Iintlungu kunye neentlungu ziyingxaki eqhelekileyo kubantu abane-lymphoma kwaye inokuvela ukusuka kwi-mild to serious. Kukho izizathu ezininzi zokuba ungafumana iintlungu kunye neentlungu, kwaye eli phepha liza kunika ulwazi malunga nokuba kutheni, yintoni ongayenza ukuyilawula, kwaye umbone nini ugqirha wakho.
Yintoni ebangela iintlungu kunye neentlungu ngexesha lonyango lwe-lymphoma
Iintlungu kunye neentlungu zinokubangelwa yi-lymphoma yakho, iinkqubo onazo ezifana ne-biopsies okanye ukufakwa kwezixhobo zokufikelela kwi-venous ephakathi okanye i-cannulas, okanye kunyango onalo. Cofa kwizihloko ezingezantsi ukuze ufunde ngakumbi.
I-Lymphoma ayinakubangela nayiphi na intlungu kwaphela. Ngokuqhelekileyo, ii-lymph nodes ezidumbile ngenxa ye-lymphoma azibuhlungu. Nangona kunjalo, unokufumana intlungu ukuba i-lymph nodes yakho inkulu, okanye i-lymphoma ibeka uxinzelelo kwezinye izakhiwo emzimbeni wakho njengamathambo akho, amalungu okanye imithambo-luvo.
Ukuvuvukala kunokwenzeka kwiindawo ezijikeleze i-lymphoma, kwaye oku kunokubangela intlungu.
Kukho iinkqubo ezininzi onokuthi uzifune ngexesha lokuxilonga, ukubekwa kunye nonyango olunokubangela iintlungu kunye neentlungu. Oku kunokubandakanya:
- I-lymph node biopsy
- Umongo wethambo
- Ukugqobhoza iLumbar
- Ukuhlinzwa
- Ufakelo lwesixhobo esisembindini se-venous (CVAD).
- Utshiso.
Olu hlobo lweentlungu kufuneka lube lufutshane, kwaye kwiimeko ezininzi aluyi kufuna naluphi na uncedo lwezonyango. Iipakethi ezibandayo zinokunceda ekunciphiseni ukudumba okujikeleze utyando okanye iziza ze-biopsy kwaye ngokwenza njalo, kunokubonelela ngesiqabu kwiintlungu.
Ukuba iipakethe ezibandayo azanelanga, i-paracetamol ethathwe njengoko iyalelwe inokunceda.
Gwema amayeza achasene nokuvuvukala afana ne-ibuprofen (Nurofen) okanye i-aspirin kwiintsuku ezimbalwa zokuqala zenkqubo. La mayeza anokonyusa ukopha kunye nokugruzuka, kwaye kukhokelela kwiintlungu ezingakumbi.
Yazisa ugqirha okanye umongikazi wakho ukuba ezi ngcebiso zingasentla azikusebenzeli. Iintlungu ngamanye amaxesha zinokubangelwa lusulelo, ngoko ke kuya kufuneka ukuba bavavanye indawo yenxeba lakho. Baza kukwazi nokukucebisa ukuba ufuna iyeza elinamandla okanye olunye unyango ukulawula iintlungu.
Sulelo
Hlala ukwazisa umongikazi okanye ugqirha ukuba uneempawu zosulelo. Oku kunokubandakanya:
- Ubuhlungu
- Ububomvu okanye ukudumba kwindawo yenxeba okanye inaliti
- Ubofu okanye olunye ulwelo olunukayo
- Ukuba nobushushu be 38° degrees okanye ngaphezulu
- Ukugodola okanye ukuqina (ukungcangcazela okungalawulekiyo).
Uninzi lonyango lwe-lymphoma lunokubangela iqondo elithile leentlungu kunye neentlungu kuba ukuze unyango lusebenze, kufuneka lutshabalalise iiseli ze-lymphoma.
Iiseli ze-lymphoma zinokutshatyalaliswa ngokuthe ngqo ngonyango olufana nechemotherapy okanye iradiotherapy. Olunye unyango, olufana ne-monoclonal antibodies kunye ne-immunotherapies zibandakanya okanye zijolise kwi-immune system ukuze uncede ukulwa ne-lymphoma ngokufanelekileyo.
Ukutshatyalaliswa kweeseli
Iziphumo ebezingalindelekanga zonyango
Olunye unyango lunokubangela iziphumo ebezingalindelekanga ezingafunekiyo ezikhokelela kwiintlungu. Cofa kumakhonkco angezantsi ukuze ufunde ngakumbi malunga nokuba iziphumo ebezingalindelekanga zinokubangela njani intlungu, kunye nendlela yokulawula.
Izinto zokukhula luhlobo lonyango oluxhasayo olunceda ukuvuselela umongo wakho wethambo ukwenza iiseli zegazi ezintsha.
Umsebenzi owongezelelweyo kunye nenani elongezelelweyo leeseli umongo wakho wethambo wenza ngenxa yolu nyango lunokubangela intlungu yethambo. Njengoko iiseli zenziwa umongo wakho wethambo ukwandisa ukubeka uxinzelelo emathanjeni akho, ngaphambi kokukhulula iiseli kumjelo wegazi lakho. Ngokuqhelekileyo kuthatha iintsuku ezimbalwa kuphela, kodwa kwabanye abantu kunokuba ngokugqithiseleyo.
Iintlungu zethambo zinokuvela kwi-mild to serious. Ezinye izinto onokuzama ukuphucula ezi ntlungu ziquka:
- Iipakethi ezifudumeleyo okanye ezibandayo
- Ukuzivocavoca okuthambileyo kunye nokuhamba
- IParacetamol (ekwabizwa ngokuba yipanadol okanye panamax)
- Kwi-counter antihistamine efana ne-loratidine.
Ukudinwa, ixesha esibhedlele okanye ukuziva ungaphilanga kunokubangela ukuba ungasebenzi kakuhle ngokwasemzimbeni. Oku kunokubangela ukuba izihlunu zakho ziqale ukuphuka okanye zibe lukhuni okukhokelela kwiintlungu kunye neentlungu kwimisipha yakho, kunye namalungu axhaswa yimisipha yakho.
Ukutya ukutya okuneprotheyini okufanelekileyo kunokunceda umzimba wakho ukuba uphile. Ezinye iindlela zokuthintela, okanye ukuphucula olu hlobo lweentlungu kunye neentlungu ziquka imithambo ethambileyo kunye nokwelula okanye iipakethe ezifudumeleyo okanye ezipholileyo.
Ukuba imithambo inzima kuwe, cela ugqirha wakho ukuba akuthumele kwingcali yezonyango, iphysiotherapist okanye i-exercise physiologist. Baza kukwazi ukuvavanya iimfuno kunye nobuchule bakho, kwaye bakuncede uze nesicwangciso sokwandisa umsebenzi wakho ngaphakathi kwemida yakho ngendlela ekhuselekileyo.
Ngamanye amaxesha ngexesha okanye emva konyango lwe-lymphoma unokufumana intlungu ngexesha lokwabelana ngesondo. Oku ukuba kaninzi kubangelwa kukoma kwelungu lobufazi okanye ukungabikho kokuthambisa. Zama ukusebenzisa isithambiso ukusombulula iintlungu. Ukuba iintlungu ziyaqhubeka, ukuthunyelwa kwi-Women's physiotherapist kunokuphuhlisa isicwangciso sokujongana neentlungu.
Kubalulekile ukuba uqaphele ukuba intlungu eqhubekayo ngexesha lesondo kufuneka iphandwe ngugqirha.
Xoxa nogqirha wakho ngesicwangciso solawulo lwe-GP njengoko usenokukwazi ukufikelela kwiingcali ezithunyelwe kwingcali yezomsebenzi, iphysiotherapist okanye umthambo wephysiologist ngexabiso elincinci okanye ungabikho epokothweni. Ezi nkonzo ke zixhaswa ngemali yiMedicare.
Indlela yokulawula iintlungu kunye neentlungu
Umthambo & ukolula
Uphando lubonise ukuba umthambo othambileyo kunye nokuzolula kunokunceda ukuphucula iintlungu kunye neentlungu. Nangona kunjalo, ngokuxhomekeke kwiimeko zakho zomntu ngamnye, usenokungakwazi ukuhambisana namanqanaba omsebenzi wakho wesiqhelo.
Ukuqonda ukuba yeyiphi imida yakho emitsha, kunokuthatha ixesha kwaye unokufuna ingcebiso kwiphysiotherapist okanye imithambo yomzimba. Banokukunceda ukuba wenze ntoni, kwaye ungayenza njani ngokukhuselekileyo ngelixa unonyango lwe-lymphoma.
ukulala
Iintlungu zihlala zinzima ukumelana nazo xa udiniwe. Ukukhathala kunye nokungabikho kokulala kunokukwenza ukuba iintlungu kunye neentlungu zive zibi okanye zinzima ukulawula. Kubalulekile ukulawula nakuphi na ukudinwa okanye imiba yokulala kwangethuba ukunqanda ukuphuhlisa indlela yokulala engalunganga. Ukufumana ulwazi oluthe kratya malunga nokulawula ukudinwa kunye nemiba yokulala, cofa amakhonkco angezantsi.
- Ukukhathala (ukudinwa okugqithisileyo)
- Imiba yokulala.
Ubushushu okanye iipakethe ezibandayo
Zama ukuzama ngazo zombini iipakethe zobushushu kunye neengqele ukuze ufumane oko kusebenza kakuhle kuwe. Unokufumana ukutshintsha phakathi kobushushu nokubanda kusebenza ngcono.
Qhaphela
Olunye unyango lwe-lymphoma lunokuchaphazela ukukwazi kwakho ukuziva ushushu kwaye ubanda ngokufanelekileyo. Oku kukubeka kumngcipheko owonyukileyo wokutsha. Xa usebenzisa ubushushu okanye iipakethi ezibandayo, shushu kuphela okanye umkhenkce njengoko uyalelwe, kwaye soloko unetawuli okanye impahla phakathi kwesikhumba sakho kunye nobushushu / ipakethe ebandayo. Ngolwazi oluthe kratya malunga noku nceda ujonge iphepha lethu lewebhu neuropathy.
Amachiza
Paracetamol
IParacetamol – ekwabizwa ngokuba yiPanadol okanye iPanamax ihlala ikhuselekile xa une-lymphoma nangona kunjalo, inokufihla ubushushu. Soloko uthatha ubushushu bakho phambi kokuba ube neparacetamol ukuba unonyango lwe-lymphoma.
IParacetamol ayinakukhuseleka kuwe ukuba unengxaki ngesibindi sakho. Ukuba uxelelwe ukuba uneengxaki ngesibindi sakho, buza ugqirha okanye unesi wakho ukuba kukhuselekile na ukuthatha iparacetamol.
Izinto ezichasayo izifo
Antihistamines
I-Histamine yikhemikhali ekhutshwa ziiseli zomzimba ezibizwa ngokuba zii-basophils kunye neeseli zemast. Ezi ziintlobo ezahlukeneyo zeeseli ezimhlophe zegazi, kwaye i-histamine abayikhuphayo ibangela ukudumba. Oku kunceda ukulwa nosulelo, kodwa i-histamine eninzi, okanye ukungabikho kosulelo kunokubangela intlungu. Ngokunciphisa i-histamine, unokunciphisa ukuvuvukala kunye nokunciphisa amanqanaba eentlungu.
Phambi kokuba uthathe naliphi na iyeza elingaphaya kwekhawuntara, jonga usokhemesti okanye ugqirha wakho ukuba kukhuselekile na ukusela kwiimeko zakho. Amanye amayeza anokunxibelelana nonyango lomhlaza, elwenza lungasebenzi kakuhle, okanye lunokubangela iziphumo ebezingalindelekanga ezimandundu ezingafunekiyo. IParacetamol inokuba yingozi ukuba isibindi sakho asisebenzi kakuhle.
Fumana iingcali zempilo ezifanelekileyo zibandakanyeke
Kukho iingcali zempilo ezahlukeneyo ngaphandle kwehaemotology yakho kwiqela le-oncology ezinokukunceda ukulawula iintlungu zakho. Ngamnye unobuchwephesha obahlukileyo kwaye yeyiphi eya kuba ngcono kuwe iya kuxhomekeka kwiimeko zakho.
Cofa kwizihloko ezingezantsi ukubona ukuba abaqeqeshi bezempilo abahlukeneyo okanye iinkonzo banokuthi bancede njani. Thetha nonesi okanye ugqirha wakho malunga nokufumana ukuthunyelwa kuzo naziphi na iinkonzo ocinga ukuba zingaluncedo kuwe.
***Le ngcaciso ingezantsi yeyabantu abanekhadi leMedicare. Ukuba awunalo ikhadi le-Medicare, unokuba neendleko ezongezelelweyo ozihlawulayo.
Ukuba awukamfumani ugqirha wasekhaya oqhelekileyo (GP), ngoku lixesha lokuyenza. Uya kudinga ugqirha osebenza rhoqo nothembekileyo ukuba akuxhase ngonyango lwakho, alungelelanise ukhathalelo lwakho kwaye abonelele ngokhathalelo olubalulekileyo olulandelayo emva kokuba ugqibile unyango.
Oogqirha bezonyango banokukunceda ngokukuyalela amayeza athile kwaye bakuthumele kwiingcali ezahlukeneyo kunye neengcali zempilo. Basenokuhlanganisa isicwangciso solawulo lwesifo esingapheliyo, isicwangciso sokhathalelo lwempilo yengqondo kunye nesicwangciso sokhathalelo lokusinda kunye nawe.
Thetha ugqirha wakho malunga nezi zicwangciso kunye nendlela abanokukunceda ngayo kwiimeko zakho.
Isicwangciso solawulo lweGP
Umhlaza uthathwa njengesigulo esingapheliyo kuba uhlala ixesha elide kuneenyanga ezi-3. Isicwangciso solawulo lwe-GP sikuvumela ukuba ufikelele kwiingcebiso zezempilo ezidibeneyo ezi-5 ngonyaka ngaphandle kwexabiso, okanye incinci kakhulu ngaphandle kweendleko zepokotho kuwe. Ezi zinokubandakanya iiphysiotherapist, i-exercise physiologists kunye neetherapisti zasemsebenzini.
Ukuze ufunde ngakumbi malunga ne-allied health, nceda ubone ikhonkco elingezantsi.
Ubuchwephesha bezempilo obuManyeneyo-buNgcali beMpilo obuManyeneyo eOstreliya (ahpa.com.au)
Isicwangciso solawulo lwempilo yengqondo
Wonke umntu onomhlaza kufuneka abe nesicwangciso sempilo yengqondo. Zikwafumaneka kumalungu osapho lwakho kwaye zibonelele ngotyelelo lwe-10 okanye ukuqeshwa ngomnxeba kunye nogqirha wengqondo. Esi sicwangciso sikwanceda wena kunye noGqirha wakho ukuba nixoxe ngeemfuno zenu enyakeni, kwaye nize nesicwangciso sokukunceda ukuba umelane noxinzelelo olongezelelekileyo, kuqukwa neentlungu ojongene nazo.
Fumana ulwazi oluthe kratya malunga nokhathalelo lwempilo yengqondo olukhoyo apha Ukhathalelo lwempilo yengqondo kunye neMedicare - iMedicare - IiNkonzo zaseOstreliya.
Isicwangciso sokukhathalela ukusinda
Isicwangciso sokukhathalela abantu abasindileyo siyanceda ukulungelelanisa ukhathalelo oludingayo emva kokuxilongwa ngumhlaza. Unokwenza enye yezi ngaphambi kokuba ugqibe unyango, kodwa hayi rhoqo.
Isicwangciso sokuhlala siyindlela entle yokujonga ukuba uya kulawula njani emva kokuba unyango luphelile, kubandakanywa nokulawula iziphumo ebezingalindelekanga ezifana neentlungu kunye novavanyo lokulandelela.
Iphysiotherapist inokunceda ngeendlela ezininzi. Banokuvavanya ukunyakaza kwakho kunye nokukwazi ukuphefumla kwaye bakuncede uze nesicwangciso sokugcina okanye ukuphucula imisipha yakho kunye nokuguquguquka ngexesha lonyango.
Banokunceda ukuphucula intlungu kunye neentlobo ezahlukeneyo zonyango ezibandakanya:
- ukuphulula umzimba womntu ngobunono
- umthambo okhuselekileyo kunye nokwelula
- ubushushu okanye unyango olubandayo
- i-acupuncture
- ikomityi
- hydrotherapy
- unyango lwe-ultrasound
- unyango lwe-laser infrared okanye ebandayo
- Kaninzi.
Iingcali zokuzilolonga ngokwasemzimbeni ziingcali zempilo eziqeqeshelwe eyunivesithi ezinobuchule kwindlela umzimba wakho ophendula ngayo xa usenza umthambo.
Bayakwazi ukuvavanya indlela i-lymphoma kunye neentlungu eziwuchaphazela ngayo umzimba wakho kunye nokukwazi kwakho ukuzilolonga kunye nokufumana ezona mithambo zilungileyo yokusebenza nawe.
Iingcali zokuzivocavoca umzimba zihlala zisebenza ngokubambisana nephysiotherapists. Ukufumana i
Ingcali yezobugqirha inokunceda ngokuvavanya indlela intlungu okanye isigulo sakho esichaphazela ngayo amandla akho okwenza imisebenzi yemihla ngemihla (ADLs), njengokunxiba, ukuhlamba nokugqiba umsebenzi wasekhaya.
Banokuququzelela izixhobo ezikhethekileyo okanye utshintsho oluncinci kwikhaya lakho ukukunceda ukuba wenze ii-ADLs ngokulula.
Izibhedlele ezininzi zinenkonzo yeentlungu ezibuhlungu ezinokukunceda ukuba unentlungu enzima engalindelekanga ukuba ihlale ngaphezu kweenyanga ze-3. Iintlungu ezintsonkothileyo ziintlungu eziqhubekayo, nasemva konyango olunikwa ngugqirha wakho wesiqhelo okanye ugqirha wotyando.
INkonzo ye-Acute Pain inokuququzelela iimpompo ezikhethekileyo kunye neyeza onokulawula kwaye uthathe njengoko kufuneka. Oku kubizwa ngokuba yiPatient Controlled Anesthesia (PCA), okanye ezinye iintlobo zamayeza.
Inkonzo yeentlungu ezingapheliyo inokunceda ngeentlungu ezihlala ngaphezu kweenyanga ezi-3. Basenokukwazi ukumisela iintlobo ezahlukeneyo zokunciphisa intlungu ngendlela yeyeza okanye iinkqubo zotyando.
Amaqela okhathalelo lwentlungu angakunceda xa usesibhedlele okanye ekhaya. Ziingcali ekulawuleni kunzima ukunyanga iimpawu kunye neziphumo ebezingalindelekanga ezingaphenduliyo kunyango oluqhelekileyo olunje ngeentlungu, ixhala kunye nesicaphucaphu. Oogqirha bokhathalelo lokuthomalalisa banegunya lokumisela amayeza athile okanye iidosi abanye oogqirha abaquka ii-hematologists kunye nee-oncologists abanokungagunyaziswa ukuba bazinike.
Uza kubona nini ugqirha wakho
Intlungu yimpendulo yendalo yokulimala kwaye ihlala ilawulwe ekhaya ngeengcebiso ezingentla. Nangona kunjalo, kukho amaxesha apho intlungu kufuneka ingahoywa okanye ilawulwe ekhaya. Yenza idinga lokubona ugqirha ukuba intlungu yakho:
- ihlala ixesha elide kunoko belilindelekile
- ichaphazele ukulala kwakho ngaphezulu kweentsuku ezi-3 zilandelelana
- kukuthintela ekugqibeni imisebenzi yakho yemihla ngemihla
- iphathelele wena.
Fumana uncedo lwezonyango olukhawulezileyo, okanye ufowunele i-ambulensi ku-000 ukuba intlungu yakho:
- isesifubeni sakho okanye ikhazimla emagxeni akho, ezingalweni okanye ngasemva,
- ukufuphi nenxeba okanye irhashalala elibonakala linesifo;
- igqithise kwaye ingaphezulu kunokuba ungakwazi ukuyiphatha,
- kubangela ubuthathaka kwiingalo okanye emilenzeni yakho
- yenza kubenzima ukuya kwindlu yangasese, okanye uziva ungazivaleli (ungayenzi kwangexesha ukuya kwindlu yangasese)
- ikwenza ufune ukuzenzakalisa,
- okanye ukuba uneqondo lobushushu elingama-38° okanye ngaphezulu.
isishwankathelo
- Ubuhlungu buqhelekile phakathi kwabantu abane-lymphoma, kwaye banokusuka kwi-mild to extreme.
- Zininzi izizathu ezenza ube neentlungu kunye neentlungu, uninzi akufuneki luhlale ngaphezulu kweentsuku ezimbalwa, kodwa ezinye zinokuba zizifo ezingapheliyo-zihlala ngaphezulu kweenyanga ezi-3.
- Ukuzivocavoca kunye nokwelula ngendlela ekhuselekileyo kubalulekile xa une-lymphoma.
- Zininzi iingcali zempilo ezahlukeneyo ezinokukunceda ukulawula iintlungu kunye neentlungu zakho - thetha nogqirha wakho malunga neemfuno zakho.
- Amanye amayeza angaphaya kwekhawuntara anokunceda ekuphuculeni iintlungu, kodwa thetha nosokhemisti wakho kuqala ukuze uqiniseke ukuba kukhuselekile ukusela – elinye iyeza linokunxibelelana namayeza okulwa nomhlaza okanye libangele umonakalo kwisibindi sakho.
- Ukuba iindlela zendalo ezikhankanywe ngasentla, kunye ne-counter counter amayeza azonelanga, thetha nodokotela wakho malunga noncedo olukhoyo kuwe ukulawula intlungu.
- Cela ugqirha wakho ukuba enze isicwangciso solawulo lukaGqirha nawe.
- Funa uncedo olongezelelweyo xa lufuneka njengoko kudweliswe ngasentla.
- Fowunela abongikazi bethu boNonophelo lweLymphoma ukuba ungathanda ulwazi oluthe kratya-cofa iqhosha Qhagamshelana nathi ngezantsi kwesikrini ngeenkcukacha
