Ayikho indlela "efanele" yokubhekana nomdlavuza wokugcina -cancer engakwazi ukuphulukiswa-futhi akukho bantu ababili abakhathalelayo ngendlela efanayo. Noma kunjalo, umhlahlandlela olandelayo ungakusiza ukuba ubhekane nakho.
Ngemuva kokuxilongwa
Lapho uzwa ukuxilongwa, ungase uzizwe unzima, njengokungathi konke kwenzeka komunye umuntu. Imizwa yokudabuka, ukwesaba, ukulahlekelwa, nentukuthelo nayo ijwayelekile.
"Ezinye iziguli azizange zamukele isifo sokuxilongwa futhi zifa zifuna ukwelashwa. Abanye bathola ukuxilongwa, bathi, 'Kulungile,' bese uqala ukubeka izindaba zabo ngendlela efanele, "kusho uGreta Greer, uMqondisi Wezinhlelo Zokusinda ze-American Cancer Society.
Kungenzeka kuthathe ingxoxo engaphezu kweyodwa nodokotela wakho ukubhekana nokukhathazeka kwakho futhi uthole ulwazi oludingayo. Imibono yezokwelapha yesibili nayo ibalulekile. Imithombo enhle ye-intanethi ihlanganisa i-American Cancer Society's Nearing the End of Life.
Abantu baphinde bahluke endleleni ababelana ngayo ngokuxilongwa kwabo nabanye. Abanye baxoxisana kalula futhi babhale amabhulogi kanye nokuthunyelwe kwezokuxhumana kwezwe ukuze babone, kuyilapho abanye bedalula kancane futhi bakhetha ukugcina ulwazi ikakhulukazi luyimfihlo. Labo abanezingane ezincane bangase bafune ukugcina izinto ngendlela evamile ngangokunokwenzeka uma nje bengakwazi.
Ukwelapha
Nakuba umdlavuza wakho ungelapheki, uzobe unezinketho zokwelapha.
UWilliam Breitbart, MD, oyinhloko yesifo sengqondo eSikhumbuzweni seCroatia-Kettering Cancer yaseNew York, ulinganisela ukuthi okungenani amaphesenti angu-35 omdlavuza wegciwane "angazuza ngokungenelela nentshisekelo yenhlalakahle, isazi sezengqondo, noma isifo sengqondo." Iziguli ezigulayo, ikakhulukazi , angabhekana nokucindezeleka kanye / noma ukukhathazeka, kokubili okwelashwa ngemithi, imithi, noma kokubili.
Ungase uzuze ngokuphila-okwandisa (nakuba kungenalo ukuphefumula) noma imishanguzo ye-chemotherapy. Ukunakekelwa kwe-palliative-okuhloselwe ukukhulula izimpawu ezifana nobuhlungu-kungathuthukisa izinga lakho lokuphila. Qinisekisa ngokubuza mayelana nezinketho zakho, kufaka phakathi izindlela zokwelashwa ezihlukile njengokuthathwa kwe- acupuncture . Ochwepheshe abaningi bathi ubuhlungu buyaphathwa e-US ngenxa yokukhathazeka ngezidakamizwa ezidakamizwa.
Abanye abantu babamba iqhaza ekuvivinyweni kokwelashwa okuphenya ngemithi yokwelashwa. Esivivinyweni somtholampilo , ungathola okwakamuva kakhulu ukwelashwa-futhi uzokwazi ukuthi unengxenye ekuthuthukisweni okuzayo emdlalweni wokunakekelwa umdlavuza. I-American Cancer Society inikeza ulwazi olubanzi mayelana nokulingwa, futhi iwebhusayithi ye-National Cancer Institute ikuvumela ukuthi ufune phakathi kwezinkulungwane zezifundo okwamanje ezamukela abahlanganyeli.
Inqubo yokuDela
Ukukhathazeka kweziguli ngokuvamile kuhlanganisa ukuthola ukwesekwa okuphumelelayo kusuka eqenjini labo lokunakekelwa kwezempilo, ukugcina isithunzi sabo, nokungabi nobuhlungu. Iziguli eziningi zifuna umqondo wokuthi yini ongayilindela ekupheleni.
Ukufa komdlavuza kubonakala kunciphisa kancane kancane. (Ungacabangi ukuthi uzokujabulela impilo enempilo ngaphambi kokunciphisa okusheshayo, okusheshayo.) Umuntu oshona uchitha isikhathi esiningi ebhedeni-futhi isikhathi esingaphansi siphapheme-siwela esimweni esijulile, esifana ne-trance ngaphambi kokufa.
Ukusekela
Ukunikeza ithemba lokuphulukisa akusho ukuyeka. Lawa amanye amasu okubhekana ngokuphumelelayo:
- Ukuthatha usuku olulodwa ngesikhathi bese ugxila kulokhu okwamanje
- Ukuqaphela ukuthi kuzoba nezinsuku ezinhle nezinsuku ezimbi
- Ukuzama ukugcina umqondo wokujwayelekile nokujwayela
- Gwema ukulindela izinto ezimbi ezingase zenzeke (noma kungenjalo)
- Ukwenza izinto ozithandayo; musa nje ukugxila ekufeni
Ukusekelwa ngokomzwelo kubalulekile kodwa kungabikho emndenini: "Emva kokuxilongwa kwesifo esibulalayo," kusho uGerer, "imindeni ethile isondelana, kodwa ezinye ziba nzima kakhulu futhi zide kakhulu." Izibhedlela eziningi zinikeza izinsizakalo zokunakekela imibhangqwana nemindeni.
Ukufuna usizo kubangane noma izihlobo kungaba lula uma uqala ngokucela usizo ngemisebenzi ephathekayo, njengokunakekela izingane, ukudla noma ukugibela. I-American Cancer Society's Cancer Resource Network inikeza usizo.
Abantu abaningi abanomdlavuza wokuphela bathola ukuxhaswa kwezinye iziguli zomdlavuza. Izibhedlela zivame ukuxhasa amaqembu asekela umdlavuza. Imiphakathi esekelwe kuwebhu, njengokuthi "Ukubulala Ngomdlavuza," okuyingxenye yeCancerChat.org.uk, iyatholakala.
Ukucutshungulwa okwengeziwe
Lena yimibuzo ongase ufune ukuzibuza yona lapho ubhekana nokuxilongwa kwakho komdlavuza wokugcina.
Izinkinga zezempilo
- Ingabe ufuna ukunakekelwa esibhedlela ?
- Zikhona yini izinto ezithile (ukondla amashubhu, ukuvuselelwa kwe-cardiopulmonary) ongafuni?
- Kuthiwani nge-proxy yezempilo, umyalelo wangaphambili, noma wenze-hhayi-ukuvuselela ukuhleleka ukuqondisa ukunakekelwa kwakho uma ungeke ukwazi?
Izindaba Zezomthetho Nezezimali
- Ingabe izindaba zakho zezezimali zihlelekile?
- Ingabe othile uyazi lapho angathola khona amaphepha abalulekile?
- Unayo intando? Ingabe kusesikhathini?
- Unayo umshuwalense wokuphila? Ukwaziswa okuzuzayo okwamanje?
Ukulungiswa kokugcina
- Ingabe kukhona i-keepakes noma i-heirlooms yokunikeza abathandekayo?
- Kuthiwani ngokulungiselela izincwadi noma amavidiyo kubo?
- Ingabe ufuna ukufa endaweni ethile ngaphandle kwesibhedlela ? Yini ezofaka phakathi?
- Ingabe ufuna umfundisi, umpristi, umfundisi noma umeluleki ongokomoya okhona ekugcineni?
- Ingabe ufuna umzimba wakho ungcwatshwe noma ushiswe? Unayo isakhiwo sokungcwaba? Ungathanda umlotha wakho uhlakazeke endaweni ethile ekhethekile?
- Yiziphi izintandokazi zakho zesevisi yesikhumbuzo? Ingabe wabelane ngezifiso zakho?
Ukubeka Okubalulekile
Ngaphezu kwakho konke, kuzodingeka unqume ukuthi yini okufanele uyenze ngesikhathi esisele. Zikhona izinkinga ongathanda ukuzixazulula? Ingabe ufuna ukuqhubeka nokuphila kwakho kwasekudala isikhathi eside ngangokunokwenzeka? Gcwalisa iphrojekthi enkulu? Ukuhamba? Uma unabantwana abancane noma abazukulu, isikhathi nabo singase sibe okubaluleke kakhulu.
Abanye abantu baba ngabagqugquzeli . Ngaphambi kokufa kwakhe ngumdlavuza we-pancreatic, uprofesa weCarnegie Mellon University uRayy Pausch wanikeza "inkulumo yokugcina" eyaba yincwadi edayiswa kakhulu kakhulu nevidiyo ethandwa kakhulu ye-YouTube. Wazinikela ekwenzeni konke okusemandleni ekwandiseni ukuqwashisa komdlavuza we-pancreatic.
Noma ngabe ukhetha, uzodinga ukuthola umqondo we-ballpark wesikhathi esingakanani-iminyaka, izinyanga, izinsuku? Udokotela wakho angasho ukuthi ukubikezela okunjalo akuyona nje into yokuqagela, kodwa kubalulekile isikhathi esibi.
Okokugcina, njengoba uDkt. Breitbart ephawula, ukugula okungapheli kubangela izinselelo ezikhona, njengokuvuma impilo owake waphila, ukunikeza lolo philo incazelo ehambisanayo, nokuthola umqondo wokuvala. Cabanga ngokuzibuza, "Ingabe nginokuthula?"
> Imithombo:
> AmericanCancer Society. Ukuphela kokunakekelwa kokuphila.
> Amasevisi Okulawula Nokuvimbela Izifo. Ngaphambi kokuhlelwa kokunakekela: Ukuqinisekisa Ukuhlakanipha Kwakho Kuyaziwa Futhi Kuhlonishwa Uma Ungakwazi Ukuzikhulumela.
> Pausch, Randy, Assoc. Prof. (Agasti 2008) .Carnegie Mellon University: Ukulwa neCancretic Cancer. UCarnegie Mellon