Eyona nto ixhaphakileyo kwisigxina sesigxina kunye neentsholongwane zomdlavuza , isithintelo esilumkileyo semilenze singabangela iimpawu ezibalulekileyo kwaye ezingenakukhathazeka ekupheleni kobomi. Phakathi kweepesenti ezingama-25 no-40 zezibilini ezinobungozi ezinobungozi zivela kumgca wokuphela komdlavuza we-colon, zilandelwa ngokusondeleko ngumhlaza wesi-ovari kumabhinqa. Unyango lwe-obstruction ngokuqhelekileyo lujoliswe ekubhekisweni kwe-palliation- okanye uncedo lokungabikho kolwaphulo .
Yintoni Eyingozi Yokuvalwa?
Ngokuchasene nesithintelo semfuyo kumntu omdala onempilo , ukuphazamiseka kakubi kunokuvela kwiisisu ezixinzelele emathunjini avela ngaphakathi okanye ngaphandle kwendlela yokutya, okanye ukukhubazeka kwemvelo ukuhamba nokutya ukutya odlayo. Izinto ezinzima eziqhubekayo zingabandakanya:
- Imbali yokuhlinzwa esiswini okanye ngesisu
- Ukunciphisa ukungena kwamanzi kunye nokuphelelwa kwamanzi okungapheliyo
- Ama-narcotics opioid ngenxa yokuphulukana nentlungu
- Imiphumo emibi yeyeza
- I-Metastasis ngaphakathi kwesisu (kwezinye izitho ezinjenge-bladder okanye i-rectum)
Nangona akusiyo umphumo oqhelekileyo okanye okulindelekileyo, izinga lakho lokusinda liyancipha kakhulu xa unomdla wokuphela komhlaza wekoloni kwaye sele ufumene ukuba unomqobo onzima. Ubude obude bexesha ukusuka kwisigxina sokugqibela ukuxilongwa kwisigxina sesilwanyana sisithuba seenyanga ezili-13 ngokweNational Cancer Institute .
Iimpawu
Iimpawu zingase zilahleke okanye zibhekiselele kwiyeza okanye kumachiza. Iimpawu eziqhelekileyo ezichazwe ngokukhazamiseka okubi zibandakanya:
- Isixhala, ngakumbi emva kokutya
- Ukuhlambalaza, kuquka ukuhlanjululwa kwezinto ezingcolileyo okanye ezinqabileyo
- Intlungu zesisu
- I-Cramps okanye i-colicky engathandekiyo esiswini
- Ukuyeka ukuhamba kwezilwanyana okanye ukuguqula ubukhulu kunye nobukhulu (ukudlula inani elincinci lombane okanye igesi kuphela)
Iimpawu zesithintelo esibi asiyiyo isisombululo; baqhubeka kwaye baqhubeka kwinkalo ngaphandle kokuba kuthatyathwe amanyathelo athatho.
Ukuchonga ukuKhutshwa
I-X-ray yeesisu kunye nokuhlolwa kwe-tomography (CT) ziza kubonisa ukuba kukho ukuphazamiseka kwisilonda sakho. Ebhanwe kunye nomhlaza wesifo somhlaza, isigaba , kunye neempawu, ukuxilongwa ngokuqhelekileyo akunakuphikiswa.
Unyango kunye nokuLungiswa kweMpawu
Unyango oluphambili lwesithintelo esibi sisilumkiso sonyango, kodwa ukukwazi kwakho ukusinda nokubuyiselwa kule ngozi kunokungafani kakhulu nomhlaza wakho. Ukuba ufuna ukuhlinzwa ukuze ususe umqobo, ugqirha wakho kufuneka akuqwalasele ukukhusela kwakho kunye:
- Ubungakanani bomhlaza wakho kunye nesisu somzimba
- Ubudala bakho kunye nempilo jikelele
- Naziphi na ezinye izimo zempilo onokuzenza, ezifana nesifo sikashukela okanye isifo senhliziyo
- Ukukwazi kwakho ukubuyisela kwi-operation enkulu
Ukuba ukhetha ukhetho olungagqirha okanye ulungelelwanga ukungenelela, ugqirha wakho unezinye iindlela zokunceda ukwandisa induduzo yakho kwaye unciphise ubunzima beempawu zakho. Intsimbi ye-nasogastric-inqabileyo, insima kunye ne-tube flexible-ingafakwa kwiimpumlo kwisisu sakho. Umatshini obonelela ngokunyamekela unokuxhumeka ngokukhawuleza ukususa i-acid excess and content content to decrease the nusea and vomiting.
Ugqirha wakho unako ukumisela amayeza ukuze uncede ukhulule ubuhlungu be-colicky kwaye utyumle esiswini sakho, kunye nemithi yokunceda ukuphelisa isicaphulelo.
Unokuphinda uxubushe ngamanzi kunye neendlela zokutya kunye nogqirha wakho. Kukhethwa ngokukhethekileyo, kodwa abanye abantu bakhetha ukuqhubeka behambisa amanzi kwaye banikeze izondlo kumzimba ngokufanelekileyo. Iifluids nazo zinokulawulwa ngaphantsi-nje ngaphantsi kwesikhumba- ukugcina izinga le-hydration kunye nentuthuzelo esekelwe kwiimfuno zomzimba kunye neziphumo. Ngokuqhelekileyo, phantsi kolawulo lwe-hospice, abanye abantu abanezikhuselo ezinobungozi bakhetha ukuqhubeka besitya ukusela ukutya okutshintshiweyo ukuze kukhuthazwe amanyathelo.
Imithombo:
National Cancer Institute. (nd). I-Modem Yokuzifunda YesiXhosa 3e: Ukuvalwa Kwimizimba.
Tuca, A., et al. (NgoMatshi 2012). Ukuvalwa kwezilwanyana ezinobungozi kwi-Cancer Advanced Patients: I-Epidemiology, uLawulo, kunye neZinto ezichaphazela ukuSombulula ngokuZenzekileyo. I-Journal ye-Cancer Management kunye neZibonelelo.