Ngabe I-Cancer Yamangcwaba Ibulala Kanjani Abantu?
Umbuzo asifuni ngempela ukuphakamisa: "Abantu bafa kanjani ngomdlavuza wamaphaphu?" Noma kunjalo, ngesikhathi esifanayo, umbuzo obalulekile kwabanye abantu ngezizathu ezimbalwa.
Kungani Kufanele Sibuze Indlela I-Cancer Cancer Ebangelwa Ukufa?
Mhlawumbe isizathu esibaluleke kakhulu sokubuza ukuthi lungakanani ukufa okubangelwa ukufa, uma siyazi ukuthi ukufa kungenzeka kanjani, ukufa komdlavuza wemaphaphu kungavinjelwa.
Ukukwazi izimbangela kungasisiza futhi ukuba sithuthukise izinga lokuphila kubantu abasesimweni esiphakeme somdlavuza wamaphaphu. Isibonelo, ngokwazi ukuthi i-blood clots emilenzeni (engagqamuka, ebangela ukuphazamiseka kwemithambo) yenza ukuba amaphesenti athile omdlavuza wamaphaphu, amalungu omndeni angazijwayeza ngezibonakaliso zezindwangu zegazi futhi asize othandekayo wakhe afune ukunakekelwa kwezempilo uma kungenzeka ukuba khona kwe-clot.
Esinye isizathu sokuxoxa ukuthi yini ebangela ukufa komdlavuza wamaphaphu ukuze kuzuze amalungu omndeni-okungenani amalungu omndeni abuza umbuzo engangenza lapho ubaba engenawo umdlavuza wesigaba sokugcina: "Uyofa kanjani?" Ngangifuna ukwazi impendulo ngakho ngingaba nomqondo wokuthi ngizobiza nini omunye umndeni wami ukuhlangana eduze. Futhi ukwethembeka, ngangesaba nokuthi uzoba nobuhlungu obukhulu. Ngangifuna ukwazi ukuthi kuzokwenzekani ngasekugcineni ukuze ngilindele-futhi ngikulungele ukusiza-nganoma iyiphi indlela engenzeka.
Ngaphambi kokufunda, siyazi ukuthi kunzima kanjani ukufunda la mazwi uma unomuntu othandekayo osondela ekufeni. Ngisho noma kulindeleke ngokuphelele, ukufa akulula neze. Uma uwedwa, kungase kube ngcono ukulinda uze ubheke lolu lwazi kumngane noma othandekayo, ongabe esehlombe.
Futhi khumbula ukuthi akuwona wonke umuntu ofuna ukwazi lolu lwazi. Uma ungafuni ukwazi ukuthi umuntu othandekayo angafa kanjani emzimbeni wamaphaphu, sicela usuke lesi sihloko ngokuphelele. Kuvele kuhlinzekwe lapha kulabo bantu abafisa ukuba nomqondo wokuthi kwenzekani futhi bangase bangabaze ukubuza oncologist wabo othandekayo. Awudingi ukwazi lolu lwazi ukuhlinzeka okungcono kakhulu kokunakekelwa nothando kulungu lomndeni wakho noma kumngane wakho.
Izimbangela Zokufa Kusuka Emdlavuza We-Lung
Akuzange kubhalwe okuningi mayelana nezimbangela zokufa ezigulini zomdlavuza wamaphaphu, kepha isifundo esisodwa sasiqeda izimbangela zokufa kwabantu abangamatshumi ayisithupha kanye nezimbangela zokufa. Amaphesenti angase ahluke phakathi kwezifundo, kodwa lolu cwaningo lusinikeza umbono walokho okufanele ukulindela uma othandekayo esesimweni esilandelayo somdlavuza wamaphaphu.
- Umthwalo wesisu
Ukuba khona kwesisu kwakuyisizathu sokufa ngamaphesenti angu-30 abantu abanomdlavuza wamaphaphu, isibalo esaphinde sahlukana sibe ngamaphesenti angama-4 abantu ababulawa "yisisindo somthwalo" emaphashini, kanti amaphesenti angu-26 ngenxa ye "tumor load" izimiso zokugcoba. Lokho kusho ukuthi inani lamathishu yomdlavuza likhona emaphashini, noma izifunda ukuthi umdlavuza wamaphaphu usakazeka kakhulu (ngokuvamile ngokuvamile isibindi, amathambo, ubuchopho, kanye nezindwangu zesikhumba), kwaholela ekufeni.
- Izifo
Izifo zazibhekene nokufa ezingamaphesenti angu-20 eziguli. Kwalaba bantu abangu-12, kwakuyi- pneumonia ; ngo-8, kwakuyi-sepsis. I-Sepsis ibhekwa kangcono njengesifo esiyingozi kakhulu esiqala egazini futhi sisakazeka kuwo wonke umzimba. - Izinkinga zeMetastatic Disease
Lapho umdlavuza wamaphaphu usakazeka kwezinye izifunda zomzimba, ungaphazamisa ukusebenza okuvamile kwalezo zitho. Isibonelo, uma umdlavuza wamaphaphu usakaze ebuchosheni, kungase kuphazamise imisebenzi evamile yobuchopho njengokukwazi ukuhamba, ukukhuluma, nokugwinya, noma ngisho nokuphumela kwesifo esibuhlungu . Ukusabalala komdlavuza wamaphaphu esibindi kungaphazamisa ikhono lesibindi lokwenza umsebenzi walo wokukhipha ubuthi emzimbeni, futhi ukukhwabanisa kwezinto ezibangelwa ubuthi kungase kubangele ukufa (lokhu ngokuvamile kungenabuhlungu, njengoba abantu bephuza kancane kancane). Ukusabalala komdlavuza wamaphaphu ku-pericardium (umgodi oseduze nenhliziyo) kungabangela ukuphuma kwegazi phakathi kwalesi sitsha nenhliziyo, okubangelwa ukucindezeleka kwenhliziyo nokufa okulandelayo (lokhu kuvame ukushesha futhi kungenabuhlungu). Lezi zinkinga zazibhekene namaphesenti angu-18 okufa.
- Ukulimaza kwamapulmonary
Ukuzibulala kwesisu, noma ukuphuma emaphashini, bekubangelwa amaphesenti angu-12 okufa. Ngisho nesamba esincane (okungaphezu kwepuniji noma amabili) lokuphuma emaphashini (okuvame ukuphumela uphawu lokukhwehlela igazi) kungaba yiphuthumayo yezokwelapha. Lesi yisifo abantu abaningi okufanele baxazulule, njengoba bephuma emaphashini ngamanani amancane kungabangela umuzwa wokuphefumula. Uma ukuphuma okukhulu kwegazi kwenzeka, noma kunjalo, ukufa kuvame ukushesha. - Ukumbumbuluzwa kwePulmonary
Ama-blood clots ( thrombosis enegazi ejulile ) emilenzeni eyahlukana nokuya emaphashini ( amapulmonary emboli ) abangela amaphesenti angu-10 okufa komdlavuza wamaphaphu kulolu cwaningo-ukutholakala okuphawulekayo, njengoba kuvinjelwa ngezinye izikhathi ama-blood clots, futhi ngokuvamile ayaphathwa .
Ukubheka izimbangela ezivela endaweni yokusebenza, ukwehluleka ukuphefumula kwakuyisizathu esisha sokufa kwezingxenye ezingu-38 zesikhathi, kungakhathaliseki ukuthi kubangelwa umthamo we-tumor, i-pneumonia noma i-hemorrhage. Kubalulekile ukuqaphela ukuthi iningi labantu linendlela engaphezu kweyodwa eyenza ukufa.
Ezinye Izizathu Ezingenzeka Zokufa Nge-Cancer Lung
Lokhu kwakuwukutadisha okulodwa. Ukubheka izimbangela zokufa kuzo zonke izinhlobo zomdlavuza, ezinye izimbangela ezingase zibandakanye:
- Izinkinga zokwelapha ezifana ne- chemotherapy kanye nokwelashwa kwemisebe I-white low cell cell count from chemotherapy, ene-infection ephawulekayo, akuyona into engavamile kulabo abakulezi zigaba kamuva zomdlavuza.
- Amaphutha wezokwelapha nokwelapha. Ngeshwa, amaphutha esibhedlela aphezulu kakhulu ezimbangela zokufa. Ingozi yalezi zinganciphisa ngokubuza imibuzo eminingi, ubuze imibuzo eminye uma ungaqondi okuthile noma ungajabuli ngento eyenzekayo, futhi uthatha indima ephathekayo ekunakekeleni othandekayo wakho.
- Izinkinga zokuhlinza , ezifana nokukhathazeka kwe-anesthesia nokuphuma kwegazi.
- Izimo ezingahlobene nomdlavuza, njengokuhlasela kwenhliziyo ngenxa yokuvinjelwa okungahlobene nomdlavuza.
Lapho bebuza mayelana nezimbangela zokufa, yiziphi abantu abaningi abesaba ukuthi othandekayo wabo uzohlupheka njengoba efa. Kubalulekile ukuqaphela ukuthi, nakuba kuvamile ukuba abantu bayeke ukudla nokuphuza eduze nokuphela kokuphila, ukuzwa kwendlala nokoma kuyancipha. Ngokuphathelene nobuhlungu nobunzima bokuphefumula, iningi labantu lingagcinwa likhululekile ngaphansi kokubili kwemibandela ekuthuthukisweni kwekhaya labo. Ukunakekelwa nokududuza kwabantu abafayo kushintshile kakhulu ekusetshenzisweni kwezinhlelo zokubhedlela , okungaba ngumthombo omkhulu wokusekela imindeni yalabo abafa.
Ingabe Ukufa Kuyobabaza?
Enye yezinkathazo ezinkulu kulabo abaphila nomdlavuza nabathandekayo babo ukuthi ukuhlupheka ekupheleni kokuphila kuyoba nzima. Eqinisweni, ekubuzeni le mibuzo, "Ngizofa kanjani," abantu abaningi bayabuza ngempela, "Ingabe ukufa kuyoba buhlungu?" Abanye abantu banezinhlungu ezinzima ekupheleni kokuphila kanti abanye abantu banezinhlungu ezincane kakhulu. kungukuthi akekho okumele abulawe ebuhlungu. Akungabikho muntu okufanele afe ngebuhlungu obungalawulwayo. Uma lokhu kungukukhathazeka kwakho, qiniseka ukuthi ufunda ngokulawula ubuhlungu bomdlavuza ekupheleni kokuphila .
Imicabango Yokugcina
Lapho ekhuluma ngokufa, abantu abaningi babhekana nosizi okungafani nokuhlupheka okwenzeka ngemuva kokulahlekelwa kwangempela (usizi olulindeleke). Ukudabuka ngaphambi kokufa akuyona nje evamile kepha kungavumela imindeni ukuba ihlangane ukuze iphulukise ebuhlungu obudala futhi ifake izinkumbulo ezingasoze zafa. Uma ubhekana nokuzwa usizi ngisho noma othandekayo wakho esaphila, thatha isikhashana ukuze ufunde kabanzi mayelana nosizi olulindelekile .
Uma uzibuza ukuthi ngabe othandekayo wakho angafa kanjani, ungase uzibuze ukuthi kwenzekani ezinyathelweni zokugcina zomdlavuza wamaphaphu. Lokhu kungaba yisikhathi esesabekayo, kodwa ngesikhathi esisodwa, isikhathi esihle ngezindlela eziningi. Thatha isikhashana ukuthi ufunde ngalokho okungase kwenzeke ngokomzimba, ngokomzwelo, nangokomoya ezigabeni zokugcina zomdlavuza wamaphaphu .
Okokugcina, kubalulekile ukuthi uqaphele ukuthi akuvamile ukuthi abantu bazi ukuthi bazofa maduzane, okubhekwa njengokuthi kutholakala ukuqwashisa ukufa . Othandekayo wakho angakhuluma ngokukhuluma nabanye abathandekayo abafile ngaphambili. Nakuba lokhu kungesabisa futhi abantu abaningi bakholelwa ukuthi abathandekayo babo bahlolisisa, abahlengikazi be-hospice bazokutshela ukuthi lokhu kwenzeka kaningi, futhi labo abafa bangase bathukuthele futhi bacasuke uma ungabonakali ukukholelwa. Esikhundleni sokubhekana nalesi sikhathi ngokwesaba, imindeni eyazi lokhu kwenzeka ingathatha induduzo kulabo abahlengikazi abahlinzeka esibhedlela. Encwadini yabo "Izipho Zokugcina: Ukuqonda Ukuqwashiswa Okukhethekile, Izidingo Nezokuxhumana Zokubulala," abahlengikazi be-hospice Maggie Callanan noPatricia Kelley balandisa ukuphawula okuvamile kodwa okungaqondakali kwalabo abafa futhi kubonakala sengathi banamanye amazwe emhlabeni wonke .
> Imithombo:
> Janssen-Hejinen, M., van Erning, F., De Ruysscher, D., Coebergh, J., noJenen. Ukushintsha okubangelwa izimbangela zokufa ezigulini ezine-cancer emangcwabeni engeyona encane ngokusho kwesigaba nesikhathi kusukela ukuxilongwa. Amanothi we-Oncology . 2015. 26 (5): 902-7.
> Nichols, L, Saunder, R., noFn. Knollmann. Izimbangela zokufa kweziguli ezine nomdlavuza wamaphaphu. I-Archives of Pathology kanye neLab Medicine . 2012. 136 (12): 155-7.