Ukujamelana Nokuntuleka Kwesidlo Ngomdlavuza
Ukulahleka kwesidlo, okubhekiswa koogqirha njenge-anorexia, sisifo esifanayo ngexesha lotyando lomhlaza wamaphaphu (i-anorexia ihluke kwi-disorder disord anorexia nervosa, isifo sengqondo apho izigulane zilambile khona). Yintoni eyenza u-anorexia, uphathwe njani, kwaye unokwenza ntoni ukuhlangabezana nayo, ukuqinisekisa ukuba ufumana isondlo oyifunayo?
Sibanzi
Izinto ezininzi zinganciphisa ukutya kwakho ngexesha lotyando lomhlaza. Ezi ziquka iimpawu ezinxulumene nomhlaza, iimiphumo ezizeleyo zonyango, kunye nempendulo yomzimba wakho kumhlaza.
Uninzi lwabantu abanomdlavuza ophezulu banomlinganiselo othile we-anorexia. Ukunciphisa ukondla ngenxa yokutshintshwa kwesondlo kungaholela ekulahlekeni kwesisindo, ukungondlekanga, ukulahlekelwa kwesisundu somzimba kunye nokuchithwa ( cachexia ). Ukwazi umphumo wesondlo esingasondelanga kwimpendulo yonyango, i-oncologists iqhubela phambili ekujongeni indima yesondlo kwizigulane zomhlaza. Inkxaso yondlo ibonisiwe ibangela ukuba:
- Ngaphantsi kwezifo emva kokuhlinzwa
- Ulawulo olungcono lweempawu ezinxulumene nomhlaza
- Isibhedlele esincinci sihlala
- Ikhono elikhulu lokusinda komhlaza ukunyamezela unyango
- Impendulo engcono ngokubanzi kunyango
- Ukuphucula umgangatho wobomi kulabo abaphila nomhlaza
Unyango
Izinyango ezininzi zokwelapha ziyafumaneka ukunceda ukutya, kwaye unceda ukugcina ubunzima bakho xa unyango lomhlaza.
Ezinye zezi ziquka:
1. Ukuvavanya isondlo / ukucebisa - Amaziko amaninzi omhlaza anika iingcebiso zondlo kunye nenkxaso kubantu abaphila nomhlaza.
2. Ukwelashwa kwezizathu ezingundoqo - Ezinye iimpawu ezinxulumene nomhlaza okanye unyango lunokongeza kwisondlo esifanelekileyo. Kubalulekile ukwabelana nayiphi na yale mpawu nge-oncologist yakho ukuze ikwazi ukuqwalaselwa:
- Izilonda zomlomo
- Yenza utshintsho
- Ukukhathala
- Ukuxinezeleka
- Isihlunu okanye ukuhlanza
- Unzima ukugwinya (dysphagia)
- Ukuqhawukelwa ngumphefumlo
- Ubuhlungu
- Amachiza - Amanye amayeza (njengamayeza enhlungu) angaphazamisa isondlo kwaye angadinga ukutshintshwa, okanye ukuguqulwa kwesilinganisi
Izibonelelo - Ezinye ze-oncologists ziza kuncomela izongezelelo zondlobongela ukukhulisa i-calorie yakho
4. Amachiza - Ugqirha wakho unokuncoma amayeza ukuba avuse isondlo sakho, okanye uncedise ukuhamba ngeendlela zakho zokutya. Ezinye ezimbalwa zala mayeza ayenyusa ukondla ngexesha lotyando lomhlaza ziquka:
- I-Steroids njenge-Decadron (dexamethasone)
- Megace (megestrol)
- Reglan (metoclopramide)
- Iinnabinoids (i-marijuana yonyango)
5. Isondlo sokufakelwa komzimba - Isondlo sokufakelwa komzimba siquka ukutya okunomsoco (ukuthambisa ityhubhu), okanye isondlo se-parentrenal (izondlo ezinikwe emzimbeni nge-catheter kwi-vein ingalo okanye isifuba) - Ugqirha wakho unokuxubusha oku kukhetha nawe ukuba awukwazi adle ngenxa yokugwinya iingxaki okanye ezinye iingxaki.
6. Iipilisi zenkxaso-mali - Iinkonzo ezixhasayo / ezongezelelweyo (ezifana nokuxhaswa kwemfuyo kunye nokucamngca) zijongwa ngendima yazo ekuncediseni ukutya kwabahlali abasemdlalweni.
Ukujamelana
Ukunyanga kwe-Cancer kunganciphisi nje ukunciphisa ukutya, kodwa unokwenziwa ngokukhawuleza xa udla. Iingcebiso ezimbalwa zinokukunceda ukwandise iekhalori zakho xa ungaziva ulambile kakhulu:
- Yidla iincinci ezincinci kuninzi kwiindawo ezi-3 ezidliwayo imihla ngemihla
- Yenza indawo yakho imnandi. Ukutya kunye nosapho kunye nabahlobo. Dlala umculo. Sebenzisa ukukhanya okuziva kukhululekile
- Ukuzilolonga ngandlela-thile kunokubangela ukuba nesidlo. Buza i-oncologist yakho ngeziphakamiso zakhe
- Yidla ukutya okunesondlo okunomsoco ophezulu kwiikhalori kunye neeprotheni - Ukukhetha okulungileyo kubandakanya amantongomane, ushizi kunye nabaqholi, i-ayisikrimu, ibhotela ibhokhwe, kunye neengqungquthela
- Yiba nokutya esandleni ovuyayo kwaye kulula ukuyilungiselela
- Fumana ukutya okunonophelo kokutya xa unesilonda somlomo okanye utshintshe utshintsho
- Phuza amanzi phakathi kokutya ukuze ugweme ukuzala ngokukhawuleza
- Ukukhathala luyinto ebalulekileyo kubantu abaninzi abasindiswa ngumhlaza xa kuziwa ukupheka - Yamkela ukuthanda komntu owamthandayo ukuzisa ukutya, ukufakela umrhumo ngesinye isidlo, kwaye ubuze abahlobo bakho ukuba bayakucinga ukulungiselela ukutya ngaphambi kwexesha ukuba unganqanda ngokukhawuleza isidlo sakusihlwa
- Yidla xa uziva ulambile
- Zama ukutya ezahlukeneyo - ngamanye amaxesha utshintsho kwindlela yokusebenza lunokwenza ukutya kube "okuthakazelisayo" kunye nokulingayo
Ngexesha lokuya kubiza ugqirha
Qiniseka ukuba ugqirha ugqirha ugqirha wakho, kunye nantoni na ephazamisayo ukukwazi ukutya. Shayela phakathi kokutyelela ukuba:
- Akwazi ukutya iiyure ezingama-24 (kungekudala ukuba awukwazi ukugwinya amanzi)
- Unobunzima bokugwinya, okanye ukuba ukutya kunokunye okubuhlungu
- Ukuphuhlisa intlungu esiswini
- Phonsa ama-5 pounds okanye ngaphezulu
- Ukuba uyaphawula nayiphi na impawu yokupheliswa kwamanzi njengokonakaliswa kwetoni yesikhumba, umchamo ocolileyo, okanye ungagcini nje ngokuqhelekileyo njengesiqhelo
ILizwi
Ukulahlekelwa yondlo ngenye yezinto ezixhaphake kakhulu phakathi kwabo bafumana unyango lomhlaza wemiphunga. Kukho izinto ezininzi omele wazi ukuba oku kufana nawe. Ukulahleka kwesidlo kungaphezu kwenkathazo. Inokuphazamisa unyango, kodwa iphakamisa umngcipheko wokufa ngaphambi komhlaza. Kanti awukho wodwa kwaye kukho izinto ezinokuthi zibe nye. Buza i-oncologist yakho ukuba uhanjiswe kwisondlo sezondlo esinobuchwephesha ekuphatheni abantu abanomdlavuza. Ngokungafani nokuhlolwa kokutya kokutya, aba bantu baqhelana neziganeko zomhlaza kwaye banokuba neengcebiso ezintle zokunyusa ukutya, ukuphakamisa i-caloric intake yakho, okanye zombini.
Njengokugqibela, abathandekayo balabo abanomdla bahlala bejamelana neengxaki ezingenakunceda. Ukubeka ingqwalaselo ekufumaneni ukutya okunomsoco, ukutya okunomsoco, yindlela enye ongayibonisa ngayo uthando lwakho, kwaye uncede wakho umthandayo ukuba ahlangabezane nale nto engaphezulu komphumo wecala lomhlaza.
Imithombo:
Behl, D. no A. Jatoi. Iinketho ze-Pharmacological kwi-Advanced Cancer Iziguli ezilahlekelwa ngumdla kunye nokulahlekelwa kwesisindo. Ingcamango yoLwazi kwi-Pharmacology . 2007. 8 (8): 1085-90.
Dy, S. et al. Iziphakamiso ezisekelwe kwiNgqungquthela yokuKhathala komhlaza, iAnorexia, Depress, neDyspnea. Umbhalo we-Clinical Oncology . 2008. 26 (23): 3886-95.
Marin Caro, M. et al. Impembelelo yeSondlo kwiNqanaba loBomi ngexesha leCarcer. Iingcamango zangoku kwiNtsholongwane yokuNyango kunye noKhathalelo lweMetabolic . 2007. 10 (4): 480-7.
National Cancer Institute. Isondlo kwiCancer Care (PDQ) - IsiGulane seMonde. Ukuhlaziywa 01/08/16.
Van Cusem, E. kunye noJ. Arends. Izizathu kunye neZiphumo zeZifo ezingondlekiyo. I-European Journal ye-Oncology Nursing . 2005. 9 iSiza 2: S51-63.