Maphunziro a Psychological Impact of Cancer Diagnosis

by Lia Tremblay

Kupsinjika Maganizo ndi Nkhawa Zili Zonse, Koma Zothandizira Ndizo

Kuzindikira kwa khansa ya m'mawere ndi chimodzi mwa zinthu zowawa kwambiri zomwe mkazi amamva. Pambuyo pa nkhani yochititsa manthayi, ndi zachilendo kumva maganizo osiyanasiyana, kuchokera kukhumudwa mpaka kukwiya. Koma kwa odwala ena, ngakhale kamodzi kusokonezeka koyamba ndi chisoni zatha, vuto lalikulu la thanzi lingayambe.

Zisonyezero Zanu Zokhudzana ndi Khansa Patatha Matenda a Khansa ya M'thupi

Chinthu choyamba kudziwa ndikuti simuli nokha.

Ofufuza a ku Dartmouth Medical School anapeza kafukufuku wa 2006, omwe anapeza kuti pafupifupi theka la odwala khansa ya m'mawere okwana 236 omwe anali atangoyamba kumene kuphunzira. Izi zikutanthauza kuti odwalawa, osati kukhala ndi vuto losautsa, athandizidwe ndi zovuta zowunikira kuti mukhale ndi nkhawa kwambiri.

Zina mwa zinthu zomwe odwala khansa ya m'mawere angachite ndi awa:

1. Kuvutika maganizo Kwambiri

Kuvutika maganizo kwakukulu ndiko matenda okhudza matenda a m'maganizo pakati pa odwala khansa ya m'mawere ndipo anadziwana ndi 41% mwa anthu 236 omwe akuphunzira nawo ku Dartmouth. Zingakhale zovuta kusiyanitsa pakati pa njira yachibadwa, yathanzi labwino kwa matenda a khansa komanso kuvutika maganizo. Koma kafukufuku wosavuta wotchedwa "Thermometer" akuvomerezedwa ndi National Comprehensive Cancer Network (NCCN) ngati njira yodziwira ngati kuvutika maganizo kumakhudza moyo wanu.

2. Kuvutika Kwambiri

Odziwika mwa 11% a odwala khansa ya m'mawere, kuvutika maganizo kumapitirira kupitirira kupweteka. Ndi matenda a maganizo omwe amachititsa kuti moyo wanu usadandaule. Ngakhale munthu yemwe ali ndi matenda ovutika maganizo sangathe kupeza chizindikiro chilichonse, ndikofunika kuyang'ana ndi dokotala ngati mutakumana ndi zotsatirazi:

Kusintha kwa maonekedwe: Chisoni kapena mawu osawerengeka, tsitsi losavala kapena zovala
Kusadandaula kwakukulu: Kumva chisoni kapena kusowa nthawi zambiri
Maganizo olakwika: Kukhala ndi maganizo osapindulitsa kwa ena, kuyembekezera zam'tsogolo
Ntchito yochepetsedwa: Palibe chifukwa; ngakhale zochepa kwambiri ntchito zimamva ngati khama lalikulu
Kusamalidwa kuchepa: Kulephera kuika pa ntchito zosavuta kapena zokambirana
Mavuto a anthu: Kupewa ena, kutaya pamene ena ayesa kuwathandiza
Kudziimba mlandu ndi kudzichepetsa: Kudzimva kuti vuto lanu ndilo vuto lanu lonse kapena kuti simuli okwanira kwa aliyense
Matenda aumunthu: Kugona ndi mavuto , kuwonetseka kulemera kapena kupindula, mutu wa thupi kapena thupi
Maganizo Odzipha: Akudandaula za imfa, akuganiza kudzipha

3. Kusokonezeka Kwambiri Kwambiri Pakapita Patsogolo (PTSD)

PTSD ndi matenda opsinjika maganizo omwe angakhudze anthu omwe adakumana ndi zowawa zomwe zinawachitikira kapena kuopsezedwa. Kawirikawiri amagwirizanitsidwa ndi zida zankhondo komanso anthu omwe amachitira nkhanza zachiwawa, PTSD ikhoza kukhala yowopsa kwambiri kwa odwala khansa, omwe amavutika ndi mafunso a chitetezo ndi kufa kwawo. Ndipotu, PTSD yapezeka kuti pafupifupi 10% ya amayi amapezeka ndi khansa ya m'mawere. Zizindikiro zoti muziyang'ana zikuphatikizapo:

Kulimbitsa nthawiyi: Zambiri zomwe zimakumbukira nthawi yomwe mumakhalapo, makamaka ngati muli ndi zizindikiro monga matenda a mtima, kutukuta, kusagwedezeka kosasunthika

Kupewa: Kupita kutalika kuti usakhale kutali ndi malo kapena anthu omwe amakumbutsani za nthawi yovuta; kumverera kawirikawiri kwa ena
Kuwonjezeka kwowonjezereka: Kukumva mosavuta kapena kukhumudwa; Kulephera kugona kapena kulingalira ngati kuti chayandikira

4. Zowonongeka za Matenda Ovutika (GAD)

Amakhala 10% mwa odwala matenda a kansa ya m'mawere, GAD ndi matenda ovutika maganizo omwe amadzimva kuti alibe mantha kapena akuwopa, ngakhale pang'ono kapena ayi. Odwala matendawa amatha nthawi zambiri akudandaula, nthawi zambiri mpaka amatha kufooka maganizo, komanso amamva zizindikiro monga matenda, kupweteka komanso kunjenjemera.

Zomwe Muyenera Kuchita - Fufuzani Machiritso Auzimu Pambuyo pa Kufufuza kwa Khansa ya M'bwere

Ngati mukukumana ndi zizindikiro zilizonse zomwe zafotokozedwa pamwambapa, kumbukirani kuti ndizofala komanso kuti simukupitirizabe kulimbana nokha. Pali njira zina zofunika zothandizira kuthetsa zizindikiro ndi nkhawa zanu:

Yesetsani Ena. Khulupirirani pa anzanu odalirika ndi mamembala anu. Funsani mtsogoleri wanu kuti akuyanjanitseni ndi ena omwe ali ndi chikhulupiriro chomwecho omwe apatsidwa chithandizo cha khansa ya m'mawere. Pezani magulu othandizira mmudzi; Kawirikawiri, zipatala zomwe zimagwiritsidwa ntchito pa chithandizo cha khansa ya m'mawere zimathandizira magulu osiyanasiyanawa. Dokotala wanu ayenera kudziwa zambiri za magulu othandizira.
Lankhulani ndi Dokotala Wanu. Thanzi lanu ndilofunika kuti muzitha kuchiza matenda anu. Ndikofunika kuuza dokotala wanu za chirichonse chimene chikukuvutitsani nthawi zonse. Pemphani kuti mutumizidwe kwa katswiri wa zamaganizo ngati mungafune thandizo lina.

Phunzirani za Mankhwala

Mankhwala omwe amaperekedwa pazifukwazi ndi monga antirepressants monga SSRIs (Prozac, Zoloft ndi Celexa pakati pawo). Mwinanso mukhoza kutenga chimodzi mwazizindikiro za kusamba kwa thupi; koma ngati mukudwala matenda ovutika maganizo, kuwonjezeka kwa mlingo wanu kungakhale kofunikira.

Dziwani kuti pali njira zothandizira mankhwala omwe angawononge chithandizo chanu; Mwachitsanzo, zina zoterezi zimachepetsa mphamvu ya tamoxifen . Onetsetsani kuti wothandizira zaumoyo wanu ndi oncologist anu amadziwa za mankhwala alionse omwe mukuwatenga.

Pomaliza, kumbukirani kuti mankhwala akhoza kutenga kwa mwezi kuti apereke chithandizo. Musaleke kumwa mankhwala popanda kufunsa dokotala wanu ngati simukumva bwino nthawi yomweyo.

Dziwani Zomwe Zizindikiro Zikufuna Thandizo Labwino

Aitaneni dokotala wanu kapena chipatala mwamsanga mukakumana ndi zotsatirazi:

Maganizo odzipha kapena kupitirira malire okhudza imfa
Makhalidwe osayenerera, monga kumwa mowa mpaka kutsogolo kapena kuyendetsa galimoto molakwika
Kulephera kudya kapena kugona kwa masiku angapo
Kuvutika kupuma kupuma kapena kuchepetsa nkhawa

Ndili bwino ... Ndikuganiza

Ngati simukukhulupirira kuti mukukumana ndi zifukwa zili pamwambazi - koma simukumverera nokha - mutha kupeza chitonthozo pakufikira ena.

Pezani chithandizo pa intaneti. Malo ngati CancerCare angapereke chidziwitso cholimbana ndi matenda a khansa komanso chiwombankhanga cha opulumuka ku khansa. Iwo ali ndi chidziwitso pa magulu othandizira pa intaneti, kumene mungathe kugwirizana ndi anthu omwe ali ndi zinthu zomwezo zomwe muli.

_Zotsatira:

_{American Cancer Society Staff.} _{"ACS: Zowonjezerapo."} _{Cancer.org .} _{5 Oct. 2007. American Cancer Society.} _{23 Apr. 2008.}

_{Desmarais Ndikumva KJ.} _{"Kuyanjana pakati pa tamoxifen ndi matenda opatsirana pogwiritsa ntchito cytochrome P450 2D6."} _{J Clin Psychiatry.} _{2009 Dec; 70 (12): 1688-97.} _{lembani: 10.4088 / JCP.08r04856blu.}

_{American Cancer Society Staff.} _{"Kusokonezeka maganizo."} _{Cancer.org .} _{4 Jan. 2007. American Cancer Society.} _{23 Apr. 2008.}

_{CDC Staff.} _{"Kulimbana ndi Chochitika Choopsa."} _{CDC.gov .} _{26 Jul 2005. Zomwe Zingathandize Kuletsa ndi Kuteteza Matenda.} _{23 Apr. 2008.}

_{CDC Staff, "Kumvetsetsa Kupsinjika Maganizo - Anu ndi Zawo."} _{CDC.gov .} _{01 Apr. 2002. Zomwe Zingathandize Kuletsa ndi Kuteteza Matenda.} _{23 Apr. 2008.}

_{Hegel, MT, ndi.} _{Al .. "Masautso, Syndromes a Psychiatric, ndi Kuwonongeka kwa Ntchito kwa Akazi Omwe Amakhala ndi Khansa Yachibadwa Yatsopano Yophunzira."} _{Khansa .} _{107. 12. Dec. 2006. 2924-2931.}

_{NIMH Antchito.} _{"Kutha Kwambiri Kuda nkhawa (GAD)."} _{National Institute of Mental Health .} _{2 Apr. 2008. Ma Institutes of Health.} _{23 Apr. 2008.}

_{Ogwira ntchito a NCCN.} _{"Kodi Mumadziŵa Bwanji Pamene Mavuto Ali Osavomerezeka - Kapena Ndi Ofunika Kwambiri?"} _{NCCN.org .} _{2005. National Comprehensive Cancer Network.} _{23 Apr. 2008.}