Ukuzindla Kungasiza Kanjani Abantu Abaphila Ngomdlavuza?
Ukuzindla kungase kube nezinzuzo eziningana kubantu abaphila nomdlavuza, futhi izikhungo eziningi zomdlavuza manje zinikeza lokhu "ukwelapha" okunye. Kuyini ukuzindla futhi ucwaningo lukusho ngani ngezinzuzo zalo zeziguli zomdlavuza?
Kuyini Ukuzindla?
Ukuzindla kucaciswa kalula njengendlela yokuthola indawo yokuhlala ngokuthula, ukususa ingqondo yakho yempi yangaphambili kanye nokukhathazeka esikhathini esizayo, futhi ugxile kulokhu okwamanje.
Uma ucabanga ngokuzindla, umgomo ukuthulisa ingqondo yakho futhi ube khona okwamanje ngaphandle kwemiqondo engenayo. Ukuzindla kungabandakanya ukugxila ekuzweleni, njengokuphefumula kwakho, nangokumane ubheke leyo nzwa ngaphandle kokukwahlulela noma ukuhlaziya. Abanye abantu bafunda ivesi noma baphinda i-mantra, kanti abanye bavumela ingqondo yabo ukuba ingabi nalutho ukuze bathole isimo sokuzindla.
Ngokuvamile, ukuzindla kwenziwa ngenkathi uhlezi ngokuthula, kodwa kungenziwa nangomsebenzi wokukhanya (isibonelo, ukuzindla ngokuhamba). Ukuzindla kungase kuqondiswe noma kuqondiswe.
Izinzuzo
Ukuzindla kunezinzuzo eziningi zempilo jikelele nenhlalakahle. Itholakale ukunciphisa isilinganiso senhliziyo, ukucindezeleka kwegazi okuphansi, ukunciphisa ukucindezeleka kwemisipha, nokuthuthukisa isimo sengqondo. Ngomzwelo, umkhuba wokuzindla uye wabasiza abantu abaningi ukuba babuyisele ukuzethemba ngokugxila imicabango yabo nokuvala izingqondo zabo ukwesaba ngekusasa nokuzisola esikhathini esidlule.
Kodwa ukuzindla kungase kube nezinzuzo ezithile kubantu abaphila nomdlavuza. Ezinye zazo zihlanganisa:
- Ukucindezeleka Nokukhathazeka - Olunye ucwaningo lwathola ukwehla kwezimpawu zokucindezeleka kubantu abanomdlavuza ngemva kokuthathwa kwengqondo esekelwe engqondweni. Futhi ngokungafani nezinye izindlela zokwelashwa ezinezinzuzo zesikhashana nje zeziguli zomdlavuza, le miphumela yayisakhona izinyanga ezintathu kamuva.
- Ukucindezeleka - Ucwaningo oluthile luye lwathola ukuzindla ukuthuthukisa kakhulu umbono wokucindezeleka kubantu ababhekana nomdlavuza. Le nzuzo ingase ihambe ngaphezu komzwelo wokuziphendulela wenhlalakahle lapho ukucindezeleka kuncishisiwe, futhi kunomthelela ohlelweni lokuzivikela emzimbeni. Ukucindezeleka amahomoni - amakhemikhali akhululwa emizimbeni yethu lapho sibhekene nokucindezeleka - angadlala indima ekuthini umuntu uphendula kahle ukwelashwa komdlavuza, futhi angathinte nokusinda. Ucwaningo olulodwa lwathola ukuthi ukuzindla kwehlisa amazinga ama-hormone okucindezeleka kubantu abanomdlavuza wesifuba nesifuba nokuthi imiphumela yayisabile ngonyaka. Ukuzindla kunganciphisa amazinga we-cytokines ye-Th1, okuyizinto ezivuthayo ezikhiqizwa ngumzimba ezingathinta indlela esabela ngayo kumdlavuza nokuphulukiswa kwethu emdlalweni.
- Ubuhlungu obungapheli - Ubuhlungu obungapheliyo uphawu oluvamile phakathi kwabantu abanomdlavuza. Isizathu singase sibe ngenxa yomdlavuza uqobo, ngenxa yokwelashwa komdlavuza, noma okunye okuyisisusa. Kungakhathaliseki ukuthi yini imbangela, kulinganiselwa ukuthi abantu abangaba ngu-90% abanomdlavuza wamaphaphu bahlangabezana nobuhlungu obukhulu. Ukuzindla kubonakala kusiza ngalolu buhlungu futhi kunganciphisa inani lemithi yobuhlungu edingekayo ukulawula ubuhlungu.
- Izinkinga zokulala - Kunzima ukulala yinkinga evamile kubantu abaphila nomdlavuza. Ekucwaningweni, ukuzindla kuhlotshaniswa nokulala okuncane kanye nekhwalithi yokulala.
- Ukusebenza okucatshangelwayo - Kunzima ngokusebenza ngokuzicabangela, futhi kungenzeka ngenxa yomdlavuza ngokwayo noma ukwelashwa komdlavuza, njenge-chemotherapy ( chemobrain .) Okungenani isifundo esisodwa sithole ukuzindla ukuthuthukisa ukusebenza kwengqondo nomdlavuza.
- Ukukhathala - Ukukhathala komdlavuza kungenye yezimpawu ezicasulayo kakhulu zomdlavuza nomuthi wokwelashwa. Ucwaningo lubonisa ukuthi ukuzindla kungathuthukisa amazinga amandla futhi kunciphisa ukhathala kubantu abaphila nomdlavuza.
Ukuqapha
Ngokuvamile, ukuzindla kuwumkhuba ophephile kakhulu kubantu abaphila nomdlavuza. Lokho kusho ukuthi abanye abantu bangase bazizwe bekhathazekile, futhi abanye bangase badideke njengoba bezindla.
Ungaqala kanjani
Izikhungo ezinomdlavuza eziningana manje zinikeza amakilasi ekuzindleni ukukusiza ukuba uqale. Uma kungenjalo, cela i-oncologist yakho uma eyazi noma yiziphi amakilasi noma odokotela endaweni yangakini abangakusiza ekuqaleni kokuzindla. Ngenhlanhla, ukuzindla kuyinto ongayifunda futhi uyenze ekhaya. Izindlela zokuqala ukuzindla, kanye namavidiyo angasiza ekuzindleni (njengezithombe eziqondisiwe), atholakala mahhala ku-intanethi amahora angu-24 ngosuku.
Imithombo:
UBeigler, K., Chaoul, M., noL. Cohen. I-Cancer, ukukhubazeka kwengqondo nokuzindla. Acta Oncologica . 2009. 48 (1): 18-26.
UBirmie, uK., Garland, S., noL. Carlson. Izinzuzo zengqondo zeziguli zomdlavuza kanye nabalingani babo abahlanganyela ekunciphiseni ukucindezeleka kwengqondo (MBSR) Psychooncology . 2010. 19 (9): 1004-9.
UCarlson, uL. et al. Unyaka owodwa ukulandelwa kwangaphambi kokuthunyelwa kokungenela kokusebenza kwengqondo, ukuzivikela emzimbeni, i-endocrine nokucindezelwa kwegazi imiphumela yokunciphisa ukucindezeleka kwengqondo (MBSR) emathunjini asebele kanye nesifo somdlavuza we-prostate. Ubuchopho, Ukuziphatha, Ingculazi . 2007. 21 (8_: 1038-49.
Kim, Y. et al. Imiphumela yokuzindla ngokukhathazeka, ukucindezeleka, ukukhathala, kanye nekhwalithi yokuphila yabesifazane abahlinzeka ngemithi yesifo somdlavuza webele. Ukwelashwa Okuhambisanayo Kwezokwelapha . 2013. 21 (4): 379-87.
Kvillemo, P. no R. Branstrom. Okuhlangenwe nakho kokungenelela kokunciphisa ukucindezeleka-ekunciphiseni ukucindezeleka phakathi kweziguli ezinomdlavuza. Ubunakekeli beCans . 2011. 34 (1): 24-31.
Kwekkeboom, K. et al. Imithi yomzimba yengqondo ye-pain--leep sleep disturbance symptom cluster kubantu abanomdlavuza. Journal of Pain and Symptom Management . 2010. 39 (1): 126-38.
I-Sharplin, G. et al. Ukwelashwa kwengqondo esekelwe engqondweni: inhlangano ethintekayo emphakathini ngokungenelela kokucindezeleka nokukhathazeka kwesampula seziguli zomdlavuza. I-Medical Journal yase-Australia . 2010. 193 (Isihlomelo sesi-5): S79-82.