Ukuthuthukela Kwamathambo: Izimpawu, Izimbangela, Nokwelashwa

Ukuthuthukela kwamathambo kwenzeka lapho amaseli e-kansa evela kwenye ingxenye yomzimba wakho ehamba nge-bloodstream yakho noma i-lymphatic system bese ahlala emathanbeni akho. Lokhu akuyona uhlobo oluqala lwe-kansa oluqala emathanbeni akho, kodwa kunalokho i-kansa yakho yokuqala esakazeka emathanbeni. Nakuba lezi zindaba zingase zizizwe zikhulu kakhulu, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukulawula izimpawu nokugcina ikhwalithi yempilo yakho.

Iyini ukuthuthukela kwamathambo?

Ukuthuthukela kwamathambo kwenzeka lapho amaseli e-kansa ehlukana ne-tumor ekuqaleni bese eya emathanbeni akho. La maseli e-kansa ahambahambayo anganamathela emathanbeni bese eqala ukukhula lapho. Amathambo athinteka kakhulu afaka umgogodla wakho, i-pelvis, ama-ribs, izandla, nezinyawo.

Amathambo akho yizingqimba eziphilayo ezaphulwa futhi zakhiwe kabusha njalo. Lapho amaseli e-kansa ehlala emathanbeni, aphula lo mkhuba wemvelo. Ezinye i-kansa zenza amathambo aphule ngokushesha kunokuba akwazi ukwakhiwa kabusha, okubenza abe buthakathaka futhi abe nomngcipheko wokuphamba. Ezinye i-kansa zingadala ukwakhiwa okuningi kwamathambo amasha, okuholela ekukhuleni kwamathambo okuqinile kodwa okungavamile.

Ukuthuthukela kwamathambo kuyinto evamile kakhulu ezimweni ze-kansa eziphambili. I-kansa yesifuba, i-prostate, i-lung, i-kidney, ne-thyroid inenkambo ekhethekile yokusakazeka emathanbeni, nakuba ezinye izinhlobo ze-kansa zingase futhi zithuthuke lapho.

Ziyini izimpawu zokuthuthukela kwamathambo?

Izimpawu ongazihlangabezana nazo zingase zihluke kuye kokuthi i-kansa isakazeke kuphi emathanbeni akho nokuthi ikhule kangakanani. Abantu abaningi baphawula ubuhlungu bamathambo njengesimpawu sabo sokuqala, nakuba abanye bangase bangabi nazimpawu nhlobo ekuqaleni.

Nazi izimpawu ezivamile okufanele uzazi:

• Ubuhlungu bamathambo: Lokhu kuvame ukuqala njengokuhlungu okuthambile okungase kuze kuhambe, kodwa ngokuvamile kuba sibi ngokuhamba kwesikhathi futhi akulungi ngokuphumula
• Ukuphamba: Amathambo angase aphamba kalula, ngezinye izikhathi ngisho nasemizimbeni evamile njengokuhamba noma ukuphakamisa izinto ezilula
• Ukukhathala: Ungase uzizwe ukhathele noma ubuthakathaka kakhulu, okungase kubangelwe yi-kansa ngokwayo nakuma-calcium levels aphezulu egazini lakho
• Izinkinga zokunyakaza: Ubuhlungu nobuthakathaka kungenza kube nzima ukunyakaza ukhululekile
• Ukukhapheka noma ubuthakathaka: Uma i-kansa ithinta umgogodla wakho, ungase uhlangabezane nokuthamba, ukukhapheka, noma ubuthakathaka ezandleni zakho noma ezinyaweni

Izimpawu ezingavamile kodwa ezinzima kakhulu zingase zihlanganise ubuhlungu obukhulu bomgogodla obungalungi ngokuphumula, ukulahlekelwa ukulawula kwesisu noma kwesisu, noma ubuthakathaka obukhulu ngokuzumayo ezandleni zakho noma ezinyaweni. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha njengoba zingase zibonise ukucindezelwa komgogodla.

Abanye abantu bahlangabezana nezimpawu ezihlobene nama-calcium levels aphezulu egazini, njengokuphefumula, ukugabha, ukudideka, noma ukoma okukhulu. Ukuphuma kwe-calcium emzimbeni wakho lapho amathambo ephuka ngokushesha kunokujwayelekile, okungabangela lezi zimpawu ezingathandeki.

Yini ebangela ukuthuthukela kwamathambo?

Ukuthuthukela kwamathambo kwenzeka lapho amaseli e-kansa ethola khona ikhono lokuhamba endaweni yawo yokuqala aye emathanbeni akho. Lo mkhuba uhilela izinyathelo eziningi ezenzeka ezingeni lamaseli, futhi ngeshwa, asikwazi njalo ukubikezela ukuthi kwenzeka nini noma kungani kubantu abathile hhayi kwabanye.

Uhambo luqala lapho amaseli e-kansa ehlukana ne-tumor ekuqaleni. La maseli bese engena e-bloodstream yakho noma i-lymphatic system, eziphethe njengemigwaqo emikhulu kulo lonke umzimba wakho. Iningi lala maseli ahambahambayo aliphili uhambo, kodwa amanye ayaphila ukufika emathanbeni akho bese enamathela emathanbeni.

Amathambo akho akhangayo kakhulu ezinhlotsheni ezithile zamaseli e-kansa ngoba amathambo ane-blood supply ecebile futhi ane-growth factors engasiza amaseli e-kansa ukuba akhule. Ngaphezu kwalokho, isimo samathambo sinikeza indawo yokusekela la maseli ukuba akhule futhi azale.

Ezinye i-kansa zinothando olukhulu lokusakazeka emathanbeni. I-kansa yesifuba ne-prostate yizona eziyizimbangela ezivamile, ilandelwa yi-lung, i-kidney, ne-thyroid cancers. I-multiple myeloma, uhlobo lwe-kansa yegazi, futhi ivame ukuthinta amathambo, nakuba ngokutekhnika iqala e-bone marrow kunokuba isakazeke lapho.

Nini okufanele ubona udokotela ngokuthuthukela kwamathambo?

Kufanele uxhumane neqembu lakho lokunakekelwa kwezempilo uma uhlangabezana nobuhlungu bamathambo obusha noma obukhulu, ikakhulukazi uma unemlando we-kansa. Ungalindi kuze kube ubuhlungu obukhulu ngaphambi kokufuna usizo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi lezi zibonakaliso zexwayiso:

• Ubuhlungu obukhulu bomgogodla obuzumayo obungalungi ngokuphumula noma ukushintsha kwesimo
• Ukukhapheka, ukuthamba, noma ubuthakathaka ezandleni zakho noma ezinyaweni
• Ubunzima bokuhamba noma izinkinga zokuxhumanisa
• Ukulahlekelwa ukulawula kwesisu noma kwesisu
• Izibonakaliso zokuphamba, njengokuhlungu okukhulu ngemuva kokwehla okuncane noma ngesikhathi semisebenzi evamile

Lezi zimpawu zingase zibonise ukucindezelwa komgogodla noma ezinye izinkinga ezinzima ezidinga ukwelashwa ngokushesha. Ukungenelela kwasekuqaleni kuvame ukuvimbela izinkinga ezinzima kakhulu futhi kusize ukugcina ukunyakaza kwakho nokuthula kwakho.

Ngisho noma izimpawu zakho zibonakala zithambile, kufanele uzixoxe nodokotela wakho. Ukulawula ukuthuthukela kwamathambo kuvame ukuba nomphumela omuhle lapho ukwelashwa kuqala ekuqaleni, ngaphambi kokuthi izinkinga zikhule.

Ziyini izimbangela zengozi zokuthuthukela kwamathambo?

Izici eziningi zingandisa amathuba akho okukhula kokuthuthukela kwamathambo, nakuba ukuba nalezi zimbangela zengozi akusho ukuthi uzokuthuthukisa ngokuqinisekile. Ukuqonda lezi zici kusiza iqembu lakho lokunakekelwa kwezempilo ukuba likunakekele eduze futhi libanjwe noma yikuphi ukusakazeka kwasekuqaleni.

Izimbangela zengozi ezibaluleke kakhulu zihlanganisa:

• Uhlobo lwe-kansa ekuqaleni: I-kansa yesifuba, i-prostate, i-lung, i-kidney, ne-thyroid inenkambo ephezulu yokusakazeka emathanbeni
• I-stage ephambili ye-kansa: Ama-tumors amakhulu noma alawo asevele asakazeke e-lymph nodes anamazinga aphezulu engozi
• Isimo se-hormone receptor: Ezinye i-kansa ezithinta i-hormone zingase zibe nomngcipheko omkhulu wokusakazeka emathanbeni
• Iminyaka: Abantu abadala bangase babe nomngcipheko ophezulu, ngokuyinhloko ngoba i-kansa iba yinto evamile njengoba iminyaka ikhula
• Izinkinga zamathambo zangaphambili: Izimo ezinjenge-osteoporosis zingase zenze amathambo abe nomngcipheko omkhulu

Ezinye izimbangela zengozi ezingavamile zihlanganisa ezinye izinguquko ze-genetic, i-radiation therapy yangaphambili emathanbeni, nokuhlanganiswa kwe-primary cancers. Kodwa-ke, kubalulekile ukukhumbula ukuthi abantu abaningi abanezi zimbangela zengozi abazithuthuki, kanti abanye abangenazo izimbangela zengozi ezibonakalayo ngezinye izikhathi bayenza.

Oncologist yakho icabanga zonke lezi zici lapho yakha uhlelo lwakho lokwelapha nokulandelela. Bazokusiza ukuqonda amazinga akho engozi ngokusekelwe esimweni sakho esithile.

Ziyini izinkinga ezingase zenzeke ngokuthuthukela kwamathambo?

Nakuba ukuthuthukela kwamathambo kungase kube nezinkinga eziningi, eziningi zalezi zingavinjelwa noma ziphathwe kahle ngokunakekelwa kwezokwelapha okufanele. Ukuqonda ukuthi yini engase ienzeke kusiza ukubona izinkinga kwasekuqaleni nokusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze uzixazulule ngokushesha.

Izinkinga ezivamile ongazihlangabezana nazo zihlanganisa:

• Ukuphamba okuyisifo: Amathambo abuthakathaka yi-kansa angaphambuka ngesikhathi semisebenzi evamile noma ngokulimala okuncane
• Ukucindezelwa komgogodla: I-kansa emathanbeni omgogodla ingacindezela umgogodla wakho, okungase kuthonye ukunyakaza nokubona
• I-Hypercalcemia: Ama-calcium levels aphezulu egazini angabangela ukuphefumula, ukudideka, izinkinga zezinso, nezinkinga zokubetha kwenhliziyo
• Ukucindezelwa kwe-bone marrow: I-kansa emathanbeni ingaphazamisa ukukhiqizwa kwamaseli egazi, okuholela e-anemia, ukwanda komngcipheko wokutheleleka, noma izinkinga zokopha
• Ubuhlungu obuhlala njalo: Ukuhlupheka okuqhubekayo okungase kuthonye kakhulu imisebenzi yakho yansuku zonke nekhalithi yempilo

Izinkinga ezingavamile kodwa ezinzima zingase zihlanganise ukonakala kwama-nerve okuvela ekuhlanganyeleni komgogodla, izinkinga zezinso ezivela kuma-calcium levels aphezulu, noma ukushintsha okukhulu kokubala kwegazi okudinga ukwelashwa ngokushesha. Abanye abantu bangase futhi bathuthukise ukutheleleka kwamathambo, ikakhulukazi uma sebehlanganyele emathanbeni noma banezimpande zokulwa nezifo ezibuthakathaka.

Izindaba ezinhle ukuthi izinkinga eziningi zingavinjelwa noma ziphathwe kahle lapho zibanjwa ekuqaleni. Iqembu lakho lokunakekelwa kwezempilo lizokunakekela eduze futhi linezithulu eziningi ezitholakalayo ezokusiza ukugcina ukuthula kwakho nokusebenza kwakho.

Ukutholakala kokuthuthukela kwamathambo kutholakala kanjani?

Ukutholakala kokuthuthukela kwamathambo ngokuvamile kuhilela izinhlobo eziningi zezivivinyo zokuthola izithombe kanye ngezinye izikhathi i-biopsy ukuqinisekisa ukuba khona kwamaseli e-kansa emathanbeni akho. Udokotela wakho uzokhetha ukusebenzisana okuhle kakhulu kwezivivinyo ngokusekelwe ezimpawu zakho nembali yakho yezokwelapha.

Inqubo yokutholakala ngokuvamile iqala ngezifundo zokuthola izithombe. I-bone scan ngokuvamile iyivivinyo lokuqala eyenziwayo ngoba ingabonisa umsebenzi we-kansa kulo lonke isikhumba sakho ngesikhathi esisodwa. Ngalesi sivivinyo, uthola inani elincane le-radioactive material nge-IV, eliya ezindaweni zomsebenzi wamathambo futhi libonakala ezithombeni ezikhethekile.

Ama-CT scans nama-MRI scans anikeza izithombe eziningi zezindawo ezithile futhi angabonisa kokubili amathambo nezingqimba ezithambile ezizungezile. Lezi zilingo zisiza udokotela wakho ukuqonda ukuthi i-kansa ikuphi ngempela nokuthi ithinta kanjani izakhiwo eziseduze. Ama-PET scans angase futhi asebenziswe, ngezinye izikhathi ahlanganiswe nama-CT scans, ukuthola ulwazi olunemininingwane ngisho nangaphezulu ngomsebenzi we-kansa.

Ama-X-rays angase athathe ezindaweni ezithile lapho uhlangabezana khona nobuhlungu, nakuba ngokuvamile abonisa ukuthuthukela kwamathambo kuphela ngemuva kokulimaza okukhulu kwamathambo. Izivivinyo zegazi zingahlola ama-calcium levels aphezulu nezinye izimpawu ezibonisa ukuhileleka kwamathambo.

Ngezinye izikhathi i-bone biopsy idingeka ukuqinisekisa ukutholakala nokubona ukuthi yiluphi uhlobo lwamaseli e-kansa olukhona. Lokhu kuhilela ukuthatha isampula encane yethishu yamathambo, ngokuvamile kwenziwa ngenhlanzi ngenkathi uthola i-anesthesia yendawo ukunciphisa ubuhlungu.

Iyini ukwelashwa kokuthuthukela kwamathambo?

Ukwelashwa kokuthuthukela kwamathambo kugxile ekulawuleni ukukhula kwe-kansa, ukulawula ubuhlungu, ukuvimbela izinkinga, nokugcina ikhwalithi yempilo yakho. Uhlelo lwakho lokwelashwa luzokwenziwa ngokukhethekile ngokusekelwe ohlotsheni lwe-kansa yakho, ukuthi ukuhileleka kwamathambo kukhulu kangakanani, nempilo yakho yonke.

Ukwelashwa kwe-systemic kubheka amaseli e-kansa kulo lonke umzimba wakho futhi kungase kuhlanganise:

• I-Chemotherapy: Imithi ehamba nge-bloodstream yakho ukulwa namaseli e-kansa noma ngabe ikuphi
• I-Hormone therapy: Ngokwe-kansa ezithinta i-hormone njenge-kansa yesifuba noma i-prostate, le miyekezo ivala ama-hormones akhuthaza ukukhula kwe-kansa
• Ukwelashwa okuqondiswe: Imithi emisha ehlasela izici ezithile zamaseli e-kansa
• I-Immunotherapy: Ukwelashwa okusiza i-immune system yakho ukuba ibone futhi ilwe namaseli e-kansa

Ukwelashwa okukhethekile kwamathambo kusiza ukuvikela amathambo akho nokulawula izimpawu:

• Ama-Bisphosphonates: Imithi efana ne-pamidronate noma i-zoledronic acid esiza ekuqiniseni amathambo nokunciphisa umngcipheko wokuphamba
• I-Denosumab: Imithi emisha esebenza ngokuhlukile kuma-bisphosphonates kodwa futhi isize ekuvikeleni amathambo
• I-Radiation therapy: I-radiation eqondiswe inganciphisa ama-tumors emathanbeni futhi inikeze ukukhululeka okukhulu kobuhlungu
• Ukuhlinzwa: Ngezinye izikhathi kudingeka ukuqinisa amathambo anomngcipheko ophezulu wokuphamba noma ukulungisa ukuphamba okuvele kwenzeke

Ukulawula ubuhlungu kuyisigaba esibalulekile sokwelashwa futhi kungase kuhlanganise imithi ebuhlungu ebhaliwe, imithi yokulwa nokuvuvukala, noma izinqubo ezikhethekile ezinjenge-nerve blocks. Iqembu lakho lokunakekelwa kwezempilo lizokusebenzisana nawe eduze ukuthola indlela ephumelelayo kakhulu yokulawula ubuhlungu.

Indlela yokuphatha ukuthuthukela kwamathambo ekhaya?

Ukukhathalela wena ekhaya kudlala indima ebalulekile ekulawuleni ukuthuthukela kwamathambo kanye nokwelashwa kwakho kwezokwelapha. Izindlela ezilula zingakusiza uhlale ukhululekile futhi unciphise umngcipheko wakho wezinkinga.

Ukulawula ubuhlungu ekhaya kuqala ngokuthatha imithi yakho ebhaliwe ngokuqondile njengoba kuqondiswe. Ungalindi kuze kube ubuhlungu obukhulu ngaphambi kokuthatha imithi, njengoba kulula ukuvimbela ubuhlungu kunokuba usiphele uma bukhulu. Gcina idayari yobuhlungu ukuze usize iqembu lakho lokunakekelwa kwezempilo liqonde ukuthi yini esebenza kangcono kuwe.

Ukuzivocavoca okuthambile, njengoba kuvunywe udokotela wakho, kungasiza ekugcineni amandla amathambo nempilo yonke. Lokhu kungase kuhlanganise ukuhamba, ukuqubha, noma ukuzivocavoca kwe-physical therapy. Gwema imisebenzi enomthelela omkhulu noma imidlalo yokuqhakambisa engase ikhulise umngcipheko wokuphamba, kodwa ukuhlala usebenzayo ngangokuphepha ngokuvamile kuwusizo.

Ukudla kudlala indima yokusekela ekunakekelweni kwakho. Ukudla ukudla okulinganiselayo okune-calcium ne-vitamin D eyanele kusekela impilo yamathambo, nakuba kufanele uxoxe ngezinsiza nodokotela wakho ngoba i-calcium eningi ingase ibe yinkinga. Ukuhlala unomswakama kubalulekile, ikakhulukazi uma uthola imithi ethile eqinisa amathambo.

Ukuphepha ekhaya kuba yinto ebalulekile uma unethuthukela kwamathambo. Susa izingozi zokuwa ezinjengezigqoko eziqondile, qinisekisa ukukhanya okuhle kulo lonke ikhaya lakho, futhi ucabange ukusebenzisa izinto zokusiza ezinjenge-grab bars emakamelweni okugeza noma ama-handrails ezitebhini. Lezi zinguquko ezilula zingasiza ekuvinjeni ukuwa okungase kubangele ukuphamba.

Zilandelele izibonakaliso ezidinga ukunakekelwa ngokushesha, njengoba ubuhlungu obusha noma obukhulu, izibonakaliso zokutheleleka, noma izimpawu zama-calcium levels aphezulu njengokuphefumula noma ukudideka. Ukuba neqembu eliqondile lokuthintana neqembu lakho lokunakekelwa kwezempilo kukunikeza ukuzethemba ekulawuleni isimo sakho.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela ama-aphoyintimenti akho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho neqembu lakho lokunakekelwa kwezempilo. Ukuzilungiselela okuncane kungakusiza ukuba uxhumane kahle futhi uqinisekise ukuthi zonke izinkathazo zakho zixazululwe.

Ngaphambi kokuya kwakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zibe sibi, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke. Yiba uchwepheshe mayelana namazinga obuhlungu, usebenzisa isikolo esivela ku-1 kuya ku-10 uma lokho kukusiza ukuchaza ubukhulu.

Letha uhlu oluphelele lwazo zonke imithi oyithathayo, kufaka phakathi imithi ebhaliwe, imithi yokuthengwa ngaphandle kokubhalwa, amavithamini, nezinsiza. Faka imithamo nokuthi uthatha ngayinye kangakanani. Lolu lwazi lusiza udokotela wakho ukugwema ukusebenzisana okungozi nokuqonda ukuthi yini esebenza kuwe.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Izihloko ezibalulekile zingase zihlanganise izinketho zokwelashwa, imiphumela ecelwe, ukumisa imisebenzi, izimpawu okufanele uzilandelele, nendlela yokuxhumana neqembu lezokwelapha phakathi kwama-aphoyintimenti. Unganqikazi ukubuza noma yini ekukhathazayo.

Cinga ngokuletha ilungu lomndeni noma umngani e-appointment yakho. Bangakusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi sokuvakasha futhi banikeze ukwesekwa ngokomzwelo. Abantu abaningi bayithola i-helpful ukuba nezinye izindlebe lapho bexoxa ngolwazi oluyinkimbinkimbi lwezokwelapha.

Letha noma yiziphi iziphumo zezivivinyo zakamuva noma izithombe ezivela kwabanye abahlinzeki bezempilo, futhi ulungele ukuxoxa ngembali yakho yezokwelapha, kufaka phakathi ukwelashwa kwangaphambili nokuthi uphendule kanjani kuwo.

Iyini into ebaluleke kakhulu mayelana nokuthuthukela kwamathambo?

Ukuthuthukela kwamathambo kuyisimo esinzima, kodwa futhi yisimo lapho ukuthuthuka kwezokwelapha kuye kwathuthukisa kakhulu kokubili izinketho zokwelapha nekhalithi yempilo yabantu abaphila nalo. Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuhlangani nalo wedwa, futhi kunezindlela eziningi eziphumelelayo zokulawula izimpawu nokugcina impilo yakho.

Ukutholakala kwasekuqaleni nokwelashwa kwenza umehluko wangempela ezimpumelelweni. Uma uhlangabezana nobuhlungu bamathambo noma ezinye izimpawu ezikukhathazayo, ikakhulukazi uma unemlando we-kansa, unganqikazi ukuxhumana neqembu lakho lokunakekelwa kwezempilo. Ukwelashwa kwamanje kuvame ukulawula ukuthuthukela kwamathambo kahle, kunciphisa ubuhlungu, futhi kuvimbele izinkinga.

Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko omkhulu. Ukuthatha imithi njengoba kuqondiswe, ukuhlala usebenzayo ngangokuphepha okungenzeka, ukugcina ukudla okuhle, nokuxhumana ngokukhululekile neqembu lakho lokunakekelwa kwezempilo konke kuhlanganyela ezimpumelelweni ezinhle.

Nakuba ukuthuthukela kwamathambo kushintsha uhambo lwakho lwempilo, abantu abaningi baqhubeka bephila impilo enenjongo, esebenzayo ngokunakekelwa kwezokwelapha okufanele nokusekelwa. Gxila kulokho ongakulawula, xhasa i-support system yakho, nokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukudala uhlelo oluhle kakhulu sesimo sakho.

Imibuzo evame ukubuzwa mayelana nokuthuthukela kwamathambo

Ingabe ukuthuthukela kwamathambo kuhlala kuhlungu?

Akuyona njalo. Nakuba ubuhlungu bamathambo buyisibonakaliso esivamile, abanye abantu abanethuthukela kwamathambo bahlangabezana nobuhlungu obuncane noma obungekho nhlobo, ikakhulukazi ezigabeni zokuqala. Inani lobuhlungu liyahluka kakhulu kuye kokuthi ukuthuthukela kusekuphi, ukuthi amathambo amaningi ahilelekile kangakanani, nokubekezelela ubuhlungu komuntu. Yingakho ukulandelela njalo ngezilingo zokuthola izithombe kubalulekile ngisho noma uzizwa kahle.

Ingabe ukuthuthukela kwamathambo kungaphiliswa?

Nakuba ukuthuthukela kwamathambo ngokuvamile kubhekwa njengokungaphiliswa, kuvame ukulawulwa kahle isikhathi eside. Ukwelashwa kwamanje kunganciphisa ama-tumors, kunciphisa izimpawu, kuvimbele izinkinga, futhi kuthuthukise kakhulu ikhwalithi yempilo. Abantu abaningi baphila iminyaka ngokuthuthukela kwamathambo okulawulwa kahle, begcina impilo esebenzayo nezele.

Ingabe ngizodinga ukuyeka zonke imisebenzi yomzimba?

Abantu abaningi bangase baqhubeke benze uhlobo oluthile lomsebenzi womzimba, nakuba ungase udinga ukushintsha i-routine yakho. Iqembu lakho lokunakekelwa kwezempilo lizonikeza imiyalo ekhethekile ngokusekelwe emathanbeni athintekile nomngcipheko wakho wokuphamba. Ngokuvamile, imisebenzi enomthelela omncane njengokuhamba, ukuqubha, noma i-yoga ethambile ikhuthazwa, kanti imisebenzi enomthelela omkhulu noma yokuqhakambisa kufanele igwenywe.

Ngabekungakanani ngizodinga ama-scans nama-aphoyintimenti okulandelela?

Ama-schedule okulandelela ahluka kuye esimweni sakho, kodwa abantu abaningi banama-aphoyintimenti njalo ngezinyanga ezimbalwa ekuqaleni. Udokotela wakho angase a-ode ama-imaging tests njalo ngezinyanga ezingu-3-6 ukulandelela ukuthi ukwelashwa kusebenza kahle kangakanani. Izivivinyo zegazi zokuhlola ama-calcium levels nezinye izimpawu zingase zenziwe njalo, ikakhulukazi lapho uqala ukwelashwa okusha.

Ingabe kunoma yikuphi ukunciphisa ukudla okufanele ngilandele?

Abantu abaningi abadingi ukunciphisa ukudla okunzima, kodwa udokotela wakho angase akhuthaze ukunciphisa ukudla kwe-calcium uma ama-calcium levels egazi lakho aphezulu. Ngokuvamile, ukugcina ukudla okulinganiselayo, okunomsoco kubaluleke kakhulu. Ezinye imithi esetshenziswa ekuphileni kokuthuthukela kwamathambo isebenza kangcono lapho ithathwa isisu siyimile, ngakho iqembu lakho lokunakekelwa kwezempilo lizonikeza imiyalo ekhethekile mayelana nokudla nokuthatha imithi.