
Lesi sihloko sihlola izinketho ezithengekayo isigaba esishibhile izibhedlela zokwelapha umdlavuza wamaphaphu ezine, ehlanganisa izici ezithonya izindleko, izinhlobo zokwelashwa, nezisetshenziswa zosizo lwezezimali. Sizohlola izindlela zokwelashwa ezahlukahlukene futhi sigqamise ukubaluleka kokuthintana nochwepheshe bezokunakekelwa kwempilo ngezinhlelo zokunakekelwa komuntu siqu.
Isigaba sesine somdlavuza wamaphaphu, owaziwa nangokuthi umdlavuza wamaphaphu we-metastatic, ubonakala ngokusabalala komdlavuza ngale kwamaphaphu. Ukwelashwa kuhloswe ukuphatha izimpawu, ukuthuthukisa izinga lempilo, kanye nokunweba ukuphila. Nokho, izindleko zokwelashwa zingaba nkulu, zihluke ngokuphawulekayo ngokusekelwe ezicini ezifana nendlela yokwelapha ekhethiwe (ukuhlinzwa, ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, ukwelapha okuhlosiwe, i-immunotherapy), impilo yesiguli iyonke, kanye nesikhathi sokwelashwa. Indawo nayo idlala indima ebalulekile; izindleko zokwelashwa zingahluka kakhulu phakathi kwamazwe ngisho nasezifundeni zezwe elifanayo. Ziningi izici ezinomthelela kumthethosivivinywa wokugcina. Ukuthola izinketho ezithengekayo kudinga ucwaningo nokuhlela ngokucophelela.
Ukwelapha ngamakhemikhali, kusetshenziswa izidakamizwa ukubulala amangqamuzana omdlavuza, kuwukwelashwa okuvamile kwesigaba sesine somdlavuza wamaphaphu. Imithi ethile kanye nezindlela zayo zokuphatha zingathonya izindleko. Ezinye izinhlobo ezintsha ze-chemotherapy zibiza kakhulu kunezindala. Ukuvama nobude besikhathi sokwelashwa nakho kunomthelela ezindlekweni zizonke.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Uhlobo lokwelapha ngemisebe (ukwelashwa ngemisebe yangaphandle noma i-brachytherapy), indawo eselashwayo, kanye nenani lamaseshini konke kuthinta izindleko. Ukuthuthuka kwezobuchwepheshe kuye kwaholela ekwelashweni kwemisebe okunembe kakhudlwana futhi okuphumelelayo, okungenzeka ngezinye izikhathi kubize kakhulu.
Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise ngokuqondile amangqamuzana omdlavuza, okunciphisa ukulimala kumaseli anempilo. Lezi zindlela zokwelapha zingasebenza kahle kakhulu kodwa zivame ukuza nenani eliphakeme uma liqhathaniswa nokwelapha ngamakhemikhali okungokwesiko. Ukwelashwa okuhlosiwe okusetshenzisiwe kuzoncika ohlotsheni nezici zomdlavuza wamaphaphu.
I-Immunotherapy ihlanganisa amasosha omzimba ukulwa nomdlavuza. Lezi zindlela zokwelapha zintsha kodwa zikhombise imiphumela ethembisayo kwezinye iziguli. I-Immunotherapy ingabiza, futhi ukusebenza kwayo kuyahlukahluka kuye ngokuthi isiguli kanye nohlobo lomdlavuza.
Ukunakekelwa kwe-Palliative kugxile ekuthuthukiseni izinga lempilo yabantu abanezifo ezimbi kakhulu, okuhlanganisa ukulawula izinhlungu nezinye izimpawu. Nakuba kungekona ukwelashwa okuqondile komdlavuza, ukunakekelwa kwe-palliative kubalulekile ekulawuleni imiphumela emibi yokwelashwa komdlavuza kanye nokwenza ngcono inhlalakahle yonke. Izindleko zokunakekelwa kwe-palliative zingahluka kakhulu kuye ngezinga lokunakekelwa okudingekayo.
Ukuvikela okuthengekayo isigaba esishibhile izibhedlela zokwelapha umdlavuza wamaphaphu ezine kudinga ukucatshangelwa ngokucophelela. Amasu amaningana angasiza ekwehliseni umthwalo wezezimali:
Ukuthola ukwelashwa okuthengekayo akufanele kubeke engcupheni ikhwalithi yokunakekelwa. Kubalulekile ukuthintana nodokotela be-oncologist nabanye ochwepheshe bezempilo ukuze wenze uhlelo lokwelapha lomuntu siqu olubhekana nezidingo zakho ezithile kanye nesimo sezempilo. Yenza ucwaningo olunzulu futhi uthole imibono yesibili ngaphambi kokwenza izinqumo ezibalulekile mayelana nokwelashwa kwakho.
Nakuba izindleko ziyinkinga enkulu, kubalulekile ngokulinganayo ukubeka phambili ukuthola ochwepheshe bezokwelapha abaqeqeshiwe kanye nezikhungo ezihlinzeka ngokunakekelwa kwekhwalithi. Khumbula ukuxhumana ngokukhululekile nethimba lakho lezempilo mayelana nokukhathazeka kwakho kwezezimali futhi uhlole zonke izinketho ezitholakalayo zokwenza ukwelashwa kufinyeleleke.
Ukuze uthole ulwazi olwengeziwe ngezinketho zokwelapha umdlavuza, ungase ufise ukuxhumana nezinhlangano ezihlonishwayo njenge-American Cancer Society noma i-National Cancer Institute. I-American Cancer Society I-National Cancer Institute
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uthole ukuxilongwa kanye nezincomo zokwelashwa.
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