Nkhani Zofunika Kuziganizira Musanayambe Kujambula Kachilombo ka Pulogalamu Yopangira Khansa Yam'mimba
Kuyezetsa khansa ya m'magazi ndi malo omwe angapange kusiyana kwakukulu m'tsogolomu ya khansara yamapapo. Monga mapepala a Pap omwe amachepetsa chiopsezo cha khansara ya chiberekero, ndipo colonoscopies yawonetsa kuchepa kwa imfa kuchokera ku khansa ya coloni , zingakhale zodabwitsa kukhala ndi chida choyang'anira kuti azindikire khansara yamapapo mu magawo oyambirira, ochiritsidwa kwambiri. Panthawiyi, khansa zambiri zamapapu zimakhala zosazindikira kufikira atapita patsogolo.
Chifukwa cha kuchedwa kwa msanga, chiwerengero cha anthu omwe atangoyamba kumene kukhala ndi kansa ya m'mapapo ndizosautsa 17 peresenti.
M'mbuyomu, zifuwa zonse zapakhosi zimayesedwa ngati njira zowononga khansa ya m'mapapo pachiyambi, koma palibe njira izi zomwe zimapezeka kuti zikhale ndi moyo wamuyaya. Chifukwa chake, chifuwa chachizoloŵezi x-rays sichigwiritsidwanso ntchito kwa osuta kuti ayang'ane kansa ya m'mapapo.
Malangizo Oletsa Kuyeza Khansa
Njira yokhayo yomwe ikupezeka pakhungu yoyeretsa khansa pamaso pa zizindikiro zilipo ndi (tsamba lotchedwa helical) CT. Kujambula kwa CT kumakhala kofanana ndi kachitidwe kake ka CT (mtundu wa CT omwe ambiri amadziwika nawo) koma amachitidwa mofulumira ndipo amachititsa kuti dzuwa lisayambe. Kafukufuku wamkulu waposachedwapa adapeza kuti anthu omwe ali ndi chiopsezo chachikulu omwe anayesedwa chaka ndi chaka kwa CT anali ndi 20 peresenti yochepetsera chiopsezo chofa ndi khansa ya m'mapapo .
Izi zikhoza kumasulira kwa anthu zikwi makumi asanu ndi awiri (20,000) kupulumutsidwa chaka chilichonse! Kuopsa kwakukulu mu phunziroli kunatanthauzidwa ngati anthu a zaka zapakati pa 55 ndi 74 omwe anali ndi zaka zosachepera 30 za mbiri ya kusuta. Ngakhale pali nkhani yosangalatsa yokhudzana ndi kufa kwa anthu ochepa, nkhani zina ziyenera kuganiziridwa kuti mutha kupanga chisankho chodziwikiratu pamene mukuyesa zopindulitsa ndi zoopsa pazochitika zanu.
Nkhani zomwe mungakambirane zikuphatikizapo:
Zolakwika
Kuti njira yowunikiridwa ikhale yovomerezeka, iyeneranso kukhala yoyipa , yomwe ili yolondola pakuzindikira matenda kumayambiriro oyambirira, komanso mwapadera , kutanthauza kuti sizitenga zotsatira zambiri zosafunikira. Vuto limodzi ndi CT scans ndikuti akhoza kutenga mawanga m'mapapu omwe alibe khansa. Izi zingayambitse njira zosafunika zothandizira kupeza zofufuza ndi zochitika zosafunikira. Mu phunziro limodzi lakale , katemera wambiri wamapapu amapezeka monga momwe ananeneratu, koma opaleshoni khumi ndi apo ankachitidwa, ndipo kuwonetsetsa sikukupezeka kuti kuchepetsa kufa. Kuyesedwa kwaposachedwapa kwa National Lung Cancer Screening kuyesa kuwonetsa chiopsezo chochepa chakufa ndi khansa ya m'mapapo mwa anthu omwe ali pangozi kwambiri monga taonera pamwambapa. Komabe, 40 peresenti ya anthu omwe adafufuzidwa anapezeka kuti anali osowa poyesa kuwonetsetsa omwe pambuyo pake adawoneka kuti ndi oopsa. Pachifukwa ichi, chiopsezo cha zonyenga (monga maphunziro owonjezereka ndi zofunikira) zimayenera kuyeza kuti zitha kuwona khansa ya m'mapapo m'mayambiriro. Mwa kuyankhula kwina, ngati mukuganiza kuti muli ndi opaleshoni ya khansa yamapapu, ndikofunika kukonzekera "kuwopseza" -kupeza kwa chinachake chokayikitsa chomwe chimakhala chosakhalitsa.
Nkhani yotsatira ikufotokoza nkhaniyi kuti:
Nkhawa
Kafukufuku waposachedwapa anapeza kuti omwe anali ndi zotsatira zopanda pake pa kuyang'anitsitsa khansa ya m'mapapo sanasangalale kwambiri. Koma ndithudi izi ndi ziwerengero, ndipo anthu amodzi amatha kudandaula kwambiri pamene akuyesa kufufuza zotsatira zopanda pake Nkhani yotsatira imati:
Kuwonetsera ku Mafilimu
Ngakhale kuyang'anitsitsa kwa khansa ya m'mapapo kumapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda (CT scans ambiri timadziwa), chiopsezo cha khansa ya m'mapapo chifukwa cha kutentha kwa dzuwa chikhoza kukhala chofunika, makamaka ngati zochitika zimachitika pachaka.
Mu kafukufuku wina, kuwonjezeka kwa 5.5 peresenti ya chiopsezo cha khansa ya m'mapapo kunayambika poyesedwa chaka ndi chaka. Izi zikutanthauza kuti kuti zitsimikizidwe kuwonetsetsa, ziyenera kuonjezera kupitirira ndi 5.5%. Pangakhalenso kuwonjezeka kwa chiwerengero cha khansa ya m'mawere kwa amayi popeza mazira akuwonekera pachifuwa.
Mtengo
Chinthu china choyesa kuyesa kuyezetsa kuyesera ndi kaya ndizovuta. Izi zimaphatikizapo kuyang'anitsitsa mtengo wa kuyang'anirana ndi zotsatira za kuwonetsetsa (chiwerengero cha zaka zapulumutsidwe,) ndi malo omwe alipo panopa. Bungwe la Care Act lofunika kwambiri limapempha kuti mabungwe oyang'anira okhaokha apange ndondomeko zoyendetsera ntchito za B kapena zapamwamba zomwe zatsimikiziridwa ndi United States Preventive Services Task Force (USPSTF). Gulu la "B" limatanthauza kuti USPSTF imalimbikitsa njirayi ndikuti pali kuti ukonde umapindula ndi wokwanira. Medicare tsopano ikuphimba kuyang'anitsitsa kwa iwo omwe amakwaniritsa zoyenera.
Kusuta Fodya
Phindu limodzi la kufufuza komwe kunapezeka posachedwa ndi kuchuluka kwa kuchuluka kwa kusuta fodya pakati pa anthu ena omwe adayesedwa. Anthu amawoneka kuti amatha kusiya chizoloŵezi ngati ali ndi vuto lalikulu pofufuza ngati akuganiza kuti khansa yamapapu kapena ayi.
Kodi Ndiyenera Kwambiri?
Kuyezetsa khansa ya m'magazi kumakhalabe chisankho chomwe chiyenera kukambidwa ndi wothandizira zaumoyo wanu, amene angakuthandizeni kuyeza kuopsa kwa phindu. Monga momwe kuwonetsetsa kungasonyezedwe kwa anthu ena omwe sagwirizana ndi zofunikira (chifukwa cha kuwonetsa ntchito, kutayika kwa asibesitoti, kutentha kwa radon, ndi zina zotero,) si aliyense amene ali ndi chiyeso ndi woyenera bwino kuti ayambe kuwunika.
Zotsatira
American College of Radiology. MEDCAC Kulephera Kuthandizira Medicare Coverage ya CT Kugonana kwa Khansa Kukhoza Kuyika Ambiri Okalamba Pangozi. 04/30/14. http://www.acr.org/About-Us/Media-Center/Press-Releases/2014-Press-Releases/MEDCAC-Failure-to-Support-Medicare-Coverage-for-CT-Lung-Cancer-Screening- Malo-Okalamba-Okalamba-Oopsya
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