Xa ufumanisa ukuba unomdlavuza wamaphaphu, ufunda ngokukhawuleza ukuba iqela leengcali kunokuba ugqirha omnye uya kukunyamekela. Ukuba usetyenziswe ngogqirha wakho wosapho, ukukhutshwa kwabantu bezonyango kunokubonakala kunzima. Ngexesha elifanayo, unokuziva ungaqiniseki ukuba ngubani ofuna ukubiza ukuba unemibuzo, okanye kwimeko yengxamiseko.
Masiqale ngokugqithisileyo kwamanye amalungu eqela eliqhelekileyo lokukhathalela umdlavuza wamaphaphu, landelwa yimbuzo kunye nolwazi olungakumbi ukukunceda ukwazi ukuba ungaqala kuphi.
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Ugqirha wakho osisiseko usenokuba ugqirha weentsapho, ingcali yonyango yangaphakathi (okanye umqeqeshi), okanye ugqirha oongikazi okanye oncedisayo ugqirha . Usenokuba uyamazi iminyaka, kwaye mhlawumbi nguye oye wafumanisa umhlaza wakho wemiphunga. Kodwa ekubeni oogqirha bokunakekelwa kweprayimari abaqhelanga ukuhlinzwa ngophaphu yomhlaza okanye ukumisela i-chemotherapy, mhlawumbi uya kubhekisela kwi-oncologist yezokwelapha. Unokukhetha kwakhona i-oncologist yonyango ngokusekelwe kwiingcebiso ezivela kwintsapho kunye nabahlobo, okanye uphando lwakho malunga neengcali zomhlaza.
Amagqirha ekhathalelo aphantsi (PMDs) abandakanyeka kwiiyure ezihlukeneyo emva kokuxilongwa kuxhomekeke kwidokotela wakho othile; Ezinye ze-PMD zikhetha ukuba zibandakanyeke kakhulu ekunyamekeleni kwakho, kanti ezinye zikhululekile kakhulu ngokuchasisa izigqibo ezinkulu (kunye nezigqibo ezincinane) kwiqela lakho le-oncology.
Kungakhathaliseki ukuba i-PMD yakho ibandakanyeka njani ngexesha lokunyamekela unyango, kuyabalulekile ukuyigcina ingcamango yakho kwinkqubela phambili ukwenjenjalo ukukhawuleza xa ubuyela kuye.
Oncologists
I- oncologist yezokwelapha ngudokotela ogqwesileyo ekuphatheni umhlaza ngokusebenzisa ukusetyenziswa kweziyobisi ezifana ne- chemotherapy kunye neyeza zonyango.
Uninzi lwexesha lakho lwe-oncologist lonyango lisebenza njengonxibelelwano lwenkathalo yakho kunye nezinye iingcali kunceda ukubeka isicwangciso sakho sokuqala unyango kwaye kunceda ukulawula iziphumo zempembelelo zonyango lwakho. Uya kuqhubeka ekulandela emva kwexesha elithile emva kokuba ugqityiwe unyango lwakho ukubeka iliso nawuphi na ubungqina bokuphindaphinda, kunye nokwenza iziphakamiso zenye iipilisi xa kuyadingeka ukulungiswa ngokomzimba, iinkonzo zempilo yengqondo okanye ukulungiswa kokutya. Amanqanaba omhlaza amaninzi ngoku anamavili ahamba nge-oncology abancedisayo ukuncedisa ukunakekelwa kwakho ngexesha leentsuku zokuqala ezixhalabileyo emva kokuxilongwa.
Abagqirha
Ukuba unomdlavuza obonwa njengokusebenzayo, uya kuthunyelwa kumgqirha ukuba uxoxe ngeendlela ezinokukhetha. Oku kungaba ngugqirha ogqirha jikelele , ugqirha ogqithisileyo , okanye ugqirha we- cardiothoracic , ngokuxhomekeka kwinqanaba lomhlaza okhethayo ukuya kulo.
Radiation Oncologists
Phantse isiqingatha sabantu abanomdlavuza wamaphaphu bafumana unyango lwamayeza ngexesha elithile kwisigaba sesifo sabo. Ulwaphulo lwe-radiation lunikezwa ngudokotela okhethekileyo we-radiologist obizwa ngokuba ngu- radiation oncologist ophethe umhlaza ngomhlaza. Unokuva ngeemeko ezinjenge-"cyberknife" unyango ukuba usandululwazi.
Ezi ngokwenjenjalo ayiphathwe unyango, kodwa uhlobo oluthile lwenyeza. Izaphulo zinokunikezwa ngendlela yokwelapha, okanye i-palliative - eyenzelwe ukukunceda ngeempawu zomhlaza wemiphunga kodwa ngaphandle kokuzama ukuphilisa eso sifo.
Pulmonologists
Abantu abaninzi abanokufumanisa umdlavuza wamaphaphu baya kubona i- pulmonologist , kwaye akuqhelekanga ngomhlaza womphunga ukufunyaniswa yizi ngcali. I-pulmonologist ingumphunga wengcali yemiphunga ephethe izifo zamaphaphu kuquka nomhlaza wamaphaphu. Ngenxa yokuba izifo zomphunga ezifana neCOPD zihlala zihlala kunye nomdlavuza wamaphaphu, kwaye ngenxa yokuba ukuhlinzwa komhlaza wamaphaphu kunokunciphisa umsebenzi wamaphaphu, ingcali yempuphu iya kufakwa njengenxalenye yecandelo lomdlavuza wamaphaphu.
Pathologists
Awukwazi ukubona ubuso bakho ubuso nobuso, kodwa lawa a magqirha ebhodini abaza kuhlola iiscuba ezithathwe kwi- biopsy okanye yomhlaza wengqondo yomphunga. Ukongezelela ekubeni noxanduva lokumisela uhlobo lomhlaza womphunga onayo, inxaxheba yentsholongwane yezilwanyana iya kuba ibaluleke kakhulu ekujongeni ukuphathwa komdlavuza wamaphaphu. Ingxenye yendima ye-pathologist ibeka inguqu kwiintsholongwane zomhlaza ezahlukileyo kuwe - kwaye zingakhombisa ukuba zeziphi iimishanguzo eziza kusebenza kakuhle ngomhlaza wakho.
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Abanye abantu bayatshitshiswa xa bexelelwe ukuba baqhagamshelane nodokotela ojongene nokunyamekela . Kubalulekile ukuba uqaphele ukuba ukunakekelwa ngokunyamezelayo akufani ne-hospice. Unonophelo olusisigxina luhlobo lonyango olunikezelwa abantu abafumana unyango lwezokwelapha ngomhlaza wabo, kungekhona nje labo abaneengqungquthela ezingenakunyanga. Ukufumana ngokukhawuleza kwinto yokuba abantu abanomdlavuza wamaphaphu abafumana unxibelelwano lokunakekelwa ngenyameko abazuzanga nje ukufumana izibonelelo zolu hlobo lwonyango kodwa basinda ixesha elide kunabo abangenakho ukufikelela kwikomiti yokunyamekela.
Kulabo abangaqhelekanga ngononophelo, le ndlela idlalwa yinkampani endaweni yodokotela omnye. Injongo kukunyanga iimpawu zesifo somhlaza, iziphumo ezibi zonyango, kunye neemeko zemoya kunye nomoya wokuxilongwa komhlaza. Ngaloo nto iqela liquka ukudibanisa kwamagqirha, abahlengikazi, abasebenzi bezentlalo, kunye nezinye iingcali ezingakwandisa inhlalakahle yakho ngexesha nangemva kokunyangwa komhlaza.
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Kungathi kunzima kakhulu ukubandakanya iingcali ezingaphezulu kweli luhlu olude, kodwa kubalulekile ukuphakamisa indima yeengcali ezinokuthi zinconywe ngexesha lokunyanga kwakho, kwaye kaninzi emva kokuba unyango lwakho lomhlaza lugqityiwe.
Kanye nje ngokuba abantu badla ngokufuna iinkonzo zokuvuselela emva kokuhlaselwa yintliziyo, ukuphazamiseka, okanye ukuguqulwa kwamadolo, sifunda ngakumbi nangakumbi ukuba ezinye zezi nkonzo zinokunceda abantu abasinda kumdlavuza babuyele kumgangatho obalulekileyo wokuphila emva kokunyanga. Iingcali zokuphefumula zingabonisana ukuba zenze ukulungiswa kwempompo xa ulahlekelwe ngumphunga okanye inxalenye yomphunga ukusuka ekusebenzeni. Olunye uhlobo logqirha olubizwa ngokuba ngumzimba wonyango kunye neengcali zokuvuselela (physatrist) unokusebenza ukukunceda ukuba ufumane iingcali zokunciphisa ukulinganiselwa komzimba ngenxa yezokwelapha zakho.
Iingcali zempilo yengqondo
Abantu abanomdlavuza wamaphaphu bahlala bexhalabele kunye nokuxinezeleka . I-oncologist yakho ingancoma ukuba ubone umqondo wezifo zengqondo okanye isazi seengqondo kukunceda ukuba ujamelane nokuxilongwa kwakho kunye neemvakalelo ezihamba kunye nophatho lomhlaza.
Abahlengikazi
Abahlengikazi abaza kudibana nabo baya kudlala indima ebalulekileyo ekunyamekelweni kwakho nakulo lonke unyango lwakho lomhlaza. Buza imibuzo kwaye vumela aba banakekeli abanemfesane bancedise. Ngokuqhelekileyo ngabahlengikazi abava malunga nemibuzo abanye bayalilibala ukuyibuza, kunye neengxaki eziqhelekileyo phakathi kwabatsha Basebenzisa ulwazi lwabo oluhle.
Imibuzo Yokubuza Ngeqela Lononophelo Lonyango
- Ngubani na omele ndibize kuqala xa ndinenkxalabo?
- Ngubani omele ndibize ukuba ngaba emva kweeyure okanye ngeveki?
- Ngubani oya kulawulwa ngamachiza (ngaphandle kwe-chemotherapy), njengamachiza okuphefumla kunye neentlungu?
- Iyiphi indima eya kuthi ugqirha wam unonophelo olusisiseko kunyango lwam? Unokuba unqwenela ukuthetha ne-PMD yakho emva kokuba uceba isicwangciso sakho sokuqala unyango kwaye ubuze yimalini yokunyamekela uya kukhululeka ukubonelela.
- Ugqirha wam osisiseko uya kugcinwa njani ngokutsha ngononophelo lwam?
Iingcebiso ezimbalwa zokugqibela
Umdlavuza womlenze ubiza. Ngombulelo abanye abantu abanobubele baye basebenzisana ndawonye ukuze bancede ukukhulula i-tad yokungahambi kakuhle ngaloo mihla yokuqala kunye neenyanga zonyango. Kungakhathaliseki ukuba uhlala phi, iinkonzo ezinjengokugcinwa kwindlu yamahhala ngexesha le-chemo, ama-wigs kunye ne-scarves, imithwalo xa ufuna ukukhwehlela emva kokuhlinzwa, kwaye ukuphindaphindiweyo ukuba udibaniswe ukhululekile ukucela.
Imithombo:
American Cancer Society. Abaqeqeshi bezeMpilo abaHlangene noKhathalelo lweCancer. Updated 11/11/15. http://www.cancer.org/treatment/findingandpayingfortreatment/choosingyourtreatmentteam/health-professionals-associated-with-cancer-care
National Cancer Institute. Indlela yokufumana ugqirha okanye kwiNyango yeZonyango Ukuba unayo umdlavuza. Ukuhlaziywa 01/07/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet