Kodi Kawiri kawiri Kumavuto a Khansa Ndi Chiyani Komwe Kumayambitsa?
Yankho liri ku funso ili ngati khansara ili yopweteka si lophweka ngati inde-kapena-ayi. Anthu ena omwe ali ndi khansa amakhala ndi ululu wambiri, pamene ena amavutika kwambiri. Kodi khansa imayambitsa bwanji ululu ndipo ndi zinthu ziti zomwe zimapangitsa kuti ululu ukhale wowawa? Nchifukwa chiyani ululu wa khansa kawirikawiri umachiritsidwa, ndipo mungachite chiyani kuti inu kapena wokondedwa wanu mulandire ululu wabwino kwambiri ndi zotsatira zocheperako?
Zochitika Zomwe Zimatsimikizira Kuchuluka kwa Matenda a Khansa
Pali mitundu yambiri yomwe imakhudza ngati khansara (kapena mankhwala a khansara) amachititsa ululu, ndi momwe ululu umenewo udzakhalira. Ena mwa awa ndi awa:
- Gawo la Khansara - Pamene khansa ili pachiyambi, anthu ambiri samva ululu. Kwenikweni, ichi ndi chimodzi mwa zifukwa zomwe khansa ena - monga khansa ya pancreatic - imapezeka kuti kokha khansayo ikafalikira ndipo sichikhoza kugwira ntchito ndipo opaleshoni sangathe kuchiza matendawa . Mwachitsanzo, khansara ya m'mawere imawoneka pa mammogram yokha siingayambitse vuto lililonse, pamene siteji ya khansa ya m'mawere ingayambitse ululu waukulu chifukwa cha metastases ya mafupa.
Mtundu wa Khansa - Ena khansa amatha kupweteka kuposa ena, ngakhale ululu ukhoza kuchitika ndi mtundu uliwonse wa khansara.
Kupsyinjika Kwachisoni - Chisoni cha kulekerera chimasiyana kwambiri pakati pa anthu osiyanasiyana, komanso pakati pa malo kapena mitundu yosiyanasiyana ya ululu umene munthu amamva. Kupsyinjika kwachisoni kumatanthawuza ngati kuchuluka kwa ululu womwe munthu angakhoze kuthana asanawonongedwe mwathupi kapena m'maganizo. Phokoso la kupweteka , mosiyana, limatanthauzidwa ngati mfundo yomwe kumverera kumakhala kowawa. Kaya kutengeka kumatanthauzira ngati kupweteka kumatsimikiziridwa ndi maonekedwe a majini, mbiri ya ululu, ndi zochitika zachipatala pakati pa zinthu zina Sizolakwika kapena zolakwika kumva ululu. Kwenikweni, chimodzi mwa zifukwa zomwe anthu amatha kupweteka mankhwala powachiza khansa zomwe zingawathandize kukhala ndi moyo ndi chikhumbo "kukhala wodekha wabwino" ndikuwoneka "olimba.
- Zinthu Zowonjezera Khansara - Sikumva ululu wonse umene anthu omwe ali ndi khansa amakhala nawo chifukwa cha khansa kapena mankhwala a khansa. Mwachitsanzo, wina yemwe ali ndi khansara yamapapo angathenso kumva ululu chifukwa cha matenda a nyamakazi kapena matenda osokoneza bongo .
- Chithandizo cha khansa - Mankhwala ambiri a khansa monga opaleshoni, chemotherapy, ndi mankhwala omwe amachititsa kuti tizilombo tizilombo tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizitha kupweteka. Kumayambiriro kwa khansa, kupweteka chifukwa cha mankhwala kungakhale koipitsitsa kuposa kupweteka kwa khansa yokha.
Kodi Zimakhala Zovuta Kwambiri Kwa Anthu Amene Ali ndi Khansa?
Pamene khansa yayamba, makamaka ma khansa omwe amapezeka pa mayesero oyeza, pangakhale ululu wochepa. Kwa anthu omwe ali ndi khansa yaikulu, komabe, anthu ambiri amamva kupweteka kwambiri panthawi ina paulendo wawo.
Kodi Khansa N'chiyani Chifukwa Chake?
Pali njira zingapo zomwe khansara zimapwetekera. khansa yokha kapena mankhwala. Izi zikuphatikizapo:
- Kukula kwa Kutupa Kumayambitsa Kupanikizika kwa Zapangidwe Zafupi - Khansa ikhoza kupweteka mwa kukanikiza ziwalo ndi mitsempha pafupi ndi chotupacho.
- Metastases - Kufalitsa (metastases) ya khansa kupita kumadera ena a thupi, makamaka mafupa, akhoza kupweteka.
- Zomwe Zidabisika Chifukwa Chomva - Ena mwa khansa amatseka mapuloteni omwe angathe kupweteka. Zitsanzo zimaphatikizapo zina zapirinoplas syndromes zomwe zimawonedwa ndi khansara yaing'ono ya m'mapapo ya kansa ndi kansa ya squamous yamapapu.
- Kupweteka kwa mtima kumakhala ululu waukulu chifukwa cha kupwetekedwa kwa chifuwa cha mitsempha, chifukwa cha chemotherapy (makamaka mankhwala monga Taxol) ndi mankhwala opatsirana. Nkhaniyi ikufotokoza za mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala a chemotherapy .
Nkhaniyi ikufotokoza za mitundu ya mitundu ya khansa .
Kodi Mungatani Kuti Muyankhule Momasuka Ndi Mavuto Anu?
Pali mawu angapo omwe madokotala amagwiritsa ntchito kufotokoza ululu kwa anthu omwe ali ndi khansa.
- Kupweteka kwakukulu kumabwera mofulumira ndipo kumangokhala kanthawi kochepa chabe.
- Kupweteka kosautsa kumapweteketsa kukhalapo 24/7 ndipo kungapitirize masiku, masabata, kapena zaka.
- Kupweteka kwa kupweteka kumamva kupweteka kumene mumamva ngakhale mutakhala ndi vuto la mankhwala opweteka (mwachitsanzo, sikumayang'aniridwa ndi mankhwala opweteka amene mumagwiritsa ntchito.)
- Kupweteka kotchulidwa ndikumva kupweteka komwe kumamveka kudera lakutali kwa magwero enieni a ululu, mwachitsanzo, kumva kupweteka pa ululu.
- Kupweteka kwa ululu ndikumva kupweteka kumene kumachitika m'deralo la thupi lomwe kulibe. Mwachitsanzo, kumverera kupweteka mwendo mwako pambuyo pa kutsekedwa kwa sarcoma , kapena kumva kupweteka mu msomali wako kapena "chifuwa" pambuyo pa vutoli.
Njira zina zomwe zimapweteka ndizo: Kuwopsa - Kodi ululu ulipo pomwepo, kapena ndikumvetsa ululu kwambiri?
- Quality - Kodi ululu umamva bwanji? Kodi ndi achy, lakuthwa, yovunda, kukunkha, kugwa, kapena kuyaka?
- Nthawi zambiri - ululu umachitika kangati, kapena nthawi zonse?
- Malo - Kodi mumamva ululu uti?
- Nchiyani chimapangitsa kuipiraipira ndipo chimapangitsa izo kukhala bwinoko?
- Kodi ululu umakhudza bwanji ntchito zanu za tsiku ndi tsiku?
- Kodi ululu umakhudza bwanji tulo?
Masautso Owawa
Pofuna kumvetsetsa bwino momwe ululu wanu ulili (ndi kuwona momwe mankhwala opweteka ndi mitundu ina ya kupweteka kwapweteka ikugwirira ntchito, madokotala amagwiritsa ntchito mamba akupweteka. Chosavuta cha izi ndikukufunsani momwe mungagwirire kupweteka kwanu pamlingo wa 1 mpaka 10, ndi 1 kukupweteka kumene simukuzindikira, ndipo 10 kumakhala ululu wopweteka omwe mungaganizire. Dziwani zambiri za masautso .
Kusamalira Mavuto a Khansa
Ngakhale anthu ambiri omwe ali ndi sitima ya khansa amawopa chifukwa cha ululu, kuyang'anira ululu - ngakhale kwa anthu omwe ali ndi khansa yapamwamba - yapita patsogolo kwambiri muzaka makumi angapo apitayo. Ambiri mwa anthu omwe ali ndi khansara tsopano angathe kupeza ululu wokwanira wothandizira pakamwa pawo. Izi zinati, madokotala sangathe kuwerenga malingaliro, ndipo amatha kukumana ndi zosowa zothandizira odwala ngati akudziŵa za ululu ndi kuuma kwake. Nkhani yotsatira ikupita mwakuya pa Kugonjetsa Kwaukali kwa Khansa .
N'chifukwa Chiyani Mavuto a Khansa Amagwedezeka?
Kafukufuku amasonyeza kuti munthu wachitatu ndi theka la anthu omwe ali ndi khansa salandira chithandizo chokwanira. Zifukwazi ndi zambiri, koma zina ndizo:
- Kutsata kwa madokotala kulemba mankhwala opweteka a njoka .
- Chikhumbo chokhala wodwala wabwino.
- Kuopa kuledzera - Pamene anthu omwe ali ndi khansa nthawi zambiri amalekerera mankhwala opweteka, kutanthauza kuti pamafunika mlingo waukulu kuti athandizidwe kupweteka, sizingatheke kuti munthu amene ali ndi khansa "ayambe" kumwa mankhwalawa.
- Kupanda mwayi - kwa madokotala kuti athetse ululu, komanso kulipira mtengo wa mankhwala opweteka.
- Opani kuti mankhwala opweteka akugwiritsidwa ntchito tsopano, sangakhale ogwira ntchito "panthawi yomwe mukufunikiradi." (Izi si zoona.)
Zotsatira Zotsatira
Kugwira ntchito mwakhama kuchipatala kungathandize kuti mupeze chithandizo chabwino kwambiri cha ululu wanu komanso zizindikiro zina. Nkhani yotsatira ingakuthandizeni kulemba zizindikiro ndi zofunikira zanu kuti muthe kugawana nawo ndi dokotala wanu.
Breuer, B. et al. Kodi Odwala Amaphunziro a Zamankhwala Amagwira Ntchito Yabwino Motani Katundu wa Khansa Yachilendo? Oncologist . 2015 Jan 12. (Epub patsogolo pa kusindikiza)>
Deandrea, S., Montanari, M., Moja, L., ndi G. Apolone. Kukula kwa chiopsezo cha ululu wa khansa. Kupenda zofalitsa zofalitsidwa. Annals of Oncology . 2008. 19 (12): 1985-91.
Greek, M. et al. Mmene Mungayendetsere Mavuto a Khansa: Zosintha Zosintha Zomwe Akudwala Odwala Amachiritsira Khansa. Journal of Clinical Oncology . 2014. 32 (36): 4149-4154.
Kwon, J. Kugonjetsa zolepheretsa kusamalidwa ndi khansa. Journal of Clinical Oncology . 2014. 32 (16): 1727-33.
National Cancer Institute. Kupweteka Kwazirombo: Thandizo kwa Anthu Amene Ali ndi Khansa. Inapezeka pa 05/22/16. https://www.cancer.gov/publications/patient-education/pain-control