Yini i-Chemotherapy? Inhloso, Inqubo & Nemiphumela

I-Chemotherapy ukwelashwa komdlavuza okusebenzisa imithi enamandla ukubhubhisa amaseli omdlavuza emzimbeni wakho wonke. Le mithi isebenza ngokugxila kumaseli akhula futhi ahlukane ngokushesha, okuyisici esibalulekile samaseli omdlavuza. Ngenkathi igama elithi "chemotherapy" lingase lizwakale lingcolisa, ukuqonda ukuthi lihilelani kungakusiza ukuthi uzizwe ulungiselelwe futhi waziswa ngale ndlela yokwelapha ebalulekile.

Yini i-chemotherapy?

I-Chemotherapy ukwelashwa okuhlelekile okusebenzisa imithi elwa nomdlavuza ukulwa namaseli omdlavuza noma ngabe angaba kuphi emzimbeni wakho. Ngokungafani nokuhlinzwa noma imisebe eqondiswe ezindaweni ezithile, i-chemotherapy ihamba ngegazi lakho ukuze ifinyelele amaseli omdlavuza asakazekile noma angasakazeka ezingxenyeni ezahlukene zomzimba wakho.

Imithi esetshenziswa ku-chemotherapy ibizwa ngokuthi imithi ye-cytotoxic, okusho ukuthi yenzelwe ukulimaza noma ukubulala amaseli. Le mithi isebenza kahle ikakhulukazi ngamaseli omdlavuza ngoba amaseli omdlavuza ahlukana ngokushesha kakhulu kunamaseli amaningi ajwayelekile emzimbeni wakho. Kodwa-ke, amanye amaseli anempilo ahlukanisa ngokushesha nawo angathinteka, yingakho imiphumela emibi yenzeka.

Kunamakhulu emithi ehlukene ye-chemotherapy etholakalayo namuhla. Udokotela wakho we-oncologist uzokhetha inhlanganisela ethile esebenza kahle kakhulu ngohlobo lwakho lomdlavuza, impilo yakho yonke, kanye nemigomo yakho yokwelashwa. Abanye abantu bathola umuthi owodwa nje, kanti abanye bathola inhlanganisela yemithi eminingana.

Kungani i-chemotherapy yenziwa?

I-Chemotherapy isebenza ngezinhloso eziningana ezibalulekile ekwelashweni komdlavuza, futhi udokotela wakho uzoyincoma ngokuya ngesimo sakho esithile. Umgomo omkhulu uhlala ukukunikeza umphumela ongcono kakhulu ngenkathi ugcina izinga lakho lempilo.

Udaktela wakho we-oncologist angase ancome i-chemotherapy ukuze aphulukise umdlavuza wakho ngokuphelele. Le ndlela, ebizwa ngokuthi i-curative chemotherapy, ihlose ukuqeda zonke izimila zomdlavuza emzimbeni wakho. Ivame ukusetshenziswa lapho umdlavuza utholakala kusenesikhathi noma lapho uphendula kahle emithini.

Ngesinye isikhathi i-chemotherapy isetshenziselwa ukulawula ukukhula nokusabalala komdlavuza. Le ndlela, eyaziwa ngokuthi i-palliative chemotherapy, isiza ukuphatha izimpawu futhi inganweba impilo yakho ngokuphawulekayo ngisho nalapho ukwelashwa okuphelele kungenzeki. Abantu abaningi baphila impilo egcwele iminyaka ngalolu hlobo lokwelashwa.

I-chemotherapy inganciphisa izimila ngaphambi kokunye ukwelashwa. Le ndlela ye-neoadjuvant yenza ukuhlinzwa kube lula noma imisebe isebenze kahle. Ngokuphambene, i-adjuvant chemotherapy inikezwa ngemva kokuhlinzwa noma imisebe ukuqeda noma yiziphi izimila zomdlavuza ezisele ezingase zingabonakali.

Yini inqubo ye-chemotherapy?

I-Chemotherapy inganikezwa ngezindlela eziningana ezahlukene, futhi ithimba lakho lokwelapha lizokhetha indlela esebenza kangcono ngemithi yakho ethile nesimo sakho. Abantu abaningi bathola i-chemotherapy njengokwelashwa kwangaphandle, okusho ukuthi ungahamba ekhaya ngosuku olufanayo.

Indlela ejwayelekile kakhulu yi-intravenous (IV) chemotherapy, lapho imithi igeleza ngqo egazini lakho ngeshubhu elincane. Lokhu kungase kunikezwe nge-IV yesikhashana engalweni yakho noma ngedivayisi ehlala njalo njenge-port, okuyidiski elincane elibekwe ngaphansi kwesikhumba sakho elinethumbu eliholayo emthanjeni omkhulu oseduze nenhliziyo yakho.

Eminye imithi ye-chemotherapy iza ngamaphilisi noma amaphilisi owathatha ekhaya. Le chemotherapy yomlomo inamandla njengokwelashwa kwe-IV futhi idinga ukunaka ngokucophelela isikhathi nokulinganisa. Ikhemisi lakho nethimba lezokwelapha bazohlinzeka ngemiyalelo enemininingwane mayelana nokuthi ungawathatha nini futhi kanjani lawo mithi.

Izindlela ezingavamile zihlanganisa imijovo emithanjeni yemisipha, ngaphansi kwesikhumba, noma ngqo ezindaweni ezithile zomzimba njengoketshezi lomgogodla noma isisu. Udokotela wakho we-oncologist uzochaza ngqo ukuthi iyiphi indlela ozoyithola nokuthi kungani iyona engcono kakhulu yokwelashwa kwakho.

Ungalungiselela kanjani i-chemotherapy yakho?

Ukulungiselela i-chemotherapy kuhilela izinyathelo ezingokoqobo nokulungiselela ngokomzwelo. Ithimba lakho lezempilo lizokuqondisa kukho konke okudingeka ukwazi, kodwa ukuthatha indima esebenzayo ekulungiseleleni kwakho kungakusiza ukuthi uzizwe uqiniseka futhi ulungele.

Ngaphambi kokwelashwa kwakho kokuqala, uzoba nokuqokwa nezivivinyo eziningana. Udokotela wakho uzo-oda izivivinyo zegazi ukuze ahlolisise ukusebenza kwezitho zakho, ikakhulu isibindi nezinso zakho, njengoba zicubungula imithi ye-chemotherapy. Ungase futhi ube nezivivinyo zenhliziyo uma uthola imithi engathinta inhliziyo yakho.

Ithimba lakho lezokwelapha lizoxoxa ngemiphumela engaba khona futhi likunikeze imithi yokukusiza ukuthi uyilawule. Uzothola imithi elwa nesicanucanu okufanele uyithathe ngaphambi nangemva kokwelashwa, futhi udokotela wakho angase akwelule iminye imithi yokunakekela.

Cabangela ukulungiselela okungokoqobo okungenza izinsuku zakho zokwelashwa zibe lula. Lungiselela othile ukuthi akuqhubele futhi akuqhubule ekwelashweni, ikakhulu ezikhathini ezimbalwa zokuqala kuze kube yilapho wazi ukuthi uzizwa kanjani. Lungisa izingubo ezinethezekile, ukudla okulula, ukuzijabulisa njengamabhuku noma amaphilisi, nebhodlela lamanzi ngezinsuku zokwelashwa.

Ukunakekela impilo yakho yonke ngaphambi kokuthi ukwelashwa kuqale kungasiza umzimba wakho ukuthi ubhekane kangcono ne-chemotherapy. Yidla ukudla okunomsoco, thola ukuphumula okwanele, futhi uhlale unamanzi. Uma unezinkinga zamazinyo, zixazulule ngaphambi kokwelashwa ngoba i-chemotherapy ingathinta umlomo wakho futhi yenze izinqubo zamazinyo zibe nzima.

Ungazifunda kanjani imiphumela yakho ye-chemotherapy?

Ukusabela kwakho ekwelashweni ngamakhemikhali kulinganiswa ngezivivinyo ezihlukahlukene kanye nokuskena kunokuba inombolo eyodwa noma umphumela owodwa. Udokotela wakho we-oncologist uzosebenzisa izindlela eziningi ukunquma ukuthi ukwelashwa kwakho kusebenza kahle kangakanani, futhi le miphumela iqondisa izinqumo mayelana nokuqhubeka, ukushintsha, noma ukuyeka ukwelashwa.

Izivivinyo zegazi zinikeza ulwazi olubalulekile mayelana nokusabela kwakho ekwelashweni. Izimpawu zomdlavuza amaprotheni omdlavuza athile akhiqizayo, futhi ukwehla kwamazinga kuvame ukukhombisa ukuthi ukwelashwa kuyasebenza. Ukubalwa kwegazi lakho okuphelele kubonisa ukuthi ukwelashwa ngamakhemikhali kuthinta kanjani umnkantsha wakho wamathambo, okhiqiza amaseli akho egazi.

Izivivinyo zokuthwebula izithombe ezinjenge-CT scans, MRIs, noma i-PET scans zibonisa izinguquko zomzimba emithanjeni yakho. Udokotela wakho uzoqhathanisa lezi zithombe nokuskena okwenziwe ngaphambi kokuthi ukwelashwa kuqale. Ukuncipha kwemithambo noma isifo esizinzile (okusho ukuthi imithambo ayikhuli) yizimpawu ezinhle zokuthi ukwelashwa kuyasebenza.

Udokotela wakho we-oncologist uzohlola nokuthi uzizwa kanjani nokuthi usebenza kanjani. Ukuthuthuka ezimpawini ezinjengobuhlungu, ukukhathala, noma izinkinga zokuphefumula kungabonisa ukuthi ukwelashwa kuyasiza. Udokotela wakho ucabangela zonke lezi zinto ndawonye kunokuba athembele emiphumeleni yezivivinyo eyodwa.

Ukusabela okuphelele kusho ukuthi akukho bufakazi bomdlavuza obungatholakala ezivivinyweni nasekuskeneni. Ukusabela okuyingxenye kubonisa ukuncipha okukhulu kwemithambo, ngokuvamile okungenani ngama-30%. Isifo esizinzile sisho ukuthi imithambo ayikhulanga noma ayinciphanga kakhulu, kuyilapho isifo esiqhubekayo sisho ukuthi umdlavuza ukhula naphezu kokwelashwa.

Ungazilawula kanjani imiphumela emibi yokwelashwa ngamakhemikhali?

Ukuphatha imiphumela emibi yokwelashwa ngamakhemikhali kuyingxenye ebalulekile yohlelo lwakho lokwelashwa, futhi ithimba lakho lezempilo linamaqhinga amaningi asebenzayo okukusiza ukuthi uzizwe ukhululekile ngangokunokwenzeka. Okuhlangenwe nakho komuntu ngamunye kwehlukile, futhi abantu abaningi bakubekezelela kangcono ukwelashwa ngamakhemikhali kunalokho ababekulindele ekuqaleni.

Isicanucanu nokuhlanza kungokunye kokukhathazeka okuvame kakhulu, kodwa imithi yesimanje yokulwa nesicanucanu isebenza kahle kakhulu. Udokotela wakho uzoqoka imithi okufanele uyithathe ngaphambi, ngesikhathi, nangemva kokwelashwa. Ukudla ukudla okuncane, okuvame ukudliwa nokugwema iphunga elinamandla nakho kungasiza. Itiye likajinja noma amaswidi e-ginger anikeza impumuzo yemvelo kwabanye abantu.

Ukukhathala ngomunye umphumela ovamile ongahluka ekukhathaleni okuncane kuya ekukhathaleni okukhulu. Lalela umzimba wakho futhi uphumule uma udinga, kodwa ukuzivocavoca okulula njengokuhamba ngamafushane kungasiza ngempela ukukhulisa amazinga akho wamandla. Hlela imisebenzi yakho ngezikhathi lapho ngokuvamile uzizwa ungcono kakhulu, ngokuvamile ekuseni.

Ukuwa kwezinwele kwenzeka ngemithi eminingi ye-chemotherapy, nakuba kungewona wonke. Uma kungenzeka ulahlekelwe izinwele zakho, cabanga ukuzisika ngamafushane ngaphambi kokuthi ukwelashwa kuqale. Abanye abantu bakhetha ama-wig, izikhafu, noma izigqoko, kanti abanye bamukela impandla yabo. Izinwele zakho zizokhula emuva ngemva kokuthi ukwelashwa kuphele, nakuba ekuqaleni kungase kube nokuthungwa noma umbala ohlukile.

I-Chemotherapy inganciphisa okwesikhashana inani lakho le-white blood cell, okukwenza uthambekele ezifweni. Geza izandla zakho njalo, gwema izixuku uma kungenzeka, futhi uxhumane nodokotela wakho ngokushesha uma uba nomkhuhlane, ama-chills, noma izimpawu zokutheleleka. Ithimba lakho lezokwelapha lizobheka ngokucophelela ukubalwa kwegazi lakho.

Iyiphi indlela engcono kakhulu ye-chemotherapy?

Indlela engcono kakhulu ye-chemotherapy yeyomuntu ngamunye futhi incike ezintweni eziningi ezithile kuwe nakumdlavuza wakho. Akukho

Ukuqeqeshwa okuphumelela kakhulu kulinganisa amandla okulwa nomdlavuza nemiphumela engalawuleki. Ngezikhathi ezithile ukwelashwa okungaqinile kancane ongakuqeda ngokugcwele kungcono kunendlela enobudlova engase idinge ukumiswa noma ukuncishiswa ngenxa yemiphumela emibi.

Uhlelo lwakho lokwelashwa lungashintsha ngokuhamba kwesikhathi ngokusekelwe endleleni ozosabela ngayo futhi ubekezelele ukwelashwa. Udokotela wakho uzohlola njalo inqubekela phambili yakho futhi alungise ukwelashwa kwakho njengoba kudingeka. Lokhu kushintshashintsha empeleni kuyiqiniso lokunakekelwa komdlavuza wesimanje, okuvumela ithimba lakho ukuthi lithuthukise ukwelashwa kwakho ngokuqhubekayo.

Ziyini izici eziyingozi zokuhlushwa kwamakhemikhali?

Izici eziningana zingakhuphula ingozi yakho yokuzwa imiphumela emibi ebaluleke kakhulu evela ekwelashweni ngamakhemikhali. Ukuqonda lezi zici eziyingozi kusiza ithimba lakho lezokwelapha ukuthi lithathe izinyathelo zokuphepha ezifanele futhi likuqaphe eduze ngesikhathi sokwelashwa.

Iminyaka ingathonya indlela umzimba wakho osebenza ngayo ngemithi yokwelapha ngamakhemikhali. Abantu abadala bangase babe nemiphumela emibi eminingi noma badinge ukulungiswa komthamo, kuyilapho iziguli ezincane zingase zibekezelele ukwelashwa kangcono. Kodwa-ke, iminyaka yodwa ayinqumi izinqumo zokwelashwa, futhi abantu abadala abaningi benza kahle kakhulu ngamakhemikhali.

Impilo yakho yonke nokusebenza kwezitho kuthinta kakhulu indlela obhekana ngayo nokwelashwa. Abantu abanezinkinga zezinso, isibindi, noma inhliziyo bangase badinge imithamo elungisiwe noma ukuqapha okukhethekile. Ukwelashwa komdlavuza kwangaphambilini kungase futhi kuthinte ukubekezelela kwakho imithi emisha yokwelapha ngamakhemikhali.

Izimo ezithile zezokwelapha zikhuphula izingozi zokuhlushwa. Isifo sikashukela, isifo senhliziyo, izinkinga zamaphaphu, noma izimo ze-autoimmune zidinga ukucatshangelwa okukhethekile. Udokotela wakho uzosebenza nabanye ochwepheshe ukuze alawule lezi zimo ngesikhathi sokwelashwa kwakho umdlavuza.

Isimo sokudla okunomsoco sithinta ikhono lakho lokubekezelela i-chemotherapy. Ukuba ngaphansi kwesisindo esikhulu noma ukukhuluphala ngokweqile kungathinta ukulinganiswa kwemithi nemiphumela emibi. Ithimba lakho lezempilo lingase lincomende ukusebenza nodokotela wezokudla okunomsoco ukuze uthuthukise isimo sakho sokudla okunomsoco ngaphambi nangemva kokwelashwa.

Ingabe kungcono ukuba ne-chemotherapy eqinile noma ethambile?

Ukuqina kwe-chemotherapy kufanele kulawulwe ngokucophelela ngokusekelwe esimweni sakho esithile, izinhloso zokwelashwa, kanye nekhono lokubekezelela imiphumela emibi. Akukho okusondelayo okuqinile noma okuthambile okungcono ngokujwayelekile - ukukhetha okulungile kuncike ezintweni eziningi zomuntu ngamunye.

Izindlela zokwelashwa nge-chemotherapy ezinamandla zingase zisebenze kahle ekubulaleni amaseli omdlavuza futhi okungenzeka zifeze imiphumela engcono. Lokhu kwelashwa kungase kunconywe uma ukwelashwa kuyinhloso, uma umdlavuza unolaka, noma uma usomncane futhi unempilo eyanele yokubhekana nokwelashwa okuqinile.

Izindlela ze-chemotherapy ezithambile zigxila ekulawuleni umdlavuza ngenkathi kugcinwa izinga lempilo. Lokhu kungase kufaneleke uma ukwelashwa kungelona iqiniso, uma unezinye izimo zempilo ezingathi sína, noma uma umdlavuza wakho ukhula kancane. Abantu abaningi baphila kahle iminyaka eminingi ngokwelashwa okungaqinile.

Udokotela wakho we-oncologist uzo-ncoma indlela ekunikeza ibhalansi engcono kakhulu yokusebenza kahle nokubekezeleleka. Imithi yesimanje yokunakekela esekelayo yenze kwaba nokwenzeka ukuthi abantu abaningi bathole ukwelashwa okuqinile ngemiphumela emibi elawulekayo. Ukwelashwa kwakho kungashintshwa futhi uma kudingeka.

Yiziphi izinkinga ezingaba khona ze-chemotherapy?

Ngenkathi i-chemotherapy ivikelekile ngokujwayelekile uma iphethwe kahle, ingabangela izinkinga ezihlukahlukene ezibhekwa ngokucophelela yithimba lakho lezokwelapha. Ukuqonda lezi zinto ezingenzeka kukusiza ukuthi wazi ukuthi yini okufanele uyibheke nokuthi nini okufanele ufune ukunakekelwa kwezempilo ngokushesha.

Inkinga enkulu kakhulu esheshayo yisimo esibizwa ngokuthi i-neutropenia, lapho inani lakho lamaseli amhlophe egazi lehla ngendlela eyingozi. Lokhu kukwenza ube sengozini enkulu yokutheleleka okungaba yingozi empilweni. Izimpawu zihlanganisa umkhuhlane, amakhaza, umphimbo obuhlungu, noma ukukhathala okungavamile. Lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Ezinye izidakamizwa ze-chemotherapy zingathinta ukusebenza kwenhliziyo yakho, ngesikhathi sokwelashwa noma eminyakeni eminingi kamuva. Udokotela wakho uzoqapha inhliziyo yakho ngezivivinyo ngaphambi nangemva kokwelashwa, ikakhulukazi uma uthola imithi eyaziwayo ukuthi ithinta inhliziyo. Abantu abaningi ababi nazinkinga zenhliziyo, kodwa ukuqapha kusiza ukubamba noma yiziphi izinkinga ngokushesha.

Eminye imithi ingabangela ukulimala kwemizwa, okubizwa ngokuthi i-peripheral neuropathy, okuholela ekubeni ndikindiki, ukuluma, noma ubuhlungu ezandleni zakho nasezinyaweni. Lokhu kuvame ukuthuthuka kancane kancane futhi kungase kuthuthuke ngemva kokuphela kokwelashwa, nakuba abanye abantu behlangabezana nezinguquko ezingapheli. Udokotela wakho angashintsha ukwelashwa uma i-neuropathy iba yinkinga.

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukulimala kwezinso, ukulahlekelwa ukuzwa, izinkinga zamaphaphu, noma iminyango yesibili evela eminyakeni eminingi ngemva kokwelashwa. Lezi zingozi ngokuvamile zincane uma ziqhathaniswa nezinzuzo zokwelapha umdlavuza wakho wamanje, kodwa udokotela wakho uzoxoxa nganoma yiziphi izingozi ezithile ezihlobene nohlelo lwakho lokwelashwa.

Amaqhubu egazi angavela kaningi kubantu abathola i-chemotherapy. Qaphela ukuvuvukala komlenze, ubuhlungu, noma ububomvu, nobuhlungu besifuba noma ukuphefumula kanzima. Nakuba kungavamile, lezi zimpawu zidinga ukuhlolwa kwezokwelapha ngokushesha.

Kufanele ngibone nini udokotela ngesikhathi se-chemotherapy?

Ukwazi ukuthi ungaxhumana nini nethimba lakho lezempilo ngesikhathi sokwelashwa nge-chemotherapy kubalulekile ekuphepheni kwakho nasekuphileni kahle. Ithimba lakho lezokwelapha lingathanda ukuzwa kuwe mayelana nezinkathazo kunokuba ulinde futhi kungenzeka ukuthi uthuthukise izinkinga ezinzima.

Xhumana nodokotela wakho ngokushesha uma uba nomkhuhlane ongu-100.4°F (38°C) noma ngaphezulu. Lokhu kungabonisa ukutheleleka okukhulu lapho amasosha akho omzimba ebuthakathaka ngenxa ye-chemotherapy. Ungalindi ukubona ukuthi umkhuhlane uyanyamalala yini ngokwawo - shayela ithimba lakho le-oncology ngokushesha, ngisho noma kungaphandle kwamahora okusebenza.

Ukucasuka okukhulu noma ukuhlanza okukuvimbela ukuthi ungagcini uketshezi ngaphansi kwamahora angaphezu kwama-24 kudinga ukunakekelwa kwezokwelapha. Ukuphelelwa amanzi emzimbeni kungaba kubi ngokushesha, futhi udokotela wakho unezinye izidakamizwa nokwelashwa okungasiza ukulawula lezi zimpawu.

Qaphela izimpawu zokutheleleka ngaphandle komkhuhlane, okuhlanganisa ama-chills, ukujuluka, ukukhwehlela, umphimbo obuhlungu, izilonda zomlomo, noma ukusha ngesikhathi sokuchama. Noma yikuphi ukuzwa ubuhlungu obungavamile, ukuvuvukala, noma ububomvu endaweni yakho ye-IV noma echwebeni nakho kufanele kunakekelwe ngokushesha.

Ukuphefumula kanzima, ubuhlungu besifuba, isifo sohudo esibi, izimpawu zokuphuma igazi njengokulimala okungavamile noma igazi esitulweni noma emchameni, noma ikhanda elibuhlungu elibuhlungu kufanele kuqale ukuhlolwa kwezokwelapha ngokushesha. Thembela emizweni yakho - uma kukhona okuzizwa kungalungile ngempela, unganqikazi ukushayela.

Ithimba lakho lezempilo lizokunikeza imininingwane ethile yokuxhumana ngezimo eziphuthumayo. Izikhungo eziningi zomdlavuza zinezintambo zocingo ezingamahora angama-24 eziqashwe ngabanakekeli abangakwazi ukusiza ukunquma ukuthi ngabe udinga ukunakekelwa ngokushesha noma ngabe ukukhathazeka kwakho kungalinda kuze kube usuku olulandelayo lwebhizinisi.

Imibuzo evame ukubuzwa mayelana ne-chemotherapy

Q.1 Ingabe i-chemotherapy iyasebenza kuzo zonke izinhlobo zomdlavuza?

Ukusebenza kwe-chemotherapy kuyahlukahluka kakhulu ngokuya ngohlobo nesigaba somdlavuza. Eminye imidlavuza, njengeminye imidlavuza yegazi nomdlavuza wamathambo, iphendula kahle kakhulu ku-chemotherapy futhi ivame ukwelashwa ngalezi zindlela zokwelapha kuphela. Eminye imidlavuza, njengeminye imithombo yobuchopho noma eminye imithombo eqinile ethuthukisiwe, ingase ingaphenduli kahle ku-chemotherapy.

Udokotela wakho we-oncologist uzochaza ukuthi uhlobo lwakho oluthile lomdlavuza luvame ukusabela kanjani ekhemotherapy. Noma ngabe i-chemotherapy ayikwazi ukwelapha umdlavuza, ivame ukukwazi ukunciphisa ukukhula kwawo, inciphise izinso, futhi ithuthukise kakhulu izinga lempilo nesikhathi sokuphila.

Q.2 Ingabe i-chemotherapy ngaso sonke isikhathi ibangela ukulahlekelwa izinwele?

Akuzona zonke izidakamizwa ze-chemotherapy ezibangela ukulahlekelwa izinwele, futhi izinga lokulahlekelwa izinwele liyahlukahluka kakhulu phakathi kwemithi ehlukene kanye nabantu ngabanye. Ezinye izidakamizwa zibangela ukulahlekelwa izinwele okuphelele esikhumbeni sekhanda, amashiya, nomzimba, kanti ezinye zibangela ukuncipha okuncane noma akukho ukulahlekelwa izinwele nhlobo.

Udokotela wakho uzokutshela ukuthi ngabe uhlelo lwakho oluthile lwe-chemotherapy lungase lubangele ukulahlekelwa izinwele. Uma kulindeleke ukulahlekelwa izinwele, kuvame ukuqala ngemva kwamasonto ama-2-3 ngemva kokwelashwa kwakho kokuqala futhi kungokwesikhashana - izinwele zakho zizokhula emuva ngemva kokuphela kokwelashwa, yize ekuqaleni zingase zibe nokuthungwa okuhlukile noma umbala.

Q.3 Ngingasebenza ngesikhathi sokwelashwa kwe-chemotherapy?

Abantu abaningi baqhubeka nokusebenza ngesikhathi se-chemotherapy, yize kungadingeka ukuthi wenze izinguquko ezithile esimisweni sakho noma ekuhleleni umsebenzi. Ikhono lakho lokusebenza lincike ezintweni ezinjengohlobo lomsebenzi wakho, isimiso sokwelashwa, nokuthi usabela kanjani ekhemotherapy.

Abanye abantu bazizwa bephile kahle ngokwanele ukugcina isimiso sabo somsebenzi esijwayelekile, kanti abanye bangadinga ukunciphisa amahora, basebenze ekhaya, noma bathathe ikhefu ngesikhathi samasonto okwelashwa. Xoxa ngesimo sakho somsebenzi nethimba lakho lezempilo - bangakusiza ukuthi uhlele ngesikhathi sokwelashwa kwakho futhi ulawule noma yiziphi izinkathazo ezihlobene nomsebenzi.

Q.4 Ingabe kukhona imikhawulo yokudla ngesikhathi se-chemotherapy?

Ngenkathi kungekho imikhawulo eminingi yokudla ngesikhathi se-chemotherapy, okunye ukudla kufanele kugwenywe ukunciphisa ingozi yokutheleleka lapho amasosha akho omzimba ekhubazekile. Ithimba lakho lezempilo lizohlinzeka ngemihlahlandlela ethile, kepha ngokuvamile, kufanele ugweme inyama eluhlaza noma engaphekwe ngokwanele, imikhiqizo yobisi engashunyeki, kanye nemifino nezithelo ezingahlutshwa.

Gxila ekudleni ukudla okunomsoco, okuphekwe kahle futhi uhlale unamanzi. Uma uhlangabezana nemiphumela emibi efana nesicanucanu noma izilonda emlonyeni, udokotela wakho angase ancome izinguquko ezithile ekudleni. Uchwepheshe wezokudla obhalisiwe angakusiza ukuthi ugcine ukudla okunomsoco okuhle ngesikhathi sokwelashwa.

Umbuzo 5. Ukwelashwa ngamakhemikhali kuvame ukuthatha isikhathi esingakanani?

Isikhathi sokwelashwa ngamakhemikhali sihluka kakhulu kuye ngohlobo lomdlavuza wakho, izinhloso zokwelashwa, nokuthi usabela kanjani ekwelashweni. Okunye ukwelashwa kuthatha izinyanga ezimbalwa nje, kanti okunye kungase kuqhubeke unyaka noma ngaphezulu. Ukwelashwa kuvame ukunikezwa ngemijikelezo, ngezikhathi zokwelashwa ezilandelwa izikhathi zokuphumula ukuvumela umzimba wakho ukuthi ululame.

Udokotela wakho we-oncologist uzokuchazela umugqa wesikhathi wokwelashwa okulindelekile, nakuba lokhu kungase kushintshe ngokuya ngokuthi usabela kanjani ekwelashweni futhi ubekezelela imiphumela emibi. Ukuskena njalo nokuhlolwa kusiza ukunquma ukuthi ukwelashwa kufanele kuqhubeke nini, kushintshwe, noma kumiswe.