I-Comfort Care ye-Advanced Metastatic Colon Cancer
Unyango olusisigxina, olubizwa nangokuthi ulawulo lweempawu okanye unyango lwentuthuzelo, lujolise ekuthobeni iimpawu ezingenakunqwenelekayo kwisifo esingasigxina okanye esibulalayo. Ngomdlavuza wekolon , unyango olunokunyamekela lunokukunceda ukuhlangabezana nempilo, ngokomoya nangokomoya ngexesha lokulwa kwakho.
Xa abantu befumana unyango olunyango, amayeza, iinkqubo okanye utyando olukhethiweyo zijoliswe ekuncedeni ukuphathwa kweempawu, ngokuchasene nokubonelela unyango lomhlaza.
Indlela elula yokuqonda unyango: Ukuba unomqala, ungathatha i-lozenge. I-lozenge i-palzative-ayiyi "yonyanga" imbangela yesifo somqala, kodwa iyakuthintela uphawu lokungahambi kahle.
Ukunyamekela ngokunyamezelayo akulona unyango lwe- hospice , nangona i-hospice isebenzisa amanyathelo okunyamekela ukugcina induduzo kunye nokukhululeka kwempawu. Mhlawumbi ufumene unyameko olusondeleyo ukususela ekuqaleni kokunyanga kwakho komhlaza ngaphandle kokuba wazi nokuba uncedo lweempawu ozifumanayo.
Ingaba usufumaniswe ukuba unomdlavuza wekramon ohambileyo okanye ukuba sele usufumana unyango lwezonyango, amanyathelo okunyamekela angagxininisa ekukhuliseni iimpawu eziqhelekileyo kunye nemithombo yokungahambi, kuquka:
- Ukuxhalabisa, ukudandatheka kunye nokudideka
- Ukuphazamiseka kokuphefumula kunye nokukhathala
- I-Anorexia kunye nokulahleka kwesisindo
- Ukugqithiswa, ukuhanjiswa kunye nesithintelo sesilwane
- Lymphedema
- Isihlunu kunye nokuhlanza
- Ulawulo lobuhlungu
- Ukuxhatshazwa ngokwesondo
Kutheni Ukhetha Unonophelo Oluxhasayo?
Kukho izizathu ezininzi zokuba kutheni abantu abanomdla wokunyamekela unomdla wokunyamekela unyango ngokunyanga. Ngamanye amaxesha, isigqibo singaphakathi kolawulo lwakho, njengokuba ukhetha ukuncipha utyando okanye olunye uhlobo lokunyanga. Nangona kunjalo, ulawulo lweempawu lunokuba luncedo lwakho kuphela xa impilo yakho yempilo, ubudala okanye iingxaki zezokwelapha ezihambelanayo zingenakukwazi ukulwa nokunyanga, unyango lomhlaza.
Nangona kukho iindlela ezahlukeneyo zokwelapha ezinyango ezahlukeneyo ezitholakalayo, ezo ziqhelekileyo ezisetyenziswa ukulawula umhlaza womlomo wekolon ongaphiliyo ziquka:
- Chemotherapy
- Ukunyanga kwamayeza
- Ukongenelelo ngoncedo oluphambili
- Ulawulo lobuhlungu
- Ukusetyenziswa kwamachiza
Chemotherapy
Ngokusekelwe kwimpilo yakho yempilo, i-metastase kunye nembali yangaphambili yonyango, i- oncologist yakho iza kusebenza nawe ukuphuhlisa isicwangciso sokhathaza i-chemotherapy. Ngokungafani ne-chemotherapy ejoliswe kunyango lomhlaza, unyango lwe-chemotherapy olusisigxina lujolise ekunikeleni ukukhululeka kwiimpawu, ezinjengentlungu, ngokunciphisa izicubu okanye ukugcina zizinzile (akukho ukukhula okuqhubekayo).
Ngokuqhelekileyo, i-regimen echaphazelekayo-5-FU, Adrucil, Efudex, okanye i-Fluoroplex (i-fluorouracil) isetyenziselwa yedwa okanye idibanisene nezinye iziyobisi ze-chemotherapy. Ucwaningo lwezonyango zokulawula unyango oluqhubekayo luqhubekayo njengoko iNational Cancer Institute ijolise ukufumana intlangano engakwazi ukuzinzisa okanye yokunciphisa izicubu ngaphandle kokubangela iziphumo ezingaphezulu kunye nokuphazamiseka.
Utyando lweyeza
Efana ne-chemotherapy, unyango lwe-radiation lisetyenziselwa ukunciphisa izicubu ze-pelvic kunye nokukhululeka kwentlungu xa zisetyenziselwa ukhetho lwonyango. Olu khetho lonyango lusetyenziswa ngokukhethekileyo kubantu abahluphekileyo ngenxa yentlungu ngenxa ye-pelvic nerve invasion (xa umdlavuza usasazeka kwiimbilini esiswini sakho nasentendeni).
Nangona kusebenza kakuhle kwiimvumi zendawo, unyango lwe-radiation lunokunceda ukuphelisa okanye ukunciphisa ukuphuma kwamanzi amaninzi kwiimpawu eziphambili ze-metastatic colorectal tumors.
Ukuhlinzwa
Ukutshatyalaliswa kokutshatyalaliswa kwenxalenye (okanye yonke into) yomhlaza kunye ne-metastases akusoloko ijoliswe ekuphiliseni eso sifo. Ugqirha lubizwa ngokuthi "uluncedo" xa injongo yokuphela kukukwenza ukhululeke, ungaphilisi umhlaza wakho. Ukukhuthaza nokugcina intuthuzelo yakho yonyango, udokotela ogqirha angadinga ukutyunjwa ngokomzimba kwaye anciphise ubungakanani besisu ukuba aguqule ukuhlasela kwe-tumor kumalungu angomakhelwane (isisu, isisu, isisu), vula amathambo kwaye ulungise ukuphazamiseka, okanye wenze i-cauterize enkulu ukuphuma kwimizimba.
Izinketho zokupakisha ezinokuthi zibe ngu:
- Inkulu - ukuvula ngokupheleleyo isisu ukuze kususwe inxalenye (okanye yonke) yesikhumba.
- I-Laparoscopic - engaphantsi kwe-invasive, iincinci ezincinci ezisetyenziselwa ukukhupha iindawo ezithile okanye izicubu.
- Iingingqi zengingqi-zendawo zingenakuncinci kubantu abadala, abagula kakhulu, okanye nawuphi na umntu ongenakukwazi ukunyamezela i-anesthesia jikelele malunga nokuhlinzwa okukhulu okanye kwe-laparoscopic.
- I-Laser - isetyenziselwa ukugcina i-tumor bleeding.
- I-stent - i-stent stent ingafakwa endoscopically ukuba ibambe iqolon evulekileyo kwi-tumor enkulu, igcine indlela ye-stool ukuphuma. Unokunyulwa endaweni yokuvulelwa okuvulelekileyo kwisithintelo semfuyo (esingagqitywa nge- colostomy ).
Ugqirha wakho uya kuthatha ingqalelo kwizinto ezininzi ngaphambi kokubonisa ukhetho lwakho lokunyanga, kodwa obaluleke kakhulu yinjongo yakho yonyango. Uya kufuneka unqume oko ufuna ukufezekisa ngokusebenzisa utyando kwaye uxubushe zonke iinkxalabo ngokugqithiseleyo kunye nodokotela wakho ogqirha. Ugqirha, kungakhathaliseki ukuba awuyi-invasive, ayikho ingozi. Ngaphambi kokunyulwa kwe-intervention intervention, uzakufuna ukuxoxa ngezikhokelo zakho eziphambili kunye nodokotela kunye nosapho. Udokotela ogqirha kufuneka aqonde ukuba ukhetho lwakho lokuphela kokuphila (ufuna ukuvuselelwa kwe-cardiopulmonary ifanele ukuba uyifake? Ukutya okufakelwayo?) Ngaphambi kokusebenza kuwe.
Ulawulo lwezinhlungu
Ulawulo lwezinhlungu luyintloko ephambili ekunyamekeleni. Unokufumana ulawulo lweentlungu ukusuka kugqirha wakho oyintloko, kwi-oncologist okanye kwaneengcali zolawulo lweentlungu. Amanyathelo okunciphisa okanye ukulawula intlungu yomhlaza ingaquka:
- Amayeza obuhlungu (i-odokotela, izidakamizwa ezingaphezu kwee-counter, kunye namayeza ancedisayo)
- I-tricyclic antidepressants okanye i-anticonbulsants (ngenxa yentlungu)
- Iinkqubo zengenelelo (i-epidurals, iimbindi zeentsimbi)
- Uphuhliso lomzimba okanye umsebenzi
- Ukucebisa kunye ne-biofeedback
Kwii-cancer eziphambili ze-colorectal, amayeza amaninzi asobuhlungu ayenziwa ngamachiza e- opioid , afaka i-morphine. Ukubandezeleka kwintlungu yomhlaza kuyimfuneko kwaye ayinakunceda nayiphi na injongo. Oogqirha bakho baqeqeshwe ukuba balindele kwaye baphathe intlungu kwi-tumor yokuqala, i-metastasis, kunye neengxaki ezinokuvela kwiisisu kunye nonyango (lymphedema).
Iqela lakho lononophelo lezempilo liya kuhlala libuza malunga neemeko zakho zentlungu. Indlela eqhelekileyo esetyenziswa ngayo ukulinganisela intlungu yakho usebenzisa isilinganiselo se-0-10, apho i-0 engabonakali khona ubuhlungu kunye ne-10 imele ubuhlungu obubi kakhulu owake wakhuthazela. Ekubeni intlungu isifo esizimeleyo (akukho ndlela yokulinganisa oko ubonayo), okwangoku kuyindlela efanelekileyo yokuhlola.
Ukusetyenziswa kweMithi
Ngaphandle kolawulo lweentlungu, iimpawu ezininzi zilawulwa okanye zinciphise ngamachiza enyango. I-oncologist yakho inokunikezela ngamachiza okunceda ukunciphisa isicupuchelelo, ukwandisa ukutya kunye nokunyusa amandla akho. Thetha ugqirha wakho malunga nale mpawu, ukwenzela ukuba asebenze nawe ukuphuhlisa isicwangciso sokunyango esilungelelene nawe kunye nawe wedwa.
Imithombo:
American Cancer Society. (2006). I-American Cancer Society's Guide epheleleyo yeCrorectal Cancer . Clifton Fields, NE: I-American Cancer Society.
Dixon, MR & Stamos, MJ (2004). Amacandelo okuNakekelwa ngePalliative kwi-Advanced Colorectal Cancer. Ugqirha lwe-Digestive: 21.
National Cancer Institute. (nd). Ukunyamekela ngokunyamekela kwiCarcer.