Zifukwa 7 Mukufunikira Lingaliro Lachiwiri Ndi Khansara Yam'mimba
Ngati mwapezeka kale ndi khansara yamapapo, kapena ngati mwakhala mukubwereranso, mwinamwake pasanathe nthawi yaitali kuti mnzanu waphindu kapena wachibale atsimikizireni kuti mutenge yankho lachiwiri. Pachifukwachi, mwinamwake munapereka uphungu uwu mmbuyomu kwa achibale kapena abwenzi omwe anapezeka kuti ali ndi matenda. Koma kupereka uphungu n'kosavuta kusiyana ndi kumvera, ndipo anthu ambiri amaona kuti sikophweka ngati iwo akulangizidwa.
Chifukwa chiyani?
Pali zifukwa zingapo zomwe anthu angayese kuti afunse kachiwiri. Choyamba n'chakuti anthu safuna kukhumudwitsa madokotala awo. Ali ndi nkhawa kuti kupempha maganizo a dokotala wina kungawononge ubale wawo ndi dokotala wawo. China ndi chakuti anthu safuna kutenga nthawi. Ndipotu, ngati chotupa chikukula m'thupi lawo, amafuna kuthetsa vutoli mwamsanga mwamsanga.Kutenga nthawi kuti mutenge kawiri kaŵirikaŵiri sikungayambitse chithandizo cha khansa.
Kodi Lingaliro Lachiwiri ndi chiyani?
Lingaliro lachiwiri ndi lingaliro losiyana kuchokera kwa dokotala wina wokhudza chisamaliro ndi kasamalidwe ka khansa yanu. Nthawi zina izi zimachitika mwa munthu, ndipo nthawi zina dokotala wina amangofunsidwa kuti awonenso zolemba zanu. Kawirikawiri, lingaliro lachiwiri limatchula kufunsira kwa dokotala kuchokera kuchipatala chosiyana kapena malo a khansa kusiyana ndi dokotala wina mkati mwa gulu.
Kodi Dokotala Wodwala Khansa Amamva Bwanji Poganizira Zachiwiri?
Madokotala a khansa samangokhumudwa pamene odwala awo akufuna kupempha kachiwiri, kawirikawiri amayembekezera zimenezo .
Ndipo akakumana ndi khansa okha, madokotala ambiri amachititsa chidwi.
Kodi Ndiyenera Kupitako Kuti Ndipeze Mfundo Yachiwiri?
Palibe yankho lolunjika pa funso ili, koma apa pali mfundo zingapo zoti ndikuyambe.
Funsani anu oncologist . Powerenga mabuku ndi kupita kumisonkhano yachipatala, wazodzikuza omwe mumayang'ana poyamba angakhale wodziwa katswiri wina wamaphunziro ku malo ena omwe ali ndi luso lapadera kapena chidwi chokhudzana ndi vuto lanu.
Mayesero ena a kachipatala amapezeka kokha ku malo ena a khansa . Inde, kuphunzira za mayesero a zachipatala omwe angakukhudze iwe kungawoneke ngati ntchito yovuta. Koma ndi khansara yamapapo, pali chithandizo chopezeka kwa aliyense amene akufunsa. Mabungwe angapo a khansa yamapapo agwira ntchito limodzi pakupanga kayendedwe ka kansa ya mapiritsi a mapiritsi a mapiritsi . Pogwiritsa ntchito msonkhano waufuluwu, odwala amatumizidwa kwa oyendetsa sitima zapamadzi omwe angagwirizane ndi mtundu wanu wa khansa ndi mauthenga aumwini ndi mayesero a kliniki omwe ali ku United States ndi padziko lonse lapansi.
Taganiziraninso mfundo yachiŵiri pa malo aakulu a khansa . Zina mwa malo akuluakulu a khansa, mwachitsanzo, Sloan-Kettering Center, Kanema ya MD Anderson, ndi chipatala cha Mayo pakati pa ena, sangapereke mayesero owonjezereka okha koma amatha kupeza madokotala omwe ali odziwika kwambiri. Mwachitsanzo, osati wodwalayo wa zachipatala yemwe angawone anthu ali ndi mitundu yonse ya khansa, malo akuluakulu azachipatala angapereke mwayi kwa madokotala omwe amapanga kansa ya m'mapapo okha. Alipo ambiri odziwa zachuma omwe amapereka chisamaliro chapadera, koma pakufuna lingaliro lachiwiri, malo akuluakulu akhoza kupereka njira zina. Ndikofunika kuzindikira kuti izi sizikutanthauza kuti muyenera kupita kuchipatala.
Katswiri pa malo akuluakulu a khansa akhoza kungopereka mankhwala omwe mungalandire kuchipatala chanu.
Musanasankhe kukonzekera kwanu, onani zotsatirazi za momwe mungasankhire chithandizo cha khansa yamapapo .
Zifukwa 7 Zomwe Mungapezere Lingaliro Lachiwiri Ndi Khansa Yam'mimba
Ngakhale atamva kuti madokotala ambiri a khansa yamapapo (akatswiri a zacologist, opaleshoni ya opaleshoni ya thoracic, ma radiation oncologists, etc.) musawakhumudwitse odwala awo, koma anthu ambiri akuopa kuti kuchita zimenezi kudzasintha ubale wawo ndi madokotala awo. Kodi madokotala awo adzawachitira mosiyana chifukwa akufunafuna kachiwiri?
Madokotala ndi anthu, kodi ndinu otsimikiza kuti sadzawopsyeza? Ngati malingaliro awa akuletsani inu, onetsetsani kuganizira za mfundo zotsatirazi.
1. Palibe dokotala yemwe angathe kudziwa chirichonse . Palibe dokotala yemwe angakhale pamwamba pa zochitika za tsiku ndi tsiku pa phunziro lililonse ndikuyesedwa kwachipatala ku yunivesite yonse kuzungulira khansa ya m'mapapo. Madokotala ndi anthu.
2. Moyo wanu ukhoza kudalira . Ngakhale ndi "umboni wozikidwa" wotsogoleredwa kukhala wozolowereka pa zamagetsi, palinso anthu omwe akugwa ming'alu. Chitsanzo chofotokozera ichi ndi chitsogozo chatsopano kuti muzipanga mapulogalamu a khansa pamatenda a aliyense amene ali ndi kansa yapakhungu yopanda makapu, makamaka mapapu adenocarcinoma . Kwa anthu amene amayesa kusintha kwa kusintha kwazimenezi ndi zosawonongeka za majeremusi ( EGFR ndi ALK ndi ROS1 ) mankhwala alipo omwe angapulumutse moyo. Ngakhale izi, kuyesa kwa chibadwa kumagwiritsidwa ntchito ku United States.
3. Zotsatira za opaleshoni za opaleshoni ya khansa yamapapo zimasiyana . Kafukufuku amasonyeza kuti anthu omwe ali ndi opaleshoni ya khansa yamapapo pa malo opatsirana ndi khansa omwe amachititsa opaleshoni imeneyi amakhala ndi zotsatira zabwino. Kuonjezera apo, njira zina zopaleshoni, monga opaleshoni yochepetsera mavidiyo (VATS njira), sizingapezekonse m'madera onse a khansa.
4. Kupita patsogolo kumachitika mu chithandizo cha khansa yamapapo. Pambuyo pa zaka zambiri za kusintha kwa kayendedwe ka khansa ya m'mapapo, kupyolera kumapangidwa. Ife tsopano tikudziwa kuti khansara iliyonse ya mapapo ndi yosiyana ndipo ili ndi mankhwala omwe amayenera zina mwazosiyana.
5. Chitonthozo ndi chidaliro . Ngakhale lingaliro lachiwiri dokotala amapereka malangizo omwewo, mukhoza kumverera bwino komanso kukhala ndi chidaliro ndi mankhwala omwe mumalandira. Mwinanso mungakhale osadzinyeng'onongeka nokha pazomwe mukufuna kuchita ngati simukupita.
6. Kutsimikizira kapena kukana zomwe mukupeza . Kuchepetsa chiopsezo cha matenda osokoneza bongo. Ziwerengero zimasonyeza kuti mmodzi mwa odwala khansa asanu ndi atatu sakudziwa bwinobwino. Sizowonjezera chithandizo cha mankhwala omwe mukufuna kukambirana nawo kachiwiri ndi dokotala, koma mukudzifufuza nokha.
7. Pomaliza, umunthu . Osati dokotala aliyense amayeza ndi wodwala aliyense. Izi sizikutanthauza kuti madokotala ena ndi abwino komanso ena oipa, kapena kuti odwala ena ndi ovuta kugwirizana ndi ena osati, kuti anthu ena amalumikizana ndi anthu ena kuposa ena.
Mafunso Ofunsani Maganizo Anu Achiwiri Dokotala
1. Kodi ndi mankhwala otani omwe mumalangiza ndi chifukwa chiyani? Kodi zotsatira za mankhwalawa ndi zotani?
2. Ndi chifukwa chanji mukupangira chithandizo chomwe dokotala wanga woyamba adalangizira, kapena chithandizo chosiyana?
3. Ndi mayesero otani omwe muli nawo pavuto langa? Kodi pali mayesero a kachipatala omwe amapezeka pena paliponse zomwe mukuganiza kuti zingakhale zabwino kwa ine?
4. Ngati mankhwalawa ndi osiyana, kodi mungapeze "mankhwala achiwiri" pafupi ndi nyumba? Ngati sichoncho, ndi kangati kuti muyambe kuyenda?
5. Kodi Pulani B ndi chiyani? Mwachitsanzo, ngati chithandizo chimene adokotala akuchivomereza sichigwira ntchito, kodi njira yotsatirayi ndi iti?
6. Ngati ndalandira chisamaliro pa malo awa, ndani angasamalire gulu langa la chisamaliro? Kodi ndikuitana ndani ngati ndikukumana ndi mavuto? Ndi madokotala ati ndi madokotala ena omwe angakhale nawo mu chisamaliro changa?
7. Ndi "mankhwala othandizira" ati omwe angapezeke kuthandizira ndi zizindikiro za mankhwala?
8. Pomaliza, kodi mukuvomerezana ndi matenda omwe ndapatsidwa?
Malangizo Ena Pamene Mukupeza Lingaliro Lachiŵiri
1. Kupeza lingaliro lachiwiri sikukutanthauza kuti muyenera "kuyambanso" kapena kubwereza mayesero osatha. Izi zidati, madokotala ambiri amafuna kuti akatswiri awo awononge mafilimu a radiology omwe mwakhala nawo kwina kapena zochitika zina zomwe zinachitika kwina kulikonse. Pali ndalama zina kwa izi, koma ndithudi kuposera mayesero. Mukhoza kuganiza kuti muli ndi maganizo awiri - ziganiziro zachiwiri pazomwe mumazipeza komanso zotsatira za matenda anu komanso momwe mukudziwira ndi mankhwala omwe analangizidwa.
2. Yesetsani kusonkhanitsa makope a chirichonse - kutanthauza, zolemba zachipatala, mayesero a radiology, zotsatira za labu, zotsatira za matenda, ndi kuwabweretsa ku msonkhano wanu. Nthaŵi zina, mayesero monga radiology angayang'ane akhoza kusamutsidwa pamagetsi, koma nthawi zambiri muyenera kubweretsa CD ya saniyo ndi inu. Madokotala ambiri omwe akuganiza kuti adokotala adzafuna kuona zochitika zomwe mwakhala mukuzichita komanso osati lipoti lolembedwa ndi radiologist. Onani malingaliro awa momwe mungapezere zotsatira za mayeso anu azachipatala .
3. Konzani mndandanda wa mafunso musanayambe kukonzekera, ndipo onetsetsani kuti ayankhidwa. Zingakhale zothandiza kwambiri kubweretsa wachibale wanu kapena mnzanu pamodzi kulemba zolemba ndikufunsa mafunso omwe mwayiwala.
4. Ngati mutasankha kusamalila chisamaliro chanu kuchipatala kachiwiri, onani ndondomekoyi momwe mungasinthire pamene mukusintha madokotala .
Malipiro a Inshuwalansi Chifukwa Chachiwiri Maganizo
Ambiri ogulitsa inshuwalansi amapereka malingaliro achiwiri, ngakhale muyenera kuyang'ana ndi kampani yanu ya inshuwalansi. Ena othandizira amafunanso kachiwiri lingaliro lisanayambe kulandira chithandizo.
Zotsatira Zotsatira
Kaya mumasankha kukhala ndi dokotala wanu wapachiyambi kapena kutumiza chisamaliro chanu kachiwiri lingaliro dokotala, pokhala gawo lolimbika la gulu lanu lachipatala ndi wanu inshuwalansi yabwino ndondomeko. Onani malangizowo a momwe mungakhalire wanu woimira pa chisamaliro chanu cha khansa . Ndipo ngati mwapezeka kuti muli ndi khansara yamapapo, ganizirani njira zoyambazi zomwe mungatenge pamene mukupezeka ndi khansara yamapapo .
Zotsatira:
Adamson, R. Biomarkers ndi kufotokozera maselo mu kansa yaing'ono ya mapapu ya mapapo: gawo lotambasulira komanso kusamalidwa kwake. Journal Yachikhalidwe Yoperekera Chisamaliro . 2013. 19 (Suppl 19): s398-404.
National Cancer Institute. Mmene Mungapezere Dotolo kapena Udokotala Ngati Mukudwala Khansa. Kusinthidwa 06/05/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet