Indlela Yokuba ngummeli Wakho njengoMonde weMhlaza

by Lynne Eldridge, MD; Uhlolwe nguRichard N. Fogoros, MD

Ungaba njani ummeli wakho xa unomdlavuza? Ukuba ukhona kwi-Intanethi okanye ufunda nantoni nje imva malunga nomhlaza, mhlawumbi uvile iilwimi. Imiba efana nokuthi "ukuzimela," " ube nesigulane esinamandla ," kunye "nokwabelana ngesigqibo" kubhekisela ekutshintsheni kwiparadim yobudlelwane nodokotela.

Kodwa uqala njani? Abo bethu bazalwa ngaphambi kokuba isizukulwana-Y sikhule kunye nefilosofi eyahlukeneyo malunga nendima yezigulane kunye nababoneleli bezempilo ekunakekeleni umdlavuza. Kwakukho ubudlelwane obungabonakaliyo bokubambisana kunye nezigulane ezinikezelwa zizigulane, ugqirha wenza isifo kunye nokucetyiswa unyango, ke isiguli safumana olo unyango.

Amachiza ashintsha. Ibinzana elithi "inxaxheba yonyango" ibhekisela kulwalamano apho, esikhundleni salolu hlobo lwexesha elidlulileyo, izigulane zisebenzisana ngokunyanisekileyo kunye namayeza abo ukukhetha inkqubo engcono kakhulu yokwelashwa komhlaza.

Usenokuzibuza: "Ndingenza njani ezi zigqibo ngaphandle kokuya esikolweni sezokwelapha? Ndiqala njani ukuzimela? Funda ukuqonda ukuba kutheni le mibuzo ibalulekile kwaye ufumane iingcebiso zokuqalisa.

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Kuthetha ukuthini Ukuzithethelela Ngomdlavuza?

Iifoto zeHero / i-Getty Izithombe

Ukuzixhasa njengomdlavuza wesigxina kuthetha ukuba uthathe inxaxheba ebalulekileyo kwisicwangciso sakho sokuxilonga kunye nesicwangciso sonyango. Kuthetha ukuba uqonde ukuxilongwa kwakho, uye waqwalasela ingozi kunye neenzuzo zokhetho lwonyango, kwaye ukhethe unyango olulungele wena njengomntu.

Ewe, ukuba uthathe inxaxheba kule ndawo yokwenza izigqibo, kubalulekile ukuqonda ngaphezu kwesigulane esidlulileyo. Kamva, siya kubelana ngeengcamango malunga nendlela yokwenza oko.

Ukuba ucinga ngokukhuthaza, ungacinga ngabantu abakhankqalazayo nokulwa namalungelo abo. Oku akunakukude ngakumbi kwinyaniso xa kuziwa ngumdla wokuzimela. Ukuba ngummeli wakho akuthethi ukuba nobudlelwane obuchasene nodokotela wakho. Ngokwahlukileyo, kuthetha ukusebenzisana kunye nogqirha wakho njengeqela ukuba lifike ngesicwangciso sonyango esihle kakhulu; isicwangciso sonyango esonelisa ngakumbi ugqirha wakho kunye nokuba kuya kulungelelanisa ngakumbi iimfuno zakho ezifanelekileyo zokunyamekela.

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Kubaluleka kokuzimela

Ingcamango "yokuzimela" ayiyona nje into ehambayo, kodwa ingenza umehluko phakathi kokuphila nokufa. Izifundo zisitshela ukuba izigulane (kunye nabathandekayo bezigulane zomhlaza) abafunda ngokubanzi ngesifo sabo kwaye babandakanyeka kakhulu kwiinkathalo zabo zonyango, banomgangatho obhetele wobomi. Ezinye izifundo zize zicebise ukuba zibe neziphumo ezingcono.

Ngokuqhubela phambili kunyango lomhlaza, kukho iinketho ezininzi kwaye zifumaneke kubantu abaphila nomhlaza. Ngamanye amaxesha kukho ukhetho oluninzi malunga nophatho, kwaye nguwe kuphela onokukwazi ukukhetha okulungileyo kuwe. Nguwe ohlala nomhlaza, kwaye uyazi nje ukuba unobundlobongela onqwenela ukuthatha unyango, kwaye yiyiphi imiphumo emibi ozimisele ukuyibekezelela. I-oncologist yakho, abahlobo bakho, kunye neqabane lakho kunye nabantwana banokugqiba kwisicwangciso esithile xa bejongene nomhlaza. Ukuzihlonela akuthethi nje ukwenza isigqibo esilungileyo kuwe kuphela kodwa ukukwazi ukuhlangabezana nemibono yabanye abangahlukileyo kwiintetho.

Ngesinye isikhathi ukuba uphando lwandisa ngokucacileyo, izigulane ngoku sele zifikeleleke ngokungenamkhawulo kule nkcazelo ekufuneka zifundiswe zona. Iinkcukacha ezifana ne-PubMed zibonelela ngeziganeko zeengxelo zezobugqirha, kunye newebhusayithi yezifo zonyango. Umhlobo wam usandul 'ukuthetha kwinqanaba lokungena labafundi bezogqirha ezenza le nkcazo: "Ngenxa yokufumana ulwazi lwezokwelapha kwi-intanethi, kunye nokukhuthaza, izigulane ezininzi ziyazi ngakumbi ngezifo zabo kunoko!"

Ukuzimela ngokwabo akukunceda nje ukhethe ukhetho lwakho kwaye ufumene unyango olutsha, kodwa luyanciphisa uxhala kunye noloyiko olunxulumene nomhlaza. Ukushiya uzive unamandla kunye nesitulo somqhubi.

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Funda Ngomdlavuza Wakho

Isinyathelo sokuqala sokuba ngummeli wakho kukufunda ngokubanzi njengoko unokukwazi ngomhlaza wakho. Zininzi iindlela zokwenza oku.

Buza imibuzo-imibuzo eninzi.
Cinga ukufumana uluvo lwesibini, ngokusemgangathweni kwisikhungo somhlaza esithatha inani elikhulu labantu abanomdlavuza ofana nawe.
Ukuphonononga ulwazi olunikeziwe nge-oncologist kunye namanye amalungu eqela lokukhathalela umdlavuza.
Phanda umhlaza wakho kwi-intanethi okanye kwilayibrari.
Cinga ngokujoyina umdlavuza wesizwe, inhlangano yomhlaza, okanye iqela lokuxhasa umdlavuza .

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Buza imibuzo

Ukubuza imibuzo kubaluleke kakhulu xa uthetha nge-oncologist yakho. Nangona la magqirha ejwayele ukuchazela i-ins kunye nokuphuma komhlaza kwizigulane, wonke umntu ufumana ukuxilongwa komhlaza onamava ahlukeneyo. Ungesabi ukuphinda uphendule imibuzo uze unelisekile ukuba uyayiqonda iimpendulo.

Ukuzisa umhlobo kunye nokuqeshwa kunokuba luncedo kakhulu emva koko uzama ukukhumbula oko ugqirha wakho uthe. Abanye abantu bakuthola kuncedo ukuthatha amanqaku okanye ukuba nomhlobo uthathe amanqaku xa ekhuluma nodokotela wabo. Unokufuna ukuzisa kunye nolwazi olunikezwe ngabahlobo okanye olufumaneka kwi-intanethi.

Ungesabi ukuba uthatha ixesha lakho logqirha. I-Oncologists ibona ukubaluleka kokuphendula imibuzo. Ingakunokusindisa ixesha emva koko-kunye nentloko yeefowuni-ukuqinisekisa ukuba ushiye igumbi lokuhlola kunye nemibuzo yakho ephendulwayo.

Gcina inqaku lokujikeleza phakathi kokutyelela, kwaye ukuba le mibuzo ayiphumelelanga, bhala abo ukuba bacele ukutyelela ngokuzayo.

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Iingxelo eziBini

Mhlawumbi uvile i-adage yakudala "iintloko ezi-2 zibhetele kunezona 1." Kwimichiza eyenza ingqinisiso, kwaye kuyavunywa ukuba abantu abaninzi abanomhlaza baya kucela umbono wesibini .

Kubalulekile ukuba uqaphele ukuba omnye ugqirha akakwazi ukuqonda yonke into malunga naluphi uhlobo kunye ne-subtype yalo mdlavuza. Ukudibanisa nale nto, ukuqhubela phambili kwonyango lwezinye iisomdlavuza, umzekelo, amatsha amachiza omhlaza womhlaza wamaphaphu avunywe ngexesha lokusukela ngo-2011 ukuya ku-2015 kunexesha leminyaka engama-40 eyandulela ngo-2011. Ukongeza kwonyango oluvunyiweyo, ezinye i-oncologists ukuba ujwayelene nezilingo zekliniki ekuqhutyweni kwimihlaza yakho - izilingo ezinokuthi zichazwe kwiprofayili ethile yomhlaza wakho.

Kuye kwafunyanwa ukuba iziphumo zokuhlinzwa zomhlaza ziyahlukahluka kuxhomekeke kwiziko lonyango. Ngokomzekelo, ivolumu ephezulu yonyango (ngamanye amagama, inani elikhulu lophando lwenziwa) lidibaniswe ngokuqinile kunye nokusinda kubantu abanomdlavuza wamaphaphu. Hlola ezi ngcebiso malunga nokukhetha isikhungo sonyango lomhlaza .

Enye into eyenziwa ngamanye amaxesha ngumntu ugqirha wakho. Xa kuza kumhlaza, usenokusebenza nodokotela wakho ixesha elide. Uhlawulela ukufumana ugqirha ozalisa ngobuntu bakho kwaye ushiye ukuziva ukhululekile kwaye unethemba lokunyamekela kwakho.

Yintoni abanye abantu abahlulekayo ukuyiqonda, kukuba nangona uvavanyo lwesibini (okanye lwesithathu okanye lwesine) ugqirha ugunyazisa isicwangciso sonyango esifanayo njengowokuqala, uya kuqinisekiswa ukuba awuzange ushiye nawaphi na amaqabunga afunyanwe njengoko uqhubeka phambili kunye nya mekela. Uxolo lwengqondo lunokubaluleka.

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Ukufumana Iinkcukacha Zonyango Efanelekileyo

Nangona kukho i-plethora yolwazi lwezonyango olutholakala kwi-intanethi, ngoku akukho migaqo malunga nokuba ngubani ongashicilela olu lwazi. Ngenxa yoko, kunokuba nzima ukuba ukwazi ukuba ulwazi oluvela kwi-google search lubhalwa ibhodi lamagqirha okanye unyana wakho oneminyaka engama-13 ubudala.

Yintoni ofuna ukuyifumana ekufumaneni ulwazi olufanelekileyo lwezokwelapha kwi-intanethi ?

Hlola i-URL. Ukuba iphelile nge .gov, .org, okanye .edu inokuthenjwa ngakumbi kuneziko eliphela nge .com. Kukho iindawo ezintle kakhulu, kodwa khangela ezinye iindlela zokugweba ulwazi.
Ngubani umbhali? Ingaba umntu ojongene nalo nqaku ngunyango logqirha?
Ingaba inqaku lihlolwe ngugqirha, omnye umboneleli wezempilo, okanye ibhodi yokuphononongwa ngonyango?
Ingaba imithombo yolwazi iboniswe? Ukuba kunjalo, ngaba le ngcaciso yekhwalithi yenkcazelo efana neengxelo ezipapashwe kwiincwadana zonyango ezihlaziyiweyo zontanga?
Ngaba unokwahlula ngokucacileyo ulwazi oluxutyushwa kwiintengiso?
Ngaba kukho iinqununu zokwenza ulwazi oluthe xa ufuna ukuba uphando ngalo mbandela ngokubanzi?

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Ukudibanisa noMbutho weCancer

Njengoko kuphawuliwe ngaphambili, ukudibanisa neqela lokuxhaswa ngumhlaza, uluntu lomdlavuza we-intanethi, okanye intlangano yomhlaza ingabaluleka ekufundiseni ngomhlaza.

I-caveat kukuba kubalulekile ukugcina engqondweni ukuba ulwazi kumagumbi okuxoxa kunye nezigulane ngabanye akunakunxulumene nani, okanye nokuba lube lungalunganga. Nangona kunjalo le mihlali ingaba yindawo ephambili yokuqala, ingakumbi ukuba awuqinisekanga ukuba yiyiphi imibuzo omele uyibuze yona. Ngokomzekelo, kutheni ufanele ucele ugqirha wakho malunga nokuprofetwa kwee molecular ukuba unomdlavuza wamaphaphu ?

Ngaphambi kokuba uthumele naluphi na ulwazi oluthile, qwa lasela ezi ngcebiso kwikhuseleko loluntu lwezentlalo kwizigulane zomhlaza .

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Indlela Yokwenza Izigqibo Eziphathekayo Zonyango

Emva kokuba ubuze imibuzo kwaye uqokelele ulwazi lwezokwelapha, unokwenza njani isigqibo sonyango esihle malunga nokunyamekela kwakho? Ngokungafaniyo nakwixesha elidlulileyo xa kukho iindlela ezimbalwa zokwenza unyango lomhlaza, ngoku ngoku kuninzi uninzi lwezinto ezikhethiweyo-zombini zivunyiwe kwaye ziyafumaneka kwiimvavanyo zeclini-ukuba ukhethe kuzo.

Njengazo ezininzi izigqibo esizenzayo ebomini bethu, ukuphulwa kwenkqubo phantsi kunokukwenza kube lula, ngakumbi xa ujamelana neemvakalelo ezihamba nomhlaza wesifo somhlaza .

Thatha ixesha lakho. Izigqibo malunga nokunyangwa komhlaza aziqhelekanga ngokukhawuleza, oko kukuthi, unokuthi uthathe iintsuku ezimbalwa okanye iiveki ezimbalwa ukuhlala kwaye uhlalutye ukhetho lwakho.
Thetha nabanye. Phinda ukhetho lwakho ngabathandekayo bakho; baxoxe nabo kunye neqela lakho lokunakekelwa kwezempilo, kwaye ujonge ukuthetha nabanye ngokusebenzisa iqela lokuxhasa umdlavuza okanye uluntu lomdlavuza woluntu. Gcina ukhumbule ukuba eli galelo linokubaluleka, kodwa isigqibo sokugqibela sigqibelele kuwe. Musa ukuziva uxinzelelo ekwenzeni isigqibo esilungile kuwe.
Gqiba iimeko kunye neengxaki zokukhetha kwakho . Ukongezelela ekuqondeni ukuphumelela kwezonyango, uya kufuna ukujonga ezinye izinto ezifana nemiphumo emibi, ingozi, iindleko ngaphezulu kwento eyimali yomshuwalense wakho, kunye nezinto ezinokubaluleka kokuhamba unyango, ukunakekelwa kwabantwana kunye ixesha lo msebenzi.

Ukwenza isigqibo sokwabelana kuthetha okungaphezulu nje kokuphulaphula isiluleko sakho ugqirha okanye ukunika imvume enolwazi. Le nkqubo, ngaphezu kokuvavanya iingenelo kunye nobungozi beendlela zokwenza unyango, ziqwalasela iinkalo zakho, iinjongo, kunye nezinto eziphambili njengesiqhelo sokhetho olwenzayo.

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Xa Uzama Ukuba nguMmeli Wakho

Kuthekani ukuba awunako ukunyaniseka kwaye ungathandi ukulwa? Kuthekani ukuba uhlala unamahloni kwaye unqwenela ukubuza imibuzo? Ndive abantu bethi bafuna ukuba "isigulane esihle," okanye ukwesaba ukuba xa bebuza imibuzo emininzi, okanye beza ngamandla, ugqirha wabo akayi kubathanda.

Abanye bayesaba ukuba baya kubonakala bengunobunqunu xa bekhalaza iimpawu ezininzi. Ngokomzekelo, banganqikaza ukuvelisa intlungu ngenxa yokwesaba ukuba xa beza kuba neempawu ezibi nakakhulu, ziya kukhishwa.

Ukuba unesidima ukuzithethelela, cinga indlela oza kukhuthaza ngayo umhlobo kwimeko efanayo. Yintoni oyayibuza? Ungathini na? Ukuba uthetha ngomhlobo, zithethele wena.

Ukuba usenokufumana oku kunzima, enye inketho kukuba ube nomhlobo okanye umthandayo ukhuthaze kunye nawe. Ndizenzele oko ngokwabo kubahlobo abanomdlavuza. Kungaba lula kuwe ukuba omnye umntu abuze imibuzo enzima, okanye ukuvelisa iindlela ongenelisekanga ngokupheleleyo ngononophelo lwakho. Kule ndlela, umhlobo wakho "unokudlala umdla ombi" ngelixa udlala indima 'yesigulane esihle.'

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Ukuba Nguwe Ummeli We-inshurensi yonyango

Akuyena nje impilo yakho omele uyenzele, kodwa i-pocketbook yakho nayo. Ngeentlobo ezininzi ze-inshorensi, ezininzi zazo zinemiqathango eyahlukeneyo kunye namacandelo amanyango, ukhetho lwakho lwesicwangciso sonyango lunokudlulela ngaphaya kwezinto ozikhethayo. Mhlawumbi uvile indlela yokunyanga uhlobo lwakho lomhlaza olusenziwa kuphela kwisikhungo somhlaza esingawa phantsi kwabanikezeli abakhethiweyo (wokuqala umgca) kwisicwangciso sakho se-inshurensi.

Funda nge-inshorensi yempilo yakho ngenyameko. Iimpazamo eziqhelekileyo ezinjengokungaxoxiswanga neendleko zokunakekelwa kwenethiwekhi zingabiza kakhulu kodwa zithintelwa kalula ngokucinga kwangaphambili. Thetha kunye nenkampani yakho yomshuwalense malunga nayiphi na indawo ekushiye uziva ungaqinisekanga, kwaye ucele ukuba ityala lakho lihlaziywe ukuba ucinga ukuba uwela ngaphantsi komnye wemithetho.

Ukuba awuyiqondi i-bill yakho okanye ubone iindleko ongazilindelanga, musa ukuwamkela nje. Yenza umnxeba umnxeba. Ngamanye amaxesha ukudibanisa okungekho nto kungabangela ukuba i- inshorensi ibhenyane , nokuba into elula njengokuba usuku lwakho lokuzalwa lufake ngokungalunganga kwifomu yekliniki. Hlola ezi ngcebiso malunga nendlela yokulwa nokukhanyela ibango le-inshorensi .

Abanye abantu banokunqwenela ukuqwalasela umqeshi wokuhlawula umrhumo wezokwelapha xa bexineke ngenkqubo yomshuwalense. Awuyi kuqonda iibhilikhwe zakho, mazifakwe ngee-inshurensi yakho ukwenqaba ukuhlawula okanye ugula kangangokuthi ingcamango yokuhlenga loo maphepha isanda nje. Unganqikaza ukuthatha le ndlela kuba le ntlawulo ehlawulwayo-ayikho inkululeko-kodwa kuxhomekeke kwimeko yakho ingaba ipenki ehlakaniphile idorlar eyisiwula ukuba ihambe yodwa. Iingxowa-mali zonyango, e neneni, yimbangela ebangela ukuba i-bankruptcy yase-United States ibhujiswe.

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Amanyathelo alandelayo kwiNgcaciso

Ukufunda ukuba ngummeli wakho nomhlaza kunjengokunyuka kwentaba. Abanye abantu, befumene indlela yabo ukuya kwintlanganiso, banqwenela ukwabelana nabo oko bakufundile kwabanye abaqala uhambo lwabo; imfuneko yokubuyisela ngandlela-thile.

Ngokuqinisekileyo, umdlavuza uyaqhayisa, kwaye akubona wonke umntu oza kuvakalelwa ngale ndlela. Nangona kunjalo inkxaso kunye neengcebiso zalabo "bebekho" kuyintuthuzelo enkulu kwabanye.

Awudingi ukuqhuba i-marathons, okanye uthetha emhlabeni jikelele ukwenza umehluko; akudingeki ukuba ushiye ikhaya lakho. Ukusetyenziswa kweendaba ezentlalo phakathi kwabantu abanomdlavuza kwanda imihla ngemihla; kunye noluntu oluninzi olubandakanya ukudibanisa izigulane, ukunakekelwa kwintsapho, abacebisi, abaphandi kunye nabaqeqeshi bempilo. Enyanisweni, enye yentlupheko enkulu yentsholongwane yolawulo lomhlaza ibe "uphando olunezigulane" -uphando kunye nezifundo zonyango ezenziwa ngokuphendula ngokuthe ngqo kwiingcebiso ezenziwe ngabantu abaphila nesifo.

Uninzi lwemibutho yomhlaza, umzekelo, i-LUNGevity kunye neLung Cancer Alliance yomdlavuza wamaphaphu, okanye i-Inspire, inemihlali ebalulekileyo yabantu kuzo zonke iindawo ekuhambeni kwabo komhlaza. Enye yale mibutho iphinde inike iinkonzo ezifanayo (umzekelo weLUNGevity Lifeline,) apho umntu osandul 'ufumane ukuxilongwa angakwazi ukudibaniswa nomntu oye wahlala nesifo ngokukhawuleza.

Kwinqaku lokugqibela, kungakhathaliseki ukuba ungaphi uhambo lwakho lomhlaza kukuhle ukuhlala unolwazi. Uphando aluqhutyelwa kuphela unyango kodwa ngeendlela ezinokwenzeka zokunciphisa ingozi yokuba umhlaza uza kubuya.

_Imithombo:

_{I-American Society ye-Clinical Oncology.} _{Cancer.net Ukunyamekela Ukunyamekela Kwakho.} _{Fi kelelwa ngo 07/01/15.}

_{Hagan, T., noJ. Donovan.} _{Ukuzimela ngokwabo kunye nomhlaza: uhlalutyo lweengcinga.} _{Umbhalo we-Nursing Advanced .} _{2013. 69 (10): 2348-59.}

_{Luchtenborg, M. et al.} _{Inkqubo Ephakamileyo Yomqulu Ixhamle Ngokuqinileyo Nokusinda Okuphucukisiwe Emva koPhepha loLutsha lwe-Lung.} _{Umbhalo weNational Cancer Institute .} _{2013. 31 (15): 3141-3146.}

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