Kwixesha elidlulileyo, ukwehla kobunzima yenye yezona ziphumo ebezingalindelekanga ezibi kakhulu abantu abafumana unyango lwechemotherapy. Ukuncipha kobunzima kudla ngokubakho ngenxa yokugabha okungalawulekiyo kunye norhudo. Nangona kunjalo, amayeza okuthintela ukugabha kunye nesifo sohudo aphuculwe kakhulu, kangangokuba ukwehla kobunzima kudla ngokuba yingxaki encinci kunokuzuza ubunzima ngexesha lonyango.
Ukulahleka kwesisindo esingalindelekanga luphawu oluqhelekileyo lwe-lymphoma, kodwa ngexesha nangemva kokonyango, izigulane ezininzi zibika uxinzelelo kwiinguqu kwisisindo sabo kubandakanywa ukufumana ubunzima obungalindelekanga kunye nokulahleka.
Eli phepha liza kunika inkcazo yotshintsho lobunzima obunxulumene nonyango kunye nexesha emva konyango. Ukufumana ulwazi malunga nokulahleka kwesisindo njengophawu lwe-lymphoma, nceda ubone ikhonkco elingezantsi.
Ukuhla ukusinda
Ukulahlekelwa kwesisindo kunokwenzeka ngexesha kunye nasemva kwonyango lwe-lymphoma ngenxa yezizathu ezininzi. Oku kunokubandakanya:
- Isicaphucaphu kunye nokuhlanza okukhokelela ekubeni utye kancinci,
- Urhudo,
- Ukuphelelwa ngamanzi emzimbeni ngenxa yokungaseli ngokwaneleyo kwamanzi, ukubila okanye urhudo,
- Ukungondleki – ukungafumani izondlo kunye neekhalori ezifanelekileyo kwiimfuno zomzimba wakho
- Ukulahlekelwa ubunzima bemisipha.
ulawulo
Ukuba unesicaphucaphu, ukugabha okanye urhudo, nceda ujonge amakhonkco angezantsi ukuze ufumane ulwazi oluthe kratya malunga nendlela yokulawula oku kwaye uyeke ukuhla emzimbeni ngakumbi. La maphepha angezantsi aya kunika ulwazi malunga nokutya ukutya okunempilo kunye nokusela ulwelo olwaneleyo ukugcina umanzi.
Ukuba ubila kakhulu, ukuziva ushushu okanye ukuba nengqele kuthatha ubushushu bakho. Ukuba yi-38º(degrees) okanye ngaphezulu, yiya kwisebe likaxakeka kwisibhedlele esikufutshane nawe. Baxelele ukuba unonyango lwe-lymphoma kwaye unobushushu. Nceda ubone ikhonkco elingezantsi kwi-Neutropenia - Umngcipheko wokosuleleka.
Ukuphelelwa ngamanzi emzimbeni kunokubangelwa kukugabha okanye kurhudo. Nceda ujonge amakhonkco angentla ukuba unayo enye yezi. Ukuqonda iimpawu zokuphelelwa ngamanzi emzimbeni kwaye ufunde indlela yokuthintela ukuphelelwa ngamanzi emzimbeni, funda.
Iimpawu zokuphelelwa ngamanzi emzimbeni
- ukuhla ukusinda
- ulusu olomileyo, imilebe kunye nomlomo
- ulibazise ukuphiliswa ukuba uyazenzakalisa
- isiyezi, utshintsho kumbono wakho okanye intloko ebuhlungu
- uxinzelelo lwegazi oluphantsi kunye nokubetha kwentliziyo ngokukhawuleza
- utshintsho kuvavanyo lwakho lwegazi
- isiqaqa okanye ubuthathaka.
Iingcebiso zokuthintela ukuphelelwa ngamanzi emzimbeni
- Ukunxiba iimpahla ezikhululekileyo ezenziwe ngezinto zendalo ezifana nomqhaphu, ilinen okanye i-bamboo.
- Ukusela amanzi apholileyo okanye abandayo, athambileyo okanye ijusi (kuphephe oku ukuba unechemotherapy ebizwa ngokuba yioxaliplatin).
- Beka iflaneli emanzi epholileyo okanye iwasha yobuso emva kwentamo yakho nasentloko (oku kunokunceda xa unesicaphucaphu).
- Ukuba unesikhumba okanye i-lounge yokwenziwa, sebenzisa umqhaphu, ilinen okanye itawuli ye-bamboo okanye i-sheet ukuze uhlale phezu kwendawo yokuphumla.
- Sebenzisa ifeni okanye umoya wokupholisa umoya ukuba unayo.
- Sela ubuncinane iilitha ezi-2 okanye ezi-3 zamanzi ngosuku ngalunye. Ukuba awukwazi ukusela amanzi amaninzi ungasela utywala, ijusi yeziqhamo, isuphu enamanzi okanye ijeli. Ziphephe iziselo ezinecaffeine okanye utywala njengoko ezi zinokukukhupha amanzi nangakumbi.
Indlela yokubuyisela amanzi emanzini
Ekuphela kwendlela yokubuyisela amanzi emanzini kukubuyisela ulwelo olulahlekileyo. Ukuba uyakwazi ukukunyamezela ukutya nokusela, zama okunye kokutya okungezantsi kunye neziselo ukuze ubuyisele amanzi emanzini. Kungaba lula ukuba unokutya okuncinci okanye ukusela imini yonke kuneziselo ezinkulu okanye izidlo. Kufuneka iilitha ezi-2-3 zolwelo yonke imihla ukugcina amanqanaba asempilweni.
Ukuba awukwazi ukunyamezela ukutya neziselo, kufuneka uye kwisebe likaxakeka kwisibhedlele esikufutshane nawe. I-Thay inokufuna ukukunika ulwelo ngecannula okanye umgca osembindini ngqo kumjelo wegazi lakho.
Ukutya kunye neziselo zokubuyisela amanzi emanzini
Iziqhamo kunye nemifuno | iziselo | Okunye ukutya |
Netyhukhamba Ujodo Isileri Ierberberries I-Cantaloupe okanye i-rock melon Peaches Oranges Ilethasi Uzucchini tomato ICapsicum Ikhaphetshu Icauliflower IiApile Watercress | Amanzi (anokuthi afakwe i-cordial, ijusi, i-lemon, i-lime, i-cucumber okanye imifuno entsha ukuba uyathanda) Incindi yeziqhamo I-Decaffeinated iti okanye ikofu Iziphuzo zemidlalo Uluhlu lweLucozade Amanzi ecoconut
| I-ice cream jeli ISuphu enamanzi kunye nomhluzi Iyogathi engenanto |
Ukungondleki kwenzeka xa umzimba wakho usebenzisa amandla angaphezu kwawafumana kukutya kwakho. Isenokuba sisiphumo sokutya kancinci ngenxa yokungathandi ukutya, isicaphucaphu kunye/okanye ukugabha kunye norhudo.
Inokwenzeka kwakhona ukuba i-lymphoma yakho ikhula ngokukhawuleza kwaye isebenzisa iivenkile zamandla omzimba wakho. Kubaluleke kakhulu ukuba ufumane zonke izondlo kunye neekhalori ozifunayo ngelixa unonyango njengoko umzimba wakho ufuna amandla okulungisa iiseli zakho ezilungileyo ezichatshazelwa lunyango kwaye zikuncede uphilise.
Jonga la makhonkco angasentla malunga neengcebiso zokulawula isicaphucaphu, ukugabha kunye norhudo. Ukuba ezi ngcebiso azisebenzi ukubuyisela ubunzima bakho kwinto obuyiyo phambi kokuba uqale unyango kwaye ubugcine uzinzile, cela ukubonana nogqirha wokutya.
I-Dietician
Uninzi lwezibhedlele ezinkulu zineqela lezokutya elinamava ekuncedeni abantu abanomhlaza. Nangona kunjalo, ugqirha wakho unokuququzelela ukuthunyelwa kwakho ukuze ubone ingcali yezokutya kwindawo ohlala kuyo.
I-Dieticians inokukuhlola kwaye ujonge ukuba zeziphi izondlo onokuthi uphantsi kuzo, kwaye zingaphi iikhalori ezifunekayo umzimba wakho ukuze usebenze ngokufanelekileyo, unike amandla, ulungise okanye ubeke iiseli ezonakalisiweyo kwaye ugcine usempilweni ngexesha lonyango. Bangakunceda wenze isicwangciso sokutya oya kukonwabela kwaye ube nako ukufikelela kuko. Basenokukunceda nokukucebisa ngazo naziphi na izongezo onokuthi uzithathe.
Ukuba uyehla emzimbeni, cela ugqirha wakho okanye i-hematologist ukuba ikuthumele kwingcali yezokutya.
Izihlunu zinzima kunamanqatha. Kwaye, xa ungasebenzi njengesiqhelo ungaphulukana nobunzima bezihlunu.
Abantu abaninzi banexesha elide behamba, behleli kwidinga okanye ngelixa befumana unyango. Abaninzi baye baphumla ngakumbi ebhedini ngenxa yokudinwa, ukugula okanye ukuhlala esibhedlele.
Konke oku kungasebenzi kungaphezulu kunokukhokelela ekuwohlokeni kwemisipha… kwaye ngelishwa, inokwenzeka ngokukhawuleza.
Kubalulekile ukuba uhlale usebenza ngokusemandleni nangexesha lonyango.
Ukuhamba kancinci, ukuzolula okanye omnye umthambo othambileyo unokunceda ukunqanda ukuwohloka kwemisipha. Ukuqhubela phambili ezantsi kwephepha sinekhonkco kwividiyo yingcali ye-physiologist eneengcebiso malunga nendlela yokuhlala usebenza xa udiniwe okanye uhamba unyango.
Uxinzelelo lunokubangela utshintsho kwiihomoni zethu, ezinokuthi zichaphazele indlela esithwala ngayo ubunzima bethu. Isenokubangela utshintsho kwindlela esiziphethe ngayo, ekutyeni, ekuleleni nasekuzilolongeni. Kwabanye, uxinzelelo lunokubangela ubunzima, ngelixa kwabanye kunokubangela ukwehla kobunzima.
Thetha nogqirha wakho wengingqi (GP) malunga nokwenza isicwangciso sokhathalelo lwempilo yengqondo. Oku kunokunceda ukujonga uxinzelelo olongezelelweyo onalo ebomini bakho ngenxa ye-lymphoma kunye nonyango lwayo kwaye wenze isicwangciso sendlela yokulawula uxinzelelo lwakho, impilo yengqondo kunye neemvakalelo.
Wonke umntu onalo naluphi na uhlobo lomhlaza kufuneka enze oku, kwaye nabo ubathandayo banokuba nesicwangciso senziwe nabo.
ulawulo
Ukulawula uxinzelelo xa une-lymphoma kuya kufuna ukulungiswa okungaphezulu kwesinye. Uphando lubonisa ukuba ukuzama ukwenza uhlobo oluthile lokuzilolonga yonke imihla kunokuncedisa ukunciphisa uxinzelelo.
Kusenokufuneka ukuba uqwalasele umgangatho wobuthongo bakho, kwaye ukuba awufumani ukulala ngokwaneleyo okusemgangathweni kungadinga ukukuphucula oku.
Kwezinye iimeko, unokufumana iingcebiso okanye amayeza anceda ukuphucula uxinzelelo lwakho kunye nokuphuhlisa iindlela ezintsha zokuphendula kwiziganeko ezixinzelelekileyo kunye nokususa uxinzelelo olungeyomfuneko ebomini bakho.
Ngaphaya kweli phepha likhonkco kwiphepha leziphumo ebezingalindelekanga. Cofa apha uze uskrole ezantsi iphepha kwaye ucofe kwiziphumo ebezingalindelekanga onomdla kuzo. Sicebisa ukuba ujonge:
- Ukukhathala
- Imiba yokulala
- Impilo yengqondo kunye neemvakalelo
Ezinye imifuno kunye nezongezelelo ezinomsoco zinokuphazamisa unyango lwakho lwe-lymphoma. Olunye unxibelelwano lunokwenza ukuba unyango lungasebenzi kakuhle, ngelixa ezinye zinokwenza iziphumo zakho ebezingalindelekanga kunyango zibe mandundu.
Ngalo lonke ixesha thetha ne-hematologist yakho okanye usokhemesti phambi kokuba uthathe nantoni na entsha, kwaye ubuze ukuba ikhuselekile na ukuyisela ngexesha lonyango.
Ukutyeba kwakho
Ukunyuka kobunzima kunokuba ngumphumela okhathazayo wonyango. Nangona ubusoloko usebenza kakhulu, ube ne-metabolism enhle kwaye uqhubeke usebenza ngexesha lonyango, unokuqaphela ukuba ubeke ubunzima ngokulula, kwaye ube nobunzima bokuphulukana nayo.
Kukho izizathu ezininzi zokuba ungafumana ubunzima ngexesha lonyango. Cofa kwizihloko ezingezantsi ukuze ufunde ngakumbi malunga noonobangela abanokuthi bazuze ubunzima.
Olunye unyango lomhlaza lunokubangela ukuba ugcine ulwelo. Olu lwelo ngamanye amaxesha lunokuvuza ngaphandle kwenkqubo ye-lymphatic kwaye luye kwamanye amalungu omzimba wakho. Oku kugcinwa kolwelo kubizwa ngokuba yi-edema (isandi ngathi eh-deem-ah).
I-Edema inokukwenza ubonakale udumbile okanye udumbile kwaye inokuchaphazela naliphi na ilungu lomzimba wakho. Kuqhelekile ukufumana i-edema emilenzeni yakho. Xa une-edema emilenzeni yakho, unokufumanisa ukuba xa ucinezela emlenzeni wakho ngomnwe wakho, ukuba xa ususa umnwe wakho, kunye nokunyanzeliswa komnwe wakho kuhlala apho ucinezele khona.
I-Edema inokuchaphazela intliziyo kunye nemiphunga yakho. Ukuba oku kuyenzeka unga:
- ube nobunzima bokuphefumla okanye uzive uphelelwa ngumoya ngaphandle kwesizathu
- ufumane intlungu yesifuba okanye utshintsho kwintliziyo yakho
- wawa kakubi kakhulu.
ulawulo
Ugqirha wakho uya kwenza uvavanyo lwegazi ukujonga isibindi sakho kunye nokusebenza kwezintso kunye nokujonga iprotheni egazini lakho ebizwa ngokuba yi-albumin. Kusenokufuneka:
- jonga ubunzima bakho ngexesha elinye yonke imihla.
- unokufakwa kwe-albumin ukuba oku kuphantsi. I-Albumin inceda ukutsala ulwelo kwakhona kwi-lymphatic kunye nemithambo yegazi.
- Thatha iipilisi ukunceda ukususa ulwelo olufana ne-frusemide (ekwabizwa ngokuba yiLasix) nto leyo ezakwenza ukuba ukhuphe (uchame) ngakumbi. Ungade unikwe oku emithanjeni ngokuthe ngqo egazini lakho ngecannula okanye umgca ophakathi.
Uninzi lwezonyango ze-lymphoma ziquka amayeza abizwa ngokuba yi-corticosteroids. I-Corticosteroids ifana nehomoni esiyivelisa ngokwemvelo ebizwa ngokuba yi-cortisol kwaye ibandakanya amayeza abizwa ngokuba yi-dexamethasone, i-prednisone, i-prednisolone okanye i-methylprednisone.
I-Corticosteroids inokubangela ukuzuza ubunzima ngoku:
- ukutshintsha indlela, nalapho umzimba wakho ugcina amanqatha
- ezichaphazela i-electrolytes (ityuwa kunye neeswekile) egazini lakho ezinokubangela ukugcinwa kwamanzi
- ukwandisa umdla wakho ukuze utye ngaphezu kwesiqhelo ngelixa uwathatha.
Thetha nogqirha wakho
Ungaze uyeke ukuthatha amayeza akho ngaphandle kokuthetha ne-hematologist yakho okanye i-oncologist kuqala.
Uxinzelelo lunokubangela utshintsho kwiihomoni zethu, ezinokuthi zichaphazele indlela esithwala ngayo ubunzima bethu. Isenokubangela utshintsho kwindlela esiziphethe ngayo, ekutyeni, ekuleleni nasekuzilolongeni. Kwabanye, uxinzelelo lunokubangela ubunzima, ngelixa kwabanye kunokubangela ukwehla kobunzima.
Thetha nogqirha wakho wengingqi (GP) malunga nokwenza isicwangciso sokhathalelo lwempilo yengqondo. Oku kunokunceda ukujonga uxinzelelo olongezelelweyo onalo ebomini bakho ngenxa ye-lymphoma kunye nonyango lwayo kwaye wenze isicwangciso sendlela yokulawula uxinzelelo lwakho, impilo yengqondo kunye neemvakalelo.
Wonke umntu onalo naluphi na uhlobo lomhlaza kufuneka enze oku, kwaye nabo ubathandayo banokuba nesicwangciso senziwe nabo.
ulawulo
Ukulawula uxinzelelo xa une-lymphoma kuya kufuna ukulungiswa okungaphezulu kwesinye. Uphando lubonisa ukuba ukuzama ukwenza uhlobo oluthile lokuzilolonga yonke imihla kunokuncedisa ukunciphisa uxinzelelo.
Kusenokufuneka ukuba uqwalasele umgangatho wobuthongo bakho, kwaye ukuba awufumani ukulala ngokwaneleyo okusemgangathweni kungadinga ukukuphucula oku.
Kwezinye iimeko, unokufumana iingcebiso okanye amayeza anceda ukuphucula uxinzelelo lwakho kunye nokuphuhlisa iindlela ezintsha zokuphendula kwiziganeko ezixinzelelekileyo kunye nokususa uxinzelelo olungeyomfuneko ebomini bakho.
Ngaphaya kweli phepha likhonkco kwiphepha leziphumo ebezingalindelekanga. Cofa apha uze uskrole ezantsi iphepha kwaye ucofe kwiziphumo ebezingalindelekanga onomdla kuzo. Sicebisa ukuba ujonge:
- Ukukhathala
- Imiba yokulala
- Impilo yengqondo kunye neemvakalelo
Olunye unyango lunokutshintsha indlela i-thyroid okanye i-adrenal glands esebenza ngayo. I-thyroid kunye ne-adrenal glands ngamalungu alawula amahomoni amaninzi emzimbeni wethu. Kwabasetyhini, olunye unyango lunokubangela ukuyeka ukuya exesheni kwangoko okuchaphazela iihomoni zakho.
Utshintsho lweHormonal lunokutshintsha indlela umzimba wethu otshisa ngayo amandla kunye nendlela ogcina ngayo amanqatha.
Thetha nogqirha wakho (ugqirha wengingqi) okanye ugqirha wegazi malunga nokujongwa kwehomoni yakho ukuba ngaba kukho utshintsho kubunzima bakho ngaphandle kwezizathu ezicacileyo.
Ngolwazi malunga nokuyeka ukuya exesheni kwangoko okanye ukusilela kwe-ovarian, Cofa apha.
Unyango olunxulumene
Xa ufumana unyango lwe-lymphoma kukho ixesha elininzi apho unokuhlala khona kwaye ungasebenzi kakhulu. Ukuhlala kwigumbi lokulinda kwidinga zakho, ukuhlala okanye ukungqengqa ngelixa ufumana unyango, ukuya kwiindawo ezahlukeneyo zokudibana kunokuwunciphisa umsebenzi wakho wesiqhelo.
Imiphumela
Ungaziva udinwe kakhulu okanye unezinye iziphumo ebezingalindelekanga ezivela kunyango ezithetha ukuba kufuneka uphumle ngakumbi. Ngelixa umzimba wakho kusenokwenzeka ukuba usebenzisa amandla angaphezulu kunesiqhelo ukukunceda ukuba uphile kunyango, akunakukwanela ukwenza umsebenzi wakho owehlileyo.
Ukutya ngokuchasene nomsebenzi
Xa amanqanaba omsebenzi wakho ehla kwaye usatya isixa esifanayo naphambi konyango, unokutyeba. Oku kungenxa yokuba iikhalori ozifumanayo kwisidlo sakho zingaphezulu kweekhalori ozitshisayo. Iikhalori ezongezelelweyo zigcinwa emzimbeni wakho njengamafutha.
ulawulo
Inyathelo lokuqala lokuphucula amanqanaba omsebenzi kukuqinisekisa ukuba iimpawu zakho kunye neziphumo ebezingalindelekanga zilawulwa ngokufanelekileyo. Cofa kwikhonkco elingaphantsi kweli phepha ukuze ufumane ulwazi oluthe kratya malunga nokulawula iziphumo ebezingalindelekanga.
Xa uziva uphantsi, abantu abaninzi baphendukela kwezinye zezinto abazithandayo ukuze bathuthuzele ukutya. Kwakhona, ukuba uziva unesicaphucaphu unokufumana ukutya kancinci imini yonke kungcono ekulawuleni isicaphucaphu kunokutya kancinci kancinci. Ngokuxhomekeke kwintuthuzelo yakho yokutya okanye i-snacks, ezi zinokuthi zongeze iikhalori ezongezelelweyo kwisidlo sakho.
Ungadinga ukongeza umsebenzi omninzi kusuku lwakho ukunceda ukutshisa iikhalori ezininzi, okanye ujonge indlela onokuthi unciphise ngayo iikhalori ekudleni kwakho. Ukuhamba, nokuba yimizuzu eyi-10 ukuya kwengama-30 yonke imihla kunokunceda ukuthoba ubunzima bokufumana ubunzima kwaye kuye kwangqinwa ukuphucula iimpawu zokudinwa, ukudakumba kunye nokuphucula amanqanaba amandla.
Ukulawula iziphumo ebezingalindelekanga
Ukwazi unobangela wokutshintsha kobunzima bakho linyathelo lokuqala lokulungisa ubunzima bakho. Ukuba utshintsho lobunzima bakho sisiphumo sezinye iziphumo ebezingalindelekanga, kufuneka uzilawule ezo. Jonga ikhonkco elingezantsi ukuze ufumane iingcebiso malunga nendlela yokulawula iziphumo ebezingalindelekanga ezahlukeneyo ekhaya kwaye kufuneka ufumane nini iingcebiso zonyango.
Ukuba ulugqibile unyango, unokuthanda ukutyelela iphepha lethu lokugqiba unyango ukuze ufunde ngakumbi malunga nokuba ulindele ntoni.
Inkxaso ekhoyo
Ukuba unexhala malunga notshintsho kubunzima bakho, thetha nogqirha wakho okanye umongikazi kwaye ubuze ukuba yintoni enokwenziwa ukukunceda.
Ngokuxhomekeke kunobangela wobunzima bakho utshintsho ugqirha wakho okanye ingcali yegazi ingakwazi ukukuthumela ku:
- wezilwanyana
- ukuzivocavoca umzimba
- physiotherapist
- Ingcali yezonyango
- isazi ngengqondo.
Lymphoma Australia Nurses
Abongikazi bethu balapha ukukuxhasa. Unokufowunela umgca wethu wenkxaso yesigulane kwi-1800 953 081 ngoMvulo-uLwesihlanu 9am ukuya ku-4: 30pm ixesha le-QLD lenkxaso yobuhlengikazi kunye neengcebiso. Ungathumela i-imeyile koonesi bethu nurse@lymphoma.org.au
isishwankathelo
- Utshintsho lobunzima luqhelekileyo kubantu abane-lymphoma. Isenokuba luphawu lwe-lymphoma, iziphumo ezisecaleni zonyango okanye iziphumo ngenxa yotshintsho kumanqanaba omsebenzi wakho okanye ukutya.
- Ukuqonda isizathu sokutshintsha ubunzima bakho kubalulekile ukukhusela iingxaki ezininzi kunye nokunceda ukulawula ubunzima bakho.
- Kukho inkxaso ekhoyo. Thetha nonesi okanye ugqirha wakho malunga nezinto ezikhoyo ezikufutshane nawe.
- Ukulawula iziphumo ebezingalindelekanga ezichaphazela ukutya kwakho kunye namanqanaba omsebenzi kunokunceda ukumisa utshintsho oluninzi kubunzima bakho.
- Thetha nogqirha wakho, umongikazi okanye ufowunele abongikazi be-Lymphoma Australia ukuba unenkxalabo malunga nobunzima bakho.
