Izinhlungu nezinhlungu ziyinkinga evamile kubantu abane-lymphoma futhi ingahluka ukusuka komnene kuye kobunzima. Kunezizathu ezimbalwa zokuthi ungathola izinhlungu, futhi leli khasi lizohlinzeka ngolwazi lokuthi kungani, yini ongayenza ukuze ukulawule, nokuthi uzombona nini udokotela wakho.
Yini ebangela izinhlungu nezinhlungu ngesikhathi sokwelashwa kwe-lymphoma
Ubuhlungu nezinhlungu kungase kubangelwe i-lymphoma yakho, izinqubo onazo ezifana nama-biopsies noma ukufakwa kwemishini yokufinyelela emithanjeni emaphakathi noma ama-cannula, noma ekwelashweni onakho. Chofoza izihloko ezingezansi ukuze ufunde kabanzi.
I-Lymphoma ingase ingabangeli nhlobo ubuhlungu. Ngokuvamile ama-lymph nodes avuvuke ngenxa ye-lymphoma awabuhlungu. Kodwa-ke, ungathola ubuhlungu uma ama-lymph nodes akho emakhulu, noma i-lymphoma ibeka ingcindezi kwezinye izakhiwo emzimbeni wakho njengamathambo akho, izitho noma izinzwa.
Ukuvuvukala kungenzeka futhi ezindaweni ze-lymphoma, futhi lokhu kungabangela ubuhlungu futhi.
Kunezinqubo ezimbalwa ongazidinga phakathi nokuxilongwa kwakho, ukuhlelwa kanye nokwelashwa okungabangela izinhlungu nezinhlungu. Lokhu kungafaka:
- I-lymph node biopsy
- I-bone yomnkantsha i-biopsy
- Ukukhishwa kwe-Lumbar
- Ukuhlinzwa
- Ukufakwa kwedivayisi yokufinyelela emthanjeni omaphakathi (CVAD).
- I-Cannulation.
Lolu hlobo lobuhlungu kufanele lube lwesikhashana, futhi ezimweni eziningi ngeke ludinge ukungenelela kwezokwelapha. Amaphakethe abandayo angasiza ekunciphiseni ukuvuvukala eduze kwendawo yokuhlinzwa noma ye-biopsy futhi ngokwenza kanjalo, anganikeza ukukhululeka kobuhlungu.
Uma amaphakethe abandayo enganele, i-paracetamol ethathwe njengoba kuyaliwe ingasiza.
Gwema imithi elwa nokuvuvukala njenge-ibuprofen (Nurofen) noma i-aspirin ezinsukwini ezimbalwa zokuqala zenqubo. Le mithi ingandisa ukopha nokulimaza, futhi kubangele ubuhlungu obuningi.
Yazisa udokotela wakho noma umhlengikazi uma ngabe amathiphu angenhla awakusebenzeli. Ubuhlungu ngezinye izikhathi bungabangelwa ukutheleleka, ngakho-ke bazodinga ukuhlola indawo yesilonda sakho. Bazokwazi futhi ukweluleka ukuthi udinga umuthi onamandla noma ezinye izindlela zokwelapha ukulawula izinhlungu.
Ukutheleleka
Hlala njalo ukwazisa umhlengikazi noma udokotela uma unezimpawu zokutheleleka. Lokhu kungafaka:
- Ubuhlungu
- Ububomvu noma ukuvuvukala endaweni yesilonda noma yenaliti
- Ubovu noma olunye uketshezi olunukayo
- Ukuba nezinga lokushisa 38° degrees noma ngaphezulu
- Ukugodola noma ukuqina (ukuzamazama okungalawuleki).
Ukwelashwa okuningi kwe-lymphoma kungabangela izinga elithile lobuhlungu nobuhlungu ngoba ukuze ukwelashwa kusebenze, kudinga ukubhubhisa amangqamuzana e-lymphoma.
Amaseli e-lymphoma angase abhujiswe ngokuqondile ngokwelashwa okufana ne-chemotherapy noma i-radiotherapy. Okunye ukwelashwa, okufana namasosha omzimba we-monoclonal kanye nama-immunotherapies abandakanya noma aqondise amasosha omzimba wakho ukuze asisize ukulwa ne-lymphoma ngokuphumelelayo.
Ukubhujiswa kwamaseli
Imiphumela emibi yokwelashwa
Okunye ukwelashwa kungabangela imiphumela emibi engadingeki eholela ebuhlungu. Chofoza izixhumanisi ezingezansi ukuze ufunde kabanzi mayelana nokuthi imiphumela emibi ingabanga kanjani ubuhlungu, nokuthi ungayilawula kanjani.
Izici zokukhula ziwuhlobo lokwelashwa okusekelayo olusiza ukugqugquzela umnkantsha wakho ukwenza amangqamuzana egazi amasha.
Umsebenzi owengeziwe kanye nenani elikhulayo lamaseli enziwa yithambo lakho ngenxa yalezi zindlela zokwelapha kungabangela ubuhlungu bethambo. Njengoba amangqamuzana enziwa umnkantsha wakho ukhula ubeka ingcindezi emathanjeni akho, ngaphambi kokukhulula amangqamuzana emgudwini wegazi lakho. Ngokuvamile kuthatha izinsuku ezimbalwa kuphela, kodwa kwabanye abantu kungase kudlulele.
Ubuhlungu bethambo bungasukela kokuncane kuye kobunzima. Ezinye izinto ongazizama ukuthuthukisa lobu buhlungu zihlanganisa:
- Amaphakethe afudumele noma abandayo
- Ukuzivocavoca okulula nokuhamba
- I-Paracetamol (ebizwa nangokuthi i-panadol noma i-panamax)
- Ngaphezulu kwe-antihistamine efana ne-loratidine.
Ukukhathala, isikhathi sokulala esibhedlela noma ukuzizwa ungaphilile kungaholela ekutheni ungawuvivinyi umzimba. Lokhu kungabangela imisipha yakho ukuba iqale ukuphuka noma iqine okuholela ezinhlungwini namahlaba emisipha yakho, kanye namalunga asekelwe imisipha yakho.
Ukudla ukudla okunomsoco okunamaprotheni kungasiza umzimba wakho ukuba ululame. Ezinye izindlela zokuvimbela, noma zokuthuthukisa lolu hlobo lwezinhlungu nezinhlungu zihlanganisa ukuvivinya umzimba okuthambile kanye nokwelula noma amaphakethe afudumele noma apholile.
Uma ukuzivocavoca kunzima kuwe, cela udokotela wakho ukuthi akudlulisele kumelaphi osebenza emsebenzini, i-physiotherapist noma i-physiologist yokuzivocavoca. Bazokwazi ukuhlola izidingo zakho nekhono lakho, futhi bakusize uqhamuke nohlelo lokukhulisa umsebenzi wakho ngaphakathi kwemikhawulo yakho ngendlela ephephile.
Ngezinye izikhathi phakathi noma ngemva kokwelashwa kwe-lymphoma ungase uzwe ubuhlungu ngesikhathi socansi. Lokhu uma kuvame ukubangelwa ukomisa kwesitho sangasese sowesifazane noma ukushoda kokugcotshwa. Zama ukusebenzisa okokugcoba ukuze uxazulule ubuhlungu. Uma ubuhlungu buqhubeka, ukudluliselwa kudokotela womzimba Wabesifazane kungakha isu lokubhekana nobuhlungu.
Kubalulekile ukuqaphela ukuthi ubuhlungu obuqhubekayo ngesikhathi socansi budinga ukuphenywa ngudokotela.
Xoxa nodokotela wakho ngohlelo lokuphatha luka-GP njengoba ungase ukwazi ukufinyelela ekudluliseleni ochwepheshe nomelaphi wasemsebenzini, i-physiotherapist noma i-physiologist yokuzivocavoca ngaphandle kwezindleko ezincane noma ungabizi nhlobo. Lezi zinsizakalo zisuke zixhaswa yi-Medicare.
Indlela yokuphatha izinhlungu nezinhlungu
Ukuzivocavoca nokwelula
Ucwaningo luye lwabonisa ukuthi ukuvivinya umzimba kancane nokwelula kungasiza ekuthuthukiseni izinhlungu nezinhlungu. Nokho, kuye ngezimo zakho ngazinye, ungase ungakwazi ukuhambisana namazinga akho omsebenzi ajwayelekile.
Ukuthola ukuthi imingcele yakho emisha iyini, kungase kuthathe isikhathi futhi ungase udinge iseluleko esivela kudokotela womzimba noma isazi sokuvivinya umzimba. Bangakusiza ukuthi uthole ukuthi yini ongayenza, nokuthi ungakwenza kanjani ngokuphepha ngenkathi ulashelwa i-lymphoma.
Sleep
Ubuhlungu buhlala bulukhuni ukubhekana nabo uma ukhathele. Ukukhathala nokuntuleka kokulala kungase kwenze izinhlungu nobuhlungu bakho buzizwe bubi nakakhulu noma bube nzima ukubulawula. Kubalulekile ukuphatha noma yikuphi ukukhathala noma izinkinga zokulala kusenesikhathi ukuze ugweme ukuba nemikhuba emibi yokulala. Ukuze uthole ulwazi olwengeziwe lokulawula ukukhathala nokulala, chofoza izixhumanisi ezingezansi.
- Ukukhathala (ukukhathala okukhulu)
- Izinkinga zokulala.
Amaphakethe okushisa noma abandayo
Zama ukuhlola kokubili ukushisa namakhaza ukuze uthole ukuthi yini ekusebenzela kangcono. Ungase uthole ukushintsha phakathi kokushisa nokubanda kusebenza kangcono kakhulu.
Qaphela
Ezinye izindlela zokwelapha i-lymphoma zingathinta ikhono lakho lokuzwa kushisa nokubanda ngendlela efanele. Lokhu kukubeka engcupheni eyengeziwe yokusha. Uma usebenzisa amaphakethe okushisa noma abandayo, shisa kuphela noma yiqhwa njengoba kuyalelwe, futhi uhlale unethawula noma izingubo phakathi kwesikhumba sakho nephakethe lokushisa/elibandayo. Ukuze uthole ulwazi olwengeziwe ngalokhu sicela ubheke ikhasi lethu lewebhu ku peripheral neuropathy.
Imithi
I-Paracetamol
I-Paracetamol - eyaziwa nangokuthi i-Panadol noma i-Panamax ngokuvamile iphephile uma une-lymphoma nokho, ingavala izinga lokushisa. Njalo thatha izinga lokushisa lakho ngaphambi kokuba uthole i-paracetamol uma uthola ukwelashwa kwe-lymphoma.
I-Paracetamol ingase ingaphephile kuwe uma unezinkinga esibindini sakho. Uma utshelwe ukuthi unezinkinga esibindini sakho, buza udokotela noma unesi wakho ukuthi kuphephile yini ukuphuza i-paracetamol.
I-anti-immune
Ama-Antihistamines
I-Histamine iyikhemikhali ekhishwa amaseli omzimba abizwa ngokuthi ama-basophil nama-mast cell. Lezi izinhlobo ezahlukene zamangqamuzana amhlophe egazi, futhi i-histamine abayikhiphayo ibangela ukuvuvukala. Lokhu kuyasiza ukulwa nokutheleleka, kodwa i-histamine eningi, noma lapho ukutheleleka kungekho kungabangela ubuhlungu. Ngokunciphisa i-histamine, unganciphisa ukuvuvukala futhi wehlise amazinga obuhlungu.
Ngaphambi kokuthatha noma imuphi umuthi we-counter counter, thintana nosokhemisi noma udokotela wakho ukuthi kuphephile yini ukuwuphuza ezimweni zakho ngazinye. Eminye imithi ingasebenzisana nokwelashwa komdlavuza, iyenze ingasebenzi kahle, noma idale imiphumela engemihle enzima kakhulu. I-Paracetamol ingaba yingozi futhi uma isibindi sakho singasebenzi kahle.
Thola ochwepheshe bezempilo abafanele ukuthi babandakanyeke
Kukhona ochwepheshe abahlukene bezempilo ngaphandle kwe-hemotology yakho ethimbeni le-oncology abangakusiza ulawule izinhlungu zakho. Ngayinye inobuchwepheshe obuhlukile futhi yiziphi ezizoba ngcono kakhulu kuwe kuzoncika ezimweni zakho ngazinye.
Chofoza izihloko ezingezansi ukuze ubone ukuthi ochwepheshe abahlukene bezempilo noma amasevisi bangakwazi kanjani ukusiza. Khuluma nonesi noma udokotela wakho mayelana nokudluliselwa kunoma yiziphi izinsizakalo ocabanga ukuthi zingakusiza.
***Lolu lwazi olungezansi olwabantu abanekhadi le-Medicare. Uma ungenalo ikhadi le-Medicare, ungase ube nezindleko ezengeziwe ongazikhokha.
Uma ungakamtholi udokotela wendawo ojwayelekile (GP), manje yisikhathi sokukwenza. Uzodinga udokotela ojwayelekile nothembekile ukuze akusekele ngokwelashwa kwakho, aqondise ukunakekelwa kwakho futhi akunikeze ukunakekelwa okubalulekile kokulandelela ngemva kokuqeda ukwelashwa.
Odokotela bangasiza ngokukuyalela imithi ethile futhi bakuthumele kochwepheshe abahlukahlukene kanye nochwepheshe bezempilo. Bangakwazi futhi ukuhlanganisa uhlelo lokulawula izifo ezingelapheki, uhlelo lokunakekelwa kwezempilo yengqondo kanye nohlelo lokunakekelwa kokusinda.
Khuluma nodokotela wakho mayelana nalezi zinhlelo nokuthi zingasiza kanjani ezimweni zakho ngazinye.
Uhlelo lokuphatha lwe-GP
Umdlavuza uthathwa njengesifo esingelapheki ngoba uhlala isikhathi esingaphezu kwezinyanga ezi-3. Uhlelo lokuphatha i-GP likuvumela ukuthi ufinyelele othintana nabo bezempilo abangaba ngu-5 ngonyaka ngaphandle kwezindleko, noma kancane kakhulu ephaketheni lakho. Lezi zingabandakanya ama-physiotherapist, ama-physiologists okuzivocavoca kanye nabelaphi bomsebenzi.
Ukuze ufunde kabanzi mayelana nokuthi yini ehlanganiswe yi-allied health, sicela ubheke isixhumanisi esingezansi.
Izisebenzi zezempilo ezihlangene - I-Allied Health Professions Australia (ahpa.com.au)
Uhlelo lokuphatha impilo yengqondo
Wonke umuntu onomdlavuza kufanele abe nohlelo lwezempilo yengqondo. Ziyatholakala futhi kumalungu omndeni wakho futhi zikunikeze ukuvakashelwa okungu-10 noma ukuqokwa ngocingo nodokotela wezengqondo. Lolu hlelo luphinde lusize wena nodokotela wakho nixoxe ngokuthi izidingo zenu zizoba yini phakathi nonyaka, futhi niqhamuke nesu elizokusiza ukuthi ubhekane nezingcindezi ezengeziwe, okuhlanganisa nobuhlungu obhekene nabo.
Thola ulwazi olwengeziwe ngokuthi yikuphi ukunakekelwa kwezempilo yengqondo okutholakala lapha Ukunakekelwa kwezempilo yengqondo kanye neMedicare - Medicare - Services Australia.
Uhlelo lokunakekela abasindile
Uhlelo lokunakekelwa kwabasindile lusiza ukuxhumanisa ukunakekelwa okudingayo ngemuva kokuxilongwa komdlavuza. Ungase wenze okukodwa kwalokhu ngaphambi kokuba uqedele ukwelashwa, kodwa hhayi njalo.
Uhlelo lokusinda luyindlela enhle yokubheka ukuthi uzophatha kanjani ngemva kokuphela kokwelashwa, okuhlanganisa nokulawula imiphumela engemihle efana nobuhlungu kanye nokuhlolwa kokulandelela.
I-physiotherapist ingasiza ngezindlela eziningana. Bangakwazi ukuhlola ukunyakaza kwakho nekhono lokuphefumula futhi bakusize uqhamuke nohlelo lokugcina noma ukuthuthukisa imisipha yakho nokuguquguquka ngesikhathi sokwelashwa.
Bangasiza futhi ukuthuthukisa ubuhlungu ngezinhlobo ezahlukene zokwelapha ezihlanganisa:
- massage
- ukuzivocavoca okuphephile nokwelula
- ukushisa noma ukwelapha okubandayo
- ukutshopa
- ukupheka
- i-hydrotherapy
- ukwelashwa kwe-ultrasound
- i-infrared noma i-cold laser therapy
- Okuningi.
Ama-Exercise physiologists angochwepheshe bezempilo abaqeqeshwe enyuvesi abanobuchwepheshe endleleni umzimba wakho osabela ngayo lapho uzivocavoca.
Bayakwazi ukuhlola ukuthi i-lymphoma nobuhlungu buwuthinta kanjani umzimba wakho kanye nekhono lakho lokuzivocavoca futhi bathole izivivinyo ezingcono kakhulu zokusebenza nawe.
Izazi zokuvivinya umzimba zivame ukusebenza ngokubambisana nama-physiotherapists. Ukuze uthole i
Umelaphi womsebenzi angasiza ngokuhlola ukuthi ubuhlungu noma ukugula kwakho kuthinta kanjani ikhono lakho lokusebenza imisebenzi yokuphila kwansuku zonke (ama-ADL), njengokugqoka, ukugeza nokuqedela umsebenzi wasendlini.
Bangakwazi ukuhlela okokusebenza okukhethekile noma izinguquko ezincane ekhaya lakho ukuze bakusize wenze ama-ADL kalula.
Izibhedlela eziningi zinesevisi yobuhlungu obukhulu engasiza uma unezinhlungu eziyinkimbinkimbi ezingalindelekile ukuba zihlale ngaphezu kwezinyanga ezingu-3. Ubuhlungu obuyinkimbinkimbi ubuhlungu obuqhubekayo, ngisho nangemva kokwelashwa okunikezwa udokotela wakho ovamile noma udokotela ohlinzayo.
I-Acute Pain Service ingahlela amaphampu akhethekile ngomuthi ongakwazi ukuwulawula futhi uwuphuze njengoba kudingeka. Lokhu kubizwa ngokuthi i-Patient Controlled Anesthesia (PCA), noma ezinye izinhlobo zemithi.
Isevisi yobuhlungu obungapheli ingasiza ngobuhlungu obuhlala ngaphezu kwezinyanga ezi-3. Bangase bakwazi ukunikeza izinhlobo ezahlukene zokunciphisa ubuhlungu ngendlela yemithi noma izinqubo zokuhlinza.
Amathimba okunakekela abagulayo angasiza lapho usesibhedlela noma usekhaya. Bangochwepheshe ekulawuleni okunzima ukwelapha izimpawu kanye nemiphumela engemihle engaphenduli ekwelashweni okujwayelekile njengobuhlungu, ukukhathazeka nesicanucanu. Odokotela be-Palliative care banegunya lokunquma imithi ethile noma imithamo abanye odokotela okuhlanganisa i-hematologists kanye no-oncologists abangagunyaziwe ukuyinikeza.
Ubonana nini nodokotela wakho
Ubuhlungu buyindlela engokwemvelo yokusabela ekulimaleni futhi ngokuvamile bungaphathwa ekhaya ngalawa macebiso angenhla. Kodwa-ke, kunezikhathi lapho ubuhlungu kufanele bunganakwa noma buphathwe ekhaya. Yenza isikhathi sokubonana nodokotela uma ubuhlungu bakho:
- ihlala isikhathi eside kunokulindelekile
- kuthinte ukulala kwakho okungaphezu kobusuku obu-3 bulandelana
- ikuvimbela ukuthi uqedele imisebenzi yakho yokuphila kwansuku zonke
- imayelana nawe.
Thola usizo lwezokwelapha ngokushesha, noma shayela i-ambulensi ku-000 uma ubuhlungu bakho:
- isesifubeni sakho noma ikhanya emahlombe akho, ezingalweni noma emhlane wakho,
- useduze nesilonda noma umqubuko obukeka unegciwane,
- kudlulele futhi kungaphezu kwalokho ongakwazi ukukubamba,
- kubangela ubuthakathaka ezingalweni noma emilenzeni yakho
- kwenza kube nzima ukuya endlini yangasese, noma uhluleka ukuzibamba (ungafiki endlini yangasese ngesikhathi)
- ikwenza ufune ukuzilimaza,
- noma uma futhi unezinga lokushisa elingu-38° noma ngaphezulu.
Isifinyezo
- Ubuhlungu bujwayelekile kubantu abane-lymphoma, futhi bungasukela kokuncane kuye kodlulele.
- Kunezizathu eziningi ezahlukene zokuthi ungathola izinhlungu, eziningi akumele zidlule izinsuku ezimbalwa, kodwa ezinye zingaba yizifo ezingelapheki - ezihlala isikhathi esingaphezu kwezinyanga ezi-3.
- Ukuzivocavoca nokwelula ngendlela ephephile kubalulekile uma une-lymphoma.
- Baningi ochwepheshe bezempilo abahlukene abangakusiza ulawule izinhlungu nezinhlungu – khuluma nodokotela wakho ngezidingo zakho.
- Eminye imithi etholakala ekhawuntareni ingasiza ekuthuthukiseni izinhlungu, kodwa khuluma nosokhemisi wakho kuqala ukuze uqiniseke ukuthi kuphephile ukuwuphuza - omunye umuthi ungasebenzisana nemithi elwa nomdlavuza noma udale umonakalo esibindini sakho.
- Uma izindlela zemvelo ezishiwo ngenhla, kanye nemithi ye-counter ingenele, khuluma nodokotela wakho mayelana nosizo olutholakalayo lokulawula izinhlungu.
- Cela udokotela wakho ukuthi enze uhlelo lokuphatha lwe-GP nawe.
- Funa usizo olwengeziwe lapho ludingeka njengoba kubalwe ngenhla.
- Shayela Abahlengikazi bethu Be-Lymphoma uma ungathanda ulwazi olwengeziwe - chofoza inkinobho ethi Xhumana nathi ngezansi kwesikrini ukuze uthole imininingwane
