Isicaphucaphu (ukuziva ugula) sisiphumo esixhaphakileyo esifunyanwa ngabantu abaninzi xa benonyango lwe-lymphoma. Kwezinye iimeko, isicaphucaphu sinokuba luphawu lwe-lymphoma okanye esinye isifo, kwaye sinokubangela ukuhlanza. Nangona kunjalo, isicaphucaphu sinokulawuleka ukuze singabi sibi kakhulu.
Njengezinto ezininzi, ukuthintela isicaphucaphu kungcono kunonyango, ke eli phepha liya kunika iingcebiso ezisebenzayo malunga nendlela yokuthintela isicaphucaphu kunye nokuhlanza, kwaye wenze ntoni ukuba awukwazi ukukuthintela.
Yintoni ebangela isicaphucaphu kunye nokugabha?
Unyango oluninzi oluchasene nomhlaza lunokubangela isicaphucaphu esingakhokelela ekugabheni ukuba alulawulwa kakuhle. Olunye unyango olunokubangela isicaphucaphu lubandakanya ezinye iikhemotherapies, utyando, iradiotherapy kunye nonyango lwamajoni omzimba.
Izinto ezibangela ukugabha
Ukugabha kuvela kwindawo yobuchopho ebizwa ngokuba liziko lokugabha. Kukho imiqondiso emininzi enokubangela iziko lokugabha.
Oku kunokubandakanya imiqondiso evela:
- indawo engqondweni yakho ebizwa ngokuba yi indawo ye-chemo-receptor trigger echaphazela imichiza okanye amayeza egazini lakho.
- I-cortex yobuchopho kunye ne-limbic system esabelayo ekuboneni, kwincasa, nakwivumba, kunye neemvakalelo kunye neentlungu.
- amanye amalungu kunye nemithambo-luvo esabela kwisifo okanye ukucaphuka. Iindawo ezibangela isisu esiswini sakho, isisu kunye namathumbu anokusebenza ngechemotherapy.
Kutheni kubalulekile ukunqanda isicaphucaphu nokugabha?
Ukuthintela isicaphucaphu kunye nokugabha kubalulekile kuba kunokukhokelela kwezinye iingxaki.
Ngexesha lonyango lwe-lymphoma, kufuneka ugcine ukutya okulungileyo kwaye usele iilitha ezi-2-3 zamanzi (okanye ezinye ezingekho utywala, iziphuzo ezingezizo ze-caffeine) ngosuku ngalunye. Oku kunceda ukukhupha iyeza emzimbeni wakho ukunqanda iziphumo ebezingalindelekanga ezininzi. Ikwayindlela umzimba wakho ofumana ngayo amandla okutshintsha iiseli zakho ezisempilweni ezonakaliswe lunyango lwakho, kwaye uqhubeke nokulwa ne-lymphoma.
Ukongeza, ukuba awukwazi ukutya nokusela kakuhle, wongeza umngcipheko wokungondleki kwaye uphelelwe ngamanzi. Oku kunokukhokelela ekubeni:
- iingxaki nezintso zakho
- ukwanda komngcipheko wokuwa njengoko uxinzelelo lwegazi lunokwehla, kwaye unokuba nesiyezi kwaye ube nentloko elula.
- intloko ebuhlungu
- ngakumbi isicaphucaphu kunye nokugabha
- ukulibaziseka ukuphiliswa kuwo nawaphi na amanxeba
- utshintsho kwiziphumo zegazi lakho
- ukuchacha ixesha elide kunyango
- utshintsho kumanqanaba eswekile yegazi
- ukudinwa kakhulu, ubuthathaka, kunye nokozela.
Ukuthintela isicaphucaphu kunye nokugabha
Isicaphucaphu kunye nokugabha kunokwenzeka nanini na xa unonyango lwe-lymphoma. Ngokuqhelekileyo iqala kwiiyure ezininzi emva konyango, kodwa ingaba emva kweentsuku ezininzi.
Ukuba unesicaphucaphu esiqatha kunyango kwixesha elidlulileyo, unokuvuka unesicaphucaphu ngosuku, okanye phambi konyango. Olu hlobo lwesicaphucaphu lubizwa ngokuba isicaphucaphu esilindelekileyo, kwaye ichaphazela malunga nomntu om-1 kwaba-3 okhe wanesicaphucaphu esiqatha kwixesha elidlulileyo. Esi sesinye isizathu sokulawula isicaphucaphu kwangethuba kwaye usithintele ukuba sibe mandundu kwasekuqaleni.
Usuku lonyango
Qinisekisa ukuba uyatya kwaye usele ngaphambi kokuba wenze idinga lakho. Ukuba nesisu esingenanto kunokwandisa amathuba okuziva ugula, ngoko ke ukuba nento phambi konyango kunokukunceda uzive ungcono ngexesha lonyango.
Ukuba unyango lwakho luyaziwa ngokubangela isicaphucaphu, okanye unesicaphucaphu esiqatha kunyango lwexesha elidlulileyo, ugqirha wakho uya kukuyalela (ukuyalela) iyeza lokuchasa isicaphucaphu. Ezi zihlala zinikezelwa ngemithambo yegazi (kwigazi lakho ngecannula okanye umgca osembindini) ngunesi wakho phambi kokuba uqalise unyango. Iyeza elinikwe emithanjeni lisebenza ngokukhawuleza ngakumbi kunokulithatha ngethebhulethi.
Emva kokuba unikwe iyeza lokuthomalalisa isicaphucaphu, umongikazi wakho uya kulinda ixesha elithile (ngokuqhelekileyo imizuzu engama-30 ukuya kuma-60) ukuqinisekisa ukuba iyeza liyachaphazeleka, phambi kokuba akunike unyango. Usenokunikwa neyeza oza kugoduka nalo.
Iyeza lokuchasa isicaphucaphu ekhaya
Usenokunikwa iipilisi zokunqanda isicaphucaphu onokuthi uye nazo ekhaya. Thatha ezi njengoko usokhemesti ekuxelela nokuba awuziva ugula. Zezokuthintela ukuba uziva ugula kamva, kwaye zikuncede ukuba utye kwaye usele kakuhle.
Amanye amayeza kufuneka athathwe phambi kwesidlo ngasinye, kwaye amanye kuphela emva kweentsuku ezi-3. Ezinye zinokuthathwa kuphela ukuba uziva ugula (unesicaphucaphu). Qinisekisa wena buza umongikazi wakho, usokhemesti okanye ugqirha wakho ukucacisa indlela yokusela iyeza olimiselweyo.
Imibuzo omawuyibuze malunga neyeza lakho lokuthomalalisa isicaphucaphu
Kubaluleke kakhulu ukuthatha amayeza akho okulwa isicaphucaphu ngendlela amiselwe ngayo. Ukubuza imibuzo yeyona ndlela yokuqinisekisa ukuba uyalufumana ulwazi oludingayo ukuze uzikhathalele xa ugoduka.
Imibuzo ongathanda ukuyibuza ugqirha wakho, umongikazi okanye usokhemisti malunga namayeza akho ibandakanya:
- Kufuneka ndithathe nini eli yeza?
- Ngaba kufuneka ndiyifumane kunye nokutya, okanye ndingayifumana ngaphambi kokuba nditye?
- Kufuneka ndithathe kangaphi eli yeza?
- Ngaba kufuneka ndisalisele eliyeza xa ndingaziva ndigula?
- Zeziphi iziphumo ebezingalindelekanga zeli yeza?
- Ndingenza ntoni xa ndigabha kamsinya emva kokuthatha eli yeza?
- Kufuneka ndiyeke nini ukuthatha eli yeza?
- Ndingenza ntoni ukuba ndisaziva ndigula emva kokuthatha eli yeza?
- Ngubani endinokuqhagamshelana naye ukuba ndinemibuzo emininzi malunga neli yeza, kwaye zithini iinkcukacha zoqhagamshelwano?
Iindidi zamayeza achasene nesicaphucaphu
Uhlobo lwamayeza | ulwazi |
Corticosteroids
| Umzimba wethu ngokwemvelo wenza ihomoni ebizwa ngokuba yi-cortisol. I-Corticosteroids iyafana nale hormone yendalo kwaye isoloko isetyenziselwa ukunceda ukukhusela isicaphucaphu. Umzekelo we-corticosteroid eqhelekileyo dexamethasone. |
I-Serotonin antagonists (ekwabizwa ngokuba ngabachasi be-5HT3)
| I-Serotonin yihomoni eveliswa yimizimba yethu ngokwemvelo, kwaye inokuchaphazela umoya wethu, ukulala kunye nomdla wokutya. Kananjalo inokuthumela imiqondiso kwingqondo yethu ukusixelela ukuba sigabhe. Abachasi beSerotonin banqanda le miqondiso ukuba ifike engqondweni yethu. Imizekelo yala mayeza ibandakanya ipalonosetron (Aloxi), imvulube (Zofran) kunye igranisetron. |
Izivuseleli zesisu
| Amanye amayeza asebenza ngokukhupha isisu sakho kunye nezibilini ngokukhawuleza ngakumbi ukuze nantoni na ekhoyo ingaphinde ikwenze ugule kwakhona. Umzekelo woku nguwo metoclopramide (Maxalon okanye Pramin). |
Abaphikisi beDopamine
| I-Dopamine receptors ikhona kwiindawo ezahlukeneyo zomzimba wethu kubandakanya iziko lokugabha lobuchopho bethu. Xa zisenziwa, zithumela imiqondiso yokuba uzive ugula kwaye ugabhe. Abachasi beDopamine bancamathela kula ma-receptors ukuthintela imiqondiso “yokuziva ugula” ukuba idlule. Umzekelo prochlorperazine (Stemetil). |
I-NK-1 Inhibitors
| La mayeza abopha kwi-receptors ye-NK-1 kwingqondo yakho ukuthintela ukuba bafumane imiyalezo enokubangela isicaphucaphu kunye nokugabha. Imizekelo ibandakanya ai-prepitant (Lungisa) kunye fosapreptitant. |
Amayeza okulwa unexhala | Ezi zinokusebenza kakhulu ekuthinteleni isicaphucaphu esilindelekileyo (ingcaciso engaphezulu koku ingezantsi) Imizekelo ibandakanya mzantsi (Ativan) kunye diazepam (Valium). |
Iinnabinoids
| La mayeza abandakanya i-tetrahydrocannabinol (THC) kunye ne-cannabidiol (CBD). Ngamanye amaxesha kuthiwa yi-cannabis yonyango okanye intsangu yonyango. Basebenza ngokuthintela iimpawu ezithile ezinokubangela isicaphucaphu kunye nokuhlanza. Awunakukwazi ukuqhuba ngelixa uthatha la mayeza ngoko uthethe nogqirha wakho malunga neenzuzo kunye nobungozi. La ngamayeza amatsha kwaye anokusebenza kwabanye abantu abanesicaphucaphu. I-Cannabinoids ayifani nentsangu engekho mthethweni. |
Ukuba ngaba unikwe iyeza lokuthomalalisa isicaphucaphu kodwa usaziva ugula, xelela ugqirha wakho njengoko unokuxhamla kudidi olwahlukileyo lwamayeza.
Iingcebiso ezisebenzayo zokulawula isicaphucaphu kunye nokugabha
Wonke umntu wahlukile kwinto esebenzayo kubo ukunceda ukulawula isicaphucaphu. Qinisekisa ukuba uthatha iyeza lokuthomalalisa isicaphucaphu njengoko umiselwe. Kodwa ukongeza, unokufumana ezinye iingcebiso ezisebenzayo ezingezantsi zinokusebenza kakuhle ukulawula isicaphucaphu kwaye uthintele okanye unciphise nakuphi na ukugabha.
yenza:
- yitya ukutya okulula kunye nokungaqhelekanga
- yitya ukutya okuncinci imini yonke
- zama ukutya okanye iziselo nge I ginger kuzo ezifana neginger ale okanye ibhiya yejinja, iicookies zejinja okanye iiloli (qiniseka ukuba inejinja yokwenyani kwaye ayiyojinja nje enencasa)
- sela ulwelo oluninzi. Ziphephe iziselo ezishushu. Sela nge straw ukuze incasa ingadluli. Iziselo ezinxilisayo ezifana nejinja ale zinokunceda ukuhlalisa isisu
- munca iiloli ezinzima, iibhloko zeqhwa okanye umkhenkce ngexesha lechemotherapy
- ukuba kunokwenzeka, zigcine upholile kodwa ungabandi
- chonga kwaye uphephe izinto ezikwenza ugule.
- phumla phambi nasemva konyango. Zama izinto ezinjengokucamngca kunye nemithambo yokuphefumla ngokuthambileyo
- nxiba iimpahla ezikhululekileyo.
- utya ukutya okunamafutha amaninzi kunye nokutyebileyo
- sebenzisa ukutya okanye izitshizi ezinamavumba anamandla aquka iziqholo, izitshizi, ukupheka inyama
- ube neziselo ezinecaffeine okanye utywala
- kutshaya (Ukuba ungathanda ukuncedwa uyeke ukutshaya, thetha nogqirha wakho ngayo)
Icebiso
Ukuba uyasokola ukusela amanzi awaneleyo yonke imihla, zama ukonyusa ulwelo lwakho ngokufaka ezinye zezi zingezantsi kukutya kwakho.
Iziqhamo kunye nemifuno | iziselo | Okunye ukutya |
Netyhukhamba Ujodo Isileri Ierberberries I-Cantaloupe okanye i-rockmelon Peaches Oranges Ilethasi Uzucchini tomato ICapsicum Ikhaphetshu Icauliflower IiApile Watercress
| Amanzi (anokunongwa ngejinja, i-cordial, ijusi, ilamuni, i-lime cucumber ukuba uyathanda) Incindi yeziqhamo iti decaffeinated okanye ikofu Iziphuzo zemidlalo Uluhlu lweLucozade Amanzi ecoconut Iginger ale
| I-ice cream jeli ISuphu enamanzi kunye nomhluzi Iyogathi engenanto |
Ubucaphucaphu obulindelekileyo
Izigulana ezininzi ezifumana isicaphucaphu kunye nokuhlanza emva kwechemotherapy ziphuhlisa iimpawu ezilindelekileyo kwimijikelo yechemotherapy elandelayo. Oku kuthetha ukuba usenokuziva unesicaphucaphu okanye ugabhe phambi kokuba ungene esibhedlele ukuze ufumane unyango, okanye xa sele ufikile nangaphambi kokuba unyango luqale.
Isicaphucaphu esilindelekileyo siqhelekile kwaye sinokuchaphazela malunga nesi-1 kwisigulana ngasinye esi-3 esifumana unyango. Kuxhaphake kakhulu ukuba uye wanesicaphucaphu esibi ngonyango lwangaphambili.
Unobangela wesicaphucaphu esilindelekileyo
Isicaphucaphu esilindelekileyo kunye nokuhlanza kucingelwa ukuba sisiphumo semeko yengqondo yakudala. Izandi ezibonwayo kunye namavumba ezibhedlele okanye ezikliniki zinokwenza impendulo efundiweyo enxulumanisa la mava nesicaphucaphu kunye nokugabha. Ngenxa yoko, ukuva la mavumba kunye nengxolo okanye ezinye izinto ezibangela ukuba umzimba wakho ukhumbule ukuba zibangele isicaphucaphu ngaphambili, kwaye zikwenze uzive unesicaphucaphu kwakhona. Oku kuba ngumzekelo.
I-nausea elindelekileyo inokuchaphazela nabani na, nangona kunjalo ixhaphake kakhulu kubantu aba:
- engaphantsi kweminyaka emi-50 ubudala
- babe nesicaphucaphu kunye nokugabha emva konyango lwangaphambili lokulwa nomhlaza
- ukhe waba nexhala ngaphambili okanye ukuhlaselwa luvalo
- ukufumana isigulo sokuhamba
- baye bagula kakhulu ekuseni ngexesha lokukhulelwa.
Uthintelo kunye nonyango
Isicaphucaphu esilindelekileyo asiphucuki ngamayeza aqhelekileyo achasene nesicaphucaphu.
Ukuthintela isicaphucaphu kunye nokugabha ukusuka kumjikelo wokuqala yeyona ndlela ilungileyo yokuthintela isicaphucaphu esilindelekileyo ukuba sikhule kwimijikelo yamva yonyango. Nangona kunjalo, ukuba oku akwenzekanga, isicaphucaphu esilindelekileyo sinokuphuculwa ngeendlela zokuphumla, iziphazamiso zokususa ingqondo yakho kwizinto ezibonwayo kunye nevumba, okanye amayeza okulwa nokuxhalaba afana ne-lorazepam okanye i-diazepam.
Ukuba unayo nayiphi na imingcipheko engentla, okanye amayeza akho angoku achasene nesicaphucaphu awasebenzi cela ugqirha wakho ukuba la mayeza angakulungela na.
Ezinye izinto ezisebenzayo ezinokuthi zincede ngesicaphucaphu esilindelekileyo ziquka:
- iziphazamiso - gcina ingqalelo yakho kwenye into engeyiyo indawo ekungqongileyo enjengokufaka imibala, ukufunda, ukubukela imuvi, ubugcisa, ukuthunga okanye ukuncokola nabo bakungqongileyo.
- ukuphumla - buza ukuba kukho indawo ezolileyo apho unokulinda khona idinga lakho okanye ufumane unyango (ukuba kunokwenzeka), gxininisa ekuphefumleni kwakho kunye nendlela oziva ngayo njengoko umoya wakho ugcwala kwaye ushiya imiphunga yakho. Khuphela kwaye umamele usetyenziso lokubonwayo kwifowuni yakho.
- yiza nelaphu, izicubu, umqamelo okanye into onokuyitshiza nge-oyile yokuthomalalisa eyimfuneko ukunciphisa elinye ivumba.
Ividiyo-Ukutya kunye neSondlo
Ividiyo - Ukuthotyelwa kunye nonyango olulolunye
isishwankathelo
- Iyeza lokuthintela okanye lokuphucula isicaphucaphu kunye nokugabha linokubizwa ngokuba liyeza lokunqanda ukugula, lokuchasa isicaphucaphu okanye liyeza elichasayo.
- Isicaphucaphu sisiphumo esixhaphakileyo sonyango oluchasene nomhlaza.
- Akukho mfuneko yokuba "unyamezele" isicaphucaphu, zininzi iindlela zokulawula oku ukuze unciphise isicaphucaphu kwaye uthintele ukugabha.
- Uthintelo lungcono kunonyango ngoko ke thatha amayeza akho njengoko umiselweyo.
- Isicaphucaphu kunokukhokelela ekugabheni, nto leyo enokubangela iingxaki ezininzi. Thetha nogqirha wakho ukuba iyeza lakho alisebenzi - kukho ezinye iindlela ezinokusebenza ngcono kuwe.
- Amacebiso asebenzayo adweliswe ngasentla anokunceda ekuphuculeni isicaphucaphu kwaye uzive ungcono.
- Ukuba unayo nayiphi na imibuzo okanye iinkxalabo malunga nesicaphucaphu okanye ukugabha, nceda ufowunele abongikazi bethu beLymphoma Care. cofa kwi Qhagamshelana nathi iqhosha ezantsi kwekhusi ukuze ufumane iinkcukacha.
