Chirevo chakaitwa naKershena Liao weBaylor College yeMishonga muUnited States uye vanonyatsonzwisisa maitiro emusoro nemutsipa oncologists vachifunga kuchinja kune palliative care, izvo zvinogona kubatsira kuvandudza iyi yakaoma nzira uye kuvandudza kurapwa kwevarwere, hupenyu hwehupenyu uye. mhedzisiro. Vanachiremba vanowanzowedzera kukanganisa kwakashata kwezviratidzo pahutano hwehupenyu hwevarwere vane kenza yemusoro nemutsipa nekuda kwekufungisisa kwekliniki yevarwere. Matambudziko ekukurukurirana asati aitika, zvinokurudzirwa kukurukura zvinotarisirwa zvehutano hwevarwere nokukurumidza sezvinobvira. (Otolaryngol Head Neck Surg. 2016, doi: 10.1177/0194599816667712)
Zvinhu zvakawanda zvakakanganisa sarudzo yevanachiremba vekenza yemusoro nemutsipa kuita kurapwa kwekurapa kwevarwere vane chirwere chinotapurika munharaunda, uye izvi zvinhu hazvina kunyatsonzwisiswa. Kune vanachiremba vanovhiya, nekuda kwekushayikwa kwekutungamira pakurapa kwekurapa, mabasa ekuchengetedza varwere haagone kuenderera nekuenderera mberi, izvo zvinounzawo kuvhiringidzika uye chiitiko chinorwadza kuvarwere nemhuri dzavo.
Ichi chidzidzo chakadzokororororororororororororororororororororutsororero iro musoro uye mutsipa vanovhiya gomarara vanoyera zvinhu zvinotevera panguva chaiyo yekiriniki yekudzidzira, kusanganisira: kiriniki zvinhu, zvemukati zvemukati uye zvekunze zvinhu, hupfumi zvinhu, uye hutano hutano masisitimu. Sarudza zvinyorwa zvine chekuita neyekuchengetedza varwere uye palliative tarisiro yekuchengetedza inoitwa nemusoro uye mutsipa oncologists yekuongorora kwakakosha uye kuongorora.
Mhedzisiro yacho inoratidza kuti mukufunga shanduko kune yekurapa kurapwa, hazvisati zvanyatso kujeka kuti musoro nemutsipa oncologists zvinokanganiswa sei nehutano hwevarwere uye masisitimu ekutsigira munharaunda. Chiyero chekuzvimiririra kwevarwere uye danho rekutora sarudzo yemitezo yemhuri uye vanochengeta inoda kukurukurwa zvakajeka. Mamiriro emari emurwere neinishuwarenzi zvinokanganisa sarudzo yekutarisirwa kwehospital. Kakawanda kutsvagisa nezvekiriniki uye hunhu hwezvinhu zvinokanganisa zvinodiwa.
Zera diki rechirwere, hunyanzvi hwekuvhiyiwa (zvichienzaniswa nekuchengetwa zvakanyanya) uye neshure kwekushanda kwemayunivhesiti uye / kana nzvimbo dzepamusoro dzekurapa zvese zvinofambidzana nekuwedzera kuda kubvisa kubva kutsigiro yehupenyu. Kumwe kutsvagurudza kunodiwa kuti uone kana musoro nemutsipa oncologists vari zvakare kutevera aya maitiro.
Pamusoro pezvekutenda uye zvetsika kutenda zvinhu, manzwiro echiremba (senge kushungurudzika, kuzvipa mhosva), hukama nemurwere, uye kusada kudzvinyirira murwere zvishuwo zvavo zvese zvinotadzisa kutaurirana kwakanangana nechengetedzo. Vanachiremba vanovhiya gomarara remusoro nemutsipa vanofanirwa kufunga kuti izvi zvinokanganisa sei zvisarudzo zvavo zvekiriniki uye nemabatiro avanogona kuita aya mabhureki zvine mutsigo.
