwabesifazane abathole ukuxilongwa phakathi kuka-2009 no-2015, isilinganiso seminyaka emihlanu sokusinda komdlavuza webele wesigaba 4 singamaphesenti angama-27.4.

Alikho ikhambi lamanje lomdlavuza wesigaba 4. Noma kunjalo, ingelashwa futhi iphathwe.

Iningi labantu abanomdlavuza webele wesigaba 4 baphila nezikhathi eziguqukayo zezifo ezizinzile kanye nokuqhubekela phambili kwezifo.

Akucaci ukuthi kungani abanye abantu abanomdlavuza wesigaba 4 bephila nezifo ezingaqhubeki phambili kanti abanye abanesifo abasindi. Kwabaningi, isigaba sesine somdlavuza kungenzeka sibuye, noma ngabe umuntu ungena ekuxolelweni.

Ukuthethelelwa nokuphindeka

Ukukhululwa yigama elikhuthazayo, kepha akusho ukuthi umdlavuza uyelapheka. Lapho umdlavuza usuthetheleleni, kusho ukuthi isifo asikwazi ukubonwa ekuhlolweni kwe-imaging noma kolunye uvivinyo. Kusekhona ithuba lokuthi lesi sifo sisemzimbeni, kodwa sisezingeni nje elincane kakhulu ukuthi ungasithola.

Lapho ukwelashwa kubhubhisa wonke amangqamuzana omdlavuza abengalinganiswa noma abonwe ekuhlolweni, kubizwa nge-pCR. Lokhu kusho impendulo ephelele yezifo noma ukuxolelwa okuphelele kokugula.

Impendulo engaphelele noma ukuxolelwa okuyingxenye kusho ukuthi umdlavuza ngokwengxenye uphendule ekwelashweni ngandlela thile, kodwa awuzange ubhujiswe ngokuphelele.

Sisekhona isikhala sethemba. Ukuthuthuka okuqhubekayo kwe-chemotherapy kanye nokunye ukwelashwa komdlavuza webele kuholele emazingeni athuthukisiwe okusinda kubantu abanomdlavuza wesigaba 4.

Izindlela zokwelapha ezithuthukisiwe zandisa isikhathi ngaphambi kokuba umdlavuza uphinde utholakale. Kunesizathu sokukholelwa ukuthi ukuthuthuka okuqhubekayo, ikakhulukazi ezindaweni ezifana ne-immunotherapy, kuzokhulisa inani labantu abaphila nomdlavuza wesigaba 4.

Ukuphindaphinda kusho ukuthi isifo sesibuyile ngemuva kokuthi singatholakali isikhathi esithile. Ingabuya kuphela esifubeni esifanayo lapho umdlavuza utholakale khona okokuqala. Lokhu kubizwa ngokuphindelela kwendawo.

Ukuphindeka kwesifunda kulapho umdlavuza ubuya kuma-lymph node eduze kwendawo lapho kuqala khona isimila.

Lapho umdlavuza usakazeka

Umdlavuza ungaba yisifo esingalindelekile nesikhungathekisayo.

Ungalashelwa isigaba sesine somdlavuza webele ngezindlela zokwelashwa eziqondisiwe, izindlela zokwelapha ze-hormonal, noma i-immunotherapy. Uhlelo lokwelashwa oluphelele noluphelele lungasusa izicubu zakho zamabele kanye nama-lymph node ezungeze umdlavuza.

Kodwa-ke, umdlavuza ungadlulela kwesinye isitho, njengesibindi, ubuchopho noma amaphaphu. Uma amangqamuzana omdlavuza kwezinye izitho ezingaphandle kwesifuba engamaseli omdlavuza webele, kusho ukuthi umdlavuza usuthole amandla. Noma umdlavuza ukhula kwesinye salezi zitho, usacatshangelwa ukuthi unomdlavuza webele wesigaba 4.

Uma amangqamuzana omdlavuza wesibindi ehlukile kumaseli omdlavuza webele, kusho ukuthi unezinhlobo ezimbili ezihlukene zomdlavuza. I-biopsy ingasiza ekunqumeni lokho.

Ukubhekana nokuphindeka

Ukuphindaphinda komdlavuza webele kungasabisa futhi kucasule.

Uma unesifo somdlavuza ophindaphindiwe futhi uzizwa uzizwa ukhungathekile futhi ucindezelekile, cabanga ngokujoyina iqembu lokusekelwa. Iningi labantu likuthola kuwusizo ukukhuluma ngokukhululekile mayelana nokwesaba nokukhungatheka kwabo.

Ungathola ugqozi nobungane ngokwabelana nokuzwa izindaba zabanye abantu. Uma unezimpawu zokucindezeleka noma imiphumela emibi yokwelashwa, kuwumqondo omuhle ukukhuluma nodokotela wakho.

Ungahle ufanelekele isivivinyo somtholampilo esivivinya inqubo noma ukwelashwa okusha. Ukuhlolwa komtholampilo akukwazi ukuthembisa impumelelo, kodwa kungakuvumela ukuthi uzame ukwelashwa okusha ngaphambi kokuthi kufike emakethe.

Ukuphila kahle

Ukubhekana nomdlavuza webele wesigaba 4 kunzima, kepha khumbula ukuthi ukwelashwa komdlavuza kuyathuthuka minyaka yonke.

Abantu abanomdlavuza wesigaba 4 baphila isikhathi eside kunakuqala. Yiba matasa nempilo yakho bese ulandela uhlelo lwakho lokwelashwa. Uyilungu elibaluleke kakhulu leqembu lokwelashwa, ngakho ungesabi ukubuza yonke imibuzo oyidingayo ukuze uzizwe ukhululekile.