Izinto Okufanele Zizicabange Lapho Ukhetha Ukunqeda Ukwelashwa Kwemdlavuza
Ngokuvamile kanomdlavuza, abantu bafinyelela endaweni lapho kudingeka khona ukuthi banqume ukuthi bangabe baphishekela yini ukwelashwa noma esikhundleni sokukhetha ukunakekelwa kuphela. Lesi yisinqumo esithinta inhliziyo esidinga ukucabangela ngokucophelela.
Ngokungafani nesikhathi esedlule lapho abantu bevele baphelelwa ukhetho lokunakekelwa, isinqumo sokuthi u-forego nenye indlela yokwelapha ngokuvamile siwela kumuntu onomdlavuza nabathandekayo bakhe.
Lesi isibonakaliso esihle ngokuqhubekayo ekwelapheni komdlavuza, kodwa kunzima kakhulu kubantu ngabanye ababhekene nomdlavuza.
Yini okudingeka ukwazi uma kuziwa ekwenzeni isinqumo sakho, futhi yiziphi izinto okufanele uzicabangele ngaphambi kokuthi u-yebo noma cha ukuzoqhubeka nokwelapha?
Ukwenza isinqumo sokuMisa ukwelashwa komdlavuza
Eminyakeni edlule sasingenayo okuningi yokunikeza abantu abanezigaba eziphambili zomdlavuza; uma isisu singazange sisuswe ngokuhlinzwa kwakukhona izinketho ezimbalwa. Siyajabula ukuthi siphila esikhathini lapho ukwelashwa okufana nokwelapha okutholakala khona okungakwandisa impilo noma ukuthuthukisa izimpawu zabanye abantu abanomdlavuza we-metastatic. Kodwa ngezinye izinkampani kuza nezinye izinkinga. Kufanele ususe nini ukwelashwa nini? Ufike nini iphuzu lapho izinga lakho lokuphila lingcono khona ngaphandle kokwelashwa?
Ngaphambi kokuqhubeka kubalulekile ukuqaphela ukungaqondi okuvamile mayelana nemiphumela yokwelashwa nomdlavuza wesigaba 4.
(Lokhu kubhekisela ezinhlakeni eziqinile ezifana nomdlavuza wamaphaphu nomdlavuza wesifuba, hhayi amagciwane ahlobene negazi afana ne-leukemia ne-lymphomas.) Uma i-chemotherapy inikezwa abantu abanegciwane lesandulela-ngculazi inhloso ngokuvamile i- palliative . Ukwelashwa kungase kwandise impilo ngamasonto ambalwa noma izinyanga futhi kungathuthukisa izimpawu ezihlobene nokukhula komdlavuza, kodwa kunjalo hhayi kunikezwa ngenhloso yokwelapha umdlavuza.
Ucwaningo oluthile lwathola ukuthi amaphesenti angu-69 abantu abanesifo somdlavuza wesigaba 4 nesigaba samaphesenti angu-81 abantu abanesifo somdlavuza we-colon 4 abazange baqonde ukuthi ukwelashwa kwamakhemikhali kwakungeke neze kunakekele umdlavuza wabo.
Ukwenza isinqumo sokuyeka ukwelashwa okusebenzayo kanomdlavuza kungaba nobuhlungu kakhulu ngokomzwelo. Njengoba kunjalo, kungenzeka ukuthi kube yisikhathi empilweni yakho lapho udinga ukwesekwa kwabathandekayo bakho kakhulu. Lokho kusho ukuthi, umndeni wakho nabangane nabo babhekene nosizi olungabhekisela ukufutheka okufutshane. Ngaphezu kwalokho, umndeni wakho nabangani bangase babe nemibono noma izinkolelo ezihlukile kunakho, okungabangela ukungqubuzana kokubili phakathi kwakho nabathandekayo bakho naphakathi kwamalungu omndeni nabangani bakho. Yiziphi ezinye izinto okufanele uzicabangele njengoba wenza lesi sinqumo esihlaba inhliziyo?
Yisinqumo Sakho
Abangani bakho nomndeni wakho bangase banikeze imicabango yabo, kodwa ekugcineni kuyisinqumo sakho sokuthi noma ungaqhubeka yini ukwelashwa Imizwa ingakwazi ukujula ngokujulile uma izifiso zakho ziphikisana nalabo abathandekayo bakho. Kungase kudingeke ukuba ukhumbuze ngobumnene amalungu omndeni wakho ukuthi uyazi ukuthi isinqumo osenzayo akuyona into engayenza-futhi kulungile. Uma uqinisile kuwe, abathandekayo bakho bayokusekela ngesikhathi.
Ukubukeza izinketho nokucabanga ngezingozi nezinzuzo (bheka ngezansi) kunganikeza "ubufakazi" obuzokwenza ukuthi ukhululeke ngokwengeziwe esinqumweni sakho kodwa futhi kusize abathandekayo bakho ukuthi baqonde imicabango ngemuva kwesinqumo sakho.
Ukuyeka Ukwelashwa Akusho Ukuthi Ukupha
Ngokuvamile abantu abanomdlavuza ophakeme-futhi ngezinye izikhathi amalungu omndeni wabo-babuke ukwelashwa kokuyeka njengokuthi "ukuyeka." Ukubheka izinto ezimbalwa eziqhamukayo kuqhuba leli phuzu ekhaya. Abantu badunyiswa ngokuba "balwa nempi enesibindi nomdlavuza." Ukukhetha ukuyeka ukwelashwa okusebenzayo komdlavuza wakho akusho ukuthi ushiya.
Kunalokho, kuyisinqumo esisebenzayo sokuhlala izinsuku zakho zokugcina ngendlela ofisa ukuziphila ngayo.
Ukuyeka Ukwelashwa Kwemdlavuza Akusho Ukuyeka ZONKE Ukwelapha
Ukunquma ukuyeka ukwelashwa okusebenzayo kumdlavuza wakho akusho ukuthi uzodinga ukumisa zonke izifo. Eqinisweni, ukushintsha ukugxila kokwelashwa ekuqondeni izimpawu kubeka phambili phambili ekukwenzeni ukhululeke ngangokunokwenzeka.
Umndeni: Ukungena ezinqoleni zabanye
Sivame ukuzwa ngamalungu omndeni akhathazekile ukuthi othandekayo ukhethe ukungaphishekeli noma yimiphi imithi yokwelapha eminye. Kubalulekile ukuthi abathandekayo baqonde ukuthi lokho abazokwenza ngokwabo kungase kube ngamamayela okungafani nalokho okufunayo othandekayo kanye nezifiso. Njengoba sinemibono mayelana nemibala yethu ethanda kakhulu noma amaqembu ezemidlalo, wonke umuntu uyoba nombono ohlukile uma sekuyisikhathi sokuyeka ukwelashwa okusebenzayo.
Ucabanga ukuthi unolwazi olwanele lokwenza isinqumo esifundisiwe (ngokwesibonelo ukwazi zonke izinketho zokunakekelwa kwakho) kubalulekile ukuthi abathandekayo bakho bahloniphe isinqumo sakho.
Uma othandekayo wakho engakhululekile, meme ukuthi uyahlonipha imibono yakhe. Kungasiza ukuthi amthathe isikhashana bese ezama ukungena ezicathulweni zakho. Kodwa lokhu kungaba nzima. Ngokuvamile sishintsha imibono yethu kulokho esizokwenza esimweni lapho empeleni sibhekene nakho. Abathandekayo bakho bangase babe nesibindi sokulindela , futhi babheke ngokungaqondakali noma yini engakugcina uphila njengendlela yokulibalaza usizi lokulahlekelwa.
Izinketho zokubuyekeza
Ukuthatha isikhathi sokubuyekeza zonke izinketho zokunakekelwa kungakusiza uzizwe ukhululekile ekwenzeni isinqumo sakho mayelana nokwelashwa okuqhubekayo. Ngisho noma unomuzwa wokuthi ukumisa ukwelashwa kuyisinqumo esifanele kuwe, izinketho zokuqonda zingakusiza ukuchazela okukhethayo kulabo abathandayo abahlukile emibonweni yabo. Ungase uqale ngokucela i-oncologist yakho ukuthi ihlule zonke izinketho zokunakekelwa kwakho, kuhlanganise nalawo anganikezwa kuphela kwenye indawo yomdlavuza noma endaweni ehlukile. Ungafisa futhi ukucwaninga izilingo zemitholampilo ezingase zitholakale ngesimo sakho. Kunezinqolobane ezibalwa ezimbalwa ezibonisa ukuhlolwa kwamakliniki emhlabeni wonke, kanye nezinsizakalo ezihambelana lapho umgibeli wezinesi ongumhlengikazi angasiza ukufanisa noma yikuphi ukuhlolwa okukhona ngesimo sakho.
Ikhwalithi Yokuphila: Izinzuzo Zokuqhathanisa Nezimpembelelo Zemizimba Yokwelapha
Isinyathelo esivame ukushiywa phansi, kodwa isinyathelo esibalulekile ngokuyinhloko ukukala izinzuzo ongazitholayo ekwelapheni ngokumelene nemiphumela emibi. Kubalulekile ukuthi ube ne-oncologist yakho epela ngokucophelela lokho akukholelwa ukuthi izinzuzo zokwelashwa ziyoba kuwe, kokubili ngokulondla ukusinda nokulawula izimpawu zakho. Lezi zinzuzo zingalinganiswa nemiphumela emibi yokwelapha okhethekile.
Njengoba kuphawuliwe ekuqaleni, iningi labantu abanegciwane lesandulela ngculazi nomdlavuza we-colon babengazi ukuthi ukwelashwa kwamakhemikhali kwakungeke neze kunakekele umdlavuza wabo. Ngokuthakazelisayo, odokotela iziguli ezikusho ukuthi yizo ezihamba phambili ekukhulumisaneni nabo bezingakaze zichaze nokuthi le-chemotherapy yayinganikezwa ngomzamo wokwelapha lesi sifo. Kungasiza ukuhlala phansi nabathandekayo bakho kanye neqembu lakho lokunakekelwa kwezempilo futhi ubhale uhlu lwezinzuzo nezingozi.
Hlola futhi Uthuthukise Izinkolelo Zakho Ezingokomoya
Kungaba usizo ukubheka izinkolelo zakho ezingokomoya njengoba wenza lesi sinqumo. Uma unenkolelo eqinile ekufeni emva kwesikhathi isinqumo sokuyeka ukwelashwa singase sibe lula. Ngokuphambene nalokho, uma unzima ngalokho okwenzeka ngemuva kokufa komzimba kungase kube usizo ukukhuluma nomfundisi wakho, umpristi wakho, uthisha wakho, noma abanye abaholi abangokomoya. Ezifundweni ezimbalwa ngomdlavuza wamaphaphu, abantu ababezizwa benesimo esingokomoya esikhulu (ukuthi lokho kusho ukuya ezinkonzweni zenkolo noma ukuxhumana nemvelo) bathola kulula ukubhekana nomdlavuza wabo futhi babe nempilo engcono.
Ukubambelela kuThemba
Abantu abaningi besaba ukuthi ukwelashwa kuyafana nokuyeka ithemba. Ukuyeka ukwelashwa akusho ukuthi uvumela ukuhamba kwethemba. Esikhundleni salokho, kusho ukuhlonipha ithemba lakho lokuchitha isikhathi esihle nomndeni wakho futhi ukhululeke kakhulu ezinsukwini osishiye kuzo.
Izinyathelo Ezilandelayo Uma Unquma Ukwelashwa Okuqhubekayo
Ukuyeka ukwelashwa akuyona into efanayo ne-hospice, kodwa ukunakekelwa kwe-hospice kusetshenziswa ezinsukwini zokugcina nezinyanga zokuphila. Uma ukhuluma ngokuyeka ukwelashwa nge-oncologist yakho futhi kuyisikhathi esihle sokuxoxa ngokuphathelene neziqondiso ezithuthukisiwe , ukunakekelwa kwezilonda, nokunakekelwa kwe- hospice .
Ungase uzibuze ukuthi yini ezayo, futhi unganqikazi ukubuza. Ungase ufise ukufunda okuningi mayelana nokuthi yini ongayilindela ezingeni zokugcina lomdlavuza wamaphaphu .
Ngezansi Ukwenza Isinqumo Sokuyeka Ukwelashwa Kwemdlavuza
Njengoba sekukhona izinketho eziningi zokwelashwa zomdlavuza kunanesikhathi esidlule, abantu abaphila nomdlavuza nabathandekayo babo bavame ukucelwa ukuba benze isinqumo sokuthi bangabeka nini ukwelashwa. Ngeshwa, odokotela bavame ukungabaza ukuxoxa ngale ndaba futhi.
Ukukhetha ukuyeka ukwelashwa komdlavuza osebenzayo yisinqumo somuntu siqu, futhi akekho ongakwenza ukhetho. Sixoxe ngezinto eziningana okufanele sizicabangele ngaphambi kokwenza lesi sinqumo esinzima, kodwa ngokuvamile, isisindo sakho sizokutshela ukuthi isikhathi siphikile. Khumbula ukuthi ukukhetha ukumisa ukwelashwa akushiyi. Esikhundleni salokho, wenza ukhetho oluqotho lokujabulela ikhwalithi yezinsuku onayo.
> Imithombo:
> Laarhoven, H., Henselmans, I., noJ de Haes. Ukuphatha Noma Ukungaboni: Ubani Okufanele Azinqume? . Oncologist . 2014. 19 (4): 433-436.
> I-Library Kazwelonke Kazwelonke Yezokwelapha. I-Medline Plus. Lapho Ukwelashwa Kwemdlavuza Kuyeka Ukusebenza. Kubuyekezwe 09/05/17. https://medlineplus.gov/ency/patientinstructions/000851.htm
> Iviki, J. et al. Iziguli zilindelwe ngemiphumela ye-Chemotherapy ye-Cancer Advanced. I-New England Journal of Medicine . 2012. 367: 1616-25.