Uninzi lwabantu-bobabini abahlala nomdlavuza webele we-metastatic kunye nabathandekayo babo-bakuthola kunzima ukuthetha malunga nokuphela kokuxhalabisa ubomi.
Isimo esiqhelekileyo sihamba njengale: Abantu abanomdlavuza webele we-metastatic bafuna ukuthetha ngale nkxalabo, kodwa bayika ukuphazamisa abo bathandekayo-ukuze bahlale bezolile. Ngakolunye uhlangothi, abathandekayo bayakoyika ukukhuphaza ngokuthetha malunga nokuphela kwemibandela yobomi-ke abakutshoyo.
Kuyafana kunjalo nakwizigulane kunye ne- oncologists , kwaye izifundo zisitshilo ukuba ezi ngxoxo ziqhubela ngaphantsi kunokuba zifanele.
Abantu abaninzi bayamoyiki le ngxoxo zibonakalisa ukuyeka. Sekunjalo ukuthetha malunga neenqwenela zakho akuthethi ukuba usuke ulahlile. Akuthethi ukuba ulahlekelwe yithemba lokuba uya kuba ngumnye wabantu abahlala kwiminyaka emininzi ngesigaba se-4 somhlaza webele. Oko kuthetha, endaweni yoko, kukuba ufuna ukuba izigqibo zakho zicatshangelwe, kwaye ungashiywanga ngethuba. Yindlela yokudibanisa iinqwenela zakho phambi kweemeko kunokukunyanzela ukuba wenze njalo.
Siza kujonga ekupheleni kokubambisa ubunzima obunakho, kodwa indawo engcono kakhulu yokuqala kukuba neyona nto ibalulekileyo. Ungaqalisa njani le ngxoxo kunye nabathandekayo bakho?
Iingxoxo zokuqala
Akukho ndlela engcono yokuvelisa ukuphela kokukhathazeka kwezinto, kwaye into enokusebenza kakuhle kwintsapho enye ayinakusebenza omnye.
Ngaloo nto engqondweni, nantsi iingcebiso ezimbalwa zokuqalisa ingxoxo kunye nokuvula imizila yokunxibelelana.
- Khetha ixesha apho kungekho mntu uya kuziva ephuthumayo kwaye akayi kuphazamiseka yimimangaliso. Vala ifowuni yakho.
- Cacile malunga nengxoxo ofuna ukuba nayo. Ukuba uzama ukukhupha ngesihloko ngobumnene kunye ne-hawm kwaye kulula ukukhupha ngaphandle, okanye ubuncinane uzitsho uza kuza kwesihloko ngolunye usuku. Sombulula ukuletha umba kwitafile uze ungabuyi.
- Unokufuna ukuqala ngokubuza umhlobo wakho ukuba baqonda kangakanani malunga nemeko yakho kunye nokuxela. Uphando lusitshela ukuba malunga nesiqingatha sabantu bakholelwa ukuba umdlavuza webele we-metastatic uphilisa.
- Unokufuna nokuqala ngokuvuma indlovu egumbini-usenethemba lokuba unyango luya kugula umhlaza wakho iminyaka emininzi kodwa uyaqonda ukuba oku akusoloko kwenzeka.
- Thatha ixesha lokuphulaphula ngaphandle kokuphazamisa. Abathandekayo bakho bangadinga ixesha lokuba bafumane iingcamango oye wazenzayo ixesha elide. Vumela ukuba bazivakalise-abantu abaninzi baya kubonisa enye inketho yokonyango ongazange uyihlolisise-nangona sele sele ugqibe ekubeni awufuni ukuphinda ufumane ezinye iindlela zokwelapha.
- Yilungele ukuya apho intlanganiso ihamba khona. Ukugqitywa kokubambisana ngokubomi kuninzi kunokuba kungekho inkqubo eqhubekayo, kwaye ininzi ixesha akudingeki ukhathazeke ngokufihla yonke into ofuna ukuthetha ngayo ngexesha elilodwa.
Ukunyanga Ukwelashwa
Esinye sezigqibo ezinzima kunabantu abaya kuba nako ukujamelana nomhlaza wesibeletho se-metastatic, xa kuphelelwa unyango. Le nto yayingeyona ingxaki kude kube kutshanje, njengokuba abaninzi abantu babeza kufinyelela kwinqanaba xa kwakungekho nonyango olulandelayo olufumanekayo.
Ngoku, endaweni yoko, sinezinye iinketho ezininzi zokonyango , kunye nabasetyhini (kunye namadoda) ngokuqhelekileyo babhekana nesinqumo esinzima ngethuba elithile. Ngaba ufanele ucinge enye inqanaba lonyango olunokwandisa ubomi bakho kwiiveki ezimbalwa ngokuchitshiyelwa kwimiphumo emibi ekunciphiseni umgangatho wobomi? Kufuneka ninike unyango?
Isinyathelo sokuqala sokwenza isigqibo kukuthatha isikhashana kwaye ucinge ngeenjongo zonyango lwakho kwaye uthelekise oku kunye ne-oncologist yethu yokucinga. Sifunde kwiminyaka yamuva ukuba kukho ukungafani okukhulu kwezigulane kunye ne-oncologists ezinokulindela kwi- chemotherapy kwisigaba se-khancer 4 .
Olunye uphando lufumanise ukuba uninzi lwabantu abanomdlavuza wesigaba 4 lucinga ukuba kuya kwenzeka ukuba i-chemotherapy ingaphilisa umhlaza wabo, kanti i-oncologists yathi yayincinci ukuba akukho nethuba lokunyanga.
Imibuzo ongathanda ukuyibuza malunga nokuyeka unyango kubandakanya:
- Yintoni endiyilindeleyo kwiinkqubo ezonyango? Ngaba kukho nayiphi na unyango olunokuba lunokwandisa amathuba akho okuhlala ixesha elide? Ukuba akunjalo, yiyiphi inzuzo enokuthi inikwe unyango othile? Ingaba unyango luyandisa ubomi malunga neveki okanye kwinyanga? Ngokuqinisekileyo, akukho mntu unayo ibhola ye-crystal, kodwa kunokunceda ukuqonda oko unyango kulindeleke ukuba lunikeze "umntu ophakathi".
- Ngaba kukho nayiphi na imithi ekhoyo eyinokuphucula umgangatho wobomi? Ngokomzekelo, ngaba unyango lunokunciphisa intlungu, ukuphefumula, okanye ezinye iimpawu?
Uphi unyango lokuyeka alubhekiseli:
- Ukunyanga ukunyanga akuthethi ukuba ushiya.
- Ukuyeka akuthethi ukuba unqanda zonke unyango. Ukuba unyango olufana nolwaphulo lwe-radiation lunokunciphisa ubuhlungu besifo, umzekelo, ukumisa unyango akuthethi kuthi kwezi zifo zonyango.
Ukuxhalabisa
Abantu abaninzi abanomdlavuza we-metastatic-kunye nabathandekayo babo-bafumana intlungu efana neyo ehambisana nokufa nokufa kodwa besaphila. Olu hlobo lusizi, olubizwa ngokuthi "intlungu," luqhelekile, kodwa abantu abaninzi bayesaba ukuvakalisa le mvakalelo.
Abathandekayo, ngakumbi, banokufumana kunzima ukujamelana nale mvakalelo. Iingcamango ezinjenge- "kutheni ubuhlungu xa esaphila" zinokuqinisa iingcamango zakho ukuba akufanele ube nale mvakalelo. Kodwa le mvakalelo iqhelekile kwaye iyinto eqhelekileyo kubo bobabini kwizigaba zesifo somhlaza kunye nabathandekayo babo.
Intlungu (ukulungelelanisa ukulungelelanisa) kunokuba nzima kunzima ukujamelana neentlungu eziqhelekileyo (intlungu emva kokulahleka) kungekhona nje kuphela ukuba kungenakuvakalelwa kukuba uluntu luvumelekile ukubonisa le ntlungu, kodwa kuba iquka ilahleko ezininzi. Ezi ziquka ukulahleka kwamaphupha akho, ukulahlekelwa yendima yakho kwintsapho, nokunye okuninzi.
Kukho ukulinganisela kwethenda phakathi kokubambelela ebomini nokuyeka. Ayikho isisombululo semilingo kule mvakalelo kwaye akukho zicwangciso ezinokuthi zinciphise intlungu onokuziva. Ukuba unako, fumana umhlobo onokumamela nje iimvakalelo zakho ukwazi ukuba akukho nto enokuyilungisa inokuyithuthuzela kakhulu.
Inkathalo yeHalice
Isigqibo malunga nokuba kwaye nini ukukhetha unonophelo lwama-hospice sinomthwalo. Njengoko ngokuyeka unyango, kukho ukwesaba ukuba ukhathalela ukunakekelwa kwababelethi kuthetha ukuyeka. Endaweni yoko, ukhetha ukubeletha kuthetha ukuba ukhetha ukuhlala iintsuku zakho zokugqibela njengoko ukhululekile kunokwenzeka.
Unonophelo lwengonyameko?
Ukunakekelwa kwe-Hospice kuyindlela yokunyamekela , kunye nokunyamekela ngokunyamezela kuninzi yefilosofi kunendawo. Abantu abaninzi bafumana ukunakekelwa kwe-hospice kwikhaya labo, nangona izibonelelo ze-hospice zingafumaneka kwakhona. Iqela eliqhelekileyo lokubhedlele i-hospice liqukethe ugqirha ogxininise ekugqibeleni kwenkathalo yobomi, abahlengikazi ababelalisa, abacebisi beengxaki zomhlaza kunye nabafundi. Ukukhathalela okufuna ukugcina induduzo kunye nesithunzi somntu kunye nentsapho yakhe xa nje ehlala.
Xa Ufanele Ucele Uncedo Lwabhedlele?
Ngokuqhelekileyo siva abantu bethi banqwenela ukuba baye bakhetha ukunakekelwa kwe-hospice ngaphambili, ngoko unokukwazi njani ukuba lixesha?
Ukuze ufumane unonophelo lwama-hospice, udla ngokudinga inqaku lonyango ngokuthi ulindeleke ukuba uphile iinyanga ezintandathu okanye ngaphantsi. Ukuba uhlala ixesha elide elingengxaki yaye akukho sihlwayo. Ukunyamekela kwakho kunokuhlaziywa ezinye iinyanga ezintandathu okanye ukuyeka. Unokutshintsha ingqondo yakho nangaliphi na ixesha ukuba unqume ukuba unokuphinda ulandele unyango olwenzelwe ukunyanga umhlaza wakho.
Uncedo luni lweHlonyeni?
Abantu abaninzi bayamangaliswa ngoncedo olutholakalayo xa kugcinwe i-hospice. Ukongezelela ekunyamekeleni kwiqela, i-hospice isininzi isinika isibhedlele esibhedlele, i-oksijini, kunye nayiphina imveliso okanye imichiza efunekayo. Oku kungasindisa ezininzi zokuhamba kwintsapho yakho kwaye zenze ukhululeke ngokusemandleni akho.
Ukuba ukhetha ukufa ekhaya, ukuba phantsi kwe-hospice kuthetha ukuba ngexesha lokufa amapolisa ayidingi ukuba abizwe. Intsapho yakho inokuchitha ixesha kunye nawe ukuba inqwenela ukubiza ikhaya lomngcwabo.
Izikhokelo eziPhambili / eziPhilayo
Ukuba uye esibhedlele ngexesha lonyango lwakho usenokuba uceliwe ukuba unomdla okanye uqhubeke nezikhokelo. Kukho iintlobo ezininzi kwiintando eziphilayo, kodwa zonke ezo ziyiyona ndlela yokubonisa iimfuno zakho kunye neminqweno ngokubhaliweyo ukuba ngelinye ilanga awukwazi ukuzithetha.
Uninzi lwezi zibuza into ongathanda ukuyenza, umzekelo, ukuba intliziyo yakho imile okanye ukuba awukwazi ukuphefumula ngokwakho. Ngaba ufuna ukufakwa kwindawo yeventilator? Unokuba nolwazi olucacileyo njengoko ufuna, kwaye abanye abantu banokongeza ulwazi malunga neenqwenela zabo ngenkonzo yesikhumbuzo ukuba kufuneka bafe.
Isiko sakho somhlaza singakunika ikopi yokuphila iya kuzaliswa, okanye oku kunokukhishwa kwi-intanethi. Ukuze ube ngowomthetho, la maxwebhu amaninzi adinga ukuba asayinwe nguwe, ingqina kunye nomnothi.
Kutheni Ulungiselela Lamaxwebhu?
Kukho izizathu ezibini ezibalulekileyo zokulungiselela la maxwebhu. Esinye isizathu sizenzele ukuba izifiso zakho zihlonishwe. Banike ithuba lokumisela oko kuza kwenzeka ukuba awukwazi ukuthetha wena.
Esinye isizathu sentsapho yakho. Izigqibo ngasekupheleni kobomi kunzima, kuqala, kodwa kunzima nakakhulu ukuba amalungu omndeni abesibini acinga ukuba uyazibuza ukuba ngaba uyazigcina. Oku kunokuba ngumbandela ongakumbi xa amalungu omndeni engavumelaniyo, kwaye unokukhokelela ekuvezeni iimvakalelo kunye nokuxhatshazwa kweentsapho. Ukuthabatha ixesha lokuchaza iimfuno zakho kunokuthintela ukungavumelani okubuhlungu njengoko amalungu entsapho yakho engqubuzana nento abakholelwa ukuba uya kuyifuna.
Ukuphela koCwangciso loBomi
Unokuva malunga 'nokuphela kokucwangciswa kobomi' kwaye uzibuze: "Ungayilungisa njani ehlabathini?" Kuyi nyaniso ukuba akukho ndlela yokuyikulungisa, ubuncinane ngokomzwelo. Kodwa kukho izinto ezimbalwa ongathanda ukuthetha ngazo nabathandekayo bakho. Kwakhona, ukuqalisa le ngxoxo kunokuba nzima kakhulu kwaye kugqitywe imvakalelo. Unokuba unqwenela ukwenza amanqaku ambalwa malunga neenqwenela zakho ngaphambili kwexesha.
Ukujongana nokufa okungenasiphelo
Enye into exhaphakileyo yintlungu malunga nokuphela kobomi. Abantu abaninzi banesabisa kukuba ukufa kuya kuba buhlungu. Abanye bakhathazeka ukuba ukusebenzisa imithi iza kukhawuleza ukufa kwabo kwaye banqwenela ukuba baqaphele ngokusemandleni. Ithuba elifanelekileyo lokuthetha nogqirha wakho lude ngaphambi kokuba kuvele umba. Kukho iindlela ezininzi zokulawula ubuhlungu ekupheleni kobomi kwaye uninzi lwabantu lunokuba lukhululekile, kwanokufa ekhaya.
Thetha kwintsapho yakho kunye ne-oncologist yakho malunga nezifiso zakho. Abanye abantu banqwenela ukuba neentlungu ezincinane kunokwenzeka nangona baya kulala. Esinye isifiso sokuba siqaphele ngokusemandleni, nangona bavakalelwa intlungu. Akukho ndlela efanelekileyo okanye engalunganga xa kufikelele ekulawuleni ubuhlungu, kuphela yindlela efanelekileyo ekufuneni ngayo.
Ukukhetha indawo
Enye inkxalabo malunga nokuba uya kufa. Abanye abantu bakhetha ukufa kwisibhedlele okanye kwisibhedlele , kodwa abaninzi banqwenela ukufa ekhaya. Ukuba unqwenela ukufa ekhaya kuya kunceda kakhulu ukuthetha nosapho lwakho kunye ne-oncologist ixesha elide ngaphambi kokuba ufune ukuze ulungiselelwe kakuhle ekhaya. Ngokuqhelekileyo, ezi zilungiselelo azenziwanga kwaye abantu baphela baya esibhedlele ngokubhekiselele kwiimfuno zabo.