Ukulahlekelwa izinwele kuwumphumela ovamile wezinye izindlela zokwelapha ngamakhemikhali kanye ne-radiotherapy ye-lymphoma. Nakuba ukulahlekelwa izinwele ngenxa ye-chemotherapy kungokwesikhashana, kuthinta izinwele kuwo wonke umzimba wakho. Kodwa-ke, ukulahlekelwa izinwele ngenxa ye-radiotherapy ngokuvamile kuhlala unomphela, kodwa kuthinta kuphela indawo yomzimba wakho elashwa nge-radiotherapy.
Kungakhathaliseki ukuthi ukulahlekelwa izinwele zakho kungokwesikhashana noma unomphela, kungase kube nomthelela ongokomzwelo. Abantu abaningi baye bathi ukulahlekelwa izinwele yikona okubenze zizwela, futhi ubuke njengesiguli somdlavuza. Ukulahlekelwa izinwele zakho kungaba umcabango owesabekayo noma ocasulayo. Kuyinto evamile kakhulu ukukhathazeka ngalokhu.
Ngaphezu kokuthi izinwele zethu zisenza sibukeke futhi sizizwe kanjani, futhi zinikeza isivikelo esimweni sezulu esibandayo noma elangeni, futhi inikeza umgoqo ukuze amakhanda ethu avikelwe ekungqubuzaneni.
Kuleli khasi sizoxoxa ngalokho okufanele sikulindele, kanye nemibono yokuphatha ukulahlekelwa izinwele.
Yini eyenza izinwele ziqothuke?
I-Chemotherapy kanye ne-radiotherapy kokubili kubangela ukuqothuka kwezinwele ngoba kuhlasela amaseli akhula ngokushesha. Kodwa-ke, akukho chemotherapy noma i-radiotherapy engahlukanisa phakathi kwamangqamuzana anempilo kanye nomdlavuza akhula ngokushesha. Izinwele zethu zihlala zikhula okwenza izinwele zethu ziqondiswe kulezi zindlela zokwelashwa.
Ingabe zonke izindlela zokwelapha zibangela ukuqothuka kwezinwele?
Cha. Ziningi izindlela zokwelapha ezingabangeli ukuqothuka kwezinwele. Amanye ama-chemotherapies azodala izinwele kuphela, kodwa hhayi ukulahlekelwa okuphelele. Ama-Immunotherapies kanye nokwelapha okuhlosiwe kungase kubangele ezinye izinwele zibe zincane, kodwa eziningi zalezi zindlela zokwelapha azibangeli ukulahlekelwa izinwele.
Ingabe ukulahlekelwa izinwele kusho ukuthi ngine-lymphoma embi kakhulu?
Cha - kunezinhlobo ezingaphezu kuka-80 zezinhlobo ze-lymphoma. Ukwelashwa kwe-lymphoma kuncike ezintweni eziningi kuhlanganise ne-subtype. Ngisho noma ungalahlekelwa izinwele, usenayo i-lymphoma, engumdlavuza. Imithi eminingi emisha iqondiswe kakhulu, okunganciphisa ezinye izimpawu ezifana nokulahlekelwa izinwele.
Yiziphi izinwele engizolahlekelwa kuzo?
Konke!
I-Chemotherapy izothinta zonke izinwele zakho, okuhlanganisa izinwele ekhanda lakho, amashiya, imivimbo yamehlo nezinwele zobuso, izinwele zomlomo kanye nezinwele emilenzeni yakho. Izinwele zakho zizoqala ukukhula emasontweni ambalwa ngemva kokuqeda ukwelashwa.
Kodwa-ke, uma ungenayo i-chemotherapy, kodwa welashwa nge-radiotherapy, ungase ulahlekelwe isiqeshana sezinwele endaweni elashwayo, kodwa lezi zinwele cishe ngeke zikhule. Uma iphinda ikhula, ingase ibe mncane kakhulu kunangaphambi kokwelashwa.
Ngabe kunjani?
Ungase ubone ukuthi ikhanda lakho liqala ukuluma, ukulunywa, noma ukuqaqamba njengoba izinwele zakho zilungele ukuwa. Abanye abantu bathi banekhanda elibuhlungu elizwakala sengathi izinwele zabo zidonsa ziqine kakhulu. Nakuba abanye bengenakho nhlobo ukungakhululeki. Uma ukuzwa noma ubuhlungu bukhulu kakhulu, noma bukudala ukukhathazeka, ungase uthande ukuzama ukugunda izinwele zakho zibe mfushane kakhulu noma uzishefe, ngaphambi kokuba ziphume.
Izinwele ziphuma kanjani futhi nini?
Abantu abaningi bazolahlekelwa izinwele emasontweni angu-2-3 bethole ukwelashwa kwabo kokuqala. Ngokuvamile iqala ukuwa ngama-clumps, ongayibona emcamelweni wakho noma lapho uxubha noma ugeza izinwele zakho.
Ngomjikelezo wakho wesibili we-chemo, cishe uzolahlekelwa yizo zonke izinwele ekhanda lakho. Uma izinwele ekhanda lakho sezihambile, ungase uzwe amakhaza ngaphezu kokujwayelekile. Ukugqoka i-beanie ethambile, isikhafu noma iwigi kungasiza.
Izivumelwano ezivamile kanye ne-alopecia
Kunezinhlobo eziningi zokwelapha ze-lymphoma. Ezinye zizobangela ukulahlekelwa izinwele, kanti ezinye zizobangela izinwele zakho zibe mncane futhi zingabonakali zigcwele. Abanye ngeke babe nomthelela ezinweleni zakho.
Izivumelwano ezivamile ezizoholela ekulahlekelweni izinwele
- I-CHOP ne-R-CHOP
- I-CHEOP kanye ne-R-CHEOP
- I-DA-R-EPOCH
- I-Hyper CVAD
- ESHAP
- I-DHAP
- I-ICE noma iRICE
- ugongolo
- I-ABVD
- eBEACOP
- IGEV
Imithetho engase ibangele izinwele zibe zincane noma zingaqothuka
- BR noma BO
- I-GDP
- Amasosha omzimba e-monoclonal afana ne-rituximab, i-obinutuzumab, i-brentuximab, i-pembrolizumab noma i-nivolumab (Ngaphandle kokuthi inikezwe nge-chemotherapy ebangela ukulahlekelwa izinwele)
- Izindlela zokwelapha ezihlosiwe ezifana ne-BTK inhibitors, PI3k inhibitors, HDAC inhibitors noma BCL2 inhibitors
Umthelela WOKUNGENZI ukulahlekelwa izinwele zakho
Ingabe amakepisi apholile asiza ukuvimbela ukulahleka kwezinwele?
Amakepisi apholile ngokuvamile awanconywa kubantu abathola ukwelashwa kwe-lymphoma.
Abanye abantu abanomdlavuza othile bangafaka ikepisi elibandayo ekhanda ukuze basize ukunciphisa inani le-chemotherapy elifika ekhanda labo. Lokhu kunciphisa noma kuvimbela ukuqothuka kwezinwele. Kodwa-ke, i-lymphoma ingumdlavuza wesistimu, okusho ukuthi ingakhula kunoma iyiphi ingxenye noma umzimba wakho, kuhlanganise nama-lymph nodes, isikhumba, amathambo nezitho.
Ngenxa yalesi sizathu, amakepisi apholile awafanele abantu abaningi abathola ukwelashwa kwe-lymphoma. Ukugqoka ikepisi elipholile kungavimbela i-chemotherapy ukuthi ifinyelele kwamanye amangqamuzana e-lymphoma, okuholela ekubuyiseleni kabusha kwe-lymphoma yakho. Ukubuyela emuva yilapho i-lymphoma yakho ibuya.
Kungaba khona ezinye okuhlukile okungajwayelekile. Uma i-lymphoma yakho isendaweni futhi ingacatshangwa ukuthi isakazekile (noma ingase isakazeke), ungakwazi ukuyigqoka. Buza udokotela wakho wegazi noma i-oncologist uma kunjalo ngawe.
Umthelela womzwelo wokulahlekelwa izinwele zakho
Ungase ukhathazeke ngokulahlekelwa izinwele zakho ngenxa yokuthi kuzoshintsha kanjani indlela obukeka ngayo; Futhi indlela obukeka ngayo ingase ibe yingxenye ebalulekile yobuwena. Kungakhathaliseki ukuthi izinwele ekhanda lakho, intshebe kanye/noma amadevu noma ezinye izinwele ulahlekelwa; Ushintsho olungafuneki kubunikazi bakho, noma ushintsho ekubukekeni kwakho kungabangela ukwesaba, ukukhathazeka nokudabuka.
Kwabanye, kungase kube yinto ekwenza ube uzizwe noma ubukeke sengathi unomdlavuza.
Ukuqothuka kwezinwele kuyinto enkulu!
Indlela yokulawula imizwa
Qaphela futhi uvume ukuthi ukulahlekelwa izinwele zakho kukwenza uzizwe kanjani. Zinike isikhathi sokudabuka futhi ukhulume nabantu abaseduze kwakho mayelana nendlela wena, futhi bazizwa ngayo.
Ungase uthande ukugunda izinwele zakho noma ukuphungula intshebe/amadevu ngaphambi kokuba aqale ukuwa, noma ngisho nangaphambi kokuba uqale ukwelashwa. Lokhu kukunikeza ukulawula okuthile ekuqothukeni kwezinwele, futhi kukuvumela ukuthi ujwayele kancane kancane ushintsho ekubukekeni kwakho. Zinike imvume yokudlala ngokubukeka okuhlukile futhi ujabule ngakho.
- Daya izinwele zakho ngombala ongakaze ucabange ukuthi ungawenza - ukuzijabulisa nje
- Zama ukwenza izinwele ezintsha
- Linga ngamawigi, izigqoko nezikhafu
- Shave njengeqembu - thola abangani nomndeni wakho ukuthi nabo bahambe bengenazinwele
- Yamukela ukubukeka kwakho kwempandla okusha - mhlawumbe uze ubhalisele ukuthatha isithombe sochwepheshe.
- Linga ngobude obuhlukene bentshebe yakho, intshebe engenamadevu noma amadevu angenayo intshebe
- Othintana naye Bheka umuhle uzizwe ungcono ukufunda amathiphu okudweba kumashiya, ukunakekelwa kwesikhumba kanye nezigqoko zokusonga (Imininingwane yokuxhumana ezansi kwaleli khasi).
- Xhumana nesevisi yewigi yoMkhandlu Womdlavuza (Imininingwane yokuxhumana ngezansi kwaleli khasi).
Kubandakanya izingane
Uma unezingane ezincane ekuphileni kwakho, zingase zikuthole kuyinqaba lapho izinwele zakho ziwa, futhi zingase zibe nobunzima bokukubona ekuqaleni. Cabanga ukuthi ungababandakanya kanjani futhi wenze ukulahlekelwa izinwele zakho kube umsebenzi ojabulisayo wezingane empilweni yakho.
Uma kuyingane yakho encane ethola ukwelashwa kwe-lymphoma, buza isikole noma isikhungo sokunakekela izingane ukuthi bangahileleka kanjani ukuze benze ukulahlekelwa izinwele kube umsebenzi ojabulisayo, lokho futhi kusiza abangani bengane yakho ukuthi baqonde ukuthi kwenzekani.
Eminye imibono ejabulisayo yokwenza izingane zibandakanye:
- Usuku lwezinwele ezihlanyayo
- Sala kahle iphathi yezinwele
- Ukudweba noma ukucwebezela ukuhlobisa ikhanda
- Ukudlala ngezingubo zokugqoka kanye namawigi
- I-Photoshoot ngokubukeka okuhlukile
Ukwelulekwa
Uma ukudabuka noma ukukhathazeka kwakho ngokuqothuka kwezinwele kuthinta impilo yakho yansuku zonke, ukukhuluma nomeluleki osebenza nabantu abanomdlavuza kungasiza. Cela udokotela wakho akudlulisele. Kukhona futhi izinsiza zokwelulekwa ngocingo ongazithinta ngaphandle kokudluliselwa. Thola imininingwane ngaphansi kwezinye izinsiza ezansi kwaleli khasi.
Ulayini wokusekela isiguli
Ungaxhumana nabahlengikazi bethu beLymphoma Care ku-1800 953 081 noma ngokuthumela i-imeyili nurse@lymphoma.org.au
Ukunakekela isikhumba sakho kanye ne-scalp emva kokulahlekelwa izinwele
Uma ulahlekelwa izinwele zakho, kungakhathaliseki ukuthi zivela ekhanda lakho, ebusweni noma emzimbeni, uzodinga ukunakekela isikhumba esivele obala. Isikhumba singama, silume noma sizwele kakhulu esimweni sezulu kanye nokuthintwa okuncane. Ukwelashwa ngemisebe nakho kungabangela ukucasuka esikhunjeni sakho okuholela kumabhamuza kanye nomuzwa wokushiswa yilanga.
Izinto okufanele uzicabangele:
- Yiba nemvula efudumele - isikhumba sakho nekhanda kuzozwela kakhulu emanzini ashisayo nabandayo.
- Sebenzisa okokuthambisa kwekhwalithi enhle, okunganuki ekhanda nasesikhunjeni sakho.
- Gqoka izigqoko ezithambile, ubhontshisi noma izikhafu - gwema ezinemithungo njengoba zingase zibe nzima kakhulu.
- Zivikele elangeni - gqoka izingubo zefayibha zemvelo ezinemikhono emide, futhi gqoka ukhilimu we-sun block ohloniphekile.
- Sebenzisa ikesi lomcamelo elenziwe ngemicu yemvelo efana ukotini, ilineni noma uqalo.
Izinwele zami zizokhula nini futhi?
Izinwele ngokuvamile ziqala ukukhula emasontweni ambalwa ngemva kokuqeda ukwelashwa nge-chemotherapy. Kodwa-ke, uma ikhula ingase ibe izacile kakhulu - ifane nengane esanda kuzalwa. Lezi zinwele zokuqala zingahle ziwe futhi ngaphambi kokuba zikhule.
Uma izinwele zakho zibuya, zingase zibe nombala ohlukile noma ukuthungwa okwakuyikho ngaphambili. Kungase kube izinwele eziphothene, ezimpunga noma ezimpunga zingase zibe nombala othile emuva. Cishe ngemva kweminyaka emi-2, kungase kufane nezinwele obunazo ngaphambi kokwelashwa.
Izinwele ngokuvamile zikhula cishe ngo-15cm ngonyaka. Lokhu cishe uhhafu ubude berula elimaphakathi. Ngakho, ezinyangeni ezi-4 ngemva kokuqeda ukwelashwa, ungase ube nezinwele ezifika ku-4-5cm ekhanda lakho.
Uma une-radiotherapy, izinwele ezisesiqeshaneni sesikhumba ezilashwayo zingase zingakhuli futhi. Uma kwenzeka, kungase kuthathe iminyaka ukuqala ukukhula futhi, futhi kungaphinde kukhule kubuyele ngendlela evamile eyayiyikho ngaphambi kokwelashwa.
Ungathola kuphi iwigi noma ucezu lwekhanda
Ubukeka ukahle uzizwe ungcono inhlangano enesineke ekusiza ukuthi uthole izindlela zokuzizwa ujabule ngawe njengoba ukubonakala kwakho kushintsha phakathi nokwelashwa komdlavuza. Bahlanganise uhlu lwezindawo ezithengisa noma ezibolekisa amawigi nezinye izingcezu esifundeni ngasinye. Baphinde baqhube imihlangano yokucobelelana ngolwazi ukuze bakufundise ngokwenza (okuhlanganisa nokudweba emashiya) kanye nendlela yokugqoka izingcezu zekhanda ezihlukene.
Chofoza isixhumanisi esingezansi ukuze uthole uhlu loxhumana nabo nezinkundla zokucobelelana ngolwazi.
Isifinyezo
- Ukwelashwa ngamakhamotherapi amaningi kuzodala izinwele ekhanda, ebusweni nasemzimbeni, kodwa kungokwesikhashana - izinwele zakho zizokhula futhi ngemva kokwelashwa.
- Ukwelashwa ngemisebe nakho kungabangela ukulahlekelwa izinwele, kodwa kuphela endaweni yomzimba wakho elashwayo. Lokhu kuqothuka kwezinwele kungase kuhlale unomphela.
- Ezinye zokwelapha ngeke zidale izinwele. Lokhu akusho ukuthi i-lymphoma yakho ayibi kakhulu.
- Nakekela isikhumba sakho sekhanda nesikhumba esingase sizwele kakhulu izinga lokushisa futhi sithintwe lapho izinwele zakho zingasekho.
- Sebenzisa insipho engaxutshiwe kanye nezinto zokuthambisa.
- Kungokwemvelo ukuzizwa ukhathazekile ngokuqothuka kwezinwele zakho. Shayela Abahlengikazi bethu Be-Lymphoma Care uma udinga othile ongakhuluma naye ngendlela ozizwa ngayo.
- Uma kunesikhathi ngaphambi kokuthi kuqale ukwelashwa, zama ukwenza izinto ezijabulisayo ngezinwele zakho, vivinya futhi ubandakanye abangani nomndeni.
- Ukugunda izinwele zakho zibe mfushane, noma ukuzishefa kungasiza uma ikhanda lakho lizwela njengoba liqala ukugcwala, futhi kukunika amandla okulawula ukulahlekelwa izinwele zakho.
- Ungamangali uma izinwele zakho zibukeka zihlukile uma zikhula.
