Ukulinganisela umdlavuza weLung kunye nomsebenzi wakho: Ukusebenza okanye ukungasebenzi
Yintoni oyifunayo ukwazi ngomdlavuza wamaphaphu kunye namalungelo akho njengomqeshwa? Yimiphi imigaqo ekhoyo ukukhusela wena kunye noluphi ulungelelwano olulindelekileyo? Ziziphi iingxaki kunye nobutyebi bokusebenza ngexesha lomhlaza wemiphunga?
I-Cancer ye-Lung kunye nokuSebenza-Kuphi ukuqala
Kuninzi ukwesaba kunye neengxakini ezivela ngokuxilongwa komhlaza. Akunjalo kuphela ngokukhawuleza kwindawo ojongene ngayo nokufa kwakho ngaphambili kwaye uvale, kodwa ushiywe uzibuza ukuba unyango lwakho lomhlaza luya kuthintela njani ubomi bakho bonke.
Ngaba uya kukwazi ukusebenza? Yintoni eyenzekayo kwinshurensi yakho yempilo ukuba awukwazi ukusebenza?
Inqaku lokuqala esifuna ukucaca kukuba wonke umntu uhlukile, kwaye nguwe kuphela onokukwazi ukugqiba oko kukulungele. Abanye abantu abakwazi ukusebenza kuwo wonke unyango lomhlaza okanye ukhetha ukushiya kwindawo yokusebenzela ukugxila kunyango lwabo. Abanye, ngokuchaseneyo, bafumanisa ukuba ukusebenza kunika ukuphazamiseka okumnandi kumnxeba wamaphaphu emiphunga . Kanti abanye baziphoqa ukuba basebenze nangona kunzima kakhulu, ukwesaba impembelelo yemali ukuba kufuneka bathathe ikhefu okanye bayeke.
Isigqibo sakho malunga nokusebenza singabonakala siqatha kodwa singenziwa lula ngokuqwalasela zonke iinketho zakho kwaye uzibuze imibuzo enzima. Oku kubalulekile nangona sele usenze isigqibo malunga nomsebenzi wakho ngexesha lotyando. Izinto ziyakwenza kwaye zidla ngokutshintsha xa unomdlavuza. Abanye abantu abenza isigqibo sokuba bafuna ukusebenza baya kufumana nzima.
Abanye bangakhetha ukungasebenzi, kodwa kamva batshintshe iingqondo zabo babuyele emsebenzini.
Ukuba unquma ukuqhubeka usebenza, thatha ixesha lokuqwalasela nayiphi na indawo yokuhlala ekhethekileyo oyifunayo. Kwakhona, ubuyekeze umgaqo wakho wekhefu lokugula kunye noko uza kuyimfuneko ukuba uyenze ukuba unqume ukuyeka ukusebenza ixesha. Gcina ukhumbule ukuba phakathi kwabo bakhetha ukusebenza ngexesha lotyando lomhlaza wamaphaphu, ukukhathala komhlaza kungenye yezixinzelelo ezinkulu.
Qinisekisa iingcamango ngaphambi kwexesha lokujongana nemisebenzi yakho eqhelekileyo kodwa ungaphantsi kwamandla kwaye uhlolisise ezi ngcebiso malunga nokunyameka komhlaza ngaphambi kokuba ufumane ukhathele.
Ukusebenza Ngomhlaza We-Lung vs. Ukusebenza Nezinye iiKhansela
Kubalulekile ukubonisa ngokukhawuleza ukuba oko kusebenza kuwe ngokubhekiselele kwingqesho kunokungafani nokomntu onomnye umhlaza, njengomhlaza wesisu. Enyanisweni, ininzi yolwazi "ngaphandle" malunga nokusebenza nomhlaza sele ibhalelwe abantu abanomdlavuza wesibele.
Ngomdlavuza webele, uninzi lwabantu lufunyaniswa kwiindlela zokuqala zesifo; Okuchaseneyo kwabo banomdlavuza wemiphunga. Oko kuthetha ukuthini ukuba abantu abanomdlavuza wamaphaphu badla ngokugula kunabo abanomdlavuza wesibele. Kunokuba sele ufumene ukuba unesifo se-mammogram okanye ufumene isifuba esingenabuhlungu, abantu abaninzi abanomdlavuza wamaphaphu baye bajamelana nokukhwehlela okuqhubekayo, ukuphefumula okufutshane, kunye nokusulelwa kwezifo zamaphaphu ngokuphindaphindiweyo ngaphambi kokuxilongwa. Ezi zimpawu zenza ukuba nzima kunzima kwaye amanani abonakala exhasa oko. Abantu abanomhlaza wesibeleko banakho amathuba okubuyela emsebenzini emva kwekhefu kunabo abanomdlavuza wamaphaphu.
Kungakhathaliseki ukuba ungaphi na ukufuna ukusebenza okanye ukuba ukhuthazwa njani, ukuba unobungozi bokuphefumla, umsebenzi unokuba nzima okanye awukwazi.
Ixesha elininzi Abantu Bangasebenza Ngethuba Lonyango Lweengculaza?
Ukuba uvakalelwa kukuba awuyi kukwazi ukusebenza, ukufunda ngeenani-mvavanyo ezihlola umdlavuza wamaphaphu kunye nomsebenzi kunokukunceda uzive ungcini.
Asinayo inamba esitshela ngabantu ngabantu abanomdlavuza wamaphaphu ophezulu , kodwa senzela kwabo baqala umdlavuza wamaphaphu . Uphononongo olwenziwe ngo-2014 lujonge abantu abangaphezu kwe-800 abanomdlavuza womhlaza (kunye nezifo ezinokuphilisa.) Iinyanga ezili-12 emva kokuhlinzwa aba bantu bafaniswa nenani elifanayo labantu abangenayo umdlavuza wamaphaphu.
Ekuqaleni kwonyango, iipesenti ezingama-68.6 zale ndawo zaziqeshwe, eziye zawela kuma-38.8 ekhulwini emva kokunyanga.
Ukungaphangeli kwempilo kuninzi kwabasetyhini kunamadoda. Ukungakwazi ukusebenza kwakuqhelekileyo kulabo basebekhulile, banezinye iimeko zonyango, abanemali engaphantsi kwendlu, okanye abanomsebenzi ohluphekileyo kuluntu.
Kwabo babuyela emsebenzini, uninzi (i-78.6 pesenti) yabona ukuba ukukhathala kwakuyinkxalabo yabo enkulu enxulumene nomsebenzi. Oku akumangalisiyo kuba phantse wonke umntu oza kunyangwa ngamayeza omhlaza unomlinganiselo othile wokukhathala komhlaza, kwaye, kubantu abahlala kwixesha elide, oku kuyaqhubeka iminyaka emininzi.
Indlovu ekamelweni kukuba ukukhetha ukuyeka ukusebenza kunokuba nzima kakhulu, okanye ukuziva kungenakwenzeka ngemali. Ucwaningo lwe-2016 lwamanqamana amaninzi ludibeneyo luboniswe ukuba i-15 ekhulwini yabantu bafumana ubunzima bezemali ezihlobene nomhlaza wabo (kwaye ukuqagela kukuba le nani inkulu kakhulu) kunye neepesenti ezingama-25 babike ukuba baqhubeka besebenza ngenxa yokukhathazeka ngokulahlekelwa yinshuwalense yonyango. Uninzi ngamaphesenti angama-63 lwenza utshintsho kwimisebenzi okanye kwimisebenzi (njengokuthatha ikhefu elide) ngenxa yomhlaza kunye neepesenti ezingama-42 zifumene ukuba umdlavuza uphazamise imisebenzi yabo emsebenzini. Kule mihlaza, abo abanomdlavuza wamaphaphu babe neengxaki ezininzi kunye neengxaki kunye nokukhathazeka okungaphezulu kwezemali.
I-Pros ne-Conserv of Working during I-Cancer Treatment
Ukuze wenze isigqibo malunga nokusebenza ngexesha lotyando, kunceda ukuxoxa ngezinye iingxaki kunye neengxaki zabanye abaye bazibona ngokwenza isigqibo esifanayo. Gcinani engqondweni njengoko ukhangela ulwazi oluxubusha ngale ndlela kunye neengxaki ukuba ubuninzi beenkcukacha ezikhoyo zibhalelwe abantu abanomhlaza wesibeleko kunomdlavuza wamaphaphu.
Izinzuzo zokushiya umsebenzi ngexesha loLonyango lwe-Cancer
Ukusebenza ngexesha lokwelashwa komhlaza wamaphaphu kunzima. Ezinye zeenzuzo zokuthatha ixesha kude nomsebenzi ziquka:
- Ngaphandle kokusebenza uza kuba nexesha elingakumbi lokuzinakekela.
- Ukuthatha ikhefu okanye ukuyeka umsebenzi wakho kunokukwenza kube lula ukucwangcisa inkoliso yokuqeshwa kwabantu abahamba kunye nokuxilongwa komhlaza wemiphunga. Unyango olunjengeliyeza lonyango olufuna ukutyelelwa ezininzi lunokuba nzima ukulinganisa nomsebenzi.
- Ukuba ukhetha ukunyamekela kwenye indawo yelizwe okanye ubandakanyeke kwilingo leklinikhi, ukucwangciswa kunokuba lula ukuba awunayo ukuguqula unyango ngomsebenzi wakho.
- Abanye abantu bafumanisa ukuba banako ukutya ukutya okunempilo kunye nokuzilolonga ngokuphindaphindiweyo xa bengaphelelwa ngamandla ukuzama ukusebenza ngexesha lotyando.
- Ukuba awusebenzi, awudingi ukukhathazeka kunye nokutya xa ufumana uphawu olutsha okanye umphumo wecala, uzibuza ukuba ingachaphazela njani amandla akho okusebenza.
- Ukuba ufumana i- chemotherapy kwaye ube ne-white white cell count ( i- neutropenia eyenziwa yi-chemotherapy-induced neutropenia ) kulula ukukhusela ukusuleleka xa uhlala ekhaya kunye nabantu abanokukhwehlela okanye batyekise kufuphi nawe.
Izinzuzo zokuSebenza ngexesha loLonyango lwe-Cancer
Ezinye zeendlela ezisebenzayo zingaba nethuba ngexesha lotyando lomhlaza lubandakanya:
- Umsebenzi ungasebenza njengesiphazamiso, kukugcina ekucingeni ngomhlaza wakho kunye noko kuthetha ntoni.
- Ukuba ufumana inkxaso eninzi kubasebenzi bakho basebenzisana nabo, umsebenzi unokuba ngummandla oxhasa unokukunceda ukuhlangabezana nayo.
- Olunye uphando lufumene ukuba " ukukhula kwangemva kwesifo esibangelwa ngumhlaza ," oko kukuthi, indlela umhlaza ushintsha ngayo abantu ngendlela efanelekileyo, yayininzi kulabo ababekwazi ukusebenza ngexesha lotyando.
Amalungelo akho njengomqeshwa
Njengomqeshwa, unamalungelo anxulumene nomhlaza, kodwa loo malungelo ahlukahluka ngokuxhomekeka kubukhulu benkampani osebenza kuyo nalapho uhlala khona (njengoko imithetho yelizwe ihluke.) Ngaphambi kokuba uthethe kumqeshi okanye umphathi, qhelana neenkampani zakho imigaqo-nkqubo malunga nekhefu lokugula, kunye nemithetho ekhoyo.
Amalungelo akho njengomqeshwa: I-ADA (uMthetho wamaMerika okhubazekileyo)
Umthetho waseMelika okhubazekileyo ngumthetho okhusela abasebenzi ngokuchasene nokuqeshwa ngokusekelwe kwiziphene ezifana nomhlaza. Abantu abasebenza kwinkampani nabasebenzi abangaphantsi kwe-15 kufuneka bafumane "indawo yokuhlala efanelekileyo" evumela ukuba benze umsebenzi wabo. Kubalulekile ukuba uqaphele ukuba ukwenzela ukuba ugqitywe phantsi kwesi senzo kuyadingeka ukuba uchaze ukuxilongwa kwakho kumqeshi wakho.
Yintoni Okufanele Uyazi Ngendawo Yokuhlala Efanelekileyo?
Ukuhlala okunengqiqo kulungelelaniso kwindawo enokusebenza kuyo enokukunceda ukuba wenze umsebenzi wakho naphezu kokunciphisa umzimba okanye ukuphazamiseka komhlaza wakho. Ezinye indawo ezifanelekileyo zokuhlala umntu onomhlaza zingabandakanya:
- Ixesha leFlex, okanye utshintsho kwiiyure zokusebenza.
- Utshintsho kwimisebenzi yakho ngenxa yemingcele yomzimba - umzekelo, ukukhawulela ukuphakamisa kwiipounds ezimbalwa ukuba unomdlavuza womhlaza wamaphaphu.
- Ukukwazi ukutshintsha xa kunokwenzeka ngomsebenzi wakho, ukuphepha ukufikelela kwizifo ezithathelwanayo.
- Imvume yokuthetha kwifowuni okanye ukuthumela i-oncologist yakho kwi-imeyile xa iifowuni okanye i-imeyli ingavumelekile emsebenzini.
- Ikhefu liphuka ukuthabatha unyango okanye ukuphumla.
- Ukushisa kwamaofisi aseburhulumenteni (kulabo baziva bebanda ngexesha le-chemo).
- Ukufikelela kokupaka okufutshane ukunciphisa umgama wokuhamba.
I-FMLA: UMthetho woLondolozo lwezoNyango lwezeMpilo
I-FMLA inikezela ukukhuselwa komsebenzi kwabasebenzi abasebenza kwiinkampani ezine-50 okanye ngaphezulu kwabasebenzi. I-FMLA ikuvumela ukuba uthathe iiveki ezili-12 zekhefu elingenakuhlawulwa ngelixesha leenyanga ezili-12 kwaye uqinisekisa ukuba uya kuqhubeka nokufumana iinjongo ezifana ne-inshorensi yempilo. Ukuze ufumane le ntlawulo kufuneka uqeshwe kunye nenkampani ubuncinane ubuncinane ngonyaka kwaye sele usebenze ubuncinane iiyure ezingama-1250. Unonophelo lomntu onomhlaza unokukwazi ukufumana i-FMLA ukuba bahlangabezana nale mfuno kwaye baceba ukubuyela kwindawo yokusebenzela xa ikhefu lenziwe.
Izicelo ze-FMLA zenziwa ngomqeshi wakho, ngokuqhelekileyo ngokusebenzisa izibonelelo zabantu. Unokufuneka ukuba ulethe ileta evela kwi-oncologist yakho ekuqinisekiseni ukuxilongwa kwakho kunye nezicwangciso zonyango lomhlaza. Umqeshi wakho unelungelo lokuba ne-consultant oncologist ukuvavanya isicelo sakho.
Abaqeshi bangadinga ukufaneleka kwemvume yesigqityiweyo ngaphambi kokuba bakuvumele ukuba ubuyele emsebenzini emva kwekhefu. Qinisekisa ukuhlaziya ngokucophelela ulwazi lwakho lwe-FMLA, kubandakanye ukuba lunokuchaphazela njani ixesha lakho lokugula, kwaye ugcine iphepha olugqibileyo kwindawo ekhuselekileyo kodwa efikelelekayo ukuba uyifunayo.
Xa Ufanele Uqwalasele Ukukhubazeka?
Akukho mntu uthanda ukucinga ukuba abayi kukwazi ukuphinda baqhube phambili kwimisebenzi yabo ngaphambili kwonyango lomhlaza. Kodwa inyaniso kukuba abantu abaninzi abanomdlavuza wamaphaphu abayi kukwazi ukubuyela emsebenzini emva kokonyango.
Okokuqala, jonga nayiphi na inshurensi yokukhubazeka yabucala okanye inzuzo yokukhubazeka enxulumene nomqeshi onokuyenza.
Unokuvakalelwa ngathi kusasa kakhulu ukufakela ukukhubazeka, kodwa ukuba ucinga ukuba ungayidinga, qwa lasela kwangaphambili njengoko inqubo yesicelo inokuthatha inyanga eziliqela. Iintlawulo ze-Federal zibandakanya iNgeniso yeNkxaso yeNgcaciso (SSI) kunye ne-Inthanethi yokhuseleko lokukhubazeka (SSDI). Eli nqaku linokukunceda ufunde umahluko phakathi kwe-SSI kunye ne-SSDI , kwaye unqume oko kukulungele. Nazi ezinye iingcebiso malunga nokufaka isicelo sokukhubazeka kweNtlalo .
Iimali zeCarcer
Awudingi ukuba uphumelele kwimathematika ekolishi ukuze ufunde ukuba umdlavuza ubiza. Ngexesha elifanayo njengoko iindleko zikhula ngenxa yokuhlawula kunye kunye nokuxhatshazwa (ukungathethi ngeendleko zokuhamba, iindleko zokuhamba, njl.) Abaninzi abantu abanomdlavuza wamaphaphu abakwazi ukusebenza, ubuncinane kwinqanaba abayenzayo ngaphambi komhlaza.
Gcina iirekhodi ezicokisekileyo kwaye uqiniseke ukuba usebenzise inzuzo yokuncitshiswa kweerhafu kubantu abanomdlavuza. Nazi ezinye iingcebiso malunga nokufumana uncedo lwezemali kwizigulane zomhlaza . Ngamanye amaxesha kunokuthatha ubuchule bokulinganisela uhlahlo lwabiwo-mali. Umqeshwa wakho onontlalontle uzokufumana iziphakamiso, kwaye ezininzi iinkqubo zomhlaza wemiphunga ziyakwazi ukubonelela ngesikhokelo. Ukuba ungezantsi kwiingcamango, ukuba nomngane onomdla wesikolo somdlavuza yindlela enye yokuphucula imali yakho kuphela kodwa unike umngane wakho indlela engakunceda ngayo ngexesha lokunyanga.
Izixhobo zokukunceda ngeSigqibo seNgqesho okanye ukuNyulwa
Ngombulelo, ngoku kukho izinto ezininzi ezikhoyo ezinokukunceda abantu benze isigqibo esinzima malunga nokuba basebenze ngexesha lotyando lomhlaza. Enyanisweni, inhlangano engenzi nzuzo iCancer kunye neCandelo leMfundo lizinikele ekuncedeni abantu abanezigqibo kunye nokukunceda ukwazi amalungelo akho.
Ukuthetha Nomqeshi Wakho Ngomdlavuza Wakho
Ngaphambi kokuthetha nantoni na kumqeshi wakho, qhelana nomgaqo-nkampani yakho malunga nekhefu lokugula kwaye ubuyekeze amalungelo akho njengomqeshwa. Abantu abaninzi bafumana ukuthetha nomqeshi waboyika. Wonke umqeshi uhlukile, nangona abaqeshi abaninzi bancedisa kakhulu abasebenzi babo ngomhlaza.
Lungiselela oko uceba ukukusho ngaphambi kwexesha. Kungcono ukuba ukwazi ukuchaza ngokucacileyo oko uya kuyidinga kwaye ungazami ukuba yiqhawe. Ngokuqhelekileyo kulula ukuthetha ukuba uya kukwazi ukusebenza ngaphezu kokulindela kunokuba ungaphantsi. Kungaba kuhle xa uthetha kumphathi wakho ukuba uqaphele ukuba izinto zingatshintsha. Kunzima ukuqikelela ngokuqinisekileyo ukuba uya kuziva njani ngexesha lonyango kunye nawuphi na umphumo ongezantsi ongakufumana.
Imibuzo Yokuzibuza
Emva kokuphonononga amalungelo akho nokuqwalasela umgangatho kunye nokuxhamla kokusebenza ngexesha lotyando lwemhlaza, kukho imibuzo emininzi ekufuneka uyiqwalasele ngokunyanisekileyo.
- Ngaba ufuna ukusebenza?
- Ngaba uzama ukuba ligorha? (Akunakufuneka uzame ukubonisa nantoni na njengoko uhamba unyango. Ukujongana nobunzima bonyango luyintetho enkulu kumandla akho.)
- Ngaba i-oncologist yakho ikholelwa ukuba uya kukwazi ukusebenza?
- Uya kufanelana njani nokuqeshwa kwakho ngosuku lwakho lomsebenzi? Ngaba unokuyilungisa i-chemotherapy yakho ye-infotheons ekupheleni kweveki ukuze ube neveki ukufumana kwakhona?
- Ngaba umsebenzi wakho ungeze okanye ususe uxinzelelo ebomini bakho?
- Inguqu yakho ingenakuguquka njani xa uthatha ixesha lokusebenza?
Ubandlululo kwindawo yokuSebenza
Ukucwangcisa phambili nokuthetha ngokucacileyo kumqeshi kuya kunciphisa ithuba lokuba uya kuhlulwa. Ukuba ubona ukucalucalulo, ezininzi zezinto ezinokuthi zixazululwe ngengxoxo enhle. I-oncologist yakho okanye u-oncology usonhlalakahle unokukwazi ukunceda kwinkqubo ngokunjalo. Ukuba izinto zingatshintshi, unokuba unqwenela ukujonga izixhobo ezifumanekayo ngumbutho weCarcer kunye neMisebenzi. Ukuba konke okuhlulekayo, abanye abantu baya kufuneka bafake isikhalazo.
Ngaphantsi kweCarcer kunye neMisebenzi Yakho
Abantu abaninzi bafumana umbuzo malunga nokusebenza ngexesha lotyando lomhlaza ngaphandle kombuzo. Kungaba nzima ukusebenza xa ulinganisa iimpawu kunye nonyango. Abanye, nangona kunjalo, banako ukuqhubeka nomsebenzi wabo kwaye bafumane ukusebenza kubancedisa ukujamelana nokuxilongwa kwabo. Akukho mpendulo echanekileyo okanye engalunganga, kwaye isigqibo sinomntu siqu. Into ebalulekileyo kukuba ukhethe oko kukulungele wena wedwa.
Ekugqibeleni, yazi amalungelo akho, kwaye uthetha ukuba loo malungelo ahlonishwa. Ukuba unzima (okanye uzive unetyala) uthetha, qwa lasela ukuba ubeka umzekelo kwabanye abakufumana unomdlavuza kwikamva.
Imithombo:
Cormio, C., Muzzatti, B., Romito, F., Mattioli, V., noMn. Annuziata. Ukukhula kwePotusumatic kunye neCarcer. Isifundo seMinyaka emihlanu Emva kokuphela kweZonyango. Unonophelo loNcedo kwiCancer. Ngo-2016 Ngomhla wama-24. (uEpub ngaphambi kokuprinta).
Kim, Y., Yun, Y., Chang, Y. et al. Isimo sengqesho kunye nobunzima obunxulumene nomsebenzi kwi-Lung Survivors Survivors ngokumalunga ne-General Population. Annals of Surgery. 2014. 259 (3): 569-75.
Nekhlyudov, L., Walker, R., Ziebell, R., Rabin, B., Nutt, S., noJ. Chubak. Amava oMsindisi weNtsholongwane kaNtshuwalense, ezeMali kunye neNgqesho: Iziphumo ezivela kwi-Multisite Study. Umbhalo we-Cancer Survivorship. 2016. 10 (6): 1104-1111.
Stergiou-Kita, M., Grigorovich, A., Tseung, V., Milosevic, E., Herbert, D., Phan, S., noJ. Jones. I-Meta-Synthesis efanelekileyo yokuSebenza kwamaPhulo kunye noPhuhliso lweeNkqunto zokuPhucula ukuBakho emsebenzini. Umbhalo we-Cancer Survivorship. 2014. 8 (4): 657-70.
Tevaarwerk, A., Lee, J., Terhaar, A., Sesto, M., Smoth, M., Cleeland, C., kunye noMnu Fisch. Ukusebenza emva kweNetastatic Cancer Diagnosis: Izinto ezichaphazela umsebenzi kwi-Metastatic Setting ukusuka kwi-ECOG-ACRIN yeziphumo zeSikhumbuzo kunye neziPhononongo zeziPatheni zokuFunda. Cancer. 2016. 122 (3): 438-46.