Ukunakekelwa kwe-palliative akuyona into efanayo ne-hospice
Ukuzwa igama lokunakekelwa kokunakekelwa kwamagama kungabangela ukuba ubambe umoya wakho. Akuyona into efanayo ne- hospice ? Ingabe lokhu kusho ukuthi azikho ezinye izindlela zokwelapha engingazama? Iqiniso liwukuthi ukunakekelwa ngokucophelela kungasetshenziswa kahle kanye nokwelashwa komdlavuza futhi kuye kwathuthukisa kakhulu izinga lokuphila kubantu abaningi abanoma yisiphi isigaba somdlavuza.
Ukunakekelwa kwe-palliative akuyona uhlobo oluhlukile lokunakekelwa.
Kungaphezulu kwefilosofi. Inhloso yokunakekelwa ngokucophelela ukukhathalela wonke umuntu: ingqondo, umzimba, nomoya. Ngaphambi kokuthi ukhathazeke ukuthi lokhu kuzwakala sengathi kufakwe intsha entsha, ayikho. Ngokuphambene nalokho, yilona uhlobo lokunakekelwa okuphelele esingalindela ukuthi wonke umuntu onomdlavuza angayithola.
Uma ucabanga ngokunakekelwa komdlavuza wakho, uzobona ukuthi ukunakekelwa okuningi okwamanje esikunikezela kubantu abanomdlavuza wehla ukuhlola indlela yokukhipha umdlavuza, indlela yokuphumelela kakhulu ukususa amangqamuzana omdlavuza emzimbeni nombolo encane kakhulu imiphumela.
Ngesikhathi esifanayo, izinkinga ezifana nobuhlungu, ukukhathala, ukuleleka, kanye nemiphumela emibi yokwelashwa sekuvame ukuthatha isihlalo sokugcina. Kuvele kulindelwe ukuthi ngeke uzizwe konke okuhle ngenkathi uthola ukwelashwa komdlavuza. Njengoba umdlavuza wesifuba we-metastatic ngokuvamile usho ukuthi ukwelashwa okuqhubekayo kukho konke ukuphila kwakho, le ndlela ayisamukeleki.
Yilapho ukunakekelwa kwe-palliative kungenza umehluko.
Yiziphi izazi ezakha iqembu lezokunakekelwa kwe-Palliative?
Ithimba lokunakekelwa nge-palliative livame ukuhlanganiswa nabantu abaningana, kodwa ochwepheshe abathile bangase bahluke esibhedlela kuya esibhedlela. Ithimba livame ukuholwa udokotela ogxile ekunakekeleni ukunakekelwa kwezinhliziyo (yebo, lokhu kuyisipesheli, futhi okukhulayo).
Futhi kufakwe umhlengikazi wokunakekelwa nge-palliative kanye nabaqeqeshi bezempilo kusuka ezihlinzweni zomzimba kuya kubacebisi, izondlo, izifundiswa, nokuningi.
Abanye abantu bacabanga ngokunakekelwa kokunakekelwa kokudlala kakhulu indima yengqondo, kepha ukuphathwa kwezibonakaliso zakho zomzimba ngezinye izikhathi kungenziwa ngcono kakhulu ngalolu hlobo lokunakekelwa. Ekunakekelweni okulula, i- oncologists ikhululiwe ukwenza lokho okwenza ukwelashwa okungcono kakhulu okwenza umhlabeleli wakho uhlole.
Ubani Ongayithola Ekunakekelweni Kwama-Palliative?
Ngenkathi ukunakekelwa kwe-palliative kuboniswe ukuthi kuyasiza kubantu abanezigaba zomdlavuza, kungaba usizo ikakhulu kulabo abanesifo se-metastatic.
Izifundo zisitshengisa ukuthi abantu ababona ithimba lokunakekelwa ngokulinganayo bavame ukuba nekhwalithi engcono yokuphila phakathi nokwelashwa komdlavuza we-metastatic kunelabo abangatholi ukunakekelwa kwe-palliative. Kubalulekile ukuphawula futhi ukuthi ukunakekelwa kokunakekelwa kwezinkinga akuyona ukunakekelwa kwe-hospice. Ukunakekelwa kwe-Hospice kuyindlela eyodwa kuphela yokunakekelwa kwe-palliative. Eqinisweni, isifundo esisodwa sathola ukuthi iziguli ezinegciwane lesigaba esine-4 ezithola ukunakekelwa kwe-palliative zazihlala isikhathi eside kakhulu kunalabo abangazange bathole ukunakekelwa.
Ungaxhumana Kanjani Nethimba Lokunakekelwa Kwe-Palliative?
Izindleko zokunakekelwa kwezilwane ezihlukeneyo ziyahlukahluka ezindaweni ezihlukahlukene zomdlavuza.
Ezinye izikhungo zomdlavuza zincoma kakhulu ukunakekelwa kokunakekelwa kweziguli eziningi, kanti izinketho ezimbalwa zokunakekelwa zingase zitholakale kwabanye. Into engcono kakhulu ongayenza ukukhuluma ne-oncologist yakho bese ubuza ukuthi ukholelwa yini ukuthi ungazuza kulokhu kunakekelwa.
Uma i-oncologist yakho ingakhulumi ukunakekelwa kwe-palliative, akusho ukuthi akuboni ukuthi kuyasiza. Iqiniso lokuthi abantu abaningi abadibanisa ukunakekelwa kokunakekelwa kokunakekelwa kokunakekelwa esibhedlela kungabangela ukunganqikazi kwabasebenzi be-oncologists ukuba baxoxe ngale ndaba.
Yiziphi Izimpawu Zokunakekelwa Kwamaphutha Okungasiza Ngayo?
Ukunakekelwa kwe-palliative, ngokungafani nokunakekelwa kwempilo eminingi, yenzelwe ukubhekana nenhlalakahle jikelele kanye nenduduzo yomuntu obhekana nomdlavuza kunokuba kube nezimpawu ezithile , ngakho-ke kunzima ukuchaza njengoba kuzohluka kumuntu ngamunye.
Ezinye zezimpawu, kodwa, ukuthi ukunakekelwa okunamandla kulabo abanomdlavuza webele we-metastatic kufaka:
- Ukuphathwa kobuhlungu
- Ukuphefumula (ngamapayipi ama-lungs noma ama-pleural effusion)
- Ukukhathala
- Izimpawu ze-musculoskeletal (ubuhlungu, ukuqina, nokuvinjelwa kwesisu)
- I-neipathy neuropathy
- I-nausea
- Ukunambitheka (lokhu kuvame kakhulu nge-metastases yesibindi)
- Ukulahlekelwa kwesifiso
- Ukulahlekelwa kwesisindo
- Izimpawu ezihlobene nezidakamizwa zesikhumba nesifuba
- Ukukhathazeka
- Ukucindezeleka
- Usizi (kufaka phakathi usizi olulindeleke)
- Ubuhlobo bomndeni
- Ukukhathazeka ngokomoya
Ngingayithola Ukunakekelwa Kwe-Palliative Uma Ngisalindele Ukuthola Isifo?
Njengoba kuphawuliwe ekuqaleni, ukunakekelwa okunamandla kungasetshenziswa ngisho nangomuntu onomdlavuza ophuthumayo ekuqaleni. Ukunakekelwa kwe-palliative akuyithathi indawo yokwelashwa okuvamile komdlavuza, ngokuphambene, kungakusiza ukuba uhlale unempilo ngangokunokwenzeka ukuze ukwazi ukubekezelela lezi zelashwa.
Inzuzo Yokunakekelwa Kwe-Palliative Ne-Canast Metastatic Breast Cancer
Isithombe sidinga amagama ayizinkulungwane, ngakho isibonelo esithile singasiza. Cabanga ngomuntu one- metastases yethambo elihlobene nomdlavuza webele. Kulesi simo, ama-oncologists azosebenza ngemithi yakho, anqume ukuthi imithi yokwelashwa , ama- HER2 , noma imithi yokwelapha ingcono kakhulu. Uzocabangela ukuthi ngabe ama-agent-modifying agent angasiza yini futhi. Ungase ubone i-oncologist yokushisa imisebe ukucubungula ukuthi imishanguzo ye-radiation iyadingeka yini.
Kodwa izimpawu zakho zifaka okuningi okuningi. Ochwepheshe bokunakekelwa kwe-palliative kukhona ochwepheshe ekulawuleni ubuhlungu futhi bangakusiza ukuthola ibhalansi elungile phakathi kokukhululeka kobuhlungu nemiphumela emibi kusuka kwezidakamizwa zokukhulula ubuhlungu. Uma kunesidingo esikhulu sobuhlungu esidingekayo, bangabheka izindlela zokusiza ekunciphiseni lemiphumela emibi.
Abahlinzeki bezemvelo nabasebenzi beqembu bangakusiza ukwandise ukuhamba kwakho emva kokuphuka, noma kukusize ukuthi yini okufanele ukwenze ukuze unciphise amathuba okuphulwa. Amanye amalungu eqembu lakho lokunakekelwa kahle angase ancoma ezinye izindlela zokwelapha ukukusiza kokubili ubuhlungu nokukhathazeka komdlavuza we-metastatic. Umeluleki wethimba angakwazi ukusiza bobabili wena nomndeni wakho ukuba nibhekane nalokho okushiwo yi-metastases, futhi ithimba liyatholakala ukubhekana nokukhathazeka kwakho okungokomoya.
Ngamafuphi, iqembu elihle lokunakekelwa kahle lingenza izimangaliso ukukusiza ngokungabi nje ukwelapha umdlavuza wakho, kodwa kukusiza ukuba uphile nomdlavuza wakho.
> Imithombo:
> DeVita, Vincent., Et al. I-Cancer: Izimiso Nokusebenza Kwe-Oncology. Cancer of the Breast. I-Wolters Kluwer, ngo-2016.