Kulimbana ndi Kuperewera kwa Njala ndi Khansa
Kutaya kwa njala, omwe madokotala amati ndi anorexia, ndi chizindikiro chofala panthawi ya matenda a khansa ya m'mapapo (anorexia amasiyana ndi matenda odwala anorexia nervosa, matenda omwe amaganiza kuti odwala amadzipha okha). Nchiyani chimayambitsa matenda a anorexia, amachiritsidwa bwanji, ndi chiyani chomwe mungachite kuti mupirire, kutsimikiza kuti mukupeza zakudya zomwe mukusowa?
Mwachidule
Zinthu zambiri zingachepetse chilakolako chanu pa nthawi ya chithandizo cha khansa. Izi zimaphatikizapo zizindikiro zokhudzana ndi khansa, zotsatira za mankhwala, komanso momwe thupi lanu limayankhira khansa.
Anthu ambiri omwe ali ndi khansa yapamwamba ali ndi chiwerengero cha anorexia. Kuchepetsa zakudya chifukwa cha kusintha kwa zilakolako kungayambitse kulemera kwa thupi, kusowa kwa zakudya m'thupi, kuperewera kwa minofu, ndi kuwononga ( cachexia ). Podziwa zotsatira za zakudya zoperewera pa njira yothandizira mankhwala, akatswiri a zachuma amathandizira kwambiri ntchito ya zakudya m'thupi la odwala khansa. Thandizo la zakudya lasonyezedwa kuti likhale ndi:
- Matenda operewera atatha opaleshoni
- Kulimbana bwinoko ndi zizindikiro zokhudzana ndi khansa
- Chipatala chaching'ono chimakhala
- Mphamvu zazikulu za opulumuka khansara kupirira zochiritsira
- Zonsezi zikugwirizana ndi mankhwala
- Kukhala ndi moyo wabwino kwa anthu omwe ali ndi khansa
Kuchiza
Pali njira zingapo zothandizira mankhwala omwe angakuthandizeni kuti mukhale ndi chilakolako chofuna kudya, ndikuthandizani kukhalabe wolemera panthawi ya chithandizo cha khansa.
Ena mwa awa ndi awa:
1. Kuyezetsa zakudya / uphungu - Zambiri za khansa zikupereka uphungu ndi thandizo kwa anthu omwe ali ndi khansa.
2. Chithandizo cha zifukwa zomwe zimayambitsa zizindikiro - Zizindikiro zina zokhudzana ndi khansa kapena mankhwala zingawonjezere kufooka. Ndikofunika kufotokozera zizindikiro izi ndi oncologist wanu kuti athe kuchitapo kanthu:
- Zilonda zamkati
- Sakani kusintha
- Kutopa
- Kusokonezeka maganizo
- Nsowa kapena kusanza
- Kuvuta kumeza (dysphagia)
- Kupuma pang'ono
- Ululu
- Mankhwala - Mankhwala ena (monga mankhwala opweteka) angasokoneze chilakolako ndipo angafunike kusintha, kapena kusintha kwake
3. Zowonjezera - Ena oncologist amavomereza zakudya zowonjezera kuti mupititse patsogolo kalori yanu
4. Mankhwala - Dokotala wanu angakulimbikitseni mankhwala kuti akulimbikitseni, kapena athandizidwe kudzera m'thupi lanu. Zina mwa mankhwalawa omwe amachulukitsa njala pamene akudwala khansa ndi awa:
- Steroids monga Decadron (dexamethasone)
- Megace (megestrol)
- Reglan (metoclopramide)
- Mankhwala osokoneza bongo (mbatata ya mankhwala)
5. Zakudya zomangira thupi - Zakudya zomangira thupi zimaphatikizapo zakudya zopatsa thanzi (tizilombo toyambitsa matenda), kapena zakudya za parenteral (zakudya zomwe zimaperekedwa m'thupi mwa catheter mu mitsempha pamanja kapena pachifuwa) - Dokotala wanu akhoza kukambirana nanu njirazi ngati simungathe idyani chifukwa chomeza mavuto kapena mavuto ena.
6. Zothandizira zovomerezeka - Njira zochiritsira kapena zochiritsira (monga mankhwala osakaniza ndi kusinkhasinkha) zikuyang'aniranso ntchito yawo kuthandiza kuthandizidwa ndi odwala khansa.
Kulimbana
Chithandizo cha khansa sikuti chimalepheretsa chilakolako, komabe mungakhale mwamsanga kwambiri mukamadya. Malangizo angapo angakuthandizeni kulimbikitsa makilogalamu anu pamene simukumva kuti muli ndi njala makamaka:
- Kudya zakudya zing'onozing'ono nthawi zambiri m'malo mwa chakudya chachikulu 3 tsiku ndi tsiku
- Pangani malo anu okondweretsa. Idyani ndi abwenzi ndi anzanu. Sewani nyimbo. Gwiritsani ntchito kuyatsa komwe kumamveka bwino
- Kuchita zowala nthawi zina kungachititse kuti chilakolako chikhale chofuna. Funsani a oncologist anu chifukwa cha malingaliro ake
- Idyani zakudya zopatsa thanzi zomwe zili ndi zakudya zambiri komanso mapuloteni - Zosankha zabwino zimakhala ndi mtedza, tchizi ndi zowonongeka, ayisikilimu, batala, ndi puddings
- Khalani ndi chakudya pamanja chomwe mumakondwera ndipo chiri chosavuta kukonzekera
- Pezani zakudya zomwe zimakhala bwino kudya ngati muli ndi zilonda zakumlomo kapena kulawa kusintha
- Imwani madzi pakati pa zakudya kuti musakhale odzaza mofulumira kwambiri
- Kutopa ndilo vuto lalikulu kwa odwala matenda a khansa pankhani yophika - Landirani chilolezo cha wokondedwa wanu kubweretsa chakudya, kubwezera chakudya chotsalira, ndikufunseni abwenzi anu ngati angakonzekere chakudya cham'tsogolo kuti muthe mwamsanga chakudya chamadzulo
- Idyani pamene mumva njala
- Yesani zakudya zosiyana - Nthaŵi zina kusintha kwa chizoloŵezi kungapangitse chakudya kukhala "chosangalatsa" ndi kuyesa
Nthawi yoyenera Dokotala
Onetsetsani kuti mukuwongolera dokotala wanu pachilakolako chanu, komanso chirichonse chomwe chikukusokonezani ndi kudya kwanu. Itanani pakati pa maulendo ngati:
- Amatha kudya maola 24 (mwamsanga ngati simungathe kumeza madzi)
- Khalani ovuta kumeza, kapena ngati kudya kumakhala kowawa kwambiri
- Khalani ndi ululu m'mimba
- Kutaya mapaundi asanu kapena kuposa
- Ngati muwona zizindikiro zilizonse za kuchepa kwa madzi monga kutayika kwa khungu, mitsempha yamphamvu, kapena simukutha nthawi zambiri
Mawu ochokera
Kutaya njala ndi chimodzi mwa nkhawa zomwe zimachitika kawirikawiri pakati pa omwe akudwala mankhwala a kansa yamapapo. Pali zinthu zambiri zomwe muyenera kudziwa ngati izi zikumveka ngati inu. Kutaya njala sikungowononga. Zingasokonezeko mankhwala, komanso zimapangitsa kuti munthu asaphedwe kosalekeza ndi khansa. Komabe simuli nokha ndipo pali zinthu zomwe zingakhale chimodzi. Funsani a oncologist wanu kuti atumizidwe kwa wodwala zakudya zamagulu omwe amadziwika bwino pochiza anthu ndi khansa. Mosiyana ndi kufufuza kwa zakudya, anthu awa amadziwa bwino ziganizo za khansa ndipo akhoza kukhala ndi malingaliro abwino kwambiri omwe angakuthandizeni kuti muwonjezere njala yanu, kukweza chakudya chanu, kapena zonse.
Monga chomalizira, okondedwa a iwo omwe ali ndi khansa nthawi zambiri amavutika ndi mantha aakulu a kusowa thandizo. Kuika maganizo anu pakupeza chakudya chokoma, ndi zakudya, ndi njira imodzi yomwe mungathe kuwonetsera chikondi chanu, ndikuthandizani wokondedwa wanu kuthana ndi izi koposa kukhumudwitsa zotsatira za khansa.
Zotsatira:
Behl, D. ndi A. Jatoi. Njira Zamakono Zopangira Matenda a Kanseri Yopambana Odwala Kutaya Njala ndi Kutaya Kwambiri. Lingaliro la akatswiri pa Pharmacology . 2007. 8 (8): 1085-90.
Dy, S. et al. Malingaliro Otsutsika Okhudzana ndi Kutopa Khansa, Anorexia, Depression, ndi Dyspnea. Journal of Clinical Oncology . 2008. 26 (23): 3886-95.
Marin Caro, M. et al. Zotsatira za Chakudya Chakudya pa Moyo Wathu Pa Khansara. Malingaliro Amakono mu Kachilombo Chakudwala ndi Kusamalira Zamadzimadzi . 2007. 10 (4): 480-7.
National Cancer Institute. Zakudya Zakudya mu Cancer Care (PDQ) - Wodwala Version. Kusinthidwa 01/08/16.
Van Cusem, E. ndi J. Arends. Zomwe Zimayambitsa ndi Zotsatira za Kusagwirizana ndi Khansa. European Journal of Oncology Nursing . 2005. 9 Suppl 2: S51-63.