Chii Chaunofanira Kuziva Nezve Kurapa Kuchengetedza

Zvemukati

• Chii chinonzi palliative care?
• Kuchengetedza kwecancer
• Kuchengetedza kwekuchengetedza kwekuora mwoyo
• Kuchengetedza kweCOPD
• Zvinosiyana sei nehospital?
• Pfupiso
• Ndiani anopa rudzi urwu rwekutarisira?
• Nguva yekufunga nezvekurapa
• Unogona here kuwana kurapa kwakanaka kumba?
• Iwe unowana sei kutarisira kwakapora?
• Iyo yakafukidzwa neMedicare?
• Chinokosha

Kuchengetedza kwekuchengetedza inzvimbo inokura yemishonga. Zvakadaro, pane kumwe kuvhiringidzika pamusoro pekuti kurapwa kwekureruka chii, kunosanganisirei, ndiani anofanira kuitora, uye nei.

Chinangwa chekuchengetedzwa kwekuchengetedza ndechekuvandudza hupenyu hwevanhu vane hutachiona hwakakomba kana hupenyu hunochinja. Iko kunonzi dzimwe nguva kuchengetwa kwekutsigira.

Kuchengetedza kwekuchengetedza kuri pamusoro pekuvandudza hutano hwakakwana, kusanganisira muviri, manzwiro, zvemweya, uye hukama hwevanhu.

Chii chinonzi palliative care?

Kuchengetedza kwekuchengetedza kunotarisa mukuvandudza hutano hwese hwevanhu vane chirwere chakakomba. Inogadzirisa zvese zviratidzo uye kunetsekana kwekurarama nechirwere chisingaperi. Inogona zvakare kusanganisira kutsigira kwevanodiwa kana vanochengeta.

Sezvo zvakavakirwa pane zvido zveumwe neumwe, kurapwa kwekunyaradza kunogona kuve kwakasiyana zvakanyanya kubva kune mumwe munhu kuenda kune anotevera. Chirongwa chekuchengeta chinogona kusanganisira chimwe kana zvimwe zvinangwa zvinotevera:

• kuderedza zviratidzo, kusanganisira mhedzisiro yekurapa
• kugadzirisa kunzwisiswa kwechirwere nekufambira mberi kwayo
• Kuziva nekugadzirisa zvinodikanwa uye zvekunamata
• kubatsira kubata nemanzwiro uye neshanduko dzine chekuita nehurwere
• kubatsira mukunzwisisa sarudzo dzokurapa, kuita sarudzo dzokurapa, uye kuronga kutarisirwa
• kudoma uye kuwana zvimwe zviwanikwa zvekupa rutsigiro

Kuchengetedza kwepamoyo kunogona kuve sarudzo yemamiriro mazhinji. Kenza, kuora mwoyo, uye chirwere chisingaperi chisingabvumirwe chemapapu (COPD) ndeimwe yemamiriro akajairika uko kurapwa kwekurapa kunogona kubatsira zvakanyanya. Iyi mienzaniso inotsanangurwa zvakadzama pazasi.

Kuchengetedza kwecancer

Gomarara ndechimwe chezvirwere zvakajairika zvinosanganisirwa nechengetedzo, sezvo zvese zviratidzo uye kurapwa kunogona kukanganisa hupenyu hwako.

Kuchengetedza chirwere chegomarara kunosiyana zvichienderana nerudzi rwekenza, pamwe nezviratidzo, kurapwa, zera, uye kufungidzira.

Mumwe munhu ane chirwere chekenza chazvino anogona kupihwa hanya kurapwa kuti agadzirise mhedzisiro yemakemikari kana radiation, kana kuvabatsira kupora mushure mekuvhiyiwa.

Kuchengetedza kwekurapa kwekenza kazhinji kunosanganisira kurapa kwekushushikana kana kushushikana, uye maturusi ekubatsira nhengo dzemhuri kuronga ramangwana.

Kuchengetedza kwekuchengetedza kwekuora mwoyo

Dementia inosangana nekudzikira kwehuropi basa. Iyo inokanganisa zvakanyanya kuziva kwemunhu, ndangariro, mutauro, kutonga, uye maitiro.

Kuchengetedza kwekurapa kunogona kusanganisira kurapwa kwekuzvidya mwoyo kunokonzerwa nekuora mwoyo. Sezvo chirwere ichi chichienderera mberi, zvinogona kusanganisira kubatsira nhengo dzemhuri kuita sarudzo dzakaomarara nezvekupa kana kuchengetedza wavanoda. Inogonawo kusanganisira kutsigira vanochengeta mhuri.

Kuchengetedza kweCOPD

Kuchengetedza kwepamoyo kunogona kubatsira kubata COPD, chirwere chekufema chinokonzera kukosora nekufema kwekufema.

Nezve chiitiko ichi, kurapwa kwekunyaradza kunogona kusanganisira kurapwa kwekusagadzikana, kushushikana, kana kushaya hope kwakabatana nekunetseka kufema. Iwe unogona kugamuchira dzidzo pamafambiro ehupenyu, sekusiya fodya, izvo zvinogona kunatsiridza chiitiko chako uye kudzora kufambira mberi kwechirwere chako.

Zvinosiyana sei nehospital?

Musiyano mukuru pakati palliative uye yekuchengetedza varwere ndeye apo yega yega mhando yekutarisirwa inopihwa.

Kune vanhu vane chakakomba uye chingangoita chinotyisidzira hupenyu mamiriro, kurapwa kwepamoyo kunowanikwa chero nguva, zvisinei nedanho rechirwere. Izvo hazvitsamire pane kufungidzira kwako kana tarisiro yehupenyu.

Mukupesana, kuchengetwa kwehospital kunongowanikwa chete kumagumo ehupenyu, kana chirwere chisisiri kupindura kurapwa. Panguva ino, munhu wacho anogona kusarudza kumisa kurapwa otanga kutarisira varwere, inozivikanwawo sekuchengetwa-kwe-hupenyu.

Kufanana nekutarisirwa kwekurapa, hospice inotarisana nekunyaradzwa kwemunhu wese, kusanganisira kwavo kwemanzwiro, kwemuviri, uye kugarika kwemweya. Muchokwadi, hospice inoonekwa senge fomu yekutarisira kwakapora. Nekudaro, kugamuchira kurapwa kunorerutsa hazvireve hazvo kuti iwe uri muchipatara.

Kuti uwane rubatsiro rwekuchengetwa kwehospital, chiremba anofungidzira kuti hupenyu hwako hunotarisirwa mwedzi mitanhatu kana pasi. Izvi zvinogona kusanzwisisika zvakaoma kuona.

Kuchengetwa kwevagari vekuchipatara hakuratidze kuguma kwehupenyu. Izvo zvinokwanisika kugamuchira kurapwa kwehospital uye wozotangazve kurapwa kana kuwedzeredza hupenyu kurapwa.

Pfupiso

• Kuchengetedza inowanikwa chero nguva, zvisinei nedanho rekurwara kana tarisiro yeupenyu.
• Kuchengeta varwere inowanikwa chete pakupera kwehupenyu.

Ndiani anopa rudzi urwu rwekutarisira?

Kuchengetedza kwekurapa kunopihwa nechikwata chakasiyana-siyana chevashandi vezvehutano vane hunyanzvi hwekudzidziswa murudzi urwu rwemushonga.

Chikwata chako chekuchengetedza vanhu chinogona kusanganisira chero chinotevera:

• chiremba anonyaradza
• vamwe vanachiremba, senge nyanzvi yekufema, chiremba wetsinga, kana chiremba wepfungwa
• manesi
• mushandi wezvemagariro
• chipangamazano
• chiremba wepfungwa
• chiremba wechigadzirwa
• wemishonga
• murapi wepanyama
• chiremba anoshanda
• mhizha kana mumhanzi murapi
• chiremba wezvekudya kana wezvekudya zvinovaka muviri
• mufundisi, mufundisi, kana mupristi
• vanozvipira vanochengeta vanozvipira
• muchengeti (s)

Boka rako rekuchengetedza rinoshanda rinoshanda kuti uve nechokwadi chekugara kwakanaka pamusoro pechirwere chako.

Nguva yekufunga nezvekurapa

Kana iwe uine chakakomba kana hupenyu hunotyisidzira chirwere, unogona kubvunza nezve palliative kuchengetedzwa chero nguva.

Pane fungidziro yakajairika yekuti iwe unofanirwa kumirira kusvikira kurwara kwako kuri mune yekupedzisira nhanho kana chinouraya kuti uwane kurapwa kwepamoyo. Muchokwadi, ongororo dzinoverengeka dzinoratidza kuti kurapwa kwekurapa kunonyanya kushanda kana kwatanga kare.

Ongororo ya2018 yevanhu vane epamberi isiri-diki kenza yemapapu kenza (NSCLC) yakakurudzira kubvumidzwa kwekutanga kweiyo palliative kuchengetedza, iyo inovandudza zvese hupenyu hwehupenyu uye hwese kurarama.

Saizvozvowo, meta-ongororo ya2018 yakawana kuti vanhu vane gomarara repamberi vakararama kwenguva yakareba uye vakafarikanya hupenyu huri nani pavakagamuchira kunze kwekurapa kurapwa.

Kuchengetedza kwekuchengetedza kwakaratidzwawo kuderedza kusuruvara uye zvimwe zvirwere zvepfungwa. Vanyori veongororo ya2018 vakapedzisa kuti vanhu vane gomarara repamberi avo vaivewo nezviratidzo zvekushushikana vakamira kuti vabatsirwe zvakanyanya kubva kutanga kurapwa kwakapora pakutanga.

Vako vaunoda vanogonawo kubatsirwa nekutarisira kwako kwakapora, uko kunogona kuvabatsira kuwana zviwanikwa nerutsigiro kutsungirira chirwere chako.

Unogona here kuwana kurapa kwakanaka kumba?

Zvinoenderana nekwaunogara. Kuchengetedza kwakapora kwave kuwanikwa zvakanyanya mumakore achangopfuura, asi zvakadaro hakuwanikwe kwese kwese.

Zvichienderana nekwaunogara, unogona kuve nesarudzo dzinopfuura imwechete yekuti kwaunowana kupi kurapwa kwekurapa. Dzimwe sarudzo dzinogona kusanganisira:

• chipatara
• imba inochengetwa vakwegura
• nzvimbo yekubatsira-yekugara
• kiriniki yevarwere vekunze
• imba yako

Taura nachiremba wako kuti uwane zvimwe pamusoro pesarudzo dzekuchengetedza dzinowanikwa kwauri uye nekwaunogona kupihwa rubatsiro munzvimbo yako.

Iwe unowana sei kutarisira kwakapora?

Nhanho yekutanga yekugamuchira kurapwa kwekubvunza ndeyekubvunza chiremba wako kana mupi wehutano nezve izvo. Chiremba wako anofanira kukuendesa kune anonyaradza hanya nyanzvi.

Iwe unogona kugadzirira kubvunza kwako kwekunyaradza nekuita rondedzero yezviratidzo zvako uye nemabatiro ainoita zviitiko zvako zvezuva nezuva. Iwe unodawo kuunza rondedzero yemishonga iwe yaunotora uye chero inoenderana nhoroondo yekurapa.

Iyo yakanaka zano kukumbira shamwari kana nhengo yemhuri kuti ikuperekedze kune yako musangano.

Mushure mekutaurirana kwako, iwe unozoshanda pamwe neyako timu yekuchengetedza inovandudza chirongwa. Chirongwa ichi chinozoenderana nezviratidzo zvako uye chero kurapwa kwauri kuitika parizvino, pamwe nekuti kurwara kwako kuri kukanganisa sei hutano hwepfungwa, zviitiko zvezuva nezuva, uye nhengo dzemhuri.

Chirongwa chichaitwa mukubatana pamwe nechero kurapwa kwauri kugamuchira. Inofanira kushanduka nekufamba kwenguva sezvo zvaunoda zvichichinja. Izvo zvinogona pakupedzisira zvinosanganisira zvemberi kutarisirwa uye kupera-kwe-kwehupenyu kuronga.

Iyo yakafukidzwa neMedicare?

Zvakakosha kutaura nemubatsiri wako anonyaradza kuti unzwisise zvaunogona kudiwa kuti ubhadhare.

Ose maviri Medicare neMedicaid anogona kuvhara mamwe mabasa ekunyaradza. Zvisinei, sezvo Medicare kana Medicaid isingashandisi izwi rekuti "palliative," kurapwa kwauri kutambira kunofanirwa kuvharwa nezvako mabhenefiti.

Ose maviri maMedicare neMedicaid anovhara zvese zvine chekuita nehutachiona, asi kuti akwanise kuchipatara chiremba anofanira kuona kuti une mwedzi mitanhatu kana zvishoma kuti urarame.

Kana iwe uine yega inishuwarenzi, iwe unogona kunge uine kufukidzwa kweanopora masevhisi. Mutemo wekuchengetedza kwenguva refu ndeimwe sarudzo yekuvhara mabasa ekuremekedza. Tarisa nemumiriri kubva kune inshuwarisi yako kuti uone kufukidzwa.

Chinokosha

Kuchengetedza kwePalliative kurapwa kwakasiyana-siyana kwakanangana nekuvandudza hupenyu uye hutano hwakanaka hwevanhu vane chirwere chisingaperi, chinoshandura hupenyu. Inogona zvakare kusanganisira kutsigira kwevanodiwa kana vanochengeta.

Kana iwe kana mumwe munhu mumhuri yako aine chirwere chakakomba, kurapwa kwekunyaradza kungave iri sarudzo yaunoda kufunga nezvayo. Taura nachiremba wako kuti uwane zvimwe nezve kurapwa kwepamoyo uye izvo zvaunofanira kuita kuti uwane urwu rudzi rwekutarisirwa.