Zomwe Muyenera Kudziwa Pazosamalira Odwala

Zamkati

• Kodi chisamaliro chothandizira ndi chiyani?
• Kusamalira kwa khansa
• Kusamalira odwala matenda amisala
• Kusamalira mwachangu COPD
• Kodi zimasiyana bwanji ndi ma hospice?
• Chidule
• Ndani amapereka chisamaliro chotere?
• Nthawi yoyenera kuganizira chisamaliro chothandizira
• Kodi mungapeze chisamaliro chotsitsimula kunyumba?
• Kodi mumalandira bwanji chisamaliro chochepa?
• Kodi ili ndi Medicare?
• Mfundo yofunika

Kusamalira odwala ndi gawo lomwe likukula la mankhwala. Komabe, pali chisokonezo chokhudza chisamaliro chothandizira, chomwe chimaphatikizapo, ndani ayenera kuchipeza, ndipo chifukwa chiyani.

Cholinga cha chisamaliro chothandizira ndikuthandizira kukhala ndi moyo wabwino kwa anthu omwe ali ndi matenda akulu kapena osintha moyo. Nthawi zina amatchedwa chisamaliro chothandizira.

Chisamaliro chodalitsika ndichokhudzana ndi kukonza thanzi lathunthu, kuphatikiza kukhala wathanzi, wamaganizidwe, wauzimu, komanso moyo wabwino.

Kodi chisamaliro chothandizira ndi chiyani?

Kusamalira odwala kumangoyang'ana kukonza thanzi la anthu omwe ali ndi matenda akulu. Amafotokoza zizindikilo zonse komanso kupsinjika kwa kukhala ndi matenda aakulu. Zitha kuphatikizanso kuthandizira okondedwa kapena omwe akuwasamalira.

Popeza kutengera zosowa za munthu aliyense, chisamaliro chodekha chimatha kukhala chosiyana kwambiri ndi munthu wina. Dongosolo losamalira likhoza kukhala ndi chimodzi kapena zingapo mwa zolinga izi:

• Kuchepetsa zizindikilo, kuphatikiza zoyipa zamankhwala
• kukulitsa kumvetsetsa kwamatenda ndikukula kwake
• kuzindikira ndi kuthana ndi zosowa zenizeni komanso zauzimu
• kuthandiza kuthana ndi malingaliro ndi zosintha zokhudzana ndi matenda
• kuthandiza kumvetsetsa njira zamankhwala, kupanga zisankho zamankhwala, ndi kuwongolera chisamaliro
• kuzindikira ndikupeza zina zowonjezera kuti zithandizire

Kusamalira odwala kungakhale kotheka pazinthu zambiri. Khansa, matenda amisala, komanso matenda otsekemera am'mapapo (COPD) ndi ena mwazomwe zimachitika pomwe chisamaliro chothandizira chingakhale chothandiza kwambiri. Zitsanzo izi zafotokozedwa mwatsatanetsatane pansipa.

Kusamalira kwa khansa

Khansa ndi imodzi mwazofala kwambiri zomwe zimakhudzana ndi chisamaliro chotsitsimutsa, popeza zizindikilo ndi chithandizo zimatha kukhudza moyo wanu.

Kusamalira khansa mosiyanasiyana kumasiyana kutengera mtundu wa khansa, komanso zizindikilo, chithandizo, zaka, komanso kudwala.

Wina yemwe ali ndi khansa yaposachedwa atha kulandira chithandizo chochepetsetsa kuti athane ndi zovuta za chemotherapy kapena radiation, kapena kuwathandiza kuchira atachitidwa opaleshoni.

Kusamalira khansa nthawi zambiri kumaphatikizapo chithandizo cha kukhumudwa kapena kuda nkhawa, komanso zida zothandizira achibale kukonzekera zamtsogolo.

Kusamalira odwala matenda amisala

Dementia imalumikizidwa ndi kuwonongeka kwa ubongo. Zimakhudza kwambiri kuzindikira kwa munthu, kukumbukira, chilankhulo, kuweruza, komanso machitidwe.

Chisamaliro chothandizira chingaphatikizepo chithandizo cha nkhawa zomwe zimayambitsa matenda amisala. Matendawa akamakula, zitha kuphatikizaponso kuthandiza achibale kupanga zosankha zovuta pankhani yodyetsa kapena kusamalira wokondedwa wawo. Zitha kuphatikizanso kuthandizira osamalira mabanja.

Kusamalira mwachangu COPD

Kusamalira odwala kungathandize kuyang'anira COPD, matenda opuma omwe amayambitsa kutsokomola komanso kupuma movutikira.

Pachifukwa ichi, chisamaliro chokhazika mtima pansi chimatha kuphatikizira chithandizo chazovuta, nkhawa, kapena kusowa tulo komwe kumachitika chifukwa cholephera kupuma. Mutha kuphunzitsidwa za kusintha kwa moyo wanu, monga kusiya kusuta, komwe kumatha kukulitsa magwiridwe antchito ndikuchepetsa kukula kwa matenda anu.

Kodi zimasiyana bwanji ndi ma hospice?

Kusiyanitsa kwakukulu pakati pa chisamaliro chothandizira ndi kuchipatala ndi pamene mtundu uliwonse wa chisamaliro ukuperekedwa.

Kwa anthu omwe ali ndi vuto lalikulu komanso lomwe lingawopseze moyo, chisamaliro chothandizira chimapezeka nthawi iliyonse, ngakhale atadwala. Sizitengera kudandaula kwanu kapena chiyembekezo cha moyo wanu.

Mosiyana ndi izi, chisamaliro cha hospice chimapezeka kokha kumapeto kwa moyo, pamene matenda sakuyankhanso kuchipatala. Pakadali pano, munthuyo atha kusankha kusiya mankhwala ndikuyamba chisamaliro cha hospice, chomwe chimadziwikanso kuti chisamaliro chakumapeto kwa moyo.

Monga chisamaliro chotsitsimula, hospice imayang'ana kwambiri kutonthoza kwathunthu kwa munthu, kuphatikiza malingaliro ake, thanzi, komanso moyo wabwino wauzimu. M'malo mwake, ma hospice amaonedwa ngati njira yothandizira. Komabe, kulandira chisamaliro chotsitsimula sikukutanthauza kuti muli m'zipatala.

Kuti muyenerere kulandira chithandizo chamankhwala, dokotala ayenera kulingalira kuti moyo wanu ndi miyezi 6 kapena kucheperapo. Izi zitha kukhala zovuta kudziwa.

Kusamalira odwala sikumangotanthauza kutha kwa moyo. Ndizotheka kulandira chisamaliro cha hospice ndikuyambiranso chithandizo chamankhwala kapena chowonjezera moyo.

Chidule

• Kusamalira amapezeka nthawi iliyonse, mosasamala kanthu za kudwala kapena kutalika kwa moyo.
• Kusamalira odwala amapezeka kokha kumapeto kwa moyo.

Ndani amapereka chisamaliro chotere?

Chisamaliro chachithandizo chimaperekedwa ndi gulu la akatswiri azachipatala omwe amaphunzitsidwa mwapadera zamankhwala amtunduwu.

Gulu lanu losamalira odwala lingaphatikizepo izi:

• dokotala wothandizira odwala
• madotolo ena, monga katswiri wamaphunziro, katswiri wamaubongo, kapena wamisala
• anamwino
• wogwira ntchito yothandiza anthu
• mlangizi
• katswiri wamaganizidwe
• wochita ziwalo
• wamankhwala
• wodwala
• wothandizira pantchito
• waluso kapena woimba nyimbo
• katswiri wazakudya kapena wazakudya
• wopembedza, m'busa, kapena wansembe
• odzipereka osamalira odwala
• womusamalira

Gulu lanu losamalira odwala lidzakuthandizani kuti mukhale ndi thanzi labwino panthawi yomwe mukudwala.

Nthawi yoyenera kuganizira chisamaliro chothandizira

Ngati muli ndi matenda oopsa kapena owopsa, mutha kufunsa za chithandizo chazithandizo nthawi iliyonse.

Pali malingaliro olakwika wamba oti muyenera kudikirira mpaka matenda anu atadutsa kapena kumapeto kuti mupeze chisamaliro chochepa. M'malo mwake, kafukufuku wambiri akuwonetsa kuti chisamaliro chothandizira chimakhala chothandiza kwambiri mukayamba msanga.

Kuwunikiranso kwa 2018 kwa anthu omwe ali ndi khansa yapafupa yaying'ono yam'mapapo (NSCLC) idalimbikitsa kulandira koyambirira kwa chisamaliro chothandizira, chomwe chimapangitsa moyo kukhala wamoyo komanso kupulumuka konse.

Mofananamo, kafukufuku wa 2018 adapeza kuti anthu omwe ali ndi khansa yayikulu amakhala ndi moyo wautali komanso amakhala ndi moyo wabwino atalandira chithandizo chamankhwala kuchipatala.

Kusamalira odwala kumathandizanso kuchepetsa kukhumudwa ndi matenda ena amisala. Olemba kafukufuku wa 2018 adatsimikiza kuti anthu omwe ali ndi khansa yayikulu omwe amakhalanso ndi zisonyezo zakupsinjika mtima amapindula kwambiri poyambira chisamaliro msanga.

Okondedwa anu amathanso kupindula ndi chisamaliro chanu, chomwe chingawathandize kupeza zofunikira ndikuthandizira kuthana ndi matenda anu.

Kodi mungapeze chisamaliro chotsitsimula kunyumba?

Zimatengera komwe mumakhala. Chisamaliro chachithandizo chakhala chikupezeka mosavuta m'zaka zaposachedwa, komabe sichikupezeka kulikonse.

Kutengera komwe mumakhala, mutha kukhala ndi njira zingapo zakomwe mungalandire chithandizo chochepetsetsa. Zosankha zina zingaphatikizepo:

• chipatala
• nyumba yosungirako okalamba
• malo okhala othandizira
• chipatala cha odwala
• kwanu

Lankhulani ndi dokotala wanu kuti mudziwe zambiri zamankhwala omwe mungapeze komanso komwe mungalandire chithandizo m'dera lanu.

Kodi mumalandira bwanji chisamaliro chochepa?

Gawo loyamba lolandila chithandizo chochepetsetsa ndikufunsa dokotala kapena wothandizira zaumoyo za izi. Dokotala wanu akuyenera kukutumizirani kwa katswiri wazithandizo.

Mutha kukonzekera kufunsa thandizo lanu polemba mndandanda wazizindikiro zanu ndi momwe zimakhudzira zochita zanu za tsiku ndi tsiku. Mufunikanso kubweretsa mndandanda wa mankhwala omwe mumamwa komanso mbiri yakale yazachipatala.

Ndibwino kufunsa mnzanu kapena wam'banja lanu kuti akuperekezeni kukasankhidwa kwanu.

Pambuyo pakufunsira kwanu, mudzagwira ntchito ndi gulu lanu losamalira odwala kuti mupange dongosolo. Dongosololi litengera zizindikiro zanu komanso chithandizo chilichonse chomwe mukukumana nacho pano, komanso momwe matenda anu amakhudzira thanzi lanu lamisala, zochitika za tsiku ndi tsiku, komanso abale anu.

Dongosololi lidzachitika mogwirizana ndi chithandizo chilichonse chomwe mungalandire. Iyenera kusintha pakapita nthawi zosowa zanu zitasintha. Pambuyo pake zitha kuphatikizira chisamaliro chapamwamba ndikukonzekera moyo.

Kodi ili ndi Medicare?

Ndikofunika kuti mulankhule ndi omwe amakupatsani mwayi wothandizira kuti mumvetsetse zomwe mungafunike kulipira.

Onse Medicare ndi Medicaid atha kukhala ndi ntchito zina zotsitsimula. Komabe, popeza Medicare kapena Medicaid sagwiritsa ntchito liwu loti "palliative," chithandizo chomwe mukulandira chiyenera kulipiridwa ndi maubwino anu.

Medicare ndi Medicaid onse amalipira milandu yonse yokhudza kuchipatala, koma kuti ayenerere kulandira chipatala, dokotala ayenera kudziwa kuti muli ndi miyezi isanu ndi umodzi kapena kuchepera pamenepo.

Ngati muli ndi inshuwaransi yapadera, mutha kukhala ndi chithunzithunzi chazithandizo. Ndondomeko ya chisamaliro cha nthawi yayitali ndi njira ina yopezera chithandizo. Funsani ndi nthumwi kuchokera kwa inshuwaransi yanu kuti mutsimikizire kufalitsa.

Mfundo yofunika

Kusamalira odwala ndi njira zothandizira anthu ambiri kuti athe kukonza moyo wabwino komanso kukhala ndi moyo wathanzi kwa anthu omwe ali ndi matenda osatha, omwe amasintha moyo wawo. Zitha kuphatikizanso kuthandizira okondedwa kapena omwe akuwasamalira.

Ngati inu kapena wina m'banja mwanu ali ndi matenda oopsa, chisamaliro chochepetsetsa chingakhale njira yomwe mungafune kuganizira. Lankhulani ndi dokotala wanu kuti mudziwe zambiri zamankhwala opatsirana komanso zomwe muyenera kuchita kuti mupeze chisamaliro chotere.