Okufanele Ukwazi Ngokunakekelwa Kwe-Palliative

-Delile

• Kuyini ukunakekelwa kwe-palliative?
• Ukunakekelwa kwesifo somdlavuza
• Ukunakekelwa okunciphisayo kokuwohloka komqondo
• Ukunakekelwa kwe-COPD
• Uhluke kanjani kwi-hospice?
• Isifinyezo
• Ngubani onikeza lolu hlobo lokunakekelwa?
• Lapho kufanele ucabangele ukunakekelwa okunciphisayo
• Ungakuthola ukunakekelwa okupholisayo ekhaya?
• Ukuthola kanjani ukunakekelwa okunciphisayo?
• Ngabe ihlanganiswe yiMedicare?
• Okubalulekile

Ukunakekelwa kwe-palliative kuyinsimu ekhulayo yezokwelapha. Noma kunjalo, kukhona ukudideka mayelana nokuthi ukunakekelwa okunciphisayo kuyini, ukuthi kuhlanganisani, ngubani okufanele akuthole, nokuthi kungani.

Umgomo wokunakekelwa okunciphisayo ukuthuthukisa ikhwalithi yempilo yabantu abanezifo ezinzima noma eziguqula impilo. Ngezinye izikhathi kubizwa ngokuthi ukunakekelwa okusekelayo.

Ukunakekelwa kwe-palliative kumayelana nokwenza ngcono impilo yonke, kufaka phakathi inhlalakahle engokomzimba, engokomzwelo, engokomoya neyenhlalo.

Kuyini ukunakekelwa kwe-palliative?

Ukunakekelwa kwe-palliative kugxile ekuthuthukiseni impilo yonke yabantu abanezifo ezinzima. Ikhuluma ngezimpawu zombili kanye nengcindezi yokuphila nokugula okungalapheki. Kungabandakanya nokusekelwa kwabathandekayo noma abanakekeli.

Njengoba kususelwa ezidingweni zomuntu ngamunye, ukunakekelwa okunciphisayo kungahluka kakhulu komunye umuntu kuya komunye. Uhlelo lokunakekelwa lungahle lubandakanye eyodwa noma eziningi zalezi zinhloso ezilandelayo:

• ukunciphisa izimpawu, kufaka phakathi imiphumela emibi yokwelashwa
• ukwenza ngcono ukuqonda kokugula kanye nokuqhubekela phambili kwaso
• ukukhomba nokubhekana nezidingo ezingokoqobo nezingokomoya
• ukusiza ukubhekana nemizwa kanye nezinguquko ezihlobene nokugula
• ukusiza ekuqondeni izinketho zokwelashwa, ukwenza izinqumo zokwelashwa, nokuxhumanisa ukunakekelwa
• ukukhomba nokufinyelela ezinsizakalweni ezingeziwe ukuhlinzeka ukwesekwa

Ukunakekelwa kwe-palliative kungaba yindlela yezimo eziningi. Umdlavuza, ukuwohloka komqondo, nesifo esingelapheki sokuvimbela kwamaphaphu (COPD) ngezinye zezimo ezivame kakhulu lapho ukunakekelwa kokuthokomala kungasiza kakhulu. Lezi zibonelo zichazwe kabanzi ngezansi.

Ukunakekelwa kwesifo somdlavuza

Umdlavuza ngesinye sezifo ezivame kakhulu ezihambisana nokunakekelwa okunciphisayo, njengoba zombili izimpawu nokwelashwa kungaba nomthelela omkhulu ezingeni lakho lempilo.

Ukunakekelwa komdlavuza we-Palliative kuyahluka ngokuya ngohlobo lomdlavuza, kanye nezimpawu, ukwelashwa, ubudala, nokubikezela.

Umuntu onesifo somdlavuza wakamuva angathola ukunakekelwa kokuthambisa ukuphatha imiphumela emibi ye-chemotherapy noma i-radiation, noma ukubasiza ukuthi balulame ngemuva kokuhlinzwa.

Ukunakekelwa kwesifo somdlavuza okuvamile kuvame ukufaka ukwelashwa kokudangala noma ukukhathazeka, namathuluzi okusiza amalungu omndeni ahlelele ikusasa.

Ukunakekelwa okunciphisayo kokuwohloka komqondo

Ukuwohloka komqondo kuhlotshaniswa nokuwohloka kokusebenza kobuchopho. Kuthinta kakhulu ukuqonda komuntu, inkumbulo, ulimi, ukwahlulela nokuziphatha.

Ukunakekelwa kwe-palliative kungafaka ukwelashwa kokukhathazeka okubangelwa ukuwohloka komqondo. Njengoba ukugula kuqhubeka, kungabandakanya ukusiza amalungu omndeni ukuthi enze izinqumo ezinzima mayelana nokondla noma ukunakekela othandekayo wakhe. Kungabandakanya nokusekelwa kwabanakekeli bemindeni.

Ukunakekelwa kwe-COPD

Ukunakekelwa kwe-palliative kungasiza ukuphatha i-COPD, isifo sokuphefumula esibangela ukukhwehlela nokuphefumula okuncane.

Kulesi simo, ukunakekelwa okunciphisayo kungafaka ukwelashwa kokungakhululeki, ukukhathazeka, noma ukuqwasha okuhambisana nokuphefumula kanzima. Ungathola imfundo ngokushintsha kwendlela yokuphila, njengokuyeka ukubhema, okungathuthukisa izinga lomsebenzi wakho futhi kubambezele ukuqhubeka kwesifo sakho.

Uhluke kanjani kwi-hospice?

Umehluko omkhulu phakathi kokunakekelwa kwe-palliative ne-hospice kulapho kunikezwa uhlobo ngalunye lokunakekelwa.

Kubantu abanesimo esibucayi futhi esingasongela impilo, ukunakekelwa kokutholayo kuyatholakala nganoma yisiphi isikhathi, kungakhathalekile isigaba sokugula. Akuxhomekile ekubikezelweni kwakho noma esikhathini sokuphila.

Ngokuphambene, ukunakekelwa kwe-hospice kutholakala kuphela ekugcineni kwempilo, lapho ukugula kungasaphenduli ekwelashweni. Ngalesi sikhathi, lowo muntu anganquma ukuyeka ukwelashwa bese eqala ukunakekelwa kwe-hospice, okwaziwa nangokuthi ukunakekelwa kokuphela kokuphila.

Njengokunakekelwa kwe-palliative, i-hospice igxile enhlalakahleni yomuntu jikelele, kufaka phakathi impilo yakhe engokomzwelo, engokomzimba, nengokomoya. Eqinisweni, i-hospice ibhekwa njengendlela yokunakekelwa okunciphisayo. Kodwa-ke, ukuthola ukunakekelwa okunciphisayo akusho ukuthi usezibhedlela.

Ukuze ufanelekele ukunakekelwa kwe-hospice, udokotela kufanele alinganise ukuthi isikhathi sakho sokuphila siyizinyanga eziyisithupha noma ngaphansi. Lokhu kungaba nzima ngokumangalisayo ukunquma.

Ukunakekelwa kwe-Hospice akuhlali kukhomba ukuphela kwempilo. Kungenzeka ukuthi uthole ukunakekelwa kwe-hospice bese uqala kabusha izindlela zokwelapha noma ezandisa impilo.

Isifinyezo

• Ukunakekelwa kwe-Palliative itholakala nganoma yisiphi isikhathi, kungakhathalekile ukuthi ukugula noma isikhathi sokuphila sikuphi.
• Ukunakekelwa kwabahlengikazi itholakala kuphela ekupheleni kwempilo.

Ngubani onikeza lolu hlobo lokunakekelwa?

Ukunakekelwa kokuhlinzekwa okuhlinzekwayo kunikezwa yithimba eliqondisa izigwegwe labasebenzi bezempilo abaqeqeshwe ngokukhethekile kulolu hlobo lomuthi.

Ithimba lakho lokunakekelwa kwe-palliative lingafaka noma yikuphi okulandelayo:

• udokotela onakekelayo
• abanye odokotela, njengochwepheshe wezokuphefumula, isazi sezinzwa, noma udokotela wezifo zengqondo
• abahlengikazi
• usonhlalonhle
• umeluleki
• isazi sokusebenza kwengqondo
• isazi sokufakelwa
• usokhemisi
• owelapha ngokomzimba
• owelapha emsebenzini
• umelaphi wobuciko noma womculo
• ingcwethi yokudla noma isazi sokudla
• umfundisi, umfundisi, noma umpristi
• amavolontiya okunakekelwa okunciphisayo
• umnakekeli (ababheki)

Ithimba lakho lokunakekelwa kwe-palliative lizosebenza ukuqinisekisa impilo yakho ephelele ngokugula kwakho.

Lapho kufanele ucabangele ukunakekelwa okunciphisayo

Uma unesifo esibi noma esisongela impilo, ungabuza ngokunakekelwa kokuthokomala nganoma yisiphi isikhathi.

Kunombono ophambene ovamile wokuthi kufanele ulinde kuze kube yilapho ukugula kwakho kusesigabeni noma esibulalayo kamuva ukuze uthole ukunakekelwa okunciphisayo. Eqinisweni, ucwaningo oluningi lukhombisa ukuthi ukunakekelwa kwe-palliative kusebenza kakhulu lapho kuqalwa kusenesikhathi.

Ukubuyekezwa kuka-2018 kwabantu abanesifo somdlavuza wamaphaphu esingeyona esincane esithuthukile (i-NSCLC) kunconyelwe ukwamukelwa kusenesikhathi kokunakekelwa kokuthokomala, okuthuthukisa ikhwalithi yempilo kanye nokusinda okuphelele.

Ngokufanayo, ukuhlaziywa kwe-meta ka-2018 kutholakale ukuthi abantu abanomdlavuza osezingeni eliphakeme baphila isikhathi eside futhi bajabulela impilo engcono lapho bethola ukunakekelwa kokugula okungaphandle.

Ukunakekelwa kwe-palliative kuye kwaboniswa ukunciphisa ukucindezeleka nezinye izifo zengqondo. Ababhali besifundo sango-2018 baphetha ngokuthi abantu abanomdlavuza osezingeni eliphezulu futhi ababenezimpawu zokucindezeleka bazuze kakhulu ngokuqala ukunakekelwa kokuthokomala kusenesikhathi.

Abathandekayo bakho nabo kungenzeka bahlomule ekunakekelweni kwakho okunciphisayo, okungabasiza ukuthi bathole izinsiza kanye nokusekelwa ukuze babhekane nokugula kwakho.

Ungakuthola ukunakekelwa okupholisayo ekhaya?

Kuya ngokuthi uhlala kuphi. Ukunakekelwa kwe-palliative sekutholakale kalula eminyakeni yamuva, kodwa namanje akutholakali yonke indawo.

Ngokuya ngokuthi uhlala kuphi, ungahle ube nezinketho ezingaphezu kweyodwa mayelana nokuthi uthola ukunakekelwa okupholisayo kuphi. Ezinye izinketho zingafaka:

• isibhedlela
• ikhaya lasebekhulile
• isikhungo sokusizwa
• umtholampilo wabangalaliswa ngaphandle
• ikhaya lakho

Khuluma nodokotela wakho ukuze uthole okwengeziwe ngezinketho zokunakekelwa kokutholwa ezitholakalayo kuwe nokuthi ungathola ukunakekelwa endaweni yangakini.

Ukuthola kanjani ukunakekelwa okunciphisayo?

Isinyathelo sokuqala ekutholeni ukunakekelwa okupholayo ukubuza udokotela wakho noma umhlinzeki wezokunakekelwa kwempilo ngakho. Udokotela wakho kufanele akudlulisele kuchwepheshe wezokunakekelwa okuphefumulayo.

Ungalungiselela ukubonisana kwakho kokunakekelwa okunciphisayo ngokwenza uhlu lwezimpawu zakho nokuthi ziyithinta kanjani imisebenzi yakho yansuku zonke. Uzophinde ufune ukuletha uhlu lwemithi oyiphuzayo kanye nanoma yimuphi umlando wezokwelapha ofanele.

Kungumqondo omuhle ukucela umngani noma ilungu lomndeni ukuthi likuphelezele lapho uya khona.

Ngemuva kokubonisana kwakho, uzosebenza nethimba lakho lokunakekela elincomekayo ukuze wakhe uhlelo. Uhlelo luzoncika ezimpawu zakho nakunoma ikuphi ukwelashwa okwenzayo njengamanje, nokuthi ukugula kwakho kuyithinta kanjani impilo yakho yengqondo, imisebenzi yansuku zonke, namalungu omndeni.

Uhlelo luzokwenziwa ngokubambisana nanoma yikuphi okunye ukwelashwa okutholayo. Kufanele iguquke ngokuhamba kwesikhathi njengoba izidingo zakho zishintsha. Kungagcina sekubandakanya ukunakekelwa okuthuthukile nokuhlelwa kokuphela kokuphila.

Ngabe ihlanganiswe yiMedicare?

Kubalulekile ukukhuluma nomhlinzeki wakho wokunakekelwa okunciphisayo ukuze uqonde ukuthi yini okungadingeka ukuthi uyikhokhele.

Kokubili iMedicare neMedicaid kungafaka izinsizakalo ezithile zokuthopha. Kodwa-ke, njengoba i-Medicare noma i-Medicaid ingasebenzisi igama elithi "palliative," ukwelashwa okutholayo kufanele kuhlanganiswe nezinzuzo zakho ezijwayelekile.

Kokubili iMedicare neMedicaid kumboza zonke izindleko ezihlobene ne-hospice, kepha ukuze ufanelekele ukuthola isibhedlela udokotela kumele anqume ukuthi unezinyanga eziyisithupha noma ngaphansi ukuze uphile.

Uma unomshuwalense wangasese, ungahle ube nokutholakala kwezinsizakalo zokudambisa. Inqubomgomo yokunakekelwa kwesikhathi eside ingenye indlela yokumboza izinsizakalo zokudambisa. Buza nommeleli ovela kumshwalense wakho ukuqinisekisa ukumbozwa.

Okubalulekile

Ukunakekelwa kwe-palliative kuyindlela yokwelashwa eqondisa izigwegwe ehlose ukwenza ngcono izinga lempilo nenhlalonhle yabantu abanezifo ezingamahlalakhona, eziguqula impilo. Kungabandakanya nokusekelwa kwabathandekayo noma abanakekeli.

Uma wena noma omunye emndenini wakho enesifo esibi, ukunakekelwa okunciphisayo kungaba yindlela ofuna ukuyikhetha. Khuluma nodokotela wakho ukuze uthole okwengeziwe ngokunakekelwa kwe-palliative nokuthi yini okudingeka uyenze ukuze uthole lolu hlobo lokunakekelwa.