Kusamalitsa Khansa Yam'mimba ndi Ntchito Yanu: Kugwira Ntchito Kapena Kusagwira Ntchito
Kodi muyenera kudziwa chiyani za khansara yamapapo ndi ufulu wanu monga wogwira ntchito? Kodi ndi malamulo ati omwe angakuthandizeni kuti muteteze komanso malo ogona omwe mungayembekezere? Kodi ndi ubwino ndi chiopsezo chotani pakugwira ntchito pa chithandizo cha khansa yamapapo?
Khansa Yam'mimba Ndi Ntchito-Kumene Mungayambe
Pali mantha ambiri komanso nkhawa zomwe zimabwera ndi matenda a khansa. Sikuti mwadzidzidzi muli pamalo omwe mumakumana ndi imfa yanu kutsogolo ndi pafupi, koma inu mukusiyiratu mukuganiza momwe kuchiza khansa yanu idzakhudzire moyo wanu wonse.
Kodi mungathe kugwira ntchito? Kodi chimachitika ndi inshuwalansi ya thanzi lanu ngati simungagwire ntchito?
Mfundo yoyamba imene tikufuna kufotokozera momveka bwino ndi yakuti aliyense ndi wosiyana, ndipo ndiwe yekha amene mungasankhe zomwe zili zoyenera kwa inu. Anthu ena sangathe kugwira ntchito nthawi zonse pamene akudwala khansa kapena amasamuka kuchoka kuntchito kuti akambirane chithandizo chawo. Ena, mosiyana, amapeza kuti kugwira ntchito kumapangitsa chisokonezo chosangalatsa kuchokera kuchipatala cha m'mapapo . Enanso amadzikakamiza kugwira ntchito ngakhale kuti ndi zovuta kwambiri, poopa zotsatira zachuma ngati atenga nthawi kapena kusiya.
Zosankha zanu zogwira ntchito zingawoneke zovuta koma zingakhale zosavuta pofufuza zonse zomwe mungachite ndikudzifunsa nokha mafunso ovuta. Izi ndi zofunika ngakhale mutakhala kale ndi chisankho chokhudza ntchito yanu panthawi ya chithandizo. Zinthu zimatha ndipo nthawi zambiri zimasintha mukakhala ndi khansa. Anthu ena amene amasankha kuti agwire ntchito adzapeza kuti ndi zovuta kwambiri.
Ena angasankhe kusagwira ntchito, koma kenako amasintha maganizo awo ndikubwerera kuntchito.
Ngati mwasankha kuti mupitirize kugwira ntchito, khalani ndi nthawi yokambirana malo aliwonse apadera omwe mukufuna. Komanso, yang'anani ndondomeko yanu yochoka kudwala komanso zomwe muyenera kuchita ngati mukufuna kusiya kugwira ntchito kwa nthawi. Kumbukirani kuti pakati pa omwe amasankha kugwira ntchito pa chithandizo cha khansa yamapapo, kutopa kwa khansa ndi chimodzi mwa zovuta kwambiri.
Sungani malingaliro patsogolo pa nthawi kuti muthane ndi zochita zanu zachizoloŵezi koma mphamvu zochepetsetsa ndipo onani ndondomeko izi zothana ndi kutopa kwa khansa musanatope .
Kugwira Ntchito ndi Khansa ya M'magazi vs. Kugwira Ntchito ndi Khansa Zina
Ndikofunika kufotokoza nthawi yomweyo kuti zomwe zimakugwiritsani ntchito pa ntchito zingakhale zosiyana ndi za wina yemwe ali ndi khansa ina, monga khansa ya m'mawere. Ndipotu, zambiri zazomwe "kunja uko" zokhudzana ndi kugonana ndi khansa zalembedwa kwa anthu omwe ali ndi khansa ya m'mawere.
Ndi khansa ya m'mawere, anthu ambiri amapezeka m'zaka zoyambirira za matendawa; Chosiyana ndi chowonadi kwa iwo omwe ali ndi kansa ya m'mapapo. Izi zikutanthauza kuti anthu omwe ali ndi kansa ya m'mapapo nthawi zambiri amadwala kuposa omwe ali ndi khansa ya m'mawere. M'malo mowapeza kuti ali ndi mammogram kapena kupeza mimba yopweteka, anthu ambiri omwe ali ndi kansa ya m'mapapo akhala akulimbana ndi chifuwa chopitirira, kupuma pang'ono, komanso matenda opatsirana kawirikawiri kwa nthawi yayitali chisanafike. Zizindikiro izi zingapangitse kugwira ntchito zovuta komanso ziwerengero zikuwoneka kuti zikuthandizira. Anthu omwe ali ndi khansa ya m'mawere amatha kubwerera kuntchito pambuyo pa sabata kusiyana ndi omwe ali ndi khansara yamapapo.
Ziribe kanthu momwe mungagwire ntchito kapena momwe mukulimbikitsira, ngati mukuvutika kupuma, ntchito ingakhale yovuta kapena yosatheka.
Kodi Anthu Ambiri Amagwira Ntchito Bwanji Pachilombo cha Khansa?
Ngati mukukumana ngati simungathe kugwira ntchito, kuphunzira za chiwerengero cha khansa yamapapo ndi ntchito kungakuthandizeni kuti muchepetse.
Tilibe ziwerengero zomwe zimatiuza za anthu omwe ali ndi kansa ya m'mapapo yapamwamba , koma timachita kwa omwe ali ndi kansa ya m'mapapo oyambirira . Kafukufuku wopangidwa mu 2014 anayang'ana anthu opitirira 800 omwe anali ndi opaleshoni ya khansa ya m'mapapo (ndipo amatha kupweteka kwambiri). Patapita miyezi 12 anthu opaleshoniwa anafanizidwa ndi anthu ofanana ndi khansa ya m'mapapo.
Kumayambiriro kwa chithandizo, 68.6 peresenti ya anthuwa anagwiritsidwa ntchito, yomwe inatsikira ku 38.8 peresenti pambuyo pa chithandizo.
Kusamalidwa kwa chithandizo cham'maiko kunali kwakukulu kwa akazi kusiyana ndi amuna. Kulephera kugwira ntchito kunali kofala kwa anthu omwe anali achikulire, anali ndi matenda ena, anali ndi ndalama zapakhomo, kapena anali ndi umoyo wabwino.
Mwa iwo omwe anabwerera kuntchito, ambiri (78.6 peresenti) anapeza kuti kutopa ndi vuto lawo lalikulu lomwe limagwira ntchito. Izi sizosadabwitsa chifukwa pafupifupi aliyense amene amadwala khansa amakhala ndi matenda enaake a khansa, ndipo kwa anthu omwe amakhala opulumuka nthawi yaitali, izi zingathe kupitirira zaka zingapo.
Njovu mu chipinda ndikuti kusankha kusiya ntchito kungakhale kovuta kwambiri, kapena kumverera kosatheka kwachuma. Kafukufuku wina wa 2016 anapeza kuti 15 peresenti ya anthu adakumana ndi mavuto a zachuma okhudzana ndi khansa yawo (ndipo ndikuganiza kuti nambalayi ndi yayikulu kwambiri) ndipo 25 peresenti adanena kuti apitiliza kugwira ntchito chifukwa cha nkhawa za kutaya inshuwaransi ya mankhwala. Ambiri pa 63 peresenti anasintha ntchito zawo kapena ntchito (monga kutenga nthawi yaitali) chifukwa cha khansa ndipo 42 peresenti anapeza kuti khansara imalepheretsa ntchito zawo kuntchito. Kuchokera mwa khansa iyi, awo omwe ali ndi kansa ya m'mapapo ali ndi mavuto ambiri ndi ntchito komanso nkhawa zambiri zachuma.
Phindu ndi Zowonongeka Zogwirira ntchito pa Chithandizo cha Khansa ya Lung
Pofuna kupanga chisankho chogwira ntchito panthawi ya chithandizo, zimathandiza kukambirana zina zomwe zimapindulitsa ndizopweteka ena zomwe adaziwona pakupanga chisankho chomwecho. Kumbukirani pamene mukuyang'ana pazomwe mukukambirana nkhani zokhudzana ndi zokhudzana ndi matendawa komanso zachinyengo kuti zambiri zomwe zilipo zakhala zikulembedwera anthu omwe ali ndi kansa ya m'mawere m'malo mwa khansa ya m'mapapo.
Ubwino Wotsalira Ntchito Pa Chithandizo cha Khansa Yam'mimba
Kugwira ntchito pa chithandizo cha khansa yamapapo kungakhale kovuta. Zina mwa ubwino wopatula nthawi kuntchito ndizo:
- Popanda kugwira ntchito mumakhala ndi nthawi yambiri yosamalira nokha.
- Kuchokera kapena kusiya ntchito yanu kungakhale kosavuta kuti pakhale ndondomeko yowonjezera anthu omwe amapezeka ndi khansa yamapapo. Mankhwala monga chithandizo cha ma radiation omwe amafuna maulendo ambiri angakhale ovuta kugwirizana ndi ntchito.
- Ngati mumasankha kulandira chisamaliro kudera lina la dziko lanu kapena mukuchita nawo zochitika zam'chipatala kunja kwa boma, kukonzekera kungakhale kophweka ngati simusowa kuti muzitha kulandira chithandizo ndi ntchito yanu.
- Anthu ena amapeza kuti akhoza kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi kawirikawiri ngati sakutha chifukwa choyesera kugwira ntchito pa chithandizo.
- Ngati simukugwira ntchito, simudzadandaula ndi mantha nthawi zonse mukawona chizindikiro chatsopano kapena zotsatira zake, mukudabwa momwe zingakhudzire luso lanu la ntchito.
- Ngati mukulandira mankhwala a chemotherapy ndipo muli ndi chiwerengero chochepa cha maselo oyera ( mankhwala otchedwa chemotherapy) omwe amachititsa kuti mukhale ndi neutropenia , zimakhala zosavuta kupeŵa matenda ngati muli pakhomo ndipo muli kutali ndi anthu omwe angakufufuzeni kapena kuponyera pafupi.
Ubwino Wogwira Ntchito Pachilombo cha Khansa ya Lung
Zina mwa njira zomwe zingagwiritsidwe ntchito zingakhale zabwino pamene chithandizo cha khansa ndi:
- Ntchito ikhoza kukhala zododometsa, kukulepheretsani kuganizira za khansara yanu ndi zomwe zimatanthauza.
- Ngati mutalandira chithandizo chochuluka kuchokera kwa ogwira nawo ntchito, ntchito ikhoza kukhala chilengedwe chothandizira chomwe chingakuthandizeni kupirira.
- Kafukufuku wina anapeza kuti " khansara yokhudzana ndi kukula kwa matenda a khansa ," ndiyo njira yomwe kansa imasinthira anthu m'njira zabwino, inali yaikulu kwa iwo omwe anatha kugwira ntchito pa chithandizo.
Ufulu Wanu Monga Wothandizira
Monga wogwira ntchito, muli ndi ufulu wokhudzana ndi khansa, koma ufuluwu umasiyana malinga ndi kukula kwa kampani yomwe mumagwira ntchito komanso kumene mumakhala (monga malamulo a boma amasiyana.) Musanalankhule ndi abwana anu kapena woyang'anira, dziwani bwino za kampani yanu ndondomeko zokhudzana ndi chilolezo cha odwala, komanso zomwe malamulo amanena.
Ufulu Wanu Monga Wothandizira: ADA (Achimereka Achilemala Act)
Lamulo la American with Disability Act ndilo lamulo lomwe limateteza ogwira ntchito kusankhana chifukwa cha umoyo monga khansara. Anthu omwe amagwira ntchito ku kampani yomwe ili ndi antchito osachepera 15 ayenera kulandira "malo ogona" omwe amawalola kuchita ntchito zawo. Ndikofunika kuzindikira kuti kuti mutsegulidwe pansi pachithunzichi mukufunikanso kuti mufotokoze bwana wanu matenda anu.
Kodi Muyenera Kudziwa Zotani Zokhudza Malo Okayikitsa?
Malo oyenera okhala ndi kusintha kwa malo anu ogwirira ntchito omwe angakuthandizeni kuchita ntchito yanu ngakhale mutakhala ndi khansa kapena thupi lanu. Malo ena oyenera okhala ndi munthu amene ali ndi khansa angaphatikizepo:
- Nthawi ya Flex, kapena kusintha kwa maola ogwira ntchito.
- Kusintha kwa ntchito zanu chifukwa cha kuchepa kwa thupi - mwachitsanzo, kuchepetsa kukwera mapaundi pang'ono ngati mwakhala ndi opaleshoni ya khansa ya m'mapapo.
- Kukhoza kuyendetsa telefoni ngati n'kotheka ndi ntchito yanu, kupewa kupezeka kwa matenda opatsirana.
- Chilolezo choyankhula pa foni kapena kutumizira imelo wanu wa oncologist ngati maitanidwe anu kapena imelo akuletsedwa kuntchito.
- Nthawi zina amatha kumwa mankhwala kapena kupuma.
- Adasinthidwa ofesi ya kutentha (kwa omwe amadzimva ozizira panthawi ya chemo).
- Malo osungirako ochepetsera angathe kuchepetsa kuyenda.
FMLA: Kuchokera Kwachipatala kwa Banja
FMLA ikupereka chitetezo cha ntchito kwa antchito omwe amagwira ntchito kwa makampani omwe ali ndi antchito 50 kapena ambiri. FMLA imakulolani kuti mutenge masabata khumi ndi awiri omwe simukulipidwa pa nthawi iliyonse ya mwezi umodzi ndipo mutsimikizire kuti mupitiliza kupeza phindu monga inshuwalansi ya umoyo. Pofuna kulandira phindu limeneli muyenera kukhala ogwira ntchito ndi kampani kwa chaka chimodzi ndipo mwakhala mukugwira ntchito maola oposa 1250. Omwe akuthandiza munthu amene ali ndi khansa angayenerere FMLA ngati akwaniritsa zofunikirazi ndipo akukonzekera kubwerera kuntchito pakapita nthawi.
Mapulogalamu a FMLA amachitika kudzera mwa abwana anu, kawirikawiri kudzera muzinthu za anthu. Mwina mungafunike kuti mubweretse kalata kuchokera kwa oncologist wanu kuti mudziwe zomwe mukupeza komanso zolinga zothandizira khansa. Wobwana wanu ali ndi ufulu wokhala ndi consultant oncologist kuyesa pempho lanu.
Olemba ntchito angafunike kukhala oyenerera pa chivomerezo cha ntchito asanavomereze kuti mubwerere kuntchito mutatha. Onetsetsani kuti mukuyang'anitsitsa zomwe mumachita pa FMLA mosamala, kuphatikizapo momwe zingakhudzire nthawi yodwala yanu, ndi kusunga mapepala omwe mumamaliza kumalo osungirako koma osowa pokwaniritsa.
Kodi Ndi Liti Pamene Muyenera Kuganizira Kulemala?
Palibe amene akufuna kuganiza kuti sangathe kupitiriza ntchito zawo zapakati pa chithandizo cha khansa. Koma zoona zake n'zakuti anthu ambiri omwe ali ndi kansa ya m'mapapo sangathe kubwerera kuntchito atalandira chithandizo.
Choyamba, fufuzani inshuwalansi yaumwini yolemala kapena zopindulitsa zaumphawi zomwe mungakhale nazo.
Mwinamwake mungamve ngati ndikumayambiriro kwambiri kuti musamangidwe chifukwa cha kulemala, koma ngati mukuganiza kuti mungawusowe, ganizirani izi posachedwapa pamene ntchitoyo ikhoza kutenga miyezi ingapo. Mapindu a Federal amaphatikizapo Supplemental Security Income (SSI) ndi Inshuwalansi Yopumitsa Bungwe la Social Security Disability (SSDI). Nkhaniyi ingakuthandizeni kudziwa kusiyana pakati pa SSI ndi SSDI , ndipo sankhani zomwe mungachite bwino. Nazi malingaliro a momwe mungagwiritsire ntchito Social Security Disability .
Ndalama za Khansa
Simukusowa kwambiri pamasukulu ku koleji kuti mudziwe kuti khansa ndi yokwera mtengo. Nthawi imodzimodzimodzi ngati ndalama zimakula chifukwa cholipilira ndalama komanso ndalama zowonongeka (osati kunena za ndalama zoyendetsa, kayendetsedwe ka maulendo, etc.) anthu ambiri omwe ali ndi kansa ya m'mapapo sangathe kugwira ntchito, mwina mpaka momwe anachitira asanayambe khansa.
Sungani malemba osamala ndipo onetsetsani kuti mumagwiritsira ntchito mwayi wopereka msonkho kwa anthu omwe ali ndi khansa. Nazi malangizowo omwe angapeze thandizo la ndalama kwa odwala khansa . Nthawi zina zimatha kutenga luso lokhazikitsa bajeti. Wogwira ntchito wanu wachitukuko amatha kukhala ndi malingaliro ena, ndipo mabungwe ambiri a khansa ya m'mapapo angakhoze kupereka malangizo. Ngati muli otsika pa malingaliro, kukhala ndi mzanga wokhala ndi khansa fundraiser ndi njira imodzi yokha yopititsira patsogolo ndalama zanu koma kupereka mnzanu njira yeniyeni yomwe angakuthandizeni pa chithandizo.
Zomwe Zingakuthandizeni Pogwiritsa Ntchito Ntchito Kapena Kusankhana
Mwamwayi, palinso zambiri zomwe zilipo zomwe zingathandize anthu kupanga chisankho chovuta chokhudza kugwira ntchito pa chithandizo cha khansa. Ndipotu, bungwe la Kansa ndi Ntchito Zopanda phindu limapereka kuthandiza anthu omwe ali ndi zisankho komanso kukuthandizani kudziwa ufulu wanu.
Kuyankhula ndi Wogwira Ntchito Wanu Zokhudza Khansa Yanu
Musananene kanthu kwa abwana anu, dziwani bwino za ndondomeko ya kampani yanu yokhudza maulendo odwala ndikuwerenganso ufulu wanu monga wogwira ntchito. Anthu ambiri amapeza kulankhula ndi abwana awo mantha. Abwana aliyense ali osiyana, ngakhale olemba ambiri akuthandiza kwambiri antchito awo ndi khansa.
Konzani zomwe mukukonzekera kunena pasanapite nthawi. Ndi bwino kuti muwone bwino zomwe mukufuna komanso musayese kukhala wolimba mtima. Nthawi zambiri zimakhala zophweka kunena kuti mudzatha kugwira ntchito kuposa momwe mumayang'anira m'malo mochepera. Zingakhale zabwino mukamayankhula ndi woyang'anira wanu kuti muzindikire kuti zinthu zingasinthe. Ziri zovuta kufotokozeratu momwe mudzamvere pamene mukuchiritsidwa komanso zotsatira zake zomwe zingakuvutitseni.
Mafunso Odzifunsayo
Pambuyo pokambirana za ufulu wanu ndikuganizira za ubwino ndi kuipa kwa ntchito pa chithandizo cha khansa, pali mafunso angapo omwe muyenera kuwongolera moona mtima.
- Kodi mukufuna kugwira ntchito?
- Kodi mukuyesera kuti mukhale msilikali? (Musayesetse kutsimikizira chilichonse pamene mukuchiza chithandizo. Kulimbana ndi vuto lalikulu la mankhwala ndizofunikira kwambiri pa mphamvu zanu.)
- Kodi oncologist wanu amakhulupirira kuti mutha kugwira ntchito?
- Kodi mungakwaniritse bwanji malo anu ogwira ntchito? Kodi mungakonzekere mankhwala anu a chemotherapy kumapeto kwa sabata kuti mupite mlungu kuti mubwezere?
- Kodi ntchito yanu ikuwonjezera kapena kuchotsa nkhawa pamoyo wanu?
- Kodi mungasinthe bwanji ndalama zanu mutasiya nthawi?
Kusankhana pa Malo Ogwira Ntchito
Kukonzekera patsogolo ndi kuyankhula momasuka kwa abwana anu kungachepetse mwayi kuti mutenge tsankho. Ngati muwona chisankho, zambiri mwazifukwazi zingathetsedwe ndi zokambirana zabwino. Wogwira mtima wanu kapena wogwira ntchito zamagulu aumagulu angagwiritse ntchito njirayi. Ngati zinthu zisasinthe, mungafune kufufuza zinthu zomwe zilipo kudzera mu bungwe la Khansa ndi Ntchito. Ngati zina zonse zikulephera, anthu ena amafunika kudandaula.
Pansi pa Khansa ndi Ntchito Yanu
Anthu ambiri amapeza funso lokhudza kugwira ntchito pa chithandizo cha khansa osati funso. Zingakhale zovuta kugwira ntchito pamene mukulimbitsa zizindikiro ndi chithandizo. Ena, amatha kupitiriza ntchito yawo ndipo kupeza ntchito kumathandiza kuthana ndi matenda awo. Palibe yankho lolondola kapena lolakwika, ndipo lingalirolo ndilokhakha. Chinthu chofunikira ndicho kusankha zomwe zili zabwino kwa inu nokha.
Potsiriza, dziwani ufulu wanu, ndipo kambiranani ngati ufulu umenewo sulemekezedwa. Ngati mukuvutika (kapena mukudzimva kuti ndinu wolakwa) mukukambirana, ganizirani kuti mukupereka chitsanzo kwa ena omwe angapezeke ndi khansa m'tsogolomu.
Zotsatira:
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Kim, Y., Yun, Y., Chang, Y. et al. Mavuto a Ntchito ndi Zovuta Zokhudza Ntchito Zomwe Zili M'gulu la Odwala Khansa Lung'ono Poyerekeza ndi General Population. Annals of Surgery. 2014. 259 (3): 569-75.
Nekhlyudov, L., Walker, R., Ziebell, R., Rabin, B., Nutt, S., ndi J. Chubak. Zochitika Zopulumutsidwa ndi Khansa ndi Inshuwalansi, Ndalama, ndi Ntchito: Zotsatira za Phunziro la Multisite. Journal of Cancer Survivorship. 2016. 10 (6): 1104-1111.
Stergiou-Kita, M., Grigorovich, A., Tseung, V., Milosevic, E., Herbert, D., Phan, S., ndi J. Jones. Meta-Synthesis ofunikira ntchito za opulumuka ndi Kupititsa patsogolo njira zothandizira kubwerera kuntchito. Journal of Cancer Survivorship. 2014. 8 (4): 657-70.
Tevaarwerk, A., Lee, J., Terhaar, A., Sesto, M., Smoth, M., Cleeland, C., ndi M. Fisch. Kugwira ntchito motsatira Kufufuza kwa Khansa ya Metastatic: Zomwe Zimakhudza Ntchito mu Metastatic Kuchokera ku ECOG-ACRIN's Symptom Outcomes ndi Practice Patterns Study. Khansa. 2016. 122 (3): 438-46.