Iyintoni Injongo yePalliative Chemotherapy?
Yiyiphi ikhemotherapy enobulunga kwaye nini kufuneka isetyenziswe? Ziziphi iinjongo zakho kwimpilo yomhlaza wamaphaphu ? Ziziphi iziphumo ezichaphazelekayo zolu hlobo lwenyango, kwaye yimiphi imibuzo omele uyibuze?
I-Palliative Chemotherapy - Inkcazo
I- chemotherapy ehamba phambili yonyango lwama-chemotherapy olunikezelwa ekunciphiseni iimpawu zomhlaza, kodwa ayengenjongo yokuphilisa umdlavuza okanye ukwandisa ubomi.
Kubaluleke kakhulu ukuqonda injongo ye-chemotherapy enikwe ngale ndlela. Uphononongo olutshanje lucetyiswe ukuba ezininzi izigulane ezinegciwane lesigaba se-IV azizange zinikezelwe ngolwazi olucacileyo kwaye aluyiqondi kakuhle injongo yechemotherapy enikezelwa yile ndlela. Abantu abaninzi banethemba lokuba "bayahluka" kwaye mhlawumbi i-chemotherapy iya kubapha ithuba lokuphila ixesha elide.
Nangona loo ngcamango izisa ithemba, ukuba kukho inyango yonyango ekwandiseni ukusinda okanye ithuba eliyinqabileyo lokuba lonyange umhlaza, i- oncologist yakho iya kubelana nawe. Kungenza intliziyo igxininise ukuqonda ukuba unyango alunalo ithuba eliyinqabileyo lokuphilisa umhlaza kwabanye abantu, kodwa ukwazi oku phambili kungakunceda wenze okukhethiweyo nokuzicingela.
Njengoko uqwalasela esi sigqibo, kubalulekile ukuthetha ne-oncologist yakho malunga nokufunyaniswa kwezinto zakutshanje ezibonakalisa ukuba i-chemotherapy enobulunga ingabangela ukonakala komgangatho wobomi.
Zininzi unyango kwiyeza, yonke umdlavuza uhlukile kwaye wonke umntu uhlukile, ngoko ke amanani aluncedo kakhulu xa ucinga unyango lwakho.
Iinjongo Zonyango
Kunokudideka ukuthetha ngonyango ngeli nqanaba lomhlaza, ngoko makhe sihlolisise iinjongo ezipheleleyo zonyango lokuqala.
Ezi njongo ziquka:
- Uphulo lokukhusela - Olu unyango lwenziwa ngenzame yokukhusela isifo okanye iingxaki zesifo
- Unyango olunyango - Olu hlobo lwenyango lwenziwa ngethemba lokuphilisa isifo
- Unyango olwenziwe ukwandisa ubomi - Ukonyangwa okwenziwe ukwandisa ubomi kwenziwa ngenjongo yokufikelela ixesha elide (nokuba lide linokwenzeka) lomhlaza
- Ukulawulwa kwezifo - Unyango lolawulo lwezonyango lungenziwa ukwenzela ukuzinzisa okanye ukuguqula ezinye iimpawu ezinxulumene nesifo
- Unyango olusisigxina - Unyango oluphambili, njengoko ukhankanywe ngasentla, lwenziwe ngenjongo yokulawula kwaye ngokuqinisekileyo ukhulula iimpawu zomhlaza ukuze kuphuculwe umgangatho wobomi
Iinjongo zePalliative Chemotherapy
Xa uthetha nge-chemotherapy esilula, kubalulekile ukubaluleka injongo yonke yonyango njengoko kuphawuliwe ngasentla kwaye uqinisekise ukuba awucingi-okanye uthembele-kwiziphumo ezingahambelani nalo hlobo lwenyango. Umzekelo unokunceda ukuchaza oku. Ukuba ugqirha wakho uphakamise i-chemotherapy esilumkileyo kodwa usenethemba lokunyanga, kufuneka ube nencoko. Ngaba kukho na ukhetho olukhoyo oluya kufanelana naloo ndlela? Mhlawumbi uyazi ngesigaba se-I lonyango lwelingo - ilingo apho isilwanyana kuqala sifundiswa ngabantu-esinokunika ithuba lokunyanga, kodwa enobungozi obukhulu okanye obunokunciphisa umgangatho wobomi?
Ngomdlavuza wamaphaphu, ngoku kukho izilingo ezininzi zeeklinikhi ezijongene neendlela ezijoliswe kuzo kunye nonyango lwe-immunotherapy ezinokuthi - nakuba singenalo ngokwenene -ba yindlela efanelekileyo yokuba unomdla kwizame zokunciphisa unyango.
Ukuba ukhululekile ngekhemotherapy esilulayo njengendlela yokukhetha, cinga ngeenjongo zale nyango. I-chemotherapy ehambayo yenzelwe ukuba:
- Nciphisa izibonakaliso - Ngokunciphisa ubukhulu okanye ukusabalalisa, kodwa kungekhona ukuphelisa i-tumor, unyango oluthile lungasetyenziselwa ukuphucula iimpawu ezibangelwa ngumhlaza. Imizekelo yeempawu ezingaphathwa ngolu hlobo ziquka intlungu ebangelwa isisu esichukumisayo kwizakhiwo ezahlukahlukeneyo emzimbeni, okanye ukuphefumula okufutshane okubangelwa sisifo esinqanda umoya okanye ukuthatha isikhala esikhulu kumpompo.
- Ukunyuka okufutshane kweCarcer - ngamanye amaxesha i-chemotherapy esilulayo inokunciphisa ukukhula komhlaza kunye nokwandisa ubomi, nangona ayiphilisi umhlaza. Thetha kwi-oncologist yakho malunga nokuba oku kwenzeka, ngoko ukuba akunakwenzeka, awuyi kudideka.
- Ukuphucula umgangatho wobomi - ngokunciphisa iimpawu ezinjengeentlungu kunye nokuphefumula okufutshane, unyango oluthile lunokuphucula impilo kunye nomgangatho wobomi.
Imibuzo Yokubuza:
Ukwenza esi sigqibo esinzima, kunokukunceda ukubuza imibuzo ethile. Unokuba unqwenela ukudlula olu luhlu (kunye nemibuzo oyongeza kuyo) kunye ne-oncologist yakho, kunye nabathandekayo bakho. Njengoko uphendula le mibuzo kubalulekile ukuqwalasela okulungileyo kuwe wedwa. Amalungu entsapho kaninzi anemibono eyahlukileyo kwaye angakhetha indlela eyahlukileyo ukuba ngaba bekhona kwaye awuyi kukhetha. Mamela oko intsapho yakho ithethe kwaye ucinge ngeengcamango zabo, kodwa wenze isigqibo esenza iimbono zakho neenkolelo zakho malunga neemfuno zakho kunye nezifiso zakho. Cinga le mibuzo.
- Ngaba ndimele ndilindele ukuba le khemotherapy iya kwandisa ixesha lokusinda kwam?
- Ingaba kukho ithuba lokuba i-chemotherapy inganciphise ukusinda kwam?
- Ziziphi iimpembelelo endingazenzayo kwi-chemotherapy vs iimpawu esizama ukuzincoma?
- Abantu bayaphila ixesha elide kuloluhlobo lwe-chemotherapy?
- Yintoni okuya kuthetha ntoni kum? Ziziphi iindleko? Ngaba ndiza kuhamba unyango?
- Ngaba kungekudala ndiza kuqonda ukuba yenze umehluko?
- Ukuba ndikhetha ukuthabatha i-chemotherapy ehambayo, ngaba oko kuya kundikhusela ukuba ndibe se-hospice program?
- Ukuba ndikhetha i-chemotherapy ehambayo, ngaba loo nto inokuthi ndiyiphumelele ukuba isilingo se-kliniki sifikelele kumhlaza wam?
Ukuyeka unyango lomhlaza
Ukukhetha ukuyeka unyango lomhlaza yisigqibo esinzima kakhulu, kwaye ngokuqhelekileyo kukhokelela ekuxabaneni kunye nokukhathazeka, nangona ukuthanda kunye nentsapho akuvumelani kunye okanye kunye nawe kumanyathelo alandelayo alungiselelwe. Khangela ezi zinto 9 ukuba uziqwalasele xa ukhetha ukuyeka unyango lomhlaza .
Imithombo:
U-Audrey, S. et al. Ziziphi i-oncologists ezixelela izigulane malunga neenzuzo zokusindisa i-chemotherapy esilulayo kunye nempembelelo yemvume enolwazi: ukufundiswa kwekhwalithi. IBritish Medical Journal . 2008. 337: .752. i-doi: 10.1136 / bmj: a752.
Harrington, S. kunye noT. Smith. Indima ye-chemotherapy ekupheleni kobomi: "xa lanele, lanele?". Umbhalo we-American Medical Association . 2008. 299 (22): 2667-78.
Roeland, E., kunye noT. LeBlanc. I-chemotherapy ehambayo: i-oxymoron okanye ukungaqondi. Uncedo lweBMC . 2016. 15:33.