Mmene Mungakulitsire Kupulumuka Kwanu Kuchokera ku khansa ya m'mimba
Bwanji ngati takuuzani kuti pali zinthu zomwe mungachite kuti mukhale ndi mwayi wopezeka ndi khansara yamapapo - ndipo zinthuzi siziphatikizapo opaleshoni, chemotherapy kapena mankhwala opatsirana pogwiritsa ntchito mankhwala. Chowonadi ndi chakuti, pali zinthu zomwe mungachite kuti muthe kusintha zovuta zanu.Things zomwe ndi zachibadwa komanso zosakhala zachipatala, monga zifukwa za moyo ndi chithandizo cha chikhalidwe.
Mu mpweya womwewo momwe timanenera kuti sitikufuna kuti wina amve kuti sakuchita mokwanira. Tonsefe timadziwa za anthu omwe anachita zonse bwino ndikuyamba khansa ndipo idapitabe patsogolo. Chowonadi chimakhalabe kuti kupulumuka kwa khansa ya m'mapapo si zomwe tikufuna. Koma ngakhale ngati malangizowo sakuwongolera kupulumuka kwanu, akhoza kusintha umoyo umene mukukhala lero.
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Pezani ThandizoKumva kuti ndikutalikirana ndi anthu simungamve bwino, koma kukhala ndi dongosolo lothandizira kwambiri kumatha kupulumuka ndi khansa yamapapo . Sikuti maphunziro onse asonyeza izi. Kafukufuku wina waposachedwapa anapeza kuti odwala opaleshoni ya kansa ya m'mapapo sanawoneke bwino kapena akuwoneka ngati akuwathandizidwa bwino.
Komabe ndemanga za maphunziro ena zimasonyeza kuti palibe. Phunziro limodzi lalikulu (lomwe linayang'ana zotsatira za maphunziro pafupifupi 150) linayang'ana zotsatira za maubwenzi a anthu pa matenda ndi imfa kuchokera ku matenda osiyanasiyana. Zikuwoneka kuti anthu omwe ali ndi ubale wamphamvu kwambiri ndi 50 peresenti adawonjezeka mwayi wokhala ndi moyo. Poyang'ana kanseri yokha, kafukufuku wina (omwe adalemba kafukufuku pafupifupi 90) adapeza kuti chiwerengero cha anthu omwe amakhulupirira kuti chikhalidwe chawo chimawathandizidwa ndi chiwopsezo chochepa cha imfa.
Kukhala ndi chithandizo chothandizira nokha kungathandize, koma tiyeneranso kufunsa ndi kulandira. Nditapezedwa ndi khansa, imodzi mwa malangizo abwino omwe ndinalandira ndi kuphunzira kulandira. Osati chifukwa choti ndikusowa thandizo, koma chifukwa ndi mphatso yomwe tingapatse ena. Monga mnzanga wina anandiuza, "Njira yabwino yosonyezera kuyamikira mphatso ndi kulandira kwathunthu." Anthu akufuna kuthandiza. Ndikofunika kukumbukira kuti mnzanu kapena wokondedwa wanu sangathe kuchita zonsezi. Khansara ikhoza kutenga kwenikweni mudzi. Anthu ena amasangalala kumvetsera. Ena amasangalala kuyeretsa. Koma ena amasangalala kukwera.
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Dziwani Zizindikiro za Kuvutika MaganizoKafukufuku wasonyeza kuti kuvutika maganizo, monga kupsinjika maganizo ndi nkhawa, ndiko kuthandiza anthu omwe ali ndi khansara - ndipo mgwirizanowu ndi wamphamvu kwambiri pakati pa anthu okhala ndi khansa ya m'mapapo.
Kwa anthu omwe ali ndi khansara yamapapu, omwe anali opsinjika panthawi ya mankhwala awo oyambirira a mankhwala a chemotherapy anakhala ndi theka lachilendo okha omwe sanali ovutika maganizo. Mu phunziro lina la kupulumuka kwapakatikati (kutanthauza, nthawi yomwe 50 peresenti ya anthu akadali moyo ndipo 50 peresenti yafa), inali nthawi zinayi mwachidule mwa anthu omwe anali opsinjika.
Kuopsa kwa kudzipha kumakhalanso kawiri kapena kawiri kuposa anthu omwe ali ndi khansa kusiyana ndi anthu ambiri. Vuto ndi lalikulu kwambiri kwa amuna komanso m'miyezi yoyamba atapezeka kuti ali ndi khansa.
Ndikofunika kusiyanitsa pakati pa kuvutika maganizo pakati pa khansa ndi chisoni. Ambiri amamva chisoni ndi chisoni pamene akulimbana ndi matenda a khansa, koma matenda ovutika maganizo safala kwambiri. Zingakhale zothandiza kudzidziwitsa ndi zizindikiro za kupsinjika maganizo, ndi kuyankhula ndi dokotala ngati mukuvutika maganizo.
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Pemphani Pulogalamu Yothandizira PothandiziraNdikutsimikiza ena mwa inu adanena "hu?" pamene muwerenga mutu wapamwamba pamwambapa. Kodi izo siziri ngati hospice? Nchifukwa chiyani mukukamba za nkhaniyi za njira zothandizira kupulumuka kwa khansa yamapapo?
Mawu akuti palliative chisamaliro makamaka samamvetsetsedwa. Ndi njira yomwe imayesetsa kukonza umoyo wa anthu omwe ali ndi matenda akuluakulu, pokhala ndi nkhawa, zakuthupi komanso zosowa zauzimu. Pafupipafupi, anthu ambiri amakumana ndi gulu lomwe limaphatikizapo dokotala, namwino, ndi wogwira nawo ntchito, kuti athetse mavuto ambiri omwe mungakhale nawo pamene mukudwala khansa.
Kufufuza kwa 2010 kunasonyeza kuti anthu omwe ali ndi kansa ya m'mapapo yapamwamba omwe anali ndi chidziwitso chothandizira kuti adziwonetsetse kuti atha kupitilirapo pafupipafupi miyezi 2½ kuposa omwe sanakambirane.
Malo ena opatsirana khansa tsopano akupereka kafukufuku wothandizira atangoyamba kupeza matenda a kansa. Ngati simunapereke chisankho ichi, zingakhale bwino kufunsa wanu oncologist zomwe zilipo pa malo anu a khansa
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Limbikitsani Moyo Wanu WauzimuNgakhale kuti ntchito yachipatala yachedwerapo kuti iphatikize za uzimu mu njira zothandizira khansa, moyo wakuthupi wauzimu ukhoza kugwira nawo ntchito yopulumuka khansa yamapapu.
Choyamba, ndikofunikira kufotokoza za uzimu. Nyuzipepala ya National Cancer Institute imafotokoza za uzimu monga chikhulupiliro cha munthu payekha ponena za cholinga cha moyo. Kwa anthu ena, izi zingatenge mawonekedwe achipembedzo. Kwa ena, zikhoza kuimiridwa ndi kusinkhasinkha, yoga kapena kuyankhulana ndi chilengedwe.
Maphunziro ang'onoang'ono ochepa pa anthu omwe ali ndi kansa ya m'magazi ya Stage IV adapeza kuti anthu omwe ali ndi moyo wauzimu wochuluka sanachite bwino kokha mankhwala a chemotherapy koma anapulumuka kwa nthawi yaitali.
Izi zinati, ndikudziwa za anthu ambiri omwe ali ndi moyo wauzimu wathanzi omwe adataya nkhondo yawo ndi khansa ya m'mapapo. Komabe ngakhale kuti moyo wauzimu wokhazikika sukhazikitsa moyo, maphunziro ena apeza kuti uzimu umamveka bwino polimbana ndi khansa komanso khalidwe labwino pamene akukhala ndi khansa.
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Pezani ChinyengoAnthu ambiri omwe ali ndi khansara yamapapo amadziwika bwino ndi nkhanza za matendawa. Kodi imodzi mwa ndemanga zoyamba zomwe anthu amapanga ndi ziti? "Unasuta utali wotani?" Mawu osamveka angakhale ovuta pamene mukuyesera kuthana ndi vutoli. Koma kupitirira apo, manyazi a khansa ya m'mapapo yathandiza anthu ena kupeza chisamaliro chomwe akufunikira ndikuyenera. Kafukufuku wasonyezanso kuti madokotala nthawi zina sachita zachiwawa pochiza odwala khansa ya m'mapapo kusiyana ndi odwala matenda ena a kansa.
Onetsetsani kuti muwerenge gawoli m'nkhaniyi ponena za kukhala wokonda (pansipa).
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Khalani ndi kumvetsetsa kwa Magazi ndi Kupewa KwakeMagazi a magazi, omwe amadziwikanso kuti mafinya ozama, amapezeka 3 mpaka 15 peresenti ya anthu omwe ali ndi kansa ya m'mapapo. Mankhwala amagazi amapangidwa nthawi zambiri m'milingo kapena m'mimba ndipo akhoza kuika moyo wawo pangozi akamapita kumapapo. Mu phunziro limodzi, panali makumi asanu ndi awiri pa makumi asanu ndi awiri (70%) omwe adawonjezeka pangozi yakufa mwa anthu omwe ali ndi khansara yamapapu omwe anawona magazi.
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Idyani Zakudya ZathanziTikudziwa kuti kudya chakudya choyenera kumatipangitsa ife kukhala bwino, komabe kungachepetse mwayi wokhala ndi khansa. Nyuzipepala ya American Institute for Cancer Research (AICR) yadzaza ndi zakudya zoyenera kwa anthu omwe akuyembekezera kupewa khansa. Kwa opulumuka a khansa, amalimbikitsa kutsatira zotsatirazi pofuna kuyesa kubwereza.
Onani nkhani ili m'munsiyi kuti mudziwe za maphunziro amene ayang'ana zotsatira za zakudya pa khansa ya m'mapapo.
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Pezani Zochita ZochepaZochita za thupi zakonzedwa kuti zitha kugwira ntchito yoteteza khansa ya m'mapapo, koma ndi zochepa kwambiri ngati zingathe kupulumuka mwa anthu omwe ali kale ndi matendawa.
Kwa iwo omwe angakhoze kulekerera zolimbitsa thupi, izo zingachepetse mwayi wa kufa msanga komanso kuchepetsa chiopsezo cha imfa chifukwa cha matenda ena okalamba. Kupulumuka pambali, maphunziro amasonyeza kuti zochita zolimbitsa thupi zimapangitsa kuti moyo ukhale wabwino kwa anthu okhala ndi khansa ya m'mapapo. Pakalipano, sitikudziwa zochitika zolimbitsa thupi kapena kuchuluka kwa nthawi yomwe timagwiritsira ntchito. Funsani anu oncologist zomwe akuvomereza.
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Siyani KusutaNdinasankha kusuta fodya pafupi ndi mndandanda wa mndandandawu chifukwa sindikufuna kuwonjezera ku manyazi kwa khansa ya m'mapapo. Koma kupitirizabe kusuta pambuyo pozindikira kuti khansa ya m'mapapo ikhoza kutanthauza kupulumuka kwapang'ono.
M'mbuyomu, maphunziro asonyeza kuti anthu omwe asiya kusuta atatha kudziwa kuti khansa ya m'mapapo imapanga bwino ndi opaleshoni ndikuyesa bwino mankhwala othandizira mazira. Kwa anthu omwe ali ndi khansara yamapapo oyambirira, kufufuza kwatsopano kumeneku kunasonyeza zotsatira zowonjezereka zotsalira. Mu anthu omwe ali ndi khansa yapakhungu yopanda mapira komanso khansa yaing'ono ya khungu yamapapu , zaka zisanu zimapitirira kupitirira kawiri mwa iwo omwe anatha kupha chizolowezicho ataphunzira.
Ngati mukuvutika kuti musiye, yang'anani tsamba losiya kusuta fodya ili pansi pano ngati kuyamba.
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Khalani Woimira Wanu WanuTilibe ziwerengero zomveka bwino zomwe zimatiuza kuti kukhala woyimilira wathu amaukitsa moyo. Koma tikudziwa kuti kusamalira bwino koposa n'kofunika.
Kupeza kachipatala ndi chipatala chomwe mumamva bwino ndi kuyamba. Kufunsa mafunso ndi kuchita kafukufuku wanu (ndi kukhala ndi okondedwa kumathandiza ngati kuli kofunikira) kungathandize pa zosankhazo. Mwachitsanzo, kafukufuku wina amasonyeza kuti kupulumuka kwa opaleshoni ya khansa ya m'mapapo ndipamwamba kuzipatala zomwe zimachita opaleshoni yambiri. Njira yosanthula mayesero a kuchipatala ingakhale yofunikira kwa inu. Ngakhale kuti National Cancer Institute ikulimbikitsanso kuyang'ana mu mayesero a zachipatala ngati muli ndi Gawo lachitatu kapena khansa ya m'magazi ya Stage IV, ndi ochepa chabe a odwala khansa ya m'mapapo.
Pomaliza, dziwani zizindikiro za matenda a khansa ya m'mapapo . Ngakhale pali zifukwa zambiri zomwe anthu angasamalire zizindikiro zomwe sitingathe kuzichita ngati madokotala, zimakhala zopweteka kwambiri pamene wina sazipanga chifukwa cha chinachake chomwe chikanakhala chokhazikika mosavuta ndi chipinda chodzidzimutsa kuchipinda ndi kuchipatala.
Onani zitsanzo zotsatirazi pokhala wozonda wanu:
- Momwe mungakhalire Mtsitsi Wanu Woleza Mtima Ngati Wodwala Wodwala Khansa
- Kufunika kwa Lingaliro Lachiwiri ndi Khansa ya M'mimba
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ZolembaBungwe la American Institute for Cancer Research. Malangizo a AICR kwa opulumuka ku khansa. Inapezeka pa 02/15/16. http://preventcancer.aicr.org/site/PageServer?pagename=patients_survivors_guidelines
Anguiano, L. et al. Ndemanga Yomwe Akudzipha Pakadwala a Khansa. Nursing Cancer . 2011 Sep 23. (Epub patsogolo pa kusindikiza)
Arrieta, O. et al. Mgwirizano wa Kuvutika Maganizo ndi Nkhawa pa Moyo Wathanzi, Kuvomereza Kachilombo, ndi Kugonjetsa kwa Odwala Amene Ali ndi Matenda Ovuta Kwambiri Osati aang'ono a Khansa ya M'mimba. Zolemba za Oncology Opaleshoni . 2012 Dec 22. (Epub patsogolo pa kusindikiza).
Chen, M. et al. Zizindikiro zodetsa nkhaŵa panthawi yoyamba ya mankhwala am'thupi zimaneneratu kuti anthu odwala ali ndi khansa yapakhungu yochepa kwambiri. Thandizo Lothandiza ku Khansa . 2011. 19 (11): 1705-11.
Giannousi, Z. et al. Nthenda zamagulu, magawo ovuta omwe akuyankhidwa ndi kuvutika maganizo kwa odwala khansa ya m'mapapo: chiyanjano ndi kugwirizanitsa. Thandizo Lothandiza ku Khansa . 2011 Oct 1. (Epub pamaso pa kusindikiza).
Hamer, M. et al. Matenda a maganizo ndi khansa. Journal of Psychosomatic Research . 2009. 66 (3): 255-8.
Holt-Lunstad, J. et al. Maubwenzi apamtima ndi chiopsezo chakufa: meta-analytic review. PLoS Medicine . 2010. 7 (7): e1000316.
Jones, L. Zochitika za thupi ndi khansara yamapapu. Zotsatira Zatsopano Zotsatira za Khansa . 2011. 186: 255-74.
Levi, D. et al. Kuzindikira zotsatira ndi zowonongeka za mitsempha yambiri ya mitsempha kwa odwala omwe ali ndi khansa yaing'ono ya m'mapapo. Journal of Clinical Oncology . 2006. 24 (18S): 7159.
Lissoni, P. et al. Njira yauzimu pakuchiza khansara: mgwirizano pakati pa chikhulupiliro cha chikhulupiriro ndi kuyankha kwa chemotherapy pa odwala khansa yapakhungu osapitirira. Mu Vivo . 2008. 22 (5): 577-81.
Lissoni, P. et al. Kachitidwe kabwino kake ka mankhwala a khansa poyerekeza ndi kusinthasintha kwa nyimbo ya cortisol, maonekedwe a chitetezo cha mthupi komanso matenda okhudza matenda a kansa mu kansa ya m'mapapo yopanda maselo. Mu Vivo . 2008. 22 (2): 257-62.
LeConte NK, Else-Quest NM, Eickhoff J, Hyde J, Shiller JH. Kuunika kwa chilakolako ndi manyazi kwa odwala omwe ali ndi khansara ya mapapo ya mapapo poyerekeza ndi odwala omwe ali ndi khansa ya prostate. Khansara Yam'mimba Yamakono . 2008. 9 (3): 171-8.
Parsons, A. et al. Kusokonekera kwa kusuta fodya pambuyo pozindikira kuti khansa ya m'mapapo yapachiyambi imayendera: kuyang'anitsitsa kayendedwe ka kafukufuku wamakono. British Medical Journal . 2010. 340: b5569.
Pinquart, M. ndi P. Duberstein. Makampani ochezera malo ochezera a khansa: meta-analytical. Zofufuza Zovuta pa Oncology / Hematology . 2010. 75 (2): 122-37.
Pinquart, M. ndi P. Duberstein. Kusokonezeka maganizo ndi kufa kwa khansa: meta-analysis. Psychological Medicine . 2010. 40 (11): 1797-810.
Pirl, W. et al. Kusokonezeka maganizo pambuyo pozindikira za khansa yapakhungu yochepa yopanda maselo ndi kupulumuka: phunziro la oyendetsa ndege. Psychosomatics . 2008. 49 (3): 218-24.
Saito-Nakaya, K. et al. Mkwatibwi, chisamaliro cha umoyo ndi kupulumuka pambuyo pa kupatsirana kansalu mu kansa ya m'mapapo yochepa. Cancer Science . 2006. 97 (3): 206-13.
Tagalakis, V. Vuto lalikulu la matenda opatsirana kwambiri a odwala omwe ali ndi kansa ya m'mapapo ya m'mapapo. Journal of Thoracic Oncology . 2007. 8: 729-34.
Temel, J. et al. Kusamalidwa koyambirira kwa odwala omwe ali ndi khansa ya m'mapapo yeniyeni ya m'mapapo. The New England Journal of Medicine . 2010. 363 (8): 733-42.
Wassenarr TR, Eickhoff JC, Jarzemsky DR, Smith SS, Larson ML, Shiller JH. Kusiyana kwa chisamaliro cha atsikana oyang'anira chisamaliro kwa asing'anga omwe akudwala matenda a khansa ya m'mapapo. Journal of Thoracic Oncology . 2007. 2 (8): 722-8.