Ubume bokusebenza kubalulekile xa ukhetha unyango lomhlaza
Yintoni imeko yokusebenza kwaye kutheni kubalulekile kubantu abanomdlavuza? Uninzi lwezilingo zekliniki zifuna umlinganiselo wesimo sokusebenza ngaphambi kokuba uqinisekise ukuba abantu bafanelekile. Kutheni oku kwenziwa?
Inkcazo: Isimo sokuSebenza
Isimo sokwenziwa komsebenzi sisilinganiselo sokuthi umntu unokukwazi njani ukuqhuba imisebenzi yemihla ngemihla xa ephila nomhlaza.
Ukuqonda indlela umntu oya kwenza ngayo unyango kuxhomekeke kuhlobo lomhlaza, isigaba somhlaza, kunye nempilo yomntu jikelele kunye nokukwazi ukulawula ukunakekelwa kwabo.
Kubaluleka koMgangatho weNtsebenzo
Unokuzibuza ukuba kutheni i-oncologist yakho okanye umphandi wecandelo lonyango ucela yonke le mibuzo malunga nobomi bakho bemihla ngemihla. Le mibuzo ibuzwa njengendlela yokujonga kakuhle indlela oqhuba ngayo nemisebenzi yakho yokuphila kwansuku zonke , okanye "i-ADLs". Ngokuvavanya le mi sebenzi ugqirha wakho unokukwazi ukubona "isimo sendlela" yokusebenza ngayo kwaye le milinganiselo yesimo sokusebenza ingaba luncedo ngeendlela ezininzi:
- Ukuchonga ukuba umntu unempilo efanelekileyo ukunyamezela unyango olunjengekhemotherapy, utyando , okanye unyango lwe-radiation . Ngayo yonke imithi yokwelapha, kubalulekile ukulinganisa ingozi ngokumalunga neenzuzo zonyango. Umzekelo, kunokubakho amaxesha apho i-chemotherapy inokunciphisa kunokunyusa ixesha lokuphila.
- Njengendlela yokukhethwa kweemvavanyo zeclini . Uninzi lwezilingo zonyango zifuna izigulane ukuba zibe nesimo esihle sokusebenza ngaphambi kokuba uzame unyango lovavanyo.
- Ukuvavanya impendulo yomntu kunyango.
- Ukubona ukuba / njani umhlaza uqhubeka njani.
- Ukuqikelela ukuhlaziya .
Amanqanaba okuSebenza
Izikali ezimbini zokusebenza eziphambili zisetyenziselwa ukulinganisa isimo sokusebenza kwabo bahlala nomhlaza: I-Eastern Co-operative Group ye-Oncology Group (ECOG) / inkqubo ye-WHO kunye nomlinganiselo wokusebenza kaKhanofsky.
Eyokuqala kwezi zikhundla zendlela yokusebenza kwisikali se-0 ukuya ku-5, kwaye okwesibini kwinqanaba lika-0 ukuya ku-100. Qaphela ukuba ezi ziko zifani nokuba inani elingaphantsi okanye inani eliphezulu lichaza isimo esilungileyo sokusebenza. Ngohlobo lwe-ECOG / WHO olusebenzayo, amanqaku afanelekileyo, nangona isimo se-Karnofsky sisebenza ngenani elifanelekileyo li-100.
I-ECOG / WHO Status Status
- 0: Ukusebenza ngokupheleleyo, akukho mithintelo kwimisebenzi. Isimo sokusebenza se-0 asikho mingcipheko kwindlela umntu akwazi ukwenza konke abakwazi ukukwenza ngaphambi kokuba baxilongwe.
- I-1: Ayikwazi ukwenza imisebenzi enzima, kodwa ikwazi ukwenza umsebenzi ophantsi wokusebenza kwendlu kunye nemisebenzi yokuhlala. Eli gama lithetha ukuba awukwazi ukwenza umsebenzi onzima kodwa unokwenza enye into.
- 2: Unako ukuhamba nokulawula ukuzinakekela, kodwa ungeke usebenze. Ekubhedeni ngaphezu kwe-50% yeeyure zokuvuka. Kuloluhlu, abantu abaqhelekanga ukuqhuba nayiphi na imisebenzi yomsebenzi, kuquka umsebenzi we-ofisi yokukhanya.
- I-3: Ulungele ukulala okanye isihlalo ngaphezu kwama-50 ekhulwini kwiiyure zokunyuka.
- 4: Ukukhubazeka ngokupheleleyo.Ngokuqinisekileyo uvalelwe embhedeni okanye usihlalo. Ayikwazi ukwenza nayiphi na ukunakekela.
- 5: Ukufa
Isimo seNtsebenzo saseKalofsky
- 100: eziqhelekileyo, akukho mpawu, okanye ubungqina besifo
- 90: Izimpawu ezincinane, kodwa zikwazi ukuqhuba imisebenzi eqhelekileyo
- 80: Ezinye iimpawu, umsebenzi oqhelekileyo ufuna umzamo
- 70: Ayikwazi ukwenza imisebenzi eqhelekileyo, kodwa ikwazi ukuzinakekela
- 60: Ufuna ukunakekelwa rhoqo kwiimfuno ezininzi, uncedo olunamathuba athile ngononophelo
- 50: Ufuna uncedo oluninzi ngokuzinyamekela, unyango lwamayeza rhoqo
- 40: Ukukhubazeka; ufuna unonophelo olulodwa kunye noncedo
- 30: Ukukhubazeka kakhulu; esibhedlele
- 20: Ugula kakhulu; Inkathalo ebalulekileyo yokuxhaswa iyadingeka
- 10: Ukufa
- 0: Ukufa
Isimo sokuSebenza kwiiMvavanyo zeZliniki
Abantu abaninzi banokukhungatheka ngemeko yokusebenza kweemfuno kwiimvavanyo zeclini.
Kutheni ezi zinto ziyimfuneko kangaka? Ngaba ayibandakanyi abantu abanokuzuza?
Kukho izizathu ezimbalwa abaphandi basebenzisa indlela yokusebenza yendlela yokusebenza ukuqinisekisa ukufaneleka kokungena kwilingo leklinikhi.
Enye yinto yokuba iziphumo zabo "zihlaziywa." Ngamanye amazwi, ukuba omnye umphandi angenza uvavanyo olufanayo, kubalulekile ukuqala nabantu abaneemeko zempilo ezifanayo.
Esinye isizathu, nangona kunjalo, kubalulekile kuwe. Ngokurekhoda kwimeko yokusebenza, oogqirha banako ukubeka esweni iipilisi ezintsha ukuze babone ukuba banefuthe elibi kwimeko yokusebenza. Ngokomzekelo, ukuba abantu baphendule kwiziyobisi kodwa baqala ngesimo sokusebenza se-0, esiye sahla kwi-2, oogqirha baya kufuneka baqwalasele ukuba ngaba iziphumo ezingamanzi zonyango zilungelelanise iziphumo ezilungileyo ezifunyenwe ekupheni umhlaza.
Ukuqonda okungakumbi malunga neZilingo zeTliniki
Kukho iinkolelo ezininzi malunga nokuhlolwa kweekliniki . Iimbono ezithandwayo malunga "nokuba yingqungquthela yengulube" ngokuqhelekileyo kuthiwa kwintlekisa, kodwa abantu abaninzi abaqondi kakuhle ukuba ziphi iimvavanyo zeklinikhi ezibandakanya okanye ukubaluleka kwazo kuphando lomhlaza. Kunokukunceda ukuba uqaphele ukuba yonke imithi yokwelapha ikhona-zonke iziyobisi kunye nayo yonke inkqubo-yayisetyenziswe kuphela kwiimvavanyo zonyango, kwaye ngelo xesha, abantu abodwa abanokuma bazuze kule mivavanyo babebo bathatha inxaxheba kwizilingo.
Uphando lweCancer lushintsha. Kwiminyaka emininzi kwakubonakala ngathi uphando oluninzi lujoliswe kwizilingo ze-III . Ezi zilingo zibalulekile njengoko ziphendula umbuzo othi, "Ngaba le chiza lisebenza kangcono kunezinye izidakamizwa," kodwa ngelo xesha, uninzi lweziphuculo ezibonwayo zincinci. Isiza esitsha singakwandisa ukusinda ngama-10 ekhulwini. Uninzi lwezilingo ezenziwayo ngoku ziyizigaba zesigaba I. Ezi zilingo ngenye indlela zithatha ingozi enkulu njengoko zilungele ukuphendula umbuzo othi, "Ngaba le chiza likhuselekile," kodwa ngexesha elifanayo bavavanya iziyobisi ezinokubangela ukuphucula ukuphucula ekusebenziseni iindlela zokunyanga umdlavuza omtsha. Iziyobisi ezinjengeziyobisi ze-immunotherapy kunye neziyobisi zonyango zijoliswe kulolu hlobo.
Ngaphantsi kweNkqubo yeMeko
Abantu abaninzi banokukhungathekiswa kwimeko yokusebenza njengendlela yokusebenza esezantsi kunokunciphisa abo bangabandakanyeka kwilingo leklinikhi. Ngexesha elifanayo, oku kunomlinganiselo onceda kakhulu kubantu abaphila nomhlaza. Emva koko, into ebaluleke kakhulu kubantu abajamelene nayo nayiphi na isifo sengonyango kukuba loo meko ithintela njani amandla abo okuphila, ukusebenza kunye nokuzonwabisa ubomi.
> Imithombo:
> West, H., noJin Jin. Isimo sokuSebenza kwiZigulane ezineCarcer. JAMA Oncology . 2015. 1 (7): 998.