Ngati mwapezeka kale ndi khansara yamapapo , malingaliro anu mwachidziwikire amakhala ndi mafunso. Kuonjezerapo, mukuganiza kuti mukufunsani mafunso omwe simunaganizepo.
N'chifukwa Chiyani Kulemba Mafunso Ndikofunika Kwambiri?
Pokhala ndi mndandanda wa mafunso oti mufunse wanu oncologist za matenda anu, chithandizo cha mankhwala, ndi kuwonetsa, ndizofunikira kwambiri kupeza chisamaliro chomwe mukuyenera.
Ambiri a ife timakhala ndi vuto kukumbukira mafunso oposa awiri kapena atatu omwe tiyenera kufunsa pazinthu zazing'ono zomwe zimachitika mmiyoyo yathu. Kuuzidwa kuti muli ndi khansara yaikulu yamapapu, yodzaza ndi zonse zomwe zimaphatikizapo matenda, zimatha kupangitsa izi kukhala zovuta kwambiri.
Panthawi imodzimodziyo, ndizofunika kwambiri kusiyana ndi kale lonse kufunsa mafunso. Kusamalira khansa ngati kusintha. Ngakhale kuti pangakhale njira imodzi yokha m'mbuyomo (kapena palibe), tsopano pali zambiri zomwe mungapite ndi dongosolo lanu la mankhwala. Takhala tikuphunzira kuti anthu omwe amavomereza okhaokha mu chisamaliro cha khansa amamva bwino kwambiri ndipo akhoza kukhala ndi zotsatira zabwino. Kumvetsetsa zomwe mukuchita ndi kufunsa mafunso ndi malo abwino kuyamba poyang'anira chisamaliro chabwino.
Nthawi Yomwe Ufunse
Mwinamwake mukudabwa pamene muyenera kudza ndi mndandanda wa mafunso. Yankho liri pomwepo ndipo nthawizonse.
Pali mafunso osiyanasiyana (ndi zitsanzo ziri m'munsimu) muyenera kufunsa pazigawo zosiyanasiyana paulendo wanu, musanayambe kupezeka, ndikupitirizabe kusamalira chithandizo kapena mukusiya kumwa mankhwala.
Bweretsani Mnzanu Kuti Afunse Mafunso Chabwino
Zithunzi zakale "malingaliro awiri ndi abwino kuposa mmodzi" ndi zoona pakudzifunsa mafunso okhudzana ndi khansa yanu.
Anthu ambiri amapeza kuti zimathandiza kubweretsa maubwenzi abwino omwe angathe kulemba zolemba zanu ndipo onetsetsani kuti mafunso onse omwe mwalembawo ayankhidwa. Mnzanuyo angabwere ndi mafunso kuti adzifunse zomwe simunaganizire, koma zomwe zingakupangitseni kumvetsa bwino zomwe mukulimbana nazo.
Sungani Pulogalamu Yoyankha Mafunso
Mukalandira kachilombo ka khansa yamapapu, zingakhale zothandiza kugula "buku lolembera mafunso." Mwinamwake muli ndi mafunso ambiri omwe amadza pakati pa kuyendera. Vuto ndi lakuti ena mwa mafunsowa sangakhale okwanira kuti akuitane ndi dokotala, komabe panthawi yomwe muli ndi msonkhano wotsatira mwina mwayiwala funsolo. Sungani mndandanda wa mafunso omwe mumakhala nawo nthawi yosavuta kupeza ndipo mufunseni mafunso pamene akuwuka pakati pa osankhidwa. Mwinanso mungakonde kufunsa mafunso ena omwe akufunsani za khansara yanu pakati pa kuika kwanu.
Mafunso Amene Muyenera Kufunsa
Mu zigawo zotsatira, tidzakupatsani malingaliro a mafunso amene mungakhale nawo. Mungafune kufotokoza mndandandawu ndikuyika buku lanu. Ena mwa mafunsowa sangagwirizane ndi zochitika zanu zosiyana, koma ambiri angatero. Onetsetsani kuti muwonjezere mafunso anu pamndandanda uwu.
Mafunso Ofunsani Pamene Mukudziwa Zomwe Mukudziwa (Pamene Mukudziŵa Zanu Sizitsimikizika)
Mafunso anu angayambe ngakhale musanazindikire:
- Ndi mayesero ati omwe muyenera kuwatsimikizira (kapena osasiya) matendawa? (Nazi zina mwa mayesero omwe amagwiritsidwa ntchito kuti azindikire khansara yamapapo .)
- Kodi kuopsa kwa mayesero omwe amachitidwa kuti azindikire ndi kutengera kansa ya khansa ndi chiyani?
- Kodi mukumva zovuta zonse zokhudzana ndi mayesero awa? Ngati ndi choncho, zingatheke bwanji?
- Zotsatira zanu zidzapezeka liti?
- Kodi mungapeze bwanji zotsatira zanu? Kodi dokotala wanu adzakuitanani kapena mukufunikira kupanga osankhidwa kuti mutenge zotsatira zanu?
Mafunso Ofunsani Pamene Mukupeza Kuzindikira kwa Khansa ya M'mimba
Mukayamba kudwala matenda a khansa yamapapo mungakhale ndi mafunso ambiri. Khalani olimba mtima ngati simungapeze mayankho onsewa paulendo wanu woyamba. Pali mafunso omwe akufunika kwambiri pa nthawi ino ndi ena omwe ndi bwino kuyembekezera kanthawi kuti mumvetse.
- Kodi muli ndi khansa yamtundu wanji?
- Kodi siteji ya khansa yanu yamapapu ndi yotani?
- Kodi kufotokozera maselo (kupimidwa kwa jini) kwachitidwa pa chotupa chanu? (Izi ziyenera kuchitidwa kwa aliyense yemwe ali ndi khansa ya m'mapapo yopanda makapu koma nthawi zina, mwatsoka, samachitidwa.) Ngati ndi choncho, kodi muli ndi "kusintha kwasintha kwa majini?" Kusinthika kosinthika kumatanthawuza kusintha kwa majini mumatumbo anu omwe angayankhe ndi imodzi mwa mankhwala omwe amawunikira kusintha kwenikweni kwa majini ku maselo a kansa. Zitsanzo zikuphatikizapo kusintha kwa EGFR , AlK rearrangements , ROS1 rearrangements , ndi zina.
- Dokotala wanu ndi wotsimikizika bwanji kuti mumadziwa kuti ndinu wotani? Kodi pali mayesero ena omwe ayenera kuchitidwa, monga PET kuunika kapena mediastinoscopy?
Mafunso Okhudza Kumene Mungapeze Thandizo
Kusankha za komwe angalandire chisamaliro chanu cha khansa ndi chisankho chofunikira, ndi zifukwa zambiri zomwe muyenera kuziganizira. Mafunso angaphatikizepo:
- Kodi mungakonde kulandira chisamaliro chanu pafupi ndi abwenzi kapena abwenzi?
- Kodi mungaganizire kuyenda ulendo wanu kuti mukalandire chisamaliro chanu, kupita ku malo odwala khansara omwe amachita zambiri ndi khansara yamapapo kapena kukhala nawo mu mayesero a zachipatala?
- Kodi zingakhale zotheka kulandira chisamaliro chanu pazinthu zoposa imodzi nthawi yomweyo? Mwachitsanzo, kodi mungathe kukhala ndi katswiri wa khansa ku malo akuluakulu a khansa kunja kwa tawuni, koma muli ndi oncologist mumzinda mwanu mumapereka chemotherapy?
Nazi malingaliro a momwe mungasankhire malo abwino ochizira khansa yamapapo .
Mafunso Okhudza Zopereka Chithandizo
Monga tanenera kale, pali njira zina zambiri zothandizira khansa ya m'mapapo kusiyana ndi kale. Anthu ambiri, kuwonjezera, amalandira chisamaliro choposa chimodzi. Mankhwala opaleshoni ndi opaleshoni amawatcha "mankhwala am'deralo." Amayambitsa khansara kumalo kumene amachokera koma samayendetsa maselo a khansa omwe angafalikire. Mosiyana ndi zimenezi, chemotherapy, mankhwala ochiritsira, ndi immunotherapy ndi mankhwala ochiritsira. Iwo amachititsa maselo a khansa kulikonse komwe amakhalapo m'thupi.
Gawo loyamba lachiritso ndikulingalira ngati muyenera kukhala ndi chithandizo chamakono, njira yothandizila, kapena onse kuti muwathandize khansa ya m'mapapo. Kwa khansa ya m'mapapo oyambirira, opaleshoni (kapena mtundu wa mankhwala opangidwa ndi ma radiation) angakhale zonse zofunika. Ngati khansara yanu ndi khansara yamapapu yapamwamba (stage IIIB kapena siteji IV) samachita kawirikawiri ngati sangathe kuchotsa maselo a khansa omwe afalikira kumadera akutali. Ndi khansa yamapapu yambiri, mankhwala ochiritsira ndiwo mankhwala oyenera. Kwa anthu ambiri, kuphatikizapo njira zamakono ndi zamakono zofunikira. Mankhwala am'deralo kuti achotse chotupacho, ndi mankhwala ochizira kuti athetse maselo aliwonse a khansa omwe angafalikire (koma sangathe kudziwika pa masewero ojambula zithunzi.) Njira yothetsera mankhwala monga chemotherapy ingathandizenso kuchepetsa kukula kwa chotupa kotero kuti opaleshoni akhoza kuchitidwa.
Mfundo ina yofunika kwambiri ndiyotsatira yomwe mungafunikire. Kodi sitepe yotsatira ndi yotani ngati chithandizo chilichonse chomwe sichikuthandizani? Kodi mumagwira ntchito pakamwa ?
Mafunso Okhudza Opaleshoni
- Kodi mungathe kuchitidwa opaleshoni ya khansa yanu yamapapu?
- Kodi mukufunikira mankhwala ena pambuyo pa opaleshoni ya khansa ya m'mapapo, monga chemotherapy kapena mankhwala ochizira
- Ngati simukutha kuchitidwa opaleshoni, kodi zingatheke mutatha kuchepetsa chifuwa chanu ndi chemotherapy kapena mankhwala ochizira?
- Kodi ndi njira yotani yomwe ikulimbikitsidwa? Mwachitsanzo, mphete yothetsera , lobectomy , kapena pneumonectomy ?
- Kodi n'zotheka kukhala ndi opaleshoni yochepa kwambiri, monga VATS (opaleshoni ya opaleshoni yochizira)? Zotsatira za VATS zimasintha mofulumira koma sizingatheke ndi khansa zonse. Kuonjezera apo, si onse opaleshoni omwe ali okonzeka kuchita opaleshoniyi.
- Kodi mukuyenera kukhala ndi lingaliro lachiwiri ndi dokotala wa opaleshoni amene amachita opaleshoni yambiri ya khansa ya m'mapapo kapena amachita chimodzi mwa njira zatsopano zosasokonekera? (Zotsatira za opaleshoni ya khansa ya m'mapapo ili bwino pa malo opatsirana khansa omwe amachititsa kuchuluka kwa opaleshoni ya khansa yamapapo.)
- Udzakhala ndi nthawi yayitali bwanji kuchipatala?
- Kodi mungakonzekere bwanji opaleshoni ya khansa ya m'mapapo?
- Kodi dokotala wanu amalimbikitsa kukonzanso mapulitsi asanayambe kapena opaleshoni?
Ndi mavuto otani omwe angachitike? Kodi ndikumva kupweteka pambuyo pochita opaleshoni (monga kupweteka kwa postpneumonectomy kapena matenda a post-thoracotomy, ndipo amatha bwanji?
Mafunso Okhudza Chemotherapy, Opaleshoni Yopangidwe, ndi Immunotherapy
- Kodi ndi kangati komwe mungalandire mankhwala anu (kapena kumwa mapiritsi pazochitika zothandizira)?
- Kodi mudzalandira mankhwalawa mpaka liti?
- Kodi khansa yanu idzayang'aniridwa bwanji, ndipo kangati, panthawi ya chithandizo?
- Kodi zotsatira zowopsa za mankhwalawa ndi ziti?
- Kodi muzitchula liti dokotala wanu liti?
Mafunso Okhudza Zochitika Zachipatala
Nyuzipepala ya National Cancer Institute imalimbikitsa kuti anthu omwe ali ndi kansa ya m'mapapo ayenera kulingalira nawo kutenga nawo mbali mu mayesero a zachipatala. Pali zovuta zambiri zachipatala m'malo powerenga mankhwala atsopano a khansara yamapapo, ndipo nthawi zina, mankhwala okhawo omwe amachititsa kuti majeremusi asinthe ndi odwala.
- Kodi pali zovuta zachipatala zomwe dokotala wanu akudziwa zomwe zingafanane ndi mtundu wanu wa khansa? Ziri zovuta kuti dokotala aliyense azikhalabe wokhazikika pazitsulo zonse zachipatala zikuchitika kuzungulira dziko lonse lapansi. Mwamwayi, mabungwe ambiri a khansa yamapapo apita palimodzi kuti apange thandizo loyesa kuyerekezera kuchipatala komwe namwino woyendetsa sitima amatha kukuthandizani kudziwa ngati pali mayesero a chipatala omwe angakuyenereni kulikonse padziko lapansi.
Mafunso Okhudza Kusamala kwa Chizindikiro
- Ndi ndani amene mungamuitane ngati muli ndi zizindikiro kapena mafunso okhudza mankhwala anu? Ndani adzakusamalirani?
- Kodi mungatani pa zizindikiro zina, monga chifuwa, kupuma pang'ono, kapena ululu?
- Kodi pali mankhwala othandizira (njira zina zothandizira mankhwala) zomwe zingakhale zothandiza kuthetsa zizindikiro zanu? Kumbukirani kuti mavitamini ndi mavitamini ena amatha kusokoneza chithandizo komanso kuti nthawi zonse muziyankhula ndi dokotala wanu za mankhwala kapena zakudya zowonjezera zomwe mumafuna kuti mutenge.
- Kodi ndi zizindikiro ziti zomwe zimaonedwa kuti ndizowopsa ndi khansara yamapapo?
Mafunso Ngati Khansara Yanu Ikukula Kapena Kufalikira
- Kodi ndondomeko zotsatirazi ndi ziti zomwe zilipo kupyolera khansara?
- Kodi mukuyenera kubwereza mobwerezabwereza za chifuwa chanu (kapena pa EGFR mutations, chiwonetsero cha madzi ) kuti muone momwe chifuwa chanu chasintha?
- Kodi zotsatira zake ndi zotsatira zotani ndi mankhwalawa?
- Kodi ndi liti pamene muyenera kuletsa khansa? (Pali mafunso angapo oyenera kulingalira ngati mukuganiza kuti musiye mankhwala .)
Funso Potsatira Kutsata Patatha Chithandizo
Mukapeza kuti, mudzakutsatiridwa nthawi ndi nthawi ndi anu oncologist ngakhale mutatha kuchipatala. Palinso mafunso omwe mungafune kufunsa za chisamaliro chotsata pambuyo pa khansa ya m'mapapo .
Mawu Ochokera
Zingakhale zovuta kuti muyang'ane ndi kuchuluka kwa zinthu zomwe zimaperekedwa pamaso panu pomwe mukupezeka ndi khansa. Zingakhale zovuta kukwanitsa kusamalira zatsopano izi ngakhale popanda maganizo a matenda a khansa.
Khulupirirani pa anzanu ndi okondedwa anu. Phunzirani kuvomereza thandizo. Pali gulu lothandizira kansalu yamapapo kwambiri lomwe lingakhale chitsimikizo champhamvu cha kuthandizira, kukuthandizani kukumba mitsinje ya chidziwitso patsogolo panu, ndikuthandizani kuphunzira za mankhwala atsopano.
Mfundo yabwino ndi yakuti nthawi zambiri zimakhala zovuta kuti onse awiri aphunzire za momwe mumadziwira ndikupanga zisankho zovuta.
Ngati ndi wokondedwa wanu yemwe watulukira kale, onani zotsatirazi " pamene wokondedwa wanu ali ndi kansa ya m'mapapo .
Zotsatira:
American Cancer Society. Pamene Munthu Wodziwa Kuti Ali ndi Khansa. Kusinthidwa 04/29/16.