
Lesi sihloko sihlinzeka ngolwazi lokulawula ukukhwehlela okuhlobene nomdlavuza wamaphaphu. Ihlanganisa izimbangela ezingase zibe khona, izinketho zokwelashwa, kanye nokubaluleka kokufuna iseluleko sezokwelapha esichwepheshile. Khumbula, lolu lwazi ololwazi olujwayelekile futhi akufanele luthathe indawo yokunakekelwa kwezempilo kochwepheshe. Hlala uthintana nodokotela wakho ukuze uthole ukuxilongwa nokwelashwa.
Ukukhwehlela okungapheli kuwuphawu oluvamile lomdlavuza wamaphaphu. Kungaba nzima kakhulu kusukela ekukitazeni okuncane kuye ekukhwehleleni okubi kakhulu, okuphazamisa ukulala nokuphila kwansuku zonke. Ukukhwehlela kuvame ukubangelwa ukucasuka noma ukuvuvukala emigwaqweni yomoya ngenxa yesimila ngokwaso noma imiphumela yaso ezicutshini ezizungezile. Ngezinye izikhathi, ukukhwehlela kungase kuhambisane nezinye izimpawu ezinjengokuphelelwa umoya, ubuhlungu besifuba, noma ukushaywa umoya. Kubalulekile ukukhumbula ukuthi ukukhwehlela kukodwa akuwuhlonzi umdlavuza wamaphaphu; ezinye izimo nazo zingabangela ukukhwehlela okungapheli. Kodwa-ke, uma ukhwehlela okungapheli noma okuba kubi kakhulu, ikakhulukazi okuhambisana nezinye izimpawu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.
Uma usesha ukwelashwa umdlavuza wamaphaphu ukwelashwa ukukhwehlela eduze kwami, ukugxila kwakho okuyinhloko kufanele kube ukuthola i-oncologist eqeqeshiwe noma i-pulmonologist. Laba ngcweti banobuchwepheshe bokuxilonga kahle isimo sakho futhi batuse uhlelo lokwelapha olusebenza kahle kakhulu. Ukutholwa kusenesikhathi nokungenelela kubalulekile ukuze kube nemiphumela ethuthukisiwe enomdlavuza wamaphaphu. Ungangabazi ukuhlela i-aphoyintimenti uma unokukhathazeka.
Usesho lwakho lwe ukwelashwa umdlavuza wamaphaphu ukwelashwa ukukhwehlela eduze kwami kufanele ikuholele kubahlinzeki bezempilo abahloniphekile. Bheka odokotela abanolwazi ekwelapheni umdlavuza wamaphaphu, ngokufanelekile nabasebenzisana nezikhungo ezinkulu zomdlavuza. Ungahlola ukubuyekezwa kwe-inthanethi nezilinganiso ukuze uthole umuzwa wokuhlangenwe nakho kwesiguli. Ukubonisana nodokotela wakho wokunakekela oyinhloko kungaba isiqalo esihle sokuxoxa ngezimpawu zakho futhi udluliselwe ngokufanele kuchwepheshe. Cabanga ngezibhedlela ezinekhono eliphezulu lokuxilonga nokwelapha umdlavuza wamaphaphu njengeShandong Baofa Cancer Research Institute (https://www.baofahospital.com/).
Indlela yokwelapha yokukhwehlela okuhlobene nomdlavuza wamaphaphu incike ngokuphelele esibangeni esiwumsuka kanye nesigaba sisonke somdlavuza. Izinketho zingabandakanya:
Imithi ingasiza ekulawuleni izimpawu. Lokhu kungase kuhlanganise izidakamizwa zokucindezela ukukhwehlela ukunciphisa imvamisa yokukhwehlela, ama-bronchodilator okuphumuza imigudu yokuphefumula, kanye nemithi yokulawula ubuhlungu noma ezinye izimpawu ezihambisanayo. Udokotela wakho uzonquma imithi efanele ngokusekelwe ezidingweni zakho ezithile kanye nesimo sakho.
Ukwelashwa ngemisebe kuqondiswe kumangqamuzana omdlavuza anemishayo enamandla amakhulu ukuze ashwabene amathumba futhi adambise izimpawu, kwesinye isikhathi enze lula ukukhwehlela okungapheli. Lokhu kuvame ukuba yingxenye yohlelo lokwelapha umdlavuza olubanzi.
I-Chemotherapy isebenzisa imithi ukubhubhisa amangqamuzana omdlavuza. Lokhu kungasetshenziswa eceleni noma esikhundleni sokwelashwa ngemisebe kuye ngesiteji nohlobo lomdlavuza wamaphaphu. Njengemisebe, ingasiza ngokungaqondile ekudambiseni izimpawu zokukhwehlela ngokukhomba isimila.
Kwezinye izimo, ukuhlinzwa kungase kube inketho yokukhipha izimila ezinomdlavuza, ngaleyo ndlela kubhekwane nembangela ewumsuka yokukhwehlela. Lena inqubo ehlasela kakhulu futhi kunqunywa ngayo ngokusekelwe empilweni yomuntu kanye nemininingwane yomdlavuza wabo.
Nakuba ukwelashwa kwezokwelapha kubhekana nembangela ewumsuka, ukuguqulwa kwendlela yokuphila kungathuthukisa ukunethezeka kwakho kanye nenhlalakahle yakho yonke kuyilapho ubhekana nokukhwehlela okuhlobene nomdlavuza wamaphaphu. Lokhu kulungiswa kungabandakanya:
Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa kuphela. Kubalulekile ukubonisana nodokotela wakho ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelapha lomuntu siqu. Ukutholwa kusenesikhathi nokunakekelwa kwezokwelapha okuphelele kubalulekile ukuze kube nemiphumela engcono kakhulu lapho ubhekene nokukhwehlela okuhlobene nomdlavuza wamaphaphu. Ungalokothi uzelapha; ngaso sonke isikhathi funa iseluleko sezokwelapha.
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