Yeka ukuthi i-Cancer Pain iyini evamile nokuthi yini eyenza yona?
Impendulo yile mbuzo mayelana nokuthi umdlavuza ubuhlungu akuyona elula njengo-yebo-noma-cha. Abanye abantu abanomdlavuza banezinhlungu eziningi, kuyilapho abanye bezwa ubuhlungu obuncane. Umdlavuza ubangelwa kanjani ubuhlungu nokuthi yiziphi izici ezithinta ukuthi ubuhlungu buyoba bunjani? Kungani ubuhlungu bomdlavuza buvame ukwelashwa, futhi yini ongayenza ukuze wena noma othandekayo wakho uthole ukulawula okungcono kakhulu kobuhlungu ngemiphumela emibi kakhulu?
Izingosi Eziqeda Inani Lezinhlungu Ze-Cancer
Kunezinhlobonhlobo eziningi ezithinta ukuthi umdlavuza (noma ukwelashwa komdlavuza) ubangele ubuhlungu, nokuthi ubuhlungu buyoba bunzima kangakanani. Ezinye zazo zihlanganisa:
- Isiteleka seKhansela - Uma umdlavuza usenesikhathi sokuqala, abantu abaningi abazwa ubuhlungu. Eqinisweni, lokhu kungenye yezizathu ukuthi ezinye zegciwane - njengomdlavuza we-pancreatic - zivame ukutholakala kuphela ngemva kokuba umdlavuza wazo usakazeke futhi ungasebenzi futhi ukuhlinzwa ngeke ukwazi ukwelapha lesi sifo . Isibonelo, umdlavuza wesifuba otholakala kuphela kumammogram kungase kungabangeli noma yikuphi ukungakhululeki, kanti isigaba somdlavuza wesifuba sesine singase sibangele ubuhlungu obukhulu ngenxa yamathambo ayisithupha.
Uhlobo Lwe-Cancer - Ezinye zegciwane zingase zidale ubuhlungu kunabanye, nakuba ubuhlungu bungenzeka nganoma yiluphi uhlobo lomdlavuza.
Ukubekezela kobuhlungu - Ukubekezelela ubuhlungu bezinhlungu kuhluka kakhulu phakathi kwabantu abahlukene, ngisho naphakathi kwezindawo ezahlukene noma izinhlobo zobuhlungu obhekene nomuntu ngamunye. Ukubekezelelana ubuhlungu kuchazwa ngokuthi inani lobuhlungu umuntu angakwazi ukusingatha ngaphambi kokuphuka ngokomzimba noma ngokomzwelo. Umgogodla wezinhlungu , ngokuphambene nalokho, uchazwa njengephuzu lapho ubuzwa buba buhlungu khona. Kungakhathaliseki ukuthi ukuzwa kuhunyushwa njengokubuhlungu okunqunywe yi-genetic makeup, umlando wobuhlungu, kanye nezimo zezokwelapha phakathi kwezinye izici Akulungile noma akulungile ukuzwa ubuhlungu. Eqinisweni, esinye sezizathu zokuthi imithi yokuhlunguphaza i-forego ngesikhathi sokwelashwa komdlavuza engayithuthukisa izinga lokuphila isifiso "sokuba nesiguli esihle" futhi sibonakale "sinamandla.
- Izimo Ekungezeni I-Cancer - Akuwona wonke ubuhlungu obhekana nabantu abanomdlavuza ngenxa yomdlavuza noma ukwelashwa komdlavuza. Isibonelo, othile onomdlavuza wamaphaphu angase azwe ubuhlungu ngenxa ye-arthritis noma isifo se- disenerative disc .
- Ukwelapha I-Cancer - Eziningi zokwelashwa komdlavuza ezifana nokuhlinzwa, ukwelashwa kwamakhemikhali, kanye nokwelashwa kwemisebe kungabangela ubuhlungu. Ezikhathini zokuqala zomdlavuza, ubuhlungu obubangelwa ukwelashwa kungase bubi kakhulu kunokubuhlungu ngenxa yomdlavuza uqobo.
Yeka Ukuhlupheka Okuvamile Kwabantu Abanomdlavuza?
Uma umdlavuza usezigaba zokuqala, ikakhulukazi lezo zomshukela ezitholakalayo ekuhlolweni kokuhlolwa, kungase kube nobuhlungu obukhulu kakhulu. Kubantu abanomdlavuza ophakeme, noma kunjalo, iningi labantu lithola ubuhlungu obunzima phakathi nesikhathi ohambweni lwabo.
I-Cancer Yenza Kanjani Ubuhlungu?
Kunezindlela eziningana ukuthi umdlavuza ubangela ubuhlungu. umdlavuza ngokwawo noma ukwelashwa. Lokhu kufaka:
- Ukwanda Kwe-Tumor Okubangela Ukucindezeleka Kwezakhiwo Ezizungezile - I-Cancer ingabangela ubuhlungu ngokucindezela izitho nezinzwa eziseduze ne-tumor.
- Ama- metastases - Ukusakazeka (amathisaseli) amanqamu kunezinye izifunda zomzimba, ikakhulukazi amathambo, angabangela ubuhlungu.
- Izinto Ezifihliwe Ngokweqhwa - Ezinye zegciwane zenza ama-protein angabangela ubuhlungu. Izibonelo zifaka ezinye ze- syndromes eziphambene ne- paraneoplastic ezibonwe nomdlavuza omncane wamaphaphu wesifo nomdlavuza we- cell wamaphaphu.
- Ubuhlungu be-neuropathic ngokuvamile bubuhlungu obukhulu obubangelwa ukucindezeleka kwesifo esiswini, ngenxa ye-chemotherapy (ikakhulukazi izidakamizwa ezifana ne-Taxol) kanye nokwelashwa kwemisebe. Lesi sihloko sikhuluma ngemithi yokwelashwa kwe-peripheral neuropathy ebangelwa yi-chemotherapy .
Lesi sihloko sikhuluma kabanzi nge- Types of Cancer Pain .
Ungakhuluma Kanjani Nesibalo Sakho Sobuningi Ngodokotela Wakho?
Kunamagama amaningana odokotela abasebenzisa ukuchaza ubuhlungu kubantu abanomdlavuza.
- Ubuhlungu obukhulu kaningi bufika ngokushesha futhi buhlala isikhathi esifushane nje.
- Ubuhlungu obungapheliyo ubuhlungu obuvame ukuba khona 24/7 futhi bungaphikelela izinsuku, amasonto, noma ngisho neminyaka.
- Ubuhlungu bokuhlukumeza ubuhlungu obuzwayo naphezu kohlelo lwakho lwezokwelapha ubuhlungu (ngamanye amazwi, alulawulwa yimithi ebuhlungu oyisebenzisayo.)
- Ubuhlungu obukhulunywa ubuhlungu obuzwa endaweni engaphandle komthombo wangempela wobuhlungu, isibonelo, ubuzwa ubuhlungu be-shoulder ngesikhathi sokuhlasela kwe-gallbladder.
- Ubuhlungu be-Phantom ubuhlungu obuzwa esifundeni somzimba esingekho. Isibonelo, ukuzwa ubuhlungu emlenzeni wakho ngemuva kokuthintwa kwe- sarcoma , noma ukuzwa ubuhlungu ku-ingono yakho noma "isifuba" sakho emva kwe-mastectomy.
Ezinye izindlela ezibhekene nobuhlungu zihlanganisa: Ubuhlungu - Ingabe ubuhlungu abukho lapho, noma ingabe ubuhlungu obubi kakhulu obungacatshangelwa?
- Ikhwalithi - Ubuhlungu buzwa bunjani? Ingabe i-achy, ibukhali, iyicwebe, i-gnawing, igwaza, noma ivutha?
- Imvamisa - Ubuhlungu buvela kaningi kangakanani, noma buhlala njalo?
- Indawo - Uzizwaphi ubuhlungu?
- Yini eyenza kube kubi kakhulu futhi yini eyenza kube ngcono?
- Ubuhlungu buyithinta kanjani imisebenzi yakho yansuku zonke?
- Ubuhlungu buyithinta kanjani ukulala kwakho?
Izikali Zezinhlungu
Ukuze uqonde ngokucacile ukuthi ubuhlungu bakho bubuhlungu kanjani (nokuqapha ukuthi imithi emihlungu kakhulu nezinye izinhlobo zokuphulukisa ubuhlungu ziyasebenza kanjani) odokotela bavame ukusebenzisa izikali zobuhlungu. I-elula kunazo zonke ikubuza ukuthi ungayilinganisa kanjani ubuhlungu bakho ngesilinganiso se-1 kuya kwezingu-10, no-1 ube ubuhlungu obungaqapheli, futhi u-10 ube ubuhlungu obukhulu kakhulu ongacabanga. Funda kabanzi mayelana nezikali zobuhlungu .
Ukuphatha Ukuhlukunyezwa Kwemdlavuza
Nakuba abantu abaningi abanomdlavuza wesifo somdlavuza besaba ngenxa yobuhlungu, ukuphathwa kobuhlungu - ngisho nabantu abanomdlavuza ophakeme - uye waqhubeka kakhulu eminyakeni embalwa edlule. Iningi labantu abanomdlavuza manje lingathola ukuphathwa okwanele kobuhlungu kulo lonke ukwelashwa kwabo. Lokho kusho ukuthi odokotela abakwazi ukufunda izingqondo, futhi bangakwazi ukuhlangabezana nezidingo zokuphatha ubuhlungu beziguli uma bezwa ubuhlungu nobukhulu bawo. Isihloko esilandelayo siya ngokujulile ekulawuleni ubuhlungu be-Cancer .
Kungani Ukuhlukunyezwa Ngomdlavuza?
Ucwaningo lubonisa ukuthi umuntu wesithathu nengxenye yabantu abanomdlavuza abatholi ukwelashwa okwanele ebuhlungu.Izizathu ziningi, kodwa ezinye zifaka:
- Ukuxoshwa odokotela ukubeka imithi yobuhlungu be-narcotic .
- Isifiso sokuba "isiguli" esihle.
- Ukwesaba ukuba ngumlutha - Nakuba abantu abanomdlavuza bevame ukuhlakulela ukubekezelela imithi yobuhlungu, okusho ukuthi kuthatha umthamo omkhulu ukufeza izinga elifanayo lokuphumula kobuhlungu, akuvamile ukuthi umuntu onomdlavuza abe "umlutha" kule mithi.
- Ukungabi nalutho - kokubili odokotela ukuphatha ubuhlungu, nokukhokha izindleko zemithi yobuhlungu.
- Ukwesaba ukuthi imithi yokuhlunguphazwa isetshenziswa manje, ngeke iphumelele kamuva "uma uyidinga ngempela." (Lokhu akulona iqiniso.)
Izinyathelo Ezilandelayo
Ukuthatha indima ekunakekelweni kwezokwelapha kungasiza ukuqinisekisa ukuthi uthola ukwelashwa okungcono kakhulu kobuhlungu bakho kanye nezinye izimpawu. Isihloko esilandelayo singakusiza ukuthi ubhale phansi izimpawu zakho nezidingo ukuze ukwazi ukwabelana ngazo nodokotela wakho.Izinsiza:
UBrauer, B. et al. I-Wellcologists Yezokwelapha Ikwazi Kanjani Ukuphatha Ubuhlungu Bomshuwalense Womshoshaphansi ?: Ukuqapha Kwezwe. Oncologist . 2015 Jan 12. (Epub ngaphambi kokuphrinta)>
UDeorrea, S., Montanari, M., Moja, L., noG. Apolone. Ukuvama kokwenza ubuhlungu emdlalweni. Ukubuyekezwa kwezincwadi ezishicilelwe. Amanothi we-Oncology . 2008. 19 (12): 1985-91.
UGrco, M. et al. Ikhwalithi Yokuphathwa Kwezinhlungu Ze-Cancer: Isibuyekezo Sokubuyekezwa Okuhlelekile Kokuphulukiswa Kweziguli Ezine Cancer. I-Journal ye-Clinical Oncology . 2014. 32 (36): 4149-4154.
Kwon, J. Ukunqoba izithiyo zokuphathwa kobuhlungu bomdlavuza. I-Journal ye-Clinical Oncology . 2014. 32 (16): 1727-33.
I-National Cancer Institute. Ukulawulwa Kwezinhlungu: Ukusekelwa Kwabantu Abanomdlavuza. Kufinyelelwe 05/22/16. https://www.cancer.gov/publications/patient-education/pain-control