Zifukwa za ululu wa khansa ndi njira zogwirira ntchito
Ulamuliro wa ululu kwa anthu omwe ali ndi khansa ya m'mapapo yafika kutali, koma nkhawa za ululu zimakhala zoopsa kwa pafupifupi aliyense yemwe ali ndi matendawa. "Kodi ndikumva ululu? Bwanji ngati mankhwala anga opweteka amasiya kugwira ntchito ndipo sangathetsere ululu wanga? "Kupweteka kungakupweteketseni moyo wanu kuti mukhale okhumudwa, koma mulipo zambiri zomwe mungachite kuti muzitha kupweteka.
M'chaka cha 1986, bungwe la World Health Organization linatulutsa malangizo othandiza kuthana ndi ululu wa khansa. Pogwiritsira ntchito njirayi, komanso njira zatsopano, anthu ambiri amatha kupweteka kwambiri pa matenda a khansa ya m'mapapo .
Kodi Zimakhala Zovuta Kwambiri Ndi Khansa Yam'mimba?
Ululu ndi wamba kwambiri ndi khansara yamapapo, ndipo 51 peresenti ya anthu omwe amakhala ndi khansa ya m'mapapo amakumana ndi ululu wina panthawi ya chithandizo chawo. Ndi khansa ya m'mapapo yapamwamba , pafupifupi aliyense adzafuna mtundu wina wa mankhwala kuti athetse ululu. Kuwonjezera apo, akuganiza kuti mmodzi mwa anthu atatu omwe ali ndi khansa amatha kupirira ululu wa ubongo - chimodzi mwa mitundu yovuta kwambiri ya ululu kuchiza.
Kodi N'chiyani Chimayambitsa Mavuto Ndi Khansa Yam'mimba?
Khansara yammimba ingabweretse ululu m'njira zingapo. Ena mwa awa ndi awa:
- Ululu wochokera ku chifuwa chokankhira mitsempha, mafupa, kapena pleura (mapaipi amkati.)
- Ululu wa zizindikiro za khansa ya m'mapapo, monga chifuwa.
- Zotsatira za mankhwala a khansa ya m'mapapo, monga zilonda zam'thupi panthawi ya chemotherapy, kapena kupweteka kwa ululu pakutsata opaleshoni.
- Kupweteka kwambiri pambuyo poti opaleshoni ya khansa yamapapo imatchedwa postpneumonectomy syndrome kapena post-thoracotomy syndrome .
- Matenda ena omwe alipo ndi khansara yamapapo, monga nyamakazi kapena mutu
- Mmene thupi limagwirira ntchito limakhudzana ndi mankhwala a chemotherapy.
Kufunika Kuthana ndi Mavuto a Khansa
Kuvutika kwa khansa kungasokoneze umoyo wanu mwa kusokoneza kugona kwanu, kudya ndi kuchita masewera olimbitsa thupi, ndipo kungayambitse kuvutika maganizo.
Kuchiza moyenera bwino kungakuthandizeni kuti mutha kupambana pamene mukudwala khansa, ndikuthandizani kuchita nawo zinthu zomwe mumakonda. Kuwongolera bwino kupweteka ndi kofunikira mthupi mwathu komanso kumagwirizanitsidwa ndi njira yabwino yothandizira, monga machiritso abwino pambuyo pa opaleshoni.
Kufotokoza Zowawa kwa Dokotala Wanu
Dokotala wanu adzakufunsani kuti mufotokoze mtundu wa ululu wanu. Kodi ndi lakuthwa kapena yosasinthasintha, nthawi zonse kapena imabwera ndi kupita? Nchiyani chimawapangitsa kukhala bwinoko ndi chomwe chimaipitsaipira? Adzakufunsani momwe ululu wanu uliri. Madokotala amagwiritsa ntchito mitundu ingapo ya "mamba ovutika" kukuthandizani kufotokoza kukula kwa ululu umene mukukumana nawo. Njira yowonjezereka ndikukufunsani kuti mufotokoze ululu wanu pa msinkhu kuchokera pa 1 mpaka 10, ndi 1 kukhala zowawa zowonekeratu, ndi 10 kukhala ululu wopweteka omwe mungaganizire.
Zolepheretsa Kuvutika Kwambiri Kumva
Kafukufuku amasonyeza kuti kupweteka kumayendetsedwa ndi khansara yamapapo . Zifukwa zingapo zingapangitse izi:
- Kuopa kuledzera - Anthu amene amamwa mankhwala a ululu wa khansa sakhala oledzera.
- Opani kuti mankhwala opweteka sadzagwira ntchito , ndipo sipadzakhalanso chilichonse choletsa kupweteka ngati chikuipiraipira - Simungatetezedwe ndi mankhwala opweteka, ndipo zina zowonjezera zilipo.
- Kuopa zotsatira zoyipa kuchokera ku mankhwala opweteka - Mankhwala opweteka amakhala ndi zotsatirapo, koma zambiri mwazosavuta kuziletsa.
- Kulephera kupereka mankhwala opweteka - Ngati simungakwanitse kulipira mankhwala anu opweteka, wanu oncologist angasinthe mankhwala anu kwa osakwera mtengo, kapena kukutsogolerani ku pulogalamu yomwe mungalandire thandizo lachuma.
Mankhwala Ogwiritsidwa Ntchito Poletsa Kupweteka
Khansara yam'mimba ingayambitse ululu waukulu, ndipo anthu ambiri amafunika mankhwala kuti athetse ululu panthawi ina. Ngati kupweteka kumakhala koopsa kwambiri, njira ngati mitsempha imatha kupereka mpumulo wambiri.
Matenda ena osapanga mankhwala angathandizenso kuchepetsa ululu wanu.
Mankhwala a Nthenda ya Khansa
Mankhwala oletsa kupweteka kwa khansa akugwera m'magulu atatu:
- Mankhwala owonjezera -Pa mankhwala ochepetsa mankhwala monga Advil (ibuprofen) kapena Tylenol (acetaminophen) angathandize ndi kupweteka kwambiri.
- Opioids - Opioids monga codeine ndi morphine kawirikawiri amafunikira kupweteka pang'ono.
- Mankhwala ena - Mankhwala monga anti-depressants ndi mankhwala oletsa kugwiritsira ntchito nthawi zina amagwiritsidwa ntchito popsa / kupweteka, ndipo ma steroid angakhale othandiza ndi ululu wopangidwa ndi kutupa.
Mankhwala Oletsa Kupweteka Kwambiri
Vuto la mankhwala oletsa kupweteka kwa khansa, ndilokuti mlingo woyenera kulamulira kupweteka nthawi zambiri amabwera ndi zotsatirapo. Njira zothandizira kupweteka kwapadera ndizo zomwe zalinganizidwira kuthandizira kuthetsa vutoli, ndi kuthana ndi ululu pazomwe zimayambitsa (mitsempha.) Zina mwa njira izi zikuphatikizapo:
- Mitsempha ya mitsempha - Njira yomwe mankhwala amayiramo pafupi ndi mitsempha kapena mumsana wam'mimba (kubwezeretsa m'mimba), zomwe zingathandize kupweteka kwambiri.
- Mimba ya msana.
- Nthenda zamakono zomwe zimachotsa mitsempha yomwe imatumiza ululu ku ubongo wanu.
Kupweteka kwa Mitsempha ya Matenda
Khansara ya m'mapapo ikafalikira ku fupa imatha kupweteka kwambiri. Kuwonjezera pa mankhwala ena, chithandizo cha mitsempha ya mafupa chingaphatikizepo gulu la mankhwala omwe amatchedwa bisphosphonates ndi radiation therapy.
Vitamini D ndi Mavuto a Khansa
Ngakhale kuti vitamini D sangakhale yankho la ululu wanu wonse, kuyankhula ndi dokotala wanu za supplement ndi kopindulitsa kwambiri. Taphunzira m'zaka zaposachedwapa kuti anthu ambiri ali ndi vuto la vitamini D, ndipo kusowa kwawo kumayenderana ndi kupulumuka kwa khansa yapansi. Kufufuza kwaposachedwapa ku Sweden kunapangitsanso chidwi choyesa kuyeza mayesero, komabe, monga momwe zingathandizire kupweteka. Ofufuza ku Sweden adapeza kuti kugwiritsa ntchito vitamini D yowonjezera kwa anthu omwe ali ndi khansa kunakhudzidwa ndi zosowa zochepa za mankhwala opweteka a narcotic, kupweteka kwabwino, komanso moyo wabwino. Popeza mlingo wanu wa vitamini D ukhoza kuyesedwa ndi mayeso a magazi, funsani dokotala ngati simunayesedwe.
Njira Zina Zofikira Kulimbana ndi Kupweteka
Malo ambiri a khansa tsopano amapereka njira zowonjezeramo / njira zothandizira ndi kupweteka kwa kupweteka . Izi sizili mmalo mwa mankhwala ena opweteka, koma ena asonyezedwa kuchepetsa kufunikira kwa mankhwala opweteka. Zina mwa njira zomwe zikuwoneka zowonjezereka zimaphatikizapo kupuma, kusisita, ndi qigong.
Kulimbana ndi Matenda a Khansa ya M'mimba
Chinthu chofunika kwambiri kuti muchite ndi kulankhula momasuka ndi oncologist wanu ndi okondedwa anu za ululu uliwonse womwe mukukumana nawo. Aliyense amamva ululu mosiyana. Palibe mmodzi wa ife amene angakhoze kuwerenga malingaliro, ndipo nkofunika kugawana momwe mukukumverera kotero gulu lanu la chisamaliro lingathe kuchita kanthu kuti liwathandize. Ngati mukuwopa kuti mutha kumwa mankhwala, kapena kuti mankhwala amasiya kugwira ntchito, afotokoze manthawo. Ngati mukudandaula za mtengo wa mankhwala opweteka, muuzeni wanu wa oncologist. Ngati mukumva kuti mukulemetsa okondedwa anu akulankhula za ululu wanu, dziwani kuti nkofunikira kuti amvetse zomwe mukukumana nazo. Okondedwa anu adzatha kukuthandizani bwino ngati akumvetsa kuti simukumva bwino - ndipo akhoza kukulimbikitsani kufunafuna mpumulo umene mukuyenera.
> Zotsatira:
> Bergman, P., Sperneder, S., Hoijer, J., Bergqvist, J., ndi L. Bjorkkem-Bergman. Mavitamini ochepa a vitamini D ali ndi chiwerengero chapamwamba cha opioid mu odwala matenda opatsirana khansa. PLoS One . 2015. 10 (5): e0128223.
> Bjorkhem-Bergman, L., ndi P. Bergman. Vitamini D ndi odwala khansa yapakhungu. Bungwe la BMJ Lochirikizira ndi Lothandizana . 2016 Apr 15. (Epub patsogolo pa kusindikiza).
> Lamer, T., Deer, T., ndi S. Hayek. Zomangamanga Zapamwamba Zopweteka. Mayo Clinic Proceedings . 2016. 91 (2): 246-58.
> National Cancer Institute. Mfundo za PDQ Zomveka. Khansa Yopweteka (PDQ). Health Professional Version. 02/17/16. https://www.ncbi.nlm.nih.gov/pubmed/26985561
> National Cancer Institute. Mfundo zapakati pa khansa ya PDQ. Khansa Yopweteka (PDQ). Baibulo Lopirira. 04/07/16. https://www.ncbi.nlm.nih.gov/books/NBK65883/#CDR0000062845__8
> Roberto, A., Deandrea, S., Greco, M. et al. Kukula kwa Mitsempha Yopanda Mitsempha ya Khansa Odwala: Zowerengedwa Zophatikizidwa Kuchokera Kwambiri Kufufuza Kwambiri kwa Mabuku Osindikizidwa ndi Zotsatira Kuchokera ku Kafukufuku Wochitidwa mu Zomwe Zisamaliro Zachikhalidwe Zapakati pa Italy. Journal of Pain and Symptom Management . 2016 Mar 24. (Epub patsogolo pa kusindikiza).