Umdlavuza Webele: Kungani Nginobuhlungu Bengalo Namahlombe?

-Delile

• Ukuhlinzwa
• Imisebe
• I-fibrosis eyenziwe ngemisebe
• Ukwelashwa ngamakhemikhali
• Ukwelashwa kwamaPosturgery nokuzivocavoca ukuzama
• Imibuthano yamahlombe
• Kuphakama ihlombe
• Ingalo iyaphakama
• Uphakamisa izingalo
• Ama-crunches engalo
• Ezinye izindlela zokwelapha
• Ukululama ekwelashweni ngemisebe
• Ukwelashwa kokubhucunga umzimba
• Ukwelula
• Ukuqeqeshwa kwamandla
• Izinyathelo zokuzivikela
• Ukwelapha ubuhlungu be-chemotherapy
• Izinguquko zendlela yokuphila
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ubuhlungu bomdlavuza webele

Ngemuva kokwelashwa komdlavuza webele, kujwayelekile ukuzwa ubuhlungu, ukuba ndikindiki, nokulahleka kokuhamba. Cishe zonke izici zokwelashwa zingaholela ekuqineni, ukwehla kokunyakaza, noma ukuphelelwa amandla. Izinguquko zokuvuvukala noma zezinzwa nazo zingenzeka.

Izingxenye zomzimba wakho ezingathinteka zibandakanya:

• intamo
• izingalo nemilenze
• isifuba namahlombe
• izandla nezinyawo
• amalunga

Ezinye zalezi zinkinga zingenzeka ngokushesha. Abanye bangakhula ngokuhamba kwesikhathi, ngisho nezinyanga ngemuva kokwelashwa kokuqala.

Kungani lokhu kwenzeka? Thola ezinye zezizathu ezingezansi nokuthi ungabudambisa kanjani ubuhlungu bakho.

Ukuhlinzwa

Izinhlobo eziningi zokuhlinzwa zingenziwa ngomdlavuza webele. Imvamisa, udinga ukuba nokuningi kokukodwa. Ukuhlinzwa kufaka:

• umabhebhana
• umabhebhana
• i-sentinel node biopsy
• ukuhlukaniswa kwe-lymph node
• ukuhlinzwa kabusha kwesifuba
• ukubekwa kwe-expander
• ukushintshaniswa kwe-expander ngokufakwa okutshaliwe

Ngesikhathi sanoma iyiphi yalezi zinqubo, izicubu nezinzwa kuyasetshenziswa futhi kungalimala. Lokhu kungenzeka kubangele ukuvuvukala nobuhlungu kamuva.

Udokotela wakho angafaka ama-drains kuze kube amasonto ambalwa ukusiza ukususa uketshezi oluningi. Iziduli ngokwazo kaningi azizizwa kahle, nazo.

Njengoba ukwelashwa kuqhubeka, ungathuthukisa izicubu ezibomvu ezibonakalayo. Ngaphakathi, kungahle kube nezinguquko kumathishu wokuxhumana angazizwa njengokuqina lapho unyakaza. Kungase futhi kuzwakale njengesakhiwo esijiyile noma esifana nentambo ekhwapheni, engalweni engenhla, noma esifubeni esingaphezulu.

Ungazizwa ukhathele futhi ucindezelekile njengoba ulinde imibiko yezifo. Mhlawumbe uthatha nemithi yezinhlungu ongayithathi ngokujwayelekile, engadala ukukhathala nesiyezi.

Konke lokhu kujwayelekile, kepha futhi lapho izinkinga zingaqala. Noma nini lapho ukuhamba kwakho kunqunyelwe ukuhlinzekwa izinsuku ezimbalwa, ungaqala ukulahlekelwa amandla, amandla, nobubanzi bokuhamba. Ungathola ukuthi udinga usizo lokugqoka nokugeza.

Ngokuvamile, odokotela abahlinzayo abaningi bavumela abantu ukuthi baqale ukuzivocavoca ingalo nobambo ehlombe ngemuva nje kokuhlinzwa. Ngaphambi kokuba uye ekhaya ubuya esibhedlela, qiniseka ukuthi uyazi ukuthi udokotela ohlinzayo utusa ini.

Uma udinga usizo ekhaya, ungacela usizo lwesikhashana kumhlengikazi ovakashele noma ezempilo zasekhaya zasekhaya noma izinsizakalo zokunakekelwa kwasekhaya. Abahlengikazi bezempilo basekhaya bangakusiza uhlole amadreyini akho, amanxeba okuhlinzwa, nezimpawu ezibalulekile zanoma yiziphi izimpawu zokutheleleka. Futhi bangaqinisekisa ukuthi ubuhlungu bakho bulawulwa. Abasebenzi bokunakekela ikhaya bangakusiza ngomsebenzi wasendlini, ukuyothenga, ukupheka, neminye imisebenzi yansuku zonke, njengokugeza nokugqoka.

Imisebe

Abantu abaningi bazoba nokwelashwa ngemisebe emasontweni ambalwa wokuhlinzwa. Kungaba imisebe yangaphakathi (brachytherapy) noma imisebe yangaphandle.

Ukwelashwa kwangaphakathi kuhloswe ukwelashwa okwenzelwe ukonga izicubu ezijwayelekile, ezinempilo. Imisebe yangaphandle ivame ukunikezwa ngaphezu kwawo wonke amabele ngemithamo yansuku zonke esikhathini esingamasonto. Kwezinye izimo, izofaka ikhwapha (i-axilla), indawo yekhola, noma kokubili.

Ukwelashwa ngemisebe kusebenza ngokulimaza i-DNA ngaphakathi kweseli nokuyenza ingakwazi ukwehlukanisa nokuphindaphindeka.

Imisebe izothinta amaseli womdlavuza namaseli ajwayelekile. Iqeda kalula amangqamuzana omdlavuza. Amaseli aphilile, ajwayelekile akwazi kangcono ukuzilungisa futhi asinde ekwelashweni.

Inqubo yokulungisa ayiphelele. Kuvame ukufaka amanye amangqamuzana enempilo alimele ngezicubu ezingafani nezasekuqaleni.

I-fibrosis eyenziwe ngemisebe

Imisipha yakho yesifuba ingalungiswa ngezicubu ezinemicu eminingi, ngakho-ke ingakwazi ukwelula futhi ingene njengezicubu zomzimba ezijwayelekile.

Ngaphezu kwalokho, imicu yalesi sicubu se-fibrotic nayo ingahlangana futhi yenze ukunamathela. Lezi ziqukethe uhlobo lwangaphakathi lwesikhumba izicubu. Imigqa yesibazi oyibona lapho kusikwe khona imbobo ephulukisiwe ifaka izicubu zomzimba.

Lolu hlobo lwezicubu ezibomvu zangaphakathi lubizwa ngokuthi yi-fibrosis eyenziwe ngemisebe. Akusuki ngokuphelele, kepha ungayithuthukisa. Ukwelula nokuqinisa imisipha ezungezile kungavimbela ezinye izinkinga ekuthuthukiseni.

Ukwelashwa ngamakhemikhali

Ngoba odokotela bayazi ukuthi amangqamuzana omdlavuza anda ngokushesha, iningi lemithi yokwelapha ngamakhemikhali yenzelwe ukukhomba izicubu ezikhula ngokushesha. Lapho kukhona ubungozi bemiphumela emibi.

Izinhlobo eziningi zamaseli ajwayelekile nazo zikhula futhi zizibuyisele ngokushesha. Lokhu kufaka phakathi:

• amaseli akha izinwele, izinzipho, nezinkophe
• amaseli agudle umlomo nomgudu wokugaya ukudla
• amaseli egazi abomvu namhlophe enziwa emnkantsheni wethambo

Izidakamizwa zomlomo ze-antihormone, njenge-aromatase inhibitors, zingadala ubuhlungu obuhlangene futhi zinciphise ukuminyana kwethambo. Lokhu kungakubeka engcupheni yokuhlaselwa ngamathambo nokuqhekeka.

Amanye ama-chemotherapy agents, ikakhulukazi amatekisi, angalimaza imizwa yezinzwa ezandleni nasezinyaweni zakho. Lokhu kungadala:

• ukuba ndikindiki
• ukuncinza
• ukuncipha kwemizwa
• ubuhlungu

Ngokubambisana, lezi zimpawu zaziwa njenge-chemotherapy-induced peripheral neuropathy (CIPN).

I-CIPN ezandleni zakho ingenza kube nzima ukwenza imisebenzi emihle yezimoto, njengokubhala, ukuphatha izinto, nokusebenzisa ikhibhodi. I-CIPN ezinyaweni zakho ingathinta ikhono lakho lokuzwa umhlabathi futhi ugcine ibhalansi yakho.

Ngaphezu kwalokho, abantu abaningi babhekana nokwehla kwekhono lokucabanga. Ungakhohlwa izinto, ukuthole kunzima ukuxazulula izinkinga ezilula, futhi uzizwe ungahlelekile kahle.

Le miphumela emibi ingakudalela ukuthi unxephezele ngokusebenzisa izitho zakho kanye nesiqu sakho ngezindlela ezingejwayelekile. Ngokuvamile awazi ukwenza lokhu kuhamba okushintshiwe, kepha lezi zinguquko ekunyakazeni zingaholela ezinkingeni ezingalindelekile ezingalweni zakho, emuva, okhalweni nasemahlombe.

Ukwelashwa kwamaPosturgery nokuzivocavoca ukuzama

Ngemuva kokuhlinzwa, akuyona into engavamile ukuzwa izimpawu ezifana nokuvuvukala, ubuhlungu, nokuqina.

Uma uhlangabezana nalezi zimpawu, kungcono ukuthi uqale ngokufuna ukuhlolwa kochwepheshe bamathambo noma owelapha ngokomzimba. Bangakufundisa ukuthi ungahamba kanjani futhi uzivocavoce ngokuphepha.

Uma ungalimazi, ungaqhubeka ngokuqala uhlelo lokuzivocavoca. Ungahle ungazizwa ukwenza kakhulu, kepha kubalulekile ukuthi unyakaze lapho ukwazi khona.

Kulesi sigaba, ngisho nokuzivocavoca okunyakazayo kwezinyathelo kungakusiza ekulahlekelweni ukunyakaza okukhulu futhi kukuvikele ekuthuthukiseni i-lymphedema.

Imibuthano yamahlombe

Imibuthano yamahlombe ingasiza ukukhulula nemisipha eqinile efudumele.

1. Roll amahlombe phambili.
2. Qhubeka uqhubekele phambili ngokunyakaza okuyindilinga kwama-reps ayi-10.
3. Shintsha ukunyakaza bese ugoqa amahlombe akho emuva emuva nge-10 reps.

Kuphakama ihlombe

Lokhu kuvivinya kungasiza ekunciphiseni ukungezwani ngokusebenza imisipha eyengeziwe emahlombe nasemakhwapheni.

1. Kancane phakamisa amahlombe akho emoyeni, wenze sengathi uphakamisa amahlombe akho ezindlebeni zakho.
2. Bamba indawo phezulu amasekhondi ama-5.
3. Yehlisa amahlombe akho endaweni yokuqala.
4. Phinda izikhathi eziyi-8 kuye kwezingu-10, bese uphinda futhi izikhathi ezi-3 kuye kwezi-5 ngosuku.

Ingalo iyaphakama

Lokhu kuvivinya umzimba kuthuthukisa ububanzi bokunyakaza ngaphandle kokukudinga ukuthi uphakamise izingalo zakho ngaphezu kokuphakama kwamahlombe.

1. Beka isandla sakho sokudla ehlombe lakho langakwesokudla nesokhohlo kwesobunxele.
2. Kancane phakamisa izindololwane zakho emoyeni.
3. Misa lapho izindololwane zakho zifinyelela ukuphakama kwamahlombe. (Ungahle ungakwazi ukuphakamisa kahle lokhu okuphezulu okwamanje. Phakamisa njengoba ukwazi.)
4. Yehlisa kancane izindololwane zakho endaweni yokuqala.
5. Phinda izikhathi eziyi-8 kuya kwezingu-10.

Uphakamisa izingalo

Lokhu kuvivinya kuvame ukunconywa njengoba uthuthuka ekululameni kwakho futhi uthola ukunyakaza okungcono ezingalweni zakho.

1. Yima ufulathele udonga, uqinisekise ukuthi ukuma kwakho kuqondile njengoba umile.
2. Ukugcina izingalo zakho ziqonde, phakamisa izingalo zakho phambi kwakho, ume lapho ufinyelela phezulu ngangokunokwenzeka. Ngokufanelekile, lokhu kuzoba ngezandla zakho zikhombe ophahleni futhi izingalo zicishe zithinte izindlebe zakho.
3. Nciphisa izingalo zakho phansi ukuze ubuyele endaweni yakho yokuqala. Phinda izikhathi eziyi-8 kuye kwezingu-10, noma ngokusemandleni akho.

Ama-crunches engalo

Lokhu kuvivinya umzimba kusiza ukwelula amakhwapha nemihlane yamahlombe.

1. Lala phansi ufulathele phansi. Ungasebenzisa umcamelo ukwesekwa kwentamo.
2. Beka izingalo zakho ngemuva kwekhanda lakho nezandla ezindlebeni zakho. Izindololwane zakho zizogobeka nhlangothi zombili zekhanda lakho.
3. Kancane phakamisa izindololwane zakho komunye nomunye, uzwe ukunwebeka njengoba wenza.
4. Yima lapho izindololwane zakho sezicishe zihlangane, uzwe ukunwebeka emuva kwakho.
5. Yehlisa kancane izindololwane zakho emuva endaweni yokuqala.
6. Phinda izikhathi eziyi-8 kuya kwezingu-10.

Ezinye izindlela zokwelapha

Uma uba nezibazi ekhwapheni lakho ngemuva kokuba ama-lymph node wakho esusiwe, ukubhucunga izindawo ezithintekile kungasiza. Ukwelula nokusikhipha umzimba, okuhambisana nemithi elwa nokuvuvukala kanye nokusetshenziswa kokushisa okumanzi, kungasiza ekunciphiseni lokhu kungakhululeki.

Thenga imithi elwa nokuvuvukala namaphakethe wokushisa.

Ukululama ekwelashweni ngemisebe

Awukwazi ukubona i-fibrosis eyenziwe ngemisebe, kodwa ungayizwa uma uhambisa ingalo yakho bese uthola ukuthi ukunyakaza kwakho kunqunyelwe.

I-fibrosis eyenziwe ngemisebe ingadala ubuhlungu, ukuqina, nokushintsha kokuzwa, ngisho nezinyanga noma iminyaka ngemuva kokuphela kokwelashwa ngemisebe. Odokotela bavame ukuncoma inhlanganisela yezindlela zokwelapha ukuthuthukisa amandla nokuhamba.

Ukwelashwa kokubhucunga umzimba

Cabanga ukuthola ukubhucungwa njalo ukuze uqhubeke nokusiza ukwelula imisipha futhi uyenze ithambe kakhudlwana.

Ungagxila nasekuzilungiseni ngokwakho kwezindawo ezithintekile. Lokhu kungabandakanya ukuthi uzihlikihle ngesandla izindawo eziqinile futhi eziqinile noma zokuthenga amadivayisi okusiza angenza njengesandiso sesandla sakho.

Izibonelo zifaka iroller yegwebu noma induku yokubhucungwa, engakusiza ukuthi ubuyele emuva noma ohlangothini lomzimba wakho.

Thenga i-roller foam noma induku yokubhucungwa.

Ukwelula

Yenza ukuvivinya umzimba okuvamile, njengokuzivocavoca kokuhlinzwa okubalwe ngenhla.

Ungase futhi ufune ukufaka ukunwebeka kwentamo yakho, njengokwenza imibuthano ngekhanda lakho. Futhi zama ukwelula ikhanda lakho phambili (ngokufaka isilevu sakho esifubeni sakho) bese ubheka phezulu ophahleni.

Ukuzivocavoca umzimba kuthumela isignali emzimbeni wakho ukuze ulungise kabusha, ukhulule, futhi unciphise ukusikeka kwangaphandle nangaphakathi. Ezinye izibazi kungenzeka zihlale, kepha lokho kujwayelekile.

Ukuqeqeshwa kwamandla

Qinisa izingalo, amahlombe, nomhlane wakho ngokuzivocavoca izinsimbi noma ngokusebenzisa amabhande okwelapha ngokomzimba. Izibonelo zokuzivocavoca okunenzuzo zifaka:

• ama-bicep curls
• izandiso ze-triceps
• ingalo iphakamisa
• imishini ehlombe

Thenga amabhendi okwelapha ngokomzimba.

Izinyathelo zokuzivikela

Njalo khuluma nodokotela wakho ngaphambi kokuqala uhlelo lokuzivocavoca noma lokunweba.

Khuluma nabo ngaphambi kokuthola ukubhucungwa, futhi. Uma ngabe ususwe ama-lymph node, kungahle kube nezindlela umelaphi wakho wemiyalezo okufanele azigweme, njengokucindezelwa okujulile noma ukwelashwa okushisayo nokubandayo.

Ukwelapha ubuhlungu be-chemotherapy

I-Chemotherapy ingadala imiphumela emibi eminingi, kubandakanya nobuhlungu be-neuropathic. Lobuhlungu bezinzwa kungaba nzima ukubelapha. Imithi eminingi yezinhlungu ayisebenzi ngaso sonke isikhathi.

Isinyathelo sokuqala ukukhuluma nodokotela wakho ngobuhlungu bakho. Bangabeka i-gabapentin (Neurontin). Kuvunyelwe yi-U.S. Food and Drug Administration (FDA) ukwelapha ubuhlungu bezinzwa.

Ngokuya ngohlobo lobuhlungu bakho, bangaphinde banikeze imishanguzo yezinhlungu yokwelapha ubuhlungu bokuqhamuka.

Udokotela wakho futhi angakunikeza umuthi "ongekho ilebula" ukwelapha izimpawu zakho. Le migqaliselo ayivunyelwe ngokucacile yi-FDA ukwelapha izimpawu zakho ezithile, kodwa ziyaziwa ukusiza abanye abantu.

Imithi yokunqamula ilebula udokotela wakho akunikezayo iyohluka ngokuya ngomlando wakho wezempilo nezimpawu.

Ukusetshenziswa kwezidakamizwa ezingekho kwelebula kusho ukuthi umuthi ovunyelwe yi-FDA ngenhloso eyodwa usetshenziselwa injongo ehlukile engakavunyelwa. Kodwa-ke, udokotela usengasisebenzisa lesi sidakamizwa ngaleyo njongo. Lokhu kungenxa yokuthi i-FDA ilawula ukuhlolwa nokuvunywa kwezidakamizwa, kodwa hhayi ukuthi odokotela bazisebenzisa kanjani izidakamizwa ukwelapha iziguli zabo. Ngakho-ke, udokotela wakho angakunikeza umuthi kodwa bacabanga ukuthi kungcono kakhulu ukunakekelwa kwakho.

Izinguquko zendlela yokuphila

Ngaphezu kokuqina nokuqina, ungathola ukuthi unezinkinga eziningi ezibangelwa ukungqubuzana noma ukujuluka ezindaweni lapho ukuhlinzwa noma ukwelashwa kwakho kwenzeke khona. Kwesinye isikhathi, izingubo owake wazigqoka zingazizwa zingakhululekile noma zikhawulela.

Ukwehlisa lezi zimpawu, ungenza izinguquko zendlela yokuphila elandelayo:

• Faka isicelo se-cornstarch endaweni yakho engaphansi kwekhwapha ukunciphisa ukungqubuzana. Abanye abantu batusa ukufaka i-cornstarch esitokisini noma esitokisini, ukubopha ifindo phezulu, nokuthinta isokisi noma isitokisi esikhunjeni.
• Gwema ukushefa amakhwapha ngenkathi uthola ukwelashwa ngemisebe.
• Gwema ukusebenzisa amanzi ashisayo lapho ugeza ukuze ugweme ukomisa isikhumba sakho. Sebenzisa amanzi afudumele esikhundleni salokho.
• Nciphisa ukucasuka kwesikhumba ngokugwema insipho eqinile, ama-antiperspirants, noma ama-deodorants.
• Gqoka izingubo ezikhululekile ukuze unciphise ukuhlunga futhi uvumele ukunyakaza nokwelula.

Umbono

Into yokuqala okufanele uyenze ukubona izimpawu zakho kusenesikhathi bese uzibika kudokotela wakho. Izimpawu okufanele uziqaphele zifaka:

• noma yibuphi ubuhlungu obenzeka ngokuphumula noma ngesikhathi sokunyakaza
• kunciphise ukunyakaza okuhlangene
• noma ibuphi ubuthakathaka, ukukhathala, noma izinguquko emuzwa
• ukuncipha kwekhono lokwenza imisebenzi yokuzinakekela
• ukubhala ekhwapheni lakho noma engalweni yakho, okungavela kuphela uma uphakamisa ingalo
• ukwanda kokuvuvukala engalweni, esiqwini, esifubeni, noma entanyeni

Ungazinaki izimpawu. Izimpawu zakho zihlolisiswa futhi zelashwe ngokushesha, kuba ngcono. I-oncologist yakho kufanele ikuhlole, nayo. Bangakuthola kufanelekile ukukudlulisela kudokotela wamathambo, isazi sezinzwa, noma umelaphi womzimba.

Kubalulekile ukuthi wazi ukuthi izimpawu zingase zingabonakali amasonto ambalwa, izinyanga, noma ngisho neminyaka ngemuva kokuqeda ukwelashwa kokuqala komdlavuza webele. Lokhu akuyona into engavamile. Ungacabangi ukuthi bazoxazulula bodwa ngokuhamba kwesikhathi.

Izinkinga zengalo nehlombe zivame ukuba yingxenye yomonakalo wesibambiso wesikhathi eside obangelwa ukwelashwa komdlavuza. Noma yiziphi zalezi zimpawu zingakhombisa nokuthile okubucayi, njengokuphindaphinda komdlavuza noma imastastasis.

Iseluleko esifanayo siyasebenza: Bika izinkinga kusenesikhathi, uhlolwe kahle, bese uthola ukwelashwa. Awukwazi ukulungisa inkinga ongayinaki.

Thola ukwesekwa kwabanye abaphila nomdlavuza webele. Landa uhlelo lokusebenza lwamahhala lweHealthline lapha.