Hapana nzira "yakarurama" yekubata nehosha inopera yekenza -cancer isingagoni kurapwa-uye hapana vanhu vaviri vanoitora nenzira yakafanana. Kunyange zvakadaro, nhungamiro inotevera inogona kukubatsira kuti utarise.
Mushure mekuziva
Paunonzwa hutachiona, iwe unganzwa usisina simba, sokunge kuti zvose zvaiitika kune mumwe munhu. Manzwiro okusuruvara, kutya, kurasikirwa, uye kutsamwa zvinowanzoshamisa.
"Vamwe varwere havambobvumirwi kugadzirisa zvirwere uye vanofa vachitsvaga kurapwa. Vamwe vanotora chirwere chacho, vanoti, 'Zvakanaka,' uye kutanga kuisa zvinhu zvavo mukuronga, "anodaro Greta Greer, Mutevedzeri weZvaponeso zveAmerican Cancer Society.
Zvichida zvinotora zvinopfuura imwe chete kukurukura nechiremba wako kuti agadzirise zvinetso zvako uye kuwana ruzivo rwaunoda. Pfungwa dzechipiri dzezvehutano dzinokosha zvakare. Zvinhu zvinokosha paIndaneti zvinosanganisira American Cancer Society's Nearing the End of Life.
Vanhu vanosiyanawo nenzira iyo vanogovana nayo kuongorora kwavo nevamwe. Vamwe vanokurukura zviri nyore uye vanonyora mablogi uye zvinyorwa zvezvemagariro evanhu zvenyika kuti vaone, asi vamwe vanoratidzira zvishoma uye vanoda kusachengetedza ruzivo rwepachivande. Avo vane vana vaduku vangave vachida kuchengetedza zvinhu zvakasununguka sezvinobvira chero bedzi zvavanokwanisa.
Mishonga
Kunyange zvazvo kenza yako isingagoni kurapwa, uchave uine maitiro ekurapa.
William Breitbart, MD, mukuru wepfungwa dzepfungwa paNew York's Memorial Sloan-Kettering Cancer Center, inofungidzira kuti vanenge 35 muzana yevaya vanorwara nekenza "vaizobatsirwa nekupindira nevanoshuwaridzana nevamwe, chiremba wepfungwa, kana chiremba wepfungwa." Varwere vane chirwere chekare, kunyanya , inogona kutambura nekuora mwoyo uye / kana kushungurudzika, izvo zviri zviviri zvinorapwa nemishonga, mishonga, kana zvose.
Iwe unogona kubatsirwa nehupenyu-huchiwedzera (zvisinei kuti hausi kuporesa) mazairo kana chemotherapy. Kuchengetedza-izvo zvakagadzirirwa kubvisa zviratidzo zvakadai sekurwadziwa-zvinogona kuvandudza mararamiro ako ehupenyu. Iva nesimba pakubvunza pamusoro pezvaunogona kusarudza, kusanganisira dzimwe nzira dzokurapa dzakadai sokugadziriswa . Nyanzvi dzakawanda dzinotaura kuti kurwadziwa kunotapurirwa muUnited States nekuda kwekunetseka pamusoro pezvinodhaka zvinodhaka.
Vamwe vanhu vanobatanidzwa mumakiriniki ekuedza kutsvakurudza mishonga yekuedza. Mune chirwere chemakiriniki , unogona kuwana zvakanyanya zvekurapa -uye iwe uchaziva kuti uri kugovera mberi kwekufambira mberi kwekenza kutarisira. IAmerican Cancer Society inopa ruzivo rwakawanda pamusoro pekuedza, uye webhusaiti yeNational Cancer Institute inokukurudzira kutsvaga pakati pezviuru zvezvidzidzo zviripo zvino kugamuchira vatori vechikamu.
Dying Process
Zvinetso zvevarwere zvinowanzobatanidza kuwana rubatsiro runobatsira kubva kuboka ravo rehutano, kuchengetedza rukudzo rwavo, uye kusasuruvara. Varwere vakawanda vanoda imwe pfungwa yezvinofanira kutarisira pakuguma.
Rufu kubva kune kenza inoratidzirwa nekupera zvishoma nezvishoma. (Usafungidzira kuti uchanakidzwa nehutano hwakanaka husati hwaguma, kukurumidza kunonoka.) Munhu anofa anowedzera nguva uye nguva yakawanda ari pamubhedha-uye nguva shomanana ichimuka-ichiwira mumvura yakadzika, mamiriro-evanhu asati afa.
Support
Kupa tariro yekurapa hakurevi kupa. Aya ndiwo maitiro anobatsira ekugadzirisa:
- Kutora zuva rimwe panguva imwe uye kuisa pfungwa pazvino
- Kuziva kuti kuchava nemazuva akanaka nemazuva akaipa
- Kuedza kuchengetedza pfungwa yezvakanaka uye tsika
- Kudzivisa kutarisira zvinhu zvakaipa zvinogona (kana kuti zvisati zvamboitika) zviitike
- Kuita zvinhu zvaunofarira; usangofunga nezvekufa
Kutsigirwa kwepfungwa kunokosha asi hazvibvi kunobva kumhuri: "Pashure pekugadziriswa kwechigadziko," Greer anoti, "dzimwe mhuri dzinoswededza pamwe chete, asi dzimwe dzinowedzera kuwedzera uye dziri kure." Zvipatara zvakawanda zvinopa mazano ekupa mazano kune vakaroorana nemhuri.
Kutsvaka rubatsiro kubva kune shamwari kana hama kunogona kuva nyore kana iwe ukatanga nekukumbira rubatsiro nemabasa anobatsira, akadai sokuchengetwa kwevana, kudya, kana kukwira. IAmerican Cancer Society's Cancer Resource Network inopawo rubatsiro.
Vanhu vazhinji vane chirwere chekupedzisira vanowana rubatsiro kubva kune vamwe vanorwara nekenza. Zvipatara zvinowanzotsigira mapoka ekutsigira kenza. Makomba akavakirwa paIndaneti, akadai se "Kura neKenza," iyo inhengo yeCancerChat.org.uk, inowanikwawo.
Zvimwe Zvokufungisisa
Izvi ndeimwe mibvunzo yaungada kuzvibvunza iwe kana iwe uchitarisana nekuongororwa kwako kwekuguma kwekenza.
Healthcare Issues
- Iwe unoda kuchengetwa kwekuchengetedza varwere here?
- Pane zvimwe zvinhu (kudyisa mabhute, cardiopulmonary resuscitation) yausingadi here?
- Ko zvakadini nehutano hwehutano, kuraira mberi, kana kuti-kwete-resuscitate urongwa kuti utungamirire kutarisira kwako kana iwe usingagoni?
Mitemo yeMutemo uye yeMari
- Ndezviitiko zvako zvemari mukugadzirira here?
- Mumwe munhu anoziva kupi kuti awane mapepa anokosha?
- Unoda here? Iko kusvika pakusvika?
- Iwe une inshuwarisi yeupenyu here? Ndiyo ruzivo ruzivo rwezvino?
Kugadzirira Kwekupedzisira
- Pane mavhavharo kana heirlooms kupa kune vadikanwa here?
- Zvakadini nekugadzirira tsamba kana mavhidhiyo kwavari?
- Unoda kufa pane imwe nzvimbo kunze kwechipatara here? Izvo zvinosanganisirei?
- Iwe unoda mushumiri, muprista, rabbi, kana mupi wezano mune zvemweya aripo pakupedzisira here?
- Unoda here kuti muviri wako uvigwa kana kupiswa? Iwe une nzvimbo yekuviga here? Ungada here madota ako akapararira mune imwe nzvimbo inokosha?
- Ndezvipi zvaunofarira zvebasa rekuyeuchidza? Wakambogovera zvaunoda here?
Kugadziriswa kwezvinhu zvakakosha
Pamusoro pezvose, iwe uchada kusarudza zvokuita munguva yakasara. Kune matambudziko aunoda kugadzirisa here? Iwe unoda kudzorerazve hupenyu hwako hwekare kwenguva yakareba sezvinobvira here? Kuzadzisa basa guru? Kufamba? Kana uine vana vaduku kana vazukuru, nguva pamwe navo inogona kuva yepamusoro pekutanga.
Vamwe vanhu vanova vatsigiri . Asati afa kubva mukenza wepancreatic, purofesa weCarnegie Mellon University, Randy Pausch, akatumira "hurukuro yekupedzisira" yakazova bhuku rakatengesa zvikuru uye video yakakurumbira yeVideo. Akazvitsaurira kuita zvose zvaikwanisika kuti awedzere kuzivikanwa kwepancreatic cancer.
Chero chipi zvacho chaunosarudza, iwe uchada kuwana ballpark pfungwa yekuti iwe uine nguva yakadini-makore, mwedzi, mazuva? Chiremba wako angati utano hwakadaro hausi kungofungidzira, asi nguva yakaoma inokosha.
Pakupedzisira, sezvinoitwa naChris Breitbart, chirwere chinoguma chinokonzera zvinetso zvepo, zvakadai sekugamuchira hupenyu hwawakagara, uchipa hupenyu uhu hunoenderana, uye hunova nepfungwa yekuvhara. Funga kuzvibvunza pachako, "Ndiri murugare here?"
> Sources:
> AmericanCancer Society. Mugumo weHupenyu Care.
> Centres for Disease Control and Prevention. Pamberi Purogiramu Yokugadzirira: Kuita Kuti Uchenjeri Hwako Hwuzivikanwe uye Hwakarumbidzwa Kana Iwe Usingagoni Kutaurira Iwe.
> Pausch, Randy, Assoc. Prof. (August 2008) .Carnegie Mellon University: Kurwisa Pancreatic Cancer. Carnegie Mellon