Kodi cholinga cha Palliative Chemotherapy n'chiyani?
Kodi palliative chemotherapy ndi nthawi yanji yomwe iyenera kugwiritsidwa ntchito? Kodi muli ndi zolinga zotani mu chithandizo cha khansa yamapapo ? Kodi zotsatira za mankhwalawa ndi zotani, ndipo ndi mafunso ati omwe muyenera kufunsa?
Kulimbitsa thupi Chemotherapy - Tanthauzo
Mankhwala opatsirana amaphatikiza mankhwala omwe amathandiza kuthetsa zizindikiro za khansara, koma osati pofuna kuchiritsa khansa kapena kupititsa patsogolo moyo.
Ndikofunika kumvetsetsa cholinga cha chemotherapy choperekedwa motere. Kafukufuku waposachedwa wagwira kuti odwala ambiri omwe ali ndi kansa ya kansa ya IV sanapatsidwe chidziwitso chomveka bwino ndipo sanamvetse bwino cholinga cha chemotherapy choperekedwa ndi njirayi. Anthu ambiri amakhulupirira kuti iwo adzakhala "osiyana" ndipo mwinamwake chemotherapy idzawapatsa mwayi wopulumuka nthawi yayitali.
Ngakhale kuti malingalirowa amabweretsa chiyembekezo, ngati pali chithandizo cha mankhwala kuti chiwonjezere kupulumuka kapena mwayi wochuluka kuti ungachiritse khansara, wanu wa oncologist adzagawana nanu. Zingakhale zomvetsa chisoni kwambiri kuti azindikire kuti mankhwala alibe mwayi wapadera wochiza khansara kwa anthu ena, koma kudziwa izi kutsogolo kungakuthandizeni kupanga ophunzira kwambiri ndi osankha.
Pamene mukuganizira chisankho ichi, nkofunikanso kuyankhula ndi wanu oncologist zokhudzana ndi zomwe zachitika posachedwapa zomwe zikuwonetsa kuti mankhwala othandizira kwambiri amatha kukhala oipa kwambiri.
Mankhwala ambiri azachipatala, khansara iliyonse ndi yosiyana ndipo munthu aliyense ndi wosiyana, kotero chiŵerengero sichinali chofunikira kwambiri pakuganizira za chithandizo chako.
Zolinga za Chithandizo
Zingakhale zosokoneza kulankhula za mankhwala pa siteji iyi ya khansa, kotero tiyeni tiwerenge zolinga zonse za mankhwala oyamba.
Zolinga izi ndizo:
- Mankhwala othandiza - Mankhwalawa amachitidwa pofuna kupewa matenda kapena zovuta za matenda
- Mankhwala opatsirana - Mankhwalawa amachitika ndi chiyembekezo chochiza matenda
- Chithandizo chochitidwa kuti chikulitse moyo - Chithandizo chochitidwa kuti chikulitse moyo chikuchitika ndi cholinga chokhalitsa khansa ya nthawi yaitali (ngakhale yaitali)
- Kusamalira Matenda - Mankhwala othandizira odwala matenda a matenda angapangidwe kuti asinthe kapena asinthe zina mwa zizindikiro zokhudzana ndi matenda
- Kuchepetsa kupweteka - Kupweteka kwambiri, monga tafotokozera pamwambapa, kumachitika ndi cholinga cholamulira ndi kuyembekezera kuthetsa zizindikiro za khansara kuti mukhale ndi moyo wabwino
Zolinga za Palliative Chemotherapy
Pofuna kunena za mankhwala othandizira odwala matendawa, chofunikira kwambiri kumvetsa cholinga chenicheni cha mankhwala anu monga taonera pamwamba ndikuonetsetsa kuti simukuganiza - kapena kuyembekezera - zotsatira zomwe sizigwirizana ndi mtundu uwu wa chithandizo. Chitsanzo chingathandize kufotokoza izi. Ngati dokotala wanu akunena kuti mankhwalawa ndi othandizira kwambiri koma mukuyembekezerabe kuchiza, muyenera kukambirana. Kodi pali njira zomwe zilipo zomwe zingagwirizane ndi njira imeneyo? Mwina iye amadziwa za chigamulo choyamba chachipatala - chiyeso chimene mankhwala akuyamba kuphunzira pa anthu - omwe angapereke mpata wochiritsidwa, koma ali ndi chiopsezo chachikulu kapena chomwe chingawononge moyo wanu?
Ndi khansa yamapapu, pakalipano pali mayesero ambiri am'chipatala akuyang'ana njira zochiritsira zochiritsira zomwe zingathe - ngakhale sitikudziwa kwenikweni - kukhala njira yabwino kwambiri yomwe mukukhudzidwira ndi njira yothetsera kuchipatala.
Ngati muli ndi mankhwala othandizira kuti mukhale ndi vutoli, ganizirani zolinga za mankhwalawa. Chemotherapy yothandizira amapangidwa kuti:
- Kuthandizani Zizindikiro - Pochepetsa kukula kapena kufalikira, koma osati kuthetsa chotupa, mankhwala opatsirana angagwiritsidwe ntchito pofuna kusintha zizindikiro za khansa. Zitsanzo za zizindikiro zomwe zingapangidwe motero zimapweteka chifukwa cha chotupa chokankhira pamagulu osiyanasiyana m'thupi, kapena mpweya wochepa umene umayambitsa chotupa kapena kutaya malo ambiri m'mapapo.
- Kuwonjezeka Kwambiri kwa Khansa - Nthawi zina mankhwala ophera tizilombo amatha kuchepetsa kukula kwa khansa ndi kukulitsa moyo, ngakhale kuti sichizachiza khansa. Lankhulani ndi wanu oncologist ngati izi ziri zotheka, kotero ngati sizikuwoneka, simudzakhumudwa.
- Kupititsa patsogolo umoyo wa moyo - Pochepetsa zizindikiro monga kupweteka ndi kupuma pang'ono, mankhwala opatsa mphamvu amatha kukhala bwino komanso moyo wabwino.
Mafunso Ofunsa:
Pogwiritsa ntchito chisankho chovuta, zingathandize kufunsa mafunso enaake. Mungafune kupita pazndandanda (ndi mafunso omwe mukuwonjezera) ndi anu oncologist, komanso ndi okondedwa anu. Pamene mukuyankha mafunsowa ndikofunika kuti muganizire zomwe zili zabwino kwa inu nokha. Ambiri ammudzi amakhala ndi malingaliro osiyana ndipo angasankhe njira yosiyana ngati iwo ndi osasankha. Mvetserani zomwe banja lanu likunena ndi kulingalira malingaliro awo, koma pangani chisankho chomwe chimalemekeza malingaliro anu ndi zikhulupiriro zanu pa zosowa zanu ndi zikhumbo zanu. Taganizirani mafunso awa.
- Kodi ndikuyembekeza kuti mankhwalawa adzatalikitsa kupulumuka kwanga?
- Kodi pali mwayi woti mankhwala a chemotherapy angafupikitse moyo wanga?
- Kodi zotsatira zowopsa zomwe ndingapezeko kuchokera ku chemotherapy ndi zizindikiro zomwe tikuyesera kuthetsa?
- Kodi nthawi zambiri anthu amamva bwanji mankhwalawa?
- Kodi mankhwalawa amatanthauza chiyani kwa ine? Kodi mtengo wake ndi wotani? Kodi ndiyenera kupita kuchipatala?
- Kodi ndidziwe bwanji posachedwa ngati zikupanga kusiyana?
- Ngati ndasankha kutenga mankhwala othandizira ena, kodi zingandilepheretse kukhala pulogalamu yachipatala?
- Ngati ndikusankha mankhwala ochepetsa mankhwalawa, kodi zikhoza kundiletsa ngati mayesero a kachipatala alipo ?
Kuletsa Kuchiza Khansa
Kusankha kusamalitsa khansa ndizovuta kwambiri, ndipo nthawi zambiri kumabweretsa mikangano komanso kumapweteka, ngati okondedwa ndi banja sagwirizana kapena akutsatirani pazinthu zotsatirazi. Onani zinthu izi 9 zomwe muyenera kuziganizira posankha kuletsa khansa .
Zotsatira:
Audrey, S. et al. Kodi akatswiri oncologists amauza odwala za momwe angapindulitsire mankhwala opatsirana pogwiritsa ntchito mankhwala othandiza kuti munthu asamadziwe bwino? British Medical Journal . 2008. 337: .752. lembani: 10.1136 / bmj: a752.
Harrington, S. ndi T. Smith. Udindo wa chemotherapy kumapeto kwa moyo: "Ndi liti, kokwanira?". Journal ya American Medical Association . 2008. 299 (22): 2667-78.
Roeland, E., ndi T. LeBlanc. Makina othandizira ena: oxymoron kapena kusamvetsetsana. Bungwe la BMC Losamalira . 2016. 15:33.