Ukwelashwa komdlavuza - ukubhekana nobuhlungu

Umdlavuza kwesinye isikhathi ungadala ubuhlungu. Lobuhlungu bungavela kumdlavuza uqobo, noma ekwelashweni komdlavuza.

Ukwelapha ubuhlungu bakho kufanele kube yingxenye yokwelashwa kwakho konke komdlavuza. Unelungelo lokuthola ukwelashwa kobuhlungu bomdlavuza. Kunemithi eminingi nezinye izindlela zokwelapha ezingasiza. Uma unobuhlungu, qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nezinketho zakho.

Ubuhlungu bomdlavuza bungaba nezimbangela ezimbalwa ezihlukile:

• Umdlavuza. Lapho isimila sikhula, singacindezela izinzwa, amathambo, izitho noma umgogodla, kubangele ubuhlungu.
• Ukuhlolwa kwezokwelapha. Ezinye izivivinyo zezokwelapha, njengokuhlolwa kwe-biopsy noma umnkantsha wamathambo, kungadala ubuhlungu.
• Ukwelashwa. Izinhlobo eziningi zokwelashwa komdlavuza zingadala ubuhlungu, kufaka phakathi i-chemotherapy, i-radiation, nokuhlinzwa.

Ubuhlungu bawo wonke umuntu buhlukile. Ubuhlungu bakho bungasuka kobumnene bube bukhulu futhi bungahlala isikhathi esifushane kuphela noma buqhubeke isikhathi eside.

Abantu abaningi abanomdlavuza abatholi ukwelashwa okwanele kobuhlungu babo. Lokhu kungenxa yokuthi abafuni ukuphuza umuthi wezinhlungu, noma abacabangi ukuthi kuzosiza. Kodwa ukwelapha ubuhlungu bakho kuyingxenye yokwelapha umdlavuza wakho. Kufanele uthole ukwelashwa kobuhlungu njengoba ubungenza nganoma yimuphi omunye umphumela ohlangothini.

Ukuphatha ubuhlungu kungakusiza uzizwe ungcono ngokuphelele. Ukwelashwa kungakusiza:

• Lala kangcono
• Sebenza ngokwengeziwe
• Ufuna ukudla
• Zizwe unengcindezi encane nokudangala
• Thuthukisa impilo yakho yezocansi

Abanye abantu bayasaba ukuthatha imishanguzo yezinhlungu ngoba bacabanga ukuthi izolutha. Ngokuhamba kwesikhathi, umzimba wakho ungaqala ukubekezelela umuthi wezinhlungu. Lokhu kusho ukuthi ungadinga okwengeziwe ukuphatha izinhlungu zakho. Lokhu kujwayelekile futhi kungenzeka nangeminye imithi. Akusho ukuthi usuyisigqila. Inqobo nje uma uthatha umuthi njengoba ushiwo ngudokotela wakho, unamathuba amancane okuba umlutha.

Ukuze uqiniseke ukuthi uthola ukwelashwa okulungile ngobuhlungu bakho, kubalulekile ukuthi uthembeke ngangokunokwenzeka nomhlinzeki wakho. Uzofuna ukutshela umhlinzeki wakho:

• Ukuthi ubuhlungu bakho buzwakala kanjani (buhlungu, buthuntu, buhlungu, buhlala njalo, noma bubukhali)
• Lapho uzwa khona ubuhlungu
• Ubuhlungu buhlala isikhathi esingakanani
• Inamandla kangakanani
• Uma kunesikhathi sosuku kuzwakala kungcono noma kubi kakhulu
• Uma kukhona okunye okwenza kuzwakale kungcono noma kubi kakhulu
• Uma ubuhlungu bakho bukugcina ungenzi lutho

Umhlinzeki wakho angakucela ukuthi ukale ubuhlungu bakho usebenzisa isikali noma ishadi. Kungasiza ukugcina idayari yezinhlungu ukusiza ukulandelela ubuhlungu bakho. Ungagcina futhi ithrekhi yokuthi uthatha nini umuthi wezinhlungu zakho nokuthi kusiza kangakanani. Lokhu kuzosiza umhlinzeki wakho azi ukuthi umuthi usebenza kahle kangakanani.

Kunezinhlobo ezintathu eziyinhloko zemithi yobuhlungu bomdlavuza. Umhlinzeki wakho uzosebenza nawe ukuthola umuthi okusebenzela kangcono kakhulu ngemiphumela engemihle. Ngokuvamile, uzoqala ngenani elincane lemithi ngemiphumela emibi kakhulu edambisa izinhlungu zakho. Uma umuthi owodwa ungasebenzi, umhlinzeki wakho angaphakamisa omunye. Kungathatha isikhashana ukuthola umuthi ofanele kanye nomthamo ofanele olungele wena.

• Ubuhlungu obungeyona i-opioid buyadambisa. Le mithi ifaka phakathi i-acetaminophen (Tylenol) kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin, ibuprofen (Advil, Motrin, abanye), ne-naproxen (Aleve). Kungcono ukwelapha ubuhlungu obumaphakathi kuya kokulingene. Ungathenga iningi lale mithi phezu kwekhawunta.
• Ama-opioid noma ama-narcotic. Le yimithi enamandla esetshenziselwa ukwelapha ubuhlungu obulinganiselayo kuya kabuhlungu. Udinga ukuba nodokotela ozowathatha. Amanye ama-opioid ajwayelekile afaka phakathi i-codeine, i-fentanyl, i-morphine, ne-oxycodone. Ungathatha le mithi ngaphezu kokunye ukudambisa izinhlungu.
• Ezinye izinhlobo zemithi. Umhlinzeki wakho anganikeza eminye imithi ukusiza ngobuhlungu bakho. Lokhu kungafaka ama-anticonvulsants noma ama-anti-depressants ezinhlungu zezinzwa noma i-steroids yokwelapha ubuhlungu bokuvuvukala.

Kubalulekile ukuthatha imithi yakho yezinhlungu njengoba nje umhlinzeki wakho ekutshela. Nawa amanye amathiphu okuthola okuningi emithini yakho yobuhlungu:

• Tshela umhlinzeki wakho ngayo yonke eminye imithi oyiphuzayo. Eminye imithi yezinhlungu ingasebenzisana neminye imithi.
• Ungeqi imithamo noma uzame ukuhamba isikhathi eside phakathi kwamanani. Ubuhlungu kulula ukubelapha uma usheshe wabelapha. Ungalindi kuze kube buhlungu kakhulu ngaphambi kokuthatha umuthi wakho. Lokhu kungenza ubuhlungu bakho bube nzima ukwelashwa futhi kukwenze udinge imithamo emikhulu.
• Ungayeki ukuthatha umuthi wedwa. Tshela umhlinzeki wakho uma unemiphumela emibi noma ezinye izinkinga. Umhlinzeki wakho angakusiza uthole izindlela zokubhekana nemiphumela emibi noma ezinye izinkinga. Uma imiphumela emibi kakhulu, ungadinga ukuzama omunye umuthi.
• Tshela umhlinzeki wakho uma umuthi ungasebenzi. Bangakhuphula umthamo wakho, uwuthathe kaningi, noma uzame omunye umuthi.

Kwezinye izimo, umhlinzeki wakho angaphakamisa olunye uhlobo lokwelashwa kobuhlungu bomdlavuza wakho. Ezinye izinketho zifaka:

• I-transcutaneous electric nerve stimulation (TENS). I-TENS ingumsinga kagesi omncane ongasiza ekunciphiseni ubuhlungu. Uyibeka engxenyeni yomzimba wakho lapho uzwa khona ubuhlungu.
• Isigaxa sezinzwa. Lolu uhlobo olukhethekile lomuthi wezinhlungu ojojowe nxazonke noma emthanjeni wokunciphisa izinhlungu.
• Ukukhishwa kwe-Radiofrequency. Amagagasi omsakazo ashisa izindawo zezicubu zemizwa ukusiza ukudambisa izinhlungu.
• Ukwelashwa ngemisebe. Lokhu kwelashwa kunganciphisa isimila esibangela ubuhlungu.
• Ukwelashwa ngamakhemikhali. Le mithi futhi inganciphisa isimila ukunciphisa izinhlungu.
• Ukuhlinzwa. Umhlinzeki wakho angasebenzisa ukuhlinzwa ukuze asuse isimila esibangela ubuhlungu. Kwezinye izimo, uhlobo lokuhlinzwa kobuchopho lungasika izinzwa ezithwala imiyalezo yobuhlungu ziye ebuchosheni bakho.
• Imithi ehambisanayo noma ehlukile. Ungase futhi ukhethe ukuzama ukwelashwa okufana nokukhwabanisa umzimba, i-chiropractic, ukuzindla, noma i-biofeedback ukusiza ukuphatha ubuhlungu bakho. Ezimweni eziningi, abantu basebenzisa lezi zindlela ngaphezu kwemithi noma ezinye izinhlobo zokuphumula kobuhlungu.

I-Palliative - ubuhlungu bomdlavuza

UNesbit S, uBrowner I, uGrossman SA. Ubuhlungu obuhlobene nomdlavuza. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

Iwebhusayithi yeNational Cancer Institute. Ubuhlungu bomdlavuza (PDQ) - Uhlobo lochwepheshe bezempilo. www.cancer.gov/about-cancer/treatment/side-effects/pain/pain-hp-pdq. Kubuyekezwe ngo-Septhemba 3, 2020. Kufinyelelwe ngo-Okthoba 24, 2020.

IScarborough BM, iSmith CB. Ukuphathwa kobuhlungu okuhle kweziguli ezinomdlavuza esikhathini sanamuhla. I-CA Cancer J Clin. I-2018; i-68 (3): 182-196. I-PMID: 29603142 pubmed.ncbi.nlm.nih.gov/29603142/.

• Umdlavuza - Ukuphila Nomdlavuza