Ukuxinezeleka kunye nokuxhalaba kuyaqhelekileyo, kodwa kunjalo Uncedo
Ukuxilongwa kwesifo somhlaza wesisu ngumnye wezona zinto ziphazamisayo umfazi onokukuva. Emva kweendaba ezinjalo ezothusayo, kuyinto eqhelekileyo ukuvakalelwa uluvo lweemvakalelo , ukuphelelwa yithemba ukuthukuthela. Kodwa kwezinye izigulane, nangona kanye ukudideka kokuqala kunye nentlungu kuye kwadlula, ingxaki enkulu yempilo yengqondo ingahlakulela.
Iimpawu Zakho Zemvakalelo Emva kokuxilongwa kweCarcer Breagnosis
Into yokuqala yokwazi kukuba awuyedwa.
Uphononongo luka-2006 oluqhutywe ngabaphandi e-Dartmouth Medical School, lwafumanisa ukuba malunga nesiqingatha sezilwanyana ezingama-236 ezasandul Oku kuthetha ukuba ezi zigulane, kunokuba zenze iimeko ezidlulayo ze-blues, zihlangabezane neemeko zokujonga iimeko zokubandezeleka kwengqondo okanye izifo zengqondo.
Ezinye zeemeko zesifo somhlaza wesifuba esinamava ziquka:
1. Uxinzelelo lweengqondo
Uxinzelelo olukhulu lwengqondo yinkxalabo yempilo yengqondo phakathi kwezigulane zesifo seengxwaba zesifuba kwaye wafumana ama-41% yabathathi-nxaxheba abangama-236 kwisifundo seDartmouth. Kunokuba nzima ukuhlula phakathi kokuqhelekileyo, ukusabela okunempilo kwisifo sokuxilongwa komhlaza nokuxinezeleka kwengqondo. Kodwa i-questionnaire elula ebizwa ngokuba yi-"Distress Thermometer" iye yavunyelwa yiNational Cancer Network Network (NCCN) njengendlela yokujonga ukuba uxinzelelo lwengqondo luchaphazela kakhulu ubomi bakho.
2. Uxinzelelo olukhulu
Ufunyenwe kwi-11% yezigulane zomhlaza zesifuba, ukudakumba kudlula ngaphaya kokudabuka. Ingqondo yengqondo apho iimvakalelo zokuphelelwa lithemba ziphazamisa ubomi bakho bemihla ngemihla. Nangona umntu onenkxwaleko yeklinikhi engakwazi ukufumana zonke iimpawu, kubalulekile ukutshekisha ugqirha wakho ukuba unamava alandelayo:
- Sitshintsha ngokubonakalayo: Intsingiselo ebuhlungu okanye engabonakaliyo, iinwele ezingapheliyo okanye izambatho
- Ukungonwabi ngokubanzi: Uvakalelwa kukuba lusizi okanye lithemba kakhulu ixesha
- Iingcamango ezingalunganga: Isiva esingahlaliyo kwabanye, ukungathembeki ngekamva
- Umsebenzi owehlisiwe: Akukho mzathu; nemisebenzi encinci kunjengeyona mzamo omkhulu
- Ukuxinwa okunciphise: Ukungakwazi ukugxila kwimisebenzi elula okanye iingxoxo
- Iingxaki zabantu: Ukuphepha abanye, ukuphazamiseka xa abanye bezama ukunceda
- Ukuthotywa kunye nokuzithoba: Uvakalelwa kukuba iingxaki ziphosakele zakho okanye ukuba awunelungelo kumntu
- Iingxaki zomzimba: Ingxaki yokulala, ukulahleka kwezinto ezibonakalayo okanye ukuzuza, intloko okanye umzimba
- Iingcamango zokuzibulala: Ukuhlaselwa ngokufa, kucinga ukuzibulala
3. I-Post-Traumatic Stress Disorder (PTSD)
I-PTSD yinkathazo yokuxhalabisa inokuchaphazela abantu abaye bafumana isiganeko esibuhlungu esasisichengeni okanye sengozini yomzimba. Ngokuqhelekileyo edibaniswa namaqhawe emfazwe kunye namaxhoba olwaphulo-mthetho, i-PTSD ingaba nzima kakhulu kwizigulane zomhlaza, abafana neengxaki zokuphepha nokufa kwabo. Enyanisweni, i-PTSD ifunyaniswe ukuba ubuncinane kwi-10% yabasetyhini abavavanyelwe ngumhlaza wesibele. Iimpawu zokubukela ziquka:
- Ukukhumbuza umzuzu: Iimbongo ezinzulu zexesha elikufutshane nokuxilongwa kwakho, ingakumbi xa ihamba kunye neempawu ezinjengeentliziyo zentliziyo, ukujuluka, ukugubha
- Ukuphepheka: Ukuya kwixesha elide ukuhlala kude neendawo okanye abantu abakhumbuza ixesha elibi; ivakalelwa ngokuqhelekileyo kwabanye
- Ukuvusa okwenyukayo: Uvakalelwa lula okanye ucaphukile; ukungakwazi ukulala okanye ukugxila njengokuba ingozi isondele
4. Ukukhathazeka ngokubanzi kwezixhala (GAD)
Kukhoyo kwi-10% yezigulane zomhlaza zesifuba, i-GAD yinkathazo yokuxhalabisa apho ukuvakalelwa ngokubanzi okanye ukwesaba kubakho, naphezu kobuncinane okanye kungekho nengozi. Abagulayo be-GAD bachitha ixesha elininzi lomhla bexhalabile, ngokusoloko befikelela ekugqibeleni kwengqondo, kunye neempawu ezibonakalayo ezinjengeentloko, ukuthukuthela nokuthuthumela.
Yintoni Oyenzayo - Funa Ukuphulukiswa Kwengqondo Emva kokuxilongwa kweCanscer diagnosis
Ukuba ufumana nayiphi na impawu kwiimeko ezichazwe ngasentla, khumbula ukuba ziqhelekile kwaye akudingeki uqhubeke ulwa nzima. Kukho amanyathelo abalulekileyo ekuncedeni ukulungisa iimpawu zakho kunye nokukhathazeka:
- Ukufikelela kwabanye. Uncike kwiintlanganiso ezithandwayo kunye namalungu entsapho. Buza umfundisi wakho ukuba akuthintele nabanye okholo olufanayo abaye baphathwa ngomhlaza wesibele. Fumana amaqela enkxaso kuluntu; Ngokuqhelekileyo, izibhedlele ezixhomekeke kwizifo zonyango lwebele zomxhasi zixhasayo ezi ntlobo zamaqela. Ugqirha wakho kufuneka abe nolwazi malunga namaqela enkxaso.
- Thetha noDokotela wakho. Impilo yakho yengqondo kubalulekile ukuphatha ngempumelelo imeko yakho yomzimba. Kubalulekile ukuxelela ugqirha wakho malunga nantoni na ehlala ikukhathazayo. Cela ukuthunyelwa kwingcali yezempilo yengqondo ukuba unqwenela uncedo olungakumbi.
Funda ngeMida
Amayeza achazwe kule miqathango abandakanya ukuxhatshazwa kwezinto ezifana ne-SSRIs (Prozac, Zoloft noCelexa phakathi kwabo). Usenokuba sele uthabatha enye yalezi zibonakaliso zexesha lokuyeka umyeni; kodwa ukuba unengxaki yokuxinezeleka okanye ukuxhalaba, ukwanda kwenzalo yakho kunokufuneka.
Qaphela ukuba kukho ukusebenzisana kweziyobisi ezinokufaka ingozi kwonyango lwakho; Ngokomzekelo, ezinye izidandlululo zinganciphisa ukusebenza kwetamoxifen . Qiniseka ukuba umboneleli wakho wezempilo kunye ne-oncologist yakho uyazi malunga nayiphi na imichiza oyithathayo.
Ekugqibeleni, khumbula ukuba amayeza angathatha inyanga ukubonelela. Ungayeki ukuthatha leyeza ngaphandle kokubonisana nodokotela wakho ukuba ungaziva ungcono ngokukhawuleza.
Yazi Ziziphi iimpawu ezifuna Uncedo olukhawulezileyo
Shayela ugqirha wakho okanye isibhedlele sendawo ngokukhawuleza ukuba unamava alandelayo:
- Iingcamango zokuzibulala okanye ukuqhubeka kwimihla ngemihla ngokufa
- Ukuziphatha okungekho nto, njengokusela ukuza kwindawo yokuphuma okanye ukuqhuba ngokuchanekileyo
- Ukungakwazi ukutya okanye ukulala iintsuku eziliqela
- Inkxalabo ephefumulayo yokuphefumula okanye ukuncipha kwiimvakalelo ezixhalabileyo
Ndilungile ... Ndicinga
Ukuba awukholelwa ukuba uxhomekeke kuyo nayiphi na le miqathango ilapha ngentla - kodwa awuzive uqobo - usenokufumana induduzo ngokufikelela kwabanye.
Fumana inkxaso kwi-intanethi. IiSayithi ezinjengeCarcerCare zinokunika ulwazi malunga nokujamelana nomdlavuza kunye nesantya esiphezulu sabantu abasindiswa ngumhlaza. Bakhona ulwazi malunga namaqela enkxaso ye-intanethi, apho unokudibanisa nabantu abafumana ezinye izinto ezifanayo.
Imithombo:
Abasebenzi baseMerika Cancer Society. "I-ACS: Izibonelelo ezongezelelweyo." Cancer.org . 5 Oktobha 2007. I-American Cancer Society. 23 kuMatshi 2008.
Desmarais YI, Looper KJ. "Intsebenziswano phakathi kwe-tamoxifen kunye neentsholongwane ezixinzelelekileyo nge-cytochrome P450 2D6." J Clin Psychiatry. 2009 Dec; 70 (12): 1688-97. i-doi: 10.4088 / JCP.08r04856blu.
Abasebenzi baseMerika Cancer Society. "Ukudandatheka." Cancer.org . 4 uJanyi 2007. UMbutho weCancer Cancer. 23 kuMatshi 2008.
CDC Abasebenzi. "Ukujongana neSiganeko esibuhlungu." CDC.gov . 26 Julayi 2005. Amaziko okuLawula nokuLawula izifo. 23 kuMatshi 2008.
Umsebenzi we-CDC, "Ukuqonda ukuCinezeleka - zakho kunye nezoLowo." CDC.gov . 01 Matshi 2002. Iziko zoLawulo lweNtsholongwane kunye nokuKhusela. 23 kuMatshi 2008.
Hegel, MT, kunye. al .. "Uxinzelelo, ama-Syndromes Psychiatric, kunye nokuPhelelwa kweMisebenzi kwabasetyhini abaneNtsholongwane kaGawulayo. Cancer . 107. 12. 15 Disemba 2006. 2924-2931.
NIMH Abasebenzi. "Ukukhathazeka ngokuqhelekileyo ngengxaki (GAD)." ISiko leSizwe seMpilo yengqondo . 2 kuMatshi 2008. amaZiko eZiko lezeMpilo. 23 kuMatshi 2008.
NCCN Abasebenzi. "Uyazi Njani Xa Ukukhathazeka Kuqhelekile - Okanye Kunzima Kakhulu?" NCCN.org . 2005. iNational Cancer Network Network. 23 kuMatshi 2008.