Ukunyamekela xa i-CT yakho yeLung Cancer Screening ingavumelekanga okanye ingaqapheli
Ngaba uyazibuza ukuba ucinga njani kwaye unokuhlangabezana njani emva kokuva umhlaza wakho wamaphaphu ukuhlola i-CT imiphumela engavamile? Amagama afana nokungahambelani, angagqibekanga, kunye nabanye angasalisa, kwaye ukuva ukuba "oku kwenzekayo onke amaxesha" akunakwenza okuninzi ukuzola uloyiko lwakho.
Iziphumo zokukhangela umdlavuza weLung Cancer
Ukuhlolwa kwesifo somhlaza kunokukwazi ukugcina ubomi abaninzi.
Enyanisweni, kuqikelelwa ukuba ukuhlolwa komhlaza wamaphaphu (kulabo abahlangabezana neendlela zokujonga i-screening) kunokunciphisa ukufa komdlavuza wamaphaphu ngama-20 ekhulwini. Ekubeni umdlavuza wamaphaphu yiyona nto ibangela umdla wokufa komhlaza kumadoda kunye nabasetyhini e-United States, oku kuguqulela kwinani elikhulu labantu abanokulondolozwa ubomi babo. Kodwa, njengokuba uninzi lweemvavanyo zokuhlola umhlaza, kunokufumana ukungaqhelekanga okuvela emva koko ukuba ibe yinto; yintoni abantu abaninzi abakuthethayo "njengesabisa." Eli nqaku liqukethe iingcebiso zokubhekana nelo xesha "ukwethusa" ixesha onokujamelana nazo, nokuba ngaba iziphumo zakho azikho nto okanye zithetha umhlaza.
Iimpawu ezingamanga kunye neziphumo ezingabonakaliyo kunye neCill Cancer Screening
Izifundo zisitshela ukuba iziphumo ezingamanga zenzeke kuma-20 ukuya kuma-50 ekhulwini labantu abanomdlavuza we-CT wamaphaphu. Ngombulelo, uphando olutshanje lufumanise ukuba abantu abafumana iziphumo ezingavamile kwiimvavanyo zabo zokuvavanya abazange bafumane ukukhathazeka okanye ukunciphisa izinga lobomi xa kuthelekiswa nabantu abafumene abanomdlavuza.
Nangona kunjalo, njengoluphando lwezifundo ezininzi, ezi zibalo, kwaye abantu abangekho manani. Ukuba ujongene noxhala, ukwesaba, ukukhuseleka, okanye ukuhlukanisa, awuyedwa. Ndiyathemba ukuba ezi ngcebiso malunga nokujamelana nazo zinokukunceda ubhekane noko kuza okulandelayo. Kodwa okokuqala, unokuva ntoni xa isikrini sakho singavamile?
Ezinye zegama elididekayo onokuliva, okanye ufunde kwingxelo yakho ye-radiology, zibandakanya:
- I-Indeterminate
- Ukungabonakali
- Ayingcolile
- Equivocal
- Zibuza
- Ukugxeka
- Ngaphandle
- Engavumelekanga
Ukongeza kumagama angentla, unokuva ukuba unesi "sithunzi" "isigxina" "isisu" okanye "ubunzima." Oku akuthethi ukuba unomdlavuza wamaphaphu njengoko kukho izizathu ezininzi zezi ziphumo. Ukwahlula omnye kunokunceda njengoko ufunda malunga nokuhlola kwakho okungavamile. I-nodule ichazwa ngokuthi "indawo" okanye ukungavumelekanga okungaphantsi kwama-3 cm (1 ½ intshi) ububanzi. Ubunzima bomphunga buchazwa njengendawo ephezulu kune-3 cm ububanzi. I-tumor ingaba yinto nawaphi na ubukhulu kwaye ingaba yinyameko (engeyomdlavuza) okanye inobungozi (umdlavuza).
- IiNodules eziLungwini - iimpawu, izizathu kunye nokuxilongwa
- Ubumpofu be-Lung - Izizathu ezenzekayo kunye nezinto ozilindeleyo
- Ukwahlukana Phakathi koBinign kunye nezidumbu ezimbi
Kukho izimbangela ezininzi zokungaqhelekanga kwimilinganiselo ye-CT yomphunga-ikakhulukazi kubantu abaye batshaya, beboniswe kwizinto ezibangelwa ngumhlaza kwimeko enjenge-radon okanye i-asbestos, nokuba neembali zesifo sofuba, ezenza ukutolika kwe-lung CT ihlola umngeni radiologists.
Izindlela Zokujamelana Nokuba I-Cancer Screening yakho ingavamile
Yintoni ixhalabisa?
Akukho nto. Kodwa esithi "ungakhathazeki" kulula ukuthetha kunokukwenza. Yintoni ongayenza ukuze unciphise uxinzelelo lwakho nokuxhalaba xa uvavanywa uvavanyo lwakho aluqhelekanga?
Zama ukuphazamiseka - Cinga ngezinto ozenzayo ezifuna uxinzelelo olupheleleyo. Ngaba unokucinga ngemisebenzi apho uyazicoca kwaye ulibale malunga nexesha? Ngaba idlala ipiyano? Udwebo? Ukuhlamba iifestile? Ukukhangela iWebhu? Ukudlala i-monopoly okanye umdlalo wevidiyo? Thatha imizuzu embalwa ukucingisisa malunga neenkanuko zakho kunye neminqweno.
Zikhumbuze ukuba ulwazi lunamandla - Ziyazi kakuhle ngomhlaza wokuphunga umdlavuza kunye nemingcipheko kunye nezizathu zeempembelelo ezingamanga kunye nezinto ezimbi.
Ukwazi ukuba iziphumo ezingavamile ziqheleke kakhulu - ama-20 ukuya kuma-50 ekhulwini-kwaye ezo ziphelo ziphela zilungile. Amaziko amaninzi e-radiology azintle kakhulu ekufundiseni abantu ngoko bayazi ingozi. Gcina ukhumbule ukuba abantu abaninzi baya kufuna iimvavanyo ezongezelelweyo ukuvavanya iziphumo zabo zokuskena, kwaye nangaloo vavanyo olongezelelweyo, iziphumo zakho zingaba zibi kakhulu ngomhlaza.
Buza imibuzo emininzi - Buza ugqirha wakho ukuba achaze oko kuthetha ngokuthe tye. Iyiphi inyathelo elilandelayo elicebisayo? Ukubuza malunga "nesicwangciso B" kunokukunceda uzive ukhululekile ekulawuleni. Ngokomzekelo, ngokusekelwe kuvavanyo lokulandelelana ucebisa, yintoni eya kuba yinyathelo elilandelayo ukuba uvavanyo luhle, lube lubi okanye lungenakulinganiswa? Ngamanye amaxesha kukho iindlela ezingaphezulu kweyodwa ukulandela umphumo ongaqhelekanga kwaye unokuziva udidekile ngendlela yokuqhubeka. Abanye abantu bakuthola kuncedo ukubuza ugqirha okanye i-radiologist ukuba baya kwenza ntoni na imeko efanayo.
Bhala kwincwadi - Xa uziva uxhala, ukubhala ukwesaba kwakho kunye neengxakini kunokukunceda ulungise okokukhathazayo. Ukuba ukhathazeke kukuba ukungaqhelekanga ngumhlaza ungacinga ukuba ucinga ngendlela echaphazela ngayo impilo yakho, intsapho yakho, iimali zakho, amaphupha akho ngekamva. Ukubhala phantsi iingcamango zakho kungekucacisi kuphela iingcamango zakho kodwa ziyakwenza ukuba iinkxalabo zakho zibe nenjongo ngakumbi kunokuba uzimelele.
IiNzuzo zoLwazi lokuLawula uxinzelelo
Xoxa nabanye "bebekhona" - Ukuthetha nabanye abantu abaye bajamelana novavanyo olongezelelweyo ngenxa yokuhlolwa komhlaza wesifo somdlavuza ongaqhelekanga kunokuba luncedo xa uvakalelwa yedwa kunye neziphumo zakho. Iklinikhi yakho inokukwazi ukuncomela iqela lokuxhasa lendawo. Ngaphandle koko, kunamaqela amaninzi enkxaso ye-intanethi kunye namagumbi okuxoxa phakathi komphakathi womdlavuza wamaphaphu, apho ungaxhuma kunye nabanye abajongene nokukhathazeka okufanayo. Ukuba awukwazi ukufumana umntu oye wajamelana novavanyo oluqhelekileyo lokuhlola ukuphuza umphunga - emva koko, ukuhlolwa kwimihlaza yomphunga yindlela yokuvavanya ngokutsha - cinga ukuthetha nomntu oye wafumana uvavanyo lwe-prostmormal okanye i-prostate test test.
Thatha isifundo kwi-"East" - Iimpawu zonyango zengqondo ziye zaziwa ngokunyusa indima yazo ekunciphiseni uxinzelelo. Imizekelo ibandakanya ukucamngca, ukuphefumula, kunye nomfanekiso okhokelwayo / ukuboniswa.
Phuma ngaphandle - Ingaba kuhamba, ukulima, okanye ukuhlala elunxwemeni, ukuphuma ngaphandle nokuthetha kunye nemvelo kungekhona nje ukuphazamiseka, kodwa abantu abaninzi bafumana le mi sebenzi iyancipha iingqondo zabo kwaye ivuselele amandla.
Ukuzivocavoca - Abanye abantu, kodwa kungekhona bonke, bafumanise ukuba ukunyamezela ukuzivocavoca kunzima ukuxinwa kwengcinezelo.
Phinda uhlalutye iingcamango zakho - Ngokuqhelekileyo kukho indlela enye yokujonga imeko. Ukurhoxiswa akuthethi ukuba kuhlaziye okanye kuhlaziye uloyiko lwakho. Ukuba unesifo esiqhelekileyo se-CT ukukhangela ukwesaba kwakho kunene. Kunoko, yindlela yokujonga okwesikhashana imeko yakho ngokukhanya okuhlukile. Umzekelo endandisetyenziswayo xa ndandidla i-chemotherapy. Ngomlilo oshisayo ohlobo, ngelixa abahlobo bam besifika, ndandichukumisa inwele zam (i-wig) ukupholisa.
Cinga ukuba ukuxhalaba akusoloko kuyingozi - Ukuba uziva uxhalabile, khumbula ukuba ukuxhalabisa okuthile kunceda. Ukuba nesantya sokuxhalabisa kusishukumisela ukuba sithathe amanyathelo okugcina okanye ukuphucula impilo yethu.
Yongeza umlinganiselo wokuhleka kwexesha - ngelixa ulinde iziphumo, ukuhlaziywa kunokunciphisa umthwalo wakho. Cinga ukuqesha amafilimu amnandi. Xa abahlobo bebuza into enokuyenza, ba thumele ii-imeyili ezihlekisayo. Ngokuqinisekileyo, kukho ixesha lokuba lube lukhulu xa uxelelwa ukuba ukukhangela kwakho akuqhelekanga, kodwa i-humor encinane ingaba yonyango elungileyo ngelixa ulinde.
Thola ukulala ngokwaneleyo - Abantu abagxininisekile bavame ukulala kancane, kwaye ukulahlwa kokulala kukukhathaza kuphela ukukhathazeka. Hlola ezi ngcebiso ukuze ufumane ubuthongo obuphezulu xa ugxininiswe.
Zibuze, "yintoni eyona nto eyona nto enokwenzeka?" - Ukukhula, xa ndiziva ndixhalabile, umama wayesoloko anditsho ukuba ndicinge ngento embi kakhulu eyenzekayo njengendlela yokunciphisa uxinzelelo. Ngokuqinisekileyo, ngokukhangela, kukho ukwenene lokwenene ukuba unomdlavuza .. Kodwa ngamanye amaxesha ukucinga ukuxilongwa komhlaza kunzima kunokuphila ngokungaqiniseki. Xa unokufumanisa ukuba unokuphanda uphando kwaye wenze isicwangciso senzo. Oku akunjalo xa unesixilongo "esingagqibekanga".
Khawukhumbule ngeenzuzo zokujonga - kunokunceda ukucinga ngezibonelelo eziphilayo zokujonga. U-Ella A. Kazerooni, MD, usihlalo weKomidi lase-American College of Radiology Lung Screening Committee wathi ngoku, "Kucacile ukuba iingenelo eziphilayo kwezi zivivinyo kwizigulane ezisengozini kakhulu ziphezulu kunani na." Ukubeka umvuzo wokuhlola umdlavuza wamaphaphu ngokubhekiselele kwimiba engaphezulu, kuthathwa njengendleko ebonakalayo njengemvavanyo yokuhlola i-colon kunye nesifo somhlaza, kunye neendleko ezingaphezu kokusetyenziswa kweebhanti zesikhundla kunye nobukho be-airbags kwiimoto!
Qaphela ukuba kukho ibhonasi ukuba uyabhema - Sihlala sixoxa ngeengozi kunye neempembelelo ezingamanga, kodwa abantu abanokutshaya apho banokuba luncedo lokuphonononga ngaphaya kokufunyanwa komhlaza kwangaphambili. Abantu abavuthayo abaphethwe ngumhlaza wesifo samaphaphu banakho ukukhaba loo mkhwa kunabo abatshunayo kwaye abanomdlavuza wesifo somhlaza.
Ikusasa leCycer Cancer Screening
Iingcali ze-Radiologists zijonge ngeendlela zokunciphisa iimvavanyo zomhlaza zengqondo zomzimba wamapayipi, kwaye njengoko abantu abaninzi behlola ngokubakho iingcebiso ezintsha, kulindeleke ukuba iziganeko zempembelelo zamanga ziya kuncipha. Iingcali ze-Radiologists kunye noogqirha ababhekiselele nabo bathabatha inxaxheba enkulu ekufundiseni abantu phambi kovavanyo.
> Imithombo
> Ikholeji yaseMerika yaseRediology. Inkcazo ye-ACR yeSifundo seKhansela ngokubhekiselele kwixhala elixhomekeke kwi-CT Lung Cancer Screening. 97/25/14. http://www.acr.org/about-us/Media-center/press-releases/2014-press-releases/20140725--cr-statement-on-cancer-study-regard-patient-anxiety-from-ct- ukukhangela umdlavuza wamaphaphu
> Gareen, I., et al. Impembelelo yeziphumo zokuhlola umhlaza wemiphunga kwimiphumo echaphazelekayo yempilo yobomi kunye neemeko zokuxhalabisa kwi-National Lung Screening Trial. Cancer . Julayi 25, 2014. Epub ngaphambi kokuprinta.
> INational Cancer Institute. Ukuhlolwa kweCarcer Lung. 11/12/12. https://www.cancer.gov/cancertopics/pdq/screening/lung/Patient/page3
> I-US Preventive Task Force. Ukuhlolwa kweCarcer Lung. INkcazo yeNkcazo. Fi kelelwa ngo 07/30/14. https://www.uspreventiveservicestaskforce.org/3rduspstf/lungcancer/lungcanrs.htm">http://www.uspreventiveservicestaskforce.org/3rduspstf/lungcancer/lungcanrs.htm
> van den Bergh, K. et al. Ixesha elide lomdlavuza wemiphunga uhlalutyo lwe-tomography ukujonga umgangatho wobomi obunxulumene nempilo. I-European Respiratory Journal . 2011. 38 (1): 154-61.