Nokuba sisiva igama elithi umhlaza, uloyiko lufika kuthi abaninzi. Omnye umbuzo omkhulu oza nalo yintlungu. "Ngaba kuya kuba buhlungu kakhulu ukuba ndinomhlaza?", "Ngaba ndiya kuziva iintlungu ngexesha lonyango?" Imibuzo efana nale mhlawumbi isengqondweni yakho. Enyanisweni, ayinguye wonke umntu olwa nomhlaza ova iintlungu. Kodwa inani elikhulu labantu liyaziva. Eyona nto ingcono kukuba, akufuneki ubandezeleke yile ntlungu wedwa. Kukho iindlela eziphambili namhlanje zokuyilawula.
Ngamafutshane, yintoni intlungu yomhlaza?
Intlungu yomhlaza yintlungu eyenzeka ngenxa yokuba unomhlaza okanye ngenxa yonyango olufumanayo ngenxa yawo (umzekelo, i-chemotherapy, i-radiation, utyando). Le ntlungu ingavakala ngendlela eyahlukileyo. Ngamanye amaxesha inokuba bukhali, ihlabe, okanye ibe buthuntu, itshise, indindisholo, okanye ibethe.
Into ebalulekileyo kukuba iintlungu ziyinxalenye yonyango lomhlaza . Ngoko ke ukuthetha nogqirha wakho ngeentlungu kubaluleke njengokunyanga umhlaza. Musa ukucinga ukuba, "Ndimele ndinyamezele oku."
Ngaba kukho iintlobo ezahlukeneyo zeentlungu zomhlaza?
Ewe, iintlungu zomhlaza azifiki ngendlela efanayo. Kukho iintlobo ezininzi eziphambili zazo. Makhe sijonge ukuba zeziphi.
| Uhlobo lwentlungu | Ingcaciso elula |
|---|---|
| Intlungu Ebukhali | Le yintlungu eyenzeka emva kotyando okanye ngexesha lonyango ize iphele emva kweentsuku ezimbalwa. Ingahluka ukusuka kwencinci ukuya kwenzima. |
| Intlungu Engapheliyo | Le ntlungu ayipheli njengentlungu ebukhali. Ihlala ihleli. Olu hlobo lwentlungu lunokwenzeka xa imithambo-luvo yonakaliswe ngumhlaza okanye unyango lwawo. |
| Intlungu Ephumileyo | Intlungu ebuhlungu nekhawulezileyo efika ngequbuliso, nokuba usebenzisa amayeza okudambisa iintlungu rhoqo. Oku kunokwenzeka xa amayeza okudambisa iintlungu ephela. |
| Intlungu Engaqhelekanga | Emva kokuba inxalenye yomzimba (umz., umlenze, ingalo) isusiwe ngotyando ngenxa yomhlaza, ukuziva intlungu kwindawo esusiweyo kungenxa yemiqondiso evela engqondweni. |
| Intlungu Ebhekiselweyo | Intlungu ikwindawo enye, kodwa unobangela ukwindawo enye. Umzekelo, ukuba isibindi sidumbile ngenxa yomhlaza wesibindi kwaye sicinezela umthambo, unokuba neentlungu egxalabeni lasekunene. |
Ivakala njani intlungu?
Asinguye wonke umntu ova iintlungu ngendlela efanayo, kwaye indlela ezivakala ngayo inokwahluka ngokuxhomekeke kwisizathu seentlungu.
- Intlungu yamathambo: Intlungu ebuhlungu nebuhlungu evela ngaphakathi emathanjeni.
- Intlungu yamalungu: Umzimba usenokuziva uqaqambile kwaye uqinile.
- Intlungu yemithambo-luvo: Ingavakala ngathi kukutsha, ukungaziva, ukubetheka ngombane, okanye intlungu yokuhlaba.
- Intlungu yezicubu ezithambileyo: Le ntlungu, eyenzeka kwilungu okanye kwisihlunu, inokuvakala ibukhali, ifana nokuxhuzula, ibetha, okanye ibuhlungu.
Yingakho kubaluleke kakhulu ukuxelela ugqirha ngokucacileyo xa unentlungu , apho ibuhlungu khona kwaye ivakala njani .
Ungayinyanga njani intlungu?
Ukulawula iintlungu zomhlaza kubaluleke njengokunyanga umhlaza ngokwawo. Ugqirha wakho uza kukubuza imibuzo embalwa ukuze akuncede ngale nto.
- Ibuhlungu kangakanani?: Kwisikali ukusuka ku-zero (0) ukuya kwishumi (10), uya kubuzwa ukuba intlungu yakho iphi (10 yeyona ntlungu inganyamezelekiyo).
- Ivakala njani?: Njengoko bekutshiwo ngaphambili, yichaze njengento evuthayo, ehlabayo, okanye ebukhali.
- Ibuhlungu phi?: Xa usazi kakuhle apho ibuhlungu khona, kulula ukufumana unobangela.
- Ichaphazela njani ubomi bemihla ngemihla?: Ngaba iintlungu ziyakuthintela ekulaleni? Ngaba kunzima ukutya? Ngaba zikwenza ungakwazi ukusebenza? Ukwazi izinto ezinje kunganceda kakhulu ekucwangciseni unyango.
Ungacelwa ukuba ugcine "idayari yeentlungu." Oku kuthetha ukurekhoda ixesha leentlungu, ukuba ulisebenzise nini iyeza lakho, kunye nokuba lithathe ixesha elingakanani ukuze lisebenze. Oku kuya kunceda iqela lakho lonyango ukuba lenze isicwangciso sonyango esisebenza kakuhle kuwe.
Zithini iindlela zonyango?
Kukho iindlela ezahlukeneyo zonyango. Unyango luxhomekeke kwisizathu sentlungu. Umzekelo, ukuba intlungu ibangelwa sisimila somhlaza esicinezela umthambo, i-chemotherapy inokunikwa ukunciphisa isimila. Ukongeza, kwenziwa nezinye iindlela zonyango.
1. Amayeza
Iindidi ezahlukeneyo zamayeza zisetyenziselwa ukulawula iintlungu.
- Ii-Non-opioids: Iipilisi zokuthomalalisa iintlungu ezisetyenziswa rhoqo ezifana neParacetamol kunye neNSAIDs (iziyobisi ezichasene nokuvuvukala ezingezizo eze-steroidal).
- Ii-Opioids: Uhlobo lwe-painkiller enamandla edla ngokumiselwa iintlungu zomhlaza. Amayeza afana neMorphine, iFentanyl, iOxycodone, kunye neTramadol akweli qela.
Abantu abaninzi bayoyika ukuba likhoboka lala mayeza ohlobo lwe-`(Opioid)`. Loo nto iluloyiko olufanelekileyo. Nangona kunjalo, xa la mayeza ethathwa phantsi kweliso likagqirha, kwidosi emiselweyo, kwaye kwixesha elimiselweyo, umngcipheko uba mncinci kakhulu. Thetha ngokukhululekileyo nogqirha wakho malunga noloyiko lwakho.
2. Amanye amayeza aluncedo
Kunye namayeza aphambili eentlungu, amayeza anokunikwa nezinye iingxaki.
| Uhlobo lweziyobisi | Isetyenziselwa ntoni? |
|---|---|
| Ii -Anticonvulsants (umz., iGabapentin, iPregabalin) | Ukulawula iintlungu ezinje ngokudumba kunye nokuba ndindisholo okubangelwa kukonakala kwemithambo-luvo. |
| Ii-Corticosteroids (umz., iDexamethasone, iPrednisone) | Ukunciphisa ukudumba nokunciphisa iintlungu zamathambo. |
| Amayeza okudakumba | Inceda kwiintlungu ezithile zemithambo-luvo kwaye inciphisa uxinzelelo olubangelwa yintlungu. |
| Iilaxatives | Ezinye iintlungu ezibuhlungu ezinamandla (ii-Opioids) zibangela ukuqhina kwesisu. Ukuze kulawulwe oku. |
3. Iindlela zonyango ezithintela imiqondiso yentlungu
- Ukuvaleka kwemithambo-luvo: Ukujova iyeza kufutshane nomthambo othwala iintlungu, ukuthintela okwethutyana isignali yentlungu ukuba ingafiki engqondweni.
- Iimpompo zentlungu (iiCatheters zangaphakathi): Isixhobo esincinci esifakwe ngotyando emgogodleni sihambisa amayeza entlungu ngqo kulwelo olujikeleze umthambo womqolo.
- Ukususwa kweRadiofrequency: Ngokusebenzisa amaza erediyo, inxalenye encinci yemithambo-luvo ethwala iintlungu iyafudunyezwa ize icinywe.
Kwenzeka ntoni ukuba intlungu ayinyangwa?
Intlungu engapheliyo inokuchaphazela yonke into ebomini bakho.
- Andikwazi ukulala kakuhle.
- Ndiphelelwa ngumdla wokutya.
- Umzimba uba buthathaka kwaye ungakwazi ukwenza imisebenzi yemihla ngemihla.
- Ekuhambeni kwexesha, le ntlungu ingakhokelela kwiimeko ezifana nokuxhalaba kunye nokudakumba.
Kukho izizathu ezininzi zokuba abanye abantu boyike ukuthetha ngentlungu:
- "Ndicinga ukuba ugqirha uza kutshintsha ingqalelo yakhe angayi kunyango lomhlaza aye kwintlungu."
- "Ingaba ukwanda kwentlungu kuthetha ukwanda komhlaza?" Ndiyoyika.
Ugqirha wakho uyayiqonda yonke le nto. Khumbula, ukulawula iintlungu yinxalenye ebalulekileyo yonyango lomhlaza. Ngoko ke ungoyiki ukuthetha ngentlungu.
Ufanele uthethe nini nogqirha?
Kwiimeko ezilandelayo, qiniseka ukuba uyalazisa iqela lakho lezonyango.
- Ukuba ufumana 'iintlungu ezibuhlungu' (iintlungu eziqatha eziza ngequbuliso, nokuba sele usele amayeza).
- Ukuba intlungu ayinakulawulwa ngamayeza owasebenzisayo ngoku, okanye ukuba intlungu iya isiba mandundu .
- Ukuba iziphumo ebezingalindelekanga zeentlungu, ezinje ngesiyezi, ukozela, kunye nokuhlanza , zinzima kakhulu ukuzinyamezela.
Ndingafumana uncedo ngokulawula iintlungu ekhaya?
Ewe, ukongeza ekuthatheni amayeza njengoko ugqirha ewayalele, ezi zinto zinokunceda.
- Iipakethi ezifudumeleyo: Zinceda ekunciphiseni iintlungu zemisipha kunye nokuqina. Zifake imizuzu eli-10-20. Nangona kunjalo, musa ukufaka ubushushu kwiindawo apho kukho iithumba ezinomhlaza okanye kwiindawo ezifumene unyango lwemitha.
- Iipakethi ezibandayo: Ukufaka ipakethi yomkhenkce egqunywe ngelaphu kunokunceda ekunciphiseni ukudumba kunye nentlungu ethile yemithambo-luvo. Yishiye imizuzu eli-10-20.
Kungcono ubuze ugqirha wakho ngaphambi kokuba wenze nayiphi na kwezi zinto.
Umyalezo Wokuya Ekhaya
- Asinguye wonke umntu ova iintlungu ezibangelwa ngumhlaza. Kodwa ukuba intlungu iyenzeka, ingalawuleka.
- Musa ukunyamezela iintlungu. Zinokuchaphazela kakhulu umgangatho wobomi bakho. Ukulawula iintlungu yinxalenye yonyango lomhlaza.
- Thetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga nentlungu oyivayo - ukuba inzima kangakanani, ivakala njani, apho ibuhlungu khona, njl.
- Ukuba ukhathazekile ngokuba likhoboka leepilisi zokuphelisa iintlungu, thetha nogqirha wakho ngaloo nto. Bangakufundisa indlela yokusebenzisa amayeza ngokukhuselekileyo.
- Awuwedwa kweli dabi lomhlaza. Kukho iqela lonke loogqirha abanokukunceda ulawule iintlungu zakho.
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