Kuenzanisa Muchengetedzo Wekenza uye Basa Rako: Kuita Kana Kusashanda
Chii chaunoda kuziva nezvekenza yemapapu uye kodzero dzako sechishandi? Ndeipi mitemo iri munzvimbo yekuchengetedza iwe uye nzvimbo dzipi dzekugara dzaungatarisira? Ndezvipi zvinobudirira uye zvinetso zvekushanda munguva yemukenza yemapapu emapapu?
Chirwere Chepachivande uye Kushanda-Kwatinofanira Kutanga
Pane zvakawanda zvinotyisa uye kunetseka kunomuka nekuongororwa kwekenza. Hausi iwe pakarepo uri munzvimbo yaunosangana nayo nekufa kwako mberi uye pedyo, asi iwe wakasara unoshamisika kuti kurapa kenza yako kuchakanganisa hupenyu hwako hwose.
Uchakwanisa kushanda here? Chii chinoitika kune inshuwarisi yako yehutano kana iwe usingagoni kushanda?
Pfungwa yekutanga yatinoda kujekesa ndeyokuti munhu wese akasiyana, uye iwe chete unogona kusarudza chakanaka kwauri. Vamwe vanhu havakwanisi kushanda panguva dzose panguva yekurapa kenza kana kusarudza kubva pabasa kuti vatarise kurapwa kwavo. Vamwe, zvakasiyana, vanoona kuti kushanda kunopa kuvhiringidzika kunonakidza kubva pakuchengetwa kwemukenza wemapapu . Vamwewo vanozvimanikidza kuti vashande kunyange kana zvakanyanya kuoma, vachitya mhedzisiro yemari kana vachifanira kutora zororo kana kusiya.
Chisarudzo chako pamusoro pekushanda chinogona kuoneka chakaoma asi chinogona kuitwa nyore nekufunga zvose zvaunogona kuita uye kuzvibvunza mibvunzo yakaoma. Izvi zvinokosha kunyange kana wakatotora chisarudzo pamusoro pebasa rako panguva yekurapa. Zvinhu zvinogona uye zvinowanzochinja kana iwe une kenza. Vamwe vanhu vanosarudza kuti vanoda kushanda vachazviwana zvakaoma.
Vamwe vangasarudza kusaita, asi gare gare vanochinja pfungwa dzavo ndokudzoka kubasa.
Kana ukasarudza kuramba uchishanda, tora nguva yekufunga chero dzimba dzepamusoro dzaunoda. Uyezve, chengetedza chirongwa chako chekuenda kwekusiya uye zvaunoda kuita kana iwe uchifanira kusarudza kumisa kushanda kwenguva. Ramba uchifunga kuti pakati pevaya vakasarudza kushanda panguva yekurapwa kwekenza yemapapu, kuneta kwekenza ndeimwe yezvinotambudza zvikuru.
Dzokorora pfungwa nguva isati yasvika yokuti uite zvinoenderana nemabasa ako enguva dzose asi mashoma simba uye chengeta mazano aya ekurwisana nekenza kuneta usati wawana wakaneta.
Kushanda neKenza yeLung vs. Kushanda Nevamwe Kanza
Zvakakosha kuratidza pachena kuti izvo zvinoshanda kwauri maererano nebasa zvinogona kusiyana kune zveumwe munhu ane rumwe rudzi rwekenza, yakadai sekenza yemazamu. Ichokwadi, zvakawanda zvemashoko "kunze uko" nezvekushanda nekenza yakave yakanyorerwa vanhu vane chirwere chepabonde chekutanga.
Nekenza yemazamu, ruzhinji rwevanhu rune hutachiona huri mumatanho ekutanga echirwere; zvakasiyana ndezvechokwadi kune avo vane chirwere chemapapu. Izvi zvinorevei kuti vanhu vane chirwere chemapapu vanowanzorwara kune avo vane kenza yemazamu. Panzvimbo pokunge aonekwa kuti ane mammogram kana kuti awana bundu rinorwadza, vanhu vakawanda vane kenza yemapapu vave vachirwisana nekukanganiswa kunoramba kuripo, kufema kwenguva refu, uye kazhinji kupora zvirwere zvemapapu kwechinguva chisati chaonekwa. Zviratidzo izvi zvinogona kuita kuti ushande zvakaoma uye nhamba dzinoita seiri kutsigira izvozvo. Vanhu vane kenza yemazamu vanowanzoita kuti vadzoke kubasa mushure mekusiya kwevaya kune avo vane kenza yemapapu.
Hazvina mhosva kuti iwe unoda kushanda sei kana kuti iwe wakakurudzirwa sei, kana uri kuoma kufema, basa rinogona kuva rakaoma kana risingabviri.
Vanhu Vanowanzoshanda Sei MuLung Cancer Treatment?
Kana iwe uchinzwa sokuti iwe haugone kushanda, kudzidza pamusoro pehuwandu hunoongorora kanha yemapapu uye basa rinogona kukubatsira kunzwa usiri woga.
Isu hatina nhamba inotitaurira nezvevanhu vane kenza yemapapu yakakwirira , asi tinoita kune avo vane kenza yemapapu ekutanga . Chidzidzo chakaitwa muna 2014 chakatarisa vanhu vanopfuura mazana 800 vakange vane chirwere chemapapu emapapu (uye zvinogona kuporesa matumire.) 12 mwedzi mushure mekuvhiyiwa vanhu ava vakafananidzwa nenhamba yakafanana yevanhu vasina kenza yemapapu.
Pakutanga kwehutano, 68.6 muzana yevanhu ava vakashanda, iyo yakawira pasi kusvika 38.8 muzana mushure mokurapa.
Mushure mekurapa kusashaya kwemabasa kwaive kwakanyanya kune vakadzi kupfuura varume. Kusakwanisa kushanda kwaiwanzoonekwa kune avo vakanga vakwegura, vaiva nemamwe mararamiro, vaiva nemari yepamusoro yeimba, kana kuti vakanga vasina hutano hwehutano hwevanhu.
Paya avo vakadzokera kubasa, vazhinji (78.6 muzana) vakawana kuti kuneta kwaiva dambudziko ravo guru rinosangana nebasa. Izvi hazvishamisi sezvo vanenge vose vanopinda nemuchirwere chekenza vanoona huwandu hwekenza kuneta, uye, kune vanhu vanogara kwenguva refu, izvi zvinogona kupfuurira kwemakore akawanda.
Njovu iri muimba iyo iyo kusarudza kurega kushanda kunogona kunge kwakaoma, kana kunzwa sekusakwanisa mari. Chirongwa che 2016 chezvikwereti zvakasiyana-siyana chakabatana chakawana kuti 15 muzana yevanhu vakawana dambudziko rezvemari rakabatana nekenza yavo (uye kufungidzira ndeyokuti nhamba iyi yakanyanya kunyanya) uye 25 muzana yakataura kuti vakaramba vachishanda nekuda kwekunetseka nezvekurasikirwa nehutano inshuwarisi. Vakawanda pa 63 kubva muzana vakaita shanduko mumabasa avo kana mabasa (sekuita kutora nguva yakareba) nekuda kwekenza uye 42 muzana vakawana kuti kenza inopindira mabasa avo kubasa. Kunze kwekenza iyi, avo vane chirwere chemapapu vaiva nematambudziko akawanda nebasa uye zvimwe zvinetso pamusoro pemari.
Nzira Nekuda Kwekushanda MuLung Cancer Treatment
Kuti uite chisarudzo chekushanda panguva yekurapwa, zvinobatsira kuti ukurukure zvimwe zvezvakanaka uye zvinoremekedzwa nevamwe vakaona pakuita chisarudzo chimwe chete. Ramba uchifunga mupfungwa dzako paunotarisa ruzivo ruchitaura nezvezvakawanda uye zvinonyadzisa kuti ruzhinji rwehuwandu huripo rwakanyorerwa vanhu vane kenza yemazamu panzvimbo yekenza yemapapu.
Makomborero Okusiya Basa Pakurapa Kwemakumbo
Kushanda panguva yekurapwa kwekenza yemapapu kunogona kuva kwakaoma. Zvimwe zvekubatsira kwekutora nguva kubva kubasa zvinosanganisira:
- Pasina kushanda iwe uchava nenguva yakawanda yekuzvitarisira iwe pachako.
- Kutora bhiza kana kusiya basa rako kunogona kuita kuti zvive nyore kuronga huwandu hwekugadza hunoenda pamwe nekuongororwa kwekenza yemapapu. Mishonga yakadai sedhiraire inonzi radiation inoda kuti kutarisa kuzhinji kuve kwakaoma kuenzanisa nebasa.
- Kana ukasarudza kugamuchira kutarisirwa mune imwe nzvimbo yenyika kana kuti uri kubatanidzwa muchechi yekutengesa kunze kwehurumende, kuronga kunogona kuva nyore kana iwe usingafaniri kutonga kurapa nebasa rako.
- Vamwe vanhu vanoona kuti vanogona kudya kudya kwakanaka uye kurovedza muviri kakawanda kana vasina kupera kubva pakuedza kushanda munguva yekurapa.
- Kana iwe usingashandisi, haufaniri kushungurudzika uye kutya pane imwe nguva iwe uchinge uine chiratidzo chitsva kana kuti migumisiro yechipfuva, uchifunga kuti zvingakanganisa sei kukwanisa kwako kushanda.
- Kana uri kugamuchira chemotherapy uye uve nechechi yakachena yeropa kuverenga ( chemotherapy-induced neutropenia ) zviri nyore kudzivirira zvirwere kana iwe uri pamba uye kure nevarume vanogona kukukandira kana kuti kuderera pedyo newe.
Makomborero Okushanda MuLung Cancer Treatment
Dzimwe nzira dzinoshanda dzinogona kuva dzakanaka panguva yekurapa kenza dzinosanganisira:
- Basa rinogona kushanda sechinhu chinokanganisa, kukuchengetedza kubva pakufunga nezvekenza yako uye zvinorevei.
- Kana ukawana rubatsiro rukuru kubva kune vashandi pamwe chete, basa rinogona kuva nzvimbo inotsigira inogona kukubatsira kurarama.
- Chimwe chidzidzo chakawana kuti " hukama hunokonzerwa nekenza shure-kunetseka kukura ," kureva, nzira iyo kenza inoshandura vanhu nenzira dzakanaka, yakanga yakakura kune avo vakakwanisa kushanda panguva yekurapa.
Kodzero dzako seMushandi
Sevashandi, une kodzero dzine chokuita nekenza, asi kodzero idzodzo dzinogona kusiyana zvichienderana nekukura kwekambani yaunoshanda nayo uye kwaunogara (semitemo yehurumende yakasiyana.) Usati wataura nemushandirwi wako kana mutariri, ziva nekambani yekambani yako mitemo ine chokuita nezororo rekuenda, uyewo zvinorehwa nemitemo.
Kodzero Dzako seMushandi: ADA (AmaAmerica Akaremara Mutemo)
Vakuru veAmerica vane Dambudziko reMutemo mutemo unodzivirira vashandi kusarura kusarudzwa kunobva mukuremara kwakafanana nekenza. Vanhu vanoshandira kambani vane vashandi vanenge 15 vanofanira kuwana "pokugara kwakanaka" kunovabvumira kuita basa ravo. Zvakakosha kuziva kuti kuitira kuti ufukidzwe pasi pechiito ichi zvinoda kuti iwe udza pachena kuongorora kwako kumushandi wako.
Chii Chaunofanira Kuziva Nezvokufungidzira Zvine Mwero?
Kugadzirisa kwakanaka kunogadziriswa kunzvimbo yako yepanyika inogona kukubatsira kuti uite basa rako pasinei nekukanganisa kwepanyama kana kukanganisa kwekenza yako. Imwe nzvimbo yakakodzera yekugara kune munhu ane kenza ingasanganisira:
- Nguva yeFlex, kana kugadziriswa mubasa remaawa.
- Kuchinja mubasa rako rekuita nekuda kwekukanganisa kwemuviri - somuenzaniso, kudzivirira kusimudzira kune mapaundi mashomanana kana uine chirwere chekenza yemapapu.
- Iko kukwanisa kutaurirana kana zvichibvira nebasa rako, kuti usadzivirire zvirwere zvinotapukira.
- Chibvumirano chekutaura pafoni kana kuti kutumira email oncologist yako kana manyoresheni ega kana kuti email zvisiri pamutemo kushanda.
- Periodic breaks to take medication or rest.
- Yakashandurwa ehofisi yechando (kune avo vanogara vachinzwa kutonhora munguva ye chemo).
- Pedyo yekupaka kukwanisa kuwana kuderedza kufamba kwemakiromita.
FMLA: Mushonga Wekurapa Kwemhuri
I-FMLA inopa kudzivirirwa kwebasa kune vashandi vanoshanda kumakambani vane 50 kana kupfuura vashandi. I-FMLA inokubvumira kutora kusvika kumavhiki gumi nemaviri ekubhadhara kusina kubhadhara panguva ipi zvayo mwedzi 12 uye unovimbisa kuti iwe ucharamba uchiwana zvikwereti sehutano inshuwarhu. Kuti uwane rubatsiro urwu unofanira kunge wakashanda nekambani kwegore rimwe chete uye wakashanda kwemaawa 1250. Vanotarisira kune mumwe munhu ane kenza vanogonawo kukodzera FMLA kana vachikwanisa kuita izvi uye vanoronga kudzokera kubasa kana zororo rapera.
Zvikumbiro zveFMF zvinoitwa kuburikidza nemushandi wako, kazhinji kuburikidza nehupfumi hwevanhu. Iwe unogona kudiwa kuti uunze tsamba kubva pane oncologist yako ichivimbisa kuongorora kwako uye zvirongwa zvekurapa kenza. Vashandi vako vanewo kodzero yekukurukurirana newe oncologist kuongorora chikumbiro chako.
Vashandi vangada kuve kwakakwana kwechivimbiso chebasa kupera vasati vakubvumira kudzokera kubasa mushure mekusiya kwenyu. Iva nechokwadi chekudzokorora ruzivo rwako rweMFM nekunyatsotarisa, kusanganisira kuti ingakanganisa sei nguva yako yekurwara, uye chengetedza mapepa iwe unopedzisa munzvimbo yakachengeteka asi inogamuchirwa iwe kana iwe uchida.
Unofanira Kuona Rini Utano?
Hapana anofarira kufunga kuti havazokwanisi kudzoka mberi kwemaitiro avo emakore panguva yekurapa kenza. Asi chokwadi ndechekuti vanhu vazhinji vane kenza yemapapu havazokwanisi kudzokera kubasa mushure mekurapa.
Chokutanga, chengetedza chero hupi hwehutano hwehurema hwehurema kana hwemhirizhonga inobatsira iwe unogona kuva nayo.
Iwe unganzwa sokuti wakafumira kare kuti uise zvekuremara, asi kana iwe uchifunga kuti unogona kuidya, funga izvi pakutanga kana shanduro inogona kutora mwedzi yakawanda. Zvikomborero zveBurumende zvinosanganisira Supplemental Security Revenue (SSI) uye Social Security Disability Insurance (SSDI). Nyaya iyi inogona kukubatsira iwe kudzidza mutsauko pakati peSSI neSSDI , uye sarudza kuti ndeipi yakakunakira iwe. Heano mamwe mazano ekuti ungashandisa sei Social Disability Disability .
Mari YeCancer
Iwe haufaniri kunge mukuru mune zvidzidzo mujijiji kuti uzive kuti kenza inodhura. Panguva imwe chete sezvo mari inowedzera nokuda kwekubhadhara mari uye kubhadhara (kwete kutaura nezvekufambisa mari, kufamba kwemari, nezvimwewo) vanhu vakawanda vane kenza yemapapu havakwanisi kushanda, zvichienderana nehuwandu hwavakaita vasati vasangana nekenza.
Chengetedza zvinyorwa zvakanyatsocherechedza uye iva nechokwadi chekushandisa zvakanakira kubhadhara mutero kune vanhu vane kenza. Heano mamwe mazano pamusoro pekuwana rubatsiro rwezvemari kune vanorwara nekenza pamwe chete. Dzimwe nguva zvinogona kutora humwe hunyanzvi kuti huenzanise bhajeti yako. Mukuru wako wehutano wehupfumi huchave ane mamwe mazano, uye mazhinji emasangano emukenza emapapu angakwanisa kupa mutungamiri zvakare. Kana iwe wakaderera pane pfungwa, kuva neshamwari yakagadziriswa nekenza fundraiser inzira imwe chete yekusimbisa chete mari yako asi kupa shamwari yako nzira chaiyo yaanogona kukubatsira panguva yekurapa.
Zvisungo zvekukubatsira Nebasa Zvisarudzo kana kusarura
Zvinofadza kuti pane zvakawanda zvinowanikwa zviripo zvinogona kubatsira vanhu kuita sarudzo yakaoma pamusoro pekushanda panguva yekurapa kenza. Kutaura zvazviri, sangano risina purogiramu Cancer uye Careers rinozvipira kubatsira vanhu vane zvisarudzo pamwe chete nekukubatsira iwe kuziva kodzero dzako.
Kutaura Nomushandi Wako NezveKenza Yako
Usati wataura chinhu kumunhu wako waunoshandira, ziva nezvemazano emakambani ako nezvekuenda kwezororo uye uongorore kodzero dzako semushandi. Vanhu vazhinji vanotora kutaura nevanoshandira vanotya. Vose vashandisi vakasiyana, kunyange vashandi vakawanda vanotsigira chaizvo vashandi vavo nekenza.
Gadzirira zvaunoronga kutaura nguva isati yasvika. Zvakanakisisa kukwanisa kujekesa zvaunoda uye kwete kuedza kuva hero. Zvinowanzo nyore nyore kutaura kuti iwe uchakwanisa kushanda zvakanyanya kupfuura zvaunotarisira pane zvishoma. Zvinogona kuva zvakanaka kana iwe uchitaura nemukuru wako kuti aonewo kuti zvinhu zvinogona kuchinja. Zvakaoma kufanotaura chaizvo kuti iwe uchazonzwa sei panguva yawakarapwa uye mimwe migumisiro yakaipa yaunogona kuwana.
Mibvunzo Yokuzvibvunza
Mushure mokunge uongorora kodzero dzako uye uchifunga nezvehutano uye hutano hwekushanda panguva yekurapwa kwekenza, kune mibvunzo yakawanda yaunofanirwa kutarisisa.
- Unoda kushanda here?
- Uri kuedza kuva gamba here? (Haufaniri kuedza kuratidza chinhu chero chipi zvacho sezvaunenge uchiita kuburikidza nemishonga.Kubata zvinetso zvekurapa ndicho chirevo chikuru che simba rako.)
- Ko oncologist yako inotenda iwe uchakwanisa kushanda here?
- Iwe uchakwanisa sei kukodzera kuiswa kwako kuzuva rako rebasa? Iwe unogona here kuronga yako chemotherapy kuvhiringidza kwekuguma kwevhiki kuitira kuti vhiki yekupedzisira iwanezve?
- Basa rako rinowedzera kana kubvisa zvinetso kubva muupenyu hwako here?
- Ko mari yako inogona kuchinja sei kana iwe uchitora nguva kubasa?
Kusarura muNzvimbo Yebasa
Kuronga mberi uye kutaura pachena kune waunoshandira kunogona kuderedza mukana wekuti iwe uchasarudzwa. Kana iwe ukacherechedza rusarura, zvizhinji zvezvinhu izvi zvinogona kugadziriswa nehurukuro yakanaka. Your oncologist kana oncology mushandi wepamagariro evanhu angave akakwanisa kubatsira pamwe nekuita. Kana zvinhu zvisati zvichishandurwa, unganzwa kuongorora zvinhu zvinowanikwa kuburikidza nesangano reCancer and Careers. Kana zvimwe zvose zvikasakundikana, vamwe vanhu vachada kutumira kunyunyuta.
Pasi Payo paKenza uye Basa Renyu
Vanhu vazhinji vanowana mubvunzo wekushanda panguva yekurapwa kwekenza pasina mubvunzo. Zvinogona kuva zvakaoma kushanda panguva yekuenzanisa zviratidzo uye kurapa. Vamwe, zvisinei, vanogona kuramba vachiita basa ravo uye kuwana kushanda kunovabatsira kuti vararame nekuongorora kwavo. Pano haisi mhinduro yakarurama kana isina kururama, uye chisarudzo chacho chaicho. Chinhu chinokosha ndechokuita sarudzo yakakunakira iwe woga.
Pakupedzisira, ziva kodzero dzako, uye utaure kana kodzero idzodzo dzisingakudzwi. Kana iwe uine dambudziko (kana unonzwa uine mhosva) uchitaura, funga kuti uri kuisa muenzaniso kune vamwe vanogona kuonekwa vane kenza mune ramangwana.
Sources:
Cormio, C., Muzzatti, B., Romito, F., Mattioli, V., uye M. Annuziata. Posttraumatic Growth uye Cancer. Chidzidzo 5 Makore Mushure Mokurapa Kuguma. Kuchengetedza Kuchengetedza muCancer. 2016 Dec 24. (Epub mberi kwekudhinda).
Kim, Y., Yun, Y., Chang, Y. et al. Basa Romuitiro uye Matambudziko Akabatana Nebasa MuLung Vapenyu Vanopesana Kana zvichienzaniswa neGeneral Population. Annals of Surgery. 2014. 259 (3): 569-75.
Nekhlyudov, L., Walker, R., Ziebell, R., Rabin, B., Nutt, S., uye J. Chubak. Vanoponeswa neKansara 'Zviitiko neInishuwarenzi, Mari, uye Basa: Zvibereko zveChidzidzo cheMultisite. Nhamba yeCancer Survivorship. 2016. 10 (6): 1104-1111.
Stergiou-Kita, M., Grigorovich, A., Tseung, V., Milosevic, E., Herbert, D., Phan, S., naJohn Jones. Kuratidza Meta-Synthesis Yevashandi Pabasa Rakaitwa uye Kuvandudzwa kweNzira dzekugadzirisa Kudzokera Kubasa. Nhamba yeCancer Survivorship. 2014. 8 (4): 657-70.
Tevaarwerk, A., Lee, J., Terhaar, A., Sesto, M., Smoth, M., Cleeland, C., uye M. Fisch. Kushanda mushure meKeast Metastatic Testing: Zviitiko Zvinobata Basa muMetastatic Kuchengetedza kubva kuEECOG-ACRIN's Symptom Outcomes uye Practice Patterns Study. Cancer. 2016. 122 (3): 438-46.