Chii chinonzi Palliative Care? Chinangwa, Maitiro & Mabhenefiti

Palliative care inhengo yekurapa yakakosha inotarisa pakuvandudza hupenyu hwevanhu vanotarisana nezvirwere zvakakomba. Iyo inobata nezvekunyaradzwa, ruremekedzo, uye kukubatsira kurarama zvakanaka sezvinobvira uchitonga mamiriro ako. Funga nezvayo seimwe nzira yekutsigira inoshanda pamwe chete nekurapa kwako kwenguva dzose, kwete chimwe chinhu chinovatsiva.

Chii chinonzi palliative care?

Palliative care inhengo yekurapa inotarisa pakunyaradza iyo inobatsira vanhu vane zvirwere zvakakomba kunzwa zviri nani. Yakagadzirirwa kubvisa kurwadziwa, kutonga zviratidzo, uye kupa rutsigiro rwemanzwiro kune varwere nemhuri dzavo.

Rudzi urwu rwekutarisira runogona kutanga chero nguva panguva yekurwara kwako, kunyangwe iwe uchiri kugamuchira kurapwa kwakatarisana nekuporesa mamiriro ako. Chinangwa hachisi chekumhanyisa kana kunonotsa maitiro ekufa, asi kukubatsira kurarama zuva rega rega nekunyaradzwa kwakawanda uye zvinoreva sezvinobvira.

Chikwata chevanachiremba vakadzidziswa zvakakosha, vanamukoti, vashandi vezvemagariro, nevamwe nyanzvi dzehutano vanoshanda pamwe chete kuti vape iyi kutarisirwa. Vanotarisa munhu wako wese, kwete chirwere chako chete, vachifunga nezvekunyaradzwa kwako kwemuviri, hutano hwemanzwiro, uye zvinodiwa zvekunamata.

Nei palliative care ichiitwa?

Palliative care inobatsira kutonga zviratidzo zvakaoma uye mhedzisiro inouya nezvirwere zvakakomba. Inokurudzirwa kana iwe uchibata nemamiriro akaita sekenza, kukundikana kwemoyo, chirwere cheitsvo, dementia, kana zvimwe zvirwere zvinogumira hupenyu.

Chinangwa chikuru ndechekuvandudza hupenyu hwako nekugadzirisa kurwadziwa, kusvotwa, kuneta, matambudziko ekufema, kuora mwoyo, uye kushushikana. Tsvagiridzo inoratidza kuti vanhu vanogamuchira palliative care vanowanzoita zviri nani, vane simba rakawanda, uye vanogona kuramba vachiita zviitiko zvavanofarira kwenguva yakareba.

Kunze kwemanyoka emuviri, palliative care inokubatsira iwe nemhuri yako kufamba mumatambudziko ekusarudza nezve sarudzo dzekurapa. Chikwata chinopa gwara rekuti zvekutarisira, chinobatsira kujekesa zvinangwa zvako nemaitiro ako, uye chinovimbisa kuti kutarisirwa kwako kunoenderana nezvinhu zvakakosha kwauri.

Ndeipi nzira yekutarisira palliative?

Kutanga palliative care kunotanga nekuongororwa kwakazara kwemanyoka ako, kunetseka, uye zvinangwa. Chikwata chako chepalliative care chichasangana newe kuti unzwisise mamiriro ako azvino uye zvaunotarisira kuzadzisa.

Panguva yekushanya kwako kwekutanga, chikwata chichabvunza nezve mazinga ako ekurwadziwa, mamwe manyoka, kuti chirwere chako chinokanganisa sei hupenyu hwako hwezuva nezuva, uye chii chakakosha kwauri. Vachadawo kuziva nezve mamiriro emhuri yako, zvitendero zvemweya, uye chero kutya kana kunetseka kwaunako.

Chikwata chinobva chigadzira chirongwa chekutarisira chakagadzirirwa munhu chinogona kusanganisira:

• Mishonga yekudzora kurwadziwa nemamwe manyoka
• Mishonga yakaita sephysical therapy kana occupational therapy
• Kupa mazano ekutsigira manzwiro
• Kubatana nevamwe vanachiremba vako
• Rubatsiro nekuronga kutarisirwa kwemberi
• Masevhisi ekutsigira mhuri yako

Chirongwa chako chekutarisira chichagadziriswa nguva dzose zvichienderana nekuti unonzwa sei uye zvaunoda. Chikwata chinogara chichibatana nevanachiremba vako vekutanga kuti vave nechokwadi chekuti munhu wese ari kushanda pamwe chete.

Maitiro ekugadzirira kubvunzurudzwa kwako kwe palliative care?

Kugadzirira musangano wako wekutanga wepalliative care kunogona kukubatsira kuti uwane zvakawanda kubva mukuona. Chikwata chinoda kunzwisisa mamiriro ako zvizere, saka kuunganidza rumwe ruzivo pachine nguva kuchabatsira.

Funga kuuya nerondedzero yemishonga yako yese yazvino, kusanganisira zvinodhaka zvisingatengeswe uye zvinowedzera. Zvakare, funga nezve manyoka ako svondo rapfuura uye akakanganisa sei mabasa ako ezuva nezuva, kurara, uye mafungiro.

Zvinowanzoita kubatsira kuuya nemumwe wemhuri kana shamwari yepedyo kumusangano. Vanogona kupa rutsigiro rwemanzwiro uye kukubatsira kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekushanya.

Funga nezvemibvunzo yaunoda kubvunza. Unogona kushamisika nezve sarudzo dzekutarisira kurwadziwa, zvekutarisira sezvo chirwere chako chichienderera mberi, kana kuti ungataura sei nemhuri yako nezve mamiriro ako. Kunyora mibvunzo iyi pasi kunovimbisa kuti hauzokanganwi panguva yekusangana.

Maitiro ekunzwisisa chirongwa chako chepalliative care?

Chirongwa chako chepalliative care inzira yakagadzirirwa zvakananga zvaunoda nezvinangwa zvako. Chikwata chichatsanangura chikamu chimwe nechimwe chechirongwa chako mumashoko akareruka, vachive nechokwadi chekuti unonzwisisa kuti kurapwa kana sevhisi imwe neimwe inokubatsira sei.

Chirongwa chinowanzo sanganisira nzira dzekutarisira zviratidzo, izvo zvinogona kusanganisira mishonga, marapirwo, kana shanduko dzemararamiro. Chikwata chako chichatsanangura kuti ungatora rini mishonga, maitiro api ekutarisa, uye ndiani wekubata kana uine zvinokunetsa.

Iwe zvakare uchagamuchira ruzivo nezve masevhisi ako ekutsigira, senge rubatsiro rwebasa revanhu, kutarisirwa kwemweya, kana kuraira mhuri. Chikwata chichatsanangura maitiro ekuwana masevhisi aya uye zvekutarisira kubva kune imwe neimwe.

Rangarira kuti chirongwa chako hachina kumiswa dombo. Sezvo zvaunoda zvichichinja, chikwata chako chichagadzirisa chirongwa zvinoenderana. Vachakutarisa nguva dzose kuti vaone kuti chii chiri kushanda zvakanaka uye chii chingada kuchinjwa.

Maitiro ekuita zvakawanda kubva kune yako palliative care?

Kuwana zvakanyanya kubatsirwa kubva ku palliative care kunotanga nekutaurirana kwakavhurika, kwechokwadi nechikwata chako. Usazeze kugovana kuti unonzwa sei, zvese zviri zviviri mumuviri uye mumanzwiro, kunyangwe zviratidzo zvichioneka zvishoma.

Tora mishonga yako sezvakanyorwa uye chengeta rekodhi rekuti inokanganisa sei zviratidzo zvako. Kana chimwe chinhu chisiri kushanda kana kukonzera mhedzisiro, zivisa chikwata chako nekukasira. Vanogona kazhinji kugadzirisa zviyero kana kuyedza nzira dzakasiyana.

Rambai muchiita mabasa anokufadza uye ane zvazvinoreva kana muchinzwa zvakanaka. Chikwata chenyu chepalliative care chinogona kukubatsira kuwana nzira dzekuenderera mberi nekuita zvinhu zvaunoda, kunyangwe kana kuchidikanwa kuchinja.

Usakanganwa kubatanidza mhuri yako mukutarisirwa kwako kana zvakakodzera. Vanogona kupa rutsigiro runokosha uye kukubatsira kutevera chirongwa chako chekutarisira kumba.

Ndezvipi zvakanakisa zvinobuda ne palliative care?

Zvakanyanya kubuda ne palliative care zvinoitika kana vanhu vakatanga kuigamuchira kare murwendo rwavo rwekurwara. Tsvakurudzo inoratidza nguva dzose kuti kutarisirwa kwekutanga kwe palliative kunotungamira mukudzora zvirinani zviratidzo, kuvandudzwa kwemhando yehupenyu, uye kugutsikana kukuru nekutarisirwa.

Vanhu vanogamuchira palliative care vanowanzoona kurwadziwa kushoma, kusvotwa, uye kuneta. Vanowanzoenda kuchipatara zvishoma uye vanogara muchipatara, uye vanowanzoita kuti vakwanise kugara kumba kana izvo zviri zvavanoda.

Kupfuura mabhenefiti emuviri, palliative care inobatsira vanhu kuchengetedza pfungwa yavo yekukudzwa uye kuzvitonga. Vanhu vazhinji vanoshuma vachinzwa vachidzora mamiriro avo uye vachikwanisa kunyanya kutarisa pane zvakakosha kwavari.

Mhuri dzinobatsirwawo zvakanyanya kubva kumasevhisi e palliative care. Vanowanzoita sevanogadzirira zviri mberi uye vanoshuma kushushikana kushoma uye kuora mwoyo panguva yekurwara kwemudiwa wavo.

Ndezvipi zvinhu zvine njodzi zvekuda palliative care?

Mamwe mamiriro ezvinhu ekurapa uye mamiriro anoita kuti palliative care ibatsire zvikuru. Izvi hazvisi zvekuti zvinokonzera njodzi mune zvetsika, asi panzvimbo pemamiriro ezvinhu apo rudzi urwu rwekutarisira runogona kupa zororo rakakura uye rutsigiro.

Vanhu vane gomarara repamberi vanowanzo budirira kubva ku palliative care, kunyanya kana vachibata nekurwadziwa, kusvotwa kubva mukemotheraphy, kana kuneta. Varwere vane moyo wekutadza vangawana zororo kubva mukufema kwemhepo uye zviratidzo zvekuchengetedza mvura.

Zvimwe zvirwere zvinowanzo budirira kubva ku palliative care zvinosanganisira:

• Zvirwere zveitsvo zvenguva refu zvinoda dialysis
• Zvirwere zvemapapu zvakanyanya zvakaita seCOPD
• Dementia nezvimwe zvirwere zvepfungwa
• Zvirwere zvechiropa zvakanyanya
• Situroko ine matambudziko akakosha
• HIV/AIDS ine matambudziko

Zera rega harisi roga rinotsanangura kuti ndiani anoda palliative care, asi vanhu vakuru vane zvirwere zvakawanda zvenguva refu vanowanzoona zvichibatsira. Kuva nekugara muchipatara kakawanda kana kushanya kukamuri yekukurumidzira kunogona kuratidza kuti palliative care ingave inobatsira.

Zviri nani kutanga palliative care kare here kana kuti gare gare?

Kutanga palliative care kare murwendo rwekurwara kwako kazhinji kwakanaka zvakanyanya kupfuura kumirira kusvika kumatanho ekupedzisira. Early palliative care inokutendera kuti uvake hukama nechikwata chako chekuchengeta iwe uchinzwa zvakanaka uye unogona kutora chikamu mukuronga.

Paunotanga kare, une nguva yakawanda yekudzidza nezve mamiriro ako, kunzwisisa sarudzo dzako dzekurapa, uye kufunga nezvezvinangwa zvako nezvaunofarira. Izvi zvinotungamira mukutora sarudzo dziri nani uye kutarisirwa kunoratidza zvechokwadi zvakakosha kwauri.

Early palliative care inobatsirawo kudzivirira kana kuderedza kuoma kwezviratidzo zvisati zvave zvakanyanya. Zviri nyore kwazvo kudzora kurwadziwa kana kuri kudiki pane kana kwave kwakanyanya.

Vamwe vanhu vanonetseka kuti kutanga palliative care zvinoreva kurega kurapwa kana kugamuchira kukundwa. Izvi hazvisi zvechokwadi zvachose. Early palliative care inokubatsira chaizvo kuti utore kurapwa zviri nani uye inogona kukubatsira kurarama kwenguva refu nehupenyu huri nani.

Ndezvipi zvinogona kubatsira zve palliative care?

Palliative care inopa mabhenefiti akawanda anogona kuvandudza zvakanyanya ruzivo rwako nekurwara kwakakomba. Mabhenefiti aya anopfuura kungodzora zviratidzo zvemuviri kuti zvinosanganisire hutano hwako hwese uye hwevemhuri yako.

Zvakabatsira zvikuru zvinowanzo sanganisira kutonga kurwadziwa kuri nani uye manejimendi ezviratidzo. Chikwata chako chinoshandisa nzira dzakasiyana siyana kukubatsira kuti unzwe wakasununguka, kusanganisira mishonga, kurapa, uye shanduko dzemaitiro ehupenyu.

Zvibatsiro zvemuviri zvaungasangana nazvo zvinosanganisira:

• Kuderera kurwadziwa nekusagadzikana
• Kutonga zviri nani kwekunzwa kusvotwa nekutsvuka
• Kuvandudzwa kwekurara
• Kuderera kuneta neushoma
• Kufema kuri nani uye kuderera kufema
• Kuvandudzwa kwechido chekudya uye chikafu

Zvibatsiro zvepfungwa uye zvepfungwa zvakakosha zvakaenzana. Vanhu vazhinji vanoshuma kunzwa vasina hanya uye vakaora mwoyo mushure mekutanga kutarisirwa kwekurapa. Rutsigiro runokubatsira kuti ugadzirise kutya pamusoro pekurwara kwako neramangwana.

Mhuri yako inobatsirwawo, kazhinji ichinzwa yakagadzirirwa zvakanyanya uye yakatsigirwa mukati merwendo rwako rwekurwara. Vanogamuchira dzidzo pamusoro pemamiriro ako uye gwara rekukubatsira kumba.

Ndezvipi zvipingamupinyi zvinogona kuitika nekutarisirwa kwekurapa?

Nepo kutarisirwa kwekurapa kuchipa zvakakosha, vamwe vanhu vanotarisana nematambudziko mukuwana kana kujairana nerudzi urwu rwekutarisirwa. Kunzwisisa izvi zvipingamupinyi zvinogona kukubatsira kuti uzvigadzirise zvinobudirira.

Chimwe chipingamupinyi chakajairika ndiko kusanzwisisa kuti kutarisirwa kwekurapa zvinoreva kurega tariro kana kumisa kurapwa. Vamwe vanhu vanoramba kutanga kutarisirwa kwekurapa nekuti vanofunga kuti ndeyevanhu vari kufa chete, izvo zvisiri izvo.

Matambudziko ekugadzirisa anogona kusanganisira:

• Kushaikwa kwevashandi vanoziva nezve kutarisirwa kwekurapa mune dzimwe nzvimbo
• Kuganhurirwa kweinishuwarenzi
• Matambudziko ekufambisa maapointimenti
• Matambudziko ekubatana pakati pevakawanda vanopa hutano
• Mhinganidzo dzemutauro kana Chirungu chisiri mutauro wako wekutanga

Vamwe vanhu vanosangana nematambudziko emanzwiro pavanotanga kutarisirwa kwekurapa. Zvinogona kuita sezviri kukunda kuziva kukomba kwechirwere chako kana kukurukura zvaunoda pakupera kwehupenyu.

Migumisiro yemishonga inogona kuitika dzimwe nguva, kunyangwe timu yako ichishanda nekuchenjerera kuderedza izvi. Matambudziko ekutaurirana anogona kumuka kana usina kugadzikana kutaura zvaunoda kana kana nhengo dzemhuri dzine pfungwa dzakapesana pamusoro pekutarisirwa kwako.

Mazhinji ematambudziko aya anogona kugadziriswa nekutaurirana kwakavhurika uye kushivirira sezvo iwe netimu yako muchishanda pamwechete kuti muwane mhinduro.

Ndingabvunza rini nezve kutarisirwa kwekurapa?

Nguva yakanaka yekubvunza nezve kutarisirwa kwekurapa ndeyekutanga kuongororwa nechirwere chakakomba, pane kumirira kusvikira warwara zvakanyanya. Kuva nekukurukurirana uku kutanga kunokupa sarudzo dzakawanda uye kugadzirira kuri nani.

Funga kubvunza chiremba wako nezve kutarisirwa kwekurapa kana uri kusangana nezviratidzo zvinokanganisa hupenyu hwako hwezuva nezuva, senge kurwadziwa kunoramba kuripo, kusvotwa, kuneta, kana kufema kwemhepo. Kana iwe uchinzwa wakakundwa nechirwere chako kana sarudzo dzekurapa, kutarisirwa kwekurapa kunogona kupa rutsigiro runokosha.

Zvimwe zviitiko uko kutarisirwa kwekurapa kungabatsira zvinosanganisira:

• Uri kuita kupinda muchipatara kakawanda kana kushanya kukamuri rekukurumidzira
• Kurapa kwako kwazvino kuri kukonzera migumisiro yakaoma
• Uri kunetseka nekuora mwoyo kana kushushikana zvine chekuita nechirwere chako
• Mhuri yako iri kunetseka kubata nechirwere chako
• Unoda rubatsiro rwekuita sarudzo nezve kutarisirwa kwako
• Uri kufunga kumisa mamwe marapirwo

Usamirira kusvikira wava munguva yekutambudzika kuti ubvunze nezve kutarisirwa kwekurapa. Kana ukatanga kare, unogona kuwana rubatsiro rwakawanda.

Mibvunzo inowanzo bvunzwa nezve kutarisirwa kwekurapa

Q.1 Kutarisirwa kwekurapa kwakafanana nekutarisirwa kwehospice here?

Kuchengetwa kwePalliative uye kuchengetwa kwehospice zvakabatana asi mhando dzakasiyana dzekuchengetwa. Kuchengetwa kwePalliative kunogona kupiwa pachinhanho chipi nechipi chechirwere chakakomba, kunyange iwe uchiri kugamuchira kurapwa kwakatarisana nekurapa mamiriro ako.

Kuchengetwa kweHospice, kune rumwe rutivi, ndekwevanhu vanotarisirwa kurarama mwedzi mitanhatu kana isingasviki uye vakasarudza kutarisa kunyaradzwa panzvimbo yekurapa. Hospice ndechimwe chinhu chekuchengetwa kwe palliative, asi kuchengetwa kwe palliative kwakakura zvikuru.

Unogona kugamuchira kuchengetwa kwe palliative muzvipatara, makiriniki ekunze, kana kumba, uchiramba uchirapwa kwako nguva dzose. Vanhu vazhinji vanogamuchira kuchengetwa kwe palliative kwemwedzi kana kunyange makore vachibata chirwere chavo chisingaperi.

Mubvunzo 2. Kutanga kuchengetwa kwe palliative zvinoreva here kuti ndiri kurega kurapwa?

Kwete zvachose. Kutanga kuchengetwa kwe palliative hakurevi kuti uri kurega kurapwa kana kurasikirwa netariro. Muchokwadi, vanhu vazhinji vanogamuchira kuchengetwa kwe palliative vachiramba vachirapwa vachitarisira kurapa kana kudzora chirwere chavo.

Kuchengetwa kwePalliative kwakagadzirirwa kushanda pamwe chete nemamwe marapirwo ako ekurapa, kwete kuatsiva. Inokubatsira kuti utore kurapwa zviri nani nekugadzirisa mhedzisiro nemishonga, iyo inogona kukubatsira kuti urambe uri pakurapwa kwenguva refu.

Chinangwa ndechekukubatsira kurarama zvakanaka sezvinobvira uchibata chirwere chako, zvisinei kuti uri pachinhanho chipi kana kuti uri kugamuchira kurapwa kwakaita sei.

Mubvunzo 3. Vanachiremba vangu venguva dzose vachiri kutora chikamu mukuchengetwa kwangu here?

Hongu, vanachiremba vako venguva dzose vacharamba vachibatanidzwa mukuchengetwa kwako paunotanga kuchengetwa kwe palliative. Chikwata chekuchengetwa kwe palliative chinoshanda pamwe chete nachiremba wako wekutanga, nyanzvi, nevamwe vanopa hutano kuti vabatane nekuchengetwa kwako.

Funga nezvekuchengetwa kwe palliative seimwe nzira yekutsigira panzvimbo yekutsiva timu yako yazvino yekurapa. Oncologist yako, cardiologist, kana dzimwe nyanzvi vachiri kuzobata kurapwa kwako kwechirwere.

Chikwata chekuchengeta vanorwara chinotaura nguva dzose navamwe vanachiremba vako kuti vave nechokwadi chekuti munhu wese ari kushanda pamwe chete kuzadzisa zvinangwa zvako. Kubatana uku kazhinji kunotungamira mukuchengetwa kwakanaka uye kukanganisa kushoma kwekurapa.

Mubvunzo 4. Ko kuchengeta vanorwara kunogona kubatsirawo mhuri yangu here?

Hongu, kuchengeta vanorwara kunopa rutsigiro rukuru kumitezo yemhuri nevatariri. Chikwata chinonzwisisa kuti kurwara kwakakomba kunokanganisa mhuri yose, kwete murwere chete.

Mitezo yemhuri inogona kugamuchira mazano, dzidzo pamusoro pehutano hwako, uye gwara rekuti vangapa sei kuchengetwa kumba. Vanogonawo kubatsirwa nekuronga kuchengetwa kwemberi uye kuita sarudzo dzakaoma pamusoro pekurapa.

Zvirongwa zvakawanda zvekuchengeta vanorwara zvinopa mapoka ekutsigira mitezo yemhuri, masevhisi ekuzorora, uye rutsigiro rwekusuwa. Chikwata chinogonawo kubatsira kubatanidza masevhisi ekuwedzera senge kuendesa chikafu kana rubatsiro rwekutakura.

Mubvunzo 5. Ko kuchengeta vanorwara kunovharwa neinishuwarenzi here?

Zvirongwa zvakawanda zveinishuwarenzi, kusanganisira Medicare neMedicaid, zvinovhara masevhisi ekuchengeta vanorwara. Zvisinei, kuvharwa kunogona kusiyana zvichienderana nechirongwa chako uye rudzi rwemasevhisi aunoda.

Inishuwarenzi inowanzo vhara kubvunzana kwekutarisira vanorwara, mishonga yekudzora zviratidzo, uye mamwe marapirwo. Kuvharwa kwemasevhisi akadai sebasa revanhu kana kuchengetwa kwemweya kunogona kusiyana nechikwata.

Chikwata chako chekuchengeta vanorwara chinowanzo sanganisira mumwe munhu anogona kukubatsira kunzwisisa kuvharwa kwako neinishuwarenzi uye kufamba chero zvinodiwa zvekutenderwa. Usarega zvinonetsa zveinishuwarenzi zvichikutadzisa kuongorora sarudzo dzekuchengeta vanorwara.