Kushanyira uye Maitiro Anotevera Kurapa Kanza Kuchengetedzwa
Chii chaunoda kuziva pamusoro pekutevera shure kwekenza yemukenza yemapapu? Iwe kangani unoda kuva nekliniki kushanyira, basa reropa, uye kuongorora? Chii chinotevera?
Kutevera-Up uye Kupona
Kunzwisisa kutevera kunongova chimwe chezvinhu zvezvino zvave zvakagadzirwa "kupona." Pakupedzisira kuonekwa kuti vanhu vanochinja nekuda kwekenza kurapwa. Uye sezvatinowanzokurudzira kugadziriswa kana mumwe munhu ane chirwere chekurohwa kana kunyange kugadzirisa mabvi, zvakakosha kune avo vanopedza kurapwa kwekenza yemapapu kuti vanzwisise matanho anotevera mukurapa.
Kana iwe wakasvika padanho rino murwendo rwako, zvimwe unoshamiswa nemamwe manzwiro ako. Iwe unogona kunge wakazvifananidza iwe sekunakidza uye kupemberera nguva iyo kurapwa kwakapera, uye oshamisika kuti sei iwe usingafungi saizvozvo saizvozvo shure kwezvose. Zvechokwadi, vanhu vakawanda vari mukutora kutora danho-chaizvoizvo iyo yakawanda inosvetuka kune imwe tsvina kubva kunekushanda kenza inoshanda yekutevera-uye kuponesa - kunzwa zvakanyanya kuora mwoyo. Chii zvino?
Survivorship Plan
Kutevera mushure mekenza hakuwanzokurukurwa panguva yekurapa, kana kunyange pakupera kwekurapa. Kanzura kutarisa kuri kuchinja uye ikozvino yakakurudzirwa kuti munhu wese ave nechirongwa chokupona chakapedzwa. Kunzwisisa kweizvi kunogona kuchinja zvakasiyana-siyana, asi pane zvimwe zvinhu paIndaneti kana iwe usingazivi izvi. Unotangira kupi? IAmerican Society of Clinical Oncology inopa chirongwa chokuchengetedza ASCO chekuchengetedza iwe unogona kudhinda.
Tichavawo kugovera zvakawanda pano munguva pfupi.
Kutevera-Up Clinic Appointments
Paunopedza kurapa chiremba wako achakurudzira kuti udzoke pane dzimwe nguva. Izvi zvichasiyana zvikuru zvichienderana nehutano hwako hwemapapu emapapu, pamwe nekupindura nemigumisiro panguva yechirwere. Izvi zvinotevera kusarudzwa zvichange zvisinganyanyi kuitika nguva, asi vazhinji vanopukunyuka kenza vachaonekwa nevecologist yavo, panguva shoma gore negore, kwehupenyu hwavo hwose.
Chinangwa chekushanyira uku ndeche-katatu:
Kuchengetedza zviratidzo zvekudzoka - Pedyo ani zvake ane chirwere chemapapu chemapapu anotakura ngozi kuti chirwere chichadzoka zvakare. Chiremba wako achakubvunza mibvunzo (tora nhoroondo) ita chiitiko chekuongorora, uye zvichida ita urongwa hwemabara uye zvidzidzo zvekufungidzira kuti utsvake chero chiratidzo chipi zvacho chekupora kenza yemapapu.
Kuchengetedza kenza yechipiri - Kana wava nemukenza wemapapu uri pangozi yakakura yekuwedzera kechipiri yemukenza yemapapu . Mukuwedzera, mamwe emishonga yemukenza wemapapu inosanganisira chemotherapy uye remishonga yehutachiona inogona kuwedzera mukana wekuvandudza kechipiri kenza isingabatanidzi yakadai se-lymphoma (inonzi kemikari yechipiri.)
Kuchengetedza kusingaperi kwemigumisiro yechirwere - Mitezo yechirwere inogona kugara kwenguva refu mushure mekurapa kenza yakapedzwa. Mukuwedzera, zvimwe zvinokonzerwa nemigumisiro hazviiti kutanga kusvikira makore, kana kunyange makumi emakore mushure mekunge kurapwa kwapera.
Maintenance Medication
Pavanopedza kurapwa, vamwe vanhu vanopiwa mishonga yekugadzirisa kutora. Izvi zvinogona kuva mishonga yekuchengetedza kenza yako yakasimba kana iwe uchiri neuchapupu hwekenza kana kuderedza dambudziko rekudzoka zvakare. Zvakakosha kutora izvi purogiramu yenguva dzose uye panguva imwechete zuva rimwe nerimwe.
Kuchengetedza Scans
Kana iwe uchiziva ani zvake apedza kurapwa kwemukenza, zvichida unoziva nekutevera-scans. Izvi zvinokonzera kushushikana zvakakwana kuti vakapiwa nguva yavo pachavo: scanxiety .
Kuwedzerwa kwezviwero izvi kunoderera nekufamba kwenguva uye kunowirirana kune umwe neumwe, nebhokisi CT scan zvinowanzoitwa kwemwedzi mitatu kwemakore matatu, uye gore rimwe chete. Hazvizivikanwe kuti izvi zvinogona kumira zvakadini, uye kana kuti kwete kana kuti kwete chirwere chetachiona CT chingave chakakwana mushure mechinguva. Zvimwe zviedzo zvakadai sebronchoscopy, mudumbu ultrasound, uropi CT uye bone scans zvinogona kurongedzwa nguva dzose kwechinguva.
Uine mahedheni, unogona kunzwa pamusoro pekukakavara kwekutevera ne CT scans. Mubvunzo unotaura pamusoro pezviongororwa izvi ndeyekuti kana kwete here kubatsirwa kwekupona. Kuwana kudzoka kwekenza zvisati zvaitika zviratidzo zviripo zvinoguma nekupona kwenguva refu kana huri nani hwehupenyu hwevanopona? Mimwe yemibvunzo iyi ikozvino inotarirwa mumakiriniki.
Kuramba Uine Utano
Paunenge uri pakati pekenza kurapwa, chinonyanya kukosha pakupona. Chinangwa chekudya ndechokuwana makoriro uye mapuroteni, kwete kudya zvinotyisa antioxidant kudya izvo zvingave, zvinongodaro, zvingava zvinokuvadza pakuti zvinogona "kudzivirira" masero ekenza.
Kana wapedza kurapa ndiyo nguva yakanaka yekugadzirisa zvinetso izvi. Kudya kudya kwakanaka kunokosha, asi kunakidza, pane zvimwe zvokudya zvinogona kuderedza ngozi yekenza yechipiri yemapapu kana kudya kunogona kubatsira kurwa nekenza yemapapu . Kurovedza muviri kunokosha pakudzikisa ngozi yekudzoka, uye kunyange kusuruvara kungaita sekunonyanya kushungurudza, kutarisana nechisimba ichi kunogona kutowedzera kuguma kwako.
Kurarama Nemigumisiro Yomuviri yeKenza
Kunyangwe zvisingatauri nezvazvo nguva yakawanda, vanhu vazhinji vanotarisana nemagumisiro ekuguma kwekenza yemapapu emapapu . Ichokwadi, vanhu vazhinji vanoita. Chimwe chidzidzo chakawana kuti makore gumi mushure mekunge vaongororwa, 80 muzana yevanopinda mutsva wekenza vakanga vachiri kubata nemigumisiro yenyama yekenza kurapwa zvakakosha kuchinja hupenyu hwavo. Kune dzimwe nguva dzakawanda dzinokonzerwa nemigumisiro yekemotherapy pamwe nekugara kwenguva yakareba nemigumisiro yeradio inorapwa . Mukuwedzera, vanhu vazhinji vanotarisana nekurwadziwa kwepfupa mushure mekuvhiyiwa kwekenza yemapapu kunonzi se-post-thoracotomy pain syndrome. Taura nachiremba wako pamusoro pezviratidzo zvipi zvauri kuona. Yakawanda kune vanhu vane mutsa wemapapu inosanganisira:
- Marwadzo (zvikurukuru post-thoracotomy pain)
- Kuneta
- Kupfupika kwemhepo
- Kuchema
Kugadziriswa kwepulmonary ("lung therapy") inzvimbo itsva, asi zvidzidzo zvinoratidza izvi zvingabatsira vanhu kurarama nezvinetso zvekufema kwenguva refu zvine chokuita nekenza yemapapu.
Kurarama Nemigumisiro Yemuviri yeCancer
Muviri nepfungwa zvinowirirana, naizvozvo hazvishamisi kuti vanhu vazhinji vanoona zvirwere zvinogara kwenguva refu mushure mokurapa kenza. Izvi zvinogona kuva zvakanyanya - sezvinoitika mushure mekunyanya kushungurudzika mupfungwa mune varwere vekenza - kana kuderera zvakanyanya, sekugadziriswa kwekugadzirisa uye kuderedza kuora mwoyo. Kansa inoshandura vanhu, uye iwe unogona kuwana kuti mhinduro yako kune mamiriro ezvinhu yakasiyana kubva pane zvaizange zvagara isati-kanza. Semuenzaniso, zvakawanikwa kuti vanopona nekenza vanowanzoenda kune dzimwe nyaya dzisiri dzekenza muhupenyu hwavo nekudzivisa - vachitarisira kuti chero chii chiri kuitika chichabva chaenda. Zvinonzwisisika. Mushure memukenza, zvinhu zviduku zvinowanzova zviduku, asi kutaura nezvekuchinja kunovhiringidza kukwanisa kwako kurarama zvizere mushure mekenza ingano yakanaka.
Kurarama nemanzwiro ekutyisa kwekenza hakureve kuti iwe unofanirwa kuona chiremba-kunyange zvazvo zvidzidzo nevanopukunyuka kenza yemazamu zvinoratidza kuti izvi zvingatowedzera kubudirira kwenguva refu. Kune nzira dzakawanda dzevanhu vanogona kurarama nemafungiro emapfupa emapapu emapapu. Iwe unogona kuda kubatana neboka rekutsigira . Kana kuti zvimwe, tanga kutumira rwendo rwako rwekenza . Vamwe vanhu vanoona kuti pfungwa / muviri kurapwa kwekenza varwere kunogona kuita mutsauko mukuru mukati maviri mumanzwiro pamwe nekuporesa kwepanyama mushure mekenza.
Kubatana Nevamwe Munharaunda yeChair Cancer
Kunyangwe iwe ukarega kubatsirana mapoka panguva yekurapwa, uye kunyanya kana iwe uchida kupfuurira nehupenyu hwako, kuve wakashanda mune imwe nzira mumusana mukuru wekenza yemapapu ndeimwe yezvinhu zvakanakisisa zvaungaita iwe pachako. Izvi zvinogona kubatsira nenzira dzakawanda:
- Nokudzidzisa - Kana wachangopedza kurapwa iwe unonyatsoziva kuti zvinoshamisa sei kurapwa kwekenza yemapapu zvakashanduka - uye kukurumidza sei. Pakati pegore ra2011 na2015 pakanga pane zvimwe zvirwere zvitsva zvinogamuchirwa nemukenza wemapapu kupfuura mumakumi emakumi mana asati apfuura 2011. Sezvo isu tiri kuwana ruzivo rwezuva nezuva pamusoro pemishonga, tiri kudzidza zvakawanda nezvekudzoka. Kuva muboka remapapu emapapu kunokupa mukana wekunzwa nezvekufambira mberi uku - dzimwe nguva kunyange pamberi pevanhu vomunharaunda yako incologist.
- Kutsigirwa - Kungova nemukana wekutaura kune vamwe "vakavepo" kunokosha.
- Kudzorera - Wakawana zivo iyi yose, ikozvino iwe uchaitei nayo? Kupa shure hakureve kuti iwe unofanira kupedza nguva yakawandisa yenguva - chaizvoizvo, mushure memukenza wemapapu, zvimwe unenge uine zvizhinji zvekubata kuita muupenyu hwako. Tora kanguva kuti uongorore zvimwe zvekusarudza. Zvichida iwe unogona kuvapo kutaura kune mumwe munhu ane chirwere chakafanana chekenza yemapapu uyo achangobva kuonekwa? Panewo flip pane iyi. Tinoziva, zvinosuruvarisa, mukenza wekumapapu dzimwe nguva unodzoka zvakare. Kana izvozvo zvingazoitika, iwe zvino une nharaunda yevanhu vakangoitawo saizvozvo, zvakakwana pamunwe wako.
Sources:
American Society of Clinical Oncology. Cancer.Net. Chirwere Chirwere - Isina-Small Cell: Kuchengetedza Kuchengetedza. 08/2015. http://www.cancer.net/cancer-types/lung-cancer-non-small-cell/follow-care
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