Ukutyelela kunye neenkcazo Ukulandela unyango lwe-Lung Cancer
Yintoni oyifunayo ukwazi ngokulandelelana emva kokunyangwa komhlaza wamaphaphu? Kufuneka kaninzi ukhenketho lweklinikhi, umsebenzi wegazi kunye neengcingo? Yintoni ezayo elandelayo?
Ukulandelelana nokuPhepha
Ukuqonda ukulandelelana kuyinto enye yezinto eziye zenziwa "ngokusinda." Ekugqibeleni kuyaqaphela ukuba abantu batshintsha ngenxa yonyango lomhlaza. Kwaye njengokuba sivame ukuphakamisa ukuvuselelwa xa umntu enesifo okanye ukuguqulwa kwamadolo, kubalulekile kulabo bazalisa unyango lomhlaza wamaphaphu ukuqonda amanyathelo alandelayo ekuphiliseni.
Ukuba ufikelele kweli nqanaba ohambweni lwakho, mhlawumbi uyamangaliswa ngeemvakalelo zakho. Usenokuba uzibonakalise unomdla kwaye ubhiyozela umzuzu wonyango ugqityiwe, kwaye uzibuze ukuba kutheni ungayivakalelwa ngokwenene emva koko. Enyanisweni, abantu abaninzi abasemgangathweni wokuthatha inyathelo - ngokwenene baxhamla kwi-sms ukusuka kwicandelo lokunyanga lomhlaza olulandelayo ukulandelelana kunye nokusinda - baziva becinezelekile. Yintoni ngoku?
Isicwangciso sokuPhucula
Ukulandelelana emva komhlaza akuxubuswanga ngethuba ngexesha lotyando, okanye nangona ekupheleni kokonyango. Ukunyamekela ngentsholongwane yomhlaza kuya kutshintsha kwaye ngoku kuyacetyiswa ukuba wonke umntu abe nesicwangciso sokusinda sigqityiwe. Ukuqonda oku kukwazi ukuhluka ngokukrakra, kodwa kukho izixhobo ezisemgangathweni xa ungazazi ezi. Uqala phi? I-American Society ye-Clinical Oncology inikeza isicwangciso sokunakekelwa kwe-ASCO sokuncedisa ukuba ungashicilela.
Siza kubelana nabanye apha ngokukhawuleza.
Iikliniki yokulandelelwa
Xa ugqiba unyango ugqirha uya kuncoma ukuba ubuyele kwixesha elithile. Oku kuya kuhluka kakhulu kuxhomekeke kuhlobo oluthile lomdlavuza wamaphaphu, kunye nempendulo kunye nemiphumo emibi ngexesha lotyando. Ezi zikhundla zokulandelelwana ziya kuba zihamba ngaphantsi kwexesha, kodwa uninzi lwabasindileyo bomhlaza luza kubonwa yi-oncologist yabo, ubuncinci bonyaka, bonke ubomi babo.
Injongo yale tyelelo i-3-fold:
Ukubeka iliso kwiimpawu zokuphindaphinda - Phantse nabani na obenomdlavuza wamaphaphu unomngcipheko wokuba isifo sifumaneke kwakhona. Ugqirha wakho uza kukubuza imibuzo (thabathe imbali) enze ukuhlolwa ngokomzimba, kwaye mhlawumbi uhlele iimvavanyo zeebhabhi kunye nezifundo zokucinga ukuze ukhangele nayiphi na impawu yomhlaza wesifo somhlaza.
Ukujonga umhlaza wesibili - Emva kokuba unomdlavuza wamaphaphu usemngciphekweni omkhulu wokuphucula umdlavuza wesibili wamaphaphu . Ukongeza, ezinye zonyango lomhlaza wemiphunga kuquka i-chemotherapy kunye neyeza zonyango zinganyusa umngcipheko wokuphuhlisa umhlaza wesibini ongathandaniyo onjengo-lymphoma (obizwa ngokuba ngumhlaza wesibili.)
Ukuqwalasela imiphumo engapheliyo yesifo somhlaza - Imiphumo emibi yonyango inokuhlala ixesha elide emva kokuba unyango lomhlaza lugqityiwe. Ukongezelela, ezinye iziphumo ezidlulileyo aziqalanga de kube yiminyaka, okanye nangamashumi eminyaka emva kokuba unyango lugqityiwe.
IMicrosoft Care
Emva kokugqiba unyango, abanye abantu banikezelwa unyango lwamachiza ukuba lithathe. Ezi zinokuba yimishanguzo yokugcina umhlaza wakho uqinile ukuba unayo ubungqina bomhlaza okanye ukunciphisa umngcipheko wokuphindaphinda. Kubalulekile ukuthabatha ezi zihlomelo rhoqo kwaye ngexesha elifanayo ngalunye suku.
Iindlela zokulandelela
Ukuba uyazi umntu oye wagqiba unyango lomhlaza, mhlawumbi uyaziqhelanisa neziphumo zokulandela. Ezi zinto zibangela uxhalabanele ngokwaneleyo ukuba zinikezwe ixesha lawo: i-scanxiety .
Ubume bee scans ziya kuncipha ngexesha kwaye luhluke kuwo wonke umntu, ngeesifuba ze-CT zivame ukwenza rhoqo emva kweenyanga ezintathu iminyaka emithathu, ke ubuncinane ngonyaka. Ayaziwa xa ezi zinokumiswa ngokucacileyo, nokuba ingaba i-CT ye-scans ye-low-sc scans inganelanga emva kwexesha. Ezinye iimvavanyo ezifana ne-bronchoscopy, i-ultrasound yesisu, isifo sengqondo seC CT kunye nesifo seethambo sinokulawulwa rhoqo ngexesha elide.
Ngeengcamango, unokuva malunga neengxabano ngokulandelelana nge-CT scans. Umbuzo ophathelene nalezi zicalulo malunga nokuba ngaba akukho nzuzo yokuphila. Ngaba ukufumana ukuphindaphinda komhlaza phambi kokuba kukho naziphi iimpawu ezikhoyo zibangelwa ukusinda ixesha elide okanye ubomi obubhetele kubasindileyo? Uninzi lwemibuzo ngoku iyakuthatyathwa kwiimvavanyo zeclini.
Ukuhlala Unempilo
Xa uphakathi kwonyango lomhlaza, ugxininiso lubaluleke ngokusisigxina. Injongo yokutya kukufumana iikhalori kunye neprotheni, ungadli ukutya okunomkhuhlane we-antioxidant, okunokuthi, kwintetho, nokuba yingozi kuba "inokukhusela" iiseli zomhlaza.
Xa ugqibile unyango lixesha elifanelekileyo lokujongana nale nkxalabo. Ukutya ukutya okunempilo kubalulekile, kodwa ukuzonwabisa, kukho ukutya okunokunciphisa umngcipheko wesibini umhlaza wamaphaphu okanye ukutya okunokukunceda ukulwa nomhlaza wamaphaphu . Ukuzivocavoca kubalulekile ekunciphiseni umngcipheko wokuphindaphinda, kwaye nangona ukungazinzi kubonakale kukuyiyona nkathazo, ukujongana nale nzobi kungahle kuphucule nesiphumo sakho.
Ukujamelana Neempembelelo Zomzimba WeCarcer
Nangona kungathethiwe ngokuphindaphindiweyo, abantu abaninzi banokujamelana nemiphumo emiphumo emiphumo yomhlaza wamaphaphu . Enyanisweni, abaninzi abantu benza. Olunye uphando lufumanise ukuba iminyaka eyi-10 emva kokuxilongwa, i-80 ekhulwini lomdlavuza womhlaza yayisabelana nemiphumo emibi yonyango lomhlaza obalulekileyo ngokwaneleyo ukuchaphazela umgangatho wobomi. Kukho imiphumo emininzi yexesha elide le-chemotherapy kunye neempembelelo ezide ezide zonyango . Ukongeza, abantu abaninzi banokujamelana nentlungu yesifuba elandela ukuhlinzwa komhlaza wamaphaphu okubizwa ngokuba yi-post-thoracotomy syndrome. Thetha nogqirha wakho malunga naziphi na iimpawu ozifumanayo. Okuqhelekileyo kubantu abanomdlavuza wamaphaphu kubandakanya:
- Ubunzima (ikakhulukazi ubuhlungu be-post-thoracotomy)
- Ukukhathala
- Ukuqhawukelwa ngumphefumlo
- Ukuhlahlela
Ukulungiswa kwepulmonary ("unyango lwemiphunga") yindawo entsha, kodwa uphando lubonisa ukuba oku kunceda abantu bajamelane neengxaki zokuphefumula zesikhathi eside eziphathelene nomhlaza wamaphaphu.
Ukujamelana Neempembelelo Zomdlavuza
Umzimba kunye nengqondo zihamba ngesandla, ngoko akumangalisi ukuba abantu abaninzi banamava emisiphayo emininzi emva kokunyangwa komhlaza. Ezi zinokuthi zinzima - njengengxaki yokuxinwa kwengqondo emva kwezigulane zomhlaza - okanye ezinzima kakhulu, njengokuba kulungelelaniso lweengxaki kunye nokudakumba okukhulu. Intsholongwane iyatshintsha abantu, kwaye unokufumanisa ukuba impendulo yakho kwiimeko ihluke kwizinto eziza kuba ngumhlaza ngaphambi komhlaza. Ngokomzekelo, kuye kwafunyanwa ukuba abasindileyo bomdlavuza bathambekele ekubhekiselele kwimibandela engeyiyo yomhlaza ebomini babo ngokuphepha-benethemba lokuba nantoni na eyenzekayo iya kuhamba. Yenza ingqiqo. Emva komhlaza, izinto ezincinci ziba zizinto ezincinci, kodwa zijongana nezinguqu eziphazamisayo ukukwazi ukuhlala ngokugcwele emva komhlaza ingcamango enhle.
Ukujamelana nokutshatyalaliswa kwemizwa yomhlaza akuthethi ukuba ufanele ubone umgqirha-nangona uphando lweentsholongwane zomdlavuza webele lubonisa ukuba oku kunokuba kuphuculwe ixesha elide lokuphila. Kukho iindlela ezininzi abantu abanokujamelana nazo emva kokuvalelwa ngumhlaza wemiphunga. Unokufuna ukujoyina iqela lokuxhasa . Okanye mhlawumbi, qalisa ukuhambisa uhambo lwakho lomhlaza . Abanye abantu bafumanisa ukuba iingqondo / izifo zomzimba kwizigulane zomhlaza zingenza umehluko omkhulu kwiimpembelelo kunye nokuphilisa emva komhlaza.
Ukuqhagamshelana nabanye kwi-Lung Cancer Community
Nangona ulahla amaqela enkxaso ngexesha lonyango, kwaye ngokukodwa ukuba ufuna ukuqhubeka nobomi bakho, ukuba usebenze ngandlela-thile emphakathini womdlavuza wamaphaphu ungenye yezinto ezilungileyo kakhulu onokuzenza. Oku kunokunceda ngeendlela ezininzi:
- Imfundo - Ukuba usanda kuqeda unyango mhlawumbi uyazi kakuhle indlela unyango lwemiphunga yomhlaza wamaphaphu litshintshile ngayo - kwaye ngokukhawuleza. Phakathi kuka-2011 no-2015 kwakukho unyango olutsha olwamkelwa ngumhlaza wemiphunga ngaphezu kweminyaka engama-4 ngaphambi ko-2011. Njengokuba sifumana ulwazi nsuku zonke malunga nokunyanga, sifunda ngakumbi ngokuphindaphindiweyo. Ukubandakanya emphakathini womdlavuza wemiphunga kukuvumela ithuba lokuva malunga nale nkqubela-ngamanye amaxesha nangaphambi kokuba i-oncologist yakho iyenze.
- Ukuxhaswa - Ukufumana nje ithuba lokuthetha nabanye "abaye khona" alixabanga.
- Ukubuyisela - Uzuze lonke olu lwazi, ngoku uya kwenza ntoni nalo? Ukunikela emva akuthethi ukuba uchithe ixesha elininzi-ngokwenene, emva komdlavuza wamaphaphu, mhlawumbi unomsebenzi obuninzi wokuba uyenze ebomini bakho. Thatha isikhashana ukujonga kwezinye zeendlela. Mhlawumbi ufumaneke ukuba uthethe nomntu onomdlavuza wesifo samaphaphu ofanayo oye wafunyanwa nje? Kukho neflip side kule. Siyazi, ngelishwa, umhlaza wempompho ubuye wabuya. Ukuba oko bekuza kwenzeka, ngoku unabantu basekuhlaleni abantu abaye baphila ngayo, ngokufanelekileyo kwiindawo zakho.
Imithombo:
I-American Society ye-Clinical Oncology. Cancer.Net. I-Cancer Cancer - I-Cell-Non-Small Small: Ukunyamekela Ukunyamekela. 08/2015. http://www.cancer.net/cancer-types/lung-cancer-non-small-cell/follow-care
Fukui, T., Okasaka, T., Kawaguchi, K. et al. Ukusinda Ngemiqathango Emva kokungenelela kokuPhepha kwizigulane ezineSifo seLung Cancer. Ama-Annal of Surgery Thoracic . 2016 Feb 22. (Epub ngaphambi kokuprinta).
Gourcerol, D., Scherpereel, A., Debeugny, S., Porte, H., Cortot, A., no J. Lafitte. Ukubaluleka kokulandelwa ngokukhawuleza Emva kokuPiliswa kweNonsmall yeLung Cancer Lung. I-European Respiratory Journal . 2013. 42 (5): 1357-64.
I-Lowery, A., i-Krebs, i-P., i-Coups, i-E. et al. Impact yeSimptom Ukunyanzelisa kwi-Post-Surgical Sur-Surgical Surin-Small Small Surveillance Cancer. Unonophelo loNcedo kwiCancer . 2014. 22 (1): 173-80.
Poghosyan, H., Sheldon, L., Leveille, S., noMnu Cooley. Ubunjani bezoMpilo ezixhamle ngezeMpilo Emva kokunyanga okuPhezulu kwizigulane ezineNcinci yeSifo seLung Cancer: Uhlolo lokuHlola. Cancer Lung . 2013. 81 (1): 11-26.
Srikantharaja, D., Ghuman, A., Nagendran, M., noM M. Maruthappu. Ngaba i-Tomography ekhompyutheni Ukulandelelwa kwezigulane Emva kweLobectomy kwi-Cell engekho encinci yeSifo seLung Cancer of Benefit kwiMigqaliselo yokusinda? . I-Interactive Cardiovascular and Thoracic Surgery . 2012. 15 (5): 893-8.