Kushungurudzika Nokushungurudzika Nekenza Cancer
Hazvishamisi kuti kuora mwoyo dambudziko rinowanzoonekwa kune avo vanorarama nemukenza wemapapu. Kakawanda, kuora mwoyo kunobata zvishoma 15-25 kubva muzana yevanhu vane kenza, uye nhamba iyoyo inoita seyo yakakwirira nemukenza wemapapu. Zviratidzo zvekunyadziswa uye kuregererwa zvakabatana nekunyadzisa, kunyanya kune avo vakatsva, zvinogona kuwedzera manzwiro ekusurukirwa uye kuzviparadzanisa nehondo yakatova yakaoma.
Chii chaunofanira kuziva paunenge uchifamba nemukenza wemapapu emapapu, saka iwe unogona kuwana rubatsiro rwaunoda?
Kushungurudzika vs. Kusuruvara
Danho rokutanga nderekusiyanisa kusiyana kwekushungurudzika uye kuora mwoyo. Zvinowanzoitika uye zvinotarisirwa kuti iwe uchanzwa kushungurudzika uchitevera kuongororwa kwekenza yemapapu. Ichi chirwere chinoparadza, uye zvakakosha kupfuurira kuburikidza nekuchema kana iwe uchigadzirisa hupenyu hwako hutsva semupomenyi wemapapu emapapu. Asi kushungurudzika kunobva pakuchirwereka mupfungwa. Avo vari kushungurudzika vachiri kuwanika zvinoita kuti vararame nehupenyu hwezuva nezuva munguva yekurapa kenza. Uine chirwere chokuora mwoyo, manzwiro ekunetseka, kusava netariro, uye kunyange pfungwa dzekuzviuraya zvinogona kukanganisa kukwanisa kwako kutsungirira.
Kunyanya kuoma kune vamwe vanhu vane mupenza wemapapu uye avo vadikanwa avo vanotarisira kushungurudzika . Iyi ndiyo shungu inowanikwa mukutarisira rufu, asi apo vanhu vachiri vapenyu.
Kurarama nekufungidzira kushungurudzika kunowedzera zvakaoma sekuratidza manzwiro aya kunogona kuonekwa sekusiya tariro kune avo vasingazivikanwe nehutano hwehutano hwekenza.
Zviratidzo zvekuora mwoyo
Zvidzidzo zvinoratidza kuti vanachiremba havasi kuvhara zvakakwana kuora mwoyo kwevarwere vanorwara, saka zvinokosha kuziva zvimwe zvezviratidzo zvinowanzoonekwa.
Izvozvo zvakati, kuoma kwekenza kurapwa uye zviratidzo zvinokonzerwa nekenza pachako kunogona kuita kuti zviratidzo zvizhinji zvinowanzotaridzirwa kuora mwoyo. Zvimwe zvezviratidzo zvinowanzozivikanwa zvinosanganisira:
- Kuramba uchinzwa kushungurudzika
- Manzwiro ekushaya rubatsiro, kusina maturo kana kusava netariro
- Kurasikirwa kwechido mumabasa unowanzofarira
- Kupera simba
- Varombo vanofungisisa
- Dambudziko rekurara kana kurara zvakanyanya
- Kufirwa kwechido
- Pfungwa dzekufa kana kuzviuraya
Kana zviratidzo izvi zvichinzwika sechinhu chimwe iwe kana munhu waunoda ari kurwisana nacho, unogona kuda kutarisa zvinotarisirwa kuti uwedzere kuora mwoyo. Iko kunewo mutsvaga kuongororwa mutsvaga inogona kubatsira kuongorora zviratidzo zvako. Yeuka kuti iyi miedzo haisi iyo inotsiva mazano ehutano, asi inogona kukubvunzurudza kuti iwe unofanirwa kuunza kune boka rako rekutarisira utano.
Zvinokonzera Kuora Mwoyo
Kune zvikonzero zvakawanda zvekuora mwoyo kune avo vanorarama nemukenza wemapapu. Zvimwe zvezvi zvinosanganisira:
- Lifestyle changes
- Zvinetso zvemari
- Pain
- Kutya rufu
- Kuvhiringidzwa kwemukenza wemapapu
Risk Factors
Mimwe mamiriro ezvinhu anowanikwa musati maonekwa, kana nekuda kwekenza yenyu, inogona kukonzera njodzi yekudzikisa kuora mwoyo. Zvimwe zvezvi zvinosanganisira:
- Kushanda kusingakwanisi - Rimwe rematambudziko makuru ekunyadzisa panguva yekurapa kwekenza ndekushaya kukwanisa kuita mabasa awakakwanisa kusvika iwe usati wanyatsoongorora
- Zviratidzo zvine chokuita nekenza - Zviratidzo, zvikurukuru marwadzo ane chokuita nekenza , zvinowedzera pangozi yekuora mwoyo
- Chirwere chekenza - Avo vane kenza yemukenza kadiki shoma vanowanzova nekuora mwoyo kune avo vane kenza isiri duku yemapapu emapapu
- Nhoroondo yemunhu kana yemhuri yekuora mwoyo
- Kusarurana nevamwe / kusakatsigirwa
- Nhoroondo yezvinodhaka kana kushandisa zvinodhaka
Migumisiro yekudengenyeka
Kusanzwisisika kudengenyeka kunotaura zvakakwana pachako-kuramba avo vanozviwana mukana wekurarama hupenyu sezvavanofanira. Asi nemukenza wemapapu, migumisiro yekuora mwoyo inowedzera zvakanyanya uye inogona kuchinja:
- Unhu hwehupenyu - Zvidzidzo zvakaratidza kuti kuora mwoyo kunobata hupenyu hwakanaka uye hupenyu huri kune avo vane kenza yemapapu, kunyanya kupfuura zviratidzo zvepanyama.
- Kuponeswa - Kune varwere vane chirwere chisina chediki chemapapu emapapu, kuora mwoyo kunobatanidzwa nekupona kwakashata mumwedzi 6. Imwe yongororo yapfuura yakawana kuti kune vanhu vane chirwere chechitatu 3 uye chirwere chepakati chemapapu 4, kupona kwemuviri kwakapetwa kaviri kwenguva yakareba kune vanhu vasina dambudziko nekuenzaniswa nevaya vakatambura nekuora mwoyo.
- Kuzviuraya kwekuzviuraya - Ngozi yekuzviuraya kune avo vanorarama nekenza inofungidzirwa kuti yakawanda kusvika 2 kusvika 10 pane yakapfuura vanhu vakawanda. Kuzviuraya kune ngozi kune varume, mumwedzi mishoma yapfuura mushure mekuongororwa kwekenza, uye kune avo vakafunga kuburikidza nepurogiramu yekuti vangazviuraya sei. Dzidza zvakawanda pamusoro pengozi yekuzviuraya mukenza varwere munyaya ino.
Kurapa
Kurapa kuora mwoyo kunogona kutora chigaro chemukati pakati pekenza kurapwa, asi kubva pane zvatinoziva pamusoro pehupenyu hwehupenyu nekupona, zvakakosha kutarisa izvi pachena uye panguva imwe neimwe kushanya newe oncologist. Anogona kukutaurira kune chiremba wepfungwa kana chiremba wepfungwa anogona kushanda newe kuti akubatsire kunzwa zviri nani uye kugadzirisa kuongororwa kwako. Kupa mazano (psychotherapy) kwakaratidzwa kuti iite mutsauko mukuru kune avo vane kuora mwoyo kwakabatana nekenza. Mune zvimwe zviitiko, mishonga inogonawo kukurudzirwa kukubatsira iwe kuburikidza nekuora mwoyo kwako.
Nguva Yekutumira
Zvakakosha kutaura neboka rako rekenza pamusoro pezviratidzo zvekuora mwoyo kwaunenge uchiita pane imwe nguva. Chero kushanduka kwezviratidzo zvako, kana mazwi kubva kune vamwe kuti iwe unoonekwa wakaora mwoyo, inofanira kukukurudzira kuti utone nokukurumidza. Kana iwe uchinzwa uchinetseka, kana kuti une pfungwa yekuzviuraya - kunyanya kana iwe wakambofunga nezvekuti ungazvikuvadza sei, dana chiremba wako, chiremba, kana kudana 911 pakarepo.
Chiitiko Chinokosha kune Vatarisiri
Sezvatinotaura pamusoro peavo vanorarama nemukenza wemapapu, hatigoni kukanganwa nezvevatarisi - avo vanotarisira mudiwa wavo nekenza yemapapu. Vatarisiri vanoonawo kuwedzerwa kwehuwandu hwekuora mwoyo . Sezvaunotarisira mudiwa wako, iva nechokwadi chekutsvaga rubatsiro kana ukaona zviratidzo zvekuora mwoyo muupenyu hwako.
Sources:
Arrieta, O. et al. Association of Depression and Concern on Quality of Life, Treatment Adherence, and Prognosis in Patients With Advanced Non-Small Cell Lung Cancer. Annals of Oncology Surgery . 2012 Dec 22. (Epub mberi kwekudhinda).
Chen, M. et al. Zviratidzo zvinoshungurudza panguva yekutanga chemotherapy inofanotaura kufema kwevatachiona vane musero wekenza yemapapu usina kufanira. Kuchengetedza Kuchengetedza muCancer . 2011. 19 (11): 1705-11.
Cho, J. et al. Kushamwaridzana pakati pekenza kusagadzikana uye kuora mwoyo pakati pevanorwara nekenza: kuongorora munyika yose muKorea. Psychooncology . 2013 June 20. (Epub pamberi pekudhinda)
Choi, S., uye E. Ryu. Migumisiro yezviratidzo zvechiratidzo uye kuora mwoyo pamusoro pehupenyu hwevarwere vane chirwere chemapapu chakakura. European Journal of Cancer Care . 2016 Apr 26. (Epub mberi kwechinyorwa).
Diaz-Frutos, D., Baca-Garcia, E., Garcia-Foncillas, J., naJo Lopez-Castroman. Predictors of psychological suffering in advanced cancer patients under treatment palliative. European Journal of Cancer Care . 2016 Jun 8. (Epub mberi kwekudhinda).
Giannousi, Z. et al. Chirwere chemuviri, chikamu chakaoma kupindura uye kuora mwoyo mumarwadzo emumapapu emapapu: kuwirirana uye kushamwaridzana kwesangano. Kuchengetedza Kuchengetedza muCancer . 2011 Oct 1. (Epub mberi kwekudhinda).
Hamer, M. et al. Psychological affliction and death mortality. Nyaya yeP Pscyhosomatic Research . 2009. 66 (3): 255-8.
Jones, L. naC. Doebbeling. Kuwedzera kwekuora mwoyo kuongororwa kunotevera kenza kuongorora. General Hospital Psychiatry . 2007. 29 (6): 547-54.
Pirl, W. et al. Kushungurudzika mushure mekuongororwa kwekwenyuka isiri duku duku yemukenza yemapapu uye kupona: chidzidzo chekufambisa. Psychosomatics . 2008. 49 (3): 218-24.
Sama, L. et al. Unhu hwehupenyu hwevanhu venguva yakareba vanopukunyuka vasiri-vashoma-kenza yemukenza yemapapu. Nyaya yeCliniki Oncology . 2002. 20 (13): 2920-9.