Chii chinonzi palliative care?

Kuchengeta kwakapora kunobatsira vanhu vane chirwere chakakomba vanzwe zvirinani nekudzivirira kana kurapa zviratidzo uye mhedzisiro yechirwere uye kurapwa.

Chinangwa chekuchengetedzwa kwekuchengetedza ndechekubatsira vanhu vane zvirwere zvakakomba kuti vanzwe zviri nani. Iyo inodzivirira kana kubata zviratidzo uye mhedzisiro yezvirwere uye kurapwa. Kuchengeta kwakapora kunorapawo matambudziko emanzwiro, eruzhinji, anoshanda, uye emweya ayo anogona kukonzerwa nezvirwere. Kana munhu achinzwa zvirinani munzvimbo idzi, vane hupenyu hwakavandudzwa.

Kuchengetedza kwekurapa kunogona kupihwa panguva imwechete sekurapa kunoreva kuporesa kana kurapa chirwere. Kuchengetedza kwekurapa kunogona kupihwa kana chirwere chikaonekwa, pakurapwa kwese, panguva yekutevera, uye pakupera kwehupenyu.

Kuchengetedza kwekuchengetedza kunogona kupiwa kune vanhu vane zvirwere, zvakadai se:

• Gomarara
• Chirwere chemoyo
• Zvirwere zvemapapu
• Itsvo kutadza
• Dementia
• HIV / AIDS
• ALS (amyotrophic lateral sclerosis)

Paunenge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinetseka

Chero chero mupi wezvehutano anogona kupa kurapwa kwakapora. Asi vamwe vanopa hunyanzvi mairi. Kuchengetedza kwepamoyo kunogona kupihwa na:

• Chikwata chevanachiremba
• Vanamukoti uye vanamukoti varapi
• Chiremba vabatsiri
• Vakanyoreswa vezvokudya
• Vashandi vezvemagariro
• Nyanzvi dzezvepfungwa
• Massage varapi
• Mapapuri

Kuchengeta kwakapora kunogona kupihwa nezvipatara, masangano ekuchengetedza dzimba, nzvimbo dzegomarara, uye nzvimbo dzekuchengetedza kwenguva refu. Wako anokupa kana chipatara anogona kukupa mazita evanoona nezvekurapa vari pedyo newe.

Zvese kutarisirwa uye kurapa kwekuchengetedza zvinopa nyaradzo. Asi kupora kwekuchengetedza kunogona kutanga pakuongororwa, uye panguva imwechete sekurapwa. Kuchengeta varwere kunotanga mushure mekumiswa kwekurapwa kwechirwere uye pazvinenge zvava pachena kuti munhu haasi kuzorarama nechirwere.

Kuchengetwa kwevagamuchiri kunowanzo kupihwa chete kana munhu achitarisirwa kurarama mwedzi mitanhatu kana zvishoma.

Chirwere chakakomba hachingokanganisi muviri chete. Inobata nzvimbo dzese dzehupenyu hwemunhu, pamwe nehupenyu hwemitezo yemhuri yemunhu iyeye. Kuchengetedza kwepamoyo kunogona kugadzirisa izvi zvinokonzeresa zvehurwere hwemunhu.

Zvinetso zvepanyama. Zviratidzo kana mhedzisiro zvinosanganisira:

• Kurwadziwa
• Kunetseka kurara
• Kufema kwekufema
• Kupererwa nechido, uye kunzwa kurwara kusvika mudumbu

Mishonga inogona kusanganisira:

• Mushonga
• Kutungamira kwehutano
• Kurapa kwepanyama
• Kurapa pabasa
• Kubatanidza kurapa

Emotional, social, uye kurarama matambudziko. Varwere nemhuri dzavo vanosangana nekushushikana panguva yekurwara izvo zvinogona kukonzera kutya, kushushikana, kusava netariro, kana kushungurudzika. Nhengo dzemhuri dzinogona kutora kuchengetedza, kunyangwe kana iinewo mabasa uye mamwe mabasa.

Mishonga inogona kusanganisira:

• Kurairana
• Tsigira mapoka
• Misangano yemhuri
• Kuendeswa kune vanopa hutano hwepfungwa

Zvinetso zvinoshanda. Mamwe ematambudziko anounzwa nehurwere anoshanda, senge mari- kana matambudziko ane chekuita nebasa, mibvunzo yeinishuwarenzi, nenyaya dzemutemo. Chikwata chekuchengetedza chakapora chinogona:

• Tsanangura mafomu akaoma ekurapa kana kubatsira mhuri kunzwisisa sarudzo dzekurapwa
• Govera kana kuendesa mhuri kumazano ezvemari
• Batsira kubatanidza iwe kune zviwanikwa zvekufambisa kana dzimba

Zvemweya nyaya. Kana vanhu vakapikiswa nechirwere, vanogona kutsvaga zvinoreva kana kusahadzika kutenda kwavo. Chikwata chekuchengetedza vanhu chingabatsira varwere uye mhuri kuti vaongorore zvavanotenda uye hunhu hwavo kuti vakwanise kugamuchirwa nerunyararo.

Udza mupiki wako izvo zvinokunetsa uye zvinokunetsa iwe zvakanyanya, uye ndedzipi nyaya dzakanyanya kukosha kwauri. Ipa mupiki wako kopi yehupenyu hwako hwekuda kana wehutano hwekuchengetedza.

Kumbira mupiki wako kuti ndeapi masevhisi ekuchengetedza anowanikwa kwauri. Kuchengetedza kwekuchengetedza kunenge nguva dzose kunovharwa nehutano inshuwarisi, kusanganisira Medicare kana Medicaid. Kana iwe usina inishuwarenzi yehutano, taura nemushandi wezvemagariro kana chipangamazano wezvemari kuchipatara.

Dzidza nezve zvaunosarudza. Verenga pamusoro pemafambiro epamberi, uchifunga nezvekurapa kunowedzera hupenyu, uye kusarudza kusave neCPR (usamutsiridze odha).

Nyaradzo yekuchengetedza; Kuguma kwehupenyu - kutaridzika kwekuremekedza; Hospice - palliative kutarisirwa

Arnold RM. Kuchengetedza. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 3.

Rakel RE, Trinh TH. Kuchengeta kwemurwere ari kufa. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Schaefer KG, Abrahm JL, Wolfe J. Kuchengetedza kwepamoyo. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 92.

• Kuchengetedza Kwekurapa