Yini i-Chemotherapy yomdlavuza webele? Inhloso, Inqubo & Nemiphumela

I-Chemotherapy yomdlavuza webele isebenzisa imithi enamandla ukubhubhisa amaseli omdlavuza emzimbeni wakho wonke. Le mithi isebenza ngokugxila kumaseli ahlukanisa ngokushesha, okuhlanganisa amaseli omdlavuza kodwa futhi kungathinta amanye amaseli anempilo akhula ngokushesha ngokwemvelo.

Cabanga nge-chemotherapy njengokwelashwa okuhlelekile okuhamba ngomgudu wegazi lakho ukuze kufinyelele amaseli omdlavuza noma ngabe acashe kuphi. Ngenkathi ukuhlinzwa kususwa umdlavuza ongawubona, i-chemotherapy isiza ukuqeda noma yimaphi amaseli omdlavuza angase asakazekele kwezinye izingxenye zomzimba wakho, ngisho nalapho emancane kakhulu ukuthi angabonakala kuma-scan.

Kungani i-chemotherapy yomdlavuza webele yenziwa?

I-Chemotherapy isebenza ngezinhloso eziningana ezibalulekile ekwelashweni komdlavuza webele, kuye ngesimo sakho esithile. Udokotela wakho we-oncologist angase ayincomise ukunciphisa imithombo ngaphambi kokuhlinzwa, ukuqeda amaseli omdlavuza asele ngemuva kokuhlinzwa, noma ukulawula umdlavuza osakazekele kwezinye izingxenye zomzimba wakho.

Uma isetshenziswa ngaphambi kokuhlinzwa, ebizwa ngokuthi i-neoadjuvant chemotherapy, ingenza imithombo emikhulu ibe mincane futhi ibe lula ukuyisusa. Le ndlela ngezinye izikhathi ivumela abesifazane ukuthi babe nokuhlinzwa okonga ibele esikhundleni se-mastectomy. Ukwelashwa kungasiza odokotela ukuthi babone ukuthi umdlavuza wakho usabela kahle kangakanani emithini ethile.

Ngemuva kokuhlinzwa, i-adjuvant chemotherapy isebenza njengenqubomgomo yomshuwalense ngokumelene nokuphindeka komdlavuza. Ngisho nalapho wonke umdlavuza obonakalayo ususiwe, amaseli omdlavuza amancane angase asele emzimbeni wakho. Le mithi isiza ukuqeda lawo maseli afihliwe ngaphambi kokuthi akhule abe yimithombo emisha.

Ngemdlavuza webele oqhubekayo osakazekele kwamanye amalungu omzimba, i-chemotherapy ingasiza ukulawula lesi sifo, idambise izimpawu, futhi ithuthukise izinga lempilo. Ngenkathi ingase ingelaphi umdlavuza oqhubekayo, ngokuvamile ingasiza abantu ukuthi baphile isikhathi eside, izimpilo ezinethezekile.

Iyini inqubo ye-chemotherapy?

I-Chemotherapy ngokuvamile yenzeka ngemijikelezo, ngezikhathi zokwelashwa ezilandelwa izikhathi zokuphumula ukuvumela umzimba wakho ukuthi ululame. Abantu abaningi bathola ukwelashwa njalo emavikini amabili kuya kwamathathu, nakuba isimiso sakho esiqondile sincike emithini udokotela akhethayo nokuthi umzimba wakho usabela kanjani.

Ngokuvamile uzothola i-chemotherapy ngomugqa we-IV engalweni yakho noma ngembobo, okuyithuluzi elincane elibekwe ngaphansi kwesikhumba sakho eduze kwe-collarbone yakho. Imbobo yenza kube lula ukukunika imithi nokudweba amasampula egazi ngaphandle kokugwazwa izinaliti eziphindaphindiwe. Eminye imithi ye-chemotherapy iza ngamaphilisi ongawathatha ekhaya.

Iseshini ngayinye yokwelashwa ngokuvamile ithatha phakathi kwehora elilodwa kuya kwamahora amane, kuye ngokuthi yimiphi imithi oyitholayo. Uzohlala esihlalweni esinethezekile esikhungweni sokufaka, futhi abahlengikazi bazokuqapha eduze kuyo yonke inqubo. Abantu abaningi baletha izincwadi, amaphilisi, noma umculo ukusiza ukudlulisa isikhathi.

Ngaphambi kokwelashwa ngakunye, ithimba lakho lezokwelapha lizohlola ukubalwa kwegazi lakho nempilo yonke ukuze liqinisekise ukuthi usukulungele umthamo olandelayo. Bangase bakuhlehlise ukwelashwa uma ukubalwa kwegazi lakho kuphansi kakhulu noma uma uhlangabezana nemiphumela emibi ebalulekile edinga isikhathi sokuthuthuka.

Ungalungela kanjani i-chemotherapy yakho?

Ukulungiselela i-chemotherapy kuhlanganisa izinyathelo ezingokoqobo nokulungela ngokomzwelo. Ithimba lakho lezempilo lizokunikeza imiyalelo enemininingwane eqondene nohlelo lwakho lokwelashwa, kodwa kunezindlela ezijwayelekile zokulungela ezingakusiza uzizwe uqiniseka futhi ukhululekile.

Qala ngokuhlela ezokuthutha ezithembekile zokuya nokubuya ekuqokweni kwakho, njengoba ungase uzizwe ukhathele noma ungazizwa kahle ngemva kokwelashwa. Abantu abaningi bakuthola kuwusizo ukuba umngane noma ilungu lomndeni lihambe nabo, ikakhulu emaseshini ambalwa okuqala. Hlela ukuthatha usuku olungasebenzi ngezinsuku zokwelashwa futhi mhlawumbe ngosuku olulandelayo.

Cabangela lezi zilungiselelo ezingokoqobo ukwenza ukuthi ulwazi lwakho lokwelashwa lube bushelelezi:

• Gcina ukudla okulula ukukulungisa nokudla okulula okukujabulisayo
• Gcwalisa noma yimiphi imiyalelo yemithi yokulwa nesicanucanu kusengaphambili
• Lungiselela usizo lokunakekela izingane, izilwane ezifuywayo, noma imisebenzi yasekhaya
• Lungisa indawo yokululama ekhaya enezinketho zokuzijabulisa
• Cabangela ukugunda izinwele zakho zibe mfushane uma ukulahlekelwa izinwele kulindelekile
• Hlela umsebenzi wamazinyo ngaphambi kokuthi ukwelashwa kuqale
• Thola noma yimiphi imigomo edingekayo, ugweme imigomo ebukhoma

Ithimba lakho le-oncology lizophinde linikeze imihlahlandlela ethile yokudla kanye nemithi yokusiza ukuphatha imiphumela emibi. Ukulandela lezi zincomo eduze kungenza umehluko omkhulu endleleni ozizwa ngayo ngesikhathi sokwelashwa.

Ungawafunda kanjani imiphumela yakho ye-chemotherapy?

Imiphumela ye-Chemotherapy ilinganiswa ngendlela ehlukile kunokuhlolwa kwelabhorethri okuvamile ngoba umgomo uwukubona ukuthi umdlavuza wakho usabela kanjani ekwelashweni. I-oncologist yakho izosebenzisa izindlela ezihlukahlukene ukuhlola ukuthi i-chemotherapy isebenza ngempumelelo yini ngomdlavuza wakho othile.

Ngesikhathi sokwelashwa, udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa kwegazi okuvamile, ukuhlolwa komzimba, kanye nezifundo zokucabanga njenge-CT scans noma i-MRIs. Ukuhlolwa kwegazi kuhlolwa impilo yakho yonke nokuthi umzimba wakho ukubekezelela kahle kangakanani ukwelashwa, kuyilapho ukucabanga kukhombisa ukuthi amathumba ayancipha, ahlala ngosayizi ofanayo, noma akhula.

Ithimba lakho lezokwelapha lizofuna izinkomba ezimbalwa ezibalulekile zempumelelo yokwelashwa:

• Ukuncipha kosayizi wethumba kuma-scans
• Ukwehla kwamamaki omdlavuza ekuhlolweni kwegazi
• Ukuthuthukiswa kwezimpawu uma ubunobuhlungu noma okunye ukungakhululeki
• Azikho izindawo ezintsha zokukhula komdlavuza
• Isimo sempilo esizinzile noma esithuthukayo

Ukusabela okuphelele kusho ukuthi akukho umdlavuza otholakalayo osele, kuyilapho ukusabela okuyingxenye kubonisa ukuncipha okukhulu kwethumba. Isifo esizinzile sisho ukuthi umdlavuza awukhuli, okungase futhi kubhekwe njengomphumela omuhle, ikakhulukazi ezimweni ezithuthukile.

Ungaziphatha kanjani imiphumela emibi ye-chemotherapy?

Ukuphatha imiphumela emibi ye-chemotherapy kudinga indlela yokuthatha izinyathelo zokuqala nokuxhumana eduze nethimba lakho lezempilo. Ngenkathi imiphumela emibi ingaba yinselele, amaqhinga amaningi asebenzayo nemithi kungakusiza ukuthi uzizwe ungcono futhi ugcine izinga lakho lempilo ngesikhathi sokwelashwa.

Ukunyenyeka nokuhlanza kungenye yezinto ezivame kakhulu ukukhathaza, kodwa imithi yesimanje yokulwa nokunyenyeka isebenza kahle kakhulu uma isetshenziswa ngendlela efanele. Udokotela wakho uzoqoka imithi ethile okufanele uyithathe ngaphambi, ngesikhathi, nangemva kwe-chemotherapy ukuvimbela lezi zimpawu ukuthi zingabi zimbi.

Nawa amaqhinga asekelwe ebufakazini angasiza ekuphatheni imiphumela emibi ejwayelekile:

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• Thatha imithi yokulwa nokunyenyeka njengoba iqokiwe, ngisho noma uzizwa ulungile
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• Yidla ukudla okuncane, okuvame ukudliwa futhi ugweme iphunga elinamandla
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• Hlala umanzi ngamanzi acacile njengamanzi, umhluzi, noma iziphuzo ze-electrolyte
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• Thola ukuphumula okwanele, kodwa zama ukuhlala usebenza ngandlela thize uma kungenzeka
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• Sebenzisa imikhiqizo emnene, engenamvini esikhumbeni sakho
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• Zivikele ezifweni ngokuwasha izandla njalo
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• Gqoka i-sunscreen nezingubo ezivikelayo uma uphandle
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Ukukhathala kungenye imiphumela emibi ejwayelekile evame ukuthuthuka ngokuzivocavoca okumnene, ukudla okunomsoco, nokuphumula okwanele. Unganqikazi ukucela usizo ngemisebenzi yansuku zonke, futhi uzibekezelele njengoba amazinga akho wamandla angashintshashintsha ngesikhathi sokwelashwa.

Yini engcono kakhulu ye-chemotherapy yomdlavuza webele?

I-chemotherapy engcono kakhulu incike ngokuphelele ohlotsheni lwakho oluthile lomdlavuza webele, isigaba sawo, nezici zakho zempilo. Akukho ukwelashwa okukodwa

Udaktela wakho we-oncologist uzocabangela izici eziningana lapho ekhetha uhlelo lwakho lokwelapha, okuhlanganisa isimo se-hormone receptor, isimo se-HER2, izinga lomdlavuza, ukubandakanyeka kwe-lymph node, kanye neminyaka yakho nempilo yonke. Lezi zincazelo zisiza ukunquma ukuthi yiziphi izidakamizwa okungenzeka ukuthi zisebenze kakhulu emdlavuzeni wakho othile.

Izinhlanganisela ezivamile ze-chemotherapy zomdlavuza wamabele zihlanganisa:

• I-AC-T (Adriamycin, Cytoxan, elandelwa yi-Taxol)
• I-TC (Taxotere kanye ne-Cytoxan)
• I-FEC (5-fluorouracil, epirubicin, kanye ne-cyclophosphamide)
• Izindlela ezisekelwe ku-Carboplatin zomdlavuza wamabele ongemuhle kathathu
• Ukwelashwa okuhlosiwe njenge-trastuzumab ngemidlava yomdlavuza ye-HER2-positive

Uhlelo lwakho lokwelapha lungase futhi luhlanganise izidakamizwa zokwelapha ezihlosiwe noma i-immunotherapy, kuye ngezici ezithile zomdlavuza wakho. Lokhu kwelashwa okusha kusebenza ngendlela ehlukile kune-chemotherapy yendabuko futhi kungasebenza kakhulu ezinhlotsheni ezithile zomdlavuza wamabele.

Ziyini izici eziyingozi zezinkinga ze-chemotherapy?

Izici eziningana zingakhuphula ingozi yakho yokuthola izinkinga ze-chemotherapy, nakuba abantu abaningi beqeda ukwelashwa kwabo ngempumelelo ngokuqapha okufanele nokusekela. Ukuqonda lezi zici eziyingozi kusiza ithimba lakho lezokwelapha ukuthi linikeze ukunakekelwa okuphephe kakhulu, okuphumelelayo.

Iminyaka idlala indima ekutheni abantu bayayibekezelela kangakanani i-chemotherapy, kokubili abantu abasebancane kakhulu nabadala kungenzeka babhekane nezingozi eziphakeme. Kodwa-ke, iminyaka yobudala ngokwayo ayinqumi izinqumo zokwelapha - impilo yakho yonke kanye nezinga lokufaneleka kubaluleke kakhulu kunenani leminyaka oziphile.

Izimo zezokwelapha ezingase zikhuphule ingozi yakho yezinkinga zihlanganisa:

• Isifo sezinso noma sesibindi esithinta ukucutshungulwa kwemithi
• Izinkinga zenhliziyo, ikakhulukazi ngemithi ethile ye-chemotherapy
• Isifo sikashukela, esinganciphisa ukuphola futhi sandise ingozi yokutheleleka
• Ukwelashwa komdlavuza kwangaphambilini okungase kukhawulele izinketho zesikhathi esizayo
• Izimo ze-Autoimmune ezithinta amasosha akho omzimba
• Isimo sokudla okunomsoco esingesihle noma ukuncipha okukhulu kwesisindo
• Ukutheleleka okusebenzayo noma ukusebenza komzimba okungahambisani kahle

Udaktela wakho we-oncologist uzohlola ngokucophelela lezi zinto ngaphambi kokuncoma ukwelashwa futhi angase alungise imithamo yemithi noma akhethe imithi ehlukile ukunciphisa izingozi ngenkathi egcina ukusebenza kahle.

Ingabe i-chemotherapy ingcono ngaphambi noma ngemuva kokuhlinzwa komdlavuza wamabele?

Isikhathi se-chemotherapy sincike esimweni sakho esithile, futhi zombili izindlela - ngaphambi kokuhlinzwa (neoadjuvant) nangemva kokuhlinzwa (adjuvant) - zingasebenza kahle kakhulu. Udaktela wakho we-oncologist uzoncoma isikhathi esingcono kakhulu ngokusekelwe ezintweni ezithile zethumba lakho kanye nemigomo yokwelashwa.

I-chemotherapy ye-Neoadjuvant, enikezwa ngaphambi kokuhlinzwa, isebenza kahle ngamathumba amakhulu noma lapho odokotela befuna ukubona ukuthi umdlavuza wakho usabela kanjani ekwelashweni. Le ndlela inganciphisa amathumba ngokwanele ukuvumela ukuhlinzwa okonga ibele esikhundleni se-mastectomy, okuthandwa abesifazane abaningi uma kungenzeka.

I-chemotherapy ye-Adjuvant, enikezwa ngemuva kokuhlinzwa, iyindlela yendabuko esebenza njengenethi yokuphepha ukuqeda noma yimaphi amaseli omdlavuza asele. Lesi sikhathi sivumela udokotela wakho ohlinzayo ukuthi asuse ithumba elikhulu kuqala futhi sinikeza ithimba lakho lezokwelapha ulwazi olugcwele mayelana nezici zomdlavuza ukuze liqondise izinqumo zokwelashwa.

Zombili izindlela zibonakale zisebenza kahle ezivivinyweni zemitholampilo, futhi ukukhetha kuvame ukwehla ezintweni zomuntu ngamunye njengosayizi wethumba, indawo, kanye nezintandokazi zakho siqu mayelana nokulandelana kokwelashwa.

Ziyini izinkinga ezingaba khona ze-chemotherapy?

Ngenkathi i-chemotherapy ivikelekile ngokujwayelekile uma iqashwe kahle, ingabangela imiphumela eminingi engemihle ngoba ithinta zombili amaseli omdlavuza namanye amaseli anempilo. Ukuqonda izinkinga ezingase zibe khona kukusiza ukuthi ubone ukuthi ungaxhumana nini nethimba lakho lezempilo futhi kuqinisekisa ukuthi uthola ukwelashwa okusheshayo uma kuvela izinkinga.

Imiphumela eminingi engemihle ingeyesikhashana futhi iyathuthuka ngemva kokuphela kokwelashwa, nakuba eminye ingase ithathe izinyanga ukuthi ilulame ngokugcwele. Ithimba lakho lezokwelapha lizokuqapha eduze ngesikhathi sokwelashwa ukuze libambe futhi liphathe noma yiziphi izinkinga zisasekuqaleni.

Izinkinga ezivamile ezidinga ukunakekelwa kwezokwelapha zihlanganisa:

• Ukucasuka okukhulu nokuhlanza okuvimbela ukudla noma ukuphuza
• Izimpawu zokutheleleka njengomkhuhlane, amaqhwa, noma ukukhathala okungavamile
• Ukuphuma kwegazi okungavamile noma ukulimala
• Ukuqunjelwa okukhulu noma ukuqunjelwa
• Izilonda zomlomo eziphazamisa ukudla
• Ukuphendula kwesikhumba okukhulu noma ukuqubuka
• Ukuphefumula kanzima noma ubuhlungu besifuba

Izinkinga ezingavamile kodwa ezinzima zingahlanganisa izinkinga zenhliziyo ngemithi ethile, imidlavyazo yesibili eminyakeni eminingi kamuva, noma ukusabela okukhulu komzimba ngesikhathi sokwelashwa. Ithimba lakho le-oncology liqapha lezi zinkinga futhi lithatha izinyathelo zokuzivimbela uma kungenzeka.

Kufanele ngibone nini udokotela ngesikhathi se-chemotherapy?

Kufanele uxhumane nethimba lakho le-oncology ngokushesha uma uba nomkhuhlane ongu-100.4°F (38°C) noma ngaphezulu, njengoba lokhu kungabonisa ukutheleleka okukhulu lapho amasosha akho omzimba ebuthakathaka. Ungalindi ukubona ukuthi umkhuhlane uyanyamalala yini ngokwawo - ukwelashwa okusheshayo kokutheleleka ngesikhathi se-chemotherapy kubalulekile.

Ezinye izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha zihlanganisa ukucasuka okukhulu nokuhlanza okukuvimbela ukuthi ungagcini uketshezi, ukuphuma kwegazi okungavamile noma ukulimala, ukuphefumula kanzima, ubuhlungu besifuba, noma izimpawu zokuphelelwa amanzi emzimbeni okukhulu njengokugajeka nomchamo ophuzi omnyama.

Xhumana nethimba lakho lezempilo ngokushesha ngezimpawu ezikhathazayo:

• Umkhuhlane oqhubekayo noma amaqhafuqhafu
• Ukukhathala okukhulu okuvimbela imisebenzi yansuku zonke
• Ubuhlungu obungavamile, ikakhulukazi esifubeni sakho noma esiswini
• Ukuqunjelwa okukhulu okuthatha amahora angaphezu kwama-24
• Izilonda zomlomo ezivimbela ukudla noma ukuphuza
• Ushintsho esikhumbeni njengokuqubuka okukhulu noma ukuvuvukala okungavamile
• Ushintsho ekuchameni noma ekusebenzeni kwezinso

Khumbula ukuthi iqembu lakho le-oncology lilindele lawa macala futhi lifuna ukukusiza ukuthi uhlale uphephile futhi ukhululekile. Izikhungo eziningi zokwelapha zinezintambo zocingo ezingamahora angama-24 ezinabasebenzi abangongikazi abangakunika iseluleko sokuthi ngabe udinga ukunakekelwa ngokushesha noma ungalinda kuze kube usuku olulandelayo lwebhizinisi.

Imibuzo evame ukubuzwa mayelana ne-chemotherapy yomdlavuza webele

Q1: Ingabe i-chemotherapy iyasebenza kuzo zonke izinhlobo zomdlavuza webele?

I-Chemotherapy isebenza ngendlela ehlukile ezinhlotsheni ezahlukene zomdlavuza webele. Imidlava yomdlavuza webele e-triple-negative ivame ukuphendula kahle kakhulu ku-chemotherapy, kuyilapho imidlava yomdlavuza e-hormone-positive ingazuza kakhulu ekwelashweni ngama-hormone okuhlanganiswe ne-chemotherapy. Imidlava yomdlavuza e-HER2-positive ivamise ukuthola imithi eqondiwe kanye ne-chemotherapy yendabuko ukuze kutholakale imiphumela engcono kakhulu.

Udokotela wakho we-oncologist uzonquma indlela yokwelapha esebenza kahle kakhulu ngokusekelwe ezintweni ezithile zomdlavuza wakho, okuhlanganisa isimo se-hormone receptor, isimo se-HER2, nezici zemvelo ezidalulwe ngokuhlolwa kwethumba.

Q2: Ingabe i-chemotherapy ngaso sonke isikhathi ibangela ukulahlekelwa izinwele?

Akuzona zonke izidakamizwa ze-chemotherapy ezibangela ukulahlekelwa izinwele, kodwa ukwelashwa okuningi komdlavuza webele okusetshenziswa kakhulu kuholela ekunciphiseni izinwele okwesikhashana noma ekulahlekelweni izinwele okuphelele. Izinwele ngokuvamile ziqala ukuwa emasontweni amabili kuya kwamathathu ngemva kokuqala ukwelashwa futhi ngokuvamile zikhula emuva ezinyangeni ezimbalwa ngemva kokuqeda i-chemotherapy.

Ezinye izindlela ezintsha njengokupholisa ikhanda zingasiza ukunciphisa ukulahlekelwa izinwele ngezinhlelo ezithile ze-chemotherapy, nakuba zingasebenzi kuwo wonke umuntu noma zonke izinhlobo zokwelashwa.

Q3: Ngingasebenza ngesikhathi sokwelashwa kwe-chemotherapy?

Abantu abaningi baqhubeka nokusebenza ngesikhathi se-chemotherapy, nakuba kungase kudingeke ukuthi ulungise isimiso sakho noma imithwalo yakho. Ikhono lakho lokusebenza lincike ezidingweni zomsebenzi wakho, isimiso sokwelashwa, nokuthi usabela kanjani emithini.

Cabangela ukuxoxa ngezinhlelo zokusebenza eziguquguqukayo nomqashi wakho, njengokusebenza ekhaya ngezinsuku zokwelashwa noma ukunciphisa amahora akho okwesikhashana. Abanye abantu bathola ukuthi ukuhlala bematasa ngomsebenzi kunikeza isakhiwo esiwusizo nokujwayelekile ngesikhathi sokwelashwa.

Q4: Ingabe i-chemotherapy izothinta ikhono lami lokuba nezingane?

I-Chemotherapy ingathinta inzalo, ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengama-35, nakuba umthelela uhluka ngokuya ngemithi ethile esetshenziswayo kanye neminyaka yakho ngesikhathi sokwelashwa. Abanye besifazane bahlangabezana nezinguquko zesikhashana emjikelezweni wabo wokuya esikhathini, kanti abanye bangase babe nemiphumela ehlala njalo ekuzaleni.

Uma ukulondoloza inzalo kubalulekile kuwe, xoxa ngezinketho ezinjengokuqandisa amaqanda noma ama-embryo nodokotela wakho we-oncologist ngaphambi kokuqala ukwelashwa. Lezi zinqubo zivame ukwenziwa ngokushesha ngaphandle kokubambezela kakhulu ukwelashwa kwakho umdlavuza.

Q5: Zingakanani izinkinga ze-chemotherapy ezihlala ngemva kokuphela kokwelashwa?

Izinkinga eziningi ze-chemotherapy zithuthuka kancane kancane ezinyangeni eziningana ngemva kokuphela kokwelashwa. Ukukhathala kanye nezinguquko zokuqonda kungase kuthathe izinyanga eziyisithupha kuya ngonyaka ukuthi zixazululwe ngokugcwele, kuyilapho ukukhula kabusha kwezinwele kuvame ukuqala ezinyangeni ezimbalwa.

Abanye abantu bahlangabezana nemiphumela yesikhathi eside efana ne-neuropathy (ukulimala kwemizwa) noma izinguquko zenhliziyo, yingakho ukunakekelwa okuvamile nodokotela wakho we-oncologist kuhlala kubalulekile ngisho nangemva kokuqeda ukwelashwa. Ithimba lakho lezokwelapha lingasiza ekuphatheni noma yiziphi izimpawu eziqhubekayo futhi liqaphe impilo yakho yonke.