Ngisho nalapho sizwa igama elithi umdlavuza, ukwesaba kufika kwabaningi bethu. Omunye umbuzo omkhulu ohambisana nakho ubuhlungu. "Ingabe kuzobuhlungu kakhulu uma ngithola umdlavuza?", "Ingabe ngizozwa ubuhlungu ngesikhathi sokwelashwa?" Imibuzo efana nale cishe isengqondweni yakho. Eqinisweni, akuwona wonke umuntu olwa nomdlavuza ozwa ubuhlungu. Kodwa inani elikhulu labantu liyabuzwa. Ingxenye engcono kakhulu ukuthi, akudingeki ubhekane nalolu buhlungu wedwa. Kunezindlela ezithuthukisiwe namuhla zokubulawula.
Kalula nje, buyini ubuhlungu bomdlavuza?
Ubuhlungu bomdlavuza ubuhlungu obuvela ngoba unomdlavuza noma ngenxa yokwelashwa okutholayo ngenxa yawo (isibonelo, i-chemotherapy, i-radiation, ukuhlinzwa). Lobuhlungu bungazwakala buhlukile. Ngezinye izikhathi bungaba bubukhali, buhlabe, noma bube buthuntu, bushise, bungabi namizwa, noma bushaye.
Into ebalulekile ukuthi ubuhlungu buyingxenye yokwelashwa komdlavuza . Ngakho-ke ukukhuluma nodokotela wakho ngobuhlungu kubaluleke njengokwelapha umdlavuza. Ungacabangi ukuthi, "Kufanele ngibekezelele lokhu."
Ingabe kunezinhlobo ezahlukene zobuhlungu bomdlavuza?
Yebo, ubuhlungu bomdlavuza abufiki ngendlela efanayo. Kunezinhlobo eziningana eziyinhloko zalo. Ake sibheke ukuthi buyini.
| Uhlobo lobuhlungu | Incazelo elula |
|---|---|
| Ubuhlungu Obubukhali | Lobu ubuhlungu obuvela ngemva kokuhlinzwa noma ngesikhathi sokwelashwa bese buphela ngemva kwezinsuku ezimbalwa. Bungaba buncane kuya kobunzima. |
| Ubuhlungu Obungapheli | Lobuhlungu abupheli njengobuhlungu obukhulu. Buhlala njalo. Lolu hlobo lobuhlungu lungenzeka lapho imizwa yonakaliswa umdlavuza noma ukwelashwa kwawo. |
| Ubuhlungu Bokuphuka | Ubuhlungu obungazelelwe, obukhulu obufika ngokuzumayo, ngisho noma uphuza amaphilisi okudambisa izinhlungu njalo. Lokhu kungenzeka uma amaphilisi okudambisa izinhlungu ephela. |
| Ubuhlungu Obumangalisayo | Ngemva kokuba ingxenye yomzimba (isib. umlenze, ingalo) isusiwe ngokuhlinzwa ngenxa yomdlavuza, umuzwa wobuhlungu engxenyeni esusiwe ubangelwa izimpawu ezivela ebuchosheni. |
| Ubuhlungu Obubhekiselwe Kuye | Ubuhlungu busendaweni eyodwa, kodwa imbangela ikwenye indawo. Isibonelo, uma isibindi sivuvukele ngenxa yomdlavuza wesibindi futhi sicindezela imizwa, ungase uzwe ubuhlungu ehlombe lesokudla. |
Ubuhlungu buzwakala kanjani?
Akuwona wonke umuntu ozwa ubuhlungu ngendlela efanayo, futhi indlela obuzwakala ngayo ingahluka kuye ngokuthi imbangela yobuhlungu iyini.
- Ubuhlungu bamathambo: Ubuhlungu obungajabulisi, obuhlabayo obuvela ngaphakathi kwamathambo.
- Ubuhlungu bamalunga: Umzimba ungase uzizwe ubuhlungu futhi uqinile.
- Ubuhlungu bemizwa: Kungazwakala njengokusha, ukungazweli, ukushaqeka ngogesi, noma ubuhlungu bokugwazwa.
- Ubuhlungu bezicubu ezithambile: Lobuhlungu, obuvela esithweni noma emisipheni, bungazwakala bubukhali, bufana nokuqaqamba, bushaya, noma bubuhlungu.
Yingakho kubaluleke kakhulu ukutshela udokotela ngokucacile uma uzwa ubuhlungu , ukuthi bubuhlungu kuphi nokuthi buzizwa kanjani .
Ungayiphatha kanjani ubuhlungu?
Ukuphatha ubuhlungu bomdlavuza kubaluleke njengokwelapha umdlavuza uqobo. Udokotela wakho uzokubuza imibuzo embalwa ukuze akusize ngalokhu.
- Kubuhlungu kangakanani?: Esikalini kusukela ku-zero (0) kuya kweshumi (10), uzobuzwa ukuthi ubuhlungu bakho bukuphi (10 bubuhlungu obungabekezeleleki kakhulu).
- Kuzwakala kanjani?: Njengoba kushiwo ngaphambili, chaza njengokusha, okuhlabayo, noma okubukhali.
- Kubuhlungu kuphi?: Uma wazi kahle ukuthi kubuhlungu kuphi, kulula ukuthola imbangela.
- Kuthinta kanjani impilo yansuku zonke?: Ingabe ubuhlungu bukuvimbela ukulala? Ingabe kunzima ukudla? Ingabe kwenza kube nzima ukwenza umsebenzi? Ukwazi izinto ezinjengalezi kungaba usizo kakhulu ekuhleleni ukwelashwa.
Ungase ucelwe ukuthi ugcine "idayari yobuhlungu." Lokhu kusho ukurekhoda isikhathi sobuhlungu, ukuthi wawuthatha nini umuthi wakho, nokuthi kwathatha isikhathi esingakanani ukuthi umuthi usebenze. Lokhu kuzosiza ithimba lakho lokwelapha ukuthi lakhe uhlelo lokwelapha olusebenza kahle kuwe.
Yiziphi izindlela zokwelapha?
Kunezindlela eziningana zokwelapha. Ukwelashwa kuncike embangweni wobuhlungu. Isibonelo, uma ubuhlungu bubangelwa isimila somdlavuza esicindezela imizwa, i-chemotherapy inganikezwa ukuze kuncishiswe isimila. Ngaphezu kwalokho, kwenziwa nezinye izindlela zokwelapha.
1. Imithi
Izinhlobo ezahlukene zemithi zisetshenziselwa ukulawula ubuhlungu.
- Ama-Non-opioid: Ama-painkiller asetshenziswa kakhulu njenge-Paracetamol kanye nama-NSAID (izidakamizwa ezilwa nokuvuvukala ezingezona eze-steroidal).
- Ama-opioid: Uhlobo lwemithi yokubulala izinhlungu enamandla evame ukunqunyelwa ubuhlungu bomdlavuza. Imithi efana ne-Morphine, i-Fentanyl, i-Oxycodone, ne-Tramadol ingeyalesi sigaba.
Abantu abaningi besaba ukuba umlutha wale mithi yohlobo lwe-`(Opioid)`. Lokho ukwesaba okunengqondo. Kodwa-ke, uma le mithi ithathwa ngaphansi kokuqondisa kukadokotela, ngesilinganiso esinqunyiwe, nangesikhathi esinqunyiwe, ingozi iba ncane kakhulu. Khuluma ngokukhululekile nodokotela wakho ngokwesaba kwakho.
2. Eminye imithi ewusizo
Kanye nomuthi oyinhloko wobuhlungu, umuthi unganikezwa nezinye izinkinga.
| Uhlobo lwesidakamizwa | Isetshenziselwani? |
|---|---|
| Imithi Yokulwa Nokuxhuzula (isib., iGabapentin, iPregabalin) | Ukulawula ubuhlungu obufana nokuvuvukala kanye nokungazweli okubangelwa ukulimala kwemizwa. |
| Ama -Corticosteroids (isb., i-Dexamethasone, i-Prednisone) | Ukunciphisa ukuvuvukala nokuqeda ubuhlungu emathanjeni. |
| Imithi yokucindezeleka | Kuyasiza ngobuhlungu bemizwa futhi kunciphisa ukucindezeleka okubangelwa ubuhlungu. |
| Ama-laxative | Amanye ama-painkiller anamandla (ama-opioid) abangela ukuqunjelwa. Ukuze akulawule. |
3. Izindlela zokwelapha ezivimba izimpawu zobuhlungu
- Ukuvinjwa Kwemizwa: Ukujova umuthi eduze kwemizwa ethwala ubuhlungu, ukuvimba okwesikhashana isignali yobuhlungu ukuthi ingafiki ebuchosheni.
- Amaphampu Obuhlungu (Ama-Catheter E-Intrathecal): Idivayisi encane efakwe ngokuhlinzwa emgogodleni iletha imithi yobuhlungu ngqo oketshezini oluzungeze umgogodla.
- Ukususwa Kwemisebe: Kusetshenziswa amagagasi omsakazo, ingxenye encane yenzwa ethwala ubuhlungu iyashiswa futhi ivalwe.
Kwenzekani uma ubuhlungu bungelashwa?
Ubuhlungu obuhlala njalo bungathinta zonke izici zokuphila kwakho.
- Angikwazi ukulala kahle.
- Ngiphelelwa yisifiso sokudla.
- Umzimba uba buthakathaka futhi ungakwazi ukwenza imisebenzi yansuku zonke.
- Ngokuhamba kwesikhathi, lobu buhlungu bungabangela izimo ezinjengokukhathazeka nokucindezeleka.
Kunezizathu eziningana ezenza abanye abantu besabe ukukhuluma ngobuhlungu:
- "Ngicabanga ukuthi udokotela uzoshintsha ukugxila ekwelashweni komdlavuza aye ebuhlungwini."
- "Ingabe ukwanda kobuhlungu kusho ukwanda komdlavuza?" Ngiyesaba.
Udokotela wakho uyakuqonda konke lokhu. Khumbula, ukulawula ubuhlungu kuyingxenye ebalulekile yokwelashwa komdlavuza. Ngakho-ke ungesabi ukukhuluma ngobuhlungu.
Kufanele ukhulume nini nodokotela?
Ezimweni ezilandelayo, qiniseka ukuthi wazisa ithimba lakho lezokwelapha.
- Uma uzwa 'ubuhlungu obukhulu' (ubuhlungu obukhulu obuvela ngokuzumayo, ngisho nangemva kokuthatha imithi).
- Uma ubuhlungu bungenakulawuleka ngemithi oyiphuzayo njengamanje, noma uma ubuhlungu buba bubi kakhulu .
- Uma imiphumela emibi yemithi yokubulala izinhlungu, njengesiyezi, ukozela, nokuhlanza , inzima kakhulu ukuyibekezelela.
Ngingaluthola yini usizo ngokulawula ubuhlungu ekhaya?
Yebo, ngaphezu kokuthatha umuthi njengoba nje udokotela emyalile, lezi zinto zingasiza.
- Amaphakethe afudumele: Asiza ekunciphiseni ubuhlungu bemisipha nokuqina. Faka imizuzu eyi-10-20. Kodwa-ke, ungafaki ukushisa ezindaweni lapho kunezimila ezinomdlavuza noma ezindaweni ezithole ukwelashwa ngemisebe.
- Amaphakethe abandayo: Ukufaka iphakethe leqhwa eligoqwe ngendwangu kungasiza ekunciphiseni ukuvuvukala kanye nobuhlungu bemizwa. Shiya lokhu imizuzu eyi-10-20.
Kungcono ukubuza udokotela wakho ngaphambi kokwenza noma yiziphi zalezi zinto.
Umlayezo Wokuya Nawe Ekhaya
- Akuwona wonke umuntu ozwa ubuhlungu obubangelwa umdlavuza. Kodwa uma ubuhlungu buvela, bungalawulwa.
- Ungabekezeleli ubuhlungu. Bungayithinta kakhulu impilo yakho. Ukulawula ubuhlungu kuyingxenye yokwelashwa komdlavuza.
- Khuluma ngokukhululekile nangokwethembeka nodokotela wakho ngobuhlungu obuzwayo - ukuthi bukhulu kangakanani, buzwakala kanjani, ukuthi bubuhlungu kuphi, njll.
- Uma ukhathazekile ngokuba umlutha wemithi yokubulala izinhlungu, khuluma nodokotela wakho nangalokho. Bangakufundisa ukuthi ungayisebenzisa kanjani imithi ngokuphephile.
- Awuwedwa kule mpi nomdlavuza. Kukhona ithimba lonke lodokotela abazokusiza ukuphatha ubuhlungu bakho.
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