Ukunyamekela ngokunyanisekileyo akuyona into efanayo ne-hospice
Ukuva ilizwi lokunyamekela ngentsholongwane kunokukwenza ukuba ubambe umoya wakho. Ngaba akunjalo into efanayo ne- hospice ? Ngaba oku kuthetha ukuba akukho zonyango ezininzi endingazenza? Inyaniso kukuba ukunakekelwa ngokunyamekela kungasetyenziselwa ngokufanelekileyo kunye nezokwelapha ngomhlaza kwaye kuye kwaphucula kakhulu umgangatho wobomi kubantu abaninzi banamaphi amanqanaba omhlaza.
Ukunyamekela ngokunyanisekileyo akulona uhlobo oluthile lokunyamekela.
Ingakumbi yefilosofi. Injongo yokunyamekela ngenyameko kukunyamekela umntu wonke: ingqondo, umzimba kunye nomoya. Ngaphambi kokuba ukhathazeke kukuba oku kufana nesandi esitsha sonyaka, asikho. Ngokuphambene noko, luhlobo lononophelo olunzulu esilindele ukuba wonke umntu onomdlavuza angayifumana.
Ukuba ucinga ngonyango lwakho lomhlaza, uya kubona ukuba uninzi lwengqalelo esikunikezelayo kubantu abanomdlavuza wehla ukuze acinge indlela yokukhupha umdlavuza, indlela yokuphumelela ngokuthe ngangoko iiseli zomhlaza emzimbeni kunye nenani elincinane lamacala ziphumo.
Ngexesha elifanayo, imiba enjengeentlungu, ukukhathala, ukulala, kunye neempembelelo zonyango ziye zathatha isitulo sangasemva. Kulindeleke ukuba awuyi kuziva konke okulungileyo ngelixa ufumana unyango lomhlaza. Ekubeni umdlavuza webele we-metastatic uthetha ukuba unyango oluqhubekayo lolunye ubomi bakho, le ndlela ayisamkelekanga.
Yilapho ukunakekelwa kwenyameko kungenza umehluko.
Ziziphi iingcali ezakha iqela elijongene nophando?
Ikomiti yokunyamekela ngokuqhelekileyo isenziwa ngabantu abaningana, kodwa iingcali ezithile ziyahlukahluka esibhedlele ukuya esibhedlele. Iqela lidla ngokukhokelwa ngugqirha ogxininise ekunyamekeleni kwenyameko (ewe, oku kukukhethekileyo, kunye nokwanda).
Kwakhona kubandakanywa ngumongikazi wokunakekelwa ngeenkathalo kunye nabaqeqeshi bezempilo, abavela kwii-physicologists kubacebisi, izondlo, abaqeqeshi, kunye nokunye.
Abanye abantu bacinga ngokunyamekela ngokunyamekela ukudlala kakhulu indima yengqondo, kodwa ulawulo lweempawu zakho zomzimba ngamanye amaxesha lunokuphuculwa kakhulu ngale ndlela yokunyamekela. Ukunyamekela ngokunyamezela, i- oncologists ikhululiwe ukwenzela ukuba yenze ntoni abakwenzayo unyango olukhethekileyo olugcina umhlaza wakho.
Ngubani Ongayifumana Ukunyamekela Ngomsebenzi?
Nangona ukunyamekela okunyanzelisiweyo kuboniswe ukuba luncedo kubantu abanezigaba zonke zomhlaza, kunokuba luncedo kakhulu kulabo abanesifo se-metastatic.
Izifundo zibonisa ukuba abantu ababona iqela lokunyamekela elincinci banokuhlala benomgangatho obhetele wobomi ngexesha lotyando lwemethmatic metastatic ngaphezu kwabo bangenalo unyameko. Kubalulekile ukuba uqaphele kwakhona ukuba ukunakekelwa ngokunyameko akulona unyango lwe-hospice. Unonophelo lwama-Hospice luhlobo olulodwa lokunyamekela. Enyanisweni, uphando oluthile lufumanise ukuba izigulane zesiganeko somhlaza ezine-4 ezifumana unyameko olusisigxina zihlala ixesha elide kunezo ezingakhange zinyamekele.
Ungayifumana njani IQela lokuNakekelwa kwePalliative?
Iimbopheleleko zokunyamekela ezintsholongwane ziyahlukahluka kumaziko ahlukeneyo omhlaza.
Amanye amaziko omhlaza ancomelela ngokunyamekela ukunyamekela izigulane zabo ezininzi, ngelixa ezinye iinketho ezimbalwa zokunyamekela zingafumaneka kwabanye. Into efanelekileyo ukuyenza kukuthetha ne-oncologist yakho kwaye ubuze ukuba uyakholelwa ukuba unokufumana inzuzo kule nkathalo.
Ukuba i-oncologist yakho ingakhange ibhekiselele ngononophelo lwentlungu, akuthethi ukuba akayicingi ukuba incedo. Inyaniso yokuba abantu abaninzi badibanisa ukunyamekela ngenyameko kunye nokunyamekelwa kwabantwana abahlala esibhedlele kungakhokelela ekungabineni kwi-oncologists ukuxubusha le ngongoma.
Ziziphi iimpawu zokunakekelwa koNonophelo lwe-Palliative?
Ukunyamekela, ngokungafani nokunyamekelwa kwonyango, yenzelwe ukujongana nentlalo kunye nentuthuzelo yomntu ojamelana nomhlaza kunempawu ezithile , ngoko kunzima ukuchaza njengoko kuya kuba yinto eyahlukileyo kumntu ngamnye.
Ezinye zeempawu, nangona kunjalo, ukunyamekela okunyamezelayo kulabo abanomdlavuza webele we-metastatic kubandakanya:
- Ulawulo lobuhlungu
- Ukuphefumla okufutshane (ngeemiphunga zamaphaphu okanye ukuxuba komlomo)
- Ukukhathala
- Izimpawu zeMisculoskeletal (intlungu, ukuqina, kunye nokukhutshwa kwephulwa)
- I-peripheral neuropathy
- I sizathu
- Ukutshiza (oku kuqhelekileyo kwi-metastases yesibindi)
- Ukuphelelwa kwesidlo
- Ukuhla ukusinda
- Iimpawu ezinxulumene nodonga lwesikhumba kunye nesifuba
- Ukuxhalabisa
- Ukuxinezeleka
- Intlungu (kubandakanywa intlungu ekulindelekileyo)
- Ulwalamano lwentsapho
- Ukukhathazeka kokomoya
Ngaba Ndiyakwazi Ukunyamekela Ukunyamekela Ukuba Ndisenethemba Lokunyanga?
Njengoko kuphawuliwe kwangaphambili, ukunyamekelwa ngentsholongwane kunokusetyenziswa kwanomntu onomdlavuza ophulukisayo. Ukunyamekela okunyanzelekanga akuthathe indawo yonyango lwesiqhelo somhlaza, ngokuchaseneyo, kunokukunceda uhlale uphilile ukuze ukwazi ukunyamezela ezi zonyango.
Inzuzo yoKhathalelo oluPhezulu kunye neCastry Breast Metastatic Breast Cancer
Umfanekiso ufanele amagama anamawaka, ngoko umzekelo othile unokunceda. Khawucinge ngomntu onethambo lwe-metastases ehambelana nomhlaza wesibele. Kule ndlela i-oncologists yakho iza kusebenza kunye neyeza zakho, ukugqiba ukuba ngaba unyango lwe-hormones , i- HER2 , okanye i- chemotherapy luya kuba luhle kakhulu. Uya kuqwalasela ukuba i-agents-modification agents ingaba yinzuzo. Unokubona i-oncologist yombane ukuqwalasela ukuba kufuneka unyango lwe-radiation.
Noko ke, iimpawu zakho zibandakanya ngaphezulu. Iingcali zokunakekelwa kweengxaki zincinci ziyingcali ekulawuleni ubuhlungu kwaye zinokukunceda ufumane ukulinganisela okulungileyo phakathi kokunceda intlungu kunye nemiphumo emibi kwizidakamizwa zokunciphisa iintlungu. Ukuba kukho intlungu eninzi efunekayo, banokujonga iindlela zokuncedisa iziphumo zecala.
Iingcali zenyama kunye nezemisebenzi kwiqela liyakunceda ukwandisa ukuhamba kwakho emva kokuphuka, okanye kukunceda ukwazi ukuba wenzeni ukunciphisa amathuba okuphuka. Amanye amalungu eqela lakho lokukhathalela elincinci angancoma ezinye iindlela zokwelapha ukunceda ngeentlungu kunye nokuxhalaba komdlavuza we-metastatic. Umcebisi kwiqela unokukwazi ukuncedisa wena kunye nosapho lwakho ukuba nijamelane nento enokuthi i-metastases ithetha ngayo, kwaye iqela lifumaneka ukujongana neengxaki zakho zokomoya.
Ngamafutshane, iqela elifanelekileyo lokunyamekela inokukwenza uncedo ekuncedeni ngokungagcini nje ngomhlaza wakho, kodwa kukunceda uhlale nomhlaza wakho.
> Imithombo:
> DeVita, Vincent., Et al. I-Cancer: Imigaqo kunye nokuSebenza kwe-Oncology. Ngomhlaza we Breast. Wolters Kluwer, 2016.