Izinto ezili-9 zokuziqwalasela xa ukhetha ukunqanda unyango lwe-Cancer
Ngokuqhelekileyo kunomdlavuza, abantu bafikelela kwindawo apho kufuneka bathathe isigqibo sokuba ngaba baphinde baphinde baphinde baphathe unyango okanye kunoko bafune ukunyamekela kuphela. Esi sinqumo esishukumisayo esisenza sicinge ngokucokisekileyo.
Ngokungafaniyo nakwixesha elidlulileyo xa abantu bephela baphumelele kwiinketho zokonyango, isigqibo sokuphambi kwesinye isinye unyango siwela kumntu onomhlaza kunye nabathandekayo bakhe.
Le yimiqondiso enhle ngokubhekiselele kwinkqubela kwonyango lomhlaza, kodwa kunzima kakhulu kubantu ngabanye abajongene nomhlaza.
Yintoni ekufuneka uyazi xa kuziwa ekuthatheni isigqibo sakho, kwaye yiziphi izinto omele uziqwalasele ngaphambi kokuba u-ewe okanye akukho ukunyanga?
Ukwenza iSigqibo sokuMisa unyango lweCarcer
Kwiminyaka edlulileyo sasingenayo ininzi yokubonelela abantu abanezigaba eziphambili zomhlaza; ukuba i-tumor ayikwazanga isuswe ngokugqithiseleyo kwakukho iindlela ezimbalwa. Siyavuya ngokuba siphila ngexesha apho unyango olunjengekhemotherapy lukhona lunokunyusa ubomi okanye ukuphucula iimpawu zabanye abantu abanomdlavuza wesifo semitha. Kanti ngezinye iinketho zivela enye ingxaki. Kufuneka ninike unyango? Ufike nini kwindawo apho umgangatho wobomi ungcono ngakumbi ngaphandle kokonyango?
Ngaphambi kokuqhubeka kubalulekile ukuba uqaphele ukungaqondi kakuhle ngokuphathelele iziphumo zonyango kunye nomhlaza wesigaba 4.
(Oku kubhekisela kwiimvumi eziqinileyo ezifana nomhlaza wemiphunga kunye nomhlaza wesifuba, kungekhona i-cancer ehlobene negazi ezifana ne-leukemia kunye ne-lymphomas.) Xa i-chemotherapy inikezelwa kubantu abanomdlavuza wesigaba sesi-4 injongo isoloko iyancipha . Unyango lunokwandisa ubomi kwiiveki ezimbalwa okanye kwiinyanga kwaye zingaphucula iimpawu ezinxulumene nokukhula komhlaza, kodwa kunjalo ayinikwe ngenjongo yokuphilisa umdlavuza.
Olunye uphando lubone ukuba abantu abangama-69 abantu abanomdlavuza wesifo somhlaza wesigaba se-4 kunye namaphesenti angama-81 abantu abanomdlavuza wesiqhelo se-colon abazange baqonde ukuba i-chemotherapy yayingekho yonke into yokuphilisa umdlavuza wabo.
Ukwenza isigqibo sokuyeka unyango olushukumisayo lomhlaza kunokuba luhlungu kakhulu emoyeni. Ngaloo ndlela, kungenzeka ukuba lixesha ebomini bakho xa ufuna ukuxhaswa ngabathandekayo bakho. Oko kwathiwa, intsapho yakho kunye nabahlobo nabo bafumana intlungwini enokuzibophelela ngokukhawuleza. Ukongezelela, intsapho yakho kunye nabahlobo banokuba neengcamango okanye iinkolelo ezahlukileyo kunoko, ezingabangela ukungqubuzana phakathi kwakho kunye nabathandekayo bakho kunye namalungu entsapho kunye nabahlobo bakho. Ziziphi ezinye izinto oza kuziqwalasela njengoko wenza le sigqibo esichukumisa intliziyo?
Sisigqibo Sakho
Abahlobo kunye nosapho bakho banokunikela iingcamango zabo, kodwa ekugqibeleni sisigqibo sakho malunga nokuba ungaqhubekiyo okanye ungaqhubeki unyango Iimvakalelo zinokuthi zijonge kakhulu xa iiminqweno zakho ziphikisana nabathandekayo bakho. Unokudinga ukukhumbuza ngokunyanisekileyo amalungu omndeni wakho ukuba uyazi ukuba isigqibo osenzayo asiyena oya kwenzayo-kwaye kulungile. Ukuba uyinyaniso kuwe, abathandekayo bakho banokukuxhasa ngexesha.
Ukuqwalasela iindlela kunye nokucinga malunga neengozi kunye neenzuzo (jonga ngezantsi) kunokubonelela "ubungqina" obungayi kuyenza ukhululeke ngakumbi kwisigqibo sakho kodwa kuncede bakho abathandekayo baqonde iingcinga emva kwesigqibo sakho.
Ukunyanga Ukwelashwa Akuthethi Uthi Unika
Ngokuqhelekileyo abantu banomdlavuza ophezulu-kwaye ngamanye amaxesha amalungu abo entsapho-bajonga ukuyeka ukunyanga nje ngokuthi "ukuyeka." Ukujonga nje ezimbalwa izithintelo kuqhuba le ngongoma ekhaya. Abantu badunyiswa ngokuba "balwa neqhawe lokulwa nomhlaza." Ukukhetha ukuyeka unyango olukhuselekileyo lomhlaza wakho akuthethi ukuba unika.
Kunoko, ukhetho olusebenzayo lokuhlala iintsuku zakho zokugqibela ngendlela ofuna ukuyiphila ngayo.
Ukuyeka unyango lwe-Cancer akuthethi ukuyeka zonke Iimpawu zonyango
Ukugqiba ukuyeka unyango olusisigxina kumhlaza wakho akuthethi ukuba kuya kufuneka unqande zonke unyango. Enyanisweni, ukutshintsha ugxininiso lwonyango ekulawuleni iimpawu kukubeka phambili kukukwenza ube nolulungekile kunokwenzeka.
Intsapho: Ukungena kwiiNkcukacha zabanye
Sivame ukuva ngamalungu entsapho abacaphukisa ukuba umthandayo ukhethe ukuba angayilandela nayiphi na enye imithi yokwelapha. Kubalulekile ukuba abathandekayo baqonde ukuba oko bazakwenza ngokwabo bangaba ziimitha ngaphandle kwezinto abazithandayo abazithandayo kunye neminqweno. Kanye njengoko sinemibono malunga nemibala eyintandokazi okanye amaqela ezemidlalo, wonke umntu uya kuba nembono ohlukileyo xa kufike ixesha lokuyeka unyango olusebenzayo.
Ukucinga ukuba unolwazi olwaneleyo lokwenza isigqibo esisisigxina (umzekelo ukuba uyazi zonke iindlela onokuzikhathalela ngazo) kubalulekile ukuba abathandekayo bakho bahloniphe isigqibo sakho.
Ukuba wakho umthandayo akanakukhathazeka, mazise ukuba uyazihlonela iingcamango zakhe. Kungamnceda ukuba athathe umzuzwana aze azame ukungena ezinqabeni zakho. Kanti oku kunokuba nzima. Sivame ukutshintsha iimbono zethu kwinto esiya kuyenza kwimeko xa sinene. Abathandekayo bakho banokuthi babe neentlungu ezilindelekileyo , kwaye baqaphele nantoni na into enokuhlala iphila njengendlela yokulibazisa intlungu yokulahleka.
Izinketho zokuHlola
Ukuthatha ixesha lokuphonononga zonke iindlela zokunakekela unokukunceda uzive ukhululekile ekwenzeni isigqibo sakho malunga nophatho olongezelelweyo. Nangona uvakalelwa kukuba ukuyeka unyango kukukhetha okulungileyo, ukhetho lokuqonda lunokukunceda ukuba uchaze ukhetho lwakho kubathandekayo abahlukileyo kwimbono yabo. Unokuqala ngokucela i-oncologist yakho ukuba uluhlule zonke iinketho zokunakekelwa kwakho, kuquka ezo ziza kunikwa kuphela kwisiko lomhlaza okanye kwindawo ehlukile. Unokufisa nokuphanda iimvavanyo zekliniki ezinokufumaneka kwiimeko zakho. Kukho iinkcukacha ezimbalwa eziluhlu lwezilingo zeeklinikhi emhlabeni wonke, kunye neenkonzo ezihambelana nazo apho umhambi wongikazi unokuncedisa ukulingana naziphi na izilingo ezikhoyo kunye nemeko ethile.
Umgangatho woBomi: iiNzuzo zoLungiso ngeZiphumo eziPhezulu zonyango
Ixesha eliqhelekileyo lihoywa, kodwa inyathelo elibalulekileyo kukuba ulinganise iingenelo onokufumana kunyango malunga nemiphumo emibi. Kubalulekile ukuba i-oncologist yakho ichonge ngokukhawuleza into ekholelwa ukuba inzuzo yonyango iya kuba yinto yakho, kokubili ngokulondoloza ixesha elide kunye nokulawula iimpawu zakho. Ezi ntlawulo zinokulinganiswa ngokumalunga nemiphumo emibi yonyango oluthile.
Njengoko kuphawuliwe kwangaphambili, uninzi lwabantu abanomdla wesigaba 4 somphunga kunye nomdlavuza wekoloni babengenakucacisa ukuba i-chemotherapy yayingekho yonke into yokuphilisa umdlavuza wabo. Okuthakazelisayo kukuba, amagqirha athi izigulane zithi zona zilungileyo kakhulu ekukhulumisaneni nazo zazingakhange zichaze ngokunjalo ukuba i-chemotherapy ayinakunikwa inzame yokuphilisa eso sifo. Oku kunokukunceda uhlale phantsi kunye nabathandekayo bakho kunye neqela lakho lezempilo kwaye ubhale uluhlu lwezinto eziphathekayo kunye nolwazi.
Hlola kwaye Ukhulise Iinkolelo Zakho Ezingokomoya
Kunokuba luncedo ukujonga iinkonzo zakho zokomoya njengoko wenza isigqibo. Ukuba unokholo olunzulu emva kokufa, isigqibo sokuyeka unyango sinokuba lula. Ngokwahlukileyo, ukuba unenkxalabo eyenzekayo emva kokuba umzimba ufe, kunokuba luncedo ukuthetha nomfundisi wakho, umbingeleli wakho, umfundisi wakho, okanye ezinye iinkokeli zomoya. Kwizinto ezimbalwa zophando ngomhlaza wemiphunga, abantu abavakalelwa kukuba banokomoya olungakumbi (nokuba kwakuthetha ukuya kwiinkonzo zonqulo okanye ukuthetha kunye nendalo) bakuthola kulula ukujamelana nomhlaza wabo kwaye babe nobomi obubhetele.
Ukubambelela kwiThemba
Abantu abaninzi banesaba ukuba ukuyeka unyango kufana nokuyeka ithemba. Ukuyeka unyango akuthethi ukuba uvumela ukuhamba kwethemba. Kunoko, kuthetha ukuhlonipha ithemba lakho lokuchitha ixesha elifanelekileyo kunye nosapho lwakho kwaye ukhululeke kwiintsuku oshiye kuzo.
Izinyathelo Ezilandelayo Ukuba Unquma Ukunyanga Ukwelashwa Okuqhubekayo
Ukunyanga ukunyanga akuyona into efanayo ne-hospice, kodwa ukunakekelwa kwe-hospice kusetyenziswa iintsuku zokugqibela kunye neenyanga zobomi. Xa uxoxa ngokuyeka unyango kunye ne-oncologist yakho yithuba elaneleyo lokuxoxa malunga nezikhokelo zangaphambili , ukunyamekela, kunye nokunakekelwa kwezibhedlele .
Unokuzibuza into ezayo, kwaye unganqikaza ukubuza. Unokuba unqwenela ukufunda okungakumbi malunga noko ungalindela kumanqanaba okugqibela yomhlaza wamaphaphu .
Ngaphantsi kwiSigqibo sokuMisa unyango lweCarcer
Ekubeni kuninzi ukhetho oluninzi lwempilo yomhlaza kunokuba ludlulileyo, abantu abaphila nomhlaza kunye nabathandekayo babo bavame ukubizwa ukuba benze isigqibo malunga nexesha lokuyeka unyango. Ngelishwa, oogqirha badla ngokukhawuleza ukuxoxisana nale ngxelo ngokunjalo.
Ukukhetha ukuyeka unyango lomhlaza osebenzayo yisigqibo somntu siqu, kwaye akukho mntu unokukwenza ukhetho lwakho. Sixoxe ngezinto eziliqela zokuqwalasela ngaphambi kokuba wenze esi sigqibo esinzima, kodwa ngokuqhelekileyo, isisu sakho siya kukuxelela xa ixesha lilungile. Gcina ukhumbule ukuba ukhetha ukuyeka unyango akushiyi. Esikhundleni saloo nto, yenza ukhetho oluqinileyo lokunandipha umgangatho weentsuku ozinayo.
> Imithombo:
> Laarhoven, H., Henselmans, I., noJ de Haes. Ukunyangwa okanye ukungabanjwa: Ngubani na onokumisela? . Oncologist . 2014. 19 (4): 433-436.
> Ilayibrari yeSizwe ka-US yamayeza. Medline Plus. Xa unyango lwakho lomhlaza luyeka ukusebenza. Ukuhlaziywa 09/05/17. https://medlineplus.gov/ency/patientinstructions/000851.htm
> Iveki, J. et al. Iziguli zilindelwe ngeempembelelo ze-Chemotherapy kwi-Advanced Cancer. I-New England Journal of Medicine . 2012. 367: 1616-25.