Ukucanuzela kwenhliziyo (ukuzizwa ugula) kuwumphumela omubi ovamile abantu abaningi abawuthola lapho belashelwa i-lymphoma. Kwezinye izimo, isicanucanu singaba uphawu lwe-lymphoma noma esinye isifo, futhi singabangela ukuhlanza. Nokho, isicanucanu singalawuleka ukuze singabi sibi kakhulu.
Njengezinto eziningi, ukuvimbela isicanucanu kungcono kunokwelashwa, ngakho-ke leli khasi lizohlinzeka ngamathiphu asebenzayo okuvimbela isicanucanu nokuhlanza, nokuthi yini okufanele uyenze uma ungakwazi ukukunqanda.
Yini ebangela isicanucanu nokuhlanza?
Imithi eminingi yokulwa nomdlavuza ingabangela isicanucanu esingaholela ekuhlanzeni uma singalawulwa kahle. Ezinye zokwelapha ezingase zidale isicanucanu zihlanganisa ezinye ze-chemotherapies, ukuhlinzwa, i-radiotherapy kanye namanye ama-immunotherapies.
Izinto ezibangela ukuhlanza
Ukuhlanza kuqalwa engxenyeni yobuchopho bakho ebizwa ngokuthi isikhungo sokuhlanza. Kunezibonakaliso eziningana ezingase ziqalise isikhungo sokuhlanza.
Lokhu kungafaka amasignali avela ku:
- indawo ebuchosheni bakho ebizwa ngokuthi indawo ye-chemo-receptor trigger esabela kumakhemikhali noma emithini esegazini lakho.
- i-cortex yobuchopho nesistimu ye- limbic esabela ekuboneni, ekunambithekeni, nasekuhogeleni, kanye nemizwelo nobuhlungu.
- ezinye izitho nezinzwa eziphendula izifo noma ukucasuka. I-trigger zones esiswini sakho, esophagus kanye namathumbu ingenziwa isebenze nge-chemotherapy.
Kungani kubalulekile ukuvimbela isicanucanu nokuhlanza?
Ukuvimbela isicanucanu nokuhlanza kubalulekile ngoba kungaholela kwezinye izinkinga.
Ngesikhathi sokwelashwa kwe-lymphoma, udinga ukugcina ukudla okunempilo futhi uphuze amalitha angu-2-3 amanzi (noma ezinye iziphuzo ezingezona utshwala, ezingezona i-caffeine) usuku ngalunye. Lokhu kusiza ukukhipha umuthi emzimbeni wakho ukuvikela imiphumela emibi eminingi kakhulu. Futhi yindlela umzimba wakho owathola ngayo amandla okushintsha amangqamuzana akho anempilo alinyazwe ukwelashwa kwakho, nokuqhubeka nokulwa ne-lymphoma.
Ukwengeza, uma ungakwazi ukudla nokuphuza kahle, wandisa ingozi yokungondleki kahle futhi uphelelwe amanzi emzimbeni. Lokhu kungaholela kokuthi:
- izinkinga ngezinso zakho
- ukwanda kwengozi yokuwa njengoba umfutho wegazi wakho wehla, futhi ungase ube nesiyezi futhi ube nekhanda elilula.
- ikhanda elibuhlungu
- isicanucanu esibi nakakhulu nokuhlanza
- ukubambezeleka ukuphulukiswa kunoma yimaphi amanxeba
- izinguquko egazini lakho imiphumela
- ukululama isikhathi eside ekwelashweni
- izinguquko emazingeni kashukela egazini
- ukukhathala okukhulu, ubuthakathaka, nokozela.
Ukuvimbela isicanucanu nokuhlanza
Isicanucanu nokuhlanza kungenzeka noma nini lapho uthola ukwelashwa kwe-lymphoma. Ngokuvamile iqala amahora ambalwa ngemva kokwelashwa, kodwa ingase ibe ngemva kwezinsuku ezimbalwa.
Uma uke waba nesicanucanu esinamandla ngenxa yokwelashwa esikhathini esidlule, ungase uvuke unesicanucanu ngosuku, noma ngaphambi kokwelashwa. Lolu hlobo lwesicanucanu lubizwa ngokuthi isicanucanu esilindelekile, futhi ithinta cishe umuntu oyedwa kwabangu-1 oke waba nesicanucanu esinzima esikhathini esidlule. Lesi esinye isizathu sokulawula isicanucanu kusenesikhathi futhi sikuvimbele ukuba sibe kubi zisuka nje.
Usuku lokwelashwa
Qiniseka ukuthi uyadla futhi uphuze ngaphambi kokuqokwa kwakho. Ukuba nesisu esingenalutho kungandisa amathuba okuzizwa ugula, ngakho ukuba nokuthile ngaphambi kokwelashwa kungakusiza uzizwe ungcono ngesikhathi sokwelashwa.
Uma ukwelashwa kwakho kwaziwa ngokubangela isicanucanu, noma unesicanucanu esibi kakhulu sokwelashwa esikhathini esedlule, udokotela wakho uzokunikeza (oda) umuthi wokunqanda isicanucanu. Lezi zivame ukunikezwa ngomthambo (emgudwini wegazi lakho ngecannula noma umugqa omaphakathi) ngunesi wakho ngaphambi kokuba uqale ukwelashwa. Umuthi onikezwe emithanjeni usebenza ngokushesha kakhulu kunokuwuthatha ngethebhulethi.
Ngemva kokunikezwa imithi yokulwa nesicanucanu, umhlengikazi wakho uzolinda isikhathi esithile (imvamisa imizuzu engama-30-60) ukuze aqinisekise ukuthi umuthi uyathinteka, ngaphambi kokuba akunikeze ukwelashwa. Ungase futhi unikezwe umuthi ozowuhambisa ekhaya.
Umuthi wokuqeda isicanucanu ekhaya
Ungase unikezwe amaphilisi okulwa nesicanucanu ongawayisa ekhaya. Thatha lezi njengoba usokhemisi ekutshela ngisho nawe awuzizwa ugula. Zizokuvikela ukuthi ugule kamuva, futhi zikusize udle futhi uphuze kahle.
Eminye imithi idinga ukuphuzwa ngaphambi kokudla ngakunye, kanti eminye njalo ezinsukwini ezi-3 kuphela. Ezinye zingaphuzwa kuphela uma uzizwa ugula (isicanucanu). Qiniseka wena buza unesi wakho, usokhemisi noma udokotela ukuchaza ukuthi uwuphuza kanjani umuthi owunikeziwe.
Imibuzo okufanele uyibuze ngomuthi wakho wokulwa nesicanucanu
Kubaluleke kakhulu ukuthatha imishanguzo yakho yokulwa nesicanucanu ngendlela oyalelwe ngayo. Ukubuza imibuzo kuyindlela engcono kakhulu yokuqinisekisa ukuthi uthola ulwazi oludingayo ukuze uzinakekele uma usubuyele ekhaya.
Imibuzo ongathanda ukuyibuza udokotela wakho, unesi noma usokhemisi mayelana nemithi yakho ihlanganisa:
- Kufanele ngiwuphuze nini lo muthi?
- Ingabe ngidinga ukuba nakho kanye nokudla, noma ngingakuthola ngaphambi kokuba ngidle?
- Kufanele ngiwuphuze kangaki lo muthi?
- Ingabe kufanele ngisawuphuza lo muthi uma ngingaguli?
- Iyini imiphumela emibi yalo muthi?
- Yini okufanele ngiyenze uma ngihlanza ngokushesha ngemva kokuthatha lo muthi?
- Kufanele ngiyeke nini ukuthatha lo muthi?
- Yini okufanele ngiyenze uma ngisazizwa ngigula ngemva kokuphuza lo muthi?
- Ubani engingamthinta uma nginemibuzo eyengeziwe mayelana nalo muthi, futhi iyiphi imininingwane yokuxhumana?
Izinhlobo zemithi yokulwa nesicanucanu
Uhlobo Lomuthi | Ulwazi |
Corticosteroids
| Umzimba wethu ngokwemvelo wenza i-hormone ebizwa ngokuthi i-cortisol. I-Corticosteroids iyafana nale hormone yemvelo futhi ivame ukusetshenziselwa ukusiza ukuvimbela isicanucanu. Isibonelo se-corticosteroid evamile dexamethasone. |
Abaphikisi be-Serotonin (ababizwa nangokuthi abaphikisi abangu-5HT3)
| I-Serotonin iyi-hormone imizimba yethu ekhiqizwa ngokwemvelo, futhi ingathinta isimo sethu sengqondo, ukulala kanye nesifiso sokudla. Futhi ingathumela amasignali ebuchosheni bethu ukusitshela ukuthi sihlanze. Abaphikisi be-Serotonin bavimbela lezi zimpawu ukuthi zingafiki ebuchosheni bethu. Izibonelo zale mithi zihlanganisa i-panonosetron (I-Aloxi), umabhebhana (Zofran) kanye i-granisetron. |
Ama-stimulants amathumbu
| Eminye imithi isebenza ngokukhipha isisu nasemathunjini akho ngokushesha ukuze noma yini engaphakathi ingaphinde ikwenze ugule. Isibonelo salokhu ngu I-metoclopramide (Maxalon noma Pramin). |
Abaphikisi beDopamine
| Ama-Dopamine receptors akhona ezindaweni ezahlukahlukene zomzimba wethu kubandakanya nendawo yokuhlanza yobuchopho bethu. Lapho zicutshungulwa, zithumela izimpawu zokugula nokuphalaza. Abaphikisi be-Dopamine banamathisela kulawa ma-receptors ukuvimbela amasiginali “okuzizwa egula” ukuthi adlule. Isibonelo ukuthi prochlorperazine (Stemetil). |
I-NK-1 Inhibitors
| Le mithi ibophezela kuma-receptors e-NK-1 ebuchosheni bakho ukuvimbela ukuthi zithole imilayezo engabangela isicanucanu nokuhlanza. Izibonelo zifaka ai-prepitant (Lungisa) futhi fosapreptitant. |
Imithi yokulwa nokukhathazeka | Lokhu kungasebenza kahle kakhulu ekuvimbeleni isicanucanu okulindelekile (olunye ulwazi ngalokhu lungezansi) Izibonelo zifaka i-lorazepam (Ativan) kanye diazepam (Valium). |
I-Cannabinoids
| Le mithi ihlanganisa i-tetrahydrocannabinol (THC) ne-cannabidiol (CBD). Kwesinye isikhathi zibizwa nge-cannabis yokwelapha noma insangu yokwelapha. Basebenza ngokuvimbela izimpawu ezithile ezingabangela isicanucanu nokuhlanza. Ungase ungakwazi ukushayela ngenkathi uthatha le mithi ngakho khuluma nodokotela wakho mayelana nezinzuzo nezingozi. Lena imithi emisha futhi ingase isebenze kwabanye abantu abanesicanucanu. Ama-cannabinoids awafani nensangu engekho emthethweni. |
Uma unikezwe imithi yokulwa nesicanucanu kodwa usazizwa ugula, tshela udokotela wakho njengoba ungase uzuze ohlotsheni oluhlukile lwemithi.
Amacebiso awusizo okuphatha isicanucanu nokuhlanza
Wonke umuntu uhlukile kulokho okubasebenzelayo ukusiza ukuphatha isicanucanu. Qiniseka ukuthi udla imishanguzo yokunqanda ukucanuzela kwenhliziyo njengoba uyalelwe. Kodwa ngaphezu kwalokho, ungase uthole amanye amathiphu asebenzayo angezansi angase asebenze kahle ukulawula isicanucanu sakho futhi uvimbele noma unciphise noma yikuphi ukuhlanza.
Ingabe:
- dla ukudla okulula nokungajwayelekile
- dla ukudla okuncane usuku lonke
- zama ukudla noma iziphuzo nge ginger kuzo njenge-ginger ale noma ubhiya we-ginger, amakhukhi ejinja noma amaloli (qiniseka ukuthi inejinja yangempela futhi ayigcini nje ngokunambitheka)
- phuza uketshezi oluningi. Gwema iziphuzo ezishisayo. Phuza ngotshani ukuze ukunambitheka kudlule. Iziphuzo ezinoshukela njenge-ginger ale zingasiza ekuxazululeni isisu
- ncela amaloli aqinile, ama-ice block noma iqhwa ngesikhathi sokwelashwa ngamakhemikhali
- uma kungenzeka, zigcine upholile kodwa ungabandi
- bona futhi ugweme izinto ezikubangela ukuba ugule.
- phumula ngaphambi nangemva kokwelashwa. Zama izinto ezifana nokuzindla nokuzilolonga okuthambile kokuphefumula
- gqoka izingubo ezixegayo.
- udle ukudla okunamafutha amaningi nokunamafutha
- sebenzisa ukudla noma izifutho ezinamaphunga anamandla okuhlanganisa amakha, izifutho, ukupheka inyama
- iziphuzo ezine-caffeine noma utshwala
- bhema (Uma ungathanda ukusizwa ukuyeka ukubhema, khuluma nodokotela wakho ngakho)
Ithiphu
Uma udonsa kanzima ukuphuza amanzi anele usuku ngalunye, zama ukukhulisa uketshezi lwakho ngokufaka okunye kwalokhu okungezansi ekudleni kwakho.
Izithelo nemifino | Iziphuzo | Okunye ukudla |
Ikhukhamba Ikhabe isilimo esidliwayo esinamagatsha anamanzi Ama-Strawberries I-Cantaloupe noma i-rockmelon Peaches Ama-oranges Ulethisi Zucchini Utamatisi I-Capsicum Iklabishi Ukholifulawa Apples I-Watercress
| Amanzi (angafakwa nge-ginger, i-cordial, ijusi, ilamula, i-lime cucumber uma uthanda) Isiphuzo sezithelo Itiye elingenayo i-caffeine noma ikhofi Iziphuzo zezemidlalo Lucozade Amanzi kakhukhunathi I-ginger ale
| Ukhilimu oyiqhwa jelly Isobho elinamanzi nomhluzi Iyogathi engenalutho |
Isicanucanu esilindelekile
Iziguli eziningi eziba nesicanucanu nokuhlanza ngemva kokwelashwa ngamakhemikhali zenza izimpawu zokulindela emijikelezweni ye-chemotherapy elandelayo. Lokhu kusho ukuthi ungase uzizwe unesicanucanu noma uhlanze ngaphambi kokuza esibhedlela ukuze uthole ukwelashwa, noma uma usufikile ngaphambi kokuthi kuqale ukwelashwa.
Ukucanuzela kwenhliziyo okulindelekile kuvame kakhulu futhi kungathinta cishe isiguli esi-1 kuzo zonke iziguli ezi-3 ezithola ukwelashwa. Kuvame kakhulu uma uke waba nesicanucanu esibi ngokwelashwa kwangaphambilini.
Imbangela yokucanuzela kwenhliziyo okulindelekile
Isicanucanu nokuhlanza okulindelekile kucatshangwa ukuthi kuwumphumela wesimo esingokwengqondo sakudala. Imisindo ebonwayo kanye nephunga lezibhedlela noma imitholampilo kungadala impendulo efundiwe ehlobanisa lezi zenzo nesicanucanu nokuhlanza. Ngenxa yalokho, ukuzwa lawo maphunga nomsindo ofanayo noma ezinye izinto ezibangela umzimba wakho ukukhumbula ukuthi zabangela isicanucanu ngaphambilini, futhi kukwenze uzizwe unesicanucanu futhi. Lokhu kuba iphethini.
Ukucanuzela kwenhliziyo okulindelekile kungathinta noma ubani, nokho kuvame kakhulu kubantu:
- ngaphansi kweminyaka engu-50
- babe nesicanucanu nokuhlanza ngemva kokwelashwa kwangaphambilini okulwa nomdlavuza
- uke waba nokukhathazeka kwangaphambilini noma ukuhlaselwa wuvalo
- thola ukugula kokuhamba
- babe nokugula ekuseni kakhulu ngesikhathi sokukhulelwa.
Ukuvimbela nokwelashwa
Ukucanuzela kwenhliziyo okulindelekile akuthuthuki ngemithi ejwayelekile yokulwa nesicanucanu.
Ukuvimbela isicanucanu nokuhlanza kusukela emjikelezweni wokuqala kuyindlela engcono kakhulu yokuvimbela isicanucanu okulindelekile ukuthi sikhule emijikelezweni yakamuva yokwelashwa. Kodwa-ke, uma lokhu kungenzeki, isicanucanu okulindelekile singathuthukiswa ngezindlela zokuphumula, iziphazamiso zokususa ingqondo yakho ezintweni ozibonayo namaphunga, noma imishanguzo yokulwa nokukhathazeka njenge-lorazepam noma i-diazepam.
Uma unanoma yiziphi izici eziyingozi ezingenhla, noma imithi yakho yamanje yokulwa nesicanucanu ingasebenzi buza udokotela wakho ukuthi le mithi ingase ikufanele yini.
Ezinye izinto ezingokoqobo ezingasiza ngokucanuzela kwenhliziyo okulindelekile zihlanganisa:
- iziphazamiso - gcina ukunaka kwakho kokuthile okungeyona indawo ekuzungezile njengokufaka imibala, ukufunda, ukubukela imuvi, umsebenzi wezandla, ukuthunga noma ukuba nezingxoxo nalabo abaseduze kwakho.
- ukuphumula - buza ukuthi ikhona yini indawo ethulile lapho ungalinda khona isikhathi sakho sokuqokwa noma uthole ukwelashwa (uma kungenzeka), gxila ekuphefumuleni kwakho nokuthi uzizwa kanjani njengoba umoya wakho ugcwala futhi ushiya amaphaphu akho. Landa futhi ulalele izinhlelo zokusebenza zokubuka ngeso lengqondo efonini yakho.
- letha indwangu, izicubu, umcamelo noma okuthile ongakwazi ukufutha ngamafutha abalulekile okupholisa ukuze unciphise amanye amaphunga.
Ividiyo - Ukudla Nokudla Okunempilo
Ividiyo - Ukwelashwa Okuthophayo kanye Nokunye
Isifinyezo
- Umuthi wokuvimbela noma wokuthuthukisa isicanucanu nokuhlanza ungabizwa ngokuthi anti-sickness, anti-nausea noma anti-emetic umuthi.
- Isicanucanu siwumphumela ovamile wemithi eminingi yokulwa nomdlavuza.
- Awudingi “ukubekezelela” isicanucanu, ziningi izindlela zokulawula lokhu ukuze unciphise isicanucanu futhi uvimbele nokuhlanza.
- Ukuvimbela kungcono kunokwelapha ngakho thatha imithi yakho njengoba uyalelwe.
- Ukucanuzela kwenhliziyo kungaholela ekuhlanzeni, okungadala izinkinga eziningi. Khuluma nodokotela wakho uma imithi yakho ingasebenzi - kunezinye izinketho ezingase zikusebenzele kangcono.
- Amathiphu asebenzayo abalwe ngenhla angasiza ukuthuthukisa isicanucanu futhi akwenze uzizwe ungcono.
- Uma unemibuzo noma ukukhathazeka mayelana nesicanucanu noma ukuhlanza, sicela ushayele Abahlengikazi bethu Be-Lymphoma Care. chofoza inkinobho ethi Xhumana nathi ezansi kwesikrini ukuze uthole imininingwane.
