7 Zvikonzero Zvaunoda Pfungwa Yechipiri Nechirwere Chemuviri
Kana iwe uchangobva kuongororwa nemukenza wemapapu, kana kuti iwe wakambove uchidzoka, zvichida hauna nguva refu shamwari yako ine chinangwa kana nhengo yemhuri yakakurudzira kuti uwane mhinduro yechipiri. Nokuda kwechinhu ichocho, iwe ungangodaro wakapa zano iri iwe pachako kumhuri kana shamwari dzave dzaonekwa kuti dzine chirwere. Asi kupa mazano zviri nyore pane kuteerera, uye vanhu vazhinji vanoona kuti hazvisi nyore kana ivo vachirayirwa.
Sei?
Pane zvikonzero zvishomanana vanhu vangave vachizeza kukumbira kwechipiri pfungwa. Chimwe ndechokuti vanhu havadi kugumbura vanachiremba vavo. Vanonetseka kuti kukumbira imwe pfungwa yechiremba kunopisa ukama hwavo nechiremba wavo. Chimwe ndechokuti vanhu havadi kutora nguva. Shure kwezvose, kana chirwere chichikura mumuviri wavo, vanoda kuchitarisa nokukurumidza sezvinobvira.Kutora nguva yekuwana pfungwa yechipiri kazhinji haipindi kuporesa panguva yakakodzera yekenza.
Chii Chipiri Chirevo?
Mhedziso yechipiri ndeye pfungwa yakasiyana kubva kune imwe chiremba pamusoro pekuchengetedza uye kutarisira kenza yako. Dzimwe nguva izvi zvinoitwa mumunhu, uye dzimwe nguva mumwe chiremba anongobvunzwa kuti aongorore zvinyorwa zvako. Pamwechete, rwechipiri pfungwa inotaura nezvekukurukura nachiremba kubva mune kliniki yakasiyana kana kamba yekenza panzvimbo pane imwe chiremba mukati meboka rinoshanda.
Mune Muchirwere Muchirwere Dzepfungwa Anonzwa Sei Pamusoro Pechipiri Pfungwa?
Hazvirevi kuti vanachiremba vane kenza havangagumbuki apo varwere vavo vachikumbira mutsara wechipiri, vanowanzozvitarisira .
Uye pavanotarisana nekenza ivo pachavo, rutivi rwemazana rwechiremba vanotsvaka pfungwa dzechipiri.
Ndinopi Kwandinofanira Kuenda Pfungwa Yechipiri?
Hapana mhinduro iri nyore kumubvunzo uyu, asi heino mafungiro mashomanana kuti iwe utange.
Bvunza wako oncologist . Kubva pakuverenga mabhuku nekuenda kumisangano yezvokurapa, we oncologist iwe iwe pakutanga unoona angave akaziva we oncologist mune imwe nzvimbo ane unyanzvi humwe kana unofarira muhutano hwako.
Zvimwe zviyero zvemakiriniki zvinongowanikwa pane dzimwe nzvimbo dzekenza . Zvechokwadi, kudzidza pamusoro pemakiriniki emakiriniki angave ane chokuita newe kunogona kuonekwa sechinhu chinotyisa. Asi nemukenza wemapapu, pane rubatsiro runowanika kune ani zvake anokumbira. Mamwe mapoka emakirini emapapu emapapu akashanda pamwe chete mukugadzira chirwere chemapapirini chekuongorora kliniki inofananidza basa . Nenzira iyi yebasa rekusununguka , varwere vanotumirwa kune vanamukoti vafambisi vezvikepe vanogona kufanana nemhando yako yekenza uye ruzivo rwemunhu nemakiriniki anowanikwa muUnited States uye kumativi ose enyika.
Funga nezvechipiri pfungwa pane imwe kenza yemukenza . Mamwe emakirini makuru emukenza, somuenzaniso, Sloan-Kettering Cancer Center, MD Anderson Cancer Center, uye Mayo Clinic pakati pevamwe, vangave vasina kupa mimwe miedzo yekliniki asi kuwanika kune vanachiremba vanonyanya kuzivikanwa. Semuenzaniso, panzvimbo yehutano wehutachiona wehutachiona uyo angaona vanhu vane marudzi ose ekenza, nzvimbo huru yezvokurapa inogona kupa kuwanika kune vanachiremba vanonyanya mukurapa yemapapu voga. Pane zvakawanda zvemagariro evecologists anopa hutano hwakanaka, asi kana uchitarisa pfungwa yechipiri, nzvimbo huru inogona kupa mamwe maitiro. Zvakakosha kucherechedza kuti izvi hazvirevi kuti iwe unoda kuenda kunorapwa.
Mumwe nyanzvi pamusana wekenza huru anogona kungoita mazano ekurapa waungagamuchira pamakiriniki epamba yako.
Usati waita kusangana kwako, tarisa mazano aya ekusarudza chirwere chekenza yemapirisa emapapu .
7 Zvikonzero Zvokuwana Mhedziso Yechipiri Nechirwere cheMaronda
Kunyange pavanonzwa kuti vanachiremba vakawanda vemapapu emapapu (oncologists, vanachiremba vanonzi thoracic, maidhion oncologists, etc.) musanyadzisa varwere vavo mafungiro echipiri, vanhu vakawanda vachiri kutya kuti kuita izvozvo kuchachinja ukama hwavo navanachiremba. Vavanaki vavo vachavaitira zvakasiyana here nokuti vakatsvaka imwe pfungwa?
Vanachiremba vanhu, mune chokwadi here kuti havazombotyisidzi? Kana imwe yemafungiro aya akakuvhiringidza iwe, ita nechokwadi chekufunga nezvemashure anotevera.
1. Hapana chiremba anogona kuziva zvose . Hapana chiremba anogona kunge ari pamusoro pekuwanikwa kwezuva nezuva kwega woga kuongorora uye kuongororwa kwechiremba mune imwe yunivhesiti munyika yose iri kutarisa pamukenza wemapapu. Vanachiremba vanhu.
2. Upenyu hwako hunogona kuvimba nayo . Kunyangwe ne "uchapupu-hwakavakirwa" mazano ekuti zvive zvakasvibirira mune oncology, kune vanhu vachiri kudarika kuputika. Muenzaniso wekuenzanisira iyi inotungamirira mutsva yekuita maitiro ekuongorora (maitiro ekuongorora maitiro) pamakumbo evanhu vose vane kamudiki kadiki kemukenza yemapapu emapapu, kunyanya mapapu adenocarcinoma . Kune vanhu vanoedza vanoona kuti pane zvishoma zvezvinhu izvi zvekuchinja uye maitiro ekusaremara ( EGFR uye ALK uye ROS1 ) mishonga inowanikwa iyo inogona kuwedzera kupona. Pasinei neizvi, kuongorora mazita kunoshandiswa muUnited States.
3. Zvibereko zvekuvhiya kubva pamuviri wemapapu emapapu zvakasiyana . Zviongorori zvinoratidza kuti vanhu vane chirwere chekenza yemapapu pavanorwara nekenza iyo inoita huwandu hwakawanda hwekuvhiya uku ine zvibereko zviri nani. Mukuwedzera, mamwe maitiro ekuvhiya, akadai sevasingaoneki vhidhiyo inobatsira chirwere chinonzi thoracoscopic (VATS maitiro,) haigone kuwanika kune dzose kanhara dzino.
4. Kufambira mberi kunoitwa mukurapa kwemukenza yemapapu. Mushure memakore ekuchinja mishoma mukufambira mberi kwemakirini emapapu emapapu, kubudirira kuri kuitwa. Isu iye zvino tinoziva kuti kenza yese yemapapu yakasiyana uye ine marapirwo anotarisa mamwe emakakatanwa iwayo.
5. Kunyaradza uye kuvimba . Kunyange kana chipiri chiremba chiremba anopa mazano ekurapa, iwe unganzwa uchinetseka uye uchivimba nemishonga yaunowana. Iwe unogonawo kunge ushoma kuti uzvifungidzire iwe pachako pasi pemutsara kana zvinhu zvisingaendi sezvaunoda.
6. Kusimbisa kana kuramba kuongorora kwako . Kuti kuderedza dambudziko rekusaziva zvakanaka. Nhamba dzinoratidza kuti mumwe wevatatu vanorwara nekenza havana kuongororwa. Haisi kungoita zvirongwa zvekurapa zvaunoda kukurukura nechipiri chiremba chiremba, asi iwe unozviongorora iwe pachako.
7. Pakupedzisira, unhu hwehupenyu . Haasi chiremba wega wega anoenzanisa nevarwere vose. Izvi hazvirevi kuti vamwe vanachiremba vakanaka uye vamwe vakaipa, kana kuti vamwe varwere zviri nyore kuwirirana nevamwe vasina, kuti vamwe vanhu vanobatana nevamwe vanhu vanopfuura vamwe.
Mibvunzo Yokubvunza Mubvunzo Wako WeChipiri Chiremba
1. Ndeupi mushonga unorumbidza uye nei? Ndezvipi zvinokonzerwa nemigumisiro yease yekurapa?
2. Ndeupi chikonzero unorumbidza kana kurapwa kwandakaitwa nachiremba, kana kurapa kwakasiyana?
3. Ndezvipi zviedzo zvekliniki zvauripo nokuda kwehupenyu hwangu? Pane chirwere chemakiriniki chinongowanikwa kune imwe nzvimbo iyo iwe unofunga kuti ichave yakakwana kwandiri?
4. Kana mushonga wacho wakasiyana, unogona here kuwana "chirongwa chechipiri maitiro" pedyo neimba? Kana kwete, kangani iwe uchafanira kufamba?
5. Chii chinonzi Plan B? Semuenzaniso, kana kurapwa kunoitwa nachiremba kusingashandisi, chii chaizotevera?
6. Kana ndikawana hanya panzvimbo iyi, ndiani angatarisira boka rangu rekutarisira? Ndiani wandinodana kana ndikasangana nezvinetso? Ndeapi vamwe vanachiremba uye vanachiremba vachabatanidzwa mune zvandinotarisira?
7. Ndeapi "maitiro ekubatanidza" anowanikwa kubatsira nezviratidzo zvekurapa?
8. Pakupedzisira, unobvumirana nehutachiona ndapiwa here?
Mamwe mazano paunowana Pfungwa yeChipiri
1. Kuwana pfungwa yechipiri hakureve kuti unofanirwa "kutanga" kana kuti kudzokorora miedzo isingaperi. Izvozvo zvakati, vanachiremba vakawanda vanoda vadzidzisi vavo pachavo kuti vaongororore hutachiona hwehudhiroya hwakanga uine kune imwe nzvimbo kana hutano hunozoitika kune dzimwe nzvimbo. Pane zvimwe mari kune izvi, asi zvechokwadi zvishoma kudzokorora zviedzo. Iwe unogona kufunga pamusoro payo seine maonero mashomanana maviri - maonero echipiri pane zvaunofunga uye zvirwere zvinokonzera zvinokonzera pamwe nekuongorora kwako uye kurapwa kwakakurudzirwa.
2. Edza kuunganidza makopi ezvose - izvo zvinoreva, kliniki manotsi, kuongororwa kwehudhiology, maitiro emabato, zvirwere zvehutano, uye kuvauyisa kunzvimbo yako yakatarwa. Mune zvimwe zviitiko, miedzo yakadai seyerology scans inogona kuendeswa kumagetsi, asi kakawanda iwe uchada kuunza CD ye scan pamwe newe. Nyaya yepiri yechipiri vanachiremba vachada kuona zviratidzo chaiyo zvawakange waita uye kwete kungoita mushumo wakanyorwa nea radiologist. Tarisa mazano aya ekuti ungawana sei mhinduro dzako dzekurapa .
3. Gadzirira runyora rwemibvunzo asati wagadzwa, uye iva nechokwadi chokuti inopindurwa. Zvinogona kubatsira zvikuru kuunza nhengo yemhuri kana shamwari yako pamwe chete kutora nyora uye kubvunza mibvunzo iwe ungangodaro wakanganwa.
4. Kana ukasarudza kutamisa kutarisira kwako kune pfungwa yako yechipiri chiremba, tarisa mazano aya ekuti ungaita sei shanduko dzakanaka paunenge uchichinja vanachiremba .
Inishuwarenzi Inobhadhara Maonero Echipiri
Vazhinji vehushuwarisi vanotakura humwe pfungwa dzechipiri, kunyange iwe uchida kutarisa neinishuwarensi yako. Zvimwe zvinotakura zvinotoda kutora pfungwa yechipiri vasati vatanga kurapwa.
Zvitsva Zvitsva
Kunyangwe iwe ukasarudza kugara nechiremba wako wepakutanga kana kutumira kutarisira kwako kune rimwe chipiri chiremba chiremba, kuva chikamu chekushingaira cheboka rako rehutano wehutano ndiyo yako yakanakisisa inshuwarisi yemutemo. Tarisa mazano aya ekuti ungava sei mumutsigiri wako muchengeti wako . Uye kana uchangobva kuongororwa nemukenza wemapapu, funga matanho aya ekutanga kutora kana uchangobva kuongororwa nemukenza wemapapu .
Sources:
Adamson, R. Biomarkers uye kufurisa kwema molecular muchechi musingaiti masero emapapu: inowedzera basa uye kutarisirwa kwayo kutarisirwa. American Journal of Kutarisirwa Kuchengetedzwa . 2013. 19 (19 Suppl): s398-404.
National Cancer Institute. Nzira Yokuwana Nachiremba kana Utano Kana ukave neKenza. Updated 06/05/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet