Kuchengetwa kwechipatara kune imwe nhanho kubva pamagariro ekurapa, asi panguva imwe chete, inosanganisira kutarisira kurapwa uye kurapwa kwemaitiro ekuchengetedza nyaradzo pakuguma kwehupenyu.
Kuchengetwa kwekuchengetedza mahara ndiko zvino mafiroso uye rudzi rwekuchengetedza iyo munhu ari pedyo nemagumo ehupenyu anogona kugamuchira. Iyo filosofi yekuchengetedza "haichikurumidzi kana kudzorera rufu," maererano neAmerican Cancer Society.
Kuchengetwa kwechipatara kunonzi kunobata munhu panzvimbo pechirwere, kushanda kuronga zviratidzo kuitira kuti mazuva ekupedzisira omunhu agone kupedzerwa nekuremekedzwa uye kunaka, akapoteredzwa nevanodiwa. Kuchengetwa kwekuchengetedza mahara kunewo mhuri-inosanganisira murwere nemhuri pakuita zvisarudzo. Somuenzaniso, dzimwe nguva chivigiro chechipatara chichagoverwa uye chigoiswa mumusha wemhuri, saka mapoka ose anofanirwa kunge ari pabhodhi uye kuti bhedhi iyo ichaendeswa kupi.
Nenzira, kutarisira kutarisira hakusi kune mumwe munhu angave ane makore mazhinji ehupenyu mberi kwavo. Pane kudaro, hospice inopa "kutarisira tsitsi kune vanhu vari muzvikamu zvekupedzisira zvehosha isingagoni kurapwa kuitira kuti vararame zvakazara uye zvakanyatsogona sezvinogona." Hospice inotarisa kubvisa kutambura nekuvandudza zviratidzo panzvimbo yekurapa chirwere chacho pachako. Hospice inowedzera kunyaradzwa kwemu murwere uye hupenyu hwehupenyu munguva dzekupedzisira dzekurwara, izvo zvinoreva kuti mamwe mishonga inogona kubviswa uye vamwe vakawedzerwa.
Munhu anogamuchira kuchengetwa kwekuchengetedza varwere angasarudza kusiya machira uye kupinda mukushanda kwekenza yakaoma chero ipi zvayo.
Chii Chinonzi Logistics of Hospice Care?
Iyo miviri miviri yakawanda yekuchengetwa kwekuchengetwa kwekuchengetwa kwekuchengetwa kwekuchengetwa kwekuchengetwa mumba , apo vanamukoti uye nhengo dzemaawa ekuchengetedza varwere vanoshanyira imba yemurwere; uye inpatient hospice care , apo munhu wacho angauya kubva kuchipatara kana musha wavo kuti agare mune imwe nzvimbo inopa nguva yekutarisira kweawa neboka revatapi vehutano.
Zvichienderana nezvamunogara, uye maitiro evanopa varwere munharaunda yenyu, zvingadaro ndezvokuti imwe yemhando idzi yekurapa inowanikwa apo imwe isiri iyo. Vanhu vakawanda vanowana kutarisira mumba mavo. Vanhu vanogara muzvivako zvekugara, zvivako zvekuchengetwa, kana dzimba dzekuyamwisa vanogona kutarisira kuchengetedza varwere munzvimbo idzi zvakare. Pane mvumo yekusangana pamberi pekuti munhu akwanise kuwana hospice. Munhu haagoni kungosarudza kushandisa chirwere chekuchengetedza nokuti chirwere chinoremedza zvikuru, somuenzaniso-hospice ndeyevanhu vanotarisirwa kurarama anenge mwedzi mitanhatu kana kudarika kana chirwere ichi chinowanzoitika.
Ndiani Anotarisira Kuchengetedza?
Medicare, Medicaid muhurumende dzakawanda, Dhipatimendi reVeterans Affairs, zvirongwa zvakawanda zvehushuwarisi dzehupfumi, HMOs, nemamwe masangano anotarisira anotarisirwa anobhadhara kuchengetwa kwekuchengetwa. Mamwe mapurogiramu anorayira varwere maererano nekukwanisa kwavo kubhadhara.
Kufungisisa kwakanyanya: Hospice yeRopa Cancer
Varwere vane kenza yeropa vakave vachizivikanwa kuti vanoshandisa kurapwa kwekuchengetedza mahara pamatunhu akawandisa kupfuura varwere vane izvo zvinonzi zvakasimba zvakaipa, zvakadai sekenza yekoloni kana kenza yemazamu, somuenzaniso.
Bhuku revakatsvakurudza munguva pfupi yapfuura vakabuda kuti vadzidze kuti nei izvi zvingava zvakadaro.
Zvizhinji zvezvikamu zvekenza yeropa hazvina mushonga, uye gore roga roga, kune vanhu vazhinji vane leukemia, lymphoma uye myeloma vanogona kukodzera kugarisa maererano nechinangwa chekutarisira kwemwedzi 6 yeupenyu kana kuti pasi. Saka, nei vatachiona vane kenza yeropa uye vanachiremba vavo vasingabatsiri pachavo vekuchengetedza varwere pamitengo yakafanana sevanhu vane mamwe kanzira?
Hos pice Chidzidzo
Muna 2015, boka iri revanotsvakurudza rakatumira tsvakurudzo kune dzimwe nguva vakasarudza hematologic oncologists muUnited States kuti vaone maonero avo pamusoro pekubatsira uye kukwana kwekuchengetedza varwere vekenza yeropa.
Vakabvunzawo mibvunzo yakagadziriswa kuti vanyengedze zvimwe zvinhu zvinogona kuita kuti vanotumira varwere kuenda kuchipatara. Vanachiremba avo vaitarisira vose varwere vane hutano hwakasimba uye varwere vane kenza yeropa vakaiswa pakati pevanachiremba vakatsanangurwa.
Pasinei nehupamhi hwehutsigiro hwekuchengetedza varwere muhuwandu, mamwe mazana 46 muzana echiremba avo vakapindura vakafunga kuti imba yekuchengetedza varwere haina kukodzera kuvarwere vavo. Vanopfuura hafu yevakabvunzurudza vakati vachange vachida kutaurira varwere kuenda kuchipatara kana red cell uye / kana platelet transfusions zvaivepo, uye avo vaifunga nezvekuchengetwa kwemusha vasina kukodzera vainyanya kutaura kuti vaizofunga zvakare kana kuwedzerwa ropa kwaive chikamu wekuchengetwa kwemapurisa.
Nei Tisingatongwi?
Mishonga inochengetwa nehutano inowanzoita kuti murwere wehupenyu ave nani asi haawedzeri hupenyu kana kubata chirwere chinopisa, pane chepenza. Izvi zvingave zvinosanganisira mishonga yekubatsira varwere kudzora zviratidzo zvinorwadza, kana kuti kuderedza kushungurudzika, kana kubatsira pakurara, somuenzaniso. Sezvo munhu achiswedera kumugumo wehupenyu hwake, iye anogona kunge asingakwanisi kushambadzira, uye kurapwa kunzvidzivirira kudzivisa uye kukuvadza paganda kubva kune vose vanobatana nemabhedha emabhedha angashandiswa. Mishonga inogona kushandiswa kugadzirisa matambudziko nekufema kusvika kumagumo ehupenyu zvakare.
Mubvunzo wekuwedzerwa kweropa zvakanyanya kuoma. Kune rumwe rutivi, kurapwa kwechirwere chemurwere kunogona kuita kuti munhu anzwe zviri nani. Asi zvakadaro, kurapa kwakanyanya kunopisa kupfuura vamwe vanopa varwere vane hutano. Vamwe vanotarisira varwere vanotsanangura kuti kuwedzerwa ropa kune mamwe ma "Band-Aid" kuvanhu kumagumo ehupenyu uye, sezvo zvakadaro, hazvienderani nehuzivi hwekuchengetedza. Hasi mapurogiramu ose ekurapisa anoshanda nenzira iyi, zvakadaro, uye vamwe vakagadzirirwa kuisa ropa nguva dzose.
Kune varwere vane ropa rekenza, kuwedzerwa ropa kakawanda inzira yehupenyu. Kutaura zvazviri, vazhinji vezvishoma zvisiri zvechisimba zvekare zvinogona kutarisirwa zvakanaka kwemakore, uye kuwedzerwa ropa kunowanzo chikamu chechirongwa chekuchinja kuipa kwechirwere chekufa kune chimwe chinogona kuchengetwa nguva dzose.
Kunyange zvakadaro, chokwadi ichocho kuti vamwe varwere vane kenza yeropa vanofa vasingagoni kuzvidzivirira pachavo vanomiririra chimwe chinhu chinetso kune vatsvakurudzi uye nekuda kwevatsigiri vezvehutano pamwe chete. Kuwanda kwekuti mari inopinda muiyo equation hairi pachena, asi nyaya yebhadharo inokurudzirwa mune zvinyorwa zveAmerica Cancer Society peji yekuchengetedza hospice:
Musha wekuchengetwa kwekuchengetwa kwevarwere kunowanzosvitsa kudarika kuchengetwa muzvipatara, misha yevanamukoti, kana zvimwe zvigadziriro. Izvi ndezvokuti kushandiswa kwema-teknolojia yakaderera kunoshandiswa, uye mhuri neshamwari zvinowanzopa zvakawanda zvekutarisira.
Odejide uye vashandi pamwe navo, vanyori vekudzidza kwemazuva ano pamusoro pemararamiro ekurapa kwevarwere vane kenza yeropa, vanogumisa sezvizvi:
Aya mashoko anoratidza kuti kunyange zvazvo hematologic oncologists ichikoshesa hospice, kunetseka pamusoro pokukwanisika kwebasa rekenza yeropa ropa kunogadzirisa kutarisa kwekutarisa. Kuwedzerwa kuverengwa kwevanopinda muchengeti yevarwere vekenza yeropa, kupindira kunofananidzira mabasa ekufambisa kune zvavanoda zvakakodzera.
Shoko Rinobva
Chimwe chinhu chinopindirana kubva kune zvakasiyana-siyana zvirongwa zvekuchengetedza zvirwere ndeimwe nzira yakanaka yekusawirirana. Zvimwe zvirongwa zvekuchengetedza varwere zvichabvumidza kuwedzerwa ropa. Vamwe, zvinoratidzika, zvichibva pamigumisiro yekuongororwa kwechiremba uyu, zvichange zvisingatauri kuisira ropa-iwe kana mudiwa wako unofanirwa kubuda kune hospice kuti uwane kuwedzerwa mune izvo zviitiko. Sezvakanyorwa nevanyori vemazuva ano, izvi zvingava nzvimbo inogona kuchinjwa mumakore anotevera, kuenzanisa maitiro ekuchengetedza kune vanhu vane kenza yeropa. Kusvikira panguva iyo, uye chero ipi zvayo, inonyatsokurudzirwa kudzidza kubva kune wako hospice anopa izvo zvinonzi zvinotsigira uye izvo zvisingabatanidzwi kubva kune zvakanyanya kutarisirwa pakutsigira munzvimbo yekuchengetedza.
> Sources:
> Odejide O, Cronin A, Earle C, et al. Sei vanorwara nekenza yeropa vachida kufa pasina hospice? Cancer. 2017 May 22. chii: 10.1002 / cncr.30735. [Epub mberi kwekunyora]
> America Cancer Society. Ndiani anopa uye anopa mukana wekuchengetedza varapi? 2017.