I-NED vs Ukwelashwa nokuKhuphela
Usenokuva umntu etshilo ukuba yi-NED, okanye ugqirha wakho unokusebenzisa le gama ukuchaza umhlaza wakho. Kuthetha ukuthini ukuba akukho "ubungqina besifo" nomhlaza wakho? Ixesha eliqhelekileyo lisetyenziswa nini? Kwaye kuthelekiswa njani namanye amaphepha afana nokuxolelwa kunye nokuphendula okupheleleyo?
Akukho Ubungqina Bokugula (iNED): Inkcazo
Akukho bungqina besifo (i-NED) lixesha elisetyenziswayo xa iimviwo neemvavanyo zingenakufumana umhlaza kumntu ophethwe ngumhlaza.
I-NED ichaza iphuzu ngexesha-apho uhlala khona namhlanje-engenakho izibonakaliso okanye iimpawu zomhlaza nanoma yibuphi ubungqina bomhlaza kwiindlela zokucinga ezikhoyo ngeli xesha. I-NED ingaba yesikhashana, okanye ingasigxina.
Xa uthetha ngomhlaza webele , igama alikho ubungqina besifo (i-NED) ayithethi ukuba isifo sanyangekile, kuba ukuphindaphinda akunakuphelelwa ngokupheleleyo. Ukubekwa njenge-NED kuthetha ukuba akukho ubungqina bokuba kukho nawuphi umhlaza ongabonwa yizifundo ezinjengezimpawu zamathambo egazi, i-CT, i-MRI, ithambo okanye i-PET.
Ingaba i-NED ibonisa ukuthi uyaphiliswa?
Oogqirha badla ukuba basebenzise igama elithi "unyango" xa bethetha ngezilonda eziqinileyo-nangona kukho i-99 ekhulwini inokwenzeka ukuba umhlaza awuyi kuphinda ubuyeke. Akunakwenzeka ukwazi ukuba kukho "i-micrometastases" ekhoyo emzimbeni wakho-oko kukuthi, i-metastase ezincinane kakhulu ukuba zingabonwa kwizifundo zokucinga.
Siyazi kakuhle indlela umhlaza wesifuba usasazeka ngayo , kodwa asiyazi kakuhle ukuba kutheni ezinye iintsholongwane zibuyela (iminyaka ephindaphindiweyo), okanye emva kwamashumi eminyaka.
Kukho iingcamango ezichaza iiseli ezinqabileyo okanye amangqamuzana angamaqhina anakho ukufihla nokukhusela unyango, kodwa okwamanje asiqinisekanga ngokupheleleyo. Kuze kube ngoko ke kunokwenzeka ukuba igama elithi "unyango" liya kuhlala ligcinwe kuphela kumancinci "ngaphambili" ngaphambili okanye kwezinye iintsholongwane zegazi ezinxulumene negazi.
Amanye Amagunya athetha iNED kunye neNinzi
Mhlawumbi uye wakuva inqaku lamagama ahlukeneyo athetha malunga nenkqubela yomhlaza.
Ezinye zeli gama zithetha into efana nale nto kodwa zithatha ukusetyenziswa ngaphezulu komhlaza omnye okanye omnye. Imigomo efana neNED iquka:
- Gcwalisa ukuxolelwa
- Phendula
Ukuba umhlaza uphinda uphinde uxolelwe ngokupheleleyo (i-NED) uza kuthiwa kubuyelwa kwakhona okanye ukuphindaphinda.
Ukujamelana
Omnye ongazange aphile nomhlaza angayiqondi isizathu sokuba kubekho isihloko esithi "ukuhlangabezana neNED." Ngaba akufanele uvuyiswe ngokupheleleyo?
Kanti i-NED ingaba yindawo eyoyikisayo. Nangona uhlala unyango olusesikweni, uvame ukubonwa ngugqirha wakho rhoqo, kunye nosapho kunye nabahlobo basondele. Kungathi uhlekisayo, kodwa abaninzi abantu baziva becinezelekile xa befikelela kule nyathelo. Kungathi ngathi wonke umntu owaziyo ubuyela ebomini babo ngaphambi komhlaza wakho kodwa wena.
Ngaphezulu koko, uninzi lwabantu lusabelana nemiphumo emibi evela kwizonyango ezithathayo ukuya kwi-NED. Iimpawu ezinjengelo xhaphaza lomhlaza, ukukhathazeka , ukutshisa okutshisa , kunye nokudlula ixesha elidlulileyo kudlule umthamo wokugqibela we-chemo okanye i-radiation.
Emva koko kuza ukoyika. Ukwesaba ukuphindaphinda komhlaza kuyinyani kwaye akunandaba nokuba unomdlavuza wamandulo okanye umhlaza ophezulu. Ubomi buhluke kunokuba ngaphambi komhlaza. Yayiphi na into eyayinomzimba omnene, ngoku uloyiko ngumhlaza obuye uvele ebuchosheni bakho.
Yayiyiphi ikhefu emqaleni wakho ukusuka kwimizimba yexesha, ngoku uloyiko ngumhlaza obuyele emiphakeni yakho. Uloyiko lokuphindaphinda luphela. Thetha ugqirha wakho malunga noloyiko, kwaye khangela ezi ngcebiso malunga nokujongana noloyiko lokuphindaphinda .
Ukusuka kwenye indawo, kukho ezinye iingcamango onokuzijongana nazo xa ufika kwi-NED. Abaninzi bethu babandakanyeka kumaqela enkxaso-ndawo okanye kwi-intanethi nabanye abajongene nomhlaza wesibele. Abantu abaninzi bayamangaliswa emva kokuhlamba kwiibhanki zepinki ukuze baqonde ukuba izinga lokufa kweengqumbo zesifuba alinakuguqulwa kakhulu. Ngokuqinisekileyo, ukhetho lwezonyango zezifo zesantya-ncinane lunciphisa umngcipheko wokuphindaphinda, kodwa ukuphindaphinda kuqhubeka.
Xa ukuphindaphinda okude kwenzeka (umdlalo wesifo se-metastatic okanye sesigaba se-4) akusayi kuphinda kubekho unyango. Oko kuthetha ukuthini ukuba ukuba unabantu abakwiqela lakho lokuxhasa elijongene nomdlavuza webele weemetastatic, uya kulahlekelwa ngabahlobo. Ixesha elidlulayo elithatyathwa yecala liye laqulunqwa ukuchaza oku ngezinye iimeko zetyala ezithintekayo xa sisaphila, kodwa abahlobo bethu nabathandekayo abanalo.
UkuKhanya okuKhanya kuKhuphelwa kwiNED kunye ne-Breast Cancer Recurrence
Ngencomo yonyango elitsha kubantu abathile abanesifuba esisekuqaleni kwe-2017 kuza ukuqonda okungcono kangcono indlela iiselomhlaza zebele zesifuba ezifihla ngayo kwaye ziqale ukukhula kwakhona kwiminyaka emininzi kamva. Kwabesetyhini abanomdlavuza webele we-postmenopausal isrogen receptor-positive, amayeza e-bisphosphonate zometa (i-zoledronic acid) iphakanyiswa njengolu unyango oluxhasayo. La mayeza asetyenziselwa i-osteoporosis kunye namathambo e-boneastases kubonakala ukuba athinte i-microenvironment kwithambo. I-microenvironment iziganeko zezicubu ezijikeleze umhlaza. Ngaloo nto inokunciphisa umngcipheko weethambo ezithintekayo ezenzeka kuqala.
Ezi ziphumo ziye zabangela abaphandi ukuba bazibuze ukuba iiseli zomhlaza zesifo sebele (xa ziyi-NED) zixhomekeke emlonyeni wethambo. Xa i-microenvironment iguquka, ngesizathu esithile, la maseli aqala ukukhula. Ukususela kumaphesenti angama-90 okufa komhlaza wesifuba unxulumene neendlela zokumelana, ukuphanda kule ndlela kubaluleke kakhulu.
Amanyathelo alandelayo
Ekugqibeleni siqala ukulungisa "iimfuno zokusinda," kodwa asikho. Amanye amaziko omhlaza "akugxotha" kunye nesicwangciso sokusindisa, okanye unikezela "iinkqubo zokuvuselela umdlavuza". Kanti kaninzi uvakalelwa "njengolonwabo-uhlala-unobomi obuhle!"
Ukuba unomdlavuza webele, hlola iimpawu kwaye ufunde kabanzi malunga nokuphindaphinda umdlavuza webele . Unokuzibuza ukuba kutheni ungakucwangciswanga ukuhlolwa kweengcinga eziqhelekileyo (ezifana ne-PET). Isizathu kukuba nangona ezi ziboniso zingabonakalisa ukuphindaphinda ngaphambilana kunokuba kunokwenzeka ngokusekelwe kwiimpawu zodwa, abukho ubungqina bokuba ukusinda kuphuculwe ngokufumana iimpawu zokuphindaphinda ngaphambi kokuba kukho naziphi iimpawu.
Jabulela impilo ephilileyo. Kukho ubungqina bokuthi ukutya ukutya okunempilo kunye nokusebenzisa rhoqo kunokunciphisa umngcipheko wokuphindaphinda. Fumana ukulala ngokwaneleyo, kwaye ukuba unobunzima bokulala, xela ugqirha wakho. Uphando lubonisa ukuba umdlavuza webele usenokwenzeka ukuphindaphinda kubasetyhini abanokugula . Ufumane iindlela zokunciphisa uxinzelelo. Njengokulala, iziphumo zisitsho ukuba ukunyamezela kungabamba indima kwabanye abantu abaphuma kwi-NED ukuba baphinde baphinde. Cinga nge-journaling. Kwaye, ngegama elihle, cinga ngako konke oye wakufumana kumava akho. Sifunda ukuba ngaphezu kokunyanzeliswa, ukuhamba nomhlaza kunokukhokelela ekukhuleni okuhamba phambili. Ngamanye amazwi, umdlavuza unokwenza utshintshe abantu ngokubhetele!
> Imithombo:
> I-Memorial Sloan iCettering Cancer Centre. Yintoni "Ukunyanga?" Https://www.mskcc.org/pediatrics/cancer-care/types/neuroblastoma/what-cure