Izimbangela Nezinketho Zokulawulwa Kwezinhlungu Nge-Cancers Yegazi
Abantu abaningi abanesifo somdlavuza wegazi njenge- leukemia , i- lymphoma noma i- myeloma badinga ukuphumula ubuhlungu ngesikhathi esifanayo phakathi nesifo sabo. Kodwa nakuba ubuhlungu bungase kube uphawu oluvamile, akunakugwemeka futhi yinto engasetshenziswa ngokujwayelekile.
Kungani Iziguli Zomdlavuza Wegazi Zithola Ubuhlungu?
Kunezinhlobo eziningi zezinhlungu zomdlavuza. Kwezinye izimo, abantu abanesifo somdlavuza babhekene nobuhlungu ngenxa yesikhumba esibeka ingcindezi ezithombeni noma ezicukwaneni eziseduze.
Endabeni ye-khansa yegazi, lapho ngokuvamile engekho isisindo esiqinile sobunzima, ubuhlungu bungenzeka ngezizathu ezimbalwa. Ngokwesibonelo, amangqamuzana e-leukemia angabangela ukungathandeki lapho eqoqa ezinhlotsheni ezinjengobindi noma isitha .
Iziguli ze-leukemia zivame ukukhononda ngobuhlungu emathanjeni nasezihlangwini, okuvame ukubangelwa umongo obangele ukucindezela amathambo avela ngaphakathi ngaphakathi. Ngokufanayo, ubuhlungu bungenzeka uma i-lymph node evuvukala enayo i-lymphoma yakho iseduze nendawo noma isendaweni ephazamisa ukunyakaza (njengokungathi ku-groin).
Amaseli e-Myeloma akhipha amakhemikhali engxenyeni yegazi eyenza amathambo aphule. Lezi zibizwa ngokuthi izilonda ze-osteolytic, futhi zingabangela ukuwa kwe-vertebrae yakho yomgogodla noma i-bone fractures. Izimo ezithile ezibangelwa ukwelashwa komdlavuza wakho nazo zingaholela ebuhlungu. Isibonelo, i-chemotherapy noma ngisho nokulala embhedeni ongajwayelekile esibhedlela kungabangela izilonda zomlomo kanye nobuhlungu be- neuropathic (nerve) .
Yiziphi Izinketho Zokukhulula Izinhlungu?
Kunezinketho eziningi ezehlukene ezitholakalayo ubuhlungu obuhlobene nomdlavuza, futhi ngokuvamile kuhlanganiswa kulezi zindlela zokwelapha eziletha ukukhululeka okungcono kakhulu. Ukuthola uhlelo olufanele kungathatha isineke, kodwa kube nokuphikelela. Ngokuvamile nomdlavuza abantu bazama "ukukhishwa kanzima" noma besabe ukuthi ukukhuluma nodokotela wabo kuzokwenza bazwakale bebumhlophe.
Akukho umklomelo wokuthola ukwelashwa komdlavuza ebuhlungu esikhundleni sokukhululeka ebuhlungu. Ungesabi ukuqhubeka ukhuluma nodokotela wakho uze ukwazi ukuphila ngangokunokwenzeka ngalesi sikhathi.
Ukwelapha I-Cancer Ukuphatha Ubuhlungu
Ezimweni eziningi, ukwelashwa komdlavuza wakho kuzosiza ukukhulula izinhlobo ezithile zobuhlungu. I-Chemotherapy kanye nokwelashwa kwama-radiation kusiza ukunciphisa umthwalo womdlavuza emzimbeni wakho, futhi kunganciphisa ukucindezelwa kwamathambo akho, izicubu nezitho.
Imithi Yokuhlunguphaza
Abantu abaningi abazwa ubuhlungu bomdlavuza bazokwazi ukuphatha ukungavumelani kwabo nokusetshenziswa kwemithi yobuhlungu noma i-analgesics. Kunezinhlobo ezimbili eziyinhloko zama-analgesics, okungewona i-opioid ne-opioid.
Ama-analgesics angenayo i-opioid avame ukulingwa okokuqala futhi asetshenziswe kangcono kubantu abanezinhlungu ezincane noma ezilinganiselwe zomdlavuza wabo. Ama-analgesics angenayo i-opioid ayibangeli ukulala futhi abe nemiphumela emibi kakhulu lapho ethathwa njengalawulwa ngumhlengikazi. Amanye ama-analgesics angewona ama-opioid afaka i- aspirin , i-acetaminophen (i-Tylenol), ibuprofen (i-Advil noma i-Motrin) ne-naproxen (i-Aleve, i-Naprosyn).
Ama-analgesics e-opioid (ama-narcotics) asetshenzisiwe uma okungenabo i-opioids kubonakala sengathi bengenzi kahle. Ama-Narcotics athola igama elibi eminyakeni edlule, futhi abantu bavame ukuzihlanganisa nokulutha noma ukuhweba izidakamizwa.
Ngokudabukisayo, lokhu kuye kwaholela ezigulini ukungenqikazi ukusebenzisa noma ukuzizama. Kodwa-ke, lezi zivame ukuba nemithi emihle kakhulu yokulawula ubuhlungu bomdlavuza futhi akuvamile ukuba umlutha uma usebenzisa kahle.
Imithi ye-opioid ivimbela ukuqonda kwengqondo yakho ngobuhlungu. Bangase babe mnene noma babe namandla futhi bengenalo umkhawulo ongaphezulu wezinsizakalo - ngakho-ke kunesimo esihle sokuguquguquka ngokwemigomo yokuzijabulisa ukuze uhlangabezane nezidingo zakho. Ama-opioid avame ukunikezwa ngomlomo, kodwa anganikezwa ngomjovo, angene e-rectum yakho kwifomu lokudonswa, noma ngesikhumba esikhumulweni se "patch". Odokotela bazovame ukuqala ngomthamo ophansi futhi ukwandise umthamo kuze kube yilapho ungathola ukuphumula kobuhlungu noma imiphumela emibi emibi.
Ama-analgesics ajwayelekile e-opioid afaka i-morphine, i-codeine, i-fentanyl, i-hydromorphone ne-oxycodone. Imithi ye-opioid ingabangela ukulala, ukudideka neminye imiphumela emibi. Kubalulekile ukuqaphela imiphumela yabo lapho ushayela noma wenza imisebenzi efuna ukuba uqaphele.
Imithi Yezinhlungu Zamaphaphu. Iziguli ze-Myeloma zingase zibe nezibalo ezibalulekile zobuhlungu obubangelwa ukubhujiswa kwamathambo. Kulezi zimo, isigaba esikhethekile semithi singasetshenziswa. Lezi zinhlobo zezidakamizwa zibizwa nge-bisphosphonates futhi zivame ukunikezwa ngokumnika. Imithi efanayo ingabuye inikezwe ngomlomo noma nge-spray spray. Ama-bisphosphonates avamile afaka i-Bonefos (i-clodronate), i-Aredia (i-pamidronate), ne-Zometa (i-zoledronate.) Kungathatha amasonto ambalwa ukuze kube nomphumela ogcwele wale mithi okufanele iqaphelwe.
I-Steroids. Imithi ye-steroid iyasiza kakhulu kubantu abanezinhlungu zokucindezela izintambo zomgogodla (ezivamile e-myeloma) nobuhlungu bomunyo. Nakuba kungavamile ukusetshenziselwa ngokwabo, kungaphumelela kakhulu futhi ngokuvamile kunciphise isidingo seminye imithi yobuhlungu.
Eminye Imithi. Kubantu abazwa ubuhlungu besisindo ngenxa yokwelashwa kwabo, ukuthola usizo kungaba nzima kakhulu. Lolu hlobo lobuhlungu lubizwa nangokuthi ubuhlungu be-neuropathic, ngokuvamile abuphenduli kuma-opioid kanye nezinye izidakamizwa zobuhlungu zendabuko. Kulezi zimo, imishanguzo yokulwa nokuthunjwa nemithi yokuvimbela ukucindezeleka ingasiza. Imishanguzo yokulwa ne-anti-seizure, efana ne-carbamazepine ne-gabapentin, kanye nalabo abaphikisana nokucindezeleka njengamitriptyline, umsebenzi we-nortriptyline kanye ne-imipramine ngokuthinta izibonakaliso ezibuhlungu ubuchopho bakho obuthola emithanjeni ewonakele.
Ukusizwa Okungenayo Imithi
Kulula ukukhohlwa ukuthi kukhona ukwelashwa ngaphezu kwemithi engase isebenze kahle ukukhulula ubuhlungu. Ezinye izinketho zifaka:
Ukwelashwa kwezidakamizwa kungalawulwa ukuba kube ne-palliative - okungukuthi, ukunciphisa ubuhlungu kanye nezimpawu. Iziguli ezingaphezu kwengxenye zizophumelela ngokulawula ubuhlungu ngokusebenzisa le ndlela.
Ukwelapha okuPhakathi okuPhakathi okufana nezinyathelo zezinzwa nezinye izinqubo ze-neurological kungasiza, ikakhulukazi ngobuhlungu obunzima obuphikisanayo. Kweminye yalezi zinqubo, isisindo esithumela ukuzwa ubuhlungu ebuchosheni sinqunywa.
Ukusizwa Okungenayo Imithi. Kunezinhlobo eziningi zokukhethwa kobuhlungu obungadingi ukuthi uthathe imithi, futhi eziningana zazo zinamanye amahle ekukhanyiseni izimpawu zabantu abanomdlavuza. Ezinye zalezi zindlela zokwelashwa zomdlavuza (okunye ukwelashwa okusetshenziselwa kanye nokwelapha okuvamile) kufaka phakathi.
- I-massage therapy - Massage isebenza ngokuqondile ukukhulula i-endorphins ebuchosheni bakho enganciphisa ubuhlungu.
- Ukwakhiwa kwe-Acupuncture - Ukukhishwa kwesikhumba kungasiza ngezinhlungu zomdlavuza futhi kutholakale ukunciphisa inani lemithi yobuhlungu abanye abantu abanomdlavuza abayidingayo.
- Ukuzindla
- Qigong
- Ukuphumula
- Izithombe eziqondiswayo
- I-Transcutaneous electrical nerve stimulation (TENS)
- Ukwelapha ngokomzimba
- Hypnosis
Okubalulekile
Abanye abantu abanesifo somdlavuza wegazi banezinhlungu, kodwa abanye abaningi abakwenzi. Ezimweni eziningi, ubuhlungu bungalawulwa futhi bulawulwe emazingeni alamukelekile ngokungenelela kwezokwelapha nokungekho kwezokwelapha. Njenganoma yiluphi uhlobo lwezokwelapha, amasu athile azosebenza kwabanye kepha hhayi kwabanye.
Njengomgqugquzeli wakho omuhle ekunakekelweni komdlavuza wakho, kubalulekile ukuthi ukhulume nodokotela wakho nganoma yibuphi ubuhlungu obhekene nakho; basebenze ndawonye ukuze benze uhlelo lokulawula. Uma ithimba lakho lokunakekelwa kwezempilo lingasazi ngobuhlungu bakho noma umthelela onalo empilweni yakho, ngeke bakwazi ukukusiza.
Uma uzizwa sengathi ukukhathazeka kwakho akuthathwa ngokungathí sina, noma uma udokotela wakho engabonakali ukuthi uphumelele ekulawuleni ubuhlungu bakho, uzizwe unesiqiniseko sokucela umbono wesibili kusukela ochwepheshe bezinhlungu noma ithimba.
Imithombo
I-American Society of Clinical Oncology. I-Cancer.Net. Ubuhlungu: Ukwelapha Ubuhlungu Nemithi. 08/2015. http://www.cancer.net/navigating-cancer-care/side-effects/pain-treating-pain-medication
U-Eyre, H., Lange, D., Morris, L. (2002) Izinqumo ezikwaziswa 2 ngo-ed. I-American Cancer Society. I-Atlanta, GA.
UKelvin, J., Tyson, L. (2005) 100 Imibuzo nezimpendulo Ngezimpawu zeCanscer and Cancer Treatment Side Effects. UJones noBartlett: Sudbury, MA