Izimpawu Nezimpawu Zesifo Somdlavuza Esophageal End

-Delile

• Ziyini izimpawu zokuqala nezimpawu zomdlavuza wokuqopha?
• Ziyini izimpawu zesigaba sokugcina (isigaba IV) nezimpawu zomdlavuza wokuqopha?
• Ngabe zikhona izindlela zokwelashwa zokunciphisa izimpawu zesigaba sokugcina somdlavuza wokuqopha?
• Ukwehliswa kwesisu
• Ukususwa kwe-Laser
• Ukondla ithubhu
• Imithi yezinhlungu
• Ingabe kubuhlungu ukufa ngomdlavuza wokuqopha?
• Izinyathelo ongazithatha ukunciphisa ukungakhululeki kokuphela kwempilo
• Yiba nesineke futhi wamukele izidingo zomuntu ezingokomzwelo
• Ukudla okudlela endlini

Lapho umdlavuza we-esophageal usuthuthuke waze wafika esigabeni sokugcina, ukugxila kokunakekelwa kukhululeke kwezimpawu nezinga lempilo. Yize uhambo lomuntu ngamunye lwehlukile, kunemicu ejwayelekile abantu abaningi ababhekana nayo lapho ukwelashwa komdlavuza kungasasebenzi.

Izimpawu zokubulawa ngumdlavuza we-esophageal zifaka phakathi ubunzima obukhulu bokugwinya (i-dysphagia), kanye nezimpawu ezivamile kwezinye izinhlobo zomdlavuza, njenge:

• ukukhathala
• ukuqala kobuhlungu
• izinkinga zokuphefumula
• kuguquka imizwa nokuqwashisa

Imithi nokunye ukwelashwa kungasiza ukunciphisa ezinye zalezi zimpawu zomdlavuza wesigaba sokugcina. Ukunakekelwa kwe-palliative kufanele kube yinto ephambili kulabo ababhekene nezinselelo zokuphela kokuphila.

Akufanele neze ungabaze ukubuza imibuzo noma wabelane ngolwazi ngezidingo zakho zomzimba nezingokomzwelo ngalesi sikhathi.

Kule ndatshana, sizobuyekeza izimpawu nezimpawu zomdlavuza wesigaba sokuqeda, kanye nezinketho zokukhulula izimpawu nokunakekelwa kokuthokomala.

Ziyini izimpawu zokuqala nezimpawu zomdlavuza wokuqopha?

Ekuqaleni, umdlavuza we-esophageal imvamisa awunazo izimpawu nezimpawu ezisobala. Lapho zivela, uphawu oluvame kakhulu yi-dysphagia.

Ukudla izingxenye ezijwayelekile, ezinjengokulunywa kungakwenza uzizwe sengathi uminyaniswa noma ukuthi kunokuthile okubhajwe emphinjeni wakho. Ukuzama ukulunywa okuncane nokudla okuthambile, kanye nokuphuza iziphuzo eziningi, kungasiza isikhashana.

Ezinye izimpawu nezimpawu zakuqala zingabandakanya:

• ukuncipha kwesisindo okungaqondakali
• ubuhlungu besifuba, ukuvutha, noma ingcindezi
• isilungulela noma isisu
• ukushaqeka
• ukukhwehlela

Ziyini izimpawu zesigaba sokugcina (isigaba IV) nezimpawu zomdlavuza wokuqopha?

Izimpawu ze-Esophageal zivame ukwanda njengoba isifo siqhubeka futhi umdlavuza ugcwala. I-Dysphagia, ngokwesibonelo, ingafinyelela iphuzu lapho kudingeka ukudla oketshezi kuphela.

Ezinye izimpawu zesigaba sokuphela zomdlavuza wokuqwala kungafaka:

• ukukhwehlela okhulayo nomphimbo obuhlungu
• ukuphefumula kanzima
• ukudina okukhulu nobunzima bokukhuluma ngaphezu kokuhlebeza
• izinqa
• isicanucanu nokuhlanza
• ubuhlungu bamathambo namalunga
• ukopha emphinjeni, okungaholela egazini kumgudu wokugaya ukudla nasesitulweni
• ukukhathala, okungalethwa yi-anemia, okubangelwa ukulahleka kwegazi; imithi ethile kanye nokwelashwa komdlavuza; nokungalali kahle ngenxa yobuhlungu noma imiphumela engemihle yemithi

Ngabe zikhona izindlela zokwelashwa zokunciphisa izimpawu zesigaba sokugcina somdlavuza wokuqopha?

Ukwelashwa okudambisa izinhlungu nokungahambi kahle kwezimpawu zesigaba sokugcina kufaka imithi kanye nezinqubo zokuhlinzwa.

Kubalulekile ukuxoxa ngobuhle nobubi benketho ngayinye, njengoba ezinye izindlela zokwelapha zingaphazamisa izinga lomuntu lokuphila noma izifiso zokuphela kwempilo.

Ukwehliswa kwesisu

Uma ukugwinya sekuba nzima kakhulu, ukwehliswa kwe-esophageal kungaba yindlela. Kule nqubo, udokotela welula isilinda esincane esinjengebhaluni wehlele esophagus ukuze welule ngobumnene isicubu futhi anwebise ukuvuleka kokudla neziphuzo.

Enye inqubo efanayo ifaka ukubekwa kwe-stent ku-esophagus ukuyigcina ivulekile.

Ukususwa kwe-Laser

Odokotela bangasebenzisa futhi i-laser beam ehlose izicubu zomdlavuza ezinciphisa i-esophagus. Igongolo libhubhisa izicubu, lithuthukise ukugwinya nokugaya.

Ukondla ithubhu

Uma izinqubo zokwandisa i-esophagus kungezona izinketho ezinengqondo noma ezamukelekile, udokotela angakwazi ukufaka ithubhu yokudla.

Ishubhu lokondla linikeza izakhamzimba ngqo emthanjeni wegazi noma esiswini noma emathunjini amancane. Lokhu kwenzelwa ukuvikela ukungondleki futhi kwandise isikhathi sokuphila.

Yize zivame kakhulu esibhedlela noma kusibhedlela, amanye amashubhu wokondla angasetshenziswa ekhaya. Umhlengikazi wokunakekelwa opholile anganikeza imiyalo yokusetshenziswa.

Imithi yezinhlungu

Ukwenza lula ezinye izimpawu, ezinjengobuhlungu, odokotela banemithi eyahlukahlukene nezindlela zokuletha leyo mithi uma ukugwinya amaphilisi, ngokwesibonelo, kunzima kakhulu.

Imithi yezinhlungu iwela ezigabeni ezimbili ezijwayelekile:

• ama-opioid
• ama-non-opioid

Ama-opioid, afana ne-fentanyl ne-oxycodone, athole ukunakwa okukhulu eminyakeni yamuva ngenxa yemvelo yabo yokulutha kanye nezindaba ezibuhlungu zabantu abasebenzise kabi le mithi.

Kodwa-ke, uma isetshenziswe ngokufanele nangaphansi kokunakekelwa okuqinile kukadokotela, ama-opioid angaba yimithi yokwelapha ephumelelayo yezinhlungu zomdlavuza wesigaba sokuphela nezinye izimo. Zivame ukubekwa lapho izinhlungu ezingekho ze-opioid, njenge-ibuprofen (Advil) ne-acetaminophen (Tylenol), zingasebenzi.

Ingabe kubuhlungu ukufa ngomdlavuza wokuqopha?

Uma umuntu enikezwa imishanguzo yokulawula izinhlungu zomzimba futhi enikezwa uketshezi nezakhi ngokusebenzisa ithubhu lokudlula izinkinga zokugwinya, khona-ke ukuphela kwempilo ngomdlavuza wokuqopha akudingeki kube yinto ebuhlungu noma esabisayo.

Kepha ngoba imishanguzo esetshenziselwa ukwelapha ubuhlungu ivame ukuba namandla kakhulu, umuntu angahle alale isikhathi esiningi noma abe nokudideka.

Lezi zimpendulo zibhebhethekiswa ukwehla kwemisebenzi yomzimba. Isibonelo, izinga lokushaya kwenhliziyo liyancipha, okusho ukuthi igazi elincane elinomoya-mpilo lifinyelela ebuchosheni. Umuntu angahle angene futhi aphume ukwazi futhi abe nenkinga yokukhumbula noma yokugxila.

Izinguquko ekusebenzeni komzimba nazo ziholela ekuphefumuleni okuncane nasekulahlekelweni kwesisu nokulawulwa kwamathumbu.

Ukubuka othandekayo enza lezi zinguquko kungaba buhlungu kwabanye ngokomzwelo, kepha kumuntu onomdlavuza, eziningi zalezi zinguquko zomzimba zizokwenzeka ngaphandle kwesaziso.

Izinyathelo ongazithatha ukunciphisa ukungakhululeki kokuphela kwempilo

Kunezinyathelo ezithile amalungu omndeni kanye nabahlinzeki bezempilo abangazithatha ukunciphisa ukungakhululeki phakathi nezigaba zokuphela kwempilo:

• Ama-ice chips. Ngoba ukugwinya kunzima, ukunika umuntu iqatha elincane leqhwa noma ukuphuza uketshezi kuzogcina umlomo wawo umanzi.
• Amafutha endebe. I-lip balm izosiza ukugcina izindebe zingabi buhlungu futhi ziqhekeze.
• Izingubo zokulala ezifudumele. Ukwehla kokujikeleza kwegazi kungenza izitho zizizwe zibanda, ngakho-ke ukuba nezingubo zokulala ezifudumele kungenza umuntu akhululeke ngokwengeziwe.

Yiba nesineke futhi wamukele izidingo zomuntu ezingokomzwelo

Wonke umuntu ubingelela izikhathi zakhe zokugcina ngendlela yakhe. Abanye abantu banezikhathi zosizi noma zokwesaba, kanti abantu abaningi bavame ukuba nokuthula, bemukela okuzayo.

Uma ukunye nomuntu obulawa umdlavuza wokuqopha, qiniseka ukuthi ukhululekile ngokomzimba, kodwa futhi unikeze amagama enduduzo. Bangafuna ukuqeda ibhizinisi elingaqediwe, njengokuxazulula izingxabano zobudlelwano, ukukhathazeka kwezezimali, noma ukwabiwa kwezinto ezikhethekile.

Zilungiselele ukulalela ngesineke futhi wamukele noma yini evela kumuntu okulesi simo futhi unikeze noma yikuphi ukwesekwa ongakuthola ekugcineni.

Ukudla okudlela endlini

Izimpawu zokubulawa ngumdlavuza wokuqopha zifana kakhulu nalezo ezitholwa abantu abanezinye izinhlobo zomdlavuza. Ngokuvamile kunezinhlungu ezingancishiswa ngemithi enamandla, kanye nokuthaka umzimba jikelele nokuncipha kwayo yonke imisebenzi yomzimba.

Izimpawu eziqondene nomdlavuza wokuqopha, njengobunzima bokugwinya, ziya ziba zimbi ngasekupheleni, ngakho-ke ithubhu yokudla kungadingeka.

Yize ubuhlungu bomzimba buhlala bulawulwa, izinselelo ezingokomzwelo nezingokomoya ahlangabezana nazo umuntu onomdlavuza nabangane bakhe namalungu omndeni kwesinye isikhathi kunzima kakhulu ukubhekana nazo.

Gxila ekunikezeni ukusekelwa nokuthatha izinyathelo zokuqinisekisa ukuthokomala kwabo ngokomzimba. Futhi unganqikazi ukukhuluma nomhlinzeki wokunakekelwa opholile ngezeluleko nezincomo zabo.