Ziyintoni eziqhelekileyo kwi-Cancer Pain kunye Neyintoni Eyibangela?
Impendulo kulo mbuzo malunga nokuba umhlaza unesihlungu akulula nje ngo-yebo-okanye-no. Abanye abantu abanomhlaza baneentlungu ezininzi, kanti abanye bafumana ubunzima obukhulu. Umdlavuza ubangelwa njani ubuhlungu kwaye ziziphi izinto ezenza ukuba intlungu ibe yinto embi? Kutheni ukuba ubuhlungu bengumhlaza buhlala bunyangwa, kwaye unokwenza ntoni wena okanye wakho othandekayo ufumana ulawulo olungcono kakhulu lweentlungu kunye nemiphumo embalwa yecala?
Izinto eziQinisekisa iNani loMhlaza weCancer
Kukho iintlobo ezininzi ezichaphazela ukuba umhlaza (okanye unyango lomhlaza) ubangela intlungu, nokuba lubuhlungu kangakanani ukuba intlungu iya kuba. Ezinye zezi ziquka:
- Isigaba seCancer - Xa umdlavuza usesikolweni, abantu abaninzi abahluphekanga. Enyanisweni, le ngenye yezizathu ukuba ezinye iintsholongwane - njengomdlavuza we-pancreatic - zivame ukuxilongwa kuphela emva kokuba umhlaza wabo usasaze kwaye ungasebenzi kwaye utyando alukwazi ukuphilisa eso sifo . Ngokomzekelo, umdlavuza webele ufunyanwe kuphela kwi- mammogram ingabangeli nto, kodwa isigaba somhlaza wesifuba se- 4 sinokubangela iintlungu ezininzi ngenxa yesifo se-boneastas.
Uhlobo lweCarcer - Ezinye i-cancer ziyakwazi ukubangela intlungu kunabanye, nangona intlungu inokuvela naluphi na uhlobo lomhlaza.
Ukunyamezela kobuhlungu - Ukunyamezela kweentlungu kuyahluka kakhulu phakathi kwabantu abahlukeneyo, kwaye phakathi kweendawo ezahlukeneyo okanye iintlobo zentlungu efunyanwa ngumntu. Ukunyamezela ubuhlungu kuchazwa njengento yentlungu umntu angayisebenzisa ngaphambi kokuba aphule ngokomzimba okanye ngokomzwelo. Umyinge webala , ngokuchaseneyo, uchazwa njengengongoma apho uvakalelo luba buhlungu. Ingaba uvakalelo lucaciswa njengolubuhlungu oluqulunqwe ukuveliswa kwemfuza, imbali yentlungu, kunye neemeko zonyango phakathi kwezinye izinto. Enyanisweni, esinye sezizathu zokuba abantu baxilise imithi ngexesha lonyango olusenokuphucula umgangatho wobomi ngumnqweno wokuba "nesigulane esihle" kwaye ubonakale "unamandla.
- Imiqathango yokongeza kwiCarcer -Ayiyo yonke intlungu eyenziwa ngabantu abanomdla ngenxa yomhlaza okanye unyango lomhlaza. Ngokomzekelo, umntu onomdlavuza wamaphaphu unokufumana intlungu ngenxa ye-arthritis okanye isifo se- disenerative disad .
- Unyango lweNtsholongwane - Uninzi lwezonyango zomhlaza ezifana nokuhlinzwa, i-chemotherapy, kunye nokunyanga kwamayeza kunokubangela intlungu. Kwimigangatho yokuqala yomhlaza, intlungu ngenxa yonyango ingaba yimbi ngakumbi kuneentlungu ngenxa yomhlaza ngokwawo.
Ziyintoni Iintlungu Eziqhelekileyo Kwabantu Abanomdlavuza?
Xa umdlavuza usemagaleni okuqala, ngokukodwa ezo i-cancer ezifunyenweyo kwiimvavanyo zokuhlola, kunokuba nentlungu encinane. Nangona kunjalo, kubantu abanomdlavuza ophezulu, uninzi lwabantu luba nolwaphulo olunzima kwixesha elithile eluhambeni lwabo.
Unomdlavuza Wenza Njani Ubuhlungu?
Kukho iindlela ezininzi zomhlaza ezibangela ubuhlungu. umhlaza ngokwawo okanye unyango. Ezi ziquka:
- Ukukhula kwe-Tumor kubangela ukunyanzeliswa kweZakhiwo ezikufutshane-I- Cancer ibangela intlungu ngokuxinisa izitho kunye neentsholongwane ezikufutshane ne-tumor.
- I-Metastase - Spread (metastases) yeekresela ukuya kwezinye iindawo zomzimba, ingakumbi amathambo, kunokubangela intlungu.
- Iimpawu ezifihliweyo yi-Tumor - Ezinye i-cancer ziyakhupha iiprotheni ezinokubangela iintlungu. Imizekelo ibandakanya ezinye ze- paraneoplastic syndromes ezibonwe nomhlaza omncinci wamaphaphu kunye nomhlaza wesifo somhlaza wamasipha.
- Intlungu ye-neuropathic ngokuqhelekileyo ibuhlungu obukhulu obubangelwa uxinzelelo lwe-tumor kwiiswini, ngenxa ye-chemotherapy (ngokukodwa iziyobisi ezifana ne-Taxol) kunye neyeza zonyango. Eli nqaku likhuluma malunga neyeza zonyango ezibangelwa yi-chemotherapy .
Eli nqaku lithetha ngakumbi ngeentlobo ze-Cancer Pain .
Ungayinxibelelana njani neNqanaba lakho lePawuli kunye noDokotela wakho?
Kukho amagama amaninzi oogqirha abasebenzisa ukuchaza intlungu kubantu abanomdlavuza.
- Iintlungu ezinzima zidla ngokukhawuleza kwaye ziphela ixesha elifutshane nje.
- Ubuhlungu obungapheliyo bubuhlungu obuba khona ngo-24/7 kwaye lunokuqhubeka iintsuku, iiveki, okanye neminyaka.
- Intlungu yokuphulukana nentlungu oziva ngayo nangona unyango lwenkqubo yonyango (ngamanye amagama, alulawulwa yimithi yeentlungu oyisebenzisayo.)
- Intlungu evezwe yintlungu evezwe kwindawo ekude nomthombo wentlungu, umzekelo ukuva intlungu yentlungu ngexesha lokuhlaselwa kwe-gallbladder.
- Intlungu ye-Phantom intlungu evezwe kwindawo yomzimba engekho. Ngokomzekelo, uvakalelwa intlungu emlenzeni wakho emva kokutshatyalaliswa kwe- sarcoma , okanye uvakalelwa intlungu kwi-ingono yakho okanye "isifuba" sakho emva kwesifo somzimba.
Ezinye iindlela iintlungu ezizibandakanya zibandakanya: Ubunzima - Ngaba intlungu leyo ikhona, okanye ingaba bubuhlungu obubuhlungu obungacatshangelwayo?
- Umgangatho - Uvakalelwa njani intlungu? Ingaba yinto epholileyo, ebukhali, epholileyo, ekhunjini, ehlabayo okanye etshayolayo?
- Ukuphindaphinda - Ixesha elibi lwenzeka ntoni, okanye luhlala luhlala njalo?
- Indawo - Uvela phi intlungu?
- Yintoni eyenza ibe yimbi ngakumbi kwaye yintoni eyenza ibe ngcono?
- Iintlungu zithinta njani imisebenzi yakho yansuku zonke?
- Iintlungu zichaphazela njani ukulala kwakho?
Amanqanaba Ephunga
Ukuze uqonde ngokucacileyo ukuba ubuhlungu bakho bunjani (kunye nokujonga indlela unyango oluneentlungu kunye nezinye iintlobo zokuphulukana kwentlungu zisebenza,) oogqirha bahlala besisebenzisa izikali zentlungu. Eyona ndlela elula kakhulu kukubuza ukuba ungayilinganisela njani intlungu yakho kwisikali se-1 ukuya ku-10, kunye no-1 ube intlungu ongazange uyayiqaphele, kunye ne-10 ibe yintlungu engakumbi. Funda kabanzi malunga nezikali zentlungu .
UkuLawula I-Cancer Pain
Nangona abantu abaninzi abanomdla wesifo somhlaza besaba ngenxa yentlungu, ulawulo lweentlungu - kwanabantu abanomhlaza ophezulu - luye lwaluqhubela phambili kakhulu kwiminyaka embalwa edlulileyo. Uninzi lwabantu abanomdla ngoku banokufumana ulawulo olufanelekileyo lweentlungu kulo lonke unyango lwabo. Oko kwathiwa, oogqirha abanakukwazi ukufunda iingqondo, kwaye banokuhlangabezana kuphela neemfuno zokulawulwa kweentlungu zezigulane ukuba ziyakwazi ukuba intlungu kunye nokubandezeleka kwayo. Inqaku elilandelayo liya ngokuya kwi- Management Pain yeCarcer .
Kutheni Ubunzima Bomdlavuza We-Under-Treated?
Uphando lubonisa ukuba umntu wesithathu nesigamu sabantu abanomhlaza akafumani unyango olwaneleyo. Izizathu zininzi, kodwa ezinye ziquka:
- Ukusebenza kwamagqirha ukumisela amayeza eentlungu zamathambo .
- Umnqweno wokuba ngumonde "olungileyo".
- Ukwesaba ukuba ngumlutha - Nangona abantu abanomdla kaninzi behlakulela ukunyamezela kwiinkonzo zentlungu, kuthetha ukuba kuthatha i dose enkulu ukufezekisa inqanaba elifanayo lokuphulukana kwentlungu, akunakwenzeka ukuba umntu onomdlavuza "abe ngumlutha" kule myeza.
- Ukungabikho kokufikelela - kokubili kubagqirha ukulawula intlungu, nokuhlawula iindleko zonyango lwamayeza.
- Uloyiko lokuba imilenze isifo isetyenziswe ngoku, ayiyi kusebenza kamva "xa uyifunayo ngokwenene." (Oku akunjalo.)
Amanyathelo alandelayo
Ukuthatha indima echaphazelekayo kunyango lwakho lunokukunceda uqiniseke ukuba ufumana unyango olungcono kunyango lwakho kunye nezinye iimpawu. Inqaku elilandelayo liyakunceda ubhale iimpawu zakho kunye neemfuno ukuze ubenabelane ngazo nogqirha wakho. Imithombo:
UBrauer, B. et al. Njani I-Wellcologists Yonyango Elawula I-Cancer Pain? Oncologist . 2015 Jan 12. (Epub ngaphambi kokuprinta)>
Deandrea, S., Montanari, M., Moja, L., noG. Apolone. Ukunyamekela kokunyanzelwa kwintlungu yomhlaza. Ukuphononongwa kweencwadi ezipapashwe. Amanqaku e-Oncology . 2008. 19 (12): 1985-91.
Greco, M. et al. Umgangatho woLawulo lwePilisi yePilisi: Ukuhlaziywa koVandlakanyo oluCwangcisiweyo lokuPhathwa kakubi kwezigulane ezineCarcer. Umbhalo we-Clinical Oncology . 2014. 32 (36): 4149-4154.
Kwon, J. Ukunciphisa izithintelo zolawulo lweentlungu zomhlaza. Umbhalo we-Clinical Oncology . 2014. 32 (16): 1727-33.
National Cancer Institute. Ulawulo lwezinhlungu: Inkxaso kubantu abaneCarcer. Ukufikeleleka 05/22/16. https://www.cancer.gov/publications/patient-education/pain-control