Isiko soNyango lweZonyango singathintela umgangatho wakho woBomi kunye nesiphumo
Ungayifumana njani isikhulu esingcono somhlaza wesikhungo xa unomdlavuza wamaphaphu? Ingaba usanda kutshatyalaliswa ngumhlaza wemiphunga okanye ufuna uluvo lwesibini, lo ngumbuzo obalulekileyo.
Ukukhetha isikhungo sempilo yomhlaza wesifo samaphaphu ngenye yezona zigqibo ezinkulu oza kujamelana nazo ngexesha elithintekayo. Kuya kuba mnandi ukuba wonke umntu abe neziko lemhlaza emininzi emininzi yamakhaya abo, kodwa siyazi ukuba akunjalo.
Kwaye njengokuba kukho imilinganiselo yekhwalithi xa kuziwa kwi-plumbers kunye namagqwetha, unonophelo lwempilo luyahlukahluka kulo lonke ilizwe. Ziziphi izinto omele uziqwalasele, kwaye yiyiphi imibuzo omele uyibuze, ngaphambi kokuthatha isigqibo malunga neziko lakho lomhlaza? Kungabonakala kunzima, kodwa kunokwenzeka ukuba ufumane uncedo oluhle. Namanyathelo athile okwenza uhambo lube lula lula.
Izinto eziza Kuqwalaselwa
Kukho imiba emininzi ekufuneka uyiqwalasele njengoko unciphisa iinketho zakho kwiziko lokunyanga lomhlaza. Ukuthatha ixesha lokuqwalasela ezi zinto kunokuziva kunzima, kwaye kunokuzama ukufuna ukuqala unyango ngokukhawuleza. Kodwa ukuyeka ixesha elide ukwenzela ukuba uqiniseke ukuba wenze isigqibo esifanelekileyo ngokufanelekileyo: uphando oluncinci lunokubangela ukuba ukhethe indlela eyahlukileyo, ephakanyiswe ngumbono wesibini. Ngakolunye uhlangothi, kunokukushiya uzive uqinisekisiwe ukuba wenze iinqunto ezilungileyo kuwe.
Ezinye izinto zokuqwalasela ziquka:
1. U mgangatho
Ukukhetha ukunakekelwa kwekhwalithi kufuneka kufike kuqala xa ukhetha isikhungo somhlaza. Ukuba unesikhungo somhlaza wesigqithiso, ezininzi zezinye izinto ziya kutshatyalaliswa ngokuzenzekelayo. Kodwa ngaphandle kokuba uphande amaziko emhlaza, unokugweba njani umgangatho wonyango olunikeziwe?
Ngombulelo, iincwadana ezincinci zikhoyo ukukunceda ukuba uqale.
I-American College of Surgeons ine-database equka amaziko angaphezulu kwama-1500 omhlaza aqinisekisiwe yiKomishoni yeCarcer (Coc) ye-American College of Surgeons. Ukuze kufakiwe, la maziko kufuneka ahambisane nemigangatho ethile, kwaye kufuneka zizinikezele ekuboneleleni ngokusemgangathweni ekuxilongweni komhlaza nangonyango. Iipesenti ezingamashumi asixhenxe zezigulane ezisanda kutshatyalaliswa zifuna ukunakekelwa kwelinye la maziko.
I-National Cancer Institute ineluhlu lwamaziko angama-70 akhethwe. Kufuneka iimfuno eziliqela kwiziko lesifo somhlaza ukwenza uluhlu, enye yeyona ndawo ukuba igalelo lithathe inxaxheba ekuphandeni ukunciphisa izinga lokufa kumdlavuza.
2. Unonophelo olunzulu
Unyango lomhlaza womlenze luyinkimbinkimbi. Ukongeza ekuboneni i- oncologist (ugqirha ophethe umhlaza njengokhemotherapy), unokutyelela ngogqirha we-thoracic (uhlobo logqirha owenza ukuhlinzwa komhlaza wamaphaphu), i-oncologist ye-radiation (ugqirha onomdla ogxininisa unyango lwamayeza ), i- pulmonologist (ingcali yemiphunga), iingcali zonyango (oogqirha abanobuchule bokuphatha iimpawu zomzimba kunye neemvakalelo ezibangelwa ngumhlaza - phawula, oku akufani nokufelwa kwe-cancer) kunye namanye amagqirha kuxhomekeke kwiziphi ezinye iimeko zonyango. sijamelana nazo.
Ukongezelela, iqela lakho linokubandakanya iiphilisi zenyama, iiphilisi zokuphefumula kunye nezinye iingcali.
Enye inzuzo yokufuna unonophelo kwiziko elibanzi lomhlaza kukuba ezininzi zeenkonzo zinokufumaneka phantsi kophahla olufanayo. Ngokumalunga nokuhamba kunye nokuhamba okuncitshiswa, oku kudla ngokubhekiselele ekunxibelelaneni kangcono phakathi kweqela lakho lononophelo lwempilo.
3. Umqulu
Isikhungo somhlaza esithatha isibalo esikhulu sezigulane sinokufumana inzuzo. Oku kutshanje kwaye kunkulu kwithekhnoloji-njengokufana nokucingwa kunye nezixhobo zonyango zonyango -kuza kwixabiso. Kwaye isikhungo somhlaza esibamba izigulane ezininzi singasesikweni esingcono sezimali ukutshala imali kwiziko elitsha.
Uphando lubonisa ukuba abantu abanomdlavuza wesifo samaphaphu kwiibhedlele eziphezulu kakhulu banenkxalabo encinci kwaye bahamba phambili bhetele . Kukho ubukhulu obukhulu bokuthi i-high-volume center iya kuba namaqela enkxaso eyenzelwe ngokukhethekileyo abantu abanomdlavuza wemiphunga.
4. Iindlela zokonyango
Imiphumo yomhlaza wempuphu unomdla wokuba ufumaneke kuphela kwiziko elithile lomhlaza. Ngokomzekelo, ezinye izilingo zeklinikhi zomhlaza wemiphunga ziphela kumaziko athile, kwaye ezinye zeendlela zokuhlinzwa zokuqala, ezifana neVATS, zingenakufumaneka kuzo zonke izibhedlele.
Ukongezelela kwenkathalo eqhelekileyo, abanye abantu banomdla ekufumanekeni kwonyango olongezelelweyo / oluthile olunjenge- acupuncture and massage therapy . Ngelixa amaninzi eziko elikhulu lomhlaza sele anikezela ezi zonyango, amanye amaziko agxininise ngakumbi kunyango oluhlangeneyo kunabanye.
5. Indawo
Kubantu abathile, ukufumana unyameko kufuphi nekhaya, okanye kufuphi nentsapho, kubaluleke kakhulu, ngelixa abanye bangathanda ukuhamba unyango. Ukuba ukhetha ukuhamba, cela malunga nezindlu xa wenza ukuqesha kwakho. Amanye amaziko omhlaza anendawo yokuhlala kwiindawo eziseduze ezibonelela ngezindlu ngaphandle kwentlawulo ngexesha lomhlaza. Isiko sinokukwazi ukunikela izaphulelo kwiehotele zendawo. Ukuhambela unyango , nokuba imoto okanye indiza, ingaba yindleko. Gcina ukhumbule ukuba ukuthutha kunye nokufakwa kwezizathu zonyango ziindleko zonyango ezichithwayo .
6. Iingcinezelo zomshuwalense
Kubalulekile ukutshekisha inkampani yakho yomshuwalense ukuba ubone ukuba bahlawula unyango kumaziko omhlaza ocinga ngawo. Kwakhona kubalulekile ukubuza ukuba isikhungo "singaphakathi kwinethiwekhi" okanye "ngaphandle kwe-network." Abanikezeli benethiwekhi kunye namaziko ahlala ehlanganiswa, kodwa nge-pay-cooble ephezulu. Ukukhetha isikhungo somhlaza phantsi kwesicwangciso sakho se-inshorensi kuya kunceda kakhulu ngeendleko, kodwa awukhawulelwanga (ngaphandle kwezezimali) kwisigqibo sakho. Ngamanye amazwi, ukuba unyango alufaki phantsi kwecebo lakho le-inshurensi, unokusenakho-uya kufunwa ukuba uyihlawule ngaphandle kwe-pocket. Oku kuyinyaniso kwiinkqubo ezininzi zokunyanga zomhlaza, ezifana nokunyanga i-massage kunye ne-acupuncture.
Ukufumana iMbono yesiBini
Abanye abantu bayanqikaza ukucela umbono wesibini: bayesaba ukuba baya kumcaphukisa ugqirha wabo, okanye bangesaba ukuthatha ixesha elifunekayo lokuphanda elinye imbono. Kubalulekile ukugcina engqondweni ukuba ukufumana umbono wesibini xa unomhlaza awuqhelekanga; Enyanisweni, kuya kulindeleke. Njengoko ukhangele ngaphezu kobunikazi omnye xa uthengisa imoto entsha, ukujonga ngaphandle kweziko elilodwa lonyango kubaluleke kakhulu. Ngakolunye uhlangothi, ungayifumana indlela efanelekileyo ekuhlangabezaneni neemfuno zakho, ngelixa kwelinye icala-ukuba izimvo ziyafana-uya kuziva ukhululekile ukuba uhamba ngendlela efanelekileyo.
Ewe, kuthatha ixesha ukulungiselela uluvo lwesibini, kodwa uninzi lweekliniki luye lwakhula ixesha elide ngaphambi kokuba zifumaniswe. Ngamanye amaxesha unyango oluphuthumayo luyadingeka, kodwa ngokuphindaphindiweyo kukho iwindi yexesha lokufuna ezinye iimbono ngaphambi kokuqala unyango. Ndiyazi ukuba kulula ukutsho kunokuzenzela-eluhambweni lwam nomdlavuza, ndandifuna ukuqala ngokukhawuleza kunokwenzeka. Kodwa ndafumanisa ukuba emva koko, ndonwabile kukuba ndathatha ixesha lokuba ndiphefumle kwaye ndifumane umbono wesibini ngaphambi kokuba ndikhethile.
Imibuzo Yokubuza
- Ziziphi iingonyango ozicebisayo ngomhlaza othile?
- Ukuba izimvo ezahlukeneyo malunga nokunyanga, ziziphi izizathu ezivela kwiziphakamiso zabo?
- Ngubani oya kuba "waya" kumntu-umntu olawula unyameko lwam zonke iingcali endizibonayo? Ngaba ndiza kuba nomphathi wecala?
- Kunzima kangakanani ukufumana ukuqesha?
- Ngubani na oya kudibana naye ngeemini okanye ngeempelaveki xa ndinemibuzo?
- Ukuba ndifuna ukufakwa esibhedlele, ndingayifumana phi na?
- Ngaba ndingayifumana yonke inkathalo yam kule klinikhi okanye esibhedlele okanye ngaba ndiza kufuneka ndihambe kwiindawo ezahlukeneyo, umzekelo, ukuba i-chemotherapy kunye neyeza zonyango?
- Ngaba zikhona izigulane oziphathe ngayo ukuba ndiyakwazi ukuthetha namava abo?
Imibuzo ekufuneka uyiqwalasele
- Ingaba iqela lezononophelo lezempilo lindinike inhlonipho? Ngaba baphulaphula ngokunyameko?
- Ngaba imibuzo yam iphendulwa? Ngaba baphenduliwe ngendlela ongathanda ukuba baphendule-ngokwaneleyo kwinqanaba lokwenza isigqibo esilungileyo, kodwa ngaphandle kwengcaciso yonyango awukwazi ukuyiqonda?
- Yintoni 'yam isisu' indixelela malunga neziko? Ndaphi na, kwaye yintoni intsapho yam ivakalelwa kuyo?
Imizekelo yeZiko leZonyango
Abanye abantu bayakujabulela ukujonga kwiiwebhusayithi zamaziko okunyanga komhlaza ukuze bafumane ingcamango malunga neenkonzo ezinikezwayo. Ngezantsi uluhlu olufutshane olusetyenziswa kuphela njengomzekelo, kwaye kungekhona nje ngeengcebiso kwiziko elithile. Uninzi lwamanqanaba omhlaza kunye nezixhobo zesibhedlele zifumaneka kwiiwebhusayithi ezikwazi ukuphendula eminye yemibuzo yakho.
- H. Lee Moffitt I-Cancer Centre kunye neCandelo loPhando (eTampa, eFlorida)
- IYunivesithi yaseTexas I-Anderson I-Cancer Centre (Houston, Texas)
- I-Memorial Sloan-Kettering Center Centre (iNew York, eNew York)
- I-Seattle Cancer Care Alliance (Seattle, Washington)
- I-Vanderbilt-Ingram Cancer Centre (iNashville, eTennessee)
- I-Clinic yeMayo Clinic Cancer Centre (eRochester, Minnesota)
- I-Stanford Cancer Institute (ePalo Alto, eCalifornia
- I-Dana-Farber / iHarvard Medical Center (eBoston, eMassachusetts)
- IYunivesithi yaseColorado yeCarcer Centre (i-Aurora, iColorado
Iingcamango ezingakumbi
Njengoko wenze izigqibo malunga nokhetho lwenyango, kubalulekile ukuba ukhumbule ukuba uphethe uxanduva lwakho. Oogqirha baya kunika iinqununu ezininzi, kodwa ekugqibeleni kuya kuwe ukwenza izigqibo. Abanye abantu baya kufuna ukuba neentloni njengoko kunokwenzeka ngeendlela zabo, ngelixa abanye baya kukhetha ukuba bangayilandela unyango lomhlaza wabo. Uninzi lwabantu luya kufuna ubuncinane olunye uluvo lokuba bancede benze ukhetho olufanelekileyo kubo, ngolwazi oluninzi ngangokunokwenzeka. Kwaye ukufunda indlela yokuba ngummeli wakho ekunyamekelweni komhlaza kubonakala kungekhona nje ukuphucula umgangatho wokunyamekela kwakho kodwa kunokuphucula iziphumo ngokunjalo.
Njengengxelo yokugqibela, ukuze ube yingxenye esebenzayo yeqela lakho lonyango, ukufunda ngokusemandleni akho ngomdlavuza wakho wamaphaphu kunceda kakhulu. Hlola ezi ngcebiso malunga nendlela yokuphanda nokufumana ulwazi olungcono lomdlavuza kwi-intanethi .
Imithombo:
National Cancer Institute. Ishiti yeenyani. 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
National Cancer Institute. Amacandelo eCancer-Designed Cancer. Fi kelele 06/10/16. https://www.cancer.gov/research/nci-role/cancer-centers
Park, H. et al. Impembelelo yoMqulu weZibhedlele we-Thoracoscopic Lobectomy kwiziPhumo zeChondom ye-Cancer. Ama-Annal of Surgery Thoracic . 2012. 93: 372-379.