Iimbangela zeNtsholongwane kaGawulayo kunye neendlela zokuLawula
Ukuphathwa kobuhlungu kubantu abanomdlavuza wamaphaphu uye wahamba ngendlela ende, kodwa ukuxhalabisa ngeentlungu kuqhubeka ukwesalisa ukuba phantse wonke umntu ofumene nesifo. "Ngaba ndiya kuba nentlungu? Kuthekani ukuba imithi yam intlungu iyeka ukusebenza kwaye ayikwazi ukulawula intlungu yam? "Ubuhlungu bunokuchaphazela kakubi umgangatho wobomi obangela ukuba uzive uphantsi kwaye unomsindo, kodwa kukho iindlela ezininzi zokufumana unyango.
Ngomnyaka we-1986, i-World Health Organization yashicilela izikhokelo zokulawula intlungu yomhlaza. Ukusebenzisa le ndlela, kunye neendlela ezintsha, abantu abaninzi banokulawulwa kakuhle kobuhlungu kulo lonke unyango lomhlaza wamaphaphu .
Ziyintoni Iintlungu Eziqhelekileyo Ngomhlaza We-Lung?
Ubuhlungu buqhelekile ngomhlaza wamaphaphu, kwaye ama- 51 ekhulwini abantu abaphila nomdlavuza wamaphaphu bafumana uhlobo lweentlungu ngexesha lonyango. Ngomhlaza wamaphaphu ophezulu , phantse wonke umntu uya kufuna uhlobo oluthile lonyango lokunciphisa intlungu. Ukongezelela, kucingelwa ukuba omnye kubantu abathathu abanomdlavuza ekugqibeleni bajamelana nentlungu ye-neuropathic - enye yeenzima ezinzima zonyango.
Yintoni Ebangela Ubunzima Ngomhlaza Weengculaza?
Umdlavuza womlenze ungabangela intlungu ngeendlela eziliqela. Ezinye zezi ziquka:
- Ubunzima obuvela kwi-tumor ukunyanzelisa iimbilini, amathambo, okanye i-pleura (i-lung lining.)
- Ubuhlungu obuvela kwimpawu zomhlaza wemiphunga, njengokukhwehlela.
- Imiphumo emibi yonyango lomdlavuza wemiphunga, njengezilonda zomlomo ngethuba le-chemotherapy, okanye intlungu yomsindo emva kokuhlinzwa.
- Ubuhlungu obungapheliyo emva kokuhlinzwa komhlaza wamaphaphu ekubhekiswe kuthiwa yi- postpneumonectomy syndrome okanye i-post-thoracotomy syndrome .
- Ezinye izifo ezikhoyo kunye nomhlaza wesifo somphunga, njenge-arthritis okanye intloko
- I-peripheral neuropathy ehlobene neyeza zamakhemikhali.
Kubaluleka kokuPhatha ubuhlungu beCarcer
Iintlungu zomhlaza zingaphazamisa umgangatho wobomi ngokuphazamisa ukulala kwakho, ukutya kunye nokuzilolonga, kwaye kunokukhokelela ekudakaleni.
Ukunyanga okufanelekileyo kwintlungu kunokuphucula ukukwazi kwakho ukujamelana nayo njengoko ufumana unyango lomhlaza, kwaye kukunceda ukuba uthathe inxaxheba kwimisebenzi eqhelekileyo oyithandayo. Ukulawulwa kwentlungu efanelekileyo kubalulekile ngokomzimba kunye kwaye kudibaniswa nokuphendula okungcono kunyango, njengokuphulukiswa okuphuculweyo emva kokuhlinzwa.
Ukuchaza Ubuhlungu KuDokotela Wakho
Ugqirha uya kukucela ukuba uchaze uhlobo lwentlungu yakho. Ngaba bubukhali okanye bubuhlungu, buhlala njalo okanye buya kufika na? Yintoni eyenza ibe ngcono kwaye yintoni eyenza ibe yimbi? Uya kucela nokuba unzima kangakanani intlungu yakho. Oogqirha basebenzisa iintlobo ezininzi "zezikali zentlungu" ukukunceda uchaze ubukhulu beentlungu ozifumanayo. Indlela eqhelekileyo kukucela ukuba uchaze intlungu yakho kwisikali ukususela ku-1 ukuya kwe-10, kunye no-1 ube yintlungu engabonakaliyo, kwaye 10 ibe yintlungu ebenzileyo.
Iithintelo zokuLawula ngokuPhezulu koPhando
Uphononongo lubonisa ukuba iintlungu zingaphantsi komhlaza wemiphunga . Izinto ezinokubangela ukuba:
- Ukwesaba utywala - Abantu abathabatha unyango lweengxaki zomhlaza abaqhelanga ukuba banomlutha.
- Uloyiko lokuba amayeza enhlungu awusayi kuphinda asebenze , kwaye akukho nto ikhoyo ekulawuleni intlungu xa kuqhubeka ngakumbi - Awuyi kuhlonywa ngamayeza enhlungu, kwaye ezinye iinketho ziyafumaneka.
- Ukoyika imiphumo emibi kwiinkonzo zentlungu - Iipilisi zentlungu zinokuchaphazeleka, kodwa ezininzi zazo zilula ukulawula.
- Ukungakwazi ukufumana iimichiza zentlungu - Ukuba awukwazi ukufumana imithi yakho yeentlungu, i-oncologist yakho inokukwazi ukutshintsha umyalelo wakho kumntu ongabibizi, okanye ukukhokelela kwinkqubo apho unokufumana uncedo lwezezimali.
Ionyango ezisetyenziselwa ukuLawula ubuhlungu
Umdlavuza womlenze ungabangela ubuhlungu obukhulu, kwaye uninzi lwabantu luya kufuna imithi yokulawula intlungu ngexesha elithile kunyango lwabo. Ukuba ubuhlungu buba nzima kakhulu, iinkqubo ezinjengeebhloko zentliziyo zingabonelela ngakumbi.
Ezinye iindlela zokungabikho zonyango zingakunceda ukulawula intlungu yakho.
Iimpawu zoMhlaza weCarcer
Imithi yokulawula intlungu yomhlaza iwela kwiindidi ezi-3 eziphambili:
- Amachiza angaphezulu kwamayeza - Ngamayeza aphikisayo afana ne-Advil (ibuprofen) okanye iTylenol (i-acetaminophen) inokunceda ngeentlungu ezinzima.
- I-opioids - i-opioids efana ne-codeine kunye ne-morphine zidla ngokufunekayo ukuze zenze intlungu ephakathi.
- Olunye unyango - Amachiza anjenge-anti-depressants kunye nezidakamizwa zokulwa nokutshatyalaliswa ngamanye amaxesha zisetyenziselwa ukutshisa / ukutyumza intlungu, kwaye i-steroids inokuba luncedo kwiintlungu ezibangelwa ukuvuvukala.
Ulwaphulo lokuLawula oPhakathi
Ingxaki ngamachiza olawulo lweentlungu zesifo somhlaza, kukuba ukuba amayeza adingekayo ukulawula ngokwaneleyo iintlungu zidla ngokumalunga nemiphumo emibi. Ubuchule bokulawula ubuhlungu obuphakathi kwamanyathelo yizo eziye zacetywa ukunceda ukuxazulula le ngxaki, kwaye idibanise intlungu ephuma kuyo (imiqobo.) Ezinye zezi ndlela ziquka:
- Iimpawu zamanzi - Inkqubo apho ijojoza ifakwe kwi-nerve okanye kwi-spine fluid (intrathecal delivery), enokukunceda entlungu.
- Ukuvuselela intambo yomtya.
- I-neurosurgery ekhupha izibilini ezithumela iimpawu zentlungu ebuchosheni bakho.
Ukulawula Ubunzima be-Bone Metastases
Xa umdlavuza wamaphaphu usasazeka kwi-bone ityibangela intlungu. Ukongezelela kwamanye unyango, unyango lweetasastase zethambo lungabandakanya iklasi lamachiza eyaziwa ngokuba yi-bisphosphonates kunye neyeza.
I-Vitamin D kunye ne-Cancer Pain
Nangona i-vitamin D ingenakuba yimpendulo kuyo yonke intlungu yakho, ukuthetha nodokotela wakho malunga nesongezelelo kubaluleke kakhulu. Sifundile kwiminyaka yakutshanje ukuba uninzi lwabantu lunobunzima be-vitamin D, kwaye ukusilela kunxulumene nomdlavuza ongaphantsi. Uphando olutshanje lwaseSweden lunikeze umgudu wokuvavanya amanqanaba, nangona kunjalo, njengoko kungadlala indima entlungu. Abaphandi eSweden bafumene ukuba ukusebenzisa i-vitamin D eyongezelelekileyo kubantu abanomhlaza kwakunxulumene nemfuno engaphantsi yemilenze yeentlungu zentlungu, ukulawulwa kobuhlungu obungcono, kunye nobomi obubhetele. Ekubeni izinga lakho le-vitamin D linokuhlolwa ngolu vavanyo lwegazi olulula, xela ugqirha ukuba awuzange uvavanywe.
Izindlela eziNye zokuLawula ubuhlungu
Amanqanaba omhlaza amaninzi ngoku anika iinkqubo ezongezelelweyo / iindlela zokuncedisa ngokulawula ubuhlungu . Ezi azinalo ezinye izifo zonyango, kodwa ezinye ziye zaboniswa ukunciphisa imfuno yonyango lwamayeza. Ezinye zeendlela ezibonakala zithembisayo zibandakanya ukuguqulwa, ukuhlalisa umzimba kunye ne-qigong.
Ukujamelana Neentlungu Zeengculaza
Into ebalulekileyo ongayenza ukuthetha ngokukhululekile nge-oncologist yakho kunye nabathandekayo bakho malunga nayiphi na intlungu ojongene nayo. Wonke umntu ufumana iintlungu ezahlukeneyo. Akukho namnye kuthi angafunda iingqondo, kwaye kubalulekile ukwabelana ngendlela ovakalelwa ngayo ukuba iqela lakho lononophelo lwempilo lithathe inxaxheba ukunceda. Ukuba ukwesaba malunga nokuba ngumlutha, okanye ukuba amayeza ayayeka ukusebenza, uchaze ezo ntswelo. Ukuba unomdla malunga neendleko zemithi yeentlungu, xelela i-oncologist yakho. Ukuba uziva unxinzelele abathandekayo bakho bethetha ngeentlungu zakho, yazi ukuba kubalulekile ukuba baqonde oko uhambayo. Abathandekayo bakho baya kukwazi ukukuxhasa okulungileyo xa beqonda ukuba awuva kakuhle-kwaye unokukukhuthaza ukuba ufune intlungu efanelekileyo.
> Imithombo:
> Bergman, P., Sperneder, S., Hoijer, J., Bergqvist, J., noL. Bjorkkem-Bergman. Amanqanaba aphantsi e-vitamin D anxulumene neqondo eliphezulu le-opioid kwizigulane zesifo somhlaza-iziphumo ezivela kwisifundo seSweden. PLoS One . 2015. 10 (5): e0128223.
> IBjorkhem-Bergman, uL., noP. Bergman. I-Vitamin D kunye nezigulane ezineengxaki zomhlaza. Ukuncediswa kweBMJ kunye neNkathalo yokuThatha . 2016 Apr 15. (Epub ngaphambi kokuprinta).
> Lamer, T., Deer, T., kunye no-S. Hayek. Ulungelelwaniso oluPhambili lweNhlungu. IMayo Clinic Proceedings . 2016. 91 (2): 246-58.
> INational Cancer Institute. Iinkcukacha zePDQ. Ubunzima be-Cancer (PDQ). INgxelo yezobuGcisa. 02/17/16. https://www.ncbi.nlm.nih.gov/pubmed/26985561
> INational Cancer Institute. I-PDQ yengxelo yeCcercer Information Summaries. Ubunzima be-Cancer (PDQ). Version Patient. 04/07/16. https://www.ncbi.nlm.nih.gov/books/NBK65883/#CDR0000062845__8
> Roberto, A., Deandrea, S., Greco, M. et al. Ubuninzi bobuhlungu be-Neuropathic kwi-Cancer Izigulane: Iingqinisiso ezixhaswe kwiNgxelo eHloloweyo yoLwazi oluPapasho kunye neZiphumo ezivela kwiSaveyi eqhutywe kumaziko angama-50 ama-Italian Palliative Care Centers. I-Journal ye-Pain kunye neSimptom Management . Ngo-2016 uMar 24. (Epub ngaphambi kokuprinta).