Thandizo lachipatala ndilo gawo losiyana ndi kachitidwe ka mankhwala, komabe panthaŵi imodzimodziyo, limaphatikizapo kuyang'anira zachipatala ndi njira zothandizira kuti akhalebe otonthozedwa kumapeto kwa moyo.
Kusamalira chipatala ndiye nzeru ndi mtundu wa chisamaliro chomwe munthu pafupi ndi mapeto a moyo angalandire. Malinga ndi filosofi yachipatala "samafulumira kapena kuimitsa imfa," malinga ndi American Cancer Society.
Kusamalira chipatala kumalimbikitsa munthu osati matendawa, kugwira ntchito kuti athetse zizindikiro kuti masiku otsiriza a munthu athe kugwiritsidwa ntchito ndi ulemu ndi khalidwe, akuzunguliridwa ndi okondedwa ake. Thandizo lachipatala ndilo banja lomwe limakhazikitsidwa chifukwa limaphatikizapo wodwala komanso banja popanga zisankho. Mwachitsanzo, nthawi zina bedi lamapatala lidzaperekedwa ndikuikidwa m'nyumba, choncho maphwando onse amafunika kuti akakhale nawo pabedi.
Mwakutanthawuza, chisamaliro chakumulandira sikumakhala kwa munthu amene angakhale ndi zaka zambiri za moyo patsogolo pawo. M'malo mwake, hospice imapereka "chisamaliro cha chifundo kwa anthu m'magulu otsiriza a matenda osachiritsika kuti athe kukhala ndi moyo mokwanira komanso molimbika." Hospice ikukhudza kuthetsa mavuto ndi kuthetsa zizindikiro kusiyana ndi kuchiritsa matenda omwewo. Hospice imalimbikitsa chitonthozo cha wodwalayo komanso khalidwe lake labwino m'miyeso yomaliza ya matenda aakulu, zomwe zikutanthauza kuti mankhwala ena amathyoledwa ndipo ena amawonjezeredwa.
Munthu amene akulandira chithandizo cha chipatala angasankhe kuchoka kuchipatala ndikupita kuchipatala chogwira ntchito nthawi iliyonse.
Kodi Chidziwitso cha Hospice Care ndi Chiyani?
Njira ziwiri zochiritsira zachipatala ndizo kusamalira alendo ku nyumba , kumene odwala ndi ogwira ntchito ku chipatala nthawi zonse amapita kunyumba kwa wodwalayo; ndi chipatala cha hospital hospital , komwe munthu angachoke kuchipatala kapena kunyumba kwawo kuti azikhala mu malo omwe amapereka nthawi yothandizira ndi gulu la othandizira zaumoyo.
Malinga ndi kumene mukukhala, komanso zomwe zimachitika anthu ogwira ntchito kuchipatala m'deralo, zikhoza kukhala choncho kuti imodzi mwa mitundu imeneyi ikhalepo pomwe wina sali. Ambiri amapezeka kuchipatala kunyumba. Anthu omwe amakhala m'nyumba zogona, kumalo osungirako anthu, kapena nyumba za okalamba angapeze chisamaliro cha chipatala m'malo awa. Pali njira zomwe zingakumane ndi munthu asanakwanitse kupita kuchipatala. Munthu sangakhoze kusankha yekha kugwiritsa ntchito chipatala chifukwa matenda ali olemetsa, mwachitsanzo-odwala ndi olandirira anthu omwe akuyembekezere kukhala ndi moyo pafupifupi miyezi 6 kapena kupatula ngati matendawa akuchitika.
Kodi Ndani Amafuna Kulandira Thandizo?
Medicare, Medicaid m'mayiko ambiri, Dipatimenti ya Veterans Affairs, ndondomeko za inshuwalansi zapadera, ma HMO, ndi mabungwe ena osamaliridwa omwe amalipira amapereka chithandizo cha chipatala. Mapulogalamu ena amapereka odwala malinga ndi kuthekera kwawo.
Kuganizira Kwambiri: Kuchipatala cha Khansa ya Magazi
Odwala omwe ali ndi kansa ya magazi amadziwika kuti amagwiritsa ntchito mankhwala osamalira odwala pafupipafupi kuposa odwala omwe amachititsa kuti azidwala matenda a khansa kapena khansa ya m'mawere.
Gulu lina la ofufuza posachedwapa linafika kuti lidziwe chifukwa chake izi zingakhale choncho.
Ambiri a khansa ya magazi sangathe kuchiritsidwa, ndipo chaka chilichonse, pali anthu ambiri omwe ali ndi khansa ya m'magazi, lymphoma ndi myeloma omwe angakhale oyenerera kuchipatala pogwiritsa ntchito tanthawuzo la kuyembekezera kwa miyezi 6 ya moyo kapena zochepa. Kotero, nchifukwa ninji odwala ali ndi khansa ya magazi ndi madotolo awo samapindula okha kuchipatala mofanana ndi anthu omwe ali ndi khansa zina?
Hos Phunziro Phunziro
Mu 2015, gulu la akatswiriwa linatumiza kafukufuku kuti asankhe odwala matenda odwala matenda a khansa ku United States kuti adziwe momwe angagwiritsire ntchito maulendo awo.
Anayambanso kufunsa mafunso kuti athetse zinthu zina zomwe zingakhudze bwanji kutumiza kwa odwala kupita kuchipatala. Madokotala omwe amasamalira odwala onse awiri omwe ali ndi ziwalo zoopsa ndi odwala khansa ya magazi anaphatikizapo madokotala omwe adasankhidwa.
Ngakhale kuti anthu ambiri amathandizira anthu ogwira ntchito kuchipatala, pafupifupi 46 peresenti ya madokotala omwe anavomera anaganiza kuti kusamalira anthu odwala kunyumba sikukwanira odwala awo. Oposa theka la anthu omwe anafunsidwawa adanena kuti akhoza kutumiza odwala kupita kuchipatala ngati khungu lofiira ndi / kapena mapiritsi a platelet analipo, ndipo omwe amawona kuti anthu odwala kunyumba sangakwanitse, amatha kufotokozera kuti angaganizirenso ngati kuikidwa magazi ndi gawo pa phukusi lachipatala.
N'chifukwa Chiyani Osasamutsidwa?
Mankhwala omwe chipatala amapereka chimapangitsa moyo wa wodwalayo kukhala wabwino koma osapitirira moyo kapena kuchiza matendawa, ngati ali ndi khansa. Mankhwalawa angaphatikizepo mankhwala othandizira odwala kuti athetse zizindikiro zopweteka, kapena kuchepetsa nkhawa, kapena kuthandiza pogona. Pamene munthu akuyandikira mapeto a moyo wake, iye akhoza kuchepetsedwa pang'ono, ndi mankhwala kuti asamangidwe ndi kuvulala khungu kuchokera pazomwe akukumana ndi matepi omwe angagwiritsidwe ntchito. Mankhwala angagwiritsidwe ntchito kuthetsera mavuto ndi kupuma mpaka kumapeto kwa moyo.
Funso la kuikidwa magazi ndi lovuta kwambiri. Kumbali imodzi, chithandizo cha matenda a magazi a wodwalayo chingapangitse munthu kumverera bwino. Komabe, ndi mankhwala oopsa kwambiri kuposa odwala ena omwe amawachiritsa odwala. Anthu ena ogwira ntchito kuchipatala amafotokoza kuti kuikidwa magazi ndi "Band-Aid" kwa anthu kumapeto kwa moyo ndipo, motero, sagwirizana ndi nzeru zachipatala. Sikuti mapulogalamu onse ochiritsa anthu amagwira ntchito motere, ndipo ena ali okonzekera kupereka magazi nthawi zonse.
Kwa odwala khansa ya magazi, kuikidwa magazi nthawi zambiri ndi njira ya moyo. Ndipotu, matenda ambiri omwe amachititsa kuti matendawa asapitirire, amatha kuyendetsedwa bwino kwa zaka zambiri, ndipo kuikidwa magazi nthawi zambiri kumakhala njira yothetsera vutoli kuchokera ku chilango cha imfa kupita ku chilango cha imfa.
Komabe, mfundo yakuti odwala ambiri omwe ali ndi kansa ya magazi amafa popanda kudzipulumutsa okhaokha amaimira zovuta kwa ochita kafukufuku komanso othandizira pulogalamu yaumoyo. Zomwe ndalamazo zimalowa mu equation sizidziwika, ngakhale vuto la ndalama likuleredwa mu zipangizo za tsamba la American Cancer Society pankhani ya kuchipatala:
Nthaŵi zambiri chisamaliro cha kuchipatala chimakhala chochepa kusiyana ndi chisamaliro m'mazipatala, m'mabanja oyamwitsa, kapena m'madera ena. Izi ndi chifukwa chakuti zipangizo zamakono zopanda mtengo zimagwiritsidwa ntchito, ndipo banja ndi abwenzi nthawi zambiri zimapereka chisamaliro chachikulu.
Odejide ndi anzawo, olemba a phunziroli pakadali pano pa odwala matenda a kansa ya magazi, amatsimikizira motere:
Deta izi zimasonyeza kuti ngakhale mahematologic oncologists amachiza odwala, nkhawa zokhudzana ndi momwe angathandizire odwala khansa ya magazi amalepheretsa anthu kulandira chithandizo. Kuonjezera kulembetsa anthu odwala matenda a khansa ya magazi, njira zothandizira anthu odwala matendawa ndizofunikira.
Mawu Ochokera
Chinthu chimodzi chomwe chiri chosagwirizana pa zochitika zosiyanasiyana zochiritsira ndi njira yabwino yosagwirizana. Malo ena ochezera osamalira odwala adzalola kuikidwa magazi. Ena, zikuwoneka kuti, kuchokera pa zotsatira za kafukufuku wamankhwalawa, sichidzapereka magazi - iwe kapena wokondedwa wako ayenera kuchoka kuchipatala kuti akapezedwe magazi. Monga momwe olemba a phunziroli akusonyezera, izi zikhoza kukhala malo omwe angasinthe kusintha m'zaka zikubwerazi, kuti awonetsere zochitika zachipatala kwa anthu omwe ali ndi khansa ya magazi. Mpaka nthawiyo, ndipo zili choncho, ndibwino kuti muphunzire kuchokera kwa wodwala kuchipatala chomwe chikuwoneka kuti chikuthandizira komanso chomwe chimachotsedwa ku chisamaliro chothandizira pa malo ochezera odwala.
> Zotsatira:
> Odejide O, Cronin A, Earle C, et al. Nchifukwa chiyani odwala omwe ali ndi khansa ya magazi ambiri amafa popanda chipatala? Khansa. 2017 May 22. chikuchitika: 10.1002 / cncr.30735. [Epub patsogolo pa kusindikiza]
> American Cancer Society. Ndani amapereka ndi kupereka ndalama kwa odwala? 2017.