Khansa ya m'mawere ndi chinthu choopsa kwa anthu ambiri. Koma chofunika kwambiri kudziwa ndichakuti khansa ya m'mawere nthawi zambiri simayambitsa ululu kumayambiriro. Ululu umayamba kuonekera matendawa akafika pachimake. Koma ngakhale zili choncho, simuyenera kuda nkhawa. Pali zinthu zambiri zomwe inu ndi dokotala wanu mungachite kuti muchepetse ululu. Chofunika kwambiri apa ndikulankhula momasuka za zomwe mukumva, zomwe zikutanthauza kuti simukubisa chilichonse chokhudza ululuwo, ndi gulu lanu losamalira khansa .
Kodi mumauza bwanji dokotala za ululu wanu?
Ululu umene mumamva ukhoza kukhala wosiyana kwambiri ndi ululu umene wina amamva. Ndicho chifukwa chake madokotala ali ndi njira yomwe amagwiritsa ntchito kuti amvetse bwino ululu wanu. Mayankho anu ku mafunso awa athandiza dokotala wanu kupeza chomwe chimayambitsa ululu wanu ndikupereka chithandizo chabwino kwambiri.
Tangoganizani kuti mukapita kukaonana ndi dokotala, akukufunsani mafunso ngati awa.
| Funso limene dokotala amafunsa | Mwachidule, zikutanthauza kuti... |
|---|---|
| Kuyamba (Kodi kunayamba liti?) | Kodi munayamba liti kumva ululu uwu? Dzulo kapena sabata yapitayo? |
| Malo (Kodi ali kuti?) | Kodi ululu uli kuti kwenikweni m'thupi? Kodi uli pamalo amodzi? M'malo angapo? |
| Kutalika (Kwakhala nthawi yayitali bwanji?) | Kodi ululuwu ndi wokhazikika? Kapena umabwera ndi kutha? Ngati ndi choncho, umatenga nthawi yayitali bwanji? |
| Makhalidwe (mtundu wa ululu) | Kodi ululu uwu ndi wa mtundu wanji? Kodi ukupweteka? Kodi ukubaya? Kodi ukubaya? Kodi ukubaya? Kodi ukulimba? |
| Kukwiyitsa (Kodi kukwiyitsa n'chiyani?) | Kodi ululuwu umakula kwambiri mukachita chilichonse? (monga, mukamayenda, mukamatsokomola) |
| Kupumula (Kodi kupumula n’chiyani?) | Kodi kuchita chilichonse kumathandiza kuchepetsa ululu? (monga kugona pansi, kumwa mankhwala, kupaka mafuta) |
| Nthawi (Mukubwera liti?) | Kodi ululu umabwera nthawi inayake ya tsiku, m'mawa, usiku, kapena mutadya? |
| Kupweteka kwambiri (kupweteka kwambiri) | Ngati mutafunsidwa kuti muyese ululu wanu pa sikelo kuyambira 0 mpaka 10 (0 = palibe ululu, 10 = ululu wosapiririka), kodi mungapatse ululu wanu mfundo zingati? |
Kumbukirani, " chisamaliro chochepetsa ululu" ndi chithandizo chapadera chamankhwala chomwe chimaphatikizapo kuchepetsa ululu, mpumulo wamaganizo, ndi chithandizo cha anthu. Sikuti chimangokhudza magawo omaliza a matenda. Chimathandiza kukonza moyo wanu pamlingo uliwonse.
Kodi mungamve kuti ululuwo?
Malo a ululu amatsimikiziridwa ndi komwe khansa yafalikira m'thupi komanso kukula kwa zotupa zatsopano zomwe zimapangidwa.
- Mafupa: Khansa ikafalikira m'mafupa, pamakhala ululu, makamaka posuntha mafupa. Azimayi ambiri amalongosola ululu uwu ngati ululu wakuthwa komanso wobaya womwe umawadzutsa usiku .
- Ubongo: Mutu ndi chinthu chomwe aliyense amakumana nacho. Koma ngati khansa ya m'mawere yakula kwambiri ikafalikira ku ubongo, ikhoza kuyambitsa mutu wopitirira, womwe umakula kwambiri kapena kumva kupanikizika mkati mwa mutu.
- Khungu: Nthawi zina mungamve zikhomo ndi singano pakhungu lanu. Madokotala amatcha izi ululu wa neuropathic.
- M'mimba: Kupweteka m'mimba kungakhale chizindikiro cha vuto la chiwindi. Vutoli lingayambitsidwe ndi kukula kwa chiwindi. Lingamveke ngati ululu wosasangalatsa komanso wopweteka womwe umakhalapo kwa nthawi yayitali .
- Mapapo : Khansa ikafalikira m'mapapo kapena m'kati mwake (pleura), ingayambitse ululu wosatha. Ingayambitsenso chifuwa chosatha. Chifuwachi chingayambitsenso ululu m'mbali mwa nthiti ndi pachifuwa.
- Ma lymph nodes: Ma lymph nodes otupa ndi chizindikiro chakuti dokotala wanu ayenera kufufuza ngati khansa yafalikira ku ziwalo zina za thupi. Ma lymph nodes otupa amatha kuyambitsa kupanikizika ndi kupweteka akakhudzidwa.
Mankhwala opweteka
Pambuyo pofotokoza mwatsatanetsatane za ululu wanu, gulu lanu lachipatala lidzasankha mankhwala oyenera kwa inu. Izi nthawi zambiri zimaphatikizapo kugwiritsa ntchito mankhwala ochepetsa ululu pang'ono nthawi zonse, kenako kuwonjezera mankhwala amphamvu ululu ukakula kwambiri.
Mankhwala omwe amagwiritsidwa ntchito kwambiri:
- Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs): Gululi limaphatikizapo mankhwala monga ` Acetaminophen` , `Aspirin`, `Ibuprofen`. Mankhwalawa ndi othandiza kwambiri pa ululu wa mafupa ndi ululu womwe umabwera chifukwa cha kutupa.
- Mankhwala Oletsa Kuvutika Maganizo: Mankhwala monga `Amitriptyline` ndi `Nortriptyline` angathandize kuchepetsa ululu wa mitsempha. Mankhwala oletsa kuvutika maganizo `Duloxetine` amagwiritsidwanso ntchito pochiza ululu wa mitsempha.
- Mankhwala oletsa khunyu: Mankhwala monga Gabapentin ndi Pregabalin, omwe amagwiritsidwa ntchito pochiza khunyu, angathandizenso kwambiri pochepetsa ululu wa mitsempha womwe umabwera chifukwa cha khansa.
- Mankhwala ochepetsa ululu: Nthawi zina, dokotala wanu angakulangizeni chinthu chonga Lidocaine patch ngati mpumulo wowonjezera wa ululu wa mitsempha womwe sungathetsedwe kwathunthu ndi mankhwala operekedwa ndi dokotala.
- Corticosteroids: Mankhwala monga Dexamethasone amagwiritsidwa ntchito pochiza ululu wa mafupa ndi ululu wa mitsempha.
- Mankhwala Ochepetsa Ululu: Pa ululu waukulu komanso wopitirira womwe sungathetsedwe ndi mankhwala ena, dokotala wanu angakulembereni mankhwala ochepetsa ululu monga Codeine, Morphine, kapena Oxycodone. Mankhwalawa amagwira ntchito mofanana ndi ma endorphins, omwe ndi mankhwala achilengedwe ochepetsa ululu omwe amapangidwa ndi matupi athu.
Chofunika kwambiri: Ma opioid ndi mtundu wa mankhwala omwe angakhale osokoneza bongo. Chifukwa chake , nthawi zonse muwamwe monga momwe dokotala wanu wanenera, mu mlingo woyenera.Izi ziyenera kugwiritsidwa ntchito. Koma kumbukiraninso izi, ndibwino kugwiritsa ntchito mankhwala awa pa ululu wa khansa motsogozedwa ndi dokotala. Sizoledzeretsa. Kungoti muyenera kuwonjezera mlingo wa mankhwalawo chifukwa ululu wawonjezeka, sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwalawo.
Mankhwala ena osati mankhwala
Kuwonjezera pa mankhwala, dokotala wanu angaganizirenso njira izi kuti athandize kuchepetsa ululu wanu:
- Opaleshoni: Kuchotsa chotupa chonse cha khansa chomwe chikuyambitsa ululu kudzera mu opaleshoni kapena gawo lake.
- Chithandizo cha radiation: Radiation imagwiritsidwa ntchito kuchepetsa chotupacho. Nthawi zina, ngati opaleshoni sizingatheke, njira yotchedwa radiofrequency ablation (chipangizo chabwino kwambiri chomwe chimagwiritsa ntchito mafunde amphamvu kwambiri a wailesi kuti chigwire chotupacho) ingagwiritsidwe ntchito.
- Mankhwala ena: Chemotherapy kapena hormonal therapy ingathandizenso kuchepetsa ululu.
- Kutsekeka kwa mitsempha: Kubaya jakisoni wa mankhwala oletsa dzanzi mozungulira mitsempha kungalepheretse zizindikiro za ululu kufika muubongo.
- Kulimbikitsa mitsempha: Kusokoneza ululu mwa kupereka kumverera pang'ono kudera lomwe ululu uli. Izi zitha kuchitika pogwiritsa ntchito kutentha, kuzizira, kutikita minofu, menthol, capsaicin (chomwe chimachokera ku tsabola wa tsabola). Chitsanzo cha izi ndi chipangizo chotchedwa TENS (transcutaneous electrical nerve stimulation).
Zinthu zina zomwe mungachite nokha
Kuwonjezera pa mankhwala, pali zinthu zingapo zomwe mungayesere kuti muchepetse ululu wanu. Muthanso kuchepetsa kuchuluka kwa mankhwala ochepetsa ululu omwe muyenera kumwa pogwiritsa ntchito imodzi mwa izi.
- Kuchiza ndi Acupuncture: Njira yochepetsera ululu poika singano zazing'ono kwambiri m'malo enaake pathupi ndi katswiri wodziwa bwino ntchito yake. Iyi ndi njira yachikhalidwe ya mankhwala achi China.
- Chithandizo cha Khalidwe Lozindikira: Uwu ndi upangiri womwe umakuthandizani kusintha momwe mumayankhira ndikulamulira malingaliro ndi malingaliro ovutitsa omwe amayambitsidwa ndi ululu.
- Kuchiza ndi kusuntha: Maseŵera olimbitsa thupi monga yoga ndi tai chi angathandize kusintha maganizo anu, kuyenda kwa magazi, komanso thanzi lanu lonse.
- Njira zopumira: Iyi ndi njira yabwino kwambiri yochepetsera ululu wadzidzidzi komanso woopsa. Imachepetsa nkhawa ndipo imakupatsani mphamvu zambiri kuti mupirire ululu waukulu.
Lankhulani ndi dokotala wanu za zonsezi. Kumbukirani kuti simuyenera kuvutika ndi ululu nokha. Pali njira zothetsera ululuwo.
Uthenga Wopita Nawo Kunyumba
- Ululu ndi wofala kwambiri mu khansa ya m'mawere yomwe yakula kwambiri, koma ukhoza kuthetsedwa . Choncho musavutike nokha.
- Uzani dokotala wanu za ululu womwe mukumva - mtundu wake, nthawi yake, komanso mphamvu yake - popanda kubisa chilichonse .
- Chisamaliro cha palliative sichimangothandiza munthu kuchira. Chimathandiza kuti moyo wake ukhale wabwino nthawi iliyonse .
- Kambiranani ndi dokotala wanu njira zosiyanasiyana zochiritsira , kuphatikizapo mankhwala, opaleshoni, ndi masewera olimbitsa thupi a yoga ndi kupuma.
- Nthawi zonse tsatirani malangizo a dokotala wanu, makamaka mukamagwiritsa ntchito mankhwala ochepetsa ululu.











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