Zinthu 9 Zomwe Muyenera Kuziganizira Pakusankha Kuchepetsa Chithandizo cha Khansa
Kawirikawiri ndi khansa, anthu amafika pamene akufunikira kusankha ngati angapeze chithandizo china kapena m'malo mwa chisamaliro chokha. Awa ndi chisankho cholimbikitsa chomwe chimafuna kulingalira mosamala.
Mosiyana ndi kale pamene anthu amangotaya njira zothandizira chithandizo, chisankho choyambanso chithandizo china chimagwera pa munthu yemwe ali ndi khansara ndi okondedwa ake.
Ichi ndi chizindikiro chabwino kwambiri pankhani ya chithandizo cha khansa, koma zovuta kwambiri kwa anthu omwe ali ndi khansa.
Kodi muyenera kudziwa chiyani pa nkhani yopanga chisankho, ndipo ndi zinthu ziti zomwe muyenera kuganizira musanayankhe inde kapena ayi kuchipatala?
Kusankha Kusankha Kuchiza Khansa
Zaka zapitazo ife tinalibe zambiri zoti tipereke anthu okhala ndi magawo apamwamba a khansa; ngati chotupa sichingakhoze kuchotsedwa opaleshoni panali zochepa zomwe mungasankhe. Mwamwayi tikukhala mu nthawi yomwe mankhwala ochizira monga chemotherapy alipo omwe angathe kupititsa patsogolo moyo kapena kusintha zizindikiro za anthu ena omwe ali ndi khansa ya metastatic. Komabe ndi zosankha zimabweretsa vuto lina. Ndi liti pamene muyenera kusiya mankhwala? Kodi mwafika liti pamene moyo wanu ungakhale wabwino popanda chithandizo?
Musanapitirize, ndizofunika kudziwa zomwe anthu ambiri amakhulupirira zokhudza zotsatira za mankhwala ndi khansa ya siteji 4.
(Izi zikutanthauza ziwalo zolimba monga khansa ya m'mapapo ndi kansa ya m'mawere, osati khansa yokhudzana ndi magazi monga khansa ya m'magazi ndi maimphnasi.) Pamene mankhwala a chemotherapy amaperekedwa kwa anthu omwe ali ndi gawo la khansa cholinga chake nthawi zambiri chimakhala chokhalitsa . Mankhwalawa angapangitse moyo kwa milungu ingapo kapena miyezi ingapo ndipo akhoza kusintha zizindikiro zokhudzana ndi kukula kwa khansa, koma ndizo osati kuperekedwa ndi cholinga chochiza khansa.
Kafukufuku wina anapeza kuti 69 peresenti ya anthu omwe ali ndi khansa ya m'magazi 4 ndi 81 peresenti ya anthu omwe ali ndi khansa ya pamtunda 4 sanamvetsetse kuti mankhwala a chemotherapy sakanatha kuchiza khansa yawo.
Kupanga chisankho choletsa mankhwala opatsirana khansa kungakhale kowawa kwambiri m'maganizo. Zoterezi, zikhoza kukhala nthawi mu moyo wanu pamene mukufuna thandizo la okondedwa anu kwambiri. Izi zikuti, banja lanu ndi abwenzi akukumana ndi chisoni chomwe chingathe kubwereketsa kufupikitsa pang'ono. Kuphatikiza apo, banja lanu ndi abwenzi angakhale ndi maganizo kapena zikhulupiriro zosiyana ndi inu, zomwe zingayambitse mkangano pakati pa inu ndi okondedwa anu komanso pakati pa abwenzi anu ndi abwenzi. Ndi zinthu zina ziti zomwe muyenera kuziganizira pamene mukupanga chisankho chokhumudwitsa mtima?
Ndilo Lamulo Lanu
Anzanu ndi achibale anu angapereke malingaliro awo, koma pamapeto pake ndilo lingaliro lanu ngati musapitirire chithandizo kapena musapitirire kuchipatala Maganizo amatha kuthamanga kwambiri ngati zilakolako zanu zikusemphana ndi za okondedwa anu. Muyenera kuwalimbikitsa mwachikondi abwenzi anu kuti mukudziwa kuti zomwe mukupanga sizomwe angapange-ndipo ndizo zabwino. Ngati muli owona nokha, okondedwa anu adzakuthandizani nthawi.
Kuwongolera zosankha ndi kulingalira za zoopsa ndi zothandiza (onani m'munsimu) zingapereke "umboni" zomwe sizidzangokuthandizani kuti mukhale omasuka pazomwe mumasankha komanso kuthandizanso okondedwa anu kumvetsa malingaliro anu.
Kuchiza Kuchiza Sikutanthauza Kuti Mukupereka
Kawirikawiri anthu omwe ali ndi khansa yapamwamba-ndipo nthawi zina am'banja lawo-amawona chitsimikizo chosiya mankhwala monga "kusiya." Kuyang'ana pa zochitika zochepa chabe kumayambitsa mfundo iyi kunyumba. Anthu amatamandidwa chifukwa "akumenya nkhondo yolimba ndi khansa." Kusankha kuleka mankhwala okhudzana ndi khansa sikukutanthauza kuti mukusiya.
M'malo mwake, ndi kusankha mwakhama kuti mukhale ndi moyo masiku anu otsiriza momwe mukufunira kuzikhala.
Kuletsa Kuchiza Khansa Sikutanthauza Kutseka ZONSE Zochizira
Kusankha kusiya mankhwala okhwima kwa khansara sikukutanthauza kuti muyenera kusiya mankhwala onse. Ndipotu, kusinthiratu chithandizo cha mankhwala poyendetsa zizindikiro kumapangitsa kuti mukhale omasuka kwambiri.
Banja: Kulowera mu Zovala Zina
Nthawi zambiri timamva za anthu a m'banja lathu amene amakhumudwa kuti wokondedwa wawo wasankha kuti asapitirizebe kuchipatala. Ndikofunika kuti okondedwa azindikire kuti zomwe angadzipange okha zikhoza kukhala kutali kwambiri ndi zomwe wokondedwa wawo akufuna ndi zolakalaka. Monga momwe ife tiri ndi malingaliro okhudza mtundu wathu wokonda mitundu kapena masewera a masewera, aliyense adzakhala ndi lingaliro losiyana pa nthawi yoti asiye mankhwala ochiritsira.
Poganiza kuti muli ndi zambiri zokwanira kuti mupange chisankho chophunzitsidwa (mwachitsanzo kudziwa zonse zomwe mungasamalire) ndizofunika kuti okondedwa anu azilemekeza ulemu wanu.
Ngati wokondedwa wanu sakuvutika, muloleni adziwe kuti mumalemekeza maganizo ake. Zingamuthandize kuti atenge kamphindi ndikuyesera kulowa mu nsapato zako. Komabe izi zingakhale zovuta. Nthawi zambiri timasintha malingaliro athu pa zomwe tingachite panthawi yomwe ifeyo tikukumana nawo. Okondedwa anu angakhalenso akukumana ndi chisoni choyembekezereka , ndipo mosamvetsetsa mukuwona chirichonse chomwe chingakupangitseni kukhala moyo ngati njira yochepetsera chisoni cha imfa.
Kupenda Zosankha
Kupeza nthawi yowunika njira zonse zomwe mungasamalire kungakuthandizeni kuti mukhale omasuka pakupanga chisankho chanu. Ngakhale mutamva kuti kuletsa chithandizo ndibwino kwa inu, zosankha zowonjezera zingakuthandizeni kufotokozera zosankha zanu kwa okondedwa omwe amasiyana maganizo awo. Mungayambe mwa kufunsa wanu oncologist kuti alembe zonse zomwe mungathe kuti muzisamalire, kuphatikizapo zomwe zingaperekedwe kokha ku malo ena a khansa kapena mdziko lina. Mwinanso mungakonde kufufuza mayesero a chipatala omwe angakhalepo pazochitika zanu. Pali ziwerengero zochepa zomwe zikulembetsa mayesero a zachipatala kuzungulira dziko lonse lapansi, kuphatikizapo mafananidwe omwe athandizi amatha kuyendetsera mayesero aliwonse omwe alipo.
Makhalidwe Abwino: Mapindu Okulingalira vs Zotsatira Zotsatira za Chithandizo
Kawirikawiri sanyalanyazidwa, koma sitepe yofunika kwambiri ndiyo kufufuza phindu limene mungalandire kuchokera kuchipatala motsutsana ndi zotsatira zake. Ndikofunika kuti mukhale ndi oncologist wanu mosamalitsa zomwe amakhulupirira kuti phindu la chithandizo lidzakuthandizani, pokhapokha mutha kukhala ndi moyo wotalika komanso mukuteteza zizindikiro zanu. Phindu limeneli lingakhoze kulemedwa ndi zotsatira zowopsa za mankhwalawa.
Monga tanenera kale, anthu ambiri omwe ali ndi khansa ya pakhungu 4 ndi khansa sakudziwa kuti chemotherapy sichikanatha kuchiza khansa yawo. Chodabwitsa n'chakuti madokotala omwe odwala amati ndi opambana poyankhulana ndiwonso omwe sanafotokoze kuti chemotherapy sichiperekedwa pofuna kuyesa matenda. Zingakuthandizeni kukhala pansi ndi okondedwa anu ndi gulu lanu lachipatala ndikulemba mndandanda wa zopindulitsa ndi zowonongeka.
Fufuzani ndi Kukulitsa Zomwe Mukhulupirira Mwauzimu
Zingakhale zothandiza kuyang'ana zikhulupiliro zanu zauzimu pamene mukusankha. Ngati mumakhulupirira kwambiri kuti munthu akafa pambuyo pake, chiganizo chosiya mankhwala chingakhale chosavuta. Mosiyana, ngati mukulimbana ndi zomwe zimachitika thupi likafa zingakhale zothandiza kulankhula ndi abusa anu, ansembe anu, rabbi wanu, kapena atsogoleri ena auzimu. Kafukufuku wowerengeka ndi khansa ya m'mapapo, anthu omwe amadziona kuti ali ndi uzimu wopambana (ngati amatanthauza kupezeka pazipembedzo kapena kulankhulana ndi chilengedwe) anapeza kuti kosavuta kulimbana ndi khansa yawo komanso kukhala ndi moyo wabwino.
Kusunga Chiyembekezo
Anthu ambiri amaopa kuti kusiya chithandizo ndikofanana ndi kusiya chiyembekezo. Kuchetsa chithandizo sikukutanthauza kuti mukusiya kupita kwa chiyembekezo. M'malo mwake, zikutanthauza kulemekeza chiyembekezo chanu chokhala ndi nthawi yabwino ndi banja lanu komanso kukhala omasuka masiku omwe mwatsala.
Zotsatira Zotsatira Ngati Mukusankha Kuwonjezera Chithandizo
Kusunga chithandizo si chinthu chofanana ndi hospice, koma chisamaliro cha odwala chimagwiritsidwa ntchito masiku otsiriza ndi miyezi ya moyo. Pokambirana za kusiya mankhwala ndi oncologist wanu ndi nthawi yabwino yokambirana za malangizo oyendetsera chithandizo, chisamalidwe chapakati, ndi chisamaliro cha odwala .
Mwinamwake mukudabwa zomwe ziri patsogolo, ndipo mumayike kufunsa. Mungafune kudziwa zambiri zomwe muyenera kuyembekezera m'magulu omaliza a kansa ya m'mapapo .
Pansi pa Kusankha Kusankha Kuchiza Mankhwala a Khansa
Popeza pali njira zambiri zamankhwala zothandizira khansa kusiyana ndi kale, anthu omwe amakhala ndi khansa komanso okondedwa awo nthawi zambiri amafunika kusankha nthawi yothetsera mankhwala. Mwatsoka, madokotala nthawi zambiri amakayikira kufotokoza nkhaniyi.
Kusankha kuleka chithandizo cha khansa yogwira ntchito ndi chisankho chaumwini, ndipo palibe amene angakupange chisankho. Tinakambirana zinthu zingapo zomwe tiyenera kuganizira musanapange chisankho chovuta, koma nthawi zambiri matumbo anu adzakuuzani nthawi yake. Kumbukirani kuti kusankha kuleka chithandizo sikuleka. M'malo mwake, ndikupanga chisankho chosangalatsa kuti muzisangalala ndi masiku omwe muli nawo.
> Zotsatira:
> Laarhoven, H., Henselmans, I., ndi J. de Haes. Kuchiza kapena Osayenera Kuchita: Ndani Ayenera Kusankha? . Oncologist . 2014. 19 (4): 433-436.
> National Library of Medicine. Medline Plus. Pamene Chithandizo cha Khansa Yanu Imasiya Ntchito. Kusinthidwa 09/05/17. https://medlineplus.gov/ency/patientinstructions/000851.htm
> Mlungu, J. et al. Odwala Akuyembekezera Zotsatira za Chemotherapy kwa Khansa Yapamwamba. The New England Journal of Medicine . 2012. 367: 1616-25.