
Lesi sihloko sinikeza ulwazi olubanzi mayelana namandla imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu. Ihlola izindlela zokwelashwa ezahlukahlukene kanye nemiphumela yazo yesikhathi eside ehlobene, ikusiza ukuthi uqonde ukuthi yini ongayilindela nokuthi ungalufuna kuphi usekelo. Sizofaka imiphumela engemihle evamile, amasu okuyilawula, nezisetshenziswa zokuzulazula kulolu hambo oluyinselele. Lolu lwazi ngelezinjongo zokufundisa futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuqondiswa komuntu siqu.
Ukususwa ngokuhlinzwa kwezimila zamaphaphu kungaholela emiphumeleni eminingana yesikhathi eside, kuhlanganise nobuhlungu, ukukhathala, nobunzima bokuphefumula. Izinga lale miphumela engemihle lincike kusayizi nendawo yesimila, uhlobo lokuhlinzwa olwenziwayo, kanye nempilo yomuntu iyonke. Ezinye iziguli zingase zizwe ubuhlungu obuhlala isikhathi eside endaweni yokusikwa, edinga ukuphathwa kobuhlungu okuqhubekayo. Ukwengeza, izinguquko ekusebenzeni kwamaphaphu zingathinta amazinga okusebenza ngokomzimba. Ukuvuselelwa ngemuva kokuhlinzwa kudlala indima ebalulekile ekunciphiseni izinkinga zesikhathi eside.
Ukwelapha ngemisebe, nakuba kuphumelela kakhulu ekubhubhiseni amangqamuzana omdlavuza, kungalimaza nezicubu ezizungezile ezinempilo. Imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu usebenzisa imisebe ingase ihlanganise i-lung fibrosis (izibazi), ukulimala kwenhliziyo, kanye nezinkinga zomphimbo. Ubukhulu bale miphumela engemihle buyahlukahluka kuye ngomthamo kanye nendawo okuhloswe ngayo imisebe. Ukuqapha njalo nokunakekelwa okusekelayo kubalulekile ekulawuleni lezi zinkinga ezingaba khona. Ukuthola eminye imininingwane ngokwelashwa ngemisebe, ungathintana nezikhungo ezihamba phambili njengeNational Cancer Institute. I-National Cancer Institute.
Imithi yokwelapha ngamakhemikhali, eyenzelwe ukubulala amangqamuzana omdlavuza, ingaba nemiphumela yesistimu emzimbeni. Imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu okuhilela ukwelashwa ngamakhemikhali kungase kuhlanganise ukulimala kwezinzwa (i-peripheral neuropathy), izinkinga zenhliziyo, ukulimala kwezinso, nomdlavuza wesibili. Le miphumela engemihle ingabonakala ezinyangeni noma ngisho neminyaka ngemva kokuphela kokwelashwa. Ukuqapha okuseduze nokunakekelwa okusekelayo kubalulekile ukunciphisa lezi zingozi. Ukuqina kanye nobude besikhathi sokwelashwa ngamakhemikhali kuthonya kakhulu amathuba nokuqina kwezinkinga zesikhathi eside.
Imithi yokwelapha eqondisiwe iklanyelwe ukuhlasela amangqamuzana omdlavuza ngenkathi inciphisa umonakalo kumaseli anempilo. Nokho, imiphumela engemihle yesikhathi eside isengenzeka, kuhlanganise nokuqubuka kwesikhumba, ukukhathala, noshintsho ekubalweni kwegazi. Le miphumela engemihle ivamise ukulawuleka, kodwa ukuqapha okuqhubekayo kuyatuswa. Imiphumela ethile engathandeki ehlobene nokwelashwa okuqondiwe incike emthini othile osetshenzisiwe.
I-Immunotherapy ihlose ukukhulisa amasosha omzimba ukuze alwe nomdlavuza. Nakuba ngokuvamile kubekezelelwa kahle, imiphumela emibi yesikhathi eside ingahlanganisa izenzakalo ezimbi ezihlobene nokuzivikela komzimba (ama-irAE), njengokuvuvukala kwamaphaphu, izinkinga zesikhumba, nezindaba zokugaya ukudla. Le miphumela engemihle ivamise ukuyelapheka, kodwa idinga ukuqapha nokuphathwa ngokucophelela.
Ukuphatha ngempumelelo kwe imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu kudinga indlela ehlukahlukene. Lokhu kuhlanganisa ukusebenzisana phakathi kwama-oncologists, ama-pulmonologists, ama-physiotherapist, nabanye ochwepheshe bezempilo. Amasu ahlanganisa imithi yokuphatha ubuhlungu nezinye izimpawu, izinhlelo zokuvuselela ukuze kuthuthukiswe ukusebenza komzimba, nokwelulekwa ukubhekana nezinselele ezingokomzwelo nezingokwengqondo. Amaqembu okusekela kanye nezinhlangano ezimelela isiguli zinikeza usizo olubalulekile phakathi nalesi sigaba sokululama.
Ukuzulazula ku- imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu kungaba nzima. Ukufuna ukwesekwa kubalulekile ukuze ugcine inhlalakahle. Izinsiza ezimbalwa ziyatholakala, okuhlanganisa amaqembu okusekela, izinhlangano ezimelela iziguli, nochwepheshe bezokunakekelwa kwempilo basendaweni. Ukuze uthole izincomo ezenziwe zaba ngezakho nezinsiza ezihambisana nezidingo zakho ezithile, cabanga ukuxhumana nethimba lakho lezempilo noma uhlole amanethiwekhi okusekela aku-inthanethi. Ezigulini esifundazweni saseShandong, I-Shandong Baofa Cancer Research Institute inikeza ukunakekelwa okuphelele nokusekela.
| Uhlobo Lokwelapha | Imiphumela Eseceleni Evamile Yesikhathi Eside |
|---|---|
| Ukuhlinzwa | Ubuhlungu, ukukhathala, ubunzima bokuphefumula |
| Ukwelapha Ngemisebe | I-Lung fibrosis, ukulimala kwenhliziyo, izinkinga ze-esophageal |
| I-Chemotherapy | Ukulimala kwezinzwa, izinkinga zenhliziyo, ukulimala kwezinso |
| Ukwelapha Okuhlosiwe | Ukuqubuka kwesikhumba, ukukhathala, izinga legazi liyashintsha |
| I-Immunotherapy | Izehlakalo ezimbi ezihlobene namasosha omzimba (irAEs) |
Umshwana wokuzihlangula: Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.
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