Esikhathini esedlule, ukuncipha kwesisindo kwakungeminye yemiphumela emibi kakhulu abantu ababethola ukwelashwa ngamakhemikhali. Ukuncipha kwesisindo ngokuvamile kwakubangelwa ukuhlanza okungalawuleki kanye nesifo sohudo. Kodwa-ke, imithi yokuvimbela ukuhlanza kanye nesifo sohudo isithuthuke kakhulu, kangangokuthi ukuncipha kwesisindo ngokuvamile akuyona inkinga kunokuzuza isisindo ngesikhathi sokwelashwa.
Ukuncipha kwesisindo okungahlosiwe kuwuphawu oluvamile lwe-lymphoma, kodwa ngesikhathi nangemva kokwelashwa, iziguli eziningi zibika ukucindezeleka ekushintsheni kwesisindo sazo kuhlanganise nokuzuza kwesisindo okungahlosiwe nokulahlekelwa.
Leli khasi lizonikeza isifinyezo sezinguquko zesisindo ezihlobene nokwelashwa kanye nesikhathi ngemva kokwelashwa. Ukuze uthole ulwazi ngokuncipha kwesisindo njengophawu lwe-lymphoma, sicela ubheke isixhumanisi esingezansi.
Ukwehla kwesisindo
Ukulahlekelwa isisindo kungenzeka ngesikhathi nangemva kokwelashwa kwe-lymphoma ngezizathu eziningana. Lokhu kungafaka:
- Isicanucanu nokuhlanza okuholela ekutheni udle kancane,
- Uhudo,
- Ukuphelelwa amanzi emzimbeni ngenxa yokungaphuzi amanzi anele, ukujuluka ngokweqile noma isifo sohudo,
- Ukungondleki – ukungatholi imisoco efanele kanye nama-calories ezidingo zomzimba wakho
- Ukulahlekelwa kwemisipha.
Ukuphathwa
Uma unesicanucanu, uphalaza noma unesifo sohudo, sicela ubheke izixhumanisi ezingezansi ukuze uthole ulwazi olwengeziwe mayelana nokuthi ungakulawula kanjani lokhu futhi uyeke ukuncipha kakhulu. Amakhasi angezansi azophinde anikeze ulwazi ngokudla ukudla okunempilo nokuphuza uketshezi olwanele ukuze uhlale ugcwele amanzi.
Uma ujuluka kakhulu, ukuzwa ukushisa noma ukugodola kuthatha izinga lokushisa lakho. Uma kungu-38º(degrees) noma ngaphezulu, vakashela umnyango wezimo eziphuthumayo esibhedlela esiseduze nawe. Batshele ukuthi uthola ukwelashwa kwe-lymphoma futhi unezinga lokushisa. Sicela futhi ubone isixhumanisi esingezansi ku-Neutropenia - Ingozi yokutheleleka.
Ukuphelelwa amanzi emzimbeni kungase kubangelwe ukuhlanza noma isifo sohudo. Sicela ubheke izixhumanisi ezingenhla uma unokunye kwalokhu. Ukuze ubone izimpawu zokuphelelwa amanzi emzimbeni futhi ufunde ukuthi ungakuvimbela kanjani ukuphelelwa amanzi emzimbeni, qhubeka funda.
Izimpawu zokuphela kwamanzi emzimbeni
- kwesisindo
- isikhumba esomile, izindebe nomlomo
- ukubambezeleka ukuphulukiswa uma uzilimaza
- isiyezi, izinguquko embonweni wakho noma ikhanda elibuhlungu
- umfutho wegazi ophansi kanye nokushaya kwenhliziyo okusheshayo
- izinguquko ekuhlolweni kwegazi lakho
- ukuquleka noma ubuthakathaka.
Amathiphu okuvimbela ukuphelelwa amanzi emzimbeni
- Ukugqoka izingubo ezikhululekile ezenziwe ngezinto zemvelo ezifana nekotini, ilineni noma uqalo.
- Ukuphuza amanzi apholile noma abandayo, athambile noma ijusi (gwema lokhu uma usebenzisa i-chemotherapy ebizwa ngokuthi i-oxaliplatin).
- Faka iflanela epholile emanzi noma iwasha yobuso ngemuva kwentamo yakho nasekhanda lakho (lokhu kungasiza nalapho uzwa isicanucanu).
- Uma unesikhumba noma indawo yokuphumula yokwenziwa, sebenzisa ukotini, ilineni noma ithawula loqalo noma ishidi ukuze uhlale phezu kwegumbi lokuphumula.
- Sebenzisa isiphephetha-moya noma isiphephetha-moya uma unayo.
- Phuza okungenani amalitha amabili noma amathathu amanzi ngosuku. Uma ungeke ukwazi ukuphuza amanzi angaka ungaphinda uphuze i-cordial, ijusi yezithelo, isobho elinamanzi noma ijeli. Gwema iziphuzo ezine-caffeine noma utshwala njengoba lezi zingakuqeda amanzi emzimbeni nakakhulu.
Indlela yokubuyisela amanzi emanzini
Okuwukuphela kwendlela yokubuyisela amanzi emanzini ukubuyisela uketshezi olukulahlekele. Uma ukwazi ukubekezelela ukudla nokuphuza, zama okunye kokudla neziphuzo ezingezansi ukuze ubuyisele amanzi emanzini. Kungase kube lula uma unokudla okulula okuncane noma uphuze usuku lonke kuneziphuzo ezinkulu noma ukudla. Udinga amalitha angu-2-3 oketshezi nsuku zonke ukuze ugcine amazinga enempilo.
Uma ungakwazi ukubekezelela ukudla neziphuzo, udinga ukuya kumnyango wezimo eziphuthumayo esibhedlela esiseduze nawe. I-Thay ingase idinge ukukunikeza uketshezi nge-cannula noma umugqa ophakathi nendawo ngqo emgudwini wegazi lakho.
Ukudla neziphuzo ukuze ubuyisele amanzi emanzini
Izithelo nemifino | Iziphuzo | Okunye ukudla |
Ikhukhamba Ikhabe isilimo esidliwayo esinamagatsha anamanzi Ama-Strawberries I-Cantaloupe noma i-rock melon Peaches Ama-oranges Ulethisi Zucchini Utamatisi I-Capsicum Iklabishi Ukholifulawa Apples I-Watercress | Amanzi (angavuzwa nge-cordial, ijusi, ilamula, i-lime, ikhukhamba noma amakhambi amasha uma uthanda) Isiphuzo sezithelo I-Decaffeinated itiye noma ikhofi Iziphuzo zezemidlalo Lucozade Amanzi kakhukhunathi
| Ukhilimu oyiqhwa jelly Isobho elinamanzi nomhluzi Iyogathi engenalutho |
Ukungondleki kwenzeka lapho umzimba wakho usebenzisa amandla angaphezu kwawathola ekudleni kwakho. Kungaba umphumela wokudla kancane ngenxa yokungathandi ukudla, isicanucanu kanye/noma ukuhlanza kanye nesifo sohudo.
Kungenzeka futhi uma i-lymphoma yakho ikhula ngenkuthalo futhi isebenzisa izitolo zamandla zomzimba wakho. Kubaluleke ngempela ukuthi uthole zonke izakhamzimba nama-calories owadingayo ngenkathi uthola ukwelashwa njengoba umzimba wakho udinga amandla okulungisa amangqamuzana akho amahle athintwe ukwelashwa futhi akusize uphulukise.
Bheka izixhumanisi ezingenhla ukuze uthole amacebiso okulawula isicanucanu, ukuhlanza kanye nesifo sohudo. Uma lawa macebiso engasebenzi ukuze ubuyisele isisindo sakho kulokho esasiyikho ngaphambi kokuqala ukwelashwa nokusigcina siqinile, cela ukubonana nochwepheshe wezokudla.
Isazi sokudla
Izibhedlela eziningi ezinkulu zinethimba lezokudla elinolwazi ekusizeni abantu abanomdlavuza. Kodwa-ke, udokotela wakho angakuhlelela futhi ukuthi ubone udokotela wezokudla emphakathini wakini.
Izazi zokudla zingakuhlola futhi zibheke ukuthi yiziphi izakhamzimba ongase ube nazo, nokuthi mangaki ama-calories umzimba wakho udinga ukuze usebenze kahle, ukunikeze amandla, ukulungisa noma ukushintsha amangqamuzana alimele futhi akugcine unempilo ngangokunokwenzeka ngesikhathi sokwelashwa. Bangakusiza wenze uhlelo lokudla ozolijabulela futhi ukwazi ukulikhokhela. Bangakwazi futhi ukukweluleka nganoma yiziphi izithasiselo ongase udinge ukuzithatha.
Uma uncipha, cela udokotela wakho noma udokotela wegazi ukuthi akudlulisele kuchwepheshe wezokudla.
Umsipha usinda kunamafutha. Futhi, uma ungasebenzi njengokujwayelekile ungalahlekelwa isisindo semisipha.
Abantu abaningi banesikhathi eside behamba, behlezi ezindaweni ezibekiwe noma bethola ukwelashwa. Abaningi futhi banokuphumula okwengeziwe kombhede ngenxa yokukhathala, ukugula noma ukuhlala esibhedlela.
Konke lokhu kungasebenzi okwengeziwe kungaholela ekuwohlokeni kwemisipha… futhi ngokudabukisayo, kungenzeka ngokushesha okukhulu.
Kubalulekile ukugcina usebenza ngangokunokwenzeka ngisho nangesikhathi sokwelashwa.
Ukuhamba kancane, ukuzelula noma okunye ukuvivinya umzimba okuthambile kungasiza ukumisa ukuwohloka kwemisipha. Ngaphansi kwekhasi sinesixhumanisi sevidiyo yesazi sokuvivinya umzimba esinamathiphu okuthi ungahlala kanjani usebenza lapho ukhathele noma welashwa.
Ukucindezeleka kungabangela izinguquko kumahomoni ethu, okungase kube nomthelela endleleni esithwala ngayo isisindo sethu. Kungase futhi kubangele izinguquko endleleni yethu yokuziphatha, ukudla, ukulala kanye nemikhuba yokuzivocavoca. Kwabanye, ukucindezeleka kungabangela ukuzuza kwesisindo, kanti kwabanye kungabangela ukulahlekelwa isisindo.
Khuluma nodokotela wangakini (GP) mayelana nokwenza uhlelo lokunakekela impilo yengqondo olwenziwe. Lokhu kungasiza ekubhekeni izingcindezi ezengeziwe onazo empilweni yakho ngenxa ye-lymphoma kanye nokwelashwa kwayo futhi wenze uhlelo lwendlela yokulawula ukucindezeleka kwakho, impilo yengqondo kanye nemizwelo.
Wonke umuntu onanoma yiluphi uhlobo lomdlavuza kufanele akwenze lokhu, futhi ngisho nabathandekayo bakho bangaba nohlelo olwenziwe.
Ukuphathwa
Ukuphatha ukucindezeleka uma une-lymphoma kuzodinga ukulungiswa okungaphezu kokukodwa. Ucwaningo lubonisa ukuthi ukuzama ukwenza uhlobo oluthile lokuvivinya umzimba nsuku zonke kungasiza ekunciphiseni ukucindezeleka.
Ungase futhi udinge ukucabangela ikhwalithi yokulala kwakho, futhi uma ungalali ngokwanele izinga elihle kungase kudingeke ukuba uthuthukise lokhu.
Kwezinye izimo, ungathola ukwelulekwa noma imithi ikusiza ekuthuthukiseni ukucindezeleka kwakho futhi uthuthukise izindlela ezintsha zokuphendula izehlakalo ezicindezelayo nokususa ukucindezeleka okungadingekile empilweni yakho.
Ngaphansi kwaleli khasi isixhumanisi ekhasini lethu lemiphumela emibi. Chofoza lokhu bese uskrolela phansi ekhasini bese uchofoza imiphumela emibi oyithandayo. Sincoma ukuthi ubheke:
- Ukukhathala
- Izinkinga zokulala
- Impilo yengqondo nemizwelo
Amanye amakhambi kanye nezithako zokudla okunomsoco zingaphazamisa ukwelashwa kwakho kwe-lymphoma. Okunye ukusebenzisana kungenza ukwelashwa kungabi nampumelelo, kanti okunye kungenza imiphumela yakho emibi yokwelashwa ibe yimbi kakhulu.
Njalo khuluma nodokotela wakho wegazi noma usokhemisi ngaphambi kokuthatha noma yini entsha, futhi ubuze ukuthi kuphephile yini ukuyiphuza ngesikhathi sokwelashwa.
Inzuzo yesisindo
Ukwanda kwesisindo kungaba umphumela ocindezelayo wezokwelapha. Ngisho noma ubulokhu usebenza kakhulu, unemetabolism enhle futhi uqhubeka nokuzivocavoca ngesikhathi sokwelashwa, ungase ubone ukuthi ukhuluphala kalula, futhi unobunzima obukhulu ekulahlekelweni.
Kunezizathu eziningana zokuthi ukhuluphale ngesikhathi sokwelashwa. Chofoza izihloko ezingezansi ukuze ufunde kabanzi mayelana nezimbangela zokukhuluphala kwakho.
Ezinye izindlela zokwelapha umdlavuza zingadala ukuthi ugcine uketshezi. Lolu ketshezi ngezinye izikhathi lungavuza luphume ohlelweni lwakho lwe-lymphatic luye kwezinye izingxenye zomzimba wakho. Lokhu kugcinwa koketshezi kubizwa ngokuthi i-edema (izwakala njenge-eh-deem-ah).
I-edema ingakwenza ubukeke ukhukhumele noma uvuvukele futhi ingathinta noma iyiphi ingxenye yomzimba wakho. Kuvamile ukuba ne-edema emilenzeni yakho. Uma une-edema emilenzeni yakho, ungathola ukuthi uma ucindezela emlenzeni wakho ngomunwe wakho, ukuthi lapho ususa umunwe wakho, futhi ukufakwa komunwe wakho kuhlala lapho ucindezele khona.
I-edema nayo ingathinta inhliziyo namaphaphu akho. Uma lokhu kwenzeka ungase:
- ube nobunzima bokuphefumula noma uzizwe uphelelwa umoya ngaphandle kwesizathu
- thola ubuhlungu besifuba noma izinguquko ekushayeni kwenhliziyo yakho
- wawa kabi kakhulu.
Ukuphathwa
Udokotela wakho cishe uzohlola igazi ukuze ahlole ukusebenza kwesibindi nezinso futhi ahlole nephrotheni egazini lakho ebizwa ngokuthi i-albumin. Ungase udinge ukuthi:
- hlola isisindo sakho ngesikhathi esifanayo nsuku zonke.
- sebenzisa i-albumin uma iphansi. I-Albumin isiza ukudonsa uketshezi emuva emithanjeni yakho ye-lymphatic kanye negazi.
- phuza amaphilisi ukusiza ukususa uketshezi olufana ne-frusemide (ebizwa nangokuthi i-Lasix) ezokwenza ukuthi ukhiphe (uchame) kakhulu. Ungase unikezwe lokhu ngomthambo ngokuqondile egazini lakho nge-cannula noma umugqa ophakathi nendawo.
Imithi eminingi ye-lymphoma ihlanganisa imithi ebizwa ngokuthi i-corticosteroids. I-Corticosteroids ifana nehomoni esiyikhiqiza ngokwemvelo ebizwa ngokuthi i-cortisol futhi ihlanganisa imithi ebizwa ngokuthi i-dexamethasone, i-prednisone, i-prednisolone noma i-methylprednisone.
I-Corticosteroids ingabangela ukuzuza kwesisindo ngoku:
- ukushintsha indlela, nalapho umzimba wakho ugcina amafutha
- kuthinta ama-electrolyte (usawoti kanye noshukela) egazini lakho okungaholela ekugcineni uketshezi
- wandise isifiso sakho sokudla ukuze udle ngaphezu kokujwayelekile ngenkathi uwathatha.
Khuluma nodokotela wakho
Ungalokothi uyeke ukuphuza imithi yakho ngaphandle kokukhuluma nodokotela wakho wegazi noma i-oncologist kuqala.
Ukucindezeleka kungabangela izinguquko kumahomoni ethu, okungase kube nomthelela endleleni esithwala ngayo isisindo sethu. Kungase futhi kubangele izinguquko endleleni yethu yokuziphatha, ukudla, ukulala kanye nemikhuba yokuzivocavoca. Kwabanye, ukucindezeleka kungabangela ukuzuza kwesisindo, kanti kwabanye kungabangela ukulahlekelwa isisindo.
Khuluma nodokotela wangakini (GP) mayelana nokwenza uhlelo lokunakekela impilo yengqondo olwenziwe. Lokhu kungasiza ekubhekeni izingcindezi ezengeziwe onazo empilweni yakho ngenxa ye-lymphoma kanye nokwelashwa kwayo futhi wenze uhlelo lwendlela yokulawula ukucindezeleka kwakho, impilo yengqondo kanye nemizwelo.
Wonke umuntu onanoma yiluphi uhlobo lomdlavuza kufanele akwenze lokhu, futhi ngisho nabathandekayo bakho bangaba nohlelo olwenziwe.
Ukuphathwa
Ukuphatha ukucindezeleka uma une-lymphoma kuzodinga ukulungiswa okungaphezu kokukodwa. Ucwaningo lubonisa ukuthi ukuzama ukwenza uhlobo oluthile lokuvivinya umzimba nsuku zonke kungasiza ekunciphiseni ukucindezeleka.
Ungase futhi udinge ukucabangela ikhwalithi yokulala kwakho, futhi uma ungalali ngokwanele izinga elihle kungase kudingeke ukuba uthuthukise lokhu.
Kwezinye izimo, ungathola ukwelulekwa noma imithi ikusiza ekuthuthukiseni ukucindezeleka kwakho futhi uthuthukise izindlela ezintsha zokuphendula izehlakalo ezicindezelayo nokususa ukucindezeleka okungadingekile empilweni yakho.
Ngaphansi kwaleli khasi isixhumanisi ekhasini lethu lemiphumela emibi. Chofoza lokhu bese uskrolela phansi ekhasini bese uchofoza imiphumela emibi oyithandayo. Sincoma ukuthi ubheke:
- Ukukhathala
- Izinkinga zokulala
- Impilo yengqondo nemizwelo
Ezinye izindlela zokwelapha zingashintsha indlela esebenza ngayo indlala yegilo noma ye-adrenal. Izindlala zegilo nezindlala ze-adrenal ziyizitho ezilawula amahomoni amaningi emzimbeni wethu. Kwabesifazane, ezinye izindlela zokwelapha zingabangela nokunqamuka kokuya esikhathini kwangaphambi kwesikhathi okuphinde kuthinte amahomoni akho.
Ukushintsha kwama-hormone kungashintsha indlela umzimba wethu oshisa ngayo amandla nendlela ogcina ngayo amafutha.
Khuluma nodokotela wakho (udokotela wendawo) noma i-hematologist mayelana nokuhlolwa kwamahomoni akho uma unezinguquko esisindweni sakho ngaphandle kwezizathu ezicacile.
Ukuze uthole ulwazi mayelana nokunqamuka kokuya esikhathini kwangaphambi kwesikhathi noma ukungasebenzi kahle kwe-ovarian, Chofoza lapha.
Okuhlobene nokwelashwa
Uma uthola ukwelashwa kwe-lymphoma kunesikhathi esiningi lapho ungase uhlezi khona futhi ungasebenzi kakhulu. Ukuhlala egunjini lokulinda ukuze uthole izikhathi zakho ezibekiwe, uhlezi noma ulale phansi ngenkathi welashwa, ukuya ezindaweni ezihlukene kunganciphisa umsebenzi wakho ojwayelekile.
Okuqhamuka uma udla imishanguzo
Ungase futhi uzizwe ukhathele kakhulu noma ube neminye imiphumela emibi yokwelashwa okusho ukuthi udinga ukuphumula kakhudlwana. Nakuba umzimba wakho kungenzeka usebenzisa amandla athe xaxa kunokuvamile ukukusiza ukuthi ululame ekwelapheni, kungase kungenele ukuvala umsebenzi wakho owehlile.
Ukudla ngokumelene nomsebenzi
Uma amazinga omsebenzi wakho ehla futhi usadla inani elifanayo nangaphambi kokwelashwa, ungase ukhuluphale. Lokhu kungenxa yokuthi ama-calories owathola ekudleni kwakho maningi kunalawo owashisayo. Ama-calories engeziwe agcinwa emzimbeni wakho njengamafutha.
Ukuphathwa
Isinyathelo sokuqala sokuthuthukisa amazinga akho omsebenzi ukuqinisekisa ukuthi izimpawu zakho kanye nemiphumela engemihle ilawulwa ngendlela efanele. Chofoza isixhumanisi phansi kuleli khasi ukuze uthole ulwazi olwengeziwe ngokuphatha imiphumela emibi.
Uma uzizwa uphansi, abantu abaningi baphendukela kwezinye zezinto abazithandayo ukuze badle ngokunethezeka. Futhi, uma uzizwa unesicanucanu ungase uthole ukudla okulula usuku lonke kungcono ekulawuleni isicanucanu kunokuba ube nezidlo ezinkulu njalo kancane. Ngokuya ngokudla kwakho okunethezekile noma ukudla okulula, lokhu kungase kwengeze ama-calories engeziwe ekudleni kwakho.
Ungase udinge ukungeza umsebenzi owengeziwe osukwini lwakho ukuze usize ukushisa amakhalori engeziwe, noma ubheke ukuthi ungawehlisa kanjani amakhalori ekudleni kwakho. Ukuhamba, ngisho nemizuzu eyi-10-30 nsuku zonke kungasiza ekunciphiseni ukukhuphuka kwesisindo futhi kufakazelwe kuthuthukisa izimpawu zokukhathala, ukucindezeleka kanye nokwenza ngcono amazinga amandla.
Ukuphatha imiphumela emibi
Ukwazi imbangela yezinguquko zesisindo sakho kuyisinyathelo sokuqala sokujwayelekile isisindo sakho. Uma ukushintsha kwesisindo sakho kuwumphumela weminye imiphumela emibi, udinga ukuyilawula. Bheka isixhumanisi esingezansi ukuze uthole amathiphu okuthi ungayiphatha kanjani imiphumela emibi ehlukene ekhaya nokuthi kufanele uthole nini iseluleko sezokwelapha.
Uma usuqedile ukwelashwa, ungathanda ukuvakashela ikhasi lethu lokuqeda ukwelashwa ukuze ufunde kabanzi mayelana nokuthi yini ongayilindela.
Usekelo luyatholakala
Uma ukhathazekile ngokushintsha kwesisindo sakho, khuluma nodokotela noma unesi wakho futhi ubuze ukuthi yini engenziwa ukuze ikusize.
Kuya ngembangela yezinguquko zesisindo sakho Udokotela wakho noma udokotela wegazi angase akwazi ukukudlulisela ku:
- isazi sezifo
- sebenzisa i-physiologist
- physiotherapist
- owelapha emsebenzini
- isazi sokusebenza kwengqondo.
Lymphoma Australia Abahlengikazi
Abahlengikazi bethu bakhona ukuzokweseka. Ungashayela ucingo lwethu losizo lweziguli ku-1800 953 081 ngoMsombuluko-uLwesihlanu 9am kuya ku-4:30pm isikhathi se-QLD ukuze uthole ukwesekwa nokwelulekwa. Ungakwazi futhi i-imeyili abahlengikazi bethu ku nurse@lymphoma.org.au
Isifinyezo
- Ukushintsha kwesisindo kuvamile kubantu abane-lymphoma. Kungaba uphawu lwe-lymphoma, umphumela ongathandeki wezokwelapha noma umphumela ngenxa yezinguquko kumazinga akho omsebenzi noma ekudleni.
- Ukuqonda imbangela yokushintsha kwesisindo sakho kubalulekile ukuze uvimbele izinkinga eziningi futhi usize ukulawula isisindo sakho.
- Kukhona ukwesekwa okutholakalayo. Khuluma nonesi noma udokotela wakho mayelana nalokho okutholakala eduze nawe.
- Ukuphatha imiphumela emibi ethinta ukudla kwakho namazinga omsebenzi kungasiza ukumisa izinguquko eziningi esisindweni sakho.
- Khuluma nodokotela wakho, unesi noma ushayele abahlengikazi bethu baseLymphoma Australia uma ukhathazekile ngesisindo sakho.
