Umdlavuza webele uyinto eyesabekayo kubantu abaningi. Kodwa into ebaluleke kakhulu okufanele uyazi ukuthi umdlavuza webele ngokuvamile awubangeli ubuhlungu ezigabeni zokuqala. Ubuhlungu buqala ukuvela kuphela lapho lesi sifo sesisesigabeni esiphezulu. Kodwa noma kunjalo, akudingeki ukhathazeke. Kunezinto eziningi wena nodokotela wakho eningazenza ukulawula noma ukunciphisa ubuhlungu. Into ebaluleke kakhulu lapha ukukhuluma ngokukhululekile ngalokho okuzwayo, okusho ukungafihli lutho ngobuhlungu, nethimba lakho lokunakekela umdlavuza .
Umtshela kanjani udokotela kahle ngobuhlungu bakho?
Ubuhlungu obuzwayo bungahluka kakhulu ebuhlungwini obuzwiwa ngomunye umuntu. Yingakho odokotela benendlela abayisebenzisayo ukuqonda uhlobo oluqondile lobuhlungu bakho. Izimpendulo zakho kule mibuzo zizosiza udokotela wakho ukuthola imbangela eqondile yobuhlungu bakho futhi akunikeze ukwelashwa okungcono kakhulu.
Cabanga ukuthi uma uya kudokotela, ukubuza imibuzo efana nale.
| Umbuzo udokotela awubuzayo | Kalula nje, lokho kusho ukuthi... |
|---|---|
| Ukuqala (Kwaqala nini?) | Uqale nini ukuzwa lobu buhlungu? Izolo? Esontweni eledlule? |
| Indawo (Ikuphi?) | Kukuphi ngempela emzimbeni lapho ubuhlungu bukhona? Ingabe busendaweni eyodwa? Ezindaweni eziningana? |
| Ubude (Sekuyisikhathi esingakanani?) | Ingabe ubuhlungu buhlala njalo? Noma buyafika budlule? Uma kunjalo, buhlala isikhathi esingakanani? |
| Izici (uhlobo lobuhlungu) | Luhlobo luni lobuhlungu lobu? Ingabe kuyabuhlungu? Ingabe kuyahlaba? Ingabe kuyathuthumela? Ingabe kuqinile? |
| Ukucasula (Kuyini ukucasula?) | Ingabe lobu buhlungu buba bubi nakakhulu uma wenza noma yini? (isib., lapho uhamba, uhamba, ukhwehlela) |
| Ukukhululeka (Kuyini ukukhululeka?) | Ingabe ukwenza okuthile kuyasiza ekunciphiseni ubuhlungu? (isib. ukulala phansi, ukuphuza umuthi, ukufaka uwoyela) |
| Isikhathi (Uza nini?) | Ingabe ubuhlungu bufika ngesikhathi esithile sosuku? Ekuseni? Ebusuku? Ngemva kokudla? |
| Ubunzima (ubuhlungu obukhulu) | Uma ubungacelwa ukuthi ulinganise ubuhlungu bakho ngesikali kusukela ku-0 kuya ku-10 (0 = akukho buhlungu, 10 = ubuhlungu obungabekezeleleki), mangaki amaphuzu obungawanikeza ubuhlungu bakho? |
Khumbula, " ukunakekelwa kobuhlungu" kuyisevisi ekhethekile yezokwelapha ehlanganisa ukuphathwa kobuhlungu, ukukhululeka kwengqondo, kanye nokusekelwa komphakathi. Akugcini nje ezigabeni zokugcina zokugula. Kusiza ekuthuthukiseni ikhwalithi yokuphila kwakho kunoma yisiphi isigaba.
Ungabuzwa kuphi ubuhlungu?
Indawo yobuhlungu inqunywa ukuthi umdlavuza usakazeke kuphi emzimbeni kanye nobukhulu bezimila ezintsha ezakhayo.
- Amathambo: Uma umdlavuza usakazekela emathanjeni, kungaba nobuhlungu, ikakhulukazi lapho kuhanjiswa amathambo. Abesifazane abaningi bachaza lobu buhlungu njengobuhlungu obuhlabayo, obuhlabayo obubavusa ebusuku .
- Ubuchopho: Ikhanda elibuhlungu liyinto etholwa yiwo wonke umuntu. Kodwa uma umdlavuza webele usuqhubekele phambili usakazekela ebuchosheni, ungabangela ikhanda elibuhlungu eliqhubekayo, elibi kakhulu noma umuzwa wokucindezeleka ngaphakathi ekhanda.
- Isikhumba: Ngezinye izikhathi ungase uzwe izinzipho nezinaliti esikhumbeni sakho. Odokotela bakubiza lokhu ngokuthi ubuhlungu be-neuropathic.
- Isisu: Ubuhlungu besisu bungaba uphawu lwenkinga yesibindi. Lesi simo singabangelwa ukuvuvukala kwesibindi. Kungazwakala njengobuhlungu obungajabulisi, obubuhlungu obuhlala isikhathi eside .
- Amaphaphu : Uma umdlavuza usakazekela emaphashini noma olwelwesini oluwazungezile (i-pleura), ungabangela ubuhlungu obungapheli. Ungabangela nokukhwehlela okuqhubekayo. Lokhu kukhwehlela kungabangela nobuhlungu ezimbanjeni nasesifubeni.
- Ama-lymph node: Ama-lymph node avuvukile ayisibonakaliso sokuthi udokotela wakho udinga ukuhlola ukuthi umdlavuza ususakazekele kwezinye izingxenye zomzimba. Ama-lymph node avuvukile angabangela ingcindezi nobuhlungu uma ethintwa.
Imithi yobuhlungu
Ngemva kokuthola incazelo eningiliziwe yobuhlungu bakho, ithimba lakho lezokwelapha lizokhetha umuthi ofanele wena. Lokhu kuvame ukuhilela ukusebenzisa umuthi wokuqeda ubuhlungu omnene njalo, bese ufaka umuthi onamandla uma ubuhlungu bukhulu.
Imithi esetshenziswa kakhulu:
- Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Lesi sigaba sihlanganisa imithi efana ne- 'Acetaminophen' , 'Aspirin', 'Ibuprofen'. Lezi zisebenza kahle kakhulu ebuhlungu bamathambo kanye nobuhlungu obubangelwa ukuvuvukala.
- Ama-antidepressant: Imithi efana ne-'Amitriptyline' kanye ne-'Nortriptyline' ingasiza ekulawuleni ubuhlungu bemizwa. I-'Duloxetine' yokucindezeleka isetshenziswa futhi ekwelapheni ubuhlungu bemizwa.
- Imithi yokulwa nokuquleka: Imithi efana neGabapentin nePregabalin, esetshenziselwa ukwelapha isifo sokuwa, ingaba usizo olukhulu ekunciphiseni ubuhlungu bemizwa obubangelwa umdlavuza.
- Izinhlungu zobuhlungu ezisetshenziswa endaweni yokwelapha: Ngezinye izikhathi, udokotela wakho angase ancome into efana ne-Lidocaine patch njengokukhululeka okwengeziwe kobuhlungu bezinzwa obungenakulawulwa ngokuphelele ngemithi ethengiswa ngaphandle kwemithi kadokotela.
- Ama-Corticosteroids: Imithi efana ne-Dexamethasone isetshenziselwa ukwelapha ubuhlungu bamathambo kanye nobuhlungu bemizwa.
- Ama-Opiate: Uma ubuhlungu obukhulu, obuqhubekayo obungenakulawulwa ngeminye imithi, udokotela wakho angase akunikeze i-opioid efana ne-Codeine, i-Morphine, noma i-Oxycodone. Lawa asebenza ngendlela efanayo nama-endorphin, angama-painkiller emvelo akhiqizwa yimizimba yethu.
Kubaluleke kakhulu: Ama-opioid uhlobo lomuthi ongaba umlutha. Ngakho-ke , hlala uwathatha njengoba nje udokotela wakho ekutshela, ngesilinganiso esifanele.Lezi kufanele zisetshenziswe. Kodwa khumbula nalokhu, kulungile ukusebenzisa le mithi yobuhlungu bomdlavuza ngaphansi kokuqondisa kukadokotela. Ayiluthi. Ukuthi nje kufanele wandise umthamo womuthi ngoba ubuhlungu bukhuphukile, akusho ukuthi usuwumlutha wawo.
Ukwelashwa okungeyona imithi
Ngaphezu kwemithi, udokotela wakho angase acabangele nalezi zindlela zokwelapha ukuze asize ekunciphiseni ubuhlungu bakho:
- Ukuhlinzwa: Ukususwa ngokuhlinzwa kwayo yonke noma ingxenye yesimila somdlavuza esibangela ubuhlungu.
- Ukwelashwa ngemisebe: Imisebe isetshenziselwa ukunciphisa isimila. Ngezinye izikhathi, uma ukuhlinzwa kungenzeki, inqubo ebizwa ngokuthi i-radiofrequency ablation (idivayisi enhle kakhulu esebenzisa amaza omsakazo anamandla amakhulu ukuhlasela isimila) ingasetshenziswa.
- Ezinye izindlela zokwelapha: Ukwelashwa ngamakhemikhali noma ngama-hormone nakho kunganikeza ukukhululeka ebuhlungwini.
- Ukuvinjwa kwemizwa: Ukujova umuthi oqeda izinhlungu eduze kwemizwa kungavimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
- Ukuvuselela imizwa: Ukuphazamisa ubuhlungu ngokunikeza umuzwa omnene endaweni yobuhlungu. Lokhu kungenziwa ngokusebenzisa ukushisa, ukubanda, ukubhucungwa, i-menthol, i-capsaicin (into ekhishwe kupelepele). Isibonelo salokhu idivayisi ebizwa ngokuthi i-TENS (transcutaneous electrical nerve stimulation).
Ezinye izinto ongazenza wena
Ngaphezu kwemithi, kunezinto eziningana ongazizama ukusiza ekulawuleni ubuhlungu bakho. Ungase ukwazi nokunciphisa inani lemithi yobuhlungu okudingeka uyithathe ngokusebenzisa enye yalezi.
- Ukwelapha nge-acupuncture: Indlela yokuqeda ubuhlungu ngokufaka izinaliti ezincane kakhulu ezindaweni ezithile emzimbeni ngumelaphi oqeqeshiwe. Lena indlela yendabuko yezokwelapha zaseShayina.
- Ukwelashwa Kokuziphatha Kokuqonda: Lena isevisi yokweluleka ekusiza ukuthi ushintshe indlela osabela ngayo futhi ulawule ngayo imicabango nemizwa ecindezelayo ebangelwa ubuhlungu.
- Ukwelashwa ngokunyakaza: Ukuzivocavoca okuthambile njenge-yoga ne-tai chi kungasiza ekuthuthukiseni isimo sakho sengqondo, ukujikeleza kwegazi, kanye nenhlalakahle iyonke.
- Amasu okuphefumula: Lena indlela enhle yokulawula ubuhlungu obungazelelwe nobunzima. Inciphisa ukukhathazeka futhi ikunika amandla amaningi okubhekana nobuhlungu obukhulu.
Khuluma nodokotela wakho ngakho konke lokhu. Khumbula, akudingeki uhlupheke wedwa ngenxa yobuhlungu. Kunezindlela zokubulawula.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu buvame kakhulu kumdlavuza webele osukhulile, kodwa bungalawulwa . Ngakho-ke ungahlupheki wedwa.
- Tshela udokotela wakho ngobuhlungu obuzwayo - uhlobo lwabo, isikhathi, kanye nobukhulu balo - ngaphandle kokufihla lutho .
- Ukunakekelwa kwe-palliative akukona nje ukuphela kwempilo. Kusiza ekuthuthukiseni ikhwalithi yempilo yakho nganoma yisiphi isikhathi .
- Xoxa nodokotela wakho ngezindlela ezahlukene zokwelapha , okuhlanganisa imithi, ukuhlinzwa, kanye ne-yoga kanye nokuzivocavoca ngokuphefumula.
- Landela imiyalelo kadokotela wakho njalo, ikakhulukazi uma uphuza imithi yobuhlungu.
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