Tlhokomelo ea boiketlo ke eng?

Tlhokomelo ea kalafo e thusa batho ba nang le mafu a tebileng hore ba ikutloe ba le betere ka ho thibela kapa ho phekola matšoao le litla-morao tsa mafu le kalafo.

Morero oa tlhokomelo e fokolisang ke ho thusa batho ba nang le mafu a tebileng hore ba ikutloe ba le betere. E thibela kapa e phekola matšoao le litla-morao tsa mafu le kalafo. Tlhokomelo ea kalafo e boetse e sebetsana le mathata a maikutlo, a kahisano, a sebetsang le a moea ao mafu a ka a bakang. Ha motho a ikutloa a le betere libakeng tsena, ba na le bophelo bo ntlafetseng.

Tlhokomelo ea kalafo e ka fanoa ka nako e ts'oanang le kalafo e reretsoeng ho folisa kapa ho phekola lefu lena. Tlhokomelo ea kalafo e ka fanoa ha bokuli bo fumanoa, nakong eohle ea kalafo, nakong ea tlhahlobo, le qetellong ea bophelo.

Tlhokomelo ea maikutlo e ka fanoa bakeng sa batho ba nang le mafu, joalo ka:

• Kankere
• Lefu la pelo
• Maloetse a matšoafo
• Ho hloleha ha liphio
• Dementia ea kelello
• HIV / AIDS
• ALS (amyotrophic lateral sclerosis)

Ha ba ntse ba fumana tlhokomelo e hlasimollang, batho ba ka lula tlasa tlhokomelo ea mofani oa bona oa tlhokomelo ea bophelo ba kamehla mme ba ntse ba fumana kalafo bakeng sa lefu la bona.

Mofani leha e le ofe oa tlhokomelo ea bophelo a ka fana ka tlhokomelo ea bophelo. Empa bafani ba bang ba ipabola ho eona. Tlhokomelo ea kalafo e ka fanoa ke:

• Sehlopha sa lingaka
• Baoki le baoki
• Bathusi ba ngaka
• Lingaka tsa lijo tse ngolisitsoeng ka molao
• Basebeletsi ba boiketlo ba sechaba
• Litsebi tsa kelello
• Lingaka tsa ho silila
• Baruti

Tlhokomelo ea nakoana e ka fanoa ke lipetlele, mekhatlo ea tlhokomelo ea malapa, litsi tsa mofets'e le litsi tsa tlhokomelo ea nako e telele. Mofani oa hau kapa sepetlele ba ka u fa mabitso a litsebi tsa tlhokomelo ea kalafo e haufi le uena.

Tlhokomelo e bobebe le tlhokomelo ea bakuli ba kulang li fana ka matšeliso. Empa tlhokomelo e thethefatsang e ka qala ha e hlahlojoa, 'me ka nako e ts'oanang le kalafo. Tlhokomelo ea bakuli ba kulang e qala kamora hore kalafo ea lefu lena e emisoe le ha ho hlakile hore motho eo ha a na ho phela.

Tlhokomelo ea bakuli ba kulisoang hangata e fanoa feela ha motho a lebelletsoe ho phela likhoeli tse 6 kapa ka tlase ho moo.

Boloetse bo tebileng ha bo ame feela mmele. E ama likarolo tsohle tsa bophelo ba motho, hammoho le bophelo ba litho tsa lelapa la motho eo. Palliative care e ka sebetsana le litlamorao tsa bokuli ba motho.

Mathata a mmele. Matšoao kapa litla-morao li kenyelletsa:

• Bohloko
• Mathata a ho robala
• Phefumoloho e khutšoanyane
• Ho hloka takatso ea lijo, le ho ikutloa u kula ke mpa

Kalafo e ka kenyelletsa:

• Moriana
• Tataiso ea phepo e nepahetseng
• Phekolo ea 'mele
• Phekolo ea mosebetsing
• Phekolo e kopaneng

Mathata a maikutlo, a sechaba le a ho sebetsana ka katleho. Bakuli le malapa a bona ba tobana le khatello nakong ea bokuli e ka lebisang tšabong, ho tšoenyeha, ho felloa ke tšepo kapa khatello ea maikutlo. Litho tsa lelapa li ka hlokomela, le haeba li ka ba le mesebetsi le mesebetsi e meng.

Kalafo e ka kenyelletsa:

• Tlhabollo
• Lihlopha tsa tšehetso
• Likopano tsa lelapa
• Ho fetisetsoa ho bafani ba bophelo bo botle ba kelello

Mathata a sebetsang. A mang a mathata a tlisoang ke ho kula aa sebetsa, joalo ka mathata a chelete kapa a amanang le mosebetsi, lipotso tsa inshorense le litaba tsa molao. Sehlopha sa tlhokomelo ea liphallelo se ka:

• Hlalosa mefuta ea bongaka e rarahaneng kapa thusa malapa ho utloisisa likhetho tsa kalafo
• Fana ka kapa fetisetsa malapa tlhabollong ea lichelete
• Thusa ho o hokela mehloling ea lipalangoang kapa matlo

Litaba tsa moea. Ha batho ba phephetsoa ke bokuli, ba kanna ba batla moelelo kapa ba belaella tumelo ea bona. Sehlopha sa tlhokomelo ea boiketlo se ka thusa bakuli le malapa ho lekola litumelo le litekanyetso tsa bona e le hore ba tsebe ho amohela kamohelo le khotso.

Bolella mofani oa hau se u tšoenyang le se u tšoenyang haholo, 'me ke lintlha life tse bohlokoa ho uena. Fa mofani oa hau kopi ea lengolo la hau la bophelo kapa moemeli oa tlhokomelo ea bophelo.

Botsa mofani oa hau hore na ke litšebeletso life tsa tlhokomelo ea bophelo tse fumanehang ho uena. Tlhokomelo ea kalafo hangata e koaheloa ke inshorense ea bophelo bo botle, ho kenyeletsoa Medicare kapa Medicaid. Haeba u sena inshorense ea bophelo bo botle, bua le mosebeletsi oa sechaba kapa moeletsi oa lichelete oa sepetlele.

Ithute ka likhetho tsa hau. Bala ka litaelo tsa pele ho nako, u etse qeto mabapi le kalafo e lelefatsang bophelo, le ho khetha ho se be le CPR (u se ke ua tsosa litaelo).

Tlhokomelo ea matšeliso; Qetellong ea bophelo - palliative tlhokomelo; Hospice - palliative tlhokomelo

Arnold RM. Tlhokomelo ea kalafo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 3.

Rakel RE, Trinh TH. Tlhokomelo ea mokuli ea shoang. Ka: Rakel RE, Rakel DP, bahlophisi. Buka ea bongaka ea Meriana ea Lelapa. La 9th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 5.

Schaefer KG, Abrahm JL, Wolfe J. Tlhokomelo ea bongaka. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 92.

• Tlhokomelo ea Palliative