Chosankha Chithandizo Chachipatala Chingakhudze Moyo Wanu ndi Zotsatira Zanu
Kodi mungapeze bwanji malo abwino kwambiri ochizira khansa mukakhala ndi khansara yamapapo? Kaya mwapezeka ndi khansara yamapapo kapena mukufuna yankho lachiwiri, ili ndi funso lovuta.
Kusankha malo opatsirana khansa ya m'mapapo ndi chimodzi mwa zisankho zazikulu zomwe mungakumane nazo pa nthawi yovuta komanso yovuta. Zingakhale zabwino ngati aliyense ali ndi malo opatsirana ndi khansa mkati mwawo, koma tikudziwa kuti si choncho.
Ndipo monga momwe pali mtundu wochuluka wa zamaphunziro ndi a lawyers, chithandizo chamankhwala chingasinthe kudutsa dziko lonseli. Kodi ndi zinthu ziti zimene muyenera kuziganizira, ndipo ndi mafunso ati omwe muyenera kufunsa, musanapange chithandizo cha khansa yanu? Zingamveke zovuta, koma n'zotheka kuti muzisamalidwa bwino. Nazi njira zina zomwe zingapangitse kuyenda mosavuta.
Zinthu Zofunika Kuziganizira
Pali zifukwa zingapo zomwe muyenera kuziganizira pamene mukuchepetsa zomwe mungachite kuti mukhale ndi chithandizo cha khansa. Kupeza nthawi yokambirana zinthu izi kumatha kukhala kovuta, ndipo zingakhale zovuta kuti muyambe kuyamba mankhwala mwamsanga. Koma kuima motalika kokwanira kuti mutsimikizire kuti mwasankha bwino ndikoyenera: kufufuza kochepa pang'ono kungakupangitseni kusankha njira yosiyana, yotchulidwa ndi lingaliro lachiwiri. Kumbali inayi, zingakuchititseni kuti mutonthozedwe kuti mwasankha bwino.
Zinthu zina zofunika kuziganizira ndi izi:
1. Makhalidwe
Kusankha chisamaliro chapamwamba chiyenera kubwera choyamba posankha malo opatsirana khansa. Ngati muli mu malo a khansa yapamwamba, zifukwa zambiri zidzangowonjezereka. Koma pokhapokha mukafufuze malo omwe ali ndi khansa, kodi mungayankhe bwanji ubwino woperekera?
Mwamwayi, mazenera angapo alipo kuti akuthandizeni kuyamba.
A American College of Surgeons ali ndi deta yomwe ili ndi malo oposa 1500 a khansa omwe amavomereza ndi Komiti ya Cancer (Coc) ya American College of Surgeons. Kuti ziphatikizidwe, malowa ayenera kutsatira zikhalidwe zina, ndipo ayenera kukhala Odzipereka kuti apereke chithandizo chabwino cha khansa komanso chithandizo cha khansa. Odwala makumi asanu ndi awiri mwa anthu 100 aliwonse omwe atulukira kumene angapeze chisamaliro pa malo amodzi awa.
National Cancer Institute ili ndi mndandanda wa malo 70 osankhidwa. Zosowa zofunikira ndizofunika kuti malo odwala khansa apange mndandanda, ndipo imodzi mwazimenezi ndizo kuti malo omwe akukhalapo akugwira nawo kafukufuku kuti achepetse chiwerengero cha imfa kuchokera ku khansa.
2. Care Care
Matenda a khansa ya m'mimba ndi ovuta. Kuwonjezera pa kuwona wa oncologist (dokotala yemwe amachitira khansa ya mankhwala monga mankhwala a chemotherapy), mukhoza kupita kukaonana ndi dokotala wa opaleshoni (amene amachititsa opaleshoni ya khansa ya m'mapapo), dokotala wodziŵa za khansa (yemwe ndi dokotala wodwala khansa yemwe amagwiritsa ntchito mankhwala opatsirana ndi khansa ), katswiri wa mapapu (akatswiri a mapapu), akatswiri othandizira anthu odwala matenda opatsirana (madokotala omwe amadziwika kwambiri pochiza zizindikiro zakuthupi ndi zamaganizo zomwe zimayambitsidwa ndi khansa - zindikirani, izi siziri zofanana ndi hospice), ndi madokotala ena malingana ndi zina zomwe mukudwala. ndikukumana nazo.
Kuphatikizanso, gulu lanu lingaphatikizepo opaleshoni, othandizira opuma, ndi akatswiri ena.
Chinthu chimodzi chofuna kusamalira pa malo opatsirana khansa ndikuti zambiri mwazinthuzi zingakhale pansi pa denga lomwelo. Pakati pa kuyenda ndi kuchepa, nthawi zambiri izi zimatanthauza kuyankhulana bwino pakati pa gulu lanu lonse la thanzi.
3. Buku
Malo opatsirana khansa omwe amachititsa odwala ambiri angakhale ndi ubwino wina. Zatsopano ndi zamakono zamakono-monga kujambula ndi mankhwala othandizira mazira -zimabwera phindu. Ndipo malo opatsirana khansa omwe amachitira odwala ambiri akhoza kukhala ndi ndalama zabwino kuti agwire ntchito zatsopano.
Kafukufuku akuwonetsanso kuti anthu omwe ali ndi opaleshoni ya khansa ya m'mapapo pazipatala zam'mwamba kwambiri amakhala ndi mavuto ochepa komanso amakhala bwino kwambiri . Palinso mwayi waukulu kuti magulu akuluakulu apakati azikhala ndi magulu othandizira omwe ali opangidwa makamaka kwa anthu omwe ali ndi khansa ya m'mapapo.
4. Njira Zothandizira
Matenda a khansa yapakhungu omwe mukufuna kuti akhale nawo angakhalepo pa malo ena a khansa. Mwachitsanzo, mayesero ena a khansa ya m'mapapo ali ndi malo ena okhaokha, ndipo njira zina zatsopano zopangira opaleshoni, monga VATS, sizingapezeke kuchipatala chonse.
Kuphatikiza pa chisamaliro chachilendo, anthu ena amakhalanso ndi chidwi ndi kupezeka kwa mankhwala othandizira komanso owonjezera monga machiritso ndi mankhwala odzoza . Ngakhale malo akuluakulu a khansa tsopano akupereka mankhwalawa, malo ena ali okhudzana kwambiri ndi mankhwala ophatikizana kuposa ena.
5. Malo
Kwa anthu ena, kupeza chisamaliro pafupi ndi nyumba, kapena pafupi ndi banja, ndikofunikira, pamene ena angakhale okonzeka kupita kuchipatala. Ngati mumasankha kuyenda, funsani za nyumba pamene mupanga nthawi yanu. Malo ena a khansa amalandira nyumba zapafupi zomwe zimapereka nyumba kwaulere panthawi ya chithandizo cha khansa. Chigawochi chikhozanso kupereka zopereka m'mabwalo a kuderalo. Kupita kuchipatala , kaya ndi galimoto kapena ndege, zingakhale zodula. Kumbukirani kuti kayendetsedwe ka malo ndi malo ogona a zifukwa zachipatala ndizoperekedwa ndalama zothandizira .
6. Zovuta za Inshuwalansi
Ndikofunika kufufuza ndi kampani yanu ya inshuwalansi kuti muwone ngati akuphimba chithandizo pa khansa yomwe mukukambirana. Ndikofunikanso kufunsa ngati malowa ali "mu-intaneti" kapena "kunja-kwina." Othandizira oterewa ndi malo ogwiritsidwa ntchito nthawi zambiri amapezeka, koma ali ndi malipiro apamwamba kapena operewera. Kusankha malo opatsirana khansa pansi pa inshuwalansi yanu idzakuthandizani kwambiri, koma simungakwanitse (osati ndalama) mukasankha. Mwa kuyankhula kwina, ngati mankhwala sakuphimbidwa pansi pa inshuwalansi yanu, mutha kukhala nawo-mumangodalira kulipilira kunja. Izi ndi zoona pazochitika zambiri zothandizira khansa, monga mankhwala odzoza misala ndi kudulidwa.
Kutenga Lingaliro Lachiŵiri
Anthu ena akukayikira kufunsa kachiwiri: amawopa kuti amakhumudwitsa dokotala wawo, kapena angawope kutenga nthawi yoyenera kufufuza lingaliro lina. Ndikofunika kukumbukira kuti kupeza lingaliro lachiwiri pamene muli ndi khansa silolendo; Ndipotu, pafupifupi pafupifupi. Monga momwe mungayang'anire ogulitsa angapo pokhapokha mutagula galimoto yatsopano, kuwona malo ochiritsira oposa limodzi ndi ofunika kwambiri. Kumbali imodzi, mungapeze njira yomwe ikukwaniritsa zosowa zanu, komabe, ngati malingaliro ali ofanana-mudzamva bwino kuti mukuyenda bwino.
Inde, zimatengera nthawi yokonza lingaliro lachiwiri, koma ambiri khansa akhala akukula nthawi yaitali asanatululidwe. Nthawi zina chithandizo chofulumira chikufunika, koma nthawi zambiri pali nthawi yowonjezera kufunafuna maganizo ena musanayambe chithandizo. Ndikudziwa kuti ndizosavuta kutero kusiyana ndi kuchita-paulendo wanga wokha ndi khansa, ndinkafunitsitsa kuyamba mofulumira. Koma ndinapeza kuti patapita nthawi, ndinasangalala kuti ndatenga nthawi kuti ndipume mpweya ndikupeza kachiwiri ndisanapange chisankho changa chomaliza.
Mafunso Ofunsani
- Kodi ndi mankhwala ati omwe mumandipatsa kuti ndikhale ndi khansa yeniyeni?
- Ngati malingaliro amasiyana pa zachipatala, kodi ndi zifukwa ziti zomwe zimapangitsa kuti aziwathandiza?
- Ndani angakhale "kupita" kwa munthu-munthu amene amasamalira chisamaliro changa kuchokera kwa akatswiri onse omwe ndikuwawona? Kodi ndingakhale ndi kampani yamlandu?
- Zimakhala zovuta bwanji kuti mupange msonkhano?
- Kodi ndingakambirane nawo madzulo kapena kumapeto kwa sabata ndikafunsa mafunso?
- Ngati ndikufunika kupita kuchipatala, ndingaloledwe kuti?
- Kodi ndingapeze chisamaliro changa chonse kuchipatala kapena kuchipatala chino, kapena ndiyenera kupita kumadera osiyanasiyana, mwachitsanzo, kwa mankhwala a chemotherapy ndi mankhwala a radiation?
- Kodi pali odwala omwe mwandichitira kuti ndingathe kuyankhula nawo za zomwe akumana nazo?
Mafunso Oyenera Kuganizira
- Kodi gulu lachipatala linandipatsa ulemu? Kodi iwo ankamvetsera mwatcheru?
- Kodi mafunso anga anayankha? Anayankhidwa m'njira imene mungafune kuti iwo ayankhe - mokwanira kuti apange chisankho chabwino, koma popanda chithandizo cha zachipatala simungathe kumvetsa?
- Kodi "matumbo" anga akundiuza chiyani za pakati? Kodi ine, ndi kuti, banja langa, ndingamve kuti ndi bwino?
Zitsanzo za Zochitika Zothandizira
Anthu ena amasangalala kuyang'ana mawebusaiti a malo opatsirana khansa kuti adziwe za ntchito zomwe amapereka. M'munsimu muli mndandanda wafupikitsidwe womwe umagwiritsidwa ntchito monga chitsanzo, osati monga ndondomeko ya malo enaake. Malo ambiri a khansa ndi ma chipatala ali ndi mawebusaiti omwe angathe kuyankha ena mwa mafunso anu.
- H. Lee Moffitt Cancer Center ndi Institute Research (Tampa, Florida)
- University of Texas MD Anderson Cancer Center (Houston, Texas)
- Chikumbutso cha Memorial Sloan-Kettering Center (New York, New York)
- Seattle Cancer Care Alliance (Seattle, Washington)
- Vanderbilt-Ingram Khansa Center (Nashville, Tennessee)
- Chipatala cha Mayo Clinic Cancer (Rochester, Minnesota)
- Stanford Cancer Institute (Palo Alto, California
- Dana-Farber / Harvard Medical Center (Boston, Massachusetts)
- University of Colorado Cancer Center (Aurora, Colorado)
Maganizo Ambiri
Pamene mukupanga zisankho zokhudzana ndi chithandizo chamankhwala, ndi bwino kukumbukira kuti ndinu amene mukuyang'anira chisamaliro chanu. Madokotala adzakupatsani chisankho chochuluka, koma potsirizira pake ndi inu kuti mupange zisankho. Anthu ena amafuna kukhala okhwima ngati momwe angathere ndi ena omwe angasankhe kuti asapitirire kuchipatala. Anthu ambiri adzafuna mfundo imodzi yowonjezera kuti awathandize kupanga chisankho chomwe chili choyenera kwa iwo, ndi zambiri zomwe zingatheke. Ndipo kuphunzira momwe mungakhalire ndiwemwini wanu pa chisamaliro chanu cha khansa kumawoneka kuti sikumangowonjezera ubwino wanu koma kungakuthandizenso zotsatira.
Monga ndondomeko yomaliza, kuti mukhale mbali yogwira mtima ya gulu lanu lachipatala, kuphunzira zambiri momwe zingathere ndi khansa yanu yamapapu ndi yothandiza kwambiri. Onani zotsatilazi za momwe mungafufuzire ndikupeza bwino kanema pa Intaneti .
Zotsatira:
National Cancer Institute. Zolemba Zenizeni. 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
National Cancer Institute. ZOKHUDZANA NDI ZOTHANDIZA ZOKHUDZA MANKHWALA Inapezeka pa 06/10/16. https://www.cancer.gov/research/nci-role/cancer-centers
Park, H. et al. Zotsatira za Chipatala Kuchuluka kwa Zoacoscopic Lobectomy pa Zomwe Zimayambitsa Khansa Yapamimba. Annals of Surgery Opera . 2012. 93: 372-379.