Izimbangela zezinhlungu zeCans and Methods for Managment
Ukuphathwa kobuhlungu kubantu abanomdlavuza wamaphaphu sekude kakhulu, kodwa ukukhathazeka mayelana nobuhlungu kuqhubeka kusabisa cishe wonke umuntu otholwe enesifo. "Ingabe ngizoba nobuhlungu? Kuthiwani uma imithi yami yobuhlungu iyeka ukusebenza futhi ayikwazi ukulawula ubuhlungu bami? "Ubuhlungu bungathinta kabi izinga lakho lokuphila okwenza uzizwe uphansi futhi ucasulwa, kodwa kunezinketho eziningi ezitholakalayo zokwelapha ubuhlungu.
Ngo-1986, i-World Health Organization yashicilela iziqondiso zokulawula ubuhlungu bomdlavuza. Ukusebenzisa le ndlela, kanye namasu amasha, iningi labantu lingathola ukulawulwa okuhle kobuhlungu kulo lonke ukwelashwa komdlavuza wamaphaphu .
Yeka Indlela Ejwayelekile Yezinhlungu Nge-Cancer Lung?
Ubuhlungu buvame kakhulu ngomdlavuza wamaphaphu, kanti amaphesenti angu-51 abantu abaphila nomdlavuza wamaphaphu ahlangane nohlobo oluthile lobuhlungu ngesikhathi belashwa. Ngomdlavuza wamaphaphu owedlule , cishe wonke umuntu uzodinga uhlobo oluthile lwezokwelapha ukuze kunciphise ubuhlungu. Ngaphezu kwalokho, kucatshangwa ukuthi umuntu oyedwa kubantu abathathu abanomdlavuza uqeda ukubhekana nosizi lwe-neuropathic - enye yezinkinga ezinzima kakhulu zokuphatha.
Yini Ebangelwa Ubuhlungu Nge-Cancer Lung?
Umdlavuza we-Lung ungabangela ubuhlungu ngezindlela eziningana. Ezinye zazo zihlanganisa:
- Ubuhlungu obuvela ekhanda lokucindezela emisipha, amathambo, noma i-pleura (i-lung lining.)
- Ubuhlungu bezimpawu zomdlavuza wamaphaphu, njengokukhwehlela.
- Imiphumela emibi yokwelashwa kwemdlavuza wamaphaphu, njengezilonda zomlomo ngenkathi i-chemotherapy, noma ubuhlungu bokuhlunga ngemva kokuhlinzwa.
- Ubuhlungu obungapheli ngemva kokuhlinzwa komdlavuza wamaphaphu okubizwa ngokuthi i- postpneumonectomy syndrome noma i-post-thoracotomy syndrome .
- Ezinye izifo ezikhona nomdlavuza wamaphaphu, njenge-arthritis noma ikhanda
- I-peripheral neuropathy ehlobene nemithi ye-chemotherapy.
Okubalulekile Ukwelapha Ubuhlungu beCancer
Ubuhlungu be-Cancer bungaphazamisa izinga lakho lokuphila ngokuphazamisa ukulala kwakho, ukudla nokuzivocavoca, futhi kungaholela ekucindezelekeni.
Ukwelashwa ngokufanele ubuhlungu kungathuthukisa ikhono lakho lokubhekana nalokhu lapho uthola ukwelashwa komdlavuza, futhi kukusize ukuba uhlanganyele emisebenzini evamile oyithandayo. Ukulawulwa okwanele kobuhlungu kubalulekile ngokomzimba futhi kuhambisana nokuphendula kangcono kokwelashwa, njengokuphulukiswa okuthuthukisiwe ngemuva kokuhlinzwa.
Ukuchaza Ubuhlungu KuDokotela Wakho
Udokotela wakho uzokucela ukuthi uchaze uhlobo lobuhlungu bakho. Ingabe ibukhali noma ayibuhlungu, ihlale ihlala njalo noma ingabe iyafika futhi iyahamba? Yini eyenza kube ngcono futhi yini eyenza kube kubi nakakhulu? Uzokubuza nokuthi ubuhlungu bakho bubuhlungu kangakanani. Odokotela basebenzisa izinhlobo eziningana "zezilinganiso zobuhlungu" ukukusiza uchaze ubukhulu bokuhlupheka obhekene nakho. Indlela evamile kakhulu ukukucela ukuthi uchaze ubuhlungu bakho esikalini kusuka ku-1 kuya ku-10, no-1 kube ubuhlungu obubonakalayo, futhi 10 kube ubuhlungu obukhulu kakhulu ongacabanga.
Izithiyo ekulawuleni okwanele kobuhlungu
Ucwaningo lubonisa ukuthi ubuhlungu buphethwe yisifo somdlavuza wamaphaphu . Izici eziningana zingafaka isandla kulokhu:
- Ukwesaba ukulutha umlutha - Abantu abaphuza imithi ngenxa yobuhlungu bomdlavuza abavami ukuba umlutha.
- Ukwesaba ukuthi imishanguzo yobuhlungu ngeke isasebenza , futhi ngeke kube khona okunye ukulawula ubuhlungu uma kuqhubeka nakakhulu - Ngeke ube nomzimba wokuzivikela emzimbeni, kanti izinketho ezengeziwe ziyatholakala.
- Ukwesaba imiphumela emibi kusuka emithini yezinhlungu - Imithi yokwelashwa ingaba nemiphumela emibi, kepha eziningi zazo zilula ukulawula.
- Ukuhluleka ukukhokhela imithi yokwelashwa - Uma ungakwazi ukukhokhela imithi yakho yobuhlungu, i-oncologist yakho ingakwazi ukushintsha umshwalense wakho kumuntu ongabizi kakhulu, noma ikuqondise ohlelweni lapho ungathola khona usizo lwezezimali.
Ukwelashwa Okusetshenziselwa Ukulawula Ubunzima
Umdlavuza we-Lung ungabangela ubuhlungu obukhulu, futhi iningi labantu lizodinga imithi yokulawula ubuhlungu ngesikhathi esifanele ngesikhathi sokwelashwa. Uma ubuhlungu buba nzima kakhulu, izinqubo ezinjengezibhamu zamantombazane zinganikeza ukuphumula okwengeziwe.
Ezinye izindlela zokwelashwa ezingezona imithi zingasiza ekulawuleni ubuhlungu bakho.
Imithi ye-Cancer Pain
Imithi yokulawula ubuhlungu bomdlavuza iba ngaphansi kwezigaba ezintathu eziyinhloko:
- Imithi engaphezu kwemithi - Ngaphezu kwemithi ephikisana nayo njengo-Advil (ibuprofen) noma i-Tylenol (i-acetaminophen) ingasiza ngokuzwa ubuhlungu obukhulu kakhulu.
- Ama-opioid - Ama-opioids afana ne-codeine ne-morphine ngokuvamile adingekayo ukuze aphuze ubuhlungu.
- Eminye imithi - Imithi efana nama-anti-depressants kanye nezidakamizwa zokulwa ne-anti-seizure ngezinye izikhathi zisetshenziselwa ukushisa / ukuhlukumeza, futhi ama-steroids angasiza kakhulu ebuhlungu obubangelwa ukuvuvukala.
Izindlela zokwelapha zobuhlungu obuphakathi
Inkinga ngemithi yokulawula ubuhlungu bomdlavuza, ukuthi ukulinganisa okudingekayo ekulawuleni ngokwanele ubuhlungu ngokuvamile kuza nemiphumela emibi. Amasu okulawula ubuhlungu obukhona phakathi kwalabo abakhelwe ukusiza ukuxazulula le nkinga, futhi ukubhekana nobuhlungu obuvela emthonjeni wawo (izinzwa). Ezinye zalezi zindlela zifaka:
- Amabhuloki emisipha - Inqubo lapho umjovo ujova khona emndenini noma ku-spine fluid (ukulethwa kwe-intrathecal), okungasiza ngokuhlukunyezwa okukhulu.
- Ukuvuselela kwentambo yomgogodla.
- I-neurosurgery ehlukanisa izinzwa ezithumela izibonakaliso zobuhlungu ebuchosheni bakho.
Ukulawula ubuhlungu be-Metastases
Lapho umdlavuza wamaphaphu usakazeka emthanjeni ungabangela ubuhlungu obukhulu. Ngaphandle kwezinye izindlela zokwelashwa, ukuphathwa kwe-metastase ye-bone kungafaka isigaba semithi eyaziwa ngokuthi i-bisphosphonates kanye nokwelashwa kwemisebe.
I-Vitamin D ne-Cancer Pain
Nakuba i-vitamin D ingase ingabi impendulo kukho konke ubuhlungu bakho, ukukhuluma nodokotela wakho mayelana nesengezo kubaluleke kakhulu. Sifunde eminyakeni yamuva ukuthi iningi labantu linokuntuleka kwe-vitamin D, kanti ukuntuleka kwezinto kuhambisana nokuphila komdlavuza ophansi. Ucwaningo lwamuva eSweden lwanikeza amandla okuhlola amazinga amaningi, Nokho, njengoba kungadlala indima ebuhlungu. Abacwaningi baseSweden bathola ukuthi ukusebenzisa isithasiselo se-vitamin D kubantu abanomdlavuza kuhlotshaniswa nesidingo esincane semithi yokuhlunguphaza i-narcotic, ukulawulwa kabuhlungu okungcono, nokuphila okungcono. Njengoba izinga lakho le-vitamin D lihlolwe ngokuhlolwa kwegazi elula, khuluma nodokotela wakho uma ungakaqapheli lokhu.
Indlela Ehlukile Yokulawula Ubunzima
Izikhungo eziningi zomdlavuza manje zinikeza izindlela ezihambisanayo / ezengeziwe zokusiza ngokulawula ubuhlungu . Lezi azilutho esikhundleni seminye imithi yokwelapha, kodwa ezinye ziye zaboniswa ukunciphisa isidingo semithi yobuhlungu. Ezinye zezindlela ezibonakala zithembisayo zibandakanya ukukhwabanisa, ukubhusa, kanye ne-qigong.
Ukubhekana Nezifo Zomdlavuza We-Lung
Into ebaluleke kakhulu ongayenza ukukhuluma ngokuvulekile ne-oncologist yakho nabathandekayo bakho nganoma yikuphi ubuhlungu obhekene nakho. Wonke umuntu ubuzwa ubuhlungu ngokuhlukile. Akekho kithi ongafunda izingqondo, futhi kubalulekile ukwabelana ngendlela ozizwa ngayo ukuze ithimba lakho lokunakekela impilo lingathatha isinyathelo ukusiza. Uma ukwesaba ngokuba umlutha, noma ukuthi imithi izoyeka ukusebenza, iveze lezo zimo. Uma ukhathazekile ngezindleko zemithi yobuhlungu, tshela i-oncologist yakho. Uma uzizwa ukhuthele abathandekayo bakho bekhuluma ngobuhlungu bakho, wazi ukuthi kubalulekile ukuba baqonde ukuthi uyaphi. Abathandekayo bakho bayokwazi ukukusekela okuhle kakhulu uma beqonda ukuthi awuzwa kahle - futhi kungakukhuthaza ukuba ufune ukukhululeka kobuhlungu obufanelekile.
> Imithombo:
> Bergman, P., Sperneder, S., Hoijer, J., Bergqvist, J., noL. Bjorkkem-Bergman. Amazinga aphansi e-vitamin D ahlotshaniswa nomthamo ophezulu we-opioid ezigulini zomdlavuza we-palliative - imiphumela evela ocwaningweni lokuhlola emasikweni eSweden. PLoS One . 2015. 10 (5): e0128223.
> IBjorkhem-Bergman, uL., noP. Bergman. I-Vitamin D neziguli ezine-cancer yomzimba. Ukusekelwa kwe-BMJ nokusekela kwe-Palliative . 2016 Apr 15. (Epub ngaphambi kokuphrinta).
> Lamer, T., Deer, T., no-S. Hayek. Innovations Advanced for Pain. I-Mayo Clinic Proceedings . 2016. 91 (2): 246-58.
> National Cancer Institute. Imininingwane ye-PDQ Ulwazi. I-Cancer Pain (i-PDQ). I-Health Professional Version. 02/17/16. https://www.ncbi.nlm.nih.gov/pubmed/26985561
> National Cancer Institute. I-PDQ ye-Cancer Summaries Information. I-Cancer Pain (i-PDQ). Inguqulo yesineke. 04/07/16. https://www.ncbi.nlm.nih.gov/books/NBK65883/#CDR0000062845__8
> Roberto, A., Deandrea, S., Greco, M. et al. Ukuvama kobuhlungu be-neuropathic ku-Cancer Iziguli: Izilinganiso ezihlukanisiwe kusukela ekubuyekezweni okuhleliwe kweZincwadi ezishicilelwe kanye nemiphumela evela ku-Survey Eqhutshwa ezindaweni ezingamakhulu ezingama-50 zokunakekelwa kwe-Palliative Italian. Journal of Pain and Symptom Management . 2016 Mashi 24. (Epub ngaphambi kokuphrinta).