Ukunakekelwa kwe-palliative kuyinkulumo engaqondakali futhi evame ukudideka ekuchazeni uhlobo lwemodeli yokwelashwa. Abantu bambuza: Ingabe ukunakekelwa kokuphela kokuphila? Ingabe kufana nesifo se-hospice? Kuyini ukunakekelwa okulula?
Ukunakekelwa kwe-palliative kuyindlela yokwelapha okuhloswe ngayo ekunciphiseni izimpawu ezihambisana nezifo ezimbi futhi ngcono izinga lompilo wesiguli. Ngokuphambene nenkolelo evamile, akusikho ukunakekelwa kwezingane ezibhedlela.
Ngokungafani nokunakekelwa kwe-hospice, ukunakekelwa kokunakekelwa kokubeletha kungaqala nganoma isiphi isikhathi ngesikhathi sokugula okungathí sina futhi kuhle ngesikhathi sokuxilongwa.
Ukunakekelwa kwe-Palliative kwe-Cancer
Ukunakekelwa kwe-palliative kuvame ukusetshenziselwa iziguli zesifo somdlavuza ngendlela yokwelapha ezifana ne- palliative chemotherapy kanye nemisebe ye-palliative . I-Chemotherapy kanye nemithi yokwelapha ebizwa ngokuthi "i-palliative" yilabo abangeke baphulukise umdlavuza, kodwa banikeze usizo lwezimpawu. Isibonelo salokhu owesifazane one-tumor ebuchosheni obangela ikhanda elibuhlungu kanye nombono ophukile owela emisebeni ukuze aqede isisu futhi aqede izimpawu zakhe.
Iziguli ze-Cancer ezithola ukwelashwa komdlavuza wokukwelapha nazo ziyizikhulu ezikhethiwe zokunakekelwa kwezinhlungu. Ukunakekelwa okunamandla okunciphisa umzimba kunganciphisa imiphumela emibi yokwelapha- ukwelapha umdlavuza kanye nokuhlanza , ukukhathala, ubuhlungu , kanye ne-thrush yizimbalwa ezimbalwa zokunakekelwa kokunakekelwa kwezinkinga ezingakwazi ukubhekana nazo.
Ukunakekelwa kwe-Palliative Akuyona Yodwa KuKhansela
Ezinye izifo ezingathí sina nazo zingazuza ekunakekelweni kwe-palliative.
Iziguli ezihluleka ukushaya inhliziyo zingathola ukukhululeka ebuhlungu besifuba, ukugcinwa kwamanzi okushisa (i-edema), nokuphefumula . Iziguli zokuhluleka kwesibindi zingathola ukwelashwa okujulile ngenxa yobuhlungu besisu nokuvuvukala, ukuhlambalaza , nokwenyanya . Iziguli ezinezifo zokuphefumula zingakwazi ukulawula ukuphefumula nokuthuthukisa ikhwalithi yokuphila.
Noma yisiphi isifo esibucayi esithinta kabi izinga lempilo yesiguli singazuza ekunakekelweni kwe-palliative.
Futhi mhlawumbe inzuzo enkulu yokunakekelwa kwe-palliative? Iziguli ezithola ukunakekelwa kwe-palliative zihlala isikhathi eside kuneziguli ezithola ukunakekelwa okujwayelekile . Uma iziguli zingaphila impilo ende nekhwalithi engcono yokuphila, kungani ukunakekelwa kwe-palliative kudume kakhulu? Kungenxa yecala lokungacabangi ukuthi ukunakekelwa kwe-palliative kufana nokunakekelwa kwe- hospice .
Ukunakekelwa kwe-Palliative Akukona Ukunakekelwa Kwemitholampilo Elinganayo
Ukunakekelwa kwe-Hospice kuyindlela eyodwa yokunakekelwa ngokucophelela okufanele iziguli esigabeni sokugcina sokuphila-labo abanesikhathi sokuphila kwezinyanga eziyisithupha noma ngaphansi. Njengokunakekelwa ngokucophelela, ukunakekelwa kwe-hospice kwenzelwe ukunciphisa izimpawu nokuthuthukisa ikhwalithi yokuphila , kodwa isibhedlela sithintela iziguli ezigulayo.
Ukunakekelwa kwe-palliative kunganikezwa kungakhathaliseki isikhathi sokuphila. Ukunakekelwa kwe-palliative kungaqala ekuqaleni kokugula kwesiguli njengoba kudingekile ukulawula izimpawu nokuthuthukisa ikhwalithi yokuphila.
Izinjongo Zokunakekelwa Kwama-Palliative
Umgomo wokunakekelwa ngokucophelela umane nje ukukhulula ukuhlupheka nokuthuthukisa ikhwalithi yokuphila. Iminye imigomo yabe isekelwe ezithembisweni zesiguli ngokubonisana neqembu lokunakekelwa kwezinhliziyo.
Ukunakekelwa kwe-palliative kungaphezu nje kokuphatha izimpawu zomzimba, noma kunjalo. Ukunakekelwa kwe-palliative kuhlanganisa nokuhlupheka ngokomzwelo kanye nezidingo zokunakekelwa ngokomoya.
Ithimba Lokunakekela I-Palliative
Ukunakekelwa kwe-palliative kuvame ukuqhutshwa yiqembu labaqeqeshi abangakwazi ukubhekana nokukhathazeka okuningi. Ithimba lingabandakanya:
- Odokotela bokunakekelwa nge-palliative
- Abahlengikazi abanakekelwa ngamaphilisi
- Abahlengikazi
- Abasebenzi bezenhlalakahle
- Ama-Chaplains
- Therapists (umsebenzi, inkulumo, ngokomzimba, njll)
Ilungu elibaluleke kunazo zonke lethimba lokunakekelwa nge-palliative nguwe. Ukunakekelwa kwe-palliative kufanele kuqondiswe ukuhlangabezana nemigomo yakho siqu. Kungumthwalo wakho njengesiguli sokunakekelwa kahle ukuze wenze imigomo yakho kanye nezifiso zokunakekelwa kwempilo waziwa.
Imithombo:
UJennifer S. Temel, MD, et al. "Ukunakekelwa Kwamaphutha Okuqala Kwabagulayo abane-Metastatic Non-Small-Cell Cell Lung Cancer" I-New England Journal of Medicine. N Engl J Med 2010; 363: 733-742.
UPhillip D. Good, uJohn Cavenagh, uPeter J. Ravenscroft. "Ukusinda ngemuva kokubhaliswa ohlelweni lokunakekelwa kwama-Australia". Journal of Pain and Symptom Management 2004; 27: 4 Amakhasi 310-315.