Iindlela ezili-9 zokujamelana noyiko lweCarcer Recurrence

by Lynne Eldridge, MD; Ukuphononongwa nguGrant Hughes, MD

Ukwesaba ukuphindaphindwa komhlaza okanye ukuqhubela phambili kubangelwa ngabantu abaxhalabileyo xa becinga ukuba umhlaza ungabuya okanye uphumelele.

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Ukuqonda ukwesaba kweCarcer Recurrence okanye Inkqubela

Iifoto zeHero / i-Getty Izithombe

Olu loyiko luqhelekileyo. Kwabo abangenasifo somhlaza (akukho ubungqina besifo, okanye ukuxolelwa okupheleleyo,) ubuncinane i-70 ekhulwini banomdla obumnene okanye oqhelekileyo ukuba umhlaza uza kuphinda ubonise ubuso bawo. Kulabo abanomhlaza okwangoku ozinzile, malunga neepesenti ezingama-50 banomlinganiselo othobekileyo wokwesaba okukhulu ukuba umhlaza uya kukhula okanye usasaze.

Olunye uxinzelelo lokuxhalaba luhle kulondolozo lomhlaza. Yilokho okusikhuthaza ukuba senze i-post-up appointments kwaye sambize oogqirha bethu ukuba sibheka nayiphi na impawu emitsha.Kodwa kwabanye abantu, loloyiko lunokwenza okungaphezulu kunokuba lukhuthaze, kwaye lunokuthi luthintele ukusinda, ukunciphisa umgangatho wobomi.

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Qaphela Uloyiko Lwakho

Kungabonakala kulula ukuvuma ukuba uloyiko, kodwa akunjalo. Emva kokuva amabali, okanye mhlawumbi ufunda enye enye imfundiso ebuthetha ngesibindi sokuhamba nomdlavuza, kungenakuvakalelwa kukuzikhathaza. Emva kwakho konke, unomdlavuza okanye umhlaza ozinzile. Oku kukhanyeka ukuthetha ngoloyiko kuqiniswa uluntu ngenye indlela. Zingaphi izihlandlo esiva ngazo ukuba kufuneka sibe nesimo sengqondo esihle sokubetha umdlavuza?

Zinike imvume yokuziva zakho iimvakalelo. Khumbula ukuba iimvakalelo azilungile okanye ziphosakeleyo, ziphela. Ukuvumela ukuba uvume ukwesaba kwakho akufani nokokuba nesimo sengqondo esihle. Esikhundleni salokho, iqinisekisa iimvakalelo ezininzi zininzi kumaxhoba omhlaza ngexesha elithile.

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Zi fundise

Sixelelwa ukuba ulwazi lunamandla, kwaye xa kuvela ukuphindaphinda loo ngxelo ingaba yinyaniso.

Qala ngokuqonda umngcipheko wokuphindaphinda (okanye ukuqhubela phambili.) Ngokuqinisekileyo, akukho manani manani, kwaye manani manani, kungekhona abantu, kodwa ukuthetha nodokotela wakho ngomngcipheko wakho wesibeleko ukubuyela okanye ukusasazeka kunokukunceda ukubeka uxhalabhaka lwakho nembono.

Inokukunceda ukuqonda indlela kunye nokuba kutheni ezinye iintsholongwane zibuyela kwakhona , kwaye uhlobo lweempawu onokuzilindela ukuba umhlaza wakho uza kubuya, okanye ukhule kwaye usasaze.

Ekugqibeleni, cela i-oncologist yakho ukuba kukho nantoni na ongayenza ukunciphisa umngcipheko wokuphindaphinda. Ngamanye amaxesha ukugxila kula ma nyathelo yedwa kunokukunceda ukuba udlulele kwezinye izinto zakho.

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Igama lakho loyiko

Emva kokuba uqonde umngcipheko wokuphindaphinda, kunye namanyathelo ongayithatha ukunciphisa umngcipheko, phindela emva kwaye ujonge ukwesaba kwakho. Kuyamangalisa ukuba kulula kangakanani ezinye izinto ukuba zijongane nazo xa sibanika igama elicacileyo.

Yithi igama lakho loyiko. Ngaba ukwesaba ukuba umhlaza uza kubuya? Ziziphi iimeko eziza kuba nazo?

Emva koko igama lakho loyiko lwesibini. Ngaba ukwesaba ukufa? Ngaba ukwesaba oko kuya kwenzeka kubantwana bakho ukuba awuphili umhlaza wakho? Ngaba ukwesaba iintlungu okanye mhlawumbi uhlala wedwa?

Ukubizela ukwesaba kwakho akusizi nje ngokubaluleka kodwa ngokuvavanya ukwesaba kwakho okwesibini ukulungele ukuba uthathe amanyathelo okunciphisa ukwesaba. Ngokomzekelo, ngaba unomhla wokuhlaziya uya kuchaza oko ungathanda ukubona ukuba kwenzeke nabantwana bakho xa ungekho mdlavuza wakho?

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Yabelana Ukwesaba Kwakho Ngomhlobo, Oyithandayo, okanye Iqela leNkxaso

Ukuthetha nomhlobo okanye othandekayo kunokuyinyathelo elimangalisayo ekujonganeni noyiko lokuphindaphinda. Oku akukwenzi nje ukunciphisa isizungu esihamba kunye nokwesaba kwakho, kodwa kusebenza ukuqinisekisa ukwesaba kwakho. Akunabo bonke abahlobo abaya kukhululeka ngesantya sokunyaniseka oku kufunayo, kwaye unokuba unqwenela ukucinga ngokucokisekileyo malunga nobomi bakho obuya kusebenza kule nxaxheba. Le nyathelo elilukhuni, kwaye awufuni ukuba iinzame zakho zichazwe ngumntu onxininisa ukuba kufuneka ube nesimo esihle.

Ngenye indlela, abanye abantu banokukhululeka ukuxelela abanye ukwesaba kwabo njengengxenye yeqela lokuxhasa umdlavuza. Kwimeko yeqela lokuxhaswa ngumhlaza awuyi kuba nethuba lokuva kwabanye abantu abanemvakalelo efanayo (awuyi kuva ngathi wedwa) kodwa uya kuba nenzuzo yokuva oko abanye bakwenzile kumzamo wokuhlangabezana nabo ukoyika.

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Qaphela ukuba Yintoni eyenza ukwesaba kwakho

Kukho imeko ezininzi ezinokubangela ukwesaba ukuphindaphinda okanye ukuqhubela phambili komhlaza. Kungaba yoshishino kwi-TV, ukufunda ngomntu osandul 'ukuvalelwa okanye ophelelwe ngumhlaza, ukuqokwa okuzayo, okanye uphawu olutsha. (Abaninzi bethu abasinda kumhlaza bayazi ukuba nayiphi na uphawu olutsha ngumsolwa.)

Nangona kunjalo amaxesha amnandi kunye namaxesha athile ekufuneka abe ngumbhiyozo angabangela ukwesaba ukuphindaphinda. Ingaba iinyanga ezi-3 "umthendeleko womhlaza," unyaka-1 wakho, uneminyaka emi-5, okanye ukuba uye wahlala nomhlaza iminyaka emininzi, ukukhumbula umhla wokufumanisa kwakho kukukhumbuza nokufa kwakho. Njengoko sigubha ngaphandle, abaninzi bethu banomuzwa wecala lomdlavuza osisigxina, ukwazi ukuba abanye abazange bakwenze oku kude, kunye nesikhumbuzo sokuba nathi, umhlaza usenokubuya.

Kwaye ke, kwinqanaba le-flip yoluvuyo oluvela ekubeni sazi ukuba senze umhla othile-umzekelo, usuku lokuzalwa, umtshato, okanye ukugqweswa-kuza umbuzo ongenakukhutshwa: Ngaba ingaba ngowokugqibela?

Ukuba nolwazi nje oluza kubangela ukuba kwenzeke, kwaye ucinga indlela onokujamelana ngayo neloyiko phambi kwexesha, liyinyathelo elikhulu ekugcineni ezo zihlandlo zichaphazele kakubi umgangatho wobomi bakho. Ukungaqiniseki-ukuvakalelwa kukuba into ethile ayilungile kodwa ayikwazi ukuyibiza-leyo yinto enzima kunzima ukuyinyamezela.

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Ukujamelana Neendlela Zokuhamba Ngaphambili Uloyiko Lwenu

Zininzi iindlela zokunciphisa ukwesaba ukuphindaphinda.

Enye indlela ehle kakhulu kukuphazamisa-ukubeka kwenye into ukuze ukhumbule ingqondo yakho. Ukuphazamiseka kungathatha uhlobo lomsebenzi, okanye mhlawumbi ukhuthaze indawo yokudala oyithandayo. Ukuhambisa uhambo lwakho lomhlaza kunokuba luncedo kwabanye abantu, kodwa kufanelekile ukulumkisa. Ukubhala iingcamango zakho kunokwenene kwindlela echaseneyo ngayo xa ukhetha ukwesaba kwakho. Ngenxa yoko, abanye abantu bafumana ukuba kunceda ukugcina iphepha lokubonga. Kunzima ukuzivakalelwa ngumoya wokubonga ngelixa bekunye kunye nokugcina ingqondo yokwesaba.

Uhlobo lokuphazamiseka kunye neenzuzo eziphindwe kabini ngumsebenzi owenza ukuphazamisa ukwesaba kwakho ngelixa unciphisa umngcipheko wokuphindaphinda kwakhona. Kwabanye abantu lo msebenzi. Ukuba unengxaki yokucinga ngomsebenzi ofana nawe, cela i-oncologist yakho ukuba inokuyicingisisa nayiphi na into "inzuzo ephindwe kabini" kunye nawe.

Ndivile ngokugqithiseleyo ukuba indlela efanelekileyo kakhulu yokuphazamiseka kukuxhasa nokukhuthaza abanye abanomdlavuza. Khangela ezinye zeemibutho ezisebenzayo ekuxhaseni abantu ngohlobo lwakho lomhlaza. Kukho iindlela ezininzi zokubandakanyeka, nokuba zikhona emagumbini encoko, usebenza kunye nomntu "ohambelana" kunye nohlobo kunye nesigaba somhlaza okanye ngokuba ngummeli womhlaza.

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Ukusebenzisa Iipilisi Zengqondo Ukuncedisa Ukwesaba Ukuphindaphinda

Ukongeza kwindlela yokuphila esebenzayo kunye nenempilo, kukho iindlela ezininzi zokwelapha iingqondo eziye zancedisa abantu abathile ukuba babhekane noloyiko lomdlavuza okanye ukuqhubela phambili. Ezi ziquka:

Ukucamngca - Kucacile ukuba ufunde indlela yokucamngca ngengqiqo ekujongeni ukunyamekela ukuphindaphinda, kwaye uphando lubonisa ukuba lo mkhuba unokubonelela ngokuphucula ukuphelisa ukwesaba.
Ukuguqulwa kwamathambo - Akunakho kuphela ukuhlalutya unyango kunika ukuphazamiseka kwiingcamango zakho ezikrakra kodwa kunokunciphisa ukuxhatshazwa kwemisipha eyenziwe yizo ngcamango. Ngaphezu koko, yindlela enhle yokuzibonakalisa njengomntu osinda.
IQigong - Qigong idibanisa ubuchule bokuphefumla kunye nokucamngca, kwaye inokufumana uncedo lwabasindileyo bomdlavuza oye ngaphaya kokuncedisa ukwesaba ukuphindaphinda. Uphando lubonisa ukuba kunokuncedisa ukukhathala okuhlobene nomhlaza , i- chemobrain (eso sibonakaliso esinzima esivela kwi-chemo esenza ukuba izixhobo zakho zemoto zibe nzima nakakhulu ukufumana) kwaye ufumane inzuzo yakho ye-immune system. Kungaba nzima ukuyichaza kwaye kubonakale kungaphandle, kodwa kukho ezininzi i-youtube.com iividiyo "abasentshonalanga" abanokuyilandela ukuze bafumane inkcazelo.
Ukuxininisa ukuphumula ukuphefumula - Izindlela zokuphefumula zingasebenza ngokukhawuleza ukunciphisa uxhalabo kunye nokuxinezeleka okubangelwa ukwesaba ukuphindaphinda, kwaye kulula ukufunda.
Ukuqhaqhawula - Ngombulelo, akufanele uqonde indlela ukusebenza ngayo ukufumana iinjongo njengabantu abasindiswa ngumhlaza. Akunakwenzeka kuphela lo mkhuba ukunceda abanye abantu bakwazi ukujamelana noyiko olunxulumene nomhlaza, kodwa kunokuncedisa intlungu, ukulala, kunye nokuba nempembelelo yecala echaphazela unyango .
Iipilisi zonyango

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Ukugcina Ukwesaba Kwakho UkukuLawula

Ukuba usenokukhathazeka ngenxa yokwesaba ukuphindaphinda emva kokuzama ezinye zezi ndlela zokuphatha, okanye ukuba ukwesaba kwakho kunciphisa umgangatho wobomi, kusenokuba ixesha lokuthetha nomsebenzi. Ukuba ngaba kunjalo, nceda ungaziveki ulwahluleka. Kunzima ukujamelana nale mvakalelo yangempela. Mhlawumbi le sizathu esinye sokuba uphando oluthile lufumene umgangatho ophuculweyo wobomi, kwaye mhlawumbi kusinda, kwabanye abantu abanomdlavuza abafuna ukucebisa.

Asikwazi ukugqithisa ukubaluleka kokukhangela ukwesaba ngokumalunga nomgangatho wobomi. Emva kwakho konke, nokuba umhlaza wakho awuzange uphinde uqhubeke okanye ufuna ukuqhubeka, ufuna ukuhlala ngokusemandleni akho namhlanje.

Unyango oluthile lwe-cognitive-behavior, oluthile olubizwa ngokuthi "ukuthetha unyango" lunokukunceda uqonde ngakumbi ukwesaba kwakho, kwaye uvelise ukukhanya kwimibandela ongenakuyiqwalasela.

_Imithombo:

_{Berrett-Abebe, J., Cadet, T., Pirl, W., no-I. Lennes.} _{Ukuhlolisana Ubudlelwane Phakathi Kwesaba Ukwenyuka Kwemhlaza kunye nokuPhepha koBomi kwiCarcer Survivors.} _{Umbhalo we-Psychosocial Oncology .} _{2015. 33 (3): 297-309.}

_{UCrist, J., no-E. Grunfeld.} _{Iingxelo ezixeliweyo zikhokelela ekubeni ukwesaba ukuphindaphinda kwizonyango zeCarcer: Uhlolo lokuHlola.} _{Psychooncology .} _{2013. 22 (5): 978-86.}

_{Lengacher, C. et al.} _{Ukukhungatheka Kwengqondo Ukunciphisa Ingcinezelo (MBST (BC)) kwiCanscer Breast: Ukuvavanya Ukwesaba Ukuphindaphinda (IMF) njengoMlamli Wezengqondo kunye Nezibonakaliso Zokwenyama kwi-Trial Control Control (RCT).} _{Umbhalo weMpilo yeMpilo .} _{2014. 37 (2): 185-95.}

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