
Lo mhlahlandlela ophelele uhlola imiphumela engemihle yesikhathi eside engaba khona yokwelashwa komdlavuza wamaphaphu, inikeza imininingwane yokulawula lezi zinselele kanye nokwenza ngcono izinga lempilo. Sizofaka izinhlobo ezahlukene zokwelashwa kanye nezingozi ezihambisana nazo, sigcizelela ukubaluleka kokunakekelwa nokusekelwa okuqhubekayo.
Ukususwa ngokuhlinzwa komdlavuza wamaphaphu, kuyilapho kuvame ukwelapha, kungaholela emiphumeleni engathandeki yesikhathi eside njengobuhlungu, ukukhathala, ukuphelelwa umoya, nokungasebenzi kahle kwamaphaphu. Izinga lale miphumela lincike kusayizi nendawo yesimila, indlela yokuhlinza esetshenzisiwe, kanye nempilo yesiguli iyonke. Ukuvuselelwa ngemuva kokuhlinzwa kubalulekile ukuze ulawule lezi zinselele. Ukuze uthole amasu okuhlinza athuthukile nokunakekelwa okuphelele, cabangela ubuchwepheshe bezikhungo ezifana ne I-Shandong Baofa Cancer Research Institute.
Izidakamizwa ze-Chemotherapy, nakuba zisebenza kahle ekubulaleni amangqamuzana omdlavuza, zingalimaza namaseli anempilo, okuholela emiphumeleni engathandeki yesikhathi eside njenge: ukwelashwa imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu kuhlanganise neuropathy (ukulimala kwezinzwa), izinkinga zenhliziyo (i-cardiomyopathy), ukulimala kwezinso (nephropathy), nokungazali. Ubukhulu bale miphumela engemihle buyahluka kuye ngemithi ethile esetshenzisiwe, umthamo, kanye nempilo yesiguli iyonke. Ukunakekelwa okusekelayo, okuhlanganisa nemithi yokulawula imiphumela engemihle, kubalulekile.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Imiphumela emibi yesikhathi eside yokwelashwa ngemisebe ingase ihlanganise ukukhathala, izinguquko zesikhumba, ukulimala kwamaphaphu (i-pneumonitis), ukulimala kwenhliziyo (i-cardiotoxicity), kanye nomdlavuza wesibili. Ingozi yale miphumela engemihle incike kumthamo wemisebe, indawo eselashwayo, kanye nokuzwela komuntu ngamunye kwesiguli. Ukuqapha nokuphatha ngokucophelela le miphumela emibi kubalulekile ngesikhathi nangemuva kokwelashwa.
Izindlela zokwelapha ezihlosiwe zenzelwe ukuhlasela amangqamuzana omdlavuza athile ngaphandle kokulimaza amaseli anempilo. Nakuba ngokuvamile ingenabo ubuthi obuncane kunokwelashwa ngamakhemikhali, isengaba nemiphumela engemihle yesikhathi eside njengokuqubuka kwesikhumba, ukukhathala, isifo sohudo, nezinguquko ekubalweni kwegazi. Imiphumela ethile engathandeki iyahlukahluka kuye ngokwelashwa okuhlosiwe okusetshenzisiwe. Ukuqapha njalo kubalulekile ukuze uthole nokulawula le miphumela engemihle.
I-Immunotherapy ihlose ukukhulisa amasosha omzimba ukuze alwe nomdlavuza. Nakuba ngokuvamile ihlotshaniswa nemiphumela engemihle embalwa esheshayo kunezinye izindlela zokwelapha, imiphumela emibi yesikhathi eside ingahlanganisa ukuphazamiseka kwe-autoimmune, njengezinkinga zegilo, ukuvuvukala kwamaphaphu, nesifo sokuqunjelwa. Ukuqapha ngokucophelela lezi zimo kuyadingeka.
Ukuphatha imiphumela emibi yesikhathi eside kudinga indlela ehlukahlukene. Lokhu kuvame ukubandakanya ithimba lochwepheshe bezokunakekelwa kwempilo, okuhlanganisa ama- oncologists, ama-pulmonologists, abelaphi bomzimba, nabanye ochwepheshe, njengoba kudingeka. Ukuhlolwa njalo, ukubambelela emithini ebekiwe, nokuguqulwa kwendlela yokuphila kuyizici ezibalulekile zokuphatha ngempumelelo. Isibonelo, ukuvivinya umzimba njalo, ukudla okunempilo, nezindlela zokunciphisa ukucindezeleka kungasiza ekuthuthukiseni amazinga wamandla kanye nempilo yonke.
Ukuphila nemiphumela yesikhathi eside yokwelashwa komdlavuza wamaphaphu kungaba inselele. Amaqembu okusekela, kokubili komuntu siqu kanye ne-inthanethi, anganikeza ukusekela okubalulekile ngokomzwelo nezeluleko ezisebenzayo. Izinhlangano ezifana ne-American Cancer Society kanye ne-National Cancer Institute zinikeza izinsiza eziphelele nezinhlelo zokusekela iziguli nemindeni yazo. Ukuthola lezi zinsiza kubalulekile ekwenzeni ngcono izinga lempilo.
Ukuqonda okungenzeka ukwelashwa imiphumela emibi yesikhathi eside yokwelashwa komdlavuza wamaphaphu kubalulekile ekuphatheni ngempumelelo kanye nezinga lempilo elithuthukisiwe ngemva kokwelashwa. Indlela esheshayo yokulawula imiphumela engemihle, ehambisana nokufinyelela ekunakekelweni okusekelayo nezinsiza, ingathuthukisa kakhulu imiphumela yeziguli. I I-Shandong Baofa Cancer Research Institute izinikele ekuhlinzekeni ukunakekelwa okuphelele nokweseka abantu abathintwe umdlavuza wamaphaphu.
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