Iingcebiso zokuPhucula ukuPhumela kweCarcer ye-Lung

by Lynne Eldridge, MD; Ukuphononongwa nguGrant Hughes, MD

Indlela Yokuphucula Ukusinda Kwakho Ngomdlavuza WeLung

Kuthekani ukuba sikuxelele ukuba kukho izinto onokuzenza ukuze uphakamise amathuba okuphila nomhlaza wamaphaphu - kwaye ezo zinto azibandakanyi ukuhlinzwa, i-chemotherapy okanye unyango lwe-radiation? Inyaniso kukuba, kukho izinto onokuzenza ukukunceda ukuphucula iziganeko zakho.Izinto ezizendalo kwaye ezingezizo zonyango, ezifana nemeko yokuphila kunye nenkxaso yentlalo.

Ngumoya ofanayo njengoko sithetha ukuba asifuni ukuba nabani na ovakalelwa kukuba akenzi ngokwaneleyo. Sonke siyazi ngabantu abenza konke ngokufanelekileyo kwaye bahlakulela umdlavuza kwaye baqhubela phambili. Inyaniso isala ukuba izinga lokusinda kumdlavuza wamaphaphu akusiyo into esiyinqwenelayo. Kodwa nangona ezi zicebiso zingaphucule ukuhlala kwakho, zinokuphucula umgangatho wobomi ohlala kulo namhlanje.

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Fumana inkxaso

Ukuxhaswa koluntu oluhle kunokunyusa ukusinda. I-JGI / Jamie Grill / Iimfono zeBlue / Getty Izithombe

Ukuvakalelwa kwintlalo ngokuqinisekileyo akunakuvakalelwa, kodwa ukufumana inkxaso enamandla kunokwenza ngcono ukususelwa ngumdlavuza wamaphaphu . Azikho zonke izifundo ezibonise oku. Olunye uphando olutshanje lufumene ukuba izigulane ezenza utyando lomdlavuza wamaphaphu azibonakali zibhetele okanye zimbi xa zineenkxaso ezihle zentlalo.

Nangona kunjalo ukuphononongwa kwezinye iifundo kubonisa okunye. Esinye isifundo esikhulu (esakhangela iziphumo ezimalunga nezifundo ezili-150) sabheka umphumo wobudlelwane boluntu ngokugula nokufa okuvela kwiimeko ezahlukeneyo zonyango. Kubonakala ukuba abantu abanenkqubela enxulumene noluntu babe ne-50 ekhulwini kwandisa amathuba okuphila. Ukukhangela umdlavuza wodwa, esinye isifundo (esiqulunqe izifundo ezingama-90) safumanisa ukuba amanqanaba aphakamileyo ekuxhaswa kwezenhlalakahle adibaniswe kunye neepesenti ezingama-25 eziphantsi komngcipheko wokufa.

Ukuba nenethiwekhi yenkxaso yodwa inokukunceda, kodwa kufuneka kwakhona siyibuze kwaye siyifumane. Emva kokuba ndifumene unomdlavuza, enye yeengcebiso ezilungileyo zandifumanayo kukufunda ukufumana. Akunjalo nje ngokuba ndifuna uncedo, kodwa ngenxa yokuba sisiphi isipho esinokubanika abanye. Njengomhlobo omnye wathi kum, "Indlela efanelekileyo yokubonisa ukubonga ngesipho kukufumana ngokupheleleyo." Abantu bafuna ukunceda. Kubalulekile ukugcina engqondweni ukuba omnye umhlobo okanye othandekayo akanako ukwenza konke. I-Cancer inokuthi ithathe idolophana. Abanye abantu bayakujabulela ukuphulaphula. Abanye banandipha ukucoca. Kanti abanye bayakujabulela ukubonelela ukukhwela.

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Yazi Iimpawu zoxinzelelo

istockphoto.com

Ucwaningo luye lwabonisa ukuba uxinzelelo lwengqondo, olunjengokudandatheka okuqhubekayo kunye nokuxhalaba, luyingozi yokusinda kubantu abanomdlavuza - kwaye olu nxu lumene kakhulu kubantu abaphila nomhlaza wemiphunga.

Kubantu abanomdlavuza ophezulu wamaphaphu, abo babexinezelekile ngexesha lokuqala unyango lwabo lwama- chemotherapy babehlala kwisiqingatha nje kuphela kwabo bazange bacinezeleke. Kwesinye isifundo sokusinda komlambo (oko kukuthi, inani elithile emva kokuba iipesenti ezingama-50 zabantu zisaphila kwaye ama-50 ekhulwini afile), kwakuphindwe kane emfutshane kubantu abadandathekileyo.

Umngcipheko wokuzibulala uphinde ube ngaphezu kwezihlandlo ezili-10 eziphezulu phakathi kwabantu abanomhlaza kunabantu bonke. Umngcipheko omkhulu kunamadoda nakwiinyanga zokuqala emva kokuxilongwa komhlaza.

Kubalulekile ukuhlukanisa phakathi kokudakumba kwisimo somhlaza kunye nentlungu evamile. Uninzi lwawo wonke umntu uvakalelwa kukuba lusizi kunye nosizi njengoko bejamelana nokuxilongwa komhlaza, kodwa ukuxinezeleka kwengqondo kunokungavamile. Kunokuba luncedo ukuziqhelanisa neempawu zokudakumba, nokuthetha nodokotela wakho ukuba uziva udandathekile.

Olongezelelweyo Ngomhlaza weLung kunye nokuPhukisa

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Cela uncedo lweNkxaso yokuNakekelwa kweNkathazo

I-National Cancer Institute, uRoda Baer (umfaki-zithombe)

Ndiqinisekile ukuba abanye bathi "hu?" xa ufunda isihloko esasentla. Akunjalo nje ngo-hospice? Kutheni uthetha ngale nto kwinqaku malunga neendlela zokuphucula umhlaza wamaphaphu?

Ukunyamekelwa kwexesha eliqhelekileyo ngokuyininzi akuqondwa kakuhle. Yindlela efuna ukuphucula umgangatho wobomi kubantu abajongene nesimo esiyingozi sonyango, ngokujongana neemvakalelo zengqondo, eziphathekayo kunye nezidingo ezingokomoya. Ngexesha lokutyelela ukunakekelwa kwenkathalo, abaninzi abantu badibana neqela elibandakanya ugqirha, umongikazi kunye noonontlalontle, ukwenzela ukujongana neembalo ezipheleleyo ezixhalabileyo onokuba nazo ngexesha lomhlaza wonyango.

Uphando lwe-2010 lubonise ukuba abantu abanomdlavuza ophakamileyo ophezulu abanomdla wokubambisana nokulandela ukuxilongwa kwabo basaphila kwi-2½ inyanga ede ngaphezu kwabo bangenayo ingcebiso.

Amanye amaziko omhlaza ngoku ahlala esinikela ngononophelo olusondeleyo emva kokuxilongwa komhlaza. Ukuba awunikwe le ndlela, kunokufanelekile ukucela yakho ye-oncologist into ekhoyo kwiziko lakho lomhlaza

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Ukuphucula Ubomi Bakho Bomoya

istockphoto.com

Nangona ugqirha wezobugqirha uyeke ukubandakanya ngokomoya kwizicwangciso zonyango lomdlavuza, ubomi obunokholo obungokomoya bunokudlala indima kumdlavuza wamaphaphu.

Okokuqala, kubalulekile ukuchaza ngokomoya. I-National Cancer Institute ichaza ngokomoya njengenkolelo yomuntu malunga nenjongo yobomi. Kwabanye abantu, oku kungathabatha inkolelo yenkolo ehleliweyo. Kwabanye, inokumelwa ngokucamngca, yoga okanye ukuthetha kunye nendalo.

Izifundo ezimbalwa ezincinci kubantu abanomdlavuza wamagciwane eSigaba IV bafumene ukuba abantu abanomdla wokomoya obunempilo abazange bafumane impendulo engcono kwi-chemotherapy kodwa basinda ixesha elide.

Oko kwathiwa, ndiyazi ngabantu abaninzi abanempilweni ephilileyo ngokomoya abalahlekelwa yimfazwe nomdlavuza wamaphaphu. Kodwa nangona ubomi obungokomoya busebenzayo abuphuculanga ukusinda, ezinye iziphumo ziye zafumanisa ukuba ukuqonda ngokomoya kudlala indima ekujonganeni nomhlaza nomgangatho wobomi xa uhlala nomdlavuza.

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Fumana i-Stigma

istockphoto.com

Uninzi lwabantu abanomdlavuza wamaphaphu bajwayelene nesiqhwaba sesi sifo. Yintoni enye yeembono zokuqala abantu abazenzayo? "Wade umsi?" Amazwi angenakuqonda angabangela uxinzelelo xa uzama ukujamelana nobunzima bonyango. Kodwa ngaphaya koko, ukunyanyiswa komdlavuza wamaphaphu kuncinci kugcine abantu abathile ukuba bangazinyamekeli abayidingayo. Ucwaningo luye lwabonisa ukuba oogqirha, ngamanye amaxesha, abanomdla kakhulu ekunyanga izigulane zomhlaza wamaphaphu kunokuba izigulane ezinezinye iifom zomhlaza.

Qiniseka ukuba ufunde icandelo kweli nqaku malunga nokuba ngummeli wakho (ngaphantsi).

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Unokuqonda ukuVimba kweGazi kunye nokuKhusela kwabo

Callista Izithombe / Getty Izithombe

Amacwecwe egazi, eyaziwa ngokuba yi-thrombosis ye-vein thrombosis, ivela kuma- 3 kuya kwe-15 ekhulwini labantu abanomdlavuza wamaphaphu. Amacwecwe egazi amaninzi afakwa emilenzeni okanye emagqabini kwaye angasongela ubomi xa aphuka aze ahambe emipapeni. Kwisifundo esinye, kukho iipesenti ezingama-70 ezandisa ingozi yokufa kubantu abanomdlavuza wamaphaphu abaye bafumana ama-blood clots.

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Yidla ukutya okunempilo

I-National Cancer Institute, i-photographer engaziwayo

Siyazi ukuba ukutya ukutya okunempilo kunokusenza sizive singcono, kodwa kunokunciphisa amathuba omdlavuza. I-American Institute for Research Cancer (i-AICR) ifike ngeengcebiso zokutya kubantu abanethemba lokuthintela umdlavuza kuqala. Xa kunomdlavuza, bacebisa ukulandela ezi zikhokelo ukuzama ukukhusela ukuphindaphinda.

Khangela inqaku elingezantsi ukuze ufunde ngezifundo eziye zajonga umphumo wokutya kumdlavuza wamaphaphu.

I-Cancer yeMlingo Ukulwa nokutya

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Fumana Ukuzivocavoca Kancinci

I-National Cancer Institute, uBill Branson (umfaki-zithombe)

Umsebenzi wezobugcisa uboniswe ukuba udlale indima ekukhuselweni komhlaza wamaphaphu, kodwa kungacaciswanga kangako nokuba unokuphucula ukuphila kubantu abahlala bephila nesifo.

Kwabo abanokunyamezela ukuvuthwa, kunokunciphisa amathuba okufa kwangaphambili kwaye kunciphise umngcipheko wokufa ngenxa yezifo ezinxulumene neminyaka. Ukusinda ngaphandle, uphando lubonisa ukuba ukuphucula umzimba kuphucula umgangatho wobomi kubantu abaphila nomhlaza wemiphunga. Okwangoku, asikwazi ukuba luhlobo luni lokusebenzisa okanye ixesha elichithwe ngalo kulo luncedo kakhulu. Buza i-oncologist yakho into ayiphakamisayo.

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Yeka Ukubhema

istockphoto.com, LuisPortugal

Ndikhethile ukubandakanya ukutshaya ngasezantsi kweliluhlu kuba andifuni ukungongeza kwi-stigma yomdlavuza wamaphaphu. Kodwa ukuqhubeka ukutshaya emva kokuxilongwa komhlaza wamaphaphu kunokuthetha ukuba uphile.

Kwixesha elidlulileyo, uphando lubonisa ukuba abantu abayeka ukutshaya emva kokuxilongwa komhlaza wamaphaphu benza ngcono ngokuhlinzwa kwaye baphendule bhetele kumanyango omzimba. Kubantu abanomhlaza wesifo somhlaza wamaphaphu, ukuphonononga okwakutshanje kuye kwabonisa umphumo obalaseleyo wokuyeka. Kubantu abanesifo somhlaza wesifo somhlaza wamangqamuzana osisigxina kunye nesigaba esincinci somdlavuza omncinci wamangqamuzana , iminyaka emihlanu yokusinda ngaphezu kokuphindwe kabini kulabo ababenakho ukukhaba umkhwa emva kokuxilongwa.

Ukuba unzima ukuyeka, jonga ukuyeka ibhokisi lebhokisi yeeteksi engezantsi njengesiqalo.

Izizathu ezi-10 eziphezulu zokuyeka ukutshaya neCarcer

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Yiba nguMmeli Wakho

istockphoto.com

Asinalo manani acacileyo axelela ukuba ukuba ngummeli wethu uphakamisa ukusinda. Kodwa siyazi ukuba ukufumana uncedo olungcono kakhulu kubalulekile.

Ukufumana i-oncologist kunye neprogram yesibhedlele oziva ukhululekile kunye nayo kukuqala. Ukubuza imibuzo nokwenza uphando lwakho (kunye nabathandekayo banceda xa kunyanzelekile) kunokunceda kwezo zigqibo. Ngokomzekelo, uphando oluthile lubonisa ukuba ukusinda kumdlavuza womphunga wamaphaphu kuphezulu kwizibhedlele ezenza ukuhlinzwa okukhulu. Ikhetho lokuphanda iimvavanyo zekliniki linokubaluleka kuwe. Nangona i-National Cancer Institute incoma ukuba ukhangele kwizilingo zekliniki ukuba unayo isigaba se-III okanye umhlaza wesifo se-Stage IV, kuphela inani elincinci lomdlavuza wegulane.

Ekugqibeleni, yazi iimpawu zemiphumo yengozi yomhlaza wamaphaphu . Nangona zikho izizathu ezininzi abantu banokunyamekela iimpawu ezingaphaya kokulawulwa kwethu njengogqirha, kuyabuhlungu xa umntu engenzi nto ngenxa yento ebenokuthi ibenze lula kunye nokuvakatyezwa kwegumbi lokuphucula.

Khangela amanqaku angezantsi ngokuba ngummeli wakho:

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Iingxelo

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_{Arrieta, O. et al.} _{Umbutho wokuxinezeleka kunye nokuxhalabisa kwiMpilo yoBomi, ukuNyango kweZonyango, kunye nokuHlonyelwa kwezigulane ezineSifo esiPhezulu seSifo seNtsholongwane.} _{I-Annals ye-Oncology yokugada .} _{2012 Dec 22. (Epub ngaphambi kokuprinta).}

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