Zvinokonzerwa neKanain Pain and Methods for Managment
Kutambudzika kwevanhu vane chirwere chemapapu kwakauya nenzira yakareba, asi kunetseka pamusoro pemarwadzo kunotyisa kusvika kumunhu wose anongorwara ane chirwere. "Ndichine marwadzo here? Zvakadini kana mishonga yangu inorwadziwa ikamira kushanda uye isingagoni kudzora kurwadziwa kwangu? "Njodzi inogona kukuvadza hupenyu hwako hunoita kuti unzwe uchinetseka uye unogumbura, asi pane zvakawanda zvinoshandiswa pakurapa marwadzo.
Muna 1986, World Health Organization yakabudisa mirayiridzo yekudzora kurwadziwa kwekenza. Kushandisa nzira iyi, uyewo maitiro matsva, ruzhinji rwevanhu vanogona kutarisana nekurwadziwa kwakanaka mukati mehutano hwavo hwekenza yemapapu .
Inonyanya Kuwirirana Sei Nemaronda Anonzi Lung?
Urombo hwakajairika nemukenza wemapapu, uye 51 muzana yevanhu vanorarama nekenza yemapapu mune mamwe marwadzo panguva yekurapa. Ane kenza yemapapu yakapfuura , anenge anenge munhu wese achange achida mamwe marapirwo ekurapa marwadzo. Mukuwedzera, zvinofungidzirwa kuti mumwe wevanhu vatatu vane kenza anoguma kurwisa kurwadziwa kwepfungwa - imwe yematambudziko akaoma zvikuru ekurapa.
Chii Chinokonzera Kushungurudzika Nechirwere Chemuviri?
Kansa yemaperembudzi inogona kuguma nekurwadziwa nenzira dzakasiyana. Zvimwe zvezvi zvinosanganisira:
- Uturu hunobva pamubhedha uri kumanikidzwa nemitsipa, mapfupa, kana chirura (mapafu emapapu.)
- Marwadzo emiratidzo yemukenza yemapapu, yakadai sekukanganiswa.
- Migumisiro yechirwere yemukenza wemapapu, yakadai semaronda emuromo munguva yekemotherapy, kana kurwadziwa kwekunzwa mushure mekuvhiyiwa.
- Kuora kwenguva refu mushure mekuvhiyiwa kwekenza yemapapu kunonzi postpneumonectomy syndrome kana post-thoracotomy syndrome .
- Zvimwe zvirwere zviripo pamwe nemukenza wemapapu, zvakadai seArthritis kana misoro
- Peripheral neuropathy inobatanidza chemotherapy remishonga.
Kukosha Kwokurapa Kanzwa Hwangu
Kunetseka kwekenza kunogona kukanganisa mararamiro ako ehupenyu kuburikidza nekuvhiringidza kurara kwako, kudya uye kudzidzira muviri, uye kunogona kutotungamirira ku kuora mwoyo.
Kurapa kwakakodzera marwadzo kunogona kuvandudza kukwanisa kwako kutsungirira apo iwe unopinda nekenza kurapwa, uye kukubatsira iwe kuti uite chikamu mumabasa akajairika aunofarira. Kurapa kwakakwana kunotarisirwa mumuviri pamwe chete uye kunobatanidza nekupindura kwakanaka kurapwa, zvakadai sekuvandudzwa kuporesa mushure mekuvhiyiwa.
Kurondedzera Njodzi Kumutori Wako
Chiremba wako achakumbira iwe kuti utsanangure mararamiro ako. Iko yakakosha here kana kuti inononoka, inogara iripo kana inouya uye inoenda here? Chii chinoita kuti zvive nani uye chii chinowedzera kuipa? Anokubvunzawo kuti kurwadziwa kwako kwakanyanya sei. Vanachiremba vanoshandisa mhando dzakawanda dze "zviyero zvinorwadza" kukubatsira kurondedzera kukwirira kwekutambudzika kwauri kuona. Nzira yakakurumbira ndeyokukubvunza iwe kurondedzera marwadzo ako pachiyero kubva pa1 kusvika ku10, uye 1 kusanyanya kurwadziwa, uye 10 kuva kurwadziwa kwakaipisisa iwe unogona kufungidzira.
Zvipingamupinyi Zvakafanira Kutambura Kwekutambudzika
Zvidzidzo zvinoratidza kuti kurwadziwa kunotapukirwa nemukenza wemapapu . Zvinhu zvakawanda zvinogona kuita kuti:
- Kutya kudengenyeka - Vanhu vanotora mishonga yekurwadziwa kwekenza havawanzove vakapindwa muropa.
- Kutya kuti mishonga inorwadza haichazoshandi , uye hapazovi nechinhu chinosara kuti chidzivirire marwadzo kana chichiwedzera - Hauzovi nemishonga yemarwadzo, uye zvimwe zvinoshandiswa zviripo.
- Kutya mimwe migumisiro kubva pamishonga inorwadza - Mishonga yemarwadzo inogona kuva nemigumisiro, asi dzakawanda dzazvo zviri nyore nyore kuzvidzora.
- Kusakwanisa kuwana mishonga yemarwadzo - Kana iwe usingakwanise kuwana marwadzo ako ekurwadziwa, wako oncologist angakwanisa kuchinja mutemo wako kune imwe isingadhuri, kana kukuendesa purogiramu apo iwe unogona kuwana rubatsiro rwemari.
Mishonga Inoshandiswa Kurapa Kwemapfupa
Kansa yemaperembudzi inogona kukonzera kurwadziwa kukuru, uye vazhinji vevanhu vachada mishonga yekudzivirira marwadzo pane imwe nguva panguva yekurapa kwavo. Kana urombo hukava hwakaoma zvikuru, nzira dzakadai sedzivo dzomukati dzinogona kupa humwe hupfumi.
Zvimwe zvisingashandisi mishonga zvinogona kubatsirawo kudzora marwadzo ako.
Mishonga yeCancer Pain
Mishonga yekudzivirira mutsaini inorwadza muzvikamu zvitatu:
- Kupfuura-the-counter mishonga - Pamusoro pemishonga yakadai seAppil (ibuprofen) kana Tylenol (acetaminophen) inogona kubatsira nemarwadzo.
- Opioids - Opioids yakadai se codeine uye morphine inowanzodiwa kuti uwane marwadzo akaenzana.
- Mimwe mishonga - Mishonga yakadai sokurwisa-depressants uye anti-seizure mishonga dzimwe nguva inoshandiswa pakutsva / kuora marwadzo, uye steroids inogona kubatsira pamarwadzo anokonzerwa nokudzimba.
Kupindira Kwemakumbo Okurapa Kwokurapa
Dambudziko remishonga yekurapa kurwadziwa kwekenza, ndeyekuti mazamu anodiwa kuti awane zvakakwana kurwadziwa anowanzouya nemigumisiro. Maitiro ekudzivirira marwadzo ekupindira ndeaya akave akarongerwa kubatsira kugadzirisa dambudziko iri, uye kugadzirisa marwadzo aripo (nerve.) Dzimwe dzedzidzo idzi dzinosanganisira:
- Nzira dzomukati - Nzira iyo mishonga inoshandiswa mukati mejinga kana kuti mumumumonho wemvura (intrathecal delivery), iyo inogona kubatsira nekutambudzika kwakanyanya.
- Mutsara wesimbi kukurudzira.
- Neurosurgery iyo inoparadzanisa mitsipa inotuma marwadzo inoratidza kuuropi yako.
Kurapa Kwepfupa yeTetas Metastases
Kana mutanho wemapapu unopararira kusvika pfupa unogona kukonzera kurwadziwa kukuru. Mukuwedzera kune dzimwe mishonga, kurapwa kwemasitasase emapfupa kunogona kusanganisira kirasi yemishonga inonzi baziphosphonates uye radiation therapy.
Vitamin D uye Kanano Hwangu
Kunyange zvazvo vitamini D ingasave iyo mhinduro kumarwadzo ako ose, kutaurira chiremba wako pamusoro pekuwedzera kune zvakakosha. Takadzidza mumakore achangopfuura kuti vazhinji vevanhu vane uwandu hwevhitamiti D, uye kuva nehutera kunobatanidzwa nekupona kwepabonde kwepamusoro. Kuongorora kwechangobva kuitika muSweden kwakapa zvakanyanya kukurudzira kuongorora mazinga, zvisinei, sezvo zvingatora chikamu mukurwadziwa. Vatsvakurudzi muSweden vakaona kuti kushandiswa kwevhitamini D kuwedzera kune vanhu vane kenza kwakabatanidzwa nechechidikanwa rwemishonga yemarwadzo anonyadzisira, kutarisana nekurwadziwa kwakanaka, uye hupenyu huri nani hwehupenyu. Sezvo vitamini D yako yepamusoro inogona kuongororwa neongorori rweropa, taura nachiremba wako kana iwe usati wamboongorora izvi.
Nzira Dzakasiyana Dzokurapa Kwemapfupa
Mimwe kenza yemagariro ikozvino inopa kubatanidza / nzira dzakasiyana-siyana dzokubatsira nekutambudzika kwekurwa . Izvo hazvisi kubatsiririra mamwe marwadzo ekurwadziwa, asi mamwe ave akaratidzwa kuderedza kudiwa kwemishonga inorwadza. Imwe nzira iyo inoita seyakasimbisa inosanganisira kubata, kushambadza, uye qigong.
Kurarama Nemaronda emaronda
Chinhu chinonyanya kukosha chaungaita ndechekutaura pachena neoncologist yako uye vaunoda pamusoro pekutambudzika kupi zvako kwauri kuitika. Munhu wose anonzwa kurwadziwa zvakasiyana. Hapana mumwe wedu anogona kuverenga pfungwa, uye zvakakosha kugoverana manzwiro aunoita kuitira kuti boka rako rekuchengetedza utano rinogona kutora chiito kubatsira. Kana iwe unotya pamusoro pokunge uri muropa, kana kuti mishonga icharega kushanda, kuratidza izvo zvinotyisa. Kana iwe unonetseka pamusoro pemari yekurapa mishonga, taura oncologist yako. Kana iwe uchinzwa uri kutakudza vadiwa vako vachitaura nezvekutambudzika kwako, ziva kuti zvinokosha kuti vanzwisise zvauri kuitika. Vadiwa vako vachakwanisa kukutsigira zvakanakisisa kana vakanzwisisa kuti hamuna kunzwa zvakanaka-uye vanogona kukukurudzira kuti utsvake rubatsiro rwunorwadza rwakakodzera.
> Sources:
> Bergman, P., Sperneder, S., Hoijer, J., Bergqvist, J., naL. Bjorkkem-Bergman. Low vitamin D mazinga anosangana nepamusoro yeopioid dose muvarwere vekenza yepamusoro - migumisiro inobva kuongorora yekuongorora kuSweden. PLoS One . 2015. 10 (5): e0128223.
> Bjorkhem-Bergman, L., naP. Bergman. Vitamini D nevarwere vane kenza inopinza. BMJ Inotsigira uye Inobatsira Kutsigira . 2016 Apr 15. (Epub mberi kwekudhinda).
> Lamer, T., Deer, T., uye S. Hayek. Zvinyorwa zvekuvandudzwa kwekutambudzika. Mayo Clinic Proceedings . 2016. 91 (2): 246-58.
> National Cancer Institute. PDQ Information Summaries. Cancer Pain (PDQ). Health Professional Version. 02/17/16. https://www.ncbi.nlm.nih.gov/pubmed/26985561
> National Cancer Institute. PDQ Cancer Information Summaries. Cancer Pain (PDQ). Patient Version. 04/07/16. https://www.ncbi.nlm.nih.gov/books/NBK65883/#CDR0000062845__8
> Roberto, A., Deandrea, S., Greco, M. et al. Kuwanda kweNeuropathic Pain muCcercer Varwere: Kugoverwa Kuenzanisira Kubva Mukuongorora Kwakarongeka kweMabhuku Akabudiswa uye Zvigumisiro Kubva kuSvondo Inowanikwa muChitty Italian Palliative Care Centers. Zvinyorwa zveHurwa uye Chiratidzo Chekuita . 2016 Mar 24. (Epub mberi kwekudhinda).