Izizathu kunye neenketho zoLawulo lwePain ngeCarcer Cancers
Abantu abaninzi abanomdlavuza wegazi ezinjenge- leukemia , i- lymphoma okanye i- myeloma badinga ukukhululeka kwintlungu ngexesha elithile kwisifo sabo. Kodwa nangona intlungu ingaba uphawu oluqhelekileyo, akunakuphepheka kwaye yinto enokuhlala ilawulwa.
Kutheni Izigulane Zegazi Zengculazi Zibuhlungu?
Zininzi iintlobo zesifo somhlaza. Kwezinye iimeko, abantu abaneentlungu zesifo somhlaza ngenxa yesikhumba esinokubeka uxinzelelo kwizitho okanye kwiisuncu eziseduze.
Kwimeko yeengqungquthela zegazi, apho kudla khona ubungqina obunzima besifo, intlungu ingafumaneka ngezizathu ezimbalwa. Ngokomzekelo, iiseli ze-leukemia zingabangela ukungathandeki xa ziqokelela kwizitho ezinjalo njengebindi okanye ipeni .
Izigulane ze-leukemia zihlala zikhalaza ngentlungu emathanjeni abo kunye namalungu, okuqhelekileyo kubangelwa ngumnxeba ogqithiseleyo ubeka uxinzelelo kumathambo avela ngaphakathi ngaphakathi. Ngokufanayo, intlungu iyakwenzeka xa i-lymph node ye-lymphoma enesifo esivela kwi-lymphoma yakho isondele kwilungu okanye kwindawo ephazamisa intshukumo (njengengxowankulu).
Amaseli e-Myeloma akhulula iikhemikhali kwigazi elenza ukuba amathambo aphule. Ezi zibizwa ngokuba zizilonda ze-osteolytic, kwaye zikhokelela ekugqibeleni kwe-vertebrae yakho yomgulane okanye i-bone fractures. Ezinye iziganeko ezibangelwa unyango lomhlaza wakho zingakhokelela kwiintlungu. Ngokomzekelo, i-chemotherapy okanye ukulala ebhedeni engaqhelekanga esibhedlele kunokubangela izilonda zomlomo kunye ne- neuropathic (nerve) intlungu .
Ziziphi iinqunto zokuncedisa ubuhlungu?
Kukho iindlela ezininzi ezahlukahlukeneyo ezikhoyo ngenxa yentlungu echaphazeleka ngumhlaza, kwaye kaninzi kuhlanganiswa kwezi zonyango eziza kukhululeka. Ukufumana isicwangciso esifanelekileyo kunokuthatha umonde, kodwa uqhubeke. Ngokuqhelekileyo nomdlavuza abantu bazama "ukukhupha" okanye uloyiko lokuba ukuthetha nodokotela wabo kuya kubangalisa.
Akukho ndleko yokufumana unyango lomhlaza kwiintlungu endaweni yokukhululeka entlungu. Ungesabi ukuqhubeka uthabatha ugqirha uze ukwazi ukuhlala ngokusemandleni ngeli xesha.
Ukunyanga I-Cancer Yokuphatha Ubuhlungu
Kwiimeko ezininzi, unyango lomhlaza wakho luya kunceda ukukhulula iintlobo ezithile zentlungu. I-Chemotherapy kunye nonyango lwe-radiation kunceda ukunciphisa umthwalo womhlaza emzimbeni wakho, kwaye unokunciphisa ezinye iingcinezelo kumathambo akho, izicubu kunye namalungu.
IiMpawu zoPhando
Abantu abaninzi abanobuhlungu bomhlaza baya kuba nako ukulawula ukungahambi kwabo ngokusetyenziswa kweentlungu zonyango okanye i-analgesics. Kukho iintlobo ezimbini eziphambili ze-analgesics, ezingekho i-opioid kunye ne-opioid.
I-analgesics engekho i-opioid isoloko iyalingwa kuqala kwaye isetyenziswe kakuhle kubantu abaneentlungu ezincinci okanye ezicokisekileyo kumdlavuza wabo. Ama-analgesics angenawo opioid abangabangeli ubuthongo kwaye abe nemiphumo emibini embi xa kuthatyathwa njengoko iyalwe ngugqirha. Ezinye iifaliniki eziqhelekileyo ezingekho ze-opioid ziquka i- aspirin , i-acetaminophen (iTylenol), ibuprofen (Advil okanye iMotrin) kunye ne-naproxen (Aleve, Naprosyn).
Ama-analgesics ama-opioid (ama-narcotics) asetyenziselwa ukuba ngaba i-opioids ayibonakali ukuba yenza inkohliso. I-Narcotics ifumene igama elibi phezu kweminyaka, yaye abantu bahlala bebanxulumanisa nomlutha okanye ukuthengiswa kweziyobisi.
Ngokudabukisayo, oku kuye kwabangela ukuba izigulane zibaxhamli ukusebenzisa okanye zizame. Nangona kunjalo, ezi zinto zidla ngokugqithiseleyo imithi yokulawula intlungu yomhlaza kwaye ayisoloko ikhokelela ekubeni umlutha xa usebenzisa kakuhle.
Iipilisi ze-opioid zibambe ingqondo yengqondo yakho yentlungu. Bokuba nobumnene okanye abanamandla kwaye abanakho umda wenyango ophezulu - ngoko kukho ulungelelaniso olulungeleleneyo ngokubaluleka kwabo ukuhlangabezana neemfuno zakho. I-opioids idlalwa ngomlomo, kodwa iyakwazi ukunikezwa ngejoza, kwi-rectum yakho kwifom ye-suppository, okanye ngesikhumba kwifomu "yepatch". Oogqirha baya kuhlala beqala kwiqondo eliphantsi kwaye banyuse umthamo kude kube yinto enokuphucula intlungu okanye nemiphumo emibi.
Ama-analgesics aqhelekileyo aquka i-morphine, i-codeine, i-fentanyl, i-hydromorphone kunye ne-oxycodone. Amayeza opioid angenza ubuthongo, ukudideka kunye nezinye iziphumo. Kubalulekile ukuqaphela imiphumo yabo xa uqhuba okanye wenza imisebenzi efuna ukuba uqaphele.
Iimpawu zeMfuyo. Izigulane zaseMyeloma zinokuba neengxaki ezibalulekileyo ezibangelwa kukutshatyalaliswa kwethambo. Kule meko, iklasi ekhethekileyo yamachiza ingasetyenziswa. Ezi ntlobo zamachiza zibizwa ngokuba yi-bisphosphonates kwaye zidla ngokunikezelwa. Amachiza afanayo anokunikwa kwakhona ngomlomo okanye nge-spray spray. Ii-bisphosphonates eziqhelekileyo ziquka i-Bonefos (i-clodronate), i-Aredia (i-pamidronate), kunye ne-Zometa (zoledronate.) Kungathabatha iiveki ezimbalwa ukuzaliseka ngokupheleleyo kwezi zonyango ukuba ziphawulwe.
Steroids. Imithi ye-Steroid inceda kakhulu kubantu abaneentlungu zokunyamezela intlungu (eziqhelekileyo kwi-myeloma) kunye neentlungu zentlungu. Nangona bengasetyenziswanga ngokwabo, banokusebenza kakuhle kwaye banciphisa imfuno yenye imilenze.
Amanye amayeza. Kubantu abanobuhlungu beentlungu ngenxa yonyango lwabo, ukufumana uncedo kunokuba nzima kakhulu. Olu hlobo lwentlungu lubizwa nangokuthi intlungu ye-neuropathic, ayisoloko isabela kwi-opioids kunye nezinye iziyobisi zentlungu. Kule meko, imishanguzo yokuxhatshazwa kunye neyeza ezixhatshazelisayo zinganceda. Amachiza okulwa ne-anti-seizure, afana ne-carbamazepine kunye ne-gabapentin, kunye ne-anti-depressants ezifana ne-amitriptyline, umsebenzi we-nortriptyline kunye ne-imipramine ngokuchaphazela iimpawu ezibuhlungu ubuchopho bakho buvela kwiimbilini ezimele.
Uncedo lweMpilo engeNyango
Kulula ukulibala ukuba kukho unyango ngokunyuka kumachiza anokusebenza kakuhle ekunciphiseni ubuhlungu. Ezinye iindlela ziquka:
Ulwaphulo lwe-radiation luyalelwe ukuba lube ne-palliative - oko, ngokukodwa ukunciphisa intlungu kunye neempawu. Ingaphezulu kwesigamu sezigulane ziya kuba nempumelelo ngokulawula ubuhlungu usebenzisa le ndlela.
Unyango lwezonyango ezinjengezinyango kunye nezinye iinkqubo ze-neurological zinokunceda, ngakumbi ngentlungu eqhubekayo. Kweminye yale nkqubo, imbilini ehambisa intlungu yesifo ebuchosheni.
Uncedo lweMpilo engeNyango. Kukho uninzi lweendlela zokuphucula iintlungu ezingafuneki ukuba uthathe unyango, kwaye ezininzi zezi zinto zinamanye amancedo ekunciphiseni iimpawu zabantu abanomhlaza. Ezinye zezo zonyango zokuxhatshaza umdlavuza (ezinye iindlela zonyango ezisetyenziswa kunye kunye nezokwelapha).
- Ukuguqulwa kwe-Massage - Ukuzibulala kusebenza ngokuthe ngqo ukukhulula i-endorphins kwingqondo yakho enganciphisa intlungu.
- Ukwenziwa kwe-Acupuncture - Ukuncedwa kwe-acupuncture kunokuncedisa intlungu yomhlaza kwaye kuye kwafunyanwa ukunciphisa inani lemirhumo enokuthi abanye abantu abanomdlavuza baye bafuna.
- Ukucamngca
- Qigong
- Ukuphumla
- Imifanekiso ekhokelwayo
- Ukuvuselelwa kwamagudu okusebenza kombane (TENS)
- Ulungiso lwenyama
- Hypnosis
Ngaphantsi
Abanye abantu abanomdlavuza wegazi baneentlungu, kodwa abanye abaninzi abenzi. Kwiimeko ezininzi, intlungu inokulawulwa kwaye ilawulwe kumanqanaba amkelekileyo ngoncedo lwezonyango kunye noncedo lwezonyango. Njengoko naluphina uhlobo lweyeza, ezinye iindlela ziya kusebenza kwabanye kodwa kungekhona kwabanye.
Njengoko uselungelo lakho lokunyamekela kumdlavuza wakho, kubalulekile ukuba uthethe nodokotela wakho malunga nayiphi na intlungu ojongene nayo; basebenzisane kunye nokwenza icebo lokuba lilawulwe. Ukuba iqela lakho lokunakekelwa kwempilo lingazi malunga nentlungu yakho okanye impembelelo ebenayo ebomini bakho, abayi kukwazi ukunceda.
Ukuba uvakalelwa kukuba ukukhathazeka kwakho akuthathwa ngokungathí sina ngokwaneleyo, okanye ukuba ugqirha wakho engabonakali ukuba uphumelele ekulawuleni intlungu yakho, zithembele ukucela umbono wesibini kwiingcali zentlungu okanye iqela.
Imithombo
I-American Society ye-Clinical Oncology. Cancer.Net. Ubuhlungu: Ukuphatha uPain ngeMithi. 08/2015. http://www.cancer.net/kuvakalisa-coccer-care-care/side-effects/pain-reating-pain-medication
Eyre, H., Lange, D., Morris, L. (2002) Iinqununu ezichazwe kwi-2 eledlule. American Cancer Society. Atlanta, GA.
UKelvin, J., Tyson, L. (2005) 100 Imibuzo Neempendulo Ngeempawu zeCarcer kunye neCreatcer Treatment Side Effects. UJones noBartlett: uSudbury, MA