Ukulahleka kweenwele ngumphumo oqhelekileyo we-chemotherapy kunye nonyango lwe-radiotherapy kwi-lymphoma. Ngelixa ukulahleka kweenwele kwi-chemotherapy kungokwethutyana, kuchaphazela iinwele kuwo wonke umzimba wakho. Nangona kunjalo, ukulahleka kweenwele kwi-radiotherapy kuhlala kusisigxina, kodwa kuchaphazela kuphela indawo yomzimba wakho enyangwa ngeradiotherapy.
Nokuba ukulahleka kweenwele zakho kokwexeshana okanye ngokusisigxina, kunokuba nempembelelo yeemvakalelo. Abantu abaninzi baye bathi ukuphulukana neenwele zabo kuko okwabenzayo uzive, kwaye ujonge njengesigulana somhlaza. Ukuphulukana neenwele zakho kunokuba yingcinga eyoyikisayo okanye ecaphukisayo. Kuyinto eqhelekileyo ukuzikhathaza ngale nto.
Ngaphezulu kwendlela iinwele zethu zisenza sibonakale ngayo kwaye sizive, zikwabonelela ngokhuseleko kwimozulu ebandayo okanye ukukhanya kwelanga, kwaye ibonelela ngomqobo ukuze iintloko zethu zikhuseleke kwingxabano.
Kweli phepha siza kuxubusha into onokuyilindela, kunye neengcamango malunga nendlela yokulawula ukulahleka kweenwele.
Yintoni eyenza inwele ziwe?
I-Chemotherapy kunye ne-radiotherapy zombini zibangela ukulahleka kweenwele kuba zihlasela iiseli ezikhula ngokukhawuleza. Nangona kunjalo, akukho chemotherapy okanye iradiotherapy enokwazi umahluko phakathi kweeseli ezinempilo kunye nomhlaza ezikhula ngokukhawuleza. Iinwele zethu zihlala zikhula kangangokuba iinwele zethu zijolise kolu nyango.
Ngaba lonke unyango lubangela ukulahleka kweenwele?
Hayi. Luninzi unyango olungabangeli ukulahleka kweenwele. Ezinye iikhemotherapies ziya kubangela kuphela iinwele ezibhityileyo, kodwa hayi ilahleko epheleleyo. I-Immunotherapies kunye nonyango olujoliswe kuyo lunokubangela ukuba iinwele zincinci, kodwa uninzi lwezi zonyango alubangeli ukulahleka kweenwele.
Ngaba ukulahleka kweenwele kuthetha ukuba ndine-lymphoma embi kakhulu?
Hayi - kukho ngaphezu kwe-80 yee-subtypes ezahlukeneyo ze-lymphoma. Unyango lwe-lymphoma luxhomekeke kwizinto ezininzi ezibandakanya i-subtype. Nokuba awulahlekelwa yienwele zakho, usenayo i-lymphoma, engumhlaza. Unyango olutsha oluninzi lujolise ngakumbi, olunokunciphisa ezinye iimpawu ezinjengokulahleka kweenwele.
Zeziphi iinwele endizakuphulukana nazo?
Konke!
I-Chemotherapy iya kuchaphazela zonke iinwele zakho, kubandakanya iinwele entloko, amashiya, imivimbo yamehlo kunye neenwele zobuso, iinwele ze-pubic kunye neenwele emilenzeni yakho. Iinwele zakho ziya kuqala ukukhula emva kweeveki ukugqiba unyango.
Nangona kunjalo, ukuba awunayo i-chemotherapy, kodwa unonyango nge-radiotherapy, unokuphulukana nebala leenwele kwindawo enyangwayo, kodwa ezi nwele aziyi kuphinda zikhule. Ukuba iphinda ikhule, inokuba bhityile kakhulu kunangaphambili konyango.
Injani?
Unokuqaphela ukuba intloko yakho iqala ukutshona, ukurhawuzelelwa, okanye ukuqaqamba njengoko iinwele zakho zilungele ukuwa. Abanye abantu bakhankanya ukuba banentloko ebuhlungu evakalelwa kukuba iinwele zabo zitsalwe kakhulu. Ngelixa abanye bengenakho konke ukungonwabi. Ukuba imvakalelo okanye intlungu ininzi kakhulu, okanye ikwenza ube nexhala, unokuthanda ukuzama ukucheba iinwele zakho zibe mfutshane kakhulu okanye uzichebe, ngaphambi kokuba ziphume zonke.
Izinwele ziphuma njani kwaye nini?
Uninzi lwabantu luya kuphulukana neenwele zabo kwiiveki ezi-2-3 zokufumana unyango lokuqala. Ngokuqhelekileyo iqala ukuwa kwii-clumps, ukuba unokuqaphela emqamelweni wakho okanye xa uxubha okanye uhlamba iinwele zakho.
Ngomjikelo wakho wesibini wechemo, uya kuba ulahlekelwe zizo zonke iinwele entloko. Emva kokuba iinwele zentloko yakho ziphelile, unokuva ingqele ngaphezu kwesiqhelo. Ukunxiba ibhiyi ethambileyo, isikhafu okanye iwigi kunokunceda.
Iiprotocol eziqhelekileyo kunye ne-alopecia
Kukho unyango oluninzi olwahlukeneyo lwe-lymphoma. Ezinye ziya kubangela ukulahleka kweenwele, ngelixa ezinye ziya kubangela ukuba iinwele zakho zibe zincinci kwaye zingabonakali zigcwele. Abanye abayi kuba nefuthe kwizinwele zakho.
Iiprothokholi eziqhelekileyo eziza kubangela ukulahleka kweenwele
- I-CHOP kunye ne-R-CHOP
- I-CHEOP kunye ne-R-CHEOP
- I-DA-R-EPOCH
- Hyper CVAD
- ESHAP
- I-DHAP
- ICE okanye IRICE
- Beam
- ABVD
- eBEACOPP
- IGEV
Iiprothokholi ezinokubangela ukuba iinwele zibe buthathaka okanye kungabikho kulahleka kweenwele
- BR okanye BO
- GDP
- Ii-antibodies ze-Monoclonal ezifana ne-rituximab, i-obinutuzumab, i-brentuximab, i-pembrolizumab okanye i-nivolumab (Ngaphandle kokuba inikwe i-chemotherapy eyenza ukulahleka kweenwele)
- Unyango ekujoliswe kulo njenge-BTK inhibitors, PI3k inhibitors, HDAC inhibitors okanye BCL2 inhibitors
Iimpembelelo ZOKUNGENA kuphulukana neenwele zakho
Ngaba iikepusi ezipholileyo zinceda ukuthintela ukulahleka kweenwele?
Iicaps ezipholileyo azikhuthazwa ngokubanzi kubantu abanonyango lwe-lymphoma.
Abanye abantu abanomhlaza othile banokunxiba ikepusi ebandayo entloko ukunceda ukunciphisa inani lechemotherapy elifika entloko. Oku kunciphisa okanye kuthintela ukulahleka kweenwele. Nangona kunjalo, i-lymphoma ngumhlaza wesistim, oku kuthetha ukuba inokukhula kuyo nayiphi na indawo okanye umzimba wakho, kubandakanya i-lymph nodes, ulusu, amathambo kunye namalungu.
Ngenxa yesi sizathu, ii-caps ezipholileyo azifanelekanga kubantu abaninzi abanonyango lwe-lymphoma. Ukugqoka i-cap epholileyo kunokuthintela i-chemotherapy ifikelele kwiiseli ze-lymphoma, ezikhokelela ekubuyeleni kwakhona kwe-lymphoma yakho. Ukubuyela kwakhona xa i-lymphoma yakho ibuya.
Kusenokubakho ezinye ngaphandle ezinqabileyo. Ukuba i-lymphoma yakho isendaweni kwaye ingacingelwa ukuba isasazekile (okanye inokuthi isasazeke), unokukwazi ukuyinxiba. Buza ugqirha wakho wegazi okanye i-oncologist ukuba oku kunjalo kuwe.
Impembelelo yeemvakalelo yokuphulukana neenwele zakho
Unokuba nexhala malunga nokulahleka kweenwele zakho ngenxa yokuba kuya kutshintsha njani indlela obukeka ngayo; Kwaye indlela okhangeleka ngayo inokuba yinxalenye ebalulekileyo yesazisi sakho. Nokuba ziinwele zentloko yakho, iindevu kunye/okanye amadevu okanye ezinye iinwele ezilahlekileyo; Utshintsho olungafunekiyo kwisazisi sakho, okanye utshintsho kwinkangeleko yakho lunokubangela uloyiko, ixhala kunye nosizi.
Kwabanye, inokuba yinto ekwenza ukuba ube uzive okanye ukhangeleka ngathi unomhlaza.
Ukulahleka kweenwele kuyinto enkulu!
Indlela yokulawula iimvakalelo
Qaphela kwaye uvume ukuba ukuphulukana neenwele zakho kukwenza uzive njani. Zinike ixesha lokuba buhlungu kwaye uthethe nabantu abakungqongileyo malunga nendlela wena, kwaye baziva ngayo.
Ungathanda ukucheba iinwele zakho okanye uchebe iindevu/iidevu zakho phambi kokuba ziqale ukuwa, okanye nangaphambi kokuba uqale unyango. Oku kukunika ulawulo lokulahleka kweenwele, kwaye ikuvumela ukuba uqhelane kancinci notshintsho kwinkangeleko yakho. Zinike imvume yokudlala ngeenkangeleko ezahlukeneyo kwaye wonwabe ngayo.
- Daya iinwele zakho ngombala ongazange ucinge ukuba ungenza njalo - nje ukuzonwabisa
- Zama ukwenza iinwele ezintsha
- Zama ngeewigi, iiturbans kunye nezikhafu
- Cheba njengeqela – yenza abahlobo bakho kunye nosapho lwakho bahambe bengenanwele nabo
- Yamkela inkangeleko yakho entsha yenkqayi-mhlawumbi nokuba ubhalisele ukufota ngobuchwephesha.
- Zama ngobude obahlukeneyo beendevu zakho, iindevu ezingenamadevu okanye iindevu ezingenazo iindevu
- Qhagamshelana Jonga kakuhle uzive ungcono ukufunda iingcebiso malunga nokuzoba kwiintshiyi, ukhathalelo lwesikhumba kunye neeturbans zokusonga (Iinkcukacha zoqhagamshelwano emazantsi kweli phepha).
- Qhagamshelana nenkonzo yewigi yeCancer Council (Iinkcukacha zoqhagamshelwano emazantsi eli phepha).
Ukubandakanya abantwana
Ukuba unabantwana abancinci ebomini bakho, banokukufumanisa kungaqhelekanga xa iinwele zakho ziwa, kwaye banokuba nobunzima bokukubona ekuqaleni. Cinga ngendlela onokuthi ubabandakanye ngayo kwaye wenze ukulahleka kweenwele zakho kube ngumsebenzi omnandi kubantwana ebomini bakho.
Ukuba ngumntwana wakho omncinci ononyango lwe-lymphoma, cela isikolo sakhe okanye iziko lokunakekelwa kwemini ukuba banokubandakanyeka njani ukwenza ukulahleka kweenwele kube ngumsebenzi omnandi, oko kunceda abahlobo bomntwana wakho ukuba baqonde oko kwenzekayo.
Nazi ezinye zeengcamango ezinomdla zokufumana abantwana:
- Usuku lweenwele eziphambeneyo
- Sala kakuhle itheko leenwele
- Ukupeyinta okanye ukumenyezela ukuhombisa intloko
- Ukudlala ngeelokhwe kunye neewigi
- Ukufota ngeenkangeleko ezahlukeneyo
Ukucetyiswa
Ukuba usizi lwakho okanye ukuxhalaba malunga nokuphulukana neenwele zakho kuchaphazela ubomi bakho bemihla ngemihla, ukuthetha nomcebisi osebenza nabantu abanomhlaza kunokunceda. Cela ugqirha wakho akuthumele. Kukwakho neenkonzo zokucebisa ngefowuni onokuthi uqhagamshelane nazo ngaphandle kokuthunyelwa. Fumana iinkcukacha phantsi kwezinye izibonelelo ezantsi kweli phepha.
Umgca wenkxaso yesigulane
Ungaqhagamshelana nabongikazi bethu beLymphoma Care kule nombolo 1800 953 081 okanye nge-imeyile. nurse@lymphoma.org.au
Ukunyamekela ulusu lwakho kunye ne-scalp emva kokulahleka kweenwele
Xa ulahlekelwa yienwele zakho, nokuba zivela entloko, ebusweni okanye emzimbeni, kuya kufuneka unakekele ulusu olubonakalisiweyo ngoku. Ulusu lunokoma, lurhawuzelelwe okanye lube buthathaka ngakumbi kwimozulu kunye nokubamba kancinci. Unyango lwemitha lunokubangela ukucaphuka kwesikhumba sakho okukhokelela kumadyunguza kunye nohlobo lokuziva lutshiswa lilanga.
Izinto ekufuneka ziqwalaselwe:
- Yiba neeshawa ezishushu ezishushu - ulusu lwakho kunye nentloko yakho iya kuchukumiseka ngakumbi kumanzi ashushu nabandayo.
- Sebenzisa umgangatho olungileyo, into engenavumba lokuthambisa entloko naselusu lwakho.
- Nxiba iminqwazi ethambileyo, iimbotyi okanye izikhafu – ziphephe ezinemithungo njengoko zisenokuba rhabaxa kakhulu.
- Zikhusele elangeni - nxiba iimpahla zefiber zendalo ezinemikhono emide, kwaye unxibe i-sun block cream efanelekileyo.
- Sebenzisa i-pillow case eyenziwe kwimicu yendalo efana nekotoni, ilinen okanye i-bamboo.
Ziya kukhula nini iinwele zam kwakhona?
Iinwele zihlala ziqala ukukhula emva kweeveki zokugqiba unyango ngechemotherapy. Nangona kunjalo, xa iphinda ikhula isenokubhitya kakhulu – ifane nosana olutsha. Olu nwele lokuqala lusenokuwa kwakhona phambi kokuba lukhule.
Xa iinwele zakho zibuya, inokuba ngumbala owahlukileyo okanye ukuthungwa njengoko bekunjalo ngaphambili. Inokuba yi-curleer, ingwevu okanye iinwele ezingwevu zinokuba nombala othile ngasemva. Emva kweminyaka emi-2, isenokufana neenwele obunazo ngaphambi konyango.
Iinwele zihlala zikhula malunga ne-15cm ngonyaka. Oku kumalunga nesiqingatha sobude berula eqhelekileyo. Ngoko ke, kwiinyanga ezi-4 emva kokuba ugqibile unyango, unokuba ne-4-5cm yeenwele entloko yakho.
Ukuba uneradiotherapy, iinwele ezikwibala lolusu olunyangwayo zinokungakhuli kwakhona. Ukuba iyenzeka, kungathatha iminyaka ukuqala ukukhula kwakhona, kwaye ingakhuli ibuyele kwindlela yesiqhelo ebiyiyo phambi konyango.
Apho ufumana iwigi okanye iqhekeza lentloko
Jonga kakuhle uzive ungcono ngumbutho wesigulana okuncedayo ukuba ufumane iindlela zokuziva ulungile malunga nesiqu sakho njengoko inkangeleko yakho itshintsha kulo lonke unyango lomhlaza. Baye babeka uluhlu kunye lweendawo ezithengisa okanye eziboleka iiwigi kunye nezinye iziqwenga kwilizwe ngalinye. Bakwaqhuba iindibano zocweyo ukuze bakufundise ukwenza (kuquka ukuzoba kumashiya) kunye nendlela yokunxiba iintloko ezahlukeneyo.
Cofa ikhonkco elingezantsi ukuze ufumane uluhlu lwabafowunelwa kunye neendibano zocweyo.
isishwankathelo
- Unyango ngonyango oluninzi lwekhemotherapiya luya kubangela ukulahleka kweenwele entloko, ebusweni nasemzimbeni, kodwa lolokwexeshana – iinwele zakho ziya kuphinda zikhule emva konyango.
- Unyango lwemitha lunokubangela ukulahleka kweenwele, kodwa kuphela kwindawo yomzimba wakho enyangwayo. Oku kulahleka kweenwele kunokuba sisigxina.
- Olunye unyango aluyi kubangela ukulahleka kweenwele. Oku akuthethi ukuba i-lymphoma yakho ayibi kakhulu.
- Qaphela i-scalp yakho kunye nolusu olunokuthi luchaphazeleke ngakumbi kubushushu kunye nokuchukumisa xa iinwele zakho zihambile.
- Sebenzisa iisepha ezingaqholwanga kunye nezinto zokuthambisa.
- Kuyinto eqhelekileyo ukuziva unexhala malunga nokulahleka kweenwele zakho. Fowunela abongikazi bethu boNonophelo lweLymphoma ukuba ufuna umntu oza kuthetha naye ngendlela oziva ngayo.
- Ukuba kukho ixesha ngaphambi kokuba unyango luqale, zama ukwenza izinto ezimnandi ngeenwele zakho, ulinge kwaye wenze abahlobo kunye nosapho babandakanyeke.
- Ukucheba iinwele zakho zibe mfutshane, okanye ukuzicheba kunokunceda ukuba intloko yakho ibe buthathaka njengoko iqala ukugcwala, kwaye ikunika amandla okulawula ukulahleka kweenwele zakho.
- Musa ukumangaliswa ukuba iinwele zakho zibukeka ngokwahlukileyo xa zikhula.
