Kusamalidwa sikumagwirizana ndi hospice
Kumva mawu osamalidwa bwino kungakuchititseni kupeza mpweya wanu. Kodi sizomwezo ngati hospice ? Kodi izi zikutanthauza kuti palibe mankhwala ena omwe ndingayese? Chowonadi ndi chakuti kusamalidwa bwino kumatha kugwiritsidwa ntchito pamodzi ndi chithandizo cha khansa ndipo kwabweza kwambiri khalidwe la moyo kwa anthu ambiri ali ndi gawo lililonse la khansa.
Kusamalidwa sikulondola kwenikweni.
Ndi zambiri za filosofi. Cholinga cha kusamalidwa ndi kusamalira munthu yense: maganizo, thupi, ndi mzimu. Musanayambe kuda nkhawa kuti izi zikuwoneka ngati zatsopano zatsopano, sizinali. M'malo mwake, ndi mtundu wa chisamaliro chonse chomwe tingayembekezere kuti munthu aliyense ali ndi khansa akhoza kulandira.
Ngati mukuganiza za chisamaliro chanu cha khansa, mudzazindikira kuti kuchuluka kwa chisamaliro chomwe tikupereka kwa anthu omwe ali ndi khansara kumabwera kuti adziwe momwe angayambitsire khansara, momwe angatulutsire maselo a khansa kuchokera mthupi mwakachetechete zotsatira.
Pa nthawi yomweyi, nkhani monga ululu, kutopa, kusowa tulo, ndi zotsatira za mankhwala nthawi zambiri zimakhala pampando wakumbuyo. Zimangoyembekezeredwa kuti simungamve bwino mukalandira kulandira khansa. Popeza khansara ya m'mawere imatanthawuza kuti nthawi zonse imakhala ndi chithandizo chamankhwala, njirayi sichivomerezeka.
Apa ndipamene chisamaliro cholumitsa chimatha kupanga kusiyana.
Kodi Akatswiri Otani Amapanga Gulu Lothandizira Pagliative?
Gulu la chisamalidwe chodziwika bwino limapangidwa ndi anthu angapo, koma akatswiri ena amasiyana kuchokera kuchipatala kupita ku chipatala. Gululo nthawi zambiri limatsogoleredwa ndi dokotala yemwe amagwiritsa ntchito chisamaliro chapadera (inde, izi ndizopadera, ndi kukula).
Amaphatikizansopo namwino wosamalira palliative pamodzi ndi akatswiri a zaumoyo kuchokera kwa othandizira matupi kwa alangizi, odwala, odwala, ndi zina.
Anthu ena amaganiza za chisamaliro chosamalidwa pochita mbali yambiri ya maganizo, komabe kasamalidwe ka zizindikiro za thupi lanu nthawi zina zimakhala bwino kwambiri ndi chisamaliro ichi. Mu chisamaliro cholumitsa, oncologists amamasulidwa kuti achite zomwe amasankha bwino omwe angapangitse kuti khansa yanu ioneke.
Ndani Angapindule ndi Chisamaliro Chokhalitsa?
Ngakhale kusamalidwa kwachilendo kwawonetsedwa kukhala kothandiza kwa anthu omwe ali ndi magawo onse a khansa, ikhoza kukhala yothandiza kwambiri kwa anthu omwe ali ndi matenda oopsa.
Kafukufuku akutionetsa kuti anthu omwe amawona gulu la chisamaliro cholumikizana bwino nthawi zambiri amakhala ndi moyo wathanzi pa matenda a khansa yamtundu wambiri kusiyana ndi omwe samalandira chisamaliro chapadera. Ndikofunika kuzindikiranso kuti chisamaliro chosamalidwa si chisamaliro cha chipatala. Thandizo lachipatala ndi mtundu umodzi wokha wosamalira. Ndipotu, kafukufuku wina anapeza kuti odwala khansa 4 omwe analandira chithandizo chamankhwala amakhala ndi nthawi yaitali kwambiri kuposa omwe sanasamalire.
Kodi Mungayanjane Bwanji ndi Gulu Lothandizira Ena?
Udindo umene kusamalidwa bwino kumasewera osiyanasiyana pa malo osiyana ndi khansa.
Malo ena opatsirana khansa amalimbikitsanso odwala ambiri kuti asamalire, pamene zosankha zochepa zowonjezerazi zingakhalepo kwa ena. Chinthu chabwino kwambiri choyenera kuchita ndikuyankhula ndi wa oncologist ndikufunsa ngati akukhulupirira kuti mungapindule ndi chisamaliro ichi.
Ngati odwala oncologist sanatchule chisamaliro chosamalidwa bwino, sizikutanthauza kuti sakuwona kuti ndizothandiza. Mfundo yakuti anthu ambiri amasokoneza chisamaliro chosamalidwa ndi chisamaliro cha chipatala angayambe kukayikira kwa akatswiri a oncologist kuti akambirane nkhaniyi.
Ndi Zizindikiro Zotani Zomwe Mungachite Kuti Musamalire Pakati Pokhapokha?
Kusamalidwa, mosiyana ndi chithandizo chamankhwala ambiri, chakonzekera kuthetsa moyo wabwino ndi chitonthozo cha munthu amene akulimbana ndi khansa osati zizindikiro zenizeni , kotero zimakhala zovuta kufotokozera ngati zidzakhala zosiyana kwa munthu aliyense.
Zina mwa zizindikirozi, komabe, kusamalidwa kwapakati kwa anthu omwe ali ndi kansa ya m'mawere ndi:
- Kusamalira ululu
- Kupuma pang'ono (ndi mapuloteni a mapapo kapena kupweteka kwachisoni)
- Kutopa
- Zizindikiro za musculoskeletal (kupweteka, kuuma, ndi kuthana ndi fracture)
- Matenda a ubongo
- Nausea
- Kuyamwa (izi ndizofala ndi metastases ya chiwindi)
- Kutaya njala
- Kutaya thupi
- Zizindikiro zokhudzana ndi khungu ndi chifuwa khoma metastases
- Nkhawa
- Kusokonezeka maganizo
- Chisoni (kuphatikizapo chisoni chenicheni)
- Mabanja apabanja
- Nkhani zauzimu
Kodi Ndingapeze Thandizo Labwino Ngati Ndikufunabe Chithandizo?
Monga tanenera kale, chisamaliro chosamalidwa chingagwiritsidwe ntchito ngakhale kwa munthu amene ali ndi khansa yochiritsira msanga. Kusamalidwa sikumalowetsa khansa mosiyana, kungakuthandizeni kuti mukhale wathanzi kuti mutha kupirira mankhwalawa.
Pindulani ndi Chisamaliro Chokhalitsa Pamodzi ndi Khansa ya M'thupi ya Metastatic Breast Cancer
Chithunzi chili ndi mawu chikwi, choncho chitsanzo chapadera chingakhale chothandiza. Taganizirani za munthu amene ali ndi mafupa amtundu wokhudzana ndi khansa ya m'mawere. Pachifukwa ichi ovomerezi anu amagwira ntchito ndi mankhwala anu, akuganiza ngati mankhwala ochizira , mankhwala a HER2 , kapena chemotherapy angakhale abwino. Awona ngati mawonekedwe osintha mafupa angakhale othandizanso. Mutha kuwona katswiri wa zamagetsi kuti aone ngati mankhwalawa ndi othandiza.
Komabe, zizindikiro zanu zimaphatikizapo zambiri. Akatswiri odziwa kupaleshoni kwambiri ndi akatswiri operekera ululu ndipo angakuthandizeni kupeza bwino pakati pa kupweteka ndi zotsatira za mankhwala opweteka. Ngati chithandizo chachikulu chikufunika, akhoza kuyang'ana njira zothandizira kuchepetsa zotsatirazi.
Othandiza pa thupi ndi ogwira ntchito pa timu angakuthandizeni kuti muwonjezere kuyenda kwanu mutatha kuthyoka, kapena kukuthandizani kudziwa zomwe mungachite kuti muchepetse mwayi wanu wophulika. Anthu ena a gulu lanu losamalira maulendo angakulimbikitseni njira zina zothandizira kuti akuthandizeni ndi ululu ndi nkhawa za khansa ya mthupi. Wotsogolera pa gulu akhoza kuthandizira inu ndi banja lanu kuthana ndi zomwe kukhala ndi masitima amatanthawuza, ndipo gulu likhoza kupezeranso mavuto anu auzimu.
Mwachidule, gulu lothandizira labwino labwino limapanga zodabwitsa kukuthandizani posangotenga khansara yanu, koma kukuthandizani kukhala ndi khansa yanu.
> Zotsatira:
> DeVita, Vincent., Et al. Khansara: Mfundo ndi Zochita za Oncology. Khansa ya pachifuwa. Wolters Kluwer, 2016.