Izizathu Ezi-7 Uyazifuna Ingcamango Yesibili Ngomdlavuza weLung
Ukuba usandul 'ufumane ukuba nomhlaza wamaphaphu, okanye ukuba uye waphindaphinda, mhlawumbi kwakungekho ixesha ngaphambi kokuba umhlobo onentsingiselo okanye ilungu lentsapho licebise ukuba ufumane umbono wesibini. Ngaloo nto, mhlawumbi unika le ngcebiso kwixesha elidlulileyo kwiintsapho okanye ngabahlobo abaye bafumanisa ukuba banesifo. Kodwa ukunika iingcebiso kulula kunokuphulaphula, kwaye abantu abaninzi bafumanisa ukuba akulula xa beyiluleko.
Ngoba?
Kukho izimbalwa ezimbalwa izizathu zokuba abantu banganqweneli ukucela umbono wesibini. Enye kukuba abantu abafuni ukucaphukisa oogqirha babo. Banoxhala lokuba ukufuna enye imbono yonyango kuya kuphazamisa ubudlelwane abanabo kunye nogqirha wabo. Enye kukuba abantu abafuni ukuthatha ixesha. Emva koko, ukuba i-tumor ikhula emzimbeni wabo, bafuna ukuyilungisa ngokukhawuleza. Ngokuzithandela kuthathe ixesha lokufumana umbono wesibini ngokungathandabuzekiyo kukuphazamisa unyango lomhlaza ngexesha elifanelekileyo.
Iyini Ingxelo yesiBini?
Umbono wesibini uluvo oluhlukile kolunye ugqirha malunga nokunyamekela nokuphathwa komhlaza wakho. Ngamanye amaxesha oku kwenziwa ngomntu, ngamanye amaxesha omnye ugqirha ucelwa ukuba uhlaziye iirekhodi zakho. Ngokubanzi, imbono yesibini ibhekisela kudibaniselwano nodokotela ovela kwiklinikhi eyahlukeneyo okanye isikhungo somhlaza kunokuba omnye ugqirha ngaphakathi kweqela eliqhelekileyo.
Ingaba Ugqirha weNgqungqungqumbo yeCaren's Feelings About Opinion Seconds?
Oogqirha abanomdla kuphela abavumi ukuba bacaphuke xa izigulane zabo zifuna uluvo lwesibini, zihlala zikulindele .
Kwaye xa sibhekene nomhlaza ngokwawo, ipesenteji ezilungileyo zamagqirha zifuna iimbono zesibini.
Ndiya Kuphi I-I-Opinion?
Akukho mpendulo elula kulo mbuzo, kodwa nantsi ingcamango embalwa ukuze uqalise.
Buza i-oncologist yakho . Ukususela ekufundeni iincwadi kunye nokuya kwiintlanganiso zezokwelapha, i-oncologist oyibonayo ekuqaleni ingazi i-oncologist kwenye indawo inomsebenzi othile okanye ubunomdla kwisifo sakho.
Ezinye izilingo zeklinikhi zifumaneka kuphela kumaziko athile omhlaza . Ewe, ukufunda ngeemvavanyo zonyango ezinokubhekisele kuwe kunokubonakala ngathi ngumsebenzi onzima. Kodwa ngomdlavuza wamaphaphu, kukho uncedo olufumaneka kumntu ocelayo. Uninzi lwemibhobho yemiphunga yemiphunga sele isebenze ndawonye ekuqaliseni isevisi yomlinganiso weklinikhi yokulinganisa ityala elifanayo . Ukuhamba nale nkonzo yamahhala , izigulane zithunyelwa kubahlengikazi abahamba ngeemoto abaza kuhamba nomhlobo othile wesifo somhlaza kunye nolwazi lomntu kunye nezilingo zonyango ezifumaneka eUnited States nakwihlabathi jikelele.
Cinga ngombono wesibini kwindawo ephezulu yomhlaza . Ezinye zeziko elikhulu lomhlaza, umzekelo, iSian-Kettering Center Centre, i-MD Anderson yeCancer Centre, kunye ne-Mayo Clinic phakathi kwabanye, inokunikela ngezilingo zonyango kuphela kodwa ukufikelela kumayeza athile. Ngokomzekelo, kunokuba i-oncologist jikelele yezokwelapha ekwazi ukubona abantu abaneentlobo zesifo somhlaza, isikhungo esikhulu sezokwelapha singakunika ukufikelela kumayeza asebenza ngokusemgangathweni ngumhlaza wamaphaphu kuphela. Kukho ininzi yoluntu oncologists obonelela ngononophelo, kodwa xa elandela umbono wesibini, isikhulu esikhulu singakunika ezinye iindlela. Kubalulekile ukuqaphela ukuba oku akuthethi ukuba uya kufuneka uhambe unyango.
Ingcali kwiziko elikhulu lomhlaza lingenza nje iingcebiso zonyango onokuyifumana kwikliniki yakho yasekhaya.
Ngaphambi kokuba wenze ukuqeshwa kwakho, khangela ezo ngcamango malunga nendlela yokukhetha isikhungo sempilo yomhlaza wamaphaphu .
Izizathu ezi-7 zokufumana iNgcamango yesiBini nge-Cancer Lung
Ngaphandle kokuva ukuba abaninzi oogqirha bemiphunga yemiphunga (oncologists, oogqirha be-thoracic, i-radiation oncologists njl.) Abazigwenxa izigulane zabo zesibini, abantu abaninzi basolokoyika ukuba ukwenza oko kuya kuguqula ubudlelwane babo kunye noogqirha babo. Ngaba oogqirha bazo baya kubaphatha ngokwahlukileyo ngenxa yokuba bafuna umbono wesibini?
Oogqirha ngabantu, ngaba unesiqiniseko sokuthi abayi kuziva besengozini? Ukuba nayiphi na le ngcamango ikuthintele, qiniseka ukucinga malunga namanqaku alandelayo.
1. Akukho ugqirha onokukwazi konke . Akukho ugqirha onokukwazi ukufumana ukufundwa kwansuku zonke kwisifundo ngasinye kunye novavanyo lweklinikhi kuyo yonke iyunivesithi emhlabeni jikelele ekhangele umhlaza wamaphaphu. Oogqirha ngabantu.
Ubomi bakho buya kuxhomekeka kuyo . Nangona "izikhokelo-based" izikhokelo zibe yinto evamile kwi-oncology, kusekho abantu abawela kwimichilo. Umzekelo ukubonisa oku kulukhokelo olutsha ngokufanelekileyo ukuba wenze ukuhlalutya kwamathambo (ukuhlolwa kofuzo) kwiisisu zomntu onomdlavuza ongasetyenzana wesifo somhlaza wamaphaphu, ngokukodwa umphunga we-lungen adarocarcinoma . Kubantu abavavanyelayo abanomdla kwizinto ezimbalwa kwezi zinguquko kunye nokungaqhelekanga kwemfuza (i- EGFR kunye ne- ALK kunye ne- ROS1 ). Nangona kunjalo, ukuhlolwa kofuzo kusetyenziswa eMelika.
3. Iziphumo eziphandwayo ezivela kumdlavuza wemiphunga yamaphaphu ziyahluka . Uphando lubonisa ukuba abantu abanomdlavuza wesibeleko kumagumbi omhlaza okwenza umthamo ophezulu wale misebenzi uphumelele. Ukongeza, ezinye iinkqubo zokugonywa, ezifana nokuhlinzwa okwenziwe ngonyango oluncinci (ii-VATS), zingenakufumaneka kuwo onke amaziko omhlaza.
4. Inkqubela phambili yenziwa ngonyango lomhlaza wamaphaphu. Emva kweminyaka engatshintshiyo kwinkqubela phambili yonyango lomhlaza wamaphaphu, kwenziwa intsebenzo. Ngoku siyazi ukuba umhlaza ngamnye wamaphaphu uhlukile kwaye unyango olujolise kwezinye zezo ntlukwano.
5. Ukuthuthuzela nokuzithemba . Nangona ugqirha lwe sibini linika iingcebiso ezifanayo zonyango, unokuba uzive ukhululekile kwaye unethemba lokufumana unyango. Ungase ube nesithuba esincinane sokuqiqa uhla phantsi komgca ukuba izinto azihambanga njengoko ungathanda.
6. Ukuqinisekisa okanye ukuphikisa ukuxilongwa kwakho . Ukunciphisa umngcipheko wokungahambi kakuhle. Izibalo zibonisa ukuba esinye isigulane sesigqirha sesigqirha singakhange sichazwe. Akunjalo nje iindlela zokonyango ofuna ukuxoxa ngazo ngombono wesibini ugqirha, kodwa uyazihlola.
7. Ekugqibeleni, izinto zobuntu . Akunabo bonke abagqirha abaxhamla nayo yonke isigulane. Oku akuthethi ukuba abanye oogqirha bahle kwaye babi, okanye ukuba ezinye izigulane zilula ukudibanisana nabanye, kungekhona ukuba abanye abantu badibana nabantu abathile bangcono kunabanye.
Imibuzo yokubuza Ingcamango yakho yesiBini Ugqirha
1. Yiluphi unyango olucebisayo kwaye kutheni? Ziziphi iziphumo ezinokuthi zonyango?
2. Ngusiphi isizathu usincoma okanye unyango lwam ugqirha wokuqala, okanye unyango oluhlukile?
3. Ziziphi iimvavanyo zeekliniki ozifumanekayo kwimeko yam? Ngaba kukho ityala leklinikhi elifumanekayo kwenye indawo ocinga ukuba iya kuba yinto elungileyo kum?
4. Ukuba unyango luhlukile, ngaba unokufumana "unyango lwengqondo lwesibini" kufuphi nekhaya? Ukuba akunjalo, kufuneka uhambe kangangoko ukuhamba?
5. Yintoni iSicwangciso B? Ngokomzekelo, ukuba unyango olucetyiswayo ugqirha alusebenzi, luya kuthatyathwa yintoni?
6. Ukuba ndiyakunyamekela kule ndawo, ngubani na oya kulawula iqela lam lokukhathalela? Ndibiza bani ukuba ndijamelana neengxaki? Ziziphi ezinye oogqirha kunye nabagqirha abaza kubandakanyeka kwindleko yam?
7. Ziziphi iintlobo zokwelapha ezidibeneyo ezifumanekayo ukunceda ngeempawu zonyango?
8. Ekugqibeleni, uyavumelana nokuxilongwa kwam?
Ezinye Iingcebiso Xa Ufumana Iingxelo Zesibili
1. Ukufumana umbono wesibini akuthethi ukuba kufuneka "uqale ngaphaya" okanye uphinde uphinde uhlole iimvavanyo ezingapheliyo. Oko kwathiwa, oogqirha abaninzi baya kufuna iingcali zabo ukuba zihlolisise i-radiology scans oye waba nayo kwenye indawo okanye iziphumo zezilwanyana ezenzeke kwenye indawo. Kukho indleko kule nto, kodwa ngokuqinisekileyo ngaphantsi kokuphinda iimvavanyo. Unokucinga ukuba unemibono emibini yesibini - imbono yesibini kwiingxaki zakho kunye neziphumo zokukhubazeka kunye nokuxilongwa kwakho kunye nocetyiswa unyango.
2. Zama ukuqokelela iikopi zezinto zonke- oko kukuthi, amanqaku eklinikhi, iimvavanyo ze-radiology, iziphumo zebhu, iziphumo ze-pathology, kwaye uzizise ekuqeshweni kwakho. Kwezinye iimeko, iimvavanyo ezinjenge-radiology scans zingadluliselwa ngekhompyutheni, kodwa ngokuqhelekileyo uzakufuna ukuzisa i-CD yokukhangela nawe. Uninzi lolunye lwesibini ogqirha baya kufuna ukubona iinjongo ezenzileyo oye zenzile kwaye kungekhona nje ingxelo echazwe ngu-radiologist. Hlola ezi ngcebiso malunga nendlela yokufumana iziphumo zeemvavanyo zonyango .
3. Lungiselela uluhlu lwemibuzo ngaphambi kokuqeshwa kwakho, kwaye uqinisekise ukuba uphendulwa. Kunokuba luncedo kakhulu ukuzisa ilungu lentsapho okanye umhlobo kunye nawe ukuba uthathe amanqaku uze ubuze imibuzo ongayikhohlwa.
4. Ukuba ukhetha ukudlulisa ukunakekelwa kwimbono yakho yesibini, ugqirha la macebiso malunga nendlela yokwenza utshintsho olugqithiseleyo xa utshintsha oogqirha .
Intlawulo yomshuwalense yeeNgxelo eziBini
Uninzi lwababathwali be-inshorensi lugxininisa imbono yesibini, nangona kufuneka uhlolisise nenkampani yakho yinshuwalense Abanye abathwali bafuna i-second opinion ngaphambi kokuqala unyango.
Amanyathelo alandelayo
Ingaba ukhetha ukuhlala nogqirha wakho wokuqala okanye udlulisele unyameko kwimbono yesibini ugqirha, ukuba yingxenye esebenzayo yeqela lakho lononophelo lwempilo ngumgaqo-nkqubo wakho winshuwalense. Hlola ezi ngcebiso malunga nendlela yokuba ngummeli wakho kwinkathalo yakho yomhlaza . Kwaye ukuba ufumene unyango lomhlaza wamaphaphu, qwa lasela amanyathelo okuqala ukuthatha xa usandul 'ufumane umhlaza womphunga .
Imithombo:
I-Adamson, i-R. Biomarkers kunye nenkcazo yeeleksile kwi-cell cell non-small cell cancer. Inkcazo yaseMerika yoLondolozo oluPhathwayo . 2013. 19 (19 Suppl): s398-404.
National Cancer Institute. Indlela yokufumana ugqirha okanye iSibonelelo seMpilo xa unayo umdlavuza. Ukuhlaziywa 06/05/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet