Ukwelashwa Komdlavuza Wesisu

-Delile

• 1. Ukuhlinzwa
• 2. Ukwelashwa ngamakhemikhali
• 3. I-Radiotherapy
• 4. Ukwelashwa komzimba

Ukwelashwa komdlavuza wesisu kungenziwa ngokuhlinzwa, i-chemotherapy, i-radiotherapy kanye ne-immunotherapy, kuya ngohlobo lomdlavuza nempilo yomuntu jikelele.

Umdlavuza wesisu, esigabeni sokuqala, unezimpawu ezimbalwa, okwenza ukuxilonga kube nzima. Ezinye izimpawu zomdlavuza wesisu yisilungulela, ukugaya isisu, umuzwa wokugcwala nokuhlanza. Funda ukuthi ungazibona kanjani izimpawu nezimpawu zomdlavuza wesisu nokuthi uphethwe yini.

1. Ukuhlinzwa

Ukuhlinzwa komdlavuza wesisu kuyindlela yokwelashwa ejwayelekile enemiphumela emihle ekwelapheni lolu hlobo lomdlavuza. Ukuhlinzwa kungasetshenziselwa ukususa umdlavuza kuphela, ingxenye yesisu, noma isisu sonke, kanye nama-lymph node esifundeni, kuya ngesigaba sesifo.

Ezinye izinqubo zokuhlinza ezingenziwa yilezi:

• I-endoscopic resection ye-mucosa: eyenziwa ezigabeni zokuqala zesifo, lapho umdlavuza ususwa khona nge-endoscopy;
• I-subtotal gastrectomy: iqukethe ukususwa kwengxenye eyodwa kuphela yesisu, ukugcina enye ingxenye iphilile;
• Ingqikithi ye-gastrectomy: iqukethe ukususwa kwaso sonke isisu futhi ikhonjiswe lapho umdlavuza usuvele usufinyelele isitho sonke noma usengxenyeni engenhla.

Lapho isisu sonke sisuswa, amanye ama-lymph node azungeze isisu nawo ayasuswa ukuze ahlaziywe ukuze kubonwe ukuthi aqukethe yini amaseli ezimila, okungasho ukuthi umdlavuza kungenzeka usakazekile.

Ngaphezu kwalokho, esimweni sezinye izitho ezisondele esiswini, njengamanyikwe noma ubende, zihlaselwa ngamangqamuzana e-tumor futhi uma udokotela eqonda, lezi zitho nazo zingasuswa.

Eminye imiphumela emibi yokuhlinzwa komdlavuza wesisu kungaba isilungulela, ubuhlungu besisu kanye nokushoda kwamavithamini. Kubalulekile ukuthi iziguli zithathe izithasiselo zamavithamini futhi zilandele ukudla okulawulwayo, nokudla okuncane ukugwema lezi zinkinga.

2. Ukwelashwa ngamakhemikhali

I-chemotherapy yomdlavuza wesisu isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza, angathathwa ngomlomo noma ngomjovo emithanjeni. Kunemithi eminingi esetshenziselwa ukwelapha lo mdlavuza futhi uvame ukusetshenziselwa ukuhlanganisa ukuthola imiphumela engcono.

I-Chemotherapy ingenziwa ngaphambi kokuhlinzwa, ukusiza ukunciphisa ubukhulu besimila, nangemva kokuhlinzwa, ukuqeda amangqamuzana omdlavuza okungenzeka ukuthi awazange asuswe.

Eminye imiphumela emibi engase yenzeke ngesikhathi sokwelashwa ngamakhemikhali yilezi:

• Isicanucanu nokuhlanza;
• Ukuphelelwa isifiso sokudla;
• Ukulahleka kwezinwele;
• Uhudo;
• Ukuvuvukala emlonyeni;
• Ukushoda kwegazi.

Ngenxa yokuthi inesenzo kuwo wonke umzimba, ukwelashwa ngamakhemikhali kwenza amasosha omzimba abe ntekenteke ngokwengeziwe okwandisa ingozi yesiguli esinezifo. Ngokuvamile, imiphumela emibi iyanyamalala ezinsukwini ezimbalwa ngemuva kokwelashwa.

3. I-Radiotherapy

Ukwelashwa ngemisebe yomdlavuza wesisu kusebenzisa imisebe ukubhubhisa, ukunciphisa noma ukulawula ukukhula komdlavuza. Ukwelashwa ngemisebe kungenziwa ngemuva kokuhlinzwa, ukubhubhisa amangqamuzana amancane kakhulu angakancishiswa ekuhlinzweni, noma ngokuhlangana ne-chemotherapy, ukuvimbela umdlavuza ekuphindaphindeni.

Imiphumela emibi engabangelwa ukwelashwa ngemisebe kungaba:

• Ukushisa esikhunjeni, esifundeni esithintekile ukwelashwa;
• Isicanucanu nokuhlanza;
• Uhudo;
• Ubuhlungu bomzimba;
• Ukushoda kwegazi.

Imiphumela emibi yokwelashwa ngemisebe iba mikhulu kakhulu uma yenziwa kanye ne-chemotherapy.

4. Ukwelashwa komzimba

I-Immunotherapy yomdlavuza wesisu iqukethe ukusetshenziswa kwezidakamizwa ezikhuthaza ukuzivikela kwesiguli ukuhlasela amangqamuzana omdlavuza asemzimbeni. I-Immunotherapy ingenziwa ngokubambisana ne-chemotherapy futhi isiza ukulawula kangcono ukukhula nokuthuthuka komdlavuza.

Eminye imiphumela engemihle engahle yenzeke ngenkathi welashwa umkhuhlane, ubuthakathaka, ukugodola, isicanucanu, ukuhlanza, ukukhwehlela nokuhuda. Funda kabanzi nge-immunotherapy, ukuthi yiziphi izinhlobo nokuthi kukhonjiswa nini.