
Lesi sihloko sinikeza ulwazi olubanzi mayelana nemiphumela engemihle yesikhathi eside engaba khona yokwelashwa komdlavuza wamaphaphu. Sizohlola izindlela zokwelapha ezihlukahlukene, imiphumela yazo emibi ehlobene, nezinsiza zokulawula lezi zinselele. Ukuthola ulwazi oluthembekile nokwesekwa kubalulekile ekuhambeni uhambo ngemva kokwelashwa komdlavuza, futhi lo mhlahlandlela uhlose ukukunika amandla ngolwazi oludingayo.
Ukususwa ngokuhlinzwa kwezimila zamaphaphu kungaholela emiphumeleni engathandeki eminingana yesikhathi eside kuye ngezinga lokuhlinzwa. Lokhu kungahlanganisa ubuhlungu, ukukhathala, ukuphelelwa umoya, nokungasebenzi kahle kwamaphaphu. Ubunzima buyahluka kakhulu kuye ngomuntu kanye nemininingwane yenqubo. Ukuvuselelwa ngemuva kokuhlinzwa kudlala indima ebalulekile ekunciphiseni le miphumela. Isibonelo, izinhlelo zokuvuselela amaphaphu zingasiza ukuthuthukisa umthamo wamaphaphu futhi zinciphise ukuphefumula.
I-Chemotherapy, nakuba iphumelela ekubulaleni amangqamuzana omdlavuza, ingabangela imiphumela engemihle ehlukahlukene yesikhathi eside. Lokhu kungasukela ekukhathaleni kanye nokulimala kwezinzwa (i-peripheral neuropathy) kuya ezinkingeni zenhliziyo (i-cardiomyopathy) kanye nomdlavuza wesibili. Ukuqina nobude besikhathi sokwelashwa ngamakhemikhali buthinta ngokuqondile ubungozi nokuqina kwale miphumela engemihle. Ukuqapha njalo nokuqokwa kokulandelela kubalulekile ukuze kutholwe kusenesikhathi nokulawulwa kwezinkinga. I-National Cancer Institute inikeza ulwazi oluningiliziwe ngemiphumela emibi ye-chemotherapy.
Ukwelashwa ngemisebe kuqondise kumaseli omdlavuza anemisebe enamandla amakhulu. Imiphumela emibi yesikhathi eside ingabandakanya ukukhathala, ukushintsha kwesikhumba, ukulimala kwamaphaphu (i-pneumonitis), nezinkinga zenhliziyo. Imiphumela ethile engathandeki incike endaweni eselashwe ngayo kanye nomthamo wemisebe. Ngokufanayo nokwelashwa ngamakhemikhali, ukuqapha ngokucophelela kubalulekile ukuze ulawule noma yiziphi izinkinga eziphakamayo. Ukulawula ukukhathala kungase kuhlanganise amasu afana nokuhamba kancane kanye nokuphumula okwanele.
Izindlela zokwelapha ezihlosiwe zigxila kuma-molecule athile ngaphakathi kwamaseli omdlavuza. Nakuba ngokuvamile zinobuthi obuncane kune-chemotherapy, izindlela zokwelapha ezihlosiwe zisengaba nemiphumela yesikhathi eside. Lokhu kungase kuhlanganise ukuqubuka kwesikhumba, ukukhathala, noshintsho esibalweni segazi. Ukuhlolwa kwegazi okuvamile kuvame ukusetshenziselwa ukuqapha le miphumela. I-American Cancer Society inikeza ulwazi oluningiliziwe ngokwelashwa okuhlosiwe kanye nemiphumela yako engemihle.
I-Immunotherapy ithuthukisa amasosha omzimba ukuze alwe nomdlavuza. Imiphumela engemihle yesikhathi eside, nakuba ingavamile kakhulu kunezinye izindlela zokwelapha, ingabandakanya izinkinga ze-autoimmune kanye nokuvuvukala kwamaphaphu. Ukuhlolwa okuvamile kubalulekile ukuze kuqashwe ukusebenza kwamasosha omzimba nokulawula noma yikuphi ukusabela okungaba khona kwe-autoimmune. Olunye ulwazi mayelana nemiphumela emibi ye-immunotherapy lungatholakala ku- I-Memorial Sloan Kettering Cancer Centre.
Ukuphatha imiphumela emibi yesikhathi eside ngokuvamile kudinga indlela ehlukahlukene. Lokhu ngokuvamile kuhilela ama-oncologists, ama-pulmonologists, abelaphi bomzimba, nabanye ochwepheshe, kuye ngezidingo ezithile zesiguli. Ukuqokwa kokulandelela okuvamile kubalulekile ukuze kutholakale kusenesikhathi nokulawula izinkinga. Amaqembu okusekela kanye nezinsizakalo zokwelulekwa zinganikeza ukwesekwa ngokomzwelo kanye namasu angokoqobo okubhekana nezinselele.
Ukuzulazula emiphumeleni yesikhathi eside yokwelashwa komdlavuza wamaphaphu kungaba inselele. Kubalulekile ukuthola ukwesekwa nezinsiza. Izibhedlela eziningi nezikhungo zomdlavuza zinikeza izinhlelo eziphelele zokusekela, okuhlanganisa ukwelapha ngokomzimba, ukwelulekwa, namaqembu okusekela. Ungaqala usesho lwakho ngokuthintana nomhlinzeki wakho wokunakekelwa kwezempilo noma ukusesha ku-inthanethi izinsiza zokweseka umdlavuza endaweni yakini. Cabangela ukuxhumana ne- I-Shandong Baofa Cancer Research Institute ukuze uthole ulwazi olwengeziwe mayelana ukwelashwa imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu eduze kwami. Bangase banikeze izinhlelo ezikhethekile nezisetshenziswa ukusiza ukuphatha lezi zinselele. Khumbula, ukufuna ukusekelwa kuwuphawu lwamandla, hhayi ubuthakathaka.
Lolu lwazi luhloselwe izinjongo zemfundo 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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