Ukwelashwa ngamakhemikhali

Isebenza kanjani iChemotherapy elwa neCancer?

I-Chemotherapy isebenza ngokumisa noma ukunciphisa ukukhula kwamangqamuzana omdlavuza, akhula ahlukane ngokushesha. I-Chemotherapy isetshenziselwa:

• Phatha umdlavuza
  I-Chemotherapy ingasetshenziselwa ukwelapha umdlavuza, inciphise ithuba lokuthi izobuya, noma imise noma inciphise ukukhula kwayo.
• Nciphisa izimpawu zomdlavuza
  I-Chemotherapy ingasetshenziselwa ukunciphisa izicubu ezibangela ubuhlungu nezinye izinkinga.

Ubani owamukela ukwelashwa ngamakhemikhali?

I-Chemotherapy isetshenziselwa ukwelapha izinhlobo eziningi zomdlavuza. Kwabanye abantu, ukwelashwa ngamakhemikhali kungaba yindlela kuphela yokwelashwa oyitholayo. Kepha kaningi, uzoba nokwelashwa ngamakhemikhali nokunye ukwelashwa komdlavuza. Izinhlobo zokwelashwa ozidingayo zixhomeke ohlotsheni lomdlavuza onawo, uma ususabalele nokuthi ukuphi, futhi uma unezinye izinkinga zempilo.

I-chemotherapy isetshenziswa kanjani nezinye izindlela zokwelapha umdlavuza?

Uma isetshenziswa nezinye izindlela zokwelapha, i-chemotherapy inga:

• Yenza isimila sibe sincane ngaphambi kokuhlinzwa noma ukwelashwa ngemisebe. Lokhu kubizwa nge-neoadjuvant chemotherapy.
• Bhubhisa amangqamuzana omdlavuza angahlala ngemuva kokwelashwa ngokuhlinzwa noma ngemisebe. Lokhu kubizwa ngokuthi yi-adjuvant chemotherapy.
• Siza ezinye izindlela zokwelapha zisebenze kangcono.
• Bulala amangqamuzana omdlavuza abuyile noma asabalala kwezinye izingxenye zomzimba wakho.

I-Chemotherapy ingadala imiphumela emibi

I-Chemotherapy ayibulali nje kuphela amangqamuzana omdlavuza akhula ngokushesha kodwa futhi ibulala noma ibambezele ukukhula kwamaseli aphilile akhula futhi ahlukane ngokushesha. Izibonelo ngamaseli ahambisana nomlomo namathumbu akho nalawo akhulisa izinwele zakho. Ukulimala kwamaseli aphilile kungadala imiphumela emibi, njengezilonda zomlomo, isicanucanu nokulahleka kwezinwele. Imiphumela emibi ivame ukuba ngcono noma ihambe ngemuva kokuqeda i-chemotherapy.

Umphumela ojwayelekile kakhulu ukukhathala, okuzizwa ukhathele futhi kugugile. Ungalungiselela ukukhathala ngo:

• Ukucela umuntu ukuthi akushayele futhi abuye ngamakhemikhali
• Ukuhlela isikhathi sokuphumula ngosuku nangemva kokwelapha ngamakhemikhali
• Ukucela usizo ngokudla nokunakekela izingane ngosuku futhi okungenani ngosuku olulodwa ngemuva kokwelapha ngamakhemikhali

Kunezindlela eziningi ongasiza ngazo ukuphatha imiphumela emibi ye-chemotherapy. Ngeminye imininingwane, bona isigaba semiphumela emibi.

Ingakanani i-chemotherapy?

Izindleko zamakhemikhali zincike ku:

• Izinhlobo nemithamo ye-chemotherapy esetshenzisiwe
• Kunikezwa isikhathi esingakanani futhi kangaki i-chemotherapy
• Noma ngabe uthola i-chemotherapy ekhaya, emtholampilo noma ehhovisi, noma ngesikhathi sokuhlala esibhedlela
• Ingxenye yezwe lapho uhlala khona

Khuluma nenkampani yakho yomshuwalense wezempilo ngokuthi izokhokhela ziphi izinsizakalo. Izinhlelo eziningi zomshuwalense zikhokhela i-chemotherapy. Ukuze ufunde kabanzi, khuluma nehhovisi lebhizinisi lapho uya khona ukuze uthole ukwelashwa.

I-chemotherapy inikezwa kanjani?

I-Chemotherapy inganikezwa ngezindlela eziningi. Ezinye izindlela ezivamile zifaka:

• Oral
  I-chemotherapy iza ngamaphilisi, amaphilisi, noma iziphuzo ozigwinyayo
• Ngomjovo (IV)
  I-chemotherapy iya ngqo emthanjeni
• Injection
  I-chemotherapy inikezwa ngokudutshulwa emisipheni engalweni, ethangeni, noma enqulwini, noma kwesokudla ngaphansi kwesikhumba engxenyeni enamafutha yengalo, umlenze, noma isisu sakho
• I-Intrathecal
  I-chemotherapy ijojowe esikhaleni esiphakathi kwezendlalelo zezicubu ezihlanganisa ubuchopho nomgogodla
• I-Intraperitoneal (IP)
  I-chemotherapy iya ngqo emgodini we-peritoneal, okuyindawo esemzimbeni wakho equkethe izitho ezifana namathumbu akho, isisu nesibindi
• I-Intra-arterial (IA)
  I-chemotherapy ijojowe ngqo emthanjeni oholela kumdlavuza
• Isihloko
  I-chemotherapy ifika kukhilimu owugcoba esikhunjeni sakho

I-Chemotherapy ivame ukunikezwa ngenaliti encane efakwa emthanjeni esandleni sakho noma engalweni engezansi. Umhlengikazi wakho uzofaka inaliti ekuqaleni kokwelapha ngakunye futhi akususe lapho ukwelashwa sekuphelile. I-IV chemotherapy nayo inganikezwa ngama-catheters noma amachweba, kwesinye isikhathi ngosizo lwepompo.

• I-Catheter
  Ipayipi lokuhambisa ipayipi liyishubhu ezacile, ethambile. Udokotela noma umhlengikazi ubeka umkhawulo owodwa we-catheter emthanjeni omkhulu, kaningi endaweni yakho yesifuba. Omunye umkhawulo we-catheter uhlala ngaphandle komzimba wakho. Ama-catheters amaningi ahlala endaweni uze uqede imishanguzo yakho yokwelashwa ngamakhemikhali. Ama-catheters nawo angasetshenziselwa ukukunikeza ezinye izidakamizwa nokuthola igazi. Qiniseka ukuthi ubheka izimpawu zokutheleleka ezungeze i-catheter yakho. Bheka isigaba mayelana nokutheleleka ukuthola eminye imininingwane.
• Port
  Imbobo iyi-disc encane, eyindilinga ebekwa ngaphansi kwesikhumba sakho ngesikhathi sokuhlinzwa okuncane. Udokotela ohlinzayo uyibeka endaweni ngaphambi kokuba uqale indlela yakho yokwelashwa, futhi ihlala lapho uze uqede. Ipayipi lixhumanisa itheku nomthambo omkhulu, imvamisa esifubeni sakho. Umhlengikazi wakho angafaka inaliti echwebeni lakho ukukunikeza i-chemotherapy noma ukudweba igazi. Le naliti ingashiywa endaweni yokwelashwa ngamakhemikhali anikezwa isikhathi esingaphezu kosuku olulodwa. Qiniseka ukuthi ubheka izimpawu zokutheleleka ezungeze itheku lakho. Bheka isigaba mayelana nokutheleleka ukuthola eminye imininingwane.
• Pump
  Amaphampu avame ukunamathiselwa kuma-catheters noma emachwebeni. Zilawula ukuthi i-chemotherapy ingakanani futhi ishesha kangakanani ipayipi noma ichweba, ikuvumela ukuthi uthole i-chemotherapy yakho ngaphandle kwesibhedlela. Amaphampu angaba ngaphakathi noma ngaphandle. Amaphampu angaphandle ahlala ngaphandle komzimba wakho. Amaphampu angaphakathi afakwa ngaphansi kwesikhumba sakho ngesikhathi sokuhlinzwa.

Ngabe udokotela unquma kanjani ukuthi yimiphi imishanguzo yokwelashwa ngamakhemikhali okufanele akunike yona?

Kunezinhlobo eziningi zemithi yokwelashwa ngamakhemikhali ehlukahlukene. Yikuphi okufakiwe kuhlelo lwakho lokwelashwa kuncike kakhulu ku:

• Uhlobo lomdlavuza onalo nokuthi luthuthuke kangakanani
• Kungakhathaliseki ukuthi uke waba ne-chemotherapy ngaphambili
• Kungakhathaliseki ukuthi unezinye izinkinga zempilo, njengesifo sikashukela noma isifo senhliziyo.

Ungaya kuphi ngamakhemikhali?

Ungathola i-chemotherapy ngesikhathi uhlala esibhedlela, ekhaya, noma njengesiguli esingalaliswa ehhovisi likadokotela, emtholampilo noma esibhedlela. Ukuphulukiswa kweziguli kusho ukuthi awuhlali ubusuku bonke. Akunandaba ukuthi uya kuphi ngamakhemikhali, udokotela wakho nomhlengikazi bazobheka imiphumela emibi futhi bakusize ukuyilawula. Ngeminye imininingwane ngemiphumela engemihle nokuthi ungayilawula kanjani, bona isigaba semiphumela emibi.

Uthola kangaki i-chemotherapy?

Amashejuli okwelashwa kwe-chemotherapy ahluka kakhulu. Ukuthola i-chemotherapy kangaki futhi isikhathi esingakanani kuya ngokuthi:

• Uhlobo lwakho lomdlavuza nokuthi luthuthuke kangakanani
• Noma ngabe i-chemotherapy isetshenziselwa:
  • Yelapha umdlavuza wakho
  • Lawula ukukhula kwayo
  • Izimpawu zokunciphisa
• Uhlobo lwe-chemotherapy olutholayo
• Indlela umzimba wakho uphendula ngayo ekhemotherapy

Ungathola i-chemotherapy ngemijikelezo. Umjikelezo isikhathi sokwelashwa ngamakhemikhali okulandelwa isikhathi sokuphumula. Isibonelo, ungathola i-chemotherapy nsuku zonke isonto elilodwa kulandelwe amasonto amathathu ngaphandle kwe-chemotherapy. Lawa masonto ama-1 akha umjikelezo owodwa. Isikhathi sokuphumula sinikeza umzimba wakho ithuba lokululama nokwakha amangqamuzana amasha enempilo.

Uphuthelwe ukwelashwa ngamakhemikhali

Kungcono ukweqa ukwelashwa ngamakhemikhali. Kepha, kwesinye isikhathi udokotela wakho angashintsha uhlelo lwakho lwe-chemotherapy uma unemiphumela ethile emibi. Uma lokhu kwenzeka, udokotela wakho noma umhlengikazi uzokuchazela okufanele ukwenze nokuthi uqale nini ukwelashwa futhi.

I-chemotherapy ingakuthinta kanjani?

I-Chemotherapy ithinta abantu ngezindlela ezahlukene. Indlela ozizwa ngayo incike ku:

• Uhlobo lwe-chemotherapy olutholayo
• Umthamo we-chemotherapy owutholayo
• Uhlobo lwakho lomdlavuza
• Umdlavuza wakho usuthuthuke kangakanani
• Ungumqemane kangakanani ngaphambi kokwelashwa

Njengoba wonke umuntu ehlukile futhi abantu baphendula ekhemotherapy ngezindlela ezahlukahlukene, udokotela wakho nabahlengikazi abakwazi ngokuqinisekile ukuthi uzozizwa kanjani ngesikhathi se-chemotherapy.

Ngizokwazi kanjani uma i-chemotherapy yami iyasebenza?

Uzobona udokotela wakho kaningi. Ngesikhathi sokuvakasha, uzokubuza ukuthi uzizwa kanjani, wenze ukuhlolwa komzimba, futhi u-ode izivivinyo zezempilo kanye nokuskena. Ukuhlolwa kungafaka ukuhlolwa kwegazi. Izikrini zingabandakanya ukuskena kweMRI, CT, noma kwePET.

Awukwazi ukusho ukuthi i-chemotherapy isebenza ngokuya ngemiphumela yayo emibi. Abanye abantu bacabanga ukuthi imiphumela emibi kakhulu isho ukuthi i-chemotherapy isebenza kahle, noma ukuthi ayikho imiphumela emibi echaza ukuthi i-chemotherapy ayisebenzi. Iqiniso ukuthi imiphumela emibi ayihlobene nokuthi i-chemotherapy ilwa kanjani nomdlavuza wakho.

Ukudla okukhethekile ngesikhathi se-chemotherapy

Ukwelashwa ngamakhemikhali kungalimaza amaseli anempilo agudle umlomo wakho namathumbu futhi kudale izinkinga zokudla. Tshela udokotela noma umhlengikazi wakho uma unenkinga yokudla ngenkathi uthola i-chemotherapy. Ungakuthola futhi kuwusizo ukukhuluma nengcwethi ekudleni. Ukuthola eminye imininingwane ngokubhekana nezinkinga zokudla bheka incwajana ethi Eating Hints noma isigaba semiphumela engemihle.

Ukusebenza ngesikhathi se-chemotherapy

Abantu abaningi bangasebenza ngesikhathi se-chemotherapy, inqobo nje uma befanisa uhlelo lwabo lomsebenzi nokuthi bazizwa kanjani. Ukuthi ungasebenza noma cha kungancika ohlotsheni lomsebenzi onawo. Uma umsebenzi wakho ukuvumela, ungahle uthande ukubona ukuthi ungakwazi yini ukusebenza itoho noma ekhaya ngezinsuku ongazizwa kahle ngazo.
Abaqashi abaningi kudingeka ngokomthetho ukuthi bashintshe uhlelo lwakho lomsebenzi ukuhlangabezana nezidingo zakho ngenkathi welashwa umdlavuza. Khuluma nomqashi wakho ngezindlela zokulungisa umsebenzi wakho ngesikhathi se-chemotherapy. Ungafunda kabanzi ngale mithetho ngokukhuluma nosonhlalakahle.

Ungayilungiselela kanjani i-chemotherapy?