Iyini Inhloso Ye-Palliative Chemotherapy?
Iyini i-chemotherapy elula futhi kufanele isetshenziswe nini? Iyini imigomo yakho emitholampilo yomdlavuza wamaphaphu ? Yimiphi imiphumela emibi yalolu hlobo lokwelapha, futhi yimiphi imibuzo okufanele uyibuze?
I-Palliative Chemotherapy - Incazelo
I-chemotherapy ye-palliative yindlela yokwelapha i-chemotherapy ehlinzekwa ekunciphiseni izimpawu zomdlavuza, kodwa ayifuni ukuphulukisa umdlavuza noma ukwandisa impilo.
Kubaluleke kakhulu ukuqonda injongo ye-chemotherapy enikezwa ngale ndlela. Ucwaningo lwamuva luye lwabonisa ukuthi iziguli eziningi ezinekhanda lomdlavuza wesigaba se-IV azizange zinikezwe ulwazi olucacile futhi aziqondi kahle injongo ye-chemotherapy enikezwe ngale ndlela. Abantu abaningi ngandlela-thile bacabanga ukuthi bazoba "abahlukile" nokuthi mhlawumbe i-chemotherapy izobapha ithuba lokuphila isikhathi eside.
Ngenkathi lezo zengqondo ziletha ithemba, uma kungenzeka ukuthi ukwelashwa ukwandisa ukusinda noma ithuba elingavamile lokuthi lingaba nomdlavuza, i- oncologist yakho izokwabelana nawe. Kungaba ukukhathazeka inhliziyo ukubona ukuthi ukwelashwa akusho ngisho nethuba elingavamile lokuphulukisa umdlavuza kwabanye abantu, kodwa ukwazi lokhu phambili kungakusiza ukuba wenze okufundiswa kakhulu nokucabangisisa.
Njengoba ucabangela lesi sinqumo, kubalulekile ukukhuluma ne-oncologist yakho mayelana nokuthola okwakamuva okwakubonisa ukuthi i-chemotherapy ene-palliative ingase ibe yingozi kakhulu ekuphileni.
Imithi eminingi yokwelapha, yonke imdlavuza ihlukile futhi wonke umuntu uhlukile, ngakho-ke izibalo azikho ngempela lapho zihlolisisa ukwelashwa kwakho.
Imigomo Yokwelashwa
Kungaba ukudideka ukukhuluma ngomuthi kulesi sigaba somdlavuza, ngakho ake sibukeze imigomo jikelele yezokwelapha kuqala.
Le migomo ihlanganisa:
- Ukwelashwa okuvimbela - Le ukwelashwa kwenziwa ngomzamo wokuvimbela isifo noma izinkinga zesifo
- Imithi yokwelapha - Lolu hlobo lwezokwelapha lwenziwa ngethemba lokuphulukisa isifo
- Ukwelashwa okwenziwe ukunweba impilo - Ukwelashwa okwenzelwe ukwandisa impilo kwenziwa ngenhloso yokufinyelela isikhathi eside (noma ngabe sikhatsi eside kangakanani) somdlavuza
- Ukuphathwa kwezifo - Ukwelashwa kokuphathwa kwezifo kungenziwa ukuze kuqinisekiswe noma kuguqule ezinye izimpawu ezihlobene nesifo
- Imithi yokwelashwa - Ukwelashwa okunamaphilisi, njengoba kuphawuliwe ngenhla, kwenziwa ngenhloso yokulawula futhi ngethemba lokukhulula izimpawu zomdlavuza ukuze kuthuthukiswe izinga lokuphila
Izinhloso ze-Palliative Chemotherapy
Uma ukhuluma ngamakhemikhali aphikisayo, kubalulekile ukuqonda umgomo jikelele wezokwelapha njengoba kuphawuliwe ngenhla futhi uqiniseke ukuthi awucabangi - noma uthemba - ngemiphumela engahambisani nalolu hlobo lwezokwelapha. Isibonelo singasiza ukuchaza lokhu. Uma udokotela wakho ephakamise ukuthi i-chemotherapy ephilile kodwa usenethemba lokuthi ukwelashwa kufanele ukhathazeke, kufanele uxoxe. Zikhona yini izinketho ezingase zitholakale ezizohambisana nale ndlela? Mhlawumbe uyayazi ngesilingo sesigaba sokuqala sokwempilo - isilingo lapho umuthi uqala ukutadisha kubantu - okungenzeka unikeze ithuba lokuthola ukwelashwa, kodwa ngenengozi enkulu noma okungase kunciphise izinga lakho lokuphila?
Ngomdlavuza wamaphaphu, okwamanje kuningi ukuhlolwa kwemitholampilo okubheke emitholampilo ehlosiwe kanye nemithi yokwelapha okungenzeka - nakuba singakwazi ngempela - kube yindlela engcono kakhulu yokuba unesithakazelo emzamweni wokwelapha ekwelapheni.
Uma ukhululekile nge-chemotherapy ene-palliative njengendlela yokukhetha, cabangela ukuthi yiziphi izinhloso zalolu cwaningo oluzobe lube kuwe. I-chemotherapy ye-palliative iklanyelwe:
- Ukukhulula Izimpawu - Ngokunciphisa usayizi noma ukusabalalisa, kodwa hhayi ukuqeda isisu, ukwelashwa okunamafutha angasetshenziswa ukuthuthukisa izimpawu ezibangelwa umdlavuza. Izibonelo zezimpawu ezingase ziphathwe ngale ndlela zihlanganisa ubuhlungu obubangelwa isisu esixosha izakhiwo ezahlukahlukene emzimbeni, noma ukuphefumula okubangelwa yisisu esivimbela ukuhamba emoyeni noma ukuthatha isikhala esikhulu kakhulu emaphashini.
- Ukunyuka Okuphansi Kwe-Cancer - Ngezinye izikhathi amakhemikhali aphikisayo anganciphisa ukukhula komdlavuza futhi anwebe impilo, nakuba engelapheki umdlavuza. Khuluma ne-oncologist yakho ukuthi ngabe lokhu kungenzeka, ngakho uma kungenakwenzeka, ngeke udumale.
- Thuthukisa izinga lokuphila - Ngokunciphisa izimpawu ezifana nobuhlungu nokuphefumula, izindlela zokwelapha ezinomsoco zingathuthukisa inhlalakahle kanye nekhwalithi yokuphila.
Imibuzo Yokubuza:
Ukwenza lesi sinqumo esinzima, kungasiza ukubuza imibuzo ethile. Ungase ufise ukuwela kulolu hlu (nemibandela oyengeza kuyo) nge-oncologist yakho, kanye nabathandekayo bakho. Njengoba uphendula le mibuzo kubalulekile ukucabangela ukuthi yini engcono kuwe kuphela. Amalungu omndeni kaningi abe nemibono ehlukile futhi angakhetha indlela ehlukile uma beyiyo futhi hhayi ukwenza izinqumo. Lalela ukuthi umndeni wakho uthini futhi ucabangele imicabango yabo, kodwa yenza isinqumo esihlonipha imizwa nezinkolelo zakho mayelana nezidingo zakho nezifiso zakho. Cabanga ngale mibuzo.
- Ngingalindela yini ukuthi le chemotherapy izokwandisa ukusinda kwami?
- Ingabe kukhona ithuba lokuthi i-chemotherapy inganciphisa ukusinda kwami?
- Yimiphi imiphumela emibi engingaba nayo kusuka chemotherapy vs izimpawu esizama ukuzikhulula?
- Abantu bavame ukuthatha isikhathi esingakanani kulolu hlobo lwe-chemotherapy?
- Ngabe lokhu kusho ukuthini kimi? Iyini izindleko? Ingabe kuzodingeka ngiphuze ukwelashwa?
- Ngizokwazi maduzane ukuthi uma wenza umehluko?
- Uma ngikhetha ukuthatha i-chemotherapy ene-palliative, ingabe lokho kungangifanele ukuba ngingene ohlelweni lwe-hospice?
- Uma ngikhetha i-chemotherapy enamahloni, ingabe lokho kungangifaneleka uma isilingo somtholampilo sitholakala kumdlavuza wami?
Ukuyeka Ukwelashwa Kwemdlavuza
Ukukhetha ukumisa ukwelashwa komdlavuza kuyisinqumo esinzima kakhulu, futhi kuvame ukuholela ekuxabaneni kanye nokuzwela, uma othandekayo nomndeni bengavumelani noma bekanye nawe ngezinyathelo ezilandelayo ezihleliwe. Hlola lezizinto ezingu-9 okufanele uzicabangele uma ukhetha ukumisa ukwelashwa komdlavuza .
Imithombo:
U-Audrey, S. et al. Yiziphi izazi ze-oncologists ezitshela iziguli mayelana nezinzuzo zokusinda ze-chemotherapy ene-palliative kanye nemiphumela yemvume enolwazi: isifundo sekhwalithi. I-British Medical Journal . 2008. 337: .752. i-doi: 10.1136 / bmj: a752.
UHarrington, S. noT. Smith. Indima ye-chemotherapy ekupheleni kokuphila: "uma kunele, ngokwanele?". Umagazini we-American Medical Association . 2008. 299 (22): 2667-78.
URoeland, E., noT. LeBlanc. I-chemotherapy enama-palliative: i-oxymoron noma ukungaboni kahle. Ukunakekelwa kwe-BMC Palliative . 2016. 15:33.