Kodi matenda anu adzapita bwanji patsogolo? Tiyeni tidziwe bwino lomwe zomwe madokotala amatcha 'kuneneratu za matenda'!

Mukazindikira kuti inuyo kapena munthu wina wapafupi nanu akudwala, funso lalikulu lotsatira lomwe limabwera m'maganizo mwanu ndi lakuti "Nchiyani chikuchitika tsopano?" "Kodi izi zisintha?" "Kodi ndidzatha kukhala ndi moyo monga momwe ndinkakhalira kale?" Pamenepo madokotala amalankhula za 'kuneneratu za matenda'. Chabwino, tiyeni tiwone izi, mwachidule.

Kodi 'Kuneneratu za matenda' kwenikweni n'chiyani?

Mwachidule, 'kulosera za matenda' ndi kulosera komwe dokotala wanu amapanga za matenda anu, kutanthauza matenda anu, pogwiritsa ntchito chidziwitso cha zachipatala ndi luso lanu. Zili ngati kulosera za nyengo. Koma n'zovuta kwambiri kuposa pamenepo, chifukwa thupi la aliyense ndi momwe amachitira ndi matenda zimasiyana.

Tangoganizirani, dokotala akukuuzani kuti muli ndi matenda enaake. Mafunso ambiri mwadzidzidzi amabuka m'maganizo mwanu, sichoncho?

• "Kodi izi zitha kuchiritsidwa?"
• "Kodi ndidzatha kuchira kwathunthu?"
• "Kodi zizindikiro za matendawa zidzatha?"
• "Kodi ndidzatha kukhala komwe ndingathe kugwira ntchito yanga ndekha?"
• "Kodi chithandizochi chili ndi phindu?"
• "Ndingakhale ndi moyo wautali bwanji?"

Pa mafunso ngati awa, dokotala angakuuzeni zomwe zingakuchitikireni , kutengera zomwe ena akumana nazo. Umenewo ndiye 'malonjezo'. Si kulosera kolondola 100%, koma ndi lingaliro labwino kwambiri kutengera zomwe zilipo pakadali pano.

Nanga, n’chifukwa chiyani kuli kofunika kudziwa 'malonjezo' amenewa?

Kudziwa izi kumakupatsirani mphamvu zambiri inu ndi osamalira anu. Kumakuthandizani kupanga zisankho poganizira zabwino zanu. Sitingathe nthawi zonse kudziletsa kuti tisadwale kapena kuchita ngozi. Koma kudziwa 'matenda obwera' kumatithandiza kumvetsetsa zinthu zomwe sitingathe kuziletsa.

Pangani zisankho zokhudzana ndi chithandizo

Kudziwa nthawi yomwe matenda anu adzathe kungakuthandizeni kusankha chithandizo, kapena kukana. Kusankha chithandizo sikophweka. Taganizirani izi, wina angakhale wokonzeka kulandira chithandizo chomwe chili ndi zotsatirapo zoyipa, ngati chingatalikitse moyo wake pang'ono. Koma munthu amene ali ndi matenda ofanana angakane chithandizocho. Angaganize kuti, "Ndi bwino kukhala masiku angapo opanda ululu, ngakhale zitakhala kuti ndi moyo wachimwemwe."

Komanso, mautumiki ena osamalira odwala amadalira zomwe zikuchitika. Mwachitsanzo, ngati mukudziwa kuti zizindikiro zanu zikuipiraipira, mutha kupeza mautumiki monga chithandizo cha palliative, chomwe chimathandiza kuchepetsa ululu ndikupereka mpumulo wamaganizo. M'maiko ena, mautumiki monga chisamaliro cha hospice amapezeka kwa anthu omwe akuyembekezeka kukhala ndi moyo kwa miyezi pafupifupi isanu ndi umodzi. Pazochitika zotere, chitsimikizochi chimatsegula chitseko cha zinthu zomwe zingakuthandizeni kukhala bwino kumapeto kwa moyo wanu.

Pangani zisankho zina pa moyo.

Kumvetsetsa zomwe zidzachitike pa moyo wanu kungakuthandizeni kukonzekera tsiku lanu. Kungakuthandizeni kukonza ndalama zanu komanso moyo wanu wauzimu. Kungakuthandizeni kuganizira za amene muyenera kulankhula naye komanso zinthu zofunika zomwe mukufuna kukwaniritsa pa moyo wanu. Kungakuthandizeninso kuchepetsa kukakamizidwa kuti mupange zisankho zazikulu mwachangu pa moyo wanu, podziwa kuti muli ndi mwayi wochira mokwanira.

Kodi madokotala amazindikira bwanji 'kuneneratu' kumeneku?

Madokotala ambiri amagwiritsa ntchito 'ma prognosis' awo (ochuluka 'ma prognoses') pofufuza zachipatala komanso zomwe akumana nazo. Dokotala wanu angayang'ane ziwerengero zachipatala. Ofufuza amaphunzira zomwe zachitikira magulu akuluakulu a anthu ndikuyang'ana momwe matenda amachitikira. Kudziwa zomwe zinachitikira anthu ambiri omwe anali ndi matenda enaake m'mbuyomu n'kothandiza poneneratu zomwe zingachitikire munthu winawake.

Mwa kuphatikiza matenda a munthu, komanso deta yochokera kwa ena ndi matendawa, madokotala amatha kupanga 'malo oneneratu za matenda' omwe amapangidwa molingana ndi munthu aliyense.

Nazi ziwerengero zina zomwe dokotala wanu angaganizire:

• Chiwerengero cha anthu omwe ali ndi matenda enaake omwe amakhala ndi moyo pakapita nthawi inayake. Mwachitsanzo, ofufuza za khansa amaona kuchuluka kwa anthu omwe ali ndi matenda enaake omwe amakhala ndi moyo pakapita zaka zisanu.
• Chiŵerengero cha mavuto: Izi zimayesa kuchuluka kwa anthu omwe amakumana ndi mavuto ena azaumoyo, kaya panthawi ya matenda kapena pambuyo pa chithandizo china. Zinthuzi zimatha kusintha momwe matenda anu angayendere.
• Kuchuluka kwa chithandizo: Izi zimayesa momwe chithandizo chimathandizira kukwaniritsa zotsatira zenizeni za matenda (monga kuchiritsa matendawa, kuchepetsa kufalikira kwa matendawa, kuchepetsa zizindikiro).
• Kuchuluka kwa matenda obwerezabwereza: Izi zikutanthauza mwayi woti matenda kapena chizindikiro chidzabweranso pambuyo pake. Izi nthawi zambiri zikutanthauza mwayi woti khansa idzabweranso pambuyo pa nthawi ya 'kuchira' (kusakhalapo kwa zizindikiro kapena zizindikiro za khansa).

Kodi zinthu zolosera zamtsogolo ndi ziti?

Madokotala amaonanso zinthu zinazake zomwe zingakhudze kuopsa kwa matenda. Zina mwa izi ndi za khansa, koma zambiri zimakhala zachizolowezi pa matenda ena ambiri.

• Mtundu wa matenda: Mtundu weniweni wa matenda umakhudza nthawi yomwe khansa imayamba. Mwachitsanzo, mtundu wa khansa (monga momwe inayambira m'thupi) umakhudza momwe mungayembekezere mtsogolo.
• Kukula kwa matendawa: Kufalikira kwa matendawa ndi chinthu chofunikira kuganizira pofufuza matenda. Mwachitsanzo, m'makhansa ena, gawo la khansa (monga momwe yafalikira) ndi chinthu chachikulu chomwe chimapangitsa kuti khansayo idziwike.
• Makhalidwe a zamoyo ndi majini a matendawa: kusintha kwa majini mu selo la khansaMtundu ndi momwe maselo alili osazolowereka zingapereke lingaliro la momwe khansa ilili "yaukali" (mwachitsanzo, ingafalikire).
• Thanzi lanu lonse: Kukhala ndi matenda angapo (`comorbidities`) nthawi zambiri kumatha kuipitsa chiyembekezo cha matendawa.
• Kaya pali mankhwala othandiza kapena ayi: Kupeza mankhwala othandiza kumawonjezera 'kuneneratu' za matenda.
• Momwe mumachitira mukalandira chithandizo: Kawirikawiri, ngati mutachira mutalandira chithandizo, zizindikiro zake zimakhala zabwino.
• Mlingo wa zochita zanu: Momwe mumagwirira ntchito tsiku lonse, komanso ngati mungathe kuchita ntchito za tsiku ndi tsiku monga kupita kuntchito kwanu ndi kuvala, zingakuthandizeni kudziwa momwe zinthu zilili mtsogolo.
• Zinthu zokhudzana ndi chiwerengero cha anthu: Nthawi zina zinthu monga zaka, jenda, mtundu, ndi fuko zimatha kugwirizanitsidwa ndi momwe matenda amakulira.

Zinthu zofunika kwambiri pa nthawi ya matenda anu zimasiyana malinga ndi matenda anu. Mutha kufunsa dokotala wanu zinthu zomwe amaganizira akamaganizira za nthawi ya matenda anu.

Zowerengera za kulosera zamtsogolo

Madokotala ena amagwiritsa ntchito "zowerengera" zapadera kuti athandize kudziwa nthawi yomwe munthu adzapezeke. Choyamba, amalowetsa zinthu "zoneneratu" (monga zaka, thanzi, kuchuluka kwa zochita) mu chowerengera. Kenako, chowerengera chimagwiritsa ntchito njira yomwe imawerengera zambiri "zoneneratu", monga nthawi yomwe munthu adzakhala ndi moyo. Ngakhale izi sizolondola 100%, zingakupatseni lingaliro la nthawi yomwe munthu adzapezekeke.

Kodi madokotala amalankhula bwanji za 'kuneneratu za matenda'?

Nthawi zina madokotala amafotokoza 'kuneneratu za matenda' m'njira imodzi:

• Zabwino kwambiri (Zabwino kwambiri)
• Zabwino
• Zabwino
• Wosauka

"Kuyembekezera kotsimikizika" kumatanthauza kuti palibe chidziwitso chokwanira chopereka lingaliro pa zotsatira zamtsogolo.

Mukamva za 'kuneneratu' mwanjira imeneyi, mutha kuyamba kukambirana za tsatanetsatane. Mwachitsanzo, mukamva kuti 'kuneneratu' ndi "koipa", zimakuthandizani kukonzekera m'maganizo mwanu kukambirana za zisankho zovuta zomwe muyenera kupanga.

Komabe, palibe njira imodzi yokha imene madokotala angagawire uthenga wokhudza 'kuneneratu za matenda'. Mwachitsanzo, dokotala wanu angalankhule za 'kuneneratu za matenda' anu motere:

• Monga mwapadera: Mwachitsanzo, dokotala wofotokoza nthawi yomwe muyenera kukhala ndi moyo angaganizire ziwerengero za kupulumuka ndi zinthu zomwe 'mukuyembekezera'. Kutengera ndi izi, anganene kuti muli ndi zaka zitatu kapena zisanu zokhala ndi moyo.
• Nkhani yabwino kwambiri komanso yoyipa kwambiri:Anthu ena amakonda kukhala okonzeka m'maganizo pa zabwino ndi zoyipa. Mwachitsanzo, nkhani yabwino kwambiri ndi yakuti mudzakhala ndi moyo kwa miyezi isanu ndi umodzi mutalandira chithandizo popanda zotsatirapo zilizonse. Nkhani yoyipa kwambiri ndi yakuti mavuto ochokera ku chithandizocho amafupikitsa moyo wanu.
• Monga zotsatira zomwe zingachitike: Dokotala wanu angafotokoze zotsatira zomwe zingachitike. Mwachitsanzo, zotsatira zomwe zingachitike kwambiri ndi zakuti mutatha kulandira chithandizo, mudzakhala ndi miyezi itatu yokhala ndi zotsatirapo zina zomwe zingachepe ndi mankhwala.

Chofunika kwambiri: Kumbukirani kuti mosasamala kanthu za zomwe dokotala wanu akunena, palibe amene anganeneretu tsogolo lanu. Komanso, dokotala wanu angasinthe 'malonjezo' pamene chidziwitso chatsopano chikupezeka, monga momwe mumachitira mukalandira chithandizo. 'Malonjezo' ndi chinthu chomwe chingasinthe nthawi zonse.

Kodi 'kulosera' kumeneku ndi kolondoladi?

Inde, kwakukulukulu. Madokotala ambiri ali ndi chidziwitso chodalirika chomwe chinganeneretu bwino za momwe matenda anu adzachitikire mtsogolo. Kafukufuku wasonyeza kuti 'kulosera' kolondola kwambiri kumadalira kuphatikiza deta (monga zowerengera 'kulosera') ndi lingaliro la dokotala wanu. Ponena za kulondola, maphunziro ena akusonyeza:

• N'kosavuta kuneneratu molondola za nthawi yochepa kuposa za nthawi yayitali.
• Zipangizo za 'kulosera zam'tsogolo' zomwe zimayang'ana zinthu monga kuchuluka kwa zochita zanu zitha kukhala zolondola kwambiri kuposa zida zomwe zimayang'ana zinthu monga zaka zanu kapena jenda.

Koma, kuwonjezera pa kufunsa ngati ndi yolondola, muyeneranso kufunsa ngati izi ndi zothandiza. Mwachitsanzo, dokotala wanu angakupatseni chithandizo chomwe chingakuwonjezereni moyo wanu ndi miyezi ingapo. Koma ngati chithandizocho chili ndi chiopsezo chachikulu cha zovuta, ndipo cholinga chanu chachikulu ndikukhala ndi moyo masiku anu otsala popanda zovuta, chidziwitso chimenecho sichili chothandiza kwenikweni. Dokotala anganene kuti khansa yanu ndi yosachiritsika. Koma ngati chomwe mukusamala ndi ngati mudzakhala ndi moyo nthawi yayitali kuti mukakhale nawo pa maphunziro a mwana wanu, chidziwitso chimenecho sichili chothandiza kwenikweni.

Kunena zoona, dokotala wanu sangayankhe mafunso anu onse. Koma akadziwa bwino nkhawa zanu komanso zomwe zili zofunika kwa inu, zimakhala zosavuta kuti afotokoze zinthu.

Kodi ndingalankhule bwanji ndi dokotala wanga za 'kuneneratu za matenda'?

Mukalandira matenda, mungamve ngati mulibe mphamvu. Zingawoneke ngati dokotala ali ndi chidziwitso chonse komanso mphamvu zonse. Koma kumbukirani, pankhani ya 'kuneneratu za matenda', inunso muli ndi mphamvu. Ndipotu, chidziwitso chofunikira kwambiri - chomwe chili chofunikira kwa inu - chili ndi inu.

Mukakambirana za matenda a shuga ndi dokotala wanu, mungachite izi:

• Muuzeni nkhawa yanu yaikulu:Zingatenge nthawi kuti mudziwe chomwe chili chofunika kwambiri kwa inu pankhani ya matenda anu. Kwa ena, mwina kukhala ndi moyo wautali pang'ono. Kwa ena, mwina kupitiriza ntchito zawo za tsiku ndi tsiku momwe angathere popanda kusintha kulikonse. Kwa ena, kungakhale kukhala popanda ululu kapena zizindikiro zina. Mukazindikira vuto lanu lalikulu, dziwitsani dokotala wanu.
• Muuzeni momwe mungamverere: Mwina simungakhale pamalo abwino m'maganizo kuti mudziwe zonse zokhudza 'kuneneratu' koipa. Uzani dokotala wanu momwe mukumvera. Ngati mukufuna kulankhula za zotsatira zake mwachidule, nenani. Ngati mukufuna kufunsa zambiri (ngakhale zitakhala zovuta), musaope kunena zimenezo.
• Muuzeni momwe mungakondere kupeza chidziwitso: Anthu ena amafuna kudziwa zochitika zabwino komanso zoyipa kwambiri. Ena amangofuna zomwe zingachitike. Anthu ena amakonda kudziwa ziwerengero zachipatala zomwe madokotala amagwiritsa ntchito kuti adziwe 'matenda obwera'. Ena amaopa deta imeneyo. Funsani zomwe mukufuna, zomwe mungathe kuchita.
• Ngati simukumvetsa kanthu kena, nenani kuti: Nthawi zina madokotala amaiwala kuti si aliyense amene amamvetsa zinthu monga kuchuluka ndi kuchuluka kwa zinthu. Palibe cholakwika ndi kupempha dokotala wanu kuti achepetse vuto ndikufotokozera zinthu zomwe simukumvetsa.

Kodi kusiyana pakati pa 'Kuneneratu za matenda' ndi 'Kuzindikira' ndi kotani?

'Kuzindikira matenda' ndi matenda omwe dokotala amakupezani mutachita mayeso. 'Kuzindikira matenda' ndi zotsatira zomwe zimayembekezeredwa chifukwa cha 'kuzindikira matenda' anu. 'Kuzindikira matenda' kumayang'ana zinthu monga ngati mungachire komanso momwe matenda anu angakhalire . Ganizirani za 'kuzindikira matenda' (d) ngati (d)kupeza - kupeza, ndi 'kuzindikira matenda' (p) ngati (p) kulosera - kulosera zomwe zingachitike.

Kodi 'kuneneratu zamtsogolo' ndi kuchuluka kwa kupulumuka ndi chinthu chomwecho?

'Kulosera zamtsogolo' ndi kuchuluka kwa anthu opulumuka si chinthu chimodzi, koma zimagwirizana. Madokotala nthawi zambiri amafufuza kuchuluka kwa anthu opulumuka kuti adziwe gawo linalake la 'kulosera zamtsogolo': nthawi yomwe munthu angakhale ndi moyo. Kuchuluka kwa anthu opulumuka ndi chimodzi mwa zinthu zofunika kwambiri zomwe madokotala amagwiritsa ntchito kuti adziwe 'kulosera zamtsogolo' kwa munthu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ambiri a ife omwe timalandira matenda atsopano timafuna kudziwa bwino zomwe zidzachitike pambuyo pake. Tsoka ilo, ziwerengero zachipatala sizokwanira kulosera zamtsogolo. Komabe, kudziwa zomwe zidzachitike ndi chinthu chabwino kwambiri. Zomwe zidzachitike zingakupatseni chidaliro chachikulu pazisankho zanu zamankhwala ndi zisankho zanu za momwe mumagwiritsira ntchito nthawi yanu.

Musaope kufunsa dokotala wanu mafunso okhudza 'matenda anu'. Palibe cholakwika ndi kufunsa kuti akufotokozereni bwino. Ndi bwinonso kuyang'ana kwambiri mafunso omwe ndi ofunikira kwambiri kwa inu okhudza thanzi lanu lamtsogolo. Kumbukirani, chidziwitso ndi mphamvu!

Kuneneratu za matenda , matenda, ziyembekezo zakuchira, upangiri wa zachipatala, zisankho zamankhwala, zisankho za moyo, chidziwitso cha thanzi