Kusamalirana ndizosavuta kumvetsa komanso nthawi zambiri zosokoneza pofotokoza mtundu wa mankhwala. Anthu afunseni: Kodi kusamalira moyo kumatha? Kodi ndi zofanana ndi chipatala? Kodi chisamaliro chokhalitsa ndi chiyani?
Kusamalidwa ndi mankhwala omwe amathandiza kuthetsa zizindikiro zokhudzana ndi matenda akuluakulu komanso kusintha moyo wa wodwalayo. Mosiyana ndi chikhulupiliro chofala, sizowonongeka.
Mosiyana ndi chisamaliro cha chipatala, chisamaliro chotha msanga chikhoza kuyamba nthawi iliyonse panthawi yodwala kwambiri ndipo panthawi yomwe akudziŵa.
Kusamalidwa kwa Khansa
Kusamalidwa kawirikawiri kumagwiritsidwa ntchito ndi odwala khansa monga mankhwala monga palliative chemotherapy ndi radiliative radiation . Chemotherapy ndi mankhwala omwe amaonedwa kuti ndi "ochepetsetsa" ndi omwe sangathe kuchiza khansa, koma perekani mpumulo wa zizindikiro. Chitsanzo cha izi ndi mayi yemwe ali ndi chotupa cha ubongo omwe amachititsa ululu waukulu komanso masomphenya omwe akusowa mankhwala omwe amawombera poizoni ndi kuchepetsa zizindikiro zake.
Odwala khansa omwe akudwala khansa yothandizira ndiwonso omwe amafunika kuti asamalidwe bwino. Kusamalidwa mwachidwi kumathandiza kuchepetsa mavuto omwe amabwera chifukwa cha khansa, kusanza ndi kusanza , kutopa, kupweteka , ndi kutsekemera ndizochepa chabe zozizwitsa zosamalidwa.
Chisamaliro Chokhalitsa Sichimangokhala Khansa
Matenda ena aakulu angathandizenso ndi kusamalidwa bwino.
Odwala odwala matendawa amatha kupumula m'mimba, kupweteka kwa mpweya (edema), ndi kupuma pang'ono . Odwala omwe ali ndi vuto la chiwindi amatha kulandira chithandizo chokwanira kwa kupweteka kwa m'mimba ndi kutupa, kuyabwa , ndi kunyoza . Odwala omwe ali ndi matenda opuma amatha kuchepetsa kupuma pang'ono ndikukhala ndi moyo wabwino.
Matenda alionse omwe amachititsa kuti wodwala akhale ndi moyo wathanzi akhoza kupindula ndi kusamalidwa bwino.
Ndipo mwinamwake kupindula kwakukulu kwa kusamalidwa bwino? Odwala omwe amalandira chithandizo chamalonda amakhala ndiutali kuposa odwala omwe amalandira chisamaliro choyenera . Ngati odwala angakhale ndi moyo wautali ndi moyo wabwino, bwanji osamalidwa bwino? Zina mwazolakwika chifukwa chisamaliro chokwanira ndi chofanana ndi chisamaliro cha hospice .
Chisamaliro Chokhalitsa Pachilombo Sichili Ngati Matenda Achipatala Ofanana
Thandizo lachipatala ndi njira imodzi yokha yosamalirako yomwe ili yoyenera kwa odwala pamapeto otsiriza a moyo-omwe amakhala ndi moyo wa miyezi isanu ndi umodzi kapena iwiri. Monga chisamaliro cha palliative, chisamaliro cha odwala chimapangidwa kuti chichotsere zizindikiro ndi kusintha ubwino wa moyo , koma chipatala chimangokhala kwa odwala omwe akudwala.
Kusamalidwa kungaperekedwe mosasamala kanthu ka nthawi ya moyo. Kusamalidwa kungayambire kumayambiriro kwa matenda a wodwalayo momwe kuli kofunikira kuti athetse zizindikiro ndi kusintha ubwino wa moyo.
Zolinga Zosamalidwa Zokwanira
Cholinga cha chisamaliro chokhalitsa ndikumangokhalira kuthetsa mavuto ndikupangitsa kuti moyo ukhale wabwino. Zolinga zinanso zimachokera ku zokhumba za wodwala powalumikizana ndi gulu la chisamaliro chothandizira.
Kusamalirana ndikumangoganizira zambiri osati kungoyamba kudwala. Kusamalirana kumatanthauzanso kuvutika maganizo komanso zosowa za uzimu.
Gulu Lothandizira Pagulu
Kusamalidwa kawirikawiri kumachitika ndi gulu la akatswiri omwe angathe kuthana ndi mavuto osiyanasiyana. Gululo lingaphatikizepo:
- Madokotala osamalidwa bwino
- Anamwino wothandizira odwala opaleshoni
- Anamwino
- Othandiza anthu
- Amunawa
- Achipatala (ntchito, kulankhula, thupi, ndi zina)
Mmodzi wofunika kwambiri mu gulu la chisamaliro cha palliative ndiwe. Kusamalidwa bwino kumayenera kukwaniritsa zolinga zanu. Ndi udindo wanu ngati wodwalayo wodwalayo kuti mupange zolinga zanu ndi chisamaliro chanu kuti zidziwe.
Zotsatira:
Jennifer S. Temel, MD, ndi al. "Kumayambiriro Koyamwitsa kwa Odwala Odwala Matenda Osakaniza Amtundu Wambiri Wachilendo" New England Journal of Medicine. N Engl J Med 2010; 363: 733-742.
Phillip D. Good, John Cavenagh, Peter J. Ravenscroft. "Kupulumuka pambuyo polembetsa mu ndondomeko ya chisamalidwe cha Australia". Journal of Pain and Symptom Management 2004; 27: 4 Masamba 310-315.