Kuchiza khansa - kuthana ndi ululu

Khansa nthawi zina imatha kupweteka. Kupweteka kumeneku kumatha kubwera kuchokera ku khansa komweko, kapena kuchipatala cha khansa.

Kuthetsa ululu wanu kuyenera kukhala gawo la chithandizo chanu chonse cha khansa. Muli ndi ufulu kulandira chithandizo cha ululu wa khansa. Pali mankhwala ambiri ndi mankhwala ena omwe angathandize. Ngati muli ndi zowawa zilizonse, onetsetsani kuti mukukambirana ndi omwe akukuthandizani pazomwe mungachite.

Zowawa za khansa zimatha kukhala ndi zifukwa zingapo:

• Khansara. Chotupa chikamakula, chimatha kupanikiza misempha, mafupa, ziwalo, kapena msana, ndikupweteka.
• Mayeso azachipatala. Mayeso ena azachipatala, monga kuyesa biopsy kapena kuyesa m'mafupa, kumatha kubweretsa ululu.
• Chithandizo. Mitundu yambiri yothandizira khansa imatha kupweteketsa, kuphatikiza chemotherapy, radiation, ndi opaleshoni.

Zowawa za aliyense ndizosiyana. Kupweteka kwanu kumatha kukhala kofewa mpaka kovuta ndipo kumangokhala kwakanthawi kochepa kapena kupitilira kwakanthawi.

Anthu ambiri omwe ali ndi khansa samalandira chithandizo chokwanira cha zowawa zawo. Izi zitha kukhala chifukwa chakuti sakufuna kumwa mankhwala opweteka, kapena saganiza kuti athandiza. Koma kuchiza ululu wanu ndi gawo limodzi lothandizira khansa yanu. Muyenera kulandira chithandizo cha zowawa monga momwe mungachitire ndi zovuta zina zilizonse.

Kusamalira zowawa kungakuthandizeninso kuti mumve bwino. Chithandizo chingakuthandizeni:

• Mugone bwino
• Khalani achangu kwambiri
• Mukufuna kudya
• Musamachepetse nkhawa komanso kukhumudwa
• Sinthani moyo wanu wogonana

Anthu ena amawopa kumwa mankhwala opweteka chifukwa amaganiza kuti azolowera. Popita nthawi, thupi lanu limatha kukhala ndi kulekerera mankhwala opweteka. Izi zikutanthauza kuti mungafunike zambiri kuti muzitha kupweteka. Izi ndi zachilendo ndipo zimatha kuchitika ndi mankhwala ena. Sizitanthauza kuti ndinu osokoneza. Malingana ngati mukumwa mankhwalawa monga adanenera dokotala, mulibe mwayi wambiri wogwiritsa ntchito mankhwala osokoneza bongo.

Kuti mutsimikizire kuti mumalandira chithandizo choyenera cha zowawa zanu, ndikofunikira kukhala owona mtima momwe mungathere ndi omwe amakupatsani. Mudzafunika kuuza omwe akukupatsani:

• Momwe kupweteka kwanu kumamvekera (kupweteka, kuzimiririka, kupweteka, kusinthasintha, kapena lakuthwa)
• Kumene mumamva ululu
• Kupweteka kumatenga nthawi yayitali bwanji
• Ndi yamphamvu bwanji
• Ngati pali nthawi yamasana imakhala bwino kapena yoyipa
• Ngati pali china chilichonse chomwe chimapangitsa kuti chikhale bwino kapena choipa
• Ngati ululu wanu umakulepheretsani kuchita chilichonse

Wothandizira anu akhoza kukupemphani kuti muyese ululu wanu pogwiritsa ntchito sikelo kapena tchati. Zingakhale zothandiza kusunga zolemba zowawa kuti zikuthandizireni kupweteka kwanu. Muthanso kuwerengetsa nthawi yomwe mumamwa mankhwala azowawa zanu komanso momwe zimathandizira. Izi zithandizira omwe akukuthandizani kudziwa momwe mankhwala akugwirira ntchito.

Pali mitundu itatu ikuluikulu ya mankhwala a khansa. Wothandizira anu adzagwira nanu ntchito kuti mupeze mankhwala omwe amakugwirirani ntchito osakhala ndi zotsatirapo zochepa. Mwambiri, mumayamba ndi mankhwala ocheperako ndi zovuta zochepa zomwe zimachepetsa kupweteka kwanu. Ngati mankhwala amodzi sakugwira ntchito, omwe amakupatsani mwayi atha kupereka mankhwala ena. Zingatenge nthawi pang'ono kuti mupeze mankhwala oyenera komanso mlingo woyenera womwe mukuyenera.

• Kupweteka kopanda opioid kumachepetsa. Mankhwalawa akuphatikizapo acetaminophen (Tylenol) ndi mankhwala osagwiritsa ntchito zotupa (NSAIDs), monga aspirin, ibuprofen (Advil, Motrin, ena), ndi naproxen (Aleve). Iwo ndi abwino kuchiza ululu wofatsa mpaka pang'ono. Mutha kugula mankhwala ambiri pakauntala.
• Opioids kapena mankhwala osokoneza bongo. Awa ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza ululu wochepa kwambiri. Muyenera kukhala ndi mankhwala oti muwatenge. Ma opioid ena wamba amakhala monga codeine, fentanyl, morphine, ndi oxycodone. Mutha kumwa mankhwalawa kuphatikiza pazothandizira zina zopweteka.
• Mitundu ina ya mankhwala. Wothandizira anu akhoza kukupatsani mankhwala ena kuti akuthandizeni ndi ululu wanu. Izi zitha kuphatikizira ma anticonvulsants kapena anti-depressants a kupweteka kwamitsempha kapena ma steroids kuti athetse ululu wofufuma.

Ndikofunika kumwa mankhwala anu opweteka monga momwe woperekayo angakuuzireni. Nawa maupangiri oti mupindule kwambiri ndi mankhwala anu opweteka:

• Uzani wothandizira wanu za mankhwala ena onse omwe mukumwa. Mankhwala ena opweteka amatha kulumikizana ndi mankhwala ena.
• Osadumpha Mlingo kapena kuyesa kupita nthawi yayitali pakati pamiyeso. Ululu ndiosavuta kuchiza mukamachiza msanga. Musayembekezere mpaka ululu utakhala waukulu musanamwe mankhwala anu. Izi zitha kupangitsa kuti kupweteka kwanu kukhale kovuta kuchiza ndikupangitseni kuchuluka kwakukulu.
• Osasiya kumwa mankhwalawa panokha. Uzani wothandizira wanu ngati muli ndi zovuta zina kapena zina. Wothandizira anu akhoza kukuthandizani kupeza njira zothetsera mavuto kapena mavuto ena. Ngati zotsatirapo zake ndi zazikulu kwambiri, mungafunike kuyesa mankhwala ena.
• Uzani wothandizira wanu ngati mankhwala sakugwira ntchito. Atha kukulitsa mlingo wanu, ngati mumamwa pafupipafupi, kapena yesani mankhwala ena.

Nthawi zina, omwe amakupatsani anganene mtundu wina wa chithandizo cha ululu wanu wa khansa. Zosankha zina ndi izi:

• Kukondoweza kwamagetsi kwamagetsi (TENS). TENS ndi magetsi ochepa omwe angathandize kuchepetsa ululu. Mumayika pamthupi lanu pomwe mumamva kupweteka.
• Kutseka kwamitsempha. Uwu ndi mtundu wapadera wa mankhwala opweteka omwe amabayidwa mozungulira kapena mitsempha yothetsa ululu.
• Kuchotsa ma Radiofrequency. Mafunde a wailesi amatentha madera amitsempha kuti athetse ululu.
• Thandizo la radiation. Mankhwalawa amatha kuchepetsa chotupa chomwe chimapweteka.
• Chemotherapy. Mankhwalawa amathanso kutupitsa chotupa chochepetsa kupweteka.
• Opaleshoni. Wothandizira anu amatha kugwiritsa ntchito opaleshoni kuchotsa chotupa chomwe chimapweteka. Nthawi zina, mtundu wa opareshoni yaubongo umatha kudula mitsempha yomwe imanyamula mauthenga opweteka kupita kuubongo wanu.
• Njira zothandizira kapena zina. Mwinanso mungasankhe kuyesa mankhwala monga kutema mphini, chiropractic, kusinkhasinkha, kapena biofeedback kuti muthandize kuthana ndi ululu wanu. Nthawi zambiri, anthu amagwiritsa ntchito njirazi kuwonjezera pa mankhwala kapena mitundu ina ya ululu.

Kupweteka - kupweteka kwa khansa

Nesbit S, Wofiirira I, Grossman SA. Khansa yokhudzana ndi khansa. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 37.

Tsamba la National Cancer Institute. Kupweteka kwa khansa (PDQ) - Zaukadaulo. www.cancer.gov/about-cancer/treatment/side-effects/pain/pain-hp-pdq. Idasinthidwa pa Seputembara 3, 2020. Idapezeka pa Okutobala 24, 2020.

Scarborough BM, Smith CB. Kusamalira bwino kwambiri odwala omwe ali ndi khansa masiku ano. CA Khansa J Clin. 2018; 68 (3): 182-196. PMID: 29603142 pubed.ncbi.nlm.nih.gov/29603142/.

• Cancer - Kukhala ndi Khansa